The goal of therapy in patients with traumatic carotid-cavernous fistulas is to occlude the fistula, preferably while maintaining the carotid blood flow. Since the introduction of the concepts of detachable balloon technique to occlude arteriovenous fistulas, the technique has become the treatment of choice in the management of traumatic carotid-cavernous fistulas. The major symptoms of traumatic CCFs are (1)pulsating exophthalmos, (2)orbital and cephalic bruit and murmur, (3) headache, (4) chemosis. (5) extraocular palsies, and (6) visual failure. Traumatic CCFs are combined with multiple associated lesions. We tried the occlusion of fistulas using Goldvalve balloons in 8 consecutive cases of traumatic CCF and the result of our experience is reported. Transarterial approach with manually-tied latex balloons is tried in all cases and the fistulas was successfully occluded in all cases. In 5 cases. the internal carotid artery was preserved and the arterial lumen was occluded along with fistula opening in :3 cases. In one case, surgical ligation was done because of symptoms recurred and incomplete occlusion of fistula. We experienced hemiparesis as a major complication in one case during occlusion tolerance test, which was remitted spontaneously. The results of Debrun balloon treatment were relatively excellent. We consider that the first choice of treatment of traumatic CCF is occlusion of the fistula by a detachable balloons.
Kim, Eui-Hong;Ha, Jeoung-Hee;Lee, Kwang-Youn;Kim, Won-Joon
Journal of Yeungnam Medical Science
/
v.3
no.1
/
pp.279-285
/
1986
Carbamazepine is a derivative of iminostilbene with carbamyl group and related chemically to the tricyclic antidepressants. Carbamazepine has been introduced for treatment of trigeminal neuralgia. Recently it is used as an antiepileptic agent such as diphenylhydantoin. Antiepileptic drugs are known to affect experimentally induced cardiac arrhythmia and are now widely used clinically for treatment of ventricular tachyarrhythmias, particularly those produced by digitalis intoxication. Steiner et al.(1970) reported that carbamazepine was found to be very effective in converting ventricular tachycardia due to digitalis toxicity to normal sinus rhythm. Clinically bradycardia, complete heart block, ventricular standstill and Adams-stokes attack were reported in the course of carbamazepine treatment. The purpose of this study was to investigate the effects of carbamazepine on the ouabain-induced arrhythmia in vivo. The rabbits of either sex, weighing from 1.6 to 3.2kg were anesthesized by urethane. After the trachea was cannulated, the rabbits were ventilated with room air using a respirator. Drugs were given into polyethylene cannula in the femoral vein. Blood pressure were recorded by physiograph via pressure tranducer connected with the cannula in the femoral artery. EKG were recorded by Physiograph via electrode implanted in both fore leg and left hind leg. The results are summarized as follows; 1. Arrhythmia was induced by continuous infusion of ouabain.($64{\pm}8.8{\mu}g/kg$) 2. Single administration of ouabain($64{\mu}g/kg$) induced arrhythmia which was persisted for 7-8 min. 3. Ouabain induced arrhythmia was restored to normal sinus rhythm by administration of carbamazepine.(The more dosage, the less frequent and the longer duration) 4. Severe bradycardia, A-V block, atrial fibrillation were seen on the EKG after injection of carbamazepine alone. By the above results, it may be concluded that carbamazepine inhibits the ouabain-induced arrhythmia by dose-dependent.
Oh, Mee Hye;Kim, Soo Young;Seo, Won Hee;Pee, Dae Hun;Choi, Byung Min;Eun, Baik-Lin
Clinical and Experimental Pediatrics
/
v.46
no.9
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pp.893-897
/
2003
Purpose : Benign childhood epilepsy with centrotemporal spikes(BECT) is characterized by an excellent prognosis. Therefore, the necessity for the use of antiepileptic drugs is controversial. The object of this study is to know about the long-term follow-up of BECT, comparing daily treatment with antiepileptic drug(AED) versus no medication. Methods : We retrospectively studied 56 cases of BECTs, examined at Pediatric Neurology Clinic, Korea University Medical Center as reference study time, August 2002. Thirty-eight patients didn't have mediation(group I), while eighteen patients received one or two AED(group II). We evaluated demographics, clinical manifestations at diagnosis, EEG findings and clinical courses in groups I & II. Results : There was no significant differences of sex, age, seizure frequency, seizure type, seizure onset time, family history and EEG findings between group I & II. The reasons to start AED were : parents' anxiety(three cases), frequent seizure(12 cases) and daytime seizure(three cases). There was no evolution of status epilepticus and no difficulty in school performance. Conclusion : AED treatment was of no advantage and long-term prognosis was good regardless of treatment strategy. So it is advisable not to choose AED as the first line of therapy, provided that the patient himself/herself or the family understands the benign nature of BECT.
