• Title/Summary/Keyword: First-onset

Search Result 708, Processing Time 0.031 seconds

A Case of Systemic Capillary Leak Syndrome in a Child (소아에서 발생한 전신성 모세혈관 누출 증후군(Systemic Capillary Leak Syndrome) 1례)

  • Lee, Taeg Young;Chung, Yoo Mi;Kang, Hee Gyung;Ha, Il Soo;Cheong, Hae Il;Choi, Yong
    • Clinical and Experimental Pediatrics
    • /
    • v.45 no.10
    • /
    • pp.1298-1301
    • /
    • 2002
  • Systemic capillary leak syndrome(SCLS) is a rare disorder of unknown etiology, which is characterized by recurrent attacks of hypotension, hemoconcentration, and hypoalbuminemia. Urinary or enteric loss of protein is not demonstrated. It is often associated with monoclonal gammopathy, but does not manifest multiple myeloma. Since Clarkson et al. described the first case in a 34-year-old woman, about 50 cases have been reported in the literature. However, most of the cases were of adult age, and the mean age of onset in the reported cases was 42.6 years. In literature review, we could refer only one pediatric case of SCLC by Foeldvari et al. in 1995. We report another pediatric case of SCLS.

Successful and safe treatment of hemangioma with oral propranolol in a single institution

  • Chung, Sun-Hee;Park, Dong-Hyuk;Jung, Hye-Lim;Shim, Jae-Won;Kim, Deok-Soo;Shim, Jung-Yeon;Park, Moon-Soo;Koo, Hong-Hoe
    • Clinical and Experimental Pediatrics
    • /
    • v.55 no.5
    • /
    • pp.164-170
    • /
    • 2012
  • Purpose: Dramatic improvement of hemangioma to propranolol has been recently reported; however, details on dose and duration of treatment, potential risks, and monitoring have not been determined. The objective of this study is to describe and analyze the use of propranolol as a first-line treatment or as a single therapy in management of complicated hemangioma. Methods: A retrospective chart review of eight patients diagnosed with hemangioma and treated with propranolol in Kangbuk Samsung Hospital from February 2010 to April 2011 was performed. Results: Eight patients with hemangioma with functional impairment, cosmetic disfigurement, or rapid growth were treated with propranolol. Five patients had solitary facial hemangioma. The mean age of symptoms at onset was 5 weeks. The median age for starting propranolol treatment was 5.5 months. Propranolol at 2 mg/kg/day was finally administered in divided doses with a gradual increase. Significant regression was observed in seven patients, and shrinkage in size, softening in consistency, and decrease in redness were evident within 4 weeks. Among them, six patients were still taking propranolol, and one patient had stopped after 12 months. Other one patient did not show significant improvement with satisfactory result after 3 months of propranolol use. Treatment with propranolol was well tolerated and had few side effects. No rebound growth was observed in any of the patients. Conclusion: We observed that use of propranolol was very effective in treatment of hemangioma without obvious adverse effects or relapse.

Adaptive Speech Streaming Based on Packet Loss Prediction Using Support Vector Machine for Software-Based Multipoint Control Unit over IP Networks

  • Kang, Jin Ah;Han, Mikyong;Jang, Jong-Hyun;Kim, Hong Kook
    • ETRI Journal
    • /
    • v.38 no.6
    • /
    • pp.1064-1073
    • /
    • 2016
  • An adaptive speech streaming method to improve the perceived speech quality of a software-based multipoint control unit (SW-based MCU) over IP networks is proposed. First, the proposed method predicts whether the speech packet to be transmitted is lost. To this end, the proposed method learns the pattern of packet losses in the IP network, and then predicts the loss of the packet to be transmitted over that IP network. The proposed method classifies the speech signal into different classes of silence, unvoiced, speech onset, or voiced frame. Based on the results of packet loss prediction and speech classification, the proposed method determines the proper amount and bitrate of redundant speech data (RSD) that are sent with primary speech data (PSD) in order to assist the speech decoder to restore the speech signals of lost packets. Specifically, when a packet is predicted to be lost, the amount and bitrate of the RSD must be increased through a reduction in the bitrate of the PSD. The effectiveness of the proposed method for learning the packet loss pattern and assigning a different speech coding rate is then demonstrated using a support vector machine and adaptive multirate-narrowband, respectively. The results show that as compared with conventional methods that restore lost speech signals, the proposed method remarkably improves the perceived speech quality of an SW-based MCU under various packet loss conditions in an IP network.

