• Title/Summary/Keyword: Delay report

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Relation between Capacity Change of Ephedrae Herba and Sputum Secretion In Two Stroke Patients with High Levels of Sputum (객담을 동반한 중풍 환자에 마황량과 객담 배출 변화에 관한 보고 -정천탕, 해표이진탕을 이용하여-)

  • 노기환;강경숙;조기호;김영석
    • The Journal of Korean Medicine
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    • v.22 no.1
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    • pp.96-103
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    • 2001
  • Clinical symptoms of stroke patients vary widely, and include headache, dizziness, vomiting, dysphagia, dysphasia, incontinence, confusion, chest discomfort, dyspnea etc. Stroke patients who had chronic respiratory disease or had tracheostomy cannula usually have high levels of sputum, but there have been rare clinical reports about treatment of oriental medicine. High levels of sputum in stroke patients can cause pneumonia and dyspnea, and so can delay rehabilitation. By use of Haepyoleejin-tang.Jungchun-tang with change of Ephedrae Herba capacity, we could improve sputum secretion and respiratory function of two stroke patients, and so we report on the clinical course of two stroke patients with high levels of sputum.

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Colonic Angioectasia in an Adolescent Boy with Hoyeraal-Hreidarsson on Long-Term Anabolic Steroid Therapy

  • Khalaf, Racha;Cuffari, Carmen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.21 no.1
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    • pp.68-71
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    • 2018
  • Androgen therapy has proven efficacy in treating patients with bone marrow failure who are not candidates for bone marrow transplantation. Herein, we report on a case of colonic angioectasia secondary to oxymetholone use in an adolescent patient with Hoyeraal-Hreidarsson syndrome (HHS). A 13-year-old Caucasian male with HHS characterized by cerebellar hypoplasia, developmental delay, microcephaly, esophageal strictures and myelodysplasia presented with severe hematochezia from colonic angioectasia secondary to long-term oxymetholone therapy. These vascular lesions resolved spontaneously once this anabolic steroid was discontinued. While androgen therapy is often recommended for certain anemias and myelodysplastic syndromes, clinicians should be aware of the potential complication in developing these perceived uncommon colonic angioectasias. Moreover, pediatric gastroenterologists should familiarize themselves in identifying these vascular lesions by colonoscopy, especially among the high risk groups on long-term anabolic steroid therapy.

A Case of 4q Deletion with Partial Agenesis of Corpus Callosum (뇌량의 부분 발육부전을 동반한 4q Deletion 1례)

  • Kang, Mi Na;Lim, In Suk;Kim, Byeong Eui;Chey, Myoung Jae;Kim, Sang Woo
    • Clinical and Experimental Pediatrics
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    • v.45 no.2
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    • pp.273-277
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    • 2002
  • Syndrome of 4q deletion is characterized by an abnormal shape of the skull, craniofacial dysmorphism, cardiovascular malformations, genitourinary defects, limb and digital anomalies, and developmental delay. We experienced a case of 4q interstitial deletion in a 2 day-old female neonate who showed short extremities, partial agenesis of corpus callosum and congenital heart defects. We report the case with a brief review of the literature.

Coin Perforation of the Esophagus (동전에 의한 경부식도천공: 1례보고)

  • 김성철
    • Journal of Chest Surgery
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    • v.24 no.3
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    • pp.306-309
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    • 1991
  • Esophageal perforation by a ingested coins is a rare but usually life threatening complication, particularly if there is a delay in their removal. We report a case of esophageal perforation which occurred in a 4-year-old child after ingestion of a coin. The coin was removed through a left cervical esophagostomy approach. A gastrograffin study of the esophagus, performed four days after surgery, revealed the fistula had reopened. The wound was reexplored and the fistula was closed again with some debridement. In spite of the procedure, there had been continuous drainage of the saliva through the cervical fistula of esophagus. However within three weeks of conservative management, aided by a local drainage and hyperalimentation, the fistula of the esophagus was closed spontaneously.

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Optical filber networks for microwave frequency rejection filters (광섬유 회로를 이용한 마이크로파 주파수 제거 필터)

  • 이동욱;정해양;박용헌
    • Korean Journal of Optics and Photonics
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    • v.10 no.5
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    • pp.413-418
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    • 1999
  • We report on the frequency response of microwave signal processing networks using optical fiber circuits. Microwave frequency rejection filters using Mach-Zehnder interferometer and Fabry-Perot interferometer are modelled theoretically and tested experimentally. Graphical representation method provides a simple tool for computating single mode fiber delay-line microwave filters. The calculated results are in good agreement with experimental results. A 36dB microwave frequency rejection filter is also demonstrated.