Journal of Korean Society of Coastal and Ocean Engineers
/
v.19
no.5
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pp.408-417
/
2007
Recently, an artificial beach has been constructed compensating for loss of the natural one caused by the development of coastal area, as well as serving as a location for recreational activities such as sea bathing. It is well known that some structure should be constructed to protect an artificial beach from the outflow due to wave action of the reclaimed sand. In general, dike is utilized as the structure to protect an artificial beach. And, one of the factors which may need to be taken into consideration for stability of dike on seabed foundation is the ground water behavior behind dike. However, the interrelated phenomena of nonlinear wave and ground water response have relatively little attention although these interactions are important for stability of structure and sand suction to the artificial beach. In this paper, the numerical wave tank was developed to clarify nonlinear wave, dike and ground water dynamic interaction, which can simulate the difference of ground water and mean water level. Using the developed numerical wave tank, the present study investigates how variation of ground water level influences hydrodynamic characteristics in seabed around dike and numerically simulates the wave fields, pore flow patterns, pore water pressures and vorticities according to variation of ground water level. Numerical results explain well how hydrodynamic characteristics in seabed around dike is affected by the variation of ground water level.
The $Km^{r}$ gene and plasmid of natural isolate and genetically modified microorganisms (GMM) rearranged by conjugation in water environments were comparatively analyzed by agarose gel electrophoresis and Southern analysis. The transfer rates of the $Km^{r}$ gene from GMM strains were generally 100 times higher than thosc of natural iso]ate(DKI) under laboratory cnvironments, but their transfer rate was not much different in Moosimcheon River water. The conjugants obtained in LB(Luria-Bertani broth) and FW(filtered river water) water under laboratory conditions showed same number of the plasmids. but the sizes of the plasmids were changed. The $Km^{r}$ gene in the conjugants was found in the same position as the pDKJO] $Km^{r}$ plasmid. In case of the GMM strains as donor. the large plasmids of 180 kb appeared in conjugants obtained in LB and FW water. Especially, the $Km^{r}$ gene in the donor of DKC600 was found to be inserted into chromosome of the conjugant obtained in FW water. However. in the conjugants obtained from DKl and DKB 701 in Moosimcheon River water, the plasmids were rearranged by 4 and 8. respectively, and all of them showed hybridization by the $Km^{r}$ probe. But the small plasmids of the recipient disappeared in the conjugant from DKC600 as donor, and the rearranged plasm ids and chromosome in the conjugants were observed to be hybridized with the $Km^{r}$ probe. Therefore, rearrangement of $Km^{r}$ gene and plasmids by conjugation was found to be afTected diversely by cellular characteristics as well as by environmental factors.
Park, Ji-Hyun;Song, Je-Seon;Kim, Seong-Oh;Son, Heung-Kyu;Lee, Jae-Ho
Journal of the korean academy of Pediatric Dentistry
/
v.38
no.4
/
pp.391-398
/
2011
The infraocclusion usually occurs in the mixed-dentition stage, and it is commonly accepted that the cause of the infraocclusion is ankylosis. The treatment options for patient with infraocclusion of primary molars are observation, restoration or surgical removal of the affected teeth. If the successors are present, most of the infraoccluded and ankylosed primary molars may occur normally. However, when the permanent successors are absent and the progression of infraocclusion is found, affected teeth may need to be extracted. In the case of infraocclusion which can cause vertical alveolar defect due to ankylosis, extraction before growth spurt should be performed for the future prosthetic treatment. A six-year-old female had the ankylosis and infraocclusion of multiple primary molars and congenital missing of premolars. The affected primary molars were extracted before growth spurt to avoid a significant vertical ridge defect and to promote the vertical development of alveolar bone, and the result was observed for many years. The purpose of this report is to report the management of multiple infraoccluded primary molars without permanent successors in a young patient.
