• Title/Summary/Keyword: Clipping time

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Effect of the Intra-arterial Papaverine Infusion on the Symptomatic Cerebral Vasospasm after Aneurysmal Subarachnoid Hemorrhage (뇌지주막하 출혈 후 뇌혈관 연축에 대한 동맥내 Papaverine 주입의 치료효과)

  • Shin, Jun Jae;Lee, Jae Whan;Shin, Yong Sam;Huh, Seung Kon;Kim, Dong Ik;Lee, Kyu Chang
    • Journal of Korean Neurosurgical Society
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    • v.30 no.3
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    • pp.325-333
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    • 2001
  • Objective : To clarify the benefits and therapeutic effects of intra-arterial papaverine infusion on the symptomatic cerebral vasospasm, we analyzed the results of treatment in 32 patients retrospectively. Methods : A total of 510 patients underwent surgical clipping or endovascular intra-aneurysmal treatment for ruptured intracranial aneurysm between May, 1996 and June, 1999. The delayed ischemic deficit(DID) was developed in 90 of 510 patients. Of these 90 patients, 32 developed symptomatic vasospasm inspite of using modest "3H therapy". The brain CT scan was taken before the intra-arterial infusion of papaverine. The 32 patients underwent 42 intra-arterial papaverine infusion. The symptomatic vasospasm was divided into three groups : deterioration of mental status(Group 1), appearance of a focal neurologic deficit(Group 2), or both(Group 3). We measured Glasgow Coma Scale(GCS), arterial diameters, and cerebral circulation time(CCT) at the time of pre- and postangioplasty. Results : The number of patients in group 1, 2 and 3 were 26, 7, 9 respectively. Eighteen cases showed improvement of GCS more than 2 scores, 16 more than 1, and 8 showed no change of GCS. Average cerebral circulation time(CCT) was decreased ranging from 0.0%-67.5%, and arterial diameters were increased in 21 cases ranging from 1 to 4 folds. Conclusion : Intra-arterial papaverine infusion seemed to have therapeutic effects on symptomatic vasospasm by improving the neurological signs and increasing the arterial diameter. We suggest that intra-arterial papaverine infusion would be an useful adjunctive therapeutic modality in symptomatic vasospasm.

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The Effect of Shade Net on Summer Stress of Cool-season Turfgrass (차광이 반지형 잔디의 여름철 하고현상 감소에 미치는 영향)

  • 이재필;김석정;서한용;이상재;김태준;김두환
    • Asian Journal of Turfgrass Science
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    • v.15 no.2
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    • pp.51-64
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    • 2001
  • Summer stress is one of the serious problems on cool-season grass at the soccer fields in Korea during heavy rainy season. This study was conducted to intestigate the effect of shade net with regard to its percent (0, 50, 75), color (black, green), height (0 cm, 30 cm) and time (7 hr, 24 hr) on turf canopy temperature, light intensity, leaf color, turf performance, clipping yield and root dry weight of cool-season turfgrass. Turf canopy temperature was 6~13$^{\circ}C$ under black and green shade net when temperature was over 4$0^{\circ}C$. Light intensity was also decreased from 40 to 94% under black and green shade net compared to control. Black shade net was more effective than green net in reduction of temperature and light intensity. Green shade net was found to be better for photosynthesis of cool-season grass. Leaf color, turf performance, clipping yield, and root dry weight were better and increased under 50% and 75% shade net. 50% black shade net with 30cm height and 7 hr treatment showed the best turf performance. It can be concluded that 50% and 75% green shade net can be used fur reducing summer stress on cool-season grass after soccer marches during heavy rain season. The shade net decreased the turf canopy temperature and reduced heating damage of cool-season turfgrass.

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Implement of Hand Gesture Interface using Ratio and Size Variation of Gesture Clipping Region (제스쳐 클리핑 영역 비율과 크기 변화를 이용한 손-동작 인터페이스 구현)

  • Choi, Chang-Yur;Lee, Woo-Beom
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.1
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    • pp.121-127
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    • 2013
  • A vision based hand-gesture interface method for substituting a pointing device is proposed in this paper, which is used the ratio and size variation of Gesture Region. Proposed method uses the skin hue&saturation of the hand region from the HSI color model to extract the hand region effectively. This method can remove the non-hand region, and reduces the noise effect by the light source. Also, as the computation quantity is reduced by detecting not the static hand-shape recognition, but the ratio and size variation of hand-moving from the clipped hand region in real time, more response speed is guaranteed. In order to evaluate the performance of the our proposed method, after applying to the computerized self visual acuity testing system as a pointing device. As a result, the proposed method showed the average 86% gesture recognition ratio and 87% coordinate moving recognition ratio.

