• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.8 no.2
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• pp.194-201
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• 2005

Purpose: Gall bladder (GB) stones in children are rarely observed, and so reports of them have been quite limited in Korea. Therefore, we tried to assess the epidemiology and clinical features of children with GB stone diagnosed at Severance Hospital. Methods: A clinical study was performed on 18 patients below 15 years of age diagnosed with GB stone by abdominal ultrasonography or CT scan at Severance hospital from January 1999 to May 2005. Results: Concerning patients' profile, their sex ratio of male to female in total 18 cases was 2 : 1 with the mean age of $6{\pm}4.3years$. 15 patients (83.3%) were asymptomatic. Inducing factors were found in 14 children (77.8%) including ceftriaxone therapy in 6 cases (33.3%), infection in 4 cases (22.2%), spherocytosis in 3 cases (16.7%), Down syndrome and abdominal operation in 1 case (5.6%) respectively. Single stone was found in 13 cases (76.5%) and multiple in 4 cases (23.5%). 15 cases (88.2%) had the stones less than 5 mm in size, and 2 cases (11.8%) between 5 and 10 mm. 17 patients received conservative treatment, and one patient had cholecystectomy due to Meckel diverticulum. Conclusion: In this report, Pediatric GB stones are predominant in male children, without typical symptoms, having inducing factors, single and small. Recently the diagnosis of them has been increased because of the development of imaging study. But the reports for them were still rare in Korea. Therefore the study for them is more necessary to find it's clinical characteristics.

• Proceedings of the Korea Society of Mathematical Education Conference
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• 2010.04a
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• pp.217-217
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• 2010

다양한 선택이 가능한 대학 입시 선택 과정에서, 대학 및 학과별 선발 기준을 고려하여 최선의 선택을 해야 할 필요가 있다. 본 연구는 2010학년도 대학별, 학과별, 시기별 전형 기준을 근거로 이 과정을 수학적으로 모델링 한다. 그 예로 2010학년도 전형 기준을 수능 반영영역과 반영비율, 가중치 등을 고려하여 대학입시과정에서 활용될 수 있는 AHP를 통한 수학적 모델을 소개한다. 이 과정을 엑셀을 이용한 수학적 모델링으로 구현한다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.3 no.2
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• pp.160-168
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• 2000

Purpose: The purpose of this study was to evaluate the clinical and abdominal ultrasonogra- phic(US) features of spontaneously reduced transient small bowel intussusception in chlidren. Methods: We retrospectively reviewed the clinical and US findings of 98 children with intussusception who were admitted to the Pediatric Department of Ulsan Dong-Kang General Hospital from Mar. 1999 to Feb. 2000. Results: 1) Among 98 cases, there were 12 cases (12.3%) of transient small bowel intussusception(TSBI) and 86 cases (87.7%) of classic intussusception (CI). 2) The peak incidence of age in TSBI was over 3 years, which was older than that in CI. With regard to sex distribution, male predominated in both type. 3) Clinical symptoms and signs including cyclic irritability, vomiting, bloody stool, and abdominal mass in TSBI group were less common than those in CI group (41.7%, 33.4%, 0.0%, 0.0% vs 91.9%, 59.3%, 41.9%, 26.7%, respectively) but persistent abdominal pain was more common in TSBI group than in CI group (58.5% vs 11.2%). 4) The size of total target sign and surrounding peripheral hypoechoic rim of TSBI group on US were smaller than those of CI group ($11.95{\pm}2.61$ mm, $2.08{\pm}1.15$ mm vs $26.91{\pm}5.98$ mm, $7.86{\pm}2.77$ mm, respectively). 5) Concomittant illness was found more frequently in TSBI group than in CI group (66.7% vs 26.7%). 6) All case of TSBI group were reduced spontaneouly, which were confirmed by US, but none of CI group. Conclusion: Transient small bowel intussusception is probably more common than generally thought and its clinical and US findings is quite different from classical obstructing intussus-ception. Because all of our cases resulted in spontaneous reduction, we recommend careful observation and repeat examination rather than an immediate operation in transient small bowel intussusception.

