• Journal of Korean Neurosurgical Society
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• 제44권2호
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• pp.98-100
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• 2008

We report a very rare case of a rapidly calcified chronic epidural hematoma (EDH) in a neonate. A 26-day-old female infant was referred to us from a regional hospital because of drowsy mentality and a seizure attack. She was delivered through caesarian section because normal spontaneous vaginal delivery was prolonged and failed. At birth, mild scalp swelling was found on the right frontal area. Scalp swelling was spontaneously resolved and she was discharged without any problems. On the 25th day after her birth, the baby presented with drowsiness and hypotonia following a generalized tonic-clonic seizure. Magnetic resonance imaging (MRI) and a computed tomography (CT) scan revealed a chronic EDH that had a thick layer of calcification. A small burr-hole trephination was performed and a single silastic drainage catheter was inserted. After the operation, a total of 12 ml of liquefied hematoma was drained, and the patient's mentality improved from drowsiness to alertness. The patient was asymptomatic when discharged.

• Journal of Korean Neurosurgical Society
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• 제51권2호
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• pp.91-93
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• 2012

Acute spontaneous subdural hematoma (SDH) of arterial origin is very rare. We report a case of acute spontaneous SDH that showed contrast media extravasation from cortical artery on angiograms. A 58-year-old male patient developed sudden onset headache and right hemiparesis. Brain CT scan demonstrated acute SDH at left convexity. The patient was drowsy mentality on admission. He had no history of head trauma. Cerebral angiography was performed and revealed a localized extravasation of the contrast media from distal cortical MCA branch. After angiography, the patient deteriorated to comatose mentality. Decompressive craniectomy for removal of SDH was performed. We verified the arterial origin of the bleeding and coagulated the bleeding focus. The histological diagnosis was aneurysmal artery. He recovered after surgery with mild disability. In a case of acute spontaneous SDH, the possibility of a cortical artery origin should be considered.

• Journal of Korean Neurosurgical Society
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• 제45권3호
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• pp.176-178
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• 2009

Traumatic brainstem hemorrhage after blunt head injury is an uncommon event. The most frequent site of hemorrhage is the midline rostral brainstem. The prognosis of these patients is poor because of its critical location. We experienced a case of traumatic brainstem hemorrhage. A 41-year-old male was presented with drowsy mentality and right hemiparesis after blunt head injury. Plain skull radiographs and brain computerized tomography scans revealed a depressed skull fracture, epidural hematoma, and hemorrhagic contusion in the right parieto-occipital region. But, these findings did not explain the right hemiparesis. T2-weighted magnetic resonance (MR) image of the cervical spine demonstrated a focal hyperintense lesion in the left pontomedullary junction. Brain diffusion-weighted and FLAIR MR images showed a focal hyperintensity in the ventral pontomedullary lesion and it was more prominent in the left side. His mentality and weakness were progressively improved with conservative treatment. We should keep in mind the possibility of brainstem hemorrhage if supratentorial lesions or spinal cord lesions that caused neurological deficits in the head injured patients are unexplainable.

• Journal of Trauma and Injury
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• 제27권2호
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• pp.33-37
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• 2014

Central venous catheterization through a subclavian approach is indicated for some special purposes but it may cause many complications such as infection, bleeding, pneumothorax, thrombosis, air embolization, arrhythmia, myocardial perforation, and nerve injury. A case involving a mistaken central venous catheterization into the right vertebral artery through the subclavian artery is presented. A 33-year-old man who had deteriorated mentality after head injury underwent an emergency craniotomy for acute epidural hematomas on the right frontal and temporal convexities. His mentality improved rapidly, but he complained of continuous severe pain in the right posterior neck even though he had no previous symptom or past medical history of such pain. Three-dimensional cervical spine computed tomography (3D-CT) was performed first to rule out unconfirmed cervical injuries and it revealed a linear radiopaque material intrathoracically from the level of the 1st rib up to the level of C6 in the right vertebral foramen. An additional neck CT was performed, and the subclavian catheter was indwelling in the right vertebral artery through right subclavian artery. For the purpose of proper fluid infusion and central venous pressure monitoring, the subclavian vein catheterization had been performed in the operation room after general anesthesia induction before the craniotomy. Sufficient anatomical consideration and prudence is essential because inadvertent arterial cannulation at a non-compressible site is a highly risky iatrogenic complication of central venous line placement.

