Objective : A chronic subdural hematoma (CSDH) is a collection of bloody fluid located in the subdural space and encapsulated by neo-membranes. An inner subdural hygroma (ISH) is observed between the inner membrane of a CSDH and the brain surface. We present six cases of CSDH combined with ISH treated via endoscopy. Methods : Between 2011 and 2022, among the 107 patients diagnosed with CSDH in our institute, six patients were identified as presenting with CSDH combined with ISH and were included in this study. Preoperative computerized tomography (CT) and magnetic resonance imaging (MRI) were performed simultaneously, and endoscopic surgery for aspiration of the hematoma was performed in all cases of CSDH combined with ISH. Results : The mean age of patients was 71 years (range, 66 to 79). The patients were all male. In two cases, the ISH was not identified on CT, but was clearly seen on MRI in all patients. The inner membrane of the CSDH was tense and bulging after draining of the CSDH in endoscopic view due to the high pressure of the ISH. After fenestration of the inner membrane of the CSDH and aspiration of the ISH, the membrane was sunken down due to the decreasing pressure of the ISH. There was one recurrence in post-operative 2-month follow up. The symptoms improved in all patients after surgery, and there were no surgery-related complications. Conclusion : CSDH combined with ISH can be diagnosed on imaging, and endoscopic surgery facilitates safe and effective treatment.
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
/
v.12
no.1
/
pp.55-60
/
2001
Background and Objectives : Syllable Maximum Repetition Rate(MRR) is ability to repeat rapidly the articulators and is assessed for oromechanism function as one of the MPT. MRR is measured by rate(counts/sec), also simultaneously considered accuracy and consistency. The objective of the present was to examine stimuli effects and age and sex differences for MRR. Materials and Method : This study was participated 60 normal males and females(1 : 1) who were divided into two groups young(<40 years old) and old($\geq$40 years old). Stimuli were $/{P^=}a/,/{t^=}a/,/{k^=}a/,/{P^h}a/,/{t^h}a/,/{k^h}a/,/{P^=}{at^=}{ak^=}a/$ for, manner(tense and aspirated) of articulation, $/{p^h}{at^h}{ak^h}a/,/{t^h}{ap^h}{ak^h}a/$ for the effect of the order of syllable, glide /u-i/ for coordination of lip and tongue, interrupted vowel /i/ for laryngeal function. Results : There were little differences in two age groups and sex and manner of articulation for MRR tasks. The fastest average MRR of the single syllable included in this study was $/{t^=}a/$. significant differences existed between MRR for ${p^h}{at^h}{ak^h}a/ and /{t^h}{ap^h}{ak^h}a/$, which suggested that MRR was affected by the order of the syllables. MRR for interrupted vowel /i/ was about 2 counts/sec slower than average rate of 1 syllables. Conclusion : From these results, the order of the syllables was a crucial variable in MRR. rather than age or sex. There were no difference age, sex and manner of rate. The interrupted vowel repetition rate was slightly slow used and can provide basic information to assess the speech mechanism and can be useful to develop effective stimuli to differentiate the disordered group from normal.
It is a well-known phenomenon that vowel duration in English is generally longer before a voiced stop than a voiceless one. Past research has postulated that the closure duration of the voiceless stop is generally longer than that of the voiced stop and that the duration of a preceding vowel is determined complementarily by the closure duration of the stop. To shed further light on the phenomenon, this study examined fourteen native speakers of American English who read the monosyllabic words [bVC] (V = [i, ɪ, eɪ, ɛ, æ, ʌ, ɑ], C = [t, d]). First, we found that mean vowel duration was 38 ms longer before the voiced stop than the voiceless (mean duration ratio = 1.24). Second, mean closure duration of the voiced stop was only shorter by 5 ms compared to the voiceless stop (mean duration ratio = 0.97). Therefore, for our subjects, vowel duration was not determined complementarily by the closure duration of the following stop. Third, vowels with longer inherent durations (viz., tense, diphthong, and low vowels) tended to show larger duration ratios in the voiced and voiceless contexts than the vowels with shorter durations (viz., lax vowels). This indicates that the lengthening of inherently shorter vowels before a voiced stop is limited in order to avoid overlapping with longer vowels in the duration range. Fourth, there was no significant gender difference in vowel duration ratios in the contexts of voiced and voiceless stops. Finally, considerable individual differences were found in the vowel and consonant duration ratios.
