• Title/Summary/Keyword: Massive

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Intracranial Pressure and Cerebral Blood Flow Monitoring after Bilateral Decompressive Craniectomy in Patients with Acute Massive Brain Swelling (급성 중증 뇌종창 환자의 양측성 감압개두술 후 뇌압 및 뇌혈류 측정)

  • Yoo, Do-Sung;Kim, Dal-Soo;Huh, Pil-Woo;Cho, Kyoung-Suck;Park, Chun-Kun;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.3
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    • pp.295-306
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    • 2001
  • Objectives : The management of massive brain swelling remains an unsolved problem in neurosurgical field. Despite newly developed medical and pharmacological therapy, the mortality and morbidity due to massive brain swelling remains high. According to many recent reports, surgical decompression with dura expansion is superior to medical management in patients with massive brain swelling. We performed surgical treatment on the first line of treatment, and followed medical management in case with refractory increased intracranial pressure(ICP). To show the quantitative effect of decompressive surgery on the intracranial pressure, we performed ventricular puncture and checked the ventricular ICP continuously during the decompressive surgery and postoperative period. Materials and Methods : Fifty-one patients with massive brain swelling, undergoing bilateral decompressive craniectomy with dura expansion, were studied in this study. In all patients, ventricular puncture was performed at Kocher's point on the opposite side of massive brain swelling. The ventricular pressure was monitored continuously, during the bilateral decompression procedures and postoperative period. Results : The initial ventricular ICP were varied from 13mmHg to 112mmHg. Immediately after the bilateral craniectomy, mean ventricular ICP decreased to $53.1{\pm}15.8%$ of the initial ICP(ranges from 5mmHg to 87mmHg). Dura opening decreased mean ICP by additional 36.7% and made the ventricular pressure $16.4{\pm}10.5%$ of the initial pressure (ranges from 0mmHg to 28mmHg). Postoperatively, ventricular pressure was lowered to $20.2{\pm}22.6%$(ranged from 0mmHg to 62.3mmHg) of the initial ICP. The ventricular ICP value during the first 24 hours after decompressive surgery was found to be an important prognostic factor. If ICP was over 35mmHg, the mortality was 100% instead of additional medical(barbiturate coma therapy and hypothermia) treatments. Conclusion : Bilateral decompression with dura expansion is considered an effective therapeutic modality in ICP control. To obtain favorable clinical outcome in patients with massive brain swelling, early decision making on surgical management and proper patient selection are mandatory.

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Banded and Massive Iron Mineralization in Chungju Mine(I): Geology and Ore Petrography of Iron Ore Deposits (충주지역 호상 및 괴상 철광상의 성인에 관한 연구(I) : 지질 및 광석의 산출특성)

  • Kim, Gun-Soo;Park, Maeng-Eon;Enjoji, Mamoru
    • Economic and Environmental Geology
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    • v.27 no.6
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    • pp.523-535
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    • 1994
  • The strata-bound type iron ore bodies in the Chungju mine are interbedded with metamorphic rocks which are intruded by Mesozoic granitic rocks. The iron ore deposit occurs as layer or lens shape which are concordant with the metamorphic rocks. The iron ore is classified into banded and massive types based on the mode of texture and occurrence. Grain size and iron-oxides tend to become coarser toward massive ore than banded ore. Banded ores commonly contain internal layers defined by alternating magnetite- rich, hematite-rich, magnetite-hematite, and quartz-rich mesobands. The banded iron ore consists of hematite, magnetite, quartz, feldspar, and minor amounts of biotite, muscovite, chlorite, carbonates, epidote, allanite, and zircon. Massive ores which are characterized by high magnetite content occur in contact of granitic rocks. The massive iron ores consist mostly of magnetite and quartz, with minor amounts of hematite, pyrite, microcline, biotite, muscovite, chlorite, carbonates, epidote, allanite and zircon. Magnetite from banded and massive ores is almost pure $Fe_3O_4$ in composition, including 0.14 to 0.27 wt.% MnO and 0.10 to 0.15 wt.% MnO, respectively. Hematite of the ore contains 0.87 to 1.27 wt.% $TiO_2$ in banded ore and 3.44 to 6.96 wt.% $TiO_2$ in massive ore, respectively. Biotite shows a little compositional variation depending on ore types. Biotite of the banded ore has lower FeO, $TiO_2$ and $Al_2O_3$, and higher MgO and $SiO_2$ than the massive ore. The modes of occurrence and petrography of ore implies that massive ores might have been formed either under more reducing environments or higher temperature condition than banded ore. Banded ores might represent early episode of iron enrichment due to regional metamorphism. Massive ores might be related to the contact metamorphism resulting from late granitic intrusion.

