• 제목/요약/키워드: internal circulation

검색결과 382건 처리시간 0.029초

비파열 뇌동맥류의 수술적 치료 (Surgical Management of Unruptured Intracranial Aneurysms)

  • 안재성;권양;권병덕
    • Journal of Korean Neurosurgical Society
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    • 제29권3호
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    • pp.330-335
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    • 2000
  • Objective : The purpose of this report is to assess the morbidity and mortality associated with clipping of intracranial unruptured aneurysms. Methods : At the authors' institution between May 1989 and December 1998, a total of 128 unruptured aneurysms in 110 patients were treated with surgical clippings. The medical records and neuroimaging studies of the patients were reviewed retrospectively. Results : The main locations of the aneurysms were : middle cerebral artery 31%, internal carotid-posterior communicating artery 28%, anterior communicating artery 16%, paraclinoid 6.5%, internal carotid-anterior choroidal artery 7%, posterior circulation 7%. Forty three percent of the aneurysms were symptomatic and 57% asymptomatic. The overall outcome of the surgery was : Glasgow outcome scale(GOS) I 86%, GOS II 6%, GOS III 4.3%, GOS IV 0% and GOS V(death) 3.5%. The operative risk is higher for large to giant aneurysms, and for aneurysms in posterior circulations. Patients with non-giant aneurysm in anterior circulation showed no mortality, but morbidity of 8.2%, and in posterior circulation : 25% of mortality and 75% of morbidity. Patients with giant anterior circulation aneurysm have 22% of mortality and 22% of morbidity. For patients with giant posterior circulation aneurysm, mortality and morbidity were 25% and 25%, respectively. The postoperative deaths were related to occlusion of the major parent artery in 3 cases(75%). The postoperative morbidity was related to occlusion of artery(9/13), intraoperative rupture(3/13), and cranial nerve injury(1/13). Conclusion : This report documents 3.5% mortality and 13% of morbidity in the clipping surgery for unruptured intracranial aneurysms, and the relatively low risk of surgical clipping in non-giant and those located in anterior circulation. The natural history, especially risk of bleeding, of the unruptured intracranial aneurysms is still controversial. However, with respect to surgical results, unruptured non-giant aneurysm located in anterior circulation should be operated in patients with low risk.

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시론영위주야절률성재수면활동중적작용(试论营卫昼夜节律性在睡眠活动中的作用) (Study on The Rhythmical Rules of The Circulation of Yeong(營) and Wi(衛) during Sleep)

  • 녹영
    • 대한한의학원전학회지
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    • 제22권4호
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    • pp.47-50
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    • 2009
  • This paper according to the sleep theory of Yeonggi(營氣) and Wigi(衛氣)'s circulation in "Naegyeong(內經)", explains that Yeonggi and Wigi's circulation is the internal basic for human's sleep-wake rhythm, and it's relationship with other sleep theories, such as mental activity sleep theory, soul sleep theory, Jangbu(臟腑) organs sleep theory etc. It can be seen that the circulation law of Yeonggi and Wigi for day and night is the key of sleep activities, and Yeonggi and Wigi's circulation disorder is the key of insomnia, so we should use coordination of Yeonggi and Wigi as basic method for treating insomnia, based on treatment after differentiation of syndromes.

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동력분기/순환구조 동력전달계의 정성적 성능 해석 (Analysis on the Qualitative Performance of a Power Split/Circulation Transmission)

  • 임원식;이동준;이장무;박영일
    • 한국자동차공학회논문집
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    • 제3권6호
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    • pp.212-223
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    • 1995
  • To improve the efficiency of a power transmission system with slip elements, power split/circulation system is applied. The performance of a power split/circulation system varies widely by the change of the followings; the layout of system, the type and gear ratio of planetary gear, the performance of slip element, etc. Therefore, when one designs such a power transmission system or when one determines the economic/power mode of system, a certain performance prediction method is needed. In this study, the internal power flow pattern of a power split/circulation system is theoretically analyzed on several transmission systems. And an effective performance prediction method(so called performance locus diagram) is presented. By this method, the effects of design factors can be easily understood and the qualitative performances of system can be clearly evaluated.

