• 제목/요약/키워드: lateral FED

검색결과 24건 처리시간 0.029초

Dural Arteriovenous Fistula of Jugular Foramen with Subarachnoid Hemorrhage : Selective Transarterial Embolization

  • Byun, Jun-Soo;Hwang, Sung-Nam;Park, Seung-Won;Nam, Taek-Kyun
    • Journal of Korean Neurosurgical Society
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    • 제45권3호
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    • pp.199-202
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    • 2009
  • We report the case of a 64-year-old man with dural arteriovenous fistula (DAVF) at right jugular foramen, presented as subarachnoid and intraventricular hemorrhage. The malformation was fed by only the neuromeningeal trunk of the right ascending pharyngeal artery and drained into the right lateral medullary veins craniopetally. Complete embolization was attained by selective transarterial glue injection, but patient showed lower cranial neuropathies. A 3-month follow-up angiogram still showed persistent fistula occlusion. Transarterial glue embolization is a feasible method, only if a transvenous access is not possible in case of single channel fistula.

Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants

  • Hwang, Sun-Kyung;Ju, Hyun-Ok;Kim, Young-Soon;Lee, Hwa-Za;Kim, Young-Hae
    • 대한간호학회지
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    • 제33권4호
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    • pp.488-494
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    • 2003
  • Purpose. To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW). Methods. A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding. Results. In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F=5.038, p=0.001; F=429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (p < 0.05) and the differences across time periods were significant (p < 0.001). Conclusions. The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.

Mactra veneriformis, an Intertidal Clam, as a New Second Intermediate Host for Acanthoparyphium marilae (Digenea: Echinostomatidae)

  • Han, Eun-Taek;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제46권2호
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    • pp.101-104
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    • 2008
  • Metacercariae of Acanthoparyphium marilae Yamaguti, 1934 (Digenea: Echinostomatidae) were discovered in an intertidal clam, Mactra veneriformis, in a southwestern coastal area of the Republic of Korea. A total of 128 metacercariae were detected from 10 clams examined. They were round, 320 m in average diameter, with 23 collar spines. They were fed experimentally to chicks, and 10 days later adult flukes were obtained. The adults were morphologically characterized by the head collar with a single row of 23 dorsally uninterrupted spines, without special end group spines, a round ventral sucker, 2 round and tandem testes, and vitellaria extending at lateral fields from the posterior extremity not beyond the middle level of the posterior testis. The most characteristic feature of this species was the limited distribution of vitellaria, which differs from Acanthoparyphium tyosenense Yamaguti, 1939, the metacercariae of which are encysted in the same mollusk species. This is the first report in which the metacercariae of this species were detected, and the intertidal bivalve, M. veneriformis, has been identified as a second intermediate host for A. marilae.

A rare case of sacral epidural arteriovenous fistula with concomitant occult multiple lumbar epidural arteriovenous fistulas

  • Katsuya Saito;Takakazu Ushioda;Takahiro Miyata;Keita Mayanagi;Koki Kato;Joji Inamasu;Masashi Nakatsukasa
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제25권3호
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    • pp.322-332
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    • 2023
  • We describe a rare case of sacral epidural arteriovenous fistulas (edAVFs) with atypical clinical course of treatment. A 78-year-old man with a history of spinal surgery presented progressive gait disturbance and urinary incontinence. Spinal angiography demonstrated a sacral spinal AVF fed by bilateral lateral sacral arteries, draining to the venous pouch with subdural drainage. The first treatment by direct interruption of a subdural drainer was incompletely finished. Postoperative reassessment by 3D imaging analysis led to the diagnosis of sacral edAVF and 3D understanding of its angioarchitecture. The second treatment by transarterial embolization (TAE) resulted in complete occlusion of a sacral edAVF. However, spinal venous congestion didn't improve, because the recruitment of occult edAVFs at the multiple lumbar levels and complex-shaped sacral ventral epidural venous plexus (VEP) were involved in the remnant of prior subdural drainage. The third treatment was performed by TAE for three occult edAVFs and the VEP compartment connecting between a patent edAVF and subdural drainage, which resulted in complete disappearance of spinal cord edema. Endovascular embolization of VEP compartment connecting to subdural drainage in addition to fistulous occlusion may be one of the treatment options for several edAVFs at the multiple spinal levels.

