• Title/Summary/Keyword: SDH

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Surgery for Bilateral Large Intracranial Traumatic Hematomas : Evacuation in a Single Session

  • Kompheak, Heng;Hwang, Sun-Chul;Kim, Dong-Sung;Shin, Dong-Sung;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.55 no.6
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    • pp.348-352
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    • 2014
  • Objective : Management guidelines for single intracranial hematomas have been established, but the optimal management of multiple hematomas has little known. We present bilateral traumatic supratentorial hematomas that each has enough volume to be evacuated and discuss how to operate effectively it in a single anesthesia. Methods : In total, 203 patients underwent evacuation and/or decompressive craniectomies for acute intracranial hematomas over 5 years. Among them, only eight cases (3.9%) underwent operations for bilateral intracranial hematomas in a single session. Injury mechanism, initial Glasgow Coma Scale score, types of intracranial lesions, surgical methods, and Glasgow outcome scale were evaluated. Results : The most common injury mechanism was a fall (four cases). The types of intracranial lesions were epidural hematoma (EDH)/intracerebral hematoma (ICH) in five, EDH/EDH in one, EDH/subdural hematoma (SDH) in one, and ICH/SDH in one. All cases except one had an EDH. The EDH was addressed first in all cases. Then, the evacuation of the ICH was performed through a small craniotomy or burr hole. All patients except one survived. Conclusion : Bilateral intracranial hematomas that should be removed in a single-session operation are rare. Epidural hematomas almost always occur in these cases and should be removed first to prevent the hematoma from growing during the surgery. Then, the other hematoma, contralateral to the EDH, can be evacuated with a small craniotomy.

A New fairness Mechanism based on Number of Effective Nodes providing Efficient Bandwidth Allocation in the Resilient Packet Ring (RPR에서 효율적인 대역폭 할당을 위한 유효 노드 수 기반의 새로운 공평 메커니즘)

  • Lee Dong-Hun;Lee Jae-Hwoon
    • Journal of KIISE:Information Networking
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    • v.32 no.5
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    • pp.641-649
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    • 2005
  • Metro networks use the existing circuit-switching technology like SONET/SDH. Such circuit-switching based networks are inefficient in tarrying Internet traffic with bursty nature. Therefore, metro networks can become a bottleneck In order to resolve this problem, the IEEE 802.17 working group has proposed the RPR (Resilient Packet Ring) technology. In addition to this, the RPR fairness mechanism has been defined to provide fairness among the stations in the RPR network. However, the current RPR fairness mechanism has the problem of inefficient use of the available bandwidth after when the congestion at a node is resolved. In this paper, we propose an improved bandwidth allocation mechanism in which, after the congestion resolution at a node, the node estimates the number of nodes transmitting data and measures the remaining bandwidth and fairly allocates the available bandwidth to active nodes. To show the performance of our proposed mechanism, we have performed simulation and showed that the proposed mechanism offers higher bandwidth utilization.

Mortality and Epidemiology in 256 Cases of Pediatric Traumatic Brain Injury : Korean Neuro-Trauma Data Bank System (KNTDBS) 2010-2014

  • Jeong, Hee-Won;Choi, Seung-Won;Youm, Jin-Young;Lim, Jeong-Wook;Kwon, Hyon-Jo;Song, Shi-Hun
    • Journal of Korean Neurosurgical Society
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    • v.60 no.6
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    • pp.710-716
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    • 2017
  • Objective : Among pediatric injury, brain injury is a leading cause of death and disability. To improve outcomes, many developed countries built neurotrauma databank (NTDB) system but there was not established nationwide coverage NTDB until 2009 and there have been few studies on pediatric traumatic head injury (THI) patients in Korea. Therefore, we analyzed epidemiology and outcome from the big data of pediatric THI. Methods : We collected data on pediatric patients from 23 university hospitals including 9 regional trauma centers from 2010 to 2014 and analyzed their clinical factors (sex, age, initial Glasgow coma scale, cause and mechanism of head injury, presence of surgery). Results : Among all the 2617 THI patients, total number of pediatric patients was 256. The average age of the subjects was 9.07 (standard deviation${\pm}6.3$) years old. The male-to female ratio was 1.87 to 1 and male dominance increases with age. The most common cause for trauma were falls and traffic accidents. Age (p=0.007), surgery (p<0.001), mechanism of trauma (p=0.016), subdural hemorrhage (SDH) (p<0.001), diffuse axonal injury (DAI) (p<0.001) were statistically significant associated with severe brain injury. Conclusion : Falls were the most common cause of trauma, and age, surgery, mechanism of trauma, SDH, DAI increased with injury severity. There is a critical need for effective fall and traffic accidents prevention strategies for children, and we should give attention to these predicting factors for more effective care.

