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Natural course of chronic subdural hematoma following surgical clipping of unruptured intracranial aneurysm by pterional approach

  • Su-Bin Kweon;Suchel Kim;Min-Yong Kwon;Chang-Hyun Kim;Sae Min Kwon;Yong San Ko;Chang-Young Lee
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.4
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    • pp.390-402
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    • 2023
  • Objective: Chronic subdural hematoma (CSDH) is a neurological complication following clipping surgery. However, the natural course and ideal approach for the treatment of clipping-related-CSDH (CR-CSDH) have not been clearly established. We aimed to investigate the course of CR-CSDH using chronological radiological findings. Methods: We performed a retrospective analysis of 28 (3.8%) patients who developed CSDH among 736 patients who underwent surgical clipping using pterional approach for unruptured aneurysms at our institution between December 2010 and December 2018. Patients underwent follow-up CT scan 6-8 weeks after clipping surgery and decision to pursue surgical intervention rests upon the patient's symptom based on the Markwalder's grading scale (MGS) and numeric rating scale (NRS). Results: Of the 28 patients, 3 patients (10.7%) underwent surgery, while 25 (89.2%) showed spontaneous resolution of CR-CSDH. Eighteen patients (64.2%) had mild headache with MGS of 0-1. The mean maximum hematoma volume was 41.9±30.9 ml (5.8-135 ml), and 26 patients (92.8%) had homogeneous hematoma. The mean time to hematoma resolution was 126.7±52.9 days (46-228 days). Comparing group of CR-CSDH volume ≥43 ml or a midline shift ≥5 mm, the difference in presence of linear low-density area (p=0.002) and age (p=0.026) between the conservative and operative groups were found to be statistically significant. Conclusions: Most CR-CSDH cases spontaneously resolved within 4 months. Therefore, we suggest that close observation should be performed if patient's symptoms are mild and special radiologic findings are present, despite its relatively large volume and midline shifting.

Modification of Sea Water Temperature by Wind Driven Current in the Mountainous Coastal Sea

  • Choi, Hyo;Kim, Jin-Yun
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2003.11a
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    • pp.177-184
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    • 2003
  • Numerical simulation on marine wind and sea surface elevation was carried out using both three-dimensional hydrostatic and non-hydrostatic models and a simple oceanic model from 0900 LST, August 13 to 0900 LST, August 15, 1995. As daytime easterly meso-scale sea-breeze from the eastern sea penetrates Kangnung city in the center part as basin and goes up along the slope of Mt. Taegullyang in the west, it confronts synoptic-scale westerly wind blowing over the top of the mountain at the mid of the eastern slope and then the resultant wind produces an upper level westerly return flow toward the East Sea. In a narrow band of weak surface wind within 10km of the coastal sea, wind stress is generally small, less than l${\times}$10E-2 Pa and it reaches 2 ${\times}$ 10E-2 Pa to the 35 km. Positive wind stress curl of 15 $\times$ 10E-5Pa $m^{-1}$ still exists in the same band and corresponds to the ascent of 70 em from the sea level. This is due to the generation of northerly wind driven current with a speed of 11 m $S^{-1}$ along the coast under the influence of south-easterly wind and makes an intrusion of warm waters from the southern sea into the northern coast, such as the East Korea Warm Current. On the other hand, even if nighttime downslope windstorm of 14m/s associated with both mountain wind and land-breeze produces the development of internal gravity waves with a hydraulic jump motion of air near the coastal inland surface, the surface wind in the coastal sea is relatively moderate south-westerly wind, resulting in moderate wind stress. Negative wind stress curl in the coast causes the subsidence of the sea surface of 15 em along the coast and south-westerly coastal surface wind drives alongshore south-easterly wind driven current, opposite to the daytime one. Then, it causes the intrusion of cold waters like the North Korea Cold Current in the northern coastal sea into the narrow band of the southern coastal sea. However, the band of positive wind stress curl at the distance of 30km away from the coast toward further offshore area can also cause the uprising of sea waters and the intrusion of warm waters from the southern sea toward the northern sea (northerly wind driven current), resulting in a counter-clockwise wind driven current. These clockwise and counter-clockwise currents much induce the formation of low clouds containing fog and drizzle in the coastal region.

