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Unpredictable Postoperative Global Cerebral Infarction in the Patient of Williams Syndrome Accompanying Moyamoya Disease

  • Sim, Yang-Won;Lee, Mou-Seop;Kim, Young-Gyu;Kim, Dong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.256-259
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    • 2011
  • We report a rare case of Williams syndrome accompanying moyamoya disease in whom postoperative global cerebral infarction occurred unpredictably. Williams syndrome is an uncommon hereditary disorder associated with the connective tissue abnormalities and cardiovascular disease. To our knowledge, our case report is the second case of Williams syndrome accompanying moyamoya disease. A 9-year-old boy was presented with right hemiparesis after second operation for coarctation of aorta. He was diagnosed as having Williams syndrome at the age of 1 year. Brain MRI showed left cerebral cortical infarction, and angiography showed severe stenosis of bilateral internal carotid arteries and moyamoya vessels. To reduce the risk of furthermore cerebral infarction, we performed indirect anastomosis successfully. Postoperatively, the patient recovered well, but at postoperative third day, without any unusual predictive abnormal findings the patient's pupils were suddenly dilated. Brain CT showed the global cerebral infarction. Despite of vigorous treatment, the patient was not recovered and fell in brain death one week later. We suggest that in this kind of labile patient with Williams syndrome accompanying moyamoya disease, postoperative sedation should be done with more thorough strict patient monitoring than usual moyamoya patients. Also, we should decide the revascularization surgery more cautiously than usual moyamoya disease. The possibility of unpredictable postoperative ischemic complication should be kept in mind.

Traditional Chinese Medicine in treatment of Tic disorder (소아(小兒) 틱장애에 대한 최근(最近) 치료(治療) 동향(動向))

  • Lee, Iyun-Shil;Yoon, Ji-Yeon;Han, Jae-Kyung;Kim, Yun-Hee
    • Journal of Haehwa Medicine
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    • v.22 no.1
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    • pp.91-104
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    • 2013
  • Objective : This study was designed to analyze the clinical studies on Tic disorder in traditional Korean medicine and traditional Chinese medicine. Methods : To figure out the Tic disorder, Korean medical studies from Oriental Medicine Advanced Searching Integrated System (OASIS) and Chinese Medical Journals from Wangfang data and China National Knowledge Infrastructure (CNKI) which published in 2008 to 2012 were analyzed. Results & Conclusions : 1. DSM-IV(7 studies), CCMD(3 studies) were frequently used in the diagnosis of tic disorder. 2. The herbs used for the treatment of tic disorder are Uncariae ramulus et Uncus(釣鉤藤), Paeoniae Radix Alba(白芍藥), Poria(白茯苓), Buthus martensi Karsch(全蝎) etc. 3. Acupuncture points frequently used were Paek'oe(GV20), Pungji(GB20), Naegwan(PC6), Sasinchong(EX-HN1), T'aech'ung(LR3), Joksamni(ST36), Hapgok(LI4) and so on. 4. The cause of Tic disorder is connected with liver, heart, spleen, kidney, gall bladder among the internal organs and Fire(火), Wind(風), Dampness(濕) of external causes.

Learning from the ASIS International strategy for specialization and globalization (미국경비협회(ASIS)의 전문화와 세계화 전략에 관한 방문연구)

  • LEE, Sanghun
    • Convergence Security Journal
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    • v.15 no.3_2
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    • pp.3-10
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    • 2015
  • ASIS(American Society for Industrial Security) is already rationing their standard to the world and succeeded in organizing these professionals. In base of that result, there are the executions of the various programs in accordance with the specialization and globalization strategy over the last 60 years. This study looked at the overseas practices that strengthen the capacity of the internal security specialists and promote the development of knowledge and technology through the mutual visits between the network through a survey of ASIS. We can accept viable and sustainable growth strategy, specialization and globalization strategy, such as ASIS model for the various activities performed by the past 60 years to improve the efficiency of the country's private security activities. It will be something we ought to be a new starting point.