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Nicolau Syndrome following Diclofenac Injection in an Emergency Department (응급실에서 디클로페낙 근주 후 발생한 니콜라우 증후군 1례)

  • Chung, Sang-Won;Kang, Ji-Hoon;Yeo, Jun-Mo;Ko, Jai-Woog
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.2
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    • pp.101-104
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    • 2011
  • Nicolau syndrome is a rare adverse reaction at the site of an intramuscular injection, and is characterized by severe pain immediately after the injection and rapid development of distinct skin lesions. As this syndrome is rare, it may be overlooked at the early clinical phase and subsequently, clinical outcomes may be worse due to delay in treatment. We report on a female who developed Nicolau syndrome following intramuscular diclofenac injection, which required surgical reconstruction. Understanding the characteristics of Nicolau syndrome and careful surveillance for relevant clinical features may help physicians to more quickly diagnose and treat this condition.

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Coffin-Lowry Syndrome - The First Genetically Confirmed Case in Korea Diagnosed by Whole Exome Sequencing

  • Yoon, Ju Young;Cheon, Chong Kun
    • Journal of Interdisciplinary Genomics
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    • v.2 no.1
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    • pp.10-12
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    • 2020
  • Coffin-Lowry syndrome (CLS) is a genetic disorder characterized by intellectual disability, typical facial features, and skeletal abnormalities. But this syndrome shows highly variable clinical manifestations, and can't be diagnosed with conventional chromosome analysis or comparative genomic hybridization, leading to delayed diagnosis. Here we report an 18-year-old boy with CLS diagnosed by whole exome sequencing. Our patient initially presented with developmental delay, facial dysmorphism at the age of 1. At the age of 18, he developed orthopnea due to mitral regurgitation. At the 22 years of age, he was diagnosed as CLS diagnosed by whole exome sequencing. Our case implies that clinical suspicion is important for early diagnosis, and advanced diagnostic tools such as WES should be considered in suspected cases.

REVISIT TO THE SUNSPOT CYCLES

  • Kim, K.T.
    • Journal of The Korean Astronomical Society
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    • v.24 no.1
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    • pp.117-127
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    • 1991
  • Here I report the confirmation of a long-term modulation of a period of $92^{+21}_{-13}$ years with the "time-delay correlation" method on the sunspot data compiled over the last a total of 289 years. This periodicity better specifies the cycle which falls pretty well within Gleissberg cycle, and clearly contrasts with the 55 year grand cycle which Yoshimura (1979) claimed. It is argued that the period-amplitude diagram method. which Yoshimura used, ana lysed peak amplitudes only so that a large number of data were disregarded, and thus was more susceptible to a bias. The planetary tidal force on Sun as for the possible cause to the solar activity was investigated and its possibility was ruled out in view of no period correlation between them.

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Cleidocranial Dysplasia: Report of a Case (쇄골두개이골증)

  • Jeong Seon-Jin;Hong Soon-Ki
    • Imaging Science in Dentistry
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    • v.30 no.3
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    • pp.229-234
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    • 2000
  • Cleidocranial dysplasia (previously known as cleidocranial dysostosis) is a well-known, rare and hereditary skeletal disorder characterized by a variety of dental abnormalities and as its name implies, striking involvement of the cranial vaults and clavicles. A 17-year-old female who presented with short stature and prolonged retention of deciduous teeth, subsequent delay in eruption of permanent teeth is described. She could touch her shoulders together at the midline anteriorly. Diagnostic procedures showed hypoplasia of the maxillary and zygomatic bones, open fontanelles and sutures, and aplasia of the clavicles. The paranasal sinuses were absent or underdeveloped. Characteristically, she had near parallel-sided borders in the ascending ramus of the mandible and abnormal-shaped, the slender pointed coronoid process. The zygomatic arches had a downward bend and discontinuity at the zygomaticotemporal suture area. Radiographic and clinical investigations of her cranial and skeletal abnormalities revealed features of cleidocranial dysplasia.

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Oral Vancomycin Therapy in a Child with Primary Sclerosing Cholangitis and Severe Ulcerative Colitis

  • Buness, Cynthia;Lindor, Keith D.;Miloh, Tamir
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.19 no.3
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    • pp.210-213
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    • 2016
  • Primary sclerosing cholangitis (PSC), a rare progressive liver disease characterized by cholestasis and bile duct fibrosis, has no accepted, effective therapy known to delay or arrest its progression. We report a 15 year old female patient diagnosed with PSC and moderate chronic active ulcerative colitis (UC) who achieved normalization of her liver enzymes and bile ducts, and resolution of her UC symptoms with colonic mucosal healing, after treatment with a single drug therapy of the antibiotic oral vancomycin. We postulate that the oral vancomycin may be acting both as an antibiotic by altering the intestinal microbiome and as an immunomodulator. Oral vancomycin may be a promising treatment for PSC that needs to be further studied in randomized trials.