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A Case of Interarytenoid Scar Disguising Bilateral Vocal Cord Palsy (양측성 성대 마비로 오인된 피열간 반흔 1예)

  • Shin, Dong-Hyuk;Kim, Yong Won;Lee, Yongsik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.1
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    • pp.36-38
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    • 2014
  • The patient suffered cardiac arrest 8 months before presentation. She has been suffering hoarseness and exertional dyspnea and nocturnal stridor. Upon flexible laryngoscopy, her vocal cords showed no motion and fixed in paramedian position. There was no causal finding on neck CT. EMG showed some muscular activity. Under the suspicion of crico arytenoid fixation, we performed suspension laryngoscopy, and found the arytenoid cartilage was fixed with short and stout scar, which was removed with scissors. Just after surgery she regained her voice and respiration.

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Processes in Peer conflicts of Two-Year-Olds: Disputes over Objects (대물 다툼 상황에서 2세아의 또래 갈등 과정 분석)

  • Lee, Kang Yi;Yi, Soon Hyung
    • Korean Journal of Child Studies
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    • v.20 no.1
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    • pp.79-97
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    • 1999
  • This study investigated interactions of two-year-old toddlers in peer conflicts caused by disputes over objects. Thirty pairs of same-gender peers were recruited from 10 child care centers. The age of these toddlers ranged from 24 to 36 months. The data were collected by experimental observation. The interaction processes between the pairs of subjects were recorded by video camera. 24 pairs displayed peer conflict over objects. The data were analyzed qualitatively and quantitatively employing content analysis and the SPSSW in 6.0. Major findings showed that when the toddler was in conflict with a peer for toys, (1) he or she interacted actively with the other child, employing both non-verbal and verbal strategies to resolve the conflict; (2) behaviors and statements reflected an egocentric tendency; (3) they recognized ownership of toys; and (4) he or she employed some prosocial strategies which could provide a basis for developing social skills in a conflict situations with peers.

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A Case of Amitraz Insecticide Intoxication after Ingestion of Large Amount (많은 양을 음독한 급성 amitraz 살충제 중독 1례)

  • Suh, Joo-Hyun;Roh, Hyung-Keun
    • Journal of The Korean Society of Clinical Toxicology
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    • v.6 no.1
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    • pp.52-56
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    • 2008
  • Amitraz is used as farm-animal insecticide. Its side effects in humans are related to its pharmacological activity on alpha 2-adrenergic receptors. The case describes a previously healthy 46-year-old woman who intentionally ingested approximately 250mL of liquid amitraz. She presented with vomiting, altered mental status, miosis, dry mouth, hypopnea, metabolic and respiratory acidosis, hypotension, hypothermia, polyuria, metabolic acidosis, elevated serum aminotransferase and abdominal distension. Supportive treatments including mechanical ventilation, hydration, dopamine infusion, bicarbonate infusion and gastric decompression resulted in improvement. By hospital day 3, she recovered with resolution of abdominal distension. It is paramount to recognize amitraz poisoning when a pesticide-intoxicated patient presets with signs and symptoms consistent with organophosphate intoxicated patients but with greater alpha 2-adrenergic related symptoms such as decreased bowel motility and xerostomia.

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A Case of Myasthenia Gravis Combined with Mediastinal Leiomyosarcoma and Stevens-Johnson Syndrome (종격 평활근육종 및 Stevens-Johnson증후군과 동반된 중증 근무력증 1예)

  • Lee, Dong-Kuck;Kweon, Young-Mi
    • Annals of Clinical Neurophysiology
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    • v.6 no.1
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    • pp.43-47
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    • 2004
  • We report a case of 36-year-old woman with myasthenia gravis (MG) combined with mediastinal leiomyosarcoma (LMS) and Stevens-Johnson syndrome (SJS). She was admitted to ICU with the symptoms of acute onset headache, diplopia, ptosis, dysphagia, general weakness, and respiratory difficulty for several days. Physical examination revealed tachypnea, decreased breath sounds and dullness to percussion in right lower chest. Neurologic examination showed ptosis, diplopia, decreased gag reflexes, and generalized proximal weakness. Laboratory studies revealed increased serum acetylcholine receptor antibodies and positive Tensilon test. Chest CT showed a huge mass in the right middle mediastium but no evidence of thymic enlargement. Mediastinal LMS was diagnosed by ultrasound-guided needle biopsy. The myasthenic symptoms were fluctuated in spite og intravenous immunoglobulin, plasmapheresis, and corticosteroid. During therapy, SJS developed. She died 4 months after the onset of the myasthenic symptoms despite the chemotherapy for LMS.

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Bickerstaff's Brainstem Encephalitis with Guillain-Barr$\acute{e}$ Syndrome Presenting Severe Paralytic Ileus (길랑-바레증후군이 동반된 Bickerstaff 뇌줄기뇌염에서 나타난 심한 마비성 장 폐색)

  • Park, Min-Su
    • Annals of Clinical Neurophysiology
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    • v.11 no.1
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    • pp.33-36
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    • 2009
  • Bickerstaff's brainstem encephalitis (BBE) is an autoimmune central nervous system disorder. It can occur in more limited forms and may overlap with Guillain-Barr$\acute{e}$ syndrome (GBS). A 49-year-old female presented with rapidly progressive paralytic ileus, urinary retention, deep drowsiness, ophthalmoplegia, dysarthria, ataxia, quadriparesis and hyporeflexia after viral meningitis. She was diagnosed as BBE with GBS and treated with immunoglobulin. She was completely recovered after 1 month. It is a rare case of BBE overlapping with GBS presenting with severe paralytic ileus.

