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The Meaning of the Prognostic Factors in Ruptured Middle Cerebral Artery Aneurysm with Intracerebral Hemorrhage

  • Oh, Ji-Woong;Lee, Ji-Yong;Lee, Myeong-Sub;Jung, Hyen-Ho;Whang, Kum;Brain Research Group, Brain Research Group
    • Journal of Korean Neurosurgical Society
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    • v.52 no.2
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    • pp.80-84
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    • 2012
  • Objective : This study analyzed the relationship between prognosis and multiple clinical factors of ruptured middle cerebral artery (MCA) aneurysm with intracerebral hemorrhage (ICH), to aid in predicting the results of surgical treatment. Methods : Enrolled subjects were 41 patients with ruptured MCA aneurysm with ICH who were treated with surgical clipping. Clinical factors such as gender, age, and initial Glasgow coma scale were assessed while radiological factors such as the volume and location of hematoma, the degree of a midline shift, and aneurysm size were considered retrospectively. Prognosis was evaluated postoperatively by Glasgow outcome scale. Results : Age and prognosis were correlated only in the groups with ICH over 31 mL or ICH at the frontal lobe or sylvian fissure. When initial mental status was good, only patients with ICH on the temporal lobe had a better prognosis. If the midline shift was less than 4.5 mm, the probability of better prognosis was 95.5% (21 of 22). If the midline shift was more than 4.5 mm, the probability of poor prognosis was 42.1% (8 of 19). Patients with ICH less than 31 mL had higher survival rates, whereas if the ICH was more than 31 mL, 41.2% (7 of 17) had a poor clinical pathway. Conclusion : Even if the initial clinical condition of the patient was not promising, by carefully examining and taking into account all factors, neurosurgeons can confidently recommend surgical treatment for these patients.

Association of Demographic and Socioeconomic Factors With Risk Factors for Chronic Kidney Disease

  • Kim, Tae Hyun;Lee, Min-Jee;Yoo, Ki-Bong;Han, Euna;Choi, Jae-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.3
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    • pp.170-177
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    • 2015
  • Objectives: The goal of this study was to examine the association of various demographic and socioeconomic factors with risk factors for chronic kidney disease (CKD). Methods: We used nationally representative pooled data from the Korea National Health and Nutrition Examination Survey (KNHANES), 2007-2013. We estimated the glomerular filtration rate (GFR) using the Modification of Diet in Renal Disease equation. We defined CKD as a GFR <60 mL/min/$1.73m^2$, and 1304 of the 45 208 individuals included in the KNHANES were found to have CKD by this definition. The outcome variable was whether individual subjects adhered to the CKD prevention and management guidelines recommended by the Korea Centers for Disease Control and Prevention. The guidelines suggest that individuals maintain a normal weight, abstain from alcohol consumption and smoking, manage diabetes and hypertension, and engage in regular exercise in order to prevent and manage CKD. Results: This study found that individuals with CKD were more likely to be obese and have hypertension or diabetes than individuals without CKD. In particular, male and less-educated CKD patients were less likely to adhere to the guidelines. Conclusions: Although the prevalence of CKD, as indicated by the KNHANES data, decreased from 2007 to 2013, the prevalence of most risk factors associated with CKD fluctuated over the same time period. Since a variety of demographic and socioeconomic factors are related to the successful implementation of guidelines for preventing and managing CKD, individually tailored prevention activities should be developed.

Effect of DEM Resolution in USLE LS Factor (USLE LS 인자 구축시 DEM 해상도가 미치는 영향)

