• Journal of the Korean Child Neurology Society
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• v.26 no.4
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• pp.276-279
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• 2018

Klinefelter syndrome a genetic disorder with various clinical manifestations. Neurological symptoms, such as seizures, are rarely reported with Klinefelter syndrome, and it response well to anti-epileptic drugs. A 5-month-old boy visited the Inha university hospital due to jerking movements and hiccups. The patient had been diagnosed with Klinefelter syndrome at birth and had a medical history of admission to the neonatal intensive care unit due to opisthotonus and ocular deviation at 26 days of age. The patient's serum testosterone level was decreased and his anti-$M{\ddot{u}}llerian$ hormone level was increased. The brain image examination was normal and the electoencephalography and other blood test results showed no specific findings. However, after admission, the patient recurred generalized tonic-clonic-seizures recurred intermittently even after the administration of antiepileptic drugs. This paper reports a case of non-febrile seizures in a child with Klinefelter syndrome who presented with a refractory course.

• Journal of the Korean Child Neurology Society
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• v.26 no.4
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• pp.288-291
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• 2018

Hemiplegic migraine (HM) is a rare subtype of migraine with aura and is accompanied by a fully reversible motor aura. HM can occur in two forms: familial or sporadic. Currently, three genes are related to familial HM. Typically, HM occurs in the first or second decade of life and involves gradually progressing aura symptoms in succession, accompanied by headaches. The aura includes visual, sensory, motor, aphasic and often basilar-type symptoms. Motor aura (weakness) is related to the regions where the sensory aura is involved, and it usually starts at the hand before spreading to the arm and face. Aphasia is a common form of speech aura, but does not typically present as a difficulty in understanding. In this case report, the sensory-motor aura started at the right face and then gradually progressed to the right leg without any symptoms in the ipsilateral upper extremity. To the best of my knowledge, there has been no previous case report for the presentation of a hemiplegic migraine, as in this case report. As there is a possibility of misdiagnosis of Bell's palsy at the early stage of this case, this case report suggests that a physician should consider the rare possibility of stroke or HM when a patient presents with unilateral facial palsy.

• Journal of the Korean Arthroscopy Society
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• v.10 no.1
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• pp.70-76
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• 2006

Purpose: This study presents 5 patients who had metallic anchor protrusion on glenoid after Bankart repair in anterior shoulder instability and reviewed the cause, clinical feature and arthroscopic removal technique. Method and Materials: 5 male with average age of 22 years (range 19 to 25 years) were included. 4 patients had arthroscopic Bankart repair and 1 patient had open repair for anterior shoulder instability. They had protruded metallic suture anchors on glenoid and the protruded suture anchors were removed arthroscopically using larger suture anchor empty inserter. Results: 4 patients had painful clicking sound with motion of abduction and external rotation and 1 patient showed shoulder instability. The ROM showed normal except mild degrees loss of external rotation. The position of protruded metallic anchor was 2, 3 and 5 O'clock in three patients and 4 O'clock in 2 patients. In 2 patients, the metallic suture anchor was malpositioned about 5mm off on the medial side from the anterior glenoid edge. All had Outerbrige classification Grade II-III chondral damage on humeral head and 1 patient showed glenoid cartilage destruction. None had shoulder instability after 2 years of follow-up. Constant score was 65 preoperatively and 89 postoperatively. ASES score was 67 preoperatively and 88 postoperatively. Conclusion: Symptoms of protruded suture anchor are not combined with instability. Most of symptoms were revealed from the rehabilitation period and confused with postoperative pain. Prompt diagnosis and early arthroscopic removal or impaction of protruded metallic suture anchor is recommended because of serious glenohumeral cartilage destruction. This is easy and simple and reproducible method to remove protruded metallic suture anchor arthroscopically.

