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Cerebrospinal Fluid Rhinorrhea and Seizure Caused by Temporo-Sphenoidal Encephalocele

  • Hammer, Alexander;Baer, Ingrid;Geletneky, Karsten;Steiner, Hans-Herbert
    • Journal of Korean Neurosurgical Society
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    • v.57 no.4
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    • pp.298-302
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    • 2015
  • This case report describes the symptoms and clinical course of a 35-year-old female patient who was diagnosed with a temporo-sphenoidal encephalocele. It is characterized by herniation of cerebral tissue of the temporal lobe through a defect of the skull base localized in the middle fossa. At the time of first presentation the patient complained about recurrent nasal discharge of clear fluid which had begun some weeks earlier. She also reported that three months earlier she had for the first time suffered from a generalized seizure. In a first therapeutic attempt an endoscopic endonasal approach to the sphenoid sinus was performed. An attempt to randomly seal the suspicious area failed. After frontotemporal craniotomy, it was possible to localize the encephalocele and the underlying bone defect. The herniated brain tissue was resected and the dural defect was closed with fascia of the temporalis muscle. In summary, the combination of recurrent rhinorrhea and a first-time seizure should alert specialists of otolaryngology, neurology and neurosurgery of a temporo-sphenoidal encephalocele as a possible cause. Treatment is likely to require a neurosurgical approach.

Usefulness of Bipedicle Temporalis-pericranial Flap for Closure of Frontoethmoidal Encephalomeningoceles (전두사골 뇌수막류의 폐쇄를 위한 양경 측두근골막피판의 유용성)

  • Yun, Byung Min
    • Archives of Craniofacial Surgery
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    • v.10 no.2
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    • pp.97-102
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    • 2009
  • Purpose: To close anterior cranial base, various types of pedicle flaps have been developed previously. However, the results of those pedicle flaps were not constant. To solve such problem, the author designed bipedicle temporalis-pericranial (BTP) flap based on various types of existing flaps and this study intends to introduce this flap and present clinical application case. Methods: The pedicle of the proposed temporalis-pericranial flap is temporalis muscle. The point of this BTP flap is that because of both sides of the unilateral temporalis-pericranial flap are connected by midline pericranial tissue connected with dense vascular network communicate one another locally, that BTP flap can be safely elevated. The case is a 14 months old male patient of frontoethmoidal encephalomeningocele. Surgery was done in a way that after elevating BTP flap and removing encephalomeningocele, BTP flap was moved intracranially, and to prevent cerebrospinal fluid leakage, anterior cranial base was closed. Results: During 1 year and 6 month outpatient tracking observation, no particular finding like CSF leakage, meningitis or hydrocephalus was observed. Conclusion: The benchmarked BTP flap, effective in the treatment of frontoethmoidal encephalomeningocele, is one of the methods to close intracranium and extracranium.

Studies on Rooting of Taxus cuspidata Cuttings by Electric Treatment (전기처리에 의한 주목의 삽목발근에 관한 연구)

  • 정진철;최정호;장규관
    • Journal of the Korean Institute of Landscape Architecture
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    • v.22 no.2
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    • pp.123-132
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    • 1994
  • Tow-year-old Taxus cuspidata shoot cuttings were treated with various electrical impacts of cathode on their base and anode on their apex by normal and reverse source. The cuttings were previously treated with 200ppm IBA for 12 hours and the rooting percentage, the length, and the weight of roots were checked. The auxin contents of cuttings were also examined by high-performance liquid chromatography. The results obtained on this study are as follows; 1. Normal treatment, cathode into the base and anode into apex, seemed to accelerate rooting while reverse treatment showed less effective than normal treatment on rooting, but both treatments were more effective than control. 2. The impact of electrical treatment at 30mV for 30min has a remarkable effect on the percentage rooting, the length, and the weight of roots. 3. Root primordia were formed at the basipetal end of cuttings where the end of primary pith ray meets the cambium in control treatment and formed at the basal part of cuttings irregularly in electrical treatment. 4. High-performance liquid chromatography showed electrical treatment was more effective on auxin accumulation than control, and 30mV-30min was the most effective on auxin accumulation.

