• 제목/요약/키워드: Space deficits

검색결과 19건 처리시간 0.024초

Magnetic Resonance Imaging Diagnosis of Epidural Idiopathic Sterile Pyogranulomatous Inflammation in a Dog

  • Hwang, Taesung;Shin, Changho;Kim, Youngki;Yeon, Seongchan;Lee, Hee-chun
    • 한국임상수의학회지
    • /
    • 제34권5호
    • /
    • pp.377-380
    • /
    • 2017
  • An 8-year-old, shih-tzu female dog was referred due to neurological signs including paraparesis and back pain. On the complete blood count, hematologic analysis showed elevated leukocytosis. Serum biochemical analysis revealed elevated serum alkaline phosphatase concentration and C-reactive protein concentration. On the neurologic exam, the dog was suspected to have thoracolumbar myelopathy. On magnetic resonance imaging, there were masses within the spinal canal at L1-3 intervertebral disc space that were located dorsal to spinal cord. It was hyperintense on T1-, T2-weighted magnetic resonance images, Fluid-attenuated inversion recovery, and fat suppression images. The contrast-enhanced T1-weighted images showed no enhancement. The lesions were well circumscribed. The spinal cord was compressed and displaced ventrally by the mass. After removal of the masses via L1-L3 dorsal laminectomy, pyogranulomatous inflammation was confirmed by histopathological examination. Six months after surgery, the dog recovered uneventfully and remained fully ambulatory with no neurological deficits. This case demonstrates the utility of magnetic resonance imaging for the diagnosis of spinal canal pyogranulomatous inflammation.

Chiari Type III : Experience of Outcome for 15 Cases

  • Gabr, Mohamed;Elmataeshy, Mahmoud;Abdullah, Ahmed A.
    • Journal of Korean Neurosurgical Society
    • /
    • 제65권6호
    • /
    • pp.841-845
    • /
    • 2022
  • Objective : Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The treatment is early operative closure and cerebrospinal fluid diversion (CSF) shunting. Methods : We operated on 15 patients by repair and excision between July 2014 till June 2020 and retrospective data collection was done. Only one patient doesn't need ventriculoperitoneal (VP) shunt and the other 14 patients need a VP shunt. We described stepwise dissection and untethering of the cerebellum from the bony edge to regrowth and herniation of cerebellum again into this potential space and simple dural closure or repair with graft was done. Results : We started with VP in eight patients (53%) and the other seven patients (46.7%) started with excision and then six patients need VP shunt later on because four patients developed CSF leak and two patients developed increased high intracranial tension. Only four patients (26.7%) needed a blood transfusion. Conclusion : There are variations in the outcome and not all cases of Chiari malformation III will die and severe developmental delay is not a must. Proper management and repair carry a good prognosis.

NREL 5 MW 풍력터빈 모형의 후류 유동장에 대한 실험적 연구 (An Experimental Study on Wake Flow-Field of NREL 5 MW Wind Turbine Model)

  • 강승희;유기완
    • 한국항공우주학회지
    • /
    • 제45권2호
    • /
    • pp.85-91
    • /
    • 2017
  • 본 연구에서는 NREL 5 MW 해상풍력터빈 모형의 후류 유동장 분석을 위해 1/86 축소모형을 사용한 실험적 연구를 수행하였다. 정격출력 속도 11.4 m/s와 회전수 1,045 rpm 조건에서 열선풍속계를 사용하여 반경의 6배까지 후류에서 속도 결핍 및 난류도 변화를 측정하는 풍동시험을 수행하였다. 그 결과 풍력터빈의 후류에서의 속도결핍은 횡방향과 수직 방향으로는 반경의 2배 이내에서 회복됨을 볼 수 있었으며, 끝단 와류에 의한 영향은 반경의 5배 이후에는 나타나지 않음을 볼 수 있었다. 또한, 후류의 난류도는 블레이드 끝단 부근에서 크게 나타나며 길이방향으로 반경 거리까지는 급격한 감소가 일어나지만 이 이후부터 반경의 6배까지 유지되었다.

개에서 자기공명영상을 이용한 척추부 지주막 낭종의 진단 (Diagnosis of Spinal Arachnoid Cyst using Magnetic Resonance Imaging in a Dog)

  • 신창호;김영기;황태성;윤영민;정동인;연성찬;이희천
    • 한국임상수의학회지
    • /
    • 제32권5호
    • /
    • pp.464-468
    • /
    • 2015
  • 6살의 중성화한 수컷 말티즈는 운동실조로 인하여 내원하였다. 본 증례는 일반방사선 촬영, 컴퓨터단층촬영, 자기공명영상을 실시하여 낭종의 위치, 크기, 척수와의 관련성 및 동반된 질환을 알 수 있었다. 자기공명영상 결과 T1W과 FLAIR 영상에서는 hypointense한 영역, T2W 영상에서는 hyperintense한 영역이 L1~2 척수의 등쪽으로 나타났다. 이는 CSF와 동일한 신호로 나타났으며, 등쪽에서 척수를 압박하여 배쪽으로 이동시켰다. 낭종의 길이는 25 mm, 두께는 4 mm로 나타났다. 무증상일 경우는 치료가 필요 없으나, 본 증례는 신경학적 이상이 나타나 수술적 치료를 실시하였다.

