• Title/Summary/Keyword: HESS

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Incidence of Chronic Shunt-dependent Hydrocephalus after Surgical or Endovascular Treatment of Ruptured Intracranial Aneurysm (동맥류 결찰술 시행군과 GDC색전술 시행군에서 지주막하 출혈 후 만성 션트-의존성 수두증의 발생빈도)

  • Kwon, Young-Yi;Cho, Maeng Ki;Park, Bong-Jin;Sung, Jung-Nam;Kim, Young-Joon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.68-72
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    • 2001
  • Objective : The goal of this study was to document the influence of the treatment modality(surgery versus endovascular treatment) on the development of chronic shunt-dependent hydrocephalus in a series of 296 patients treated after aneurysmal subarachnoid hemorrhage(SAH). Methods : The following parameters were retrospectively analyzed for association with chronic shunt-dependent hydrocephalus : 1) Age and Sex, 2) Hunt and Hess grade, 3) Fisher computed tomographic grade, 4) aneurysm location, and 5) treatment modality(surgery versus endovascular treatment). Results : Thirty-six of 251 patients(14.3%) who survived the SAH and its neurological and/or medical sequelae underwent definitive shunting for treatment of chronic hydrocephalus. The rate of shunt dependency was positively correlated with a higher age, a higher Hunt and Hess grade, a higher Fisher computed tomographic grade, and aneurysms arising at the anterior communicating artery(p<0.05). Conclusion : The results of the present study indicate that the treatment modality used does not affect the risk of the later development of chronic shunt-dependent hydrocephalus(surgery, 16.2% [25 of 154] ; endovascular treatment, 11.3% [11 of 97] ; p=0.45).

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Cognition and Memory Impairment after Operation in Ruptured Cerebral Aneurysm Patients (뇌동맥류 파열 환자의 수술후 인지기능과 기억력장애에 관한 연구)

  • Kim, Byung Joo;Choi, Chang Hwa;Kim, Dae Jin
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.842-848
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    • 2001
  • Objectives : The mortality rate of subarachnoid hemorrhage(SAH) has been reduced recently due to refinement of microsurgical technique and improved perioperative management. Also, many survivors of SAH show excellent neurological recoveries. However, we found that a high proportion of the survivors do not fully regain their premorbid status in cognitive and memory function. Object of this study is to evaluate which factors might influence on cognitive and memory impairment in ruptured aneurysmal SAH patients. Methods : In this prospective study, a series of 66 patients with aneurysmal subarachnoid hemorrhage(SAH) from 1996 to 1998, most of whom had a "good" or "fair" neurological outcome, were assessed with various tests of cognition and memory function. All patients underwent clipping operation by pterional approach. Right side approach was performed in 16 case and left 21 cases. K-WAIS(Korean-Wechsler Adult Intelligence Scale) was used as method of cognition and memory function test. The time interval between SAH and assessment varied between 4 months and 8 months, averaging 6.2 months. Statistical analyses were carried out for each test score to see whether aneurysm site(A-com : non A-com), route of approach, age and sex, vasospasm, Hunt-Hess grade and Fisher CT group at admission, Glasgow Outcome Scale(GOS) at discharge affect cognitive and memory function. Results : Aneurysm site was not shown to be associated with performance on any test, and the initial grade (Hunt-Hess grade, Fisher CT group) of SAH and vasospasm had only minimal predictive values. The grade at discharge( GOS) was proved to be the best predictor of impairment of cognition and memory function within 1 year after operation. Conclusion : The authors conclude that the diffuse effects of SAH are more important than focal neuropathology in relation to cognitive impairment in this group of patients.

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SIFT Image Feature Extraction based on Deep Learning (딥 러닝 기반의 SIFT 이미지 특징 추출)

  • Lee, Jae-Eun;Moon, Won-Jun;Seo, Young-Ho;Kim, Dong-Wook
    • Journal of Broadcast Engineering
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    • v.24 no.2
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    • pp.234-242
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    • 2019
  • In this paper, we propose a deep neural network which extracts SIFT feature points by determining whether the center pixel of a cropped image is a SIFT feature point. The data set of this network consists of a DIV2K dataset cut into $33{\times}33$ size and uses RGB image unlike SIFT which uses black and white image. The ground truth consists of the RobHess SIFT features extracted by setting the octave (scale) to 0, the sigma to 1.6, and the intervals to 3. Based on the VGG-16, we construct an increasingly deep network of 13 to 23 and 33 convolution layers, and experiment with changing the method of increasing the image scale. The result of using the sigmoid function as the activation function of the output layer is compared with the result using the softmax function. Experimental results show that the proposed network not only has more than 99% extraction accuracy but also has high extraction repeatability for distorted images.

