• 제목/요약/키워드: coma

검색결과 461건 처리시간 0.023초

The Effect of Barbiturate Coma Therapy for the Patients with Severe Intracranial Hypertension : A 10-Year Experience

  • Kim, Young-Il;Park, Seung-Won;Nam, Taek-Kyun;Park, Yong-Sook;Min, Byung-Kook;Hwang, Sung-Nam
    • Journal of Korean Neurosurgical Society
    • /
    • 제44권3호
    • /
    • pp.141-145
    • /
    • 2008
  • Objective : Barbiturate coma therapy (BCT) has been known to be an useful method to control increased intracranial pressure (IICP) refractory to medical and surgical treatments. We have used BCT for patients with severe IICP during the past 10 years, and analyzed our results with review of literatures. Methods : We analyzed 92 semicomatose or comatose patients with Glasgow coma scale (GCS) of 7 or less with severe IICP due to cerebral edema secondary to parenchymal damages irrespective of their causes. Forty patients who had received BCT with ICP monitoring from January 1997 to December 2006 were included in BCT group, and fifty-two patients who had been managed without BCT from January 1991 to December 1995 were divided into control group. We compared outcomes with Glasgow outcome scale (GOS) and survival rate between the two groups. Results : Good outcome (GOS=4 and 5) rates at 3-month after insult were 27.5% and 5.8% in BCT and control group, respectively (p<0.01). One-year survival rates were 35.9% and 12.5% in BCT and control group, respectively (p<0.01). In BCT group, the mean age of good outcome patients ($37.1{\pm}14.9$) was significantly lower than that of poor outcome patients ($48.1{\pm}13.5$) (p<0.05). Conclusion : With our 10-year experience, we suggest that BCT is an effective treatment method for severe IICP patients for better survival and GOS, especially for younger patients.

STATISTICS OF GRAVITATIONAL LENSING BY A GALAXY IN CLUSTER OR IN FIELD

  • YOON SO-YOON;PARK MYEONG-GU
    • 천문학회지
    • /
    • 제29권2호
    • /
    • pp.119-136
    • /
    • 1996
  • To examine the effect of neighboring galaxies on the gravitational lensing statistics, we performed numerical simulations of lensing by many galaxies. The models consist of a galaxy in the rich cluster like Coma, or a galaxy surrounded by field galaxies in $\Omega_0 = 1$ universe with $\Omega_{gal} = 0.1,\;\Omega_{gal} = 0.3\;or\;\Omega_{gal}=1.0\;,\;where\;\Omega_{gal}$ is the total mass in galaxies. Field galaxies either have the same mass or follow Schechter luminosity function and luminosity-velocity relation. Each lensing galaxy is assumed to be singular isothermal sphere (SIS) with finite cutoff radius. In most simulations, the lensing is mainly due to the single galaxy. But in $\Omega_{gal} = 3$ universe, one out of five simulations have 'collective lensing' event in which more than two galaxies collectively produce multiple images. These cases cannot be incorporated into the simple 'standard' lensing statistics calculations. In cases where 'collective lensing' does not occur, distribution of image separation changes from delta function to bimodal distribution due to shear induced by the surrounding galaxies. The amount of spread in the distribution is from a few $\%\;up\;to\;50\%$ of the mean image separation in case when the galaxy is in the Coma-like cluster or when the galaxy is in the field with $\Omega_{gal} = 0.1\;or\;\Omega_{gal}=0.3.$ The mean of the image separation changes less than $5\%$ compared with a single lens case. Cross section for multiple image lensing turns out to be relatively insensitive to the presence of the neighboring galaxies, changing less than $5\%$ for Coma-like cluster and $\Omega_{gal}=0.1,\;0.3$ universe cases. So we conclude that Coma-like cluster or field galaxies whose total mass density $\Omega_{gal}<0.3$ do not significantly affect the probability of multiple image lensing if we exclude the 'collective lensing' cases. However, the distribution of the image separations can be significantly affected especially if the 'collective lensing' cases are included. Therefore, the effects of surrounding galaxies may not be negligible when statistics of lensing is used to deduce the cosmological informations.

  • PDF

로봇팔 타입 삼차원좌표측정기를 이용한 광학계의 비축수차 보정 (Coma Aberration Correction of Optical System by using a Robot Arm Type Coordinated Measuring Machine)

  • 전호빈;김고은;송인웅;강혁모;이혁교;김영식;양호순;권종훈
    • 반도체디스플레이기술학회지
    • /
    • 제15권3호
    • /
    • pp.62-66
    • /
    • 2016
  • Optical system needs to be aligned before its undergoing process, is usually shows coma aberrations, which occurred due to imperfection in the lens or other components results in off-axis point sources, appearing to have a tail like a comet. There are some methods to correct coma aberration. In this paper, to correct coma aberration in optical system, using a robot arm type coordinate measuring machine(CMM). CMMs are widely used to measure the form of accuracy of parts and positioning accuracy of systems. Among them, robot arm type CMM has more advantages than the others, such as its mobility and measuring range. However, robot arm type CMM has lower accuracy than cantilever type CMM. To prove robot arm type CMM's accuracy, several factors were suggested in this paper and the final measuring results were compared to a commercial cantilever type CMM. Based on this accuracy, a typical optical system was successfully aligned by using our robot arm type CMM.

