• Title/Summary/Keyword: k-sided region

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Successful Treatment of a Case with Rhino-Orbital-Cerebral Mucormycosis by the Combination of Neurosurgical Intervention and the Sequential Use of Amphotericin Band Posaconazole

  • Yoon, Young-Kyung;Kim, Min-Ja;Chung, Yang-Gu;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
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    • v.47 no.1
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    • pp.74-77
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    • 2010
  • Rhino-orbital-cerebral (ROC) mucormycosis is an uncommon, acute and aggressive fungal infection. It remains a challenging problem to clinicians despite aggressive debridement surgery and antifungal therapy. The authors describe a case of ROC mucormycosis with pericranial abscess occurring in a female patient with uncontrolled diabetes mellitus. The infection initially developed in the right-sided nasal sinus and later progressed through the paranasal sinuses with the invasion of the peri-orbital and frontotemporal region, due to the delayed diagnosis and treatment. Numerous non-septate hyphae of the zygomycetes were identified by a punch biopsy from the nasal cavity and by an open biopsy of the involved dura. The patient was treated successfully with extensive debridement of her necrotic skull and surrounding tissues, drainage of her pericranial abscess and antifungal therapy, including intravenous amphotericin B for 61 days and oral posaconazole for the following 26 days. She returned to a normal life and has had no recurrence since the end of her treatment 15 months ago.

Sellar-Suprasellar Extraventricular Choroid Plexus Papilloma : A Case Report and Review of the Literature

  • Keskin, Fatih;Erdi, Fatih;Kaya, Bulent;Toy, Hatice
    • Journal of Korean Neurosurgical Society
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    • v.59 no.1
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    • pp.58-61
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    • 2016
  • Choroid plexus papillomas (CPPs) are relatively rare neuroectodermal tumors that develop from choroid plexus epithelial cells and are usually restricted to the ventricles. Extraventricular CPPs are very unusual and can be difficult to diagnose and treat. A 50-year-old male patient was admitted to our clinic complaining of headache and visual deterioration. Neurological examination found no abnormalities except decreased light perception and secondary optic atrophy in the left eye. Endocrine testing revealed normal levels of hormones produced by the pituitary and target glands. Magnetic resonance imaging of the brain revealed a huge regular-shaped lesion in the sellar-suprasellar region occupying the sella turcica and extending into the suprasellar cistern and planum sphenoidale. The lesion was completely excised by microsurgery via an ordinary left-sided pterional approach. Histopathology identified the lesion as a choroid plexus papilloma. Following the case report, literature on the origin, differential diagnosis, and treatment of this rare tumor is reviewed.

Design of A Miniaturized Low Pass Filter Using Common Defected Ground Structure (공통 결함접지구조를 이용한 소형화된 저역통과여파기의 설계)

  • Lee, Jun;Lee, Jae-Hoon;Lim, Jong-Sik;Ahn, Dal
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.5
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    • pp.2298-2304
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    • 2011
  • This paper describes and presents the design of a miniaturized low pass filter (LPF) for microwave frequency region using a common defected ground structure (CDGS). In this study a half-sized LPF is obtained using CDGS, while the previous LPFs with the conventional DGS showed a mild size-reduction. The common DGS (CDGS) is realized on the common ground plane of two microstrip lines, i. e double-sided microstrip lines, which exist back-to-back to each other. In order to show the validity of the proposed design, an example of LPF using CDGS and double-sided microstrip lines is designed, fabricated and measured using the dielectric substrate with the dielectric constant of 2.2 and with the thickness of 31mils. The size of the designed LPF using CDGS is only 52.6% compared to that of the previous LPF with the conventional DGS. In addition, it is shown that the performances of the proposed LPF are well preserved after the size-reduction with the measured S11 and S21 of -22dB, min and -0.19dB, max, respectively.

The Analysis of Quantitative EEG to the Left Cranial Cervical Ganglion Block in Beagle Dogs (비글견에서 좌측앞쪽목신경절 차단에 대한 정량적 뇌파 분석)