Schulz accepted the existentialist view based on Heidegger's thought and at the same time the objectivist view making fixed this living world, evoking controversies for discussion. He could not see various presentations of the meaning of place because he perceived elements of this world individually. Thus Schulz's mixed system of understanding is sternly different from Heidegger's thought. First, Heidegger suggests that place as existential space represents the occasion revelation of incidents in Dasein. While Schulz recognizes that place is a systematic space predetermined for Dasein. Second, Heidegger interprets the placeness as creative openness in which elements comprising this world face and interact with each other into one. In contrast, Schulz defines each of the elements through signification and regards it as invariable and static. Third, Heidegger perceives that the placeness is expressed with sustainable, complex images through "rift-design" which seeks dynamic interactions between the ground and the world. While Schulz attempts to take "Genius Loci" or "habituated scene" through "gathering" as a concept he regards static and then visualize such structural two factors, producing certain internal images of place. However, limits of Schulz's theory prevent us from exerting complete imagination and discovering the inner creative world of the object. Thus the ultimate goal of paying attention to the placeness, that is, the recovery of individual identity, fails due to the prevalence and abstraction of objectified thinking. In contrast, Heidegger's thought about "openness" is a useful means of realizing the placeness. Openness may be referred to a dynamic coordination in which the earth and the world sustain each other under incessant mutual tensions, but not sticking o each other. "Rift-design" is an openness strategy to cause tense relations by preventing structuralization intentively. This is a creative design that allows seeing original seams of the object.
Kim, Hyunjoo;Kim, Junhyung;Choi, Jaehoon;Jung, Woonhyuk
Archives of Plastic Surgery
/
v.42
no.4
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pp.431-437
/
2015
Background Repair of facial laceration in the emergency department can pose a number of difficulties. Children can be uncooperative, but adults can also be if they have sustained head trauma or are intoxicated. Leukosan SkinLink consists of topical adhesive and adhesive tape that can be applied easily to long or tense wounds. In this study, the authors compared conventional suturing with Leukosan SkinLink for facial laceration patients in the emergency department. Methods The prospective study was carried out from March 2013 to September 2013 with linear facial laceration patients visiting the emergency department. Exclusion criteria were open fractures, joint injuries, skin defects, hairy skin, and mucosa. The author used Leukosan SkinLink for skin closure in the experimental group and used conventional suturing in the control group. The scar evaluation using the Patient and Observer Scar Assessment Scale (POSAS) along with satisfaction scores, procedure times, and complications were compared. Results A total of 77 patients (30 in the control group and 47 in the experimental group) participated and underwent follow-up for 6 months postoperatively. The scar assessment using the POSAS and the satisfaction score in both groups were similar. The average procedure time in the experimental group was shorter. In the control group, there were four cases of wound dehiscence, two of infection, and one of skin necrosis, whereas four cases of wound dehiscence and one allergic reaction occurred in the experimental group. Conclusions With a simple application technique, Leukosan SkinLink is a new effective method for facial laceration repair especially useful for children and uncooperative adults.
