• Title/Summary/Keyword: Left-sided

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Surgical Treatment of Infective Endocarditis (감염성 심내막염에 대한 외과적치료)

  • Wang, Ok-Bo;Park, Ju-Cheol
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.1055-1060
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    • 1992
  • Clinical experience of 21 patients with infective endocarditis was reviewed. Endocarditis involved the left-sided valve in 16 cases, the right-sided valve in 2, and PDA in the remaining 3 patients. Valve abnormalities included leaflet perforation in 9 patients, chordal rupture in 2,; annular abscess in 6; and aorticoleft atnal perforation in 2. Sixteen patients underwent valve replacement[aortic valve replacement in 7 patients, mitral replacement in 4 and double valve replacement in 5], two had VSD closure with pulmonary valve excision, three had ductus arteriousus closure. The patients were classified into two groups. I ] Healed endocarditis group: including the patients who had completed a planned cou-rseof antibiotic therapy[N=10], II ] Active endocarditis group: patients in which operations were performed prior to completetion of antibiotic treatment course[N=11]. The indications for operation included congestive heart failure, embolism, and persistent sepsis. Organisms were predominantly streptococcus[N=5] and staphylococcus [N=4] followed by candida, moraxella, and E-coli. By NYHA functional classification, all patients were in Class III or IV preoperatively. There was only one operative mortality in patient from group II. All patients substantially, improved postoperatively with NYHA classification in class I or II. This study shows that early surgical intervention in patients with active endocarditis has desirable outcome.

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The Comparisons of Vestibular Function and static Balance Skill between Normal and Hearing-Impaired Children (정상 아동과 청각장애 아동의 전정기능과 정적균형수행력 비교)

  • Lee Seung-Min;Kwon Young-Shil;Kim Sang-Soo;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.29-36
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    • 1999
  • This study was carried out to compare the rotation between vestibular function and balance skills in normal and hearing-impaired children. The subjects were 20 normal children (8-10 years) and 20 bearing-impaired children (8-10 years). The SCPNT was used to assess vestibular function, then, one leg stance test was used to compare static balance skill of normal and hearing-impaired children according to existence of visual input and sex. The results were as follows: 1. In SCPNT, normal md hearing-impaired children showed statistical significance in all left-sided and right-sided rotations(p<.01), and the vestibular function responses of hearing-impaired children wore normal $20\%$, abnormal $45\%$, absent $35\%$. 2. To compare balance skills between normal and hearing-impaired according to eye open and eye close, one-leg stance Oat showed statistical significance in eye open(p<.05), but did not show statistical significance in eye close(p>.05). 3. SCPNT, ene-leg stance test did not show statistical significance according to sex(p>.05).

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A Clinical Evaluation of 120 Chest Injuries (흉부외상 120례에 대한 임상적 고찰)

  • 이호완
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.13-22
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    • 1974
  • A clinical evaluation was done on 120 cases of chest injury patients treated in the department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital for the period of 6 years and 3 months from January, 1968 to March, 1974. 1] Of 120 cases, 52 cases[43. 3%] were non-penetrating injuries and 65 cases[56.7%] penetrating injuries. Of them, 107 cases [89.2%] were males and 13 cases[10.8%] were females. 2] The most common etiology was stab wound[64 cases] and traffic accident[23 cases] was the next. 3] In 70% of all cases, treatment was initiated within 6 hours after receiving trauma. 4] The types of lesions in order of frequency were hemothorax[35 cases], chest wall injuries alone. 27 cases], hemopneumothorax [22 cases], pneumothorax[17 cases]. Of them, right sided lesions were 52 cases[43. 3%] and left sided lesions were 65 cases[54.2%] and 3 cases were bilateral lesions. 5] Repeated thoracentesis and closed thoracostomy were the treatment of choice in most cases in order to reestablish early and rapid reexpansion of the lungs. Open thoracotomy was, however, mandatory on 39 cases[32.5%]. 6] The overall mortality was 5.8% [7 cases]; 5 cases of nonpenetrating injuries and 2 cases of penetrating ones.

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THE CLINICAL RELIABILITY AND EFFECTIVENESS OF THE POSTERO-ANTERIOR CEPHALOMETRIC VIEW, SUBMENTOVERTEX VIEW & PANORAMIC VIEW IN THE DIAGNOSIS OF THE FACIAL ASYMMETRY (안면 비대칭 환자 진단에 있어서 후전방두부 방사선사진과 이하두정 방사선사진 및 파노라마 방사선사진의 임상적 효용성)

