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Occlusion of the Internal Carotid Artery due to Intracranial Fungal Infection

  • Kim, Joo-Pyung;Park, Bong-Jin;Lee, Mi-Suk;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.49 no.3
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    • pp.186-189
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    • 2011
  • In recent years the immunocompromised population has increased rapidly to include people with acquired immune deficiency syndrome (AIDS), drug abusers, and transplant patients. Accordingly, the incidence of intracranial fungal infection has increased. Our institution experienced 2 cases of internal carotid artery (ICA) occlusion due to invasion of the cavernous sinus by an intracranial fungal infection. The first case was a 60-year-old man who presented with headache, eye pain, conjunctival injection, right-sided diplopia, and blurred vision. Infected tissues within the frontal and ethmoid sinuses were removed via bifrontal craniotomy and endoscopic sinus surgery through the Caldwell Luc approach. The second case was a 63-year-old woman who developed right-sided facial pain after a tooth extraction. The infection was not controlled despite continuous use of antifungal agents, resulting in death from sepsis. We believe that when intracranial fungal infection is suspected in a patient with orbital symptoms and a focal neurologic deficit, immediate angiographic investigation of possible ICA occlusion is warranted. Aggressive treatment with antifungal agents is the only way to improve prognosis.

Pharmaceutical Product Liability and the Burden of Proof (혈액제제 제조물책임 소송과 증명책임 -대법원 2011. 9. 29. 선고 2008다16776 판결과 관련하여-)

  • Moon, Hyeon-Ho
    • The Korean Society of Law and Medicine
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    • v.12 no.2
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    • pp.65-117
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    • 2011
  • This article analyzes the case (2008Da16776) which has the issue how patients have to prove causal relationship when patients claim against pharmaceutical companies alleging that patients were infected with virus due to contaminated blood products. The Supreme court held that: (1) if patients prove that they didn't have symptoms suggesting virus infection before administration of blood products, the virus infection had been confirmed after administration of blood products, and there were significant potential of contamination of the blood products with the virus, the defect in blood products or the negligence of pharmaceutical company in making blood products shall be presumed to cause the infection of the victim. (2) The pharmaceutical companies could reverse the presumption by proving the blood products were not contaminated, but the fact that the victims were treated with the blood products manufactured by other companies or had received blood transfusions is not enough to reverse the presumption. The case is the first decision whether the burden of proof about causal relationship could be reduced in pharmaceutical product liability lawsuit. Hereafter pharmaceutical product liability cases, it would be necessary to reduce the burden of proof about causal relationship in order to make substantive equality between patients and pharmaceutical companies.

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Changing Patterns of Communicable Diseases in Korea (우리나라 전염성 질환의 변화 양상)

  • Lim, Hyun-Sul
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.2
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    • pp.117-124
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    • 2005
  • Before twentieth centuries and during early twentieth centuries, communicable diseases were the major cause of morbidity and mortality in Korea. But reliable data are not available. After 1975, the overall morbidity and mortality from communicable diseases, rapidly declined. Recently many new pathogenic microbes were recognized: L. monocytogenes, Hantaan virus, Y. pseudotuberculosis, P. multocida, L. pneumophilia, Human immunodeficiency virus (HIV), G. seoi, H. capsulatum, C. burnetii, V. cholerae O139, C. parvum, F. tularensis, E. coli O157:H7, B. burgdorferi, S. Typhimurium DT104, Rotavirus, hepatitis C virus and so on. Since the first HIV infection recognized in 1985, the reported cases of infection and deaths from HIV/AIDS have been steady increased each year. Legionnaire's disease, E. coli O157:H7 colitis, listeriosis and crytosporidiasis have been occurring just sporadically among immunocompromized cases. Many re-emerging communicable diseases were occurred in Korea: leptospirosis, malaria, endemic typhus, cholera, tsutsugamushi disease, salmonellosis, hepatitis A, shigellosis, mumps, measles, acute hemorrhagic conjunctivitis, brucellosis and so on. Leptospirosis and tsutsugamushi diseases have been noticed as major public health problems since 1980s. The malaria that had been virtually disappeared for a decade has reappeared from 1993 with striking increase of patients in recent 3-4 years. The distributions of salmonella and shigella serotypes have been changed a lot in recent few decades. Furthermore rapid emergence of antibiotic-resistant bacterial strains induces more difficult and complex problems in control of communicable diseases. We must recognize on the importance of environment and ecosystem conservation and careful prescription of anti-microbial agent in order to prevent communicable diseases.