  • Koo, Ja-Young;Yoon, Dae-Soon;Lee, Dong Jun;Han, Jeong Ho;Jung, Younghun;Yang, Jae E;Lim, Kyoung Jae
    • Journal of Korean Society on Water Environment
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    • v.32 no.1
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    • pp.89-97
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    • 2016
  • Digital Elevation Models (DEMs) have been used to represent the effects of topography on soil erosion. A DEM of 30 m resolution is frequently used in hydrology and soil erosion studies because the National Water Management Information System (WAMIS) provides a 30 m resolution DEM at national scale on its web site. However, the Ministry of Environment recommends the use of a DEM with 10 m resolution for evaluation of soil erosion due to the fact that soil erosion estimation is to some degree affected by the spatial resolution of DEM. In this regard, a DEM with 5 m resolution was resampled for 10 × 10 m, 20 × 20 m, 30 × 30 m, 50 × 50 m, 70 × 70 m, and 100 × 100 m resolutions, respectively. USLE LS factors and soil erosion values were evaluated using these datasets. Use of a DEM with at least 30 m resolution provided reasonable LS factors and soil erosion values at a watershed.

Factors Affecting Performance of Rotary Impact-Type Threshers for Sesame and Perilla Harvesting

  • Pang, Yeoun Gyu;Kim, Sang Hun;Jun, Hyeon-Jong
    • Journal of Biosystems Engineering
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    • v.43 no.3
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    • pp.185-193
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    • 2018
  • Purpose: The purpose of this study was to analyze the performance factors of a rotary impact-type thresher to develop a sesame and perilla thresher, specifically to analyze the cut length of the stems and the threshing rates based on the relationship between the blade velocity and feeding speed. Methods: The materials were dried within a range of 12.3-13.0% to test the impact cut by bending. The cut lengths of the perilla and sesame stems were categorized in 6 ranges (~7.0, 7.1-10.0, 10.1-13.0, 13.1-16.0, 16.1-20.0, 20.1- (cm)). For testing the cut length and threshing rate, the upward-rotating blade velocity was varied as 11.0 m/s, 13.5 m/s, and 22.3 m/s. Feeding speeds were changed from 0.1 m/s to 2.2 m/s by the inverter connected to the feed motor. The feed rate and threshing rates without cover-casing were evaluated with the factors of thresher testing. Results: The mean cut length of the stem decreased as the blade velocity increased and/or the feeding speed decreased. As the feed rate increased up to 17.5 g/s, the cut length distributions showed no significant difference. The threshing rate was 98.9% for sesame, and flexible according to the blade velocity and feeding speed of the perilla. Conclusion: Feeding material too fast could produce longer cut stem segments, therefore, a feeding speed less than 2.2 m/s is recommended. A blade velocity of 13.5 m/s is preferable for both sesame and perilla with regard to cut length and threshing rate.

Estimation of Magnitude of Debris Flow and Correlation Analysis Between Influencing Factors (토석류 규모 산정과 영향인자와의 상관성 분석)

  • Choi, Young-Nam;Hwan, Hui-Seok;Lee, Hyung-Ho;Yoo, Nam-Jae
    • Journal of the Korean Geosynthetics Society
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    • v.16 no.2
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    • pp.79-87
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    • 2017
  • In this paper, for 43 sites neighboring to western area of Gangwondo where disaster of debris flow occurred from 2006 to 2013, magnitude of debris flow was estimated from results of site investigation and correlation analysis between influencing factors to its magnitude was performed. Magnitude of channelized debris flow was found greater by 6.5 times of that of hill slope debris flow and approximately 5% of total volume was occurred at initiation part of channelized debris flow. As results of analyzing yield rate of debris flow, for channelized debris flow, yield rate values of $19m^3/m$ and $8m^3/m$ were obtained for total volume being over $10,000m^3/m$ as the large scale of debris flow and less than $10,000m^3/m$ respectively, and value of $5m^3/m$ was estimated for hill slope debris flow. As results of correlation analysis of influencing factors to magnitude of debris flow, runoff distance and erosion width were very highly correlated to its magnitude whereas average slope of basin and erosion depth showed relatively low correlation. In particular, value of erosion depth was in the range of 0.5-2.6 m, being similar range to the value proposed by Ikeya (1981). Triggering rainfall to debris flow such as continuous rainfall and maximum intensity of hour rainfall were analyzed to have low correlation with magnitude of debris flow.

