• 제목/요약/키워드: Note Head

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Endovascular treatment for anterior inferior cerebellar artery-posterior inferior cerebellar artery (AICA-PICA) common trunk variant aneurysms: Technical note and literature review

  • Jerry C. Ku;Vishal Chavda;Paolo Palmisciano;Christopher R. Pasarikovski;Victor X.D. Yang;Ruba Kiwan;Stefano M. Priola;Bipin Chaurasia
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제25권4호
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    • pp.452-461
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    • 2023
  • The Anterior Inferior Cerebellar Artery-Posterior Inferior Cerebellar Artery (AICA-PICA) common trunk is a rare variant of cerebral posterior circulation in which a single vessel originating from either the basilar or vertebral arteries supplies both cerebellum and brainstem territories. We present the first case of an unruptured right AICA-PICA aneurysm treated with flow diversion using a Shield-enhanced pipeline endovascular device (PED, VANTAGE Embolization Device with Shield Technology, Medtronic, Canada). We expand on this anatomic variant and review the relevant literature. A 39-year-old man presented to our treatment center with vertigo and right hypoacusis. The initial head CT/CTA was negative, but a 4-month follow-up MRI revealed a 9 mm fusiform dissecting aneurysm of the right AICA. The patient underwent a repeat head CTA and cerebral angiogram, which demonstrated the presence of an aneurysm on the proximal portion of an AICA-PICA anatomical variant. This was treated with an endovascular approach that included flow diversion via a PED equipped with Shield Technology. The patient's post-procedure period was uneventful, and he was discharged home after two days with an intact neurological status. The patient is still asymptomatic after a 7-month follow-up, with MR angiogram evidence of stable aneurysm obliteration and no ischemic lesions. Aneurysms of the AICA-PICA common trunk variants have a high morbidity risk due to the importance and extent of the territory vascularized by a single vessel. Endovascular treatment with flow diversion proved to be both safe and effective in obliterating unruptured cases.

파평윤씨 묘 출토직물의 제직특성 연구 (Characteristics of the Excavated Fabrics from Papyeung-Yun's Tomb)

  • 조효숙
    • 복식
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    • 제56권1호
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    • pp.32-43
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    • 2006
  • Excavated fabrics from Papyeung-yun's tomb totals at 208 in their numbers. They comprised 118 pieces of silk tabby(紬), 16 pieces of thin silk tabby, 8 pieces of thin filament silk tabby (絹), 43 pieces of satin damask(段), 8 pieces of compound satin(金線), 1 piece of twill(綾), 1 piece of complex gauze(羅), l piece of simple gauze(紗), 4 pieces of cotton(綿布), 4 pieces of hemp(麻布) and 3 pieces of ramie(苧布). As shown in the preceding list, $95\%$ of all the items are weaved from silk. To list a few characteristics of excavated fabrics from Papyoung-Yun's lineage, there are A vivid gold-colored compound satin, a uniquely patterned satin damask, various silk tabbies, and 4-end complex gauze of Neoul that is women's head cover. To note, names of the fabrics used in this article are based on the information from the literatures and are as following silk tabby(紬), thin silk tabby, filament silk tabby(絹), satin damask(段), compound satin(金線), complex gauze(羅), simple gauze(紗), cotton(綿布), twill(綾), hemp(麻布)and ramie(苧布).

신·재생에너지 전원이 피크타임 전력 공급에 미치는 영향 (Impact Analysis of the Power Generation Capacities of New and Renewable Energy on Peak Electricity Supply)

  • 김수덕;김영산
    • 자원ㆍ환경경제연구
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    • 제15권2호
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    • pp.269-296
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    • 2006
  • 본 연구는 신 재생전원설비가 전력공급설비로서의 역할을 키워감에 따라 나타날 수 있는 공급상의 문제를 신 재생에너지원별로 확률적인 분석을 통하여 제기하였다. 각 원별 패턴은 풍속, 일사량, 그리고 월력에 근거한 조수간만의 차이 등에 의해 영향을 받으며 이들은 확률적 분포를 갖는다는 점에 주목하여 피크공급에 대한 각 원별 기여도에 대한 확률적 분석을 시도하였다. 분석의 결과, 통상적인 전력수급계획에서 각 에너지원별 혹 발전원별 설비이용률만을 고려하여 설비계획에 반영하는 기존의 방법론이 갖는 한계를 보여준다.

