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Paradoxical Herniation after Decompressive Craniectomy for Acute Subdural Hematoma

  • Cho, Hyun;Kim, Choong-Hyun;Kim, Jae-Hoon;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • v.40 no.1
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    • pp.51-53
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    • 2006
  • Decompressive craniectomy is usually performed to relieve raised intracranial pressure[ICP] caused by various intracranial lesions. A 67-year-old man presented with acute subdural hematoma and traumatic intracerebral hematoma. The patient underwent a decompressive craniectomy. Four weeks later, the patient presented with acute neurological deterioration. Brain computed tomographic[CT] scans revealed the marked concavity of the brain at the site of the craniectomy and associated with midline shift which was reversed by cranioplasty. We report an unusual case of cerebral herniation from intracranial hypotension after decompressive craniectomy for a traumatic subdural hematoma. The cranioplasty may be helpful to prevent paradoxial cerebral herniation.

Red Carpet Fashion of Korean Film Festival (한국 영화제의 레드 카펫(Red Carpet) 패션)

  • Chung So-Young;Kim Ji-Young
    • The Research Journal of the Costume Culture
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    • v.13 no.6 s.59
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    • pp.946-959
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    • 2005
  • The purpose of this study was to examine the Korean red carpet fashion of Daejong, Bluedragon, Korean Film Awards from 2002 to 2004, focusing on nominates of female movie stars and presidents. Leading colors were black and white but pale and vivid colors were also chosen. Dresses were made of satin, chiffon, lace and velvet mainly, and patterned fabrics made strong statements among them. Based on the long and slim silhouette, there were lots of details using beads, sequins and crystal stones for manipulating lighting effects. Fur shawls along with diamond jewelry were favorite items of many stars. They preferred dresses of international brands to that of domestic brands. Esthetic qualities of red carpet fashion were categorized as decorative gorgeousness, sophisticated elegance, glamourous sensuality, paradoxical presentation, pure innocence, and Korean refinement.

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What the gentle murder paradox means to event semantics

  • Kim, Han-Seung
    • Korean Journal of Logic
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    • v.9 no.2
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    • pp.99-116
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    • 2006
  • There has been several proposals to resolve the gentle murder paradox; Forrester claims that the paradox shows that the deontic closure principle should be abandoned, while Sinnott-Armstrong claims that the paradoxical result arises from the scope ambiguity. However, I shall argue, the gentle murder paradox hinges on the logical structure of adverbial expressions. Although Davidson shows an insightful way of understanding logical structure of adverbs, there has been misunderstandings concerning the nature of his account. Especially what is called neo-Davidsonian event semantics is based upon combination of two fundamentally conflicting ideas. I shall propose a new way of understanding Davidson's account, on the basis of which I continue to give a new diagnosis of the gentle murder paradox.

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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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Literature of the Bittersweet: Kim Sung-ok and 1960s Korea

  • Kim, Daniel-H.
    • Lingua Humanitatis
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    • v.2 no.1
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    • pp.175-212
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    • 2002
  • This paper centers on the erstwhile novelist Kim Seung-ok with a focus not only on his watershed works of the 1960s, but also on his lesser-known works of the 1970s as well as on the circumstances and possible reasons for his decision to quit writing in the 1980s. His works from the 60s address certain basic human contradictions and are in this respect timeless, and these same works are also firmly grounded in their larger socio-cultural contexts of 1960s Korea. This article attempts to place the word firmly here sous rature. In new critical terms, the Kim's settings can not be understood as anything but Korea, in the then and now. This characteristic is shared, however, with highly ideological literature that at times seems to want to beat the reader over the head with the problems and author-sponsored solutions of then and now. In order to understand Kim's paradoxical position in Korean literary history, one must view his works from within the context of the debate between pure and engagement literature.

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Primary Tumors of the Chest Wall (원발성 흉벽종양)

  • 마중성;최병우;유회성
    • Journal of Chest Surgery
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    • v.7 no.1
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    • pp.61-66
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    • 1974
  • Primary tumors of the chest wall are rare than those of other portions of the body. Soft tissue tumors of the chest wall, though these are benign or malignant, should not be paid special attentions about their management than other soft tissue tumors of the body. Thoracic skeletal tumors, however, have some problems in the treatment because of defect in chest wall leading to herniation of lung and paradoxical movement of thoracic cage. The authors experienced 10 case of primary chest wall tumors at the department of thoracic and cardiovascular surgery, the national medical center, during last 15 years. Five of 10 cases were soft tissue tumors, and they were 2 case of lipoma and each one case of myxosarcoma and leiomyosarcoma. Among 5 bone tumors there no cases of sternal tumor, and their histopathological diagnosis were each one of fibrous dysplasia, giant cell tumor, osteochondroma, Ewing`s sarcoma and osteogenic sarcoma. Wide excision, though it was palliative one in certain case, was performed in 9 cases and only diagnostic incisional biopsy in one case, There were no postoperative deaths during admission to the hospital and all cases were missed during short term follow up after discharge from the hospital.

