• Title/Summary/Keyword: Case history

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Paroxysmal kinesigenic dyskinesia in a patient with a PRRT2 mutation and centrotemporal spike discharges on electroencephalogram: case report of a 10-year-old girl

  • Seo, Sun Young;You, Su Jeong
    • Clinical and Experimental Pediatrics
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    • v.59 no.sup1
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    • pp.157-160
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    • 2016
  • Coexistence of paroxysmal kinesigenic dyskinesia (PKD) with benign infantile convulsion (BIC) and centrotemporal spikes (CTS) is very rare. A 10-year-old girl presented with a 3-year history of frequent attacks of staggering while laughing and of suddenly collapsing while walking. Interictal electroencephalogram (EEG) revealed bilateral CTS, but no changes in EEG were observed during movement. The patient's medical history showed afebrile seizures 6 months after birth, while the family history showed that the patient's mother and relatives on the mother's side had similar dyskinesia. Genetic testing demonstrated that the patient had a heterozygous mutation, c.649_650insC, in the PRRT2 gene. To our knowledge, this constitutes only the second report of a patient with PKD, BIC, CTS, and a PRRT2 mutation.

Design of Teaching Unit Based on Lakatos' Perspective (Lakatos의 관점을 반영한 수학영재 대상 교수단원 개발연구 -데자르그 정리와 무한원점을 중심으로-)

  • Lee, Ji-Hyun
    • Journal for History of Mathematics
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    • v.25 no.2
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    • pp.57-70
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    • 2012
  • In this study, a teaching unit for mathematically gifted students is designed, based on Lakatos's perspective. First, students appreciated the exceptions of Desargue theorem and introduced the point at infinity to remove the exceptions. Finally students were guided to realize that the exceptions and the general case of Desargue theorem have equal status. Exploring Desargue theorem with other viewpoints, gifted students experienced the growth of mathematical knowledge due to exceptions of the theorem.

Study of Standardized Patient Program Using Case Report of Atopic Dermatitis (아토피 피부염 증례를 이용한 표준화환자 프로그램 연구)

  • Lee, Hyun-Woo;Hong, Seung-Ug
    • The Journal of Korean Medicine
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    • v.32 no.5
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    • pp.78-89
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    • 2011
  • Objectives: The purpose of this study was to design a standardized questionnaire for patients with atopic dermatitis in oriental dermatology. Methods: We selected atopic dermatitis from the evaluation of students' satisfaction conducted by the Department of Oriental Dermatology, Dong-guk University College of Oriental Medicine in 2011. To design the questionnaire for atopic dermatitis, we made up descriptive materials consisting of history of the present illness, patient risk factors, past medical history, personal history, and physical examination. Results: Standardized patients (SP) were used in teaching and practicing interviewing and physical examination skills for students. The SP offers a readily available tool for teaching and evaluating the clinical performance and interpersonal skills of medical students. However, the SP program needs to be more thoroughly researched and developed. Research of pattern identification in atopic dermatitis is needed to design the questionnaire. Conclusions: Using an SP program is strongly recommended to teach and evaluate in oriental medicine clinical clerkships.

Application of Response Spectrum Analysis Method for the Estimation of the Vertical Vibration in Structures (구조물의 연직진동해석을 위한 응답 스펙트럼 해석법의 활용)

  • 이동근
    • Proceedings of the Earthquake Engineering Society of Korea Conference
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    • 1998.10a
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    • pp.12-19
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    • 1998
  • Response spectrum analysis method is widely used for seismic analysis of building structure. Analysis of structural vibration for equipment, machine and moving loads are executed by time history analysis. This method is very complex, difficult and tedious. In this study, maximum response of structure for this case are simply and fast. calculated by mode shape and response spectrum for excitation. At first, Response spectrum and time history analysis for some earthquake is carried and investigate the error of maximum displacement response for R. S. A. Secondly, The process for response spectrum analysis in excitation are calculated, and maximum model response are combined by CQC (Complete Quadratic Combination) methods. Finally, Combining maximum displacement response is compared with one of time history analysis.

