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Two Cases of Disseminated Intravascular Coagulation (DIC) Following Pit Viper Envenomation (살모사 교상 후 발생한 범발성 혈관내 응고장애 2례)

  • Kim, Suk-Hwan;Choi, Se-Min;Oh, Young-Min;Park, Kyu-Nam;Lee, Won-Jae;Choi, Kyung-Ho
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.2
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    • pp.137-142
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    • 2006
  • Our records include two cases of DIC in snakebite patients. One patient, who was 48-years old, was bitten in his left ankle 3 days before admission to our hospital. Initial symptoms were painful swelling, extensive ecchymosis, and persistent bleeding at the bite site. He visited and was admitted to a local hospital, but his condition did not improve with supportive care that included a single dose of antivenin. He was transferred to our hospital. His condition was compatible with DIC. We tried multi-dose antivenin therapy and blood product transfusion. At the seventh hospital day, the patient's symptoms were completely resolved. The other patient, who was 75 years old, was bitten in his right thumb. Initial symptoms were painful swelling of the right arm and persistent bleeding at the bite site, and within minutes of hospital admission, the patient experienced massive hematochezia. We peformed laboratory tests, the results of which were compatible with DIC, and the next day a sigmoidscopic examination showed ischemic colitis. We administered multi-dose antivenin therapy and blood product tranfusion. At the third hospital day mild anemia still existed, but the patient's clinical condition was improved. No signs or symptoms of gastrointestinal bleeding were observed. In these two cases, multi-dose antivenin therapy and transfusion effectively resolved symptoms of DIC. Platelet concentrate transfusion was required only for acute thrombocytopenia. After resolution of DIC, platelet counts were returned to normal ranges within a few days. The authors propose that multidose antivenin therapy and coagulation factor transfusion might be useful for improving coagulopathy in snakebite patients.

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Risk of lingual nerve injuries in removal of mandibular third molars: a retrospective case-control study

  • Tojyo, Itaru;Nakanishi, Takashi;Shintani, Yukari;Okamoto, Kenjiro;Hiraishi, Yukihiro;Fujita, Shigeyuki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.40.1-40.7
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    • 2019
  • Background: Through the analysis of clinical data, we attempted to investigate the etiology and determine the risk of severe iatrogenic lingual nerve injuries in the removal of the mandibular third molar. Methods: A retrospective chart review was performed for patients who had undergone microsurgical repair of lingual nerve injuries. The following data were collected and analyzed: patient sex, age, nerve injury side, type of impaction (Winter's classification, Pell and Gregory's classification). Ratios for the respective lingual nerve injury group data were compared with the ratios of the respective data for the control group, which consisted of data collected from the literature. The data for the control group included previous patients that encountered various complications during the removal of the mandibular third molar. Results: The lingual nerve injury group consisted of 24 males and 58 females. The rate of female patients with iatrogenic lingual nerve injuries was significantly higher than the control groups. Ages ranged from 15 to 67 years, with a mean age of 36.5 years old. Lingual nerve injury was significantly higher in the patient versus the control groups in age. The lingual nerve injury was on the right side in 46 and on the left side in 36 patients. There was no significant difference for the injury side. The distoangular and horizontal ratios were the highest in our lingual nerve injury group. The distoangular impaction rate in our lingual nerve injury group was significantly higher than the rate for the control groups. Conclusion: Distoangular impaction of the mandibular third molar in female patients in their 30s, 40s, and 50s may be a higher risk factor of severe lingual nerve injury in the removal of mandibular third molars.

Performances analysis of football matches (축구경기의 경기력분석)

  • Min, Dae Kee;Lee, Young-Soo;Kim, Yong-Rae
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.1
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    • pp.187-196
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    • 2015
  • The team's performances were analyzed by evaluating the scores gained by their offense and the scores allowed by their defense. To evaluate the team's attacking and defending abilities, we also considered the factors that contributed the team's gained points or the opposing team's gained points? In order to analyze the outcome of the games, three prediction models were used such as decision trees, logistic regression, and discriminant analysis. As a result, the factors associated with the defense showed a decisive influence in determining the game results. We analyzed the offense and defense by using the response variable. This showed that the major factors predicting the offense were non-stop pass and attack speed and the major factor predicting the defense were the distance between right and left players and the distance between front line attackers and rearmost defenders during the game.

