• Journal of Veterinary Clinics
• /
• v.29 no.1
• /
• pp.87-92
• /
• 2012

A six months old, male Shih Tzu dog was referred to the Veterinary Medical Teaching Hospital at Kangwon National University, for lethargy, respiratory embarrassment. Survey radiography revealed enlarged cardiac silhouette due to displacement of gas-filled intestine in the pericardium. Although there were no specific clinical signs, this case was diagnosed as peritoneopericardial diaphragmatic hernia (PPDH) based on the results of positive contrast radiography and thoracic ultrasonograpic findings. In addition, the thickened gall bladder wall observed in ultrasonography, increase of alkaline phosphatase and neutrophils indicated cholecystitis. Two hepatic lobes and gall bladder were severely necrotized and adhere to the diaphragm. Direct reduction of the herniated organs might cause hepatic hemorrhage and bile juice leakage which may induce very poor prognosis. To solve the problems, the adhered organs were dissected with part of diaphragm, and lobectomy with cholecystectomy was performed for prevention of some possible complications including peritonitis. This is case report describing resection of part of diaphragm adhered to herniated organ reduce the risk of possible hepatic hemorrhage during surgical correction of PPDH followed bycholecystectomy and lobectomy.

• Journal of Korean Neurosurgical Society
• /
• v.47 no.1
• /
• pp.42-47
• /
• 2010

Objective: To investigate the morphometric characteristics of the pituitary gland and diaphragma sellae in Korean adults. Methods: Using the 33 formaline fixed adult cadavers (23 male, 10 female), the measurements were taken at the diaphragma sellae and pituitary gland. The authors investigated the relationship between dura and structures surrounding pituitary gland, morphometric aspects of pituitary gland and stalk, and morphometric aspect of central opening of diaphragma sellae. Results: The boundary between the lateral surface of pituitary gland and the medial wall of cavernous sinus was formed by the thin dural layer and pituitary capsule. The pituitary capsule adherent tightly to the pituitary gland was observed to continue from the diaphragma sellae. Mean width, length, and height of the pituitary gland were 14.3${\pm}$2.1, 7.9${\pm}$1.3, and 6.0${\pm}$0.9 mm in anterior lobes, and 8.7${\pm}$1.7, 2.9${\pm}$1.1, and 5.8${\pm}$1.0 mm in posterior lobes, respectively. Although all dimensions of anterior lobe in female were slightly larger than those in male, statistical significance was noted in only longitudinal dimension. The ratio of posterior lobe to the whole length of pituitary gland was about 27%. The mean thickness of pituitary stalk was 2 mm. The diaphragmal opening was 5 mm or more in 26 (78.8%) of 33 specimen. The opening was round in 60.6% of the specimen, and elliptical oriented in an anterior-posterior or transverse direction in 39.4%. Conclusion: These results provide the safe anatomical knowledge during the transsphenoidal surgery and may be helpful to access the possibility of the development of empty sella syndrome.

• Journal of Drive and Control
• /
• v.11 no.4
• /
• pp.15-24
• /
• 2014

It is difficult to analytically derive a volumetric displacement formula for a gerotor hydraulic motor due to the complexity of the geometric shape of its gear lobes. This work proposes an analytical method for the volumetric displacement, a relatively easy method based upon two physical concepts: conservation between hydraulic energy and mechanical shaft energy, and torque equilibrium for the rotor's motion. The first research using these concepts was conducted on inner and outer rotors rotating with respect to each rotor axis. This work represents the second report conducted on an inner rotor revolving as a planetary motion on the stationary outer rotor. The formula equations regarding the volumetric displacement and flow rate are derived, and the proposed formula about the volumetric displacement is proven to be the same as another analytical displacement formula: the so-called vane length method. From the formula, volumetric displacement is calculated for an example geometry of the gear lobes. The resultant displacement is confirmed to be the same as the value calculated from the chamber volume method. The proposed analytical formula can be utilized in the analysis and design of gerotor hydraulic motors. Because it is based on torque equilibrium, this formula can provide a better understanding of torque performance, such as torque ripple, in designing a gerotor type motor.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.11 no.5
• /
• pp.806-812
• /
• 2000

In this paper, we theoretically studied on the large antenna array whose element had wider than one wavelength. And we also verified the adaptedness through the experiments. Using grating lobes, we could make antenna have sharp HPBW. Not only HPBW but also SLL could be controlled by giving optimal space for antenna array. In order to verify this method, we designed 4 horn antenna array and measured the radiation patterns at 9 GHz. Each horn antenna has the dimension of 64.3$\times$82.5$\textrm{mm}^2$ and HPBW of 27$^{\circ}$. The space between antennas is longer than one wavelength so that it may have the grating lobes in visible region. As a result of experiments, we could get HPBW of 4.3$^{\circ}$, 3.3$^{\circ}$ and 1.7$^{\circ}$when giving 2.5λ, 2.7λ and 3.0λ of the spacing respectively. We concluded this could be useful making the antenna with narrow HPBW.

