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The Comparison of Outcome between Thromboaspiration and Aggressive Mechanical Clot Disruption in Treating Hyperacute Stroke Patients

  • Lee, Hyun-Goo;Rhim, Jong-Kook;Kim, Yoon-Hee;Sheen, Seung-Hun;Oh, Sung-Han;Chung, Bong-Sub
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.311-316
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    • 2011
  • Objective : Stroke is the third leading cause of death in the Republic of Korea. Time is the most important factor in hyperacute stroke. Yet, there had been no protocol for mechanical thrombolysis. We have treated patients with hyperacute stroke by mechanical thrombolysis for 3 years. In current study, we analyzed the outcome of mechanical thrombolysis. Methods : From March 2008 to February 2011, 36 patients were treated with mechanical thrombolysis. Initially we treated the patients by aggressive mechanical clot disruption (AMCD) who were admitted within 6 hours after the symptom onset. If revascularization was not achieved, balloon angioplasty was performed, followed by stenting or temporary endovascular bypass was performed. The result in 15 cases was not so successful. Since then, we started using the thromboaspiration method as the first line treatment of the mechanical thrombolysis. Results : After using the thromboaspiration, we had better results in recanalization rate, modified Rankin Score (mRS) and reperfusion injury compared to AMCD. The recanalization rate was 80.85%, mRS is 2.85, and there was only 0.09% hemorrhagic formation. Conclusion : Even though thromboaspiration is not statistically significant due to the limited numbers of patients enrolled in this study, we think it is a good way in mechanical thronbolysis for hyperacute stroke.

An active system for unnecessary noise reduction in kitchen range hoods

  • Kim, Eunhee;Jang, Jaechun;Lim, Changmok
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.3
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    • pp.91-96
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    • 2016
  • We have surrounded undesired living noises in our life. One of biggest noises coming out of range hood during cooking in the kitchen. A range hood is one of the most important appliances in the kitchen because it ventilates polluted air out during cooking, and maintains air quality in the kitchen. But current kitchen range hoods bring up some issues; First, the range hoods consume massive amount of standby power not in use condition. Second, current models have designed manual fan operating system with sudden onset of noise with starting. In this paper, we propose an auto control system entire processes from air ventilation to noise reduction. Our system is consist of three parts (Eco-sensors pack, Main Controller and Active Noise Controller); Eco-sensors pack detects air pollution of kitchen areas and sends the detection values to Main Controller. Main Controller determines operation of range hood by detected values. Active Noise Controller is located inside of the range hood. It received starting signals from Main Controller which elicits degrees of polluted air condition and fan operating speed from 1 to 3. Once Active Noise Controller detected the signals, it runs a ventilating fan until new value from Main Controller becomes 0. while the range hood works, A noise cancellation algorithm inside of Active Noise Controller become activated to reduce levels of noise. As a result, the proposed system clearly shows reduction in power consumption include standby power and decreases in levels of noise.

Progressive failure of symmetrically laminated plates under uni-axial compression

  • Singh, S.B.;Kumar, Ashwini;Iyengar, N.G.R.
    • Structural Engineering and Mechanics
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    • v.5 no.4
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    • pp.433-450
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    • 1997
  • The objective of this work is to predict the failure loads, associated maximum transverse displacements, locations and the modes of failure, including the onset of delamination, of thin, flat, square symmetric laminates under the action of uni-axial compression. Two progressive failure analyses, one using Hashin criterion and the other using Tensor polynomial criteria, are used in conjunction with the finite element method. First order shear deformation theory and geometric nonlinearity in the von Karman sense have been employed. Five different types of lay-up sequence are considered for laminates with all edges simply supported. In addition, two boundary conditions, one with all edges fixed and other with mixed boundary conditions for $(+45/-45/0/90)_{2s}$ quasi-isotropic laminate have also been considered to study the effect of boundary restraints on the failure loads and the corresponding modes of failure. A comparison of linear and nonlinear results is also made for $({\pm}45/0/90)_{2s}$ quasi-isotropic laminate. It is observed that the maximum difference between the failure loads predicted by various criteria depend strongly on the laminate lay-ups and the flexural boundary restraints. Laminates with clamped edges are found to be more susceptible to failure due to the transverse shear and delamination, while those with the simply supported edges undergo total collapse at a load slightly higher than the fiber failure load.