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Effects of light intensity on growth performance, blood components, carcass characteristics, and welfare of broilers

  • Hee-Jin, Kim;Jiseon, Son;Hyun-Soo, Kim;Eui-Chul, Hong;Ji-Hyuk, Kim
    • Journal of Animal Science and Technology
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    • v.64 no.5
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    • pp.985-996
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    • 2022
  • This study investigated the effects of light intensity on growth performance, blood components, eye condition, and carcass characteristics of broiler chickens. Three hundred and fifty-two 1-day-old male chicks were assigned to one of four treatments (four repetitions per treatment, 22 birds per repetition) and reared in a floor pen for 5 weeks. From the second week, chicks were reared under four different levels of light intensity (5, 20, 35, and 50 lx) and the lighting duration was maintained at 18-hours light : 6-hours dark (18L : 6D). The feed intake and body weight were measured weekly. At 35 days of age, 12 birds per treatment were randomly selected for blood sampling, eye measurement, and carcass analysis. There were no significant differences in body weight gain, feed intake, and feed conversion ratio among treatments. Triglyceride levels in the serum were significantly higher in the 5 lx treatment, and creatinine was significantly lower in the 5 lx treatment (p < 0.05). The heterophil : lymphocyte ratios decreased significantly as light intensity increased (p < 0.05); however, other blood cell compositions were not affected by light intensity. Interleukin-6 content was significantly higher in the 5 lx treatment than in other treatments (p < 0.05), but the content of tumor necrosis factor-α was not significantly different among treatments. Serum corticosterone concentration was significantly higher at 5 lx than at 20, 35, and 50 lx (p < 0.05). The corneal diameter was the highest in 5 lx treatment (p < 0.05), and tended to increase as the light intensity decreased. Other eye parameters were not significantly different among treatments, but displayed a tendency to increase as the light intensity decreased. Carcass yield and part yields were not affected by light intensity. Meat quality parameters (pH, color, cooking loss, and water-holding capacity) did not show significant difference among the treatments. The results indicate that a light intensity of 5 lx may increase physiological stress or have a negative effect on broiler welfare, even if the performance and carcass characteristics are not affected. Therefore, a light intensity of 20 lx or above is recommended considering both the growth performance and welfare of broilers.

The Comparison Evaluation of SUV Using Different CT Devices in PET/CT Scans (PET 검사에서 CT 장비의 차이에 따른 PET/CT의 SUV 비교 평가)

