• Title/Summary/Keyword: Mass changes

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Immunoglobulin G4-Related Disease Involving the Pterygopalatine Fossa, Mimicking Invasive Aspergillosis: A Case Report and Literature Review (침습아스페르길루스증으로 오인된 날개입천장오목에 발생한 면역글로불린 G4 관련 질환: 증례 보고 및 문헌 고찰)

  • Jin Young Son;Jee Young Kim;Jin Hee Cho;Eun Jung Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.4
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    • pp.1005-1010
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    • 2021
  • We report a case of Immunoglobulin G4 (IgG4) related disease involving the pterygoplataine fossa. A 83-year-old male presented with left ocular pain and visual disturbance. CT showed an isodense soft tissue lesion in the left pterygopalatine fossa with bony sclerotic changes and erosion. MRI revealed an infiltrative soft tissue mass in the left pterygopalatine fossa as a T2 slightly low signal intensity and heterogeneous enhancement. The patient underwent left ethmoidectomy, and biopsy of the mass was conducted. The histopathological diagnosis was IgG4-related disease. In this case, it was difficult to differentiate invasive aspergillosis, which is common in immunocompromised patients, considering the patient's clinical history of diabetes mellitus. This report describes the imaging findings of IgG4-related disease mimicking invasive sinusitis such as invasive aspergillosis.

Chemotherapy-Related Cardiac Dysfunction: Quantitative Cardiac Magnetic Resonance Image Parameters and Their Prognostic Implications

  • Jinhee Kim;Yoo Jin Hong;Kyunghwa Han;Jin Young Kim;Hye-Jeong Lee;Jin Hur;Young Jin Kim;Byoung Wook Choi
    • Korean Journal of Radiology
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    • v.24 no.9
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    • pp.838-848
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    • 2023
  • Objective: To quantitatively analyze the cardiac magnetic resonance imaging (CMR) characteristics of chemotherapy-related cardiac dysfunction (CTRCD) and explore their prognostic value for major adverse cardiovascular events (MACE). Materials and Methods: A total of 145 patients (male:female = 76:69, mean age = 63.0 years) with cancer and heart failure who underwent CMR between January 2015 and January 2021 were included. CMR was performed using a 3T scanner (Siemens). Biventricular functions, native T1 T2, extracellular volume fraction (ECV) values, and late gadolinium enhancement (LGE) of the left ventricle (LV) were compared between those with and without CTRCD. These were compared between patients with mild-to-moderate CTRCD and those with severe CTRCD. Cox proportional hazard regression analysis was used to evaluate the association between the CMR parameters and MACE occurrence during follow-up in the CTRCD patients. Results: Among 145 patients, 61 had CTRCD and 84 did not have CTRCD. Native T1, ECV, and T2 were significantly higher in the CTRCD group (1336.9 ms, 32.5%, and 44.7 ms, respectively) than those in the non-CTRCD group (1303.4 ms, 30.5%, and 42.0 ms, respectively; P = 0.013, 0.010, and < 0.001, respectively). They were not significantly different between patients with mild-to-moderate and severe CTRCD. Indexed LV mass was significantly smaller in the CTRCD group (65.0 g/m2 vs. 78.9 g/mm2; P < 0.001). According to the multivariable Cox regression analysis, T2 (hazard ratio [HR]: 1.14, 95% confidence interval [CI]: 1.01-1.27; P = 0.028) and quantified LGE (HR: 1.07, 95% CI: 1.01-1.13; P = 0.021) were independently associated with MACE in the CTRCD patients. Conclusion: Quantitative parameters from CMR have the potential to evaluate myocardial changes in CTRCD. Increased T2 with reduced LV mass was demonstrated in CTRCD patients even before the development of severe cardiac dysfunction. T2 and quantified LGE may be independent prognostic factors for MACE in patients with CTRCD.

