• Clinical and Experimental Pediatrics
• /
• v.63 no.3
• /
• pp.88-95
• /
• 2020

Accurate localization of the seizure onset zone is important for better seizure outcomes and preventing deficits following epilepsy surgery. Recent advances in neuroimaging techniques have increased our understanding of the underlying etiology and improved our ability to noninvasively identify the seizure onset zone. Using epilepsy-specific magnetic resonance imaging (MRI) protocols, structural MRI allows better detection of the seizure onset zone, particularly when it is interpreted by experienced neuroradiologists. Ultra-high-field imaging and postprocessing analysis with automated machine learning algorithms can detect subtle structural abnormalities in MRI-negative patients. Tractography derived from diffusion tensor imaging can delineate white matter connections associated with epilepsy or eloquent function, thus, preventing deficits after epilepsy surgery. Arterial spin-labeling perfusion MRI, simultaneous electroencephalography (EEG)-functional MRI (fMRI), and magnetoencephalography (MEG) are noinvasive imaging modalities that can be used to localize the epileptogenic foci and assist in planning epilepsy surgery with positron emission tomography, ictal single-photon emission computed tomography, and intracranial EEG monitoring. MEG and fMRI can localize and lateralize the area of the cortex that is essential for language, motor, and memory function and identify its relationship with planned surgical resection sites to reduce the risk of neurological impairments. These advanced structural and functional imaging modalities can be combined with postprocessing methods to better understand the epileptic network and obtain valuable clinical information for predicting long-term outcomes in pediatric epilepsy.

• The Journal of Korean Physical Therapy
• /
• v.34 no.6
• /
• pp.326-331
• /
• 2022

Purpose: The stroke patients have gait dysfunction due to impaired neural tracts; corticospinal tract (CST), corticoreticular pathway (CRP), and vestibulospinal tract (VST). In this study, we investigated characteristics of gait pattern according to the injury aspect of the neural track in a stroke patient. Methods: One patient and six control subjects of similar age participated. A 19-year-old male patient with spontaneous intracerebral hemorrhage on right basal ganglia, thalamus, corona radiata and cerebral cortex due to arteriovenous malformation rupture. Diffusion tensor imaging (DTI) data was acquired 21 months after the stroke. Kinematic and spatio-temporal parameters of gait were collected using a three-dimensional gait analysis system. Results: On 21 months DTI, the CST and CRP in affected hemisphere showed severe injury, in contrast, the VST in affected hemisphere showed intact integrity. Result of gait analysis, walking distance and speed were significantly decreased in a patient. The stance rate of unaffected lower limb, the swing rate of affected lower limb and the duration of double stance significantly increased compared with normal control. The knee and hip joint angle were significantly decreased in a patient. Conclusion: We found recovered independent gait ability may be associated with unimpaired VST in a patient with severe injury in CST and CRP.

• Communications of the Korean Mathematical Society
• /
• v.19 no.1
• /
• pp.135-141
• /
• 2004

We studied the relation between the tangential Cauchy-Riemann operator ${\={\partial}}_b$ CR-manifolds and the derivation $d^{{\pi}^{0,\;1}}$ associated to the natural projection map ${\pi}^{0.1}\;:\;TM\;{\bigotimes}\;{\mathbb{C}}\;=\;T^{1,0}\;{\bigoplus}\;T^{0,\;1}\;{\rightarrow}\;T^{0,\;1}$. We found that these two differential operators agree only on the space of functions ${\Omega}^0(M),\;unless\;T^{1,\;0}$ is involutive as well. We showed that the difference is a derivation, which vanishes on ${\Omega}^0(M)$, and it is induced by the Nijenhuis tensor associated to ${\pi}^{0.1}$.

• Journal of Trauma and Injury
• /
• v.37 no.2
• /
• pp.161-165
• /
• 2024

Femoral head fractures with associated hip dislocations substantially impact the functional prognosis of the hip joint and present a surgical challenge. The surgeon must select a safe approach that enables osteosynthesis of the fracture while also preserving the vascularization of the femoral head. The optimal surgical approach for these injuries remains a topic of debate. A 44-year-old woman was involved in a road traffic accident, which resulted in a posterior iliac dislocation of the hip associated with a Pipkin type II fracture of the femoral head. Given the size of the detached fragment and the risk of incarceration preventing reduction, we opted against attempting external orthopedic reduction maneuvers. Instead, we chose to perform open reduction and internal fixation using the Watson-Jones anterolateral approach. This involved navigating between the retracted tensor fascia lata muscle, positioned medially, and the gluteus medius and minimus muscles, situated laterally. During radiological and clinical follow-up visits extending to postoperative month 15, the patient showed no signs of avascular necrosis of the femoral head, progression toward coxarthrosis, or heterotopic ossification. The Watson-Jones anterolateral approach is a straightforward intermuscular and internervous surgical procedure. This method provides excellent exposure of the femoral head, preserves its primary vascularization, allows for anterior dislocation, and facilitates the anatomical reduction and fixation of the fracture.