• Archives of Plastic Surgery
• /
• v.34 no.4
• /
• pp.448-454
• /
• 2007

Purpose: The objective of this study was to evaluate the outcomes of using the free flap in the reconstruction of maxillary defects. Methods: 27 consecutive cases of maxillary reconstruction with free flap were reviewed. All clinical data were analyzed, including ideal selection of flap, time of reconstruction, recurrence of cancer, postoperative complications, flap design, and follow-up results. The main operative functional items, including speech, oral diet, mastication, eye globe position and function, respiration, and aesthetic results were evaluated. Results: Among the 24 patients who underwent maxillary reconstruction with the free flap, 14 patients underwent immediate reconstruction after maxillary cancer ablation, and 10 patients underwent delayed reconstruction. There occurred 1 flap loss. Recurrences of the cancer after the reconstruction happened in 2 cases. Postoperative complications were 3 cases of gravitational ptosis of the flap, 2 cases of the nasal obstruction, and 1 case of fistula formation. Out of 27 free flaps, there were 15 latissimus dorsi myocutaneous flaps, 5 radial forearm, 4 rectus abdominis myocutaneous flaps, 1 scapular flap, 2 fibula osteocutaneous flap, respectively. Flaps were designed such as 1 lobe in 9 cases, 2 lobes in 9 cases, and 3 lobes in 5 cases. Among the 14 patients who had intraoral defect or who had palatal resection surgery, 2 patients complained the inaccuracy of the pronunciation due to the ptosis of the flap. It was corrected by the reconstruction of the maxillary buttress and hung the sling to the upper direction. All of the 14 patients were able to take unrestricted diets. In 6 patients who had reconstruction of inferior orbital wall with rib bone graft, they preserved normal vision. Aesthetically, most of the patients were satisfied with the result. Conclusion: LD free flap is suggested in uni-maxilla defect as the 1st choice, and fibular osteocutaneous flap and calvarial bone graft to cover the larger defect in bi-maxilla defect.

• Journal of International Academy of Physical Therapy Research
• /
• v.10 no.1
• /
• pp.1700-1705
• /
• 2019

Background: Mild cognitive impairment (MCI) is also called as aging related memory damage. Decreased cognitive function due to aging is known to be associated with the frontal lobe. Alpha wave is generated in the dominance in the frontal lobe or a wide range of regions in the brain, it should be doubted that the brain function might be degraded. Objective: To determine the effect of sensory stimulation type on learning and brain activity pattern of elderly persons with MCI. Design: Randomized Controlled Trial (single blind) Methods: Twenty elderly persons aged more than 65 with MCI were randonmized to simultaneous visual/auditory stimulation group (SVASG) and or auditory stimulation group (ASG). Ten peoples were assigned to each group and lectroencephalogram test was performed to individuals. In the electroencephalogram test, electroencephalography of prior to sensory stimulation, and during sensory stimulation were measured to compare brain activity pattern according to the study groups and measurement period. Results: The relative alpha power due to a sensory stimulation type showed that the SVASG significantly decreased in the left frontal lobe and the left parietal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). The relative beta power due to a sensory stimulation type showed that the SVASG significantly increased in the left and right frontal lobes, the left and right parietal lobes, and the left temporal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). Conclusions: Electroencephalographic analysis showed that the type of sensory stimulation can affect the brain activity pattern. However, the effects were not studied that which brain activity pattern help to improved cognitive function of elderly persons with mild cognitive impairment.

• Dementia and Neurocognitive Disorders
• /
• v.17 no.3
• /
• pp.110-119
• /
• 2018

Background and Purpose: To analyze $^{18}F-THK5351$ positron emission tomography (PET) scans of patients with clinically diagnosed nonfluent/agrammatic variant primary progressive aphasia (navPPA). Methods: Thirty-one participants, including those with Alzheimer's disease (AD, n=13), navPPA (n=3), and those with normal control (NC, n=15) who completed 3 Tesla magnetic resonance imaging, $^{18}F-THK5351$ PET scans, and detailed neuropsychological tests, were included. Voxel-based and region of interest (ROI)-based analyses were performed to evaluate retention of $^{18}F-THK5351$ in navPPA patients. Results: In ROI-based analysis, patients with navPPA had higher levels of THK retention in the Broca's area, bilateral inferior frontal lobes, bilateral precentral gyri, and bilateral basal ganglia. Patients with navPPA showed higher levels of THK retention in bilateral frontal lobes (mainly left side) compared than NC in voxel-wise analysis. Conclusions: In our study, THK retention in navPPA patients was mainly distributed at the frontal region which was well correlated with functional-radiological distribution of navPPA. Our results suggest that tau PET imaging could be a supportive tool for diagnosis of navPPA in combination with a clinical history.

• Journal of Audiology & Otology
• /
• v.25 no.3
• /
• pp.163-170
• /
• 2021

Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

• Korean Journal of Audiology
• /
• v.25 no.3
• /
• pp.163-170
• /
• 2021

Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.29 no.3
• /
• pp.29-36
• /
• 2023

Purpose: The purpose of this study is to find out whether the color change of the LED light source has a significant effect on the beta wave activity of EEG in the learning state. Methods: The subjects of the experiment were 20 male and female college students between the ages of 19 and 25 who routinely perform their studies. In the created learning environment, the EEG change according to the change in the lighting color was measured while solving the Mensa thinking ability problem while sitting on a desk with LED lights installed on the top and a chair with a footrest to stabilize the legs. The light source consisted of 3 ready-made colors and 6 newly created colors. A total of 9 color light stimuli were given for 2 minutes each, and the EEG change of the subject was observed. After the experiment, the correlation was analyzed based on the mid-beta wave data recorded on the QEEG according to the color change of light and the Mensa problem score. Results: It was found that the activation of mid-beta waves was stimulated in the temporal lobes (T5, T3, T6, T4) and occipital lobes (O1, O2) of all subjects who focused on solving Mensa thinking problems. As a result of comparing the top 20% and the bottom 20% of problem solving scores, the upper group had no effect of lighting, while the lower group showed increased beta wave activity in response to color light stimulation in the order of T4, T6, and T5. Implications: It was confirmed that the color of light that activates the middle beta wave varies greatly depending on the subject's attention and learning ability, and it is judged that the color of light including the green wavelength is helpful in activating the middle beta wave in the group with low learning ability.