• Atmosphere
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• v.27 no.1
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• pp.55-65
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• 2017

This study investigates how Eurasian snow cover in spring (March and April) is associated with Korean temperature during summer (June-July-August). Two leading modes of Eurasian snow cover variability in spring for 1979~2015 are obtained by Empirical Orthogonal Function (EOF) analysis. The first EOF mode of Eurasian snow cover is characterized by a zonally elongated pattern over the whole Eurasian region and its principal component is more correlated with Korean temperature during June. On the other hand, the second EOF mode of Eurasian snow cover is characterized by an east-west dipole-like pattern, showing positive anomalies over eastern Eurasian region and negative anomalies over western Eurasian region. This dipole-like pattern is related with Korean temperature during August. The first leading mode of Eurasian snow cover is associated with anomalous high (low) pressure over Korea (Sea of Okhotsk) during June, which might be induced by much evaporation of soil moisture in Eurasia during March. On the other hand, the second mode of Eurasian snow cover is associated with a wave train resembling with Eurasian (EU)-like pattern in relation to the Atlantic sea surface temperature forcing, leading to the anomalous high pressure over Korea during August. Understanding these two leading modes of snow cover in Eurasian continent in spring may contribute to predict Korean summer temperature.

• Atmosphere
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• v.29 no.5
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• pp.627-637
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• 2019

Severe and long-lasting heat waves over Korea and many regions in the Northern Hemisphere (NH) during the 2016 summer, have been attributed to global warming and atmospheric teleconnection coupled with tropical convective activities. Yet, what controls subseasonsal time scale of heat wave has not been well addressed. Here we show a critical role of two dominant boreal summer intraseasonal oscillation (BSISO) modes, denominated as BSISO1 and BSISO2, on modulating temporal structure of heat waves in the midst of similar climate background. The 2016 summer was characterized by La Nina development following decay of strong 2015/2016 El Nino. The NH circumglobal teleconnection pattern (CGT) and associated high temperature anomalies and heat waves were largely driven by convective activity over northwest India and Pakistan during summer associated with La Nina development. However, the heat wave event in Korea from late July to late August was accompanied by the phase 7~8 of 30~60-day BSISO1 characterized by convective activity over the South China Sea and Western North Pacific and anticyclonic circulation (AC) anomaly over East Asia. Although the 2010 summer had very similar climate anomalies as the 2016 summer with La Nina development and CGT, short-lasting but frequent heat waves were occurred during August associated with the phase 1~2 of 10~30-day BSISO2 characterized by convective activity over the Philippine and South China Sea and AC anomaly over East Asia. This study has an implication on importance of BSISO for better understanding mechanism and temporal structure of heat waves in Korea.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.25 no.6
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• pp.453-460
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• 2022

Purpose: Esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) is a congenital anomaly that can cause frequent digestive and nutritional problems, even after repair. The most common complication is anastomotic stricture, for which reoperation or balloon dilatation is performed. This study aimed to evaluate the postoperative complications of EA and the role of endoscopic balloon dilatation (EBD) in cases of anastomotic stricture. Methods: We retrospectively analyzed patients diagnosed with EA with or without TEF between January 2000 and February 2021. Patients' baseline characteristics, associated anomalies, and postoperative complications were reviewed. Results: Among 26 patients, 14 (53.8%) were male, 12 (46.2%) had coexisting anomalies, and the median follow-up was 6.1 years (range, 1.2-15.7 years). In univariate analysis, prematurity, low birth weight, and long-gap EA were associated with postoperative complications in 12 (46.2%) patients. Among the 10 (38.5%) patients with anastomotic stricture, nine (90.0%) required EBD. Regarding the first EBD, it was performed at a median of 3.3 months (range, 1.2-7.6 months) post-repair, while the average patient weight was 4.6 kg. The mean diameter ranged from 3.3 to 9.1 mm without major complications. In univariate analysis, long-gap EA alone was significantly associated with EBD. Conclusion: Approximately half of the patients experienced complications after EA repair. In particular, patients with a long-gap EA had a significantly increased risk of complications, such as anastomotic strictures. EBD can be safely used, even in infants.

• Journal of Chest Surgery
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• v.24 no.2
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• pp.206-211
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• 1991

Interruption of the aortic arch may be defined as discontinuity of the aortic arch in which either an aortic vessel or a patent ductus arteriosus supplies the descending aorta. This anomaly is a rare congenital malformation that usually occurs with severe associated intracardiac congenital anomalies, such as ventricular septal defect, patent foramen ovale and abnormal arrangement of the brachiocephalic arteries. Rarely, transposition of the great vessel, truncus arteriosus are coexistent. We experienced a case of the interrupted aortic arch [Type A] associated with VSD, PDA and patent foramen ovale in a 16 years old female. One stage total correction was done under profound hypothermia with total circulatory arrest. Aortic continuity was established using patent ductus arteriosus with anterior wall of main pulmonary artery, which was anastomosed obliquely to anteromedial side of the ascending aorta. Ventricular septal defect was closed using Dacron patch and patent foramen ovale was closed directly. Postoperative course was uneventful, except mild hoarseness.

