• 제목/요약/키워드: VS reduction

검색결과 491건 처리시간 0.029초

Postoperative Flat Back : Contribution of Posterior Accessed Lumbar Interbody Fusion and Spinopelvic Parameters

  • Kim, Jin Kwon;Moon, Byung Gwan;Kim, Deok Ryeng;Kim, Joo Seung
    • Journal of Korean Neurosurgical Society
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    • 제56권4호
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    • pp.315-322
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    • 2014
  • Objective : Posterior accessed lumbar interbody fusion (PALIF) has a clear objective to restore disc height and spinal alignment but surgeons may occasionally face the converse situation and lose lumbar lordosis. We analyzed retrospective data for factors contributing to a postoperative flat back. Methods : A total of 105 patients who underwent PALIF for spondylolisthesis and stenosis were enrolled. The patients were divided according to surgical type [posterior lumbar inter body fusion (PLIF) vs. unilateral transforaminal lumbar interbody fusion (TLIF)], number of levels (single vs. multiple), and diagnosis (spondylolisthesis vs. stenosis). We measured perioperative index level lordosis, lumbar lordosis, pelvic tilt, sacral slope, pelvic incidence, and disc height in standing lateral radiographs. The change and variance in each parameter and comparative group were analyzed with the paired and Student t-test (p<0.05), correlation coefficient, and regression analysis. Results : A significant perioperative reduction was observed in index-level lordosis following TLIF at the single level and in patients with spondylolisthesis (p=0.002, p=0.005). Pelvic tilt and sacral slope were significantly restored following PLIF multilevel surgery (p=0.009, p=0.003). Sacral slope variance was highly sensitive to perioperative variance of index level lordosis in high sacral sloped pelvis. Perioperative variance of index level lordosis was positively correlated with disc height variance ($R^2=0.286$, p=0.0005). Conclusion : Unilateral TLIF has the potential to cause postoperative flat back. PLIF is more reliable than unilateral TLIF to restore spinopelvic parameters following multilevel surgery and spondylolisthesis. A high sacral sloped pelvis is more vulnerable to PALIF in terms of a postoperative flat back.

Efficacy of Proximal Aspiration Thrombectomy for Using Balloon-Tipped Guide Catheter in Acute Intracranial Internal Carotid Artery Occlusion

  • Kim, Yong-Won;Kang, Dong-Hun;Hwang, Yang-Ha;Park, Jaechan;Kim, Yong-Sun
    • Journal of Korean Neurosurgical Society
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    • 제59권4호
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    • pp.379-384
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    • 2016
  • Objective : Mechanical thrombectomy (MT) for acute intracranial internal carotid artery (ICA) occlusion is often complicated by difficult revascularization and non-involved territory embolization possibly related with larger clot-burden. This study aims to evaluate the efficacy of proximal aspiration thrombectomy (PAT) using a balloon-tipped guide catheter for clot-burden reduction in such cases with period-to-period analysis (period 1 : standard MT without PAT; period 2 : PAT first, then standard MT for the remaining occlusion). Methods : Eighty-six patients who underwent MT for acute intracranial ICA occlusion were included in this analysis from the prospectively maintained stroke registry (33 patients in period 1 and 53 in period 2). In period 2, 'responder' was defined as a case where some amount of clot was retrieved by PAT and the following angiography showed partial or full recanalization. Results : Fifteen of fifty-three patients in period 2 (28.3%) were 'responders' to PAT. There was a significantly higher incidence of atrial fibrillation in the 'responder' subgroup. Period 2 showed a significantly shorter puncture-to-reperfusion time (94.5 minutes vs. 56.0 minutes; p=0.002), a significantly higher Thrombolysis in Cerebral Infarction of 2b-3 reperfusion (45.5% vs. 73.6%; p=0.009), but only a trend for better 3-month favorable outcome (mRS 0-2; 36.4% vs. 54.7%; p=0.097). There was no increase in the incidence of procedure-related complications or intracranial hemorrhage in period 2. Conclusion : A strategy of PAT before standard MT may result in shorter puncture-to-reperfusion time and better angiographic outcome than a strategy of standard MT for acute intracranial ICA occlusion.