Morphological Theory and Design in Modern and Contemporary Architecture -Focused on the Romantic Educational Thoughts as a Dualistic Monism- (근현대건축의 모폴로지 이론과 건축설계)

  • Kim, Sung-Hong
    • Journal of architectural history
    • /
    • v.13 no.4 s.40
    • /
    • pp.89-105
    • /
    • 2004
  • This paper investigates morphological theory as an intellectual framework for research and design. The first part of the paper will review morphological studies in the fields of urban geography, urban planning and architecture, particularly in England from the 1940s to the 1980s. While urban geographers and planners were concerned primarily with town plans, building forms and land use, architectural theoreticians were more interested in the topological relationship between urban and architectural space. The underlying premises and principles of these two approaches will be reviewed. The second part of the paper will focus on typology in Europe and North America. The reinterpretation of typology by Italian architects helped to bridge the gap between individual elements of architecture and the overall form of the city. However, typological theory became less accessible in post-war England and the United States. After 1980, the debate on typology became muted by the onset of vague notions such as functionalism, bio-technical determinism, and contextualism. This paper will propose a redefinition of morphology as a heuristic device, in contrast with the dichotomic view of urban morphology and architectural typology. Morphology will be shown to combine the geometrical and topological; the intentional and accidental; the real and abstract; and a priori and a posteriori. The last part of the paper discusses the lack of comparative theories and methods surrounding the physical form of architecture and the city by Korea commentators. Empirically rooted facility planning, non-comparative historical studies, and iconographic criticism emerged as a central preoccupation of architectural culture between the 1960s and 1980s, a time when international debate on architecture and urbanism was most intense. This paper will give consideration to the built environment as a dynamic physical entity and space as an epiphenomenon of daily urban life, such that collaboration between urban designers, architects, and landscape architects is seen as both beneficial and necessary.

  • PDF

Clinical Analysis of Bell's Palsy (Bell마비의 임상적 분석)

  • Kim, Kyung Jib;Lee, Dong Kuck;Seok, Jung Im
    • Annals of Clinical Neurophysiology
    • /
    • v.9 no.1
    • /
    • pp.5-10
    • /
    • 2007
  • Background: Bell's palsy (BP) is a self-limited rapid onset facial palsy that is non-life-threatening and has a generally favorable prognosis. Facial paralysis can be caused by numerous conditions, all of which should be excluded before the diagnosis of BP is reached. The etiopathogenesis and clinical course of BP are uncertain. So we analyzed the epidemiology and clinical course of BP patients. Methods: The subjects include 100 cases of BP examined during the period of 18 months. Careful clinical history, neurologic examinations, laboratory tests, electrophysiologic studies, and brain imaging were performed. Follow-up examinations were done once a week during the first month and subsequently once a month until normal function was restored or for up to 3 months. Facial nerve function was assessed by House-Brackman (HB) facial nerve grading scale and electrophysiologic studies. Results: Except 13 recurrent BP patients, we analyzed 87 BP patients. Forty-four (50.6%) were men and 43(49.4%) were women and the mean age was 51.0(${\pm}16.6$) years. Three (3.4%) patients showed a familial tendency. The initial examination within 1 week after attack revealed 35.2% was below HB grade 4 and 64.8% was above grade 3. The associated symptoms are as follows; postauricular pain, increase tear flow, taste change, hyperacusis and drooling. The initial facial nerve conduction study and blink reflex within 1 week after attack showed abnormal findings in 12.6% and 100%, respectively. Brain MRI was performed in 59(67.8%) patients and showed abnormal enhancement of affected nerve in 57(96.6%). Follow-up examination showed that 78.2% of the patients partially improved within 4 weeks and completely improved within 3 months. Finally 80.5% of the total patients obtained normal function in 3 months. Conclusions: We report epidemiologic, clinical, electrophysiologic and radiologic characteristics of BP patients.

