• Title/Summary/Keyword: First-onset

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A case study of radial nerve injury associated with humerus shaft fracture (상완골 간부 골절에 동반된 요골신경손상에 대한 치험 1례)

  • Lee, Jae-Eun;Lee, Jung-Min;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.157-166
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    • 2014
  • Objective : The purpose of this study is to report the patient with radial nerve injury associated with humerus shaft fracture, who was improved by Korean medical treatments. Methods : The patient was treated by Jungsongouhyul pharmacopuncture, electrical stimulation therapy, physical therapy, and herbal medicine according to "Locating Yang brightness meridians" theory. Coding result, Numeric rating scale(NRS) and digital grip dynamometer were used to evaluate the wrist drop, numbness of fingers and grip power. Results : The patient showed the first sign of recovery after 6 weeks from onset. After 9 weeks from onset, the patient could perform delicate manual activity. Grip power showed noticeable improvement as well as coding result and NRS. Conclusions : The results suggest that providing Korean medical treatments according to "Locating Yang brightness meridians" theory is a good method for treating radial nerve injury associated with humerus shaft fracture. But further studies are required to concretely prove the effectiveness of this method for treating radial nerve injury associated with humerus fracture.

A Case of Late Onset Neonatal Bacteremia and Meningitis Caused by Streptococcus lutetiensis (Streptococcus lutetiensis 에 의한 지발형 신생아 균혈증과 수막염 1례)

  • Kim, Ji Sook;Hong, Yoo Ra;Yang, Hee Yeong;Oh, Chi Eun
    • Pediatric Infection and Vaccine
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    • v.21 no.3
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    • pp.219-224
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    • 2014
  • Invasive infection of the Streptococcus bovis group in a neonate is rare. In cases reported to date, the pathogen of neonatal S. bovis infections is usually Streptococcus gallolyticus subsp. pasteurianus (S. bovis biotype II/2). Streptococcus lutetiensis (S. bovis biotype II/1) was identified using 16S rRNA and tuf gene sequence analysis of the isolates from blood and cerebrospinal fluid (CSF) of a fever-presenting 28-day-old male. Blood culture analysis was performed using automatic equipment (VITEK 2) and identified Streptococcus infantarius supsp. infantarius, yet we were unable to get accurate results from the CSF culture. The fever subsided on the second day of hospitalization, and the patient was discharged without neurologic complication after 14 days of antibiotic therapy. In this case, we were able to accurately identify the pathogen using molecular genetic methods. To our knowledge, this is the first case of late onset neonatal bacteremia and meningitis caused by S. lutetiensis.

Relationship between plasma flows and the near-Earth tail dipolarizations

  • Lee, Dae-Young;Kim, H.S.;Ohtani, S.
    • Bulletin of the Korean Space Science Society
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    • 2011.04a
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    • pp.29.1-29.1
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    • 2011
  • The magnetic dipolarizations at the tail are often, if not always, associated with plasma flows of some magnitude. The associated flow direction is known to be earthward most often but not necessarily always. It is the primary goal of this paper to clarify the association between dipolarizations and the associated flow characteristics in general, but with a primary emphasis on tailward flow cases. Based on a number of dipolarizations that we identify at the near-Earth tail using the THEMIS tail observations we first confirm that dipolarizations can in general initiate in association with both earthward and tailward flows. Also, the main direction of the plasma flow, whether being earthward or tailward, is not critical in determining the intensity of the dipolarizations. We actually identify some events of tailward flow-associated dipolarizations that are as much intense as the earthward flow-associated events. The occurrence rate of the tailward flow-associated dipolarizations is mainly concentrated in the radial region of < 10 RE and in the local time region of 22-01 hr. However, its relative occurrence rate is rather low, ~19 % in the radial region and ~15.3 % in the local time region, as compared to that for the events associated with all other types of flows. Furthermore, the flow direction often changes no matter whether it is initially earthward or tailward near the onset time. As a consequence, the net transport of the magnetic flux during the main duration of the dipolarization process is earthward for nearly all of the dipolarizations that initiate with dominantly tailward flows near the onset, as is the case for those that initiate with dominantly earthward flows.

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The Efficacy of Stellate Ganglion Block in the Treatment of Idiopathic Sudden Sensorineural Hearing Loss (성상신경절 차단의 돌발성 난청에 대한 효과)

  • Nam, Sang-Beom;Yoon, Duck-Mi;Lee, Youn-Woo;Kim, Jung-Sub;Nam, Yong-Taek
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.30-35
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    • 1998
  • Background: Idiopathic sudden sensorineural hearing loss(ISSHL) has been generally defined as an abrupt loss of auditory acuity without precipitating factors. Since ISSHL was first described as a disease entity, numerous reports assessing a variety of treatment regimens have been published. But its etiology, pathogenesis, treatment, and prognosis are controversial at the present time. Stellate ganglion block(SGB) has been used for the treatment of ISSHL by vasodilatation and increased blood flow to the inner ear. Methods: We reviewed the records of 152 patients to investigate the efficacy of SGB for ISSHL. The control group was managed with medications such as hypaque, heparin, steroid, nicotinic acid, and vitamins. The SGB group was managed with SGB and the same medications. SGB was performed with 8 ml of 1.0% mepivacaine. The efficacy of treatment was evaluated by pure-tone average following therapy. The recovery of hearing was defined as Siegel's criteria I, II, or III. Results: The recovery rate of the SGB group was higher than that of the control group(61.5 vs. 42.9%, p<0.05). The recovery rate was higher in patients who were treated early, within 7 days from the onset of symptoms, especially in the SGB group(79.7%). And in the case that initial hearing loss was severe (>70dB), the SGB group had a higher recovery rate(64.2%) than the control group(42.5%). Conclusions: SGB is thought to be a useful therapy for ISSHL, especially in the patients who were treated soon after onset or whose initial hearing loss was severe.

