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Compensatory change of opposite hippocampus after temporal lobe surgery in patients with temporal lobe epilepsy Evidence from single-voxel proton MR spectroscopy

  • Lee, Sang-Hyun;Chang, Kee-Hyun;Chung, Chun-Kee;Song, In-Chan;Han, Moon-Hee
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.172-172
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    • 2001
  • Purpose: To evaluate compensatory change of opposite hippocampus after temporal lobe surgery in th patient with temporal lobe epilepsy by using single-voxel proton MR spectroscopy. Method: Eighteen patients with intractable temporal lobe epilepsy (TLE) whose MR diagnos was unilateral hippocampal sclerosis (n=11) or localized unilateral anterior temporal lobe lesio (n=7) and who underwent anterior temporal lobectomy were included in the study. Singl proton MRS of opposite hippocampus was carried out on the same day or within 1 week af MR imaging before temporal lobe surgery and after over 1-year post-surgical follow-u Single voxel proton MRS were acquired using GE signa 1.5T scanner and spectrosco system (TR, 1500-2, 000: TE, 136-144). Region of interest (ROI) was placed in a simitar position for all examination to cover the medial temporal lobes including most of the head an body of hippocampus and a part of amygdala, the parahippocampal gyrus. The MR spectr were evaluated with a focus on the metabolite ratio of N-acetylaspartate (NAA choline-containing phospholipids (Cho), creatine (Cr). The metabolite ratios of NAA/ Cr were calculated from the relative peak height measurement. We evaluated change of th intensity ratio NAA/Cr between before and after surgery, to simplify quantification acro patients, because observed decreases in the ratio of NAA/Cr can be interpreted in terms o neuronal or axonal damage.

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Administration Duration Dependent Effects of Morindae Radix Extract Solution on Reproductive Capacities in Mice (수컷 생쥐 생식능력(生殖能力)에 대한 파극(巴戟)의 투약기간별(投藥其間別) 효과(效果))

  • Oh, Jae-Sung;Lee, Chang-Hun;Jang, Jun-Bock;Lee, Kyung-Sub;Cho, Jung-Hoon
    • The Journal of Korean Medicine
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    • v.27 no.3 s.67
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    • pp.63-76
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    • 2006
  • Objective: These studies were undertaken to evaluate the effects of the different administration duration of Morindae Radix extract solution on spermatogenic abilities such as concentration, motility and morphological normality of sperm from the testes and the activities of sperm hyaluronidase. Materials and Method: We used 8-week-old ICR mice and administered 0.3mg/g extract solution of Morindae Radix once a day for 30, 60, 90 and 120 days. The control group was administered normal saline in the same way and duration. We examined the number of total, motile and normal sperm from the cauda epididymis. We also compared the testicular tissue, especially seminiferous tubules, between the control and treated groups by histochemical methods. Finally, we observed the difference of sperm hyaluronidase activities between the control and treated groups. Results: Significant administration duration-dependent differences were observed in the concentration of total sperm, motility and normality of spermatozoa of the Morindae Radix extract solution administered groups compared to the control group. In the histological analysis of the testicular tissues, the enlargement of testicular lobe diameter and apparent vasculogenesis between testicular lobes were observed in the Morindae Radix extract solution administered groups compared to the control group. Also, the activity of hyaluronidase was significantly increased in the Morindae Radix extract solution administered groups compared to the control group. Conclusions: This study shows that the beneficial effect of Morindae Radix extract solution on the concentration, motility and morphology of sperm, the testicular tissues and the activities of sperm hyaluronidase increased the greater the duration the mice were administered it. We suggest that Morindae Radix may be useful for the treatment of male sexual dysfunction and infertility.

