• Title/Summary/Keyword: 수막

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Detection of Surgery-related Spinal Cerebrospinal Fluid Leakage Using Magnetic Resonance Myelography (자기공명척수조영술을 이용한 수술 후 척추 뇌수막액 누출 평가)

  • Koo, Hyun Jung;Kim, Sang Joon;Chung, Sun J.;Rhim, Seung-Chul
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.2
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    • pp.149-153
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    • 2013
  • Detection of cerebrospinal fluid leakage or exact localization of leakage site after spinal surgery is difficult on conventional imaging studies. We report two patients with surgery-related spinal CSF leakage detected on magnetic resonance (MR) myelography. They presented with severe headache after spinal surgeries, lumbar discectomy and excision of spinal meningioma, respectively. The sites of spinal CSF leakage in the patients were detected accurately on MR myelography, and the patients recovered from the postoperative CSF leakage after being treated with an epidural blood patch or reoperation. MR myelography may be effective in demonstrating the exact site of surgery-related spinal CSF leakage.

A Case of Buccal Cellulitis Caused by Haemophilus influenzae Type b in an Immunocompetent Child (면역 기능이 정상인 소아에서 발생한 b형 Haemophilus influenzae에 의한 협부 봉와직염(Buccal Cellulitis) 1례)

  • Lee, Jin A;Kim, Dong Ho;Koo, Ja Wook;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.8 no.2
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    • pp.234-240
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    • 2001
  • Buccal cellulitis which presents with high fever and a swelling of the cheek with violaceous hue in young children is most often caused by H. influenzae. Bacteremia is common in buccal cellulitis caused by H. influenzae, and a culture of cerebrospinal fluid should be obtained because meningitis may be present despite the lack of meningeal irritation signs. Although buccal cellulitis is considered to be one of the important manifestations of H. influenzae infection, only two cases have been reported in Korea yet. We experienced a case of buccal cellulitis with H. influenzae bacteremia in an immunocompetent girl of 18-month-old. She was presented with high fever followed by rapidly progressive swelling and tenderness of both cheeks with violaceous hue in four hours. The blood culture revealed H. influenzae type b. There was no concurrent otitis media, sinusitis, or meningitis and no portal of entry was identified. Fever subsided two days after starting intravenous cefotaxime. Intravenous cefotaxime was subsequently changed to oral cefixime, and antibiotics were administered for a total of two weeks. We report this case with a review of related literature.

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Two cases of central nervous system complications caused by Mycoplasma pneumoniae infection (Mycoplasma pnuemonia 감염에 의한 중추신경계 합병증 2례)

  • Kim, Shin Mi;Heo, Ji Seung;Shim, Eun Jung;Lee, Dae Hyoung;Cho, Do Jun;Kim, Dug Ha;Min, Ki Sik;Yoo, Ki Yang
    • Clinical and Experimental Pediatrics
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    • v.51 no.5
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    • pp.533-537
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    • 2008
  • Mycoplasma pneumoniae (M. pneumoniae) infection causes a wide variety of clinical manifestations in children and young adults, the main one being pneumonia. M. pneumoniae is transmitted from person to person by infected respiratory droplets. Symptoms caused by M. pneumoniae infection can be divided into those involving the respiratory tract, and those caused by extrapulmonary disease. M. pneumoniae infections may cause central nervous system (CNS) complications-with encephalitis being the most frequent-and stroke being a rare complication. The pathogenesis of the CNS disease is unclear; possibilities include direct infection and an immune-mediated reaction. We present two cases of CNS complications subsequent to infection with M. pneumoniae; both cases had convincing evidence of preceding M. pneumoniae respiratory disease with no evidence of viable M. pneumoniae in the cerebrospinal fluid. We report cases of encephalitis and stroke following a recent M. pneumoniae infection.

Infective Endocarditis Caused by Methicillin-Resistant Staphylococcus aureus Combined with Meningitis (수막염과 동반된 메티실린내성 황색포도알균에 의한 감염성 심내막염 1예)

  • Na, Kyung Won;Kim, Jon Soo;Kim, Hyun Jung
    • Pediatric Infection and Vaccine
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    • v.23 no.3
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    • pp.229-235
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    • 2016
  • Infective endocarditis (IE) caused by methicillin-resistant Staphylococcus aureus (MRSA) has become a worldwide concern. We present a case of a 12-year-old child with IE of the native mitral valve due to MRSA infection after an invasive dental procedure. Based on the clinical symptoms and the presence of cerebrospinal fluid pleocytosis, the patient was initially diagnosed with presumed bacterial meningitis and treated with empiric antibiotics. On the third day of hospitalization, MRSA was cultured from the initial blood samples and vegetation was observed on the mitral valve during an echocardiogram, findings which are compatible with a diagnosis of IE. The revised guidelines for antibiotic prophylaxis for the prevention of IE advise that IE prophylaxis for dental procedures is reasonable only for patients with underlying cardiac conditions, who are at the highest risk of adverse outcomes from IE. However, in this case, the patient had no high risk factors indicative of IE prophylaxis, except for mitral valve prolapse. She had no recurrence of IE over a follow-up period of 12 months.