The effect of infill walls on the fundamental period of steel frames by considering soil-structure interaction

  • Kianoosh Kiani;Sayed Mohammad Motovali Emami
    • Earthquakes and Structures
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    • v.26 no.6
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    • pp.417-431
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    • 2024
  • The fundamental period of vibration is one of the most critical parameters in the analysis and design of structures, as it depends on the distribution of stiffness and mass within the structure. Therefore, building codes propose empirical equations based on the observed periods of actual buildings during seismic events and ambient vibration tests. However, despite the fact that infill walls increase the stiffness and mass of the structure, causing significant changes in the fundamental period, most of these equations do not account for the presence of infills walls in the structure. Typically, these equations are dependent on both the structural system type and building height. The different values between the empirical and analytical periods are due to the elimination of non-structural effects in the analytical methods. Therefore, the presence of non-structural elements, such as infill panels, should be carefully considered. Another critical factor influencing the fundamental period is the effect of Soil-Structure Interaction (SSI). Most seismic building design codes generally consider SSI to be beneficial to the structural system under seismic loading, as it increases the fundamental period and leads to higher damping of the system. Recent case studies and postseismic observations suggest that SSI can have detrimental effects, and neglecting its impact could lead to unsafe design, especially for structures located on soft soil. The current research focuses on investigating the effect of infill panels on the fundamental period of moment-resisting and eccentrically braced steel frames while considering the influence of soil-structure interaction. To achieve this, the effects of building height, infill wall stiffness, infill openings and soil structure interactions were studied using 3, 6, 9, 12, 15 and 18-story 3-D frames. These frames were modeled and analyzed using SeismoStruct software. The calculated values of the fundamental period were then compared with those obtained from the proposed equation in the seismic code. The results indicate that changing the number of stories and the soil type significantly affects the fundamental period of structures. Moreover, as the percentage of infill openings increases, the fundamental period of the structure increases almost linearly. Additionally, soil-structure interaction strongly affects the fundamental periods of structures, especially for more flexible soils. This effect is more pronounced when the infill wall stiffness is higher. In conclusion, new equations are proposed for predicting the fundamental periods of Moment Resisting Frame (MRF) and Eccentrically Braced Frame (EBF) buildings. These equations are functions of various parameters, including building height, modulus of elasticity, infill wall thickness, infill wall percentage, and soil types.

Beloved Chunhyang and Changing Emotions - Focused on the Transformation of <Chunhyangjeon> in Mass Media after the 2000s - (사랑하는 춘향, 변이하는 감정 - 2000년대 이후 대중매체에서의 <춘향전> 변용을 중심으로 -)

  • 류진희
    • 한국학연구
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    • no.53
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    • pp.191-213
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    • 2019
  • This paper focuses on the popular reception of <Chunhyangjeon> through transformations in mass media since the 2000s. The narrative of Chunhyang was richly created through transformed copies in which the original and copied stories were indistinguishable, and it has been enjoyed ceaselessly throughout the twentieth century. Then, <Chunhyangjeon> was revamped in the neoliberal era of the 2000s and onward. After the June Democracy Movement in 1987 and because of the IMF financial crisis in 1997, the meaning of love of the story of Chunhyang changed. This paper examines the aspects in which the emotion of love changes along with neoliberalism by analyzing the performance of the characters of Chunhyang from the different renditions of the story since the 2000s. In the film <Chunhyangdyeon> (ChunHyang) (2000) and television drama series <Kwoegeol Chunhyang> (Delightful Girl Choon-hyang) (2005), Chunhyang appears as a woman who preserves tradition and is contemporary. They are not victims of authority but rather they are global at the same time appeal as Korean, and attain their love. However, in <Bangjajeon> (The Servant) (2010), Chunhyang who seeks a strategic love is punished, and the story focuses more on how Bangja, a male from the lower class, confronts his antagonist Mongryong. As such, the Chunhyang of the neoliberal era that appears as a strong character in the spectrum of love in the new millennium disappears for a while. However, at a time when love is being critically considered as an ideology, there is a need to think once again about the possibility of the narrative surrounding Chunhyang.

