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Abnormal Eye Movements in Patients with Dementia (치매 환자에서 나타나는 비정상적인 안구운동)

  • Kim, Hyun;Lee, Kang-Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.2
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    • pp.73-80
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    • 2007
  • Anumber of prior studies have reported eye movement dysfunction in patients with dementia. The eye movement test which is non-invasive can evaluate the local brain function quantitatively. Therefore, it can be a useful method for characterizing regional brain abnormalities of patients with dementia. The aim of this paper is to review the literatures on eye movement abnormalities in dementia patients. Saccade system dysfunctions in Alzheimer disease include increased latency, reduced accuracy, and increased antisaccade error rates. Patients with frontotemporal dementia showed impaired reflexive saccade inhibition and increased latency and errors of antisaccade task. And delayed initiation of voluntary saccades, slow saccades, and increased errors and latency on antisaccade task were found in Huntington's disease. Patients with Parkinson’s disease dementia and dementia with Lewy bodies have characteristics of impaired in both reflexive saccade execution and complex saccade performance. However, there were few reports of abnormal eye movements in Creutzfeldt-Jakob disease; they could be found at the later stages after symptoms of dementia came to be evident, and secondary to cerebellar and vestibular involvement. Slowing of saccades and hypometric saccades might precede the supranuclear limitation of vertical gaze in PSP. Dysfunction of voluntary eyelid movements was a characteristic finding of PSP as well. In conclusion, patients with dementia can show various abnormal eye movements and they are related with cortial and subcortical brain dysfunctions. The research on localization of brain relevant to each symptom can promise more clinical implications of eye movement of dementia.

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Combustion Characteristics of Hinoki Cypress Louver after Pressure Impregnation with Boric Acid, Borax and Ammonium Phosphate (붕사, 붕산 및 인산암모늄을 가압 함침한 편백 루버의 연소특성)

  • Park, Hyung-Ju
    • Fire Science and Engineering
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    • v.29 no.6
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    • pp.1-5
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    • 2015
  • In this study, the combustion characteristics of Hinoki Cypress Louver were measured after performing pressure impregnation with aqueous solution of boric acid, borax, and ammonium phosphate. The characteristics measured include ignition time, critical heat flux, and mass loss rate by incident hear flux (25, 30 and $50kW/m^2$). The samples used for the test were $100{\times}100{\times}10mm$, and the 5 min variation for each incident heat flux was measured 3 times. The results show that the ignition time for incident heat flux of $25kW/m^2$ showed a delay effect of 17.4 to 21.3% except for Type C-H. There was no significant difference at 35 and $50kW/m^2$ in the average mass loss rate in Types A-H and D-H, which had lower rates than Type N-H, which was predicted to be higher than that of Type N-H ($10.7kW/m^2$) by 38.22 to 60.46%. It is thus expected that at the time of initial primary fire, there would be a delay effect against fire spread.

Esophageal Perforation and Acquired Esophagorespiratory Fistula (식도천공 및 후천성 식도기관(지)루)