• Korean Journal of Veterinary Research
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• v.24 no.2
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• pp.237-243
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• 1984

한국에서 돼지에 감염되고 있는 Eperythrozoon 증양 질병의 역학적 생물학적 기초연구를 위해 본 질병에 자연감염 발병한 돼지 157두와 정상인 돼지 240두에 대하여 조사하였던 바 다음과 같은 결과를 얻었다. 혈액표본에서 관찰한 본 병원체의 감염율 형태 및 크기는 계절에 따라 변화를 보였는데, 정상인 돼지는 년평균 54% 감염율을 발병한 돼지는 모두 감염된 상태였다. 5종의 형태를 보이는 본병원체는 크기가 $0.5{\sim}0.5{\mu}$이었는 데 감염 혈액을 $0^{\circ}C$에 1주 이상(혹은 $-20^{\circ}C$에 24시간) 냉장하는 경우 그 크기가 $1.4{\sim}8.5{\mu}$까지 커졌으며 세포질내에 염색질 과립을 보이는 예도 발견되었다. 본 병원체는 적혈구막에 부착되거나 혈장내 유리된체 관찰되었으며 병든 돼지의 위장관과 방광내용물 중에서도 다수의 병원체가 발견되었다. 인공감염 실험에서 접종 감염된 돼지는 2개월간 경도의 체온상승과 빈혈상을 나타내면서 혈액내에 전형적인 병원체를 보유하였으며 접종시킨 쥐에서는 12개월이상 동일한 병원체의 잠복 감염상태를 유지하였다. 또한 병든 돼지 주위에서 포획한 파리와 모기의 장내용물 중에서 전형적인 본 병원체를 관찰할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• v.58 no.1
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• pp.73-77
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• 2005

Lemierre syndrome is characterized by an acute oropharyngeal infection with secondary septic thrombophlebitis of the internal jugular vein and frequent metastatic infections such as septic pulmonary emboli and suppurative arthritis. In the preantibiotic era, this condition generally had a fatal outcome. The presentation is so distinctive that a clinical diagnosis is possible in most cases, and a cure is expected with the appropriate therapy in the majority of patients. We present a case report of Lemierre syndrome with a review of the relevant literature.

• Tuberculosis and Respiratory Diseases
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• v.49 no.4
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• pp.432-440
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• 2000

Background : The prevalence of pulmonary tuberculosis among the elderly is increasing in Korea and in the developed countries due to the increased elderly population and their predispositions to chronic disease, poverty and decreased immunity. To define the characteristics of pulmonary tuberculosis in the elderly, we evaluated the clinical spectrum of pulmonary tuberculosis. Method : We analyzed 92 patients retrospectively that were diagnosed as active pulmonary tuberculosis over the age of 65. The analysis involved patient's profiles, clinical manifestations, coexisting diseases, diagnostic methods, anti-TB medications and their side effects, and treatment outcomes. Results : The results were as follows : - 1) The ratio of male to female was 2.1:1(62:30 cases) 2) Chief complaints were a cough (47.8%), dyspnea (40.2%), sputum (38.0%), chest pain (12.0%), anorexia (10.9%), and fever (9.8%). 3) 38 (41.3%) of cases had a past history of pulmonary tuberculosis. 4) The coexisting diseases were : -COPD, 25 cases (27.2%); pneumonia, 17 cases (18.5%); DM. 13 cases (14.1%); and malignancy, 10 cases (10.9%). 5) The positivity of Mantoux test (5 TU, PPD-S) was 82.7%. 6) Pulmonary tuberculosis was diagnosed using the following methods : sputum AFB (Acid Fast Bacillus) smear 42.4%, sputum TB (M. Tuberculosis) culture 15.2%, sputum TB PCR (Polymerase Chain Reaction) 10.9%, bronchial washing AFB smear 2.1%, chest radiology only 25.0%. 7) Locations of radiologic lesions were RULF, 50 cases; RLLF, 50 cases, mostly, then LLLF ; 26 cases were leastly involved. 8) The coexisting tuberculosis were endobronchial TB(8.7%), TB pleurisy(7.6%) miliary TB(5.4%), intestinal TB(2.2%), renal TB(1.1%) 9) The proportion of treatment regimen with 1st line drug and 2nd line drug were 92.3% and 7.6%, respectively. 10) The outcome of treatment were as follows : cured 31.5%, expired 13.0%, no return 47.8%, follow-up now 7.6%. Conclusion : The pulmonary tuberculosis in the elderly has atypical patterns with chronic coexisting diseases. Therefore, the possibility of pulmonary tuberculosis should be considered in elderly patients with pulmonary symptoms.