Changes in blood pressure and determinants of blood pressure level and change in Korean adolescents (성장기 청소년의 혈압변화와 결정요인)

  • Suh, Il;Nam, Chung-Mo;Jee, Sun-Ha;Kim, Suk-Il;Kim, Young-Ok;Kim, Sung-Soon;Shim, Won-Heum;Kim, Chun-Bae;Lee, Kang-Hee;Ha, Jong-Won;Kang, Hyung-Gon;Oh, Kyung-Won
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.2 s.57
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    • pp.308-326
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    • 1997
  • Many studies have led to the notion that essential hypertension in adults is the result of a process that starts early in life: investigation of blood pressure(BP) in children and adolescents can therefore contribute to knowledge of the etiology of the condition. A unique longitudinal study on BP in Korea, known as Kangwha Children's Blood Pressure(KCBP) Study was initiated in 1986 to investigate changes in BP in children. This study is a part of the KCBP study. The purposes of this study are to show changes in BP and to determine factors affecting to BP level and change in Korean adolescents during age period 12 to 16 years. A total of 710 students(335 males, 375 females) who were in the first grade at junior high school(12 years old) in 1992 in Kangwha County, Korea have been followed to measure BP and related factors(anthropometric, serologic and dietary factors) annually up to 1996. A total of 562 students(242 males, 320 females) completed all five annual examinations. The main results are as follows: 1. For males, mean systolic and diastolic BP at age 12 and 16 years old were 108.7 mmHg and 118.1 mmHg(systolic), and 69.5 mmHg and 73.4 mmHg(diastolic), respectively. BP level was the highest when students were at 15 years old. For females, mean systolic and diastolic BP at age 12 and 16 years were 114.4 mmHg and 113.5 mmHg(systolic) and 75.2 mmHg and 72.1 mmHg(diastolic), respectively. BP level reached the highest point when they were 13-14 years old. 2. Anthropometric variables(height, weight and body mass index, etc) increased constantly during the study period for males. However, the rate of increase was decreased for females after age 15 years. Serum total cholesterol decreased and triglyceride increased according to age for males, but they did not show any significant trend fer females. Total fat intake increased at age 16 years compared with that at age 14 years. Compositions of carbohydrate, protein and fat among total energy intake were 66.2:12.0:19.4, 64.1:12.1:21.8 at age 14 and 16 years, respectively. 3. Most of anthropometric measures, especially, height, body mass index(BMI) and triceps skinfold thickness showed a significant correlation with BP level in both sexes. When BMI was adjusted, serum total cholesterol showed a significant negative correlation with systolic BP at age 12 years in males, but at age 14 years the direction of correlation changed to positive. In females serum total cholesterol was negatively correlated with diastolic BP at age 15 and 16 years. Triglyceride and creatinine showed positive correlation with systolic and diastolic BP in males, but they did not show any correlation in females. There was no consistent findings between nutrient intake and BP level. However, protein intake correlated positively with diastolic BP level in males. 4. Blood pressure change was positively associated with changes in BMI and serum total cholesterol in both sexes. Change in creatinine was associated with BP change positively in males and negatively in females. Students whose sodium intake was high showed higher systolic and diastolic BP in males, and students whose total fat intake was high maintained lower level of BP in females. The major determinants on BP change was BMI in both sexes.

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Long-term and Real-time Monitoring System of the East/Japan Sea

