• Title/Summary/Keyword: episodes

검색결과 918건 처리시간 0.024초

Tetracycline의 늑막유착효과가 자연기흉의 재발에 미치는 영향 (The Effects of Tetracycline Pleurodesis as a Prevention against Spontaneous Pneumothorax)

  • 안홍남;한승세;김규태
    • Journal of Chest Surgery
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    • 제21권3호
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    • pp.447-453
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    • 1988
  • Intrapleural instillation of tetracycline as a preventive measure against recurrence in spontaneous pneumothorax was performed at the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital for 3 years from Jul. 1984 to Aug. 1987. In this period, 124[70.0%] out of 177 patients of spontaneous pneumothorax who received closed thoracostomy were followed up. Tetracycline pleurodesis was applied to 32 cases. The recurrence rate of the tetracycline instillation group was lower than that of noninstillation group. In patients with first attack, the recurrence rate was 12.5% in the instillation group and 35.3% in the noninstillation group. In the second episodes, 25.6% and 83.3%[p< 0.01], in the third episodes 25.0%, 100.0%[p< 0.05]. In total cases, 18.8% and 39.8%[p< 0.05] of recurrence rates were observed. Systemic or local reactions such as fever, chest pain, and pleural effusion were observed in 23 patients[71.9%] after instillation, but all were transient and benign without sequelae. In cases of systemic or local reactions the recurrence rate was lower than that with no reactions but with no statistical significance. In the four patients primarily treated with tetracycline pleurodesis who then underwent thoracotomy, mild alterations were shown in the pleurae except dense adhesions at the previous thoracotomy sites. There was no significant difference between the two groups in terms of durations of hospitalization and post-treatment recurrences.

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테이블 균형맞춤 작업이 가능한 Q-학습 기반 협력로봇 개발 (Cooperative Robot for Table Balancing Using Q-learning)

  • 김예원;강보영
    • 로봇학회논문지
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    • 제15권4호
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    • pp.404-412
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    • 2020
  • Typically everyday human life tasks involve at least two people moving objects such as tables and beds, and the balancing of such object changes based on one person's action. However, many studies in previous work performed their tasks solely on robots without factoring human cooperation. Therefore, in this paper, we propose cooperative robot for table balancing using Q-learning that enables cooperative work between human and robot. The human's action is recognized in order to balance the table by the proposed robot whose camera takes the image of the table's state, and it performs the table-balancing action according to the recognized human action without high performance equipment. The classification of human action uses a deep learning technology, specifically AlexNet, and has an accuracy of 96.9% over 10-fold cross-validation. The experiment of Q-learning was carried out over 2,000 episodes with 200 trials. The overall results of the proposed Q-learning show that the Q function stably converged at this number of episodes. This stable convergence determined Q-learning policies for the robot actions. Video of the robotic cooperation with human over the table balancing task using the proposed Q-Learning can be found at http://ibot.knu.ac.kr/videocooperation.html.

3세 소아에서 토혈을 주소로 내원한 위식도 탈출증 1례 (Prolapse Gastropathy Presenting with Hematemesis in a 3-year-old Child - A Case Report)

  • 조진성;류일;이근;김재광
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제6권2호
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    • pp.183-186
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    • 2003
  • 저자들은 반복적인 구토와 복통이 발생한 후 토혈을 주소로 내원한 3세 된 남아에서 상부소화관 내시경으로 진단된 위식도 탈출증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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소아청소년 양극성 장애의 임상 경과 (Clinical Course of Bipolar Disorder in Children and Adolescents)

  • 강나리;곽영숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권1호
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    • pp.3-7
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    • 2012
  • Objectives : The early onset of mood symptoms in bipolar disorder has been associated with poor outcomes in many studies. However, aspects of the clinical course of bipolar disorder in children and adolescents are controversial. The goal of this article is to review the clinical characteristics and longitudinal course of children and adolescents with bipolar disorders. Methods : Searches were conducted in MedLine, PsycINFO, KISS, and RISS using the terms phenomenology, clinical course, outcome, BPD, pediatric, children and adolescents. Twenty-one reports were selected : either original articles reporting symptoms and clinical characteristics of subjects (ages 5-18 years), or published articles in reviewed journals about bipolar disorder in children and adolescents. Results : Approximately 70% of subjects with bipolar disorder recovered from their index episode, and 50% had at least 1 syndromal recurrence, particularly depressive episodes. For 60% of the follow-up time, subjects had syndromal or subsyndromal symptoms with numerous changes in symptoms and shifts of polarity. Approximately 20% of BP-II subjects converted BP-I. Conclusion : Bipolar disorders in children and adolescents are characterized by episodic illness with subsyndromal and syndromal episodes with mainly depressive and mixed symptoms and rapid mood changes. Extensive follow-up time is needed to evaluate the continuity of bipolar disorder symptoms from childhood to adulthood.

