• Title/Summary/Keyword: damage diagnosis

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Epidural Abscess Following Continuous Epidural Analgesia in Patient with Rectal Cancer -A case report- (직장암환자에서 지속성 경막외차단 후 발생한 경막외 농양 -증례 보고-)

  • Chang, Seong-Ho;Koo, Eun-Hye;Lim, Hae-Ja;Cho, Hun;Lee, Hye-Won;Yoon, Suk-Min
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.165-168
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    • 1998
  • Although the incidence of epidural abscess is low, patient requiring continuous epidural analgesia for control of acute and chronic pain is increasing rapidly. Therefore we anticipate more frequent encounters with epidural abscess patients in future. Once epidural abscess formation begins, early diagnosis and treatment is very important to prevent permanent neurologic damage. The authors encountered a case of epidural abscess after continuous epidural analgesia for control of perineal pain due to rectal cancer. Forty-eight hours after the block, patient began to suffer severe low back pain, local tenderness, and fever. So the catheter was removed and culture sensitivity test was done with blood and local drainage. The test results identified methicillin susceptible staphylococcus aureus. Antibiotics were administered. Ten days after the block, left ankle jerk disappeared, and force of dorsiflexion of great toe decreased, but numbness or anesthesia appeared at $L_5$ dermatome. Laminectomy was performed, and abscess and necrotic fat material was removed from left $L_5$ nerve root. The patient was discharged 12 days after operation without any neurologic sequalae.

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Evaluation of Nondestructive Diagnosis and Material Characteristics of Stone Lantern at Damyang Gaeseonsaji Temple Site in Korea

  • Lee, Chan Hee;Araki, Naruto
    • Journal of Conservation Science
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    • v.35 no.4
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    • pp.279-293
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    • 2019
  • The stone lantern of the Damyang Gaeseonsaji temple site is a cultural heritage built during the Unified Silla period (AD 868). The reason for its value as a cultural property is due to wittern the background and the period created on inscription of the lamp stone engraved by letters. The stone lantern consists of two types of lithic tuffs for the 23 original properties, the replaced stones in 1991, and the biotite granite for its ground stones replaced in 2005. The lithic tuffs selected as the replacement parts in 1991 and 2017 have been examined and got to properties of hardly exposure moisture as well as very similar geochemical characteristics. There were various types of physical deterioration of the stone properties and structural cracks; in particular, on the northern side of the stylobates. Chemical and biological deterioration can be identified as black, white, and brown discolorations as well as by the presence of lichens, bryophytes, and herbaceous plants. In the evaluation of the physical properties of the stone lantern, the mean and maximum ultrasonic velocities were found to be similar in each direction. However, the lowest velocity on the east and south sides were found to be lower than those of other stone properties. It was found that physical damage to the stylobates resulted from water expansion in a freeze-to-thaw phenomena related to water content. Therefore, dismantling repair was carried out in the protection facility to restrict further water supply to the stone as much as possible.

A Case of Citrullinemia Diagnosed at the Neonatal Period (신생아기에 진단된 Citrullinemia 1례)

  • Song, Seung Kyu;Oh, Kyung Chang;Hong, Mi Ae;Kim, Hee Taeg;Shin, Hye Jung;Kim, Soon Young;Chang, Jin Keun;Jo, Heui Seung;Kim, Beyong Il;Yang, Sei Won;Choi, Jung-Hwan
    • Clinical and Experimental Pediatrics
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    • v.45 no.4
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    • pp.524-528
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    • 2002
  • Citrullinemia is a rare inborn error of metabolism of the urea cycle, and was first reported by McMurray, et al. in 1962. It is inherited as an autosomal recessive trait. The normal synthesis of argininosuccinic acid is blocked in this disease due to a deficiency of argininosuccinic acid synthetase(AS), which has been demonstrated in liver cells and fibroblasts. The clinical symptoms are vomiting, lethargy or irritability, convulsion and mental retardation. The diagnosis is made by the finding of an increased plasma citrulline level. Every effort should be made to reduce the blood ammonia level as rapidly as possible before irreversible brain damage occurs. This report describes a case of citrullinemia that was diagnosed through organic acid analysis and amino acid analysis, and reviews the related literatures.

