• Title/Summary/Keyword: Stroke

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Case Reports about Brainstem Infarction -Dejerine′s syndrome and Wallenburg′s syndrome- (뇌간 경색에 대한 고찰 -Dejerine′s syndrome 1례 및 Wallenburg′s syndrome 1례-)

  • Cho Gwon Il;Han Myoung Ah;Lee Ji Yeon;Choi Jin Young;Kim Dong Woung;Jung Dae Young;Kim Kwan Sik
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.6
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    • pp.1291-1296
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    • 2002
  • Blood circulation of brain is divided into two major categories; anterior one from carotid artery and posterior one from vertebrobasilar artery. In stroke patients, it is important to diagnose which is involved, because there is many difference in the aspects of clinical menifestations and prognosis, especially in the acute stage. In some cases of vertebrobasilar infarction, such as Wallenberg's syndrome, charicteristic cranial nerve signs, eye movement disorders and cerebellar signs are appeared. And in Dejerine's syndrome, only pure motor or sensory defecits can be appeared without any brainstem signs. So It shoud be differenciated by Brain MRI from those of the cerebral hemisphere lesions. And in the cases that nausea, vomitting and dysphagia are the first menifestations, it is frequently misdiagnosed as internal medical disease, causing appropriate treatment delayed. In this case report, we are to describe the clinical menifestations and progresses of two cases of brainstem infarctions, review previously published case reports about them and compare them to our cases. The first is Dejerine's syndrome i.e. medial medullary infarction, the second is Wallenberg's syndrome i.e. lateral medullary infarction. Simultaneously we are to investigate the oriental medical approach in the bran stem infarctions.

Single-Dose Oral Toxicity Test of Woohwangchungshim-won in Mice (우황청심원의 마우스 단회 경구투여 독성시험 연구)

  • Lee, Je Won;Baek, Kyung Min;Chang, Woo Seok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.2
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    • pp.186-194
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    • 2014
  • The object of this study was to obtain acute toxicity information (single-dose oral toxicity) of Woohwangchungshim-won (WHCSW), a pill type herbal medicine used in Korean Medicine (KM) for treating stroke. In order to obtain the 50% lethal dose (LD50), approximate lethal dosage (ALD) and target organs, WHCSW powders were once orally administered to female and male ICR mice at dose levels of 2,000, 1,000, 500 and 0 (control) mg/kg (body weight.) according to the recommendation of Korea Food and Drug Administration (KFDA) Guidelines (Notification No. 2009-116). The mortality and changes in the body weight, clinical signs and gross observation were monitored for 14 days after single-dose oral administration of WHCSW according to KFDA Guidelines with organ weights and histopathological changes were observed in 12 principle organs. After single-dose oral administration of WHCSW, we could not find any mortality and toxicological evidences up to 2,000 mg/kg-administered group, except for some accidental findings and dose-independent increases of body weight gains in female 1,000 and 500 mg/kg-administered female mice. The results obtained in this study suggest that the LD50 and ALD of WHCSW in both female and male mice after single-dose oral administration were considered as over 2,000 mg/kg because no mortalities were detected up to 2,000 mg/kg that was the highest dose recommended by KFDA and Organization for Economic Co-Operation and Development (OECD), and can be safely used in clinics.

Insulin Induces Transcription of VEGF in Arnt-dependent but HIF-l$\alpha$-Independent Pathway