In fashion there was a move away from the ascetic of the Gothic according to the appear-ance of a new spirit at the beginning of the fourteenth centuries initially in Italy. The new spirit Humanism applied their interest not to the universal but to the individual and particular. The Renaissace costume style based on the Humanism was sharp angled and curvy and had a grotesque silhouette with the exaggerated and tense decorations. The purpose of this study is researching the background led to the balanced costume style characterized by unique details. out of the tastte for luxury and beauty grew a new style known as slashing in which seams were left open and colored linigs thrust through or cuts were made in an entire cos-tume and contrasting material puffed out of the cuts. With the slashes another element was characterized in the high Renaissance cos-tume style that was the use of points or lace to hold a costume together. For the masculint costumes pads became into a fashion and were used for forming the antinatural artificial and bulky silhouettes. The body was distorted and tensed by putting the pads into the sleeves and bodice. The jacket with a full rounded bodice like a bow known as peascod belly and haut de chausses a onion-shaped trunk hose with a codipiece ap-peared and grew one of the most characteristic of Renaissance style. According to these sociological changes the view of the beauty based on the human body and in both of men and women the costume style was changed very much to emphasixed their physical beauty and finally it grew a grotesque style and even more a exposed style that exposed a part of their body. Those backgrounds as were stated above can be said to lead to the appearance of the grotesque style in the Renaissance Age.
General American English(=A.E.) has conservative elements as well as progressive elements. A.E. and B.E. are languages which have more similarities than differances. In this paper. I studied the process of English progress before the A.E. had come into being, and the historical background and the cahristics of A.E. coming into being. Considering the differences between A.E. and B.E. from spelling, pronunciation, vocabulary and grammar, I can give the outline as follows. A spelling 1. B.E. : au, ou $${\rightarrow}$$A.E. : a, o 2. B.E. : e $${\rightarrow}$$A.E. : i 3. B.E. : $${\ae}$$ oe $${\rightarrow}$$A.E. : e 4. B.E. : our $${\rightarrow}$$A.E. : or 5. B.E. : re $${\rightarrow}$$A.E. : er B. pronunciation 1. B.E. : [e] $${\rightarrow}$$A.E. : [i], [e], $$[\partial]$$ 2. B.E. : [a] $${\rightarrow}$$A.E. : 3. B.E. : [i(:)] $${\rightarrow}$$A.E. : [ai], $$[\partial]$$, $$[{\varepsilon}]$$ 4. B.E. : $$[{\ae}]$$$${\rightarrow}$$A.E. : [e], [c] 5. B.E. : [ai] $${\rightarrow}$$A.E. : $$[{\ae}]$$, [e] 6. B.E. : [c] $${\rightarrow}$$A.E. : [e], [a], [o] 7. In case of "Vowel+[t]+Vowel", [t] is pronounced into [d] or [r] 8. In case of "-nt", [t] becomes a mute. 9. [t]+[j, l, m, n, r, u, or, w] $${\rightarrow}$$A.E. : [?] (=glottal stop) 10. B.E. : [w] $${\rightarrow}$$A.E. : [hw] 11. B.E. : [Voiceless consonants], [Voiced consonants] $${\leftarrow}$$A.E. : [Voiced consonants], [Voiceless consonants] C. Vocabulary The historical background and geographical conditions of those days caused lots of new compounds and neologies. D. Grammar Though we use "of" to indicate the possessive case of inanimate object, -s genitive is used in A.E. In the perfect tense, "have" is often omitted and also auxiliary verb "will" is used in any case
The information represented by graphic is preferred more than by text to the game generation familiar to computer games in the cognitive style. The learning to solve the math problems represented by graphic is significantly effective to improve learner's problem-solving power in math education. In this paper, we proposed a method of graphic representation of mathematical sentences for effective learning of the game generation. The proposed method arranges the unit informations in the logical structure and represent the logical interrelation between the informations by symbols, line segments, or arrows using the graphic elements with good visibility for the game generation to recognize easily and to understand accurately the logical meaning. The proposed method is able to represent accurately the math sentences until the detail level that appears the tense and the voice of the sentences differently from the previous graphic representation method's ability. The proposed method could be used as learning tools and used widely to represent graphically mathematical informations for the instructional scaffolding of an educational game in oder that the game generation could learn effectively.