대구시 고농도 오존 사례일인 경우 대기 오염물질 농도의 일변화 특성 (Characteristics of Diurnal Variation of the Atmospheric Pollutants Concentration in High-Ozone Episode day in Daegu)

  • 손임영;윤일희;김희종
    • 한국환경과학회지
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    • 제11권12호
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    • pp.1253-1259
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    • 2002
  • This study analyzes the surface ozone, NO and $NO_2$ concentration data from 1997 to 1999 in Daegu. It investigates effect on precursor during high-ozone episode days. The high-ozone episode is defined when a daily maximum ozone concentration is higher than 100 ppb(ambient air quality standard of Korea) in at least one station among six air quality monitoring stations. The frequency of episodes is 13 days(33 hours). The frequency is the highest in May and September, and the area with the highest frequency is Nowondong and Manchondong. The average value of daily maximum ozone concentration with high ozone episode is 81.6 ppb, and that of 8-hour average ozone concentration is 58.6 ppb. It means that ozone pollution is continuous and wide-ranging in Daegu. The daily variation of NO, $NO_2$ and $O_3$ in high-ozone episodes are inversely proportional one another. Nowondong an industrial area, is affected by pollutants that are emitted from the primary sources, while Manchondong a residential area, is affected by the advection of $O_3$ or by the primary pollutants like VOCs.

자연배출량이 수도권 고농도 오존 사례에 미치는 영향범위 추정: 2004년과 2007년 6월 사례를 중심으로 (Estimating Influence of Biogenic Volatile Organic Compounds on High Ozone Concentrations over the Seoul Metropolitan Area during Two Episodes in 2004 and 2007 June)

  • 김순태
    • 한국대기환경학회지
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    • 제27권6호
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    • pp.751-771
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    • 2011
  • Biogenic Volatile Organic Compound (BVOC) emissions are estimated with BEIS3.12 (Biogenic Emissions Inventory System version 3.12) over the Seoul Metropolitan Area (SMA) and then used in CMAQ (Community Multiscale Air Quality) simulations for two high ozone episodes in 2004 and 2007 June. The first- and second-order sensitivity coefficients of ozone to BVOC emissions are estimated with High-order Decoupled Direct Method (HDDM) simulation in order to estimate the influence of BVOC emissions on ozone using the Zero-Out Contribution (ZOC) approach. ZOC analysis shows that relative contribution of BVOC emissions on daily maximum 1-hr ozone is as high as 30% for high ozone days above 100 ppb. However simulated isoprene concentrations were over-estimated by a factor of 2 when compared to the observations at the PAMS (Photochemical Air Monitoring Station) for the 2007 episode. When assumed that actual BVOC emissions are 50% less than estimated, the ZOC of BVOC emissions on daily maximum ozone drops by more than 10 ppb for the episode. The result indicates that uncertainty in BVOC emissions may have significant impact on high ozone prediction in the SMA.

Cyclic Vomiting Syndrome: A Functional Disorder

  • Kaul, Ajay;Kaul, Kanwar K.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권4호
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    • pp.224-229
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    • 2015
  • Cyclic vomiting syndrome (CVS) is a functional disorder characterized by stereotypical episodes of intense vomiting separated by weeks to months. Although it can occur at any age, the most common age at presentation is 3-7 years. There is no gender predominance. The precise pathophysiology of CVS is not known but a strong association with migraine headaches, in the patient as well as the mother indicates that it may represent a mitochondriopathy. Studies have also suggested the role of an underlying autonomic neuropathy involving the sympathetic nervous system in its pathogenesis. CVS has known triggers in many individuals and avoiding these triggers can help prevent the onset of the episodes. It typically presents in four phases: a prodrome, vomiting phase, recovery phase and an asymptomatic phase until the next episode. Complications such as dehydration and hematemesis from Mallory Wise tear of the esophageal mucosa may occur in more severe cases. Blood and urine tests and abdominal imaging may be indicated depending upon the severity of symptoms. Brain magnetic resonance imaging and upper gastrointestinal endoscopy may also be indicated in certain circumstances. Management of an episode after it has started ('abortive treatment') includes keeping the patient in a dark and quiet room, intravenous hydration, ondansetron, sumatriptan, clonidine, and benzodiazepines. Prophylactic treatment includes cyproheptadine, propranolol and amitriptyline. No mortality has been reported as a direct result of CVS and many children outgrow it over time. A subset may develop other functional disorders like irritable bowel syndrome and migraine headaches.