• Journal of the Korean Society of Radiology
• /
• v.14 no.6
• /
• pp.781-790
• /
• 2020

Tract-Based Spatial Statics (TBSS) after obtaining the image by examining a diffusion tensor image that can determine the presence or absence of damage to the cerebral white matter and gray matter for middle-aged men aged 30 to 50 with the starting age of drinking as a variable. As a result of measuring and analyzing the FA (fractional anisotropy) value of the brain gray matter region to the hippocampal region nerve fibers, the lower the alcohol start age in all regions, the lower the anisotropy measurement value, but the FA value was statistically significant. The study results indicated by the FA results measured in this study are that the earlier the drinking start age, the more severe the morphological changes in all neurological and anatomical brain regions in the hippocampal region of the brain gray matter and seriously affect the nerve fiber tissue. It can be said to harm and damage nerve fibers and affect functional morphological variations associated with alcohol.

• The Journal of the Institute of Internet, Broadcasting and Communication
• /
• v.20 no.5
• /
• pp.151-156
• /
• 2020

To analyze the diffraction properties of optical signals and the significant impacts of tapered sidewall profile at periodic trapezoidal 2D diffraction gratings, Toeplitz dielectric tensor is first defined and formulated by 2D spatial Fourier expansions associated with trapezoidal profile. The characteristic modes in each layer is then based on eigenvalue problem, and the complete solution is found rigorously in terms of modal transmission-line theory (MTLT) to address the pertinent boundary-value problems. Based on those one, the numerical analysis is performed on how the tapered side profile of grating structures with trapezoidal refractive index distribution affects the design of a sub-wavelength grating reflector. The numerical results reveal that this tapered sidewall profile plays a critical role in determining the reflection bandwidth, the average reflectance, and the band edge.

• Proceedings of the Korean Society of Computer Information Conference
• /
• 2021.07a
• /
• pp.701-702
• /
• 2021

The purpose of the study was to identify fiber changes induced by electrical stimulation of a certain neural substrate in the rat brain. In the stimulation group, the peripheral nerve was injured and the brain area associated to inhibit sensory information was electrically stimulated. There were sham and sham stimulation groups as controls. Then high-field diffusion tensor imaging (DTI) was acquired. 35 features were taken from the DTI measures from 7 different brain pathways. To compare the efficacy of the classification for 3 animal groups, the linear regression analysis (LDA) and the machine learning technique (MLP) were applied. It was found that the testing accuracy by MLP was about 77%, but that of accuracy by LDA was much higher than MLP. In conclusion, machine learning algorithm could be used to identify and predict the changes of the brain white matter in some situations. The limits of this study will be discussed.

• Physical Therapy Korea
• /
• v.31 no.1
• /
• pp.79-88
• /
• 2024

Background: The abdominal drawing-in maneuver (ADIM), a method of lumbar stabilization training, is an effective neuromuscular intervention for lumbar instability associated with low back pain (LBP). Objects: The purpose of this study was to compare the effect of a 2-week period of the ADIM and tensor fasciae latae-iliotibial band (TFL-ITB) self-stretching on lumbopelvic rotation angle, lumbopelvic rotation movement onset, TFL-ITB length, and pain intensity during active prone hip lateral rotation. Methods: Twenty-two subjects with lumbar extension rotation syndrome accompanying shortened TFL-ITB (16 males and 6 females) were recruited for this study. The subjects were instructed how to perform ADIM training or ADIM training plus TFL-ITB self-stretching program at home for a 2-week period. A 3-dimensional ultrasonic motion analysis system was used to measure the lumbopelvic rotation angle and lumbopelvic rotation movement onset. An independent t-test was used to determine between-group differences for each outcome measure (lumbopelvic rotation angle, lumbopelvic rotation movement onset, TFL-ITB length, and pain intensity). Results: The results showed that ADIM training plus TFL-ITB self-stretching decreased the lumbopelvic rotation angle, delayed the lumbopelvic rotation movement onset, and elongated the TFL-ITB significantly more than did ADIM training alone. Pain intensity was lower in the ADIM training plus TFL-ITB self-stretching group than the ADIM training alone group; however, the difference was not significant. Conclusion: ADIM training plus TFL-ITB self-stretching performed for a 2-week period at home may be an effective treatment for modifying lumbopelvic motion and reducing LBP.

• Structural Engineering and Mechanics
• /
• v.6 no.7
• /
• pp.757-772
• /
• 1998

The objective of the present work is to estimate the strength and failure characteristics of symmetric thin square laminates under negative shear load. Two progressive failure analyses, one using the Hashin criterion and the other using a Tensor polynomial criterion, are used in conjunction with the finite element method. First-order shear-deformation theory along with geometric nonlinearity in the von Karman sense has been incorporated in the finite element modeling. Failure loads, associated maximum transverse displacements, locations and modes of failure including the onset of delamination are discussed in detail; these are found to be quite different from those for the positive sheer load reported in Part I of this study (Singh et al. 1998).

• Transactions of Materials Processing
• /
• v.1 no.1
• /
• pp.33-41
• /
• 1992

Sintered P/M connecting rod is forged to increase density and to satisfy dimensional specifications. Flow of the materials is different form that of wrought materials due to pores in the preform. The Mises yield function was modified to. include the first invariant of stress tensor, and the associated flow rule was derived by applying the normality rule to the yield function. Axisymmetric and plane-strain finite element analyes were carried out for the ring and beam portions of the connecting rod, respectively. The flow of the preform and density change of the analysis are presented in this paper. A load-stroke curve was also presented by superimposing analysis results for the ring and beam portions.