  • 유회성;이호일
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.45-56
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    • 1972
  • Esophageal perforation is one of the most grave prognostic problems among thoracic and general surgical emergencies which necessitate urgent operative measures. In Korea,there are still many persons ingesting lye for suicidal attempt and thoracic surgeons in Korea have more chances to deal with lye burned esophagus with or without instrumental perforation than those in Western countries. Main cause of esophageal perforation in Korea is instrumental perforation in patients with lye stricture of the esophagus during diagnostic endoscopy or therapeutic bouginage. Other causes are corrosion of the esophagus due to ingestion of caustic agents, pathologic perforation, surgical trauma, stab wound and spontaneous rupture of the esophagus in our series. Therapeutic measures are various,and depend on duration of perforation, severity of its complications, pathology of perforated portion of the esophagus and degrees of inflammation at the point of perforation. The most important therapeutic measures are prevention of this grave condition during esophagoscopy, bouginage and surgical procedures on lungs and mediastinal structures and to make early diagnosis with prompt therapeutic measures. During the period of January, 1959, to December, 1971, the authors experienced 65 cases ofesophageal perforation including acquired esophagorespiratory fistula at Dept. of Chest Surgery, the National Medical Center in Seoul, and obtained following results in the series. 1. Female were 35 cases, and peak age incidence was 2nd and 3rd decades of life. 2. Among 65 cases, 43 were corrosive esophagitis or benign stricture of the esophagus due to caustic agents, 7 were patients with esophageal cancer. and there were 5 cases of esophageal perforation developed after pneumonectomy or pleuropneumonectomy. 3. Causes of perforation are instrumental perforation in 45, acute corrosion in 7, pathologic perforation in 7, surgical trauma in 3, stab wound in 2 cases, and one spontaneous rupture of the esophagus. 4. Most frequent sites of esophageal perforation were upper and mid thoracic esophagus, and 8 were cases with cervical esophageal perforation. 5. Complications of esophageal perforation were mediastinitis in 42, empyema or pneumothorax in 35, esophagorespiratory fistula in 12, retroperitoneal fistula or abscess in 5,pneumoperitoneum in 3, and localized peritonitis in 1 case. 6. Cases with malignant esophagorespiratory fistula were only 3 in the series which is predominant cause of acquired esophagorespiratory fistula in Western countries. 7. Various therapeutic measures were applied with mortality rate of 27.7% in the series. 8. In usual cases early treatment gave better prognosis, and least mortality rate in cases with perforation in mid thoracic esophagus. 9. Main causes of death were respiratory complications,acute hemorrhage with asphyxia, and septic complications. 10. Esophageal perforation developed after pneumonectomy gave more difficult therapeutic problems which were solved in only 1 among 5 cases.

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Clinical Analysis of Branchial Anomalies : A Review of 72 Cases (새성기형에 관한 임상적 고찰)

  • Kim, Moo-Pil;Choe, Hwan;Park, Se-Jin;Chung, Eun-Jae;Baek, Seung-Kuk;Woo, Jeong-Soo;Kwon, Soon-Young;Lee, Nam-Joon;Jung, Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.1
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    • pp.12-17
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    • 2009
  • Background and Objectives : Branchial anomaly is a common neck pathology seen by otolaryngologist. Although there is still controversy regarding the origin, almost all surgeon agree that branchial anomalies result from incomplete involution of the branchial apparatus. Depending on its anatomic location, branchial anomalies can be classified into first, second, third and fourth anomaly. The purpose of this study is to evaluate the incidence of different categories of branchial anomalies and to determine proper method of diagnosis and treatment. Subjects and Method : A retrospective chart review was conducted for 72 patients with branchial anomalies operated on at the Korea University Anam Hospital from 1996 to 2007. The patient's sex, age, presenting symptoms, classification, site of lesion, diagnostic studies, surgical therapy and post-operative surgical complication were reviewed. Results : Patients were commonly seen in the 3rd decades. Eleven patients(15.3%) were first branchial anomalies, 52(72.2%) were second, 1(1.4%) was third, and 8(11.1%) were fourth. Of the types of anomalies, cyst were most commonly seen. In cases of 3rd and 4th branchial anomalies, barium contrast study can delineate the course of sinus or fistula. All cases was operated on for branchial anomalies, there were no major post-operative complication. Conclusion : Cervical mass and recurrent cervical infection or abscess are suspect for branchial anomalies. Especially, clinical history of dysphagia, and recurrent painful swelling in the thyroid region in young patients should raise the suspicion of 3rd and 4th branchial anomalies. Careful history, clinical examination and radiographic study were essential parts in diagnosis of branchial anomalies. Although surgical management of branchial anomalies depend on its type, nature and extent, complete excision is the major surgical procedure.

Esophageal Atresia without Tracheoesophageal Fistula - Report of 6 Cases - (기관 식도루가 없는 식도폐쇄증 환자의 치료경험)

  • Kim, Seong-Min;Choi, Seung-Hoon;Kim, Sung-Hoon;Kwon, In-Kyu;Han, Seok-Joo;Oh, Jung-Tak
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.157-164
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    • 2005
  • Esophageal atresia without tracheoesophageal fistula accounts for 7-11 % of all types of esophageal atresia and is very difficult to treat. In our hospital from 1990 to 2005, we operated upon 40 patients with esophageal atresia, and 6 had pure atresia. The preoperative characteristics, operative findings and post operative course of the six patients with pure atresia were analysed. Immediate gastrostomy was performed in all 6 patients. One patient had simultaneous cervical esophagostomy. Esophageal reconstruction procedures were transhiatal gastric pull up in 3 patients, esophagocologastrostomy utilizing left colon in 1, and transthoracic esophagoseophagostomy with esophageal bougination in 2. Postoperative complications were pneumonia, anastomosis leakage, and gastroesophageal reflux symptom. Conservative management was effective in all patients. A larger series of cases would be required to demonstrate the most effective treatment for this particular anomalous condition.