A Inter-layer Path Provisioning System Architecture in Multi-layer Networks (다계층 광네트워크에서 계층간 경로설정 시스템 구조 연구)

  • Kim, Hyuncheol
    • Convergence Security Journal
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    • v.13 no.3
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    • pp.25-31
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    • 2013
  • Looking at the recent value change of users and the usage pattern of network users, it is changing from simple web information, one-way information acquisition and data transmission to increase of usage of multimedia, increasing demand for security and customization, and increasing demands for free mobility. Due to this change of demand, the services which were provided individually, developed into a form which is merged, the network also seems to develop into the combined network from the individual network for individual service, and the communication network control technology which is the core technology is also rapidly developing. To reflect the users' demands, the next generation network created the multi-layer network which is based on the WDM/IP transmission system and added the to make it easy to restructure. P-OTS (Packet-Optical Transport System) can be defined as a platform that combines SONET/SDH, Ethernet, DWDM, optical transport network (OTN) switching and reconfigurable optical add-drop multiplexers (ROADMs). In this paper, we suggested that the optimum path choice be performed through diversification of the PCE-based path selection using the information of various layers altogether in the multi-layer environment, compared with the established path selection method when the path was selected using the information of each layers.

Integrated Network Management with TINA manager and TMN agent (통합 통신망 관리를 위한 TINA manager와 TMN agent의 연동방안 연구)

  • 김호철;김영탁
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.25 no.5A
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    • pp.751-762
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    • 2000
  • In the forthcoming next generation highspeed networks, the provisioning of broadband mobile multimedia services is the most important issue while an efficient network management architecture, which can manage the network resources efficiently, is essential. The next generation highspeed networks will be composed of the ATMand SDH-based transport network systems and the H-based interworking systems. The management functions of these network systems are implemented various technologies, such as TMN and SNMP. In order to integrate these network resources efficiently with heterogeneous management functions, the distributed network management architecture such as TINA is most appropriate. In this pape, we propose an interworking architecture for TINA manager and TMN agent. where the TINA-based EML subnetwork management operations mapped into the related management operations of the TMN NE agent. The proposed interworking architecture is simpler than JIDM, and the processing overhead is minimized.

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Dental hygienist's job recognition and vocational competency reinforcement (치과위생사 직업인식과 직무역량 강화방안)

  • Jo, Eun-Deok;Kim, Eun-Sol;Hong, Hae-Kyung;Han, Gyeong-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.5
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    • pp.655-664
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    • 2020
  • Objectives: The aim of this study was to analyze the qualities and problems to be solved to strengthen the vocational competency of dental hygienists and to identify the work to be institutionally established. Methods: From April 1 to May 30, 2019, a total of 325 people participated (152 registered dental hygienists: RDH, 173 students of dental hygiene: SDH) in this study. The survey items were as follows: "job awareness" (6 items), "problem to be solved to strengthen vocational competency" (5 items), "qualities to be equipped to strengthen"competency" (9 items), and "practical work to be institutionally established" (4 items). Results: RDH and SDH had the highest perception of professionalism (3.68, 3.99 points), and low remuneration against work (4.21, 4.18 points) was perceived as the most important problem to be solved. The qualities for competency reinforcement showed the highest results in expertise knowledge (4.68, 4.64 points) and vocation for job (3.76, 4.09 points). Practical work to be established institutionally appeared as follows: X-ray film reading, dental hygiene diagnosis, periodontal pocket measurement, and periodontal pockets (<6 mm) treatment. Conclusions: This study is expected to be actively used to strengthen the vocational competency among dental hygienists, construct work autonomy, and rationalize and legalize practical work.

Changes of Liver Function In Korean Black Goats Dosed wit Carbon Tetrachloride and 1-naphthylisothiocyanate (한국흑염소에 있어서 사염화탄소와 1-naphthylisothiocyanate 투여시의 간기능 변화)

  • Im Jung-Sik;Choi Hee-In
    • Journal of Veterinary Clinics
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    • v.7 no.1
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    • pp.381-390
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    • 1990
  • In order to study the effects of administration of carbon tetrachloride(CCI$_4$) and 1-naphthylisothiocyanate(ANIT) on the liver of Korean black goats, some liver function tests and liver biopsy were done on 4 Korean black goats dosed with CCI$_4$(0.4m1/kg of body weight) in-traruminally and 4 Korean black goats dosed with ANIT(400mg/kg of body weight) by stomach tube. BSP Tl/2 and serum total bilirubin concentration in goats dosed with CCI$_4$ were increased gradually, reached to maximum value on 2nd and 1st day, respectively, and then began to decrease in normal range, gradually. In goats dosed with ANIT, BSP Tl/2 and serum total bilirubin concentration were increased rapidly, reached to maximum value on 0.5 and 1st day, respectively, and then returned to normal ragne, rapidly. Serum SDH, AST and GGT activities in goats dosed with CCI$_4$ were increased rapidly and reached to maximum value on 3rd, 1st and 2nd day, respectively. Thereafter, the serum enzyme activities began to decrease in normal range gradually. In goats dosed with ANIT, however, serum SDH, AST and GGT activities were not changed. The histopathologic changes in goats dosed with CCI$_4$ were lipidosis and centrilobular nee-rosis of the hepatic parenchyma. In goats dosed with ANIT, hyperplasia of bile duct epithelium was noticeable, but pathologic changes in liver parenchyma were not noticed. Conclusively, in Korean black goats dosed with CCI$_4$, main finding was necrosis of hepatic parenchyma. In Korean black goats dosed with ANIT, main finding was cholestasis.