  • Park, Youngyeon;Park, Hyuns-Sung
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 2001.11a
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    • pp.100-100
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    • 2001
  • Hypoxia is a pathophysiological condition that occurs during injury, ischemia, and stroke. Hypoxic stress induces the expression of genes associated with increased energy flux, including the glucose transporters Glutl and Glut3, several glycolytic enzymes, nitric oxide synthase, erythropoietin and vascular endothelial growth factor. Induction of these genes is mediated by a common basic helix-loop-helix PAS transcription complex, the hypoxia-inducible factor-l${\alpha}$ (HIF-1${\alpha}$)/ aryl hydrocarbon receptor nuclear translocator (ARNT). Insulin plays a central role in regulating metabolic pathways associated with energy storage and utilization. It triggers the conversion of glucose into glycogen and triglycerides and inhibits gluconeogenesis. Insulin also induced hypoxia-induced genes. However the underlying mechanism is unestablished. Here, we study the possibility that transcription factor HIF-1${\alpha}$ is involved in insulin-induced gene expression. We investigate the mechanism that regulates hypoxia-inducible gene expression In response to insulin We demonstrate that insulin increases the transcription of hypoxia- inducible gene. Insulin-induced transcription is not detected in Arnt defective cell lines. Under hypoxic condition, HIF- l${\alpha}$ stabilizes but does not under insulin treatment. Insulin-induced gene expression is inhibited by presence of PI-3 kinase inhibitor and Akt dominant negative mutant, whereas hypoxia-induced gene expression is not. ROS inhibitor differently affects insulin-induced gene expressions and hypoxia-induced gene expressions. Our results demonstrate that insulin also regulates hypoxia-inducible gene expression and this process is dependent on Arnt. However we suggest HIF-l${\alpha}$ is not involved insulin-induced gene expression and insulin- and hypoxia- induces same target genes via different signaling pathway.

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Epoxyeicosatrienoic Acid Inhibits the Apoptosis of Cerebral Microvascular Smooth Muscle Cells by Oxygen Glucose Deprivation via Targeting the JNK/c-Jun and mTOR Signaling Pathways

  • Qu, Youyang;Liu, Yu;Zhu, Yanmei;Chen, Li;Sun, Wei;Zhu, Yulan
    • Molecules and Cells
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    • v.40 no.11
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    • pp.837-846
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    • 2017
  • As a component of the neurovascular unit, cerebral smooth muscle cells (CSMCs) are an important mediator in the development of cerebral vascular diseases such as stroke. Epoxyeicosatrienoic acids (EETs) are the products of arachidonic acid catalyzed by cytochrome P450 epoxygenase. EETs are shown to exert neuroprotective effects. In this article, the role of EET in the growth and apoptosis of CSMCs and the underlying mechanisms under oxygen glucose deprivation (OGD) conditions were addressed. The viability of CMSCs was decreased significantly in the OGD group, while different subtypes of EETs, especially 14,15-EET, could increase the viability of CSMCs under OGD conditions. RAPA (serine/threonine kinase Mammalian Target of Rapamycin), a specific mTOR inhibitor, could elevate the level of oxygen free radicals in CSMCs as well as the anti-apoptotic effects of 14,15-EET under OGD conditions. However, SP600125, a specific JNK (c-Jun N-terminal protein kinase) pathway inhibitor, could attenuate oxygen free radicals levels in CSMCs as well as the anti-apoptotic effects of 14,15-EET under OGD conditions. These results strongly suggest that EETs exert protective functions during the growth and apoptosis of CSMCs, via the JNK/c-Jun and mTOR signaling pathways in vitro. We are the first to disclose the beneficial roles and underlying mechanism of 14,15-EET in CSMC under OGD conditions.

A Study on Effect of Various Cooling Methods in Motion of High-Precision Ball Screw (고속 고정밀 볼 스크류 구동에 따른 강제 냉각방식의 효과에 관한 연구)