  • PDF

Depolymerization of Fucoidan by Contact Glow Discharge Electrolysis(CGDE) (접촉 글로우 방전 전기분해(CGDE)에 의한 후코이단의 저분자화)

  • Bae, Jung Shik;Lee, Jung Shik;Kim, Young Suk;Sim, Woo Jong;Lee, Ho;Chun, Ji Yeon;Park, Kwonpil
    • Korean Chemical Engineering Research
    • /
    • v.46 no.5
    • /
    • pp.886-891
    • /
    • 2008
  • Contact glow discharge electrolysis(CGDE) is an unconventional electrolysis where plasma is sustained by D.C. glow discharge between an electrode and the surface of electrolyte surrounding it at high voltage. In this study, the behavior of CGDE in NaCl solution and the depolymerization of fucoidan by CGDE were investigated. After onset of CGDE, increase of voltage enhanced Glow discharge which resulted in low current density and low temperature in NaCl electrolyte. From the variation of molecular weight of fucoidan with the reaction time, it was demonstrated that the degradation of fucoidan followed a first-order rate law. Molecular weight of fucoidan treated with CGDE was about 40 times lower compared to initial fucoidan without content decrease of sulfate and fucos.

The Evaluation Analysis of Competitiveness among Target Ports with Environmental Changes of Global Logistics (세계물류환경변화에 따른 대상항만의 경쟁력평가분석)

  • 김진구
    • Journal of Korea Port Economic Association
    • /
    • v.19 no.2
    • /
    • pp.1-32
    • /
    • 2003
  • The purpose of this study is to identify and evaluate the competitiveness of ports in ASEAN(Association of Southeast Asian Nations), which plays a leading role in basing the hub of global logistics strategies as a countermeasure in changes of logistics environments. This region represents most severe competition among Mega Hub ports in the world in terms of container cargo throughput at the onset of the 21st century. The research method in this study accounted for overlapping between attributes, and introduced the HFP method that can perform mathematical operations. The scope of this study was strictly confined to the ports of ASEAN, which cover the top 100 of 350 container ports that were presented in Containerization International Yearbook 2002 with reference to container throughput. The results of this study show Singapore in the number one position. Even when we compare with major ports in Korea (after getting comparative ratings and applying the same data and evaluation structure), the number one position still goes to Singapore and then Busan(2) and Manila(2), followed by Port Klang(4), Tanjung Priok(5), Tanjung Perak(6), Bangkok(7), Inchon(8), Laem Chabang(9) and Penang(9). In terms of the main contributions of this study, it is the first empirical study to apply the combined attributes of detailed and representative attributes into the advanced HFP model which was enhanced by the KJ method to evaluate the port competitiveness in ASEAN. Up-to-now, none has comprehensively conducted researches with sophisticated port methodology that has discussed a variety of changes in port development and terminal transfers of major shipping lines in the region. Moreover, through the comparative evaluation among major ports in Korea and ASEAN, the presentation of comparative competitiveness for Korean ports is a great achievement in this study. In order to reinforce this study, it needs further compensative research, including cost factors which could not be applied to modeling the subject ports by lack of consistently quantified data in ASEAN.

  • PDF

A Potent Tyrosinase Inhibitor from Artocarpus Lakoocha Heartwood Extract: Comparative Evaluation of Its Melanin- Reducing Efficacy in Guinea Pigs and Humans

