• Title/Summary/Keyword: a posterior world

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Dandy-Walker Syndrome with Submucous Cleft Palate: A Case Report (댄디워커증후군에 동반된 점막 밑 입천장갈림증 치험례)

  • Kwang, Bum Sik;Na, Young Cheon
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.54-56
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    • 2012
  • Purpose: Dandy-Walker syndrome is a rare congenital brain malformation that occurs one in every 25,000-35,000 live births, mostly in females. It is characterized by cystic enlargement of the fourth ventricle, agenesis or hypogenesis of the cerebellar vermis and enlargement of the posterior fossa. In this report, the authors aimed to address a rare case of a 14-months-old female Dandy-Walker syndrome patient that is presented with submucous cleft palate. Methods: A 14-months-old female patient admitted to our outpatient clinic, via the department of pediatrics, with the complaints of nasal regurgitation, choking and breathing difficulties. She was diagnosed as Dandy-Walker syndrome by magnetic resonance imaging evaluation, at another hospital and underwent a shunt operation for the hydrocephalus continuing treatments. On physical examination, she had structural abnormality of bifid uvula, and palpable notch in the posterior surface of the hard palate. Her submucous cleft palate was corrected, which used a double opposing Z-plasty under general anesthesia. Results: In a follow-up period of 2 months, no complications, such as wound dehiscence, necrosis and infection occurred, which shows satisfactory results. She consulted with pediatric neurologists and physical therapists for further evaluation and management of the abnormalities in the central nervous system. Conclusion: Dandy-Walker syndrome patient with a cleft palate is a very rare case to find, which only a few cases are reported around the world. Authors would like to share this case of Dandy-Walker syndrome patient, with submucous cleft palate, who underwent a double opposing Z-plasty that shows satisfactory results.

Two Species of the Genus Discorsopagurus (Malacostraca: Decapoda: Paguridae) New to Korea

  • Jung, Jibom;Kim, Won
    • Animal Systematics, Evolution and Diversity
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    • v.32 no.2
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    • pp.141-147
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    • 2016
  • The genus Discorsopagurus and two species belonging to this genus, Discorsopagurus maclaughlinae and Discorsopagurus tubicola, are herein first reported in Korean waters. Species belonging to Discorsopagurus are easily distinguished from other hermit crabs of the family Paguridae by their telsons that lack indentations and other characteristics such as straight abdomens, fused third and fourth abdominal tergites, and symmetrical uropods. Discorsopagurus maclaughlinae and D. tubicola were found to live in a tube made by a polychaete tubeworm. The two species differ in the shape of the posterior margin of the telson, the length of the pereopod, and the presence of setae on the antennal flagellum. Discorsopagurus tubicola is reported for the second time in the world. In this paper, there will be provided plates and descriptions of the two species.

A Comparative Study on a New Religion, the Idea of the Gaebyok (신종교의 개벽사상 비교)

  • Shin, Jin-sik
    • The Journal of Korean Philosophical History
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    • no.56
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    • pp.81-117
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    • 2018
  • The purpose of this study is to clarify the overall features and its meaning of the Gaebyok(開闢) through the intercomparison of the Gaebyok idea that is the core idea of a newly risen modern religion in Korea. Limitation of most studies so far is that they have stayed in the fragmentary study on the Gaebyok idea of each new religion. In order to overcome this problem, first of all, the Gaebyok idea was studied from a philosophical point encompassing the cosmological view of time in the book of changes. And based on this methodological foundation, with organizing the existing result of study, the process of development and characteristics in the Gaebyok idea of a posteriori Donghak(東學), Right I Ching (正易), Won Buddhism(圓佛敎), and Kangjeungsan(姜甑山) was investigated respectively. And through comparing and analyzing each Gaebyok idea, the similarities and differences between each other were organized. The founders of new religions thought that a great change in the universal and natural luck was made before and after the point of their living. The concept of the frequency of revolution theory is the concept to explain the aspect of transition according to the frequency of revolution(運度) of the cosmological nature that returns to the beginning, and in the idea of the posterior Gaebyok, this content and concepts is contained as it was. This study showed that the concept of the frequency of revolution theory in an apriority and a posterior like those becomes appeared in some preaches of Suun, Ilbu, Sotaesan and Jeungsan. An apriority in the Gaebyok idea of new religion is the world of crisis that represents the limited condition of human being, and a posterity means the religious ideal world realized through the power of the absolute being or a dramatic universal change from that limited circumstances. So the Gaebyok ida is a kind of an universal eschatology and religious view that expects the coming of ideal world in the future. In addition, since the universal eschatology is a kind of a view of time, it inevitably has an issue how long time apriority and a posterity included in it have. And especially, it becomes to premise the content how the social condition and human condition change in an apriority and a posterity. Accordingly, in this study, based on the understanding of the view of time in the cosmological level, the content of answers that each newly risen religion discloses was listed and analyzed with comparison. It can be considered that Suun took charge of a mission to deliver the message through being possessed of a god in heaven who is able to be called a transcendental existence, Ilbu disclosed the coming of the world of a posterity beyond an apriority through the Book of Changes(易學), Jeungsan proclaimed himself as the absolute being who could make such a posterity and bring it, and Sotaesan proposed the Gaebyok of mind in order to meet with the world of a posterity and to live in that era.

