• Pediatric Infection and Vaccine
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• 제21권3호
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• pp.225-230
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• 2014

최근 가와사키병에서 tumor necrosis factor-alpha(TNF-alpha) blocker인 infliximab 단일 정주 요법이 불응성 가와사키병 환자들에게 유용한 치료제로 여겨지고 있다. 장기적인 TNF-alpha blocker 사용이 기회감염의 위험을 증가시킬 수 있지만, 가와사키병 환자들에게 infliximab 사용이 심각한 부작용을 초래하지 않으며 안전하게 사용된 증례들이 보고된 바 있다. 불응성 가와사키병을 앓고 있는 5개월 된 영아에서 infliximab (5 mg/kg) 단일 정주 요법을 사용하였고 가와사키 증상이 호전되었으나 infliximab 치료 후 Acinetobacter lwoffii에 의한 패혈증이 발생하였다. 그래서 저자들은 불응성 가와사키병을 앓은 영아에서 infliximab 치료 후 발생한 패혈증의 첫 사례를 보고하며 infliximab 치료 선택에 있어 기회 감염의 위험성에 대해 고려할 것을 당부하는 바이다.

• Structural Engineering and Mechanics
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• 제43권4호
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• pp.503-526
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• 2012

Pounding between closely located adjacent buildings is a serious issue of dense cities in the earthquake prone areas. Seismic responses of adjacent buildings subjected to earthquake induced pounding are numerically studied in this paper. The adjacent buildings are modeled as the lumped mass shear buildings subjected to earthquake acceleration and the pounding forces are modeled as the Kelvin contact force model. The Kelvin model is activated when the separation gap is closed and the buildings pound together. Characteristics of the Kelvin model are extensively explored and a new procedure is proposed to determine its stiffness. The developed model is solved numerically and a SDOF pounding case as well as a MDOF pounding case of multistory adjacent buildings are elaborated and discussed. Effects of different separation gaps, building heights and earthquake excitations on the seismic responses of adjacent buildings are obtained. Results show that the seismic responses of adjacent buildings are affected negatively by the pounding. More stories pound together and pounding is more intense if the separation gap is smaller. When the height of buildings differs significantly, the taller building is almost unaffected while the shorter building is affected detrimentally. Finally, the buildings should be analyzed case by case considering the potential earthquake excitation in the area.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권2호
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• pp.256-261
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• 1999

저자들은 선천성거대결장 환아에서 인공항문복원술을 위해 시행한 바륨관장의 부작용으로 발생된 1개월간의 바륨매복을 gastrografin관장으로 성공적으로 제거하였기에 이에 관한 문헌고찰과 더불어 보고하는 바이다.

• 동의생리병리학회지
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• 제22권6호
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• pp.1594-1599
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• 2008

Migraine is a very common unilateral and throbbing headache, and a chronic relapsing and remitting disorder characterised by neurological, gastrointestinal, and autonomic changes. It has a high prevalence, often recurs at the time of being in full activity of life, and has a serious impact on patients personally and socially. So we need to develop a oriental medicine for migraine. I have treated two migraine patients using Zhuapiandutongbang (Zuopiantoutongfang) of Dongyibogam. The impression of first case is migraine with aura, and that of second case is probable migraine. We just give Zhuapiandutongbang (Zuopiantoutongfang)'s medicine to two patients, but don't apply acupucture and anything to treat. We reported that Zhuapiandutongbang (Zuopiantoutongfang) has a good effect on not only the improvement of symptoms but also the prevention of relapse.

• The Korean Journal of Pain
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• 제18권2호
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• pp.275-278
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• 2005

Percutaneous cordotomy is a useful method for cancer pain management. Candidates for cervical cordotomy include those patients with unilateral cancer pain below the shoulder, with a life expectancy of less than 1 year, who can not be adequately treated by other less invasive methods. However, various complications can occur following a cordotomy, with the most serious being respiratory dysfunction. Herein, we report a case of transient respiratory dysfunction following a percutaneous cervical cordotomy.

• 대한기관식도과학회지
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• 제13권1호
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• pp.43-46
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• 2007

Nasopharyngeal stenosis is an obliteration of the normal communication between the nasopharynx and the oropharynx resulting from the fusion of the tonsillar pillars and soft palate to the posterior pharyngeal wall. It is a rare but serious problem. The most common etiology is currently the surgical trauma associated with uvulopalatopharyngoplasty or adenotonsillectomy. It can range in severity from a thin band to a complete obstructing cicatrix, Symptoms vary from mild hyponasal speech to almost complete nasal obstruction with oral breathing, We present a case of a 16 year-old male with nasopharyngeal stenosis after radiofrequency-assisted adenoidectomy in this paper. This patient was managed by synechiolysis, obturator and buccal mucosal graft.