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The Effect of Extracellular Glutamate Release on Repetitive Transient Ischemic Injury in Global Ischemia Model

  • Lee, Gi-Ja;Choi, Seok-Keun;Eo, Yun-Hye;Kang, Sung-Wook;Choi, Sam-Jin;Park, Jeong-Hoon;Lim, Ji-Eun;Hong, Kyung-Won;Jin, Hyun-Seok;Oh, Berm-Seok;Park, Hun-Kuk
    • The Korean Journal of Physiology and Pharmacology
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    • v.13 no.1
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    • pp.23-26
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    • 2009
  • During operations, neurosurgeons usually perform multiple temporary occlusions of parental artery, possibly resulting in the neuronal damage. It is generally thought that neuronal damage by cerebral ischemia is associated with extracellular concentrations of the excitatory amino acids. In this study, we measured the dynamics of extracellular glutamate release in 11 vessel occlusion(VO) model to compare between single occlusion and repeated transient occlusions within short interval. Changes in cerebral blood flow were monitored by laser-Doppler flowmetry simultaneously with cortical glutamate level measured by amperometric biosensor. From real time monitoring of glutamate release in 11 VO model, the change of extracellular glutamate level in repeated transient occlusion group was smaller than that of single occlusion group, and the onset time of glutamate release in the second ischemic episode of repeated occlusion group was delayed compared to the first ischemic episode which was similar to that of single 10 min ischemic episode. These results suggested that repeated transient occlusion induces less glutamate release from neuronal cell than single occlusion, and the delayed onset time of glutamate release is attributed to endogeneous protective mechanism of ischemic tolerance.

A Case of Nonspecific Interstitial Pneumonia with Clinical Course of Rapid Aggravation (급속히 악화되는 임상경과를 보인 비특이성 간질성 폐렴 1례)

  • Yoo, Byung-Hyun;Suhr, Ji-Won;Yoon, Hee-Jeoung;Baek, Jong-Tae;Lee, Seung-Hoon;Paik, Chang-Nyol;Lee, Ji-Eun;Kim, Seung-Joon;Park, Sung-Hak;Lee, Eun-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.1
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    • pp.59-64
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    • 2001
  • Nonspecific interstitial pneumonia (NSIP) was first described as a new category of idiopathic interstitial pneumonia in 1994. This is a disease with a more insidious onset and has a chronic course. The histological findings are unusual for other idiopathic interstitial pneumonia cases (usual interstitial pneumonia, diffuse interstitial pneumonia, and acute interstitial pneumonia). In contrast to NSIP, acute interstitial pneumonia (AIP) has an acute onset and a fulminant course with the rapid development of respiratory failure. A pathological examination demonstrated characteristic diffuse interstitial fibrosis, hyaline membranes, thrombi, and architectural derangement. Here we report a 48-year-old woman who was diagnosed pathologically NSIP, but with a rapid progressive course similar to AIP.

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Kinematic and EMG Analysis of Sit-to-Stand With Changes of Pelvic Tilting (골반 자세 변화에 따른 일어서기동작의 운동형상학적 분석과 근전도 연구)

  • Choi, Jong-Duk;Kwon, Oh-Yun;Yi, Chung-Hwi;Kim, Jong-Man;Kim, Jin-Kyung
    • Physical Therapy Korea
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    • v.10 no.2
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    • pp.99-110
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    • 2003
  • The purpose of this study was to analyze the effects of three different pelvic tilts on sit-to-stand ativities and to suggest a new therapeutic approach for movement reeducation in patients who have difficulty with sit-to-stand activities. The three different pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To analyze the kinematic component of STS, a motion analysis system (Zebris) was applied to the ankle, knee, hip joint, and thigh-off area. Also, to determine the onset time of muscle contraction, surface electrodes were placed to the rectus femoris muscle (RF), the vastus lateralis muscle (VL), the biceps femoris muscle (BF), the tibialis anterior muscle (TA), the gastrocnemius muscle (GCM), and the soleus muscle (SOL). One-way repeated ANOVA was used for the statistical analysis. First, significant differences were found in kinematic variables for the hip, knee, ankle joint, and thigh-off among the three activities. Second, there was significant difference in muscle activation pattern in TA. VL. and BF among three activities. In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity: (1) Changes in knee and ankle joints should be prioritized and recruitment order differences in VL and RF can be generated to accomplish abnormal STS activity. (2) APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated.