DETECTION OF EMISSION FROM WARM-HOT GAS IN THE UNIVERSE WITH XMM?

  • BOWYER STUART;VIKHLININ ALEXEY
    • 천문학회지
    • /
    • 제37권5호
    • /
    • pp.579-581
    • /
    • 2004
  • Recently, claims have been made of the detection of 'warm-hot' gas in the intergalactic medium. Kaastra et al. (2003) claimed detection of ${\~} 10^6$ K material in the Coma Cluster but studies by Arnaud et al. (2001), and our analysis of the Chandra observations of Coma (Vikhlinin et al. 2001), find no evidence for a $10^6$ K gas in the cluster. Finoguenov et al. (2003) claimed the detection of $3 {\times} 10^6$ gas slightly off-center from the Coma Cluster. However, our analysis of ROSAT data from this region shows no excess in this region. We propose an alternative explanation which resolves all these conflicting reports. A number of studies (e.g. Robertson et al., 2001) have shown that the local interstellar medium undergoes charge exchange with the solar wind. The resulting recombination spectrum shows lines of O VII and O VIII (Wargelin et al. 2004). Robertson & Cravens (2003) have .shown that as much as $25\%$ of the Galactic polar flux is heliospheric recombination radiation and that this component is highly variable. Sporadic heliospheric emission could account for all the claims of detections of 'warm-hot' gas and explain the conflicts cited above.

OTF계산값을 이용한 ERF계산 (Computation of the ERF from the OTF)

  • 심상현
    • 한국광학회지
    • /
    • 제4권2호
    • /
    • pp.140-144
    • /
    • 1993
  • Optical Transfer Function(OTE)으로부터 Edge Response Function(ERF)을 계산하는 computer program을 작성하였다. 이 program을 사용하여 무수차 광학계와 몇가지 형태의 수차를 포함하는 광학계의 ERF를 계산하였다. 왜곡수차, 촛점이동, 비점수차, 코마 또는 구면수차 등의 단일수차 및 이들이 조합된 몇가지 형태의 복합수차 등을 포함하는 광학계를 고려하였다. 계산의 결과로부터 sagital case의 경우, 촛점이동이나 구면수차가 코마에 비하여 ERF에 나쁜 영향을 미치며, tangential case의 경우, 코마가 촛점이동과 구면수차보다 나쁜 영향을 미침을 알았다. 한편 코마는 tangential case의 ERF의 형태와 위치를 변화시키지만 왜곡수차는 상의 위치만을 변화시킨다는 것도 확인 할 수 있었다. 또한 코마와 왜곡수차를 포함하는 광할계의 tangential case의 ERF는 이들중 하나의 수차만 포함하는 경우보다 오히려 좋은 형태를 나타내어 두 수차가 상호 보완적인 영향을 미침을 알았다.

  • PDF

Cross-layer 개념을 바탕으로 한 광 CDMA 시스템을 위한 Delay-Throughput 분석 (Delay-Throughput Analysis Based on Cross-Layer Concept for Optical CDMA Systems)

  • 김윤현;김승종;오영철;이성춘;김진영
    • 한국정보통신설비학회:학술대회논문집
    • /
    • 한국정보통신설비학회 2009년도 정보통신설비 학술대회
    • /
    • pp.314-319
    • /
    • 2009
  • In this paper, the network performance of a turbo coded optical code division multiple access (COMA) system with cross-layer, which is between physical and network layers, concept is analyzed and simulated We consider physical and MAC layers in a cross-layer concept. An intensity-modulated/direct-detection (IM/DD) optical system employing pulse position modulation (PPM) is considered In order to increase the system performance, turbo codes composed of parallel concatenated convolutional codes (PCCCs) is utilized. The network performance is evaluated in terms of bit error probability (BEP). From the simulation results, it is demonstrated that turbo coding offers considerable coding gain with reasonable encoding and decoding complexity. Also, it is confirmed that the performance of such an optical COMA network can be substantially improved by increasing the interleaver length and the number of iterations in the decoding process. The results of this paper can be applied to implement the indoor optical wireless LANs.

