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A case of idiopathic hypertrophic pachymeningitis presented with seizures

  • Kim, Minju;Kim, Joong-Goo;Kang, Chul-Hoo;Kim, Hong Jun;Kang, Sa-Yoon;Oh, Jung-Hwan
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.98-100
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    • 2022
  • Idiopathic hypertrophic pachymeningitis (IHP) is a rare disease involving localized inflammatory thickening of the intracranial or spinal dura mater without an identified cause. Seizure is a very unusual presentation of IHP. We present a 58-year-old-female patient with seizures caused by IHP. This case indicates that although IHP is rare, it has the potential to cause seizures.

A Case of Childhood Obstructive Sleep Apnea Syndrome (소아 폐쇄성 수면무호흡증후군 1례)

  • Shin, Hong-Beom;Lee, Yu-Jin;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.11 no.2
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    • pp.106-109
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    • 2004
  • Adenotonsillar hypertrophy is the leading cause of childhood obstructive sleep apnea. Obstructive sleep apnea syndrome in childhood, however, can occur from various causes such as obesity or craniofacial abnormalities. Childhood obstructive sleep apnea syndrome can be accompanied by enuresis, parasomnias and behavior problems. For patients with the symptoms of snoring and apnea, obstructive sleep apnea should be suspected and diagnosed properly. In addition, the evaluation of complications and proper treatment are indispensable. When the cause of childhood obstructive sleep apnea is adenotonsillar hypertrophy, symptoms can be improved by surgical methods. If the cause is other than adenotonsillar hypertrophy, such as obesity, it should be treated with other therapeutic modalities, like nasal continuous positive airway pressure (nCPAP), weight reduction and modification of life style. This paper reports a case of nCPAP used to manage severe sleep apnea when it was not resolved after adenoidectomy and tonsillectomy. Differential diagnosis of narcolepsy in a case with excessive daytime sleepiness and reflections on accompanying enuresis and parasomnia were also described.

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Acute Osteomyelitis of the Mandible by Extended-Spectrum β-Lactamase Producing Klebsiella Pneumoniae: A Case Report

  • Jung, Gyeo-Woon;Moon, Seong-Yong;Oh, Ji-Su;Choi, Hae-In;You, Jae-Seek
    • Journal of Oral Medicine and Pain
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    • v.46 no.3
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    • pp.88-92
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    • 2021
  • Acute osteomyelitis caused by Klebsiella pneumoniae is rare in the oral and maxillofacial region. Klebsiella pneumoniae is a Gram-negative bacillus and the normal flora of the human body, but it can cause pneumonia, urinary tract infection, meningitis, and osteomyelitis in patient with compromised immune systems. These infections are mainly caused by nosocomial infection. Microbacterial osteomyelitis was developed by clinical cause such as tooth extraction, fracture, and surgical history, which requires long-term antibiotic administration and surgical treatment. This report describes that a 56-year-old male patient with acute osteomyelitis caused by Klebsiella pneumoniae infection after implant placement was treated with intravenous administration of ertapenem without open surgery treatment. Through this case, we report that antibiotic susceptibility test is essential for the treatment of acute osteomyelitis caused by a bacterial infection resistant to empirical antibiotics, and early administration of appropriate antibiotics can reduce the possibility of extensive bone destruction or additional open surgery.

Analysis of Propagation of Deflagration and Fire Cause in the Busan lndoor Shooting Range (부산 실내사격장 화재의 연소 확대 및 발화원인 분석)

  • Song, Jae-Yong;Sa, Seung-Hun;Nam, Jung-Woo;Kim, Jin-Pyo;Kim, Dong-Hwan
    • Fire Science and Engineering
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    • v.25 no.3
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    • pp.1-7
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    • 2011
  • This paper studied analysis of deflagration rapid propagation of burning through only a few second and fire cause into the Busan indoor shooting range. We carried out combustion experiment of sound-absorbing materials extensively used, to analyze propagation path of burning in indoor shooting range. From the experimental results, general sound-absorbing materials were rapid burned simultaneously with ignition and in case of attached gunpowder residue, they were burning about tripled by comparison with general sound-absorbing materials. The incombustibility sound-absorbing materials had all gone out simultaneously with ignition, but they were burning similar to general type materials in case of attached gunpowder residues. In order to analysis of the cause of fire, we calculated kinetic energy of bounced off bullet, from result, if the bounced off bullet impacted gunpowder residues, the gunpowder residues were possible to ignite by the bullet.

