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A Case Report on Facial Nerve Palsy after Tooth Extraction and Korean Medical Treatments (발치 후 병발한 안면마비 환자에 대한 한의학적 치료 사례 보고)

  • Kim, Dae Hun;Kim, Yu Ri;Bae, Ji Min;Hong, Seung Pyo;Koo, Bon Kil;Kim, Jae Kyu;Lee, Byung Ryul;Yang, Gi Young
    • Journal of Acupuncture Research
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    • v.33 no.2
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    • pp.211-220
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    • 2016
  • Objectives : Facial nerve palsy is a rare but well-known complication that occurs after a tooth extraction. The paralysis follows the injection of a local anesthetic, but patients typically recover after a few hours. However, there are a number of reports of delayed paralysis, and the cause of delayed facial palsy remains uncertain. This study is the first case report detailing how Korean medicine can be used to treat facial nerve palsy following tooth extraction. This study reports our experience of a patient's favorable recovery. Methods : A 25-year-old male patient experienced acute facial palsy after four premolar teeth were extracted. He was hospitalized in the Pusan National University Korean Medical Hospital. We provided complex Korean traditional medical treatments such as acupuncture, cupping, use of a hot water steamer, and herbal medicine for 18 days. Results : Using the Yanagihara Grading Score, we found improvements in the patient's voluntary facial movement as his score increased from 22 to 34. Furthermore, his accompanying symptoms, such as dry eye and facial pain, disappeared. However, the patient reported transient pain around acupoints after the acupuncture intervention. Conclusion : Our study suggests that Korean medical treatments might be effectively used to treat facial nerve palsy after tooth extraction, although further research should be conducted due to the limited number of cases in this area.

Case study of the mining-induced stress and fracture network evolution in longwall top coal caving

  • Li, Cong;Xie, Jing;He, Zhiqiang;Deng, Guangdi;Yang, Bengao;Yang, Mingqing
    • Geomechanics and Engineering
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    • v.22 no.2
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    • pp.133-142
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    • 2020
  • The evolution of the mining-induced fracture network formed during longwall top coal caving (LTCC) has a great influence on the gas drainage, roof control, top coal recovery ratio and engineering safety of aquifers. To reveal the evolution of the mining-induced stress and fracture network formed during LTCC, the fracture network in front of the working face was observed by borehole video experiments. A discrete element model was established by the universal discrete element code (UDEC) to explore the local stress distribution. The regression relationship between the fractal dimension of the fracture network and mining stress was established. The results revealed the following: (1) The mining disturbance had the most severe impact on the borehole depth range between approximately 10 m and 25 m. (2) The distribution of fractures was related to the lithology and its integrity. The coal seam was mainly microfractures, which formed a complex fracture network. The hard rock stratum was mainly included longitudinal cracks and separated fissures. (3) Through a numerical simulation, the stress distribution in front of the mining face and the development of the fracturing of the overlying rock were obtained. There was a quadratic relationship between the fractal dimension of the fractures and the mining stress. The results obtained herein will provide a reference for engineering projects under similar geological conditions.

DENTAL MANAGEMENT OF A PATIENT WITH KABUKI SYNDROME : A CASE REPORT (가부키 증후군(Kabuki syndrome) 환자의 치과적 관리의 치험례)

  • Kang, Him Chan;Nam, Ok Hyung;Kim, Mi Sun;Choi, Sung Chul;Kim, Kwang Chul;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.2
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    • pp.104-107
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    • 2017
  • Kabuki syndrome is characterized by typical facial features (elongated palpebral fissures with eversion of the lateral third of the lower eyelid; arched and broad eyebrows; short columella with depressed nasal tip; large, prominent, or cupped ears), minor skeletal anomalies, persistence of fetal fingertip pads, mild to moderate intellectual disability, and postnatal growth deficiency. A 6-year-old male with kabuki syndrome was referred from the local dental clinic for left facial swelling and dental caries on all primary molars. He was treated for acute periapical abscess with incision and drainage under physical restraint, and left maxillary second primary molar was extracted. Other caries treatment was performed under general anesthesia. As the syndrome involves many different medical problems, special cares should be considered. Dental treatment should be carried out in comprehensive consultation system.

Thymoma accompanying Autoimmune Hemolytic Anemia (자가 용혈성 빈혈을 동반한 흉선종 1예)

  • Lee, Sin-Hwa;Park, Neung-Hwa;Lee, Keum-Hee;Kim, Young-Woo;Jang, Tai-Weon;Jung, Maan-Hong;Jung, Gyoo-Sik;Cho, Sung-Rae
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.3
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    • pp.381-386
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    • 1995
  • Severe autoimmune hemolytic anemia was developed in the 45-year-old man whose anterior mediastinal growing mass, which was proved later as the invasive thymoma, had been found 4 years ago. The hemoglobin level was 6.2g/dl and both the direct and indirect Coombs' tests were positive. Prompt remission of the hemolytic anemia was achieved by thymectomy combined with corticosteroid therapy. Two months after the discontinuation of corticosteroid therapy his hemolytic anemia was recurred. The patient currently has been followed up for 8 months with no signs of local recurrence or hemolytic anemia and he is still receiving 15 mg of prednisolone daily.

