• Title/Summary/Keyword: Duplication

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A Life-Threatening Case of Tubular Esophageal Duplication Complicated with Aneurysm of the Aorta (대동맥류를 초래한 식도 중복 1례)

  • Jung, Yeon Kyung;Lee, Gyeong Hoon;Chung, Hai Lee;Park, Ki Sung;Jung, Kyung-Jae;Cho, Chang Ho
    • Clinical and Experimental Pediatrics
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    • v.48 no.6
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    • pp.655-659
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    • 2005
  • Esophageal duplication cysts are rare congenital lesions that occur as a result of a failure in the tubulation of the esophagus. They are most frequently single, tubular, or cystic. They may cause compressive symptoms or may be discovered incidentally on chest radiographs. They become symptomatic when complications develop. Symptoms often are related to the location of the duplication; esophageal lesions can create respiratory difficulties. The definitive diagnosis of esophageal duplication cysts requires the pathological evaluation of the cyst after surgical removal. We experienced a rare tubular esophageal duplication, in a 2-month old girl who presented with fever and grunting. This is the first reported case in which the sequence of events of ruptured tubular esophageal duplication with empyema, mediastinitis and aneurysm occured.

Detection of a Large White-Specific Duplication in D-loop Region of the Porcine MtDNA (돼지 mtDNA D-loop 지역의 Large White 특이 중복현상 탐지)

  • Kim, Jae-Hwan;Han, Sang-Hyun;Lee, Sung-Soo;Ko, Moon-Suk;Lee, Jung-Gyu;Jeon, Jin-Tae;Cho, In-Cheol
    • Journal of Life Science
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    • v.19 no.4
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    • pp.467-471
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    • 2009
  • The entire D-loop region of the porcine mitochondrial DNA (mtDNA) was amplified from six pig breeds (Landrace, Duroc, Large White, Korean native pig, Berkshire, and Hampshire) using a primer set designed on the basis of reported porcine mtDNA sequences. From analyses through cloning, DNA sequencing and multiple sequence alignment, an 11-bp (TAAAACACTTA) duplication was observed after known tandem repetition in the D-loop region, which promoted hetroplasmy in mtDNA. Although the existence of the 11-bp duplication has been previously reported in Duroc and Japanese native pigs, there have not been any attempts to know the characteristics of this duplication in other breeds so far. A 150 bp fragment containing the 11-duplication was amplified and typed by polyacrylamide gel electrophoresis (PAGE). All Large Whites had two duplication units and Duroc showed heteromorphic patterns, 11.2% (9/80) of the animals had the 11-bp duplication in total. On the other hand, Landrace, Berkshire, Hampshire and Korean native pigs were non-duplicated. This result showed that the 11-bp duplication could be used as a breed-specific DNA marker for distinguishing pure Landrace and Large White breeds.

Retrospective Drug Utilization Review on the Same-Day Multiple Prescriptions for Pediatric Outpatients (동일날짜 처방전 2매 이상인 외래 소아환자 의약품처방의 적정성에 대한 후향적 평가)

  • NamGoong, Bo-Ra;Sohn, Hyun-Soon;Choi, Kyung-Eob;Shin, Hyun-Taek
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.1
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    • pp.73-80
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    • 2012
  • This study was to determine the inappropriate drug use in pediatric outpatients who received 2 or more prescriptions on the same day. Retrospective drug utilization reviews (DURs) were implemented to samples obtained from national health insurance claims data during December 2008 to February 2009, using 5 DUR criteria (duplication, drug-drug interaction, drug-disease interaction, drug-age contraindication, incorrect dosage) established in the Drug Information Framework (DIF)-$Korea^{TM}$, DUR program. Among 38,451 claims analyzed in the study, 74.7% had more than one conflicts in the 5 DUR modules. Among 16,472 patients analyzed, 49.6% had conflicts with duplication criteria composing of ingredient duplication (23.3%) and therapeutic class duplication (39.6%). Incorrect dosages were found in 73.6% of patients and under-dosage conflicts accounted for 59.9%, which was higher than over-dosage conflicts (38.3%). In this study, inappropriate drug prescriptions such as under-dose, pediatric contraindication and therapeutic duplication were prevalent in pediatric outpatient settings, suggesting much more awareness to the society, to prevent drug related problems in a vulnerable pediatric group.

Intestinal duplication revealed by posterior reversible encephalopathy syndrome

  • Kerkeni, Yosra;Louati, Hela;Hamzaoui, Mourad
    • Clinical and Experimental Pediatrics
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    • v.61 no.4
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    • pp.132-134
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    • 2018
  • We report a unique case of intestinal duplication detected on posterior reversible encephalopathy syndrome (PRES) in a 13-year-old girl. She was admitted to the pediatric Emergency Department because of generalized seizures. Radiological assessment revealed a large, well-defined, thick-walled cystic lesion in the mid abdomen, suggestive of duplication cyst associated to a PRES. Exploration confirmed the diagnosis of ileal duplication cyst, and the mass was resected. The postoperative course was uneventful. Both hypertension and neurological dysfunction resolved after the mass resection. A follow-up brain magnetic resonance imaging was performed 9 months later and showed complete resolution of the cerebellar changes. Although extrinsic compression of the retroperitoneal structures has not been reported in the literature as a complication of duplication cyst, we strongly believe that this is the most logical and plausible hypothesis that would explain the pathogenesis of PRES in our patient.

