• Title/Summary/Keyword: Old Man

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Investigation the effect of dynamic loading on the deformation of ancient man-made underground spaces

  • Rezaee, Hooman;Noorian-Bidgoli, Majid
    • Earthquakes and Structures
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    • v.22 no.3
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    • pp.277-287
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    • 2022
  • The ancient underground cities are a collection of self-supporting spaces that have been manually excavated in the soil or rock in the past. Because these structures have a very high cultural value due to their age, the study of their stability under the influence of natural hazards, such as earthquakes, is very important. In this research, while introducing the underground city of Ouyi Nushabad located in the center of Iran as one of the largest man-made underground cities of the old world, the analysis of dynamic stability is performed. For this purpose, the dynamic stress-displacement analysis has been performed through numerical modeling using the finite element software PLAXIS. At this stage, by simulating the Khorgo earthquake as one of the large-scale earthquakes that occurred in Iran, with a magnitude of 6.9 on the Richter scale, dynamic analysis by time history method has been performed on three selected sections of underground spaces. This study shows that the maximum amount of horizontal and vertical dynamic displacement is 12.9 cm and 17.7 cm, respectively, which was obtained in section 2. The comparison of the results shows that by increasing the cross-sectional area of the excavation, especially the distance between the roof and the floor, in addition to increasing the amount of horizontal and vertical dynamic displacement, the obtained maximum acceleration is intensified compared to the mapping acceleration applied to the model floor. Therefore, preventive actions should be taken to stabilize the excavations in order to prevent damage caused by a possible earthquake.

Seven Cases of Severe Esophageal Stricture (고도의 식도 협착증 7 예)

  • 김기주;김호성;조중환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1982.05a
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    • pp.5.2-5
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    • 1982
  • With the improvement of living standard and socioenvironmental change, esophageal stricture due to acetic acid, Hcl, insecticides and lye has led to decrease remarkably. Esophageal stricture has decreased because of immediate treatment and adequate management. However there are still sporadic incidents of esophageal stricture due to inadequate treatment and uncooperation of patients. The authors recently have experienced seven severe cases of esophageal stricture. All six patients were treated with 18-51 French Sippy esophageal dilating bougie. One patient was transfered to thoracic surgery department due to complete esophageal obstruction. Case 1. A 23 year old housewife who ingested Hcl for suicide. After Witzel's operation, she visited to dilate esophageal first constriction stircture due to swallowing difficulty postoperation 2 months later. We were treated successfully. Case 2. A case of esophageal stricuture in the second and third physiologic constriction part. The patient was 51 years old man who ingested lye accidently, and was dilated by bougination. Case 3. The patient was 43 year-old man who ingested acetic acid as a mistake and was treated inadequately at hopsital. Inspite of treatment, esophageal stricture developed at the third physiologic part. We are trying to dilate the esophagues now. Case 4. The patient was 55 year-old woman who had ingested Hcl for the purpose of suicidal attempt. 2 months later gastroduodenal anastomoisis due to pyloric region stenosis, the first physiologic constriction stricture was dilated successfully. Case 5. The patient was 41 year-old woman who ingested Hcl for suicide 4 months ago. There was indwelled orogastric tube for 1 month but esophageal stricture developed at the first and 3rd constriction part. She was treated by using a bougination. Case 6. An athlete 21 year old man, ingested acetic acid 2 spoonful per 3 days by purpose in order to soften the bone for last 14 months. There was complete esophageal obsturction in esophagogram and transferred to the thoracic surgery department. Case 7. A 3 year-old girl was ingested lye at a accident. She had a bougination for 16 months under the general anesthesia for dilation due to whole irregular esophageal stricture. She developed lower esophageal perforation, but healed eventually.

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Two Cases of Intoxication with Phentermine (Phentermine 과량복용 2례)

  • Ku, Jae Eun;Joo, Young Seon;You, Je Sung;Chung, Sung Phil;Lee, Hahn Shick
    • Journal of The Korean Society of Clinical Toxicology
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    • v.12 no.1
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    • pp.35-38
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    • 2014
  • Phentermine has been widely used as an appetite suppressant since 2004 in Korea. The authors experienced two cases of acute phentermine overdose and report with the literature review. A 36-year-old man and a 24-year-old woman presented together to the emergency department with taking 13 tablets (390 mg) of phentermine 16 hours ago. They had tachycardia, hypertension and complained visual symptoms, nausea, insomnia and anxiety. These symptoms were resolved by conservative management.

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PATHOLOGIC STUDY OF TRIGEMINAL NEURALGIA (삼차신경통유발 하치조신경의 병리학적 연구)

  • Min, Byung-Il
    • The Journal of the Korean dental association
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    • v.19 no.3 s.142
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    • pp.269-274
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    • 1981
  • Several patients of trigeminal neuralgia were observed pathologically. The results were as follows. 1. Three of five were female and two of five were male. The oldest was 76-year-old man and the youngest 49-year-old woman. The average age was 59.4 years. 2. The main division of involvement was third branch and two cases were combined with infra orbital nerve. 3. There was no constant pathologic changes in nerve tissue, but capillary proliferation were observed in perineural connective tissue in two cases. In one case, there was microneuromatic lesion and mild schwann cell proliferation. But in general, there were nonspecific pathological changes in nerve fiber.