• The Journal of the Society of Stroke on Korean Medicine
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• v.15 no.1
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• pp.39-49
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• 2014

This report is about a case of an ataxia patient with sensory loss diagnosed with thalamic Infarction. The patient had symtoms of gait disturbances and dysmetria. We used Korean medicine treatment modalities including acupunture, electroacupuncture, moxibustion and herb medicines. The improvement of ataxia was evaluated by International Cooperative Ataxia Rating Scale and Balance master^Ⓡ system. After treatment, decreased scores of International Cooperative Ataxia Rating Scale and change of the trace of Balance master^Ⓡ system showed that symtoms of ataxia were improved. Sensory deficits and other conditions were also getting better. This report suggests that Korean medicine could have a therapeutic effect for Thalamic ataxia.

• Proceedings of the Korea Water Resources Association Conference
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• 2017.05a
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• pp.331-331
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• 2017

2011 년부터 2014 년까지 4 년간의 여름철에 한반도에 비교적 많은 강수를 남긴 23 개의 중규모 저기압-구름무리 집중호우 사례를 선정하여, 이들 사례에서의 중규모 저기압 발생과 이동 그리고 그것에 동반된 강수계에 의한 강수 발생을 수치예측하는 실험을 수행하였다. WRF 모델을 이용하여 12 km와 4 km 수평격자 크기로 수치실험을 진행하였으며, 각 사례에 대해 중규모 저기압이 발생한 시점을 초기 시각으로 하여 수치적분을 수행하였다. 수치실험 결과와 AWS 강수량 관측 자료를 $0.1^{\circ}{\times}0.1^{\circ}$ 격자에 각각 내삽한 후 비교하였다. 12 km 격자 실험에서는 25 mm/12h 문턱값에 대해 23개의 사례 중 9개 (39 %)만이 0.3이 넘는 성공임계지수(TS)를 나타냈고, 50 mm/12h 문턱값에 대해서는 17개 사례 중 7개 (41 %)의 사례에서 0.3이 넘는 TS가 나타났다. 4 km 실험에서는 25 mm/12h 문턱값에 대해 23개의 사례 중 10개 (43 %) 사례에서 0.3이 넘는 TS 값이 나타났고, 50 mm/12h 문턱값에 대해서는 17개 사례 중 7개 (41 %)로 나타나 WRF 모델의 수평격자 크기와 관계없이 비슷한 성능을 보였다. 중규모 저기압이 진행하는 경로에 따라 예측 능력에 차이가 나타났다. 23개 사례를 중규모 저기압 발생지점으로부터의 이동경로에 따라 준 직선 경로 사례 그룹, 곡선형 경로 사례 그룹, 정체사례 그룹으로 분류하여 각 그룹에 대해 예측 능력을 조사한 결과, 직전 경로 사례들에 대한 4km 격자 모델 예측은 55 %의 사례에서 0.3보다 큰 TS값을 보여, 30 %의 사례에서 0.3 이상의 TS 값을 보인 곡선형 경로 사례들에 대한 예측보다 상대적으로 높은 예측 신뢰도를 보여 주었다.

• Convergence Security Journal
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• v.21 no.1
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• pp.93-100
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• 2021

Damage caused by intelligent cyber attacks not only disrupts system operations and leaks information, but also entails massive economic damage. Recently, cyber attacks have a distinct goal and use advanced attack tools and techniques to accurately infiltrate the target. In order to minimize the damage caused by such an intelligent cyber attack, it is necessary to block the cyber attack at the beginning or during the attack to prevent it from invading the target's core system. Recently, technologies for predicting cyber attack paths and analyzing risk level of cyber attack using big data or artificial intelligence technologies are being studied. In this paper, a cyber attack path analysis method using attack tree and RFI is proposed as a basic algorithm for the development of an automated cyber attack path prediction system. The attack path is visualized using the attack tree, and the priority of the path that can move to the next step is determined using the RFI technique in each attack step. Based on the proposed mechanism, it can contribute to the development of an automated cyber attack path prediction system using big data and deep learning technology.

