• Title/Summary/Keyword: Aspirations

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A Case of Posterior Interosseus Neuroapathy due to Intrasupinator Ganglion Mimicking Iatrogenic Injection Nerve Injury (의인성 신경손상을 모방한 손뒤침근내 결정종으로 인한 뒤뼈사이신경병증 증례)

  • Park, Hong Bum;Kim, Ki Hoon;Park, Byung Kyu;Kim, Dong Hwee
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.153-158
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    • 2018
  • Posterior interosseus (PI) nerve compression is a rare form of compressive neuropathy. It can cause pain along the radial nerve course and weakness of radial nerve innervating muscles without sensory symptoms. A 65-year-old man visited our institution complaining weakness of finger extension and thumb abduction after 2 times of injections at the right elbow in local clinic. The patient's clinical history and physical examination implied an iatrogenic radial nerve injury caused by the injection. The electrophysiologic study revealed of posterior interosseus neuropathy (PIN) with incomplete conduction block. However, the ultrasound study showed that the PI nerve was compressed by an anechoic cyst. The magnetic resonance imaging also confirmed of a ganglion cyst, not a hematoma. After repeated aspirations and a steroid injection, the electrophysiologic study showed recovery of motor weakness. Despite of the clue which implying an iatrogenic injury, clinician should consider other possibilities such as ganglion cysts and ultrasound guided aspiration and steroid injection could be an effective option for conservative management.

Mobility and Early Study Abroad as Transnational Migration: Categorization of Korean ESA in Singapore through a Follow-up Longitudinal Case Study (초국적 이주로서의 조기유학 : 싱가포르의 한국인 조기 유학생 추적 조사를 통한 이동성(mobility) 유형화)

  • KIM, Jeehun
    • The Southeast Asian review
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    • v.24 no.2
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    • pp.207-251
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    • 2014
  • This study explores the mobility patterns of Korean Early Study Aborad (ESA, hereafter) students in Singapore through a follow-up longitudinal case study, which was initially conducted about five years before this study. This study takes up transnational migration approach, focusing on family strategies and mobilization, which steered their mobility. Interviews with seven original families as well as 7 families additionally recruited in Singapore in 2012 were collected and analyzed by NVivo 9. In short, this study found that transnational mobility is composed of mobilities at global, regional and local levels. There were four types of mobilities; continuation of stay in Singapore, move from a third county to Singapore, return to Korea, and, what this research calls, fluid mobility. Examining the process of these mobilities shows that we need to consider at least three factors (performance of children's schooling; change of family circumstances; context of reception for both Singapore and Korea) as basic backgrounds. On this basis, the interplay between the context of receptions when aspirations for children's advancement by these transnational families made either facilitate or constrain their mobilities: contexts of Singapore and Korea may play a role of hurdle or trampoline. Also, local context of Singapore largely facilitate mobilities of Korean ESA families at both local and global levels.

Foreign body aspirations in dental clinics: a narrative review

  • Huh, Jin-Young
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.3
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    • pp.161-174
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    • 2022
  • Foreign body aspiration can produce a medical emergency. Obstruction of the airways can be life-threatening, and complications may develop in less-severe cases if it is left untreated. Although it is more prevalent in children by approximately three times, adults can still experience it, and it is more frequently related to healthcare in adults. Objects used in dental treatment are usually placed in the oral cavity and can be ingested or inhaled by accident. Dental treatment has been identified as an important cause of the misplacement of foreign bodies in the airway. However, few reports have been published on dentistry-related foreign body aspiration. This paper discusses the disease course, management, and clinical outcomes of foreign body aspiration, especially those associated with dentistry. The patient must be examined for respiratory distress. If the patient is unstable, urgent airway management and the maneuvers for removal should be performed. Radiographs and computed tomography can help identify and locate the object. The treatment of choice is often bronchoscopy, and both flexible and rigid endoscopes can be used depending on the situation. Preventive measures need to be implemented to avoid inhalation accidents given the potential consequences. Though the incidence is rare, healthcare levels need to be enhanced to avert morbidity and mortality. Radiological evaluation and bronchoscopy are vital for management.