시각 자극에 의하여 유발된 긍/부정 정서의 뇌파 및 자율신경계 반응의 차이 (Physiological Differentiation of Emotional States Induced by Pictorial Stimuli of Positive And Negative Valence in Passive Viewing Mode)

  • Imgap Yi;Lee, Kyung-Hwa;Estate Sokhadze;Park, Sangsup;Sohn, Jin-Hun
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 1998년도 추계학술발표 논문집
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    • pp.143-147
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    • 1998
  • Autonomic and EEG responses of 38 college students were studied during 60-sec long presentation of International Affective Picture System (IAPS )slides evoking, according to subjective reports, negative (disgust, sadness, surprise) and positive (happiness, exciting) emotional. states. Observed were significant heart rate (HR) deceleration, large skin conductance responses (SCR), moderate respiration frequency slowing, reduction of frontal (F 3, F 4 ) and occipital (O 1, O 2 ) fast alpha, and increases of theta, delta and beta relative spectral power values during the first 30 sec of exposure of IAPS pictures. Analysis carried out to differentiate emotion categories according to autonomic responses indicated that observed HR deceleration was larger in magnitude in surprise and sadness than in disgust, SCR amplitude higher in sadness than in disgust. EEC showed significant differences in theta (F 3, F 4 ) and delta (O 1) power increase in disgust vs. happiness, fast alpha (F 3, F 4 ) power was lower in surprise than in happiness, and slow beta power higher. in happiness than in disgust (0 1). Despite some differences. observed within discrete emotion conditions, overall responses pattern of monitored parameters exhibited similar profiles with few variations, most. obvious. in disgust state, which suggests that affective visual stimulation elicits stereotypical responses in a given passive viewing paradigm. However, the magnitude of physiological responses may vary to certain extent across discrete emotional states making it possible to differentiate among particular experimentally-induced emotional states, e.g., disgust vs. sadness by ANS responses or disgust vs. happiness by EEG measures.

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관상동맥경화증인 과체중 남성에서 열량제한과 Testosterone 투여가 체지방 분포 및 혈청 지질 농도에 미치는 영향 (Caloric Restriction vs Testosterone Treatment ; The Effect on Body Fat Distribution and Serum Lipid Levels in Overweight Male Patients with Coronary Artery Disease)

  • 이종호;채지숙;고수정;강석민;최동훈;장양수
    • Journal of Nutrition and Health
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    • 제36권9호
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    • pp.924-932
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    • 2003
  • In middle-aged men, abdominal obesity has been an important risk factor of coronary artery disease (CAD) as well as a predictor of hypertension, dyslipidemia, insulin resistance and glucose intolerance. Particularly, risks from abdominal obesity increase when adipose tissue accumulates in visceral compartment. Many studies showed that weight reduction by caloric restriction improves abdominal obesity and reduces lots of cardiovascular risk factors. Testosterone treatment also results in a significant decrease in visceral fat area and normalizes endocrine metabolism. However there is no study that compare the effect of caloric restriction with that of testosterone treatment. The purpose of this study is to investigate the effect of caloric restriction and that of testosterone treatment on body fat distribution, serum lipids and glucose metabolism in male patients with CAD. Forty five middle-aged overweight-obese men with CAD participated in 12 weeks' program. They were matched with age, body weight, body mass index (BMI) and divided into three groups : control group (n = 15) , caloric restriction group (-300 kcal/day, n = 15) and testosterone treatment group (testosterone undecanoate tablets, n = 15) . After 12 weeks, control group did not have any changes in anthropometries, lipid profile, body fat distribution, glucose metabolism and hormonal status. Expectedly, caloric restriction group showed decreases in body weight, BMI, waist to hip ratio, % body fat. Ten percentage of total cholesterol and 23% of triglyceride in serum were also decreased. In body fat distribution, total fat areas at both L1 and L4 levels were significantly reduced in this group without reduction in muscle of thigh and calf. However, testosterone treatment group did not have any significant changes in body weight, % body fat, serum lipid profile and abdominal fat distribution. In conclusion, weight reduction by caloric restriction is more beneficial in body fat distribution and serum lipid level than testosterone treatment in overweight male patients with CAD. This result suggests that modest weight reduction is possible to help decrease risk factors of CAD.

