• 제목/요약/키워드: HFS+

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급성 벨마비와 동시에 발생한 반대측 반얼굴연축 (Contralateral Hemifacial Spasm Occurred Simultaneously in Acute Bell's Palsy)

  • 이동국
    • Annals of Clinical Neurophysiology
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    • 제7권2호
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    • pp.117-120
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    • 2005
  • Hemifacial spasm (HFS) may develop after Bell's palsy (BP). But it was not reported that contralateral HFS occurred simultaneously in acute BP. A 25-year-old woman admitted with left HFS occurred simultaneously in acute right BP for 6 days. Past, family, and social history were unremarkable. Nerve conduction studies (NCS) and blink reflex (BR) test showed bilateral facial neuropathies. Brain MRI and cerebral angiography were normal. The symptoms and signs of HFS and BP were improved slowly after acyclovir and prednisolone therapy. Follow-up serial NCS and BR also showed a rapid improvement.

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macOS 파일시스템의 B-tree분석 디지털 포렌식 도구의 개발 (Development of B-tree Analyzing Tool for macOS Filesystem)

  • 조규상
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2021년도 제63차 동계학술대회논문집 29권1호
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    • pp.287-288
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    • 2021
  • 본 논문에서는 macOS의 파일시스템인 HFS+의 B-tree구조를 디지털 포렌식의 관점에서 분석할 수 있는 기능을 갖춘 도구의 구현에 대하여 다룬다. HFS+ 파일시스템의 파일과 디렉토리에 대한 메타정보를 카탈로그 B-tree에서 구하여 디지털 포렌식 정보로 활용한다. HFS+파일시스템 포렌식 분석도구는 C/C++언어로 구현된다. 텍스트 기반의 명령행 프로그램으로 구현되며 macOS/Windows에서 터미널/명령프롬프트에서 각각 실행될 수 있도록 제작된다. 타임스탬프/파일크기/위치 등의 메타데이터의 파싱기능, 리프노드에 저장된 데이터를 이용한 파일/디렉토리 트리 구조의 재구성, B-tree구조에 의한 키워드 탐색 기능, 인덱스 노드 없이 B-tree 리프노드의 구성에 의한 파일/디렉토리 파싱/검색 기능 등이 구현된다.

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Nurse Educators' Experience of Developing and Implementing a High-fidelity Simulation-based Interprofessional Education Module for Medical and Nursing Students

  • Yun, KANG;Somyeong Kim
    • International Journal of Advanced Culture Technology
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    • 제11권4호
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    • pp.1-8
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    • 2023
  • Objective: Despite the recommendation of the use of high-fidelity simulation (HFS) in interprofessional education (IPE), there is little known about its work for nursing students. Thus, this study aimed to explore nurse educators' perceptions and experiences in developing and implementing the HFS-based IPE for nursing and medical students. Methods: This study used a case study, using reflective filed notes. Results: Nursing educators perceived HFS as an effective educational approach to engaging nursing and medical students actively in interprofessional collaborative practice (ICP) experiences and in evaluating their actual performance on it. In terms of their perspectives on the elements necessary for effective HFS-based IPE, four themes were identified: collaborative learning, co-facilitating debriefing, leadership commitment and active faculty involvement.

녹용의 무기질 조성, 항산화능 및 PC-12 신경 세포 보호능에 대한 급여 사료의 영향 (Effect of Feedstuffs on Mineral Composition, Antioxidant Capacity, and Protection of Neuronal PC-12 Cells of Deer Antlers)

  • 조치흥;이봉한;김해영;김영채;김대옥
    • KSBB Journal
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    • 제27권4호
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    • pp.243-250
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    • 2012
  • The ash content, mineral composition, total phenolics, antioxidant capacity, and neuroprotective effect of the antlers of deer fed with herb-incorporated feedstuff (HFS) or normal feedstuff (NFS) were comparatively evaluated. The contents of ash and mineral of the antler of deer fed with HFS were significantly lower than its counterpart. The ash and mineral contents of deer antlers decreased generally from the upper section toward the tip section. The ratios of Ca/ash, Ca/P, and Ca/Fe of antler of deer fed with HFS were lower than those of antler of deer fed with NFS. Antlers of deer fed with HFS had higher total phenolics, nitrite scavenging capacity, and antioxidant capacity than those of deer fed with NFS. Antlers of deer fed with HFS or NFS showed in vitro neuronal protection of PC-12 cells against oxidative stress in a dose-dependent manner, where antler of deer fed with HFS generally had higher cellular viability than NFS. These results above suggest that the incorporation of the medicinal herbal complex into feedstuff may improve the biological effects of deer antlers.