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Increased risk of refractory Mycoplasma pneumoniae pneumonia in children with atopic sensitization and asthma

  • Shin, Jeong Eun;Cheon, Bo Ram;Shim, Jae Won;Kim, Deok Soo;Jung, Hae Lim;Park, Moon Soo;Shim, Jung Yeon
    • Clinical and Experimental Pediatrics
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    • v.57 no.6
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    • pp.271-277
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    • 2014
  • Purpose: A nationwide outbreak of Mycoplasma pneumoniae pneumonia (MP) refractory to macrolide antibiotics occurred in Korea during 2011. Steroid therapy has been reported to be both efficacious and well tolerated in pediatric patients with refractory MP. We compared clinical features and laboratory characteristics between children with refractory MP requiring steroid treatment and those with macrolide-responsive MP and evaluated the risk factors associated with refractory MP. Methods: We investigated 203 children who were admitted to our institution with MP from June to November 2011. Refractory MP was defined by persistent fever over $38.3^{\circ}C$ with progressive pulmonary consolidation or pleural effusion despite administration of appropriate macrolide antibiotics for 5 days or longer after admission. Steroid therapy was initiated on the fifth day after admission for refractory cases. Results: There were 26 patients with refractory MP requiring steroid therapy. The mean duration of steroid therapy was 5.4 days and most of the patients were afebrile within 24 hours after initiation of steroid therapy. The prevalence of refractory MP was higher in patients with pleural effusion, lobar pneumonia affecting more than 2 lobes, higher levels of serum lactate dehydrogenase, increased oxygen requirements, and longer duration of hospitalization. Atopic sensitization and history of asthma were also associated with refractory MP after adjusting for age and gender. Conclusion: Children with refractory MP had more severe pneumonia. Atopic sensitization and history of asthma may be risk factors for refractory MP requiring steroid therapy in Korean children.

Comparison of Viral Hepatitis-Associated Hepatocellular Carcinoma Due to HBV and HCV - Cohort from Liver Clinics in Pakistan

  • Munaf, Alvina;Memon, Muhammad Sadik;Kumar, Prem;Ahmed, Sultan;Kumar, Maheshwari Bhunesh
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7563-7567
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    • 2014
  • Background: Hepatocellular carcinoma (HCC) is the first cause of death in cirrhotic patients, mostly due to viral hepatitis with HCV or HBV infection. This study was performed to estimate the true prevalence of viral hepatitis-related HCC and the demographic and clinical-pathological associations with the two virus types. Materials and Methods: This cross sectional observational study enrolled clinical data base of 188 HCC patients and variables included from baseline were age, sex, area of residence, clinical-pathological features such as underlying co-morbidity, presence or absence of liver cirrhosis, macrovascular involvement, tumor extension and metastasis, liver lobes involved, serum alpha-fetoprotein level, and hepatitis serologies. Results: Overall prevalence of HCV- and HBV-related HCC was 66.0% and 34.0%, respectively. Patients with HCV were more likely to develop HCC at advanced age ($52.4{\pm}11.9$ vs. $40.7{\pm}12.09$ years), with highly raised serum AFP levels (${\geq}400ng/ml$) 78.2% (HBV 67.1%), large tumor size (HCV-66% >5 cm, HBV-59.3%), and presence of portal vein thrombosis (8.06%, HBV 1.56%). A binominal multivariate analysis showed that HCV-HCC group were more likely to be cirrhotic (OR=0.245, 95%CI: 0.117, 0.516) and had more than two times higher rate of solitary macrovascular involvement (OR=2.533, 95%CI: 1.162, 5.521) as compared with HBV associated HCC. Conclusions: Statistically significant variations were observed from baseline to clinical-pathological characteristics in HCV vs HBV associated HCC. Our study suggests prompt and early screening for high risk patients so that the rate of progression of these chronic viral diseases to cirrhosis and cancer can be decreased.

Epidemiology and Survival of Hepatocellular Carcinoma in North-east Peninsular Malaysia

