• 제목/요약/키워드: k-sided region

검색결과 37건 처리시간 0.023초

Successful Treatment of a Case with Rhino-Orbital-Cerebral Mucormycosis by the Combination of Neurosurgical Intervention and the Sequential Use of Amphotericin Band Posaconazole

  • Yoon, Young-Kyung;Kim, Min-Ja;Chung, Yang-Gu;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
    • /
    • 제47권1호
    • /
    • pp.74-77
    • /
    • 2010
  • Rhino-orbital-cerebral (ROC) mucormycosis is an uncommon, acute and aggressive fungal infection. It remains a challenging problem to clinicians despite aggressive debridement surgery and antifungal therapy. The authors describe a case of ROC mucormycosis with pericranial abscess occurring in a female patient with uncontrolled diabetes mellitus. The infection initially developed in the right-sided nasal sinus and later progressed through the paranasal sinuses with the invasion of the peri-orbital and frontotemporal region, due to the delayed diagnosis and treatment. Numerous non-septate hyphae of the zygomycetes were identified by a punch biopsy from the nasal cavity and by an open biopsy of the involved dura. The patient was treated successfully with extensive debridement of her necrotic skull and surrounding tissues, drainage of her pericranial abscess and antifungal therapy, including intravenous amphotericin B for 61 days and oral posaconazole for the following 26 days. She returned to a normal life and has had no recurrence since the end of her treatment 15 months ago.

Sellar-Suprasellar Extraventricular Choroid Plexus Papilloma : A Case Report and Review of the Literature

  • Keskin, Fatih;Erdi, Fatih;Kaya, Bulent;Toy, Hatice
    • Journal of Korean Neurosurgical Society
    • /
    • 제59권1호
    • /
    • pp.58-61
    • /
    • 2016
  • Choroid plexus papillomas (CPPs) are relatively rare neuroectodermal tumors that develop from choroid plexus epithelial cells and are usually restricted to the ventricles. Extraventricular CPPs are very unusual and can be difficult to diagnose and treat. A 50-year-old male patient was admitted to our clinic complaining of headache and visual deterioration. Neurological examination found no abnormalities except decreased light perception and secondary optic atrophy in the left eye. Endocrine testing revealed normal levels of hormones produced by the pituitary and target glands. Magnetic resonance imaging of the brain revealed a huge regular-shaped lesion in the sellar-suprasellar region occupying the sella turcica and extending into the suprasellar cistern and planum sphenoidale. The lesion was completely excised by microsurgery via an ordinary left-sided pterional approach. Histopathology identified the lesion as a choroid plexus papilloma. Following the case report, literature on the origin, differential diagnosis, and treatment of this rare tumor is reviewed.

공통 결함접지구조를 이용한 소형화된 저역통과여파기의 설계 (Design of A Miniaturized Low Pass Filter Using Common Defected Ground Structure)

  • 이준;이재훈;임종식;안달
    • 한국산학기술학회논문지
    • /
    • 제12권5호
    • /
    • pp.2298-2304
    • /
    • 2011
  • 본 논문에서는 공통 결함접지구조(common defected ground structure, CDGS)를 이용한 초고주파 대역의 저역통과여파기(low pass filter, LPF) 소형화 설계에 대하여 기술한다. 기존의 연구에서는 표준형 LPF보다 약간 소형화된 DGS 적용의 LPF를 설계하는 방법을 제시하는데 그쳤으나, 본 논문에서는 공통 DGS 구조를 이용하여 종래의 회로보다 절반의 크기로 줄이는 방법을 제시한다. 공통 DGS는 양면의 마이크로스트립 전송선로의 공통 접지면에 구현된다. 본 논문에서는 예로써, 비유전율이 2.2이고 두께가 31mils인 유전체 기판을 이용하여 양면 마이크로스트립 전송선로 구조와 공통 DGS를 구성하고, 이를 활용하여 소형화된 LPF를 설계하고, 실제로 제작 및 측정하여 제안하는 방법의 타당성을 검증한다. 최종적으로 설계된, 공통 DGS를 지니는 LPF는 기존의 단층 구조에서 DGS를 지니는 LPF에 비하여 52.6%의 크기를 가지면서도, 측정된 성능은 반사계수가 -22dB 이하이고 삽입손실이 0.19dB 이하로 여전히 우수함을 보여준다.

