• Title/Summary/Keyword: fissures

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A Case Study of Chronic Plantar Pompholyx Including Steroids Side Effects (스테로이드제제 부작용을 동반한 만성 족부 한포진 치험 1례)

  • Kang, Da-Hae;Kim, Jung-Hyun;Lim, Hae-Won;Kim, Jee-Young;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.1
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    • pp.181-191
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    • 2011
  • Backgrounds : Pompholyx is a distinctive reaction pattern presenting as symmetric vesicular hand and foot dermatitis. Other than acute symptoms like itching and vesicles, chronic changes with scaling, fissure and pain may follow. As patients are treated by steroid for a long period, it tends to present side effects after quitting steroid treatment. Objectives : This study was carried out to investigate the effect of carbon arc lamp therapy and oriental medical therapy that venesection therapy, ointments and herbal medicine on chronic plantar pompholyx including steroids side effects. Methods : We treated one case of chronic plantar pompholyx which had continued about 10 years, including steroids side effects with venesection therapy, carbon arc lamp therapy, ointments and herbal medicine. To evaluate the results of this treatment, we categorized symptoms into six items which are vesicles, itching, fissures, pain, erosions and scales. Results : Except mild itching, vesicles and scales in a small area, all the symptoms were subsided. Conclusions : It is considered that various kinds of oriental medical therapy including carbon arc lamp therapy could replace steroid therapy which has many side effects.

Hydrogen Embrittlement of Zr-2.5Nb Pressure Tube at Room Temperature by Precipitated Hydride (수소화물에 의한 Zr-2.5Nb 압력관의 상온 수소취화 거동)

  • Oh, Dong-Joon;Boo, Myung-Hwan;Kim, Young-Suk
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.27 no.3
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    • pp.455-463
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    • 2003
  • The aim of this study is to investigate the hydrogen embrittlement of Zr-2.5Nb CANDU pressure tube at room temperature. The transverse tensile and fracture toughness tests were performed at various hydrogen concentrations using transverse tensile specimens and CCT (curved compact tension) specimens. These specimens were directly machined from the pressure tube retaining original curvatures. Based on the results of these tests. the hydrogen embrittlement phenomenon was clearly observed and fracture toughness parameters of Zr-2.5Nb pressure tube materials such as, $K_{J(0.2)}$.$J_{ML}$.dJ/da, were dramatically decreased with the increasement of the hydrogen concentration. From microscopic observation by SEM and TEM, it was also revealed that various shapes dimples, fissures and quasi-cleavage were found at the hydrogen-absorbed materials with hydrides while traditional shape dimples were generally located at the as-received materials Through the comparison of the hydride and fissure lengths with the hydrogen concentration the new evaluation method of hydrogen embrittlement was suggested.

A Case of an Addition of Chromosome 9 Short Arm Associated with Multiple Congenital Anomalies (다발성 기형을 동반한 염색체 9번 단완 첨가 1례)

  • Chang, Seung-Go;Yu, Jae-Eun;Park, Moon-Sung;Lim, Yun-Ju;Yoon, Soo-Han;Hong, Jeong
    • Neonatal Medicine
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    • v.15 no.2
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    • pp.200-206
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    • 2008
  • Human chromosome 9 is characterized by a high degree of morphologic heteromorphisms, including variation in the size of the heterochromatin. We present a case of a de novo short arm addition of chromosome 9, [46, XY, add(9)(p13)], associated with multiple anomalies, including trigonocephaly, upward slant of the palpebral fissures, patent ductus arteriosus, pulmonary hypertension, hypertrophic cardiomyopathy, umbilical hernia, ambiguous genitalia, and sensorineural hearing and visual loss. This mutation affects the pericentric region of the heterochromatin. This patient exhibited a clinically important breakpoint of the heterochromatic region of chromosome 9 short arm and the associated anomalies.

The Case Report of Tinea Pedis with Id Reaction (이드반응이 동반된 족부백선 환자 치험 1례)

  • Kwon, Kang;Kim, Chul-Yun;Lee, Dong-Jin;Kim, Nam-Kwen;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.28 no.1
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    • pp.134-142
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    • 2015
  • Objective : This study was carried out to find out the effect of Korean medical treatments on tinea pedis with id reaction. Method : We treated a 33-year-old man was afflicted with tinea pedis complicating id reaction with herbal medicine, acupuncture, ointment, wet-dressing and steam treatment. After treatments, we measured the status of scales, fissures and the degree of pruritus. We followed up symptom changes by taking pictures and compared before and after. Result & Conclusion : Three days after admission, erythema occurred at upper and lower limbs and the degree of pruritus increased by id reaction. As tinea pedis improved, id reaction decreased, too. Consequently, both sites of primary lesions of tinea pedis and secondary id reactions were significantly improved, and accompanied symptoms were resolved simultaneously.