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Major Hemothorax Induced Hypovolemic Shock Fallowing Administration of Intrapleural Urokinase (늑막강내 Urokinase 주입후 발생된 Major Hemothorax에 기인된 Hypovolemic shock)

  • Kim, Jung Kyu;Jung, In Beom;Son, Ji Woong;Choi, Eugene;Na, Moon Jun;Lee, Won Young;Cho, Young Jun
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.465-469
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    • 2004
  • Exudative pleural effusion can arise from pneumonia, tuberculosis, cancer, etc. Early drainage is needed for prevention of complications such as pleural fibrosis, thickening, bronchopleural fistulae and decline of lung function. Intrapleural Instillation of fibrinolytic enzymes has been used for 50years as an adjunct in the removal of fibrous material, hematoma and pus from the thoracic cavity. By the local fibrinolytic effect on fibrinous exudates within the pleural space, fibrinolytic agent has improved results of chest tube or pig tail drainage. But there were no controlled randomized studies, so significant controversy exists concerning the efficacy of this therpy, especially tuberculous pleurisy. Furthermore about complication, severe spontaneous bleeding has not been reported with intrapleural urokinase. Intrapleural fibrinolytic enzymes has shows no systemic complication. When it is administrated intravenously, not into intrpleural space, major bleeding is reported about 1-3% of patient, especially they had systemic disease, such as coagulation abnormalities. This case report presents a patient who suffered major hemothorax induced hypovolemic shock following the administration of 100,000 units of urokinase intrapleurally. He was 25-year old male with tuberculosis pleurisy without systemic illness demonstraion.

Smart Work Research: Review and Agenda for Future Research (스마트워크 연구에 대한 고찰과 향후 연구 주제)

  • Lee, Min He;Lee, Zoonky
    • Informatization Policy
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    • v.18 no.2
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    • pp.72-84
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    • 2011
  • Along with the fast development of "smart"information technology including smart phones, a concern for increased productivity and better work-life balance is growing faster than ever. In many cases, the expectations for "smart work"remain only superficial at most, and the theoretical foundation for smart work research, much less with clear definitions, is not based on sound research. This article primarily aims to clarify the differences between the concept of telework and that of smart work. Particularly, a research framework for smart work, reflecting the points of differentiation for smart work on the basis of previous telework research framework is suggested. Then, we go further to discuss the limitations of existing telework research to suggest new research agenda for smart work research, and review current smart work policy being executed by the Korean government to suggest directions for the future. We expect to make academic contributions to the advancement of smart work research in the IS research field as well as provide practical insights for local policy planners.

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Pulmonary Infarction Associated with Fracture of Right Clavicle and Multiple Ribs (우측 쇄골 및 늑골골절과 동반된 폐경식 1례)

  • 김수성;이종임
    • Journal of Chest Surgery
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    • v.30 no.9
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    • pp.941-944
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    • 1997
  • Pulmonary infarction is rarely diagnosed with certainty except at postmortem examination. Part of this uncertainty is because of the inability to distinguish between hemorrhage, congestive a electasis, and necrosis clinically and radiographically. The pathogenesis of pulmonary infarction is poorly understood. It is dif%cult to induce pulmonary infarction in animals by ligation of the arterial supply to the lung. Many factors seem to be important in its pathogenesis, in addition to congestive heart failure, malignant tumor, thrombophlebitis, chronic obstructive lung disease, nephrotic syndrome, and postopeiative state. However, pulmonary infarction have not been reported in association with chest trauma. We report a case of pulmonary infarction associated with fractures of right clavicle and multiple ribs. A 45-year-old male had admitted due to right chest pain and dyspnea, which developed after right chest trauma occurred at about 3 weeks ago. He was treated at local clinics under the diagnosis of fractures of right clavicle and ribs until the admission. Chest CT disclosed a huge mass with central low density in right upper lobe, and small masses were also seen on both l ng fields. Open lung biopsy resulted in negativity for the malignancy. Clinical symptoms and radiological findings were not improved by conservative treatment. Right upper lobectomy was done eventually. The final diagnosis was pulmonary infarction. And, the patient has been well after operation.