비글견에서 좌측앞쪽목신경절 차단에 대한 정량적 뇌파 분석 (The Analysis of Quantitative EEG to the Left Cranial Cervical Ganglion Block in Beagle Dogs)

  • 박우대;배춘식;김세은;이수한;이정선;장화석;정다정;이재훈;김휘율
    • 한국임상수의학회지
    • /
    • 제24권4호
    • /
    • pp.514-521
    • /
    • 2007
  • 교감신경차단은 지배영역에 대한 혈류를 증가시킨다. 이러한 이유로, 교감신경차단은 신경학적 질병이나 뇌질환 등에 시술되어 왔다. 그러나, 개에서 앞쪽목신경절 차단에 의한 뇌혈류의 조절은 잘 알려져 있지 않으며 뇌 순환의 변화와 뇌파의 변화에 대한 상관관계는 아직까지 개에서 잘 정의되어 있지 않다. 그래서, 우리는 뇌파의 변화는 개에서 앞쪽목신경절 차단에 의한 뇌혈류의 변화에 영향을 받을 수 있을 거라는 가설을 검증하였다. 25두의 비글견을 3개의 군으로 나누었다. I군(LCCGB, n=10)은 1% lidocaine을 이용하여 좌측 앞쪽목신경절을 차단하였다. II군(L, n=10)은 1% lidocaine을 좌 우측 두힘살근 내에 주입하였다. III군(N/SCCGB, n=5, 대조군)은 좌측 앞쪽목신경절을 생리식염수를 이용하여 차단하였다. 95% SEF와 MF에서는 대조군과 LCCGB군에서 통계적 차이가 없었다. 상대적 주파수 영역에서는 $\delta$ 주파수는 5-25분 사이에 감소하였으며, $\alpha$ 주파수는 같은 시간 동안 증가 하였다(p<0.05). 그러나, $\theta$ 주파수와 $\beta$ 주파수는 같은 시간대 대조군에 비해 유의한 변화를 보이지 않았다(p<0.05). 이러한 결과는 좌측 앞쪽목신경절 차단은 뇌혈류의 변화를 유발하지 못하며 그 자체의 효과는 불확실 하다는 것을 제시한다.

우심실 양분증 이환견에 대한 풍선확장술 시술 증례 (Balloon dilation of double chambered right ventricle in a dog)

  • 김진욱;윤병국;박준석;김정국;이기호;박형진;허찬;서경원;송근호
    • 한국동물위생학회지
    • /
    • 제40권1호
    • /
    • pp.67-70
    • /
    • 2017
  • A 4 months old, intact male Shih-tzu was referred to the Veterinary Medical Teaching Hospital of Chungnam National University for evaluation of the cause of cardiac murmur and syncope. Thoracic radiography revealed right-sided cardiomegaly. Echocardiography showed marked hypertrophy of right ventricular free wall and obstruction of right ventricular outflow tract, indicating double chambered right ventricle (DCRV). The dog was medicated with atenolol and sildenafil for DCRV, however, clinical signs did not control by medication. Balloon dilation for DCRV was performed to ameliorate patient's clinical signs. The peak systolic pressure gradient across the obstruction region was decreased and clinical signs was improved by balloon dilation procedure. This is the first case report of balloon dilation for the treatment of canine DCRV in South Korea.

Soluble Expression of Recombinant Human Smp30 for Detecting Serum Smp30 Antibody Levels in Hepatocellular Carcinoma Patients

  • Zhang, Sheng-Chang;Huang, Peng;Zhao, Yong-Xiang;Liu, Shu-Yan;He, Shu-Jia;Xie, Xiao-Xun;Luo, Gou-Rong;Zhou, Su-Fang
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권4호
    • /
    • pp.2383-2386
    • /
    • 2013
  • Senescence marker protein 30 (SMP30), a hepatocellular carcinoma (HCC) associated antigen, was earlier shown by our research group to be highly expressed in HCC paracancerous tissues, but have low levels in HCC tissues. In order to detect anti-SMP30 antibody in serum of HCC patients, we established pET30a-SMP30 and pColdIII-SMP30 expression systems in Escherichia coli. However, the expression product was mainly in the form of inclusion bodies. In this research, we used several combinations of chaperones, four molecular chaperone plasmids with pET30a-SMP30 and five molecular chaperone plasmids with pColdIII-SMP30 to increase the amount of soluble protein. Results showed that co-expression of HIS-SMP30 with pTf16, combined with the addition of osmosis-regulator, and a two-step expression resulted in the highest enhancement of solubility. A total of 175 cases of HCC serum were studied by ELISA to detect anti-SMP30 antibody with recombinant SMP30 protein. Some 22 were positive and x2 two-sided tests all showed P>0.05, although it remained unclear whether there was a relationship between positive cases and clinical diagnostic data.

승촌보에 설치된 어도에서 어류의 이동성 평가 (Fish Passage Evaluations in the Fishway Constructed on Seungchon Weir)