  • Kim, Woo Hyun;Go, Hyeon Soo;Lee, Jeong Eun;Kim, Ho Sung;Ryu, Jae Kwang;Jung, Woo Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.18 no.1
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    • pp.10-18
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    • 2014
  • Purpose: Among different PET/CT devices which are composed of same PET model but different CT models, SUV, usually used for quantitative evaluation, was measured to assess the accuracy of follow up scans in different PET/CT and confirm that interequipment compatibility is useful in arranging the PET/CT exam appointment. Materials and Methods: Using ACR PET Phantom, PET NEMA IEC Body Phantom, SNM Chest Phantom and Ge-68 cylinder Phantom, $SUV_{mean}$ and $SUV_{max}$ was measured by 3 different models of PET/CT (Discovery 690, Discovery 690Elite and Discovery 710, GE) made in same company. ANOVA was used to evaluate the significant difference in the result. Results: In the result, the average of $SUV_{max}$ was D690 (25 mm-1.82, 16 mm-1.75, 12 mm-1.73, 8 mm-1.44), D690E (25 mm-1.76, 16 mm-1.92, 12 mm-1.78, 8 mm-1.55) and D710 (25 mm-1.84, 16 mm-1.89, 12 mm-1.77, 8 mm-1.61) in ACR Phantom, D690 (25 mm-2.26, 16 mm-2.25, 12 mm-1.92, 8 mm-1.85), D690E (25 mm-2.45, 16 mm-2.25, 12 mm-2.05 8 mm-1.91) and D710(25 mm-2.49, 16 mm-2.20, 1 2mm-2.30, 8 mm-2.05) in PET NEMA IEC Body Phantom, D690-1.04, D690E-1.10 and D710-1.09 in SNM Chest Phantom and D690-0.81, D690E-0.81, D710-0.84 in Ge-68 cylinder Phantom. The differences between average SUV of 4 phantoms were $SUV_{mean}$-1.87%, $SUV_{max}$-2.15%. And also as a result of ANOVA analysis, there was no significant difference statistically. Conclusion: If different models of PET/CT have same specification of PET system, there was no significant difference in $SUV_{mean}$ and $SUV_{max}$ even though they have different CT system. And also differences of $SUV_{mean}$ and $SUV_{max}$ in phantom images were under 5% which many manufacturers recommend. Therefore, follow up scan will be possible using different PET/CT if it has same specification of PET system with the previous PET/CT. This information will enable the accurate comparative analysis when conducting follow up scans and be helpful to schedule PET/CT exam more effectively.

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A Study on Smart Soil Resistance Measuring Device for Safety Characterized Ground Design in Converged Information Technology (ICT 융합 환경에서의 안전 특성화 접지 설계를 위한 스마트 대지 저항 측정 기술에 관한 연구)

  • Kim, Hong-Yong;Shin, Seung-Jung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.1
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    • pp.203-209
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    • 2019
  • In this work, a new land-specific resistance measuring device (GM) and a measuring probe (Grounding Rod) are connected to the WENNER quadrant as power-line communication (PLC). In groups of two (P1,P2) probes, five to ten probes are installed in series on the ground at intervals of 1m, 2m, 4m, 8m, and 16m, respectively. If the PLC signal from the GMD is detected by the receiver of the Probe 1 (P1) for measurement, the minute voltage and current for measurement flow from the PSD (power supply) attached to the probe to the ground, and then, through the soil between P1 and P2, enters the Probe 1 (P2). The resistance value is then measured by the principle of voltage drop due to ground resistance. Measure the earth resistance every T seconds up to 1 trillion and store the measured data on the Arduino Server mounted on the main equipment. Stored measurement data can be derived from formulas by Ohm's Law and from inherent resistance (here,). Data obtained in real time will be linked to CDGES programs installed on Main PC, enabling data analysis and real-time monitoring of the ground environment on land. In addition, a three-dimensional display is possible with 3D graph support by identifying seasonal characteristics such as temperature and humidity of land (soils). The limitations of the study will require specific application measures of Test Bed for commercial access to a model that has been developed and operated experimentally.

Filtering Rate Model of Farming Oyster, Crassostrea gigas with effect of Water Temperature and Size (수온과 크기의 영향을 고려한 양식굴, Crassostrea gigas의 여수율 모형)

  • KIM Yong-Sool
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.28 no.5
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    • pp.589-598
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    • 1995
  • Filtering rates of Crassostrea gigas were experimentally investigated with reference to effects of water temperature and size. Absorptiometric determinations of filtering rates with oysters being fed diatom Chaetoceros calcirtans were carried out in a closed system. Optical density of 675nm in path length 100mm cell used as the indication of food particles absorption was appeared directly In proportion with the concentration of diatom pigment $chlorophyll-\alpha$. In the closed system where $C_0$ is $OD_{675}$ at initial time 0, $C_t$, at time t, and Z is the decreasing coefficient of OD as meaning of instantaneous removal speed, then $C_t=C_0{\cdot} e^{-2t}$, $Z=In(C_t/C_0)/t$. On the assumption that the filtering rate is constant, then removal rate per unit time (d) is $d=-e^{-z}$. If t is used to time unit of hour (hr), the filtering rate (FR) in I/hr is given by $FR=V{\cdot}d=V(1-e^{-z})$, where V is the water volume (I) of the experimental vessel. Filtering rate increased as exponential function with increasing temperature while not over critical limit. The critical temperature for filtering rate was assumed to be between $28^{\circ}C$ and $29^{\circ}C$. And the weight exponent for filtering rate is 0.223. The model formula derived from the results as FR, $Ihr^{-1}$ = $Exp(0.208{\cdot}T-4.324){\cdot} (DW)^{0.223}$ (T<29 $^{\circ}C)$ where T is water temperature $(^{\circ}C

