• Title/Summary/Keyword: Small Vessel

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A Cross-sectional Study on Differences in Blood Homocysteine Levels of Acute Cerebral Infarction Patients Categorized by Sasang Constitutional Medicine (급성기 뇌경색 환자의 사상체질별 혈중 Homocysteine 농도에 대한 단면적 연구)

  • Min, In-Kyu;Kim, Mi-Young;Choi, Won-Woo;Sun, Jong-Joo;Jung, Jae-Han;Hong, Jin-Woo;Na, Byong-Jo;Jung, Woo-Sang;Moon, Sang-Kwan;Cho, Ki-Ho
    • The Journal of Internal Korean Medicine
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    • v.28 no.4
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    • pp.763-768
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    • 2007
  • Objectives : This study aimed to clarify the difference in blood homocysteine levels of acute cerebral infarction patients categorized by Sasang constitutional medicine. Methods : The subjects were recruited from patients admitted to the Oriental Internal Medical Department at Kyunghee Medical Center between October 2005 and May 2007, who were classified as small vessel occlusion (SVO) patients according to the Trial of ORG 10172 in Acute Stroke Treatment (TOAST). The general characteristics along with total homocysteine levels were recorded and analyzed according to Sasang constitutional medicine. Results : A total of 151 patients were included in the trial. The prevalence of constitution was, in order, Soyangin, Taeumin, and Soeumin. No statistical significance was noted for any characteristic except body weight. There was no significant difference in blood homocysteine levels between constitutions. Conclusion : This study investigated the difference in blood homocysteine levels of acute cerebral infarction patients categorized according to Sasang constitutional medicine. Due to many limitations, the correlation between homocysteine levels and Sasang constitution was not clarified. Nevertheless, this study is significant in that it examined the largest study group to date in Oriental Medicine research history on the relation between stroke patients' homocysteine and Sasang constitution, and can be utilized in future as a basic material. Further research on the subject is needed.

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Analysis of the Factors Affecting Canalith Repositioning Maneuver Treatment of in Posterior Canal Benign Paroxysmal Positional Vertigo of a Dizziness Patient (뒤반고리관 양성발작성 두위현기증 어지럼증 환자 이석정복술 치료에 영향을 주는 인자 분석)

  • Kim, Chul-Seung
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.267-274
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    • 2018
  • Posterior canal benign paroxysmal positional vertigo (PCBPPV) is the most common disease among patients who visited the st. Carollo hospital dizziness center with the head suddenly feeling rolling or rotational dizziness caused by head and body movements. Most patients showed improvements in symptoms after a single treatment. On the other hand, there are more causes requiring multiple treatments. This study examined the factors affecting the canalithiasis repositioning maneuver for symptom recovery of dizziness, which is posterior BPPV. Dizziness patients who visited the dizziness center of PCBPPV were classified. From March 2008 to November 2010, the cure rate of 165 posterior BPPVs patients was investigated. The success rate after the first, second, third, and further treatments was 57.6%, 17.6%, 10.3%, and 14.5%, respectively. The factors affecting treatment of PCBPPVs included traumatic, medical disease, cerebral infarction, small vessel disease, vestbro basilar artery insufficiency (VBI), cerebrovascular disease, brain disease, and vestibuloplasty (P<0.05). Vomiting, nausea, and syncope can be treated easily by considering the factors affecting these treatments. If the related diseases are combined with the treatment of the canalithiasis repositioning maneuver for symptom recovery of dizziness, the results will show an improvement in daily life that is free from painful dizziness.

A Study on the Lateral Pressure Effect under Axial Compressive Load of Ship Platings (종방향 압축력을 받는 선체판부재의 횡압력 영향에 관한 연구)

  • Park Joo-Shin;Ko Jae-Yong;Lee Jun-Kyo
    • Journal of Navigation and Port Research
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    • v.29 no.6 s.102
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    • pp.515-522
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    • 2005
  • The ship plating is generally subjected to. combined in-plane load and lateral pressure loads, In-plane loads include axial load and edge shear, which are mainly induced by overall hull girder bending and torsion of the vessel. Lateral pressure is due to. water pressure and cargo. These load components are nat always applied simultaneously, but mare than one can normally exist and interact. Hence, far mare rational and safe design of ship structures, it is af crucial importance to. better understand the interaction relationship af the buckling and ultimate strength far ship plating under combined loads. Actual ship plates are subjected to relatively small water pressure except far the impact load due to. slamming and panting etc. The present paper describes an accurate and fast procedure for analyzing the elastic-plastic large deflection behavior up to. the ultimate limit state of ship plates under combined loads. In this paper, the ultimate strength characteristics of plates under axial compressive loads and lateral pressure loads are investigated through ANSYS elastic-plastic large deflection finite element analysis with varying lateral pressure load level.