Functional Phases and Patterns of Dialogue Sequence in Nurse-Patient Conversation about Medication (간호사와 환자의 투약대화의 구조와 전개과정)

  • Son, Haeng-Mi
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.52-63
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    • 2007
  • Purpose: Effective communication is an essential aspect of nursing care. This qualitative study was performed to analyze nurse-patient conversations about medication. Method: The nurse-patient dialogue was collected by video tape recording during the nurse's duty time in an internal medicine ward. One hundred seventy-eight episodes were extracted from the conversation. Using conversational analysis, the functional phases and patterns of dialogue sequence pertaining to medication were analyzed. Results: Conversations about medication were very brief dialogues, so 68.8% of the dialogue had a duration of less than 20 seconds. However, it was a systematic and comprehensive dialogue which had structures and sequential dialogue patterns. Four functional phases were explored. greeting, identifying the patient, medicating, finishing. The medicating phase was essential, in which the nurse gave the drug to the patient and provided information initiated by the nurse simultaneously. The patterns of the dialogue sequence represented were the nurse provided information first, and then, patients responded to the nurse as accepting, rejecting, raising an objection, or asking again later. Conclusion: As the results of this study show, a nurse's role is important as an educator. For effective conversation about medication, the development of an educational program should be considered, which includes knowledge about medication and communication skills.

Clinical Performance Examination for Nursing Students: 2006-2009 (일개 간호대학에서 4년간 실시한 임상수행력평가)

  • Choi, Ja-Yun
    • Journal of East-West Nursing Research
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    • v.17 no.2
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    • pp.87-95
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    • 2011
  • Purpose: The aim of this study was to share the experience of clinical performance examinations (CPXs) using standardized patients, which was to test comprehensive clinical competence of fourth-year nursing students for four years. Methods: The assessment strategies for CPXs were developed. It included clinical scenarios, the roles of standardized patients, and appraisal criteria in the areas of fundamental and comprehensive nursing care. The CPXs were implemented to about 60-70 fourth-year nursing students of C University in G-city, South Korea, during every second semester from the year of 2006 to 2009. Results: The effects of CPXs were measured by 10 or 25-item rating checklist. Internal reliability of the checklists was distributed from .511 to .956 and interrater agreement between faculties and standardized patients was moderate (r=.250-.949). Students' satisfaction level was 4.27 out of 5 points for four years. Conclusion: The use of CPXs was an innovative educational strategy to evaluate nursing students' comprehensive performance ability including knowledge, skills and attitude. Further studies are needed to evaluate the levels of critical thinking and problem solving skills of clinical nurses who were taken CPXs as well as employers' satisfaction.

Development and Validation of Parent-child Lexical Interaction Scale for Preschoolers (PLIS-P) (부모-유아 어휘 상호작용 척도의 개발 및 타당화)

  • Jung, Suji;Choi, Naya
    • Human Ecology Research
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    • v.58 no.3
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    • pp.429-445
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    • 2020
  • This study developed and validated a 'Parent-child Lexical Interaction Scale for Preschoolers (PLIS-P)'. First, we developed the preliminary scale with 7 factors after reviewing previous literature related to vocabulary and literacy instruction for young children and reflected on feedback from child studies experts and mothers with young children. Subsequently, to validate the scale, the online survey was conducted on mothers with 5-to 6-year-old children who live in Seoul, Gyeonggi, Incheon, Gyeongsang, Chungcheong, Jeolla, Gangwon, and Jeju. Responses from 309 mothers were used to conduct exploratory and confirmatory factor analysis and correlation analysis. The results were as follows. First, the result of exploratory analysis showed that the model with 7 factors was satisfactory: (1) vocabulary exposure, (2) word elaboration, (3) scaffolding, (4) play activity, (5) conventional instruction, (6) word type awareness instruction, (7) word morphology instruction. Second, confirmatory factor analysis confirmed the good fit of the model. Third, the concurrent validity was confirmed by correlation analysis using EC-HOME. Last, the internal consistency reliability of each factor of PLIS-P was also confirmed. This study developed both a theoretical framework of parent-child lexical interaction and a Parent-child Lexical Interaction Scale for Preschoolers. This scale can be used by parents, practitioners, and researchers to acquire knowledge about interaction related to words between Korean parents and young children.

Analysis of Temperature Distribution in a Rolling Tire due to Strain Energy Dissipation (회전하는 타이어의 변형에너지 손실에 의한 온도분포 해석)

  • Park, Hyun-Cheol;Youn, Sung-Kie;Song, Tae-Sok;Kim, Nam-Jeon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.5
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    • pp.746-755
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    • 1997
  • This paper addresses the systematic procedure using sequential approach for the analysis of the coupled thermo-mechanical behavior of a steady rolling tire. Not only the knowledge of mechanical stresses but also of the temperature loading in a rolling tire are very important because material damage and material properties are significantly affected by the temperature. In general, the thermo-mechanical behavior of a pneumatic tire is highly complex transient phenomenon that requires the solution of a dynamic nonlinear coupled themoviscoelasticity problem with heat source resulting from internal dissipation and friction. In this paper, a sequential approach, with effective calculation schemes, to modeling this system is presented in order to predict the temperature distribution with reasonable sccuracies in a steady state rolling tire. This approach has the three major analysis modules-deformation, dissipation, and thermal modules. In the dissipation module, an analytic method for the calculation of the heat source in a rolling tire is established using viscoelastic theory. For the verification of the calculated temperature profiles and rolling resistance at different velocities, they were compared with the measured ones.

