• Title/Summary/Keyword: threatening

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The Usefulness of Transcatheter Arterial Embolization for Panfacial Injury (전체얼굴손상 환자에서 영상중재시술의 유용성)

  • Kim, Jae Woo;Choi, Hwan Jun;Kim, Mi Sun;Yang, Seung Boo
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.358-364
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    • 2007
  • Purpose: A life-threatening hemorrhage resulting from a severe facial fracture is rare, but it needs a prompt and aggressive treatment. Especially, a massive oronasal bleeding combined with midfacial fracture which may result from the rupture of the internal maxillary artery. With the recent advances in the radiologic intervention, its use has increased for managing these life threatening case. We reviewed its usefulness with our experiences and literatures. Methods: A retrospective review was performed to determine the usefulness of the transcatheter arterial embolization in patients with panfacial trauma. If the vital signs were unstable, cardiopulmonary resuscitation was performed. Oronasal bleeding was controlled with nasal packing and electrocautery. All injured regions were studied by radiologic study including CT. Even after primary management, if the oronasal bleeding was persistent, radiologic intervention was performed 10 patients were treated with transcatheter arterial embolization and the bleeding focus controlled by embolization with polyvinyl alcohol and gelfoam. Results: After the intervention, the vital signs became stable and there were no complications from embolization in the follow-up for 6 months. Also patients could recover through appropriate operations. Conclusion: Transcatheter arterial embolization for maxillofacial injury has many advantages for both, the doctor and the patient. First, less pain is induced than a compression device or an operation, which is another way to treat oronasal bleeding. Second, it does not need general anesthesia. And through a single procedure not only we can know the accurate bleeding point, but we can also bleeding by embolization.

A Study on Site Selection for Reeve's turtle(Maunemys reevesii) Habitats Using Habitat Suitability Index (서식지 적합성 지수(HSI)를 활용한 남생이 서식지 복원 대상지 선정 방안 연구)

  • Park, Yong-Su;Chang, Min-Ho;Cha, Jin-Yeol;Cho, Dong-Gil;Kim, Seung-Hee;Lee, Sung-Woo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.18 no.3
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    • pp.109-118
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    • 2015
  • This study was performed to propose the site selection plan for the restoration of the target Reeve's turtle (Maunemys reevesii) habitat and has developed the AHP model to select the optimal site for Reeve's turtle habitat restoration on the basis of the Reeve's turtle Habitat Suitability Index (HSI) items (factors and variables). The assessment areas were established by the Reeve's turtle HSI factors such as breeding space, feed, cover, water, threatening factors and others and the sub-assessment items by each assessment area were established based on the Reeve's turtle HSI variables. The weighting values of the assessment areas and items were calculated by the developed AHP method. The weighting values of the 5 assessment areas were arranged in order as breeding space(0.293), food(0.273), water(0.217), cover(0.113), and threatening factor(0.104). The final weighting values of the 17 assessment items were arranged in order of height as all kind of food(0.222), water depth(0.096), altitude of spawning ground(0.093). The scoring criteria according to the assessment items and factors were marked and applied by equal intervals considering the criteria by HSI items of the Reeve's turtle and finally the scoring criteria diagram as been proposed for the optimal site selection of the Reeve's turtle habitat restoration.

Surgical Treatment of Pulmonary Aspergilloma -Analysis of 12 cases- (폐국균종의 외과적 치료)

  • 박서완;이형렬
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.530-535
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    • 1996
  • Saprophytic aspergillosis (aspergilloma), a potentially life-threatening disease from the colonization of lung cavities by the ubiquitous fungus Aspergillus fumigatus, has been of surgical concern. Twelve patients with symptomatic aspergilloma underwent operative procedures at Pusan national University Hospital between January 1, 1984 and August 31, 1994. The mean age of the patients was 38.8 years and nine of them had hemoptysis; in two it was massive and life-threatening. Wine of the patients had underlying causes of cavitary lung disease and tuberculosis was the most common cause. Lobectomy was the most commonly performed procedure (in six) . Several major complications including excessive bleeding (2), and pneumonia (2), and empyema with bronchopleural fistula (1) occurred .and one patient died (operative mortality=8.3%). There were no recurrent symptoms in any of the 11 operative survivors during the follow-up period. It is concluded that early, aggressive surgical intervention can provide definite cure in established aspergilloma, even with minimal symptoms.