  • Kim, Su-Sang;Xu, Zhe-Zhu;Kim, Hyun-Koo;Lyu, Sung-Ki
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.3
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    • pp.254-259
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    • 2013
  • Ball screw system is widely used as a precision mechanical linear actuator that translates rotational motion to linear motion for its high efficiency, great stiffness and long life. Recently, according to the requirements of high accuracy and stiffness, the pre-load on the ball screw which means of remove the backlash in the ball screw is usually used. Because of the preload which means the frictional resistance between the screw and nut, becomes a dominating heat source and it generates thermal deformation of ball screw which is the reason for low accuracy of the positioning decision. There are several methods to solve the problem that includes temperature control, thermal stable design and error compensation. In the past years, researchers focused on the error compensation technique for its ability to correct ball screw error effectively rather than the capabilities of careful machine design and manufacturing. Significant amounts of researches have been done to real-time error compensation. But in this paper, we developed a series of cooling methods to get thermal equilibrium in the ball screw system. So we find the optimum cooling type for improving positioning error which caused by thermal deformation in the ball screw system.

The Effects of Foot and Knee Position on Electromyographic Activity of the Vastus Medialis and Vastus Lateralis for Hemiplegic Patients (발과 무릎관절 위치가 편마비 환자의 안쪽넓은근과 가쪽넓은근 근활성도에 미치는 영향)

  • Jang, Jun-Hyeok;Kim, Kyung-Hwan;Kim, Tae-Ho;Han, Dong-Wook
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.21-28
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    • 2010
  • Purpose: The purpose of this study was to evaluate the electromyographic (EMG) activity of vastus medialis oblique (VMO) and vastus lateralis (VL) muscles on foot position and knee angle for hemiplegia patients. Methods: Ten stroke subjects (10 males) participated in the study. Subjects were all right-hemiplegic patients. All subjects did $0^{\circ},\;20^{\circ}$ and $40^{\circ}$ knee flexion while maintaining the foot in a neutral position, or at $30^{\circ}$ adduction or at $30^{\circ}$ abduction. Surface EMG data were collected for VMO and VL muscles on the non-hemiplegic side and hemiplegic side. Collected data were analyzed using two-way ANOVA. Results: VMO and VL activities for the non-hemiplegic and the hemiplegic sides were highest for $40^{\circ}$ knee flexion while maintaining the three foot positions. There were no significant differences in EMG activity of the VMO and VL muscles with different foot positions. There were significant differences between VMO and VL activity for knee flexion angle while maintaining the foot in neutral (p<0.05), at $30^{\circ}$ adduction (p<0.05), or at $30^{\circ}$ abduction (p<0.05). Conclusion: Foot position does not influence VMO and VL activities. But, knee flexion exercise in a closed chain can increase VMO and VL muscle activity for hemiplegic patients. In particular, VMO and VL activities for both the non-hemi side and the hemi side were highest for $40^{\circ}$ knee flexion.

Basic Experiment on Rehabilitation of Upper-Limb Motor Function Using Haptic-Device System (햅틱 장치를 이용한 상지 운동기능 장애인의 재활치료에 관한 기초 실험)

  • Lee, Ho-Kyoo;Kim, Young-Tark;Takahashi, Yoshiyuki;Miyoshi, Tasuku;Suzuki, Keisuke;Komeda, Takashi
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.5
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    • pp.459-467
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    • 2011
  • Rehabilitation exercises must maintain a patient's interest and permit a quantitative evaluation of the rehabilitation. We have developed a haptic-device system. When users move a grip, the haptic device provides a virtual force that either assists the movement of their arm or working against it. To investigate the functional effect of this system in a rehabilitation program, we used for five subjects with motor-function disorders and measured the grip position, velocity, force exerted on the grip, and EMG activities during a reaching task of one subject. The accuracy of the grip position, velocity and trajectories patterns were similar for all the subjects. The results suggested that the EMG activities were improved by applying the virtual force to the grip. These results can be used for the development of rehabilitation programs and evaluation methods.

