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A Fatal Intracerebral Hemorrhage Complicated by Compartment Syndrome of the Upper Arm (상지 구획 증후군 이후 발생한 치명적인 뇌출혈)

  • Han, In-Bo;Chung, Young-Sun;Shin, Dong Eun;Huh, Ryoong;Chung, Sang-Sup;Ahn, Jung-Yong
    • Journal of Trauma and Injury
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    • v.19 no.2
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    • pp.178-182
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    • 2006
  • Compartment syndrome has a wide spectrum from muscle pain to a life- threatening condition, such as acute renal failure and disseminated intravascular coagulation (DIC). Intracerebral hemorrhage (ICH) due to compartment syndrome has not been reported. We report a patient who presented with ICH leading to death. A 25-year-old female with no significant past history developed extensive compartment syndrome followed by rhabdomyolysis, acute renal failure, DIC, and ICH. Although the patient underwent a fasciotomy and hemodialysis and received aggressive resuscitation with massive transfusions of blood and intravenous fluids, she died. This case stresses the importance of early diagnosis and prompt treatment of compartment syndrome to prevent devastating complications.

A Case of Nocardia farcinica Pneumonia and Mediastinitis in an Immunocompetent Patient

  • Kim, Jinyoung;Kang, Minkyu;Kim, Juri;Jung, Sohee;Park, Junhung;Lee, Dongkyu;Yoon, Heejung
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.2
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    • pp.101-103
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    • 2016
  • Nocardia species are aerobic, gram-positive pathogens found worldwide in soil. Nocardia is considered an opportunistic pathogen, and its infection mostly occurs in immunocompromised patients. We report a case of Nocardia farcinica induced mediastinitis and pneumonia that occurred in a 64-year-old male patient who had no significant medical history except for hypertension. He visited another hospital with a complaint of dyspnea and left chest wall pain. The symptoms arose 7 days ago without any trauma and they worsened. A mediastinal mass was found on computed tomography scan. After being transferred to our hospital for further evaluation, he was diagnosed with mediastinitis and pneumonia. As N. farcinica was found to be the causative organism by 16S rRNA sequencing, proper antibiotic therapy including trimethoprim/sulfamethoxazole was initiated immediately. After this, the patient improved and he was discharged. If an infection has a disseminating course, nocardiosis cannot be excluded even in immunocompetent patients. Once the diagnosis is established, prompt antibiotic therapy should be performed based on the severity.

Angioedema of the Left Maxillary Area

  • Kang, Joo-Wan;Lee, Jong-Ho;Lee, Jung-Heon;Song, Chi-Woong;Park, Je Uk;Kim, Chang-Hyeon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.427-431
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    • 2013
  • Angioedema is defined as self-limited, localized swelling. The swelling is asymmetric, non-pitting, and non-tender. Common locations of swelling include periorbital area, lips, tongue, extremities, and bowel wall. A 54-year-old woman visited our hospital with the clinical complaint of left maxillary swelling. Swelling of the left maxillary area was diffuse and temperature of the involved area was normal. No infectious source was found on panoramic radiography and cone-beam computed tomography. After considering the patient's medical history and assessing clinical examination, we suspected angioedema and administered corticosteroid only. In the oral and maxillofacial area, proper diagnosis and prompt treatment of angioedema is important because angioedema of the tongue or larynx may lead to airway obstruction or a life-threatening condition.

Comparison of Customer Satisfaction by Type of Foodservices in a Contract Foodservice Company (위탁급식업체의 급식유형별 고객만족도 비교)

  • An, Jeong-Ha;Moon, Hye-Kyung
    • Journal of the Korean Dietetic Association
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    • v.14 no.2
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    • pp.114-126
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    • 2008
  • The purpose of this study was to gauge customers' satisfaction with the hospital, university, factory, and office foodservices from a contracted provider. Importance-performance analysis (IPA) evaluations were conducted. Questionnaires were returned from 1,808 customers in 46 foodservice locations. The average total scores of the importance and performance of seventeen quality characteristics were 4.14 and 3.23, respectively, on 5-point scales. The average total score of gap (gap = performance - importance) was -0.92. Analysis of significant difference according to the type of foodservices revealed that, hospital foodservices had more items with significant high scores than those of other groups in the average total scores concerning importance (p<0.01) and performance (p<0.01). The average total scores of gap showed no significant difference. Significant differences were evident in the food and personal service dimensions, and the scores of hospital foodservices trended significantly higher than those of other groups. Importance-performance analysis (IPA) analyses for hospital foodservice implicate 'variety of menu', 'cleanness of dishes', and 'taste of food' as items requiring prompt attention and improvement.

