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Successful Treatment of a Case with Rhino-Orbital-Cerebral Mucormycosis by the Combination of Neurosurgical Intervention and the Sequential Use of Amphotericin Band Posaconazole

  • Yoon, Young-Kyung;Kim, Min-Ja;Chung, Yang-Gu;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
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    • v.47 no.1
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    • pp.74-77
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    • 2010
  • Rhino-orbital-cerebral (ROC) mucormycosis is an uncommon, acute and aggressive fungal infection. It remains a challenging problem to clinicians despite aggressive debridement surgery and antifungal therapy. The authors describe a case of ROC mucormycosis with pericranial abscess occurring in a female patient with uncontrolled diabetes mellitus. The infection initially developed in the right-sided nasal sinus and later progressed through the paranasal sinuses with the invasion of the peri-orbital and frontotemporal region, due to the delayed diagnosis and treatment. Numerous non-septate hyphae of the zygomycetes were identified by a punch biopsy from the nasal cavity and by an open biopsy of the involved dura. The patient was treated successfully with extensive debridement of her necrotic skull and surrounding tissues, drainage of her pericranial abscess and antifungal therapy, including intravenous amphotericin B for 61 days and oral posaconazole for the following 26 days. She returned to a normal life and has had no recurrence since the end of her treatment 15 months ago.

Studies of Building layout and ground use in the early days of Japan Women's College: Campus design for private colleges in a modernizing Japan

  • Suzuki, Maho
    • Journal of East-Asian Urban History
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    • v.1
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    • pp.135-154
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    • 2019
  • This paper reveals the influence of urban and social contexts on the early building layout of Japan Women's College (JWC), one of the first women's colleges in Japan. According to the unpublished plans, the main building and other major structures, at the first stage, formed a three-sided quadrangle with site-wide organization, which was similar to contemporary National colleges. This impressive design, however, disappeared in the final plan. Although the school is the largest in student number and in campus ground size compared to other contemporary private colleges at its establishment, the subdivided land acquired in the private land market forced JWC to give up the organic composition of buildings. Under the framework of donation-based finance, it needed to start construction quickly for further support from the public, which prevented the school from acquiring enough time to adjust land ownership. These constitute the major differences with national schools. The founder's emphasis on the physical exercises, which reflected the public interest in physical strength of mothers in the time of wars, gave preference to securing sufficient open space over the order of buildings.

Successful management of absent sternum in an infant using porcine acellular dermal matrix

  • Semlacher, Roy Alfred;Nuri, Muhammand A.K.
    • Archives of Plastic Surgery
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    • v.46 no.5
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    • pp.470-474
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    • 2019
  • Congenital absent sternum is a rare birth defect that requires early intervention for optimal long-term outcomes. Descriptions of the repair of absent sternum are limited to case reports, and no preferred method for management has been described. Herein, we describe the use of porcine acellular dermal matrix to reconstruct the sternum of an infant with sternal infection following attempted repair using synthetic mesh. The patient was a full-term male with trisomy 21, agenesis of corpus callosum, ventricular septal defect, patent ductus arteriosus, right-sided aortic arch, and congenital absence of sternum with no sternal bars. Following removal of the infected synthetic mesh, negative pressure wound therapy with instillation was used to manage the open wound and provide direct antibiotic therapy. When blood C-reactive protein levels declined to ${\leq}2mg/L$, the sternum was reconstructed using porcine acellular dermal matrix. At 21 months postoperative, the patient demonstrated no respiratory issues. Physical examination and computed tomography imaging identified good approximation of the clavicular heads and sternal cleft and forward curvature of the ribs. This case illustrates the benefits of negative pressure wound therapy and acellular dermal matrix for the reconstruction of absent sternum in the context of infected sternal surgical site previously repaired with synthetic mesh.

A Role of Religionists and Religious Newspapers for the Harmonious Society of Korea (종교인과 종교언론의 사회 통합적 역할 -종교신문을 중심으로)

  • Park, Gwang-Su
    • Journal of the Daesoon Academy of Sciences
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    • v.19
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    • pp.193-211
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    • 2005
  • Korean religionist have actively participated in the movements of national security and peace, human rights and dignity, freedom and equal rights, and other social issues. Recently, either progressive or conservative religionists have strongly shown their different approaches in solving social issues, i.e., national security and peace in connection of 'national security law.' A few religious leaders' public views have been misused by some politicians. It is important for both the religionists and journalists in religious newspapers how to bring a harmonious resolution among the people who are either in conservatism or in progressivism. Social participation of religionists is both to respond to the timely situation of civil society and to realize freedom, equality, and peace to the society. Although the principle of the separation of religion and state was established to secure both the right of politics and the freedom of beliefs, political groups have either utilized or suppressed religions. Some politicians have also wrongly applied separation of religion and state by excluding religious aspects in public schools. Religionists and journalists of the religious newspapers should not provide one-sided prejudice but to provide objective information and its righteous analysis to guide people in the right direction to solve social problems. Also, religious newspapers should open a field of discussion how to resolve some issues between the 'national security law' and freedom.