Earthquake impacts on hydrology: a case study from the Canterbury, New Zealand earthquakes of 2010 and 2011

  • Davie, Tim;Smith, Jeff;Scott, David;Ezzy, Tim;Cox, Simon;Rutter, Helen
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2011년도 학술발표회
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    • pp.8-9
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    • 2011
  • On 4 September 2010 an earthquake of magnitude 7.1 on the Richter scale occurred on the Canterbury Plains in the South Island of New Zealand. The Canterbury Plains are an area of extensive groundwater and spring fed surface water systems. Since the September earthquake there have been several thousand aftershocks (Fig. 1), the largest being a 6.3 magnitude quake which occurred close to the centre of Christchurch on 22February 2011. This second quake caused extensive damage to the city of Christchurch including the deaths of 189 people. Both of these quakes had marked hydrological impacts. Water is a vital natural resource for Canterburywith groundwater being extracted for potable supply and both ground and surface water being used extensively for agricultural and horticultural irrigation.The groundwater is of very high quality so that the city of Christchurch (population approx. 400,000) supplies untreated artesian water to the majority of households and businesses. Both earthquakes caused immediate hydrological effects, the most dramatic of which was the liquefaction of sediments and the release of shallow groundwater containing a fine grey silt-sand material. The liquefaction that occurred fitted within the empirical relationship between distance from epicentre and magnitude of quake described by Montgomery et al. (2003). . It appears that liquefaction resulted in development of discontinuities in confining layers. In some cases these appear to have been maintained by artesian pressure and continuing flow, and the springs are continuing to flow even now. In spring-fed streams there was an increase in flow that lasted for several days and in some cases flows remained high for several months afterwards although this could be linked to a very wet winter prior to the September earthquake. Analysis of the slope of baseflow recession for a spring-fed stream before and after the September earthquake shows no change, indicating no substantial change in the aquifer structure that feeds this stream.A complicating factor for consideration of river flows was that in some places the liquefaction of shallow sediments led to lateral spreading of river banks. The lateral spread lessened the channel cross section so water levels rose although the flow might not have risen accordingly. Groundwater level peaks moved both up and down, depending on the location of wells. Groundwater level changes for the two earthquakes were strongly related to the proximity to the epicentre. The February 2011 earthquake resulted in significantly larger groundwater level changes in eastern Christchurch than occurred in September 2010. In a well of similar distance from both epicentres the two events resulted in a similar sized increase in water level but the slightly slower rate of increase and the markedly slower recession recorded in the February event suggests that the well may have been partially blocked by sediment flowing into the well at depth. The effects of the February earthquake were more localised and in the area to the west of Christchurch it was the earlier earthquake that had greater impact. Many of the recorded responses have been compromised, or complicated, by damage or clogging and further inspections will need to be carried out to allow a more definitive interpretation. Nevertheless, it is reasonable to provisionally conclude that there is no clear evidence of significant change in aquifer pressures or properties. The different response of groundwater to earthquakes across the Canterbury Plains is the subject of a new research project about to start that uses the information to improve groundwater characterisation for the region. Montgomery D.R., Greenberg H.M., Smith D.T. (2003) Stream flow response to the Nisqually earthquake. Earth & Planetary Science Letters 209 19-28.

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줄종개 Cobitis tetralineata (Pisces; Cobitidae)의 개체군 생태 (Population Ecology of Korean Sand Loach Cobitis tetralineata (Pisces; Cobitidae) in the Seomjin River, Korea)

  • 김익수;고명훈;박종영
    • Journal of Ecology and Environment
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    • 제29권3호
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    • pp.277-286
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    • 2006
  • 줄종개, Cobitis tetralineata의 생태를 섬진강 지류인 추령천에서 조사하였다. C. tetralineata는 하상이 모래이고, 유속이 $10{\sim}20cm/see$, 수심은 $30{\sim}150cm$인 곳에 대부분 서식하였다. 활동은 낮에만 활동하는 주행성 어류로 3월부터 10월까지 활동하였고, 이후 11월부터 이듬해 2월까지는 바닥 속으로 파고들어가 월동하였다. 성비는 암컷과 수컷이 1 : 0.57로 나타났고, 암컷이 수컷보다 $20{\sim}30mm$(TL)이 더 컸다. 줄종개(암컷)의 연령은 $20{\sim}40mm$가 당년생, $45{\sim}65mm$가 1년생, $65{\sim}90mm$가 2년생, 90 mm 이상이 3년생 이상으로 추정되었다. 부화 후 $13{\sim}14$개월 이후에 수컷 가슴지느러미 제2기조에 골질반이 형성되어 암수가 구별되었으며, 또한 수컷은 산란시기에 반문변 이가 일어났다. 산란시기는 수온이 $22{\sim}26^{\circ}C$인 6월 말부터 7월 중순으로 추정되었고, 포란수는 $1,288{\pm}583(474{\sim}2,976)$개, 난경은 $0.98{\pm}0.1mm$이었다. 섭식은 주로 깔다구류, 꽃병벌레류, 물벼룩류, 조류 등을 섭식하였으며, 섭식률은 4월과 9월에 높게 나타났고 월동기에는 섭식하지 않았다.

