• 제목/요약/키워드: TIA

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모야모야병(moyamoya disease) 환자의 전신마취 하 치과치료: 증례보고 (DENTAL MANAGEMENT OF A PATIENT WITH MOYAMOYA DISEASE UNDER GENERAL ANESTHESIA: CASE REPORT)

  • 채종균;송지수;신터전;현홍근;김정욱;장기택;이상훈;김영재
    • 대한장애인치과학회지
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    • 제15권1호
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    • pp.40-44
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    • 2019
  • 본 증례는 다수의 치아우식증을 주소로 내원한 모야모야병 환자의 전신마취 하 치과치료에 대한 보고이다. 모야모야병은 치과치료 동안 상당히 주의를 필요로 하는 다양한 전신질환과 관련이 있다. 여러 과의 의사들과 협진이 필요하고, 치과 예방치료에 초점을 맞추면서 적절한 시기에 치료하는 것이 중요하다. 모야모야 환자에서 울음과 과호흡은 저칼륨혈증을 일으킬 수 있고, 대뇌 혈관 수축 효과를 일으킬 수 있다. 치과치료 시 뇌졸중 발생을 예방하기 위해서 통증과 불안을 조절하는 것이 매우 중요하다. 비협조적이거나 매우 어린 모야모야병 환자에게 치과치료를 하기 위해서는 전신마취가 필요할 수 있다.

PIGEON PEA AS A RUMINANT FEED

  • Cheva-Isarakul, B.
    • Asian-Australasian Journal of Animal Sciences
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    • 제5권3호
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    • pp.549-558
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    • 1992
  • The study on the potential use of pigeon pea (PP) as a ruminant feed was carried out with sheep in 3 experiments. Digestibility of dry pigeon pea leaves (PPL) and pigeon pea seeds (PPS) determined by differential and regression methods respectively, with rice straw (RS) as a basal diet, revealed that PPS contained higher nutritive value and palatability than PPL. On dry matter (DM) basis, PPL and PPS contained 19.8 and 20.0% CP, 7.3 and 2.3% EE, 6.0 and 4.4% ash, 61.1 and 51.7% NDF, and 29.4 and 17.5% ADF, respectively. The trypsin inhibitor activity in the seed was 3 times of that in the leaves (19.5 vs 7.0 mg TIA/g DM). The digestibility of PPL and PPS were 50.2 and 72.2% in DM, 52.7 and 73.3% in OM, 51.0 and 65.1% in CP respectively. DM intake as well as the digestibility of most nutrients increased with the increasing level of PPS. Digestible energy (DE), Total digestible nutrient (TDN) and N-balance of sheep fed solely PPS, estimated by regression method, was 3.2 kcal/g, 71.1% and 6.3 g/d respectively. Pigeon pea seeds can be well used to substitute soybean meal in concentrate rations for ruminants or directly supplemented to low quality roughages.

A 41dB Gain Control Range 6th-Order Band-Pass Receiver Front-End Using CMOS Switched FTI

  • Han, Seon-Ho;Nguyen, Hoai-Nam;Kim, Ki-Su;Park, Mi-Jeong;Yeo, Ik-Soo;Kim, Cheon-Soo
    • JSTS:Journal of Semiconductor Technology and Science
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    • 제16권5호
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    • pp.675-681
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    • 2016
  • A 41dB gain control range $6^{th}$-order band-pass receiver front-end (RFE) using CMOS switched frequency translated impedance (FTI) is presented in a 40 nm CMOS technology. The RFE consists of a frequency tunable RF band-pass filter (BPF), IQ gm cells, and IQ TIAs. The RF BPF has wide gain control range preserving constant filter Q and pass band flatness due to proposed pre-distortion scheme. Also, the RF filter using CMOS switches in FTI blocks shows low clock leakage to signal nodes, and results in low common mode noise and stable operation. The baseband IQ signals are generated by combining baseband Gm cells which receives 8-phase signal outputs down-converted at last stage of FTIs in the RF BPF. The measured results of the RFE show 36.4 dB gain and 6.3 dB NF at maximum gain mode. The pass-band IIP3 and out-band IIP3@20 MHz offset are -10 dBm and +12.6 dBm at maximum gain mode, and +14 dBm and +20.5 dBm at minimum gain mode, respectively. With a 1.2 V power supply, the current consumption of the overall RFE is 40 mA at 500 MHz carrier frequency.