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Simultaneous Occurrence of Melanotic Macule and Melanoma in the Oral Cavity: A Case Report

  • Kim, Su-Hyun;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.45 no.3
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    • pp.71-78
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    • 2020
  • While oral melanotic macule is regarded as the most frequent oral pigmented lesion without any harmful symptom, oral melanoma is a very rare and life-threatening disease among oral pigmented lesions. Oral melanotic macule has previously been described as benign, with no malignant potential. However, a few case reports have raised the question of malignant potential of oral melanotic macule. In this case report, we present a case of coexistence of oral melanotic macule and oral melanoma. A 66-year-old man with a chief complaint of black pigmentation on gingiva showed the lesion spread out on the right palatal gingiva, the right maxillary buccal gingiva and the right buccal mucosa, appearing to merge with one another. Biopsies were performed on the right palatal gingiva and the right buccal mucosa. While the lesion on the right palatal gingiva was diagnosed as an oral melanotic macule, the other lesion on the right buccal mucosa was diagnosed as an oral melanoma. The present case implied the possibility of malignant potential of oral melanotic macule. Therefore, oral melanotic macule needs careful periodic observation for early detection and prompt treatment of the transformed oral melanoma.

Weighted Centroid Localization Algorithm Based on Mobile Anchor Node for Wireless Sensor Networks

  • Ma, Jun-Ling;Lee, Jung-Hyun;Rim, Kee-Wook;Han, Seung-Jin
    • Journal of Korea Spatial Information System Society
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    • v.11 no.2
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    • pp.1-6
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    • 2009
  • Localization of nodes is a key technology for application of wireless sensor network. Having a GPS receiver on every sensor node is costly. In the past, several approaches, including range-based and range-free, have been proposed to calculate positions for randomly deployed sensor nodes. Most of them use some special nodes, called anchor nodes, which are assumed to know their own locations. Other sensors compute their locations based on the information provided by these anchor nodes. This paper uses a single mobile anchor node to move in the sensing field and broadcast its current position periodically. We provide a weighted centroid localization algorithm that uses coefficients, which are decided by the influence of mobile anchor node to unknown nodes, to prompt localization accuracy. We also suggest a criterion which is used to select mobile anchor node which involve in computing the position of nodes for improving localization accuracy. Weighted centroid localization algorithm is simple, and no communication is needed while locating. The localization accuracy of weighted centroid localization algorithm is better than maximum likelihood estimation which is used very often. It can be applied to many applications.

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A study on the Early Postoperative Hemodynamic Changes after Correction of Congenital Heart Defects associated with Pulmonary Hypertension (폐동맥고혈압증을 동반한 선천성 심기형 환아들에서 술후 조기 혈류역학적 변화에 대한 연구)

  • Kim, Yong-Jin;Kim, Gi-Bong
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.32-40
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    • 1990
  • Surgical correction of congenital cardiac defects in infants and children with an elevated pulmonary arterial pressure or pulmonary vascular resistance carries a significant early postoperative mortality. And accurate assessments of cardiac output is critically important in these patients. From April 1988 through September 1989, serial measurements of cardiac index, ratio of pulmonary-systemic systolic pressure, ratio of pulmonary-systemic resistance, central venous pressure, left atrial pressure, and urine output during the first 48 hours after the cardiac operation were made in 30 congenital cardiac defects associated with pulmonary hypertension. Cardiac index showed significant increase only after 24 hour postoperatively and this low cardiac performance in the early postoperative period should be considered when postoperative management is being planned in the risky patients. There were no variables which showed any significant correlation with cardiac index. In 12 cases[40%], pulmonary hypertensive crisis developed during the 48 hours postoperatively, and they were treated with full sedation, hyperventilation with 100 % 0y and pulmonary vasodilator infusion. In all patient with preoperative pulmonary hypertension, surgical placement of a pulmonary artery catheter is desirable to allow prompt diagnosis of pulmonary hypertensive crisis and to monitor subsequent therapy.