비투과 표지자 KOLOMARK를 이용한 개의 위배출시간검사에 대한 유용성 (Usefulness of Gastric Emptying Time Test for Dog byUsing Radiopaque Marker KOLOMARK)

  • 조영권;김선칠
    • 한국방사선학회논문지
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    • 제6권4호
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    • pp.267-273
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    • 2012
  • 개에서 이물, 신생물, 유문동비후, 위수술, 전해질불균형, 위확장성 염전 등에 의한 비정상적인 위 배출시간은 임상에서 소화기 질환으로 중요하다. 그러므로 위장관 운동이상에 대한 정확한 진단을 위하여 정상적인 위장관 운동시간에 대한 자료가 필요하다. 이 연구의 목적은 개에서 기존의 BIPS를 이용하는 검사 방식이 아닌 국내에서 개발한 방사선 비투과성 Kolomark를 이용한 위배출시간 검사에 대한 임상적 유용성에 대한 기초자료를 제공하기 위한 것이다. Beagle 9마리가 이번 실험에 사용되었으며 평균 체중 평균 10.3kg이며 평균 2.5살이었다. 검사를 위해 12시간 금식을 시행하였으며 화학적 보정은 하지 않은 채 검사 직전 하루 사료급여량의 25%용량에 Kolomark 1개의 capsule과 함께 급여하였고 2, 4, 8, 12시간 때 Ventrodorsal, Right lateral자세로 촬영하였다. 관심판독부분은 분문에서 위유문부까지의 위장 전체를 관찰하였으며 분석방법으로는 각 시간대별로 위장 내에 남아있는 Kolomark를 카운트하여 비모수검정인 Friedman 검정방법을 이용하여 P값이 0.05 미만인 경우를 유의한 것으로 판정하였다. 구강으로 Kolomark를 섭식 후 위에서 소장으로 완전히 Kolomark가 빠져나가는데 걸리는 평균시간은 7.55시간이었다. 이번 연구에서 성숙한 개에서 음식물 투여 후에 나타나는 위장관 통과시간을 Kolomark를 이용하여 정상적인 위장관 운동시간에 대한 기초자료가 되리라 판단된다.

반지락(Tapes philippinarurm)이 매개하는 Parvatrema timondavidi(Digenea; Gymnophallidae)의 피낭유충 및 성충의 형태 (Parvatrema timondavidi (Digenea; Gymnophallidae) transmitted by a clam, Tapes philippinarum, in Korea)

  • 유재란;채종일;이순형
    • Parasites, Hosts and Diseases
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    • 제31권1호
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    • pp.7-12
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    • 1993
  • 반지락(Tapes philippinarurm)에서의 수집한 피낭유충을 동정하기 위하여 ICR계 마우스에 피낭유충을 경구감염시킨 다음 제 7일, 제 10일, 제 14일에 희생시키고 소장을 적출하여 충체를 회수하였다. 그 결과는 다음과 같다. 1.피낭유충은 작은 충체($312{\;}{\times}{\;}202{;\}{\mu\textrm{m}}$)가 피포하지 않은 상태로 감염되어 있고, 구홉반이 크고 잘 발달되었고 측명돌기가 관찰되었다. 장관은 이분지 되어 끝부분이 매우 부풀어 오른 맹관이었으며 복흡반까지 닿아 있었다. Ventral pit는 관찰되지 않았고 생식공은 원형으로 구홉반과 복합반 사이에 위치하였다. 배설낭은 V자 모양으로 두팔부분은 구홉반까지 닿아 있었다. 2.마우스 소장에서의 회수율 평균 20.1% 이었으며 감염 후 10일 째의 회수율이 가장 높았고 14일에는 현저히 간소하였다. 3.성충은 피낭유충과 크기의 차이가 없었다. 난황선은 한 개가 복합반의 왼쪽 옆에 위치하였다. 저장낭은 한부분으로 이루어져 있었고 복흡반보다 전방에 위치하였다. 고환은 한쌍으로 복흡반 후측장에 위치하였고 난소는 오른쪽 고환이 전방에 위치하였다. 충란은 길이 $28{;\}{\mu\textrm{m}}(27-30{;\}{\mu\textrm{m}})$, 폭 $19{;\}{\mu\textrm{m}}(17-20{;\}{\mu\textrm{m}})$으로 껍질이 매우 얇았으며 날개가 있었다. 이상의 결과로 반지락을 제2중간숙주로 하는 Parvatrema timondavidi(Digenea:Gymnophallidae)가 국내에 분포함을 확인하였다.

