• Title/Summary/Keyword: First-onset

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Three-Dimensional Transition in the Wake of a Circular Cylinder By Direct Numerical Simulation (DNS에 의한 원주 후류에서의 3차원 천이)

  • Knag, S.J.;Tanahashi, M.;Miyauchi, T.;Mo, J.O.;Lee, Y.H.
    • Proceedings of the KSME Conference
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    • 2001.11b
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    • pp.570-577
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    • 2001
  • Three-dimensional time-dependent flow past a circular cylinder is numerically investigated using direct numerical simulation for Reynolds number 280 and 300. The higher-order finite difference scheme is employed for the spatial distributions along with the second order Adams-Bashforth and the first order backward-Euler time integration. In x-y plane, the convection term is applied by the 5th order upwind scheme and the pressure and viscosity terms are applied by the 4th order central difference. And in spanwise, Navier-Stokes equation is distributed using of Spectral Method. At Reynolds number 259 the two-dimensional wake becomes linearly unstable to a second branch of modes with wavelength about 1.0 diameters at onset (B-mode). Present results of three-dimensional effects of in wake of a circular cylinder is represented with spanwise and streamwise vorticity contours as Reynolds numbers.

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Motor Function Recovery in Stroke Patients with Corona Radiata Infarct: 4 Case Studies

  • Kim, Chung-Sun;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
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    • v.22 no.3
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    • pp.31-35
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    • 2010
  • Purpose: The aim of this study was to use fMRI and clinical prognosis criteria to evaluate therapeutic interventions in stroke patients with corona radiata infarct and acquire fundamental information about recovery mechanisms. Methods: Four subjects (2 men, 2 women) who had strokes with corona radiata infarct were recruited. For all subjects, motor functions such as motricity index (MI), modified brunnstrom classification (MBC), functional ambulatory category (FAC), and bathel index (BI) were evaluated. Evaluations were done at least 4 times over a period of approximately 6~7 months from stroke onset. We compared the final evaluation with the first. Results: All patients with corona radiata infarct showed improvement in motor outcomes with the passing of time. The strength of all patients improved from zero or trace levels to normal or good levels in the MI (Motricity Index) test. Other motor outcomes including the modified brunnstrom classification (MBC), the functional ambulatory category (FAC), and the bathel index (BI) also improved with the passing of time. Conclusion: Stroke patients with corona radiata infarcts change for the better over time. Therefore, one can introduce clinical interventions by the aspect of progress in functional motor recovery.

Neonatal Onset Isovaleric Acidemia with Novel Mutation (아이소발레린산혈증 신생아에서 발견된 새로운 돌연변이)

  • Kim, Young Han;Bae, Eun Ju;Park, Hyung-Doo;Lee, Hong Jin
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.1
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    • pp.42-46
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    • 2016
  • Isovaleric acidemia is autosomal-recessively inherited and an inborn error of metabolism caused by abnormal leucine metabolism due to the genetic defect of IVD (Isovaleryl-CoA dehydrogenase). IVD corresponds to mitochondrial matrix enzyme that acts on converting isovaleryl-CoA into 3-methylcrotonyl-CoA in the leucine catabolism. The IVD gene is located at Chromosome 15q14-q15, particularly between base pair 40,405,485 and base pair 40,435,948. It consists of 12 exons and has been reported to cause over 50 diseases so far. We conducted IVD gene test on the patient with acute isovaleric acidemia and confirmed a new type of mutation for the first time. As a result of analyzing the IVD gene sequence, we found out that c.129T>G(p.Asn43Lys) and c.1033A>G(p.Asn345Asp) mutations exist as heterozygosity at Exon 1 and Exon 10 respectively, novel mutation.

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Clinical study on the 96 Cases of Stroke patients (뇌졸중환자(腦卒中患者) 96례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Yong, Hyung-Soon;Ko, Seong-Gyu
    • The Journal of Internal Korean Medicine
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    • v.19 no.1
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    • pp.85-96
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    • 1998
  • This study was done with 96 cases of stroke patients who admitted to Department of the circulatory internal medicine Sang-ji University oriental Hospital from January to December in 1997. The purpose of this paper is to predict prognosis in stroke patient and to estimate change of muscle motor power between admission and discharge day in Sasang Constitution. The results are as follows. 1. Motor function of upper extremities was improved one stage at discharge day compare to admission day and the function of lower extremities had no change in muscle motor power. 2. Especially March and April had high morbidity any other months and the time of onset was most frequent on the morning. 3. They had hypertension as first preceding disease, and the next was stroke. Stroke occurred most frequently in resting, and the next was in sleeping. 4. In Sasang constitution, Taeyum-in(太陰人), 47.9%, was most neumorous, the next was Soyum-in(少陰人), 36.5%, and the third was Soyang-in(少陽人), 15.6%.

