• Title/Summary/Keyword: History-Aware

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Unexpected Seizure Attack in a Patient with Spinal Metastasis Diagnosed as Posterior Reversible Encephalopathy Syndrome

  • Kim, Chang-Hyoun;Kim, Chi-Heon;Chung, Chun-Kee;Jahng, Tae-Ahn
    • Journal of Korean Neurosurgical Society
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    • v.50 no.1
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    • pp.60-63
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    • 2011
  • Seizure is a foreseeable risk in patients with brain lesion. However, seizure during treating non-brain lesion is not a familiar situation to neurosurgeon. Posterior reversible encephalopathy syndrome (PRES) is a relatively common situation after systemic chemotherapy. The aim of this study is to make neurosurgeons aware of this potential medical problem. A 52-year-old woman with advanced gastric cancer, presented with low back pain due to spinal metastasis at the 4th lumbar vertebra. Ten cycles of chemotherapy with FOLFOX (5-Fluoruracil/Oxaliplatin) had been completed 23 days ago. Two days before the planned operation, a generalized tonic clonic seizure occurred. She did not have a history of hypertension or seizure. The seizure was stopped with lorazepam 4mg. The brain magnetic resonance (MR) imaging showed high signal changes in both parieto-occipital lobes on the T2-weighted images, and these were partially enhanced, suggesting PRES. The surgery was preceded by treatment with an antiepileptic drug. The MR images, taken 1.5 months after the seizure, showed that the lesion was no longer present. At 3 month follow-up, no additional seizure attack occurred without any seizure medication. The possibility of a seizure attack should be considered if the patient has a history of chemotherapy.

Synchronization of Synovial Chondromatosis and Mycobacterium intracellurae Infection in Olecranon Bursitis: A Case Report

  • Kim, Dong Hyun;Min, Seunggi;Lee, Hyun Joo;Kim, Hee-June;Lee, Hoseok;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.46-49
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    • 2019
  • A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. On magnetic resonance imaging (MRI), there were multiple nodules in the olecranon bursa, which were isointense to muscle on T1-weighted images and hyperintense to muscle on T2-weighted images. Our initial diagnosis was synovial chondromatosis. On bursoscopy, masses of gray-white colored nodules were observed in the bursa. Finally, synovial chondromatosis and non-tuberculous mycobacterial infection were concurrently diagnosed. In conclusion, uncalcified synovial chondromatosis and rice bodies can have similar visual and MRI characteristics; therefore, we suggest that clinicians should be aware of the possibility of other infections in cases of this type.

The First Telescope in the Korean History I. Translation of Jeong's Report (한국사 최초의 망원경 I. 정두원(鄭斗源)의 "서양국기별장계(西洋國奇別狀啓)")

  • Ahn, Sang-Hyeon
    • Journal of Astronomy and Space Sciences
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    • v.26 no.2
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    • pp.237-266
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    • 2009
  • In 1631 A.D. Jeong Duwon, an ambassador of the Joseon dynasty was sent to the Ming dynasty. There he met $Jo\tilde{a}o$ Rodrigues, a Jesuit missionary, in Dengzhou of Shandong peninsula. The missionary gave the ambassador a number of results of latest European innovations. A detailed description on this event was written in 'Jeong's official report regarding a message from an European country'(西洋國奇別狀啓), which is an important literature work to understand the event. Since the document was written in classical Chinese, we make a comprehensive translation to Korean with detailed notes. According to the report, the items that Rodrigues presented include four books written in Chinese that describe European discoveries about the world, a report on the tribute of new cannons manufactured by Portuguese in Macao, a telescope, a flintlock, a Foliot-type mechanical clock, a world atlas drawn by Matteo Ricci, an astronomical planisphere, and a sun-dial. We discuss the meaning of each item in the Korean history of science and technology. In particular, Jeong's introduction is an important event in the history of Korean astronomy, because the telescope he brought was the first one to be introduced in Korean history. Even though king Injo and his associates of the Joseon dynasty were well aware of the value as military armaments of new technologies such as telescopes, cannons, and flintlocks, they were not able to quickly adopt such technologies to defend against the military threat of Jurchen. We revisit the reason in view of the general history of science and technology of east-Asian countries in the 17th century.

Visceral Leishmaniasis without Fever in an 11-Month-Old Infant: a Rare Clinical Feature of Kala-azar

  • Sayyahfar, Shirin;Ansari, Shahla;Mohebali, Mehdi;Behnam, Babak
    • Parasites, Hosts and Diseases
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    • v.52 no.2
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    • pp.189-191
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    • 2014
  • Visceral leishmaniasis or kala-azar is an endemic parasitic disease in some parts of the world which is characterized by fever, splenomegaly, and pancytopenia in most of the cases. Herein we report an 11 month-old male infant with diagnosis of kala-azar who presented with pallor, hepatosplenomegaly, failure to gain weight, and no history of fever. Surprisingly, fever started after beginning of meglumine antimoniate treatment in this patient. As far as we are aware of, this is a rare presentation of visceral leishmaniasis. Therefore, clinicians especially in endemic areas are highly recommended to include kala-azar among differential diagnosis of unexplained anemia without fever to prevent misdiagnosis of this potentially fatal, but treatable condition.