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Deep learning for the classification of cervical maturation degree and pubertal growth spurts: A pilot study

  • Mohammad-Rahimi, Hossein;Motamadian, Saeed Reza;Nadimi, Mohadeseh;Hassanzadeh-Samani, Sahel;Minabi, Mohammad A. S.;Mahmoudinia, Erfan;Lee, Victor Y.;Rohban, Mohammad Hossein
    • 대한치과교정학회지
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    • 제52권2호
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    • pp.112-122
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    • 2022
  • Objective: This study aimed to present and evaluate a new deep learning model for determining cervical vertebral maturation (CVM) degree and growth spurts by analyzing lateral cephalometric radiographs. Methods: The study sample included 890 cephalograms. The images were classified into six cervical stages independently by two orthodontists. The images were also categorized into three degrees on the basis of the growth spurt: pre-pubertal, growth spurt, and post-pubertal. Subsequently, the samples were fed to a transfer learning model implemented using the Python programming language and PyTorch library. In the last step, the test set of cephalograms was randomly coded and provided to two new orthodontists in order to compare their diagnosis to the artificial intelligence (AI) model's performance using weighted kappa and Cohen's kappa statistical analyses. Results: The model's validation and test accuracy for the six-class CVM diagnosis were 62.63% and 61.62%, respectively. Moreover, the model's validation and test accuracy for the three-class classification were 75.76% and 82.83%, respectively. Furthermore, substantial agreements were observed between the two orthodontists as well as one of them and the AI model. Conclusions: The newly developed AI model had reasonable accuracy in detecting the CVM stage and high reliability in detecting the pubertal stage. However, its accuracy was still less than that of human observers. With further improvements in data quality, this model should be able to provide practical assistance to practicing dentists in the future.

한국산 꺽지 (Coreoperca herzi)의 산란습성 및 초기생활사 (Spawning Behavior and Early Life History of Korean Aucha Perch, Coreoperca herzi Herzenstein)

  • 한경호;박준택;정규화;이원교;이재용;방인철
    • 한국양식학회지
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    • 제11권1호
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    • pp.49-58
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    • 1998
  • 우리나라 특산 어종인 꺽지의 산란습성, 초기생활사에 관하여 조사하였다. 산란기는 자연 상태에서 5~6월이며, 한 마리의 암컷이 여러 번 산란에 참여한다. 꺽지의 성숙한 어미들은 큰 돌 아래쪽에 알을 한층으로 점착하여 산란하며, 수컷이 부화하여 후기자어기까지 보호한다. 알의 크기는 2.60~3.04mm로 여러개의 유구를 가지고 있으며, 유구의 크기는 0.10~0.64mm이다. 부화는 사육수온 19$\pm$1.$0^{\circ}C$에서 수정후 380시간째부터 시작되어 392시간만에 완료된다. 부화직후의 자어는 전장 6.45~7.34mm(평균 6.85mm)로 입과 항문이 열려 있고, 흑색소포는 머리부분, 난황 윗부분, 복부의 등쪽에 분포한다. 부화후 3일째 자어는 평균 전장 7.25mm로 이때부터 Daphnia sp.와 Brachionus plicatilis를 왕성하게 섭이한다. 부화후 6일째의 자어는 전장 7.94~10.10mm(평균 9.00mm)로 난황은 대부분 흡수되어 후기자어기로 접어들며, 척색의 끝부분은 45도로 위로 굽어져 있다. 부화후 30일째의 자어는 전장이 16.90~19.80mm(평균 18.20mm)로 체고는 현저하게 높아지고, 모든 지느러미 줄기가 정수에 달하여 치어기로 이행한다. 부화후 50일째의 치어들은 전장이 24.60~27.10mm(평균 25.90mm)로 몸의 형태, 체색 및 옆줄이 완전하게 형성되어 성어에 닮아간다.

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