  • Tengamnuay, Parkpoom;Pengrungruangwong, Kumkwan;Likhitwitayawuid, Kittisak
    • Proceedings of the SCSK Conference
    • /
    • 2003.09b
    • /
    • pp.201-212
    • /
    • 2003
  • The heartwood extract of Artocarpus lakoocha Roxb., which contains a potent tyrosinase inhibitor oxyresveratrol, was evaluated for its melanin-reducing efficacy in both guinea pigs and human volunteers. After 4 week-daily application of the extract dissolved in propylene glycol to the back of guinea pigs, significant reduction in melanin content was detected, with the effect greater than 3% kojic acid and solvent propylene glycol (P < 0.05). The extract was subsequently tested in female volunteers (3 groups of 20 subjects) using a parallel clinical trial with self-control. The first group received the A. lakoocha solution in propylene glycol whereas the second and the third group respectively received 0.25% licorice extract and 3% kojic acid in the same solvent. The subject in each group twice daily applied the test solution on one arm whereas the remaining arm was applied with only propylene glycol (self-control) for 12 weeks. The A. lakoocha extract was found to be the most effective agent, giving the shortest onset of significant whitening after only 4 weeks of application (P < 0.05), followed by 3% kojic acid (8 weeks) and 0.25% licorice extract (10 weeks). The whitening effect also increased with time, with the highest extent observed with A. lakoocha at week 12. The in vitro antityrosinase activity of A. lakoocha extract decreased with time upon storage at room temperature but could be stabilized by a combination of several antioxidants. In conclusion, the heartwood extract of A. lakoocha appeared to have promising potential for use as an effective and economical skin-whitening agent.

  • PDF

Rodent Control in Korea (한국의 구서사업현황)

  • Chyun Soon Pyo
    • Korean journal of applied entomology
    • /
    • v.13 no.4 s.21
    • /
    • pp.251-253
    • /
    • 1974
  • Grain losses due to rodents are annually estimated to be about twenty percent of the whole grain production in Korea. The brown rat (Rattus norvegicus), the roof rat (Rattus rattus), the house mouse (Mus musculas) and the striped fold mouse (Apodemus agrarius) are primary species among eleven species found in the country. Rodent control has been conducted by the government since 1962. As for the poison. anticoagulant was used at first, but no satisfactory results were obtained due to limited funds, Since 1970, zinc phosphide has been introduced for the national campaign, but the degree of efficiency have been decreased year by year becaue of increased poison shyness. In order to overcome this problem, the author has improved 2inc phosphide effectiveness by the microcapsuling method with paraffin wax which increase intake of poison by masking the taste and delaying the onset of symptom. This method can be used efficiently for national campaign in future. However, more attention to this problem, more resarch, training and funding are required for the development of rodent control in Korea.

  • PDF

The Analgesic Effect of Bee Venom Acupuncture and Its Mechanism on the Type II Collagen-Induced Arthritis Rats

  • Seo, Byung-Kwan;Baek, Yong-Hyun;Choi, Do-Young;Park, Dong-Suk
    • Journal of Acupuncture Research
    • /
    • v.22 no.2
    • /
    • pp.19-32
    • /
    • 2005
  • Objectives : to evaluate the analgesic effect of bee venom acupuncture on Choksamni (ST36) in the collagen-induced arthritis rats and investigate the role played by serotonergic receptor subtypes (5-HT1a, 5-HT2a) in the antinociceptive effect of bee venom acupuncture in a thermal hyperalgesia test Methods : Experiments were performed on 5 week-aged 60 male Sprague-Dawley rats according to National Institute of Health guidelines and the ethical guidelines of the International Association for the Study of Pain (IASP). Arthritis was induced with arthrogenic collagen emulsion (Bovine type II collagen ${\mu}g$ with incomplete Freund's adjuvant $100\;{\mu}g$). The onset of arthritis was considered to be present when erythema and swelling were detected in at least one joint. The thermal hyperalgesia was evaluated weekly with tail flick test in the rats of severity grade 3 without any injury at tail and foot (including inflammation, ulceration, snap). In the fourth week after first immunization, the analgesic effect of bee venom acupuncture (Choksamni, ST36) was measured with consecutive tail flick latency after intraperitoneal injection of spiroxatrine (1mg/kg) and spiperone (1mg/kg). Results : Chronic inflammatory pain was induced as time elapsed after the immunization of arthrogenic collagen and the maximum value was reached from third to fifth week. Chronic inflammatory pain induced by CIA was inhibited by bee venom acupuncture on the left ST36. The analgesic effect of bee venom acupuncture was inhibited by intraperitoneal injection of 5-HT1a antagonist spiroxatrine and 5-HT2a antagonist spiperone. Conclusions : Therefore, a conclusion. that the analgesic effect of bee venom acupuncture in the chronic inflammatory pain is partially mediated by 5-HT1a and 5-HT2a receptors can be made.

  • PDF