• Clinical and Experimental Pediatrics
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• v.49 no.7
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• pp.805-809
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• 2006

The incidence of endobronchial tumor in the pediatric period is very rare and the symptoms are very close to those of respiratory tract infection. Diagnosis can be delayed because of low clinical suspicion and the many ways in which these tumors can present. We report the first case, in Korea, of a pulmonary carcinoid tumor that presented with recurrent pneumonia at the same location in adolescence. Treatment is surgical and geared towards complete resection while sparing healthy lung parenchyma. Long-term and careful follow up is recommended to detect local and distant metastasis.

• Proceedings of the Korean Vacuum Society Conference
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• 2014.02a
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• pp.245.2-245.2
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• 2014

홀 방식 이온빔 소스는 방전 채널 내부에 중성기체 및 전자를 주입하여 플라즈마를 생성하며, 생성된 이온들은 자기장에 의해 구속된 전자들과 양극이 만드는 전기장에 의해 가속되어 이온 빔을 발생시킨다. 홀 방식 이온빔 소스에는 고리형 소스와 원통형 소스가 있으며, 기하학적 구조 및 자기장 구조가 달라 발생되는 이온전류, 가속효율, 연료효율, 이온화 비율 등 플라즈마 특성이 다르다. 특히, 플라즈마의 이온화 비율은 이온빔 소스의 방전 전류 및 연료효율에 영향을 미치며, 다중전하를 띤 이온의 높은 에너지는 채널벽의 침식 문제를 야기하는 등 이온빔의 전하량 분석 연구는 물리적 연구측면 뿐만 아니라 실용적인 측면에서도 매우 중요하다. 원통형 소스의 경우 연료효율이 100% 이상으로, 이온화 효율이 매우 높아 발생되는 이온의 가속효율도 높게 나타난다. 본 연구에서는, 이를 통해 다중이온을 진단할 수 있는 ExB 탐침을 개발하여, 다중이온의 생성 비율과 연료 효율과의 관계를 살펴보았다. 이온전위지연 탐침과 패러데이 탐침을 이용하여 채널 및 자기장 구조에 따른 전류 분포 및 이온에너지분포를 측정하였으며, 이온 빔의 효율 및 플라즈마 특성을 분석하였다.

• Proceedings of the KIEE Conference
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• 2002.07c
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• pp.1797-1799
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• 2002

$SF_6$ 가스로 절연되는 GIS (Gas Insulated Switchgear)는 매우 우수한 신뢰성을 확보하고 있지만 사고 발생 시 파급효과가 매우 크므로 상시 감시할 수 있는 진단기술이 요구된다. 본 논문에서는 GIS 내부에서 발생하는 신호를 검출하기 위해서 전기적인 방법과 비전기적인 측정 법을 통해 전자파. 초음파, 전류펄스를 측정하고 비교하였다. GIS 내부알루미늄도체에 침 결함을 고정시켜 전원전압 인가 시 발생되는 부분방전신호를 UHF, AE, CT센서로 검출하였다. 측정 결과 UHF센서와 CT센서로 검출되어진 신호는 매우 유사하게 측정되었고 초음파와 전자파를 검출한 결과 진행속도 차이로 발생되는 시간지연현상이 발생되었다. GIS내 부분방전발생 시 발생되는 전자파 스펙트럼 분석결과도 650MHz에서부터 935MHz까지의 주파수대역이 측정되었다. 이후에는 현장에서 운전중인 GIS내부에서 발생되는 결함들을 실제와 가깝게 모델링하여 발생되는 부분방전신호를 스펙트럼 분석하여 대역에 맞는 UHF센서 개발에 노력하고자 한다. 또한 결함의 종류와 형태에 따라 다르게 발생되는 부분방전신호를 검출하여 측정하고 이를 진단하는 연구가 계속 진행되어야 할 것으로 사료된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.8 no.1
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• pp.64-69
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• 2005

We have experienced a case of incomplete congenital duodenal diaphragm with a foreign body (a button), which was found by endoscopy in a 13 month-old girl. She had symptoms of hematemesis, vomiting and bloody stool for a day probably due to foreign body impaction.

• Journal of the Korean Society of Radiology
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• v.84 no.5
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• pp.1176-1180
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• 2023

Granular cell tumors (GCTs) are rare soft tissue tumor, originating from neural or perineural cells. We present a case of axillary GCT in a 69-year-old woman with breast cancer history and discuss the various radiologic findings. US revealed a circumscribed oval heterogeneous iso- and hyperechoic mass in the left axilla. Chest CT showed a well-defined, oval, and mildly enhancing mass in the left axilla on the lateral aspect of the pectoralis muscle. A final diagnosis of GCT was made through US-guided core needle biopsy. Follow-up US showed no significant changes in the axillary GCT. Familiarity with GCT may facilitate early diagnosis and subsequent management.

• Journal of the Korean Society of Radiology
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• v.84 no.3
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• pp.770-775
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• 2023

Malignant peripheral nerve sheath tumor (MPNST), a rare soft-tissue sarcoma, is most commonly located in the trunk, extremities, and head and neck, but rare in the breast. We report a metastatic breast MPNST in a 27-year-old woman with neurofibromatosis type 1 (NF-1). Chest computed tomography revealed a well-defined, oval, mildly enhancing nodule in the right breast. US revealed a circumscribed, oval, heterogeneous echoic mass with vascularity and intermediate elasticity in the right upper outer breast. The breast mass was excised and diagnosed as MPNST on histopathology evaluation. Although rare, it should be included in the differential diagnosis of breast mass in NF-1 patient.