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Malignant aortic body tumor in a Korean Jindo dog

  • Hwang, Du-Na;Kang, Byeong-Teck;Hur, Tai-Young;Chang, Byung-Joon;Park, Hee-Myung;Yhee, Ji-Young;Yu, Chi-Ho;Sur, Jung-Hyang
    • Korean Journal of Veterinary Research
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    • v.47 no.3
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    • pp.309-314
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    • 2007
  • A 7-year-old, intact female Korean Jindo dog was referred due to ataxia and pain on palpation of the thorax. Radiograph, echocardiography and computed tomogram revealed a mass on the heart base region and osteolytic change of fifth thoracic (T5) vertebra. At necropsy, a firm, encapsulated and round mass was seen arising from the heart base region surrounding the ascending aorta and pulmonary artery. Histopathologically, nests of cuboidal and polyhedral cells having abundantly granular and eosinophilic cytoplasm with round to oval nucleus were separated by fibrous septa. Immunohistochemistry using chromogranin A revealed that tumor cells were originated from neuroendocrine organ and metastasized into some organs including lung, spleen, liver, kidney and T5 vertebra. By electron microscopy, we found the electron-dense and membrane-bound granules in cytoplasm of the tumor cells. This study provides the uncommon evidence that aortic body tumor metastasized to both multiple organs and bone.

Monitoring of Gentic Variability in Dicofol-susceptible, Dicofol-resistant, and its Reverse-selected Strains of Tetranychus urticae by RAPD-PCR

  • Song, Cheol;Park, Jin-Hee;Kim, Gil-Hah;Kwon, O-Yu;Cho, Kwang-Yun
    • Journal of Life Science
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    • v.9 no.1
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    • pp.14-16
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    • 1999
  • Genetic variability was monitored by random amplified polymorphic DNA-polymerase chain reaction (RAPD-PCR) in dicofol-susceptible (S), dicofol-resistant (R) and its reverse-selected (RS) strains of two-spotted spider mite, of Tetranychus urticae. Before the reverse-selection, RS strain, selected reversely from R strain, was 23-fold resistance ratio at {TEX}$LC_{50}${/TEX} to S strain. The resistance was started to in incline slowly to the resistance level of S strain after one year, and the resistance ratio was 4-fold in the 7 years after then. PCR-amplification of T. urticae DNA showed polymorphism in the amplifications with 12 primers in 100 kinds of arbitrary DNA sequences. RAPD amplification with primer OPR-12 (5`-ACAGGTGCGT-3`) showed amplified bands at 1,000 base pair in the S-and RS-strain, and at 350 base pair in R-strain. The results of polymorphism are genetic variabilities derived from development and selection of resistance in each strain. The peculiarly amplified fragments were guessed to participate in dicofol resistance. From the analysis of genetic similarity, it is inferred the gene composition of S-and RS-strain is much closer than that of R-strain.

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Development of a Computer-assisted Cost Accounting System Prototype for Hospital Dietetics (병원 영양과의 재무관리 시스템 전산화 모델에 관한 연구)

  • 최성경
    • Journal of Nutrition and Health
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    • v.20 no.6
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    • pp.442-455
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    • 1987
  • The purpose of the study were to assist foodservice managers in complex decision making by utilizing computerized cost accounting system and to relieve managers from repetitive and routine tasks so that more adequate patient care and consultation can be provided. The scope of the computer-assisted cost accounting system consists of budget, menu planning, purchasing, inventory, cost control and financial reporting. The content of the computerized system are summarized as follows ; 1) For budgeting monthly income was estimated by calculating unit cost of each meal and forecasting serving numbers. The actual serving numbers for patients and employees were totaled everyday, and utilized as the basic data base for estimating income and planning menu. The monthly lists of meal sensus were generated. 2) for menu planning concersion factors were computed based on the standarized recipe for 50 servings. Daily menus for patients and employees which include total amounts of each ingredient and cost analyzed information were generated. 3) Daily and monthly purchasing report for each food item classified by patient and employee meals were generated. 4) Inventory transactions such as recipts and issues were totalized daily for each stocked item, and monthly inventory reports were generated. 5) Cost analysis reports for each menu item were generated into two ways based on the budget coat as well as the purchasing cost. 6) Editing new recipes and updating food costs change to the data base were carried out. 7) Financial reports were generated monthly, first-half and second-half of the year, and yearly basis.

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Surgery for a Case of Three-Compartment Trigeminal Schwannoma : Technical Aspects

  • Chung, Jong-Chul;Chung, Seung-Young;Kim, Seong-Min;Park, Moon-Sun
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.383-387
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    • 2010
  • Complete removal of three-compartment trigeminal schwannomas is a challenge to neurosurgeons. To expand exposure of each compartment, the combination and modification of skull base approaches are necessary. The 61-year-old woman was admitted with chronic headache. Preoperative magnetic resonance imaging showed $47{\times}50{\times}40\;mm$-sized tumor originating primarily in the middle cranial fossa extended to the posterior and the infratemporal fossa. We performed operation in five stage; 1. Zygomatic osteotomy, 2. Inferior temporal fossa plate removal and foramen ovale opening, 3. Cavernous sinus opening, 4. Tailored anterior petrosectomy, 5. Meckel's cave opening. Combination of skull base surgery should be concerned according to the patient. In this study, extradural basal extension with zygomatic osteotomy, interdural posterior extension with tailored anterior petrosectomy, and intracavemous exploration are reasonable options for remodeling three-compartment lesion into a single compartment. Tailoring of bone resection and exploring through natural pathway between meningeal layers accomplish single-stage operation for complete removal of tumors.