  • 최지웅;박찬서;임병진;박종환;안광국
    • 한국환경과학회지
    • /
    • 제22권2호
    • /
    • pp.215-223
    • /
    • 2013
  • The objective of this study was to evaluate fish passage efficiency, based on fish-trap monitoring methodology, in the fishway of Seungchon Weir, which was constructed on the lower region of Yeongsan River in 2011. Seasonal patterns and diel variations of fish movements, fish fauna, and compositions in the fishway were analyzed in relation to the current velocity and location of the trap-setting in the fishway. For the analysis, we conducted seven times surveys in 2012 on the fishway and also conducted intensive monitoring of the fishway as 3 hrs interval for the diel variations of fish fauna and compositions in the fishway. According to the fish-trap monitoring methodology, the total number of fish species was 13 species, which was a 43.3% of the total. Most dominant fish used the fishway was Squalidus chankaensis tsuchigae and the relative abundance of the species used the fishway was 33.5% of the total. The season and time zone (in diel variation) observed most frequently in the fishway were July and 18:00-21:00 PM, respectively. The fish movements and use-rates of fishway varied depending on the locations of trap-setting; Fish biomass and the number of species were statistically (p < 0.05) greater in the most right or left-sided traps than in the mid-traps. Also, fish movements and use-rates of fishway were influenced by current velocity on the fishway; fish in the fishway preferred the low current velocity (mean 0.71 m/sec) than the high current velocity (mean 1.13 m/sec). Further long-term studies should be monitored for the efficiency evaluations of the fishway.

Parry-Romberg syndrome with ipsilateral hemipons involvement presenting as monoplegic ataxia

  • Lee, Yun-Jin;Chung, Kee-Yang;Kang, Hoon-Chul;Kim, Heung Dong;Lee, Joon Soo
    • Clinical and Experimental Pediatrics
    • /
    • 제58권9호
    • /
    • pp.354-357
    • /
    • 2015
  • Parry-Romberg syndrome (PRS) is a rare, acquired disorder characterized by progressive unilateral facial atrophy of the skin, soft tissue, muscles, and underlying bony structures that may be preceded by cutaneous induration. It is sometimes accompanied by ipsilateral brain lesions and neurological symptoms. Here we present the case of a 10-year-old girl with right-sided PRS and recurrent monoplegic ataxia of the left leg. At 4 years of age, she presented with localized scleroderma over the right parietal region of her scalp; her face gradually became asymmetric as her right cheek atrophied. Brain magnetic resonance imaging revealed hemiatrophy of the face and skull base, and T2-weighted images showed increased signal in the right hemipons and hemicerebellar peduncle. Magnetic resonance angiography findings were unremarkable. She was treated with oral prednisolone, and her recurrent gait ataxia diminished within 2 months of the follow-up period. To the best of our knowledge, this is only the second case of PRS presenting with an abnormal involvement of the ipsilateral hemipons.

발포 금속 내 공기 유동 및 압력강하에 관한 시뮬레이션 (The Simulation about the Air Flow and Pressure Drop inside the Metal Foam)

  • 김필환;김미화;장석준;정한식;정효민
    • 대한설비공학회:학술대회논문집
    • /
    • 대한설비공학회 2008년도 하계학술발표대회 논문집
    • /
    • pp.1053-1058
    • /
    • 2008
  • Porous medium was considered in the present study for the heat transfer enhancement. This was attributed to its high surface area to volume ratio as well as intensive flow mixing by tortuous flow passages. But when the air or water flow through in the porous medium, it is occurred the pressure drop between inlet and outlet. So in the present study investigated simulation result about the pressure drop in the porous medium before apply to heat exchanger. In this simulation, the thickness of the solid inside the porous medium region was varied 0.2 mm to 0.4 mm. And then the simulation result were compared the pressure drop in the same unit cell ($0.5\;mm{\times}0.5\;mm{\times}0.5\;mm$). To make the analysis model, it was assumed the 14-sided tetrakaidecahedron cell which has long been considered the optimal packing cell first proposed by the Lord Kelvin in 1887. And then the simulation is carried out using by STAR-CCM+ which is commercial software. The simulation result can be showed quantified pressure drop by solid effect in the porous medium.

  • PDF

서혜부 탈장 교정술 후 발생한 서혜부 만성 통증 환자에서 요추 후근 신경절에 시행한 박동성 고주파술을 이용한 치료 - 증례보고 - (Pulsed Radiofrequency of Lumbar Dorsal Root Ganglia for Treatment of Chronic Inguinal Herniorrhaphy Pain - A case report -)

  • 강승희;한효조;김원영;김대영;문동언
    • The Korean Journal of Pain
    • /
    • 제20권2호
    • /
    • pp.203-207
    • /
    • 2007
  • Inguinal hernia repair can result in paresthesia and/or pain in the inguinal region. Pharmacological and surgical management often yield inconsistent results associated with considerable risks and side effects. Radiofrequency thermocoagulation (RF) is a neuro-destructive treatment for severe pain, but associated with hypoesthesia, neuritis-like reactions, and occasional neuroma formation. Pulsed radiofrequency (PRF), unlike RF, delivers high intensity currents in pulses, is non-neurodestructive, and therefore less painful, without the potential complications. Here we report on PRF in chronic postoperative inguinal pain. A 23-year-old male who received right inguinal hernia repair and complained of right sided groin pain for approximately 10 years underwent PRF at the L1 and L2 dorsal root ganglia (DRG). He then reported a decrease in pain from 80-90/100 mm to 15-30/100 mm on a visual analogue scale (VAS), which lasted for twelve months.