• Title/Summary/Keyword: PICA

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Endovascular Treatment of Vertebral Artery Dissecting Aneurysms That Cause Subarachnoid Hemorrhage : Consideration of Therapeutic Approaches Relevant to the Angioarchitecture

  • Lim, Seung Hoon;Shin, Hee Sup;Lee, Seung Hwan;Koh, Jun Seok
    • Journal of Korean Neurosurgical Society
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    • v.58 no.3
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    • pp.175-183
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    • 2015
  • Objective : Intracranial ruptured vertebral artery dissecting aneurysms (VADAns) are associated with high morbidity and mortality when left untreated due to the high likelihood of rebleeding. The present study aimed to establish an endovascular therapeutic strategy that focuses specifically on the angioarchitecture of ruptured VADAns. Methods : Twenty-three patients with ruptured VADAn received endovascular treatment (EVT) over 7 years. The patient group included 14 women (60.9%) and 9 men (39.1%) between the ages of 39 and 72 years (mean age 54.2 years). Clinical data and radiologic findings were retrospectively analyzed. Results : Four patients had aneurysms on the dominant vertebral artery. Fourteen (61%) aneurysms were located distal to the posterior inferior cerebellar artery (PICA). Six (26%) patients had an extracranial origin of the PICA on the ruptured VA, and 2 patients (9%) had bilateral VADAns. Eighteen patients (78%) were treated with internal coil trapping. Two patients (9%) required an adjunctive bypass procedure. Seven patients (30%) required stent-supported endovascular procedures. Two patients experienced intra-procedural rupture during EVT, one of which was associated with a focal medullary infarction. Two patients (9%) exhibited recanalization of the VADAn during follow-up, which required additional coiling. No recurrent hemorrhage was observed during the follow-up period. Conclusion : EVT of ruptured VADAns based on angioarchitecture is a feasible and effective armamentarium to prevent fatal hemorrhage recurrence with an acceptable low risk of procedural complications. Clinical outcomes depend mainly on the pre-procedural clinical state of the patient. Radiologic follow-up is necessary to prevent hemorrhage recurrence after EVT.

Bird Fauna at Taegosa Area in Pukhansan and Kamapong Area in Inje-gun, Korea (북한산 태고사 일대와 인제군 가마봉 일대의 조류상 비교)

  • 박병상
    • Korean Journal of Environment and Ecology
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    • v.7 no.1
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    • pp.29-34
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    • 1993
  • This study was conducted to investigate to compare avifauna at Taegosa area in Pukhansan with Kamapong area in Inje-gun, Korea. The observed birds at Taegosa in Pukhansan and Kamapong area were 35 individuals on species and 113 individuals on 29 species respectively. In Pukhansan area, there was severely avifauna diminishing in July in which users were concentrated. Pica pica sericea and Streptopelia orientalis orientalis were observed the dominant species in Pukhansan area and Kamapong area respectively. There were two species of national monument in these surveyed area, Otus scops stictonotus in Pukhansan area and Falco tinnunculus interstinctus in Kamapong area. Cuculus saturatus horsfields, Cuculus micropterus micropterus and Eurystomus orientalis calonyx were found out in Kamapong area to the rare bird. Species diversity and avi-ecosystems in Kamapong area were seemed to good, whereas in Pukhansan area, there was relatively poor avifauna caused by isolating with surrounding ecosystem, overusing by visitors beyond capacity and heavy acid rain. Therefore avifauna protection plans sould be made and carried out for Pukhansan National Park by thorought study with experts.

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Analysis of Ecological Variation after Creation of the Eco-pond (생태연못 조성공법 적용후의 자연생태 변화분석)

