• 제목/요약/키워드: frontal

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전두동 골절 환자에서 머리덮개뼈의 바깥판을 한판으로 이용한 즉시 전두동 재건술 1례 (A Case Report of an Immediate Frontal Sinus Reconstruction Using an Outer Table Calvarial Bone Graft in an En Bloc Manner)

  • 김종도;김정태;김연환
    • 대한두개안면성형외과학회지
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    • 제12권1호
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    • pp.33-36
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    • 2011
  • Background: In a frontal sinus reconstruction, the literature primarily recommends a surgical approach for definite treatment with the exception of for anterior wall fractures with no dislocation. Many studies have assessed a range of methods for the reduction of frontal sinus fractures. This paper presents a case, in whom the anterior wall of the frontal sinus was reconstructed using an outer table calvarial bone graft in an en bloc manner. Patient and methods: A 36-year-old male visited the emergency room with a heavy injury to the forehead. He was diagnosed with fractures of the anterior and posterior wall of the frontal sinus. The neurosurgeon removed the fractured area and repaired the meninges. Afterwards, cranialization was performed and the opening of the nasofrontal duct was obstructed. After fixing the removed bone to its original location, all fragments of fractured anterior wall were purged out and the anterior wall reconstructed using an en bloc calvarial bone graft. Results: In the post-operative 8 months period, there were no complications, the round contour of the forehead was expressed well and the patient was satisfied with the result. Conclusion: There are many methods for reconstructing the anterior wall of the frontal sinus. On the other hand, in cases of large fracture sites with many fractured bone fragments, en bloc harvesting of the outer table calvarial bone could be a better choice than making use of only plates and screws because this method shows a good results in terms of aesthetics with a low complication rate.

청각자극에 따른 세타파와 알파파의 스펙트럼적 반응 (Spectral Perturbation of Theta and Alpha Wave for the Affective Auditory Stimuli)

  • ;이효종
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제3권10호
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    • pp.451-456
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    • 2014
  • 감정을 유발하는 청각자극에 따라 발생되는 EEG(Electroencephalographic) 스펙트럼 강도와 감정 반응 간의 상관관계는 중요한 변수이다. 약 20여 년 전 쾌감을 주는 청각자극에 대하여 측정된 신호의 강도가 전전두엽에서 비대칭적으로 반응을 보였다는 연구 결과가 발표되었다. 본 연구에서는 자극관련 스펙트럼적 반응(Event-related Spectral Perturbation: ERSP)이 전두엽에서 비대칭적으로 발생되는지 고찰하기 위하여 청각자극 실험을 수행하였다. 30명의 건강한 대학생 지원자들이 IADS(International Affective Digital Sounds) 실험에 참여하였다. 이 청각자극은 행복, 공포, 그리고 중립의 3단계로 분류되었으며, 데이터의 분석은 세타파(4-8Hz)와 알파파(8-13Hz)에서 이루어졌다. 알파대역의 ERSP 지도는 오른쪽 전두엽에서 행복감과 공포감의 자극에서 높은 신호의 강도를 보여주는 반면 중립성 자극에서는 왼쪽 전두엽에서 높은 신호가 발생되었다. 그러나 세타파는 행복감과 공포감의 자극에 따라 좌측 전두엽에서 높은 신호가 나타나는 반면, 중립적 자극에 따라 우측 전두엽에서 높은 신호를 보여주었다. 높은 쾌감성 자극(행복)은 상대적으로 우측 전두엽에서 높은 EEG 신호가 측정되었으며, 낮은 쾌감성 자극(중립과 공포)은 왼쪽 전두엽에서 측정되었다. 또한 가장 큰 세타파의 변화가 전두엽의 중앙에서 발생되었다. 알파파에서 행복한 청각자극에 가장 강한 신호가 전두엽 전체에서 관찰되었다. 이 결과들은 기존의 감정들과 일치되며, 세타파와 알파파가 감정처리에서 중요한 역할을 하고 있음을 시사한다.