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A Case Series of Post-stroke Vision Disorders Using Korean Medical Treatment (뇌졸중 후 시야장애의 한의치료 증례집적연구)

  • Jung, Min-ho;Kim, Jae-hak;Kim, Se-won;Cho, Ki-ho;Mun, Sang-kwan;Jung, Woo-sang;Kwon, Seung-won
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.217-223
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    • 2018
  • In this study, five cases of post-stroke vision disorders are presented. The patients had no distinctive change in vision disorders before Korean medical treatment, which included herbal medicine, acupuncture, and electroacupuncture. After 11 to 28 days of Korean medical treatment, the patients experienced the first improvement of vision disorders after stroke. Also, patients who received Korean medical treatment after 30 days from onset, the duration in which the most improvement of post-stroke vision disorders occurs, progressed their vision disorders by the start of Korean medical treatment. Korean medical treatment might be effective in treating vision disorders after stroke.

Lame Disease (라임병에 관하여)

  • Shin, Sang-Won;Park, Seung-Chull
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.172-176
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    • 1991
  • Lyme disease, or Lyme borreliosis. is an infection caused by spirohete Borrellia burgdorferi. This disease was recognized in Lyme, Conneticut U.S.A. in 1975. The onset of the disease is usually heralded by the appearance of a pathognomic skin lesion, known as erythema chronicum migrans, and accompanied by flue like or meningitis like symptoms. Unless treatment is initiated early, the disease usually disseminated, often resulting carduac, neurologic, or joint manifestations. All stages of the disease are usually curable by appropriate antibiotic therapy, and can prevent severe late cardiac, neurologic, and joint complications. Lyme disease is typically defined by clinical evidence supported by serologic test. The diagnosis require serologic confirmantion of erythema chronicum migrans, occurring in patient in nonendemic countries. Determination of antibody titer against B. burgdorferi by enzyme linked immunosorbent assay(ELISA) currently the most practical diagnostic test. Currently Lyme disease occurs in U.S.A. Europe, and Australia. It has recently recognized in China, Japan, and Soviet Union also. In United States, Lyme disease is most common vector borne infection. There is no reported case of patients with this disease in Korea. But the vector of this disease, -Ixodes ticks- had been identified in Korea. And Korea is geographically closely related to China and Japan where Lyme disease is already reported. We expect first case of Lyme disease could he reported in near future. We review the clinical manifestations and diagnostic method of Lyme disease.

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Familial Osteonecrosis of Femoral Condyle -Atypical Spontaneous Osteonecrosis of the Knee Involving Medial & Lateral Condyles in Young Patient with Familial Occurence- (비전형적 대퇴골과 자발성 골괴사증(증례 보고))

  • Lee, Myung Chul;Jo, Hyun Chul;Kim, Tae Gyun;Seong, In Ho;Seong, Sang Cheol
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.185-188
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    • 1998
  • Spontaneous osteonecrosis of the knee was first described by Ahlbck et al in 1968 as the spontaneous and sudden onset of severe pain, usually on the medial side of the knee joint, in old age(>60 years) with no specific etiologic factors. They differentiate the disease from osteochondritis dissecans, osteoarthritis, fracture, infection, neuropathic joint and secondary osteonecrosis of the knee joint. So far many investigators described this disease but had never observed cases developed in young patient with familial occurrence. The report presented here is a case of spontaneous osteonecrosis of both medial and lateral femoral condyles involving the bilateral knee joint that were treated by arthorscopic loose body removal and multiple drilling.