  • PDF

Error Control Coding and Space-Time MMSE Multiuser Detection in DS-CDMA Systems

  • Hamouda, Walaa;McLane, Peter J.
    • Journal of Communications and Networks
    • /
    • 제5권3호
    • /
    • pp.187-196
    • /
    • 2003
  • We consider the use of error control coding in direct sequence-code-division multiple access (OS-COMA) systems that employ multiuser detection (MUO) and space diversity. The relative performance gain between Reed-Solomon (RS) code and convolutional code (CC) is well known in [1] for the single user, additive white Gaussian noise (AWGN) channel. In this case, RS codes outperform CC's at high signal-to-noise ratios. We find that this is not the case for the multiuser interference channel mentioned above. For useful error rates, we find that soft-decision CC's to be uniformly better than RS codes when used with DS-COMA modulation in multiuser space-time channels. In our development, we use the Gaussian approximation on the interference to determine performance error bounds for systems with low number of users. Then, we check their accuracy in error rate estimation via system's simulation. These performance bounds will in turn allow us to consider a large number of users where we can estimate the gain in user-capacity due to channel coding. Lastly, the use of turbo codes is considered where it is shown that they offer a coding gain of 2.5 dB relative to soft-decision CC.

W-CDMA 단말기 수신 시스템에서 요구하는 최소성능 분석 및 설계에 관한 연구 (A Study on the Analysis of Minimum Performance and Design for Receiver System in W-CDMA Handset)

  • 곽준호;윤석출;김학선
    • 한국통신학회논문지
    • /
    • 제29권9A호
    • /
    • pp.1005-1012
    • /
    • 2004
  • 본 논문에서는 W-CDMA 단말기 표준안에서 요구하는 최소 성능을 분석하고 현재 상용화되어 있는 부품들을 사용하여 W-CDMA 단말기 수신부를 설계 및 제작하였다 표준안의 테스트 조건들로부터 수신 시스템의 최대 잡음지수와 IIP3 을 도출하였으며, 인접채널에 대한 선택도 및 프콘트 -엔드 단의 최소 성능을 경쟁하였다 제작에 앞 서 ADS 를 이용하여 성능검증을 하였으며 , 모두 분석된 최소성능을 만족하였다. 끝으로 W-CDMA 단말기 수신부 를 헤테로다인 구조로 R 단에서 IF 단까지 제작하였으며, 측정을 하였다 따라서 본 논문이 W-CDMA 단말기를 제작함에 있어 이론적인 설계 기준이 될 것으로 여겨진다.

다발성 전신질환자에서 국소마취하에 근관치료 중 유발된 실신과 혼수 치험 1예 (Syncope & Coma during Endodontic Treatment under Local Anesthesia in Multiple Medically Compromised Patient)

  • 유재하;최병호;이천의;김종배
    • 대한치과마취과학회지
    • /
    • 제11권2호
    • /
    • pp.164-171
    • /
    • 2011
  • Altered consciousness may be the first clinical sign of a serious medical problem that requires immediate and intensive therapy to maintain life. There are many causes of the loss of consciousness in the dental office setting, such as, vasodepressor syncope, drug administration or ingestion, orthostatic hypotension, epilepsy, hypoglycemic reaction, acute adrenal insufficiency, cerebrovascular accident, hyperglycemic reaction, acute myocardial infarction, acute allergic reaction and hyperventilation. This is a case report of syncope and coma during endodontic treatment of a maxillary third molar under local infiltration anesthesia in multiple medically compromised patient. The main cause was thought to be hypoglycemic reaction. The patient was transferred to the medical emergency room and cared properly by the emergency medical physicians. The prognosis was good.

The Accuracy of Glasgow Coma Scale Knowledge and Performance among Vietnamese Nurses

  • Hien, Nguyen Thi;Chae, Sun-Mi
    • Perspectives in Nursing Science
    • /
    • 제8권1호
    • /
    • pp.54-61
    • /
    • 2011
  • Purpose: The purpose of this study was to investigate the accuracy of Glasgow Coma Scale (GCS) knowledge and performance among Vietnamese nurses. Methods: A cross-sectional descriptive study was conducted using a questionnaire pertaining to the nurses' knowledge of GCS and a structured evaluation tool to measure the accuracy of their GCS scores. A total of 94 Vietnamese nurses participated in this study, all from a general hospital in Ho Chi Minh City, Vietnam. Data were analyzed by conducting a t-test, a $x^2$ test, and ANOVA. Results: This study found that the vast majority of the nurses (>90%) responded correctly to questions regarding their GCS basic knowledge; however, 52.1% of the nurses answered incorrectly questions related to clinical scenarios requiring the application of the basic knowledge. Regarding the GCS performance, the nurses demonstrated acceptable accuracy rates for each component of GCS, but those who scored well in all three components accounted for only 42.6% of the subject group. These findings indicate that the Vietnamese nurses are not able to integrate their GCS knowledge into actual practice as measured by the accuracy of GCS scoring. Conclusion: This study suggests that new educational strategies should be developed for the Vietnamese nurses to improve their performance on accurate GCS scoring based on theoretical knowledge.

  • PDF