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Dural Arteriovenous Fistula of Jugular Foramen with Subarachnoid Hemorrhage : Selective Transarterial Embolization

  • Byun, Jun-Soo;Hwang, Sung-Nam;Park, Seung-Won;Nam, Taek-Kyun
    • Journal of Korean Neurosurgical Society
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    • v.45 no.3
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    • pp.199-202
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    • 2009
  • We report the case of a 64-year-old man with dural arteriovenous fistula (DAVF) at right jugular foramen, presented as subarachnoid and intraventricular hemorrhage. The malformation was fed by only the neuromeningeal trunk of the right ascending pharyngeal artery and drained into the right lateral medullary veins craniopetally. Complete embolization was attained by selective transarterial glue injection, but patient showed lower cranial neuropathies. A 3-month follow-up angiogram still showed persistent fistula occlusion. Transarterial glue embolization is a feasible method, only if a transvenous access is not possible in case of single channel fistula.

Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants

  • Hwang, Sun-Kyung;Ju, Hyun-Ok;Kim, Young-Soon;Lee, Hwa-Za;Kim, Young-Hae
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.488-494
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    • 2003
  • Purpose. To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW). Methods. A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding. Results. In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F=5.038, p=0.001; F=429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (p < 0.05) and the differences across time periods were significant (p < 0.001). Conclusions. The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.

Mactra veneriformis, an Intertidal Clam, as a New Second Intermediate Host for Acanthoparyphium marilae (Digenea: Echinostomatidae)

  • Han, Eun-Taek;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.46 no.2
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    • pp.101-104
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    • 2008
  • Metacercariae of Acanthoparyphium marilae Yamaguti, 1934 (Digenea: Echinostomatidae) were discovered in an intertidal clam, Mactra veneriformis, in a southwestern coastal area of the Republic of Korea. A total of 128 metacercariae were detected from 10 clams examined. They were round, 320 m in average diameter, with 23 collar spines. They were fed experimentally to chicks, and 10 days later adult flukes were obtained. The adults were morphologically characterized by the head collar with a single row of 23 dorsally uninterrupted spines, without special end group spines, a round ventral sucker, 2 round and tandem testes, and vitellaria extending at lateral fields from the posterior extremity not beyond the middle level of the posterior testis. The most characteristic feature of this species was the limited distribution of vitellaria, which differs from Acanthoparyphium tyosenense Yamaguti, 1939, the metacercariae of which are encysted in the same mollusk species. This is the first report in which the metacercariae of this species were detected, and the intertidal bivalve, M. veneriformis, has been identified as a second intermediate host for A. marilae.

A rare case of sacral epidural arteriovenous fistula with concomitant occult multiple lumbar epidural arteriovenous fistulas

  • Katsuya Saito;Takakazu Ushioda;Takahiro Miyata;Keita Mayanagi;Koki Kato;Joji Inamasu;Masashi Nakatsukasa
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.3
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    • pp.322-332
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    • 2023
  • We describe a rare case of sacral epidural arteriovenous fistulas (edAVFs) with atypical clinical course of treatment. A 78-year-old man with a history of spinal surgery presented progressive gait disturbance and urinary incontinence. Spinal angiography demonstrated a sacral spinal AVF fed by bilateral lateral sacral arteries, draining to the venous pouch with subdural drainage. The first treatment by direct interruption of a subdural drainer was incompletely finished. Postoperative reassessment by 3D imaging analysis led to the diagnosis of sacral edAVF and 3D understanding of its angioarchitecture. The second treatment by transarterial embolization (TAE) resulted in complete occlusion of a sacral edAVF. However, spinal venous congestion didn't improve, because the recruitment of occult edAVFs at the multiple lumbar levels and complex-shaped sacral ventral epidural venous plexus (VEP) were involved in the remnant of prior subdural drainage. The third treatment was performed by TAE for three occult edAVFs and the VEP compartment connecting between a patent edAVF and subdural drainage, which resulted in complete disappearance of spinal cord edema. Endovascular embolization of VEP compartment connecting to subdural drainage in addition to fistulous occlusion may be one of the treatment options for several edAVFs at the multiple spinal levels.

Earthquake impacts on hydrology: a case study from the Canterbury, New Zealand earthquakes of 2010 and 2011