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Paradigm Shift in Intra-Arterial Mechanical Thrombectomy for Acute Ischemic Stroke : A Review of Randomized Controlled Trials after 2015

  • Sheen, Jae Jon;Kim, Young Woo
    • Journal of Korean Neurosurgical Society
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    • v.63 no.4
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    • pp.427-432
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    • 2020
  • Three randomized control trials (RCTs), published in 2013, investigated efficacy of mechanical thrombectomy in large vessel occlusions and did not show better results compared to intravenous (IV) recombinant tissue-type plasminogen activator (tPA) alone. However, most clinicians treating stroke consider mechanical thrombectomy as the standard treatment rather than using IV tPA alone. This paradigm shift was based on five RCTs investigating efficacy of mechanical thrombectomy in acute ischemic stroke conducted from 2010 to 2015. They demonstrated that mechanical thrombectomy was effective and safe in acute ischemic stroke with anterior circulation occlusion when performed within 6 hours of stroke onset. There are four reasons underlying the different results observed between the trials conducted in 2013 and 2015. First, the three RCTs of 2013 used low-efficiency thrombectomy devices. Second, the three RCTs used insufficient image selection criteria. Third, following the initial presentation at the hospital, reperfusion treatment required a long time. Fourth, the three RCTs showed a low rate of successful recanalization. Time is the most important factor in the treatment of acute ischemic stroke. However, current trends utilize advanced imaging techniques, such as diffusion-weighted imaging and multi-channel computer tomographic perfusion, to facilitate the detection of core infarction, penumbra, and collateral flows. These efforts demonstrate that patient selection may overcome the barriers of time in specific cases.

Per-deuteration and NMR experiments for the backbone assignment of 62 kDa protein, Hsp31

  • Kim, Jihong;Choi, Dongwook;Park, Chankyu;Ryu, Kyoung-Seok
    • Journal of the Korean Magnetic Resonance Society
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    • v.19 no.3
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    • pp.112-118
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    • 2015
  • Hsp31 protein is one of the members of DJ-1 superfamily proteins and has a dimeric structure of which molecular weight (MW) is 62 kDa. The mutation of DJ-1 is closely related to early onset of Parkinson's disease. Hsp31 displays $Zn^{+2}$-binding activity and was first reported to be a holding chaperone in E. coli. Its additional glyoxalase III active has recently been characterized. Moreover, an incubation at $60^{\circ}C$ induces Hsp31 protein to form a high MW oligomer (HMW) in vitro, which accomplishes an elevated holding chaperone activity. The NMR technique is elegant method to probe any local or global structural change of a protein in responses to environmental stresses (heat, pH, and metal). Although the presence of the backbone chemical shifts (bbCSs) is a prerequisite for detailed NMR analyses of the structural changes, general HSQC-based triple resonance experiments could not be used for 62 kDa Hsp31 protein. Here, we prepared the per-deuterated Hsp31 and performed the TROSY-based triple resonance experiments for the bbCSs assignment. Here, detailed processes of per-deuteration and the NMR experiments are described for other similar NMR approaches.

Zn-Ion Coated Structural $SiO_2$ Filled LDPE: Effects of Epoxy Resin Encapsulation

  • Reddy C. S.;Das C. K.;Agarwal K.;Mathur G N.
    • Macromolecular Research
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    • v.13 no.3
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    • pp.223-228
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    • 2005
  • In the present work, a low-density polyethylene (LDPE) composite, filled with Zn-ion coated structural silica encapsulated with the diglycidyl ether of bisphenol-A (DGEBA), was synthesized using the conventional melt-blending technique in a sigma internal mixer. The catalytic activity of the Zn-ions (originating from the structural silica) towards the oxirane group (diglycidyl ether of bisphenol-A (DGEBA): encapsulating agent) was assessed by infrared spectroscopy. Two composites, each with a filler content of $2.5 wt\%$ were developed. The first one was obtained by melt blending the Zn-ion coated structural silica with LDPE in a co-rotating sigma internal mixer. The second one was obtained by melt blending the same LDPE, but with DGEBA encapsulated Zn-ion coated structural silica. Epoxy resin encapsulation of the Zn-ion coated structural silica resulted in its having good interfacial adhesion and a homogeneous dispersion in the polymer matrix. Furthermore, the encapsulation of epoxy resin over the Zn-ion coated structural silica showed improvements in both the mechanical and thermal properties, viz. a $33\%$ increase in the elastic modulus and a rise in the onset degradation temperature from 355 to $371^{\circ}C$, in comparison to the Zn-ion coated structural silica.