• 대한임상독성학회지
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• 제4권1호
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• pp.52-54
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• 2006

Datura stramonium is a wild growing plant, consumption of which can result in severe toxicity. It contains a variety alkaloids include atropine, hyoscamine, and scopolamine that can all cause anticholonergic poisoning. It has been use of herb medicine in Korea. Side effects from ingesting Datura stramonium include dry mouth, blurred vision, photophobia, and may be followed by hyperthermia, confusion, agitation, hallucination, and aggressive behavior. In severe toxicity, it can cause seizure, coma, life-threatening arrhythmia, and death. We experienced one patient who developed stupor mentality caused by Datura stramonium. Severe presentation, especially mental change of Datura stramonium should draw attention. Poisoning associated with Datura stramonium can be prevented through educational public health program.

• 대한임상독성학회지
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• 제11권1호
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• pp.19-22
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• 2013

Dextromethorphan and chlorpeniramine are common ingredients of over-the-counter (OTC) cough pills. They are known to be safe when used alone, however, combination with other serotonergic drugs or use of an overdose can cause serotonergic toxicity. We report on a 43-year-old male and a 57-year-old female who ingested an overdose of antitussive drugs containing dextromethorphan and chlorpeniramine. They commonly presented with altered mentality and hyperreflexia on both upper and lower extremities. After conservative therapies, they were discharged with alert mentality. These cases are meaningful in that there are few cases of serotonin syndrome with an overdose of a combination of dextromethorphan and chlorpeniramine. Careful use with medication counseling for OTC cough pills is needed in order to prevent overdose of these ingredients.

• The Journal of Asian Finance, Economics and Business
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• 제7권8호
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• pp.715-721
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• 2020

This paper aims to investigate the factors affecting the quality of rural labor in Vietnam, a case study in Thai Nguyen province. For this purpose, we establish an integrated framework of factors affecting the quality of rural labor. We use Fuzzy analytic hierarchy process (Fuzzy-AHP) to assess the weight of the criteria and sub-criteria of rural labor quality. This method introduced by Saaty (1987) is a useful tool to cope with the complexity of decision-making. The Fuzzy-AHP is one of the most common Multi-Criteria Decision-Making instruments for dealing with quantifiable and intangible criteria, which reflect the relative importance of the alternatives based on constructing a pairwise comparison matrix. The results show that the four most weighted factors are institutions, local government policies, technical qualifications, and mentality. In particular, the weight of the institution is the largest (0.2343), meaning that this factor is the most important one affecting the quality of rural labor in Thai Nguyen province. The weight of local government policy is close to that of institution, about 0.2259. The weights of technical qualification and mentality are 0.1238 and 0.1135, respectively. In addition, age and education levels do not significantly affect the rural labor quality of Thai Nguyen province.

• 동양고전연구
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• 제71호
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• pp.205-229
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• 2018

이 글은 '며느리-단혈형 부자 패가 설화'를 통해서 한국인의 민간신앙을 살핀 것이다. 며느리-단혈 부자 패가 설화는 부잣집에 손님이 많아 괴로워하던 며느리가 시주승에게 물어서 그의 지시대로 어떤 사물을 끊었더니 손님도 끊기고 그 집도 망했다는 이야기이다. 이 이야기는 한 가문이 갑자기 망한 원인을 며느리의 탓으로 돌리는 젠더적 면이 있는 이야기이다. 하지만 며느리의 악행을 부각시키지 않고 그 고생에 대한 이해를 강조하였으므로 비윤리적인 행위와 그에 따른 징치(懲治)로 집안이 망한 것으로만 보기 어렵다. 이 이야기에는 '사물이 끊긴 것-손님이 끊긴 것-집이 망한 것'을 하나로 보는 인식이 드러난다. 인간사와 자연의 연계에 대한 인식은 결국 인간과 신령간의 흐름을 원활하게 해서 서로 잘 교류하고 소통할 때 만사가 잘 된다는 민간의 신앙을 드러낸 것이다. 또 어쩔 수 없는 인간사의 흥망을 천의(天意)로 보고 따르는 의미도 읽힌다. 요컨대 이 글을 통해 필자는 '며느리-단혈형 부자 패가 설화'에 내재되어 있는 인간과 자연, 인간과 천의의 관계망을 살폈고, 그것을 민간신앙의 면에서 풀어낸 것이다.

• 대한한의학회지
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• 제21권2호
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• pp.87-94
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• 2000

Hypokalemic periodic paralysis(HypoPP) is characterized by an abrupt onset of flaccid paralysis with a clear mentality, but muscles of speech and swallowing are usually spared. We report on three patients who suffered attacks of acute paralysis. After exclusion of central nervous system involvement, the patients showing hypokalemia was diagnosed as hypokalemic periodic paralysis, which was completely reversible on parenteral potassium substitution.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2005년도 제36회 하계학술대회 논문집 전기설비
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• pp.34-36
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• 2005

To promote the mentality on intellectual property, this paper presents the concept and importance of intellectual property, international trend on patent policy and practical acquisition and maintenance strategy of patent for the domestic middle and small business enterprise and engineers.