Early and Late Effect of External Abdominal Irradiation on Small Intestine of Mice at Various Total Dose and Intervals - Histopathologc Aspects of Damage and Recovery - (복부 방사선 조사에서 총 선량 및 회복기간에 따른 마우스 소장의 급만성 효과 -손상 및 회복의 병리조직학적 변화-)

  • Kim, Myung-Se;Choi, Won-Hee
    • Radiation Oncology Journal
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    • v.5 no.1
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    • pp.1-11
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    • 1987
  • Total 390 mice were irradiated with $2{\times}3cm$ abdominal field and $200{\times}5/wk$ regimen with orthovoltage x-ray machine. All animals were divided into 2 large groups, damage and recovery, and histopathologic changes were analyzed at various total dose level (1,000 cCy-5,000 cCy) and intervals (1 week-15 weeks). Almost acute changes such as decreased mitotic activity, villi shortening and focal erosion of mucosa recovered within 1-2 weeks in 1,000-3,000 cGy irradiated group but mild changes persisted in 4,000 and 5,000 cCy irradiated groups. Chronic delayed changes such as thickening of vessel wall with focal thrombosis, submucosal fibrosis, mucosal atrophy and chronic ulcer were observed from 2-3 week specimens in 4,000 and 5,000 cGy groups, These late changes recovered slightly, as increasing time intervals after irradiation but mild, persistant changes were observed throught all follow up period. These data suggest hat even 4,000 cCy is not completely safe for possible permanent damage and judicious modificiation of total dose, dose rate, fraction size, and field size should be considered for better results.

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DEVELOPMENT OF ANEURYSM AFTER MICROVASCULAR ANASTOMOSIS ON RAT SMALL VESSELS WITH DIFFERENT METHODS (백서 미세 혈관 문합 방법에 따른 동맥류 발생에 관한 연구)

  • Sung, Iel-Young;Jang, Won-Seok;Kim, Jong-Ryoul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.1-6
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    • 2001
  • Purpose : This study was undertaken to observe the occurrence of the vessel aneurysms according to several different methods of microvascular anastomosis. Mterials & methods : Forty Sprague-Dawley rats, weighing $180{\sim}200$ grams, were used for this experiment. The rats were divided into 4 groups. Group 1 (10 rats): The adventitia was trimmed off 5mm from the cut edge each and 20 arterial anastomoses were performed using 8 to 10 interrupted 9-0 polypropylene ($Prolene^{TM}$, Ethicon, U.K.) suture. Group 2 (10 rats): The adventitia was trimmed off as in group 1. Twenty arterial anastomoses were performed using continuous 9-0 polypropylene($Prolene^{TM}$, Ethicon, U.K.) suture. Group 3 (10 rats): The adventitia was stripped only 1mm from the cut edge each but not removed,. Twenty arterial anastomoses were performed using 8 to 10 interrupted 9-0 polypropylene($Prolene^{TM}$, Ethicon, U.K.) suture. Group 4 (10 rats): The adventitia was handled as in group 3. Twenty arterial anastomoses were performed using 9-0 polypropylene($Prolene^{TM}$, Ethicon, U.K.) suture. The arteries of the animals in all groups were explored at 28th days. We examined patency, presence of an aneurysm, other vascular abnormalities and microscopically observed the aneurysms with H&E and Van-Gieson stains. Result : 1. Patency rate was 80% in group 1, 95% in group 2, 85% in group 3 and 90% in group 4, respectively. 2. Aneurysm occurred 20% in group 1, 5% in group 2, 5% in group 3 and 5% in group 4, respectively. 3. There was no other vascular abnormalities in each group. 4. Infection rate was 5% in group 1, 0% in group 2, 20% in group 3 and 15% in group 4, respectively. 5. In the histopathological findings, we observed partially necrotic changes, loss and fragmentation of outer elastic lamella of smooth muscle in media and the proliferation of hyperplastic subintima. A lot of inflammatory cells were infiltrated in hyperplastic intima. Conclusions : On the basis of these observation, we could state that there were little differences in the occurrence of aneurysms according to different anastomotic suture methods.

