• 제목/요약/키워드: coma

검색결과 461건 처리시간 0.023초

뇌졸중환자의 물리치료 적용에 따른 인지기능변화와 관련요인 (The Effect of Physical Therapy and Related factors on Cognitive Function in Stroke Patients)

  • 이승주;강점덕;이태식;이동형;이승동;정성영
    • The Journal of Korean Physical Therapy
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    • 제12권3호
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    • pp.445-453
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    • 2000
  • Objectives : The aim of this study was to analyze the effect of physical therapy and related factors on cognitive function in stroke patients. Methods : Questionnaires were completed by 36 stroke patients at physical therapy room in Dongeui Medical Center from September 1999 to September 2000. The Mini-Mental State Examination-Korea(MMSR-K) was used to assess the differences for cognitive function in patients who had suffered a stroke. Results: There were severe $16.7\%$, mild $16.6\%$, and normal $66.7\%$ in distributions for cognitive function. respectively. In the difference of cognitive function score for at initial, 25.64 for smokers had significantly higher than 20.36 for nonsmokers(p<0.05). Also, 26.21 for smokers had higher than 21.27 for nonsmokers alter a month(p<0.05). However, no significant difference existed in comparison at initial with after a month. 25.0 for patients without coma was higher than 9.50 for with(p<0.05), 25.80 for patients without was also higher than 10.16 for with in after a month. There were no statistically significant variables related to difference for cognitive performance in multiple regression analysis. conclusions: Results indicated that smoker and patients without coma at onset had high cognitive functions.

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미만성 축삭 손상에서 전산화단층촬영과 경사에코 자기공명영상을 이용한 예후의 평가 (Prognostic Value of Computed Tomography and Gradient-echo Magnetic Resonance Imaging in Diffuse Axonal Injury)

  • 정남기;진상찬;최우익
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.122-131
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    • 2012
  • Purpose: Diffuse axonal injury (DAI) is clinically defined as a coma of over six hours in a head trauma victim without a focal mass lesion. The emergency physician usually resuscitates and stabilizes a comatose head trauma victim in the emergency Department. After assessment and treatment, the prognosis is very important to both the victim and the physician. The prognosis for DAI is based on Glasgow Coma Scale (GCS) and other imaging data. We investigated the prognostic value of computed tomography (CT) and gradient-echo magnetic resonance imaging (GRI) for head trauma victims with DAI. Methods: Fifty-three(53) head trauma victims of DAI were enrolled in this study from 2007 to 2012. During the study period of six years, data on trauma victims were collected retrospectively. We analyzed the differences in the Glasgow Outcome Scale (GOS) result between the CT and the GRI modalities. Results: We classified the study group by using GOS. Between the good outcome subgroup (GOS scores of 4 and 5) and the poor outcome subgroup (GOS score of 1-3), there were no statistical difference in sex, age, initial vital signs and initial GCS score. The good outcome subgroup had non-hemorrhage on CT(52%), which was correlated with good outcome and a shorter awakening time, while a larger number and a deeper location of hemorrhagic lesions on in GRI were correlated with poor outcome in DAI. Conclusion: We conclude that the existence of hemorrhagic lesions on CT, and the number and location of those lesions on GRI had good prognostic value for head trauma victims with DAI.

THE SWINGS EFFECTS OF THE A-X SYSTEM AND v''= 1-0 BAND OF CO

  • KIM SANG-JOON
    • 천문학회지
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    • 제29권2호
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    • pp.223-243
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    • 1996
  • We have constructed a line-by-line model of the A-X system of CO in order to analyze the CO bands appearing in the UV spectra of comets. The model includes electronic, rotational, vibrational transitions, excitations by solar UV radiation, and effects of neutral and electron collisions. The major bands of the A-X system occur in the $1200 - 1800{\AA}$ range where the temporal variation of solar irradiation is significant. The solar spectrum in this spectral range shows many emission lines, which cause a significant Swings effect. We derived fluorescence efficiencies of the bands as functions of heliocentric velocity and cometocentric distance using a high resolution spectrum of the sun. We compared our model with a spectrum of comet P/Halley obtained with the IUE, and estimated that the UV Swings effects are less than 20 fluorescence efficiencies for the most bands of the A-X system. We discuss the temporal variation of solar UV irradiation and its effects on the fluorescence efficiencies. The study of the A-X system also requites knowledge of vibrational and rotational fluorescent processes in the infrared and radio regions because the majority of CO molecules in the coma is in the ground rotational states. The solar infrared spectrum near 5 microns, where the fundamental band of CO occurs, contains strong absorption lines of the fundamental band and hot bands of CO and its isotopes. We derived fluorescence efficiencies of the infrared band as functions of heliocentric velocity and cometrocentric distance. The solar absorption lines near 5 microns cause a 20 reduction of the g-factor of the fundamental band at heliocentric velocities close to 0 km/sec. We discuss the effects of neutral and electron collisions on the fluorescence efficiencies of the infrared and UV bands.