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Understanding Visitor Learning in a Natural History Museum : A Case of Dyadic Discourses

  • Lee, Sun-Kyung;Kim, Chan-Jong
    • Journal of The Korean Association For Science Education
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    • v.27 no.2
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    • pp.134-143
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    • 2007
  • This study explores visitor learning in a natural history museum from the perspectives of situated learning. The purpose of this study is to understand how the visitors construct knowledge from museum experiences through dyadic discourses. The participants were two university students. They moved naturally through the exhibition with no predetermined path in a natural history museum in Korea. Data were collected in the form of audio-recorded dyadic discourses at and between exhibits and were transcribed. The transcription was coded using the conversation coding scheme, and categorized into specific learning types. The findings included (1) the characteristics of learning talks and (2) learning types created by dyadic discourses at and between exhibitions within learning contexts as museum learning experiences. Implications and future research related to visitor learning in informal learning settings were discussed based on the findings.

The Case-Control Study on the Risk Factors of Stroke in Korean Adults -Past Medical History, Life-Style Factors, Serum Lipid Level, Anthropometric Indices- (뇌졸중의 위험요인에 대한 환자-대조군연구 -과거병력, 생활습관, 혈청지질 및 비만요인을 중심으로-)

  • Ko, Soeng-Gyu;Jung, Yong-Soo;Park, Kyoung-Hoon;Bu, Song-Ah
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.423-430
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    • 2001
  • Objects: The purpose of this case-control study was done to examine the relationship between stroke prevalence and the anthropometric indices(body mass index(BMI), modified Broca's method(Broca's index), waist circumference(WC), waist-hip ratio(WHR)), dyslipidemia, past medical history(heart disease, hypertension, diabetes mellitus(DM)), life-style factors(smoking, drinking) in Korean adults. Methods : The study group consisted of neurologically confirmed 116 stroke patients as the case group and 116 non-stroke patients as control group. Obesity were defined as $BMI{\geq}25kg/m^2,\;Broca's\;index{\geq}30%$, WC >94cm in male and WC >80cm in female, $WHR{\geq}0.9$ in male and $WHR{\geq}0.8$ in female. Oyslipidemia were defined as total $cholesterol{\geq}200mg/dl,\;triglyceride{\geq}200mg/dl,\;HDL-cholesterol {\leq}35mg/dl,\;LDL-cholesterol{\geq}160mg/dl$. Information on life-style factors and past medical history was obtained from personal interview. The analysis of the data was done by means of chi-square test(Pearson's chi-square test, Fisher's exact test) and student t-test. Results: The results were as follow. In the study group: Hypertension had a 4:05 odds ratio, Broca's $index{\geq}30%$ had a 1.98 odds ratio, WC >94cm in male had a 2.17 odds ratio, WC >80cm in female had a 2.80 odds ratio, $WHR{\geq}0.9$ in male had a 4.66 odds ratio, $WHR{\geq}0.8$ in female had a 5.35 odds ratio, but heart disease, DM, life-style factors, serum lipid and 8MI had no direct relationship with odds ratio(nonsignificant). By student t-test, risk factors for stroke were found to be total cholesterol(p=0,025), LDL-cholesterol(p=0.013), WC(p=0.000) and WHR(p=0.000). Conclusions: This study suggests that people should be advised to control hyperlitension, hyperlipidemia and obesity since these carry a risk of stroke.

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A Study on the Design Transform of the Modern Architecture Renovation (근대건축물 리노베이션에 의한 디자인 변형에 관한 연구)

  • Lee, Sung-Ho;Oh, In-Wook
    • Korean Institute of Interior Design Journal
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    • v.20 no.1
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    • pp.98-108
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    • 2011
  • As people abroad have been much interested in the usage of modern architecture from the early days, many researches about various methods of using them have been progressed. In Korea, with the need to protect the modern architecture through active usage of them in the dimension of protecting the disappearing history, at present, many modern architectures were renovated and used. This research is to find out the sense of direction about the changes of design of the renovated modern architectures in Korea by analyzing the design changes after the renovations in Korea and abroad. Under the limitation of the modern architecture renovation case in Korea, Japan and China, the changes of design after the modern architecture renovation in Korea and aborad were analyzed by the analysis of the ways of remodelling for each case according to the case analyzing frame. Based on the reasons of renovations which had purpose of preserving social history with many other various reasons in common in both cases of Korean modern architecture remodelling and abroad, the common direction of design is to meet new with old to preserve the special image though they did it in different ways. However, different from the case of Japan and China which are coexisting present and past in space, Korean case focused too much on outside, which resulted in only outside designs. In the case of Korea, the past should have mutual understanding to have the firm space image by forming unique interior space culture through the architectural grafting the present in the past not only in the outside space but also in the indoor space. In another words, for the various changes of design in Korean modern architecture renovations, a systematic research should be done about the interior spaces of present architecture and modern architecture.