  • Norsa'adah, Bachok;Nurhazalini-Zayani, Che Ghazali Che
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6955-6959
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    • 2013
  • The incidence of hepatocellular carcinoma (HCC) is relatively high in Southeast Asia. Globally, HCC has a high fatality rate and short survival. The objectives of this retrospective cohort study were to review the epidemiology and survival of HCC patients at a tertiary centre in north-east of Peninsular Malaysia. Subjects were adult HCC patients diagnosed by histopathology or radio-imaging. Secondary liver carcinoma was excluded. Kaplan Meier and multiple Cox proportional hazard survival analyses were used. Only 210 HCC cases from years 1987-2008, were included in the final analysis. The number of cases was increasing annually. The mean age was 55.0 (SD 13.9) years with male:female ratio of 3.7:1. Approximately 57.6% had positive hepatitis B virus, 2.4% hepatitis C virus, 20% liver cirrhosis and 8.1% chronic liver disease. Only 2.9% had family history and 9.0% had frequently consumed alcohol. Most patients presented with abdominal pain or discomfort and had hepatomegaly, 47.9% had an elevated ${\alpha}$-fetoprotein level of 800 IU/ml or more, 51.9% had multiple tumors and 44.8% involved multiple liver lobes. Approximately 63.3% were in stage 3 and 23.4% in stage 4, and 82.9% did not receive any treatment. The overall median survival time was 1.9 months (95% confidence interval (CI): 1.5, 2.3). The 1-month, 6-month, 1-year and 2-year survival rates were 71.8%, 23.3%, 13.0% and 7.3% respectively. Significant prognostic factors were Malay ethnicity [Adjusted hazard ratio (AHR) 1.6; 95%CI: 1.0, 2.5; p=0.030], no chemotherapy [AHR 1.7; 95%CI: 1.1, 2.5; p=0.017] and Child-Pugh class C [AHR 2.6; 95%CI: 1.4, 4.9; p=0.002]. HCC in our study affected a wide age range, mostly male, in advanced stage of disease, with no treatment and very low survival rates. Primary prevention should be advocated in view of late presentation and difficulty of treatment. Vaccination of hepatitis virus and avoidance of liver toxins are to be encouraged.

Design of L-Band Cylindrical Active Phase Array Antenna Using Bent Dipoles (접힌 다이폴 구조를 적용한 L-Band 원통형 능동 위상배열 안테나 설계)

  • Lee, Man-Gyu;Kwon, Ickjin
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.6
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    • pp.43-55
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    • 2013
  • In this paper, we propose a cylindrical active phased array antenna of Beam Steering Characteristics in the horizontal plane(H-plane) and vertical plane(E-Plane) on the cylinder form array structure. We design the bent dipole antenna of the cylindrical array structure adapted excellent mutual-coupling characteristics, designed and manufactured the cylindrical array antennas and power combiner/divider unit for power dividing and combining on the antenna. The radiating elements array spacing of Cylindrical array antenna were determined to avoid grating lobes at half power beam steering. Beam steering of the antenna was implemented with 6-bit phase shifter in the transceiver and have been designed based on the characteristics the antenna beam steering at -24 degrees to 24 degrees horizontal, vertical 0 degrees to 36 degrees beam steering. A cylindrical active phased array antenna that produced for verification the performance of the antenna are measured radiation characteristics in accordance with beam steering at L-Band.

Jasminum attenuatum Roxb. ex G. Don (Oleaceae): a new record to the flora of Vietnam (Jasminum attenuatum Roxb. ex G. Don: 베트남 미기록종)

  • Quang, Bui Hong;Bach, Tran The;Choudhary, Ritesh Kumar;Lee, Changyoung;Lee, Joongku
    • Korean Journal of Plant Taxonomy
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    • v.43 no.4
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    • pp.263-266
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    • 2013
  • Jasminum attenuatum Roxb. ex G. Don, a species of Oleaceae, was recently found in Kon Ka Kinh National Park of Vietnam that represents a new record to the flora of the country. The plant can be differentiated from its allied species J. latipetalum C.B. Clarke and J. simplicifolium subsp. funale (Decne) Kiew by the shape of its leaf blade, in having 5-20 flowered inflorescence, linear bracts, and obconic and glabrous calyx with shorter lobes. The present study provides the species description, illustrations, micrographs by scanning electron microscope of the pollen grains, and important taxonomic notes. Furthermore, a comparison of the diagnostic characters between this species and the above mentioned related species is made.

