• Journal of Korean Neurosurgical Society
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• v.58 no.4
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• pp.363-367
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• 2015

Objective : The purpose of this study was to evaluate the clinical utility and validity of using a pupillometer to assess patients with acute brain lesions. Methods : Pupillary examinations using an automated pupillometer ($NeurOptics^{(R)}NPi^{TM}$-100 Pupillometer) were performed every 4 hours and were simultaneously assessed using the Glasgow Coma Scale (GCS) and for intracranial pressure (ICP), from admission to discharge or expire in neuro-intensive care unit (NICU). Manual pupillary examinations were also recorded for comparison. By comparing these data, we evaluated the validity of using automated pupillometers to predict clinical outcomes. Results : The mean values of the Neurologic Pupillary index (NPi) were different in the groups examined manually. The GCS correlated well with NPi values, especially in severe brain injury patients (GCS below 9). However, the NPi values were weakly correlated with intracranial pressure (ICP) when the ICP was lower than 30 cm $H_2O$. The NPi value was not affected by age or intensity of illumination. In patients with a "poor" prognosis who had a Glasgow Outcome Scale (GOS) of 1 or 2, the mean initial NPi score was $0.88{\pm}1.68$, whereas the value was $3.89{\pm}0.97$ in patients with a "favorable" prognosis who had a GOS greater than 2 (p<0.001). For predicting clinical outcomes, the initial NPi value of 3.4 had the highest sensitivity and specificity. Conclusion : An automated pupillometer can serve as a simple and useful tool for the accurate measurement of pupillary reactivity in patients with acute brain lesions.

• Korean Institute of Interior Design Journal
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• v.25 no.2
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• pp.30-40
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• 2016

This study analyzed the attention concentration tendencies of one(1) subject who showed convergent exploratory acts actively through the gaze-brainwave measurement experiment of cafe space images and our research findings are as follows. First, the areas of interest (AOIs) that the subject gazed visually by paying attention to it and concentrating on it at a cafe space include counter&menu area, sign area, partition area, image wall area, stairs area, and movable furniture area, and built-in furniture area: seven areas in total. Second, conscious gaze frequency appeared the highest in counter&menu area, and conscious gaze appeared more later than in initial times. Third, conscious gaze pattern was divided into the zone that explored various areas dispersely (distributed exploratory zone) and the zone that explored between particular areas concentratedly (intensive exploratory zone). Fourth, as a result of analyzing the brainwave attention concentration, it was found that the attention concentration in prefrontal lobe (Fp1, Fp2) and frontal lobe (F3, F4) rose to a higher level in the zone of 15 to 16 seconds and this time zone was considered to be a zone where gazing at counter&menu area was very active. In addition, the attention concentration appeared higher in the initial zone than in the later zone, among the entire experimental time zones. Finally, as a result of analyzing the changes in activation by brain portion of the SMR wave expressed when maintaining the arousal and attention concentration, it was found that the right prefrontal lobe and the frontal lobe became activated in the time zone when the intensive exploration of "counter&menu area" and "movable furniture${\leftrightarrow}$built-in furniture area" had occurred and the time zone when the intensive exploration of "image wall${\leftrightarrow}$partition area" and "counter&menu${\leftrightarrow}$sign area" had occurred.

• Geomechanics and Engineering
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• v.31 no.2
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• pp.129-147
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• 2022

The properties of soil are naturally highly variable and thus, to ensure proper safety and reliability, we need to test a large number of samples across the length and depth. In pile foundations, conducting field tests are highly expensive and the traditional empirical relations too have been proven to be poor in performance. The study proposes a state-of-art Particle Swarm Optimization (PSO) hybridized Artificial Neural Network (ANN), Extreme Learning Machine (ELM) and Adaptive Neuro Fuzzy Inference System (ANFIS); and comparative analysis of metaheuristic models (ANN-PSO, ELM-PSO, ANFIS-PSO) for prediction of bearing capacity of pile foundation trained and tested on dataset of nearly 300 dynamic pile tests from the literature. A novel ensemble model of three hybrid models is constructed to combine and enhance the predictions of the individual models effectively. The authenticity of the dataset is confirmed using descriptive statistics, correlation matrix and sensitivity analysis. Ram weight and diameter of pile are found to be most influential input parameter. The comparative analysis reveals that ANFIS-PSO is the best performing model in testing phase (R² = 0.85, RMSE = 0.01) while ELM-PSO performs best in training phase (R² = 0.88, RMSE = 0.08); while the ensemble provided overall best performance based on the rank score. The performance of ANN-PSO is least satisfactory compared to the other two models. The findings were confirmed using Taylor diagram, error matrix and uncertainty analysis. Based on the results ELM-PSO and ANFIS-PSO is proposed to be used for the prediction of bearing capacity of piles and ensemble learning method of joining the outputs of individual models should be encouraged. The study possesses the potential to assist geotechnical engineers in the design phase of civil engineering projects.

