• Journal of Pharmacopuncture
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• v.14 no.1
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• pp.35-49
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• 2011

Objectives: The aim of this experiment is to know about Effect of pulse-wave factors in Middle Aged Women by Mountain Cultivated Ginseng Pharmacopuncture. Methods: First 20 Middle Aged women are diagnosed by pulse diagnosis, and then Mountain Cultivated Ginseng Pharmacopuncture(1 injection 20cc) were injected. 30 minutes later, pulse diagnosis again performed. As a result, method of one-group pretest-posttes design were used for evaluation. Results: T(Total pulse cycle) time statistically significant increased on both left and right chon, kwan, cheok. T4 time statistically significant increased on both left and right chon, kwan, cheok. T4-T1/T indexs except left cheokmaek, Right cheokmaek observation area decreased significantly in four sites. Wm(indicating high pressure retention time) indexs increased significantly in the five sites were observed except right chon maek. Conclusions: Effect of pulse-wave factors in Middle Aged Women by Mountain Cultivated Ginseng Pharmacopuncture increased T, T4, Wm and decreased T4-T1/T indexs. The results of this experiment, Mountain Cultivated Ginseng Pharmacopuncture induced to increase the Pulse-wave's stability and strength.

• The Korean Journal of Pain
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• v.18 no.1
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• pp.52-55
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• 2005

Complications following a well conducted epidural steroid injection are rare. A 50-year-old man developed a headache and neck stiffness 2 days after a lumbar epidural steroid injection. Under the impression of aseptic meningitis, fluid and nonsteroidal anti-inflammatory drug therapy was started immediately after cerebrospinal fluid (CSF) sampling. The CSF was turbid, and revealed a white blood cell count, protein, glucose and pressure of $550/{\mu}l$ (98% lymphocyte), 107.9 mg/dl, 48 mg/dl (serum 113 mg/dl) and $17cmH_2O$, respectively. The CSF stain and culture, and antibody test and polymerase chain reaction for pathogens were negative. A computed tomography (CT) scan of the brain revealed no abnormality, and a chest roentgenogram and the results of the neurological examination were normal. Under the impression of aseptic meningitis, the condition was managed conservatively, without antibiotics. Seven days later, the clinical symptoms had improved, and the patient discharged.

• Journal of Chest Surgery
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• v.31 no.4
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• pp.413-417
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• 1998

We describe a case of adult tracheoesophageal fisula incidentally found during laparotomy. A 41 year old male came to the emergency room due to multiple injuries from a car accident. An emergent laparotomy was given to the patient to rule out hemoperitoneum, and progressive distension of the stomach was noted with each positive pressure ventilation. The diagnosis of tracheoesophageal fistula was made via an intraoperative esophagogram. Detailed inquiry of the patient's history from his mother together with extensive destructive changes over the right upper lung field on the patient's chest X ray suggested that the fistula was longstanding and not of traumatic origin, obviating the need of urgent operation. The fistula was divided via the right thoracotomy 24 days later. Postoperative course was uneventful.

• Journal of The Korean Society of Clinical Toxicology
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• v.17 no.2
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• pp.132-134
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• 2019

Green tobacco sickness is an illness caused by dermal exposure to nicotine. The common symptoms of the disease include dizziness, headache, nausea, vomiting, severe general weakness, fluctuations of blood pressure or heartbeat, abdominal cramping, chills, increased sweating, salivation, and difficulty breathing. A 79-year-old female arrived at the emergency room for an evaluation of sudden onset dizziness. Magnetic resonance imaging and angiography of the brain did not show any relevant abnormal findings. Four days later, with supportive care, she said that she had harvested green tobacco for six hours on the day of admission and the tobacco harvest was the first time in her life. She sweated excessively during the hot and humid weather and the tobacco leaves were wet from rain the night before. The serum cotinine tested at five days of admission was 16ng/ml. She was diagnosed with acute nicotine poisoning by her clinical symptoms and the half-life of cotinine in the blood.

• Electrolytes & blood pressure
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• v.16 no.2
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• pp.23-26
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• 2018

A 22-year-old male patient was diagnosed with autosomal dominant polycystic kidney disease (ADPKD). He received conservative treatment with an angiotensin-converting enzyme inhibitor. Two years later, oral therapy, consisting of 60 mg tolvaptan per day, was initiated. Compared with height-adjusted total kidney volume, the rate of kidney growth reduced significantly from 7.33% to 0.66% annually, since commencement of the tolvaptan therapy. The liver enzyme profile and serum sodium level and osmolality were constantly within normal ranges. In Korea, this is the first reported case of a patient with ADPKD who received tolvaptan treatment for more than 1 year. This case demonstrates that long-term tolvaptan treatment appears to be safe, well tolerated, and effective for ADPKD.

• International Journal of Advanced Culture Technology
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• v.7 no.2
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• pp.60-66
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• 2019

The purpose of this study was to compare the effect of educational smartphone app with the effect of learning using conventional paper material. We developed an educational app for nursing students to learn how to read blood pressure and how to take a pulse. Evaluated was the effect of the app-based education by measuring the short term memory (right after the education), the long term memory (a week later) and the satisfaction. 25 college nursing students participated for the experiment group using the app-based education and 25 for the control group using paper-based education. We applied for statistical analysis Fisher's exact test and Independent t-test. The satisfaction of the app user's appeared significantly higher than that of the paper material user's (t=2.322, p=0.024). The short term memory score was 0.23 points higher in the experimental group (6.46 points) than in the control group (6.23 points), which was not statistically significant (t =0.422, p =0.675). Similar result came for the long term memory (t=1.006, p=0.320). After adjusting for the effect of a college grade using ANCOVA, the effect on memory was significantly higher in the experiment group. There might be differences in learning ability between the experimental and the control groups.