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Deep Sea Three Components Magnetometer Survey using ROV (ROV를 이용한 심해 삼성분자력탐사 방법연구)

  • Kim, Chang-Hwan;Park, Chan-Hong
    • Geophysics and Geophysical Exploration
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    • v.14 no.4
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    • pp.298-304
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    • 2011
  • We conducted magnetic survey using IBRV (Ice Breaker Research Vessel) ARAON of KORDI (Korea Ocean Research and Development Institute), ROV (Remotely Operated Vehicle) of Oceaneering Co. and three components vector magnetometer, at Apr., 2011 in the western slope of the caldera of TA25 seamount, the Lau Basin, the southwestern Pacific. The depth ranges of the survey area are from about 900 m to 1200 m, below sea level. For the deep sea magnetic survey, we made the nation's first small deep sea three components magnetometer of Korea. The magnetometer sensor and the data logger was attached with the upper part and lower part of ROV, respectively. ROV followed the planning tracks at 25 ~ 30 m above seafloor using the altimeter and USBL (Ultra Short Base Line) of ROV. The three components magnetometer measured the X (North), Y (East) and Z (Vertical) vector components of the magnetic field of the survey area. A motion sensor provided us the data of pitch, roll, yaw of ROV for the motion correction of the magnetic data. The data of the magnetometer sensor and the motion sensor were recorded on a notebook through the optical cable of ROV and the network of ARON. The precision positions of magnetic data were merged by the post-processing of USBL data of ROV. The obtained three components magnetic data are entirely utilized by finding possible hydrothermal vents of the survey area.

A Study on the Lateral Pressure Effect under Axial Compressive Load of Ship Platings (종방향 압축력을 받는 선체판부재의 횡압력 영향에 관한 연구)

  • Park, Joo-Shin;Ko, Jae-Yong;Lee, Jun-Kyo
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.29 no.1
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    • pp.61-67
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    • 2005
  • The ship plating is generally subjected to combined in-plane load and lateral pressure loads. In-plane loads include axial load and edge shear, which are mainly induced by overall hull ginder bending and torsion of the vessel. Lateral pressure is due to water pressure and cargo. These load components are not always applied simultaneously, but more than one can normally exist and interact. Hence, for more rational and safe design of ship structures, it is of crucial importance to better understand the interaction relationship of the buckling and ultimate strength for ship plating under combined loads. Actual ship plates are subjected to relatively small water pressure except for the impact load due to slamming and panting etc. The present paper describes an accurate and fast procedure for analyzing the elastic-plastic large deflection behavior up to the ultimate limit state of ship plates under combined loads. In this paper, the ultimate strength characteristics of plates under axial compressive loads and lateral pressure loads are inverstigated through ANSYS elastic-plastic large deflection finite element analysis with varying lateral pressure load level.

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Recurrence of Early Gastric Cancer (조기위암의 재발)

  • Ahn Jung-Sik;Bang Ho-Yoon;Lee Jong-Inn;Noh Woo-Chul;Hwang Dae-Yong;Choi Dong-Wook;Paik Nam-Sun;Moon Nan-Mo;Choi Tae-Inn
    • Journal of Gastric Cancer
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    • v.1 no.3
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    • pp.180-186
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    • 2001
  • Purpose: The prognosis for early gastric cancer (EGC) is favorable, and the 10-year disease-specific survival rate is reported to be around $90\%$. The absolute number of recurred EGC is too small to assess the risk factors, so recruitment of a large number of cases for statistical analysis is very difficult. We carried out this study to analyze the incidence and the patterns of recurrence of EGC and to identify the clinicopathological risk factors for recurrence of EGC. Materials and Methods: The authors retrospectively investigated the follow-up records of 1418 patients who underwent a curative resection for EGC from Jan. 1984 to Dec. 1999 at the Korea Cancer Center Hospital and analyzed them with special reference to cancer recurrence. Results: In this retrospective study of 1418 cases, 43 patients died of a recurrence of gastric cancer, and 105 patients died of unrelated causes. The five-year and the ten-year overall survival rates were $89.6\%$ and $81.7\%$, respectively, while the five-year and the ten-year diseasespecific survival rates were $96.5\%$ and $94.3\%$, respectively. The recurrence patterns of the 45 recurred EGC were hematogenous metastasis (19 cases), lymph node (L/N) metastasis (8 cases), locoregional recurrence (2 cases), peritoneal seeding (3 cases), and combined form (13 cases). The mean time interval to recurrence was 38.6 months, and the number of delayed recurred cases after 5 years was 10 ($22.2\%$). Of the clinicopathologic factors, depth of invasion, L/N metastasis, macroscopic type, lymphatic invasion, and vessel invasion, were significant risk factors in the univariate analysis. However, in the multivariate analysis, only L/N metastasis was an independent prognostic factor. Conclusion: Based on the results of this study, L/N metastasis is an independent prognostic factor. Thus, in patients with node-positive disease, adjuvant therapy might be considered, and long-term close follow-up might facilitate early detection and treatment of recurrent disease due to delayed recurrence.

