The Clinical Analysis on 32 Cases of Dementia (치매환자(患者) 32례(例)에 대(對)한 임상적(臨床的) 고찰(考察))
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- The Journal of Internal Korean Medicine
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- v.19 no.1
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- pp.301-317
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- 1998
A clinical analysis was carried out for 32 patients who were treated in Dept. of Dong-shin Oriental Medicine Hospital from 10st January to 16st May in 1998 and ruled out as dememtia. The results were summarized as follows. 1. In the distribution of sex, female was more than male. And the age of seventies(17 cases, 53.125%) was highest in the frequency of age. 2. In the distribution of having history of drinking and smoking were each 4 cases(12.5%) and 7 cases(21.875%). 3. In the distribution of seasons, the ratio of spring and winter were each 16 cases(50.0%), 15 cases(46.875%), that of summer and fall were comparatively low. 4. In the period from onset to admission, the period within a week had 20 cases(62.5%) as top, and the most period of treatment was 2 and 3 weeks(28.125%). 5. The number of cases that had preceding disease was 35 cases(71.875%), a major portion of preceding diseases were hypertension, diabetes mellitus, stroke. 6. The most common symptom was disorientation(78.125%), and the next common symptom was motor desability(71.875%), and memory disturbance, verbal disturbance was each 59.375 and 47.1%. 7. In the distribution of the CT scan films, 15 cases(46.875%) showed cerebral infarction and that of another 5cases (15.625%) showed cerebral hemorrhage, that of another 2 cases(6.25%) showed brain atrophy. 8. In the lipid density of blood, T-Cholesterol, TG, HDL-Cholesterol, LDL- Cholesterol was within normal limit. 9. In the MMSE-K, the most score was from 16 point to 20 point, and second only was from 11 point to 15 point, and the next was from 6 point to 10 point. 10. In the Ischemic score, 20 cases(62.5%) was diagnosed as brain vascular type dementia, and mixed type dementia was 9 cases(28.125%), Alzheimer type dementia was 3 cases(9.375%). 11. The most used recipes were a sort of recipes to activate of flow the vital energy and the blood, to remove the phlegm(41 cases 33.9%), especially DODAMHOALHEL TANG (12 cases, 9.9%), ANSINCHUNGNOITANG (8 case, 6.6%) was the most used recipe. 12. In the judgement of efficacy, 17 cases(53.125%) showed excellent efficacy, 10 cases(31.25%) showed good efficacy, 5 cases(15.625%) showed no change and that according to MMSE-K, 4 case(18.18%) showed excellent efficacy, 15 cases(68.18%) showed good efficacy, 15 cases(68.18%) showed no change.
In this study, a fish survey was conducted to investigate the habitat status of black shinner (Pseudopungtungia nigra) designated as endangered species level from the lower part of Yongdam Dam to the upper part of Daecheong Dam. Biodiversity analysis was performed on the basis of the number of fish emerged, and biological health and physical habitat environment were quantitatively analyzed using collected P. nigra. According to the survey, the habitat range of P. nigra was found from Banguri-myeon, Buri-myeon, Geumsan-gun, downstream of Yongdam Dam. The biodiversity analysis results of all species appeared to be low in overall dominance index and relatively high in species diversity and uniformity index. In addition, P. nigra collected in this study was confirmed to have normal growth and nutritional status by the full-length-weighted relativities and condition factor. The physical habitat environment of P. nigra was 0.3 - 0.6 m in depth, 0.3 - 0.7 m/s in flow rate, and bed materials showed high frequency of occurrence in the range of cobbles (64.0 - 256.0 mm) to boulders (>256.0 mm). These results are expected to be used as data for habitat restoration and management in the future as basic data on the spatial range and preferred physical habitat environment of P. nigra in Geumgang.
The objective of this study was to develop an in vitro assessment of sperm fertilizing capacity of bulls and investigate the factors influencing sperm function and characteristics of frozen-thawed bovine spermatozoa. in vitro fertilization (IVF), the evaluation of motility and normal morphology, HOST (hypoosmotic swelling test), Ca-ionophore induced acrosome reaction, luminol and lucigenin-dependent chemiluminescence for the measurement of reactive oxygen species (ROS), the measurement of malondialdehyde formation for the analysis of lipid peroxidation (LPO), and the evaluation of DNA fragmentation using the method of 747-mediated nick end labelling (TUNEL) by flow cytometry were performed in frozen-thawed bovine spermatozoa. Correlations between the rates of fertilization, blastocyst formation after IVF and the values of respective assays were investigated. 1. IVF rate and blastocyst formation rate averaged 64.4% and 34.3% for spermatozoa from high -fertility bull group and averaged 18.5% and 6.2% for spermatozoa from low-fertility bull group, respectively. There were significantly different between two bull groups. Sperm motility and percentage acrosome reaction averaged 79.0% and 66.2% for spermatozoa from high-fertility bull group and averaged 40.7% and 22.9% for spermatozoa from low-fertility bull group, respectivitely. There were not different between two bull groups. 2. Luminol depenent chemiluminescence, LPO and DNA fragementation averaged 6.4, 2.0 nmol and 2.6% from spermatozoa from high-fertility bull group and averaged 6.5, 3.1 nmol and 7.4% for spermatozoa from low-fertility bull group, respectively. There were significantly different between two bull groups. There was no significant difference in lucigenin dependent chemiluminescence between two bull groups. 3. Fertilization rate was positively correlated with motility and the rate of Ca-ionophore induced acrosome reaction, but negatively correlated with the frequency of luminol-dependent chemiluminescence, the rate of LPO, and the percentage of sperm with DNA fragmentation. There was no correlation between fertilization rate and the percentage of swollen spermatozoa, normal morphology, and the frequency of lucigenin-dependent chemiluminescence. 4. Blastocyst formation rate was positively correlated with the rate of Ca-ionophore induced acrosome reaction, but negatively correlated with the frequency of luminol-dependent chemiluminescence, the rate of LPO, and the percentage of sperm with DNA fragmentation. There was no correlation between blastocyst formation rate and motility, the percentage of swollen spermatozoa, normal morphology, and the frequency of lucigenin-dependent chemiluminescence. In conclusion, these data suggest that ROS significantly impact semen quality. The assays of this study may provide a basis fur improving in vitro assessment of sperm fertilizing capacity.