This paper proposes a unified structural account of some instances of the English Modals and Semi-auxiliaries. The classification and the syntactic/structural description of the English Modal auxiliary verbs and verb-related elements have long been the center for many proposals in the history of generative syntax. According to van Gelderen (1993) and Lightfoot (2002), it was sometime around 1380 that the Tense-node (T) appeared in the phrasal structures of the English language, and the T-node is under which the English Modal auxiliaries occupy. Closely related is the existing evidence that English Modals were used as main verbs up to the early sixteenth century (Lightfoot 1991, Han 2000). This paper argues for a bi-clausal approach to English Modal auxiliaries with the infinitival particle 'to' such as 'ought to' 'used to' and 'dare (to)' 'need (to)', etc. and Semi-auxiliaries including 'be to' and 'have to'. More specifically, 'ought' in 'ought to' constructions, for instance, undergoes V-to-T movement within the matrix clause, just like 'HAVEAux' and all instances of 'BE', whereas 'to' occupies the T position of the embedded complement clause. By proposing the bi-clausal account, Radford's (2004, 2009) problems can be solved. Further, the historical motivation for the account takes a stance along with Norde (2009) and Brinton & Traugott (2005) in that Radford's (2004, 2009) syncretization of the two positions of the infinitival particle 'to' is no different from the 'boundary loss' in the process of Grammariticalization. This line of argument supports Krug's (2011), and in turn Bolinger's(1980) generalization on Auxiliaryhood, while providing a novel insight into Head movement of V-to-T in Present Day English.
The Journal of the Society of Korean Medicine Diagnostics
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v.15
no.1
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pp.1-28
/
2011
Objectives: A study on the importance and consistency of pulse-daignosis in the Dongeuibogam Methods: We used Deyeuk Dongeuibogam of Dongeuibogam publishing company from original photographic edition. Results: The frequency of 27 mek (pulse condition) in Dongeuibogam is as in the following. Bumek (Floating pulse) appeared 120(8.9%) times, wanmek (moderate pulse) appeared 28(2%) times, chokmek (running pulse) appeared 7 (0.5%) times, gyumek (hollow pulse) appeared 19 (1.4%) times, saekmek (uneven pulse) appeared 33 (2.4%) times, sapmek (uneven pulse) appeared 51 (3.8%) times, kyulmek (knotted pulse) appeared 18 (1.3%) times, whalmek (slippery pulse) appeared 69 (5.1%) times, chimek (slow pulse) appeared 43 (3.2%) times, demek (intermittent pulse) appeared 13 (1%) times, silmek (replete pulse) appeared 45 (3.3%) times, bokmek (deep-sited pulse) appeared 29 (2.1%) times, neomek (firm pulse) appeared 4 (0.3%) times, hyunmek (taut pulse) appeared 110 (8.1%) times, yumek (soft pulse) appeared 20 (1.5%) times, dongmek (short and rapid pulse) appeared 16 (1.2%) times, kinmek (tense pulse) appeared 67 (5%) times, yakmek (weak pulse) appeared 46 (3.4%) times, semek (thready pulse) appeared 62 (4.6%) times, hongmek (full pulse) appeared 50 (3.7%) times, jangmek (long pulse) appeared 14 (1%) times, sakmek (rapid pulse) appeared 103 (7.6%) times, mimek (indistinctive pulse) appeared 65 (4.8%) times, danmek (short pulse) appeared 16 (1.2%) times, demek (large pulse) appeared 106 (7.9%) times, chimmek (deep pulse) appeared 112 (8.3%) times, heomek appeared 70 (5.2%) times, sanmek (scattered pulse) appeared 14(1%)times. Conclusions: We can know Donguibogam is given on the basis 27mek (pulse condition), because the frequency of 27mek (pulse condition) is high. But there are another expressions. So we can not say that Donguibogam is consistent in expressing mekbub(the way of pulse-diagnosis).
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