• 제목/요약/키워드: Over-the-head

검색결과 1,195건 처리시간 0.025초

New Landmark for the Endoscopic Endonasal Transsphenoidal Approach of Pituitary Surgery

  • Kim, Young Ha;Kim, Ju Eun;Kim, Min Joo;Cho, Jin Hee
    • Journal of Korean Neurosurgical Society
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    • 제53권4호
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    • pp.218-222
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    • 2013
  • Objective : To clarify the anatomical correlations of the sphenoid sinus with surrounding structures in the normal Korean population, and to identify surgical landmarks for safe sellar floor dissection in the anterior skull base by endoscopy and microscopy. Methods : We reviewed the 196 brain magnetic resonance imaging findings showing a normal appearance, and measured the distances between anatomical landmarks. Results : The mean distances from the base of the columella to the anterior wall of the sphenoid sinus and the sellar floor were $69.71{\pm}4.25$ mm and $86.26{\pm}4.57$ mm, respectively in the over 15 age group, and showed the smallest degree of variation among the measurements. The mean angles between the floor of the nasal cavity and the straight line connecting the base of the columella and the sellar floor were $29.45{\pm}3.25^{\circ}$ and $24.75{\pm}4.00^{\circ}$ in the over 15 and under 15 age groups, respectively. The mean values of both distances and angles increased with age until 15 years after which no further increases were evident. There were no significant differences in the measurements between males and females or among subjects with different degrees of pneumatization in the over 15 age group. Conclusion : The distances from the base of the columella to the sellar floor and the anterior wall of the sphenoid sinus, which were consistent among individuals, could be used as a surgical indicator to investigate the sellar floor in endoscopic or microscopic transsphenoidal approaches.

급성 경부 혈종을 일으킨 부갑상선선종 1예 (Parathyroid Adenoma Causing Spontaneous Cervical Hematoma: A Case Report and Review of Literature)

  • 신태현;박성수;원청세;김미경;김민수
    • 대한두경부종양학회지
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    • 제35권2호
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    • pp.27-30
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    • 2019
  • Parathyroid adenoma can cause extracapsular bleeding. In 1934, Capps first reported a case of massive hemorrhage secondary to rupture of a parathyroid adenoma. Recently, we experienced a 73-year-old female presented with pharyngeal discomfort and extensive ecchymosis over the neck without history of trauma. Endoscopic investigation revealed submucosal hemorrhage in the posterior wall of the hypopharynx. CT scan and ultrasonography demonstrated the presence of a mass below the left thyroid lobe. Serum calcium level was normal and PTH level was elevated. We underwent left thyroidectomy and parathyroidectomy 2 weeks later from first visit. During the operation, hypopharyngeal mucosa was teared and it was treated with pharyngostoma formation and L-tube feeding. We report a rare case of normocalcemic parathyroid adenoma with spontaneous hemorrhage and propose the proper management period with a literature review.

하절기 '매향' 딸기의 삽목 번식 시 관수방법에 따른 생육 및 발근율 (Growth and Rooting Rate of 'Maehyang' Strawberry as Affected by Irrigation Method on Cutting Propagation in Summer Season)

  • 김현민;김혜민;정현우;이혜리;정병룡;강남준;황승재
    • 생물환경조절학회지
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    • 제27권2호
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    • pp.103-110
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    • 2018
  • 본 연구는 하절기 '매향' 딸기 자묘의 삽목 번식에 적절한 관수 방법을 구명하기 위해 수행되었다. 딸기 자묘의 삽수는 24구 딸기 전용 포트(24구, $60{\times}34{\times}10cm$)에 상업용 혼합 상토(Tosilee)를 이용하여 삽목하고, 반 밀폐형 소형비닐터널에 위치시켰다. 각각의 반 밀폐형 소형터널의 처리는 다음과 같이 처리했다; 대조구(무처리), 두상관수(하루 두 번), 매트관수(하루 두 번), 그리고 안개관수(8:00시부터 18:00시까지 30분 온/오프 설정). 딸기 자묘는 반 밀폐형 소형터널 내에서 8일 동안 발근을 하였고, 그 이후 플라스틱 필름을 제거 하였다. 삽목 후 61일째에 초장, 근장, 1차 근수, 엽병장, 엽장, 엽폭, 크라운 직경, 엽록소 값, 엽면적, 지상부와 지하부의 생체중 및 건물중을 측정하였다. 터널 내의 하루 평균 상대습도는 각각 안개관수, 두상관수, 매트관수, 대조구 순으로 72.5, 56.3, 45.8, 그리고 29%를 나타냈다. 그러나 공기온도는 모든 처리에서 유사하였다. 딸기 자묘의 4일째와 8일째 발근율은 두상관수와 안개관수 처리에서 유의적으로 높았다. 초장, 엽병장, 크라운 직경, 엽면적은 두상관수와 안개관수 처리에서 높은 값을 나타냈다. 게다가 지상부의 생체중 및 건물중은 다른 처리에 비해 두상관수와 안개관수 처리에서 무거웠다. 지하부의 건물중은 안개관수 처리에서 유의적으로 무거웠다. 하지만 근장, 1차 근수, 엽록소 값, 지하부의 생체중은 모든 처리구에서 유의적인 차이를 나타내지 않았다. 결과적으로, '매향' 딸기의 삽목 번식 시 생육과 발근율은 두상관수와 안개관수 처리에서 가장 효과적인 것으로 나타났다.

