• 제목/요약/키워드: Coiled-coil

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Multimodal Treatment for Complex Intracranial Aneurysms : Clinical Research

  • Jin, Sung-Chul;Kwon, Do-Hoon;Song, Young;Kim, Hyun-Jung;Ahn, Jae-Seung;Kwun, Byung-Duk
    • Journal of Korean Neurosurgical Society
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    • 제44권5호
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    • pp.314-319
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    • 2008
  • Objective: For patients with giant or dissecting aneurysm, multimodal treatment consisting extracranial-intracranial bypass surgery plus clip or coil for parent artery occlusion may be necessary. In this study, the safety and efficacy of multimodal treatment in 15 patients with complex aneurysms were evaluated retrospectively. Methods: From January 1995 to June 2007, the authors treated 15 complex aneurysms that were unable to be clipped or coiled. Among them, nine patitents had unruptured aneurysms and 6 had ruptured aneurysms. Aneurysms were located in the internal cerebral artery (ICA) in 11 patients (4 in the dorsal wall. 4 in the terminal ICA, 1 in the paraclinoid, and 2 in the cavernous ICA), in the middle cerebral artery (MCA) in 2, and in the posterior circulation in two patients Results: Fifteen patients with complex aneurysms were treated with bypass surgery previously. Thirteen patients were treated with external carotid middle cerebral artery (ECA-MCA) anastomosis, and one patient with superficial temporal to posterior cerebral artery (STA-PCA) and another patient with occipital artery to posterior inferior cerebellar artery (OA-PICA) anastomosis. Parent artery occlusion was then performed with a clip in 9 patients, with a coil in 4, with balloon plus coil in one patient. All 15 aneurysms were successfully treated with clip or coil combined with bypass surgery. Follow-up angiograms showed good patency of anastomotic site in 10 out of 11 patients, and perfusion study showed sufficient perfusion in 6 out of 9 patients. Conclusion: These findings indicate that for patients with complex aneurysms, clip or coil for parent vessel occlusion with additive bypass surgery can successfully exclude the aneurysm from the neurovascular circulatory system.

Late Quaternay Paleoceanography as Recorded by Planktonic Foraminifera in the Ulleung Basin, East Sea

  • Kim, Gil-Young;Kim, Dae-Choul;Shin, Im-Chul;Yi, Hi-Il;Kim, Jeong-Chang
    • Journal of the korean society of oceanography
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    • 제33권1-2호
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    • pp.8-17
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    • 1998
  • Paleoceanographic history of the East Sea is reconstructed based on several environmental parameters (coarse fraction content, planktonic foraminifera/benthic foraminifera ratio, fragmentation and assemblages of planktonic foraminifera, and coiling ratio of Neogloboquadrina pa-chyderma, etc,) of the late Quaternary sediments obtained from the Ulleung Basin. N. pa-chydeyma and Globigerina bulloides are dominant species (greater than 90% in abundance)among the total planktonic foraminifera assemblages in the late Quaternary sediments. The benthic foraminifera rarely occurred throughout the cores. Sinistrally-coiled specimens of N. pa-chyderma representing cold water temperature are observed more abundantly than dextrally-coil-ed ones. In addition, the sinistrally-coiled N, pachydeyma showed more the amount at the lower part of the cores than at the upper part suggesting the restriction of the Tsushima Warm Current into the East Sea during glacial period. G. bulloides, a species representative of upwelling condition, shows more abundant occurrence in the sediments of Core 941013 than those of Core 941006. This implies that Core 941013 is more influenced by upwelling than Core 941006. The upper part of the two cores contain more fragmentation of planktonic foraminifera suggesting significant dissolution by corrosive bottom wafer. Ascending CCD also played an important role for the absence of planktonic foraminifera at the upper part of the cores.