Kim, Sang-Cheol;Baik, Jae-Joong;Lee, Tae-Hoon;Chung, Yeon-Tae
Tuberculosis and Respiratory Diseases
/
v.49
no.2
/
pp.162-168
/
2000
Background : Joint symptoms frequently occur in the course of antituberculous chemotherapy and tend to be ignored and overlooked, but in some cases, they are often very troublesome in obstructing ordinary life. Joint symptoms that develop during antituberculous chemotherapy need to be understood, but there are few materials describing them systematically. Method : This study enrolled 33 patients with tuberculosis treated with first line antituberculous agents for more than 6months. In the course of treatment, joint symptoms not associated with specific cause, such as preexisting joint disease or trauma, were investigated and compared with thæe of the asymptomatic group. We confirmed the incidence of joint symptoms and factors associated with them. Results : Nineteen of 33 patients (58%) had joint symptoms. Joint symptoms developed 1.9$\pm$1.4 months after the beginning of chemotherapy and lasted for 3.6$\pm$2.5months. In 18 of 19 symptomatic patients, multiple joints were involved: shoulder (10 patients, 53%), knee (10, 53%), finger (6, 32 %). Joint symptoms were expressed as pain (19 patiens, 100%), stiffness (7, 37%) and/or swelling (3, 16%). Fourteen patients (74%) took analgesics to relieve their symptoms and in 2 patients, antituberculous agents were discontinued because of the severity of their symptoms. The symptoms seem to be caused by agents other than pyrazinamide, but it was very difficult to identify the definite causative agent. In age, sex, underlying disease and serum uric acid level, no significant differences were noted between the two groups. Conclusions : Although joint symptoms are common during antituberculous chemotherapy, their development is difficult to predict. Because some joint symptoms can become very bothersome, the physician should pay close attention to these symptoms.
Park, Hong-Hyun;Kim, Kwang-Ho;Kim, Jeong-Jun;Goh, Hyun-Gwan;Lee, Sang-Guei
Korean journal of applied entomology
/
v.49
no.4
/
pp.351-355
/
2010
This study was conducted to determine the relationship of larval density of tobacco cutworm, Spodoptera litura (Fabricius) to damage in greenhouse sweet pepper. Laboratory experiments, cage experiments by artificial release and field investigation were carried out in 2008. The leaf consumption rate increased greatly with larval development. The damaged leaves had several round or oval shape holes on the surface or lost certain parts of them, and the fruit damaged had a conspicuous hole on the surface or scar marks around the calyx. In the field investigation, fruit damage was highly correlated with larval densities and reached 3.5% damage at maximum. Cage experiments showed that numbers of non-marketable fruit increased as increasing larval densities released. The larval density at two weeks before harvest had a high relationship with the percentage of damaged-fruit at harvest. Corresponding larval density caused 1, 3, 5% of damaged-fruit was 0.2, 0.5, 0.8 larvae per plant, respectively.
Journal of the korean academy of Pediatric Dentistry
/
v.32
no.3
/
pp.525-530
/
2005
Maxillary median diastema is the term used when there is spacing between maxillary central incisors. The space between maxillary central incisors are often observed during ugly duckling stage. In most of the cases, as maxillary permanent canines erupt, it gradually disappears. Maxillary median diastema needs to be treated when there is up to 2mm of space between the incisors even after eruption of permanent canines or when there is 3mm of space, at least, before the eruption of the canines. Particulary, for the latter case, orthodontic treatment is recommended because not only the esthetic point of view but also to regain the eruption space for maxillary lateral incisors and canines. The appliance used for orthodontic treatment are removable appliances, using finger spring and etc, and fixed appliances, using rubber elastics and coil spring. If rubber band alone was used to treat median diastema without any other appliance such as band, tube or bracket, it will gradually move downward along the root surface. Then it will destroy the peridontal ligament and causes tooth mobility, extrusion, and avulsion. This report presents cases of damaged tooth due to improper use of rubber band when treating maxillary median diastema.
Park, Su-Wan;Chang, Mun-Hee;Ki, Eun-Ju;Ryu, Kwan-Woo
The KIPS Transactions:PartA
/
v.14A
no.4
/
pp.191-196
/
2007
In the field of computer graphics, Navier-Stokes equations would be used for realistic simulations of smokes and currents. However, implementations derived from these equations are hard to achieve for real-time simulations, mainly due to its massive and complex calculations. Thus, there have been various attempts to approximate these equations for real-time simulation of smokes and others. When the advection terms of the equations are approximated by the Semi-Lagrange methods, the fluid density can be rapidly reduced and small-scale vorticity phenomena are easy to be missed, mainly due to the numerical losses over time. In this paper, we propose an improved numerical method to approximately calculate the advection terms, and thus eliminate these problems. To calculate the advection terms, our method starts to set critical regions around the target grid points. Then, among the grid points in a specific critical region, we search for a grid point which will be advected to the target grid point, and use the velocity of this grid point as its advection vector. This method would reduce the numerical losses in the calculation of densities and vorticity phenomena, and finally can implement more realistic smoke simulations. We also improve the overall efficiency of vector calculations and related operations through GPU-based implementation techniques, and thus finally achieve the real-time simulation.
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