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Cerebrospinal Fluid Rhinorrhea and Seizure Caused by Temporo-Sphenoidal Encephalocele

  • Hammer, Alexander;Baer, Ingrid;Geletneky, Karsten;Steiner, Hans-Herbert
    • Journal of Korean Neurosurgical Society
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    • 제57권4호
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    • pp.298-302
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    • 2015
  • This case report describes the symptoms and clinical course of a 35-year-old female patient who was diagnosed with a temporo-sphenoidal encephalocele. It is characterized by herniation of cerebral tissue of the temporal lobe through a defect of the skull base localized in the middle fossa. At the time of first presentation the patient complained about recurrent nasal discharge of clear fluid which had begun some weeks earlier. She also reported that three months earlier she had for the first time suffered from a generalized seizure. In a first therapeutic attempt an endoscopic endonasal approach to the sphenoid sinus was performed. An attempt to randomly seal the suspicious area failed. After frontotemporal craniotomy, it was possible to localize the encephalocele and the underlying bone defect. The herniated brain tissue was resected and the dural defect was closed with fascia of the temporalis muscle. In summary, the combination of recurrent rhinorrhea and a first-time seizure should alert specialists of otolaryngology, neurology and neurosurgery of a temporo-sphenoidal encephalocele as a possible cause. Treatment is likely to require a neurosurgical approach.

Intact and Perforated Pulmonary Hydatid Cyst: A Comparative Study from Damascus, Syria

  • Almess, Mohammad;Ahmad, Basel;Darwish, Bassam
    • Journal of Chest Surgery
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    • 제53권6호
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    • pp.387-391
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    • 2020
  • Background: Hydatidosis is a major health problem around the world, especially in the Mediterranean region. Cysts can break open or develop secondary bacterial infections, altering the clinical presentation. Methods: Patients who underwent hydatid cyst surgery at Al-Mouassat University Hospital in Damascus, Syria between January 2006 and December 2017 were evaluated. Cases involving isolated hepatic cysts were excluded. The patients were divided into those with perforated hydatid cysts (group 1) and those with intact hydatid cysts (group 2). Results: This study included 224 cases: 113 in group 1 (50.4%) and 111 in group 2 (49.6%). The median chest tube duration, hospitalization time, and postoperative complication rate were higher in group 1 than in group 2 (p=0.003, p=0.002, and p=0.006, respectively). In both groups, the most common symptom was cough (present in 178 patients in total [79.5%]), while chest pain (121 patients [54%]) and dyspnea (113 patients [50.4%]) were also common. Cough, hemoptysis, fever, and expectoration of cystic contents were significantly more frequent in group 1 than in group 2 (p<0.001). Conclusion: The early discovery and treatment of intact pulmonary hydatid cysts reduced the hospitalization time, chest tube duration, and postoperative complication rate. Relative to intact cysts, perforated cysts are more complex and are associated with more expensive and time-consuming surgical treatment.

미디어 스트림 전송을 위한 적응형 멀티미디어 동기화 기법에 관한 연구 ((A Study on an Adaptive Multimedia Synchronization Scheme for Media Stream Transmission))

  • 지정규
    • 한국컴퓨터산업학회논문지
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    • 제3권9호
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    • pp.1251-1260
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    • 2002
  • 실시간 응용 프로그램은 미디어 데이터간에 만족되어야 할 동기화 제약조건을 가지고 있다. 클라이언트의 버퍼를 버퍼레벨기법의 가상버퍼와 네트워크 상태를 포함한 피드백기법을 제안한다. 가변적 전송 지연 시간을 흡수하면서 피드백 제어에 의한 동기화를 수행한다. 버퍼의 수위가 정상레벨을 유지하는가에 대한 문제는 재생률과 QoS 서비스에 중요한 영향을 주게 된다. 본 논문에서는 이러한 문제를 해결하기 위해서 필터링함수, 제어함수, 네트워크 평가 함수 등을 적용하여 멀티미디어 서버에서 전송 시작시점을 결정하고 미디어의 재생 시 끊어짐이 없는 유연한 재생을 처리하게 된다. 주 미디어인 오디오 프레임이 상위임계레벨에 버퍼의 수위가 존재 할 경우는 점차적으로 재생시간을 줄이고, 오디오 프레임이 하위임계레벨에 버퍼의 수위가 있을 경우는 점차적으로 재생시간을 늘리는 시스템을 제안한다.