  • Davie, Tim;Smith, Jeff;Scott, David;Ezzy, Tim;Cox, Simon;Rutter, Helen
    • Proceedings of the Korea Water Resources Association Conference
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    • 2011.05a
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    • pp.8-9
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    • 2011
  • On 4 September 2010 an earthquake of magnitude 7.1 on the Richter scale occurred on the Canterbury Plains in the South Island of New Zealand. The Canterbury Plains are an area of extensive groundwater and spring fed surface water systems. Since the September earthquake there have been several thousand aftershocks (Fig. 1), the largest being a 6.3 magnitude quake which occurred close to the centre of Christchurch on 22February 2011. This second quake caused extensive damage to the city of Christchurch including the deaths of 189 people. Both of these quakes had marked hydrological impacts. Water is a vital natural resource for Canterburywith groundwater being extracted for potable supply and both ground and surface water being used extensively for agricultural and horticultural irrigation.The groundwater is of very high quality so that the city of Christchurch (population approx. 400,000) supplies untreated artesian water to the majority of households and businesses. Both earthquakes caused immediate hydrological effects, the most dramatic of which was the liquefaction of sediments and the release of shallow groundwater containing a fine grey silt-sand material. The liquefaction that occurred fitted within the empirical relationship between distance from epicentre and magnitude of quake described by Montgomery et al. (2003). . It appears that liquefaction resulted in development of discontinuities in confining layers. In some cases these appear to have been maintained by artesian pressure and continuing flow, and the springs are continuing to flow even now. In spring-fed streams there was an increase in flow that lasted for several days and in some cases flows remained high for several months afterwards although this could be linked to a very wet winter prior to the September earthquake. Analysis of the slope of baseflow recession for a spring-fed stream before and after the September earthquake shows no change, indicating no substantial change in the aquifer structure that feeds this stream.A complicating factor for consideration of river flows was that in some places the liquefaction of shallow sediments led to lateral spreading of river banks. The lateral spread lessened the channel cross section so water levels rose although the flow might not have risen accordingly. Groundwater level peaks moved both up and down, depending on the location of wells. Groundwater level changes for the two earthquakes were strongly related to the proximity to the epicentre. The February 2011 earthquake resulted in significantly larger groundwater level changes in eastern Christchurch than occurred in September 2010. In a well of similar distance from both epicentres the two events resulted in a similar sized increase in water level but the slightly slower rate of increase and the markedly slower recession recorded in the February event suggests that the well may have been partially blocked by sediment flowing into the well at depth. The effects of the February earthquake were more localised and in the area to the west of Christchurch it was the earlier earthquake that had greater impact. Many of the recorded responses have been compromised, or complicated, by damage or clogging and further inspections will need to be carried out to allow a more definitive interpretation. Nevertheless, it is reasonable to provisionally conclude that there is no clear evidence of significant change in aquifer pressures or properties. The different response of groundwater to earthquakes across the Canterbury Plains is the subject of a new research project about to start that uses the information to improve groundwater characterisation for the region. Montgomery D.R., Greenberg H.M., Smith D.T. (2003) Stream flow response to the Nisqually earthquake. Earth & Planetary Science Letters 209 19-28.

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Population Ecology of Korean Sand Loach Cobitis tetralineata (Pisces; Cobitidae) in the Seomjin River, Korea (줄종개 Cobitis tetralineata (Pisces; Cobitidae)의 개체군 생태)

  • Kim, Ik-Soo;Ko, Myeong-Hun;Park, Jong-Young
    • Journal of Ecology and Environment
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    • v.29 no.3
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    • pp.277-286
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    • 2006
  • Population ecology of Cobitis tetralineata was examined at Churyeong Stream, Seomjin River, Korea. C. tetralineata inhabited on the sand bottoms with $10{\sim}20cm/see$ in current velocity, and $30{\sim}150cm$ in water depth. This species was active on the sand during the daylight hours from March to October, but they hibernated in the inside of the sand during the winter season. Sex ratio of female to male was 1:0.57, and female was $20{\sim}30mm$ (TL) larger than male. The age group of C. tetralineata (female) population showed that the $20{\sim}40mm$ group is 0+ years old, the $45{\sim}65mm$ group 1+ years old, the $65{\sim}90mm$ group 2+ years old, and the group longer than 90 mm over 3 years old. Males $13{\sim}14$ months old after hatching had lamina circularis at the base of its pectoral fin as a secondary sexual character. And in its spawning season, lateral color pattern of male was changed as a sexual dimorphism. The spawning season may be from late June to middle July, $22{\sim}26^{\circ}C$ water temperature. The average number of mature eggs in ovary was about $1,288{\pm}583(474{\sim}2,976)$, egg diameter was about $0.98{\pm}0.1mm$. C. tetralineata fed mainly on Chironomidae, Arcellidae, Branchioda and Algae. The feeding rate was the highest in April and September, but they did not fed in the winter.

Usefulness of Gastric Emptying Time Test for Dog byUsing Radiopaque Marker KOLOMARK (비투과 표지자 KOLOMARK를 이용한 개의 위배출시간검사에 대한 유용성)

  • Cho, Young-Kwon;Kim, Seon-Chil
    • Journal of the Korean Society of Radiology
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    • v.6 no.4
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    • pp.267-273
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    • 2012
  • Abnormal gastric emptying time of dog by alien substance, neoplasm, pyloric antrum hyperplasia, stomach surgery, electrolyte imbalance, stomach-dilated torsion is clinically important as a digestive disease. Therefore study aims to provide basic data on the clinical usefulness of gastric emptying time test which uses radiopaque Kolomark developed in Korea rather than using the existing BIPS for the dog. 9 beagles were used for this experiment and their average weight was about 10.3kg with 2.5 year-old average age. For the test, fast for 12 hours was made without chemical sedation, and just before the test, 1 capsule of Kolomark was fed with 25% of daily feed amount, and we took photographs at ventrodorsal and right lateral position after 2, 4, 8 and 12 hours. As for interested reading area, we observed entire stomach from cardia to stomach pyloric part, and as for analysis method, we counted Kolomarks remained in the stomach per time and judged only P value below 0.05 to be meaningful by using Friedman Test. After feeding Kolomark through oral cavity, it took average 7.55 hours for the Kolomark to have escaped from the stomach to small intestine. In this study of gastrointestinal tract passing time after feeding matured dog, we used Kolomark and expect that it could be a basic data for normal gastrokinetic time.