Expression of Neurotrophic Factors and Their Receptors in Rat Posterior Taste Bud Cells

  • Park, Dong-Il;Chung, Ki-Myung;Cho, Young-Kyung;Kim, Kyung-Nyun
    • International Journal of Oral Biology
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    • v.39 no.2
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    • pp.107-114
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    • 2014
  • Taste is an important sense in survival and growth of animals. The growth and maintenance of taste buds, the receptor organs of taste sense, are under the regulation of various neurotrophic factors. But the distribution aspect of neurotrophic factors and their receptors in distinct taste cell types are not clearly known. The present research was designed to characterize mRNA expression pattern of neurotrophic factors and their receptors in distinct type of taste cells. In male 45-60 day-old Sprague-Dawley rats, epithelial tissues with and without circumvallate and folliate papillaes were dissected and homogenized, and mRNA expressions for neurotrophic factors and their receptors were determined by RT-PCR. The mRNA expressions of brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT3), receptor tyrosine kinase B (TrkB), exclusion of nerve growth factor (NGF), neurotrophin-4/5 (NT4/5), receptor tyrosine kinase A (TrkA), receptor tyrosine kinase C (TrkC), and p75NGFR were observed in some population of taste cell. In support of this result and to characterize which types of taste cells express NT3, BDNF, or TrkB, we examined mRNA expressions of NT3, BDNF, or TrkB in the $PLC{\beta}2$ (a marker of Type II cell)-and/or SNAP25 (a marker of Type III cell)-positive taste cells by a single taste cell RT-PCR and found that the ratio of positively stained cell numbers were 17.4, 6.5, 84.1, 70.3, and 1.4 % for $PLC{\beta}2$, SNAP25, NT3, BDNF, and TrkB, respectively. In addition, all of $PLC{\beta}2$-and SNAP25-positive taste cells expressed NT3 mRNA, except for one taste bud cell. The ratios of NT3 mRNA expressions were 100% and 91.7% in the SNAP25-and $PLC{\beta}2$-positive taste cells, respectively. However, two TrkB-positive taste cells co-expressed neither $PLC{\beta}2$ nor SNAP 25. The results suggest that the most of type II or type III cells express BDNF and NT3 mRNA, but the expression is shown to be less in type I taste cells.

Expression Pattern of T Lymphocyte Regulatory Factors in Unstimulated Whole Saliva of Erosive Oral Lichen Planus and Recurrent Aphthous Stomatitis Patients (미란형 구강편평태선과 재발성 아프타성 구내염 환자들의 비자극성 전타액내 T림프구 조절인자들의 발현 양상)

  • Yoon, Seon-Hack;Ko, Hyun-Mi;Park, Ji-Il;Kim, Jae-Hyung
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.363-369
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    • 2009
  • Erosive oral lichen planus (EOLP) and recurrent aphthous stomatitis (RAS) are T-cell mediated inflammatory immune disorders. It was investigated mRNA expression pattern of several regulatory factors, such as, CD28, CD45, CD152, CD154, CD279, which influence T lymphocyte in unstimulated whole saliva (UWS) of EOLP and RAS patients. It was collected unstimulated whole saliva during 10 minute in EOLP 18 people, RAS patients 12 people, healthy control 8 people. We investigated mRNA expression of T lymphocyte regulatory factors, such as, CD28, CD45, CD152, CD154, CD279, with real time reverse transcription polymerase chain reaction. In EOLP group, CD45, CD279 expressed higher and CD154 expressed lower than control. In RAS, CD45, CD270 expressed higher and CD28, CD154 expressed lower than control. In addition CD152 salivary mRNA expression of EOLP is higher than that of RAS. The above results were suggested that the mRNA expression of T lymphocyte regulatory factors in unstimulated whole saliva of EOLP and RAS contributes to diagnosis of diseases.