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A study on the arrangement of integrated power system for warship (함정의 통합 전력시스템 구성에 관한 연구)

  • Baek, Hyun-Min;Jung, Kyun-Sik;Lee, Myung-Ho;Choi, Jae-Sung
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.9
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    • pp.1070-1074
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    • 2014
  • According to IEEE 1662(2009), IPS is a power system where all prime movers produce electrical power that is shared among propulsion, mission, and ship service loads. Discriminating attributes of integrated power systems are flexibility of movers' arrangements, mechanical decoupling between prime movers and propulsors, an increased level of energy conversion and transmission redundancy, and flexibility of redistributing available electrical power for future electronic weapons. IPS could have various steps of power that can be produced at optimal load of movers. In this study, an evaluation method for optimal arrangement of movers was investigated when an IPS warship is projected. The two factors are utilized for the quantitative analysis which are the weight of system as the fighting power and the fuel consumption per year as the economic feasibility. And also the ways for arrangement of system were studied according to existence of small diesel generator. The evaluation method that decides the optimization level is based on the DEA(Data Envelopment Analysis)

E-mail Survey for Developing Clinical Guideline Protocol on Acupuncture Treatment for Low Back Pain (요통에 관한 침구임상 진료지침 프로토콜 개발을 위한 전자우편 설문조사)

  • Lee, Seung-Hoon;Nam, Dong-Woo;Kang, Jung-Won;Kim, Eun-Jung;Kim, Hyun-Wook;Song, Ho-Sueb;Kim, Sun-Woong;Kim, Kap-Sung;Lee, Geon-Mok;Lee, Jae-Dong
    • Journal of Acupuncture Research
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    • v.26 no.3
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    • pp.115-131
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    • 2009
  • Objectives: This survey was done in order to find out how Korean medical doctors derive pattern identification for acupuncture prescriptions in treating low back pain in real clinical practice. Methods : The survey questionnaire was developed by the committee of experts who major in acupuncture & moxibustion or statistics for acupuncture clinical trial protocol development. The questionnaires were distributed via e-mail to 75 members of Korean Acupuncture & moxibustion society from March 26th to April 14th in 2009. 57 members completed answers, and the computerized data were analyzed by SPSS 17.0 statistical program. Results : 1.57 Korean medical doctors selected meridian pattern identification based on the course of the meridians(44.6%), visceral pattern identification(32.1%), pattern identification based on cause of disease(14.3%) as the most commonly used pattern identification methods for acupuncture prescription when treating low back pain patients in real clinical practice. 2. In meridian pattern identification based on the course of the meridians, gallbladder meridian of hypochondriac region(13.0%), bladder meridian of lateral low back region(11.2%), governer vessel of central low back region(11.7%) were selected 3. In visceral pattern identification, yang deficiency of kidney(20.2%), deficiency of kidney(19.3%), liver(16.7%), yin deficiency of kidney(14.0%), violence qi of kidney(8.8%), small intestine(7.9%) were selected. Conclusions : In our e-mail survey, Korean medical doctors answered that Meridian Pattern Identification based on the course of the meridians is the most often used diagnosis method. Visceral pattern identification, pattern identification based on cause of disease, meridian pattern identification based on symptom and pattern identification based on qi-blood-yin-yang theory in order of frequency used, were selected for low back pain diagnosis in real clinical practice.

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