Mineralogy and Geochemistry of the Ogkye Gold Deposits, Gangwondo Province (강원도 옥계 금광상에 관한 광물학적·지화학적 연구)

  • Choi, Seon-Gyu;Choi, Sang-Hoon;Lee, Hyun Koo
    • Economic and Environmental Geology
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    • v.30 no.1
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    • pp.15-23
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    • 1997
  • Gold mineralization of the Ogkye gold mine was deposited mainly in quartz veins up to 150 cm wide which occupy fissures in Cambrian Pungchon limestone. Ore minerals are relatively simple as follows: pyrite, arsenopyrite, pyrrhotite, sphalerite, electrum and galena. On the basis of the Ag/Au ratio on ore grades, mode of occurrence and assoicated mineral assemblages, the Ogkye gold deposit can be classified as pyrite-type gold deposit (Group IIB). Fluid inclusion data indicate that ore minerals were deposited between $400^{\circ}$and $230^{\circ}C$ from relatively dilute fluids (0.2 to 7.3 wt.% eq. NaCl) containing $CO_2$. The ore mineralization resulted from a complex history of $CO_2$ effervescence and local concomitant boiling coupled with cooling and dilution of ore fluids. Gold deposition was likely a result of decrease of sulfur activity caused by sulfide deposition and/or $H_2S$ loss accompanying fluid unmixing. Sulfur isotope compositions of sulfide minerals (${\delta}^{34}S=3.5{\sim}5.9$‰) are consistent with ${\delta}^{34}S_{H_2S}$ value of 4.8 to 6.1‰, suggesting mainly an igneous source of sulfur partially mixed with wall-rock sulfur.

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A Case Report of Noonan Syndrome with Mental Retardation and Attention-Deficit Hyperactivity Disorder (정신지체와 주의력결핍 과잉행동장애를 보이는 Noonan 증후군 1예)

  • Kim, Won-Woo;Shim, Se-Hoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.1
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    • pp.31-35
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    • 2012
  • Noonan syndrome is characterized by short stature, typical facial dysmorphology, and congenital heart defects. The main facial features of Noonan syndrome are hypertelorism with down-slanting palpebral fissures, ptosis, and low-set posteriorly-rotated ears with a thickened helix. The cardiovascular defects most commonly associated with this condition are pulmonary stenosis and hypertrophic cardiomyopathy. Other associated features are webbed neck, chest deformity, mild intellectual deficit, cryptorchidism, poor feeding in infancy, bleeding tendency, and lymphatic dysplasias. The patient is a 10-year-old boy. He had experienced repeated febrile convulsions. He had typical facial features, a short stature, chest deformity, cryptorchidism, vesicoureteral reflux, and mental retardation. His language and motor development were delayed. When he went to school, it was difficult for him to pay attention, follow directions, and organize tasks. He also displayed behavior such as squirming, leaving his seat in class, and running around inappropriately. Clinical observation is important for the diagnosis, so we report a patient who was diagnosed with Noonan syndrome, mental retardation, and attention-deficit hyperactivity disorder.

Characterization of electron beam (EB) welds for SUS310S

  • Kim, Hyun-Suk;Castro, Edward Joseph D.;Lee, Choong-Hun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2011.02a
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    • pp.360-360
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    • 2011
  • In this work, SUS310S used for valve plate assembly was electron beam (EB) welded to determine the influence of the parametric conditions on the characteristics of the weld and to minimize porosity and micro-fissures among others. The evolution in the weld geometry and microstructure was examined as a function of the process conditions such as beam current and focusing current under a constant welding speed and accelerating voltage. The integrity of the EB welds in SUS310S was examined for defects (e.g. cracking, porosity, etc.), adequate penetration depth, and tolerable weld width deviation for the various welding conditions. Optical microscopy (OM), x-ray photoelectron spectroscopy analysis (XPS), scanning electron microscopy (SEM) and 3D micro-computed tomography (Micro-CT) for the cross section analysis of the electron beam welded SUS310S were utilized. The tensile strength and hardness were analyzed for the mechanical properties of the EB weld. At the 6 kV accelerating voltage, it was determined that a satisfactory penetration depth and desirable weld width deviation requires a beam current of 30 mA and a focusing current of 0.687 A at the welding speed of 25 mm/sec.