  • Lee, Eun Yeob;Moon, Seok Ki
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.4 no.1
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    • pp.1-15
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    • 2001
  • The purpose of this study is to evaluate the creation techniques of eco-pond, one of biotopes to promote biodiversity in urban residence area. Investigation were classified out plant, mammals, amphibia, reptiles, birds, fishes and insects. The results were summarized as follows: Around the eco-pond shows simple vegetation structurs, consisted of Pinus densoflora S et Z. and Robinia pseudoacacia under competition. In case of shrub, consisted of 4 species but plant growing appearence diversely by seasons. The evaluation of vegetation of eco-pond, there are found 4 species of aquatic plants. Inside the revetment of pond, Echinochloa crus-galli, Persicaria hydropiper, Digiaria sanguinalis, Cyperus microiria and Bidens frondosa L. are mainly distributed. Near the revetment, Trifolium repens L. and Digiaria sanguinalis are prevailed. And in its background, Erigeron canadensis, Erigeron annuus and vines are begins to make their appearances. When evaluation animals in eco-pond and contrast plot, it show simple species and numbers of mammals. It seemed to be resulted from its isolation and outside intervention by users In eco-pond, Pica pica and Streptopelia orientalis are mainly found and in contrast plot of Columba livia, which are so strong adaptation to city life environment. In case of amphibia and reptiles, none is observed in contrast plot, but in ecological pond, Rana nigromaculata and Hyla japonica are constantly observed. In case of insects, more species are found in eco-pond than contrast plot. And in eco-pond, more dragonflies are visibly increased one year after its construction. In floral zone inside of pond revetment, grasshopper and Locusta migratoria are frequently observed. In case of butterflies, they are mainly found in log fence and willow(salix) around eco-pond. In case of fishes inside of eco-pond, the species and its density are remarkable increased one year after the construction. With above evaluation results, we have identify the increase effect of biodiversity after construction of the eco-pond.

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Characteristics of Bird Community and Habitat Use in Gildong Natural Ecological Park (길동자연생태공원에서 조류의 군집 특성과 서식지 이용 현황)

  • Kim, Jungsoo;Moon, Gil-Dong;Koo, Tae-Hoe
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.7 no.1
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    • pp.19-29
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    • 2004
  • This study was carried out to understand the bird community and habitat using condition in the Gildong natural ecological park, from April 2001 to March 2002. In this study, 63 species and 2,075 individuals were observed respectively. The dominant species were Paradoxornis webbianus(33.6%), Emberiza elegans 18.5%), Parus major(6.4%), Pica pica(6.0%), and the diversity of the species was 2.511. With migration, the highest number and percentage to the lowest was residents, summer visitors, winter visitors and passage migrants. Among 17 species which bred in the Gildong natural ecological park, hole(H) was 47.1%, canopy(C) was 41.1% and bush(B) was 11.8% in their nesting guilds. In foraging guilds in breeding season was canopy(c) was 45.7%, water(w) was 23.9% and bush(c) was 15.2%, and, in non-breeding season, canopy was 43.5%, water 23.9% and bush 21.7%. For the habitats of the birds in the Gildong natural cological park, reservoir area was used by herons, ducks and sandpiper, wetland area was used by Lanius bucephalus, Paradoxornis webbianus and buntings, grassland area was used by Paradoxornis webbianus and buntings, and forest area was used by Streptopelia orientalis, woodpeckers and tits. The number of species and individuals of birds observed in the Gildong natural ecological park was higher than other urban parks. We suggest that this was attributed to different habitats such as reservoir, wetland, grassland and forest area constructed in the Gildong natural ecological park.

Preparation of Silica/collagen Microsphere Composit Doped with Silver Nanoparticles (은 나노입자를 담지한 collagen/silica microsphere 복합체의 제조)

  • Jung, Hyo Jung;Kim, Yeon Bum;Chang, Yoon Ho
    • Korean Chemical Engineering Research
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    • v.46 no.4
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    • pp.722-726
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    • 2008
  • Silica microsphere is a world leading innovative material used in adsorbent packing materials in HPLC technology. The application of microsphere lies in the ability to the surface modification of silica with the special materials such as polymers, metals and bio-active materials. Collagen is a major structural protein of connective tissues and has a good biocompatibility. In this study, we prepared the purified silica porous microsphere, having micro diameters in the range of a pore volume at least 50% by the aggregation procedure of colloidal silica with the polymerization method (PICA). The microspheres were modified by collagen hydrogel to improve the biocompatible properties for biomedical product. The silica/collagen microsphere composite doped with silver nanoparticles was prepared and investigated the capabilities of biomaterial application through the evaluation of the structure characteristics of the microsphere composit.

