• Title/Summary/Keyword: peak factors

Search Result 900, Processing Time 0.028 seconds

Clinical Evaluation of Thoracostomy Treatment on the Pathological Changes in Pleural Cavity (흉강병변에 대한 흉강삽관술 246례의 임상적 고찰)

  • Rhee, Chong-Bae;Kim, Geun-Ho
    • Journal of Chest Surgery
    • /
    • v.10 no.2
    • /
    • pp.205-213
    • /
    • 1977
  • In order to evaluate the therapeutic effect of thoracostomy on the patients with pathological changes in pleural cavity which were caused by various etiological factors, a clinical study was carried out during a period of 5 and half years from May 1972 to September 1977 in the department of thoracic surgery, Hanyang University Hospital, and the following results were obtained. Of a total of 264 patients, 205 cases were male, and 59 female, exhibiting the ratio of male to female being 3.5 to 1. The pathological changes in pleural cavity could occur at any age from 4 months after birth to 76 years old, the peak incidence being in the third decade in either male or female. The incidence decreased in the second, fifth and fourth decade in order. The type of pathological changes observed and their frequencies of occurrences were 93 cases [35.2%] in pneumothorax, 62 cases [23.5%] in hemothorax, 48 cases [18.2%] in pyothorax, 46 cases [17. 4%] in hemopneumothorax, 13 cases [4.9%] in hydropneumothorax, and one case each in hydrothorax and chylothorax. The incidence of the primary diseases which predisposed the pathological changes in pleural cavity were, 119 cases [45-1%] in trauma, 64 cases [24.2%]in lung tuberculosis, 38 cases [14.4%] in pneumonia or empyema, 14 cases [5.3%] in lung emphysema and blebs, 13 cases [4.9%] in process after thoracotomy, 3 cases [1.1%] each in lung malignant tumor and lung paragonimiasis, one case in mechanical ventilator and 9 cases [3.4%] in unknown origin. The pathological changes in pleural cavity were located in the right side of the cavity in 124 cases, in the left side in 133 cases and in both sides in 7 cases, indicating that the difference between the incidence of the left and rightside occurences was insignificant. Of 93 cases of pneumothorax studied, 63 cases were found to have been tension pneumothorax and 30 cases non-tension pneumothorax, showing greater prevalence of tension type over non-tension type. Of 119 cases of trauma observed, 82 cases were accompanied with rib fractures and 37 cases were without any fracture [non-bone fracture]. Patients with the rib fractures were characterized by multiple rib fractures and multiple double fractures of ribs, accompanying with or without fracture of bones other than ribs, and patients with non-bone fracture were characterized by penetrating stab wound and blunt trauma. Of 264 cases who received thoracostomy, 207 cases [78.4%] demonstrated that their pathological changes in pleural cavity were removed and subsided by a simple measure of thoracostomy. In 43 cases [16.3%], various surgical measures including radical operation and thoracotomy were required for complete healing, since their pathological changes were not abolished by thoracostomy alone. The rest 14 cases [5.3%] were expired following thoracostomy.

  • PDF

INFLUENCE OF INTERIMPLANT DISTANCE ON BONE RESORPTION : A RADIOLOGICAL AND HISTOLOGICAL STUDY IN BEAGLE DOGS (Beagle dog를 이용한 임프란트 사이의 간격에 따른 골흡수에 대한 방사선 및 조직학적 평가)