야간발작성근육긴장이상 1예: 전두엽간질 및 사건수면척도, 수면다원검사, 발작기 및 발작간기 감산 SPECT 소견 (A Case of Nocturnal Paroxysmal Dystonia: Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale, Polysomnography and Subtraction of Ictal-interictal SPECT Coregistered with MRI (SISCOM) Findings)

  • 김우준;오연상;윤보라;김영인;이광수;김중석
    • Annals of Clinical Neurophysiology
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    • 제10권1호
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    • pp.52-57
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    • 2008
  • Even though the origin and nature of nocturnal paroxysmal dystonia (NPD) remains unclear, it has been considered as a manifestation of the nocturnal frontal lobe epilepsy. We report a 17-year-old man with abnormal stereotyped movement during sleep. Video-EEG monitoring, ictal SPECT and night polysomnography did not show any evidence of epilepsy. However, the partial response to large dose of carbamazepine and the scoring according to the frontal lobe epilepsy and parasomnias (FLEP) scale suggest his events could be classified as epilepsy. Therefore we think the FLEP scale might be a useful tool for differential diagnosis in a patient presenting NPD.

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새로운 충돌 판별 알고리즘과 가속도 센서의 위치 (New Crash Discrimination Algorithm and Accelerometer Locations)

  • 정현용;김영학
    • 한국자동차공학회논문집
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    • 제8권6호
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    • pp.182-193
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    • 2000
  • Several metrics have been used in crash discrimination algorithms in order to have timely air bag deployment during all frontal crash modes. However, it is still challengine to have timely air bag deployment especially during the oblique, the pole and the underride crash mode. Therefore, in this paper a new crash discrimination algorithm was proposed, using the absolute value of the deceleration change multiplied by the velocity change as a metric, and processing the metric as a function of the velocity change. The new algorithm was applied for all frontal crash modes of a minivan and a sports utility vehicle, and it resulted in timely air bag deployment for all frontal crash modes including the oblique, the pole and the underride crash mode. Moreover, it was proposed that an accelerometer be installed at each side of the rails, rockers or pillars to assess the crash severity of each side and to deploy the frontal air bags at different time especially during an asymmetric crash such as an oblique and an offset crash. As an example, the deceleration pulses measured at the left and right B-pillar·rocker locations were processed through the new algorithm, and faster time-to-fires were obtained for the air bag at the struck side for the air bag at the other side.

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공간 과제 수행 시 20대와 40대의 두정엽과 전두엽에서의 활성화 차이 (Differences between 20s and 40s in Activation of the Parietal and Frontal Areas during Visuospatial Task)

  • 유지혜;홍용표;이행운;이수열;정순철
    • 대한의용생체공학회:의공학회지
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    • 제27권6호
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    • pp.318-322
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    • 2006
  • The purpose of this study is to examine differences between 20s and 40s in visuospatial performance and brain activation areas using functional Magnetic Resonance Imaging (fMRI). Eight male college students in their twenties ($21.5{\pm}2.3$ years old) and six male adults in their forties ($45.7{\pm}2.6$ years old) who were graduated from college participated in the study. A visuospatial task was presented while brain images were acquired by a 3T fMRI system. Compared to the 20s the 40s showed lower visuospatial performance. There were more activations observed at the parietal and superior frontal areas at 20s compared to 40s. There were more activations observed at the middle frontal and occipital areas at 40s compared to 20s. The results of this study show that the lowering of visuospatial performance with aging was correlated to the decrease of activation area at the parietal lobe and the change of activation area at the frontal lobe.

상호안전성을 고려한 차대차 정면 충돌 안전성 선행 연구 (A Study on Car-to-car Frontal Impact Considering the Vehicle Compatibility)

  • 이창민;신장호;김현우;박건호;박영준
    • 자동차안전학회지
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    • 제9권1호
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    • pp.13-18
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    • 2017
  • In recent years, NCAP regulations of many countries have induced automaker to improve the vehicle crashworthiness. But, the current NCAP regulations don't cover all types of traffic accidents. And rapid-increasing market share of compact cars and SUVs has brought for both consumer and automaker to pay more attention on crash compatibility. So, many countries have tried to develop the new crash test mode and update the present crash test mode. Especially, Euro NCAP has been developing a new impact protocol of the car-to-car frontal offset impact including the crash compatibility assessment. There are plans to introduce this new protocol in 2020, and it will be replaced the current Euro NCAP frontal offset impact. The test dummy in the front seats of this new test mode will be changed from 50% Hybrid-III male to 50% THOR male. This paper will address the vehicle responses, the occupant responses and the vehicle compatibility performance from a full vehicle crash test using the new car-to-car frontal offset test protocol of Euro NCAP.