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Thoracoscopic Lobectomy of Pulmonary Arteriovenous Fistula -A Case Report- (흉강경을 이용한 폐동정맥루의 수술)

  • Im, Jeong-Cheol;Jang, Taek-Hui;Baek, Hui-Jong;Na, Myeong-Hun
    • Journal of Chest Surgery
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    • v.29 no.6
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    • pp.660-663
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    • 1996
  • Pulmonary arteriovenous fistula is relatively rare disease, and the most common types are congenital in origin. The clinical presentation of pulmonary arteriovenous fistula ranges from incidental finding on a chest roentgenogram to polycythemia, cyanosis, congestive heart failure, and major neurologic deficits caused by paradoxical embolism. Recently we have experienced a case of asymptomatic, well-localized pulmonary arteriovenous fistula In a 13 years-old female patient, which was successfully treated by thoracoscopic lobectomy.

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What is paradoxical about the Cable Guy paradox? (수리기사의 역설, 무엇이 역설적인가?)

  • Won, Chiwook
    • Korean Journal of Logic
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    • v.17 no.3
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    • pp.425-440
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    • 2014
  • In his recent paper, Hanseung Kim (2014) discusses the Cable Guy paradox and argues that given the nature of regret, it is rational to bet on the cable guy's afternoon arrival, though it is equally probable for him to arrive in the morning or afternoon interval. In this paper, I argue that regret is not essential to the paradox in that the paradox still arises even if we ignore regret. I then briefly discuss a possible way to proceed to resolve the paradox.

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Practice Guideline of Use of Benzodiazepines in Psychiatric Field (정신과 영역에서 벤조다이아제핀계 약물의 사용과 문제점)

  • Oh Kang-Seob
    • Anxiety and mood
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    • v.1 no.1
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    • pp.37-42
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    • 2005
  • Benzodiazepines are widely used for a variety of conditions in psychiatric field. In this article, the author reviewed the indications, the effects on anxiety and sleep disorders, the side effects, the drug-drug interactions, and the tapering strategies. Benzodiazepines were relatively safe and useful for the treatment of anxiety and sleep disorders. However, used clinically, benzodiazepines can induce many adverse effects (e. g. over-sedation, cognitive impairments, paradoxical effects, dependence and withdrawal symptoms, and so on). Currently available informations about their effects on the developing fetus is controversial. For this reason, pregnant women and nursing mother should be cautioned against the use of benzodiazepines. Drug-drug interactions have to be considered in combination treatments. For the tapering issues, gradual tapering was important to prevent the withdrawal symptoms. Especially, the tapering schedules have to be individualized for the each long-term benzodiapzepine users.

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The Heterochromatin Protein 1 (HP1) Family: Put Away a Bias toward HP1

  • Kwon, So Hee;Workman, Jerry L.
    • Molecules and Cells
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    • v.26 no.3
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    • pp.217-227
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    • 2008
  • Heterochromatin protein 1 (HP1) was first described in Drosophila melanogaster as a heterochromatin associated protein with dose-dependent effect on gene silencing. The HP1 family is evolutionarily highly conserved and there are multiple members within the same species. The multi-functionality of HP1 reflects its ability to interact with diverse nuclear proteins, ranging from histones and transcriptional co-repressors to cohesion and DNA replication factors. As its name suggests, HP1 is well-known as a silencing protein found at pericentromeres and telomeres. In contrast to previous views that heterochromatin is transcriptionally inactive; noncoding RNAs transcribed from heterochromatic DNA repeats regulates the assembly and function of heterochromatin ranging from fission yeast to animals. Moreover, more recent progress has shed light on the paradoxical properties of HP1 in the nucleus and has revealed, unexpectedly, its existence in the euchromatin. Therefore, HP1 proteins might participate in both transcription repression in heterochromatin and euchromatin.