  • Kim, Kuh;Kim, Yun-Bae;Park, Jong-Jin;Nam, Sung-Hyun;Park, Kyung-Ae;Chang, Kyung-Il
    • Ocean Science Journal
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    • v.40 no.1
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    • pp.25-44
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    • 2005
  • Long-term, continuous, and real-time ocean monitoring has been undertaken in order to evaluate various oceanographic phenomena and processes in the East/Japan Sea. Recent technical advances combined with our concerted efforts have allowed us to establish a real-time monitoring system and to accumulate considerable knowledge on what has been taking place in water properties, current systems, and circulation in the East Sea. We have obtained information on volume transport across the Korea Strait through cable voltage measurements and continuous temperature and salinity profile data from ARGO floats placed throughout entire East Sea since 1997. These ARGO float data have been utilized to estimate deep current, inertial kinetic energy, and changes in water mass, especially in the northern East Sea. We have also developed the East Sea Real-time Ocean Buoy (ESROB) in coastal regions and made continual improvements till it has evolved into the most up-to-date and effective monitoring system as a result of remarkable technical progress in data communication systems. Atmospheric and oceanic measurements by ESROB have contributed to the recognition of coastal wind variability, current fluctuations, and internal waves near and off the eastern coast of Korea. Long-tenn current meter moorings have been in operation since 1996 between Ulleungdo and Dokdo to monitor the interbasin deep water exchanges between the Japanese and Ulleung Basins. In addition, remotely sensed satellite data could facilitate the investigation of atmospheric and oceanic surface conditions such as sea surface temperature (SST), sea surface height, near-surface winds, oceanic color, surface roughness, and so on. These satellite data revealed surface frontal structures with a fairly good spatial resolution, seasonal cycle of SST, atmospheric wind forcing, geostrophic current anomalies, and biogeochemical processes associated with physical forcing and processes. Since the East Sea has been recognized as a natural laboratory for global oceanic changes and a clue to abrupt climate change, we aim at constructing a 4-D continuous real-time monitoring system, over a decade at least, using the most advanced techniques to understand a variety of oceanic processes in the East Sea.

3-Dimensional Tunnel Analyses for the Prediction of Fault Zones (파쇄대 예측을 위한 터널의 3차원 수치해석)

  • 이인모;김돈희;이석원;박영진;안형준
    • Journal of the Korean Geotechnical Society
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    • v.15 no.4
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    • pp.99-112
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    • 1999
  • When there exists a fault zone ahead of the tunnel face and a tunnel is excavated without perceiving its existence, it will cause stress concentration in the region between the tunnel face and the fault zone because of the influence of the fault zone on the arching phenomena. Because the underground structure has many unreliable factors in the design stage, the prediction of a fault zone ahead of the tunnel face by monitoring plans during tunnel construction and the rapid establishment of appropriate support system are required for more economical and safer tunnel construction. Recent study shows that longitudinal displacement changes during excavation due to the change of rock property, and if longitudinal displacement and settlement, which are measured in the field, are considered together in displacement analysis, the prediction of change in rock mass property is possible. This study provided the method for the prediction of fault zones by analyzing the changes of L/C and (Ll-Lr)/C ratio (L= longitudinal displacement at crown, C = settlement at crown, Ll = longitudinal displacement at left sidewall, Lr = longitudinal displacement at right sidewall) and the stereographic projection of displacement vectors which were obtained from the 3-D numerical analysis of hybrid method in various initial stress conditions.

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Differences in the Length Change Pattern of the Medial Gastrocnemius Muscle-Tendon Complex and Fascicle during Gait and One-legged and Two-legged Vertical Jumping (보행과 한발·두발 수직점프 수행 시 내측비복근 근-건 복합체와 근섬유다발의 길이 변화 패턴의 차이)

  • Lee, Hae-Dong;Han, Bo-Ram;Kim, Jin-Sun;Oh, Jeong-Hoon;Cho, Han-Yeop;Yoon, So-Ya
    • Korean Journal of Applied Biomechanics
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    • v.25 no.2
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    • pp.175-182
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    • 2015
  • Objective : The purpose of this study was to investigate difference in fascicle behavior of the medial gastrocnemius during the locomotion with varying intensities, such as gait and one-legged and two-legged vertical jumping. Methods : Six subjects (3 males and 3 females; age: $27.2{\pm}1.6yrs.$, body mass: $62.8{\pm}9.8kg$, height: $169.6{\pm}8.5cm$) performed normal gait (G) at preferred speed and maximum vertical jumping with one (OJ) and two (TJ) legs. While subjects were performing the given tasks, the hip, knee and ankle joint motion and ground reaction force was monitored using a 8-infrared camera motion analysis system with two forceplates. Simultaneously, electromyography of the triceps surae muscles, and the fascicle length of the medial gastrocnemius were recorded using a real-time ultrasound imaging machine. Results : Comparing to gait, the kinematic and kinetic parameters of TJ and OJ were found to be significantly different. Along with those parameters, change in the medial gastrocnemius (MG) muscle-tendon complex (MTC) length ($50.57{\pm}6.20mm$ for TJ and $44.14{\pm}5.39mm$ for OJ) and changes in the fascicle length of the MG ($18.97{\pm}3.58mm$ for TJ and $20.31{\pm}4.59mm$ for OJ) were observed. Although the total excursion of the MTC and the MG fascicle length during the two types of jump were not significantly different, however the pattern of length changes were found to be different. For TJ, the fascicle length maintained isometric longer during the propulsive phase than OJ. Conclusion : One-legged and two-legged vertical jumping use different muscle-tendon interaction strategies.

