• Clinical and Experimental Pediatrics
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• v.45 no.10
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• pp.1278-1282
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• 2002

Glutaric aciduria(type 1) is characterized clinically by progressive dystonia and dyskinesia in childhood, pathologically by degeneration of caudate and putamen, biochemically by tissue deficiency of glutaryl-CoA dehydrogenase(GCDH), and is transmitted as an autosomal recessive traits. Mutations of the GCDH gene on chromosome 19 have been implicated in the causation of glutaric aciduria(type 1). Macrocephaly in infancy and crossing of percentiles for head circumference are real clues to early diagnosis. Acute neuroregression of dystonia following an initial phase of normal or almost normal development is a common mode of presentation, at times preceded by seizures. We experienced a case of glutaric aciduria(type 1) in a 13-month old girl. She was admitted due to development delay and choreoasthetoid movememt that developed after generalized tonic-clonic type seizures. She was diagnosed as having glutaric aciduria(type 1) based on brain MRI and urine organic acid analysis finding.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.47 no.4
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• pp.21-29
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• 2010

In this study, we aimed to develope the physio-module for echocardiography. This physio-module includes multi-functions such as ECG, respiration, PCG, heart sound, and this is used to diagnose a cardiac disease in using ultrasound images synchronized with biosignals of physio-module. In this paper, the developed physio-module was verified by applying various test patterns considering each biosignal's characteristics and we could get the performance of QRS trigger delay time within international standard, EC-13 criteria. And ECG's change in physio-module and blood flow in M-mode was synchronized.

• Investigative Magnetic Resonance Imaging
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• v.14 no.2
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• pp.145-150
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• 2010

We report the case of a 16-year-old boy with a solid pancreatic mass which proved to be a nonfunctioning, malignant pancreatic neuroendocrine tumor (PNET). In pediatric patients, malignant pancreatic tumors are rare, especially malignant PNET. When dynamic contrast enhanced MRI showed a well enhancing solid pancreatic tumor on arterial and delayed phases and combined with malignant features, such as vascular invasion, invasion of adjascent organs, and lymphadenopathy, we should include malignant pancreatic neuroendocrine tumor in the differential diagnosis of childhood pancreatic tumors.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.33 no.5
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• pp.479-484
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• 2007

A case of epithelial-myoepithelial carcinoma transformed in pleomorphic adenoma occurring in palate of a 61 years old woman is reported. The tum or was composed of 2 different components, pleomorphic adenoma and epithelial myoepithelial carcinoma, accounting for approximately 40% and 60% of whole tumor, respectively. As the results of the immunohistopathologic study, epithelial-myoepithelial carcinoma showed multiple tubular or solid nest, which were separated by a basement membrane and considered of variable proportion of 2 cell types, cuboidal epithelial cells positive for cytokeratin and clear myoepithelial cells positive for glial fibrillary acid protein, wheres the myoepithelial nest of pleomorphic adenoma intermingled with hyaline and myxoid stroma. The malignancy was demonstrated by convincing evidence of invasion into the submucosa, although the epithelial-myoepithelial carcinoma component was mostly surrounded by the pleomorphic adenoma componemts. An increased immunoreactivity of proliferating cell nuclear antign in the epithelial myoepithelial carcinoma area in comparison to the pleomorphic adenoma also suggested epithelial-myoepithelial carcinoma arising in a pleomorphic adenoma.

• Journal of IKEEE
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• v.20 no.1
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• pp.16-25
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• 2016

Turnaround time (called, TAT) for imaging test, which is necessary for making a medical diagnosis, is directly related to the patient's waiting time and it is one of the important performance criteria for medical services. In this paper, we measured the TAT from major imaging tests to see it met the reference point set by the medical institutions. Prediction results from the algorithm of classification regression tree (called, CART) showed "clinics", "diagnosis", "modality", "test month" were identified as main factors for timely processing. This study had a contribution in providing means of prevention of the delay on medical services in advance.

• The Journal of the Acoustical Society of Korea
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• v.21 no.4
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• pp.349-360
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• 2002

In ITU H.323 teleconference system, the RTP/RTCP protocol is offered to transfer real-time multimedia stream. Both sender and receiver hate experience in packet loss and jitter which result from network congestion over Internet. Audio quality over Internet depends on the number of lost packets and on jitter between successive packets. The goal of our study is to improve the speech quality over Internet by checking the packet loss characteristics of the network and adopting the but for control management mechanism at the receiver. We suggest a dynamic redundant audio transmission mechanism which examines the packet loss rate and uses the feedback information through RTCP.