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Analysis of Security Threats from Increased Usage of Mobile App Services (모바일 앱 서비스 이용 증가로 인한 보안 위협 분석)

  • Choi, Heesik;Cho, Yanghyun
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.14 no.1
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    • pp.45-55
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    • 2018
  • Recently, because the arrival of the fourth industrial revolution era, many information and telecommunication services have grown rapidly in the mobile business market. So, companies are based Mobile Apps on user customized services and expanding their services. From the standpoint of the business, to generate revenue, the company needs to maintain the existing current computer environment and develop Mobile Apps to offer convenience in various areas such as finance, admiration, e-commerce and sales support. However, as the number of users increase due to expansion of various Mobile services, security threats that are related to Mobile Apps are increasing and its damage is also increasing. Due to the rapid technological transformation of Mobile devices using the Internet, the level of security threats to Smartphones are rising and getting more advance, so this thesis is structured as follows. In Chapter 2, it will look at the overall trends of Mobile Apps as related research. In Chapter 3, it will discuss various security concerns that related to the latest Mobile Apps and learn about the threatening factors. In Chapter 4, it will compare and analyze the threatening factors. Then it will find and suggest the possible plan. In Chapter 5, it will end with conclusion. Finally, to protect mobile devices from security threats, the environment of operating system which manages the resources and data of Apps needs to be protected. Also, it is important that users to have awareness and check activation FinTech technology security in the process of simple payment with fingerprint or IC card.

A Study of Security Policy for U-Healthcare Service (U-Healcare 서비스를 위한 보안정책에 관한 연구)

  • Lee, Keun-Ho
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.747-751
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    • 2013
  • Researches on U-Healthcare service integrating medical information and IT technologies are actively conducted. U-Healthcare service is the next generation's medical paradigm that ensures conveniences to many users so that the society recognizes the importance and attempts for commercialization through various business model are performed. To form such U-Healthcare service market safely, various policies on the social structure should be established through the standard and the medical law to systemize of the medical information led by the governmen. Especially, the government's security policy to ensure the safety for the government leading visualization of U-Healthcare should be firmly established. Firstly, this paper presents U-healthcare Service and policy guideline. Secondly, it analyzes security threatening factors for the safe U-Healthcare service. By classifying the analyzed security threatening factors based on three major elements of the security, Confidentiality, Integrity and Availability of security policy for each element is proposed.

Cervicofacial infection in a Nigerian tertiary health institution: a retrospective analysis of 77 cases

  • Fomete, Benjamin;Agbara, Rowland;Osunde, Daniel Otasowie;Ononiwu, Charles N
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.6
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    • pp.293-298
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    • 2015
  • Objectives: Infection involving the orbit, zygomatic space, lateral pharyngeal space, or hemifacial and oral floor phlegmon is referred to as cervicofacial infection (CFI). When diagnosis and/or adequate treatment are delayed, these infections can be life-threatening. Most cases are the result of odontogenic infections. We highlight our experiences in the management of this life-threatening condition. Materials and Methods: This was a retrospective study of patients who presented with CFI from December 2005 to June 2012 at the Oral and Maxillofacial Surgery Clinic or the Accident and Emergency Unit of Ahmadu Bello University Teaching Hospital (Zaria, Nigeria). The medical records of all patients who presented with either localized or diffuse infection of the maxillofacial soft tissue spaces were retrospectively collected. Data collected was analyzed using SPSS version 13.0 and are expressed as descriptive and inferential statistics. Results: Of the 77 patients, 49 patients (63.6%) were males, a male to female ratio of 1:7.5. The ages ranged from two years to 75 years with a mean of $35.0{\pm}19.3$ years, although most patients were older than 40 years. The duration of symptoms prior to presentation ranged from 6 to 60 days, with a mean of $11.0{\pm}9.4$ days. More than 90% of the patients presented to the clinic within the first 10 days. The most commonly involved anatomical space was the submandibular space (n=29, 37.7%), followed by hemifacial space (n=22, 28.6%) and buccal space (n=7, 9.1%). Ludwig angina accounted for about 7.8% of the cases. Conclusion: CFI most commonly involves the submandibular space, typically affects individuals with a low level of education, and is influenced by traditional medical practices. Despite improved health care delivery, CFI remains a significant problem in developing countries.

Two Cases of Methylmalonic Acidemia where Refusal to Blood Transfusion Led to Death (종교상의 이유로 수혈을 거부하여 사망한 메틸 말로닌산 혈증 환아 2례)

  • Jang, Ha Won;Lee, Yong Wook;Chang, Meayoung;Kil, Hong Ryang;Kim, Sook Za
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.18 no.2
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    • pp.50-54
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    • 2018
  • Jehovah's Witnesses do not accept blood transfusions, because of their particular interpretation of the Old and New Testaments. When people with such religious convictions are in need of medical care, their faith and belief may become an obstacle for proper treatment, and pose legal, ethical, and medical challenges for the health care providers. We report two inherited metabolic disorder cases in South Korea where the infants died whilst under medical care because of parental refusal of blood transfusions for religious reasons. Case 1 had methylmalonic acidemia, Down syndrome and associated congenital cardiac anomalies requiring surgery. Case 2 had anemia and methylmalonic acidemia requiring dialysis to treat hyperammonemia and metabolic acidosis. For effective medical management, they needed life-saving blood transfusions. As a part of alternative treatment, Erythropoietin was administered in both cases. As a result, two babies died from their extremely low hemoglobin and hematocrit. The hemoglobin concentrations below 2.7 g/dL without cardiac problem and 5.4 g/dL with cardiac anomaly complicated by pulmonary hypertension are considered life-threatening hemoglobin threshold. The medical professional must respect and accommodate religious beliefs of the patients who can make informed decisions. However, when parents or legal guardians oppose medical treatment of their babies and incompetent care receivers on cultural and religious grounds, the duty to assist and save persons exposed to serious danger, particularly life-threatening events must come first.