  • Park, Woo-Dae;Bae, Chun-Sik;Kim, Se-Eun;Lee, Soo-Han;Lee, Jung-Sun;Chang, Wha-Seok;Chung, Dai-Jung;Lee, Jae-Hoon;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.514-521
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    • 2007
  • The sympathetic nerve block improves the blood flow in the innervated regions. For this region, the sympathetic nerve block has been performed in the neural and cerebral disorders. However, the cerebral blood flow regulation of the cranial cervical ganglion block in dogs have not been well defined and the correlation to the changes in the cerebral circulation and the changes in the electroencephalogram is not well defined in dogs yet. Therefore, we investigated the hypothesis that changes in the EEG could be affected by the changes in cerebral blood flow following the cranial cervical ganglion block in dogs. Twenty five beagle dogs were divided into 3 groups; group I(LCCGB, n=10) underwent left sided cranial cervical ganglion block using the 1% lidocaine, group II(L, n=10) injected the 1% lidocaine into the right or left sided digastricus muscle, group III(N/SCCGB, n=5, served as control) underwent the left sided cranial cervical ganglion block using saline. A statistical difference was not found between the control group and the LCCGB group in the 95% spectral edge frequency(SEF) and the median frequency(MF). In the relative band power, the $\delta$ frequency was decreased during 5-25 min, while the $\alpha$ frequency was increased during the same time(p<0.05). But the $\theta$ frequency and the $\beta$ frequency were not shown the significant changes compared with the control group during the same time(p<0.05). These results suggest that the left cranial cervical ganglion block does not induce the change of the cerebral blood flow and its effect is insignificant.

Balloon dilation of double chambered right ventricle in a dog (우심실 양분증 이환견에 대한 풍선확장술 시술 증례)

  • Kim, Jin-Wook;Yoon, Byung-Gook;Park, Jun-Seok;Kim, Jung-Kuk;Lee, Ki-Ho;Park, Hyung-Jin;Hur, Chan;Seo, Kyoung-Won;Song, Kun-Ho
    • Korean Journal of Veterinary Service
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    • v.40 no.1
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    • pp.67-70
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    • 2017
  • A 4 months old, intact male Shih-tzu was referred to the Veterinary Medical Teaching Hospital of Chungnam National University for evaluation of the cause of cardiac murmur and syncope. Thoracic radiography revealed right-sided cardiomegaly. Echocardiography showed marked hypertrophy of right ventricular free wall and obstruction of right ventricular outflow tract, indicating double chambered right ventricle (DCRV). The dog was medicated with atenolol and sildenafil for DCRV, however, clinical signs did not control by medication. Balloon dilation for DCRV was performed to ameliorate patient's clinical signs. The peak systolic pressure gradient across the obstruction region was decreased and clinical signs was improved by balloon dilation procedure. This is the first case report of balloon dilation for the treatment of canine DCRV in South Korea.

Soluble Expression of Recombinant Human Smp30 for Detecting Serum Smp30 Antibody Levels in Hepatocellular Carcinoma Patients

  • Zhang, Sheng-Chang;Huang, Peng;Zhao, Yong-Xiang;Liu, Shu-Yan;He, Shu-Jia;Xie, Xiao-Xun;Luo, Gou-Rong;Zhou, Su-Fang
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2383-2386
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    • 2013
  • Senescence marker protein 30 (SMP30), a hepatocellular carcinoma (HCC) associated antigen, was earlier shown by our research group to be highly expressed in HCC paracancerous tissues, but have low levels in HCC tissues. In order to detect anti-SMP30 antibody in serum of HCC patients, we established pET30a-SMP30 and pColdIII-SMP30 expression systems in Escherichia coli. However, the expression product was mainly in the form of inclusion bodies. In this research, we used several combinations of chaperones, four molecular chaperone plasmids with pET30a-SMP30 and five molecular chaperone plasmids with pColdIII-SMP30 to increase the amount of soluble protein. Results showed that co-expression of HIS-SMP30 with pTf16, combined with the addition of osmosis-regulator, and a two-step expression resulted in the highest enhancement of solubility. A total of 175 cases of HCC serum were studied by ELISA to detect anti-SMP30 antibody with recombinant SMP30 protein. Some 22 were positive and x2 two-sided tests all showed P>0.05, although it remained unclear whether there was a relationship between positive cases and clinical diagnostic data.

Fish Passage Evaluations in the Fishway Constructed on Seungchon Weir (승촌보에 설치된 어도에서 어류의 이동성 평가)

  • Choi, Ji-Woong;Park, Chan-Seo;Lim, Byung Jin;Park, Jong-Hwan;An, Kwang-Guk
    • Journal of Environmental Science International
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    • v.22 no.2
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    • pp.215-223
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    • 2013
  • The objective of this study was to evaluate fish passage efficiency, based on fish-trap monitoring methodology, in the fishway of Seungchon Weir, which was constructed on the lower region of Yeongsan River in 2011. Seasonal patterns and diel variations of fish movements, fish fauna, and compositions in the fishway were analyzed in relation to the current velocity and location of the trap-setting in the fishway. For the analysis, we conducted seven times surveys in 2012 on the fishway and also conducted intensive monitoring of the fishway as 3 hrs interval for the diel variations of fish fauna and compositions in the fishway. According to the fish-trap monitoring methodology, the total number of fish species was 13 species, which was a 43.3% of the total. Most dominant fish used the fishway was Squalidus chankaensis tsuchigae and the relative abundance of the species used the fishway was 33.5% of the total. The season and time zone (in diel variation) observed most frequently in the fishway were July and 18:00-21:00 PM, respectively. The fish movements and use-rates of fishway varied depending on the locations of trap-setting; Fish biomass and the number of species were statistically (p < 0.05) greater in the most right or left-sided traps than in the mid-traps. Also, fish movements and use-rates of fishway were influenced by current velocity on the fishway; fish in the fishway preferred the low current velocity (mean 0.71 m/sec) than the high current velocity (mean 1.13 m/sec). Further long-term studies should be monitored for the efficiency evaluations of the fishway.