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Reconstruction of Greater Trochanteric defect using Lumbar Artery Perforator Free Flap - A Case Report - (요추부 천공지 유리피판을 이용한 대전자부 결손의 재건 - 증례보고 -)

  • Heo, Chan-Yeong;Baek, Rong-Min;Minn, Kyung-Won;Eun, Seok-Chan
    • Archives of Reconstructive Microsurgery
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    • v.16 no.1
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    • pp.48-51
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    • 2007
  • There could be several methods for trochanteric reconstruction including local flap, pedicled perforator flaps, free flap, etc. We performed greater trochanteric reconstruction with lumbar artery perforator free flap in some aberrant method. So we report this experience with review of literatures. A 42-year-old man visited our hospital with a large soft tissue defect in his left greater trochanteric area by traffic accident. The patient had wide skin and soft tissue defect combined with open femur fracture. During one month period of admission, he underwent femur open reduction and wound debridement four times. After that we planned thoracodorsal perforator free flap reconstruction. The flap was outlined as large as $20{\times}15\;cm$ and elevated in a suprafascial plane from the lateral border. During intramuscular perforator dissection, we found that two 1.5 mm diametered perforator vessels coursed inferomedially toward second lumbar region. Finally the flap became lumbar artery perforator flap based on second lumbar artery perforator as a main pedicle. After flap transfer, the perforator vessels were connected with inferior gluteal artery and vein microsurgically. The operation was successful without uneventful course. We found no significant postoperative complication and donor site morbidity during six months follow up periods. Lumbar artery perforator flap could be an alternative procedure for thoracodorsal perforator flap in some patients with anatomic variant features.

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Design Characteristics and Development Process of Aloha Shirt (알로하 셔츠의 발전 과정과 디자인 특성)

  • Lee, Kyung-Hee
    • Journal of the Korea Fashion and Costume Design Association
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    • v.9 no.2
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    • pp.59-68
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    • 2007
  • "Aloha" is the Hawaiian word that extends the warmth friendliness, and pride of the Hawaiian people to their island's visitors. The aloha shirt truly symbolizes aloha sprit to islanders and visitors alike. The earliest foreign settlers in the Hawaiian Islands were the Chinese and Japanese. They brought with them their myriad talents and trades, among them the art of tailoring. In July of 1936, a shirtmaker named Ellery J.Chun coined the term "Aloha Shirt" an apt characterization for such an eloquent garment. He was the first to make the shirt on a commercial basis. The shirt sold for as little as a dollar in Chun's own King-Smith store. The genuine aloha shirt is now regaled as a work of art and avidly sought out by collectors. When tourism came to Hawaii in the late 1930s, these unusal shirts were among the first thing that visitors had to have. Local designers and tailors worked quickly to meet the demand and began to expand the range of decoration to include palm trees and romantic beaches, tropical jungles and volcanoes, exotic flowers and scenes from polynesian legend. Therefore the aloha shirt had been born. The functional use of creative colors and amazing artistic renderings in these shirts certainly capture the simplicity and sprit of Hawaii. Aloha shirt is dress that display mystery and charm of Hawaii and cultural symbol of condensed Hawaiian mind. Furthermore, the innocence with which Hawaiians formerly translated their life and heritage onto fabric ranks these shirts with the finest of American folk art. Aloha shirt is made from cotton, silk, rayon in present and past. Most important design element of Aloha shirt is print pattern. Main print pattern of Aloha shirt are all over pattern, horizontal pattern, border pattern, Japanese pattern, picture pattern and back panel pattern. In this study I investigate the design characteristics and development process of aloha shirt.

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A Study on the Characteristic of Conversion Design Methods by Carlo Scarpa's Museum Architecture (까를로 스까르파 미술관 건축에 있어서의 컨버전디자인 수법과 특성에 관한 연구)

  • Kim, So-Zin;Park, Chan-Il
    • Korean Institute of Interior Design Journal
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    • v.17 no.1
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    • pp.39-49
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    • 2008
  • Museum Architecture, passing through modem times, have been requested to make changes in order to respond to the necessities of current times as well, so that they come to develop various kinds of programs other than a mere exhibition. That is, museum began recognizing the diversity of activities available in the spaces and the openness to the public. And tried to keep up with the changes by linking the museum buildings with local community in urban architecture as a result. Conversion design is methodology aims at reforming old buildings into a museum or revitalizing buildings of historical significance into exhibition center, so that it made possible to utilize the texts of historical, cultural cities, which in turn contribute to the diversity of urban architecture and protection of buildings in environmental crisis. In the sense, the paper analyzes the life-long contribution and dedication of Carlo Scarpa, an Italian architect, in the conversion of museum architecture, and studies the style, techniques, and features witnessed from his architectural works, and finally offers an insight and a directing post to take advantage of diverse ways likely applicable in our urban architectures. Scarpa's features in his museum architecture are classified as follows: First, contrasting expression of reiteration and side by side to express the continuity of time Second, he conveyed implicated meanings through inserting contracted factors of the locality and traditionality. Third, his interest in formative works and handicraft had an influence on shaping conversion space Finally, expression of accidentally to change of a point of view.