Utility of Acetazolamide-Enhanced Brain Perfusion SPECT in Predicting Outcome of the Patients with Aneurysmal Subarachnoid Hemorrhage (뇌동맥류파열에 의한 지주막하 출혈환자의 예후평가에 있어서 아세타졸아미드 부하 뇌혈류 SPECT의 유용성)

  • Choi, Yun-Young;Kim, Jae-Min;Kim, Kwang-Myung;Choe, Il-Seung;Cho, Suk-Shin
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.4
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    • pp.241-250
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    • 2001
  • Purpose: Vasospasm is a complication of aneurysmal subarachnoid hemorrhage (aSAH). We assessed the role of acetazolamide-enhanced brain perfusion SPECT (ACZ-SPECT) with Tc-99m ECD for predicting the prognosis of patients with aSAH. Materials and methods: Two SPECT studios (baseline with 740 MBq and ACZ-SPECT with 1480 MBq) with image subtraction were performed in 21 patients with aSAH. All patients had brain CT and angiogram. Vasoreactivity on ACZ-SPECT, perfusion defect on baseline SPECT, and vasospasm on angiogram were correlated with Hunt-Hess grading, extent of SAH (unilateral or bilateral) on CT, and clinical outcome. Vasoreactivity was considered decreased when cerebral/cerebellar uptake ratio difference from baseline SPECT to ACZ-SPECT was greater than 2SD of normal control values. Results: Decreased vasoreactivity was observed in 38% (8/21), perfusion defect in 81% (17/21), and vasospasm in 38% (8/21). The preserved vasoreactivity group showed better outcome scale (92%, 12/13) and the decreased vasoreactivity group showed poorer outcome scale (62.5%, 5/8) (p=0.014). Extensive SAH was more frequently seen in the decreased vasoreactlvlty group (87.5%, 7/8) than in the preserved vasoreactivity group (30.7%, 4/13)(p=0.017). The perfusion defect and vasospasm did not show good correlation with outcome scale, extent of SAH, and Hunt-Hess grading (p=ns). Vasoreactivity represented the patient's outcome better than the vasospasm in all of the vasoreactivity/vasospasm-mismatched cases (6 cases). Conclusions: Our data show that decreased vasoreactivity on ACZ-SPECT does not always represent vasospastic condition. But patients with decreased vasoreactivity reveal poorer outcome than patients with angiographic vasospasm do. Therefore ACZ-SPECT is a valuable, noninvasive test for predicting the prognosis of patients with aSAH.

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FIBREWISE INFINITE SYMMETRIC PRODUCTS AND M-CATEGORY

  • Hans, Scheerer;Manfred, Stelzer
    • Bulletin of the Korean Mathematical Society
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    • v.36 no.4
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    • pp.671-682
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    • 1999
  • Using a base-point free version of the infinite symmetric product we define a fibrewise infinite symmetric product for any fibration $E\;\longrightarrow\;B$. The construction works for any commutative ring R with unit and is denoted by $R_f(E)\;l\ongrightarrow\;B$. For any pointed space B let $G_I(B)\;\longrightarrow\;B$ be the i-th Ganea fibration. Defining $M_R-cat(B):= inf{i\midR_f(G_i(B))\longrihghtarrow\;B$ admits a section} we obtain an approximation to the Lusternik-Schnirelmann category of B which satisfies .g.a product formula. In particular, if B is a 1-connected rational space of finite rational type, then $M_Q$-cat(B) coincides with the well-known (purely algebraically defined) M-category of B which in fact is equal to cat (B) by a result of K.Hess. All the constructions more generally apply to the Ganea category of maps.

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Development and Validation of Place Attachment to Childhood Home Scale (아동기 집에 대한 장소애착 척도 개발과 타당화 연구)

  • Lee, Jin-Suk;Choi, Byung-Sook;Han, Ji-Hyeon;Han, Young-Sook
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.549-566
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    • 2009
  • This study developed the Place Attachment to Childhood Home Scale and evaluated its validity and reliability. Samples consisted of 418 college students of four universities. Data were collected by questionnaire based on retrospective questions about the childhood home. Factor analysis resulted in 5 dimensions of place attachment : affection, place identity, place rootedness, playfulness, and place dependence. Especially, playfulness was a unique finding. The result of confirmatory factor analysis supported the five-factor structure. There were also significant correlations among sub-factors. The reliability of the scale appeared high (Cronbach's ${\alpha}$ = .948). Criterion-related validity was confirmed by significant correlations of the present scale with Attachment Scale to Place (Hess, 1997) and the Inventory of Parent Attachment (Armsden & Greenberg, 1987).

