• 제목/요약/키워드: disturbed function

검색결과 82건 처리시간 0.022초

VVI 단극유도의 심박조율치를 가진 환자의 개심술 -1례 치험- (Cardiac Surgery for the Patient with VVI Unipolar Pacing System -One Case-)

  • 정해동;최종범;최형호
    • Journal of Chest Surgery
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    • 제31권4호
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    • pp.398-401
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    • 1998
  • 단극유도의 심박조율기를 가진 56세 여자환자에서 관상동맥 우회로술과 승모판 치환술을 시행하였다. 이러한 단극유도 심박조율기는 심근 외의 전자기의 간섭에 대한 감수성이 높으므로 개심술시 전기소작기의 전기파에 의해 심박조율기의 조율기능이 억제될 수 있으며, 수술후 제세동기 사용할 때 영구 심박조율기에 전기 충격이 갈 수 있다. 따라서 대동맥 차단 감자를 해제한 후 심실세동없이 정상 심박동을 유도해야 한다. 본 환자에서 임시형 심방실 유도를 거치하고 임시형 심박조율기로 조율하여 심장리듬과 심기능을 유지시키면서 전기소작기를 사용할 수 있었으며, 대동맥 차단 중 전행성 및 역행성으로 혈성심정지액을 투여하고 대동맥 차단감자를 해제하기 직전에는 온혈심정지액과 온혈의 순차적인 역행성 주입으로 자연적인 심장리듬을 회복시킴으로써 제세동기 사용을 배제할 수 있었다.

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CKGS: A Way Of Compressed Key Guessing Space to Reduce Ghost Peaks

  • Li, Di;Li, Lang;Ou, Yu
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제16권3호
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    • pp.1047-1062
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    • 2022
  • Differential power analysis (DPA) is disturbed by ghost peaks. There is a phenomenon that the mean absolute difference (MAD) value of the wrong key is higher than the correct key. We propose a compressed key guessing space (CKGS) scheme to solve this problem and analyze the AES algorithm. The DPA based on this scheme is named CKGS-DPA. Unlike traditional DPA, the CKGS-DPA uses two power leakage points for a combined attack. The first power leakage point is used to determine the key candidate interval, and the second is used for the final attack. First, we study the law of MAD values distribution when the attack point is AddRoundKey and explain why this point is not suitable for DPA. According to this law, we modify the selection function to change the distribution of MAD values. Then a key-related value screening algorithm is proposed to obtain key information. Finally, we construct two key candidate intervals of size 16 and reduce the key guessing space of the SubBytes attack from 256 to 32. Simulation experimental results show that CKGS-DPA reduces the power traces demand by 25% compared with DPA. Experiments performed on the ASCAD dataset show that CKGS-DPA reduces the power traces demand by at least 41% compared with DPA.

Design of STM32-based Quadrotor UAV Control System

  • Haocong, Cai;Zhigang, Wu;Min, Chen
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권2호
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    • pp.353-368
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    • 2023
  • The four wing unmanned aerial vehicle owns the characteristics of small size, light weight, convenient operation and well stability. But it is easily disturbed by external environmental factors during flight with these disadvantages of short endurance and poor attitude solving ability. For solving these problems, a microprocessor based on STM32 chip is designed and the overall development is completed by the resources such as built-in timer and multi-function mode general-purpose input/output provided by the master micro controller unit, together with radio receiver, attitude meter, barometer, electronic speed control and other devices. The unmanned aerial vehicle can be remotely controlled and send radio waves to its corresponding receiver, control the analog level change of its corresponding channel pins. The master control chip can analyze and process the data to send multiple sets pulse signals of pulse width modulation to each electronic speed control. Then the electronic speed control will transform different pulse signals into different sizes of current value to drive the motor located in each direction of the frame to generate different rotational speed and generate lift force. To control the body of the unmanned aerial vehicle, so as to achieve the operator's requirements for attitude control, the PID controller based on Kalman filter is used to achieve quick response time and control accuracy. Test results show that the design is feasible.