Pimpinella saxifraga (Apiaceae): A new record from Jejudo Island, Korea

  • LEE, Chunghee;SONG, Yujin;JEON, Yun-Chang;GIL, Hee-Young;KIM, Seon-Hee
    • Korean Journal of Plant Taxonomy
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    • v.48 no.1
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    • pp.43-47
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    • 2018
  • Pimpinella saxifraga L. (Scarlet pimpernel or Burnet saxifrage), a newly introduced species, was found from Baekyakyi oreum (a parasitic cone or cinder cone) in Seogwipo, Jejudo Island. This species is native to Europe and western Asia and is reported as a widely invasive species around the world. Pimpinella saxifraga is distinguished from other related Korean taxa by leaves that are pinnately compound with 3-7 pairs of segments, which vary from simple, ovate, to 2-pinnatisect, with linear lobes. The vernacular name of "Baek-yak-yi-cham-na-mul" was assigned after the name of the cinder cone where it was initially discovered. We provide descriptions of the morphological characters, photographs and a key to allied taxa in Korea. The geographical origin and introduction routes are unknown, but it is highly likely that it was introduced as fodder given its high nutritious value for sheep and cattle or as a medicinal herb. This species invades commonly grasslands and woodlands and prefers dry, well-drained, and calcareous soils. The distribution of this species was analyzed by searching extensively in surrounding Baekyakyi oreum and adjacent cinder cones, but no other populations were observed. It is protected commonly at the edges or inside of the patchy pine forest in the cinder cone from grazing by cattle; given the worldwide invasive nature of this species, special monitoring and management plans should be developed.

Relationship Between Effects of Pink Noise on Brain Wave Concentration Index by Individual Characteristics and Multiple Intelligence (Pink Noise가 개인별 특성에 따라 뇌파 집중지표에 미치는 영향과 다중지능과의 관계)

  • Shin, Seong-Kweon;Shim, Jun-Young
    • Science of Emotion and Sensibility
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    • v.16 no.4
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    • pp.481-492
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    • 2013
  • This study sorted scores of individual characteristics and multiple intelligence by sex, handle, blood type and age through previous questionnaire with 462 adult males and females. Then electrode was attached to prefrontal lobes Fp1 and Fp2 with EEG measuring system and changes of concentration between no stimulation state and pure pink noise stimulation and their relations to multiple intelligence were examined. As a result of analysis of covariance, the mean concentration of all subjects was significantly higher in the pink noise stimulation compared to no stimulation. According to individual characteristics, concentration was significantly higher in left-hander, type A blood, and group in their thirties except for gender. Concentration in pink noise state strengthened the relation to spatial intelligence and made negative correlations with musical intelligence compared to no stimulation state. These results suggested that individual characteristics should be reflected on using pink noise for improving concentration.

Through-and-through Nasal Reconstruction with the Bi-Pedicled Forehead Flap

  • Agostini, Tommaso;Perello, Raffaella;Russo, Giulia Lo;Spinelli, Giuseppe
    • Archives of Plastic Surgery
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    • v.40 no.6
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    • pp.748-753
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    • 2013
  • Background Nasal reconstruction is one of the most difficult challenges for the head and neck surgeon, especially in the case of complex full thickness defects following malignant skin tumor resection. Full-thickness defects require demanding multi-step reconstruction. Methods Seven patients underwent surgical reconstruction of full-thickness nasal defects with a bi-pedicled forehead flap shaped appropriately to the defect. Patients were aged between 58 and 86 years, with a mean age of 63.4 years. All of the tumors were excised using traditional surgery, and in 4 of the patients, reconstruction was performed simultaneously following negativity of fresh frozen sections of the margins under general anesthesia. Results Nasal reconstruction was well accepted by all of the patients suffering non-melanoma skin tumors with acceptable cosmetic outcomes. The heart-shaped forehead flap was harvested in cases of subtotal involvement of the nasal pyramid, while smaller defects were reconstructed with a wing-shaped flap. No cartilaginous or osseous support was necessary. Conclusions This bi-pedicled forehead flap was a valid, versatile, and easy-to-implement alternative to microsurgery or multi-step reconstruction. The flap is the best indication for full-thickness nasal defects but can also be indicated for other complex facial defects in the orbital (exenteratio orbitae), zygomatic, and cheek area, for which the availability of a flap equipped with two thick and hairless lobes can be a valuable resource.