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Analysis on Rainwater Harvesting System as a Source of Non-Potable Water for Flood Mitigation in Metro Manila (마닐라의 홍수저감을 위한 잡용수 대체자원으로서의 가정용우수저류시설 분석)

  • Necesito, Imee V.;Felix, Micah Lourdes A.;Kim, Lee-Hyung;Cheong, Tae Sung;Jeong, Sangman
    • Journal of Wetlands Research
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    • v.15 no.2
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    • pp.223-231
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    • 2013
  • Excessive precipitation, drought, heat waves, strong typhoons and rising sea levels are just some of the common indicators of climate change. In the Philippines, excessive precipitation never failed to devastate and drown the streets of Metro Manila, a highly urbanized and flood-prone area; such problems are expected to occur frequently. Moreover, the water supply of Metro Manila is dependent only to Angat Reservoir. Rainwater harvesting can serve as an alternative source of raw water and it can mitigate the effects of flooding. The harvested rainwater can be used for: potable consumption if filtered and disinfected; and non-potable consumptions (e.g., irrigation, flushing toilets, carwash, gardening, etc.) if used untreated. The rainfall data were gathered from all 5 rainfall stations located in Metro Manila namely: Science Garden, Port Area, Polo, Nangka and Napindan rain gauge stations. To be able to determine the potential volume of rainwater harvested and the potentiality of rainwater harvesting system as an alternate source of raw water; in this study, three different climatic conditions were considered, the dry, median and wet rainfall years. The frequent occurrence of cyclonic events in the Philippines brought significant amount of rainwater that causes flooding in the highly urbanized region of Metro Manila. Based from the results of this study, the utilization of rainwater harvesting system can serve as an alternative source of non-potable water for the community; and could also reduce the amount of surface runoff that could result to extreme flooding.

Comparison of Dose Depending on the Position when Shooting Panorama and CBCT (CBCT와 panorama 촬영시 위치에 따른 선량 비교)

  • Jeong, Cheonsoo;Kim, Chongyeal
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.175-179
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    • 2013
  • To find out the appropriate defensive measures for protectors and radiation workers in rotating radiation generating devices such as CBCT and panorama, irradiation dose depending on the position was compared and analyzed. The devices such as panorama DP-90-P PAX-500 (Vatech, Korea) and CBCT DCT-90-P IMPLAGRAPHY Dental CT system (Vatech, Korea) were used. As irradiation dose measuring instruments, Ion chamber model 2026 and Reader 20X5-60E were used. The exposure conditions were set as the factor used in the clinical trial. The result of the experiment showed that panorama was the highest, 81${\mu}R$, at point A where the test starts first and the lowest, 53${\mu}R$, at point D where the test ends. In case of CBCT, it was the highest, 1,021${\mu}R$, at point D where the test ends and was measured as the highest, 809.67${\mu}R$, at point A where the test starts. If protectors and radiation workers are forced to examine a patient holding him, they should be positioned in the middle of the point where X ray tube starts to rotate and the point where it ends to avoid the position where radiation dose is the most. And due to the nature of equipment, it will be the safest for them to stand at the opposite side of the machine and to uphold it from the rear rather than upholding it from the side of a patient and they should wear appropriate the protection gear.