Korean /l/-flapping in an /i/-/i/ context

  • Son, Minjung
    • 말소리와 음성과학
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    • 제7권1호
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    • pp.151-163
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    • 2015
  • In this study, we aim to describe kinematic characteristics of Korean /l/-flapping in two speech rates (fast vs. comfortable). Production data was collected from seven native speakers of Seoul Korean (four females and three males) using electromagnetic midsagittal articulometry (EMMA), which provided two dimensional data on the x-y plane. We examined kinematic properties of the vertical/horizontal tongue tip gesture, the vertical/horizontal (rear) tongue body gesture, and the jaw gesture in an /i/-/i/ context. Gestural landmarks of the vertical tongue tip gesture are directly measured. This serves as the actual anchoring time points to which relevant measures of other trajectories referred. The study focuses on velocity profiles, closing/opening spatiotemporal properties, constriction duration, and constriction minima were analyzed. The results are summarized as follows. First, gradiently distributed spatiotemporal values of the vertical tongue tip gesture were on a continuum. This shows more of a reduction in fast speech rate, but no single instance of categorical reduction (deletion). Second, Korean /l/-flapping predominantly exhibited a backward sliding tongue tip movement, in 83% of production, which is apparently distinguished from forward sliding movement in English. Lastly, there was an indication of vocalic reduction in fast rate, truncating spatial displacement of the jaw and the tongue body, although we did not observe positional variations with speech rate. The present study shows that Korean /l/-flapping is characterized by mixed articulatory properties with respect to flapping sounds of other languages such as English and Xiangxiang Chinese. Korean /l/ flapping demonstrates a language-universal property, such as the gradient nature of its flapping sounds that is compatible with other languages. On the other hand, Korean /l/-flapping also shows a language-particular property, particularly distinguished from English, in that a backward gliding movement occurs during the tongue tip closing movement. Although, there was no vocalic reduction in V2 observed in terms of jaw and tongue body height, spatial displacement of these articulators still suggests truncation in fast speech rate.

럭셔리 브랜드의 자선 연계와 생산방식의 부정적 지각이 제품 구매의도에 미치는 영향: 죄책감 감소의 매개효과를 중심으로 (The Influences of Charity and Negative Perception of Production on Purchase Intent toward Luxury brand: Focusing on the Mediating Effect of Guilt Reduction)

  • 민동원
    • 디지털융복합연구
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    • 제14권6호
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    • pp.85-91
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    • 2016
  • 최근의 여러 연구는 럭셔리 브랜드가 자선과 결부될 때 긍정적으로 나타나는 소비자 반응의 기저에 죄책감 감소가 있음을 밝혔다. 본 연구는 더 나아가 럭셔리 브랜드가 부정적인 경영활동을 통해 이윤을 취함을 소비자가 알때, 럭셔리 브랜드가 자선활동을 하거나 하지 않음에 따라 죄책감 감소의 영향이 달라지며, 이로 인해 소비자의 구매의도도 상이하게 나타남을 보이고자 하였다. 2(자선활동 연계 여부) x 2(생산방식 지각: 부정 vs. 통제) 피험자 간 설계로 진행된 실험 결과, 럭셔리 브랜드의 자선 연계는 제품 구매의도에 긍정적으로 영향을 미쳤으며, 제품 생산방식이 부정적이라고 지각한 경우 그렇지 않을 때보다 구매의도가 낮았다. 그런데 자선 연계가 구매의도에 미치는 영향은 제품 생산방식의 지각에 의해 조절되었는데, 자선 연계가 되어있을 때의 지각의 차이가 미치는 영향이 자선 연계가 없을 때의 지각의 차이가 미치는 영향보다 큰 것으로 나타났다. 한편 자선 연계 여부가 구매의도에 미치는 영향 및 자선 연계 여부와 생산방식 지각의 상호작용이 구매의도에 미치는 영향 모두 죄책감 감소에 의해 매개되는 것으로 나타났다. 본 연구는 럭셔리 브랜드 제품의 자선연계에 있어 소비자가 제품 생산 방식의 윤리성을 어떻게 지각하는 지가 중요한 요인이 될 수 있음을 밝혔다는 데 학문적 및 실무적으로 기여하고 있다.