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Effects of Water Restriction on the Growth Performance, Carcass Characteristics and Organ Weights of Naked Neck and Ovambo Chickens of Southern Africa

  • Chikumba, N.;Chimonyo, M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.27 no.7
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    • pp.974-980
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    • 2014
  • In semi-arid areas of Southern Africa, dehydration can compromise the performance and welfare of local chickens, particularly during the growing period when confinement is curtailed and birds are left to scavenge for feed and water. The effect of water restriction on the growth performance was compared in Naked Neck (NNK) and Ovambo (OVB) chickens that are predominant in Southern Africa. A total of 54 eight-wk-old pullets each of NNK and OVB chickens with an initial average weight of $641{\pm}10g/bird$ were randomly assigned to three water intake treatments, each having six birds for 8 wk. The water restriction treatments were ad libitum, 70% of ad libitum and 40% of ad libitum intake. Nine experimental pens with a floor space of $3.3m^2$ per strain were used. The pens were housed in an open-sided house with cement floor deep littered with a 20 cm layer of untreated wood shavings. Feed was provided ad libitum. Average daily water intake (ADWI), BW at 16 weeks of age (FBW), ADG, ADFI, feed conversion ratio (FCR) and water to feed ratios (WFR) were determined. Ovambo chickens had superior (p<0.05) FBW, ADG and ADWI than NNK chickens. Body weight of birds at 16 weeks of age, ADG, ADFI, ADWI, and WFR declined progressively (p<0.05) with increasing severity of water restriction while FCR values increased (p<0.05) as the severity of water restriction increased. Naked Neck chickens had better FCR at the 40% of ad libitum water intake level than Ovambo chickens. The dressing percentage per bird was higher in water restricted birds than those on ad libitum water consumption, irrespective of strain. Heart weight was significantly lower in birds on 40% of ad libitum water intake than those on ad libitum and 70% of ad libitum water intake, respectively. In conclusion, NNK chickens performed better than OVB chickens under conditions of water restriction and would be ideal to raise for meat and egg production in locations where water shortages are a major challenge.

Effect of Supplementing Betaine on Performance, Carcass Traits and Immune Responses in Broiler Chicken Fed Diets Containing Different Concentrations of Methionine

  • Rao, S.V. Rama;Raju, M.V.L.N.;Panda, A.K.;Saharia, Poonam;Sunder, G. Shyam
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.5
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    • pp.662-669
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    • 2011
  • An experiment was conducted with broiler (Cobb 400) male chicks (n = 480) to determine the effect of betaine (Bet) supplementation (0 and 800 mg/kg) to diets containing five concentrations (15, 18, 20, 22 and 24 g/kg crude protein, CP) of methionine (Met) in a $2{\times}5$ factorial study for performance, carcass traits, immune responses, and serum parameters. Each diet was fed ad libitum from 1 to 42 d of age to 8 replicates of 6 chicks. Birds were housed in battery brooders placed in an open-sided poultry shed. Body weight gain, feed intake, feed conversion efficiency and slaughter variables were recorded at 21 and 42 d of age. Serum biochemical profile, antibody production against Newcastle disease (ND) and lymphocyte proliferation ratio (LPR) were analysed at 42 d of age. Supplementing Bet to diets containing sub-optimal concentrations of Met (15 g/kg) improved weight gain and breast yield at 21 d of age (p<0.01), and feed conversion efficiency at 42 d of age (p<0.05). Feed efficiency at 21 d of age, body weight gain at 42 d of age, slaughter variables except breast yield at 21 d of age and ND antibody titres were not affected (p>0.05) by the interaction. LPR increased (p<0.05) with Bet supplementation at 20 g Met/kg CP equal to those broilers fed 24 g Met without Bet. Bet supplementation enhanced the concentrations of protein, globulin and cholesterol in serum of broilers fed sub-optimal concentrations of Met. Results suggested that Bet supplementation (800 mg/kg diet) enhanced growth (21 d), feed conversion efficiency (42 d), breast yield and lymphocyte proliferation in broilers fed a diet containing 15 g Met/kg CP.

A Study on the Social Implication and Reflection on the Disaster in the Film - focusing on 'The Host' (영화 속 재난에 나타난 사회적 함의와 그 성찰 -<괴물>을 중심으로-)

  • Yoo, Mun-Mu
    • Korean Security Journal
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    • no.13
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    • pp.279-303
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    • 2007
  • The Study on the Film, as the one of the main fields in the cultural studies, has the significant meaning in analyzing our society in that culture represents the realities of the present society. Film is the metaphorically expressed text and the specific space where a variety of discourses cross. The director's social consciousness projected in the film must have the ultimate significance through the dialectic relation between the intention of the director and the interpretation of the audience, not through the his one-sided message to the audience. This paper focuses on the analysis of the movie 'The Host', which is evaluated to show the meaningful social phenomena related to 'disaster' among the recent movies in Korea. The Host which is characteristic of 'the open structure' can be referred to as the film reflecting the imperial order prevalent in the colonial society.