The Nonlinear Stability of Density Fronts in the Ocean

  • Yang Li;Moon, Sung-Euii;Ryu, Chan-Su;Kim, Baek-Jo
    • Environmental Sciences Bulletin of The Korean Environmental Sciences Society
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    • 제3권2호
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    • pp.105-112
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    • 1999
  • Density and temeprature fronts are common features of the ocean. However, frontal dynamics are not quasi-geostrophic because the isopycnal deflections associated with fronts are large compared with the scale height of the hydrostatic geopotential. The frontal geostrophic model, developed by Cushman-Roisin et al.(1992) is generally used fro describing the dynamics of surface-density ocean fronts, whereas the two-layer frontal geostrophic model is used for fronts on a sloping continental shelf. This paper investigates the baroclinic nonlinear stability of surface-density ocean fronts and fronts on a sloping continental shelf using the two-layer frontal geostrophic model mentioned above. Nonlinear stability criteria for the two kinds of fronts are obtained using Arnol'd's (1965; 1969) variational principle and a prior estimate method. This is the first time a nonlinear stability criterion for surface ocean fronts has been established, furthermore, the results obtained for fronts on a sloping bottom are superior to any previous ones.

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전두부에 발생한 랑게르한스세포 조직구증의 치험례 (A Case Report of Langerhans Cell Histiocytosis of Frontal Area)

  • 양해원;강민구;장충현
    • 대한두개안면성형외과학회지
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    • 제10권1호
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    • pp.37-39
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    • 2009
  • Purpose: Langerhans cell histiocytosis is a heterogenous group of Langerhans cell proliferative disorders and includes eosinophilic granuloma, Letterer-Siwe diseases, and Hand-Schuller Christian disease. We report a case of eosinophilic granuloma on frontal area. Methods: A 17-year-old male presented with swelling and tenderness on Lt. frontal and periorbital area. CT and MRI showed a $33{\times}25mm$ sized mass that involved Lt. frontal calvarium, frontotemporal meninges, and orbital roof. Results: Total excision of the mass and adjacent soft tissue, calvarium, and orbital roof was performed. Orbital roof defect was reconstructed with absorbable plate and calvarial defect was done with outer cortex of temporal bone flap. The histology revealed proliferation of histiocytes and eosinophils. Immunologically, these histiocytic cells expressed S-100 protein and CD1a. The patient is currently taking conservative treatment. Conclusion: The severity of these disease and their prognosis and treatments are various. For unifocal cranial Langerhans cell histiocytosis, complete excision is the treatment of choice. We report this case with review of literature.

좌석안전띠 부착장치 위치에 따른 어린이 충돌안전성 연구 (The Study on the Effect of Seatbelt anchorage points using Q6 in sled test)

  • 김시우;류현;김용길;백선현;김민우;박지훈
    • 자동차안전학회지
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    • 제6권2호
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    • pp.49-54
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    • 2014
  • Development in vehicle industry could increase interest in children's safety recently. However the research of children safety is not being conducted as many as that of adult's. Especially the basic study for the vehicle crash on-board children was not much. This study focused on the effect of seatbelt anchorage points to evaluate children's safety in frontal crash. The current regulation of the seatbelt anchorage points is suitable for ranged from female 5% to male 95%. The assessment of children's safety at buckle up of no used CRS(child restraint system) was performed using frontal sled tests. The frontal crash pulse in sled tests was designed to the average of about 30 KNCAP frontal crash pulses. To reduce number of experiments, DOE is used. The Q6 child dummy and standard seat in UN R 129 were used. According to the analysis of test results, children's safety has been influenced by the points of seatbelt anchorage.

Aesthetic Correction of a Protrusive Forehead through Repositioning of the Anterior Wall of the Frontal Sinus

  • Han, Daniel Seungyoul;Park, Jin Hyung
    • 대한두개안면성형외과학회지
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    • 제15권3호
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    • pp.129-132
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    • 2014
  • Facial skeletal remodeling was revolutionized more than 30 years ago, by the work of Tessier and other craniofacial surgeons. However, the need to correct the skeleton in the upper third of the face is not frequently diagnosed or treated in aesthetic facial surgery. Here, we report on the aesthetic correction of a protrusive forehead. A patient visited our hospital for aesthetic contouring with a prominent forehead. The anterior wall of the frontal sinus was removed with a craniotome via the bicoronal approach. After the excised bone was repositioned, it was fixed with a titanium mesh plate and screws. An electric burr was used to contour the supraorbital rim and frontal bone. Once the desired shape was achieved, the periosteum was replaced, and the wound was closed in layers. When performed properly, frontal sinus contouring could significantly improve the appearance in patients with a prominent forehead. Plastic surgeons must carefully evaluate patients with a prominent forehead for skeletal remodeling that involves the accurate and safe repositioning of the anterior wall of the frontal sinus.