Study on Forced Vibration Behavior of WIG Vehicle Main Wing Structure Excited by Propulsion System (프로펠러 엔진에 의해 가진되는 소형 위그선 주날개의 진동 거동 해석에 관한 연구)

  • Kong, Chang-Duk;Yoon, Jae-Huy;Park, Hyun-Bum
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2007.11a
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    • pp.7-12
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    • 2007
  • Previously study on structural design of the main wing of the twenty-seat class WIG (Wing in Ground Effect) craft. In the final design, three spars construction was selected for safety in the critical flight load, and the Carbon-Epoxy material was selected for lightness and structural stability. In this study, the forced vibration analysis was performed on the composite main wing structure of the twenty-seat class WIG craft with two-stroke pusher type reciprocating engine. The vibration analysis based on the finite element method was performed using a commercial FEM code, MSC/NASTRAN. Excitations for the frequency response analysis were assumed as the Y-mode (lateral mode), the Z-mode (vertical mode) and the $M_{xyz}$-mode (twisted mode) which are typical main vibration modes of engine. And excitations for the transient response analysis were assumed as the X-mode (longitudinal mode) with the oscillating propeller thrust which occurs in operation.

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Effects of Biodiesel Fuel on Characteristics of Specific Fuel Consumption and Exhaust Emissions in DI Diesel Engine - Using Rape Oil - (직접분사식 디젤기관에서 연료소비율 및 배기배출물 특성에 미치는 바이오디젤유의 영향 - 유채유를 중심으로 -)

  • Lim, Jae-Keun;Choi, Soon-Youl;Kim, Suk-Joon;Cho, Sang-Gon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.14 no.1
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    • pp.83-87
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    • 2008
  • We have a lot of interest in alternative fuels to provide energy independence from oil producing country and to reduce exhaust emissions for air pollution prevention. Biodiesel, which can be generated from natural renewable sources such as new or used vegetable oils or animal fats, may be used as fuel without change of engine structure in diesel engine of compression ignition engine. In this paper, the test results on specific fuel consumption and exhaust emissions of neat diesel oil and biodiesel blends(10 vol.% biodiesel and 20 vol.% biodiesel) were presented using four stroke, direct injection diesel engine. Especially this biodisel was produced from rape oil at our laboratory by ourselves. This study showed that specific fuel consumption and NOx emission were slightly increased, on the other hand CO emission and Soot were tolerably decreased more in the case of biodiesel blends than neat diesel oil.

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Effects of Biodiesel Fuel on Characteristics of Specific Fuel Consumption and Exhaust Emissions in DJ Diesel Engine;Using Rape Oil (직접분사식 디젤기관에서 연료소비율 및 배기배출물 특성에 미치는 바이오디젤유의 영향;유채유를 중심으로)

  • Lim, J.K.;Choe, S.Y.;Cho, S.G.
    • Proceedings of KOSOMES biannual meeting
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    • 2007.11a
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    • pp.133-137
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    • 2007
  • An experimental study is conducted to evaluate and compare the use of BiodieseDI Fuel supplements at blend ratio of 10/90(BDF10) and 20/80(BDF20), in four stroke, direct injection diesel engine located at the authors' laboratory. especially this Biodiesel is produced from Rape oil at the authors' laboratory. The tests are conducted using each of the above fuel blends, in the engine working at a speed of 1800rpm and at a various loads. In each test, specific fuel consumption, exhaust emissions such as nitrogen oxides(NOx), carbon monoxide(CO) and Soot are measured. The results of investigation at various operating conditions are as follows (1) Specific fuel consumption is increased average 1.52%, maximum 1.84% at load 25% in case of BDF10, and average 1.98%, maximum 2.80% at load 25% in case of BDF20. (2) CO emission is decreased average 5.14%, maximum 6.09% at load 0% in case of BDF10, and average 7.75%, maximum 9.13% at load 0% in case of BDF 20. (3) NOx emission is increased average 2.97%, maximum 3.74% at load 0% in case of BDF10, and average 3.84%, maximum 4.67% at load 0% in case of BDF20. (4) Soot emission is decreased average 9.36%, maximum 10.85% at load 75% in case of BDF10, and average 11.99%, maximum 13.95% at load 75% in case of BDF20.

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