• 제목/요약/키워드: Case Base

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A Case of Skull Base Hemangiopericytoma Presenting as Neck Mass (경부종괴 양상으로 나타난 뇌기저부 혈관주위세포종 1례)

  • Kim Young-Min;Moon You-Bo;Ahn Hae-Keong
    • Korean Journal of Head & Neck Oncology
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    • v.9 no.2
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    • pp.221-226
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    • 1993
  • Hamangiopericytoma, first described by Stout & Murray in 1942, is a rare vascular tumor composed of spindle-shaped or rounded cells proliferating around endothelial lined capillaries. These proliferating cells were belived to arise from the pericytes of Zimmerman. Histologically, this tumor demonstrates great variability and clinical course cannot be predicted from the histological appearance. Head and Neck hemangiopericytoma appears to have a lower grade malignancy with frequent local recurrency and metastasis, therefore, aggressive surgical therapy should be the treatment of choice. We experienced a case of hemangiopericytoma occurred in the right skull base at submastoideal and suboccipital area presenting as neck mass in upper occipital triangle in a 42 years old female patient and we report it with a review of literatures.

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An Experimental Study on The Cytotoxicity of Dental Base Metal Alleys by Extraction Method (용출법을 이용한 치과용 base metal alloy의 세포독성에 관한 실험적 연구)

  • Yoon, Min-Eui;Jin, Tai-Ho;Dong, Jin-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.2
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    • pp.123-130
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    • 1989
  • In order to investigate the biocompatibility of base metal alloys in dental prosthesis, the 3 types of Ni-Cr alloys and the 3 types of Co-Cr alloys were collected and each alloy was extracted in the culture medium. L-cells derived from the subcutaneous tissue of mouse and extracted medium were cultivated. The relative growth rate of L-cells in the tissue culture was calculated with N-R assay. The obtained results were as follows: 1. In the case of the Co-Cr alloys tested, its cytotoxicity proved weak. 2. In the case of the Ni-Cr alloys tested, there was no significant degree of cytotoxicity, especially 25% Victory was proved noncytotoxicity.

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A Case of Traumatic Bilateral Abducens Nerve Palsy Associated with Skull Base Fracture (두개저 골절과 동반된 외상성 양측성 외전신경 마비 1례)

  • Hwang, Jeong In;Cho, Jin Seong;Lee, Seung Chul;Lee, Jeong Hun
    • Journal of Trauma and Injury
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    • v.21 no.1
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    • pp.66-69
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    • 2008
  • Traumatic bilateral abducens nerve palsy is rare and is associated with intracranial, skull and cervical spine injuries. We report a case of bilateral abducens nerve palsy in a 40-month-old patient with a skull base fracture. The injury mechanism was associated with direct nerve injury caused by a right petrous bone fracture and indirect injury by frontal impact on the abducens nerve at the point of fixation to the petrous portion and Dorello's canal. The emergency physician should be aware of injuries and the mechanism of abducens nerve palsy in head trauma.

Soil structure interaction effects on strength reduction factors

  • Eser, Muberra;Aydemir, Cem;Ekiz, Lbrahim
    • Structural Engineering and Mechanics
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    • v.41 no.3
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    • pp.365-378
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    • 2012
  • In this study, strength reduction factors are investigated for SDOF systems with period range of 0.1-3.0 s with elastoplastic behavior considering soil structure interaction for 64 different earthquake motions recorded on different site conditions such as rock, stiff soil, soft soil and very soft soil. Soil structure interacting systems are modeled and analyzed with effective period, effective damping and effective ductility values differing from fixed-base case. For inelastic time history analyses, Newmark method for step by step time integration was adapted in an in-house computer program. Results are compared with those calculated for fixed-base case. A new equation is proposed for strength reduction factor of interacting system as a function of structural period of system (T), ductility ratio (${\mu}$) and period lengthening ratio (T/T). It is concluded that soil structure interaction reduces the strength reduction factors for soft soils, therefore, using the fixed-base strength reduction factors for interacting systems lead to non-conservative design forces.

A Study on the Output Power Optimization of Mobile WiMAX Base Station (Mobile WiMAX 기지국의 최적 출력파워 도출에 관한 연구)

  • Kim, Sung-Man
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.4A
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    • pp.341-349
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    • 2010
  • In this paper, we studied on the optimization of the output power of Mobile WiMAX (IEEE 802.16) base station considering the technical condition of base station and wireless channel condition. The optimum power of base station can be estimated based on the link budget calculation of downlink and uplink in the Mobile WiMAX communication system. We investigated the optimum output power of base station in the case of 2Tx-2Rx base station with $2{\times}2$ MIMO(multiple input multiple output) technology, 2Tx-4Rx base station with improved receiver sensitivity, and 4Tx-4Rx base station with beamforming technology.

Effectiveness of non-linear fluid viscous dampers in seismically isolated buildings

  • Guler, Elif;Alhan, Cenk
    • Earthquakes and Structures
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    • v.17 no.2
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    • pp.191-204
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    • 2019
  • Near-field earthquake records including long-period high-amplitude velocity pulses can cause large isolation system displacements leading to buckling or rupture of isolators. In such cases, providing supplemental damping in the isolation system has been proposed as a solution. However, it is known that linear viscous dampers can reduce base displacements in case of near-field earthquakes but at the potential expense of increased superstructure response in case of far-field earthquakes. But can non-linear dampers with different levels of non-linearity offer a superior seismic performance? In order to answer this question, the effectiveness of non-linear viscous dampers in reducing isolator displacements and its effects on the superstructure response are investigated. A comparison with linear viscous dampers via time history analysis is done using a base-isolated benchmark building model under historical near-field and far-field earthquake records for a wide range of different levels of non-linearity and supplemental damping. The results show that the non-linearity level and the amount of supplemental damping play important roles in reducing base displacements effectively. Although use of non-linear supplemental dampers may cause superstructure response amplification in case of far-field earthquakes, this negative effect may be avoided or even reduced by using appropriate combinations of non-linearity level and supplemental damping.