Diel Vertical Distribution of Phytoflagellates in a Small Artificial Pond

  • Kim, Han-Soon;Takamura, Noriko
    • ALGAE
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    • v.17 no.1
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    • pp.1-9
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    • 2002
  • Diel vertical distribution of phytoflagellates and interactions between the phytoplankton components and environmental and biological factors were studied in a small artificial pond for three days on the December 18, 1998 and April 9 to 10, 1999. The phytoplankton population was dominated by Mallomonas akrokomos of chrysophytes and Cryptomonas marssonii and Chroomonas sp. of cryptophytes. The vertical distribution of these phytoflagellates taxa exhibited clear diel migration pattern. Moreover their migration patterns are showed differential fluctuation between M. akrokomos, C. marssonii and Chroomonas sp. The later two species upward migrated in the evening as well as night, whereas the former species migrated downward. Their distinctive migration pattern was found during the night but was not observed in the morning. During daytime C. marssonii and Chroomonas sp. showed maximum density above 2 m depth but M. akrokomos below 2 m depth. The diel vertical distribution of the dominant phytoflagellates did not show significant correlation between physical, chemical and biotic factors.

Factors Delaying Presentation of Sudanese Breast Cancer Patients: an Analysis Using Andersen's Model

  • Salih, Alaaddin M;Alfaki, Musab M;Alam-Elhuda, Dafallah M;Nouradyem, Momin M
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2105-2110
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    • 2016
  • Purpose: A multicenter, observational, cross-sectional study was conducted to assess factors delaying presentation of breast cancer cases. Materials and Methods: Data were collected from a pair of highly specialized referral centers, both located in the center of the Sudanese capital, Khartoum. For a total of 153 eligible respondents, durations of delay, clinicodemographic factors and reasons of referral were collected from our respondents through self-administered questionnaires. Logistic regression analysis and ANOVA were used to test the relation between periods of delay and different factors. Odd ratios (OR's) and their correspondent Confidence intervals (95% CI's). Delay periods were studied with Andersen's model. Results: The average duration of delay in our study was 11.9 (${\pm}11.2$) months. Only a quarter of our patients presented early within the first 3 months after onset of their symptoms. About 47.7% arrived later during the course of the first year, while it took beyond that for the last 27% to come. A prior diagnosis of BC was the only predictor of early presentation (for 3-12 months OR=9.6 (p<0.00), 95% CI 9.55-9.75; for >12 months OR=9.3 (p<0.00), 95% CI 9.33-9.33). Out of the 12 different reasons for delay given by our respondents, none showed a significant difference between patients presenting early or late. Financial incapacity (17.5%), ignorance about BC (14.3), and misinterpreting symptoms (12.7%) were the top three whys of delay. Conclusions: Our findings support existence of a non-uniform pattern of delay among Sudanese BC patients. Changing currently adopted awareness elevating strategies into much more inclusive approaches is strongly recommended.

The Environmental Factors and Coliform Group in Suyeong Bay : 1. The environmental factors and coliform group during summer in Suyeong bay (수영만의 수질환경과 대장균 1. 하계의 수질환경과 대장균에 관하여)

  • Lee, Won-Jae;Park, Young-Tae;Kim, Mu-Chan;Seong, Hee-Kyung
    • Journal of fish pathology
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    • v.4 no.1
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    • pp.15-21
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    • 1991
  • The environmental factors and the distribution of coliform group were investigated in Suyeong bay on the summer, 1989. The ranges of environmental factors were as follows : Dissolved oxygen $0.54{\sim}6.82m{\ell}/{\ell}$, COD(Chemical Oxygen Demand) 0.28~9.84ppm, Salinity 14.7~33.5%, Nitrite $0.13{\sim}20.49{\mu}g-at/{\ell}$, Nitrate $0.89{\sim}62.77{\mu}g-at/{\ell}$, Ammonia $3.81{\sim}246.98{\mu}g-at/{\ell}$, Silicate $6.12{\sim}177.5{\mu}g-at/{\ell}$. The coliform group ranged $10^4{\sim}10^5/100m\ell$ in the mouth and it was decreased in the open sea. Among the composition of coliform group, E. coli I type was dominent at distance area. The correlation between coliform group and ammonia was r=0.629. There were negative correlation between salinity, dissolved oxygen and coliform group during study period.

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