• Title/Summary/Keyword: History taking

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A Case of Dural Arteriovenous Fistula of Superior Sagittal Sinus after Tamoxifen Treatment for Breast Cancer

  • Hwang, Sung-Kyun
    • Journal of Korean Neurosurgical Society
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    • v.57 no.3
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    • pp.204-207
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    • 2015
  • We are reporting an unusual case of dural arteriovenous fistula (AVF) of the superior sagittal sinus (SSS) after tamoxifen treatment for breast cancer. A 30-year-old female arrived at the emergency room with a sudden headache and left sided weakness and sensory loss. In her past medical history, she was diagnosed with breast cancer 1 year prior, and subsequently underwent a breast conserving mastectomy with whole breast radiation and adjuvant chemotherapy with tamoxifen. At the time of admission, computed tomography showed a small acute intracerebral hemorrhage at the right parietal cortex, and magnetic resonance imaging showed that a dural AVF at the SSS with a prominent and tortuous venous enhancement along the centrum semiovale was present. Cerebral angiography showed that the dural AVF at the mid-portion of the SSS with meningeal arterial feeding vessels entering the wall of the SSS, then draining through the dilated cortical veins. Our patient had no signs of active malignancy or any abnormalities in her coagulation profile, so it can be concluded that the tamoxifen was the likely cause of the SSS thrombosis and dural AVF. The dural AVF was treated by an endovascular coil embolization for the arterialized segment of the SSS. The patient dramatically recovered favorably from left side motor and sensory deficit. The best clinical approach is to screen potential patients of tamoxifen hormonal therapy and educate them on the sign and symptoms of life threatening thromboembolic events while taking tamoxifen.

Relationships between Knowledge about Early Detection, Cancer Risk Perception and Cancer Screening Tests in the General Public Aged 40 and Over (암 조기발견 지식.암발생 위험성 지각과 암 조기검진 수검 여부와의 관계: 40세 이상 일반인 대상으로)

  • Yang, Young-Hee
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.52-60
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    • 2012
  • Purpose: This study is to determine knowledge about early detection and risk perception of cancer according to taking cancer screening tests in the general population. Methods: The participants were 151 people aged 40 years or older. A questionnaire consisted of knowledge about early detection (warning signs, cancer screening methods, general knowledge for early detection), cancer risk perception and history of cancer screening during past 2 years. Results: The percentages of correct answers were 64.7% in knowledge about warning signs, 73.7% in knowledge of cancer screening tests and 80.1% in general knowledge for early detection. Participants had the highest knowledge about screening methods for stomach cancer and the lowest for liver and colon cancer. The level of risk perception was medium. The participants who participated in cancer screening showed lower risk perception than those who did not. There was no significant relationship between knowledge and performance of cancer screening. The primary reason for not participating in cancer screening was patient's perception of their own health. Conclusion: These results suggest that cancer risk perception can affect the performance of cancer screening and we need to study how to handle this problem. Additionally screening programs should focus on liver cancer and colon cancer.

A Study on the Characteristics of Strategies and Fashion Styles in Fast Fashion (패스트 패션(Fast Fashion)의 전략적 특성과 패션 경향 연구)

  • Han, Tae-Im;Cho, Kyu-Hwa
    • Journal of Fashion Business
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    • v.14 no.5
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    • pp.21-34
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    • 2010
  • The purpose of this study is to examine the main characteristics of strategies and fashion styles in fast fashion. Ultimately, this study is aimed to give useful information to develop fast fashion companies in Korean apparel industry. There are several strategies commonly applied in most fast fashion companies. First, they produce a wide range of numerous items. Second, the price is very reasonable. The primary objective of fast fashion is to quickly produce products in a cost efficient manner. Third, fast fashion companies take charge in the whole process from designing and manufacturing to distribution and sales. Forth, while almost all apparel companies invest a large amount in advertisement to promote sales, most fast fashion companies invest in VMD instead. Also, the fashion style of fast fashion were examined. First, casual style dominated a big part in composition of the entire style. Second, they use various kinds of different fabrics. For example, natural fabrics including organic and recycled fabrics, denims, newly invented high-tech fabrics, and decorative fabrics are widely used. Third, fast fashion brands produce fashion product based on the most recent fashion trends. Forth, they pursue high quality design. Retailers' understanding of the target market's wants realizes the consumer to thrive on constant change and the frequent availability of new products. Accordingly, fast fashion is presently taking an important role in fashion although it has a short history compared to the general apparel industry.