  • Lee, Su-Youn;Lee, Jae-Wook;Kim, Jin-Wook;Lee, Sang-Han
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.34 no.5
    • /
    • pp.571-577
    • /
    • 2008
  • Introduction: Possible etiologic factors associated with bone loss around implants after implantation are surgical trauma, occlusal overload, periimplantitis, presence of micro gap and the formation of biologic distances. Tarnow et al. observed that the crestal bone loss was greater when the distance between the implants was <3mm than when the implants were ${\geq}\;3mm$ apart. The aim of this study was to evaluate the influence of different interimplant distance on marginal bone and crestal bone resorption in the beagle dogs. Materials and methods: The mandibular premolars of 5 dogs were extracted bilaterally. After 12 weeks of healing, each dog received 7 implants. On each side, implants were separated by 2mm (Group 1) and by 5mm (Group 2). After 16 weeks of healing, the dogs were sacrificed. Marginal bone loss was determined through linear measurements made between the implant-abutment junctions and the most coronal portions of the bone in contact with the implant surface. A line was drawn uniting the implant-abutment junctions of the adjacent implants, and a linear measurement was made at the midpoint in the direction of the most coronal peak of the interimplant bone crest to determine the crestal bone loss. Both of them was measured radiologically and histologically. Result and conclusion: In radiological analysis, the mean of marginal bone loss was $1.26{\pm}0.14mm$ for group 1 and $1.23{\pm}0.34mm$ for group 2, the mean of crestal bone loss was $1.10{\pm}0.14mm$ for group 1 and $1.02{\pm}0.30mm$ for group 2. The results were not statistically significant between 2 groups. In histological analysis, the mean of marginal bone loss was $1.63{\pm}0.48mm$ for group 1 and $1.62{\pm}0.50mm$ for group 2, the mean of crestal bone loss was $1.23{\pm}0.35mm$ for group 1 and $1.15{\pm}0.39mm$ for group 2. The differences were also not statistically significant. The clinical significance of this result is that the increase in the crestal bone loss results in the increase in the distance between the base of the interproximal contact of the crowns and the bone crest, and this determines if papilla will be present or absent between implants. Considering this fact, keeping up sufficient interimplant distance is important to minimize crestal bone loss.

Clinical Analysis of Spinal Cord Tumor (척수종양의 임상적 분석)

  • Choi, Weon-Rim;Shin, Won-Han;Cho, Sung-Jin;Kim, Bum-Tae;Choi, Soon-Kwan;Byun, Bak-Jang
    • Journal of Korean Neurosurgical Society
    • /
    • v.30 no.1
    • /
    • pp.47-53
    • /
    • 2001
  • Objective : This study was undertaken to evaluate operative results and prognosis according to preoperative clinical status and histopathological finding of spinal cord tumor. Methods : We analyzed of clinical feature, tumor location, histopathologic finding, operative results and prognosis in 55 patients with spinal cord tumor during last 10 years. Results : 1) The incidence of spinal cord tumors varies with the age of affected patients who are 2 to 75 years of age. Peak incidences were in the 5th & 7th decade of life, and the ratio of male to female was 1.2:1. 2) The most common histopathologic type was neurinoma(41.9%). 3) The tumors were located most frequently in the thoracic area(22 cases, 40.0%) and in the intradural extramedullary space(30 cases, 54.5%). 4) The most common initial clinical feature was pain in 20 cases(36.4%). For neurologic status on admission, 30 cases(54.5%) showed motor disturbance. 5) In radiologic studies, there were abnormal finding in 21 cases from plain X-rays among 37 cases. The entire 20 cases in when myelography was done showed subarachnoid blockade, either complete or incomplete. The magnetic resonance imaging, regard as the most accurate diagnostic method, revealed the exact location of the tumor and the relationship of the tumor with the adjacent anatomical structure. 6) The total removal was possible in 36 cases(65.5%), subtotal removal in 17 cases(30.9%) and biopsy in 2 cases (3.6%). Nineteen cases(90.5%) among 21 cases with preoperative radiculopathy group showed recovery or improvement, where as only 11 cases(36.7%) among 30 cases with preoperative motor weakness group showed recovery or improvement, with statistically significant difference(p<0.01). Pathologically, 26 cases(83.9%) among 31 cases of neurinoma and meningioma showed postoperative recovery or improved, but only 1 case(6.3%) among 16 cases of metastatic tumor, astrocytoma and ependymoma recovered. Postoperative complication noted in 5 cases(9.1%), and were noted postoperative hematoma, pneumonia, pulmonary edema and spinal cord infarction. Conclusion : Preoperative neurologic status and histopathologic finding are considered important factors of Postoperative outcome in patients with spinal cord tumor.