• Proceedings of the Korean Information Science Society Conference
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• 2006.10d
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• pp.492-496
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• 2006

WPAN(Wireless Personal Area Network)은 NEMO(Network Mobility) 환경에서 모바일 네트워크의 좋은 예가 될 수 있다. 특히, Piconet은 WPAN의 전형적인 형태이다. 이러한 Piconet의 모바일 디바이스는 배터리에 의해 전력을 공급받기 때문에 제한적인 에너지를 효율적으로 이용하는 것이 중요한 문제가 될 수 있다. 우리는 이 논문을 통해 Piconet이 모바일 네트워크를 형성할 때 에너지를 효율적으로 사용하기 위한 방법을 제시한다. 이를 위해 우리는 에너지 모델을 제시하고, Piconet 단위의 모바일 네트워크에서 Scatternet 형성을 통해 새로운 경로를 생성하여 전체 네트워크의 에너지 소비를 줄일 수 있음을 보인다.

• Proceedings of the Korean Nuclear Society Conference
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• 1996.05d
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• pp.241-246
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• 1996

지진시 미끄럼 등과 같이 전형적인 비선형거동을 하는 구조물에 대한 동적해석을 수행하는 경우 먼저 입력지진의 가속도 시간이력에 대한 기준선 조정이 필요할 때가 있다. 인공적으로 작성된 지진기록의 경우 때로 가속도 시간이력을 적분하여 속도 및 변위 시간이력을 얻었을 때 증가하는 형태로 나타나 이로 인하여 비선형응답이 비정상적으로 커질 수 있기 때문이다. 본 논문에서는 바닥이 마찰거동을 하는 구조물에 대해 간단히 모델하여 이러한 예를 보였으며 또한 주로 사용되는 기준선 조정방법들의 응답영향을 비교하였다. 그 결과 입력지진의 기준선 조정을 하지 않는 것이 항상 보수적인 결과만을 보여 주지 않는다는 점과 기준선 조정의 방범에도 표준화가 필요하다는 점을 파악할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• v.55 no.4
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• pp.370-377
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• 2003

Background : Pneumocystis carinii pneumonia (PCP) is one of the most common cause of infection in patients with HIV infection. Recently, the incidence of PCP have been increasing in immunocompromised hosts without HIV infection. We compared the clinical characteristics of PCP between HIV infected and non-infected persons. Patients and Methods : We retrospectively reviewed the charts of 25 patients diagnosed as PCP from 1996 to 2002. Age, sex, underlying conditions, use of immunosuppressants, clinical courses, laboratory findings, treatment and prognosis were compared between HIV infected and non-infected persons. Results : Twenty-five patients with PCP were identified. 16 were HIV infected, and 9 were HIV non-infected. The mean age of overall patients was $43.4{\pm}13.2$ years. Underlying conditions in HIV non-infected persons were hematologic malignancy (7 cases), solid organ transplant (1 case), and autoimmune disease (1 case). Seven cases (77.8%) of HIV non-infected persons had a history of steroid use. Mean duration of symptoms was longer in HIV infected persons than in HIV non-infected persons, but it was not statistically significant. PaO2 was lower in HIV infected persons ($61.2{\pm}16.9$ mmHg vs. $65.4{\pm}15.4$), but it was not statistically significant. Chest X ray showed typical ground glass opacity in 12 cases (75%) of HIV infected persons and in 4 cases (44.4%) of HIV non-infected persons. Twelve cases (75%) of HIV infected persons were treated with steroid, as were 6 cases (66.7%) of HIV non-infected persons. Ventilator care was needed in 6 cases (37.5%) of HIV infected persons and in 2 cases (22.2%) of HIV non-infected persons. Mortality of HIV infected persons was 50%, and that of HIV non-infected persons was 11.1%. Conclusions : PCP showed some different clinical characteristics between HIV infected and non-infected persons. Prospective studies regarding the risk factors of PCP, prophylaxis, treatment and prognosis in HIV infected and non-infected persons are warranted.

• The Journal of the Korean bone and joint tumor society
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• v.18 no.2
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• pp.99-103
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• 2012

Little literature exists about the risk of atypical femoral fracture in patients received zoledronic acid for prevention of skeletal metastasis. We report an atypical subtrochanteric femoral fracture in a patient with multiple myeloma received zoledronic acid. The patient was treated by closed reduction and internal fixation with cephalomedullary nailing.