• Journal of Rhinology
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• v.25 no.2
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• pp.99-102
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• 2018

Lateral pharyngoplasty is a surgical option for treatment of obstructive sleep apnea (OSA). Here, we present a case involving a 40-year-old healthy man who underwent surgery, including lateral pharyngoplasty and robotic tongue base resection, for OSA. There were no intraoperative or immediate postoperative complications. However, on postoperative day 3, the patient presented with swelling in the temporal and buccal areas and was diagnosed with subcutaneous emphysema, later confirmed by computed tomography. The patient was carefully monitored under conservative care and discharged without complications. Although subcutaneous emphysema following tonsillectomy is a rare complication and usually resolves with conservative management, in certain cases, it might require surgical intervention. Lateral pharyngoplasty involves tonsillectomy and additional incision along the tonsillar fossa, which makes it susceptible to pharyngeal wall defects and, consequently, subcutaneous emphysema. Additionally, lateral pharyngoplasty and robotic tongue base resection cause pain and might thus contribute to the increase in intrapharyngeal pressure, which might aggravate subcutaneous emphysema. Lateral pharyngoplasty should be performed with meticulous dissection of the superior pharyngeal constrictor muscle. Healthcare providers should be aware of these complications and, upon suspicion of the same, place the patient under close observation to prevent life-threatening situations.

• English & American cultural studies
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• v.13 no.1
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• pp.59-81
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• 2013

Samuel Beckett's literary sympathies with underdogs enslaved to authoritative figures, found in his earliest plays, continued in a more or less subdued form in his later plays: Not I is a good case in point thematizing a social authority psychologically embedded within a subject. The incessant bouts of self-defense, or confessional, which Mouth carries out on a dark stage is directed to an inner authority. In Civilization and Its Discontents (1931), Freud's diagnosis for individuals torn between the opposite calls of a social order-- which he called, by turns, civil society, civilization, and culture--and of individual freedom was a "neurosis." What Not I dramatizes seems to be this state of neurosis suffered by a subject bound to the contradictory calls of an internal social authority, which forces Mouth to carry on a confessional till she obtains a symbolically/linguistically viable social title of "I," and of her individualistic denial of the position("what?..who?..no!.. she!.."). Mouth's ordeal on stage does not signify the psychological pressure of the social system, with its disciplinary measures of guilt, justice, and punishment, triumphs over individualistic irregularities and abnormalities, for her "maddened" confession will never see its closure. The opposite psychological forces at work inside Mouth, who is both "in" and "out[side]" "this world," will keep engaging in an eternal battle. In a way, she is a perfect parable about us humans living within a system, "discontent" and hung between the contradictory calls of individualism and social collectiveness.

• Journal of Korean Clinical Health Science
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• v.9 no.1
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• pp.1462-1468
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• 2021

Purpose; The purpose of this study is to objectively identify and quantify the wearer's feelings of wearing glasses. Methods: The temperature of the skin on the nose ridges and ear, and the area where the glasses were seated, was measured using a thermal imaging camera. Results: Before wearing the glasses, the temperature of the skin surface on the nasal ridge was 34.908 ± 0.875 ℃ and the temperature of the ear region was determined as 31.981 ± 0.549 ℃. The changed temperature measured at 5 minutes later after taking off the glasses showed that the nasal ridge was determined as 35.467 ± 0.342 ℃ and the ear area was determined as 32.994 ± 0.412 ℃ (p<0.05). Conclusions: In this experiment, it was revealed that the glasses cause discomfort and heat in the fitting area. It was the first attempt to study objectively and scientifically. Analysis of frame fitting points by using thermal camera is expected to be helpful when consulting a sensitive person about changes in the fit of glasses.

• Clinics in Shoulder and Elbow
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• v.24 no.3
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• pp.183-188
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• 2021

We report a case of a 69-year-old right-dominant man who had an open Monteggia-like lesion of the right elbow (Gustilo-Andersen IIIA) with severe proximal ulna bone loss associated with an ipsilateral ulnar shaft fracture due to a motorcycle accident. The patient underwent two-stage surgery. Wound debridement and bridging external fixation were performed at first. Three months later, a frozen massive osteochondral ulnar allograft was implanted and fixed with a locking compression plate. A superficial wound infection appeared 5 weeks after the second surgery. Superficial wound debridement, negative pressure therapy, and antibiotics were administered for 3 months, achieving infection healing. At 3 years post-surgery, the elbow range of motion was satisfactory with a Disabilities of the Arm, Shoulder and Hand (DASH) score of 16.7. Radiographs and computed tomography scans showed good allograft-bone integration without allograft reabsorption or hardware loosening. Although not complication-free, massive ulna osteochondral allograft implantation can be considered a valid option in cases of open Monteggia-like lesions associated with ulnar shaft fracture and severe bone loss in active patients, whenever osteosynthesis or joint replacement is not a proper solution. This type of bone stock restoration allows for future surgery, if needed.