Application of discrete wavelet transform to prediction of ram stuck phenomena

  • Byun, Seung-Hyun;Cho, Byung-Hak;Shin, Chang-Hoon;Park, Joon-Young
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.1445-1449
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    • 2005
  • The ram assembly is important equipment in fueling machine of PHWR(Pressurized Heavy Water Reactor) plant where fuel replacement is possible while the plant is in service. Troubles in the ram assembly can cause lots of difficulties in power plant operation. The ram assembly is typically composed of the B-ram, the L-Ram and the C-Ram. The B-ram is focused in this paper because it plays the most important role in the ram assembly. Among the ram fault phenomena, ram stuck phenomena are the most frequent cases in the B-ram, which has a ball screw mechanism driven by a hydraulic motor. Ram stuck phenomena are due to ball wear and damage in ball nut that increase in proportion to the number of fuel replacement. It is required to predict ram stuck phenomena before they occur. In this paper, a method is proposed for predicting ram stuck phenomena using a discrete wavelet transform. The discrete wavelet transform provides information on both the time and frequency characteristics of the input signals. The proposed method uses the frequency bandwidths of coefficients of discrete wavelet decompositions and detail coefficients of discrete wavelet transform to predict ram stuck phenomena. The signal used in this paper is a torque-related signal such as a hydraulic service outlet pressure signal in a hydraulic driving system or a current signal in a DC motor driving system. Finally, the validity of the proposed method is shown via experiment using ball nut characteristic test equipment that simulates ram stuck phenomena due to increased ball friction in ball nut.

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An empirical study on the relationship of speed change and injuries subjected by rear-end collisions (후미추돌사고의 속도변화와 승차자 상해에 관한 실증적 분석)

  • Kang, Sung-Mo;Kim, Joo-Hwan
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.5
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    • pp.797-807
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    • 2009
  • In a case of an automobile rear-end collision, scale of the collision which are the extent of vehicle damage and the injury of the passenger is affected by the speed change. Based on the photographic interpretation of the actual accident cases in the Seoul and the Incheon area, this study measured the depth of crush and calculated the speed change from the statement data of the accident and speed, and also injury data such as diagnosis, hospitalization days are collected. The period of hospitalization and diagnostics claimed proves to have no statistical correlation with the depth of vehicle crush and speed change. Based on the statistical analysis from this study and previous foreign studies, we found that there have been 78.1% of personal accidents didn't reach the injury threshold. There should be objective information on the scale of accident accepting the claims-to-be-injured in the future, and application of injury threshold level suggested are considered to be very useful.

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Calculation of the Surface Chloride and Estimation for the Soundness of Embedded Rebar by Using Colorimetric Distinction Method (비색판별법을 이용한 콘크리트의 표면염화물량 산정 및 매립철근의 건전도 평가)

  • Lee, Mun-Hwan;Lee, Jin-Woo
    • Journal of the Korea Concrete Institute
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    • v.15 no.6
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    • pp.794-801
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    • 2003
  • As it is important to measure the degree of the deterioration and predict service life caused by chloride in concrete structure the methods of measuring chloride in the concrete is raised important problems. This study is to set a new standard for using of the colorimetric method through grasping the character of the colorimetric distinction method, and measuring the chloride content at the place discolored. Also, to predict chloride content around embeded bar and time reaching limit chloride concentration through measuring the chloride content of concrete surface by colorimetric distinction method and this study presents the new concept of concrete degradation and diagnosis of the durability by salt damage. According the results, it is possible to use colorimetric distinction method as simplified measurement to measure the fixed quantity of the chloride concentration. What is more, it would make calculation of concrete surface chloride had a wide fluctuation at the general environment extended. Also, it would be make estimating durability of reinforced concrete structures applied to the basic data.

A clinical study of emergency room visits for oral and maxillofacial lacerations

  • Park, Kun-Hyo;Song, Jae-Min;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Lee, Jae-Yeol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.5
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    • pp.246-250
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    • 2015
  • Objectives: This study investigated patients with oral and maxillofacial lacerations who visited the emergency room over a three-year period in an effort to determine the optimal treatment for these injuries. Materials and Methods: This study examined 1,742 patients with oral and maxillofacial lacerations with 2,014 different laceration locations who visited the emergency room of Pusan National University Hospital (Busan, Korea) over three years, from January 2011 to December 2013. Patients were classified by sex, age, visit day, cause of injury, injury site, and the presence or absence of soft tissue and tooth injuries. Results: The male to female ratio was 2.50:1. Patients under 10 years old were seen most frequently. Most emergency room visits were on weekends. Among intra-oral lacerations, the lip area was the most vulnerable site; among extra-oral lacerations, the chin area was most frequently injured. The most frequent etiology was a slip down. Most lacerations occurred without bone fracture or tooth damage. Conclusion: Laceration may differ in large part as compared with the fracture. Therefore, it is necessary to continue collecting data on oral and maxillofacial lacerations to establish optimal emergency room diagnosis and treatment strategies.