Successful Motor Evoked Potential Monitoring in Cervical Myelopathy : Related Factors and the Effect of Increased Stimulation Intensity

  • Shim, Hyok Ki;Lee, Jae Meen;Kim, Dong Hwan;Nam, Kyoung Hyup;Choi, Byung Kwan;Han, In Ho
    • Journal of Korean Neurosurgical Society
    • /
    • 제64권1호
    • /
    • pp.78-87
    • /
    • 2021
  • Objective : Intraoperative neurophysiological monitoring (IONM) has been widely used during spine surgery to reduce or prevent neurologic deficits, however, its application to the surgical management for cervical myelopathy remains controversial. This study aimed to assess the success rate of IONM in patients with cervical myelopathy and to investigate the factors associated with successful baseline monitoring and the effect of increasing the stimulation intensity by focusing on motor evoked potentials (MEPs). Methods : The data of 88 patients who underwent surgery for cervical myelopathy with IONM between January 2016 and June 2018 were retrospectively reviewed. The success rate of baseline MEP monitoring at the initial stimulation of 400 V was investigated. In unmonitorable cases, the stimulation intensity was increased to 999 V, and the success rate final MEP monitoring was reinvestigated. In addition, factors related to the success rate of baseline MEP monitoring were investigated using independent t-test, Wilcoxon rank-sum test, chi-squared test, and Fisher's exact probability test for statistical analysis. The factors included age, sex, body mass index, diabetes mellitus, smoking history, symptom duration, Torg-Pavlov ratio, space available for the cord (SAC), cord compression ratio (CCR), intramedullary increased signal intensity (SI) on magnetic resonance imaging, SI length, SI ratio, the Medical Research Council (MRC) grade, the preoperative modified Nurick grade and Japanese Orthopedic Association (JOA) score. Results : The overall success rate for reliable MEP response was 52.3% after increasing the stimulation intensity. No complications were observed to be associated with increased intensity. The factors related to the success rate of final MEP monitoring were found to be SAC (p<0.001), CCR (p<0.001), MRC grade (p<0.001), preoperative modified Nurick grade (p<0.001), and JOA score (p<0.001). The cut-off score for successful MEP monitoring was 5.67 mm for SAC, 47.33% for the CCR, 3 points for MRC grade, 2 points for the modified Nurick grade, and 12 points for the JOA score. Conclusion : Increasing the stimulation intensity could significantly improve the success rate of baseline MEP monitoring for unmonitorable cases at the initial stimulation in cervical myelopathy. In particular, the SAC, CCR, MRC grade, preoperative Nurick grade and JOA score may be considered as the more important related factors associated with the success rate of MEP monitoring. Therefore, the degree of preoperative neurological functional deficits and the presence of spinal cord compression on imaging could be used as new detailed criteria for the application of IONM in patients with cervical myelopathy.

유아의 창의성 발달을 위한 놀이교육 프로그램 및 공간 기획 연구 - 국내에서 운영중인 유아 보육시설과 프로그램 분석을 중심으로 - (A Study on Play Education and Space Design for Developing Creativity of Children -Focusing on domestic childcare facilities and education program analysis-)

  • 최경란;김명
    • 한국과학예술포럼
    • /
    • 제19권
    • /
    • pp.659-668
    • /
    • 2015
  • 2011년 5세 유아의 누리과정이 도입된 이후로 국내에서도 창의 교육을 통한 통합적 사고를 갖춘 융합적 인재에 대한 관심이 늘고 있다. 하지만 증가하는 보육 수요에 비해 시설과 인력, 예산의 부족으로 인해 국내의 교육 프로그램과 환경은 이에 따라가지 못하고 있는 실정이다. 이에 본 연구에서는 어린이 창의력 개발을 위한 유아 교육 프로그램의 구축과 이에 걸맞는 공간 기획을 목적으로 하였다. 이를 위해 다음과 같은 순서로 연구를 진행하였다. 첫째, 문헌조사와 유아 보육시설 디자인 관련 자료를 바탕으로 국내에서 운영중인 유아 보육시설과 프로그램에 대하여 조사하였고, 이를 바탕으로 유아보육 프로그램 구축에 대한 방향을 도출하였다. 둘째, 놀이를 통한 창의 교육을 위하여 유아의 놀이 행태 5가지와 조형원리 5가지를 조합하여 유아 교육 프로그램 개발을 위한 프레임웍을 구축하였고, 이를 바탕으로 한 프로그램 구성안을 제시하였다. 셋째, 앞서 구축된 프로그램을 효과적으로 운영하기 위한 보육공간의 조건과 디자인 방향을 도출하였다. 이러한 과정을 통해 국내 유아의 창의성 발달을 위한 교육 프로그램 모델 및 공간 기획을 종합적으로 기술하였다. 프레임웍 구축을 통한 지속적인 교육 프로그램 개발 모델이 필요하며 이를 효과적으로 운영하기 위한 공간 또한 중요함을 확인하였다.

