• Title/Summary/Keyword: Superior

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Superior Vena Cava Syndrome Caused by Tumor Thrombus from Papillary Thyroid Carcinoma (갑상선 유두암의 암성 혈전으로 인한 상공 정맥 증후군 1예)

  • Yun, Ji-Sup;Lee, Jan-Dee;Lim, Chi-Young;Nam, Kee-Hyun;Chung, Woong-Youn;Park, Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.2
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    • pp.188-191
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    • 2006
  • Papillary thyroid carcinoma is rarely associated with macroscopic vascular invasion or tumor thrombosis. Especially, superior vena cava syndrome(SVCS) resulted from tumor thrombosis of papillary thyroid carcinoma is extremely rare. We present herein a case of SVCS caused by tumor thrombosis from papillary thyroid carcinoma which was successfully solved by intravascular placement of self-expandable stent in 74-year-old woman.

Meningioma en Plaque of Parasagittal Region Presented with Recurrent Venous Infarction

  • Park, Ho-Kwon;Koh, Young-Cho;Kang, Hyun-Seung;Lim, So-Dug
    • Journal of Korean Neurosurgical Society
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    • v.40 no.6
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    • pp.463-466
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    • 2006
  • A case of parasagittal meningioma en plaque with a peculiar clinical presentation is reported with a review of the literature. A 72-year-old woman presented with dysphasia and right hemiparesis. Computed tomography and magnetic resonance imaging demonstrated focal edema of left frontal lobe and a thick sheet-like parasagittal enhancing lesion with extension along the falx cerebri and adjacent sulcal enhancement. Differential diagnosis included idiopathic hypertrophic pachymeningitis, meningeal neurosarcoidosis, metastasis and meningioma en plaque. Cerebral angiography revealed occlusion of the anterior one-third of the superior sagittal sinus as well as a faint tumor blush supplied from the anterior branch of the middle meningeal artery. At surgery, the tumor invading the dura and skull was removed totally but the tumor invaded into the superior sagittal sinus was removed subtotally. The tumor was confirmed to be a transitional meningioma on pathological examination.

Surgical Obliteration in Superior Petrosal Sinus Dural Arteriovenous Fistula

  • Hwang, Gyo-Jun;Kang, Hyun-Seung;Oh, Chang-Wan;Kwon, O-Ki
    • Journal of Korean Neurosurgical Society
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    • v.49 no.4
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    • pp.222-225
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    • 2011
  • Superior petrosal sinus (SPS) dural arteriovenous fistula (DAVF) is one of tentorial DAVFs with significant morbidity, which usually drains into the petrosal vein and its tributaries. Unless there is a connection with venous sinus, surgical obliteration is required. We present two cases of SPS DAVF which were successfully treated with the presigmold retrolabyrinthine approach.

Leveraging Accumulated Customer Knowledge in Electronic Knowledge Repositories for Superior Customer Service

  • Choi, Sujeong;Ryu, Il
    • Asia pacific journal of information systems
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    • v.25 no.3
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    • pp.519-539
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    • 2015
  • Customers are now demanding ever better service from customer service representatives (CSRs) to create superior customer service. Accordingly, CSRs are required to have more specialized knowledge and abilities of customer service. This study examines the roles of accumulated customer knowledge in electronic knowledge repositories (EKRs), which a firm has developed for customer service over time to enhance CSRs' work capabilities and work performance, in the context of call centers. To test the proposed research model and hypotheses, we conducted LISREL analysis using 261 responses collected on CSRs working for inbound call centers. The key results are as follows. First, accumulated customer knowledge in EKRs enhances CSRs' knowledge utilization and service expertise during the customer contact. Second, CSRs' knowledge utilization reinforces service expertise. Finally, service quality depends on CSRs' knowledge utilization and service expertise, but it is not directly related to accumulated customer knowledge. Overall, the findings suggest that accumulated customer knowledge in EKRs enhances CSRs' knowledge utilization and service expertise, and thereby leading to superior service quality.

Total Anomalous Pulmonary Venous Drainage with A.S.D. (전페정맥 이상환류 (TAPVD)의 치험 1례)

  • O, Jae-Sang;Park, Yeong-Gwan;Kim, Geun-Ho
    • Journal of Chest Surgery
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    • v.13 no.2
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    • pp.110-117
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    • 1980
  • This is a case report of total anomalous pulmonary venous drainage with Atrial septal defect, which was corrected surgically by intracardiac procedure under total cardiopulmonary bypass. This 9 years old girl, she complained mild cyanosis, exertional dyspnea, and frequent upper respiratory infection from 3 months age. The chest X-ray showed cardiomegaly and a "snow man appearance", she has systolic murmur with splitting of S2. The diagnosis was confirmed with right heart catheterization, the catheter was reached to right pulmonic vein passed through right atrium, right superior vena cava, innominate vein, left superior vena cava, and common venous trunk. On 28th, Dec. 1979, an anastomosis between common pulmonary venous trunk and left atrium, Pericardial patch closure of ASD, and ligation of left superior vena cava were performed with Extra-corporeal circulation. The postoperative course was uneventful and discharged with excellent general condition.Total Anomalous Pulmonary Venous Drainage with A.S.D. with A.S.D.