경동맥 죽상경화반의 고해상도 자기공명영상 (High-Resolusion Magnetic Resonance Imaging of Carotid Atherosclerotic Plaque)

  • 변우목;조재호
    • Journal of Yeungnam Medical Science
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    • 제21권2호
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    • pp.143-150
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    • 2004
  • A thromboembolic stroke is believed to be precipitated by a rupture of vulnerable atheromatous plaques. Until recently the assessment of a further risk of stroke in high-risk patients in whom atherosclerosis has presented with a transient ischaemic attack (TIA), has been confined to a quantitative assessment of the luminal patency of the internal carotid artery. These traditional stratification parameters are no longer believed to be the most accurate predictors of a thrombo-embolism. This is because the process of vessel wall remodeling can maintain a luminal patency, and consequently, quite large friable plaques may remain unidentified. Accordingly, there is a need for an improved risk assessment. The fibrous cap of a vulnerable plaque is thinner, and an intraplaque hemorrhage and inflammation can occur during the development of atherosclerotic plaque. Several imaging methods for identifying vulnerable plaques have been developed. Recently, high resolution magnetic resonance (MR) imaging has emerged as an accurate non-invasive tool that can characterize the carotid plaque components in vivo. A High resolution carotid magnetic resonance is capable of distinguishing an intact, thick fibrous cap from a thin and ruptured cap in carotid plaque. In addition, a plaque MR can identify the active inflammation and detect a hemorrhage. High resolution carotid MR imaging is a valuable noninvasive method for quantifying the plaque components and identifying vulnerable plaque.

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도축돈의 폐렴병소에서 분리한 세균의 항생제 감수성 (Antibiotic susceptibility of microorganisms isolated from Pneumonic lungs of slaughtered pig in northern Chungnam area)

  • 이종훈;김성민;배영재;나기복;박일규;정영재
    • 한국동물위생학회지
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    • 제19권2호
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    • pp.115-125
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    • 1996
  • A total of 315 microorgainisms were isolated from 256 pneumonic lung samples of pig in abattoirs of northern Chungnam area during February to November 1994, and Identified 97 strains as Pusteurella multocida, 89 strains as Staphylococcus spp, 54 strains as Streptococcus spp, 22 strains as Mycoplasma spp, 21 strains as Escherichia coli, 18 strains as Haemophilus parsuis, 11 strains as Corymebacteroi, pyogenes, and 3 strains as Acrinobacillus spp by Gram's and Dienes stain, and biological properties test Involved API system. After that, they were examined anti biotic susceptibility for ampicillin(AM), cephalothin(CF), chloramphenicol(CP), erythromycin(EM), kanamycin(KM), gentamicin(GM), neomycin(NM), penicillin(PC), streptomycin(SM), tetracycline(TE), tiamulin(TIA), tylosin(TYL), methicillin(DP), colistin(CL) and trimet hoprim(SXT). In antibiotics susceptibility test, 293 isolates except Mycoplasma spp 22 strain were highly susceptible to DF(79.2%) and AM(76.2%), but resistant to PC(14.0%), NM(19.5%) and KM (23.2%) The multiple drug resistant patterns were noted in most isolates, whereas only 7 isolates resistant to single drugs.

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CDMA 시스팀에서의 PN 부호 시간차 측정 기법 (Analysis for Time Offset of PN Sequence in CDMA System)

  • 전정식;한영열
    • 한국통신학회논문지
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    • 제19권5호
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    • pp.971-980
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    • 1994
  • 현존하는 셀룰라 이동통신의 가입자 수용 한계로 부호분할다원접속(CDMA) 방식을 사용하는 디지틀셀룰라 통신 방식이 거론되고 있다. EIA/TIA 잠정 표준안인 CDMA 시스팀에서는 동일한 확살부호를 전체 시스팀에 사용하지만 각 기지국에 확산부호의 위상옵셉(phase-offset)을 다르게 배분함으로써 이동국은 기지국으로 송신된 신호를 구변하도록 하고 있다. 그러나 확산부호의 위상옵셉이 기준이 되는 영옵셉(zero-offset) 부호를 임의로 설정하고 있다. 본 논문은 확산부호의 기준 부호를 정하는 방법을 제시하고, 기준 부호로부터 위상을 이전(shift) 시킨 부호 사이의 위상옵셉을 쉽게 계산하는 방법을 제시한다.

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태음인으로 오치(誤治)한 추골뇌저동맥부전증 태양인 환자 치험 1례 (A Case Study of a Taeyangin Patient with Vertebrobasilar Insufficient after Mistreat as Taeeumin.)