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극세관 헬리컬 코일형 열교환기에 관한 연구 (A Study on the Helically Coiled Heat Exchanger of Small Diameter Tubes)

  • 김주원;김정훈;김종수
    • 대한기계학회논문집B
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    • 제25권11호
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    • pp.1492-1499
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    • 2001
  • In order to develop the compact and flexible heat exchangers, we made the helically coiled heat exchangers. They can be manufactured with small diameter copper tubes without the need for fins; inner diameter=1.0 mm, straight tube length=1.5 m. The experiments were carried out with the following conditions; evaporation pressure=0.6 MPa, air velocity=0.7 ∼ 1.7 m/s, and working fluid=R-22. Pressure drop and heat transfer coefficient of heat exchangers were experimented according to the air velocity. The results of heat transfer coefficient show a 35% beneficial increase fur these heat exchangers over the other covered fin-tube heat exchangers. A cooling capacity of about 3 kW was obtained with an air velocity of 1.5 m/s. The distribution header has also been designed fur efficient distribution of refrigerant flow.

The Merits of Endovascular Coil Surgery for Patients with Unruptured Intracranial Aneurysms

  • Park, Seong-Ho;Lee, Chang-Young;Yim, Man-Bin
    • Journal of Korean Neurosurgical Society
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    • 제43권6호
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    • pp.270-274
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    • 2008
  • Objective : The purpose of this study was to report the morbidity, mortality, angiographic results, and merits of elective coiling of unruptured intracranial aneurysms. Methods : Ninety-six unruptured aneurysms in 92 patients were electively treated with detachable coils. Eighty-one of these aneurysms were located in the anterior circulation, and 15 were located in the posterior circulation. Thirty-six aneurysms were treated in the presence of previously ruptured aneurysms that had already undergone operation. Nine unruptured aneurysms presented with symptoms of mass effect. The remaining 51 aneurysms were incidentally discovered in patients with other cerebral diseases and in individuals undergoing routine health maintenance. Angiographic and clinical outcomes and procedure-related complications were analyzed. Results : Eight procedure-related untoward events (8.3%) occurred during surgery or within procedure-related hospitalization, including thromboembolism, sac perforation, and coil migration. Permanent procedural morbidity was 2.2%; there was no mortality. Complete occlusion was achieved in 73 (76%) aneurysms, neck remnant occlusion in 18 (18.7%) aneurysms, and incomplete occlusion in five (5.2%) aneurysms, Recanalization occurred in 8 (15.4%) of 52 coiled aneurysms that were available for follow-up conventional angiography or magnetic resonance angiography over a mean period of 13.3 months. No ruptures occurred during the follow-up period (12-79 months). Conclusion : Endovascular coil surgery for patients with unruptured intracranial aneurysms is characterized by low procedural mortality and morbidity and has advantages in patients with poor general health, cerebral infarction, posterior circulation aneurysms, aneurysms of the proximal internal cerebral artery, and unruptured aneurysms associated with ruptured aneurysm. For the management of unruptured aneurysms, endovascular coil surgery is considered an attractive alterative option.

북한강에서 출현한 Anabaena circinalis의 형태학적 특성 및 지오스민(geosmin) 발생 양상 (Geosmin and Morphological Characteristics of Anabaena circinalis, Obtained from the Bukhan River)

  • 윤석제;김용진;김헌년;김진용;유미나;이은정;유순주
    • 한국환경과학회지
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    • 제27권1호
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    • pp.27-38
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    • 2018
  • This study was carried out in the Bukhan River in the summer of 2014 and 2015, to identify the relationship between geosmin and the morphological changes in Anabaena. Identification of Anabaena was conducted using morphological and molecular analyses. Anabaena in this study was similar to Anabaena circinalis, A. crass, and A. spiroides with regard to regular coils, vegetative cell, akinete shape, and size, hoever, it was distinguishabl from A. crass and A. spiroides because of its larger trichome coil size. Additionally, the sequences of phycocyanin (PC) gene from Anabaena showed a 99% genetic similarity with A. circinalis NIES-1647 strain. The coil diameter of trichome ranged from 106 to $899{\mu}m$, and the diameter and abundance showed an insignificant positive correlation (r=0.544, p<0.05). The result of relationship between the coil diameter and the cell number per 360-degree rotation was kept at $33.8{\pm}5.2$ cells per $100{\mu}m$ diameter despite variable diameter. The average geosmin concentrations in 2014 and 2015 were investigated to be 99 ng/L and 35 ng/L, respectively. A. circinalis cell density contributed considerably to the change in geosmin and was positively correlated with geosmin concentration (2014; r=0.599, p<0.01, 2015; r=0.559, p<0.01). Our results suggest that geosmin and coil diameter could be estimated with the help of cell density.