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Airway Management in the Patients of Expected Difficult Intubation -A Case Report- (어려운 기관 내 삽관이 예상되는 환자의 기도관리 -증례 보고-)

  • O, Se-Ri;Lee, Jin-Han
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.2
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    • pp.190-196
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    • 2010
  • Difficult airway management including difficult intubation, difficult ventilation and difficult mask ventilation is a life threatening issue during anesthesia care. A 23-year-old woman with Treacher Collins syndrome was scheduled for distraction osteogenesis. She had hypoplasia of mandible and malar bone, bilateral deformities of auricles with partial deafness and antimongoloid slant of the palpebral fissures. A 56-year-old woman with mandibular hypoplasia due to childhood trauma was scheduled for distraction osteogenesis. She had a history of difficult intubation. We anticipated a difficult intubation and ventilation. Fiberoptic bronchoscopic guided awake intubation was selected for anesthesia induction. After intravenous injection of midazolam and remifentanil, 10% lidocaine pump spray on the pharyngolarynx with a direct laryngoscope and on the nasal canal. However fiberoptic bronchoscopic guided awake intubation was failed due to severe gag reflex. After intravenous injection of propofol and remifentanil using the target controlled infusion (TCI), mask ventilation was easily performed and, after intravenous injection of vecuronium, fiberoptic bronchoscopic guided intubation was easily performed using a wire reinforced endotracheal tube. The operation was completed successfully without any adverse events.

Analysis of Deformation Behavior of Underground Caverns in a Discontinuous Rock Mass Using the Distinct Element Method (개별요소법을 이용한 불연속 암반내 지하공동의 변형 거동 해석)

  • Jung, Wan-Kyo;Lim, Han-Uk
    • Journal of Industrial Technology
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    • v.23 no.A
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    • pp.69-81
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    • 2003
  • Numerical analysis is important for the design, construction and maintenance of large caverns. The rock mass contains generally discontinuities such as faults, joints and fissures. The mechanical behavior and geometric characteristics of these discontinuities would have a significant impact on the stability of the caverns. In this research the Distinct Element Method(DEM) was used to analyze the structural stability of the large cavern. The Barton-Bandis Joint Model (B-B J.M) was used as a constitutive model for the joint. In addition, two different cases 1) analysis with a support system and 2) analysis with no support system, were analyzed to optimize a support system and to investigate reinforcing effects of a support system. The most significant parameters of in-situ stress, JRC of in-situ natural joints, and spatial distribution characteristics of discontinuities were acquired through field investigation. Displacement (horizontal, joint shear), maximum joint opening, maximum and minimum principal stresses, range of relaxed zone, rockbolt axial forces and shotcrete stresses were calculated at each excavation stage. As a result of analysis the calculated values proved to be under the allowable value Rockbolts also proved to be an efficient support measure to control joint shear displacement which had significant effects on extending the relaxed zone. As a consequence, the structural stability of the cavern was assured with an appropriate support system.

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Subcutaneous Sarcoidosis Occurring in Both Chin and Toe

  • Kim, Kwang Seog;Lim, Dong Seob;Choi, Jun Ho;Hwang, Jae Ha;Lee, Sam Yong
    • Archives of Craniofacial Surgery
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    • v.18 no.3
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    • pp.207-210
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    • 2017
  • Sarcoidosis is a systemic inflammatory disease characterized by non-caseating granulomas of unknown origin. Of the fewer than 6% of sarcoidosis cases that occur in subcutaneous tissue, most occur on the face or forearm, but rarely in the toe. A 33-year-old man was admitted to our institute with a 2-cm mass on his chin and a 0.5-cm mass on his right fourth toe. Based on preoperative ultrasonography, epidermal cysts were suspected, and histopathological tests were performed after removing the masses. Histopathologically, the chin and toe tissue samples showed chronic granulomatous inflammation, without necrosis, indicative of sarcoidosis. Chest computed tomography revealed a large number of small nodules in both the interlobar fissures and the peribronchial area, and a large number of small lymph nodes in both the hilar and interlobar node areas. On the basis of the histopathologic and imaging findings, the patient was diagnosed with sarcoidosis. This very rare case of sarcoidosis, occurring in both chin and toe, suggests that thorough evaluation is needed to find other mass when we find sarcoidosis in facial area.