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Effect of Superovulatory Regimens on Ovarian Response and Embryo Production in Fine Wool Sheep in Tropics

  • Naqvi, S.M.K.;Gulyani, R.;Pareek, S.R.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.5
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    • pp.595-599
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    • 2000
  • Fine wool sheep (n=18) maintained in a tropical environment were allocated to three treatment groups. Estrus was induced with two injections of $PGF_{2{\alpha}}$ (10 mg. im) at 10 days interval. Superovulation treatment started 2 days prior to the second injection of $PGF_{2{\alpha}}$. Each ewe was treated with a total dose of 25 units FSH (Super-OV) i.m. every 12 hover 3 days; Group 2 were also injected i.m. with 200 IU PMSG at the first injection of FSH; Group 3 was treated as in Group 2 and also with GnRH ($4{\mu}g$ Buserelin) at the onset of estrus. The ewes in estrus were mated with a fertile ram. Ovarian examination and recovery of embryo and ova were performed at laparoscopy and laparotomy on day 3 or 4 after mating. Data for onset of estrus, duration of estrus, number of corpora lutea (CL), number of unnovulated large follicle (LF), embryo recovery rate, embryo quality and fertilization recorded for the 3 groups. Ewes in the Group 1 set in estrus later (p<0.05; $50.0{\pm}7.29h$) than the ewes in Group 2 ($24.5{\pm}3.58$) and 3 ($32.5{\pm}3.58h$). The duration of estrus, ovarian size and ovarian response (number of CL and LF) did not differ significantly (p>0.05) among the 3 groups. The proportion of ewes with a superovulatory response (${\geq}2$ CL) was the lowest (50%) in Group 1 treated with FSH alone but ova/embryo recovery (100%) and fertilization (100%) was significantly (p<0.05) higher than Group 2 (58.3 and 85.7%, respectively) and Group 3 (48.6 and 50%, respectively). It is concluded that in tropical fine wool sheep, there is no difference in the 3 treatments for yield of good quality embryos but ovarian response and ovulation rate increased on additional use of PMSG and GnRH respectively to FSH alone.

Inter-speaker and intra-speaker variability on sound change in contemporary Korean

  • Kim, Mi-Ryoung
    • Phonetics and Speech Sciences
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    • v.9 no.3
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    • pp.25-32
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    • 2017
  • Besides their effect on the f0 contour of the following vowel, Korean stops are undergoing a sound change in which a partial or complete consonantal merger on voice onset time (VOT) is taking place between aspirated and lax stops. Many previous studies on sound change have mainly focused on group-normative effects, that is, effects that are representative of the population as a whole. Few systematic quantitative studies of change in adult individuals have been carried out. The current study examines whether the sound change holds for individual speakers. It focuses on inter-speaker and intra-speaker variability on sound change in contemporary Korean. Speech data were collected for thirteen Seoul Korean speakers studying abroad in America. In order to minimize the possible effects of speech production, socio-phonetic factors such as age, gender, dialect, speech rate, and L2 exposure period were controlled when recruiting participants. The results showed that, for nine out of thirteen speakers, the consonantal merger is taking place between the aspirated and lax stop in terms of VOT. There were also intra-speaker variations on the merger in three aspects: First, is the consonantal (VOT) merger between the two stops is in progress or not? Second, are VOTs for aspirated stops getting shorter or not (i.e., the aspirated-shortening process)? Third, are VOTs for lax stops getting longer or not (i.e., the lax-lengthening process)? The results of remarkable inter-speaker and intra-speaker variability indicate a synchronous speech sound change of the stop system in contemporary Korean. Some speakers are early adopters or active propagators of sound change whereas others are not. Further study is necessary to see whether the inter-speaker differences exceed intra-speaker differences in sound change.

A case of Acute Autonomic and Sensory Neuropathy (급성 자율 감각 신경병증 1례)

  • Lee, Jong-Mun;Kwon, Do-Young;Koh, Seong-Beom;Kim, Byung-Jo;Park, Min-Kyu;Park, Kun-Woo;Lee, Dae-Hie
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.70-73
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    • 2002
  • Acute autonomic neuropathy is a rare disease. Since the first case was reported by Young et.al., in 1969, a number of similar cases have been described, with some variation of the accompanied neurologic deficits. Acute autonomic and sensory neuropathy(AASN) is characterized by the acute onset of autonomic dysfunction and sensory disturbances. A 16-year-old girl experienced high fever($40^{\circ}C$) and erythematous rash on whole trunk and face followed by pain and sensory loss over the whole body, dysphagia, ataxia, urinary retention, and postural hypotension. There was no evidence of limb weakness. The electrophysiologic studies of this patient revealed sensory polyneuropathy and the various autonomic function test showed autonomic dysfunction. The recovery of her autonomic and sensory symptoms is incomplete, three months after the onset of the symptoms. The etiology of the acute autonomic and sensory neuropathy is not known. Most previous authors have suggested the dysautonomia may be an acute immunological damage to peripheral fibers of the autonomic nervous system. We report a case of acute autonomic and sensory neuropathy.

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