Endoscopic Fluorescence Angiography with Indocyanine Green : A Preclinical Study in the Swine

  • Cho, Won-Sang;Kim, Jeong Eun;Kim, Sae Hoon;Kim, Hee Chan;Kang, Uk;Lee, Dae-Sic
    • Journal of Korean Neurosurgical Society
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    • v.58 no.6
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    • pp.513-517
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    • 2015
  • Objective : Microscopic indocyanine green (ICG) angiography is useful for identifying the completeness of aneurysm clipping and the preservation of parent arteries and small perforators. Neuroendoscopy is helpful for visualizing structures beyond the straight line of the microscopic view. We evaluated our prototype of endoscopic ICG fluorescence angiography in swine, which we developed in order to combine the merits of microscopic ICG angiography and endoscopy. Methods : Our endoscopic ICG system consists of a camera, a light source, a display and software. This system can simultaneously display real-time visible and near infrared fluorescence imaging on the same monitor. A commercially available endoscope was used, which was 4 mm in diameter and had an angle of $30^{\circ}$. A male crossbred swine was used. Results : Under general anesthesia, a small craniotomy was performed and the brain surface of the swine was exposed. ICG was injected via the ear vein with a bolus dose of 0.3 mg/kg. Visible and ICG fluorescence images of cortical vessels were simultaneously observed on the display monitor at high resolution. The real-time merging of the visible and fluorescent images corresponded well. Conclusion : Simultaneous visible color and ICG fluorescent imaging of the cortical vessels in the swine brain was satisfactory. Technical improvement and clinical implication are expected.

Effects of Nitrogen Fertilizer Application Level and Cutting Time on Forage Yield and Feed Value of Rye in Paddy Field (질소시비량과 예취시기가 답리작 호밀의 수량 및 사료가치에 미치는 영향)

  • ;Je-Cheon Chae
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.39 no.4
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    • pp.373-381
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    • 1994
  • This experiment was conducted to investigate the effects of nitrogen fertilizer level on forage yield and feed value, and to clarify the optimum nitrogen fertilizer level of rye in middle west area when cultured in paddy field. The field experiment treated 5 levels of nitrogen fertilization was carried out at Yesan from Oct. 1990 to June 1991. The fresh and dry weight increased with increased nitrogen fertilizer level by 30kg /10a, but dry matter ratio decreased. The ratio of leaf blade and leaf sheath in rye plant increased with increased nitrogen fertilizer level, but the ratio of stem and inflorescence decreased. The content and yield per unit area for protein, total digestible nutrient(TDN). Minerals, and energy increased with increased nitrogen fertilizer level, while acid detergent fiber(ADF) and neutral detergent fiber(NDF) decreased. The ratio of available protein among crude protein became higher with increased nitrogen fertilizer level. The optimum clipping time for net energy gain(NEG) and net energy maintenance(NEM) were 10 days earlier than milk stage for conventional items including TDN and proteins.

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Hybrid TDMA and Binary CDMA System (TDMA와 Binary CDMA의 혼합 다중 접속 시스템)

  • 안호성;나성웅
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.29 no.5A
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    • pp.527-536
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    • 2004
  • A novel hybrid multiple access system, TD-BCDMA, where Binary CDMA that maintains a constant amplitude by clipping the summation of input signals multiplied by the orthogonal codes is transmitted over a TDMA frame structure, was Nosed. In every time slot of TDMA, binary CDMA modulated multiple channel signals are transmitted with the same waveform of TDMA. TD-BCDMA has all the advantages of TDMA. Flexible adjustment of the data transmission rate In demand is possible by adjusting the number of codes and time slots assigned to each user. This property was used to show an example of Ad Hoc network applications. To obtain a proper synchronization scheme for TD-BCDMA, the Receiver Operating Characteristics performance and the false alarm probability and false dismissal probability under various channel environment of two different schemes, a preamble scheme as in TDMA and a synchronization channel scheme as in CDMA were compared. It was proved that the preamble scheme is more practical and suitable than the synchronization channel scheme for the hybrid multiple access system.