• Journal of the Korea institute for structural maintenance and inspection
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• v.12 no.5
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• pp.179-189
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• 2008

The object of this study is to develope a program with proposed numerical techniques for an optimal seismic control of structures using active tendon systems. Ricatti closed-loop algorithm has been applied to control the active tendon systems with time-delay problem. The optimal control is formulated as an optimization problem which is finding optimal weighting matrices by minimizing the quadratic performance index by SUMT. In order to find the optimal location of active tendons in structures, controllability index has been introduced. From numerical examples, the current optimal control technique with optimal location of tendons was suitable to control the seismic response of structures.

• Journal of The Korean Society of Inherited Metabolic disease
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• v.18 no.3
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• pp.99-106
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• 2018

Mucolipidosis type III (pseudo-Hurler polydystrophy) is a mucolipids degrading disorder caused by a mutation in the GNPTAB gene and is inherited by autosomal recessive. It is diagnosed by examining highly concentrated mucolipids in blood and the diagnosis can be confirmed by genetic testing. Mucolipidosis type III is a rare and progressive metabolic disorder. Its initial signs and symptoms usually occur around 3 years of age. Clinical manifestations of the disease include slow growth, joint stiffness, arthralgia, skeletal abnormalities, heart valve abnormalities, recurrent respiratory infection, distinctive facial features, and mild intellectual disability. Here, we are presenting two siblings of mucolipidosis type III, a 4-year-old female and a 2 years and 7 months old male with features of delayed growth and coarse face. The diagnosis was confirmed by [c.2715+1G>A(p.Glu906Leufs*4), c.2544del(p.Glu849Lysfs*22)] mutation in targeted gene panel sequencing. In this case, c.2544del is a heterozygote newly identified mutation in mucolipidosis type III and was not found in the control group including the genome aggregation database. And it is interpreted as a pathogenic variant considering the association with phenotype. Here, we report a Korean mucolipidosis type III patients with novel mutations in GNPTAB gene who have been treated since early childhood. Owing to recent development of molecular genetic techniques, it was possible to make early diagnosis and treatment with pamidronate was initiated appropriately in case 1. In addition to these supportive therapies, efforts must be made to develop fundamental treatment for patients with early diagnosis of mucolipidosis.

• Neonatal Medicine
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• v.18 no.2
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• pp.248-256
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• 2011

Purpose: Intrauterine growth retardation (IUGR) is the term used to designate a fetus that has not reached its growth potential. However it is difficult to make a distinction between infants who are constitutionally small and growth restricted small. In the present study, we focused on the clinical characteristics and the hematologic value in small for gestational age (SGA) infants and discussed how to distinguish intrauterine growth restricted infants from constitutionally small infants. Methods: SGA infants that did not have any other risk factors for IUGR in the medical record except maternal hypertension (HTN) and diabetes mellitus (DM) and born at the Seoul St Mary's Hospital and Yeouido St Mary`s Hospital from January 2007 to July 2010 were included. The frequency of IUGR is higher in the pregnancy with medical problem, and in preterm infants. Therefore, the data was categorized by maternal disease and gestational age. We assessed the clinical data and the hematologic value. Results: The leukocyte count and the platelet count were lower in the SGA with maternal HTN group and the preterm SGA group. There was no difference in the clinical data and the prognosis resulted from maternal HTN and maternal DM. However, the hematologic difference was not found in the categorization of the preterm SGA group as maternal diasease. Conclusion: The results of this study showed that it is possible the low leukocyte count and the low platelet count are the characteristic hematologic features in growth restricted small for gestational age infants.

• Nuclear Medicine and Molecular Imaging
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• v.43 no.4
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• pp.309-316
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• 2009

Purpose: F-18 FDG can be accumulated in the liver, bowel, kidney, urinary tract, and muscles physiologically. The aim of this study was to evaluate the clinical value of dual time point 18F-FDG PET /8 imaging for the differentiation of the colonic focal uptake lesions. Materials and Methods: One hundred thirty two patients (M:F = 77:55, Age 62.8$\pm$11.6 years) underwent $^{18}$F-FDG PET/CT at two time points, prospectively: early image at 50-60 min and delayed image at 4-4.5 hours after the intravenous injection of $^{18}$F-FDG. Focally increased uptake lesions on early images but disappeared or shifted on delayed images defined a physiological uptake. For the differential evaluation of persistent focal uptake lesions on delayed images, colonoscopy and histopathologic examination were performed. SUVmax changes between early and delayed images were also compared. Results: Among the 132 patients, 153 lesions of focal colonic uptake were detected on early images of $^{18}$F-FDG PET/CT. Of these, 72 (47.1%) lesions were able to judge with physiological uptake because the focal increased uptake disappeared from delayed image. Among 81 lesions which was showed persistent increased uptake in delayed image, 61 (75.3%) lesions were confirmed as the malignant tumor and 14 (17.3%) lesions were confirmed as the benign lesions including adenoma and inflammatory disease. Remaining 6 (7.4%) lesions were confirmed as the physiological uptake because there was no particular lesion in the colonoscopy. In the malignant lesions, the calculated dual time point change for SUVmax ($\Delta$%SUVmax) was 20.8$\pm$18.7%, indicating a significant increase in SUVmax between the two point (p<0.01). In contrast, the change in SUVmax for the non-malignant lesions including benign lesions and physiological uptake was -13.7%$\pm$24.2%. For the differentiation of the malignant and non-malignant focal colonic uptake lesions, $\Delta$%SUVmax was the most effective parameter, and the cut-off value using -5% provided the best sensitivity, specificity, and accuracy. Conclusion: The dual time point $^{18}$F-FDG PET/CT imaging with SUVmax change evaluation could be an important noninvasive method for the differentiation of malignant and benign focal colonic uptake lesions including physiologic uptake.