이오네스크-쉴리 판막을 이용한 심장판막치환술에 관한 임상적 고찰 (Ionescu-Shiley valve replacement: mid-term folow-up)

  • 심영목;이영균
    • Journal of Chest Surgery
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    • 제16권4호
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    • pp.458-469
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    • 1983
  • Between October, 1978, and December, 1982, Glutaraldehyde-stablized pericardial xenografts [Ionescu-Shiley valve] were used for heart valve replacement in 409 patients.[251 mitral, 49 aortic, 11 tricuspid, and 98 multiple valve replacement]. There were 31 early deaths [7.6%], and 371 operative survival were observed for a total of 507.6 years over a period of 1 to 44 months. [mean 17 months]. Actuarial analysis of late results indicates an excepted survival rate at 4 years of 86.25.4% for patients with mitral, 79.37.1% for patients with aortic valve replacement. Actuarial survival rates for total patients at 4 years was 77.88.2%. The rate of systemic embolism has been 1.6% per patient-year for mitral and 1.8% per patient-year for aortic group in the presence of anticoagulation treatment. Among the 6 embolic episodes, 2 patients were died. The incidence of hemorrhagic complication was 1.3% per patient-year for anticoagulated patients. There were 6 confirmed valve failures, five in mitral and one in aortic position. Re-replacement of destructed valve was performed in one patient and others were treated medically. Among the 6 episodes, 3 occurred in children [Below 15 years], it account almost 9 times higher than adult. Our clinical data compare very favorable with those obtained with other available prostheses and tissue valves, but it should be considered to give short-term anticoagulation therapy to hemodynamically stable patients and aortic valve patients, and other prosthetic valve must be considered to use in children.

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남방진동지수가 강우특성과 빈도분석에 미치는 영향 분석 (Assessment of the ENSO influences on rainfall Characteristics and Frequency analysis)

  • 김병식;오제승;김치영
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2007년도 학술발표회 논문집
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    • pp.1619-1624
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    • 2007
  • The rainfall frequency estimations are critical in the design of hydraulic structures (such as bridges and culverts) to ensure that they are built economically and safely. In other words, they are not over designed or under designed. However one of the main assumptions in the creation of these analysis is that the rainfall data for a site is stationary. That is, climatic trends and variability in a region have negligible effects on the curves. But as has been proved in recent history, climatic variability and trends do exist and their effects on precipitation have not been negligible. Increasing occurrences of the El Nino phenomenon have lead to droughts and floods around the world, and long term trends in rainfall, both increases and decreases, have been seen in all regions across Korea. The purpose of this paper is to investigate and evaluate impacts of ENSO on rainfall characteries and rainfall frequency estimations in Korea. In this paper, The available rainfall data were categorized into Warm(EL Nino), Cold(La Nina), Normal episodes based on the Cold & Warm Episodes by Season then 50 years of daily rainfall data were generated for each episodic events(EL Nino, La Nina)

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백색소음하의 단어재인검사 수행에 따른 자율신경계 스트레스 반응 (AUTONOMIC MECHANISMS OF AN ACUTE STRESS RESPONSE DURING WORD RECOGNITION TASK PERFORMANCE WITH INTENSE NOISE BACKGROUND)

  • 최상섭;이경화;민윤기;;손진훈
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 1999년도 춘계학술발표논문집 논문집
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    • pp.127-132
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    • 1999
  • Cardiovascular, respiratory and electrodermal responses to acute stress episodes modeled by combined presentation of intense white noise and performance of word recognition task with noise background were studied in 15 college students. Experimental procedure consisted in sessions with white noise, word recognition task presentation with noise background and test with noise background. Recorded physiological variables were analyzed in terms of their sensitivity to detect activation of sympathetic and parasympathetic branches of autonomic nervous system and thus reflect autonomic arousal level during shout-term stress-inducing experimental manipulations. It was shown that performance of effortful mental task with noise background elicited significant physiological responses typical for active coping behavior, namely electrodermal arousal and increased cardiovascular activity. this response profile was more profound as compared to white noise only or attending task in noise background. However, all physiological responses were mostly phasic, without long-term tonic changes, since almost all variables recovered to their initial baseline levels, suggesting that dominant autonomic mechanisms in transient acute stress episodes were of parasympathetic nature (withdrawal in stress with subsequent activation in restoration period), while sympathetic contribution was not long-lasting. Nevertheless, increased number of stressors and their longer exposure may result in higher profile of tonic sympathetic arousal and reduced functional role of vagal mechanisms in autonomic balance regulation.

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