  • PDF

Cavernous Angioma : Natural History and Management Strategies (해면상 혈관종의 자연 경과와 치료 전략)

  • Lim, Hyo Joo;Kwon, Yang;Ahn, Jae Sung;Kim, Jeong Hoon;Kim, Chang Jin;Lee, Jung Kyo;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
    • /
    • v.29 no.8
    • /
    • pp.1001-1007
    • /
    • 2000
  • Objective : We analysed diverse clinical features of the cavernous angioma. Also, we report the experience in differ-ent methods of the management and their results. Method : Data from 80 patients who were confirmed pathologically or diagnosed radiologically between Jan. 1990 and Sept. 1998 at our hospital were analysed. Variable factors that were examined were : clinical features, effects of treatment, and complications. Results : There were 47 male and 33 female patients. The age at the first presentation was from 3 to 57(mean 34.1) years old. Clinical features were seizure in 28 cases(38%), bleeding in 24 cases(32%), neurologic deficits in 12 cases(16%), headache in 10 cases(14%), and six incidental cases. The locations of lesion were cerebral and cerebellar hemisphere in 45 cases(56.2%), brainstem, basal ganglia, and thalamus in 32 cases(40%), multiple in 3 cases (3.8%). Seizure was common at the third decade and occurred frequently with the cavernous angioma in temporal (43%) or frontal lobe(39%). Bleeding was frequent after the third decade with peak at the fourth decade and had high incidence in brainstem or thalamus. The gamma-knife radiosurgery was done in 47 cases. Rebleeding occurred in 3 cases, but it was within postradiosurgery 1 year. Symptomatic radiation change occurred in 2 cases of 8 radiation change on MRI. On follow-up MRI, no evidence of rebleeding was found in 30 cases. Also, The lesion size was decreased in 3 cases. Resection was performed in 23 cases ; total 20, subtotal 2, partial 1. Postoperative complication occurred in 6 cases(26.1%). After surgery, 7(63.6%) of 11 seizure patients had outcome of seizure-free. Subclinical rebleeding occurred in one of two subtotal resected cases. In 11 patients, conservative management was done. There was neither rebleeding nor symptom aggravation during follow-up period of mean 17.2 months. Conclusion : The solution for prevention of rebleeding is complete removal of the lesion located at noneloquent area or accessible region, especially for the patients who presented symptoms or intractable seizure. However, the Gamma knife radiosurgery is considered when the lesions are located at eloquent area or when severe postoperative morbidity is expected.

  • PDF

Explicit Nonlinear Finite Element Analysis for Flexural/Shear Behavior of Perfobond FRP-Concrete Composite Beam (퍼포본드 FRP-콘크리트 합성보의 휨/전단거동에 관한 외연적 비선형 유한요소해석 연구)

  • Yoo, Seung-Woon
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.21 no.11
    • /
    • pp.771-776
    • /
    • 2020
  • In this study, the flexural/shear behavior characteristics of perfobond FRP-concrete composite beams using an FRP plate with perforated webs as formwork and reinforcement are analyzed through an analytical method. Compared with the existing experimental results, we have proved its usefulness and use it in future practice. When the nonlinearity is very large in this case, the nonlinear finite element analysis by an explicit method will be effective. The concrete damage plasticity (CDP) model adopted in this study is considered to be able to adequately simulate the nonlinear behavior of concrete, and the determination of several variable factors required in the model is compared with the experimental results and values used in the study. This recommendation will require review and adjustment for more diverse cases. The effect of the perfobond of the composite beam with perforated web is considered to be somewhat effective in terms of securing the initial stiffness, but in the case of the apex, it is considered that the cross-sectional loss and the effect of improving the bonding force should be properly arranged. The contact problem, such as slipping of the FRP plate and concrete, is considered to be one of the reasons that the initial stiffness is slightly larger than the test result, and the slightly difference from the experimental results is attributed to the separation problem between concrete and FRP after the peak.