• Journal of Magnetics
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• v.17 no.2
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• pp.145-152
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• 2012

Patients who underwent hip arthroplasty using the conventional fat suppression technique (CHESS) and a new technique (IDEAL) were compared quantitatively to assess the effectiveness and usefulness of the IDEAL technique. In 20 patients who underwent hip arthroplasty from March 2009 to December 2010, fat suppression T2 and T1 weighted images were obtained on a 3.0T MR scanner using the CHESS and IDEAL techniques. The level of distortion in the area of interest, the level of the development of susceptibility artifacts, and homogeneous fat suppression were analyzed from the acquired images. Quantitative analysis revealed the IDEAL technique to produce a lower level of image distortion caused by the development of susceptibility artifacts due to metal on the acquired images compared to the CHESS technique. Qualitative analysis of the anterior area revealed the IDEAL technique to generate fewer susceptibility artifacts than the CHESS technique but with homogeneous fat suppression. In the middle area, the IDEAL technique generated fewer susceptibility artifacts than the CHESS technique but with homogeneous fat suppression. In the posterior area, the IDEAL technique generated fewer susceptibility artifacts than the CHESS technique. Fat suppression was not statistically different, and the two techniques achieved homogeneous fat suppression. In conclusion, the IDEAL technique generated fewer susceptibility artifacts caused by metals and less image distortion than the CHESS technique. In addition, homogeneous fat suppression was feasible. In conclusion, the IDEAL technique generates high quality images, and can provide good information for diagnosis.

• The Korean Journal of Pain
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• v.20 no.2
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• pp.203-207
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• 2007

Inguinal hernia repair can result in paresthesia and/or pain in the inguinal region. Pharmacological and surgical management often yield inconsistent results associated with considerable risks and side effects. Radiofrequency thermocoagulation (RF) is a neuro-destructive treatment for severe pain, but associated with hypoesthesia, neuritis-like reactions, and occasional neuroma formation. Pulsed radiofrequency (PRF), unlike RF, delivers high intensity currents in pulses, is non-neurodestructive, and therefore less painful, without the potential complications. Here we report on PRF in chronic postoperative inguinal pain. A 23-year-old male who received right inguinal hernia repair and complained of right sided groin pain for approximately 10 years underwent PRF at the L1 and L2 dorsal root ganglia (DRG). He then reported a decrease in pain from 80-90/100 mm to 15-30/100 mm on a visual analogue scale (VAS), which lasted for twelve months.

• The Korea Journal of Herbology
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• v.20 no.2
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• pp.115-125
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• 2005

Objectives : Polygalae Radix (PR) from Polygalae tenuifolia (Polygalaceae) has been clinically used as a sedative, anti-inflammatory, and anti-bacterial agent. To extend pharmacological effects of PR in the central nervous system (CNS) on the basis of its CNS protective effect, the present study was conducted to identify the effect of PR, whether it shows the neuroprotective action against excitatory neurotoxicity. Methods : To identify the protective effect of PR to excitatory neuro-toxic agent, the present study was focused on the PR effect on cell death, that was caused by applying NMDA to nerve cell, elevation of $(Ca^{2+})_i$, releasement of glutamate, and ROS generation. Result : 1. PR methanol extract, at the concentration range of 0.05 to 5 g/ml, significantly inhibited NMDA (1 mM)-induced neuronal cell death as well as MK-801 (non competitive NMDA antagonist). 2. PR methanol extract $(0.5\;{\mu}g/ml)$ inhibited NMDA (1 mM)-induced elevation of cytosolic calcium concentration $[Ca^{2+}]_i$. NMDA application in the presence of MK-801 $(10\;{\mu}M)$ failed to produce the increase of $[Ca^{2+}]_i$ through all the measurement time. 3. PR methanol extract $(0.5\;{\mu}g/ml)$ inhibited the NMDA-induced elevation of glutamate release. Also, MK-801 showed similar protective effects. 4. PR methanol extract $(0.5\;{\mu}g/ml)$ inhibited the NMDA-induced elevation of ROS generation. Also, MK-801 showed similar protective effects. Conclusion : The present study provides the availability of PR to exert its protective effect on the neuronal cell death in various neurodegenerative pathophysiological conditions.