The Clinical Study of the Efficacy of Lizhongtang plus Baidusan(理中湯合敗毒散) on Allergic Rhinitis (理中湯合敗毒散의 알레르기성 비염 치료효과에 대한 임상적 연구)

  • Lee, Sang-moon;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.3
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    • pp.185-199
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    • 2003
  • Objectives : The purpose of this clinical report was to estimate the efficacy of Lizhongtang plus Baidusan(理中湯合敗毒散) on allergic rhinitis. Methods : We prescribed Lizhongtang plus Baidusan(理中湯合敗毒散) for 15 patients who visited Kabsan oriental clinic with allergic rhinitis. We inquired into distribution of age, case history period, improvement of symptoms, etc. We used the statistical methods of student t-test in order to analysis of the different of symptom before and after treatment(p 〈0.05). Results : 1. The distribution of sex & age was as follows; Total patient were women. 10-19 years 2 cases, , 30-39 years 5 cases, 40-49 years 6 cases and 50-59 years 2 cases. 2. The case of history period was as follows; under a year 1 case, 1-3 years 3 cases, 3-5 years 2 cases, 5-10 years 4 cases and over 10 years 5 cases. 3. The amount of herbal medicine they took as follows: 1 je(劑) 1 case, 2 je(劑) 7 cases, 3 je(劑) 5 cases and 4 je(劑) 2 cases. 4. The frequency of acupuncture and moxibustion was as follows; under 5 times 1 case, 6-10 times 10 cases, 11-15 times 3 cases, over 16 times 1 case. 5. The nasal symptoms except the nasal mucosa color(pale) were improved significantly after treatment(p 〈0.05). 6 The general symptoms except menstruation pain were improved significantly after treatment(p 〈0.05). 7. The curative influence of rhinitis by Lizhongtang plus Baidusan(理中湯合敗毒散) was as follows excellent 2 cases. good 11 cases, ineffectiveness 2 cases. Conclusion: If we administer Lizhongtang plus Baidusan(理中湯合敗毒散) to allergic rhinitis patients with cold in the Zhong Jiao of deficiency type (中焦虛寒), it improves not only allergic symptoms such as the watery rhinorrhea, turbinate swelling, sneeze, nasal obstruction, etc but also coldness of the limbs(手足冷症), dyspepsia, dysmenorrhea, etc. Therefore, we consider that administration of Lizhongtang plus Baidusan(理中湯合敗毒散) to allergic rhinitis patients with cold in the Zhong Jiao of deficiency type (中焦虛寒) improves in quality of life, as removes inconvenience of life and stress.

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Environment Configuration of UML CASE Tool for Internet based Collaboration Works (인터넷 기반의 공동 작업을 위한 UML CASE 도구의 동작환경 구성방법)

  • Choi, Hwan-bok;Kim, Yun-ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.05a
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    • pp.561-564
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    • 2009
  • In this paper, we present an environment configuration of UML CASE tool for internet based collaboration work. We define a method of model sharing in distributed location and construct shared repository. Also we design for model history among work processes and to give responsibility using user authentication. Its result will contribute development of CASE tool supporting collaboration work.

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Imperforate Hymen Causing Hematocolpos and Acute Urinary Retention in a 14-Year-Old Adolescent

  • Lee, Geum Hwa;Lee, Mi-Jung;Choi, Young Sik;Shin, Jae Il
    • Childhood Kidney Diseases
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    • v.19 no.2
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    • pp.180-183
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    • 2015
  • We report the case of a 14-year-old girl who visited the emergency room because of suprapubic discomfort and sudden acute urinary retention. She did not have any significant medical and surgical history, and her neurological examinations were all normal. Urinary catheterization led to the passage of 500 mL urine. Abdominal ultrasonography showed a hematocolpos that was compressing the urinary bladder. Gynecologic history taking revealed that the patient has not had menarche yet. Therefore, a cruciate incision was performed and her urination became normal. As the surgical outcome after adequate hymenotomy for imperforate hymen is usually good, the diagnosis of imperforate hymen is important. However, this condition is easily missed in the clinic because the first physician visited by the patient rarely takes a detailed gynecologic history or performs appropriate physical examinations. Although rare, imperforate hymen should be considered as a cause of acute urinary retention in the adolescence period. If an adolescent girl presents with abdominal pain and voiding dysfunction, a detailed gynecologic history and appropriate physical examinations of the genital introitus should be performed.