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백서 외측익돌근 제거가 하악골 성장에 미치는 영향에 관한 실험적 연구 (AN EXPERIMENTAL STUDY ON THE MANDIBULAR GROWTH FOLLOWING RESECTION OF THE LATERAL PTERYGOID MUSCLE IN RAT)

  • 김태우
    • 대한치과교정학회지
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    • 제16권1호
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    • pp.119-131
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    • 1986
  • The purpose of the study is to note the effects of the resection of the lateral pterygoid muscle on the mandibular growth in the growing rats. Twenty four female Wistar rats were used in the experiment. They were divided into three groups: group 1 ; bilateral sham operation group 2 ; bilateral resenction of the lateral pterygoid muscle group 3 ; unilateral resection of the lateral pterygoid muscle (The right lateral pterygoid muscle was resected and the left one was sham-operated.) Groups 1&2 were sacrificed eight weeks lateral and group 3, four weeks later. All specimens were measured with calipers, and stained with hematoxylin and eosin. Groups 1 & 2 were compared with each other. In group 3, the right side was compared with the left. The results were as follows: 1. In the growing rats, the resection of the lateral pterygoid muscle was followed by a decrease of the mandibular growth. After eight weeks, the condyle-mental foramen distance, the angular process-mental foramen distance, the size of the condylar head, the supradentale-first molar distance, and the diameter of the symphysis were significantly smaller than the control. 2. Resection of the lateral pterygoid muscle resulted in decrease of the thickness of the cartilage layer and the prechondroblastic-chondroblastic layer after four weeks. 3. After eight weeks, group 1 and group 2 were not different significantly in the histologic sections. 4. The condylar cartilage was stabilized eight weeks after the experiment.

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Intestinal Flukes Recovered from a Herring Gull, Larus argentatus, in the Republic of Korea

  • Lee, Young-Il;Seo, Min;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제58권1호
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    • pp.81-86
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    • 2020
  • Trematode specimens were collected from the intestine of a herring gull, Larus argentatus, which was found in a critical condition on the shore of a small island (Yubu-do, Seocheon-gun, Chungcheongnam-do) located at the western coast of the Korean peninsula. Total 11 specimens of intestinal flukes, including 3 Cryptocotyle lingua (Heterophyidae), 1 Himasthla alincia (Echinostomatidae), 5 Cardiocephaloides medioconiger (Strigeidae), and 2 Diplostomum spathaceum (Diplostomidae), were recovered. C. lingua was morphologically characterized by the presence of a large ventrogenital apparatus and 2 obliquely tandem testes. H. alincia had an elongated body and a head collar equipped with 31 collar spines. C. medioconiger had a bisegmented body and a voluminous copulatory bursa containing the seminal vesicle and ejaculatory duct. D. spathaceum also had a bisegmented body and its vitellaria extended up to the anterior border of the tribocytic organ. It is of note that C. lingua is potentially zoonotic that can occur in birds and humans. Three of them, i.e., C. lingua, C. medioconiger, and D. spathaceum, are new trematode fauna in Korea. Studies on trematode fauna of migratory birds should be continued in Korea.

경계에서의 음향 임피던스 특성에 대한 연구 고찰 (Brief Note on Acoustic Impedance Characteristics at Flow Boundaries)

  • 서성현
    • 한국추진공학회지
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    • 제21권6호
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    • pp.103-109
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    • 2017
  • 연소화염 열에너지와 결합된 음향에너지 증가는 연소 불안정성을 유발할 수 있다. 연소 안정성 예측을 위해서는 연소실 내부 유동 경계에서 음향특성을 파악해서 궁극적으로 음향에너지의 증가 여부를 파악하는 것이 필요하다. 본 논문에서는 연소기 헤드와 같은 유동 경계 형상에 대한 음향 특성을 연구한 기존의 주요 분석적 결과를 정리하여, Strouhal 수로 표현되는 경계면 음향 임피던스 특성을 알아보았다. 또한 이중 마이크로폰을 활용한 실험적 방법을 통해 경계 음향 임피던스 특성에 대한 이론적/해석적 결과를 검증하기 위한 기법을 조사 정리하였다.