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대명사의 통사단서가 참조해결과정에 미치는 효과: 대명사의 수 단서와 성별 단서 (The Role of Syntactic Cues in Pronoun Referential Resolution: The Effects of Number Cue and Gender Cue)

  • 이재호
    • 인지과학
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    • 제15권3호
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    • pp.25-33
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    • 2004
  • 이 연구는 대명사의 통사단서인 수단서와 성별단서가 참조해결에 미치는 효과를 다양한 과제에서 수렴적으로 관찰하였다. 실험 1은 자율조절 문장읽기과제와 어휘판단과제를 실시하였다. 복수 대명사는 단수 대명사에 비해서 읽기시간이 빨랐으며, 단수 대명사는 성별단서가 명료한 조건이 애매한 조건보다 읽기시간이 빨랐다. 실험 2는 실험글을 RSVP(rapid serial visual presentation)로 제시한 다음 선행어의 어휘판단과제를 실시하였다. 단수 대명사와 복수 대명사의 어휘판단시간은 통계적인 차이는 없었고, 단수 대명사는 성별단서가 명료한 조건이 애매한 조건보다 어휘판단시간이 발랐다. 대명사의 통사 단서는 참조해결의 과정에 강력한 영향을 미치는 제약임이 수렴적으로 확인되었다.

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입체 TV 영상(3D) 주시시의 유발전위 (Change of electroencephalograph during 3-dimensional image load)

  • 조암
    • 대한인간공학회지
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    • 제9권2호
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    • pp.29-35
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    • 1990
  • To investigate and analyze of the human brain-wave changes during 3-dimenslonal image load were expected to take not only an important basic information of 3-dimensional TV usage but also 3-dimensional image design. In this experiment, to analyze the difference of visual analyze handing system for which we present the 2- dimensional image having no parallex and 3-dimensional image by visual evoked potentials(VEP). 2-dimensional image and 3-dimensional image displayed on the screen through video. In the test, the time interval was one sec for presentation of stimulus considering united time of visual information of right eye and left eye during watching the 3-dimensional image also display time interval was 200 mesc for each stimulus image. Results are as follow, (1) N190 appears faster 16msec-20msec in the point of Fz, Cz, Pz, Oz when loaded 3D4 angle than 2D3 angle. (2) About of the P300, 3D4 angle(Otherwise, Oz point was reverse) and in the case of no equipment of liquid crystal shutter, there appeared PEAK near the P250. (3) There were 5% significant difference when the liquid crystal shutter was equiped and didn't, Therefore, this phenomenon show the possibility that Liquid crystal shutter influences on Visual Evoked Potentials.

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구순구개열자의 중안면 열성장 개선을 위한 새로운 접근 (New Approach for Midface Hypoplasia in Cleft Lip and Palate Patients)

  • 김영오;최윤경;정인교;김용덕;손우성
    • 대한구순구개열학회지
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    • 제16권1호
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    • pp.1-8
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    • 2013
  • Purpose : To introduce a more effective and efficient protocol for protraction of maxillary complex in CLP patient and demonstrate it by case presentation. Methods : Miniplates are placed on zygomatic buttress and anterior part of mandible, at the time of secondary alveolar bone graft. During the night time, the orthopedic force is applied by wearing elastics from maxillary miniplates to facemask (500 g per side). During the day time, the intermaxillary elastics connecting maxillary miniplates to mandibular miniplates are applied (200 g per side). During the orthopedic treatment, dental alignment is possible. Results and conclusion : By the new protocol, the intermaxillary relation and occlusion are improved due to the stable intraoral anchorage and better cooperation of patients.

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Onset time analysis of solar proton events

  • Hwang, Jung-A;Cho, Kyung-Suk;Lee, Jae-Jin;Kocharov, Leon;Krucker, Sam;Kim, Yeon-Han;Park, Young-Deuk
    • 천문학회보
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    • 제35권2호
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    • pp.45.2-45.2
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    • 2010
  • We analyzed onset times of the largest six solar proton events during 1997-2006 of solar cycle 23, as observed at 1AU by two satellites of GOES/SEM (Geostationary Operational Environmental Satellites/the Space Environment Monitor) and SOHO/ERNE (Solar and Heliospheric Observatory/the Energetic and Relativistic Nuclei and Electron). We adopted the time shifted method suggested by Leon Kocharov and determined the path length by Sam Krucker's fitting method. We found some problems of those methods and tried to improve those. In this presentation, we will give details of the energy spectra of the 6 SPE events from the ERNE/HED, and onset time comparison among the SPE, flare, type II burst, and CME.