Association of head circumference with cognitive decline and symptoms of depression in elderly: a 3-year prospective study

  • Kwon, Oh Dae;Choi, So-Young;Bae, Jisuk
    • Journal of Yeungnam Medical Science
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    • 제35권2호
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    • pp.205-212
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    • 2018
  • Background: Brain volume is associated with dementia and depression in the elderly. An easy way to predict relative brain volume is to measure head circumference. In this study, we investigated the relationship between head circumference and cognition as well as depression in a non-demented elderly community. Methods: Baseline and follow-up surveys were conducted in 2007 and 2010. At baseline, community residents aged 65 years or over (n=382) within a rural area of South Korea were screened for dementia and symptoms of depression and were followed using the same screening battery after 3 years (n=279). Data from anthropometric measurements (head circumference, height, and body weight), demographics, and blood tests were gathered. Neuropsychological tests, including the Korean version of mini-mental state examination (K-MMSE), clinical dementia rating (CDR) including the CDR-sum of boxes, the Korean version of instrumental activities of daily living, and geriatric depression scale (GDS), were performed. None of the 279 subjects followed were demented. Results: Baseline performance on the K-MMSE and GDS was poorer for participants with smaller head circumferences. Follow-up performance on the MMSE was also poorer for participants with smaller head circumferences. Interestingly, participants with smaller head circumference showed worse GDS scores at baseline but on follow-up examination, participants with larger head circumference showed rapid worsening than those with smaller head circumference with marginal significance by ANOVA test. In regression coefficient analysis, GDS decline showed significant difference. Conclusion: Head circumference was not associated with cognitive change but was associated with symptoms of depression in non-demented community residents.

소유권에 기한 유체인도청구의 허용 여부 - 대법원 2008.11.20. 선고, 2007다27670 전원합의체 판결 (집(集) 56-2, 민(民)164) - (Whoes Hands on Your Corpse?: Historical and Critical Comment on a Case)

  • 이준형
    • 의료법학
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    • 제11권1호
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    • pp.199-239
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    • 2010
  • In 2008, the Korean Supreme Court came across a plaintiff's claim to return his deceased father who had left family more than four decades ago and lived with another spouse(de facto) in the meantime to be buried after death in a cemetery of his own choice. The major opinion decided to approve the claim, on the ground that the first legitimate son should be the "head worshiper" prescribed in the article 1008-3 of the Korean Civil Code and that the corpse belong to the head woshiper, i. e. the head woshiper has a special "limited ownership" over the corpse for the purpose of its burial and worship, adding that a deceased's disposition inter vivos, if any, be only ethically but by no means legally binding others, including the head worshiper of course. Here scrutinized are the historical developments starting from the Roman criminal law of sepulchri violatio(trespass to grave) through the Canon law of the Middle Age and the doctrinal reactions to the challenges of anatomy and surgery to the formation of the "supporting the deceased" theory in Germany as well as the similarities in other european continental countries(Switzerland, Austria and France). The comparative review shows that the right of remaining family could neither be identified as limited "ownership" nor that the controversy over a corpse be solved by exclusively attributing/distributing it to one/some of the descendants. In principle, the question should be approached in the extension of family support.

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EMDIOS를 이용한 Optical Flying Head의 형상 최적설계 (Optimum Design of Optical Flying Head Using EMDIOS)

  • 최동훈;윤상준
    • 정보저장시스템학회논문집
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    • 제1권1호
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    • pp.67-72
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    • 2005
  • This study proposes a design methodology to determine the optimum configurations of the optical flying head (OFH) for near-field recording systems. Since the OFH requires stricter static and dynamic characteristics of slider air-bearings within an optical tilt tolerance over the entire recording band, an optimum design to keep the focusing and tracking ability stable is essential. The desired flying characteristics considered in this study are to minimize the variation in flying height between the SIL and the disk from a target value, satisfying the restriction of the minimum flying height, to keep the pitch and roll angles within an optical tilt tolerance, and to ensure a higher air-bearing stiffness. Simulation results demonstrate the effectiveness of the proposed design methodology by showing that the static and dynamic flying characteristics of the optimally designed OFH are enhanced in comparison with those of the initial. The gap between the SIL and the disk can be kept at less than 100 nm even if the optical tilt tolerance of the SIL is considered.