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BOTTOM-UP MODEL FOR THE FORMATION OF GMC'S

  • SONG GUO-XUAN
    • Journal of The Korean Astronomical Society
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    • v.29 no.spc1
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    • pp.165-166
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    • 1996
  • A bottom-up model for the formation of GMCs is described, where the observed GMCs are the aggregates of less massive clouds. The aggregates are getting more and more massive in the process of consecutive collision between clouds.

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Debridement or Tuberoplasty for Massive Rotator Cuff Tear (광범위 회전근 개 파열에 대한 변연절제술 및 결절성형술)

  • Cho, Nam-Su;Oh, Hyun-Sup;Rhee, Yong-Girl
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.146-152
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    • 2010
  • Purpose: The purpose of this article was to review the effectiveness of arthroscopic debridement and tuberoplasty, and to evaluate the clinical and radiologic results of our series for irreparable massive rotator cuff tears in the elderly. Materials and Methods: We reviewed articles that focused on the treatment options and decision making for irreparable massive rotator cuff tears. In particular, we summarized the reported results of arthroscopic debridement and tuberoplasty for irreparable massive rotator cuff tears in the elderly. Among consecutive patients who had arthroscopic tuberoplasty for irreparable massive rotator cuff tears in our series, thirty-two patients available for clinical and radiological evaluation at a mean follow-up of 29 months (range, 13-52 months) were enrolled and reviewed for the analysis. Results: At the last follow-up, the range of active forward flexion increased significantly with excellent pain relief and improvement in the ability to perform the activities of daily living. However, the group with less than 2 mm in preoperative acromiohumeral distance showed inferior postoperative results. Conclusion: Arthroscopic tuberoplasty may be an alternative option in irreparable massive rotator cuff tears for pain relief and improvement of range of motion. However, good results can not be expected if the acromiohumeral distance is less than 2 mm preoperatively and decreases postoperatively, or when the preoperative range of motion is less than $90^{\circ}$ on flexion and abduction.

A Deep Optical Photometric Study of the Massive Young Open Clusters in the Sagittarius-Carina Spiral Arm

  • Hur, Hyeonoh
    • The Bulletin of The Korean Astronomical Society
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    • v.41 no.2
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    • pp.44.1-44.1
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    • 2016
  • The Sagittarius-Carina spiral arm in the Galaxy contains several massive young open clusters. We present a deep optical photometric study on the massive young open clusters in the Sagittarius-Carina arm, Westerlund 2 and the young open clusters in the ${\eta}$ Carina nebula. Westerlund 2 is a less studied starburst-type cluster in the Galaxy. An abnormal reddening law for the intracluster medium of the young starburst-type cluster Westerlund 2 is determined to be $R_{V,cl}=4.14{\pm}0.08$. The distance modulus is determined from zero-age main-sequence fitting to the reddening-corrected color-magnitude diagrams of the early-type members to be $V_0-M_V=13.9{\pm}0.14mag$. The pre-main sequence (PMS) members of Westerlund 2 are selected by identifying the optical counterparts of X-ray emission sources from the Chandra X-ray observation and mid-infrared emission sources from the Spitzer/IRAC (the Infrared Array Camera) observation. The initial mass function (IMF) shows a slightly flat slope of ${\Gamma}=-1.1{\pm}0.1$ down to $5M_{\odot}$. The age of Westerlund 2 is estimated to be. 1.5 Myr from the main-sequence turn-on luminosity and the age distribution of PMS stars. The ${\eta}$ Carina nebula is the best laboratory for the investigation of the Galactic massive stars and low-mass star formation under the influence of numerous massive stars. We have performed deep wide-field CCD photometry of stars in the ${\eta}$ Carina nebula to determine the reddening law, distance, and the IMF of the clusters in the nebula. We present VRI and $H{\alpha}$ photometry of 130,571 stars from the images obtained with the 4m telescope at Cerro Tololo Inter-American Observatory (CTIO). RV,cl in the η Carina nebula gradually decreases from the southern part (~4.5, around Trumpler 14 and Trumpler 16) to the northern part around Trumpler 15 (~3.5). Distance to the young open clusters in the ${\eta}$ Carina nebula is partly revised based on the zero-age main-sequence fitting to the reddening-corrected color-magnitude diagrams (CMDs) and the (semi-) reddening-independent CMDs. We select the PMS members and candidates by identifying the optical counterparts of X-ray sources from the Chandra Carina Complex Survey and mid-infrared excess emission stars from the Spitzer Vela-Carina survey. From the evolutionary stage of massive stars and PMS stars, we obtain that the northern young open cluster Trumpler 15 is distinctively older than the southern young open clusters, Trumpler 14 (${\leq}2.5 Myr$) and Trumpler 16 (2.5-3.5 Myr). The slopes of the IMF of Trumpler 14, Trumpler 15, and Trumpler 16 are determined to be $-1.2{\pm}0.1$, $-1.5{\pm}0.3$, and $-1.1{\pm}0.1$, respectively. Based on the RV,cl of several young open clusters determined in this work and the previous studies of our group, We suggest that higher RV,cl values are commonly found for very young open clusters with the age of < 4 Myr. We also confirm the correlation between the slope of the IMF and the surface mass density of massive stars.