Factors Affecting on Conservative Treatment of Morton's Neuroma (지간 신경종 보존적 치료에 영향을 미치는 인자)

  • Yoo, Seong-Ho;Kim, Bu-Hwan;Chu, In-Tak;Chang, Yoon-Jong
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.131-134
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    • 2005
  • Purpose: The purpose of this study was to investigate the clinical results of conservative treatment for Morton's neuroma and to analyze the factors which influenced on the results. Materials and Methods: In this retrospective study, 101 cases of 83 patients with interdigital neuroma were conservatively treated with follow-up period of at least 6 months. There was no significant difference in results among different age groups, sxes, and lesion sites. However, the results were significantly better if the treatment was started within 6 months after onset. Results: We had 28 excellent results (28%), and 13 good results (13%). Patients were grouped by sex, age, duration of symptom before treatment, affected location. The result of treatment was evaluated by comparing the subject pain and discomfort score of the first vist and last follow-up. Conclusion: There are excellent results over 41% by conservative treatment. The results of conservative treatment were not related to age, sex, and lesion site, but were related to pre-treatment period. The shorter the pretreatment period was, the better the results.

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VERIFICATION OF THE CALENDAR DAYS OF THE JOSEON DYNASTY

  • Lee, Ki-Won;Ahn, Young-Sook;Mihn, Byeong-Hee
    • Journal of The Korean Astronomical Society
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    • v.45 no.4
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    • pp.85-91
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    • 2012
  • Astronomical data making such as forming a calendar, period of day, determining the time of rising/setting of the sun and the onset of twilight are essential in our daily lives. Knowing the calendar day of the past is particularly crucial for studying the history of a clan or a nation. To verify previous studies in the calendar day of the Joseon dynasty (1392 - 1910), we investigate the sexagenary cycle of the new moon day (i.e., the first day in a lunar month) by using sources such as results of the calculations using the Datong calendar (a Chinese Calendar of the Ming Dynasty) and the data of Baekjungryeok (a Perpetual Calendar; literally, a one hundred-year almanac). Compared with the study of Ahn et al., we find that as many as 17 sexagenary cycles show discrepancies. In the cases of nine discrepancies, we find that the sexagenary cycles of this study are identical to those of the almanacs at that time. In addition, we study five sexagenary cycles by using the historical accounts of Joseon Wangjo Sillok (Annals of the Joseon Dynasty), Seungjeongwon Ilgi (Daily Reports of Royal Secretariat), Chungung Ilgi (Logs of Crown Prince), and so forth. For the remaining discrepancies, we present historical literature supporting the results of this study. This study will greatly contribute to the identification of the lunisolar calendar days during the Joseon dynasty as the dates of the modern (i.e., Gregorian) calendar.

Numerical Study of the Dynamics Connecting a Solar Flare and a Coronal Mass Ejection

  • Inoue, Satoshi;Kang, Jihye;Choe, Gwangson
    • The Bulletin of The Korean Astronomical Society
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    • v.39 no.2
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    • pp.97.1-97.1
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    • 2014
  • We clarify the dynamics connecting a solar flare and a coronal mass ejection (CME) based on the results of a magnetohydrodynamic (MHD) simulation starting from a nonlinear force-free field (NLFFF) in Inoue et al. 2014. In previous studies, many authors proposed numerous candidates for triggering processes of a solar flare and the associated CME. Among them, the tether-cutting reconnection or the torus instability has been supported by recent simulations and observations. On the other hand, our MHD simulation in accordance with more realistic situations show that highly twisted field lines are first produced through a tether-cutting reconnection between the twisted field lines in the NLFFF, and then the newly formed, strongly twisted field erupts away from the solar surface because of a loss of equilibrium. This dynamics corresponds to the onset of a solar flare. Furthermore we have found that the strongly twisted erupting field reconnect with the weakly twisted ambient field during the eruption, creating a large flux tube, and then it rises over a critical height of the torus instability to trigger a CME. From these results, we conclude that the coupled process of tether-cutting reconnection and torus instability is important in the flare-CME relationship.

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A Study on Improvement of Health Education in Hospitals (병원의 보건교육 활성화 방안에 관한 고찰 -지역사회와 병원의 연계방안을 중심으로-)

  • 홍인정
    • Korean Journal of Health Education and Promotion
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    • v.14 no.1
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    • pp.1-9
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    • 1997
  • The health education in hospitals has many problems including lack of the division specialized in health education, lack of implementation system of health education, insufficient professional health education and insufficient health education materials. Despite these restraints, hospitals should reinforce health education program as a part of active response centered on disease prevention and health promotion targeting healthy people who have potential health risk before the onset of disease, rather than passive approach emphasizing the treatment. Accordingly, health education team should be organized in a hospital, in which health educators can provide the following education services. First of all, hospitals themselves should provide active community services in collaboration with community organizations. In addition, multi-disciplinary approach in cooperation with schools, work places should be reinforced to establish the comprehensive health education system. The establishment of medical service referral system with other medical institutions and the linkage system for medical information exchange are also needed. The utilization of education materials obtained through these system should be open to community residents as well as patients. Finally, medical staff working in hospitals should try to provide the high-quality health education that is as high as the level of medical services. The high-quality health education is possible when its level is based on one required by community residents and the county rather than the international or arbitrary standard.