Influence of Clinical and Anatomic Features on Treatment Decisions for Anterior Communicating Artery Aneurysms

  • Choi, Jae-Hyung;Kang, Myung-Jin;Huh, Jae-Taeck
    • Journal of Korean Neurosurgical Society
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    • 제50권2호
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    • pp.81-88
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    • 2011
  • Objective : The purpose of this study was to analyze the clinical and anatomic features involved in determining treatment modalities for anterior communicating artery (AcoA) aneurysms. Methods : The authors retrospectively evaluated 112 AcoA aneurysms with pretreatment clinical features including age, Hunt and Hess grade, medical or neurological comorbidity, and anatomical features including aneurysm size, neck size, dome-to-neck ratio, vessel incorporation, multiple lobulation, and morphologic scoring system. Post-treatment clinical results were classified according to the Glasgow Outcome Scale, and anatomic results in coiled patients were classified according to the modified Raymond scale. Using multivariate logistic regression, the probabilities for decision making between surgical clipping and coil embolization were calculated. Results : Sixty-seven patients (60%) were treated with surgical clipping and 45 patients (40%) with endovascular coil embolization. The clinical factor significantly associated with treatment decision was age (${\geq}$65 vs. <65 years) and anatomical factors including aneurysm size (small or large vs. medium), dome-to-neck ratio (<2 vs. ${\geq}$2), presence of vessel incorporation, multiple lobulation, and morphologic score (${\geq}$2 vs. <2). In multivariate analysis, older patients (age, 65 years) had significantly higher odds of being treated with coil embolization relative to clipping (adjusted OR=3.78; 95% CI, 1.39-10.3; p=0.0093) and higher morphological score patients (${\geq}$2) had a higher tendency toward surgical clipping than endovascular coil embolization (OR=0.23; 95% CI, 0.16-0.93; p=0.0039). Conclusion : The optimal decision for treating AcoA aneurysms cannot be determined by any single clinical or anatomic characteristics. All clinical and morphological features need to be considered, and a collaborative neurovascular team approach to AcoA aneurysms is essential.

나선형 튜브내의 난류 열전달에 대한 수치적 연구 (Numerical Study of Turbulent Heat Transfer in Helically Coiled Tubes)

  • 윤동혁;박주엽;설광원
    • 대한기계학회논문집B
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    • 제36권8호
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    • pp.783-789
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    • 2012
  • 본 연구에서는 나선형 튜브내의 난류 열전달 및 하중 특성을 수치해석 방법을 이용하여 파악하였다. 열교환기와 같은 공학적 설비에서 관내 열전달을 향상시키기 위해 튜브의 형상을 나선형으로 설계한다. 이에 나선형 튜브내의 열전달 및 난류 특성에 대한 많은 실험적 연구가 이루어 졌으나, 대부분의 연구가 압력 강하 및 열전달 상관관계에 초점이 맞추어 진행되었다. 나선형 튜브내의 유동은 원심력에 의해 튜브 바깥쪽에서는 상대적으로 높은 열전달 및 전단응력이 발생하지만, 안쪽에서는 낮은 열전달 및 전단응력이 발생하게 된다. 따라서 본 연구에서는 튜브의 원주방향으로 발생하는 전단 응력 및 Nusselt 수의 변화를 Reynolds 수와 나선 코일의 지름을 변경하며 정량적으로 살펴보았다. 나선 코일 안쪽에서 국부적인 전단응력과 열전달율이 크게 낮게 특정되었으며, 이는 튜브 재질의 안정성에 영향을 미칠 것으로 판단되었다. 또한 본 연구에서는 마찰계수와 Nusselt 수에 대한 기존 상관관계식을 검증하였으며, 직관에서의 마찰계수와 Nusselt 수의 상관관계식이 나선형 튜브의 형상에도 적용될 수 있음을 관측하였다. 본 연구의 결과는 열교환기나 증기발생기의 안전성 평가를 위해 중요한 데이터로 활용될 수 있을 것이다.