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Effect of Annealing Temperature on the Anode Properties of TiO2 Nanotubes for Rechargeable Lithium Batteries (열처리 온도에 따른 TiO2 나노튜브의 리튬이차전지 음전극 특성)

  • Choi, Min Gyu;Kang, Kun Young;Lee, Young-Gi;Kim, Kwang Man
    • Korean Chemical Engineering Research
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    • v.50 no.1
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    • pp.25-29
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    • 2012
  • $TiO_2$ nanotubes are prepared from rutile prticles via an alkaline hydrothermal synthesis and the consequent heat treatment at $300{\sim}500^{\circ}C$. The physical and electrochemical properties of the $TiO_2$ nanotubes are characterized for use as a anode material of rechargeable lithium battery. In particular, the microscale dusts as an impurity component occurred in the purification step after the hydrothermal reaction are completely removed to yield $TiO_2$ nanotube with a higher specific surface area and more obvious crystalline phases. As the annealing temperature increases, the specific surface area is slightly decreased due to some aggregation between the isotropically dispersed nanotubes. Highest initial discharge capacity of 250 mAh $g^{-1}$ is achieved for the $TiO_2$ nanotube annealed at $300^{\circ}C$, whereas the $400^{\circ}C$ $TiO_2$ nanotube shows the superior cycle performance and high-rate capability.

Properties of Low-Temperature Sol-Gel TiO2 Thin Films with Catalyst Content (졸-겔법으로 제작된 저온 TiO2 박막의 촉매농도에 따른 광분해 특성 분석)

  • Hong, Hyun-Joo;Heo, Min-Chan;Hahn, Sung-Hong;Kim, Eui-Jung;Lee, Chung-Woo;Joo, Jong-Hyun
    • Korean Journal of Optics and Photonics
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    • v.17 no.3
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    • pp.296-302
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    • 2006
  • ILow-temperature $TiO_2$ sol was synthesized with various catalyst contents by using a sol-gel method. $TiO_2$ thin films were produced by a dip-coating method and their optical, structural and photocatalytic properties were examined. Transmittance of $TiO_2$ thin films with 0.10 mol, 0.25 mol, 0.50 mol and 0.75 mol catalyst content showed high transmittance in the visible range. XRD results showed the anatase-to-rutile phase transition was accelerated with increasing catalyst content and the crystallinity size of the $TiO_2$ thin films increased with increasing catalyst content. SEM results indicated that the particle size of the $TiO_2$ thin films was the smallest with catalyst content of 0.25 mol. Photocatalytic results showed that methylene blue was completely decomposed in the presence of anatase film prepared with 0.10 mol, 0.25 mol and 0.50 mol catalyst content.

Study on Magnetic Properties of TiO2-δ:Ni Thin Films (산소 결핍된 TiO2-δ:Ni 박박의 자기적 성질 연구)

  • Park, Young-Ran;Kim, Kwang-Joo;Kim, Chul-Sung
    • Journal of the Korean Magnetics Society
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    • v.16 no.3
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    • pp.168-172
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    • 2006
  • We studied the magnetic and the related electronic properties of Ni-doped rutile $TiO_{2-{\delta}}$ films (including oxygen deficiency $\delta$) prepared using a sol-gel method. A room-temperature ferromagnetism was observed in the $TiO_{2-{\delta}}$ : Ni films with the saturation magnetization ($M_S$) decreasing with increasing Ni doping and remaining constant above 6 at% Ni doping. The observed ferromagnetism below 6 at% Ni doping is interpreted as due to magnetic polaron formed by a trapped electron in oxygen vacancy and magnetic impurity ions around it. For small Ni doping, $M_S$ up to $3.7{\mu}B/Ni$ was obtained. The ferromagnetism for Ni doping above 6 at% is interpreted as due to the existence of Ni clusters that can explain the p-n conductivity transition observed by Hall effect measurements.