The Effect of Microvascular Decompression for Hemifacial Spasm Caused by Vertebrobasilar Dolichoectasia

  • Kang, Jeong-Han;Kang, Dong-Wan;Chung, Sang-Sup;Chang, Jin-Woo
    • Journal of Korean Neurosurgical Society
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    • 제52권2호
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    • pp.85-91
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    • 2012
  • Objective : Hemifacial spasm (HFS) caused by vertebrobasilar dolichoectasia (VBD) is very rare, and in theses cases, it is difficult to decompress the nerve from its vascular compression. The objective of this study was to investigate the outcome of microvascular decompression (MVD) for HFS caused by VBD. Methods : There were 10 patients of HFS caused by VBD at our hospital between September 1978 and September 2008. We evaluated magnetic resonance angiography (MRA) and time of flight magnetic resonance imaginge (TOF MRI) findings using the criteria for VBD. We compared the clinical outcomes of MVD for the 10 patients with VBD with the overall outcomes of the total 2058 MVDs performed for HFS. Results : The results of MVD for HFS caused by VBD were successful in 90.9% of cases. The postoperative complication rate in VBD was 45.5%. Offending vessels in patients with VBD were identified visually during surgery. Adverse effects after MVD were found in 4 patients. We found that the diameter of VBD was significantly greater in patients with complications than in those with no complications (p=0.028). Conclusion : Our data shows that MVD may be a good treatment modality for HFS caused by VBD but care must be taken to avoid adverse effects from the procedure. It is important to detach the dolichoectatic artery from its surrounding structures sufficiently to allow it to be easily movable. In addition, attempts should be made to lessen the retraction of the cerebellum during release of the dolichoectatic artery.

The Efficacy and Safety of Microvascular Decompression for Hemifacial Spasm in Elderly Patients

  • Jeon, Chul-Jin;Kong, Doo-Sik;Lee, Jeong-A;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • 제47권6호
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    • pp.442-445
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    • 2010
  • Objective : The purpose of this study was to examine the efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS) in elderly patients. Methods : Between 1997 and June 2008, 1,174 patients had undergone MVD for HFS at our institute. Among these, 53 patients were older than 65 years. We retrospectively reviewed and compared the complication and the cure rates of these patients with those of younger patients. Results : There were 38 females and 15 males. The mean duration of symptoms of HFS of these patients was 94.6 months (range, 12-360 months), compared with 67.2 months (range, 3-360 months) in the younger group. The overall cure rate in elderly patients who underwent MVD for HFS during this period was 96.2%. Permanent cranial nerve dysfunctions, such as hearing loss and facial palsy, were seen in 2 patients (3.8%, 2/53) in the elderly group and 19 patients (1.7%, 19/1121) in the younger group. The difference in permanent cranial nerve dysfunction between the two groups was not statistically significant. There was no operative mortality in either group. Conclusion : Microvascular decompression is the most effective surgical modality available for the treatment of HFS. Results of this study indicate that such technique can be performed in the elderly without higher rates of morbidity or mortality. Any patient with HFS, whose general health is acceptable for undergoing general anesthesia, should be considered as a candidate for MVD.

반얼굴연축과 관련된 공통줄기기형 (Common Trunk Anomalies Associated with Hemifacial Spasm)

  • 김선혜;유재욱;최대섭;조재민;강규식;강희영;박기종;최낙천;권오영;임병훈
    • Annals of Clinical Neurophysiology
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    • 제10권2호
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    • pp.104-108
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    • 2008
  • Background: The compression of 7th cranial nerve by arteries is one of the various causes of hemifacial spasm (HFS). A few previous studies were revealed the relation between the compression of 7th cranial nerve and common trunk anomaly. We evaluated the common trunk anomalies in patients with HFS using MRI and MRA. Methods: From January 2001 to December 2005, 41 consecutive patients (9 men, mean age $54.5{\pm}12.6$) with HFS underwent MRI and MRA. T2 axial images and time-of-flight angiographies were reviewed for identification of the compression at root exit zone by two neuroradiologists and one neurologist. Results: Thirty-seven patients showed neurovascular compression on the lesion side. Twenty patients of them were shown the compression of 7th cranial nerve by anterior inferior cerebellar artery (AICA), and seventeen patients of them were shown the compression by posterior inferior cerebellar artery (PICA). Twenty-four patients of the thirty-seven patients had common trunk anomaly. In control, twelve of twenty-one subjects had common trunk anomaly, that the frequencies of common trunk anomaly of two groups were 58.8% in HFS and 57.1% in controls. In the twenty-four patients with common trunk anomaly, eighteen patients had dominant-AICA, and six patients had dominant-PICA. The rate of nerve compression by common trunk anomaly in the HFS with unilateral common trunk, dominant-AICA was 76.5% and dominant-PICA was 100%. Conclusions: This study also revealed that AICA was most common compressive artery. There was no difference between the HFS groups and control groups in frequency of common trunk anomaly. Thus, we could not demonstrate the relationship between common trunk anomaly and HFS.