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The Correlation Between Clinical Features and Radiographic Grades in Massive Rotator Cuff Tear Patients (광범위 회전근 개 파열에서 방사선학적 소견과 임상 소견 간의 관계)

  • Moon, Eun-Sun;Kim, Myung-Sun;Choi, Min-Sun;Kim, Hyung-Won;Lim, Keun-Young
    • Clinics in Shoulder and Elbow
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    • v.13 no.2
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    • pp.223-229
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    • 2010
  • Purpose: The purpose of this study was to determine the correlation between the radiographic and clinical findings of massive rotator cuff tears. Materials and Methods: Forty-five diagnosed cases (35 patients) of massive rotator cuff tears were investigated in this study. Grade of arthritis in the massive rotator cuff tears was classified based on plain radiographs using the method of Hamada et al.. And we clinically evaluated cases using the UCLA scoring system. Results: No statistically significant correlation ($r_s$=0.220, p=0.151) was found between arthritis grades in massive rotator cuff tears and clinical features. Dominant arm involvement appeared to be related to a higher rate of surgical treatment and a lower UCLA score. Conclusion: In massive rotator cuff tear patients, radiographic findings of arthritis may not always correspond to clinical features relevant in daily life. Therefore, we suggest that treatment strategies should be carefully considered when considering treatment modalities.

Distant Quasars: Black hole mass growth and dust emission

  • Jun, Hyunsung D.
    • The Bulletin of The Korean Astronomical Society
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    • v.40 no.1
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    • pp.43.2-43.2
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    • 2015
  • The massive limit of black holes (BHs) is observed as present day ten billion solar masses. We search for observational signatures of BHs that become extremely massive (EMBHs, 1-10 billion solar masses). I will report on the evolution of active galactic nuclei (AGNs) through the growth of BH mass and their dust emission strength. First, we measured 26 EMBH masses of quasars at 1

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A Study on Construction of Disaster Management System at a Large-scale Concert (대형공연 시 재난관리시스템의 구축에 관한 연구)

  • Min, Se Hong
    • Journal of the Korea Safety Management & Science
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    • v.15 no.4
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    • pp.17-24
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    • 2013
  • On this study, we extracted pending problem and controversial point from management of disaster such as terror for domestic massive performance and then, investigated countermeasure plan against disaster for massive performance through comparison and analysis between anti-disaster strategy of Korea and U.S. U.S are conducting security system actively for passenger of major facilities such as public institution. Nonetheless, In U.S that has the world's best security system, serious affair such as 911 terror and Boston marathon terror are continued to happen. When considering domestic situation that North Korea and South Korea are antagonistic to each other, it is judged when it is high time to prepare for threat of terrorism. Accordingly, On this study, through analyzing of latest terror attacks in U.S and disaster risk in the nation, we analyzed in detail countermeasure plan classified as legislation, operation of security system, instilling a sense. As the result of this analyzing, using by flow-chart, we suggested domestic optimized disaster management system for massive performance. Consequently, we propose to establish systematized disaster management system such as preliminary survey of disaster influence for massive performance.

Quenching of star formation in massive halos at z~2

  • Gobat, Raphael
    • The Bulletin of The Korean Astronomical Society
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    • v.40 no.2
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    • pp.32.1-32.1
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    • 2015
  • The gradual infall of small dark matter halos onto larger ones has become a relatively straightforward aspect of the standard hierarchical formation paradigm. What happens to the baryons they contain, however, is less well understood. Of special relevance are the processes that regulate and ultimately suppress star formation in galaxies in the early universe. The z=1.5-2.5 epoch is then particularly interesting as a transition period when global star-formation in the universe starts peaking but also where the first ostensibly collapsed and virialized galaxy clusters appear, along with segregated galaxy populations. From a theoretical point of view, the mode of gas accretion in massive halos is also expected to change around this time, switching from a cold to a hot phase and affecting the build-up and evolution of the galaxies they host. A lot of effort has thus been devoted to the search for high-redshift structures, in particular galaxy clusters, through a variety of methods. However, as the limited area for which deep datasets are available remains relatively limited, only few massive z>1.5 structures have been found so far. Here I will instead discuss the regulation of star-formation in lower-mass, X-ray detected halos at z~2 and its implication for galaxy quenching at high redshift. As these smaller, group-size halos are vastly more abundant and structurally simpler than massive clusters, they allow for true statistical studies and offer a novel way to probe environmental effects in this transitional epoch.

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