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Stroke and Sleep (뇌졸중과 수면)

  • Jeong, Seung-Cheol
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.5-8
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    • 2002
  • Stroke is a leading cause of death in most developed countries and some developing countries including South Korea. It is well known that stroke has is related in some way with several sleep disorders. At first, the onset time of stroke varies according to circadian rhythm. Early morning is the most prevalent time and late evening the least. The changes of blood pressure, catecholamine level, plasminogen activity and aggregation of platelet during sleep have been suggested as possible mechanisms. Sleep apnea (SA), a representative disorder in the field of sleep medicine, is found in more than 70% of acute stroke patients compared to 2-5% of the general population. Various sleep related breathing disorders occur after stroke and snoring is a distinct risk factor for stroke. So the relationship between stroke and SA is obvious, but the cause and effect are still not clearly known. Also, stroke may cause many sleep related problems such as insomnia, hypersomnia, parasomnia and changes in sleep architecture. Patients, family members and even medical personnel often ignore stroke-related sleep problems, being concerned only about the stroke itself. The clinical impacts of sleep problems in stroke patients may be significant not only in terms of quality of life but also as a risk factor or prognostic factor for stroke. More attention should be paid to the sleep problems of stroke patients.

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Comparison of Acoustic Characteristics of Vowel and Stops in 3, 4 year-old Normal Hearing Children According to Parents' Deafness: Preliminary Study (부모의 청각장애 유무에 따른 3, 4세 건청 자녀의 모음 및 파열음 조음의 음향음성학적 특성 비교: 예비연구)

  • Hong, Jisook;Kang, Youngae;Kim, Jaeock
    • Phonetics and Speech Sciences
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    • v.7 no.1
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    • pp.67-77
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    • 2015
  • The purpose of this study was to investigate how deaf parents influence the speech sounds of their normal-hearing children. Twenty four normal hearing children of deaf adults (CODA) and normal hearing parents (NORMAL) aged 3 to 4 participated in the study. The F1, F2, and the vowel triangle area in 7 vowels and the voice onset times (VOTs) and closure durations in 9 stops were measured. The results of the study are as follows. First, the F1 and F2 for all vowels were higher and the vowel triangle area was larger in CODA than in NORMAL although they were not statistically significant. Second, VOTs in $C_{stop}V$ for $/t^*/$ and in $VC_{stop}V$ for $/t^*/$, $/t^h/$, and $/k^h/$ were longer in CODA than in NORMAL. Most stops in CODA appeared to be longer VOTs for most phonemes. Third, the manner and place of articulation in stops did not make a difference between CODA and NORMAL in VOTs and closed durations. CODA does not demonstrate the speech characteristics of deaf people, however, they seem to speak differently than NORMAL, which means CODA might be influenced by a different linguistic environment created by deaf parents in some way.

A Case on Risperidone-Induced Tardive Dyskinesia (Risperidone 유발 지연성 운동장애 1례(一例))

  • Kim, Hun-Soo;Kim, Hyun-Sil;Min, Byung-Kun
    • Korean Journal of Biological Psychiatry
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    • v.5 no.1
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    • pp.129-133
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    • 1998
  • Objective : Base on clinical practice, the authors report a case of tardive dyskinesia arising during the course of treatment with resperidal. Methods : This article was review and analysis of a case on risperidone-induced tardive dyskinea. Results : Mrs K, a 51-year-old woman with a 1-year history of schizophrenic disorder, gradually developed tardive dyskinetic movement of the mouth, lip, and tongue over a 4 month period(From July, 1996 to June, 1997) while taking risperidone. Initially she was treated with haloperidol and alprazolam. However, the haloperidol was subsequently discontinued because of EPS developed. From 11th March, 1997, she was observed to have a severe form of tardive dyskinesia involving her tongue, lip, and mouth. After risperidone was withdrawn at 9th May 1997, her tardive dyskinetic movement was disappeared. Conclusions : This is, to our knowledge, the first report of the onset of tardive dyskinesia in a patient taking risperidone. However, additional controlled studies of specific questions are needed ; e.g., the dose-response curves for produce tardive dyskinesia and the mechanism of producing risperidone-induced tardive dyskinea and so on.

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