  • Choi Eun-Young;Park Tae-Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.427-437
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    • 1994
  • Clinical examination, photometric evaluation, & radiographic analysis have been used to evaluate the asymmetry of the face. Commonly used skull radiographs to assess skeletal asymmetry include poatero-anterior cephalometries, submentovertex view, & panoramic view. The purpose of this study is the comparison of the reliance of the postero-anterior cephalometric view, submentovertex view, & panoramic view in the asymmetry evaluation. All measurements were performed on the each radiographs of 31 control group & 30 asymmetric group. The measurements are MSL(midsagittal plane)-Co, MSL-Go, MSL-Me, MSL-Al, MSL-Bl, Mn. Ramus Height(Co-Go), Mn. Body Length(Go-Me), and Total Mn. Length(Co-Me). The results were as follows: 1. The lack of either a right-sided or left-sided asymmetric dominant was found. 2. The postero-anterior cephalometric view & submentovertex view relatively agreed with each other in the result. The postero-anterior cephalometric view & submentovertex view had the clinical reliability & effectiveness in the diagnosis of the skeletal asymmetry(p<0.05). 3. The panoramic view showed more magnification compared to the other radiographs. In the vertical measurements the panoramic view had clinical reliability relatively(p<0.05). But we cannot rely on the horizontal measurements in the panoramic view(p>0.05).

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Influence of Intrinsic Prefrontal Cortex Asymmetry on Sound-induced Affects (개인의 고유한 전전두엽의 비대칭성이 음향감성에 미치는 영향)

  • Kim, Won-Sik;Lee, Sang-Tae
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2008.10a
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    • pp.54-57
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    • 2008
  • This study is aimed to inspect how the different sensitivities in Behavioral activation system (BAS) and Behavioral inhibition system (BIS) modulate on the properties of physiological responses stimulated by positive or negative affective sound. We measured the electroencephalogram (EEG) of 32 students, consisted of four groups depending on the BAS and BIS sensitivities, during listening to meditation music or noise. The EEG was recorded at Fp1 and Fp2 sites. After listening to music or noise, subjects reported the affect induced by the sound. For EEG, the power in the alpha band at Fp2, especially in the alpha-2 band (9.0-11.0 Hz) increased during the subjects listening to music, while the power at Fp1 increased during noise. During listening to meditation music, there is a tendency that the left-sided activation in prefrontal cortex (PFC) is positively correlated with the difference of BAS(Z)-BIS(Z). During listening to noise, there is a tendency that the right-sided activation in PFC is dominant in case any of the sensitivity of BAS or BIS is high. From these results we suggest that the physiological responses of different individuals in BAS and BIS react differently under the same emotionally provocative challenge.

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The Comparison of Vestibular Function and Dynamic Balance Skills between Normal and Hearing-Impaired Children (정상아동과 청각장애아동의 전정기능과 동적균형수행력 비교)

  • Lee Seung-Min;Kim Jin-Sang;Choi Jin-ho
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.33-40
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    • 2000
  • This study was carried out to compare the relation between vestibular function and balance skills in normal with heating-impaired children. The subjects were 20 normal children (8-10 years) and 20 hearing-impaired children (8-10 years). The SCPNT was used to assess vestibular function, then, functional reach test and backward walking test were usee to compare dynamic balance skills of normal and hearing-impaired children according to existence of visual input. The results were as follows : 1. In SCPNT, normal and hearing-impaired children showed statistical significance in all left-sided and right-sided rotations(p<.01), and the vestibular function responses of healing-impaired children were normal $20\%$, abnormal $45\%$, absent $35\%$. 2, To compare dynamic balance skills between normal and healing-impaired according to eye open and eye close, functional reach test did not show statistical significance in eye open situation(p>.05), but showed statistical significance in eye close situation(p<.05). 3. Backward walking test showed statistical significance in eye open and eye close situation(p<.01).

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Spontaneous Direction-Changing or Reversing Positional Nystagmus without Changing Head Position during Head-Roll/Head-Hanging Maneuvers: Biphasic Positional Nystagmus

  • Yetiser, Sertac
    • Journal of Audiology & Otology
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    • v.25 no.1
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    • pp.43-48
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    • 2021
  • Background and Objectives: Conflicting mechanisms have been reported about spontaneous reversal of positional nystagmus during head-roll maneuver in patients with benign paroxysmal positional vertigo (BPPV). The objective of this study is to review the reports about the characteristics and possible mechanisms of reversing positional nystagmus and to present seven new cases. Subjects and Methods: Seven cases (5 males, 2 females; 4 left-sided, 3 right-sided) were recruited among 732 patients with BPPV seen outpatient clinic between 2009 and 2019. Diagnosis of lateral canal canalolithiasis was confirmed when transient geotropic nystagmus was documented during head-roll test. Reversing positional nystagmus was analyzed in each case and clinical characteristics of the patients were documented. Results: The age of patients was ranging between 30 to 64 years (46.44±10.91). Duration of symptoms was short (21.34±19.74). Six of them had a story of head trauma. Initial latency was short. First, intense geotropic nystagmus was observed following provocative head-roll position on the affected side. There was short "silent phase". Then, a longer second-phase of reversed nystagmus was noted. Total duration of nystagmus was 78.40±6.82 seconds. Maximal slow phase velocity was 24.05±6.34 deg/sec. All patients were cured with barbeque maneuver. Conclusions: Ipsilateral reversing positional nystagmus during head-roll maneuver is due to lateral canal canalolithiasis. Mechanism is likely to be due to endolymphatic double flow. Bilateral cases may be due to simultaneous co-existence of canalolithiasis and cupulolithiasis. Longer recording of nystagmus is recommended not to miss the cases with spontaneous direction-changing positional nystagmus.