아세토니트릴 용매 중에서 Copper-1-(2-Thiazolylazo)-2-naphthol 착물의 전기화학적 거동 (Electrochemical Behaviors of Copper-1-(2-Thiazolylazo)-2-naphthol Complex in Acetonitrile)

  • 배준웅;이흥락;박태명;서무룡
    • 대한화학회지
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    • 제35권4호
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    • pp.405-409
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    • 1991
  • 비양성자성용매인 아세토니트릴 중에서 Copper-1-(2-thiazolylazo)-2-naphthol(이하 Cu(II)-TAN으로 줄임) 착물의 전기화학적 성질을 조사하였다. 착물의 직류폴라로그램으로부터 환원전류의 유형과 가역성 및 양성자 주게인 물의 첨가에 따른 영향을 검토하였다. 그리고 환원반응에 관여한 전자수는 일정전위 전기분해법으로 구하였다. 또 일정전위 전기분해한 전해생성물의 UV-Vis Spectrum으로부터 전해생성물을 확인하였다. 이상의 실험 결과로부터 아세토니트릴 용매 중에서 Cu(II)-TAN 착물은 3단계의 환원과정을 거쳐 최종적으로 아민화합물이 됨을 알았다. 이 때 1단계 환원과정에서는 anion radical이 생성되는 과정이고, 2단계 환원과정에서는 dianion이 생성되는 과정이다. 또 1단계와 2단계의 환원과정은 모두 가역성이 좋은 편이었으나 3단계 환원과정은 가역성이 매우 나쁜 편이었다. 또한 각 단계의 환원전류는 확산지배적이었다.

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남동권 초고농도 미세먼지 발생 특성과 비상저감조치 - 수도권과 비교연구 (II) (Characteristics of Extremely High PM2.5 Episode and Emergency Reduction Measures Plan in Southeastern Region - Comparative Study in Busan vs. Seoul Metropolitan Area (II))

  • 최다니엘;허국영;김철희
    • 한국환경과학회지
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    • 제30권10호
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    • pp.789-802
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    • 2021
  • This study analyzed the characteristics of high PM2.5 episodes that meets the concentration criteria of Emergency Reduction Measures Plan (ERMP) in Busan during the 2015-2020, and compared with those in Seoul. As a first step, the CAPSS-2017 emission data was employed to analyze the emission differences between Busan and Seoul, and pointed out that Busan emission included the dominance of ship emissions (37.7%) among total PM2.5 city emissions, whereas fugitive PM2.5 emission was the highest in Seoul. These emission characteristics are indicating that the controlling action plan should be uniquely applied to cope with ERMP in each region. We selected extremely high PM2.5 episode days that meet the criteria of ERMP levels. In Busan, Ulsan, and Gyeongnam region, 15, 16, and 8 days of extremely high PM2.5 cases were found, respectively, whereas Seoul showed approximately doubling of occurrences with 37 cases. However, the occurrences in summer season indicated big differences between two cities: the proportion of summer-season occurrence was 13-25% in Busan, whereas no single case have occurred in Seoul. This is suggesting the needs of comprehensive summer emission reduction plan with focusing on sulfur reduction to effectively cope with the ERMP levels in summer in the southeastern region, including Busan.