Value of Indocyanine Green Videoangiography in Deciding the Completeness of Cerebrovascular Surgery

  • Moon, Hyung-Sik;Joo, Sung-Pil;Seo, Bo-Ra;Jang, Jae-Won;Kim, Jae-Hyoo;Kim, Tae-Sun
    • Journal of Korean Neurosurgical Society
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    • v.53 no.6
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    • pp.349-355
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    • 2013
  • Objective : Recently, microscope-integrated near infrared indocyanine green videoangiography (ICG-VA) has been widely used in cerebrovascular surgery because it provides real-time high resolution images. In our study, we evaluate the efficacy of intraoperative ICG-VA during cerebrovascular surgery. Methods : Between August 2011 and April 2012, 188 patients with cerebrovascular disease were surgically treated in our institution. We used ICG-VA in that operations with half of recommended dose (0.2 to 0.3 mg/kg). Postoperative digital subtraction angiography and computed tomography angiography was used to confirm anatomical results. Results : Intraoperative ICG-VA demonstrated fully occluded aneurysm sack, no neck remnant, and without vessel compromise in 119 cases (93.7%) of 127 aneurysms. Eight clipping (6.3%) of 127 operations were identified as an incomplete aneurysm occlusion or compromising vessel after ICG-VA. In 41 (97.6%) of 42 patients after carotid endarterectomy, the results were the same as that of postoperative angiography with good patency. One case (5.9%) of 17 bypass surgeries was identified as a nonfunctioning anastomosis after ICG-VA, which could be revised successfully. In the two patients of arteriovenous malformation, ICG-VA was useful for find the superficial nature of the feeding arteries and draining veins. Conclusion : ICG-VA is simple and provides real-time information of the patency of vessels including very small perforators within the field of the microscope and has a lower rate of adverse reactions. However, ICG-VA is not a perfect method, and so a combination of monitoring tools assures the quality of cerebrovascular surgery.

Intradural Procedural Time to Assess Technical Difficulty of Superciliary Keyhole and Pterional Approaches for Unruptured Middle Cerebral Artery Aneurysms

  • Choi, Yeon-Ju;Son, Wonsoo;Park, Ki-Su;Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • v.59 no.6
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    • pp.564-569
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    • 2016
  • Objective : This study used the intradural procedural time to assess the overall technical difficulty involved in surgically clipping an unruptured middle cerebral artery (MCA) aneurysm via a pterional or superciliary approach. The clinical and radiological variables affecting the intradural procedural time were investigated, and the intradural procedural time compared between a superciliary keyhole approach and a pterional approach. Methods : During a 5.5-year period, patients with a single MCA aneurysm were enrolled in this retrospective study. The selection criteria for a superciliary keyhole approach included : 1) maximum diameter of the unruptured MCA aneurysm <15 mm, 2) neck diameter of the MCA aneurysm <10 mm, and 3) aneurysm location involving the sphenoidal or horizontal segment of MCA (M1) segment and MCA bifurcation, excluding aneurysms distal to the MCA genu. Meanwhile, the control comparison group included patients with the same selection criteria as for a superciliary approach, yet who preferred a pterional approach to avoid a postoperative facial wound or due to preoperative skin trouble in the supraorbital area. To determine the variables affecting the intradural procedural time, a multiple regression analysis was performed using such data as the patient age and gender, maximum aneurysm diameter, aneurysm neck diameter, and length of the pre-aneurysm M1 segment. In addition, the intradural procedural times were compared between the superciliary and pterional patient groups, along with the other variables. Results : A total of 160 patients underwent a superciliary (n=124) or pterional (n=36) approach for an unruptured MCA aneurysm. In the multiple regression analysis, an increase in the diameter of the aneurysm neck (p<0.001) was identified as a statistically significant factor increasing the intradural procedural time. A Pearson correlation analysis also showed a positive correlation (r=0.340) between the neck diameter and the intradural procedural time. When comparing the superciliary and pterional groups, no statistically significant between-group difference was found in terms of the intradural procedural time reflecting the technical difficulty (mean${\pm}$standard deviation : $29.8{\pm}13.0min$ versus $27.7{\pm}9.6min$). Conclusion : A superciliary keyhole approach can be a useful alternative to a pterional approach for an unruptured MCA aneurysm with a maximum diameter <15 mm and neck diameter <10 mm, representing no more of a technical challenge. For both surgical approaches, the technical difficulty increases along with the neck diameter of the MCA aneurysm.

