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Intramedullary Spinal Cord Metastasis of Choriocarcinoma

  • Ko, Jun-Kyeung;Cha, Seung-Heon;Lee, Jung-Hwan;Choi, Chang-Hwa
    • Journal of Korean Neurosurgical Society
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    • v.51 no.3
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    • pp.141-143
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    • 2012
  • The authors describe a case of choriocarcinoma that metastasized to the cerebral cortex, vertebral body, and intramedullary spinal cord. A 21-year-old woman presented with sudden headache, vomiting and a visual field defect. Brain computed tomography and magnetic resonance examinations revealed an intracranial hemorrhage in the left temporo-parietal lobe and two enhancing nodules in the left temporal and right frontal lobe. After several days, the size of the hemorrhage increased, and a new hemorrhage was identified in the right frontal lobe. The hematoma and enhancing mass in the left temporo-parietal lobe were surgically removed. Choriocarcinoma was diagnosed after histological examination. At 6 days after the operation, her consciousness had worsened and she was in a state of stupor. The size of the hematoma in the right frontal lobe was enlarged. We performed an emergency operation to remove the hematoma and enhancing mass. Her mental status recovered slowly. Two months thereafter, she complained of paraplegia with sensory loss below the nipples. Whole spine magnetic resonance imaging revealed a well-enhancing mass in the thoracic intramedullary spinal cord and L2 vertebral body. Despite chemotherapy and radiotherapy, the patient died 13 months after the diagnosis.

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.

Isoflavone Composition within Each Structural Part of Soybean Seeds and Sprouts

  • Phommalth, Siviengkhek;Jeong, Yeon-Shin;Kim, Yong-Hoon;Hwang, Young-Hyun
    • Journal of Crop Science and Biotechnology
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    • v.11 no.1
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    • pp.57-62
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    • 2008
  • Isoflavone content in various parts of six soybean cultivars and soybean sprout during germination was analyzed by high performance liquid chromatography. The parts analyzed were seed coat, cotyledon, and axis for seeds and whole sprout, root, hypocotyl, and cotyledon for sprout. Two cultivars, Aga3 which is known to have the smallest seed size and the highest isoflavone content among the Korean soybean cultivars and Pungsannamulkong which is the most widely being used as soy-sprout, were selected for sampling from 1 to 10 days after germination. At the same weight, the order of isoflavone content increased from seed coat to cotyledon to axis. The highest total isoflavone(isoflavone$\times$dry weight) content was observed in the cotyledon and the lowest in the seed coat. The cotyledon of the Aga3 variety had the highest total isoflavone content and the lowest was measured in the Pungsannamulkong variety. The highest total isoflavone content, $10,788{\mu}g/g$, was observed in whole sprouts(cotyledon+hypocotyl+root) on day 7 for Aga3. After day 7, there was a decreasing trend in isoflavone content as the germination period increased. Total isoflavone content in the cotyledon of Aga3 significantly increased after seed germination, whereas the isoflavone content in the cotyledon of Pungsannamulkong decreased. However, total isoflavone content in the root of both varieties increased while isoflavone content in the hypocotyls decreased after seed germination.

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Bond behavior of PP fiber-reinforced cinder concrete after fire exposure

  • Cai, Bin;Wu, Ansheng;Fu, Feng
    • Computers and Concrete
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    • v.26 no.2
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    • pp.115-125
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    • 2020
  • To reduce the damage of concrete in fire, a new type of lightweight cinder aggregate concrete was developed due to the excellent fire resistance of cinder. To further enhance its fire resistance, Polypropylene (PP) Fibers which can enhance the fire resistance of concrete were also used in this type of concrete. However, the bond behavior of this new type of concrete after fire exposure is still unknown. To investigate its bond behavior, 185 specimens were heated up to 22, 200, 400, 600 or 800℃ for 2 h duration respectively, which is followed by subsequent compressive and tensile tests at room temperature. The concrete-rebar bond strength of C30 PP fiber-reinforced cinder concrete was subsequently investigated through pull-out tests after fire exposure. The microstructures of the PP fiber-reinforced cinder concrete and the status of the PP fibre at different temperature were inspected using an advanced scanning electron microscopy, aiming to understand the mechanism of the bonding deterioration under high temperature. The effects of rebar diameter and bond length on the bond strength of PP fiber-reinforced cinder concrete were investigated based on the test results. The bond-slip relation of PP fiber-reinforced cinder concrete after exposure at different temperature was derived based on the test results.

The effect of sex education program on high school girls' knowledge and attitude toward sex (성교육 프로그램이 여고생의 성지식과 성태도에 미치는 효과)

  • Jeon, Young-Ja;Lee, Hyun-Sook
    • Korean Journal of Human Ecology
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    • v.16 no.6
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    • pp.1251-1268
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    • 2007
  • The purpose of this study is to develope sex education program for high school girls and to verify the effectiveness of the program in terms of improving the knowledge and attitude of them after executing the program. The subjects of study are 126 girls from K high school in Changwon city and they are divided into an experimental group and control group, and each group has 63 students. The program is executed 8 sessions during 8 weeks and the necessary time is 50 minutes for each session. The experimental group who has received sex education shows higher level of sex knowledge after sex education than control group, and the experimental group shows higher level of sound attitude toward sexual matters after sex education. The effect of education regarding sexual knowledge and attitude in an experimental group are lasted even after the education is finished. Conclusionally, these results shows that the sex education program which is developed for this study is effective.

Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection

  • Lee, Sang Hyun;Park, Jae Woo;Hwang, Byeong Mun
    • The Korean Journal of Pain
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    • v.28 no.4
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    • pp.280-283
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    • 2015
  • Caudal epidural injection is a common intervention in patients with low back pain and sciatica. Even though the complications of fluoroscopically directed epidural injections are less frequent than in blind epidural injections, complications due to contrast media can occur. We report a case of anaphylactic shock immediately after injection of an intravenous nonionic contrast medium (iohexol) during the caudal epidural injection for low back pain and sciatica in a patient without a previous allergic history to ionic contrast media (ioxitalamate). Five minutes after the dye was injected, the patient began to experience dizziness, and the systolic blood pressure dropped to 60 mmHg. Subsequently, the patient exhibited a mild drowsy mental state. About 30 minutes after the subcutaneous injection of 0.2 mg epinephrine, the systolic blood pressure increased to 90 mmHg. The patient recovered without any sequela. Life-threatening complications after injection of intravenous contrast medium require immediate treatment.

Intentional passive eruption combined with scaling and root planing of teeth with moderate chronic periodontitis and traumatic occlusion

  • Joo, Ji-Young;Kwon, Eun-Young;Lee, Ju-Youn
    • Journal of Periodontal and Implant Science
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    • v.44 no.1
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    • pp.20-24
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    • 2014
  • Purpose: The aim of this clinical trial was to explore the impact of intentional passive eruption (IPE) using occlusal reduction on the periodontal parameters of teeth with moderate chronic periodontitis and traumatic occlusion. Methods: This study was performed on 40 teeth from 16 subjects. At baseline, 4 weeks after initial periodontal treatment, and 6 months after IPE, clinical and radiographic examinations were performed. The 20 teeth in the test group underwent IPE using occlusal reduction, whereas the 20 control teeth did not undergone occlusal reduction. Results: All the periodontal parameters were improved by the initial periodontal treatment. The teeth in the test group showed a significantly greater decrease in pocket depth, tooth mobility, and marginal bone loss than did the control group (P<0.05), but there were no significant changes in the attachment level. Significantly greater improvements in all the parameters were observed in the test group after 6 months of IPE compared to 4 weeks after the initial periodontal treatment (P<0.05). Conclusions: Within the limits of this study, performing initial periodontal therapy combined with IPE using occlusal reduction was shown to be very simple and effective. Moreover, IPE would be helpful in improving periodontal parameters.

Osteosarcoma Arising from Giant Cell Tumor - 2 Cases Report - (거대 세포종에서 발생한 골육종 - 2례 보고 -)

  • Han, Chung-Soo;Lee, Young-Ho;Ha, Jeong-Han
    • The Journal of the Korean bone and joint tumor society
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    • v.7 no.4
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    • pp.144-150
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    • 2001
  • It is not uncommon for sarcomatous transformation of giant cell tumor of bone to occur after radiation, but osteosarcoma arising from giant cell tumor after surgical treatment is very rare and remains an aggressive form of sarcoma of bone with high mortality rate. We experienced 2 cases in whom a osteosarcoma developed long after benign giant cell tumor of bone was removed surgically from the same site. Malignant transformation was presented at 2 years 1 month and 9 years 8 months each after initial surgery. We describe our experience concerning clinical features, methods of treatment and outcomes of osteosarcoma arising from giant cell tumor.

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Unusual Presentation of Traumatic Neuroma of the Medial Plantar Nerve after Deep Laceration Mimicking a Foreign Body Granuloma: A Case Report (이물 육아종으로 오인된 심부 열상 이후 발생한 비정상적인 내측 족저 신경의 외상성 신경종: 증례 보고)

  • Woo, Seung Hun;Kim, Tae Woo;Bae, Jung Yun
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.4
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    • pp.174-178
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    • 2017
  • Traumatic neuromas are rare benign tumors that are common after trauma or surgery and are usually accompanied by obvious symptoms of pain. Most reports show neuromas in the face, neck, and limbs, and the traumatic neuroma of the medial plantar nerve has rarely been reported. We encountered a traumatic neuroma of the medial plantar nerve after a deep laceration mimicking a foreign body granuloma. A small mass lesion was found around plantar aponeurosis with heterogeneous high signal intensity in the T2 fat suppression view and slightly enhanced intensity in the magnetic resonance imaging that suggested a foreign body granuloma. The lesion was diagnosed pathologically as a traumatic neuroma. A satisfactory clinical result was obtained after excision of the traumatic neuroma and burial of the proximal and distal stumps to the adjacent muscle at the secondary operation.

Clinical analysis of early reoperation cases after orthognathic surgery (악교정수술 후 조기 재수술 증례의 분석)

  • Lee, Ju-Hwan;Lee, In-Woo;Seo, Byoung-Moo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.1
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    • pp.28-38
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    • 2010
  • The factors influencing the relapse and recurrence of skeletal deformity after the orthognathic surgery include various factors such as condylar deviation, the amount of mandibular set-back, stretching force by the soft tissues and muscles around the facial skeleton. The purpose of this report is to recognize and analyze the possible factors of reoperation after orthognathic surgery, due to early relapses. Six patients underwent reoperation after the orthognathic surgeries out of 110 patients from 2006 to 2009 were included in this study. In most cases, clincal signs of the insufficient occlusal stability, anterior open bite, and unilateral shifting of the mandible were founded within 2 weeks postoperatively. Although elastic traction was initiated in every case, inadequate correction made reoperation for these cases inevitable. The chief complaints of five cases were the protruded mandible combined with some degree of asymmetric face and in the other one case, it was asymmetric face only. Various factors were considered as a major cause of post-operative instability such as condylar sagging, counter-clockwise rotation of the mandibular segment, soft tissue tension related with asymmetrical mandibular set-back, preoperatively existing temporomandibular disorder (TMD), poor fabrication of the final wafer, and dual bite tendency of the patients.