Study of Avifauna and Habitat Preference and Management from Manbokdae to Siribong in Baekdudaegan (백두대간 만복대-시리봉 구간의 조류상과 서식지 선호도 및 관리방안에 관한 연구)

  • 백운기;이한수;김인규;한성우;이시완;송민정;이준우
    • Korean Journal of Environment and Ecology
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    • v.16 no.4
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    • pp.409-420
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    • 2003
  • The avifauna of from Manbokdae to Siribong in Jiri Mountain part of Baekdudaegan, was surveyed from May to November, 2002. In total, we observed 901 birds, and they were consisted of 49 species,23 families and 7 orders. The largest number of birds were observed in valley and followed by in low ridge, Road, Agricultural area and high ridge. The dominant species were Great Tit (Parus major) and then Brambling (Fringilla montifringilla), Tree Sparrow (Passer montanus), Black-billed Magpie (Pica pica) and Long-tailed Tit (Aegithalos caudatus). The highest species diversity index was 2.85 at low ridge(846m), and the lowest was 1.83 at high ridge(1,433m). In this study, the valley is the most important area for the habitat of birds and followed by the low ridge and agricultural area. Thus, to decide the management required area of Baekdudaegan, it should include valley and nearby lowland as well as ridge area. Moreover, there should be some sort of restriction of vehicle usage when a road cross or close to the Baekdudaegan.

Case Report of Cerebellar Artery Infarction Patients Treated by Traditional Korean Medicine (소뇌혈관별 경색에 따른 환자 증례보고)

  • Heo, Jong-won;Cha, Ji-yoon;Jo, Hyun-kyung
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.143-155
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    • 2016
  • Objective: This study reports on three cases of cerebellar artery infarction patients treated by traditional Korean medicine.Method: Three patients with cerebellar artery infarction according to cerebellar artery were treated by traditional Korean medicine at the traditional Korean medicine hospital of Daejeon University. The posterior cerebral artery (PCA) infarction patient had ataxia, dysarthria, gait disturbance, and dizziness; the anterior inferior cerebellar artery (AICA) infarction patient had facial palsy, dizziness, and hearing loss; and the posterior inferior cerebellar artery (PICA) infarction patient had gait disturbance and dizziness. Acupuncture, herbal medicine, and pharmacopuncture were used as traditional Korean medicine treatments during hospitalization. We then observed any improvement in the symptoms.Results: The scale for the assessment and rating of ataxia (SARA) score (gait, stance) of the PCA infarction patient was reduced from 8.6 to 2.2, while the dizziness numerical rating scale (NRS) score was reduced from 10 to 2 after treatment. The Yanagihara score of the AICA infarction patient was reduced from 27 to 14, while the dizziness NRS score was reduced from 10 to 2 after treatment. The SARA score (gait, stance) of the PICA infarction patient was reduced from 7.4 to 1.0, and the dizziness NRS score was reduced from 10 to 1 after treatment.Conclusion: Traditional Korean medicine appears to be effective in treating cerebellar infarction symptoms.

A Study on the Breeding Density and Diet of Magpie Pica pica in Jeju Island1a (제주도에 서식하는 까치 Pica pica의 번식 밀도 및 식이물에 관한 연구)