Auditory brainstem response (ABR) results in NICU graduates (신생아 집중치료실 퇴원아의 청성뇌간반응(ABR) 결과에 미치는 위험인자 및 경과)

  • Choi, Hee-Joung;Lee, Tae-ho;Oh, Ki-Won;Kim, Heng-Mi
    • Clinical and Experimental Pediatrics
    • /
    • v.49 no.12
    • /
    • pp.1301-1307
    • /
    • 2006
  • Purpose : Hearing loss is one of the most common birth defects, and early detection and intervention positively impact language/speech and cognitive development. It has been reported that NICU graduates have a high incidence of hearing loss. So we investigated the incidence, risk factors and clinical outcome of hearing loss in NICU graduates. Methods : This study involved neonatal auditory brainstem response (ABR) testing of newborn infants who graduated from the NICU of Kyungpook National University Hospital during a 3-year period (between July 2002 and June 2005) and subsequent follow-up of these infants. Results : ABR evaluations were performed on 474 infants. Of these infants, 64 showed abnormal ABR (13.5 percent). Of 128 ears from these 64 infants, two ears (1.6 percent) and 10 ears (7.8 percent) were classified as severe and profound hearing loss, respectively. The infants with abnormal ABR had higher incidence of prematurity, low birth weight, very low birth weight, neonatal asphyxia, cranio-facial malformation and amikacin treatment over 15 days (P<0.05). In infants with hyperbilirubinemia, the peak level of serum bilirubin, duration of phototherapy and exchange transfusion were not associated with the higher incidence of hearing loss. Follow-up ABR evaluation was performed on 15 infants with abnormal ABR at $8.8{\pm}4.4months$. In follow-up ABR, 80.0% showed improvement or normalization of threshold sensitivity. Conclusion : NICU graduates exhibit high risk for hearing loss. Systemic and effective hearing assessment program is needed for these high risk infants.

Antihypertensive effect of Chunghyul-dan(Qingxue-dan) on stage 1 hypertensive patients with stroke (중풍환자 1기 고혈압에 청혈단(淸血丹)의 항고혈압 효과)

  • Kim, Lee-Dong;Lee, Sang-Ho;Kim, Eun-Ju;Kim, Tai-Hun;Park, Young-Min;Jung, Dong-Won;Shin, Won-Jun;Jung, Woo-Sang;Bae, Hyung-Sup;Yun, Sang-Pil
    • The Journal of Internal Korean Medicine
    • /
    • v.25 no.2
    • /
    • pp.195-201
    • /
    • 2004
  • Background and Purpose : Hypertension is one of the modifiable risk factors for stroke. Lowering blood pressure is a primary or secondary preventative measure for stroke. This study aims to assess the efficacy of Chunghyul-dan(Qingxue-dan) in stage 1 hypertensive patients who have suffered a stroke by 24 hour ambulatory blood pressure monitoring(24ABPM). Subjects& Methods : We enrolled 40 hospitalized stroke patients with stage 1 hypertension and divided them into 2 groups by stratified randomization; group A took 1200mg of Chunghyul-dan(Qingxue-dan) at 8:00 a.m. for two weeks without changing herbal medicine, and group B was the control group. 28 patients were included in the final analysis(15 in group A. 13 in group B). Blood pressure is monitored from 8:00 am to 7:30 am every 30 minutes for 24 hours. Blood pressure was monitored two times at baseline and again two weeks later. We used 3 parameters for evaluating the efficacy of Chunghyul-dan(Qingxue-dan); The first parameter is change from baseline to two weeks later in blood pressure and pulse rate. The second parameter is the trough/peak ratio(TPR) and smoothness index(SI). The third parameter is antihypertensive rate by antihypertensive efficacy guideline. Results : There is no significant difference in the baseline assessment hetween the two groups. Systolic blood pressure $(141.37{\pm}8.96\;mmHg\;vs\;132.28{\pm}9.46\;mmHg)$ decreased after two weeks of 1200mg(P=0.03) intake of Chunghyul-dan(Qingxue-dan). Systolic TPR and SI was 0.87 and 1.04 in group A. Antihypertensive rate was higher in group A. Conclusion: These results suggest that 1200mg doses of Clunghyul-dan(Qingxue-dan) is an effective antihypertensive agent on stage 1 hypertension patients who have suffered a stroke.