A Case of Neonatal Meningitis Caused by Streptococcus dysgalactiae subspecies dysgalactiae and Herpes Simplex Virus (Streptococcus dysgalactiae subspecies dysgalactiae와 Herpes Simplex Virus에 의한 신생아 수막염 1예)

  • Im, Geeyae;Park, Yoonseon;Kim, Minsung;Kim, Ki Hwan;Kim, Sang Yong;Chung, Seung Yun
    • Pediatric Infection and Vaccine
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    • v.26 no.3
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    • pp.194-198
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    • 2019
  • Streptococcus dysgalactiae has two main subspecies: S. dysgalactiae subsp. equisimilis (SDSE) and S. dysgalactiae subsp. dysgalactiae (SDSD). SDSE often colonizes and causes infections in humans; however, SDSD is an animal pathogen which often causes pyogenic infection in domestic animals. We present a case of meningitis with SDSD and herpes simplex virus in a 22-day-old newborn baby who had no exposure to animals.

Changes of Thin Film Coating on Polymer Lenses with Varying Temperature (온도에 의한 고분자 렌즈의 재질별 코팅 박막의 변화)

  • Noh, Hyeran
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.1
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    • pp.1-8
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    • 2014
  • Purpose: To observe changes of coatings and lens materials with varying temperature to understand effect of temperature on plastic lens. Methods: In this study, three lenses of different refractive indices (2 of thiourethane oriented lenses, an allyl diglycol carbonate oriented lens) were exposed to high temperature (50, 80, and 100 degree) for 5 hours and changes of individual coating (anti-refractive coating, hard coating, and water repellent coating) were measured. Results: As a result, high-refractive index lenses did not exhibit significant variation of hardness. However, hardness of mid-refractive index lens were decreased when exposed to high temperature and destructions of hard coating layer was inferred. Surface contact angles of lens were decreased with increasing temperature and water repellent coating layer were damaged at higher than 80 degree. Conclusions: Multi including water repellent coatings on all three lenses with different refractive indices were damaged when exposed to at or higher than 80 degree. The degree of changes in mechanical and physical properties were depended on polymer material type.

Group A ${\beta}$-hemolytic Streptococcal Meningoencephalitis with Unilateral Hemiparesis (일측성 편마비를 동반한 A군 ${\beta}$-용혈성 사슬알균 수막뇌염 1례)

  • Kim, Ki-Won;Soon, Eu-Gene;Cha, Byung Ho;Lee, Hae Yong;Uh, Young;Kim, Sunjoo;Chun, Jin-Kyong
    • Pediatric Infection and Vaccine
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    • v.16 no.2
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    • pp.210-214
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    • 2009
  • Group A streptococcus (GAS) rarely causes meningoencephalitis in children without risk factors. A previously healthy 8 year-old child presented with lethargy, high fever, and vomiting. The clinical course was unusual including intractable seizures, disseminated intravascular coagulation (DIC), and left hemiparesis in spite of the appropriate and timely administration of antibiotics and corticosteroids. The microbiologic studies revealed that the pathogen was susceptible to penicillin and GAS M18 strains. This case showed the importance of the GAS vaccine in addition to appropriate antibiotics.

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Uncertainty Analysis for Head and Gradient Incorporating Spatial Nonuniformity of Hydraulic Conductivity around Underground Storage Caverns (지하공동주변 수리전도도의 불균일성을 도입한 수두 및 동수경사의 불확실성 해석)

  • Jeong, Il-Mun;Jo, Won-Cheol;Heo, Jun-Haeng
    • Journal of Korea Water Resources Association
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    • v.31 no.5
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    • pp.553-564
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    • 1998
  • For the proper design and management of underground storage cavern, groundwater flow around cavern should be analyzed. Since this flow is influenced by spatial nonuniformity of hudraulic conductivity, the two-dimensional finite element flow model incorporating stochastic concepts was developed to analyze influences due to this nonuniformity. Monte Carlo technique was applied to obtain an approximate solution for two-dimensional, steady flow in a stochastically defined nonuniform medisu. For this purpose, the values of hydraulic conductivity were generated for each element with known mean and standard deviations. The uncertainty in model prediction depends on both the nonuniformity in hydraulic conductivity and the natures of the flow system such as water curtain and boundary condition. Therefore the uncertainties in predicted hydraulic head and gradient are the greatest where the mean hydraulic gradients are relatively large and far from the boundaries. Especially, we relate these uncertainties with well known gas tightness condition.

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Performance Evaluation of Selective Coatings for Solar Thermal Collectors (태양열 집열기에 사용될 선택흡수막의 성능 평가)

  • Lee, Kil-Dong
    • Journal of the Korean Solar Energy Society
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    • v.32 no.4
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    • pp.43-50
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    • 2012
  • Metal-metal oxide (M-M oxide) cermet solar selective coatings with a double cermet layer film structure were deposited on the Al-deposited glass substrate by using a directed current (DC) magnetron sputtering technology. M oxide (CrO and ZrO) was used as the ceramic component in the cermets, and Cr and Zr used as the metallic components. In addition, black Cr (Cr-$Cr_2O_3$ cermet) solar selective coatings were deposited on the Ni-plated Cu substrate by using a electroplating method for comparison. The thermal stability tests were carried out for performance evaluation of solar coatings. Reflectance measurements were used to evaluate both solar absorptance(${\alpha}$) and thermal emittance (${\epsilon}$) of the solar coatings before and after thermal testing by using a spectrometer. Optical properties of optimized cermet solar coatings were ${\alpha}{\simeq}0.94-0.96$ and ${\epsilon}{\simeq}0.1$ ($100^{\circ}C$). The results of thermal stability test of M-M oxide solar coatings showed that the Cr-CrO cermet solar selective coatings were more stable than the Zr-ZrO cermet selective coatings at temperature of both $400^{\circ}C$ in air and $450^{\circ}C$ in vacuum. The black Cr solar selective coatings were degraded in air at temperature of $400^{\circ}C$. The main optical degradation modes of these coatings were diffusion of metal atoms, and oxidation.