• Journal of Chest Surgery
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• v.16 no.1
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• pp.3-9
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• 1983

Congenital mitral stenosis is a rare cardiac lesion which frequently associated with other congenital anomalies of the heart and great vessels. There are many difficulties in its preoperative diagnosis and choice of adequate treatment. We present two cases of congenital mitral stenosis who have had operated in this hospital at March 1981 and January 1983. One was 13 years old female with isolated, type III mitral stenosis who had mitral valve replacement with Ionescu-Shiley bioprosthetic valve, the other was 2 years and 3 months old female with supramitral ring associated with VSD and PDA who had operation of resection of supramitral ring and repair of associated lesions. Postoperative course of both cases is excellent except one episode of sudden supraventricular tachyar-rhythmia on latter case and it was controlled by medical treatment.

• Journal of Genetic Medicine
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• v.5 no.2
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• pp.136-138
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• 2008

Townes-Brocks syndrome (TBS) is an autosomal dominant disorder with multiple malformations which include dysplastic ears, hearing loss, preaxial polydactyly and/or triphalangeal thumbs, imperforate anus, renal anomalies, congenital heart defects, and mental retardation. However, hypothyroidism is not a common feature of TBS. There have been only three reported cases of TBS associated with hypothyroidism. We report the first case of TBS associated with hypothyroidism in Korea.

• Journal of Chest Surgery
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• v.23 no.4
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• pp.769-775
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• 1990

Congenitally corrected transposition of the great arteries is defined as the anomaly of atrioventricular and ventriculoarterial discordance. Although this condition is compatible with longevity, it is usually associated with other congenital cardiac anomalies, which result in a greatly shortened life span. This report describes a 2 years old female patient who had congenitally corrected transposition of the great arteries associated with ASD, VSD and pulmonary stenosis. The ASD was closed directly through the right atriotomy and the VSD was closed using Dacron patch through right ventriculotomy and the pulmonary[valvular, supra and subvalvular] stenosis was repaired with the use of a valved conduit woven Dacron vessel graft between the pulmonary ventricle and the main pulmonary artery.

• The Journal of the Korean dental association
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• v.58 no.7
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• pp.398-403
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• 2020

Odontogenic anomalies can occur as a result of conjoining defects. These include fusion, gemination and concrescence. The presence of fused teeth can lead to various clinical problems, including the aplasia of permanent successor, the supernumerary teeth and delayed eruption of permanent teeth. In general, the supernumerary teeth associated with fusion is mainly found in the maxillary anterior region. This report describes rare cases of supernumerary tooth associated with fused teeth of mandibular primary lateral incisor and canine. In the first case, fused teeth was extracted. The supernumerary teeth was erupted at canine space. The second case is still being observed. Extraction of fused teeth and observation of supernumerary teeth is planned.

• Clinical and Experimental Pediatrics
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• v.55 no.10
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• pp.367-370
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• 2012

Urinary tract infection (UTI) is a common bacterial illness in children. Acute pyelonephritis in children may lead to renal scarring with the risk of later hypertension, preeclampsia during pregnancy, proteinuria, and renal insufficiency. Until now, vesicoureteral reflux (VUR) has been considered the most important risk factor for post-UTI renal scar formation in children. VUR predisposes children with UTI to pyelonephritis, and both are associated with renal scarring. However, reflux nephropathy is not always acquired; rather, it reflects reflux-associated congenital dysplastic kidneys. The viewpoint that chronic kidney disease results from renal maldevelopment-associated VUR has led to questioning the utility of any regimen directed at identifying or treating VUR. Despite the recognition that underlying renal anomalies may be the cause of renal scarring that was previously attributed to infection, the prevention of renal scarring remains the goal of all therapies for childhood UTI. Therefore, children at high risk of renal scar formation after UTI should be treated and investigated until a large clinical study and basic research give us more information.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1978.06a
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• pp.7.2-7
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• 1978

There are over 60 types of hereditary hearing loss in man and most of these are distinguished from one another by outstanding associated defects caused the same gene producing hearing loss. However, there are at least 12 types of hereditary hearing loss with no known associated defects. The authors experienced two similar families with hereditary hearing loss. The affected offsprings had inevitably an affected parent in type of transmissin (autosomal dominant) and the hearing loss developed in childhood and progressed. Audiologic findings showed bilateral symmetrical moderate to severe sensori-neural hearing loss with flattened configuration on the audiogram. Vestibular function tests showed no abnormal findings and the associated anomalies could'nt be observed in history or clinical examinations.