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전순환계와 후순환계를 동시에 침범한 긴머리확장증 환자의 영상 소견: 증례 보고 (Large Dolichoectasia Concurrently Involving Both Anterior and Posterior Cerebral Circulation: A Case Report)

  • 소영수;김수정;유은애
    • 대한영상의학회지
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    • 제83권5호
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    • pp.1153-1159
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    • 2022
  • 긴머리확장증은 확장, 연장 및 구불구불한 형태의 대뇌동맥을 특징으로 하는 드문 질환이다. 주요 병리기전은 내탄력판의 파괴로 알려져 있으며, 위험요인으로 고령, 만성 고혈압, 그리고 대사성 질환 등이 있다. 긴머리확장증은 주로 후순환계의 척추뇌기저동맥을 침범하는 것으로 알려져 있으나, 전순환계, 특히 전대뇌동맥에 이환되는 경우도 있다. 긴머리확장증이 전순환계와 후순환계를 모두 침범한 사례는 아직 국내에 보고된 바가 없다. 이에 우리는 기저 질환이 없는 젊은 여자 환자에서 전순환계와 후순환계가 모두 이환된 매우 희귀한 형태의 긴머리확장증 사례를 현저한 영상 소견을 토대로 보고하고자 한다.

뇌혈관질환 위험요인과의 분석을 통한 EAV(MERIDIAN)활용에 관한 연구 (A Study on Using EAV (MERIDIAN) by Analysis of Cerebrovascular Disease Risk Factors)

  • 김영은;김일화;문아지;김남권;이성근;이기상
    • 대한한의학회지
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    • 제31권5호
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    • pp.136-145
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    • 2010
  • Objectives: Electroacupuncture according to Voll (EAV) has been used to quantify the skin's electrical resistance and conductance over acupuncture points that, based on traditional Chinese medicine, represent the state of health or disease of the organ or tissue. However, it doesn't have enough objective data yet, so the purpose of this study was to aid in the use of EAV in analysis of cerebrovascular disease risk factors. Methods: This study researched the clinical statistics of 216 cases: cerebrovascular attack (CVA) group 43, control group 173. We measured control meridian points (CMP) on hands and feet and the cardio ankle vascular index (CAVI) which represents atherosclerosis severity, and sex, age, hypertension, diabetes, dyslipidemia, and obesity. The data were then analyzed by t-test, chi-square test and logistic regression. Results: Between the CVA and control groups, there were not statistically significant differences in CMP. However, logistic regression analysis of the presence of CVA, mean of CMP heart and lung, sex, age, DBP (diastolic blood pressure), and HDL (high density lipoprotein) cholesterol showed that the risk of CVA was 1.1 times increased with CMP heart (p=0.002), in men was 4.12 times higher than in women (p=0.001), 1.09 times higher with age (p=0.000), 1.04 times higher with DBP (p=0.045), while was lower by 0.924 times with CMP lung (p=0.005) and 0.957 times with HDL cholesterol (p=0.006). Conclusion: Although there were not clear evidence or mechanisms about EAV, this study showed that if we study EAV further, we may be able to apply EAV as an objective instrument of oriental medicine in cerebrovascular disease.

내부순환반응기의 Scale-up에 따른 동력학적 특성의 변화 (Dynamic Behavior of an Internal Loop Reactor during Scale-up)

  • 최윤찬;박영식
    • 한국환경과학회지
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    • 제6권1호
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    • pp.25-31
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    • 1997
  • The variations of gas hold-up, overall volumetric oxygen mass transfer coefficients and liquid circulation velocity in an internal loop reactor were investigated to manifest scale-up effect. The relationship between superficial gas velocity and gas hold-up were found as Ugr = 0.045 $\varepsilon$r in the pilot-scale and Ugr = 0.056 $\varepsilon$r in the bench-scale reactor. The overall volumetric oxygen mass tractsfer coefficient, KLa was slightly increased in the pilot-scale than in the bench-scale reactor. Flow regime was changed from the bubble flow to the churn-turbulent flow when the superficial gas velocity reached to 3.5 - 4 cm/sec in the pilot-scale.

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