Complications of Endotracheal Stent in Three Dogs with Tracheal Collapse (기관허탈이 있는 개들에서 기관 내 Stent 장착 후 나타난 합병증 3례)

  • Seo, Kyoung-Won;Lee, Young-Heun;Chang, Jin-Hwa;Hwang, Cheol-Yong;Yoon, Jung-Hee;Youn, Hwa-Young
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.457-461
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    • 2010
  • Three dogs were presented with signs of recurrence of coughing, dyspnea and difficulty of barking after endotracheal stent placement. On the basis of history taking, physical examination, laboratory tests and radiography, complications of endotracheal stent were suspected. Dog 1 had unfitted stent diameter (stent diameter is larger than tracheal diameter) and getting disentangled of proximal tracheal stent wire. Dog 2 was suspected a foreign body reaction. Dog 3 had the migration of stent caudally. Based on these cases, the veterinarian should accurately evaluate the indicated patients before endotracheal stent and has to select the appropriate stent (diameter, length and location) to prevent complications after endotracheal stent and concern the regular follow-ups to assure proper endotracheal stent placement.

A mass outbreak of death caused by transport stree and malnutrition in Japanese macaques(Macaca fuscata) (수송 스트레스 및 영양결핍에 기인한 일본원숭이의 집단 폐사)

  • Kwon, Oh-Deog;Jeong, Kyu-Shik;Lee, Keun-Woo;Lee, Chang-Min;Lim, Chae-Woong;Do, Jae-Cheul
    • Korean Journal of Veterinary Service
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    • v.26 no.2
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    • pp.185-191
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    • 2003
  • There was a mass outbreak of death caused by transport stress and malnutrition in Japanese macaques imported from Japan at a farm stock in Korea, which were diagnosed on the ground of history taking, clinical finding, hematological examination and necropsy. Twenty eight Japanese macaques imported from Japan died suddenly from the 4th day after arrival in a farm. These animals were confined very small cages individually and lose the appetite for 10 days from shipping. Main clinical findings observed from alive Japanese macaques consisted of hypothermia and dehydration. On hematological observation for typical 4 cases showed increased erythrocytes and packed cell volume. On serum biochemical examination for 3 cases showed hypoglycemia, whereas blood urea nitrogen, aspartate aminotransferase and alanine aminotransferase were increased. On necropsy for 3 cases, hemorrhage and congestion were observed on the lung and the walls of stomach and intestine were thinned. Histologically, hemorrhagic pneumonia and enteritis with loss of villi were seen. The death of these animal was caused by poor management during transport, which was resulted in transport stress and malnutrition.

Dysphonia : Vocal Fold Mucosal Lesions Easily Missed in Laryngoscopy (발성장애: 후두내시경 검사에서 놓치기 쉬운 성대점막질환)

  • Kim, Han-Su
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.21 no.1
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    • pp.17-21
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    • 2010
  • Dysphonia is a medical terminology for voice disorders characterized by hoarseness, harshness, weakness, or even loss of voice ; any impairment in ability to produce voice sounds using the vocal organs, larynx, The causes of dysphonia can be classified into two groups, organic and functional. Functional dysphonia includes spasmodic dysphonia, muscle tension dysphonia, mutational dysphonia and conversion dysphonia, etc, The findings of laryngoscopy in these dysphonia are almost normal. Therefore, physicians should diagnosis these diseases from careful history taking and abundant understandings about the phonation pattern, Organic dysphonia is caused by anatomical problems in the larynx, especially on the vocal fold, Some lesions, however, are not easily found because these lesions are too small, or located on the lower lip of vibrating vocal fold. Laryngopharyngeal reflux induced laryngitis, vascular lesions, sulcus vocalis, vocal atropy including presbylaryngis, and mucosal tears are common lesions easily missed in laryngoscopy, Therefore, a high index of suspicion is necessary to avoid missing vocal fold mucosal lesions, and the strobovideolaryngoscopy is indispensable in making the diagnosis,

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Management of traumatic oral mucosal lesion by CO2 LASER (CO2 레이저를 이용한 다양한 외상성 구강점막병소의 처치법)

  • Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • The Journal of the Korean dental association
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    • v.53 no.12
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    • pp.910-916
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    • 2015
  • Various mucosal lesions are originated in oral cavity and trauma is most common cause of these lesions. Definitive treatment of these lesions is stop of traumatic events and removal. There are two representative removal methods in medical fields; conventional mess or LASER. Compare to conventional mess technique, LASER has several advantages such as bleeding control, pain reduction. Of the various LASER systems, $CO_2$ LASER is regarded as best choice for general practitioners due to its convenience, universal use and high cost/benefit effects. In these article, we report the treatment cases of mucocele, fibroma, and leukoplakias using $CO_2$ LASER. Eventhough there are malignancy potential of oral mucosal lesion especially leukoplakias, careful history taking, clinical examination, and regular check-up will help the general practitioners to manage these lesions. Simple and relatively safe oral mucosal lesions have to be treated more in general dental practitioners.