Clival lesion incidentally discovered on cone-beam computed tomography: A case report and review of the literature

  • Jadhav, Aniket B.;Tadinada, Aditya;Rengasamy, Kandasamy;Fellows, Douglas;Lurie, Alan G.
    • Imaging Science in Dentistry
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    • v.44 no.2
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    • pp.165-169
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    • 2014
  • An osteolytic lesion with a small central area of mineralization and sclerotic borders was discovered incidentally in the clivus on the cone-beam computed tomography (CBCT) of a 27-year-old male patient. This benign appearance indicated a primary differential diagnosis of non-aggressive lesions such as fibro-osseous lesions and arrested pneumatization. Further, on magnetic resonance imaging (MRI), the lesion showed a homogenously low T1 signal intensity with mild internal enhancement after post-gadolinium and a heterogeneous T2 signal intensity. These signal characteristics might be attributed to the fibrous tissues, chondroid matrix, calcific material, or cystic component of the lesion; thus, chondroblastoma and chondromyxoid fibroma were added to the differential diagnosis. Although this report was limited by the lack of final diagnosis and the patient lost to follow-up, the incidental skull base finding would be important for interpreting the entire volume of CBCT by a qualified oral and maxillofacial radiologist.

Fashion Changes in fur Clothing & Export Industry Supporting Plan (모피 의류의 패션 변화와 수출 산업 육성 방안 연구)

  • 김혜경
    • Journal of the Korean Society of Costume
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    • v.38
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    • pp.245-260
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    • 1998
  • Our country's fur clothing industry has rapidly grown for a short time since it started with simple needlework of fur pieces, and now it is still developing as export industry that some enterprises besides general business firm export more than ten million dollars a year. However, it is true that fur clothing industry is still in unsatisfactory level in its size and system, compared with manufacturing or leather industry. Of course, we import crude material and processed fur on an entire base, and we have few wild fur on an entire base, and we have few wild fur animals because of our natural condition and it is hard to breed them. On the other hand, the world's fur industry shows that the demand of fur clothes is increasing as fur animal breeding is improved and developed and supply has become rather abundant with the help of fur clothing fashion since late 19th century : Also, there is a trend that some developed countries depend on importing rather than self-prodoction because of the character-istic of labor-concetntraled fur industry. Accordingly, considering this situation, we can expect fur clothing industry as promising export industry by analyzing the present situation of our country's fur clothing industry and suggesting its problems and solutions, and here are developing plans for growing fur clothing industry as promising export industry. First, smoothing delivery of crude material. Second, making high quality products and diversifying goods. Third, establishing effective competition system in fur clothing industry. Fourth, raising skilled man power. Lastly, there should be coopetation among the related fields in the aspect of policy including the support from the government.

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Long-Term Maximum Power Demand Forecasting in Consideration of Dry Bulb Temperature (건구온파를 오인한 장기최대전력수요예측에 관한 연구)

  • 고희석;정재길
    • The Transactions of the Korean Institute of Electrical Engineers
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    • v.34 no.10
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    • pp.389-398
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    • 1985
  • Recently maximum power demand of our country has become to be under the great in fluence of electric cooling and air conditioning demand which are sensitive to weather conditions. This paper presents the technique and algorithm to forecast the long-term maximum power demand considering the characteristics of electric power and weather variable. By introducing a weather load model for forecasting long-term maximum power demand with the recent statistic data of power demand, annual maximum power demand is separated into two parts such as the base load component, affected little by weather, and the weather sensitive load component by means of multi-regression analysis method. And we derive the growth trend regression equations of above two components and their individual coefficients, the maximum power demand of each forecasting year can be forecasted with the sum of above two components. In this case we use the coincident dry bulb temperature as the weather variable at the occurence of one-day maximum power demand. As the growth trend regression equation we choose an exponential trend curve for the base load component, and real quadratic curve for the weather sensitive load component. The validity of the forecasting technique and algorithm proposed in this paper is proved by the case study for the present Korean power system.

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