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orafenib 복용 후 발생한 수족증후군의 자운고 치료 1례 (A case report of Hand-foot syndrome due to sorafenib with Jaungo)

  • 강용휘;이가영;박찬란;조정효;손창규;이남헌
    • 혜화의학회지
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    • 제28권2호
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    • pp.54-59
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    • 2019
  • Objectives : The purpose of this case study is to report the effect of Korean medicine on hand-foot syndrome(HFS) casued by sorafenib(nexavar) in hepatocellular carcinoma. Methods : The patient, 77-year-old patient complaining with pain, swelling and erythema on both hands and feet which is characterized as HFS was treated with Jaungo. We evaluated the symptoms by Numeric Rating Scale and pictures. Results : The symptoms of HFS has been alleviated during the treatment. Conclusions : We suggest Jaungo as one of the alternative therapies for HFS due to sorafenib.

Delayed Cranial Nerve Palsy after Microvascular Decompression for Hemifacial Spasm

  • Han, Jae-Suk;Lee, Jeong-Ah;Kong, Doo-Sik;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • 제52권4호
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    • pp.288-292
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    • 2012
  • Objective : Microvascular decompression (MVD) for hemifacial spasm (HFS) is a safe and effective treatment with favorable outcomes. The purpose of this study was to evaluate the incidence of delayed cranirve (VI, VII, and VIII) palsy following MVD and its clinical courses. Methods : Between January 1998 and December 2009, 1354 patients underwent MVD for HFS at our institution. Of them, 100 patients (7.4%) experienced delayed facial palsy (DFP), one developed sixth nerve palsy, and one patient had delayed hearing loss. Results : DFP occurred between postoperative day number 2 and 23 (average 11 days). Ninety-two patients (92%) completely recovered; however, House-Brackmann grade II facial weakness remained in eight other patients (8%). The time to recovery averaged 64 days (range, 16 days to 9 months). Delayed isolated sixth nerve palsy recovered spontaneously without any medical or surgical treatment after 8 weeks, while delayed hearing loss did not improve. Conclusion : Delayed cranial nerve (VI, VII, and VIII) palsies can occur following uncomplicated MVD for HFS. DFP is not an unusual complication after MVD, and prognosis is fairly good. Delayed sixth nerve palsy and delayed hearing loss are extremely rare complications after MVD for HFS. We should consider the possibility of development of these complications during the follow up for MVD.

Purification and Characterization of Novel Antimicrobial Peptide from the Skin of the Hagfish , Eptatretus burgeri

  • Hwang, Eun-Young;Seo, Jung-Kil;Kim, Chan-Hee;Go, Hye-Jin;Kim, Eun-jung;Chung, Joon-Ki;Rye, Hong-Soo;Park, Nam-Gyu
    • Preventive Nutrition and Food Science
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    • 제4권1호
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    • pp.28-32
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    • 1999
  • A novel antimicrbial peptide , named HFS-I, was isolated and characterized from the skin of the hagfish, Eptatretus bugeri. The decapeptide with a molecular mass of 1279.5 Da was purified to homogeneity using a gel-filtration column, ion-exchange and C18 reverse-phase high performance liquid chromatograpy . The complete amino acid sequence of HFS-I, which was determined by a combination of an automated amino acid sequencing and FAB-MS, was F-P-W-W-L-S-G-K-Y-P-NH2. Comparison of the amino acid sequence with those of other known antimicrobial peptides revealed that HFS-I was a novel antimicrobial peptide. HFS-I showed a weak antimicrobial activity in vitro aganinst a broad spectrum of microorganism without hemolytic acitivity.

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