목 폄 근력강화운동과 가슴 폄 근력강화운동이 머리전방자세와 목 관절가동범위에 미치는 영향 (The effects of the neck extensor strength exercise and the thoracic extensor strength exercise on the forward head posture and the cervical range of motion)

  • 원동용;김소연;김요셉;박지혜;안유경;이윤경;장은영;정수지;최승화;형인혁
    • 대한물리치료과학회지
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    • 제18권2호
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    • pp.41-49
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    • 2011
  • Purpose: The purpose of this study is to acknowledge the effects that have the strength exercise done only on the neck extensor, only on the thoracic extensor, and both the neck and the thoracic extensor on forward head posture(FHP) and cervical range of motion. Also is to discover which of the exercise is the most effective. Method: This experiment will be done by selecting 40 people who have 16cm or more FHP and they will be divided into four groups: three experimental groups and a control group. The first experimental group will do only the neck extensor strength exercise(NESE). The second experimental group will do only the thoracic extensorstrength exercise(TESE) and the third experimental group will do both the NESE and the TESE. The experimental groups will make a day three times each ten sets of extensor isometric strength exercise but the time will be increased from 4 to 6 and8 seconds until it will be done the ten sets. Then after four weeks, they will be compared which had the best results for the FHP and the cervical range of motion. Result: After the experiment, it was compared the experimental groups with the control group. Every experimental group had an improvement on their FHP and cervical range of motion. However, the only NESE and the only TESE did not have a significantly difference(p>.05). Only the group who did both the NESE and the TESE had a sign ificantly improvement compared to the control group. Conclusion: 1. The only NESE and the only TESE seem that had a positive effect on FHP and cervical range of motion. However, it cannot be conclude that it is effective. 2. When both the NESE and the TESE are done, it is showed statistically a significant difference(p<.05) on FHP and cervical range of motion. The refore, it would be note worthy if this exercise is used to improve the FHP and the cervical range of motion.

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성경신(誠敬信)의 의미 고찰 - 종도 차경석(車京石)의 행적(行蹟)과 성경신 변화 과정을 통한 고찰 - (Consider the Meaning of Sincerity(誠), Reverence(敬) and Faith(信))

  • 유병무
    • 대순사상논총
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    • 제22권
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    • pp.345-385
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    • 2014
  • The object of this thesis is to consider the meaning of sincerity(誠), reverence(敬) and faith(信) through Cha gyungseok's historical record. Cha gyungseok(車京石, 1880-1936) is a key disciple of Kang Jeungsan Sangjenim(姜甑山, 1871~1909) to whom Cha kyungseok has begun to follow since 1907, completing his wandering around Yeonghak-gye(英學契), Iljin-hoe(一進會) and Cheondo-gyo(天道敎) after the loss of his father[Cha Jikoo(車致九), 1851-1894] in Tonghak peasants revolution. To examine the meaning of sincerity, reverence and faith as cardinal points in Daesoonjinrihoe(大巡眞理會) creed, this research has taken note of Cha kyungseok's sincerity, reverence and faith who is said to be thought of himself as a head of Reconstruction Work for the Tonghak spitit's resolution of grievances, despite the Sangjenim's intention of using him for different usage due to his sincerity, reverence and faith. Especially, emphasis was given to the illumination of Cha gyungseok's change of sincerity, reverence and faith through closely reviewing his life prior to the encounter with Sangjenim, the process of following Sangjenim and his whereabouts after the ascension of Sangjenim. In addition, through Jeonkyeong(典經), this research also examines Cha kyeong seok's sincerity, reverence and faith along with his ambition contained in that sincerity, reverence and faith. Up to his ascension, Sangjenim has never saved his advice on Cha gyungseok's ambition. Leaving Sangjenim's advice behind, Cha gyungseok moves on to become a head of the Reconstruction Work for the Tonghak spitit's resolution of grievances without deserting the dream of being the Son of Heaven. Although, he showed his prowess as a religious sect leader called Bocheon-gyo boasting its 6 million believers and as a provisional emperor of the country named Sikuk, he ends his life as a head for the Resolution of grievances of kings, princes, generals and premiers due to the change of faith on Sangjenim and interruption of Japanese Imperial Government, without accomplishing his dream. The feature of past disciples suggests the direction of cultivation for our cultivators. Through Cha gyungseok's sincerity, reverence and faith, we could look back upon the meaning of sincerity, reverence and faith and conclude that a real sincerity, reverence and faith is the heart-mind trying to participate in Reconstruction Work of Heaven and Earth with a pure mind, contrary to the one coming out of greed.

