• Title/Summary/Keyword: First-onset

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Plasma Flows and Bubble Properties Associated with the Magnetic Dipolarization in Space Close to Geosynchronous Orbit

  • Lee, Ji-Hee;Lee, Dae-Young;Park, Mi-Young;Lee, Eun-Hee
    • Journal of Astronomy and Space Sciences
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    • v.30 no.2
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    • pp.95-100
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    • 2013
  • In this paper we examine a total of 16 dipolarization events that were observed by THEMIS spacecraft in space close to geosynchronous orbit, r < ${\sim}7\;R_E$. For the identified events, we examine the characteristics of the plasma flows and associated bubbles as defined based on $pV^{5/3}$, where p is the plasma pressure and V the volume of unit magnetic flux. First, we find that the flow speed in the near-geosynchronous region is very low, mostly within a few tens of km/s, except for a very few events for which the flow can rise up to ~200 km/s but only very near the dipolarization onset time. Second, the bubble parameter, $pV^{5/3}$, decreases by a much smaller factor after the dipolarization onset than for the events in the farther out tail region. We suggest that the magnetic dipolarization in the near-geosynchronous region generates or is associated with only very weak plasma bubbles. Such bubbles in the near-geosynchronous region would penetrate earthward only by a small distance before they stop at an equilibrium position or drift around the Earth.

Minimal Change Nephrotic Syndrome Presented with Acute Renal Failure in a Child (급성 신부전증을 동반한 미세변화 신증후군 1례)

  • Park Soo-Jun;Rho Kwang-Sik;Lee Gu-Hyun;Kim Pyung-Kil;Jeong Hyeon-Joo
    • Childhood Kidney Diseases
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    • v.1 no.1
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    • pp.79-81
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    • 1997
  • Minimal change nephrotic syndrome is characterized by proteinuria, hypoproteinemia, edema, and hyperlipidemia. Children with onset of nephrotic syndrome between the age of 1 and 8 year are likely to have steroid response to minimal chage disease, but we experienced one case of minimal change disease which failed to respond to steroid therapy at beginning and subsequently developed acute renal failure. It was seen in a 5 year-old male child that presented with edema and gross hematuria. Peritoneal dialysis was performed for acute renal failure for 11 days. Patient was completely recorvered from acute renal failure and renal biopsy was done at 27th day after onset of disease which revealed typical picture of minimal change disease complicated by acute tubular necrosis. We beleive this case is very unusual and it may be the first case in the literature in terms of pediatric cases.

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A case of acute transverse myelitis following chickenpox (수두 감염 후 발생한 급성 횡단성 척수염 1예)

  • Kim, Min Young;Suh, Eun Sook
    • Clinical and Experimental Pediatrics
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    • v.52 no.3
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    • pp.380-384
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    • 2009
  • Acute transverse myelitis (ATM) in most patients is characterized by an abrupt onset of progressive weakness and sensory disturbance in the lower extremities with a preceding viral infection such as Epstein-Barr, herpes simplex, influenza, mumps and Varicella-zoster viruses (VZV). Although less frequent, some residual deficits including bladder dysfunction or weakness in the lower extremities may follow ATM, from which recovery usually begins within the first week of the onset of symptoms. In this report, we describe the case of a 9-year-old girl who experienced ATM following chickenpox and had bladder dysfunction as a sequela.

The Analysis of Changma Structure Using Radiosonde Observational Data from KEOP-2007: Part II. The Dynamic and Thermodynamic Characteristics of Changma in 2007 (KEOP-2007 라디오존데 관측자료를 이용한 장마 특성 분석 : Part Ⅱ. 2007년 장마의 역학적 및 열역학적 특성에 관한 사례연구)

  • Kim, Ki-Hoon;Kim, Yeon-Hee;Jang, Dong-Eon
    • Atmosphere
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    • v.19 no.4
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    • pp.297-307
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    • 2009
  • The synoptic structures and the dynamic and thermodynamic characteristics of Changma in 2007 are investigated using the ECMWF analysis data and the radiosonde data from KEOP-2007 IOP. The enhancement of the North-Pacific High into the Korean peninsula and the retreat of the Okhotsk High are shown during the onset of Changma and the change of wind component from southwesterly to northwesterly is appeared during the end of Changma. The baroclinic atmosphere is dominant during Changma at most regions over the Korean peninsula except at Gosan and Sokcho. The quasi-barotropic atmosphere is induced at Gosan by warm air mass and Sokcho by cold air mass. Precipitation in the Korean peninsula occurs when dynamic instability is strengthened as the baroclinic and qusi-barotropic structure is weakened. An empirical orthogonal function (EOF) analysis is performed to find the dominant modes of variability in Changma. The first EOF explains the onset of Changma. The second EOF is related to the discrimination for existence and nonexistence of precipitation during Changma period according to the alternation of equivalent potential temperature between middle and lower atmosphere.