Research of Wall Storage System design process for residential space (주문형 주거공간에서 Wall Storage System을 활용한 가변화 방안 연구)

  • 임은상
    • Archives of design research
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    • v.13 no.3
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    • pp.281-292
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    • 2000
  • Today, the rapid economic growth and emerging new trends have been changed radically throughout the society and they especially have affected the changes of life-style and the diversity of residents'demands in housing life. This changes of life have brought the shift in family form from traditional type, thus new phase of nuclear family means that it makes on the whole, variable family forms such as single family, non-blood one, a generation one and so on. It therefore is time that we should not only explore current housing plans, but envisage concept of new living space to satisfy latent need of the occupants. But the forms, in spite of the diversity of user's needs and the change of life-style, of many houses as many apartment and tenement houses supplied so far have been clearly limted, and housing policy of the mass-supply causes monotonous space composition, over-occupation and non-changeability. Now, the collective houses have some limits owing to the commoness and assemblage, but they have failed to keep up with the variable and changeable life-style of residents. These problems, to put it concretely, lead to increasing needs for the number of rooms in proportion to family members, for the change of behavior using the space. We therefore need to propose the new living space. As the current plans for designing house are based on the average life-style of people, they can not cope with variable demands of the resident. For that reason, this paper will propose the manual space system as an alternative for it and the goal is to suggest new furniture system which we need to create the flexibility of living space.

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Regression of Left Ventricular Hypertrophy after AVR in Aortic Valvular Stenosis (대동맥판막협착증 환자에서 판막치환 후 좌심실심근비후의 변화)

  • 이재원;최강주;송명근
    • Journal of Chest Surgery
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    • v.31 no.6
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    • pp.586-590
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    • 1998
  • Background: The regression of the left ventricular hypertrophy after prosthetic valve replacement in patients with aortic valvular stenosis is an important factor to determine the appropriateness of the replaced prosthetic valvular size. Methods: To assess the regression of myocardial hypertrophy, a retrospective analysis of Doppler echocardiographic and electrocardiographic data was undertaken before, soon after(7.5$\pm$2.1 day), and late after(10.7$\pm$1.8 months) surgery in 36 patients(22 males, 14 female, mean age 54$\pm$12.1 years, mean BSA 1.61$\pm$0.15m2) with predominant aortic valvular stenosis. The patients underwent St. Jude Medical aortic valve replacement. By the size of the valves used, the patients were divided into three groups(19, 21 and 23+). Results: The mean body surface area(1.48$\pm$0.13) in the patients with the 19 mm valve was smaller than that in the other groups(1.63$\pm$0.12)(p<0.05). No significant changes of ejection fraction were detected in all groups over time. Left ventricular muscle mass index(gm/m2) was reduced significantly in the 21 and 23+ groups over time(p<0.05), but there were no significant changes in the 19 mm valve group. The electric voltage height on EKG at the period of late after surgery was reduced significantly in all groups(p<0.05). Conclusion: Despite clinical improvement, the LVH was not reduced significantly in 19 mm valve group. Thus we suggest that more attention and additional procedures such as annular enlargement should be taken in patients who will undergo the replacement of 19 mm prosthetic valve.

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