Numerical assessment of post-tensioned slab-edge column connection systems with and without shear cap

  • Janghorban, Farshad;Hoseini, Abdollah
    • Computers and Concrete
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    • v.22 no.1
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    • pp.71-81
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    • 2018
  • Introduction of prestressed concrete slabs based on post-tensioned (PT) method aids in constructing larger spans, more useful floor height, and reduces the total weight of the building. In the present paper, for the first time, simulation of 32 two-way PT slab-edge column connections is performed and verified by some existing experimental results which show good consistency. Finite element method is used to assess the performance of bonded and unbonded slab-column connections and the impact of different parameters on these connections. Parameters such as strand bonding conditions, presence or absence of a shear cap in the area of slab-column connection and the changes of concrete compressive strength are implied in the modeling. The results indicate that the addition of a shear cap increases the flexural capacity, further increases the shear strength and converts the failure mode of connections from shear rigidity to flexural ductility. Besides, the reduction of concrete compressive strength decreases the flexural capacity, further reduces the shear strength of connections and converts the failure mode of connections from flexural ductility to shear rigidity. Comparing the effect of high concrete compressive strengths versus the addition of a shear cap, shows that the latter increases the shear capacity more significantly.

An Expert System for the Process Planning of the Elliptical Deep Drawing Transfer Die (타원형 디프 드로잉 트랜스퍼 금형의 공정설계 전문가 시스템(I))

  • 박동환;박상봉;강성수
    • Korean Journal of Computational Design and Engineering
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    • v.5 no.3
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    • pp.255-262
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    • 2000
  • A computer-aided process planning (CAPP) system for rotationally symmetric deep drawing products has been developed. The application for non-axisymmetric components, however, has not been reported yet. Therefore, this study investigates process sequence design in deep drawing process and constructs an expert system of process planning for non-axisymmetric motor frame products with elliptical shape. The system developed consists of four modules. The first one is recognition of shape module to recognize the products. The second one is a 3-D modeling module to calculate surface area for non-axisymmetric products. The third one is a blank design module that creates an oval-shaped blank with the identical surface area. The forth one is a process planning module based on production rules that play the best important role in an expert system for manufacturing. The production rules are generated and upgraded by interviewing with field engineers. The constructed system using AutoLISP language under the AutoCAD environment is baled on the knowledge base system which is involved a lot of expert's technology. Results of this system will be provide effective aids to the designer and engineer in this field.

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Experience of Meningovascular Syphilis in Human Immunodeficiency Virus Infected Patient

  • Lee, Jung-Pyo;Koo, Sun-Ho;Jin, So-Young;Kim, Tae-Hyong
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.413-416
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    • 2009
  • Since the start of the antibiotic era, syphilis has become rare. However, in recent times, it has tended to be prevalent concomitantly with human immunodeficiency virus (HIV) infection and coinfection in North America and Europe. Now, such cases are expected to increase in elsewhere including Korea. A 40-year-old male patient visited hospital complaining of a headache for about one month. Brain computed tomography and magnetic resonance imaging, showed leptomeninged enhancing mass with edema an right porisylvian region, which was suspected to be glioma. Patient underwent a blood test and was diagnosed with syphilis and acquired immune deficiency syndrome. Partial cortical and subcortical resection were performed after small craniotomy. The dura was thick, adhered to the brain cortex, and was accompanied by hyperemic change of the cortex. The pathologic diagnosis was meningovascular syphilis (MS) in HIV infection. After the operation, the patient was treated with aqueous penicillin G. Thereafter, he had no neurological deficit except intermittent headache. At first, this case was suspected to be glioma, but it was eventually diagnosed as MS in HIV coinfection. At this point the case was judged to be worth reporting.

Studies on the Serum total Activities and Isoenzyme Patterns of CPK in non-human Primates Reared in Korea (國內飼育 원숭이의 血淸 CPK의 總活性値와 isoenzyme에 관한 硏究)