주요 우울 장애, 정신분열병, 양극성 장애 및 정상 대조군에서의 N100 진폭경사 (N100 Amplitude Slopes in Major Depressive Disorder, Bipolar Disorder, Schizophrenia and Normal Controls)

  • 양은경;이승환;오성희;김상래
    • 생물정신의학
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    • 제16권3호
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    • pp.181-189
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    • 2009
  • Objectives : N100 amplitude slope(the intensity dependence of the cortical auditory evoked potentials) is widely considered as an indirect indicator of central serotonergic neurotransmission. However, there are only a few studies about N100 amplitude slopes of major psychiatric disorders. In this study, we examined N100 amplitude slope differences among major depressive disorder(MDD), bipolar disorder(BD), schizophrenia (SCZ) and normal controls(NC). Methods : We measured the N100 amplitude slopes of 35 patients with MDD, 33 patients with BD, 27 patients with SCZ and 35 NC subjects. Amplitude differences from N1 to P2 at the five different sound intensities(55, 65, 75, 85 and 95dB) were examined at Cz electrode. The N100 amplitude slope was calculated as the linear regression of five N1/P2 peak-to-peak amplitudes across stimulus intensities. Results : BD patients showed significantly reduced N100 amplitude slope compared with NC(0.54${\pm}$0.70 vs. 0.96${\pm}$0.72, p=0.035). N100 amplitude slope of SCZ patients was significantly reduced compared with NC(0.50${\pm}$0.47 vs. 0.96${\pm}$0.72, p=0.027). N100 amplitude slope of BD patients was significantly lower than that of MDD patients(0.54${\pm}$0.70 vs. 0.94${\pm}$0.60, p=0.046). SCZ patients also showed significant reduction of N100 amplitude slope compared with MDD patients(0.50${\pm}$0.47 vs. 0.94${\pm}$0.60, p=0.036). There was no significant difference of N100 amplitude slope between MDD patients and NC(0.94${\pm}$0.60 vs. 0.96${\pm}$0.72, p=1.000). Conclusion : Interestingly, the N100 amplitude slopes of BD and SCZ were reduced compared to NC and MDD patients. Our results suggest the predictive use of N100 amplitude slope in making differential diagnoses of major psychiatric disorders. Clinical implications of N100 amplitude slope in major psychiatric disorders were discussed.

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Tris(2-cyclohexylaminoethyl)amine-Zn(II) 착물의 안정성 (Stability of Tris(2-cyclohexylaminoethyl)amine-Zn(II) Complex)

  • 신용운;백현숙;양재경;김진은;서무룡
    • 대한화학회지
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    • 제47권2호
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    • pp.121-126
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    • 2003
  • Cyclohexanone,과 tris(2-aminoethyl)amine을 이용하여 Schiff 연기 축합반응으로 tren의 유도체인 tris(2-cyclohexylaminoethyl)amine (L)을 합성하였다. 또한 합성한 tren의 유도체인 tris(2-cyclohexylaminoethyl)amine (L)과 Zn(II) 착물의 열역학적 특성과 안정도 상수, Zn(II)와의 착물 조성비 등을 순환전압전류법과 열량계법으로 측정하였다. Zn(II)과 [Zn(II)-L] 순환전압전류 곡선을 0${sim}$-1.5 V vs. Ag/AgCl의 가전압 범위에서 측정하였다. 금속인 경우, -1.02V와 -0.48V vs. Ag/AgCl에서 각각 환원피이크와 산화피이크가 나타났으며, 금속착물인 경우에는 -1.19V와 -0.45V vs. Ag/AgCl에서 각각 환원피이크와 산화피이크가 나타났다. 또한 피이크 전류(IP)는 주사속도의 평방근 $(v^{1/2})$에 비례하였으며 이것은 전류의 유형이 확산 지배적인 전류임을 나타낸다. 그리고 [Zn-L] 착물에 대해서 전압전류법적으로 구한 안정도상수는 logK$_f$ = 5.8, 결합비는 1:1을 나타내었다. 또한 열량계법적으로 [Zn-L] 착물의 열역학적 파라메타를 조사한 결과, 리간드 L과 Zn(II)는 1:1의 4 배위수를 가지는 착물을 이룬다는 것을 알 수 있었고, 이때 25 ${\circ}$C에서 logK=5.4, ${\Delta}H$= -53.0 kJ/mol, ${\Delta}$G의 값은 -31.1 kJ/mol이었으며 T${\Delta}$S는 -21.9 J/K${\cdot}$mole이었다.