  • 강석환;전수형;나영주;김종원
    • 사상체질의학회지
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    • 제28권4호
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    • pp.338-349
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    • 2016
  • Objectives This case study was about a Taeyangin patient with transient ischemic attack(TIA) due to vertebrobasilar insufficiency(VBI). In this study, we report the progress of mistreat with Taeyangin as Taeeumin and the improvement of symptoms after rediagnosis as Taeyangin. Methods Patient's chief complain was weakness of lower limbs, dysarthria and dizziness. Patient first time took Taeeumin prescription such as Chunghyulganggi-tang, Chunsimyonja-tang and Sanyakbopaewon-tang. After occuring side effects we changed the prescription to Taeyangin herbal medicine such as Ogapijangchuk-tang gagam and Mihudeungsikjang-tang gagam. Result and Conclusion Patient suffered from diarrhea by taking Taeeumin prescription and symptom was continue. After changing of prescription to Taeyangin herbal medicine, not only chief symptom but also original symptom was improved.

화학사고 장외영향평가 지원 프로그램(KORA)의 활용도 증대를 위한 제언 (Suggestions for Increasing Utilization of KORA for Supporting the Off-site Risk Assessment System)

  • 김정곤;류지성;류태권;곽솔림;임형준;최우수;정진희;이지은;임동연;윤준헌
    • 한국환경보건학회지
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    • 제44권2호
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    • pp.124-132
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    • 2018
  • Objectives: All enterprises intending to install and operate hazardous chemical handling facilities should prepare an off-site risk assessment (ORA) report that evaluates the impact of potential chemical accidents on the surrounding environment and population. This study was conducted to introduce the process of development and the functioning of the Korea Off-site Risk Assessment support tool (KORA) developed by the National Institute of Chemical Safety and to suggest manners to increase its utilization. Additionally, this article provided an overview of KORA. Methods: In order to identify problems with and refinements for KORA, the required items for each phase of KORA were derived by analyzing the Chemical Control Act and related administrative regulations. Results: The functions of KORA made receptor-considered assessment of chemical accidents possible, but several limitations were found in particular phases, such as the analysis of impact range, consideration of sensitive receptors, and assessment of environmental receptors. Conclusion: In this study, we suggested manners to increase the utilization of KORA. It is anticipated that the further research suggested in the study could contribute to the stabilization of the KORA system.

데이터마이닝을 이용한 기상정보에 따른 화재 위험 평가 (Fire Risk Assessment Based on Weather Information Using Data Mining)

  • 류정우;권성필
    • 한국화재소방학회논문지
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    • 제29권5호
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    • pp.88-95
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    • 2015
  • 본 논문에서는 일상생활에서 화재에 대한 주민들의 경각심을 고취시킬 수 있도록 기상조건에 따른 화재위험을 평가할 수 있는 날씨 관련 서비스를 제안한다. 제안된 서비스는 기상예보에 따른 화재위험평가등급과 특정 기상조건에서 화재요인에 따른 화재위험도를 제공한다. 제안한 서비스에서는 데이터마이닝 기법인 의사결정트리를 이용하여 화재조사데이터와 관측된 기상데이터로부터 화재위험평가등급을 산출할 수 있는 화재 위험도 매트릭스를 생성한다. 주민들은 제안한 서비스를 통해 특정 기상조건에서 화재요인에 따라 화재위험도를 직접 평가할 수 있고, 화재위험도를 저감시킬 수 있는 예방책을 사용자가 선택할 수 있다. 제안한 서비스를 시스템화하여 서비스의 현실성을 확인하였다. 시스템은 온라인상에서 기상청의 기상예보가 갱신될 때마다 시도별로 기상예보에 따른 화재위험평가등급을 표시하고, 각 시도별로 해당 기상조건에서 화재요인에 따라 화재위험도를 평가할 수 있다.

화학사고 피해저감을 위한 GIS 연계 복합시뮬레이션 프로토타입 개발에 관한 연구 (A Study on the Development of GIS-based Complex Simulation Prototype for Reducing the Damage of Chemical Accidents)

  • 김은별;오주연;이태욱;오원규;김현주;임동연
    • 대한원격탐사학회지
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    • 제36권5_4호
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    • pp.1255-1266
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    • 2020
  • 본 연구에서는 화학사고에 따른 인명피해 저감을 위해서 신속하고 정확한 화학물질 확산 범위 예측을 위한 복합시뮬레이션 프로토타입을 개발하였다. 복합시뮬레이션은 화학물질의 누출 특성을 고려하고자 근거리 확산과정에서 누출 운동량을 고려하였다. 원거리 확산과정에서는 사고지점 주변의 기상 및 지형정보를 이용하여 획일적으로 제시되었던 기존 모델의 바람 분포를 개선하여 실제와 유사한 바람장을 구현하였다. 개선된 근·원거리 확산과정에 따라 최종적으로 피해확산 범위는 기존의 모델에 비해서 정밀한 분포를 나타냈다. 본 연구에서 개발된 복합시뮬레이션의 시간대별 피해 범위 예측 결과 통해서 화학사고 발생 후 주민 대피 및 복귀 등 정책적 의사결정의 지원시스템으로서 활용도가 높을 것으로 기대된다.