Congenital Aortic Stenosis: Report of 2 Cases (선천성 대동맥 판막 협착증 치험 2예)

  • 송명근
    • Journal of Chest Surgery
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    • v.11 no.2
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    • pp.194-198
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    • 1978
  • Congenital aortic stenosis, a relatively uncommon congenital heart disease, may cause heart failure and may be fatal. In recent years, increased clinical awareness and improved diagnostic and operative technique has made accurate diagnosis and successful treatment possible. Recently we experienced 2 cases of congenital aortic stenosis, and which was corrected surgically. The first case was 9 years old boy, and second case was 16 years male. Preoperative diagnosis was entertained by angiography and cardiac catheterization in both cases. In each case, aortic valve opening was widened by incision along the fused commissure between the combined left and right coronary cusp on one side, and the noncoronary cusp on the other side. Post-op. pressure gradient between the aorta and left ventricle markedly reduced, in the first case, 50mmHg, and in the 2nd case, 55mmHg.Both patients discharged with good results 2 weeks after open heart surgery.

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2 case reports of Globus pharyngeus treated by Gamchogungang-tang based on Shanghanlun disease pattern identification diagnostic system (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 감초건강탕(甘草乾薑湯) 복용 후 호전된 인두 이물감 증례 2례)

  • Lim, Eunkyo
    • 대한상한금궤의학회지
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    • v.11 no.1
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    • pp.35-46
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    • 2019
  • Objective : The purpose of this study was to report the improvements of patients with globus pharyngeus treated with herbal medication from Shanghanlun. Methods : Each patient was diagnosed with Greater-yang disease 29th provision of Shanghanlun, and Gamchogungang-tang was used to treat. The result was evaluated by Glasgow-Edinburgh Throat Scale(GETS). Results : The GETS score decreased from 23 to 4 after 40 days of administration in case 1 and from 31 to 1 after 15 days of administration in case 2. Conclusions : Globus pharyngeus improved in each case. This case report suggests that '急' based on the 29th provision of Shanghanlun, can be a direct psychological cause of globus pharyngeus.

A Study on the Improvement of the Domestic Maintenance Capability Development System of Military for Overseas Maintenance Items through the Case Study of Intermittent Failure of an Avionics (항전계통 간헐결함 사례 분석을 통한 군의 해외 정비품 국내정비능력 개발제도 개선방안 고찰)

  • Lee, Hoyong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.26 no.2
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    • pp.68-75
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    • 2018
  • A flare from an Air Force fighter was abnormally dispensed during the landing. To determine the cause of the abnormal dispensing, fracture analysis, signal analysis and reproduction experiments based on physics of failures were performed. The primary cause of the failure was analyzed to be due to an intermittent fault of an internal circuit card in the AN/ALE-40 chaff/flare dispenser by a broken lid of a capacitor, and the root cause which had derived the primary cause was considered to be an improper handling during the domestic maintenance which were changed from the overseas maintenance due to the DMSMS problem. Therefore, the overall process of the maintenance capability development system was reviewed and alternative ways that considers maintenance error decision aid(MEDA) for system improvement were suggested to prevent further failures.