Spontaneous Direction-Changing or Reversing Positional Nystagmus without Changing Head Position during Head-Roll/Head-Hanging Maneuvers: Biphasic Positional Nystagmus

  • Yetiser, Sertac
    • Korean Journal of Audiology
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    • v.25 no.1
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    • pp.43-48
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    • 2021
  • Background and Objectives: Conflicting mechanisms have been reported about spontaneous reversal of positional nystagmus during head-roll maneuver in patients with benign paroxysmal positional vertigo (BPPV). The objective of this study is to review the reports about the characteristics and possible mechanisms of reversing positional nystagmus and to present seven new cases. Subjects and Methods: Seven cases (5 males, 2 females; 4 left-sided, 3 right-sided) were recruited among 732 patients with BPPV seen outpatient clinic between 2009 and 2019. Diagnosis of lateral canal canalolithiasis was confirmed when transient geotropic nystagmus was documented during head-roll test. Reversing positional nystagmus was analyzed in each case and clinical characteristics of the patients were documented. Results: The age of patients was ranging between 30 to 64 years (46.44±10.91). Duration of symptoms was short (21.34±19.74). Six of them had a story of head trauma. Initial latency was short. First, intense geotropic nystagmus was observed following provocative head-roll position on the affected side. There was short "silent phase". Then, a longer second-phase of reversed nystagmus was noted. Total duration of nystagmus was 78.40±6.82 seconds. Maximal slow phase velocity was 24.05±6.34 deg/sec. All patients were cured with barbeque maneuver. Conclusions: Ipsilateral reversing positional nystagmus during head-roll maneuver is due to lateral canal canalolithiasis. Mechanism is likely to be due to endolymphatic double flow. Bilateral cases may be due to simultaneous co-existence of canalolithiasis and cupulolithiasis. Longer recording of nystagmus is recommended not to miss the cases with spontaneous direction-changing positional nystagmus.

Colon stenting as a bridge to surgery in obstructive colorectal cancer management

  • Dong Hyun Kim;Han Hee Lee
    • Clinical Endoscopy
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    • v.57 no.4
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    • pp.424-433
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    • 2024
  • Colonic stent placement is a commonly used bridging strategy for surgery in patients with obstructive colorectal cancer. The procedure involves the placement of a self-expandable metallic stent (SEMS) across the obstructive lesion to restore intestinal patency and alleviate the symptoms of obstruction. By allowing patients to receive surgery in a planned and staged manner with time for preoperative optimization and bowel preparation, stent placement may reduce the need for emergency surgery, which is associated with higher complication rates and poorer outcomes. This review focuses on the role of colon stenting as a bridge to surgery in the management of obstructive colorectal cancer. SEMS as a bridge to surgery for left-sided colon cancer has been demonstrated to be particularly useful; however, further research is needed for its application in cases of right-sided colon cancer. Colon stent placement also has limitations and potential complications including stent migration, re-obstruction, and perforation. However, the timing of curative surgery after SEMS placement remains inconclusive. Considering the literature to date, performing surgery at an interval of approximately 2 weeks is considered appropriate. Therefore, colonic stent placement may be an effective strategy as a bridge to surgery in patients with obstructive colorectal cancer.

Design and Implementation of 4-sided Monitoring System providing Bird's Eye View in Car PC Environment (Car PC 환경에서 Bird's Eye View를 제공하는 4SM (4-Sided Monitoring) 시스템 설계 및 구현)

  • Yu, Young-Ho;Jang, Si-Woong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.16 no.1
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    • pp.153-159
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    • 2012
  • Driver's view has blind spot of automobile surroundings due to physical components of automobile architecture. Obstacles on blind spot are the cause of car destruction and car accidents. Cars which produced in recent have obstacle detection sensors and rear view cameras which provide information of obstacles on the blind sopt, and have also AVM(Around View Monitoring) which provides automobile surroundings for driver's safe driving. During a low-speed travel while parking or moving in a narrow street, a driver get help for safe driving by taking information of automobile surroundings using the above-mentioned devices. In this paper, we present a design and implementation of a 4-sided monitoring (4SM) system, which helps a driver see an integrated view of a vehicle's perimeter at a glance, using a car PC connected to four cameras installed on the front, rear, left, and right sides.