Identification and Expression Patterns of kif3bz during the Zebrafish Embryonic Development

  • Lee, A-Ram;Rhee, Myung-Chull
    • Animal cells and systems
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    • 제13권4호
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    • pp.411-418
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    • 2009
  • We are reporting the identification, expression patterns, and possible biological functions of zebrafish kif3b (kif3bz) encoding 475 amino acids. Kif3Bz contains the kinesin motor domain, catalytic domain, KISc domain, and one single coiled coil domain. Phylogenetic analysis indicates that kif3bz is a highly conserved gene among the tested vertebrates. First of all, both maternal and zygotic messages of kif3bz were evenly distributed in the blastomeres at 2-cell stage. Its ubiquitous expression throughout the blastomeres continued till 40% epiboly. However, kif3bz transcripts became restricted in Kupffer's vesicle at tailbud and 6-somite stages. At 13-somite stage, kif3bz expression pattern became specific to the telencephalon, diencephalon, trigeminal placode, and somites. Such expression patterns were further intensified in the telencephalon, diencephalons, hind brain, pronephric ducts, optic vesicles, and spinal cord neurons in the 23-somite stage embryos, and last till 24 hpf. We discussed possible functions of Kif3Bz related to the vertebrate embryonic development.

형상기억합금 코일 구동기와 복합재를 이용한 소형 도약 로봇 설계 및 제작 (Miniature Jumping Robot Using SMA Coil Actuators and Composite Materials)

  • 정순필;고제성;정광필;조규진
    • 로봇학회논문지
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    • 제8권2호
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    • pp.136-142
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    • 2013
  • In nature, many small insects are using jumping as a survival strategy. Among them, fleas jump in a unique method. They use an elastomer, 'Resilin', an extensor muscle and a trigger muscle. By contracting the extensor muscle, the elastic energy, that makes a flea to jump, is stored in the resilin. After storing energy, the trigger muscle begins contracting and pulling the extensor muscle. When the extensor muscle crosses the rotational joint, direction of torque generated from the extensor muscle reverses, 'torque reversal mechanism'. Simultaneously, the elastic energy stored in the resilin releases rapidly and is converted into the kinetic energy. It makes a flea to jump 150 times its body length. In this paper, miniaturized jumping robot using flea-inspired catapult mechanism is presented. This mechanism is based on the 4-bar linkage and the reversal joint and is actuated by Shape Memory Alloy (SMA) coiled springs describing the flea's muscle. The robot prototype is fabricated by SCM process using glass fiber prepregs and a sheet of polyimide film. The prototype is 20mm link length, 34mm width and 2.0g weight and can jump 103cm.

Reappraisal of Anatomic Outcome Scales of Coiled Intracranial Aneurysms in the Prediction of Recanalization

  • Lee, Jong Young;Kwon, Bae Ju;Cho, Young Dae;Kang, Hyun-Seung;Han, Moon Hee
    • Journal of Korean Neurosurgical Society
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    • 제53권6호
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    • pp.342-348
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    • 2013
  • Objective : Several scales are currently used to assess occlusion rates of coiled cerebral aneurysms. This study compared these scales as predictors of recanalization. Methods : Clinical data of 827 patients harboring 901 aneurysms treated by coiling were retrospectively reviewed. Occlusion rates were assessed using angiographic grading scale (AGS), two-dimensional percent occlusion (2DPO), and volumetric packing density (vPD). Every scale had 3 categories. Followed patients were dichotomized into either presence or absence of recanalization. Kaplan-Meier analysis was conducted, and Cox proportional hazards analysis was performed to identify surviving probabilities of recanalization. Lastly, the predictive accuracies of three different scales were measured via Harrell's C index. Results : The cumulative risk of recanalization was 7% at 12-month, 10% at 24-month, and 13% at 36-month of postembolization, and significantly higher for the second and third categories of every scale (p<0.001). Multivariate-adjusted hazard ratios (HRs) of the second and third categories as compared with the first category of AGS (HR : 3.95 and 4.15, p=0.004 and 0.001) and 2DPO (HR : 4.87 and 3.12, p<0.001 and 0.01) were similar. For vPD, there was no association between occlusion rates and recanalization. The validated and optimism-adjusted C-indices were 0.50 [confidence (CI) : -1.09-2.09], 0.47 (CI : -1.10-2.09) and 0.44 (CI : -1.10-2.08) for AGS, 2DPO, and vPD, respectively. Conclusion : Total occlusion should be reasonably tried in coiling to maximize the benefit of the treatment. AGS may be the best to predict recanalization, whereas vPD should not be used alone.