Parry-Romberg syndrome with ipsilateral hemipons involvement presenting as monoplegic ataxia

  • Lee, Yun-Jin;Chung, Kee-Yang;Kang, Hoon-Chul;Kim, Heung Dong;Lee, Joon Soo
    • Clinical and Experimental Pediatrics
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    • v.58 no.9
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    • pp.354-357
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    • 2015
  • Parry-Romberg syndrome (PRS) is a rare, acquired disorder characterized by progressive unilateral facial atrophy of the skin, soft tissue, muscles, and underlying bony structures that may be preceded by cutaneous induration. It is sometimes accompanied by ipsilateral brain lesions and neurological symptoms. Here we present the case of a 10-year-old girl with right-sided PRS and recurrent monoplegic ataxia of the left leg. At 4 years of age, she presented with localized scleroderma over the right parietal region of her scalp; her face gradually became asymmetric as her right cheek atrophied. Brain magnetic resonance imaging revealed hemiatrophy of the face and skull base, and T2-weighted images showed increased signal in the right hemipons and hemicerebellar peduncle. Magnetic resonance angiography findings were unremarkable. She was treated with oral prednisolone, and her recurrent gait ataxia diminished within 2 months of the follow-up period. To the best of our knowledge, this is only the second case of PRS presenting with an abnormal involvement of the ipsilateral hemipons.

The Simulation about the Air Flow and Pressure Drop inside the Metal Foam (발포 금속 내 공기 유동 및 압력강하에 관한 시뮬레이션)

  • Kim, Pil-Hwan;Jin, Mei-Hua;Jang, Seok-Jun;Chung, Han-Shik;Jeong, Hyo-Min
    • Proceedings of the SAREK Conference
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    • 2008.06a
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    • pp.1053-1058
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    • 2008
  • Porous medium was considered in the present study for the heat transfer enhancement. This was attributed to its high surface area to volume ratio as well as intensive flow mixing by tortuous flow passages. But when the air or water flow through in the porous medium, it is occurred the pressure drop between inlet and outlet. So in the present study investigated simulation result about the pressure drop in the porous medium before apply to heat exchanger. In this simulation, the thickness of the solid inside the porous medium region was varied 0.2 mm to 0.4 mm. And then the simulation result were compared the pressure drop in the same unit cell ($0.5\;mm{\times}0.5\;mm{\times}0.5\;mm$). To make the analysis model, it was assumed the 14-sided tetrakaidecahedron cell which has long been considered the optimal packing cell first proposed by the Lord Kelvin in 1887. And then the simulation is carried out using by STAR-CCM+ which is commercial software. The simulation result can be showed quantified pressure drop by solid effect in the porous medium.

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Pulsed Radiofrequency of Lumbar Dorsal Root Ganglia for Treatment of Chronic Inguinal Herniorrhaphy Pain - A case report - (서혜부 탈장 교정술 후 발생한 서혜부 만성 통증 환자에서 요추 후근 신경절에 시행한 박동성 고주파술을 이용한 치료 - 증례보고 -)

  • Kang, Seung Hee;Han, Hyo Jo;Kim, Won Young;Kim, Dae Young;Moon, Dong Eon
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.203-207
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    • 2007
  • Inguinal hernia repair can result in paresthesia and/or pain in the inguinal region. Pharmacological and surgical management often yield inconsistent results associated with considerable risks and side effects. Radiofrequency thermocoagulation (RF) is a neuro-destructive treatment for severe pain, but associated with hypoesthesia, neuritis-like reactions, and occasional neuroma formation. Pulsed radiofrequency (PRF), unlike RF, delivers high intensity currents in pulses, is non-neurodestructive, and therefore less painful, without the potential complications. Here we report on PRF in chronic postoperative inguinal pain. A 23-year-old male who received right inguinal hernia repair and complained of right sided groin pain for approximately 10 years underwent PRF at the L1 and L2 dorsal root ganglia (DRG). He then reported a decrease in pain from 80-90/100 mm to 15-30/100 mm on a visual analogue scale (VAS), which lasted for twelve months.