A case of Menkes disease with unusual hepatomegaly (멘케스병에서 간비대를 보인 1례)

  • Jeong, Go Un;Cho, Anna;Hwang, Hee;Hwang, Yong Seung;Kim, Ki Joong;Chae, Jong Hee;Seo, Jeong Kee
    • Clinical and Experimental Pediatrics
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    • v.51 no.5
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    • pp.538-541
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    • 2008
  • Menkes disease is an X-linked recessive copper transport disorder characterized by neurological deterioration, connective-tissue damage, and abnormal hair growth. It is caused by the mutation of the ATP7A gene. This report describes a four-month-old boy with neurological symptoms typical of Menkes disease plus unusual liver involvement. He developed seizures at three months of age and exhibited hypotonia, cephalhematoma, a sagging face, redundant and hypopigmented skin, and abnormal hair growth. In addition, he had unexplained hepatomegaly and high hepatic transaminase. We confirmed the diagnosis of Menkes disease by mutation analysis of the ATP7A gene. To exclude other possible causes for the hepatic abnormalities, a liver biopsy was performed, revealing intracytoplasmic cholestasis, focal spotty necrosis, and minimal lobular activity. The patient's liver involvement may be an underestimated complication of Menkes disease.

Discordant findings of dimercaptosuccinic acid scintigraphy in children with multi-detector row computed tomography-proven acute pyelonephritis

  • Lee, Jeong-Min;Kwon, Duck-Geun;Park, Se-Jin;Pai, Ki-Soo
    • Clinical and Experimental Pediatrics
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    • v.54 no.5
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    • pp.212-218
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    • 2011
  • Purpose: The diagnosis of acute pyelonephritis (APN) is often difficult, as its clinical and biological manifestations are non-specific in children. If not treated quickly and adequately, however, APN may cause irreversible renal damage, possibly leading to hypertension and chronic renal failure. We were suspecting the diagnostic value of $^{99m}Tc$-dimercaptosuccinic acid (DMSA) scan by experiences and so compared the results of DMSA scan to those of multi-detector row computed tomography (MDCT). Methods: We retrospectively selected and analyzed 81 patients who were diagnosed as APN by MDCT during evaluation of their acute abdomen in emergency room and then received DMSA scan also for the diagnostic work-up of APN after admission. We evaluated the results of imaging studies and compared the diagnostic value of each method by age groups, <2 years (n=45) and ${\geq}$2 years (n=36). Results: Among total 81 patients with MDCT-proven APN, DMSA scan was diagnostic only in 55 children (68%), while the remaining 26 children (32%) showed false negative normal findings. These 26 patients were predominantly male and most of them, 19 (73.1%) were <2 years of age. Conclusion: DMSA scan holds obvious limitation compared to MDCT in depicting acute inflammatory lesions of kidney in children with APN, especially in early childhood less than 2 years of age. MDCT showed hidden lesions of APN, those were undetectable through DMSA scan in children.

Expression of Exogenous Human Hepatic Nuclear Factor-$1{\alpha}$ by a Lentiviral Vector and Its Interactions with Plasmodium falciparum Subtilisin-Like Protease 2

  • Liao, Shunyao;Liu, Yunqiang;Zheng, Bing;Cho, Pyo-Yun;Song, Hyun-Ok;Lee, Yun-Seok;Jung, Suk-Yul;Park, Hyun
    • Parasites, Hosts and Diseases
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    • v.49 no.4
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    • pp.431-436
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    • 2011
  • The onset, severity, and ultimate outcome of malaria infection are influenced by parasite-expressed virulence factors as well as by individual host responses to these determinants. In both humans and mice, liver injury follows parasite entry, persisting to the erythrocytic stage in the case of infection with the fatal strain of Plasmodium falciparum. Hepatic nuclear factor (HNF)-$1{\alpha}$ is a master regulator of not only the liver damage and adaptive responses but also diverse metabolic functions. In this study, we analyzed the expression of host HNF-$1{\alpha}$ in relation to malaria infection and evaluated its interaction with the 5'-untranslated region of subtilisin-like protease 2 (subtilase, Sub2). Recombinant human HNF-$1{\alpha}$ expressed by a lentiviral vector (LV HNF-$1{\alpha}$) was introduced into mice. Interestingly, differences in the activity of the 5'-untranslated region of the Pf-Sub2 promoter were detected in 293T cells, and LV HNF-$1{\alpha}$ was observed to influence promoter activity, suggesting that host HNF-$1{\alpha}$ interacts with the Sub2 gene.