A case of tacrolimus-induced encephalopathy after kidney transplantation

  • Kim, Myoung-Uk;Kim, Sae-Yoon;Son, Su-Min;Park, Yong-Hoon
    • Clinical and Experimental Pediatrics
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    • v.54 no.1
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    • pp.40-44
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    • 2011
  • We present a case of tacrolimus-induced encephalopathy after successful kidney transplantation. An 11-year-old girl presented with sudden onset of neurologic symptoms, hypertension, and psychiatric symptoms, with normal kidney function, after kidney transplantation. The symptoms improved after cessation of tacrolimus. Magnetic resonance imaging (MRI) showed acute infarction of the middle cerebral artery (MCA) territory in the right frontal lobe. Three days later, she had normal mental function and maintained normal blood pressure with left hemiparesis. Follow-up MRI was performed on D19, showing new infarct lesions at both cerebral hemispheres. Ten days later, MRI showed further improvement, but brain single photon emission computed tomography (SPECT) showed mild reduction of uptake in both the anterior cingulate gyrus and the left thalamus. One month after onset of symptoms, angiography showed complete resolution of stenosis. However, presenting as a mild fine motor disability of both hands and mild dysarthria, what had been atrophy at both centrum semiovale at 4 months now showed progression to encephalomalacia. There are two points of interest in this case. First, encephalopathy occurred after administration of tacrolimus and improved after discontinuation of the drug. Second, the development of right-side hemiplegia could not be explained by conventional MRI; but through diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) of white matter tract, visualization was possible.

A family with dynamin 2-related centronuclear myopathy without ocular involvement

  • Park, Jin-Sung;Kim, Dae-Seong;Shin, Jin-Hong
    • Journal of Genetic Medicine
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    • v.13 no.1
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    • pp.51-54
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    • 2016
  • Centronuclear myopathy (CNM) is a rare congenital myopathy that is pathologically characterized by the centrally located nuclei in most of the muscle fibers. On clinical examination, dynamin 2 (DNM2)-related CNM typically shows distal dominant muscle atrophy, ptosis, ophthalmoplegia, and contracture. The reported cases of CNM in Caucasian studies show a high prevalence rate of early-onset ptosis and ophthalmoplegia and correlated with the severity of the disease. However, Asian reports show a low prevalence and late-onset ocular symptoms in DNM2-related CNM patients. p.R465W is one of the most commonly found mutations in Western countries, and all the cases showed ocular symptoms. The proband and his daughter had no ocular symptoms despite harboring the same p.R465W mutation. This family makes us speculate that ocular symptoms in DNM2-related CNM are influenced by ethnic background. In addition, this is the first familial case of DNM2-related CNM in Korea.

A Case of Clinical Improvement after Enzyme Replacement Therapy in Pompe Disease (효소 보충 치료로 호전을 보인 Pompe병 1례)

  • Jeon, You Hoon;Eun, Baik Lin;Lee, Dong Hwan
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.5 no.1
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    • pp.18-22
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    • 2005
  • Pompe disease is a genetic disorder caused by a deficiency of acid ${\alpha}$-glucosidase (GAA). This enzyme defect results in lysosomal glycogen accumulation in multiple tissues and cell types, with cardiac, skeletal, and smooth muscle cells the most seriously affected. Infantile-onset Pompe disease is uniformly lethal. Affected infants present in the first few months of life with hypotonia, generalized muscle weakness, and a hypertrophic cardiomyopathy, followed by death from cardiorespiratory failure or respiratory infection, usually by 1 year of age. Late-onset forms is characterized by a lack of severe cardiac involvement and a less severe short-term prognosis. Enzyme replacement therapy for Pompe disease is intended to address directly the underlying metabolic defect via intravenous infusions of recombinant human GAA to provide the missing enzyme. We experienced one case of Pompe disease in 3-years old boy that has improved his exercise ability and cardiac function after GAA enzyme replacement therapy.