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유한 물체거리를 갖는 코마수차가 보정된 2 반사경계의 곡률선형방정식 (Curvature Linear Equation of a Coma Corrected Two-Mirror System with Finite Object Distance)

  • 황석주;임천석;조재흥
    • 한국광학회지
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    • 제18권1호
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    • pp.19-23
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    • 2007
  • 원리적인 다양한 장점에도 불구하고 취급이 복잡하고 고차 연립방정식으로 표현되는 현실적 제한으로 인하여 실제 설계과정에서 잘 적용하지 않는 자이델 3차 수차를 이용하여 구한 코마수차 계수식으로부터 근사적인 제로조건을 만족하는 유한 물체거 리를 갖는 코마수차가 제거된 2반사경계의 초기설계에 유용한 곡률선형방정식을 유도하고 그 특징을 조사한다. 즉 주경과 부경의 곡률, 주경과 부경사이의 거리, 유효초점거리로 표현된 변형된 코마수차계수로부터 코마수차계수가 제거되는 조건에서 설계변수를 구하기 위해 전산수치해석 후 나온 데이터를 기반으로 주경과 부경사이의 선형관계가 나타나는 곡률선형방정식을 구하는 것이다. 이는 유한 물점의 코마수차가 보정된 2 반사경계에서 약간의 대수적인 계산만으로 최적화의 초기 입력 데이터를 손쉽게 구할 수 있는 것을 의미한다.

급성 endosulfan 중독환자에서 경련이 예후에 미치는 영향 (Effect of Seizure on Prognosis in Acute Endosulfan Intoxication)

  • 한병곤;이준호;이경우
    • 대한임상독성학회지
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    • 제7권2호
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    • pp.77-82
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    • 2009
  • Purpose: In highly doses, endosulfan lowers the seizure threshold and elicits central nervous system stimulation, which can result in seizures, respiratory failure, and death. Management of seizure control is essential for survival and prognosis of intoxicated patients. This study assessed whether seizure time was an independent predictor mortality in patients with endosulfan poisoning. Methods: This retrospective study enrolled patients with endosulfan poisoning presenting to Masan Samsung Hospital and Gyeongsang National University Hospital from January 2003 to December 2008. The data were collected from clinical records and laboratory files. Using a multivariate logistic analysis, data on the total population was retrospectively analyzed for association with mortality. Results: Of the 24 patients with endosulfan poisoning, nineteen (79.1%) experienced seizure. The patients in the seizure group showed significantly lower Glasgow coma scale score, base excess, bicarbonate, and significant existence of mechanical ventilation, as compared to the non seizure group (n=5). Seizure, Glasgow coma scale score, systolic blood pressure, bicarbonate level, need for respiratory support, pulse rate, respiratory rate, pH, base excess, and seizure time were associated with mortality. The fatality rate of endosulfan poisoning was 54.1% with higher mortality among patients experiencing. Longer seizure time was associated with higher mortality. Conclusion: Seizure time can be a significant independent predictor of mortality in patients with acute endosulfan poisoning. Physicians should aggressively treat for seizure control in patients with acute endosulfan poisoning.