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부하테스트를 이용한 금융 시스템의 성능개선 사례 (A Case Study for Improving Performance of A Banking System Using Load Test)

  • 김태석;이종윤;김종수
    • 한국멀티미디어학회논문지
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    • 제18권12호
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    • pp.1501-1508
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    • 2015
  • In this paper, we describe a case study to improve performance through the load testing of multi-tired system for financial accounts before the system opening. The load test was conducted after the data collection tools(Performance Monitor, DB PSSDiag) were installed. By analyzing the collected log, we were able to identify the main sector requiring performance improvements among the presentation tier, web tier, business logic tier and data tier. The ASP.NET server-down on the web tier could be improved by modifying the parameter values in the configuration file. Some server downs occurred on the business logic tier when a large number of users access at the same time, were more difficult to be solved. By analyzing the hang-dump at the server-down time, we were able to find a process that caused the problem. and we had to modify the relevant codes. For major performance improvements of the data-tier, indices of some queries was optimized by using the built-in DBMS query analyzer, after analyzing the log of long-response-time queries. The problems and solutions considered in this case study will be a reference for the performance improvement of a multi-layer system with the similar structure.

Paradigm Shift in Intra-Arterial Mechanical Thrombectomy for Acute Ischemic Stroke : A Review of Randomized Controlled Trials after 2015

  • Sheen, Jae Jon;Kim, Young Woo
    • Journal of Korean Neurosurgical Society
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    • 제63권4호
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    • pp.427-432
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    • 2020
  • Three randomized control trials (RCTs), published in 2013, investigated efficacy of mechanical thrombectomy in large vessel occlusions and did not show better results compared to intravenous (IV) recombinant tissue-type plasminogen activator (tPA) alone. However, most clinicians treating stroke consider mechanical thrombectomy as the standard treatment rather than using IV tPA alone. This paradigm shift was based on five RCTs investigating efficacy of mechanical thrombectomy in acute ischemic stroke conducted from 2010 to 2015. They demonstrated that mechanical thrombectomy was effective and safe in acute ischemic stroke with anterior circulation occlusion when performed within 6 hours of stroke onset. There are four reasons underlying the different results observed between the trials conducted in 2013 and 2015. First, the three RCTs of 2013 used low-efficiency thrombectomy devices. Second, the three RCTs used insufficient image selection criteria. Third, following the initial presentation at the hospital, reperfusion treatment required a long time. Fourth, the three RCTs showed a low rate of successful recanalization. Time is the most important factor in the treatment of acute ischemic stroke. However, current trends utilize advanced imaging techniques, such as diffusion-weighted imaging and multi-channel computer tomographic perfusion, to facilitate the detection of core infarction, penumbra, and collateral flows. These efforts demonstrate that patient selection may overcome the barriers of time in specific cases.

멀티미디어 시스템을 위한 영상내의 손 인식에 관한 연구 (A Study on Hand Recognition in Image for Multimedia System)

  • 정혜원;양환석
    • 한국콘텐츠학회논문지
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    • 제5권2호
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    • pp.267-274
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    • 2005
  • 본 논문에서는 별도의 센서 없이 영상만을 이용하여 실시간으로 손 영상을 인식하는 알고리즘을 제안한다. 손은 모양이 매우 복잡하기 때문에 2차원 모양의 불변량에 해당하는 에지의 방향성 히스토그램을 이용하여 인식을 행한다. 이 방법은 복잡한 배경에서 색상정보를 이용하여 손 영역이 정확히 추출되며 계산량이 적고 조명변화에 덜 민감하기 때문에 실시간 손 영상 인식에 적합하다. 본 논문에서는 손의 모양제시 방향이 변하는 경우에도 인식을 가능하게 하기 위해 주성분 분석법을 사용하여 인식오차를 줄이는 방법을 기술한다. 이 방법을 사용함으로써 손 영상이 3차원적으로 회전에 의해 변하는 경우도 인식가능하게 되었다. 또한 에지방향성 데이터를 이용하기에 주성분 공간 생성 시간을 현저히 줄이게 되었다.

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