Conflict Analysis in Construction Project with Unstructured Data: A Case Study of Jeju Naval Base Project in South Korea

  • Baek, Seungwon;Han, Seung Heon;Lee, Changjun;Jang, Woosik;Ock, Jong Ho
    • International conference on construction engineering and project management
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    • 2017.10a
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    • pp.291-296
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    • 2017
  • Infrastructure development as national project suffers from social conflict which is one of main risk to be managed. Social conflicts have a negative impact on not only the social integration but also the national economy as they require enormous social costs to be solved. Against this backdrop, this study analyzes social conflict using articles published by online news media based on web-crawling and natural language processing (NLP) techniques. As an illustrative case, the Jeju Naval Base (JNB) project which is one of representative conflict case in South Korea is analyzed. Total of 21,788 articles and representative keywords are identified annually. Additionally, comparative analysis is conducted between the extracted keywords and actual events occurred during the project. The authors explain actual events in the JNB project based on the extracted words by the year. This study contributes to analyze social conflict and to extract meaningful information from unstructured data.

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Microvascular Reconstruction of the Cranial Base Defects (두개저 결손의 미세수술적 재건술)

  • Minn, Kyung-Won;Kim, In-Chul;Lee, Min-Goo
    • Archives of Reconstructive Microsurgery
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    • v.8 no.1
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    • pp.71-76
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    • 1999
  • Until recently, the cranial base tumors were deemed unresectable due to the inability to diagnose the extent of the involvement accurately and to approach and excise the tumor safely. With refinements in CT and NMR scanning and development of craniofacial techniques, reconstruction becomes absolutely crucial in allowing successful resection of these tumors. Resection of these tumors may sometimes result in massive and complex extirpation defects that are not amendable to local tissue closure. In such cases, the free tissue transfer was a useful alternative because it can provide large amount of well-vascularized tissues and reliable separation of intracranial space from bacterial flora of the upper airway. The microvascular free tissue transfer was used in 9 patients at our center to reconstruct the cranial base defects. Of these, 8 were free rectus muscle flaps, and 1 was free latissimua dorsi muscle flap. There were 1 case of partial flap loss and 1 case of postoperative wound infection. The large, complex defects were successfully reconstructed by one stage operation and the functional and aesthetic results were satisfactory with acceptable complication rates.

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Medical Data Base Controlled By Medical Knowledge Base

  • Chernyakhovskaya, Mery Y.;Gribova, Valeriya V.;Kleshchev, Alexander S.
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.343-351
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    • 2001
  • World practice is evidence of that computer systems of an intellectual support of medical activities bound up with examination of patients, their diagnosis, therapy and so on are the most effective means for attainment of a high level of physician\`s qualification. Such systems must contain large knowledge bases consistent with the modern level of science and practice. To from large knowledge bases for such systems it is necessary to have a medical ontology model reflecting contemporary notions of medicine. This paper presents a description of an observation ontology, knowledge base for the physician of general tipe, architecture, functions and implementation of problem independent shell of the system for intellectual supporting patient examination and mathematical model of the dialog. The system can be used by the following specialist: therapeutist, surgeon, gynecologist, urologist, otolaryngologist, ophthalmologist, endocrinologist, neuropathologist and immunologist. The system supports a high level of examination of patients, delivers doctors from routine work upon filling in case records and also automatically forms a computer archives of case records. The archives can be used for any statistical data processing, for producing accounts and also for debugging of knowledge bases of expert systems. Besides that, the system can be used for rise of medical education level of students, doctors in internship, staff physicians and postgraduate students.

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Cranial Base Reconstruction and Secondary Frontal Advancement for Meningoencephalocele Following LeFort III Osteotomy in a Patient with Crouzon Syndrome: Case Report

  • Sungmi Jeon;Yumin Kim;Ji Hoon Phi;Jee Hyuk Chung
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.54-58
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    • 2023
  • Patients with Crouzon syndrome have increased risks of cerebrospinal fluid rhinorrhea and meningoencephalocele after LeFort III osteotomy. We report a rare case of meningoencephalocele following LeFort III midface advancement in a patient with Crouzon syndrome. Over 10 years since it was incidentally found during transnasal endoscopic orbital decompression, the untreated meningoencephalocele eventually led to intermittent clear nasal discharge, frontal headache, and seizure. Computed tomography and magnetic resonance imaging demonstrated meningoencephalocele in the left frontal-ethmoid-maxillary sinus through a focal defect of the anterior cranial base. Through bifrontal craniotomy, the meningoencephalocele was removed and the anterior cranial base was reconstructed with a pericranial flap and split calvarial bone graft. Secondary frontal advancement was concurrently performed to relieve suspicious increased intracranial pressure, limit visual deterioration, and improve the forehead shape. Surgeons should be aware that patients with Crouzon syndrome have the potential for an unrecognized dural injury during LeFort III osteotomy due to anatomical differences such as inferior displacement and thinning of the anterior cranial base.