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A Polarimetric Study of Long-Period Comet C/2013 US10 (Catalina) and Estimation of Its Gas Contamination in Optical and Near-Infrared Wavelengths

  • Kwon, Yuna Grace;Ishiguro, Masateru;Kuroda, Daisuke;Hanayama, Hidekazu;Kawabata, Koji S.;Akitaya, Hiroshi;Itoh, Ryosuke;Nakaoka, Tatsuya
    • 천문학회보
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    • 제41권1호
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    • pp.48.1-48.1
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    • 2016
  • Polarimetric study of light scattering from cometary dust particles can provide us opportunity to decipher their characteristics, such as sizes, structures, compositions of dust grains, etc. Herein, we present the results of our polarimetric study of long-period comet, C/2013 US10 (Catalina), in optical and near-infrared wavelengths which appeared at large phase angle (52.7 degrees) around the mid-December, 2015. We performed polarimetric and spectroscopic observations with HONIR, attached to the 1.5-m telescope at Higashi-Hiroshima Observatory, on UT 2015 December 17-18 and also obtained optical imaging data sets by the Ishigakijima Astronomical Observatory (IAO) and Okayama Astrophysical Observatory (OAO) taken between 2014-2015. By measuring the intensities of gas emission lines with respect to dust continuum and considering transmittance of each filter, we estimated that the percentages of gas contamination are approximately 10 percents in $R_C$-band and 3 percents in $I_C$-band. With these results, we derive the degree of linear polarization scattered solely from dust components in the coma. At this presentation, we will compare the phase-angle dependence of the degree of linear polarization with those of previous archive data in a wide coverage of wavelengths from $R_C$-band to $K_S$-band. Finally, we are supposed to discuss the spatial variations in polarization within the coma.

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가미통전화어탕(加味通栓化瘀湯)이 혈전증(血栓症)과 뇌허혈증(腦虛血症) 및 뇌손상(腦損傷)에 미치는 영향(影響)에 대한 실험적(實驗的) 연구(硏究) (Study on the Effect of KamiTongJonHaaATang Extracts on Thrombosis, Brain Ischemia and Brain damage)

  • 안택원;김병탁
    • 혜화의학회지
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    • 제8권1호
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    • pp.379-401
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    • 1999
  • The effect of KamiTongJonHaaATang extracts on hypercholesterolemia, platelet aggregation, pulm onary thrombosis, KCN-induced coma, forcal brain ischemia, cytotoxicity of PC12 cells induced by amyloid ${\beta}$ protein(25-35), and NO production in RAW cells stimulated lipopolysaccharide were investigated, respectively. The results were summarized as follows; 1. KTJHAT extracts showed a significant decrease of serum total cholesterol, triglyceride, phospholipid, LDL-cholesterol, and VLDL-cholesterol in hypercholesterolemia induced by 2% cholesterol diet in NZW rabbit. 2. KTJHAT extracts induced a significant inhibition of human platelet aggregation induced by thrombin and ADP but did not affect human platelet aggregation induced by collagen. 3. KTJHAT extracts showed a protective effect on pulmonary thrombosis induced by collagen and epinephrine. 4. KTJHAT extracts prolonged the duration of KCN-induced coma. 5. KTJHAT extracts showed a significant decrease of brain ischemic area and edema in MCA occlusion. Also, KTJHAT extracts showed a decrease of neurologic grade in hind limb but did not affect neurologic grade in fore limb. 6. KTJHAT extracts showed a protective effect on cytotoxicity of PC 12 cells induced by amyloid ${\beta}$ protein(25-35) in a dose dependent manner. 7. KTJHAT extracts showed a significant decrease of NO production in RAW cells induced by lipopolysaccharide. These results suggested that KTJHAT extracts might be usefully applied for prevention and treatement of thrombosis and brain damage.

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FUV observation of the comet C/2001 Q4 (NEAT) with FIMS