Intestinal obstruction caused by a duplication cyst of the cecum in a neonate (신생아에서 맹장의 장 중복낭종에 의해 발생한 장 폐쇄 1예)

  • Keum, Seung-woon;Hwang, Min-Woo;Na, Jong-In;Yu, Seung-taek;Kang, Dong-Baek;Oh, Yeon-Kyun
    • Clinical and Experimental Pediatrics
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    • v.52 no.2
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    • pp.261-264
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    • 2009
  • Duplication cysts are rare congenital malformations, that may be detected anywhere along the alimentary tract, and they may communicate with the intestinal tract. Cystic duplication of the cecum is especially rare. About 80% of these cases are detected in the first 2 years of life as a result of an acute intestinal obstruction, which manifests as vomiting, recurrent abdominal pain, recurrent gastrointestinal bleeding and constipation. We report a case of intestinal obstruction secondary to a duplication cyst of the cecum in a neonate. The patient underwent surgery and was diagnosed subsequently, and is presently healthy.

Modified Puestow Procedure for Chronic Pancreatitis in a Child Due to Annular Pancreas and Duodenal Duplication: A Case Report

  • Alatas, Fatima Safira;Masumoto, Kouji;Matsuura, Toshiharu;Pudjiadi, Antonius Hocky;Taguchi, Tomoaki
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.3
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    • pp.304-309
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    • 2020
  • An 18-year-old woman with annular pancreas and duodenal duplication presented with recurrent acute pancreatitis and underwent a resection of duodenal duplication. However, the patient experienced recurrent abdominal pain after resection. Abdominal computed tomography and magnetic resonance imaging showed a dilatation of the peripheral pancreatic duct and stenosis and malformation of both the Wirsung's and Santorini's duct due to multiple stones. The modified puestow procedure was performed. The main pancreatic ducts in the body and tail were opened, and the intrapancreatic common bile duct was preserved. A Roux-en-Y pancreatico-jejunostomy was performed for reconstructing the pancreaticobiliary system after removing the ductal protein plug. The patient experienced no abdominal pain, no significant elevation of the serum amylase and lipase levels, and no stone formation during the 2 years of follow-up. This procedure is considered to be beneficial for pediatric patients with chronic pancreatitis due to annular pancreas and duodenal duplication.

Surgical treatment of a pulmonary sequestration combined with gastric duplication (위 중복을 동반한 폐격리증 수술치험 1예)

  • 이현석
    • Journal of Chest Surgery
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    • v.24 no.3
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    • pp.292-295
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    • 1991
  • Pulmonary sequestration is a rare congenital malformation of the lung and occasionally accompanied with upper gastrointestinal anomalies. Based on the embryologic development, they are grouped as broncho-pulmonary foregut malformation. We present one the case of the intralobar pulmonary sequestration with gastric duplication. The sequestrated pulmonary tissue was 9x7x8cm in dimension, multiseptated and multiloculated, and supplied by a systemic artery of 7mm diameter from the abdominal aorta. The gastric duplication was 8cm in diameter located at the posterior wall of the stomach without communication with the gastric lumen.

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ZPI Property In Amalgamated Duplication Ring

  • Hamed, Ahmed;Malek, Achraf
    • Kyungpook Mathematical Journal
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    • v.62 no.2
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    • pp.205-211
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    • 2022
  • Let A be a commutative ring. We say that A is a ZPI ring if every proper ideal of A is a finite product of prime ideals [5]. In this paper, we study when the amalgamated duplication of A along an ideal I, A ⋈ I to be a ZPI ring. We show that if I is an idempotent ideal of A, then A is a ZPI ring if and only if A ⋈ I is a ZPI ring.

A Method of Eliminating Exceptional Elements by Tool Duplication in Cellular Manufacturing System. (셀화 제조를 도입한 FMS에서 공구중복에 의한 예외적 요소의 제거 방법)

  • Chang, Ik;Yoon, Chang-Won;Chung, Byung-Hee
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.20 no.44
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    • pp.297-309
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    • 1997
  • Exceptional Elements(E.E) are generally eliminated by a machine duplication or a subcontract in cellular manufacturing system. One of the advantages in FMS consists of machines capable of multi-processing. This paper presents a method that eliminates E.Es by tool duplication. First, we develop the exceptional operation similarity(EOS) by machine cell-operation incidence matrix and part-operation incidence matrix. The EOS indicates a similarity of unperformable operations in each part when two exceptional parts are assigned to a machine cell. Secondly, a mathematical model to minimize tool duplication is developed by the EOS. Finally, a heuristic algorithm is developed to reflect dynamic situation in process of elimination of exceptional elements by the EOS and the mathematical model. A numerical example is provided to illustrate the algorithm.

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Segmental Dilatation of the Ileum Combined with Colonic Duplication: - a Case Report - (대장 중복증과 동반된 회장 분절 확장증 1례)

  • Han, Seok-Joo;Kim, Seung-Min;Son, Soeg-U;Kim, Ho-Geun;Kim, Jai-Eok;Hwang, Eui-Ho
    • Advances in pediatric surgery
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    • v.4 no.2
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    • pp.166-171
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    • 1998
  • Segmental dilatation of the small intestine is a rare form of the congenital intestinal anomaly. Many other combined anomalies have been reported in, but the association with colonic duplication has not been reported in the literature. We report a case of segmental dilatation of the distal ileum associated with colonic duplication. The main clinical and pathogenic aspects are discussed, and the literatures are reviewed.

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