• Journal of Chest Surgery
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• 제25권7호
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• pp.707-710
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• 1992

Percutaneous needle aspiration has been widely used in the diagnosis of pulmonary lesions, because it is a fairly simple procedure with good diagnostic accuracy and low complication rate. Among its complications, the spread of malignant cells along the needle tract is rare but serious one. We report a case of chest wall implantation of lung cancer after the percutaneous fine needle aspiration biopsy. A 57-year-old man had undergone a right upper lobectomy for squamous cell carcinoma [T2N0M0] of the lung, 3 months after the operation, a growing mass, located far from the previous thoracotomy incision, developed on the right anterior chest wall where the diagnostic thin needle biopsy had been performed before the lobectomy. A wide excision of the chest wall mass was performed, and permanent histology showed squamous cell carcinoma as noted before.

• Journal of Trauma and Injury
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• 제34권4호
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• pp.279-283
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• 2021

Traumatic spinal cord infarction is a rare condition that causes serious paralysis. The regulation of spinal cord blood flow in injured spinal cords remains unknown. Spinal cord infarction or ischemia has been reported after cardiovascular interventions, scoliosis correction, or profound hypotension. In this case, a 52-year-old man revisited the emergency center with motor and sensory abnormalities in all four extremities 56 hours after a motor vehicle collision. Despite the clinical presentation and imaging examination, there were no specific findings on the patient's first visit to the trauma center. Cervical spine computed tomography angiography showed a narrow vertebral artery, and diffusion-weighted imaging revealed spinal cord infarction from C3 to C5 with high signal intensity. It should be kept in mind that delayed-onset spinal cord infarction may occur in minor or major trauma patients as a result of head and neck injuries.

• 대한안전경영과학회지
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• 제26권1호
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• pp.75-89
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• 2024

The objective of this study was to conduct research and analysis using Group Focus Interview to survey the between construction site workers and managers implementing for the Severe Accident Punishment Act. Focused on measures to improve safety management effectiveness for the effectiveness of establishing a safety management system. A plan to improve the efficient safety management system was presented to 50 construction industrial managers and workers. In order to ensure the industrial accident prevention policies appropriately, it is necessary to be aware of safety obligations for workers as well as business operators. In addition, despite the existence of a commentary on the Serious Accident Punishment Act, confusion in the field still persists, so in the event of a major accidents, the obligation to take safety and health education is strengthened, and effective case education is proposed by teaching actual accident cases suitable for actual working sites. It is necessary to make all training mandatory, and it is necessary to reconsider awareness through writing a daily safety log, awareness of risk factors, etc., and writing down risk information. Above all, at the construction ordering stage, it is necessary to keep the construction safety, request corrections and supplements for problems issues that arise, and consult between the orderer and the construction company about the problems issues. Rather than having only the construction company correct or supplement the safety management plan, the contents should be shared with supervisors and workers to establish a more practical solution. Results of this study will contribute to improving the effectiveness of the serious accident and construction safety management system.

• 문화기술의 융합
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• 제2권3호
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• pp.23-28
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• 2016

대형 포털사이트들이 매스미디어 매체들의 기능을 대체하기 시작하면서 새로운 위험요소가 제기되기 시작하였다. 시간이 지나도 무한대로 삭제되지 않고 남아있는 인터넷에 기록된 데이터들로 심각한 사생활 침해문제가 발생하게 되었다. 과거에 기록된 개인데이터를 기반으로 민감한 정보를 유추해 내기도 하고, 개인정보 자체가 유출당하기도 한다. 개인의 신상 털기를 통한 마녀사냥은 피해 당사자가 정상적인 생활이 불가능할 정도의 문제점으로 중대한 사회문제로 부각되고 있다. 따라서 본 논문에서는 국내외 사례분석을 통하여 온라인상의 자신과 관련된 정보를 삭제할 수 있는 '잊혀질 권리'의 필요성과 활성화 방안 및 적용에 관한 연구와 동시에 암호화 관리, 소유권 상속, 블라인드 처리 등의 개선방안을 제시한다.