Generative Interactive Psychotherapy Expert (GIPE) Bot

  • Ayesheh Ahrari Khalaf;Aisha Hassan Abdalla Hashim;Akeem Olowolayemo;Rashidah Funke Olanrewaju
    • International Journal of Computer Science & Network Security
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    • v.23 no.4
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    • pp.15-24
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    • 2023
  • One of the objectives and aspirations of scientists and engineers ever since the development of computers has been to interact naturally with machines. Hence features of artificial intelligence (AI) like natural language processing and natural language generation were developed. The field of AI that is thought to be expanding the fastest is interactive conversational systems. Numerous businesses have created various Virtual Personal Assistants (VPAs) using these technologies, including Apple's Siri, Amazon's Alexa, and Google Assistant, among others. Even though many chatbots have been introduced through the years to diagnose or treat psychological disorders, we are yet to have a user-friendly chatbot available. A smart generative cognitive behavioral therapy with spoken dialogue systems support was then developed using a model Persona Perception (P2) bot with Generative Pre-trained Transformer-2 (GPT-2). The model was then implemented using modern technologies in VPAs like voice recognition, Natural Language Understanding (NLU), and text-to-speech. This system is a magnificent device to help with voice-based systems because it can have therapeutic discussions with the users utilizing text and vocal interactive user experience.

Ingestion and surgical retrieval of an endodontic file: a case report

  • Devon Marta Ptak;Elinor Alon;Robert Bruce Amato;Julia Tassinari;Adrian Velasquez
    • Restorative Dentistry and Endodontics
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    • v.48 no.4
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    • pp.32.1-32.8
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    • 2023
  • Ingestions and aspirations of foreign bodies are rare, but do occasionally occur during dental treatment. Although reports exist, few include photos demonstrating the extensive surgical intervention that may be necessary to manage such events. Perhaps this lack of visualization, and associated lack of awareness, is one of the reasons some clinicians still provide nonsurgical root canal therapy (NSRCT) without a rubber dam. This case report outlines the medical treatment of a 30-year-old male who initially presented to a general dentist's office (not associated with the authors) for NSRCT of their mandibular right first molar. A rubber dam was not used for this procedure, during which the accidental ingestion of an endodontic K-file occurred. The patient was subsequently hospitalized for evaluation and treatment, consisting of numerous imaging studies, endoscopic evaluation, and surgical removal of the file from his small intestine. The ingestion of foreign bodies, and the associated complications, can be reduced through the routine use of a rubber dam, which is considered the standard of care for NSRCT. This case graphically illustrates the potential consequences associated with deviating from the standard of care and should remind clinicians that a rubber dam is necessary for all cases of NSRCT.

RCV bogie frame structure safety evaluation according to UIC Code (국제 철도 연맹 규정(UIC Code)에 따른 RCV 대차 프레임 구조 안전성 평가)

  • Sang Cheol Rho;Ji Hyeong Park;Shin You Kang
    • Journal of Industrial Technology
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    • v.43 no.1
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    • pp.7-13
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    • 2023
  • Nowadays, traffic congestion is emerging as a major problem due to the rapid population growth and the increase in automobiles. The train is a convenient means of transportation that can efficiently solve these problems. Trains have been developed in line with human aspirations for a long time, but research on safety is still insufficient. This study aims to check safety by conducting static tests and fatigue tests on bogie frames, and to help develop bogie frames in the future. For the static test, a strain gauge was attached to the point where the local stress concentration was expected beforehand, and the result value was derived, compared with existing theories, and expressed as a Goodman diagram. In the fatigue test, a total of 10 million loads were applied over three stages, and no cracks appeared in the non-destructive test conducted after each stage. Both tests were conducted according to the strict test method of the bogie frame presented by the UIC Code. It satisfied both fatigue life and strength evaluation criteria and was judged to be a bogie frame usable for safe train production.

Art of Life, Expansion of Dialogue: Kim Bongjun and the Art Collective Dureong (삶의 미술, 소통의 확장: 김봉준과 두렁)

  • Yoo, Hyejong
    • The Journal of Art Theory & Practice
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    • no.16
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    • pp.71-103
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    • 2013
  • This paper explores the key figure of minjung misul ("the people's art"), Kim Bongjun, and the art collective Dureong in the relationship between 'dialogue' and the dissidents' structural critique of Korea's modernities. During the 1980s' prodemocracy movement, the minjung artists and other dissident intellectuals used the notion of dialogue as metaphor for and allegory of democracy to articulate not only Koreans' experience of modern history, which they saw as "alienating" and "inhumane," but also the discrepancies between Koreans' predicaments and their political aspirations and their working toward the fulfillment of those ideals. Envisioning alternative forms of modernities, Kim Bongjun and other Dureong members paid attention to the fundamental elements of art, which consist of art as a modern institution, as well as the everyday lives of people as the very site of Koreans' modernities. They endeavored to create "art of life," which presumes its being part of people's lives, based on the cultural and spiritual traditions of the agrarian community. They also participated in the national culture movement, the minjung church, and the alternative-life movement to radically envision everyday lives through the indigenous reinterpretation of democratic values. Despite the significant role played by the church mission and its community involvement, its effects on minjung misul have received little attention in the relevant studies. Thus, I consider in particular the minjung church's and the alternative-life movement's confluence of multiple cultural and social constituencies in relation to Kim and the Dureong collective's vision of a new art and community.