• Journal of Haehwa Medicine
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• v.12 no.1
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• pp.139-146
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• 2003

Clinical studies were carried out 25 cases through administration of Chongmyungtang added Grape Juice(CMT+GJ) from December 1st 2002 to December 31th 2002. The results were summarized as follows; 1. There were significant decreases in physical symptoms of fatigue from $4.64{\pm}2.71$ to $2.52{\pm}1.78$ by administration of CMT+GJ. 2. There were significant decreases in mental symptoms of fatigue from $5.44{\pm}2.38$ to $3.88{\pm}2.03$ by administration of CMT+GJ. 3. There were significant decreases in neuro-sensory symptoms of fatigue from $3.84{\pm}2.03$ to $2.88{\pm}2.07$ by administration of CMT+GJ. 4. There were significant decreases in total subjective symptoms of fatigue from $13.92{\pm}5.42$ to $9.28{\pm}4.21$ by administration of CMT+GJ. 5. There were not significant changes in VAS of fatigue and attention ratio by administration of CMT+GJ. According to the results, we could suggest that CMT+GJ is able to be applied to the development of concentration.

• Journal of Haehwa Medicine
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• v.12 no.1
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• pp.129-137
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• 2003

Clinical studies were carried out 29 cases through administration of Sanjointang added Grape Juice(ST+GJ) from December 1st 2002 to December 30th 2002. The results were summarized as follows; 1. There were significant decreases in physical symptoms of fatigue from $4.34{\pm}2.70$ to $2.34{\pm}1.78$ by administration of ST+GJ. 2. There were significant decreases in mental symptoms of fatigue from $5.10{\pm}2.74$ to $3.76{\pm}2.23$ by administration of ST+GJ. 3. There were significant decreases in neuro-sensory symptoms of fatigue from $3.66{\pm}2.13$ to $2.69{\pm}2.07$ by administration of ST+GJ. 4. There were significant decreases in total subjective symptoms of fatigue from $13.14{\pm}6.18$ to $8.79{\pm}4.63$ by administration of ST+GJ. 5. There were significant decreases in VAS of fatigue ratio, but not significant changes in VAS of concentration ratio by administration of ST+GJ. According to the results, we could suggest that ST+Gj is able to be applied to the relaxion of stress.

• Korean Journal of Biological Psychiatry
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• v.22 no.4
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• pp.179-186
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• 2015

Objectives Adrenergic alpha 1 and 2 receptors work as pathways to control the serotonergic neuron moderation and mirtazapine acts as antagonist of these receptors. The adrenoreceptor alpha 1a (ADRA1A) gene, which encodes adrenergic alpha 1 receptor, has Arg-347Cys genetic polymorphism and the polymorphism has strong relationship with many neuro-psychiatric diseases. In this study, we explored the relationship between ADRA1A R347C polymorphism and mirtazapine treatment response in Koreans with major depression. Methods 352 patients enrolled in this study, and the symptoms were evaluated by 17-item Hamilton Depression Rating (HAMD-17) scale. After 1, 2, 4, 8, and 12 weeks of mirtazapine treatment, the association between ADRA1A R347C polymorphism and remission/response outcomes was evaluated. Results Treatment response to mirtazapine was significantly better in T allele carriers than C allele homozygotes after 12 weeks of mirtazapine monotherapy. The percentile decline of HAMD-17 score in T allele carriers was larger than that of C allele homozygotes. ADRA1A R347C genotypes were not significantly associated with remission. Conclusions The result showed that treatment response to mirtazapine was significantly associated with ADRA1A R347C genetic polymorphism. T allele carriers showed better treatment response than C allele homozygotes. It can be supposed that T allele carriers have a trend of better treatment response to mirtazapine monotherapy.

• Korean Journal of Pharmacognosy
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• v.49 no.2
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• pp.182-187
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• 2018

Many plant derived phytochemicals have been considered as the main therapeutic strategy against Alzheimer's disease (AD). AD is a progressive neurodegenerative disorder, and the most predominant cause of dementia in the elderly. Cholinergic deficit, senile plaque/${\beta}$-amyloid ($A{\beta}$) peptide deposition and oxidative stress have been identified as three main pathogenic pathways which contribute to the progression of AD. We screened many different plant species for their effective use in both modern and traditional system of medicines. In this study, we tested that MeOH extract of the stem bark of Hopea chinensis (Merr.) Hand.-Mazz. (HCM) affects on the processing of Amyloid precursor portein (APP) from the APPswe over-expressing Neuro2a cell line. We showed that HCM reduced the secretion level of $A{\beta}42$ and $A{\beta}40$ in a dose dependent manner. We found that HCM increased over 1.5 folds of the secretion level of $sAPP{\alpha}$, a metabolite of ${\alpha}$-secretase. Furthermore, we found that HCM inhibited acetylcholinesterase activity in vitro. We suggest that the stem bark of Hopea chinensis may be a useful source to develop a therapeutics for AD.