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Traumatic Diaphragmatic Hernia (외상성 횡경막 허니아)

  • Jang, Bong-Hyeon;Han, Seung-Se;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.839-846
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    • 1987
  • The records of 10 patients with traumatic diaphragmatic hernia seen from November 1977 through July 1987 were reviewed. All the patients had a transdiaphragmatic evisceration of abdominal contents into the thorax. We treated 7 male and 3 female patients ranging in age from 3 to 62 years. In 8 patients, diaphragmatic hernia followed blunt trauma and in 2 patients, stab wounds to the chest. The herniation occurred on the right side in 3 patients and on the left side in 7. All the patients sustained additional injuries: rib fractures [7 patients], additional limb, pelvic and vertebral fractures [6], closed head injury [2], lung laceration [1], liver laceration [1], renal contusion [1], ureteral rupture [1], and splenic rupture [1]. Organs herniated through the diaphragmatic rent included the omentum [6 patients], stomach [4], liver [4], colon [3], small intestine [1], and spleen [1]. For right-sided injuries, the liver was herniated in all 3 patients and the colon, in 1. in the initial or latent phase, dyspnea, diminished breath sounds, bowel sounds in the chest were noted in 4 patients, and in the obstructive phase, nausea, vomiting, and abdominal pain were found in all 3 patients. Two patients had a diagnostic chest radiograph with findings of bowel gas patterns, and an additional 8 had abnormal but nondiagnostic studies. Hemothorax, pleural effusion or abnormal diaphragmatic contour were common abnormal findings. Three patients were operated on during the initial or acute phase [immediately after injury], 4 patients were operated on during the latent or intermediate phase [3 to 210 days], and 3 patients were operated on during the obstructive phase [10 to 290 days]. Six patients underwent thoracotomy, 2 required thoracoabdominal incision, and 2 had combined thoracotomy and laparotomy. Primary suture was used to repair the diaphragmatic hernia in 9 cases. One patient required plastic repair by a Teflon felt. Empyema was the main complication in 2 patients. In 1 patient, the empyema was treated by closed thoracostomy and in 1, by decortication and open drainage. There were no deaths.

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The Effects of the Hot, Humid Tropical Climate and Early Age Feed Restriction on Stress and Fear Responses, and Performance in Broiler Chickens

  • Al-Aqil, A.;Zulkifli, I.;Sazili, A.Q.;Omar, A.R.;Rajion, M.A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.22 no.11
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    • pp.1581-1586
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    • 2009
  • The present study was conducted to determine the effects of two types of housing systems and early age feed restriction on stress and fear reactions, and performance in broiler chickens raised in a hot, humid tropical climate. On day 1, chicks were housed either in windowless environmentally controlled chambers (temperature was set at 32$^{\circ}C$ on day 1 and gradually reduced to 23$^{\circ}C$ by day 21) or in conventional open-sided houses (OH) with cyclic temperatures (minimum, 24$^{\circ}C$; maximum, 34$^{\circ}C$). An equal number of chicks from each housing system was subjected to either ad libitum feeding (AL) or 60% feed restriction on day 4, 5 and 6 (FR). The CH birds showed greater weight gain, higher feed consumption and better feed conversion ratios (FCR) than their OH counterparts. Feeding regimen had negligible effect on overall performance. Neither housing nor feeding regimen had a significant (p<0.05) effect on mortality rate. Although the CH birds were less stressed, as measured by plasma corticosterone concentration (CORT), than those of OH, the former showed longer TI duration suggesting higher magnitude of underlying fearfulness. A significant (p<0.05) effect of housing on heterophil/lymphocyte ratios was only noted among the AL birds where the CH birds had higher values than OH. Collectively, these results suggest that although OH birds had poorer performance and higher level of stress than CH, the former were less fearful. Although FR had negligible effect on growth performance, the regimen alleviated both stress and fear reactions in broilers.

The Effects of Communication Barriers on The Patient's Satisfaction and Long Term Sustainable Relationship (의사소통 장애요인이 환자만족도와 장기적 관계지향성에 미치는 영향)

  • Han, Da-Som;Lim, Soon-Ryun
    • The Journal of the Korea Contents Association
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    • v.17 no.2
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    • pp.467-475
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    • 2017
  • The purpose of this study is to investigate how the communication barriers which patients have at the dental clinic affect the patient's satisfaction and long term sustainable relationship. The subjects of this study were 214 patients from the dental clinic and the analysis was conducted using PASW Statistics 18.0 and IBM SPSS AMOS 21. As the results of factor analysis, the communication barriers were divided to four factors: one-sided communication, lack of trust and concern, patient and environment. In conclusion, the results of this study showed that the communication barriers which patients have with hygienist affected the patient's satisfaction and long term sustainable relationship. So It is imperative that the hygienist makes a concerted effort to ensure the comfort and trust of their patients. In cases where a patient shows discomfort or dissatisfaction, it is important that the hygienist guarantees open communication to the patient in order to gain their trust. Failing to do so may result in difficulties when trying to build a strong client base.