• Journal of Yeungnam Medical Science
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• v.20 no.2
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• pp.105-116
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• 2003

Definitely, treatment for gastric cancer is primarily surgical. Detection in early stage of disease and complete surgical resection is the best way to cure gastric cancer. If surgery is planned, careful preoperative evaluation and corrections of physiologic and psychologic abnormalities are essential to reduce perioperative morbidity or mortality. Basic principle of gastrectomy for gastric cancer is an en bloc resection of tumor with adequate margins of normal tissue and with regional lymph nodes and omental tissues. To complete these principles, regional lymph nodes and all omental tissues should be removed altogether during performing various types of gastric resection. The lymph node dissection is one of the most effective procedures for gastric cancer to achieve curative resection. The basic types of gastric resection are distal subtotal gastrectomy and total gastrectomy according to the condition of primary lesions and the status of lymph node metastases. When the primary lesion is located near the esophagogastric junction, it is sometimes hard for a surgeon to select adequate surgical method. Postoperative quality of life in a patient has become a very important factor to be considered in every step of surgical therapy. With increasing incidence of early gastric cancer, a number of surgical trials for limited surgery or endoscopic procedures have been performed, but the long-term clinical results should be carefully analyzed to define the clinical relevance of these new techniques. For patients with disseminated gastric cancer, a palliative procedure can be performed to improve quality of life of patients and to avoid immediate death due to the cancer-related complications.

• Journal of the Korean Arthroscopy Society
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• v.11 no.1
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• pp.24-31
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• 2007

Purpose: To evaluate any combined rotator cuff pathologies in adhesive capsulitis patients with magnetic resonance arthrography (MRA) or ultrasonography (USG), and to see any differences in findings between MRA and USG. Materials and Methods: From June to December 2005, 80 consecutive patients with adhesive capsulitis were prospectively evaluated with either MRA or USG. Two groups were randomly assigned for examination. Evaluation were focused on any combined rotator cuff pathologies especially supraspinatus tendon. Results: Small (less than 1 cm) full-thickness SSP tendon tear were seen in 6 patients (MRA 4, USG 2, 8%) and partial-thickness SSP tendon tears in 21 (MRA 12, USG 9, 26%). In addition, supraspinatus tendinopathy were seen in 15 patients (MRA 7, USG 8, 19%). Overall, various SSP pathologies were reported in 42 patients (53%) of the study objects (MRA 23, 68% and USG 19, 41%). Subscapularis tendon partial tears were reported in 9 patients (MRA 6, USG 3, 11%). There were no statistical differences of the findings between MRA and USG in detecting rotator cuff pathologies (p>0.5). Conclusion: Nearly one half of the adhesive capsulitis patients showed various supraspinatus tendon pathology in MRA or USG. Although MRA group showed slight higher percentage of associated rotator cuff pathology than USG group (without statistical significance), this could be attributed to better resolution capacity of MRA than USG.

• Journal of Chest Surgery
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• v.37 no.10
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• pp.872-875
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• 2004

The treatment modalities of the intramural hematoma (IMH) remain controversial. Nowadays, the IMH of the descending thoracic aorta is generally classified in the medical treatment category. We describe a patient with IMH of the descending thoracic aorta who received the medical treatment. During the follow-up, we speculated that the IMH had been aggravated leading to an aortic rupture including hemothorax. Therefore, we performed an emergency operation. Contrary to our expectations, operative findings showed a well-organized aortic wall and serous pleural effusion. The exact diagnosis was IMH of the descending thoracic aorta with penetrating atherosclerotic ulcer (PAU). This case reminded us of the importance of accurate diagnosis and proper treatment.

• Parasites, Hosts and Diseases
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• v.32 no.3
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• pp.201-204
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• 1994

Echinostomiasis is an endemic intestinal trematodiasis of humans in Korea We observed a human case of Echinostomn honense infection who had ulcerations on the duodenal mucosa. A 55-year old man living in Hamyang-gun, Kyongnam, complained of epigastric pain with hematemesis In April 1994. Endoscopy revealed lesions of early gastric cancer and duodenal ulcerations. A penetrating parasite into the duodenal mucosa was picked out, and identified as E. honense. As the patient was treated 10 praziquantel 10 mg/kg single dose,3 more E. hofene and 7 Metogonimw worms were recovered. This case demonstrates that echinostomiasis causes gross ulcerations in the duodenum.