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Superior Orbital Fissure Syndrome after Repair of Blow Out Fracture (안와골절 정복술 후 발생한 상안와열증후군의 치험례)

  • Lee, Young-Bae;Kim, Peter Chan-Woo;Park, Dae-Hwan
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.879-882
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    • 2011
  • Purpose: Superior orbital fissure syndrome is a rare neurological complex. Superior orbital fissure syndrome may result from a variety of inflammatory, infectious, neoplastic, iatrogenic, traumatic, vascular cause. The author report a patient who suffered from superior orbital fissure syndrome after inferior orbital wall reduction. Methods: A 26-year-old female suffered from inferior orbital wall fracture with inferior gaze limitation and orbital soft tissue herniation. On posttrauma 10 day, inferior orbital wall was reduced using endoscope and porous polyethylene ($Medpor^{(R)}$) was inserted. On immediate postoperation, she reported that extraocular movement was limited in almost any directions. She underwent exploration surgery to release the presence of extraocular muscle impingement. But, there was no observation of extraocular muscle impingement. On postoperative one day, high-dose steroid therapy was started to release superior orbital fissure syndrome which was defined in postoperative computed tomography. Results: After one month of high-dose steroid therapy, extraocular movement limitations improved progressively in all directions. In four months, extraocular movement recovered completely. Conclusion: Superior orbital fissure syndrome may occur after surgical procedure of orbital wall reduction. Prompt diagnosis and treatment with mega-dose corticosteroid is an effective option for avoiding disaster from compressive syndrome.

A Study on the Electronic Trade and eUCP (전자무역과 eUCP에 관한 연구)

  • Park, Sung-Chul
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.19
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    • pp.119-138
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    • 2003
  • ICC(International Chamber of Commerce) developed new rule on the presentation of electronic record in L/C transactions. This rule named as the e-UCP. The gists of this article are on the application of e-UCP in practice and it's some problems. The e-UCP is the supplement of current exisiting UCP but is superior to UCP under some circumstances. The e-UCP is only apply to the presentation of electronic record regardless of type of L/C(for example, traditional paper L/C or electronic L/C). The presentation of electronic record has some problems which has not seen in the presentation of paper document. These peblems are Time, Place of presentation, and format of electronic record and so on. The e-UCP provided on the basis of these problems. However, the e-UCP has some obscure provisions on the examination of electronic record and the corruption of electronic record. Who is responsible for the corruption of electronic record by the virus on the system of bank ? The current e-UCP is not clear on this matter. We have to note followings in case of presenting the documents electronically and applying the e-UCP. First, Beneficiary has additional duty to notice of completion of presentation. Second, It will be increasing the clean NEGO through prompt feedback of the descrepancy at the presenting time. Third, It is no use of L/G(Letter of Guarantee).

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A Study on the Reasons and the Meaning of Object Attachment Occurrence in Infancy and Early Childhood (유아의 대물애착현상의 발생원인 및 의미에 관한 연구)

  • 서영숙
    • Journal of the Korean Home Economics Association
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    • v.18 no.1
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    • pp.83-95
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    • 1980
  • The purpose of this study is to investigate the reasons of Object Attachment Occurrence in infant and the meanings of it in his early development. For this purpose, the following hypotheses were supposed. 1. Infant's object Attachment will be a substitutional for mother attachment when he has opportunities to his mother during his first years. 2. Infant's Object Attachment will not impede the infant's normal development. In order to test this hypotheses 28 mothers whose infants show or have shown this phenomenon and 28 mothers whose infants show or have shown this phenomenon and 28 mothers whose infants do not show this one were interviewed about their child rearing practice and attitude. They were selected by the random sampling method from 310 household wives living at a delux Apt. in Seoul. The results obtained in this study are as follow ; 1. The less opportunities infant has for 1) his mother's breast feeding 2) having physical contact with his mother 3) spending time with his mother 4) receiving prompt response from his mother to his crying, the more he is apt to show this phenomenon. And infant whose first main attachment figure is not his mother also shows the same apt. 2. There was no difference between two groups in intelligence and personality. So it can be concluded that infant's Object Attachment is a substitutional phenomenon for mother attachment in the mother during his first years, and it does not impede infant's normal development.

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