Inhibitory Effect of SPA0355, a Thiourea Analogue, on Inflammation and Alveolar Bone Loss in Rats with Ligature-Induced Periodontitis

  • Bak, Eun-Jung;Kim, Ji-Hye;Lee, Dong-Eun;Park, Byung-Hyun;Ryu, Jae-Ha;Cha, Jeong-Heon;Jeon, Ra-Ok;Yoo, Yun-Jung
    • International Journal of Oral Biology
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    • v.37 no.2
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    • pp.63-68
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    • 2012
  • It has been documented that SPA0355 exerts antiinflammatory effects via the inhibition of nuclear factor-kappaB activation. In present study, we investigated the inhibitory effects of SPA0355 on periodontitis in an animal model. Periodontitis was induced by ligation of the cervix of the 1st molar in the left mandible in rats. After ligature, the rats were randomly divided into four groups and topically applied with SPA0355 (0.5, 1, and 2%) or the vehicle alone once daily for 10 days. Body weight and food intake were measured daily throughout the experimental period. At day 10 post-ligature, the infiltration of inflammatory cells and distance of the cementoenamel junction (CEJ) to the alveolar bone crest (ABC) in the distal area of ligatured tooth were estimated histopathologically. No changes in body weight or food intake were found between the control and SPA0355 groups. The degree of inflammation was decreased in all three SPA0355 application groups. A decrease CEJ-ABC distance was observed in the 0.5% and 1% SPA0355 groups. These results indicate that SPA0355 inhibits the infiltration of inflammatory cells and alveolar bone resorption and suggests its potential as a therapeutic agent for periodontitis.

Visualization of network traffic attack using time series radial axis and cylindrical coordinate system (시계열 방사축과 원통좌표계를 이용한 네트워크 트래픽 공격 시각화)

  • Chang, Beom-Hwan;Choi, Younsung
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.17-22
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    • 2019
  • Network attack analysis and visualization methods using network traffic session data detect network anomalies by visualizing the sender's and receiver's IP addresses and the relationship between them. The traffic flow is a critical feature in detecting anomalies, but simply visualizing the source and destination IP addresses symmetrically from up-down or left-right would become a problematic factor for the analysis. Also, there is a risk of losing timely security situation when designing a visualization interface without considering the temporal characteristics of time-series traffic sessions. In this paper, we propose a visualization interface and analysis method that visualizes time-series traffic data by using the radial axis, divide IP addresses into network and host portions which then projects on the cylindrical coordinate system that could effectively monitor network attacks. The proposed method has the advantage of intuitively recognizing network attacks and identifying attack activity over time.

Fracture load and survival of anatomically representative monolithic lithium disilicate crowns with reduced tooth preparation and ceramic thickness

  • Nawafleh, Noor A;Hatamleh, Muhanad M;Ochsner, Andreas;Mack, Florian
    • The Journal of Advanced Prosthodontics
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    • v.9 no.6
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    • pp.416-422
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    • 2017
  • PURPOSE. To investigate the effect of reducing tooth preparation and ceramic thickness on fracture resistance of lithium disilicate crowns. MATERIALS AND METHODS. Specimen preparation included a standard complete crown preparation of a typodont mandibular left first molar with an occlusal reduction of 2 mm, proximal/axial wall reduction of 1.5 mm, and 1.0 mm deep chamfer (Group A). Another typodont mandibular first molar was prepared with less tooth reduction: 1 mm occlusal and proximal/axial wall reduction and 0.8 mm chamfer (Group B). Twenty crowns were milled from each preparation corresponding to control group (n=5) and conditioned group of simultaneous thermal and mechanical loading in aqueous environment (n=15). All crowns were then loaded until fracture to determine the fracture load. RESULTS. The mean (SD) fracture load values (in Newton) for Group A were 2340 (83) and 2149 (649), and for Group B, 1752 (134) and 1054 (249) without and with fatigue, respectively. Reducing tooth preparation thickness significantly decreased fracture load of the crowns at baseline and after fatigue application. After fatigue, the mean fracture load statistically significantly decreased (P<.001) in Group B; however, it was not affected (P>.05) in Group A. CONCLUSION. Reducing the amount of tooth preparation by 0.5 mm on the occlusal and proximal/axial wall with a 0.8 mm chamfer significantly reduced fracture load of the restoration. Tooth reduction required for lithium disilicate crowns is a crucial factor for a long-term successful application of this all-ceramic system.

A Study on the Application of Computers to the Development of Humor Image Fashion Design (컴퓨터를 활용한 유머 이미지 패션디자인 개발에 관한 연구)

  • 우세희;최현숙
    • Journal of the Korean Society of Costume
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    • v.53 no.5
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    • pp.65-77
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    • 2003
  • Due to the rapid changes occurring in many aspects of contemporary society, the need for a means to actively combat widespread feelings of emptiness and alienation among the public, while satisfying its visual pleasure, is increasing. Thus the need for humorous elements which bring freedom to the human psyche is urgently requested. Of course, the field of fashion cannot be left out in this trend, and humor image design is a good example of this. Humor image in fashion endeavors to release the tension accumulated in the modern world, while trying to find a way to recover the original pureness of mankind. Another aspect currently important is computers. The creation of images in modern visual art relies a lot upon computers. Traditional visual processes such as painting, photography and video are now merged within digital technology. and are now quite symbiotic to each other. With the development of computers came computer art. which uses all applicable functions of a computer to create art. Any artistic action which uses a computer in any stage of its creation can be called computer art. The common factor in humor and computer art in modern fashion can be classified as follows : repetition, deformation and distortion. exaggeration and abridgement. juxtaposition. and Tromp l'oeil. This study has placed its objective on the fusion of humor image fashion and computer art, by manufacturing a work with humor and computers, two important aspects of modern culture. Expanding the field of fashion design while promoting creativity In fashion by finding a verging point between art and science is also necessary. I have designed and made five costumes using the above cited techniques in computer humor images, on a theoretical basis.