Additional Surgical Method Aimed to Increase Distractive Force during Occipitocervical Stabilization : Technical Note

  • Antar, Veysel;Turk, Okan
    • Journal of Korean Neurosurgical Society
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    • 제61권2호
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    • pp.277-281
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    • 2018
  • Objective : Craniovertebral junctional anomalies constitute a technical challenge. Surgical opening of atlantoaxial joint region is a complex procedure especially in patients with nuchal deformity like basilar invagination. This region has actually very complicated anatomical and functional characteristics, including multiple joints providing extension, flexion, and wide rotation. In fact, it is also a bottleneck region where bones, neural structures, and blood vessels are located. Stabilization surgery regarding this region should consider the fact that the area exposes excessive and life-long stress due to complex movements and human posture. Therefore, all options should be considered for surgical stabilization, and they could be interchanged during the surgery, if required. Methods : A 53-year-old male patient applied to outpatients' clinic with complaints of head and neck pain persisting for a long time. Physical examination was normal except increased deep tendon reflexes. The patient was on long-term corticosteroid due to an allergic disease. Magnetic resonance imaging and computed tomography findings indicated basilar invagination and atlantoaxial dislocation.The patient underwent C0-C3-C4 (lateral mass) and additional C0-C2 (translaminar) stabilization surgery. Results : In routine practice, the sites where rods are bound to occipital plates were placed as paramedian. Instead, we inserted lateral mass screw to the sites where occipital screws were inserted on the occipital plate, thereby creating a site where extra rod could be bound.When C2 translaminar screw is inserted, screw caps remain on the median plane, which makes them difficult to bind to contralateral system. These bind directly to occipital plate without any connection from this region to the contralateral system.Advantages of this technique include easy insertion of C2 translaminar screws, presence of increased screw sizes, and exclusion of pullout forces onto the screw from neck movements. Another advantage of the technique is the median placement of the rod; i.e., thick part of the occipital bone is in alignment with axial loading. Conclusion : We believe that this technique, which could be easily performed as adjuvant to classical stabilization surgery with no need for special screw and rod, may improve distraction force in patients with low bone density.

단신 : 사이클 피팅을 위한 전동 승차 조절기 개발 (Technical Note : Development of Electric Riding Machine for Cycle Fitting)

  • 배재혁;최진승;강동원;서정우;탁계래
    • 한국운동역학회지
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    • 제22권3호
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    • pp.373-378
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    • 2012
  • The purpose of this study was to develop an electric riding machine for cycle fitting to control riding posture easily, to measure frame size quantitatively, and to overcome disadvantages of the traditional systems. The electric riding machine consisted of actuator, load controller, and display & control unit. The actuator unit by BLDC(BrushLess Direct Current) motor drives the saddle height up and down, the crank forward and backward, the handlebar up and down, and the handlebar forward and backward. The load controller unit controls loads by Eddy current controller with electromagnet and aluminum circular plate. The display & control unit consisted of frame size controller and display panel which shows top tube length(485~663mm), head tube length(85~243mm), seat tube length(481~671mm), and seat tube angle($62.7{\sim}76.4^{\circ}$). The range of frame size control for developed electric riding machine did not have difference compared to traditional commercial systems, but quantitative and precise control with 0.1 mm length and $0.1^{\circ}$ angle was possible through digital measurement. Unlike traditional commercial systems, frame size control was possible during riding through motor driven method, thus fitting duration decreased. It is necessary for further improvement to have feedback from users. It is believed that developed electric riding machine can help to develop domestic fitting system.