Studies on Cropping System for Year-Round Cultivation of Forage Crops in Gyeongnam Province (경남지방에서 조사료 주년생산 작부체계에 관한 연구)

  • Kang, Dal-Soon;Kim, Dae-Ho;Shin, Hyun-Yul;Son, Gil-Man;Rho, Chi-Woong;Kim, Jung-Gon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.29 no.2
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    • pp.137-152
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    • 2009
  • Present experiment was conducted at the field of Gyeongnam Agricultural Research and Extension Services in Jinju city for two continuous cropping seasons to develop several adaptable and valuable year-round forage-producing system for elevating self-sufficiency and dollar-saving by reduced importing of crude forage. Twenty cropping systems were tested in experiment using whole crop barley (WCB), oat, rye, Italian ryegrass (IRG), and triticale in winter season and com, sorghum, sorghum ${\times}$ sudangrass hybrid, and oat in summer time. Sorghum ${\times}$ sudangrass hybrid showed highest fresh forage yield among experimented summer season crops, and followed com. Com produced the most dry matter yield, and followed sorghum${\times}$sudangrass hybrid, sorghum and oat in order. There was no significant effect of former winter crops on fresh and dry matter production succeeding summer time crops. Among winter season forage crops tested, oat showed the highest fresh and dry matter when clipped on mid-May, and followed triticale, IRG, rye and WCB. Winter-time cultivated crops showed no clear effect on the growth and forage (fresh and dry matter) producing ability of following summer crops. There was the most protein content in oat plant among summer season planted crops, and in sorghum for acid detergent fiber (ADF) and in sorghum ${\times}$ sudangrass hybrid for neutral detergent fiber (NDF), respectively. While, com showed highest value of relative feed value (RFV) and total digestive nutrients (TDN) among those crops. Among winter crops, the highest crude protein was in oat plant showing no significant differences of ADF and NDF, while, relatively higher value of RFV was recognized with rye and triticale. Also, triticale contained more TDN as compare to other forage crops. The cropping combinations such as com followed by (fb) rye and maize fb triticale were regarded as promising systems having higher dry matter producing ability among tested combinations. Considering TDN producing potential, the combinations with sorghum ${\times}$ sudangrass hybrid fb triticale andlor rye were would be suitable ones, coincidently. There was a tendency which elevating pH, electric conductivity (EC) and organic matter (OM) contents in soil after experiment comparing to before planting. More crude protein content in plant was shown at mid-May clipping as compared to the forage at April cut in all winter season grown crops. ADF and NDF contents were increased by delayed clipping showing decreased tendency of RFV and TDN in plant. In conclusion, many cropping systems would be available using above mentioned forage crops according to farmer's conditions and scale, etc.

Cutaneous Myiasis Associated with Tick Infestations in a Dog (진드기에 감염된 개의 피부 구더기증 1예)

  • Choi, Jungku;Kim, Hanjong;Na, Jiwoong;Kim, Seong-hyun;Park, Chul
    • Journal of Veterinary Clinics
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    • v.32 no.5
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    • pp.473-475
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    • 2015
  • A 12-year-old intact male, Alaskan Malamute dog, which lives in the countryside, was presented with inflammation and pain around perineal areas. Thorough examination revealed maggots and punched-out round holes lesion around the perineal region. Complete blood counts (CBC) and serum biochemical examinations showed no remarkable findings except mild anemia and mild thrombocytosis. The diagnosis was easily done, based on clinical signs and maggots identification. Cleaning with chlorhexidine, povidone-iodine lavage and hair clipping away from the lesions were performed soon after presentation. SNAP 4Dx Test (IDEXX Laboratories, Westbrook, ME, USA) was performed to rule out other vector-borne diseases since the ticks were found on the clipped area and vector-borne pathogens. The test result was negative. The dog in this case was treated with ivermectin (300 mcg/kg SC) one time. Also, treatments with amoxicillin clavulanate (20 mg/kg PO, BID) was established to prevent secondary bacterial infections. Then, myiasis resolved with 2 weeks and the affected area was healed.