• Title/Summary/Keyword: Range of period

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Novalis Shaped Beam Radiation Treatment for Craniopharyngiomas

  • Yee, Gi-Taek;Han, Seong-Rok;Yoon, Sang-Won;Choi, Chan-Young;Lee, Dong-Joon;Whang, Choong-Jin
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.245-248
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    • 2006
  • Objective : To evaluate the effectiveness of Novalis shaped beam radiation treatment as an adjuvant treatment in patients with craniopharyngiomas. Methods : We reviewed 8 patients with craniopharyngiomas who had recurring tumors during follow-up or had residual lesions after primary surgery. Three of 8 patients were found to have recurrence after gross total excision of the tumor and 5 patents had residual lesions after subtotal resection. All patients were treated with fractionated stereotactic radiation treatment[FSRT] using Novalis system. The mean age of patients was 28 years [range $16{\sim}52$]. The median irradiation dose per fraction was 17Gy [range $1.7{\sim}2.0$]. The median fraction number was 23 [range $15{\sim}25$], and the median total dose was 39.1 Gy [range $25.5{\sim}42.5$]. Follow-up included MR imaging, and ophthalmologic and endocrine examinations. Results : The median follow-up period was 23 months [range $12{\sim}43$]. The local tumor control rate was 87.5%. One patient had a recurring tumor, in which cystic change developed 2 months after FSRT. Four patients showed a decrease in size of their tumor, while 3 patients remained stable. Seven out of 8 patients had hormonal dysfunction that remained unchanged after initial surgery. No further progression of visual impairment was observed. Conclusion : FSRT using Novais system is effective and safe for the treatment of recurring or residual craniopharyngiomas without toxicity like optic neuropathy.

Early and Delayed Postoperative Rehabilitation after Arthroscopic Rotator Cuff Repair: A Comparative Study of Clinical Outcomes

  • Choi, Sungwook;Seo, Kyu Bum;Shim, Seungjae;Shin, Ju Yeon;Kang, Hyunseong
    • Clinics in Shoulder and Elbow
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    • v.22 no.4
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    • pp.190-194
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    • 2019
  • Background: The duration of immobilization after arthroscopic rotator cuff repair and the optimal time to commence rehabilitation are still the subject of ongoing debates. This study was undertaken to evaluate the functional outcome and rotator cuff healing status after arthroscopic rotator cuff repair by comparing early and delayed rehabilitation. Methods: Totally, 76 patients with small, medium, and large sized rotator cuff tears underwent arthroscopic repair using the suturebridge technique. In early rehabilitation group, 38 patients commenced passive range of motion at postoperative day 2 whereas 38 patients assigned to the delayed rehabilitation group commenced passive range of motion at postoperative week 3. At the end of the study period, clinical and functional evaluations (Constant score, the University of California, Los Angeles [UCLA] shoulder score) were carried out, subsequent to measuring the range of motion, visual analogue scale for pain, and isokinetic dynamometer test. Rotator cuff healing was confirmed by magnetic resonance imaging at least 6 months after surgery. Results: No significant difference was obtained in range of motion and visual analogue scale between both groups. Functional outcomes showed similar improvements in the Constant score (early: 67.0-88.0; delayed: 66.9-91.0; p<0.001) and the UCLA shoulder score (early: 20.3-32.3; delayed: 20.4-32.4; p<0.001). Furthermore, rotator cuff healing showed no significant differences between the groups (range, 6-15 months; average, 10.4 months). Conclusions: Delayed passive rehabilitation does not bring about superior outcomes. Therefore, early rehabilitation would be useful to help patients resume their daily lives.

Stereotactic Radiosurgery for Dural Arteriovenous Fistulas Involving the Transverse-Sigmoid Sinus : A Single Center Experience and Review of the Literatures

  • Baek, Hong-Gyu;Park, Seong-Hyun;Park, Ki-Su;Kang, Dong-Hun;Hwang, Jeong-Hyun;Hwang, Sung-Kyoo
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.458-466
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    • 2019
  • Objective : We retrospectively assessed the efficacy of stereotactic radiosurgery (SRS) for dural arteriovenous fistulas (DAVFs) involving the transverse-sigmoid sinus and analyzed the angiographic and clinical results with our 8-year experience. Methods : Nine patients with intracranial DAVFs involving the transverse-sigmoid sinus underwent SRS using a Gamma $Knife^{(R)}$ (Elekta Inc., Atlanta, GA, USA) between 2009 and 2016. Five patients underwent SRS for residual DAVFs after embolization and four patients were treated with SRS alone. The median target volume was $1.9cm^3$ (range, 0.8-14.2) and the median radiation dose of the target was 17 Gy (range, 16-20). The median follow-up period was 37 months (range, 7-81). Results : Pulsating tinnitus (33%) was the most common symptom. DAVFs were completely obliterated in four patients (44%) and subtotally obliterated in five (56%). Six patients (67%) showed complete recovery of symptoms or signs, and three (33%) showed incomplete recovery. One patient experienced a recurrent seizure. Adverse radiation effects after SRS occurred in one patient (11%). The total obliteration rates after SRS were 16.7%, 37.5%, and 68.7% at 1, 2, and 3 years, respectively. The median interval from SRS to total obliteration of the fistula was 31 months (range, 12-38). The rates at which the symptoms started to improve were 40% at 1 month and 80% at 2 months after SRS. Symptoms started to improve at a median of 5 weeks after SRS (range, 3-21). Conclusion : SRS with or without embolization is a safe and effective treatment to relieve symptoms and obliterate DAVFs on the transverse-sigmoid sinus.