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리니어 모터를 이용한 고속비진원 가공용 공구이송장치의 특성연구 (The Characteristics of High-speed Noncircular Machining Tool Feed Systme using Linear Motor)

  • 서준호;민승환;김성식;이선규
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1995년도 추계학술대회 논문집
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    • pp.985-990
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    • 1995
  • Recently, the development of high speed and high precision NC-lathe for piston head machining is needed for the complexity and diversity of the piston head shape used in automobile reciprocating engine. THe piston head has many complex shapes in the aspect of fuel economy, such as ovality, profile, double ovality and recess. Among them, for the maching of the over shape of 0.1~1mm the cutting tool should move periodically symchronized with the rotation of piston workpiece. The cutting tool feeed system must have high positioning accuracy for the precise machining, high speed for the fast maching and high dynamic stiffness for the cutting force. The linear brushless DC motor is used for satisfying these coditions. The ballbush guide and supporting guide using turcite is used for the guidance of the feed drive system. Linear encoder, digital servo ampllifer and controller are used for driving the motor. THis paper presents the design and simulation of the new tool feed system for noncircular machining.

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상둔 동맥 혈관경 후방 장골릉 골 이식을 이용한 대퇴골 두 무혈성 괴사의 치료 (Superior Gluteal Artery-pedicled Iliac Crest for the Treatment of Avascular Necrosis of Femoral Head)

  • 이상욱;송석환;서유준;박승범
    • Archives of Reconstructive Microsurgery
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    • 제17권1호
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    • pp.42-47
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    • 2008
  • Introduction: To evaluate the efficacy of superior gluteal artery-pedicled iliac crest for the treatment of avascular necrosis of femoral head. Material & Method: From January 2001 to October 2001, we used the superior deep branches of superior gluteal artery for the pedicled posterior iliac crest bone graft to revascularize the avascular femoral head in 4 patients. They were 1 man and 3 women, and the mean age of the patients was 34 years (range, 27 to 60). The average follow-up after surgery was over 57 months (range, 15 to 82). We analyzed the clinical results by the Harris hip score, and evaluated the vascularity of the femoral head by radiographic methods. Results: All cases showed no evidence of collapse on femoral heads and good revascularizations on the radiographic images. The average Harris hip score was 88.5 points. There was no complication. Conclusion: The revascularization procedure using the superior gluteal artery-pedicled posterior iliac crest was thought to be one of the effective and promising techniques for the treatment of the avascular necrosis of femoral head.

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산업용 안전모 정부 근처 통기구멍에 관한 연구 (A Study on Ventilation Holes Near the Crown of Industrial Safety Helmets)

  • 김진현;최혁중
    • 한국안전학회지
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    • 제27권5호
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    • pp.196-202
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    • 2012
  • An industrial safety helmet primarily intended to protect the wearer's head. It is to prevent or reduce the danger due to flying or dropping objects, falling and prevent the danger due to an electric shock given to the head. However, thermal discomfort of the head is one of the main complaints in the case of wearing safety helmet. Ventilation holes are not allowed in safety helmets on domestic regulations except for industrial safety helmets which are to protect wearer's head against flying or dropping objects. This paper is to produce the need for enlargement of allowing on ventilation holes' regulation to class B. This study reviewed foreign standards' regulations on ventilation holes of safety helmets. Some standards recommend that ventilation may be improved when fresh air is able to enter the helmet around its lower edge and to exit via holes in the helmet located in the upper one third of the helmet. And in the experiments, relationships of ventilation holes and the temperature over the head are analyzed. The experimental results show that the cooling effect of ventilation holes in the upper one third of the helmet is meaningful.

Simple and effective neural coreference resolution for Korean language

  • Park, Cheoneum;Lim, Joonho;Ryu, Jihee;Kim, Hyunki;Lee, Changki
    • ETRI Journal
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    • 제43권6호
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    • pp.1038-1048
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    • 2021
  • We propose an end-to-end neural coreference resolution for the Korean language that uses an attention mechanism to point to the same entity. Because Korean is a head-final language, we focused on a method that uses a pointer network based on the head. The key idea is to consider all nouns in the document as candidates based on the head-final characteristics of the Korean language and learn distributions over the referenced entity positions for each noun. Given the recent success of applications using bidirectional encoder representation from transformer (BERT) in natural language-processing tasks, we employed BERT in the proposed model to create word representations based on contextual information. The experimental results indicated that the proposed model achieved state-of-the-art performance in Korean language coreference resolution.