경추부 장애와 신경근 조절 활동 변화와의 관련성에 대한 고찰 (Literature Review on the Association Between a Cervical Dysfunction and the Change of Neuromuscular Control Activity)

  • 김선엽;이혜정
    • 대한정형도수물리치료학회지
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    • 제12권1호
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    • pp.57-67
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    • 2006
  • Musculoskeletal neck dysfunction syndromes are common in outpatient musculoskeletal pain practice. The underlying musculoskeletal and neurologic causes of pain are variable. In the management of these patients, it is important to accurately identify and treat these pain generators to optimize patient outcome. It is the purpose of this review to discuss three main categories of functional anatomy, the role of superficial/deep muscular system and the scientific evidence for optimal physical therapy intervention for cervical dysfunction. Specifically there is evidence of lowered microcirculation in the upper trapezius muscle, morphological signs of disturbed mitochondrial function which appears to be limited to type I fibers and an increased cross-sectional area of type I muscle fibers despite a lower capillary to fiber area ratio. In acute neck pain syndrome, changes in muscle activity of painful muscles may result from segmental and supraspinal inhibitory effects. Muscle activation is closely related to the control of joint movements and postures and it is difficult to separate the influence of the two components. Both the altered muscle recruitment patterns and altered kinematics appear to be a poor adaptation for pain of the head - neck region, as they are likely to result in increased compressive loading in the cervical spine, affecting muscles, articular structures such as zygapophyseal joints, connective tissues and neural tissues which are all peripheral generators of referred pain. The rectus capitus posterior minor muscle shows that it is one of the most important muscles of the suboccipital region. In this article, i reviewed the anatomy, neurophysiology, function and dysfunction as well as the treatment of cervical dysfunction.

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저온 노출이 인지기능과 뇌신경세포생성에 미치는 영향 (Influence of cold condition exposure on cognitive function and cell proliferation in rats)

  • 임백빈;이성필
    • 감성과학
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    • 제14권3호
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    • pp.425-434
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    • 2011
  • 본 연구의 목표는 일반적으로 사람들이 일상에서의 추위 노출 시간을 고려하여 단기간 추위노출과 지속적인 장기간의 추위 노출이 인지기능과 뇌의 신경세포생성과 신경전달물질에 미치는 영향을 규명하고자 하였다. 실험 방법으로 인지행동검사(Behavior test)와 면역조직화학법(Immunohistochemistry Method)을 실시하였다. 본 연구에서는 7주령(평균체중 $250{\pm}10g$) Sprague-Dawley 계열의 수컷 흰쥐(n=40)를 사용하여, 무선배치 방식으로 상온 대조군(n=10), 저온 3일군(n=10), 저온 5주군(n=10)으로 분류 하였다. $22^{\circ}C$(상대습도 40%)의 온도는 상온으로 설정 하였고, $4^{\circ}C$(상대습도 40%)는 추위 스트레스 환경으로 설정 하였다. 수동회피실험의 결과에 의하면, 추위 스트레스는 기억력의 감소를 가져왔다. 그러나 추위 스트레스에 의한 기억력 감소의 보상작용으로 신경전달 물질인 5-HT와 TPH의 증가가 나타나는 것을 면역조직화학법을 통해 해부시경학적으로 확인할 수 있었다. 그러나 보상작용에 의한 새로운 신경세포생성 증가가 기억력을 정상상태로 회복시키지는 못하였다.

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몇가지 간담도질환에서 간기능에 따른 Tc-99m EHIDA의 담도영상능 (Tc-99m EHIDA Scintigraphic Demonstrability of Biliary Elements and Liver Function Tests in Hepatobiliary Diseases)