Parvatrema timondavidi (Digenea; Gymnophallidae) transmitted by a clam, Tapes philippinarum, in Korea (반지락(Tapes philippinarurm)이 매개하는 Parvatrema timondavidi(Digenea; Gymnophallidae)의 피낭유충 및 성충의 형태)

  • Yu, Jae-Ran;Chae, Jong-Il;Lee, Sun-Hyeong
    • Parasites, Hosts and Diseases
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    • v.31 no.1
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    • pp.7-12
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    • 1993
  • Metaceriae of Parvatrema timondavidi (Digenea; Grmnophallidae) were found from Tapes phillippinarum, one of the most common marine clams in Korean. T. were philippinarum was collected from a fishery market in seoul, and all of the clams eximined were found to contain many gymnophyallid metacercariae. To get adult worms, 10 ICR mice were fed with 100 metacercariae each and sacrificed by cervical dislocation at 7, 10 and 14 mice were morphologically characterized by oval body shape, lage oral sucker with lateral located genital pore from the venttral sucker. Based on these characters they identified as P.timondawvidi Bartoli, 1964. this study first confirms the presence of P. timondawcidi metacercartae in T.philippinarum in Korea.

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Deep learning for the classification of cervical maturation degree and pubertal growth spurts: A pilot study

  • Mohammad-Rahimi, Hossein;Motamadian, Saeed Reza;Nadimi, Mohadeseh;Hassanzadeh-Samani, Sahel;Minabi, Mohammad A. S.;Mahmoudinia, Erfan;Lee, Victor Y.;Rohban, Mohammad Hossein
    • The korean journal of orthodontics
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    • v.52 no.2
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    • pp.112-122
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    • 2022
  • Objective: This study aimed to present and evaluate a new deep learning model for determining cervical vertebral maturation (CVM) degree and growth spurts by analyzing lateral cephalometric radiographs. Methods: The study sample included 890 cephalograms. The images were classified into six cervical stages independently by two orthodontists. The images were also categorized into three degrees on the basis of the growth spurt: pre-pubertal, growth spurt, and post-pubertal. Subsequently, the samples were fed to a transfer learning model implemented using the Python programming language and PyTorch library. In the last step, the test set of cephalograms was randomly coded and provided to two new orthodontists in order to compare their diagnosis to the artificial intelligence (AI) model's performance using weighted kappa and Cohen's kappa statistical analyses. Results: The model's validation and test accuracy for the six-class CVM diagnosis were 62.63% and 61.62%, respectively. Moreover, the model's validation and test accuracy for the three-class classification were 75.76% and 82.83%, respectively. Furthermore, substantial agreements were observed between the two orthodontists as well as one of them and the AI model. Conclusions: The newly developed AI model had reasonable accuracy in detecting the CVM stage and high reliability in detecting the pubertal stage. However, its accuracy was still less than that of human observers. With further improvements in data quality, this model should be able to provide practical assistance to practicing dentists in the future.

Spawning Behavior and Early Life History of Korean Aucha Perch, Coreoperca herzi Herzenstein (한국산 꺽지 (Coreoperca herzi)의 산란습성 및 초기생활사)

  • 한경호;박준택;정규화;이원교;이재용;방인철
    • Journal of Aquaculture
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    • v.11 no.1
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    • pp.49-58
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    • 1998
  • The spawning behavior and early life history of the Korean aucha perch, Coreoperca herzi were studied. The eggs were spawned in a one-layer mass, hanging from the underside of a largy stone and guarded by one male. According to the considerable size difference os eggs in the individual ovaries, it was concluded that they spawns several times within a spawning season of May~June. The ripe eggs were demersal and adhesive, and their diameter were 2.60~3.04mm with several oil globule of 0.10~0.64mm. Hatching in the tank with $19.0{\pm}1.0^{\circ}C.$ in men water temperature started from the 380 hours after fertilization. Newly-hatched larvae were measured 6.45~7.34mm in total length (TL, mean : 6.85mm), and mouth and anus were open. Melanophores were present on the head, around the yolk, and on the dorsal part of the abdominal region. 3 days old larvae were measured 7.00~7.40mm in TL (mean : 7.25mm), and they fed Daphnia sp. and Brachionus plicatilis actively. 6 days old larvae transformed to postlarval stage and they were 7.94~10.10mm in TL (mean : 9.00mm). As yolk sac were nearly absorbed, the caudal notochord flex at 45. Aggregate numbers of all fin rays were completed at over 16.90~19.80mm in TL (30 days after hatching), at which time the larvae reached the juvenile stage. In fifty days old larvae(24.60~27.10mm in TL) were similar in body form, lateral line and color to adult.

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