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Crystal Structure of SAV0927 and Its Functional Implications

  • Jeong, Soyeon;Kim, Hyo Jung;Ha, Nam-Chul;Kwon, Ae-Ran
    • Journal of Microbiology and Biotechnology
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    • v.29 no.3
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    • pp.500-505
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    • 2019
  • Staphylococcus aureus is a round-shaped, gram-positive bacterium that can cause numerous infectious diseases ranging from mild infections such as skin infections and food poisoning to life-threatening infections such as sepsis, endocarditis and toxic shock syndrome. Various antibiotic-resistant strains of S. aureus have frequently emerged, threatening human lives significantly. Despite much research on the genetics of S. aureus, many of its genes remain unknown functionally and structurally. To counteract its toxins and to prevent the antibiotic resistance of S. aureus, our understanding of S. aureus should be increased at the proteomic scale. SAV0927 was first sequenced in an antibiotic resistant S. aureus strain. The gene is a conserved hypothetical protein, and its homologues appear to be restricted to Firmicutes. In this study, we determined the crystal structure of SAV0927 at $2.5{\AA}$ resolution. The protein was primarily dimeric both in solution and in the crystals. The asymmetric unit contained five dimers that are stacked linearly with ${\sim}80^{\circ}$ rotation by each dimer, and these interactions further continued in the crystal packing, resulting in a long linear polymer. The crystal structures, together with the network analysis, provide functional implications for the SAV0927-mediated protein network.

The Role of Bloodletting and Cupping in Severe Acute Urticaria and Angioedema as Skin Emergencies in Persian Medicine

  • Shirazi, Maryam Taghavi;Kenari, Hoorieh Mohammadi;Eghbalian, Fatemeh
    • Journal of Pharmacopuncture
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    • v.25 no.1
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    • pp.7-14
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    • 2022
  • Objectives: Some dermatological diseases can be life-threatening. Urticaria and angioedema are common reasons for patients to seek treatment at an emergency department. Severe, generalized urticaria and angioedema can endanger patients' lives by involving the airways and causing anaphylactic shock. The humor-based Persian Medicine (PM) concepts of Shara and Mashara, referring to two kinds of skin lesions, have similarities to urticaria and angioedema, respectively. This article aims to provide scientific evidence regarding the application of PM as an early intervention strategy in the emergency management of urticaria and angioedema. Methods: This was a narrative review of PM studies identified by searching medical databases using search terms related to these diseases, as well as risk-associated keywords such as "fatal", "death", "life-threatening", "emergency", "cupping", and "bloodletting". Data were then compared, interpreted, and analyzed. Results: PM scholars consider the human body as a unified whole and believe in an inner power (Nature) which stems from the body. When the presence of excessive hot substances cause an imbalance of bodily humors, Nature directs their heated vapors sharply toward the skin, thus causing Shara and Mashara. If there is a high risk of inflammation spreading to vital organs under severe conditions, urgent manual interventions are crucial. Conclusion: In serious conditions of urticaria and angioedema, Fasd or bloodletting and Hijama can be effective in speeding up the control of lesions and reducing morbidity and mortality. Consequently, the development of integrated Persian and conventional medicines may provide new therapeutic pathways for skin emergencies.

Automation Development in Water and Wastewater Systems

  • Olsson, Gustaf
    • Environmental Engineering Research
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    • v.12 no.5
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    • pp.197-200
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    • 2007
  • Advanced control is getting increasingly demanded in water and wastewater treatment systems. Various case studies have shown significant savings in operating costs, including energy costs, and remarkably short payback times. It has been demonstrated that instrumentation, control and automation (ICA) may increase the capacity of biological nutrient removing wastewater treatment plants by 10-30% today. With further understanding and exploitation of the mechanisms involved in biological nutrient removal the improvements due to ICA may reach another 20-50% of the total system investments within the next 10-20 years. Disturbances are the reason for control of any system. In a wastewater treatment system they are mostly related to the load variations, but many disturbances are created also within the plant. In water supply systems some of the major disturbances are related the customer demand as well as to leakages or bursts in the pipelines or the distribution networks. Hardly any system operates in steady state but is more or less in a transient state all the time. Water and energy are closely related. The role of energy in water and wastewater operations is discussed. With increasing energy costs and the threatening climate changes this issue will grow in importance.