Numerical assessment of seismic safety of liquid storage tanks and performance of base isolation system

  • Goudarzi, Mohammad Ali;Alimohammadi, Saeed
    • Structural Engineering and Mechanics
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    • v.35 no.6
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    • pp.759-772
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    • 2010
  • Seismic isolation is a well-known method to mitigate the earthquake effects on structures by increasing their fundamental natural periods at the expense of larger displacements in the structural system. In this paper, the seismic response of isolated and fixed base vertical, cylindrical, liquid storage tanks is investigated using a Finite Element Model (FEM), taking into account fluid-structure interaction effects. Three vertical, cylindrical tanks with different ratios of height to radius (H/R = 2.6, 1.0 and 0.3) are numerically analyzed and the results of response-history analysis, including base shear, overturning moment and free surface displacement are reported for isolated and non-isolated tanks. Isolated tanks equipped by lead rubber bearings isolators and the bearing are modeled by using a non-linear spring in FEM model. It is observed that the seismic isolation of liquid storage tanks is quite effective and the response of isolated tanks is significantly influenced by the system parameters such as their fundamental frequencies and the aspect ratio of the tanks. However, the base isolation does not significantly affect the surface wave height and even it can causes adverse effects on the free surface sloshing motion.

Toxic Encephalopathy

  • Kim, Yangho;Kim, Jae Woo
    • Safety and Health at Work
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    • v.3 no.4
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    • pp.243-256
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    • 2012
  • This article schematically reviews the clinical features, diagnostic approaches to, and toxicological implications of toxic encephalopathy. The review will focus on the most significant occupational causes of toxic encephalopathy. Chronic toxic encephalopathy, cerebellar syndrome, parkinsonism, and vascular encephalopathy are commonly encountered clinical syndromes of toxic encephalopathy. Few neurotoxins cause patients to present with pathognomonic neurological syndromes. The symptoms and signs of toxic encephalopathy may be mimicked by many psychiatric, metabolic, inflammatory, neoplastic, and degenerative diseases of the nervous system. Thus, the importance of good history-taking that considers exposure and a comprehensive neurological examination cannot be overemphasized in the diagnosis of toxic encephalopathy. Neuropsychological testing and neuroimaging typically play ancillary roles. The recognition of toxic encephalopathy is important because the correct diagnosis of occupational disease can prevent others (e.g., workers at the same worksite) from further harm by reducing their exposure to the toxin, and also often provides some indication of prognosis. Physicians must therefore be aware of the typical signs and symptoms of toxic encephalopathy, and close collaborations between neurologists and occupational physicians are needed to determine whether neurological disorders are related to occupational neurotoxin exposure.

Robotics in Construction: State-of-Art of On-site Advanced Devices

  • Balzan, Alberto;Aparicio, Claudia Cabrera;Trabucco, Dario
    • International Journal of High-Rise Buildings
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    • v.9 no.1
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    • pp.95-104
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    • 2020
  • Recently, robotic technologies have significantly improved, bringing considerable enhancements in many sectors; the main objective of this paper is to figure out if these innovations have also involved the building industry. To achieve this purpose, it has been considered crucial to first reshape and clarify some concepts, incorporating a much more flexible understanding of the term "robot", as well as the formulation of its future potential. Subsequently, it has been carried out an analysis of the various advanced devices that are currently available to be employed in the construction processes; the review includes a thorough classification of construction robots, divided into 18 families reflecting their purpose of use, and a dissection based on the term used to define them. The attention has been focused on the most updated and recent robots and, in their absence, on the most advanced machines prevailing. This operation has been achieved taking into account the development history of construction robots, as well as the analyses and classifications previously conducted, reconsidering them according to the just mentioned reflections. Furthermore, an in-depth exploration of the exoskeletons, as well as on a sophisticated robot recently developed by Schindler Group has been executed.