  • PDF

Variation of Glucosinolate Contents among Domestic Broccoli (Brassica oleracea L. var. italica) Accessions (국내 브로콜리(Brassica oleracea L. var. italica) 유전자원 내 Glucosinolate 함량 변이)

  • Lee, Jun Gu;Kwak, Jung-Ho;Um, Yeong Cheol;Lee, Sang Gyu;Jang, Yoon-Ah;Choi, Chang Sun
    • Horticultural Science & Technology
    • /
    • v.30 no.6
    • /
    • pp.743-750
    • /
    • 2012
  • A total of 95 broccoli (Brassica oleracea L. var. italica) accessions were evaluated for the identification of desulfo-glucosinolates and their content variation in the flower head using ultra performance liquid chromatography, to select the potentially functional broccoli breeding lines. The six individual desulfo-glucosinolates, including progoitrin, glucoraphanin, sinigrin, gluconapin, glucobrassicanapin, and glucobrassicin, were commonly identified, based on the chromatogram peak comparison with those of the nine individual glucosinolate standards. The total glucosinolate contents varied from 4.2 to $29.0{\mu}mol{\cdot}g^{-1}$ DW and the glucoraphanin (1.6 to $13.9{\mu}mol{\cdot}g^{-1}$ DW) was confirmed as a major constituent in the total glucosinolate profile among the six identified individual glucosinolate species, whereas the progoitrin, which was only detected in 13 accessions, showed accession-specific variation and negative correlation with glucoraphanin content. It was also revealed that the four major glucosinolates, such as glucobrassicanapin, glucoraphanin, glucobrassicin, and gluconapin, affected major content variation and showed higher positive inter-correlation. These results might be used for the selection of potential breeding materials as functional broccoli germplasm through the further evaluation on the stability and reproducibility of glucosinolate profile depending on environmental factors or cultural managements using the selected accessions.

Characteristic of Long Term Variation of the Water Quality at the Waters of Goseong bay (고성만 수질의 장기변동 특성)

  • Kwon, Jung-No
    • Journal of the Korean Society for Marine Environment & Energy
    • /
    • v.13 no.4
    • /
    • pp.279-287
    • /
    • 2010
  • To identify characteristics of the water quality at Goseong bay, we analyzed long term monitoring data collected at surface and bottom water which was accumulated during the period of 1987~2009. The result showed that the waters of Goseong bay represented mesotrophic level that is based on chlorophyll-a, DIP and DIN and seasonal average of COD that indicates level by the COD criteria. This analysis can be translated that the waters is comparatively clean even though the waters is in the closed bay that slowly diffuses influx mass. We also did the time series analysis, correlation analysis and regression analysis on the moving average of the water parameter at Goseong bay. According to the results, DIP showed a increasing trend as time passed while DIN was on a decreasing trend under the same condition. In the waters of Goseong bay, the phyto-plankton growth was shown to be limited by DIN concentration. The chlrophyll-a was at the peak in August, at $4.60{\mu}g/L$. As the seasonal average and index were the highest in November, it was understood that the balance of nutrient at Goseong bay was dependent more on inner factors, ie, mass farming of aquatic species and release of bottom sediment rather than on inflow of fresh water. Accordingly, it is needed to consider the balance of nutrient like DIP and DIN to manage the water quality or estuaries at Goseong bay.

Evaluation of fingerprints enhanced fluorescent using contrast index (Contrast Index를 이용한 형광지문 증강 정도의 수치적 판단)

  • Jeon, Soyoung;Ki, Jinyoung;Kim, Kyuyeon;Kim, Jiyeon;Kim, Chaewon;Yu, Jeseol
    • Analytical Science and Technology
    • /
    • v.31 no.5
    • /
    • pp.195-200
    • /
    • 2018
  • Researchers have used the visual criteria to compare the effectiveness of fingerprint enhancement techniques. However, since the visual criteria is subjective, bias can occur. Therefore, many researchers have tried to make the criteria objective using the contrast index (CI). However, there is a constraint that the CI was only validated on inked fingerprints or color-change fingerprints. In this study, we compared enhancement of fluorescence fingerprints on colored papers using the CI. The CI values differ according to the color of the background, reagent, and light source, even though the same standard fingerprints were used. Through the comparison of values, we could compare the enhancement of fluorescence fingerprints according to these factors. When visual evaluation criteria were used, the same peak score was obtained regardless of the reagent and light source. However, we could get a more detailed score comparison in this study using the CI. Therefore, it is confirmed that for comparison of enhancement of fluorescence fingerprints, the CI can be used as a basis for determining which light source and reagent are appropriate according to the background.