Bioequivalence of RoxithrinTM Tablet to RulidTM Tablet (Roxithromycin 150 mg) (루리드 정(록시스로마이신 150 mg)에 대한 록시스린 정의 생물학적동등성)

  • Joung, Sun-Koung;Lee, Yun-Young;Cho, Tae-Seob;Kim, Ho-Hyun;Lee, Ye-Rie;Lee, Kyung-Ryul;Lee, Hee-Joo
    • Journal of Pharmaceutical Investigation
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    • v.34 no.3
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    • pp.209-214
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    • 2004
  • A bioequivalence study of $Roxithrin^{TM}$ tablet (Kukje Pharma. Ind. Co., Ltd.) to $Rulid^{TM}$ tablet (Han Dok Pharma. Ind. Co., Ltd.) was conducted according to the guidelines of Korea Food and Drug Administration (KFDA). Twenty four healthy male Korean volunteers received each medicine at the roxithromycin dose of 300 mg in a $2{\times}2$ crossover study. There was a one-week wash-out period between the doses. Plasma concentrations of roxithromycin were monitored by a high-performance liquid chromatography for over a period of 36 hours after drug administration. $AUC_t$ (the area under the plasma concentration-time curve from time zero to 36 hr) was calculated by the linear trapezoidal rule method. $C_{max}$ (maximum plasma drug concentration) and $T_{max}$ (time to reach $C_{max}$) were compiled from the plasma concentration-time data. Analysis of variance was carried out using logarithmically transformed $AUC_t$ and $C_{max}$. No significant sequence effect was found for all of the bioavailability parameters indicating that the cross-over design was properly performed. The 90% confidence intervals of the $AUC_t$ ratio and the $C_{max}$ ratio for $Roxithrin^{TM}/Rulid^{TM}$ were 1.00 - 1.13 and 0.98 - 1.10, respectively. These values were within the acceptable bioequivalence intervals of 0.80 - 1.25. Thus, our study demonstrated the bioequivalence of $Roxithrin^{TM}$ and $Rulid^{TM}$ with respect to the rate and extent of absorption.

Removal of Nitrogen and Phosphorus Using Struvite Crystallization (Struvite 결정화에 의한 질소 및 인의 제거)

  • Weon, Seung-Yeon;Park, Seung-Kook;Lee, Sang-Ill
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.4
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    • pp.599-607
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    • 2000
  • In this research, ${NH_4}^+-N$ and ${PO_4}^{3-}-P$ in wastewater were removed by crystallization. Nitrogen and phosphate have been regarded as key nutrients in the eutrophication of rivers and lakes. Struvite, $MgNH_4PO_4{\cdot}6H_2O$, is insoluble in alkaline solutions. Fertilizer industry wastewater contains organic and nitrogen concentration of 330 mg/L and 550 mg/L, respectively. Nitrogen in this wastewater cannot be treated by conventional biological treatment without physicochemical pretreatment, because nitrogen concentration is relatively high compared to organic concentration. Magnesium ions used in this study were from bittern and commercial magnesium salts of $MgCl_2$ and $Mg(OH)_2$. Bittern obtained as a by-product of seasalt manufacture contains $8,000mg\;Ca^{2+}/L$ and $32,000mg\;Mg^{2+}/L$. Optimum initial pH was 10.5~11.0 and the reaction was complete or done in 2 min. Nitrogen removal efficiency using bittern, $MgCl_2 $ and $Mg(OH)_2$ (as source of $Mg^{2+}$) was 71 %, 81% and 83%. respectively. Phosphate removal efficiency was 99%, 98% and 93%, respectively. Therefore, bittern, $MgCl_2$ and $Mg(OH)_2$ can be efficiently used as $Mg^{2+}$ source for crystallization of nitrogen and phosphate. However, bittern is economically favorable $Mg^{2+}$ source for removing nitrogen and phosphate in wastewater.

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