A Dumbbell-Shaped Meningioma Mimicking a Schwannoma in the Thoracic Spine

  • Kim, Myeong-Soo;Eun, Jong-Pil;Park, Jeong-Soo
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.264-267
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    • 2011
  • A 50-year-old man presented bilateral hypesthesia on and below the T6 dermatome and paresthesia. Magnetic resonance imaging (MRI) showed an intraspinal extradural tumor, which located from the 6th thoracic vertebral body to the upper margin of the 7th vertebral body, continuing dumbbell-like through the intervertebral foramen into the right middle thorax suggesting a neurogenic tumor (neurofibroma or neurilemmoma). With the patient in a prone position, we exposed and excised the tumor via a one stage posterior approach through a hemi-laminictomy of T6. Histologic examination showed a grade 1 meningothelial meningioma, according to the World Health Organization classification. Initially, we assumed the mass was a schwannoma because of its location and dumbbell shape. However, the tumor was actually a meningioma. Postoperatively, hypesthesia resolved completely and motor power of the leg gradually full recovered. A postoperative MRI revealed no evidence of residual tumor.

A case of Moniliformis moniliformis (Acanthocephala) infection in Iran

  • Berenji, Fariba;Fata, Abdolmajid;Hosseininejad, Zahra
    • Parasites, Hosts and Diseases
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    • v.45 no.2 s.142
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    • pp.145-148
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    • 2007
  • Only a few cases of Acanthocephala infections have been reported in humans, and Moniliformis moniliformis is the most common species around the world. We report here a case of infection with M. moniliformis, which passed in the stool of a 2-year-old girl in Iran. The patient had abdominal pain, diarrhea, vomiting, and facial edema. According to her mother, the patient had habit of eating dirt and once a cockroach was discovered in her mouth. In stool examination, eggs of M. moniliformis were not found. She was treated with levamisole and the clinical symptoms reduced within 2 weeks. The specimen contained 2 pieces of a female worm with a total length of 148 mm lacking the posterior end. The spiral musculature of the proboscis receptacle and the shape of the trunk allowed its generic determination. Previously 2 cases of M. moniliformis infection were reported in Iran. This is the 3rd case of M. moniliformis infection in Iran.

Collapsed L4 Vertebral Body Caused by Brucellosis

  • Ekici, Mehmet Ali;Ozbek, Zuhtu;Kazanci, Burak;Guclu, Bulent
    • Journal of Korean Neurosurgical Society
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    • v.55 no.1
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    • pp.48-50
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    • 2014
  • Brucellosis is caused by gram-negative, aerobic, non-motile, facultative, intracellular coccobacilli belonging to the genus Brucella. A 50-year-old man working as an employee was admitted to neurosurgery clinic with severe low back, radicular right leg pain and hypoesthesia in right L4-5 dermatomes for 2 months. Brucella tube agglutination (Wright) test was positive in serum sample of the patient with a titer of 1/640. Brucella melitensis was isolated from blood culture. X-ray and MRI of the lomber spine showed massive collapse of L4 vertebral body. Neural tissue was decompressed and then posterior L3-5 short segment transpedicular screw fixation and stabilization was performed. Brucella melitensis was isolated from microbiologic culture of pathologic specimen. Antibiotic therapy was given as doxycycline 200 mg/day and rifampicin 600 mg/day for 6 months. Brucellosis is a systemic zoonotic infection and still an important public health problem in many geographical parts of the world. Vertebral body collapse caused by brucellosis occurs very rarely but represents a neurosurgical emergency because of its potential for causing rapidly progressive spinal cord compression and permanent paralysis. Neurosurgeons, emergency department personnel as well as infectious disease specialists should always keep a high index of suspicion and include brucellosis in the differential diagnosis of vertebral body collapse.