Controlled-stress rotational rheometry : An historical review

  • Barnes, Howard A.;Bell, Derek
    • Korea-Australia Rheology Journal
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    • v.15 no.4
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    • pp.187-196
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    • 2003
  • The recent renaissance in controlled-stress rheometry has meant that more and more commercial models of this type of instrument have appeared in the (rheological) marketplace and many papers now deal with the results obtained by their use. It is therefore both timely and appropriate that this mode of rheometry should be reviewed for the sake of new and old users who are probably not be aware of its development. The history of controlled-stress measurements is therefore given, and the particular efforts of the late Jack Deer in the 1970s are chronicled, and then the later developments that have made it possible that such low torques can now be applied and such low rotational speeds measured. These have been mostly in the areas of air bearing and optical disc technologies. The typical results now obtained are illustrated.

A Case of Sensory Neuronopathy Caused by Pyridoxine Intoxication (피리독신 중독에 의한 감각신경원병증 1예)

  • Kim, Ji-Sun;Lee, Kyung-Bok;Roh, Hakjae;Ahn, Moo-Young
    • Annals of Clinical Neurophysiology
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    • v.10 no.1
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    • pp.74-78
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    • 2008
  • Pyridoxine has been known as an essential cofactor in many important biological reactions of tissue metabolism including blood, skin, and central nervous system. Nowadays, vitamins are widely consumed because of the belief that they provide health benefits with no harm. We report a patient with sensory ataxia who had a 3-year history of excessive vitamin $B_6$ intake. Her clinical and electrodiagnostic findings were characteristic of sensory neuronopathy, which were probably caused by pyridoxine intoxication. Physicians should be aware of the toxicities of megavitamin therapy.

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Unilateral segmental odontomaxillary hypoplasia: an unusual case report

  • Pandey, Sushma;Pai, Keerthilatha M.;Nayak, Ajay G.;Vineetha, Ravindranath
    • Imaging Science in Dentistry
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    • v.41 no.1
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    • pp.39-42
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    • 2011
  • Facial asymmetry is not an uncommon occurrence in day to day dental practice. It can be caused by various etiologic factors ranging from facial trauma to serious hereditary conditions. Here, we report a rare case of non-syndromic facial asymmetry in a young female, who was born with this condition but was not aware of the progression of asymmetry. No relevant family history was recognized. She was also deficient in both deciduous and permanent teeth in the corresponding region of maxilla. Hence, the cause of this asymmetry was believed to be a segmental odontomaxillary hypoplasia of left maxilla accompanied by agenesis of left maxillary premolars and molars and disuse atrophy of corresponding facial musculature. This report briefly discussed the comparative features of segmental odontomaxillary hypoplasia, hemimaxillofacial dysplasia, and segmental odontomaxillary dysplasia and justified the differences between segmental odontomaxillary hypoplasia and the other two conditions.

Tortuous Internal Carotid Artery Presenting as an Oropharyngeal Mass : A Case Report (구인두 종괴로 오인된 내경동맥 사행 1예)

  • Kim, Il-Kang;Yum, Dong-Jin;Kang, Jae-Ho;Park, Sung-Ho
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.178-180
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    • 2007
  • Tortuosity of the internal carotid artery is not a rare condition. A 68-year-old woman presented with a 3 years' history of a pulsatile tinnitus and throat abnormal sensation. On physical examination, a soft pulsatile mass on the left posterior oropharyngeal wall was noted. By neck CT and neck MRI the tortuous internal carotd artery was visualized. Otolaryngologists should recognize this anomaly and the patient should be made aware of their condition, because it may cause a fatal or near-fatal hemorrhage during surgical procedures in the pharynx, especially tonsillectomy and adenoidectomy and drainage of peritonsillar abscess. We report a case of a left internal carotid artery tortuosity as an oropharyngeal mass.

Three Cases of Rare Anatomic Variations of the Long Head of Biceps Brachii

  • Kwak, Sang-Ho;Lee, Seung-Jun;Song, Byung Wook;Lee, Min-Soo;Suh, Kuen Tak
    • Clinics in Shoulder and Elbow
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    • v.18 no.2
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    • pp.96-101
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    • 2015
  • In general, the long head of the biceps brachii originates from the superior glenoid labrum and the supraglenoid tubercle, crosses the rotator cuff interval, and extends into the bicipital groove. However, rare anatomic variations of the origins of the long head have been reported in the past. In this report, we review the clinical history, radiologic findings, and arthroscopic identifications of 3 anatomic variants of the biceps tendon long head. As the detection of long head of biceps tendon pathology during preoperative radiologic assessment can be difficult without prior knowledge, surgeons should be aware of such possible anatomic variations.

Mass Timber: The New Sustainable Choice for Tall Buildings

  • Cover, Jennifer
    • International Journal of High-Rise Buildings
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    • v.9 no.1
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    • pp.87-93
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    • 2020
  • Professionals who work in the realm of tall building design and construction are well aware that high-rises are the best solution for accommodating growing urban populations. Until recently, few would have thought to include tall wood buildings as part of that solution, but there is growing awareness that tall mass timber structures can help satisfy the need for density while addressing the need-equally urgent-for a more sustainable built environment. This paper examines the trend toward tall wood buildings in the United States, including their history and international influences, market drivers, structural performance, and economic viability, as well as building code changes that allow wood structures up to 18 stories. It highlights examples of mass timber projects, with an emphasis on benefits that impact return on investment.