• Korean Journal of Psychosomatic Medicine
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• v.23 no.1
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• pp.66-69
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• 2015

In addition to classical triad such as gait disturbance, urinary incontinence and dementia, parkinsonian extrapyramidal motor signs and neuropsychiatric symptoms can be observed in patients with normal pressure hydrocephalus (NPH). In our case, a 46 year old female patient showed extrapyramidal symptoms such as bradykinesia, rigidity and neuropsychiatric symptoms such as agitation, anxiety, restlessness and regressed behavior beside two(gait disturbance & urinary incontinence) symptoms of three classical triad. It was difficult to diagnose this patient as NPH from the beginning because of her relatively young age and previous psychiatric mediation history for controlling advanced anxiety and affective disorder. Antiparkinsonian agents and discontinuation of psychiatric medications did not work for this patient. Patient's brain computed tomographic finding showed enlarged ventricles. We suspected NPH and did empirical drainage of 30mL CSF. Finally, patient's pyramidal and neuropsychiatric symptoms as well as two of three classical triad of NPH were improved dramatically within several days. It is important to consider NPH as one of the differential diagnosis in patient with parkinsonian symptoms and various neuropsychiatric symptoms who did not respond to usual clinical management especially in case of ventricular enlargement in neuroimaging because of its treatable property by CSF shunt operation.

• Proceedings of the KSLP Conference
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• 1998.11a
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• pp.187-187
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• 1998

위식도 역류 질환의 전형적인 증상에 반하여 인후두에서 나타나는 애성, 만성 기침, 헛기침, 인후두 이물감등의 비전형적인 증상에 대해 최근 관심이 높아지고 있다. 특히 애성이 주된 증상으로 나타나는 경우 일부에서 후두 후방에 점막의 비후 소견이나 육아종을 보이기도 하지만 많은 경우 후두내 기질적 병변을 찾기 어려울 때가 많으므로 의식도 역류 질환과 연관된 애성으로 진단하기 위해서는 자세한 병력 파악 및 이학적 검진, 그리고 위식도 역류 진단을 위한 검사 둥이 요구된다. 저자들은 인후두 이물감을 주소로 내원하여 위식도 역류 검사상 위식도 역류 질환으로 판명되었던 환자 중 애성이 동반된 환자 20례에 대하여 치료전 음성 검사를 시행하였으며 일반적인 치료 후 8주째 추적 검사를 시행하여 그 결과를 문헌 고찰과 함께 보고하고자 한다. (중략)

• Journal of the korean veterinary medical association
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• v.39 no.2
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• pp.166-169
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• 2003

국내 축산관련 분야의 많은 기관과 단체들이 많은 인력과 예산을 투여하여 돼지콜레라 청정화 유지를 위해 노력하였으나 불행하게도 지난 2002년에는 철원에 이어 강화, 인천, 김포, 이천 등지에서 발생하여 양돈업계에 큰 피해를 준 바 있다. 이중 철원에서 발생된 돼지콜레라 바이러스의 병원성시험을 실시한 결과 전형적인 급성 돼지콜레라증상이 재현되어 임상증상과 병리소견을 개업수의사와 양돈관련자에게 홍보코자 한다.

• Clinical and Experimental Pediatrics
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• v.45 no.8
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• pp.1048-1051
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• 2002

Toxic shock syndrome(TSS) is clinically similar to Kawasaki disease(KD) in that both of them are characterized by fever, desquamating rash and mucous membrane erythema. In contrast the main feature of TSS is hypotension, whereas the complication of KD is coronary vasculitis. We report an 8-year-old boy who fulfilled the crireria for TSS and KD. Initially he showed clinical features of TSS, so he was treated with intravenous antibiotics and supportive management. But the fever sustained, and the coronary aneurysm that is the main complication of Kawasaki disease was shown by echocardiogram on Day 14. He was treated with intravenous immunoglobulin twice and the fever subsided and general condition was improved.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.1
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• pp.3-11
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• 2017

Objectives : The aim of this study was to draw attention toward so called 'behavioral variant frontotemporal dementia(bvFTD) phenocopy syndrome', which is difficult to discriminate with the primary psychiatric disorders, showing poor response to conventional therapeutic drugs, leading to higher risk to misdiagnoses and legal problems. Furthermore, the author insisted that our interest and study on them must be continued. Methods : English articles published during 2000 thru 2016 had been searched by internet with the combination of words such as 'frontotemporal', 'phenocopy' and 'behavioral', and reviewed. Besides, two clinical vignettes were described. Results : Precise diagnosis is important because patients' behavioral symptoms can influence on their families and community. However, disease-modifying treatment for bvFTD are not developed until now, and recent therapeutic drugs are only good for specific symptoms, while deterioration progresses in spite of proper psychiatric management. The possible bvFTD patients are not progressed into probable bvFTD clinically, showing no decline of cogntive and social function, no decrease of activity function, longer survival time, and normal neuroimaging for several years. Conclusions : Rather than expected, there are much more patients having clinical symptoms, course and diagnostic findings including neuroimaging, which are atypical to classical frontotemporal dementia and primary psychiatric disorders. If our knowledge and discriminating ability is improved, discovery rate of that cases will be increased. However, the identity of these atypical features are not clarified until now, it must be further actively investigated.