Comparison of Pregnancy Rates by Intrauterine Insemination after Ovulation Trigger with Endogenous LH Surge, GnRH Agonist or hCG in Stimulated Cycles (인공수정시술주기에서 내인성 LH, GnRH Agonist 및 hCG를 이용한 배란유발후 임신율의 비교연구)

  • Lee, Jong-In;Hur, Young-Mun;Jeon, Eun-Suk;Yoon, Jeong-Im;Jung, Goo-Sung;Hong, Ki-Eon;You, Seung-Hwan;Lee, Hyeon-Sook;Hong, Jeong-Eui;Lee, Ji-Sam
    • Clinical and Experimental Reproductive Medicine
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    • v.26 no.3
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    • pp.389-398
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    • 1999
  • Objective: This study was designed to evaluate the effects of endogenous LH surge, GnRH agonist (GnRH-a) or human chorionic gonadotropin (hCG) as ovulation trigger on pregnancy rate by intrauterine insemination (IUI). Method: Patients received daily 100 mg of clomiphene citrate (CC) for 5 days starting on the third day of the menstrual cycle followed by human menopausal gonadotropin (hMG) for ovulation induction. Follicles larger than >16 mm in diameter were present in the ovary, frequent LH tests in urine were introduced to detect an endogenous LH surge. Final follicular maturation and ovulation were induced by GnRH-a 0.1 mg (s.c.) or hCG $5,000{\sim}10,000$ IU (i.m.) administration except natural ovulation. Pregnancy was classified as clinical if a gestational sac or fetal cardiac activity was seen on ultrasound. Results: There were no differences in age, duration of infertility and follicle size, but more ampules of hMG were used in GnRH-a group compared to hCG 10,000 IU treated group (p<0.05). Lower level of estradiol ($E_2$) on the day of hCG or GnRH-a injection was observed in hCG 10,000 IU group than other treatment groups (p<0.01). The overall clinical pregnancy rate was 19.8% per cycle (32/162) and 22.2% per patient (32/144). Pregnancy rate was higher in natural-endogenous LH surge group (37.5%, 9/24) than GnRH-a (18.8%) or hCG treated group (20.9% & 13.9%), but this difference was not statistically significant. No patient developed ovarian hyperstimulation. Abortion rate was 22.2% (2/9) in hCG 5,000 IU group. Delivery or ongoing pregnancy rate was 37.5% (9/24), 18.8% (3/16), 16.3% (7/43) and 13.9% (11/79) in endogenous LH surge, GnRH-a, hCG 5,000 IU and hCG 10,000 IU treatment groups, respectively. Conclusion: These results support the concept that use of natural-endogenous LH surge in stimulated cycles may be more effective to obtain pregnancies by IUI than GnRH-a or hCG administration.

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Development of LX GNSS On-line Data Processing System Based on the GIPSY-OASIS (GIPSY-OASIS 기반 LX GNSS 온라인 자료처리 시스템 개발)

  • Kim, Hyun-Ho;Ha, Ji-Hyun;Tcha, Dek-Kie
    • Journal of Advanced Navigation Technology
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    • v.18 no.6
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    • pp.555-561
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    • 2014
  • Data processing service via internet help user to get the GNSS data processing result more precise and easily. Thus, online data process system is operated and developed by various research groups and national. But this service is difficult to use in domestic cadastral survey. In this study, we developed the online data processing system for a domestic cadastral survey. This is calculated coordinate using NGII CORS(SUWN) fiducially. And use PPP technique by GIPSY-OASIS. If user choose the observation data which want to calculate the coordinate, then is uploaded to GIPSY-OASIS server through FTP. After upload is complete, server automatically calculate coordinate, and send the report about result using e-mail. And it takes 2 minutes runtime on the basis of the 3 sessions. To verify the result, we used the data on SOUL, JUNJ as compared with notified-coordinate from NGII. As a result, got the difference for east-west 1.4 cm, north-south -1.0 cm, vertical 0.5 cm.