• Title/Summary/Keyword: Onset and withdrawal

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Assessment on the East Asian Summer Monsoon Simulation by Improved Global Coupled (GC) Model (Global Coupled (GC) 모델 개선에 따른 동아시아 여름 몬순 모의성능 평가)

  • Kim, Ji-Yeong;Hyun, Yu-Kyung;Lee, Johan;Shin, Beom-Cheol
    • Atmosphere
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    • v.31 no.5
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    • pp.563-576
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    • 2021
  • The performance of East Asian summer monsoon is assessed for GC2 and GC3.1, which are climate change models of the current and next climate prediction system in the Korea Meteorological Administration (KMA), GloSea5 and GloSea6. The most pronounced characteristics of GC models are strong monsoon trough and the weakening of the Western North Pacific Subtropical High (WNPSH). These are related to the weakening of the southwesterly wind and resulting weak monsoon band toward the Korean Peninsula. The GC3.1 is known to have improved the model configuration version compared to GC2, such as cloud physics and ocean parameters. We can confirm that the overall improvements of GC3.1 against GC2, especially in pressure, 850 hPa wind fields, and vertical wind shear. Also, the precipitation band stagnant in the south of 30°N in late spring is improved, therefore the biases of rainy onset and withdrawal on the Korean Peninsula are reduced by 2~4 pentad. We also investigate the impact of initialization in comparison with GloSea5 hindcast. Compared with GCs, hindcast results show better simulation within 1 month lead time, especially in pressure and 850 hPa wind fields, which can be expected to the improvement of WNPSH. Therefore, it is expected that the simulation performance of WNPSH will be improved in the result of applying the initialization of GloSea6.

Clinical Subtypes of Delirium (섬망의 임상적 아형)

  • Seo, Jeong-Seok;Moon, Seok-Woo;Kim, Tae-Ho;Nam, Beom-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.2
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    • pp.69-74
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    • 2008
  • Delirium is an organic psychiatric syndrome characterized by an acute onset, prominent disturbance of consciousness and cognitive impairment with fluctuating course. Although there is not a clear consensus concerning the optimal classification system for delirium subtypes, Lipowski(1983) firstly classified delirium by psychomotor activity, namely hyperactive, hypoactive, and mixed. According results of several following studies, prevalence of hypoactive delirium were not less than that of hyperactive delirium. But a diagnosis of hypoactive delirium often missed, which is most frequently misdiagnosed as depression and dementia. Hyperactive delirium can be caused by alcohol or benzodiazepine withdrawal, would be related with excessive dopamine and cholinergic deficiency, and is more responsive to high-potency antipsychotics therapy. Hypoactive delirium would be caused by metabolic encephalopathy, and tends to present a less responsiveness to antipsychotics and poorer overall prognosis with a prolonged duration of admission than hyperactive delirium. Delirium is not a homogenous syndrome. Because of different subtypes, it may have dissimilar underlying pathogenetic pathways. So different treatment strategies between various subtypes may be needed.

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Participation of nitric oxide pathways in interleukin 1$\beta$-induced mechanical allodynia in the orofacial area of rats

  • Kang, Young-M.;Lee, Min-K.;Yang, Gwi-Y.;Bae, Yong-C.;Ahn, Dong-K.
    • International Journal of Oral Biology
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    • v.34 no.1
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    • pp.1-6
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    • 2009
  • The purpose of the present study was to examine the role of peripheral nitric oxide (NO) pathways in the onset of interleukin (IL)-1$\beta$-induced mechanical allodynia in the orofacial area. Experiments were carried out on male Sprague-Dawley rats weighing 230-280 gm and surgical procedures were performed under pentobarbital sodium (40 mg/kg, i.p.). Under anesthesia, a polyethylene tube (PE10) was implanted into the subcutaneous area of one vibrissa pad, which enabled the injection of IL-1$\beta$ or other chemicals. We subcutaneously injected 50 ${\mu}L$ of IL-1$\beta$ into a vibrissa pad through the implanted polyethylene tube with a 100 ${\mu}L$ Hamilton syringe. After the administration of 0.01, 0.1, 1, or 10 pg of IL-1$\beta$, withdrawal behavioral responses were examined. The subcutaneous injection of saline had no effects on the air-puff thresholds. Following the subcutaneous injection of 0.01, 0.1, 1, or 10 pg of IL-1$\beta$, the threshold of air puffs decreased significantly to 12 $\pm$ 3, 7 $\pm$ 2, 5 $\pm$ 1, or 5 $\pm$ 1 psi, respectively, in a dose dependent manner. Pretreatment with L-NAME, a nitric oxide synthase (NOS) inhibitor, blocked IL-1$\beta$-induced mechanical allodynia. However, neither D-NAME, an inactive isomer of L-NAME, nor vehicle affected the IL-1$\beta$-induced mechanical allodynia. Subcutaneous injection of IL-1$\beta$ increased the number of c-fos-like immunoreactive neurons, whereas pretreatment with L-NAME decreased this number, in the trigeminal caudal nucleus. These results suggest that pro-inflammatory cytokines and NO are important contributors to the pathogenesis of persistent and exaggerated IL-1$\beta$-induced pain states. Based on these observations, peripheral application of NOS inhibitors may be of therapeutic value in treating pain disorders in the clinic.