• Pediatric Infection and Vaccine
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• v.24 no.2
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• pp.108-111
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• 2017

A 3-month-old asymptomatic infant presented with bilateral extensive consolidation of the lungs, which was diagnosed as pulmonary tuberculosis. Evaluation of the baby for tuberculosis was initiated because of a history of contact with a known tuberculosis patient. This case is interesting because the baby rarely showed symptoms during the whole course of the disease.

• Journal of the korean veterinary medical association
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• v.48 no.8
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• pp.470-472
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• 2012

구제역은 구제역 바이러스의 감염에 의한 우제류 동물의 악성전염병으로서 입, 혀, 발굽 및 유두 등에 물집(수포)이 생기고, 체온의 상승과 식욕저하가 수반되는 것이 특징으로서 세계동물보건기구(OIE) 지정 가축전염병 및 가축전염병예방법상 제1종 가축전염병에 속한다. 전파속도가 매우 빨라 한 번 발생하면 근절이 쉽지 않다. 소, 돼지, 양 및 염소가 주요 감수성 동물이다. 한 동물이 감염되었을 때, 이환율이 높아 대부분의 같은 집단에 있는 모든 동물은 감염될 수 있다. 임상증상 관찰은 구제역 방역의 성패를 좌우할 정도로 매우 중요하다. 증상을 초기에 발견했다하더라도 증상이 보이기 3-4일 전부터 동물로부터 바이러스가 배출되므로 주변에 퍼져 있을 가능성이 크기 때문이다. 이 글에서는 구제역 재발방지를 위해 구제역에 대한 동물별의 전형적인 증상 특징을 알아보고, 우리나라에서 발생되었던 구제역의 임상증상을 특징을 고찰하고자 하였다.

• The Journal of the Korea institute of electronic communication sciences
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• v.18 no.2
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• pp.373-378
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• 2023

Untypical symptoms and lack of diagnostic records make it difficult for even medical specialists to detect rare diseases. Thus, it takes a lot of time and money from the onset of symptoms to an accurate diagnosis, which seriously results in physical, mental, and economic pressure on patients. In this paper, we propose and implement an early detection assistance system for rare diseases using web crawling and text mining, which can suggest the names of suspected rare diseases so that medical staffs can easily recall the disease names and make a final diagnosis of the rare diseases.

• Korean Journal Plant Pathology
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• v.12 no.2
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• pp.214-218
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• 1996

배나무잎 이상반점증상의 보독여부를 신속정확하게 검정할 수 있는 목본 지표식물을 선발하기 위해 시험을 수행하였다. 신고x조생적 등 5개 교배조합 102개체를 공시해서 1차로 10개체를 선발하였다. 1차로 선발된 개체중에서 전형적인 이상반점증상이 조기에 잘 나타나고 이상반점증상과 유사한 검은무늬병에 저항성인 신고$\times$조생적 86-2-2 계통을 최종선발하였다. 선발된 지표식물을 사용하여 농가포장에서 이상반점 증상의 보독여부를 실증시험한 결과 보독유무의 조기판별이 가능하였다. 이상의 결과에서 최종 선발된 신고$\times$조생적 86-2-2계통을 PS-95로 명명하고자 한다.

• Journal of the Korean Arthroscopy Society
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• v.10 no.1
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• pp.108-111
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• 2006

We present a case of double medial plica that developed on right knee joint. There has been no documented case of double medial plica of the knee joint. In a general way, double medial plica syndrome is very difficult to diagnose because it does rarely develop and symptoms are non-specific or not present. It is difficult to distinguish between pain originating from the medial plica and from other internal derangement of the knee. This patient had symptoms including aggravating right knee pain with sitting position or knee flexion for 3 months. We performed MRI and arthroscopy for more accurate diagnosis. MRI T1, T2 images showed typical double medial plica and we had performed arthroscopic excision of symptomatic medial plica in right knee joint. Arthroscopic resection provided satisfactory relief of symptom.lasting and satisfactory relieve of symptom.