  • 김춘열;이명희;박용휘
    • 대한핵의학회지
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    • 제16권2호
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    • pp.71-80
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    • 1982
  • In the present communication, the results will be reported on a clinical study of how well scintigraphic visualization of the hepatobiliary elements and several commonly used clinical liver function tests correlate each other in various diseases oft hepatobiliary system. The demonstrability of the biliary tract, gallbladder (GB) and duodenum was rather closely paralleled to serum bilirubin level and less closely to alkaline phosphatase and rather poorly to SGOT and SGPT. The biliary tree could not be visualized scintigraphically when bilirubin exceeded 10.5mg/dl. The usefulness of Tc-99m EHIDA [N-(2,6-diethylacetanilido) iminodiacetic acid, made by Amersham, England] hepatobiliary scintigraphy (Tc EHIDA HBS) in settling diagnostic controversy and ambiguity raised by oral cholecystography, intravenous cholangiography and ultrasonography in many hepatobiliary diseases is well known. The purpose of this investigation was to semiquantitatively evaluate the scintigraphic demonstrability of the hepatobiliary tract, GB and duodenum following intravenous injection of Tc-99m EHIDA in normal subjects and in patients with a disturbed liver function from various hepatobiliary diseases. The hepatobiliary scintigraphy was performed in 10 normal subjects and 39 patients with various hepatobiliary diseases (Table 1) at the Dept. of Radiology, St. Mary's Hospital Catholic Medical College, Seoul, Korea during 2 years period from September 1979. Scintigraphic examination was started at end of 3 minutes after intravenous injection of Tc-99m EHIDA in the amount of $50{\mu}Ci/kg$ and was continued until after 30 minutes at 5 minutes interval. The imaging was usually terminated when the tracer could be seen in the duodenum. Late scintigrams were obatained at 1 1/2, 3, 4 and 6 hours when reeded. Scintigrams were analyzed in terms of promptness and clarity of visualization of the biliary tree, GB and duodenum and demonstrability of these anatomical landmarks was correlated with the values of liver function tests. The demonstrability of the common hepatic duct, common bile duct, GB and duodenum was closely paralleled to the level of serum bilirubin when it is less than 10.5 mg/dl as shown in figure 1. However when the bilirubin exceeded 10.5 mg/dl the time of visualization between protracted reaching a flat curve or plateau around 10.5 mg/dl. The biliary tract could not be visualized when the bilirubin was higher than 10.5 mg/dl. The correlability between scintigraphic demonstration and serum alkaline phosphatase was less strong and between scintigraphic demonstration and SGOT and SGPT was rather poor. The present clinical study confirmed the usefulness and limitation of Tc-99m EHIDA hepatobiliary scintigraphy in visulizing and diagnosing the biliary system and duodenum when radiogrpahy and ultrasonography failed to provide useful informations. Scintigraphy was very helpful in the diagnosis of neonatal hepatitis, biliary atresia, cholecystitis and extrahepatic biliary obstruction. The hepatobiliary system and duodenum were visualized when serum bilirubin level was less than 10.5 mg/dl, SGOT 135 units, SGPT 114 units and alkaline phosphatase 52.2 KAU.

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Lung Function Trajectory Types in Never-Smoking Adults With Asthma: Clinical Features and Inflammatory Patterns

  • Kim, Joo-Hee;Chang, Hun Soo;Shin, Seung Woo;Baek, Dong Gyu;Son, Ji-Hye;Park, Choon-Sik;Park, Jong-Sook
    • Allergy, Asthma & Immunology Research
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    • 제10권6호
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    • pp.614-627
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    • 2018
  • Purpose: Asthma is a heterogeneous disease that responds to medications to varying degrees. Cluster analyses have identified several phenotypes and variables related to fixed airway obstruction; however, few longitudinal studies of lung function have been performed on adult asthmatics. We investigated clinical, demographic, and inflammatory factors related to persistent airflow limitation based on lung function trajectories over 1 year. Methods: Serial post-bronchodilator forced expiratory volume (FEV) 1% values were obtained from 1,679 asthmatics who were followed up every 3 months for 1 year. First, a hierarchical cluster analysis was performed using Ward's method to generate a dendrogram for the optimum number of clusters using the complete post-FEV1 sets from 448 subjects. Then, a trajectory cluster analysis of serial post-FEV1 sets was performed using the k-means clustering for the longitudinal data trajectory method. Next, trajectory clustering for the serial post-FEV1 sets of a total of 1,679 asthmatics was performed after imputation of missing post-FEV1 values using regression methods. Results: Trajectories 1 and 2 were associated with normal lung function during the study period, and trajectory 3 was associated with a reversal to normal of the moderately decreased baseline FEV1 within 3 months. Trajectories 4 and 5 were associated with severe asthma with a marked reduction in baseline FEV1. However, the FEV1 associated with trajectory 4 was increased at 3 months, whereas the FEV1 associated with trajectory 5 was persistently disturbed over 1 year. Compared with trajectory 4, trajectory 5 was associated with older asthmatics with less atopy, a lower immunoglobulin E (IgE) level, sputum neutrophilia and higher dosages of oral steroids. In contrast, trajectory 4 was associated with higher sputum and blood eosinophil counts and more frequent exacerbations. Conclusions: Trajectory clustering analysis of FEV1 identified 5 distinct types, representing well-preserved to severely decreased FEV1. Persistent airflow obstruction may be related to non-atopy, a low IgE level, and older age accompanied by neutrophilic inflammation and low baseline FEV1 levels.