A Case Study on Diagnosis and Checking for Machine-Tools with an OAC (개방형 컨트롤러를 갖는 공작기계에 적합한 진단 및 신호점검사례)

  • 김동훈;송준엽;김경돈;김찬봉;김선호;고광식
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2004.10a
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    • pp.292-297
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    • 2004
  • The conventional computerized numerical controller (CNC) of machine tools has been increasingly replaced by a PC-based open architecture CNC (OAC) which is independent of the CNC vendor. The OAC and machine tools with OAC led the convenient environment where it is possible to implement user-defined application programs efficiently within CNC. Tis paper proposes a method of operational fault cause diagnosis which is based on the status of programmable logic controller (PLC) in machine tools with OAC. The operational fault is defined as a disability state occurring during normal operation of machine tools. The faults are occupied by over 70% of all faults and are also unpredictable as most of them occur without any warning. Two diagnosis models, the switching function (SF) and the step switching function (SSF), are propose in order to diagnose the fault cause quickly and exactly. The cause of an occurring fault is logically diagnosed through a fault diagnosis system (FDS) using the diagnosis models. A suitable interface environment between CNC and develope application modules is constructed in order to implement the diagnostic functions in the CNC domain. The diagnosed results were displayed on a CNC monitor for machine operators and provided to a remote site through a web browser. The result of his research could be a model of the fault cause diagnosis and the remote monitoring for machine tools with OAC.

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A Study on Improvement of the Abnormal Operation of a One-shot Rifle with Bolt-action Operating System (볼트액션 작동방식 단발형 소총의 비정상 작동에 관한 개선 연구)

  • Shin, Jae Won;Jung, Chan Man;Choi, Si Young;Lee, Ho Jun;Shin, Tae Sung;Seo, Hyun Su
    • Journal of Korean Society for Quality Management
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    • v.47 no.3
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    • pp.417-424
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    • 2019
  • Purpose: In this study, the goal is to analyze this case to prevent the same accidents when using one-shot rifle. Methods: Detailed analysis of damaged parts must first be made in order to determine the cause of the abnormal explosion. The cause of abnormal operation can be determined by analyzing the information of damaged components and the firing mechanism of the weapon step by step. Also we can refer to a statement of shooter, witness and accident scene situation. Based on this theory, cause of abnormal firing can be narrow down. Results: Fracture of pin for fixing firing and latch is cause of abnormal operation of firing. Conclusion: It is deemed that periodic inspection and fundamental improvement of the structure are required to prevent the same accident as this.

A Study on the Seller's Right to Cure in the Int'l Sale of Goods (국제물품매매계약(國際物品賣買契約)에서 하자보완권(瑕疵補完權)에 관한 고찰(考察))

  • Ha, Kang-Hun
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.12
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    • pp.253-276
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    • 1999
  • CISG articles 34 and 37 clearly allow the seller to cure any nonconformity in documents of sale or performance prior to the date for delivery if it does not cause the buyer unreasonable inconvenience or unreasonable expense. CISG article 48 allows a seller to cure the performance even after the date for delivery if it does not cause the buyer unreasonable delay, unreasonable inconvenience or unreasonable uncertainty of reimbursement by the seller of expenses advanced by the buyer. The wording any failure to perform is broad enough to include a delay. The seller's right to cure relates to all his obligations. The seller may remedy 'any failure to perform his obligations'. This language is broad enough to include a defect in documents. In some cases the fact that the seller is able and willing to remedy the non-conformity of the goods without inconvenience to the buyer, may mean that there would be no fundamental breach unless the seller failed to remedy the non-conformity within an appropriate time. It cannot generally be said what unreasonable inconvenience means. This can only be decided on a case-by-case basis. The seller must bear the costs involved in remedying a failure to perform. The curing of a failure to perform may have influence on the amount of the damage claimed. Insofar as the seller has the right to cure, the buyer is in that case obliged to accept the cure. If he refuses to do so, he can neither avoid the contract nor declare a reduction in price. This rule clearly shows the underlying concept of the CISG, to keep to the contract, if possible. Should the buyer requires delivery of substitute goods and the seller offers repair, it depends on the expense each case. The buyer must receive the request or notice by the seller. The relationship between the seller's right to cure and the buyer's right to avoid the contract is unclear. The buyer's right to avoid the contract should not nullify the seller's right to cure if the offer is reasonable. In addition, whether a breach is fundamental should be decided in the right of the seller's offer to cure.

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