Background: Pulmonary endarterectomy is widely accepted as a treatment for chronic thromboembolic pulmonary hypertension. Based on our experiences, we sought to find ways to reduce perioperative complications and to improve surgical outcomes in patients undergoing pulmonary endarterectomy. Material and Method: This study was designed as a retrospective analysis of 20 patients with pulmonary hypertension who underwent pulmonary endarterectomy between January 1998 and March 2008. All patients presented with chronic dyspnea. Deep vein thrombosis (DVT) was the major cause of chronic pulmonary thromboembolism (55%). Seventeen patients (85%) underwent inferior vena cava (IVC) filter placement. Thirteen patients underwent surgery under total circulatory arrest, while the others underwent surgery while on low flow cardiopulmonary bypass. Concomitant tricuspid annuloplasty was done in 6 patients (66%) whose tricuspid regurgitation was as severe as grade IV/IV. The mean follow-up duration was
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70
The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70
This study aims to quantify the distribution characteristics of the fracture system for the numerical modeling of groundwater flow in the north-eastern area of Yosu peninsula. The study area is composed mainly of volcanic rocks and granite. The regional and site scale lineament in the range of magnitude Order 1 to Order 3 were analyzed from the geologic map, air-photograph and shaded relief map. The geometric parameter of Order 4 fracture system was acquired from the scanline survey on the ground surface. There is a similar trend in the preferred orientation between the regional lineament and the Order 4 fracture system except the Set 4 of Order 4 fracture system which is not prominent in the type. That is classified to three fracture sat of high dip angle and one of ow dip angle. From the lineament trend. The orientation of Order 4 fracture system has similar characteristics in each rock termination mode analysis, it is considered that the fracture system was developed systematically and sequentially from Set 1 to Set 4 Filling materials are distinct relatively in low dip angle set. The fracture spacing follows to lognoral distribution and the fracture frequency corrected by the modified Terzaghi correction ranges from 0.38 to 1.01 per mater in each fracture set. The fracture trace lenght also follows to lognormal distribution and ranges from 2.9m to 3.7m in each fracture set.
This paper presents a reservoir operation plan coupled with storage forecasting model to maintain a target storage and a critical storage. The observed storage data from 1990 to 2001 in the Geum-Gang agricultural reservoir in Korea have been applied to the low flow frequency analysis, which yields storage for each return period. Two year return period drought storage is then designated as the target storage and ten year return period drought storage as the critical storage. Storage in reservoir should be forecasted to perform reasonable reservoir operation. The predicted storage can be effectively utilized to establish a reservoir operation plan. In this study the autoregressive error (ARE) model and the ARIMA model are adopted to predict storage of reservoir. The ARIMA model poorly generated reservoir storage in series because only observed storage data were used, but the autoregressive error model made to enhance the reliability of the forecasted storage by applying the explanation variables to the model. Since storages of agricultural reservoir with respect to time have been affected by irrigation area, high or mean temperature, precipitation, previous storage and wind velocity, the autoregressive error model has been adopted to analyze the relationship between storage at a period and affecting factors for storage at the period. Since the equation for predicting storage at a period by the autoregressive error model is similar to the continuity equation, the predicting storage equation may be practical. The results from compared the actual storage in 2002 and the predicted storage in the Geum-Gang reservoir show that forecasted storage by the autoregressive error model is reasonable.
A program code was developed to calculate block hydraulic conductivity of the 2-D DFN(discrete fracture network) system based on equivalent pipe network, and implemented to examine the effect of joint orientation distribution on the hydraulic characteristics of fractured rock masses through numerical experiments. A rock block of size
The frequency by water disaster in urban areas are increasing continuously due to climate change and urbanization. Countermeasures are being conducted to reduce the damage caused by water disasters. An analysis based on permeability, one of the parameters that affect runoff, is needed to predict quantitative runoff in urban watersheds and study runoff reduction. In this study, the SWAT model was simulated for the oncheon stream basin, a representative urban stream in Busan. The permeability map was prepared by calculating the CN values for each hydrologic response unit. Based on the permeability map prepared, EPA SWMM analyzed the effect of LID technology application on the water cycle in the basin for short-term rainfall events. The LID element technology applied to the oncheon stream basin was rooftop greening in the residential complex, and waterproof packaging was installed on the road. The land cover status of the land selected based on the permeability map and the application of LID technology reduced the outflow rate, peak flow rate, and outflow rate and increased the infiltration. Hence, LID technology has a positive effect on the water cycle in an urban basin.