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Multiple jaw cysts not associated with basal cell nevus syndrome (기저세포모반증후군을 동반하지 않은 다발성 악골낭 두 증례)

  • Yoon Suk-Ja;Kang Byung-Cheol
    • Imaging Science in Dentistry
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    • v.33 no.3
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    • pp.195-198
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    • 2003
  • We present two cases of multiple jaw cysts not associated with basal cell nevus syndrome. Case 1: a nine year-old boy visited CNU Hospital for orthodontic treatment and his radiographs showed cystic lesions surrounding the crowns of teeth #13 and #17 respectively, which were diagnosed as dentigerous cysts. Subsequently, two more cysts were found on his follow-up radiographs in 12 and 15 months. The two cysts were determined to be odontogenic keratocysts. The boy had no skeletal abnormalities and no skin lesions associated with basal cell nevus syndrome. Case 2: a fifty-eight year old man had three impacted third molars with pericoronal radiolucencies, which were diagnosed as dentigerous cysts. He had no additional abnormalities associated with basal cell nevus syndrome. Multiple jaw cysts can occur at any age, and periodic radiographic surveillance may be needed for any cases of impacted tooth.

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Deep Brain Stimulation of the Globus Pallidus in a 7-Year-Old Girl with DYT1 Generalized Dystonia

  • Jin, Seon Tak;Lee, Myung Ki;Ghang, Ju Young;Jeon, Seong Man
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.261-263
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    • 2012
  • The experience of pediatric deep brain stimulation (DBS) of the globus pallidus internus (GPi) in the treatment of early-onset DYT1 generalized dystonia is still limited. Here, we report the surgical experience of bilateral GPi-DBS under general anesthesia by using microelectrode recording in a 7-year-old girl with early-onset DYT1 generalized dystonia. Excellent improvement of her dystonia without neurological complications was achieved. This case report demonstrates that GPi-DBS is an effective and safe method for the treatment of medically refractory early-onset DYT1 generalized dystonia in children.

Surgical Repair of Bochdalek Hernia in Adult; A Report of Two Cases (성인에서 발생한 Bochdalek 탈장;수술 치험 2례)

  • 허강배
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.417-421
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    • 1993
  • Congenital diaphragmatic hernia through Bochdalek foramen, posterolateral diaphragmatic hernia, is the result of a congenital malformation of the posterolateral region of the diaphragm. Bochdalek hernia is the most common type of congenital diaphragmatic hernia, but it is a extremely rare anomaly which is detected in adulthood because it has severe cardiopulmonary and gastrointestinal symptoms after birth immediately.We experienced two cases of Bochdalek hernia which were detected in adulthood. Among them, one was a 43 years old man who was treated with simple closure in left Bochdalek hernia and the other was 41 years old woman who was treated with patch closure using silastic sheet in right Bochdalek hernia. Their postoperative courses were uneventiful. So we report two cases of rare Bochdalek hernia which was detected in adulthood with review of literatures.

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Congenital Bronchoesophageal Fistula in Adult -Report of Three Cases- (성인의 선천성 식도기관지루 3례 보고)

  • Lee, Yong-Hun;Choe, Pil-Jo;U, Jong-Su
    • Journal of Chest Surgery
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    • v.28 no.5
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    • pp.525-529
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    • 1995
  • We have experienced three cases of congenital bronchoesophageal fistula which is rare and usually has an insidious clinical course. The patients included a thirty year old man and thirty six, thirty eight year old women respectively. Bronchiectatsis was found in all three cases, and bronchoesophageal fistula was found in one case preoperatively by esophagography and esophagoscopy, and other two cases operative field. The fistula was found between right lower esophagus and right lower lobe in all cases and esophageal diverticulum in one case. So they belonged to type I[1 case , II[2 cases of Braimbridge and Keith`s classification of congenital bronchoesophageal fistula . The fistulectomy was performed in all cases and concomitant lobectomy [2 cases and bilobectomy [1 case were done. There were toxic hepatitis in two cases and prolonged air leakage in one case postoperatively. They were discharged on recovered state and have continued to do well.

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Traumatic Spinal Subdural Hematoma : Value of MRI (Fat Suppression Technique) and Spinal Puncture - 2 Cases Report - (외상성 요추 경막하 출혈 : MRI(Fat Suppression Technique)와 척추천자의 유용성 - 증례보고 -)

  • Park, Sang Hoon;Hyun, Dong Keun;Park, Chong Oon;Ha, Young Soo
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.810-814
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    • 2000
  • We report two cases of spinal subdural hematoma in the lumbar region after trauma. They developed in a 27-years old man and a 32-year-old woman. They had no other causes such as bleeding tendency, preexisting spinal lesions, lumbar puncture, vascular malformation and anticoagulant therapy. There lesions were diagnosed with MRI(fat suppression) and treated by lumbar puncture.

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