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Early Rupture after Coiling of Unruptured Aneurysm

  • Ko, Jun-Kyeung;Lee, Sang-Weon;Lee, Tae-Hong;Choi, Chang-Hwa
    • Journal of Korean Neurosurgical Society
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    • v.42 no.3
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    • pp.235-237
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    • 2007
  • We describe a case of an unruptured basilar top aneurysm that was associated with early rupture after incomplete coiling. A 62-year-old woman with a history of several small infarctions has undergone coiling of unruptured basilar top aneurysm. Two weeks after initial coiling the patient presented with Hunt and Hess grade IV subarachnoid hemorrhage consistent with a ruptured basilar top aneurysm. Repeat angiography revealed a rupture of recanalized basilar top aneurysm. Second embolization with additional coils resulted in complete occlusion. However, her neurological status was not improved afterward and she was transferred to department of rehabilitation one month after hemorrhage with comatous state. To our knowledge, this is the first case of fatal early rupture after coiling of unruptured aneurysm. It has been speculated that coiling could cause injury to aneurysmal wall and facilitate rupture.

"Misery Collaterals" as Poor Angiographic Findings - Definition, Classification, and Practical Application -

  • Kim, Young-Joon
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.159-163
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    • 2006
  • Objective : Unique Internal carotid artery angiographic findings have been found especially in very poor grade aneurysmal subarachnoid hemorrhage[SAH] patients before and during the endovascular coiling. The author investigates their patterns and classifies them into lour subtypes. Methods : Among Hunt&Hess grade IV, V SAH patients, the author could gather eight patients who showed abnormal intracranial circulation in cerebral catheter-based angiography. Results : The author introduces new term 'misery collaterals' first and has classified them into four types with the case illustrations. Type 1 is the worst condition defined as almost no intracranial circulation. Type 2 is the condition of little intracranial circulation with contrast filling just only at vessels of brain base, type 3 is of no or little cortical circulation with contrast filling at bilateral large vessels of brain base through circle of Willis channel and type 4 is of visible bilateral cortical circulation but delayed intracranial circulation time. The prognosis of these eight patients showed misery collaterals were disappointed. Conclusion : These finding can be used as the supportive information in deciding a management plan in poor grade SAH patients.

A Benchmark study on ultimate strength formulations of the aluminium stiffened panels under axial compression (알루미늄합금 보강판의 압축 최종강도 설계식의 비교연구)

  • ;;;O.F., Hughes;P.E., Hess
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2004.10a
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    • pp.110-117
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    • 2004
  • The aim of a benchmark study is carried out nine methods are employed for ULS analysis which implicitly predict the ultimate strength of aluminium stiffened panels under axial compression. For this purpose, DNV PULS, experimental and numerical data on the ultimate strength of panels were collected. Comparison of these experimental / numerical, DNV PULS / numerical, results with theoretical solutions by the candidate methods is performed. Also it's compared that ALPS/ULSAP program is based on closed-form formula for the ULS of plates and grillages under axial compression. It is considered that ALPS/ULSAP methodology provides quite accurate and reasonable ULS calculations by a comparison with more refined FEA. Comparison of these experimental data, numerical, computational software results with the simplified solutions obtained by the candidate methods is then performed. The model uncertainties associated with the candidate methods are studied in terms of mean bias and COV (i.e., coefficient of variation) against experiments and numerical solutions, and the relative performance of the various methods is discussed.

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Finding best parameters from color-magnitude diagrams of globular clusters using numerical optimization techniques

  • Kim, Hyun-Soo;Joo, Seok-Joo;Lee, Young-Wook
    • The Bulletin of The Korean Astronomical Society
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    • v.39 no.2
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    • pp.85.2-85.2
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    • 2014
  • 최근 10년 동안의 측광 및 분광관측을 통하여 우리은하 내 구상성단들 중 대부분이 적어도 2개 이상의 항성종족을 갖는다고 밝혀졌다. 현재까지 이루어진 대부분의 구상성단의 항성종족 연구에서는 관측된 색등급도와 항성종족 합성모델 사이에 eye-fitting을 함으로써 항성종족 파라미터, 즉 중원소함량, 나이, 헬륨함량 등을 추정해왔다. 우리는 구상성단의 항성종족을 분석하기 위해 ${\chi}^2$-Minimization에 의거하여 구상성단과 항성종족 합성모델의 Hess Diagram을 비교하고, 수치계산 기법을 도입하여 최적의 파라미터를 추정하는 알고리즘을 개발하였다. 이 연구에서는 가상으로 만든 성단에 대하여 Recovery Test를 수행함으로써 이 알고리즘의 Self-Consistency를 검증하였고, 실제 관측결과를 사용하여 이 연구의 적용 가능성을 조사하였다.

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