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Acute pontine infarction in a patient with persistent left superior vena cava

  • Jeong, Da-Eun;Lee, Jun;Hwang, Woosub
    • Annals of Clinical Neurophysiology
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    • v.20 no.2
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    • pp.105-108
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    • 2018
  • Persistent left superior vena cava (PLSVC) is a common venous anomaly of the thorax and usually drains into the right atrium. Less often it drains into the left atrium and has previously been related to ischemic stroke. We report a case of PLSCV that founded during ischemic stroke evaluation in a 77-year-old woman which was detected on transesophageal echocardiography (TEE) and transcranial Doppler ultrasonography (TCD) with saline agitated test and computed tomography.

Superior Hypogastric Plexus Blocks for Malignant Pelvic Pain (상 하복신경총 차단을 이용한 골반내 통증관리)

  • Kang, Sung-Hee
    • The Korean Journal of Pain
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    • v.5 no.1
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    • pp.108-112
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    • 1992
  • Pain from pelvic cancer is very difficult to manage because it's vague ness and bilateral nature. Furthermore, nerve blocks in this area are dangerous because sensory afferent nerves from pelvic viscera are adjacent to nerves that regulate bowel and bladder control, and motor nerve of lower extremities'. Bilateral lumbar sympathectomy has been used for malignant pelvic pain with little risk of neurologic complication. However it is not a specific block for pelvic visceral pain, because the lumbar sympathetic chain does not innervate pelvic viscera in a direct manner. Therefore the potentials of lumbar sympathectomy for pelvic visceral pain are attributed to caudad diffusion of neurolytic agents to the smperior hypogastric plexus. I have experienced 3 cases of superior hypogastric plexus neurolysis per se without any significant complications.

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Detection and Diagnosis Solutions for Fault-Tolerant VSI

  • Cordeiro, Armando;Palma, Joao C.P.;Maia, Jose;Resende, Maia J.
    • Journal of Power Electronics
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    • v.14 no.6
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    • pp.1272-1280
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    • 2014
  • This paper presents solutions for fault detection and diagnosis of two-level, three phase voltage-source inverter (VSI) topologies with IGBT devices. The proposed solutions combine redundant standby VSI structures and contactors (or relays) to improve the fault-tolerant capabilities of power electronics in applications with safety requirements. The suitable combination of these elements gives the inverter the ability to maintain energy processing in the occurrence of several failure modes, including short-circuit in IGBT devices, thus extending its reliability and availability. A survey of previously developed fault-tolerant VSI structures and several aspects of failure modes, detection and isolation mechanisms within VSI is first discussed. Hardware solutions for the protection of power semiconductors with fault detection and diagnosis mechanisms are then proposed to provide conditions to isolate and replace damaged power devices (or branches) in real time. Experimental results from a prototype are included to validate the proposed solutions.

STUDIES ON THE CLINICAL EFFICACY OF VALIUM AND PENTOBARBITAL AS PREMEDICATING AGENT (준비투약(準備投藥)으로서 Valium, Pentobarbital의 임상적(臨床的) 효과(效果)에 관(關)한 연구(硏究))

  • Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.5 no.1
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    • pp.76-82
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    • 1978
  • To evaluate clinically effect of Valium and Sodium pentobarbital as premedicating agent, both drugs and a placebo were compared in 45 patients (2 to 11 yrs). The results were as follows. 1. Both Sodium pentobarbital and Valium were superior to placebo for control of crying, cooperation and apprehension, but the statistically differences were not significant. 2. Both Valium and Sodium pentobarbital were superior to placebo for control of behavior in tense cooperative child; the differences were significant statistically. 3. The difference between Pentobarbital and Valium were-more pronounced at the initial level than at the subsequent readings, and Sodium pentobarbital was for superior at the initial level to the other drugs. 4. Paradoxical excitement occured in 2 cases on the Sodium pentobarbital group, and other apparent side effect did not occur, excluding mild drowsiness. 5. Neither Valium nor Sodium pentobarbital, as used in this study, resulted in consistantly better behavior in all patients.

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High temperature and damping properties of squeeze cast Mg hybrid Metal Matrix Composites. (하이브리드 Mg 복합재료의 진동 감쇠능 및 고온 특성평가)

  • 장재호;김봉룡;최일동;조경목;박익민
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 2002.10a
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    • pp.143-146
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    • 2002
  • Mg alloy is the lightest material of structural materials and is noticed for lightweight automotive parts because of excellent castability, superior ductility and damping capacity than Al alloy. But Mg Alloy is poor corrosion resistance and high temperature creep properties. In this study, Mg Matrix Composites were fabricated by squeeze casting method to improve high temperature creep properties and damping capacity. Hybrid Mg composites reinforced with Alborex, graphite particle, and SiCp was improved creep properties and damping capacity compared with Mg alloy. Compared to the length ($9\mu\textrm{m}, 27\mu\textrm{m}, 45\mu\textrm{m} etc.$), Hybrid Mg composites reinforced with SiCp, one of the most superior of the length and Alborex were more superior than those reinforced with graphite particle and Alborex in mechanical properties, creep characteristics, and damping capacity, etc.

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