  • 임여명;민경욱;;한원용
    • 천문학회보
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    • 제37권2호
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    • pp.107.1-107.1
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    • 2012
  • We present the results of far-ultraviolet (FUV) observations of comet C/2001 Q4 (NEAT) obtained with Far-ultraviolet Imaging Spectrograph (FIMS) on board the Korean microsatellite STSAT-1, which operated at an altitude of 700 km in a sun-synchronous orbit. FIMS is a dual-channel imaging spectrograph (S channel 900-1150 ${\AA}$, L channel 1350-1750 ${\AA}$, ${\lambda}/{\Delta}{\lambda}$ ~ 550) with large image fields of view (S: $4^{\circ}.0{\times}4^{\prime}.6$, L: $7^{\circ}.5{\times}4^{\prime}.3$, angular resolution 5'-10') optimized for the observation of diffuse emission of astrophysical radiation. Comet C/2001 Q4 (NEAT) was observed with a scanning survey mode when it was located around the perihelion between 8 and 15 May 2004. Several important emission lines were detected including S I (1425, 1474 ${\AA}$), C I (1561, 1657 ${\AA}$) and several emission lines of CO $A^1{\Pi}-X^1{\Sigma}^+$ system in the L channel. Production rates of the notable molecules, such as C I, S I and CO, were estimated from the photon fluxes of these spectral lines and compared with previous observations. We compare the flux and the production rates in the radius of $3{\times}10^5$ km with $20{\times}10^5$ km from the central coma. We obtained L-channel image which have map size $5^{\circ}{\times}5^{\circ}$ The image was constructed for the wavelength band of L-channel (1350 - 1710 ${\AA}$. We also present the radial profiles of S I, C I, CO obtained from the spectral images of the central coma. The radial profiles of $2{\times}10^6$ km region are compared with the Haser model.

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북스펙트럼 스펙클 영상법의 성능기준 (Performance Criterion of Bispectral Speckle Imaging Technique)

  • 조두진
    • 한국광학회지
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    • 제4권1호
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    • pp.28-35
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    • 1993
  • 수차가 정확히 알려지지 않은 결상계에 있어서, exit pupil에 인위적인 위상의 random fluctuation을 도입하고 북스펙트럼 스펙클 영상법(bispectral speckle imaging)을 이용하므로서 수차의 효과를 극소화하여 거의 회절한계의 영상을 얻을 수 있다. Defocus, 구면수차, 코마수차, 비점수차가 각각 1파장씩 있을 때, 주어진 사용영상수(50개)에 대해서 Gaussian random phase model의 correlation length가 어느 정도일 때 최적의 결과를 얻을 수 있는지를 점 물체에 대해 컴퓨터 시뮬레이션을 시행하므로서 연구하였다. 평가기준으로서는 복원된 점물체에 대한 point spread function의 FWHM, normalized peak intensity, MTF 그리고 visual inspection을 채용하였는데, exit pupil 위에서 Fried parameter ${\Upsilon}_0$ 범위에 대한 수차의 차의 rms값 $\sigma$가 구면수차에 대해서는 0.27~0.53 파장일 때, defocus와 비점수차에 대해서는 0.24~0.36 파장일 때, 좋은 결과를 주는 것으로 나타났고, 코마수차의 경우에는 좋은 결과를 얻을 수 없었다.

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일개 대학병원에서 경험한 소아의 경증 두부 외상에서 Brain CT 측정 및 효용성 (The Use of Brain Computer Tomography Examination with Mild Traumatic Brain Injury in Pediatrics)

  • 김하경;김진주;조진성;장재호;양혁준;이근
    • Journal of Trauma and Injury
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    • 제27권3호
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    • pp.63-70
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    • 2014
  • Purpose: In children, mild traumatic brain injuries (TBI) account for 70~90% of head injuries. Without guidelines, many of these children may be exposed to excess radiation due to unnecessary imaging. The purpose of this study was to evaluate the impact of a mild TBI guideline in imaging of pediatric patients. Methods: The medical records of all children who had head computed tomography and were admitted to our hospital with a TBI with Pediatric Glasgow Coma Scale and Glasgow Coma Scale of 14 to 15 were retrospectively reviewed and compared with PECARN Rule. Results: A total of 1260 children were included and all children checked with head computed tomography. 61 pediatrics had CT positive and presented skull fracture 40, hemorrhage 8, hemorrhagic contusion 7, and diffuse axonal injury 1. Also, 4 patients diagnosed both skull fracture and brain haemorrhage and 1 patient diagnosed both haemorrhage and haemorrhagic contusion. Conclusion: There are many pediatric traumatic patients who exposed to radiation due to CT. But, the most of results were negative. So, consider to follow the CT guideline for children and many do not require brain CT.