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Study on Weaning Practice of Infants in Chunchon Area, Kangwon-Do (강원도 춘천지역 유아의 이유실태에 관한 조사연구)

  • 이정수
    • Journal of Nutrition and Health
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    • v.27 no.3
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    • pp.272-280
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    • 1994
  • The weaning practice of infants from 5 to 12 months of age in the area of Chunchon, Kangwon-do was studied. Subjects were divided into 2 groups depending on residential area, monthly family income and mother's educational level. Parents of group 1 (n=90) received higher education and more monthly family income than those of group 2(n=32). The family income was significantly higher in group 1 than in group 2. Mother's educational level has been markedly improved over 10 years, which affected the feeding methods before weaning in both groups(P<0.05). Group 1 appeared to be bottle-fed. Bottle-and mixed-feeding were mainly due to lack of breast milk. 95.6% of group 1 and 71.9% of group 2 started weaning before the age of 6 months and only 16.4% were completely finished regardless of the groups. Commercially prepared foods were used more than home-made for first given-supplementary food. 82.2% of group 1 received fruits and 84.4% of group 2 cookies/crackers as their main supplementary foods. As the motivation of onset of weaning, 'for baby's health and nutritional status' was the most common. These results demonstrate that there are distinct differences between these 2 groups in 1) the feeding methods prior to weaning, 2) time of onset of weaning, and 3) main supplementary foods, influenced by mother's educational level, economic purchasing power, or subjects birth order.

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Selective Peripheral Denervation for the Treatment of Spasmodic Torticollis

  • Jang, Kyung-Sool;Park, Hea-Kwan;Joo, Won-Il;Ji, Chul;Lee, Kyung-Jin;Choi, Chang-Rak
    • Journal of Korean Neurosurgical Society
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    • v.37 no.5
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    • pp.350-353
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    • 2005
  • Objective: Various methods of treatment for idiopathic cervical dystonia have been tried in the past with unsatisfactory results. The authors report cases of five patients who underwent selective peripheral denervation for spasmodic torticollis. Methods: Between July 2002 and December 2003, 5 patients underwent surgery at St. Mary's Hospital for spasmodic torticollis. Age of the patient at the onset of symptoms ranged from 29 to 56years (mean 43.75years). Selective peripheral denervation(SPD) was performed at 7 to 11 months after the onset of symptoms (mean 8.75 months). A patient was considered to be the candidate for surgery if conservative methods were unsuccessful and symptoms persisted for longer than 7months. In addition, 2patients who refused treatment with botulinum toxin were also enrolled in this study. Results: Although one patient underwent reoperation, all of the five patients' symptoms were improved after the operation. Clinically, patients with retrocollis showed better improvement than laterocollis patients. Conclusion: Although injection of botulinum toxin is the first-choice in treatment modality, when surgery is required, selective peripheral denervation provides good results with minimum side effects.

Postbuckling response and failure of symmetric laminated plates with rectangular cutouts under in-plane shear

  • Singh, S.B.;Kumar, Dinesh
    • Structural Engineering and Mechanics
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    • v.34 no.2
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    • pp.175-188
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    • 2010
  • This paper deals with the buckling and postbuckling responses, and the progressive failure of square laminates of symmetric lay-up with a central rectangular cutout under in-plane shear load. A detailed investigation is made to show the effects of cutout size and cutout aspect ratio on the buckling and postbuckling responses, failure loads and failure characteristics of $(+45/-45/0/90)_{2s}$, $(+45/-45)_{4s}$ and $(0/90)_{4s}$ laminates. The 3-D Tsai-Hill criterion is used to predict the failure of a lamina while the onset of delamination is predicted by the interlaminar failure criterion. In addition, the effects of boundary conditions on buckling loads, failure loads, failure modes, and maximum transverse deflection for a $(+45/-45/0/90)_{2s}$ laminate with and without a square cutout have been presented. It is concluded that because of early onset of delamination at the net section of cutouts before first-ply failure, total strength of the laminate with very small cutouts can not be utilized.