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A Case Study and Survey for Development of New Curriculum and Learning Method for Mechanical and System Design Engineering (기계.시스템 디자인 공학 교과과정 개발을 위한 설문조사 사례 연구)

  • Han Byoung-Kee;Choi Sung-Joon;Kim Byung-Joo;Cho Sung-San;Kim Jung-Soo;Jee Hae-Seong;Park Seoung-Ho
    • Journal of Engineering Education Research
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    • v.7 no.2
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    • pp.40-50
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    • 2004
  • To keep pace with rapidly changing social and technological trends, the Department of Mechanical and System Design Engineering at Hongik University is in the process of updating teaching materials and learning methodologies while evaluating/revising our existing curriculum. In order to be better apprised of the employment needs and student aspirations, we have conducted three separate but related surveys by targeting experienced professionals and managers, alumni working in industries as practising engineers, and our current students. The surveys have furnished us with valuable insights that, we hope, will lead to a new curriculum and learning methods more in tune with needs of our students as well as their future employers. Among other findings, the analysis of the survey responses points towards expansion of integrated laboratory and design experiences, cultivation of improved written and oral communication capabilities involving individual and team efforts, and development of interdisciplinary courses encompassing related fields of engineering as well as emerging fields such as nano and information technologies.

Thyroid and Parathyroid Surgery without Wound Drains (갑상선 및 부갑상선 수술시 배액관 삽입술에 대한 검토)

  • Chung Woung-Youn;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.2
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    • pp.119-124
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    • 1995
  • Traditionally, wound drainage after thyroid or parathyroid surgery has been widely used to prevent airway obstruction due to accumulation of hematoma or seroma within the paratracheal dead space. Recently, however, the routine use of drains after thyroid or parathyroid surgery has become a matter of controversy. To determine whether the rouine use of drains after thyroid or parathyroid surgery is warranted, a prospective study on the complications after various types of thyroid or parathyroid surgery without wound drains was conducted. Three hunded sixty-six consecutive patients underwent thyroid or parathyorid surgeries by one surgeon from January through December 1994 were included in this study. Of these, only 38 patients (10.4%) required the wound drains. Indications for drainage included the patients with a large dead space(n=9) or wet operative field at the conclusion of surgery(n=11), and patients with radical neck disection(n=18). In the remaining 328 patients(89.6%), the wounds were closed without drains after thyroid lobectomy and isthmusectomy(n=226), bilateral subtotal thyroidectomy(n=21), total or near-total thyroidectomy(n=62), isthmusectomy(n=9) and parathyroid surgery(n=l0). Histologic findings revealed benign tumors in 214(65.2%), carcinoma in 89(27.1%), Graves' disease in 15(4.7%), hyperparathyroidism in 7(2.1%) and parathyroid cyst in 3(0.9%). Among the 328 patients without drain used, wound related complications were seen in only 15 patients(4.6%); 12 patients with seroma and 3 patients with hematoma. All but one complications could be controlled by two or three aspirations, and the remaining one patient required re-exploration. There were no instances of laryngeal nerve palsy or wound infection. The mean length of hospital stay after surgery was 2.8 days with a range of 1 to 11 days. These results support the routine use of drains is not warranted in most thyroid or parathyroid surgeries.

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Complicated AC Joint Cyst with Aseptic Fistula Secondary to Simple Excision - A Case Report and Review of Literature - (단순절제술 이후 견봉쇄골 낭종에 합병된 무균성 누공 - 증례보고 및 문헌고찰 -)

  • Shon, Min Soo;Baek, Duck In;Lee, Kyung Hag
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.2
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    • pp.120-126
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    • 2014
  • Acromioclavicular (AC) joint cyst is an uncommon presentation around the shoulder joint that is usually associated with chronic rotator cuff pathology and degenerative AC joint arthritis. Understanding the underlying pathophysiology of the shoulder joint is essential for appropriate interpretation of the AC joint cyst, assistance in determining the therapeutic strategy, and prevention of complications after treatment. We present a case of AC joint cyst with an aseptic fistula which was complicated by simple excision for recurred AC joint cyst after multiple aspirations. This case revealed a massive rotator cuff tear involving supraspinatus, infraspinatus, and subscapularis tendon on ultrasonography. We also reviewed the clinical approach and treatment options to be considered for its pathogenesis in the literature.

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