Cytologic Features of an Angiosarcoma in Pleural Fluid - A Case Report - (흉수의 혈관육종의 세포학적 소견 - 1예 보고 -)

  • Chu, Young-Chae;Park, In-Seo;Kim, Yoon-Ju;Han, Hye-Seung;Han, Jee-Young
    • The Korean Journal of Cytopathology
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    • v.10 no.1
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    • pp.61-66
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    • 1999
  • Angiosarcomas are rare tumors, seen most commonly in the skin and soft tissue of head and neck legion. But it has been described in numerous body sites including thyroid, breast, liver, spleen, bone, etc.. Their biological behaviors depend on the microscopic grade, site of origin, and multifocality. We report the unique cytological features of an angiosarcoma in pleural fluid. A 61-year-old woman presented with a 6 month history of dyspnea on exertion and chest pain. Chest computerized tomography(CT) revealed multiple subpleural small nodules in the right lung and widespread all space consolidation and pleural effusion in the left lung. CT of liver revealed multiple small low attenuated lesion. The smears obtained from pleural fluid showed hypocellularity with a hemorrhagic background. The tumor cells were highly pleomorphic oval or spindle in shape and presented singly, in loose groups, in knitted syncytial aggregates, and in acinar pattern. Their nuclei had vesicular chromatin with delineated, thick nuclear membranes and occasionally a large eosinophilic, prominent nucleolus. The cytoplasm was plump, thin or protected in spindly fashion. Almost ail tumor cells showed variable sized intracytoplasmic vacuoles and their nuclei were sometimes crescentic by a huge vacuole. Occasional binucleated tumor cells and mitotic figures were present. Cellular debris and streaky materials were identified. Needle biopsy specimen from the pleura revealed anastomosing slit-like spaces lined by pleomorphic tumor cells. The tumor cells showed a strong reactivity for CD31 and vimentin and focal weak reactivity for factor VIII-related antigen.

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Saturation Headway of Through Movement at Signalized Intersections in Urban Area (도시부 신호교차로에서 직진이동류의 포화차두시간)

  • 이향숙;도철웅
    • Journal of Korean Society of Transportation
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    • v.20 no.5
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    • pp.23-31
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    • 2002
  • The headway of vehicles entering an intersection is closely related with the saturation flow rate and is a basic parameter required for determining the saturation headway and the start-up lost delay. Since such headway value reflects the drivers' behaviors and features of the intersection, all intersections don't have an equal value, but are affected by number and location of their lanes, changing types, local characteristics and time zone. Accordingly, this study attempted to suggest proper values on the basis of data by investigating headway in lanes. Number of exclusive through lanes was divided into single lane, double lanes and triple lanes, the locations of lanes were divided into inside lane, central lane and outside lane. As a result of investigating the headway, single through lane, double through lanes-inside lane, and triple through lane-outside lane showed as 1.73 sec., 1.71 sec. and 1.93sec., respectively. The result of calculating the area factor of business areas by fixing 1.00 for the residental area and applying relation between headway and saturation flow rate was 0.96. In the case of start-up lost delay lead dual left turn and directional separation were 1.41 sec. and 3.27 sec., respectively, showing the great difference. Therefore, different start-up lost delay according to changing type should be applied.

Intussusception of the uterine horn associated with dystocia in a Thoroughbred broodmare (Thoroughbred 씨암말에서 난산과 연관된 자궁각 중첩 예)

  • Yang, Jae-Hyuk;Yang, Young-Jin;Kim, Hee-Seok;Kang, Tae-Young;Pham, Duc Chuong;Lim, Yoon-Kyu
    • Korean Journal of Veterinary Research
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    • v.44 no.1
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    • pp.121-124
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    • 2004
  • Horses that have been retired from racing or imported from abroad are retired as broodmares. Whether at private farms or government institutes they are bred to stallions with the aim of improving fertility and enhancing the breed. Accidental deaths as a result of surgical or obstetrical complications lead to decreased productivity and economic losses to the horse breeding industry. Intussusception of the uterine horn is a frequent complication of the equine and bovine species, but rarely seen in other species. The most common causes are thought to be tearing of the placenta which is suspended from the uterus and ovaries and the weight of the placenta. Expulsion of the embryonic membranes is also thought to be a contributing factor. If symptoms are minor and treatment affected quickly, the problem will likely resolve itself. In more severe cases the uterus will prolapse completely. This case study was observed in a Thoroughbred broodmare. After treatment of dystocia, the broodmare could not stand up. She became dehydrated, collapsed, suffered colic and was euthanised. In this case was observed serious swelling vulva and perineal region by morphology, and there was seldom ascites and unusual view in thoracic and abdominal cavity after opening abdomen. However, intussusception of uterine horn involuted left uterine horn into the uterine body was observed.