First Record of Gymnogobius cylindricus (Perciformes: Gobiidae) from Incheon River Estuary, Jeonbuk-do, Korea (전북 인천강 하구역에서 출현한 망둑어과(농어목) 한국미기록종, Gymnogobius cylindricus)

  • Kim, Byung-Jik;Song, Ho-Bok;An, Jung-Hyun;Choi, Seung-Ho
    • Korean Journal of Ichthyology
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    • v.25 no.3
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    • pp.173-177
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    • 2013
  • Based on a single specimen (49.9 mm SL) collected from Incheon River estuary, south-western Korea, Gymnogobius cylindricus was described as the first record from Korea as well as the westernmost record of the world. The species is characterized by having a large maxilla extend far beyond posterior margin of eye, dorsal fin with VI-I, 12 rays, anal fin with I, 11 rays, and without dark blotches and dots on lower part of body and caudal fin, respectively. A new Korean name, "Ga-neunsal-mang-dug" is proposed for the species.

Three Adverse Events Reports of Simple Exanthematous Eruption after Sumsu (Bufonis Venenum) Pharmacopuncture Topical Treatment (섬수약침 국소시술 이후 발생한 단순 피부 발진: 3 이상사례 보고)

  • Yoon, Sang-Hoon;Jo, Hee-Geun;Song, Min-Yeong;Seo, Hyung-Sik
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.3
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    • pp.119-124
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    • 2018
  • Three cases of simple exanthematous eruption were suspected during Sumsu (Bufonis Venenum) pharmacopuncture (SP) topical anesthesia for acupotomy. Patients had skin rash with pruritus on both ankle, posterior neck, and left shoulder after 11, 12, and 7 times of SP treatment, respectively. There were no cases of systemic manifestations or changes in vital signs. As a result of using the World Health Organization-Uppsala Monitoring Centre (WHO-UMC) causality assessment, all the cases were evaluated as 'unlikely'. However, the results of using the Korean algorithm for assessing the causality of drug adverse reactions version 2.0 were evaluated as 'possible'. This report is the first case report on adverse events suspected of occurring after SP treatment. Although the causal relationship between suspected intervention and the adverse event is not clear, there was a difficulty in completely excluding the possibility. Additional safety studies will be required to make SP more widely available.

Three Cases of Intracranial Clear Cell Meningioma

  • Kim, Yeon-Seong;Kim, In-Young;Jung, Shin;Lee, Min-Cheol
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.54-60
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    • 2005
  • The clear cell meningioma[CCM] is a rare and recently described as a histologic variant of meningioma. It has been identified and included in new World Health Organization[WHO] classification of the Central Nervous System[CNS] tumors recently. The CCMs are histologically characterized by sheets of spindled to polygonal cells with clear cytoplasm, which is the expression of high glycogen concentration. The CCMs occur in younger patients and usually are located in the spinal canal and posterior fossa. The most interesting aspect of CCM is the high recurrence rate and aggressiveness. Poor outcome has been shown in intracranial and spinal tumor location, but the indicators that predict outcome have not been established. Until now 22 intracranial CCM cases had been reported in English literature and 3 cases in Korean. The authors report two cases of CCM located at cerebral convexity and one at cavernous sinus those were totally removed [Simpson Grade $I{\sim}II$] by subfrontal, frontal and orbitocranial approaches. The clinical, radiological, histopathological, and neurosurgical features of these cases are discussed with the relevant literatures.

The Primary Mediastinal Liposarcoma with Effusion (악성 흉막액을 동반한 원발성 종격동 지방육종 1예)

  • Won, Gu-Tae;Park, Jin-Hyun;Hong, Uk-Kyun;Lee, Jae-Kab;Yong, Suk-Joong;Shin, Kye-Chul;Jin, So-Young;Jung, Soon-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.1
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    • pp.65-69
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    • 1991
  • Primary liposarcoma of the mediastinum is a very rare and relatively slow growing tumor. Since the original description by Pallase and Roubier in 1916, there have been about 55 reported cases in world literature until 1985. Recently, we experienced one case of a primary mediastinal liposarcoma with malignant effusion. A 51-year-old man complained of dyspnea and chest discomfort. The chest plain films and computerized tomogram showed a huge mass of the posterior mediastinal space. The needle aspiration biopsy was done in the huge mass and the histologic examination revealed mediastinal round-cell type liposarcoma. Patient refused surgery or chemotherapy after establishing the diagnosis. About 6 months later, the metastatic pleural effusion was noted. After discharge, he was lost to follow up since then. The clinical and therapeutic features of the previously reported cases of primary liposarcoma arising in the mediastinum have been reviewed. Surgery may served to establish a tissue diagnosis, to relieved the patient's symptoms and result occasionally in a cure but radiotherapy or chemotherapy is ineffctive.

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