ZnO-Bi2O3-Mn3O4-Co3O4 바리스터의 결함과 전기적 특성 (Defects and Electrical Properties of ZnO-Bi2O3-Mn3O4-Co3O4 Varistor)

  • 홍연우;이영진;김세기;김진호
    • 한국전기전자재료학회논문지
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    • 제25권12호
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    • pp.961-968
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    • 2012
  • In this study, we have investigated the effects of Mn and Co co-doping on defects, J-E curves and grain boundary characteristics of ZnO-$Bi_2O_3$ (ZB) varistor. Admittance spectra and dielectric functions show two bulk defects of $Zn_i^{{\cdot}{\cdot}}$ (0.17~0.18 eV) and $V_o^{\cdot}$ (0.30~0.33 eV). From J-E characteristics the nonlinear coefficient (${\alpha}$) and resistivity (${\rho}_{gb}$) of pre-breakdown region decreased as 30 to 24 and 5.1 to 0.08 $G{\Omega}cm$ with sintering temperature, respectively. The double Schottky barrier of grain boundaries in ZB(MCo) ($ZnO-Bi_2O_3-Mn_3O_4-Co_3O_4$) could be electrochemically single type. However, its thermal stability was slightly disturbed by ambient oxygen because the apparent activation energy of grain boundaries was changed from 0.64 eV at lower temperature to 1.06 eV at higher temperature. It was revealed that a co-doping of Mn and Co in ZB reduced the heterogeneity of the barrier in grain boundaries and stabilized the barrier against an ambient temperature (${\alpha}$-factor= 0.136).

Landscape Ecological Studies on Structure and Dynamics of Plant Populations on Vegetation-Landscape Patterns in Rural Regions: I. The Effect of Patch Shape on the Initial Population Structure of Pine and Oaks

  • Rim, Young-Deuk;Hong, Sun-Kee
    • The Korean Journal of Ecology
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    • 제22권2호
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    • pp.69-77
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    • 1999
  • Secondary vegetation. the holistically integrated system of nature and human being, is the complicated ecosystem that is composed of natural and man-created factors. Understanding the ecological function of secondary vegetation supplies us many important informations for sustainable landscape management and ecological restoration planning. In this research, we tried to examine the shape effect of vegetation patch on early structure of populations of pine and oaks. Moreover. we also tried to clarify the ecological functions of patch edge by exploring the patch effect on germination using patch index. In addition, we present the landscape structure of man -made vegetation of our study area, and setting experimental design of research. Vegetation landscape of study area is typical human disturbed landscape mainly composed of disturbance patches. Vegetation types of graveyard and managed pine forest were controlled by periodically repeated management. However, current seedlings of pine occurred well at both vegetation types. Presence of both saplings were more controlled in managed pine forest (PDM) and graveyard (G) than those of undergrowth (PD) and forest edge (FE) with canopy trees. The number of pine seedlings increased with patch size and patch perimeter. That of oak seedlings was, however, not significantly different. Larger graveyards provided higher light availability for germination of pine seedlings. We think, however, most seedlings of both species in the large sized graveyards without shade will die more easily than that of small sized ones before rainy summer. Relationships between patch shape and germination of two woody species cannot be exactly explained enough yet in these results. More informations on spatial interaction of the total species with differently sized patches are necessary to solve the concept of patch effect on species colonization.

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Comprehensive Bioinformation Analysis of the MRNA Profile of Fascin Knockdown in Esophageal Squamous Cell Carcinoma

  • Wu, Bing-Li;Luo, Lie-Wei;Li, Chun-Quan;Xie, Jian-Jun;Du, Ze-Peng;Wu, Jian-Yi;Zhang, Pi-Xian;Xu, Li-Yan;Li, En-Min
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7221-7227
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    • 2013
  • Background: Fascin, an actin-bundling protein forming actin bundles including filopodia and stress fibers, is overexpressed in multiple human epithelial cancers including esophageal squamous cell carcinoma (ESCC). Previously we conducted a microarray experiment to analyze fascin knockdown by RNAi in ESCC. Method: In this study, the differentially expressed genes from mRNA expression profilomg of fascin knockdown were analyzed by multiple bioinformatics methods for a comprehensive understanding of the role of fascin. Results: Gene Ontology enrichment found terms associated with cytoskeleton organization, including cell adhesion, actin filament binding and actin cytoskeleton, which might be related to fascin function. Except GO categories, the differentially expressed genes were annotated by 45 functional categories from the Functional Annotation Chart of DAVID. Subpathway analysis showed thirty-nine pathways were disturbed by the differentially expressed genes, providing more detailed information than traditional pathway enrichment analysis. Two subpathways derivated from regulation of the actin cytoskeleton were shown. Promoter analysis results indicated distinguishing sequence patterns and transcription factors in response to the co-expression of downregulated or upregulated differentially expressed genes. MNB1A, c-ETS, GATA2 and Prrx2 potentially regulate the transcription of the downregulated gene set, while Arnt-Ahr, ZNF42, Ubx and TCF11-MafG might co-regulate the upregulated genes. Conclusions: This multiple bioinformatic analysis helps provide a comprehensive understanding of the roles of fascin after its knockdown in ESCC.