  • Park, Joo-Yeon;Kim, Byoung-Soo;Oh, Hong-Shik
    • Korean Journal of Environment and Ecology
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    • v.22 no.6
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    • pp.648-657
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    • 2008
  • This research was conducted to investigate the breeding density and seasonal food items of the magpies in Jeju Island and the near-manned islets. The examination of nest distribution to determine breeding density was performed during breeding season from February 2006 to April 2008, and that of food items from May 2006 to February 2008. A total of 2,113 nests were found across Jeju Island, the average density was $1.33\;nest/km^2$, and the magpies were distributed up to 600 meters above the sea level. The nest density was the highest in the central areas of Jeju Island, with 688 nests at $3.61\;nest/km^2$, while that in the eastern areas was the lowest, with 214 nests at $0.66\;nest/km^2$. In terms of the number of nests depending on the height above the sea level, 1,172 nests, which was equivalent to the density of $1.85\;nest/km^2$, was observed below 100m and highest among the intervals of height, but 16 nests found at 500-600m were the lowest, corresponding to $0.20\;nest/km^2$. The number of nests found in the manned islets near Jeju Island was eight in Biyang-do with the density of $15.38\;nest/km^2$, nine in U-do with $1.49\;nest/km^2$, and one in Gapa-do with $1.15\;nest/km^2$, whereas none of nests were observed in Mara-do. The contents of stomach consisted of 17 types of prey sources including countless bones, eggshells, plants, and seed, most of which were the individuals of the order Coleoptera. In spring and summer, the foraging frequency for invertebrate animals such as insects was high, but less than 30% in winter. In contrast, the magpies preyed upon plants and seeds at the frequency of 10% and 30%, respectively, in spring, while the foraging frequencies for both of them were 100% in winter and higher than any of other seasons. Eggshells and bones of birds were also detected infrequently. If the density of the magpies, which may play role as the upper predator within the ecosystem, increases, it would be expected to affect directly the reduction of the number of the species and population of endemic animals such as small birds and reptiles, etc. Therefore, it is considered that long-term monitoring for the density of the magpies and precaution is prerequisite to minimize adverse effects on ecosystem.

Characteristics of Bird Community and Effects of Habitat Creation in Manmade Small Ecosystem, Anseong (안성 도시 소생태계 조성사업 지역의 조류 군집 특성과 서식지 조성 효과)

  • Kim, Jungsoo;Kang, Mi-Hyun;Namgung, Hyung
    • Journal of Environmental Impact Assessment
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    • v.31 no.2
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    • pp.117-127
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    • 2022
  • The survey of bird community characteristics was carried out four times on 2016 and 2017, respectively May and October to figure out effects of the manmade small ecosystem, Anseong. Twenty five species and 94 individuals were observed in the study area. The dominant species were Passer montanus 19.1%, Pica pica 12.8%, Cyanopica cyana 8.51%, Sinosuthora webbiana and Carduelis sinica ussuriensis respectively 7.45%, the diversity of the species was 2.787. With migration, the highest number and percentage to the lowest was residents 72.0%, summer visitors 20.0% and winter visitors 8.00%. Among 22 species which bred (check or possibility) in the manmade small ecology, Anseong, canopy (C) was 54.5%, hole (H) was 31.8%, bush (B) was 9.09% and ground (G) was 4.55% in their nesting guilds. In foraging guilds in breeding season was canopy (C) was 69.6%, bush (C) was 21.7%, water (W) and ground (G) was respectively 4.35%, and in non-breeding season, canopy was 64.0%, bush 24.0%, ground was 8.00% and water 4.00%. In the study site, the manmade habitats for birds were nest box and wetland (rain garden). In 7 nest box, Parus major was uesd 1 nest box as their breeding on 2016 and 2017, and Passer montanus was used 1 nest box on 2017. We assumed that sustainable rainwater supply may be important to attract many birds in rain garden, the manmade habitat for birds.Unfortunately, however, no birds used rain garden (wetland) as their habitats due to water shortage.

Bilateral Vertebral Artery Dissecting Aneurysms : A Long Term Follow-up Results of Microsurgical Trapping and Proximal Occlusion

  • Kim, Young-June;Lee, Sang-Youl;Rhee, Woo-Tack;Jang, Yeon-Gyu
    • Journal of Korean Neurosurgical Society
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    • v.41 no.5
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    • pp.318-322
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    • 2007
  • Regarding the bilateral vertebral artery [VA] dissecting aneurysms, treatment strategy remains controversial because there have not been enough cases to reach a conclusion on the best treatment. We present a patient underwent staged microsurgical trapping and endovascular coiling for each dissecting aneurysm of bilateral VA presenting subarachnoid hemorrhage [SAH]. The ruptured side was managed by VA trapping procedure without any neurological deficit. Postoperative cerebral angiography revealed patent right PICA without filling of previous right dissecting aneurysm and spontaneous occlusion of the left dissecting aneurysm one month after trapping procedure. However, follow-up angiography revealed recanalization and growing of the left VA dissecting aneurysm one year after the operation. The patient underwent endovascular embolization using GDC for the proximal occlusion of the left VA and postoperative course was uneventful.