대기-엽 수증기압차에 의한 산마늘과 울릉산마늘의 광합성 반응 비교 (Comparison of Photosynthetic Responses in Allium microdictyon Prokh and Allium ochotense Prokh from Atmosphere-Leaf Vapor Pressure Deficit (VPD))

  • 이경철;김하선;노희선;김종환;한상섭
    • 한국약용작물학회지
    • /
    • 제20권3호
    • /
    • pp.171-176
    • /
    • 2012
  • This study was conducted to investigate the effect of atmosphere-leaf vapor pressure deficit (VPD) in Allium microdictyon Prokh. and Allium ochotense Prokh. The vapor pressure deficit (VPD) was rapidly increased with increasing temperature and decreasing relative humidity. Taken as a whole, the stomatal transpiration reaction was slightly late with increading of VPD. Maximum photosynthetic rate at high-VPD condition was 5.98 ${\mu}mol$ $CO_2{\cdot}m^{-2}{\cdot}s^{-1}$ in Allium microdictyon, which was a little lower than 6.59 ${\mu}mol$ $CO_2{\cdot}m^{-2}{\cdot}s^{-1}$ in Allium ochotense, respectively. After 2 p.m, stomatal transpiration of Allium microdictyon at the high VPD condition were rapidly decreased. Ci/Ca began to decline sharply at 8 a.m and showed the lowest value at 2 p.m, The results showed that Ci/Ca decreased with being used $CO_2$ in the mesophyll intercellular space for photosynthesis. In high VPD condition, The water potential values showed the highest at 5 a.m, and the lowest at 1 p.m in high VPD condition. The water saturation deficits (WSD) in high VPD condition showed about 1.5 times higher than in low VPD condition. The results indicated that physiological activities in Allium microdictyon is more limited from high VPD conditions.

생애구술을 통해 본 중국 할빈지역 조선족의 주거의 사용 - 주거의 사용과 생활문화의 동화 및 문화접변을 중심으로 - (Use of Housing through Oral Life History of Korean Chineses in Harbin, China - Focused on use of housing, cultural assimilation and acculturation -)

  • 홍형옥
    • 가정과삶의질연구
    • /
    • 제28권6호
    • /
    • pp.81-94
    • /
    • 2010
  • This qualitative research was designed to explore the use of housing among Korean Chinese people in Harbin, China. Focusing on the use which based on the epistemology of housing adjustment, this was particularly designed to examine its cultural assimilation and acculturation on the way of life course, it employed the in-depth interview on the oral history of 5 interviewees in their 60s and 70s, individualized interviews were conducted from May 28 to 31 in 2010. Key findings were summarized as follows; 1. The free market reform in China resulted in privatization that allowed respondents to become homeowners, and the ownership was viewed as part of family asset centered upon a sense of solidarity. 2. Although homeowners in multi-story houses were responsible to decorate interior spaces, the common features in using interior spaces were found: entrance had no thresholds; kitchen was small, lack of storage cabinets, tile-flooring; washers were installed inside bathroom; and newly built apartment didn't have proper space to store Korean fermented foods. It was observed that housing adaptation outweighed housing adjustment. Those who used to live in Chinese houses with indoor-wearing-shoes or Russian houses with indoor-wearing-slippers were receptive to the use of dining table and bed, and the community heating system discouraged the use of individual electric water heater because of high electricity cost. 3. In daily life, eating habit wasn't much changed to the Chinese style, meals were shared, dish sterilizer was popular, and Kimchi fridge wasn't used. Because of the influence of the Chinese culture, such Korean traditions as ancestral rites and bedroom allocation tradition faded away, but traditional family values remained unchanged. In conclusion, Korean Chinese people experience normative housing deficits and adaptation selectively incurred. It's implied that residential design meets the needs resulting from the dual culture in terms of cultural assimilation and acculturation.

개에서 탈출된 경추디스크에 대한 디스크내 오존가스 주입 치료 (A Case of Intradiscal Oxygen-ozone Injection Therapy for Cervical Herniated Intervertebral Disc in a Dog)

  • 장하영;이준섭;이보라;김경희;정순욱
    • 한국임상수의학회지
    • /
    • 제26권3호
    • /
    • pp.273-275
    • /
    • 2009
  • 사지마비를 보이는 6년령 시쮸 숫컷이 내원하였다. 신경검사소견 및 영상진단소견에서 경추 4번과 5번 사이, 경추 5번과 6번 사이 및 경추 6번과 7번 사이의 디스크가 탈출되어 척수를 압박하고 있는 것으로 나타났다. 오존가스를 경추 4번과 5번 사이 디스크 및 경추 6번과 7번 사이 디스크에 주입하고 경추 5번과 6번 사이는 복측 감압술로 탈출된 디스크를 제거하였다. 환축은 수술후 목 통증이 사라지고 수술후 3주경 정상보행을 나타냈다. 수술후 2개월째 자기공명영상에서 경추 5번과 6번 사이 디스크와 경추 6번과 7번 사이 디스크의 탈출된 소견이 사라졌고 경추 4번과 5번 사이의 디스크는 탈출된 정도가 현저히 줄어든 소견을 보였다.