A Review of Scalp Acupuncture on Patients with Insomnia -Focusing on Chinese Journals- (불면의 두침치료에 대한 임상논문 고찰 -1994년부터 2011년까지 중국 논문을 중심으로-)

  • Ryu, Chun-Gil;Kim, Soo-Jung;Cho, A-Ram;Seo, Joo-Hee;Jeong, Seong-Sik;Lee, Ji-Su;Sung, Woo-Yong
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.1
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    • pp.17-29
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    • 2012
  • Objectives : The study was designed to evaluate the effects of scalp acupuncture treatment on patients with insomnia in China. Methods : A journal search was performed using China National Knowledge Infrastructure(CNKI) from 1994 to 2011. Key words used within the search were 'insomnia' and 'scalp acupuncture'. Results : 19 studies were selected. 9 RCTs and 2 case control studies showed that scalp acupuncture therapy reported better results than routine acupuncture, western medicine, and herbal medicine therapy. 8 case reports described a significant improvement in patients with insomnia by scalp acupuncture. Conclusions : There have been many studies regarding scalp acupuncture on patients with insomnia in China and these studies can be applied to clinical practices within Korea.

What Makes Open Innovation Processes Better? A Focus on IT Professionals' Attitudes

  • Ham, Juyeon;Kim, Dan J.;Choi, Byounggu;Lee, Jae-Nam
    • Asia pacific journal of information systems
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    • v.25 no.2
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    • pp.306-328
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    • 2015
  • A recent trend in innovation paradigm is the shift from closed innovation to open innovation principles. This trend is characterized by the use of purposive inflows and outflows of knowledge not only to accelerate internal innovation, but also to expand the markets for external use of innovation. However, the Not-Invented-Here (NIH), and Not-Sold-Here (NSH) or Only-Use-Here (OUH) syndromes are the most common challenges encountered in open innovation processes. Therefore, this study has the following main aims: 1) propose a research model that explains the factors that influence NIH and NSH/OUH attitudes based on motivation theory with perceived organizational fairness and commitment, 2) investigate their impacts on NIH and NSH/OUH attitudes, and 3) provide useful theoretical and practical insights. The proposed research model was empirically tested using survey data collected from information technology (IT) professionals in Korea. One of the major findings indicates that IT professionals' perceived organizational fairness has a negative effect on NIH attitudes in open innovation process. Theoretical and practical contributions of this study are also discussed.

First Report of Chrysanthemum (Chrysanthemum morifolium) Crown Rot Caused by Fusarium solani in Korea

  • Mun, Hye-Yeon;Jeong, Je-Yong;Kim, Chang-Jeon;Lee, Hyang-Burm
    • The Plant Pathology Journal
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    • v.28 no.1
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    • pp.49-54
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    • 2012
  • In August 2010, a severe crown rot was observed on chrysanthemum ($Chrysanthemum$ $morifolium$ Ramat., variety Sinro) in several greenhouses located at Damyang and Muan, Jeonnam province, Korea. Three isolates (EML-CHS1, -CHS2, and -CHS3) of $Fusarium$ were isolated from the affected plants and identified based on morphological characteristics and rDNA internal transcribed spacer (ITS) sequence analysis. Sequence analysis by BLAST indicated that EMLCHS1, -CHS2 and CHS3 were closest to a $Fusarium$ species, $F.$ $solani$ with > 99% sequence similarity. Pathogenicity tests were performed on chrysanthemum with spore suspensions containing $3.4{\times}10^6$ spores/ml using the dipping method. Ten days after inoculation, similar symptoms to those observed in the greenhouses were seen on the inoculated plants. The causal fungus was reisolated from the artificially inoculated basal stems, fulfilling Koch's postulates. To our knowledge, this is the first report of crown rot by $Fusarium$ $solani$ on chrysanthemum ($Chrysanthemum$ $morifolium$) in Korea.