Effects of Climate Change on Outdoor Water Activity : The Case of Hangang Park Swimming Pool in Seoul (기후변화가 야외 물놀이 활동에 미치는 영향 : 한강시민공원 수영장을 대상으로)

  • Kim, Song-Yi;Park, Jin-Han;Lee, Dong-Kun
    • Journal of Climate Change Research
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    • v.6 no.3
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    • pp.193-201
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    • 2015
  • The aim of this study is to find preferred climate condition for outdoor water activity and to estimate future change of preferred season for the activity following the climate change. We chose urban public swimming pools, Hangang park swimming pools, which do not have any attractions except pools and allow people to make decision to visit pools in the morning solely based on the weather conditions as study sites. We identified the preferred climate conditions by analyzing the relationship between number of visitors and temperature, wind chill temperature and discomfort indexes. According to the result, the preferred temperature range was from $23.51^{\circ}C$ to $37.56^{\circ}C$, the wind chill temperature range was from $25.90^{\circ}C$ to $39.43^{\circ}C$, the discomfort index range was from 71.61 to 88.98 and the precipitation range was below 22.8 mm per day. When the temperature range is applied as the preferred season, in present, the length of the season is 127 days, from end of May to end of September. However, if temperature increase resulting from lower emission scenario (RCP 6.0), the season would be extended to 162 days, from early May to middle of October. If temperature is increasing under high emission scenario (RCP 8.5), the length of the season would be extended to 173 days from early May to end of October. In addition, the period of between end of July and early August, which is currently the most preferred season, would not be favored anymore due to high temperature. The result of this study further suggests the necessity of climate change adaptation activities.

Treatment of Old Achilles Tendon Rupture using Modified Flexor Hallucis Longus Tendon Transfer (변형된 장 족무지 굴건 이전술을 이용한 진구성 아킬레스 건 파열의 치료)

  • Kim, Hyong-Nyun;Suh, Il-Woo;Park, Yong-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.133-137
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    • 2009
  • Purpose: The purpose of this study was to evaluate the clinical results of the old Achilles tendon rupture treated with modified flexor hallucis longus (FHL) tendon transfer. Materials and Methods: Seventeen patients with old Achilles tendon rupture treated with modified FHL tendon transfer between March 2004 and February 2008 were enrolled in this study. Technically FHL was pass through the distal portion of the ruptured tendon instead of the drilled hole made on the calcaneus. The mean age of the patients was 37 years (range, 22~67 years), mean follow-up period was 28 months (range, 12~30 months). Patients' subjective satisfaction, calf circumferential diameter, range of motion of ankle and AOFAS ankle-hind foot score and Arner-Lidholm score was evaluated. Results: The average gap between the ruptured tendon was 52 mm (range, 47~56 mm). The AOFAS score improved from 47 pre-operatively to 91 points at the last follow-up. Sixteen patients were satisfied with the result free from discomfort, a patient had mild discomfort who had DM. fourteen patients had decreased range of motion less than 5 degrees while 2 patients had more than 7 degrees decrease compared to the intact side but had no discomfort in daily activities. Nine patients had less than 1 cm calf circumferential diameter difference and 7 patients had 1 to 3 cm diameter difference compared to the intact side. One who had more than 3 cm diameter difference had deteriorated muscle strength. Conclusion: Modified FHL tendon transfer can be a useful technique for the treatment of old Achilles tendon rupture when the gap is with large gap placed too proximal.

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A Study on the Validity of Short Sensory Profile for Children Without Disability (단축감각프로파일의 타당성 연구)

  • Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.2 no.1
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    • pp.1-10
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    • 2004
  • Objective : The purpose of this study were to examine internal reliability and internal validity for Short Sensory Profile(SSP) and to suggest the useful criteria for sensory processing abilities in Korean culture. Methods : The Short Sensory Profile(SSP) was completed by mothers of 304 children typically developing between 3 to 10 years of age in those preschool, kindergarten and elementary school located Seoul and Gyeonggi-do. The total agency for this study was 14 facilities and the period of study was from July, 2002 to June, 2003. Kim Mi Sun(2001) translated and modified the Short Sensory Profile that Macintoshi developed and the tool for the study was used. The data were analyzed with reliability test and Pearson's correlation. Results : 1. Internal reliability of the total tests and sections was estimated by calculating Cronbach's Alphas. Reliability value of the total tests was .889. 2. For internal validity the correlations range from .131 to .575 in magnitude, suggesting that the sections of the Short Sensory Profile tap relatively unique constructs and support the factor structure developed. 3. The total score of the Short Sensory Profile(SSP) range from 118 to 190, mean and SD was 163.12, 14.87. 4. Of 403 children represented by the survey, 32 children(10.5%) met criteria for sensory processing disorders based upon parental perceptions. 5. Cut scores were determined by computing the raw score cut scores for -1 SD and -2 SD. The normal group of sensory processing abilities had score which range from 190 to 149, the probable problem group had score which range from 148 to 134, and the definite problem group had score which range from 133 to 138. Conclusion : Findings from the above study suggest that Short Sensory Profile be the screening tool for sensory processing disorders within Korean culture. Further research is needed to compare with children with the various sensory processing disabilities(PDD, LD, CP ect,).

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Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release : Report of 31 Cases

  • Lee, Gun Sang;Lee, Myung Ki;Kim, Woo Jae;Kim, Ho Sang;Kim, Jeong Ho;Kim, Yun-Suk
    • Journal of Korean Neurosurgical Society
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    • v.60 no.1
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    • pp.82-88
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    • 2017
  • Objective : We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. Methods : Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12-30). The mean age at time of surgery was 30.3 years (range, 20-54). Patients were evaluated with a modified Lee's scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. Results : The modified Lee's scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was $15.4^{\circ}$ (range, 5.4-29.0), which was reduced to a mean of CMA of $6.3^{\circ}$ (range, 0-25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. Conclusion : Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.

ABSOLUTE DIMENSIONS OF CONTACT BINARY STARS IN BAADE WINDOW (바데의 창 영역에서 발견된 접촉형 쌍성의 절대량)

  • 강영운
    • Journal of Astronomy and Space Sciences
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    • v.16 no.2
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    • pp.217-266
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    • 1999
  • The light curves of the representative 6 contact binary stars observed by OGLE Project of searching for dark matter in our Galaxy have been analyzed by the method of the Wilson and Devinney Differential Correction to find photometric solutions. The orbital inclinations of these Devinney Differential Correction to find photometric solutions. The orbital inclinations of these binaries are in the range of $52^{circ}-69^{\circ}$ which is lower than that of the solar neighborhood binaries. The Roche lobe filling factor of these binaries are distributed in large range of 0.12 - 0.90. Since absence of spectroscopic observations for these binaries we have found masses of the 6 binary systems based on the intersection between Kepler locus and locus derived from Vandenberg isochrones in the mass - luminosity plane. Then absolute dimensions and distances have been found by combining the masses and the photometric solutions. The distances of the 6 binary systems are distributed in the range of 1 kpc- 6 kpc. This distance range is the limiting range where the contact binaries which have period shorter than a day are visible. Most contact binaries discovered in the Baade window do not belong to the Galactic bulge.

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Unsteady Performance Analysis of a Simple Shaft Gas Turbine Cycle (단순 가스터빈 사이클 과도 성능해석)

  • Kim, Soo-Yong;Soudarev, B.
    • 연구논문집
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    • s.30
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    • pp.5-13
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    • 2000
  • The computation scheme of simulating gas turbine transient behavior was developed. The basic principles of this scheme and main input data required are described. Calculation results are presented in terms of whole operating regime of the cycle. The influence of main initial parameters such as starting engine power, moment of inertia of the rotor, fuel supplying schedule etc. on performance characteristics of has turbine during transient operation is studied In addition, bleeding air influence on transient behavior was also considered For validation of the developed code, comparison of present calculation with that of measurement data of the experimental data for the range of operating period studied.

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Analysis on Effective Range of Temperature Observation Network for Evaluating Urban Thermal Environment (도시 열환경 평가를 위한 기온관측망 영향범위 분석)

  • Kim, Hyomin;Park, Chan;Jung, Seunghyun
    • KIEAE Journal
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    • v.16 no.6
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    • pp.69-75
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    • 2016
  • Climate change has resulted in the urban heat island (UHI) effect throughout the globe, contributing to heat-related illness and fatalities. In order to reduce such damage, it is necessary to improve the climate observation network for precise observation of the urban thermal environment and quick UHI forecasting system. Purpose: This study analyzed the effective range of the climate observation network and the distribution of the existing Automatic Weather Stations (AWS) in Seoul to propose optimal locations for additional installment of AWS. Method: First, we performed quality analysis to pinpoint missing values and outliers within the high-density temperature data measured. With the result from the analysis, a spatial autocorrelation structure in the temperature data was tested to draw the effective range and correlation distance for each major time period. Result: As a result, it turned out that the optimal effective range for the climate observation network in Seoul in July was a radius of 2.8 kilometers. Based on this result, population density, and temperature data, we selected the locations for additional installment of AWS. This study is expected to be used to generate urban temperature maps, select and move measurement locations since it is able to suggest valid, specific spatial ranges when the data measured in point is converted into surface data.