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A Study on the Style of Dancer Choi Seung-hee (무용가 최승희의 스타일 연구)

  • Park, Ae-Lan;Park, Hye-Won
    • Journal of Fashion Business
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    • v.15 no.1
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    • pp.20-33
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    • 2011
  • The purpose of this study is to inquire into social and cultural background of modernization and the new woman's life centered around a new woman and a dancer, Choi Seung-hee and its style. The study was carried out centered around analysis of content through photos of 179 pieces and a documentary DVD. We analyzed collected photo data and came to know various bobbed hair style, clear makeup style and Art-Deco fashion. Accordingly, Choi Seung-hee has external appearance as a new woman and we came to know she is a representative woman in Korea. Because she crossed over into North Korea, the study has not been actively carried out but if we consider Choi Seung-hee's influence over the dance world, her women's leader and fashion roles at that age, it is considered that the study on Choi Seung-hee's external style has a significant meaning.

Unroofed Coronary Sinus Syndrome with Valvular Disease - Report of A Case - (판막질환을 동반한 관상정맥동 천정결손 증후군 - 수술 치험 1례 -)

  • 박성달
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.162-168
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    • 1990
  • Unroofed coronary sinus syndrome is an uncommon anomaly which is caused by incomplete formation of the left atriovenous fold and it is usually associated with persistent left superior vena cava. It may be diagnosed by cardiac catheterization and cineangiography but, if it is not diagnosed, it can bring out significant complications due to right to left shunt, such as brain abscess, cerebral embolism, transient ischemic attack, arterial desaturation and there will reduced patient`s life expectancy. Therefore corrective operation was needed. A case of unroofed coronary sinus syndrome which combines with valvular heart disease was experienced at the department of thoracic & cardiovascular surgery of Kosin medical college. The patient was 49 years old female and she complained dyspnea on exertion for 2 yrs. Cardiac catheterization with cineangiography and both superior venacavogram were performed for diagnosis and she was diagnosed as unroofed coronary sinus syndrome combined with mitral and tricuspid regurgitation. Surgical correction was accomplished by reroofing of coronary sinus with pericardial patch, closure of atrial septal defect and annuloplasty of both atrioventricular valves. Postoperative results were satisfactory and course of recovery was uneventful. We report a case of unroofed coronary sinus syndrome with review.

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One Sage Operation for Bilateral Carotid Arterial Obstruction and Right Coronary Artery Ostial Stenosis in Takayasu's Arteritis -Report of One Case- (Takayasu씨 대동맥염에 의한 양경동맥협착과 우관상동맥개구협착의 동시수술치험 -1례 보고-)

  • 정일영
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.320-323
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    • 1995
  • We report a case of recurred Takayasu,s arteritis.The patient was 28-year-old female underwent aorto-left common carotid and aorto-left subclavian bypass graft replacement 1 year ago.Unfortunately, she was readmitted because of newly developing angina and both eye claudication severe headache. Aorto-coronary angiogram showed complete obstruction of left common carotid artery ,stenosis of right carotid artery bifurcation and ostial stenosis of right coronary artery.Bilateral carotid arteries bypass graft with great saphenous vein and right coronary artery bypass graft with right internal mammary artery were done at same the time and she discharged after 21 days without any problem.

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A Case of Acute Poisoning with Dry Ice (드라이아이스에 의한 급성 중독 1례)

  • Hwang, Soon-Young;Jung, Jin-Hee;Eo, Eun-Kyung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.5 no.1
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    • pp.43-45
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    • 2007
  • Carbon dioxide is the fourth most abundant gas in the earth's atmosphere, and it is widely used in the chemical industry. Solid carbon dioxide is commonly known as dry ice. At low concentration, carbon dioxide appears to have little toxicological effect. At higher concentrations, however, it can produce an increased respiratory rate, tachycardia, cardiac arrhythmia, loss of consciousness, convulsion, and even death. Management of carbon dioxide poisoning requires the immediate removal of an individual from the toxic environment and administration of oxygen. It is important to know the concentration of carbon dioxide to which a patient has been exposed. We report a case of acute poisoning from solid carbon dioxide in a patient presenting with drowsiness and diminished mental capacity when she arrived in the emergency department. She recovered completely after administration of oxygen with conservative treatment.

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Accidental Subdural Catheterization for Epidural Neurolysis with Phenol -A case report- (경막외 페놀 신경 차단시 우연히 발생한 경막하 카테터 거치예)

  • Lim, Kyung-Im;Kim, Seok-Hong
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.155-159
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    • 1998
  • Epidural neurolysis with phenol has appeared in literature since 1960. Complications due to accidental subdural block is a rare and unexpected sensory and/or motor disturbance, but it does occur. A 74 years old woman had postherpectic neuralgia for 3 weeks and VAS score of 10. She was treated with intercostal nerve block and intravenous infusion of lidocaine for 7 days and VAS score decreased to 6. To proceed further, we decided to perform epidural neurolysis with 4% phenol 1.5 ml. During thoracic epidural catherization, we encountered unexpected subdural catheterization in subdurographic finding, but we could not precisely rule out subdural catheterization. We had to check CT for exact location of catheter tip. We then performed subdural neurolysis with phenol. This procedure reduced VAS score to between 3 and 4, and we removed the catheter. She had no complication.

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