  • 윤상보;김덕환;서지민;신남식;현병화;박배근;송희종
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.390-396
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    • 2001
  • CKP isoenzymes have a high level of efficaciousness as diagnostic and prognostic aids in various diseases. There is not any report on the total activity of CPK of non-human primates, let alone CPK isoenzyme patterns, in Korea. In this study, total activities and isoenzyme patterns of CPK were measured to obtain their reference values in domestically reared common marmosets, crab-eating macaques and Japanese macaques. We observed remarkable different values of serum total CPK from the primates used in this experiment. Serum CPK activities of Japanese macaques and crab-eating macaques were 275.8$\pm$158.1 IU/l and 396.7$\pm$697.4 IU/l, respectively, whereas those of common marmosets showed much higher value of 618.8$\pm$1,117.6 IU/l. In all common marmosets and crab-eating macaques, only CPK$_3$ ws observed. In five out of eight Japanese macaques, CPK$_3$ was the sole fraction but two animals showed CPK$_1$ and CPK$_3$ isoenzymes, and the remaining one had CPK$_2$ and CPK$_3$ fractions. There were some discrepancies in the pattern and ratio of isoenzyme fractions in Japanese macaques. In conclusion, values such as CPK and CPK isoenzyme patterns of investigated for the first time form non-human primates reared in Korea, could be reference values for the optimal diagnosis and therapy diseases of the corresponding animal species.

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The Present and Future of the Food Market in Northeast Asia: Confectionery Markets

  • Jeong, Han-Na-Ra;Moon, Junghoon
    • Agribusiness and Information Management
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    • v.4 no.1
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    • pp.41-47
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    • 2012
  • The Asian food market has been growing recently, due to the role played by major Asian countries, which include Korea, China, and Japan. This study is purposed to investigate the potential of the food market in these Northeast Asian countries and to suggest future direction for global food companies. For in-depth analysis, this study is limited in scope to the confectionery market and analyzes that market within two frameworks: first, the 'Market Attractiveness Matrix' which transforms the 'BCG Matrix' to fit into the food market in order to analyze the flow in the Asian confectionery market; and second, analysis of the potential growth of the market using a Category Development Index (CDI), which aids in understanding the growth potential of a market. The European food market has recently reached its capacity and is now experiencing a low growth rate (Data Monitor, 2011). It is time for food companies to find a new 'blue ocean' to avoid fierce competition in the mature markets of Europe. Therefore, this analysis of the confectionery market, using the Market Attractiveness Matrix and CDI will suggest opportune directions for global food companies.

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Examining Early Childhood's Perception of Strange Adults' Luring Behaviors Facilitating Crime (낯선 사람의 범죄유인 행동에 대한 유아의 인식)

  • Kim, Young-Shim
    • Journal of the Korean Home Economics Association
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    • v.50 no.1
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    • pp.41-50
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    • 2012
  • The purpose of this study was to examine the response pattern of children of early childhood (ages 4 to 5) to strangers' luring behaviors that suggest imminent crime. Data were collected from registrants offered by four kindergartens and daycare centers. Individual interviews were performed (N = 100) by using a questionnaire. Results were as follows: First, children of early childhood responded unfavorably to strange adults' kindness and request for aids. However, it was found that they did not make the right decision in relation to strange adults' luring behaviors that lead to crime when family related clues were manipulated. Second, children of early childhood responded favorably to strange adults' luring behaviors that are suggestive of criminal intent when candy, ice cream, and toys were offered. Especially, youngsters were more prone to be deceived by these indices than the older children. Third, older children responded unfavorably to strange adults' luring behaviors that suggest a criminal intent In addition, youngsters did not respond cleverly to strange adults' luring behaviors that suggest a criminal intent while showing a reluctant response.

New Diagnostic Techniques in Cancer of the Pharynx and Esophagus (인두암과 식도암의 새로운 진단내시경)

  • Cho, Joo Young;Cho, Won Young
    • Korean Journal of Bronchoesophagology
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    • v.17 no.1
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    • pp.14-18
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    • 2011
  • The diagnosis and treatment of early gastrointestinal cancers is the gastroenterologists' mission because of national cancer screening program in South Korea. The detection of early cancers is emphasized, because these were previously treated with surgical treatment can be currently cured with endoscopic treatment. Gastroenterologists who achieved at least on some level can make an exact diagnosis regardless of what type of endoscopy, but generally, there are some required conditions for an optimal diagnosis. First, clinically important lesions have to be detected easily. Second, the border and morphology of lesions have to be characterized easily. Third, lesions have to be diagnosed exactly. Precancers and early cancers are often subtle and can pose a challenge to gastroenterologists to visualize using standard white light endoscopy. The use of dye solutions aids the diagnosis of early gastrointestinal cancers, however, it is a quite cumbersome to use dye solutions all the time and the solution often bothers the exact observation by pooling into the depression or ulceration of the lesion. To overcome this weakness, newer endoscopes are now developed so called "image enhanced endoscopy" using optical and/or electronic methods such as narrow band imaging (NBI), autofluorescence imaging (AFI), i-scan, flexible spectral imaging color enhancement (FICE) and confocal endomicroscopy (CLE).

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