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Control of Genes in TCA Cycle by fsrA Small RNA in Bacillus subtilis (바실러스 서브틸리스의 fsrA small RNA에 의한 TCA 회로의 유전자 조절)

  • Lee, Sang-Soo
    • The Journal of Natural Sciences
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    • v.19 no.1
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    • pp.57-64
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    • 2008
  • The fsrA gene in Bacillus subtilis has an analogous role of ryhB in E. coli and is controlled under fur, the iron regulator gene. At high concentration of iron the transcription of ryhB is repressed by fur and ryhB is transcribed under low concentration of iron. To spare iron produced ryhB small RNA represses the expression of sdhCDAB (succinate dehydrogenase). This study shows the growth rate of Bacillus subtilis strain of fur and fur/fsrA deletion mutants using organic acids of TCA cycle as carbon source. Mutant strain of fur does not grow well with succinate carbon source, but further deletion of fsrA regain to the growth of wild type strain. Also, nearly same results were observed with citrate and fumarate. These results are consistent to those of E. coli system. But fur and fur/fsrA deletion mutants grow well as much as the growth of wild type with malate carbon source. These results showed that upstream genes of succinate of TCA cycle are repressed by fsrA, but downstream of succinate are not repressed by fsrA.

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The Anti-hepatotoxic Effect of Ginseng in Rats: Meta-analysis

  • Kook, Se-Jeong;Han, Hye-Kyoung;Kim, Gun-Hee;Choi, Ki-Heon
    • Journal of Ginseng Research
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    • v.32 no.2
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    • pp.161-170
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    • 2008
  • The aim of this meta-analysis was to systematically investigate the anti-hepatotoxic effect of ginseng in rats induced toxicity which damage to liver. Primary researches were gained on the ScienceDirect database, the DBpia, and the KISS, and the data about the effect factors in plasma and in enzyme were listed as many as possible. The effect factors were alanine transaminase (ALT), aspartate transaminase (AST), liver aminopyrine N-demethylase (AD), liver aniline hydroxylase (AH), liver 3,4-Methylenedioxyamphetamine (liver MDA), cytochrome P450 (P450), serum alkaline phosphatase (ALP), serum lactate dehydrogenase (LDH), cytochrome b5 (Cyto b5), glutathione reductase (GR), Liver glutathione S-transferase (GST), liver glutamyltransferase (GT), Liver (${\gamma}-GCS$), serum liver 3,4-Methylenedioxyamphetamine (serum MDA), serum sorbitol dehydrogenase (SDH), serum total protein (TP), serum ${\gamma}-glutamyltransferase$ (${\gamma}-GT$). To investigate the effect of ginseng, the mean difference (MD) between the group of rats induced by toxicity (RH) and the group of rats induced by toxicity with ginseng (RHG) were combined, and the significance of MDs were tested. The combined MDs were checked the biases caused by heterogeneity among studies and the publication biases, and adjusted by using random effect model and trim and fill method, respectively. The effect about ALT, AST, ALP, LDH, SDH, TP and ${\gamma}-GT$ in plasma factors were significant, and about AD, liver MDA, P450, Cyto b5, GR, GST, GT and ${\gamma}-GCS$ in enzyme factors were significant. The treatment with ginseng supplementation was significantly effected on plasma and enzyme factors of damaged-rats.

Microarray Analysis of Radiation Related Gene Expression in Mutants of Bacillus lentimorbus WJ5 Induced by Gamma Radiation (Bacillus lentimorbus WJ5의 감마선유도 돌연변이체들에서 공통으로 발현되는 방사선 관련 유전자의 microarray 분석)

  • Lee Young-Keun;Chang Hwa-Hyoung;Jang Yu-Sin;Huh Jae-Ho;Hyung Seok-Won;Chung Hye-Young
    • Korean Journal of Environmental Biology
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    • v.22 no.3
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    • pp.472-477
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    • 2004
  • To study the radiation related gene expression in mutants of Bacillus lentimorbus WJ5 induced by gamm radiation, the simultaneous gene expression was analyzed by DNA micro array. We constructed DNA chips including two thousand randomly digested genome spots of B. lentimorbus WJ5 and compared its quantitative aspect with seven mutants induced by gamma radiation $(^{60}/Co)$. From the cluster analysis of gene expression pattern, totally 408 genes were expressed and 27 genes were significantly upregulated by the gamma radiation in all mutants. Especially, genes involved in repair (mutL, mutM), energy metabolism (acsA, sdhB, pgk, yhjB, citB), protease (npr), and reduction response to oxidative stress (HMM) were simultaneously upregulated. It seems that the induction of the direct and/or indirect repair related genes in mutants induced by gamma radiation could be remarkably different from the adaptive responses against acute exposure to radiation.