• Journal of Chest Surgery
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• v.30 no.6
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• pp.636-640
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• 1997

The common cause of tracheoesophageal fistula(T-I fistula) after tracheal intubation is ulceration and necrosis of the posterior wall of trachea by compression pressure generated by cuff. We experienced a young woman sustaining a T-I fistula which was found on the 12th day of intubation for cardiopulmonary resuscitation. Because spontaneous closure of the fistula is far uncommon, operative closure should be aimed for and should be done as soon as diagnosis is conformed. We delayed ope ative closure because of poor general condition of the patient. In spite of delayed reconstruction, the tracheal reconstruction itself was successful, but the patient died of peritonitis induced sepsis on the postoperative 41th day.

• Childhood Kidney Diseases
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• v.9 no.1
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• pp.108-111
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• 2005

Nephrotic syndrome is a common chronic disease in childhood. Patients with nephrotic syndrome are at an increased risk of bacterial Infections due to immunological changes secondary to proteinuria. Primary bacterial peritonitis is one of the most serious and common infectious complications. The rate of peritonitis is, 2-6% and overwhelming infection still carries a mortality rate of 1.5%. We experienced a rare case of nephrotic syndrome complicated with severe peritonitis and Peritoneal empyema in a 10-year old girl after 2 months of medical neglect by parents. Here we emphasize thf: importance of early detection and treatment of peritoneal infection in nephrotic syndrome.

• Proceedings of the Korea Water Resources Association Conference
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• 2018.05a
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• pp.447-447
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• 2018

최근 이상기후의 영향으로 특정지역 중심의 국지성 집중호우 발생 빈도가 증가하고 있으며, 집중강우의 영향으로 하천의 범람 사고 또한 증가하고 있는 추세이다. 이와 관련하여, 본 연구에서는 수문시설의 안전성 확보를 위해, 기후변화 측면에서 현재 운영 중인 안전점검 및 정밀안전진단 세부지침의 개선 사항을 검토하고, 이에 대한 개선방안을 제시하고자 한다. 먼저 본 연구에서는 수문시설의 안전성평가 실시 현황, 현장적용 사례 및 평가기준 비교 검토를 통해 개선사항을 도출하고자 하였으며, 검토된 결과는 다음과 같다. 시설물의 안전성 평가는 선택적으로 수행할 수 있도록 규정하고 있어, 주기적 평가가 수반되지 않고 있으며, 최근 수위 변동에 대한 시설의 안전성 확보여부가 확인되고 있지 않은 실정이다. 또한 수문시설의 조작대 접근성 및 문비 구조검토 안전성 평가는 설계 당시의 홍수위를 기반으로 한 평가항목으로, 하천의 홍수위 상승에 취약적 요소가 내재되어 있으며, 수문시설의 기존 평가체계에서는 시설물의 기능적 특성에 따른 평가결과를 확인하기 어렵다는 한계점이 있다. 이에 본 연구에서는 기존의 조작대 접근성, 내하력 및 문비 구조검토 안전성 평가 항목 외에 추가적으로 홍수조절능력에 대한 안전성평가 항목의 신설의 필요성과 기준을 마련하고, 수문시설의 기능적 특성을 고려한 단계별 평가 체계를 구축하였다.

• Journal of Sasang Constitutional Medicine
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• v.34 no.2
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• pp.84-96
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• 2022

Introduction Chronic idiopathic urticaria in patients diagnosed with an unfavorable pattern in Soyangin and Taeumin based on Sasang medicine showed a significant improvement after herbal medicine treatment. Methods The patients had treatment with both herbal medication and antihistamine. We checked the patients' cutaneous manifestation, original symptoms, and the number of antihistamine doses in each visit. We evaluated the medical records retrospectively. Results After one month of treatment, the patients showed cutaneous manifestation relief. Each patient reduced and withdrew antihistamine at four moths and eight months respectively, and the cutaneous manifestation did not recur. We maintained the herbal medicine prescription until the origin symptoms improved. Throughout the subsequent follow-up, the patients showed both urticaria and the original symptoms in good condition without treatment. Discussion Sasang medicine treatment can be an effective treatment for chronic idiopathic urticaria and long-term management is necessary for an unfavorable pattern which can take more than 6 months.