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Comparative study of typical and atypical benign epilepsy with centrotemporal spikes (Rolandic epilepsy) (중심 측두부 극파를 보이는 전형적 및 비전형적 양성 부분 간진의 비교 연구)

  • Song, Junhyuk;Lee, Kyuha;Chung, Sajun
    • Clinical and Experimental Pediatrics
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    • v.51 no.10
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    • pp.1085-1089
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    • 2008
  • Purpose : This study aims to examine and compare the features of rolandic epilepsy. Methods : Of 158 patients selected retrospectively, 116 had typical (group A) and 42 had atypical (group B) rolandic epilepsy, as defined by Worrall's criteria. Results : The age at onset of the seizures in group A was $8.6{\pm}2.0y$ and $6.2{\pm}1.7y$ in group B (P>0.05). Among the 40 patients who underwent neuroimaging studies (25 patients in group A and 15 patients in group B), abnormal findings in group B included ventricular dilatation, mild cortical atrophy, and partial agenesis of corpus callosum. group A had no abnormal findings. The frequency of seizures was $2.0{\pm}1.0$ and $2.3{\pm}1.2$ per month in groups A and B respectively. Seizure control from the initial anticonvulsant treatment was achieved within 3 months in group A, and 3 to 12 months in group B. A 2-year remission rate was noted in 105 patients in group A and in 38 patients in group B. Of these, the recurrence rate after 2 y was 13 in group A and 12 in group B. Conclusion : Age of onset of seizures, gender, frequency of seizures before therapy, and 2-y remission rate were not significantly different in the 2 groups. However, neuroimaging abnormalities, the time to achieving seizure control from the initial anticonvulsant treatment, and the recurrence rate after being seizure-free for 2 y were significantly different in the 2 groups.

A case of simultaneously identified glycogen storage disease and mucopolysaccharidosis (당원병과 뮤코다당체침착증이 동시에 발견된 증례 1예)

  • Lee, Ju Young;Shim, Jeong Ok;Yang, Hye Ran;Chang, Ju Young;Shin, Choong Ho;Ko, Jae Sung;Seo, Jeong Kee;Kim, Woo Sun;Kang, Gyeong Hoon;Song, Jeong Han;Kim, Jong Won
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.650-654
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    • 2008
  • Glycogen storage disease (GSD) and mucopolysaccharidosis (MPS) are both independently inherited disorders. GSD is a member of a group of genetic disorders involving enzymes responsible for the synthesis and degradation of glycogen. GSD leads to abnormal tissue concentrations of glycogen, primarily in the liver, muscle, or both. MPS is a member of a group of inherited lysosomal storage diseases, which result from a deficiency in specific enzymatic activities and the accumulation of partially degraded acid mucopolysaccharides. A case of a 16-month-old boy who presented with hepatomegaly is reported. The liver was four finger-breadth-palpable. A laboratory study showed slightly increased serum AST and ALT levels. The liver biopsy showed microscopic features compatible with GSD. The liver glycogen content was 9.3% which was increased in comparison with the reference limit, but the glucose-6-phosphatase activity was within the normal limit. These findings suggested GSD other than type I. Bony abnormalities on skeletal radiographs, including an anterior beak and hook-shaped vertebrae, were seen. The mucopolysaccharide concentration in the urine was increased and the plasma iduronate sulfatase activity was low, which fulfilled the diagnosis criteria for Hunter syndrome (MPS type II). To the best of the authors' knowledge, this is the first case of GSD and Hunter syndrome being identified at the same time.

The utility of ambulatory blood pressure monitoring in obese children (소아 비만아에서 ambulatory blood pressure monitoring의 유용성)

  • Kim, Myung Jin;Song, Jin Young
    • Clinical and Experimental Pediatrics
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    • v.51 no.6
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    • pp.604-609
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    • 2008
  • Purpose : Obesity in children and adolescence is highly correlated with adult obesity, which can provoke hypertension. Therefore, it is important to evaluate the blood pressure of obese children regularly. In this study, the results of ambulatory blood pressure monitoring (ABPM) in obese children and adolescents were evaluated. Methods : ABPM was conducted for selected patients who visited Handong University Sunlin Hospital from Feb. 1, 2006 to Dec. 1, 2007. The patients were classified into 3 groups: group 1 was normal, group 2 had normal casual blood pressure and a body mass index over the 95th percentile, and group 3 had high casual blood pressure over 120/80 mm Hg and a body mass index over the 95th percentile. Systolic and diastolic 24-hour blood pressure was measured, including both day and night. Results : There were 49 patients in the study. The results showed a significant difference for average systolic blood pressure between the three groups ($105.1{\pm}4.7$, $111.0{\pm}7.1$, $117.8{\pm}6.6mmHg$, P<0.001), but for average diastolic blood pressure only between groups 1 and 3 ($69.1{\pm}5.3$, $77.9{\pm}6.3mmHg$, P=0.001). In the daytime, only groups 1 and 3 showed a statistically significant difference for systolic and diastolic blood pressure. During the night the systolic pressure of group 3 was significantly higher than the other groups, but the diastolic pressure of group 3 was only higher than that group 1. No statistical difference was found in night dips among the groups. Conclusion : Ambulatory blood pressure monitoring in children and adolescents showed statistically higher blood pressure in obese patients with high casual blood pressure.

A Study on Projection Angles for an Optimal Image of PNS Water's View on Children (유.소아 부비강 Water's 영상의 이상적 구현을 위한 촬영기준각도 변화에 관한 연구)

  • Son, Sang-Hyuk;Song, Young-Geun;Kim, Sung-Kyu;Hong, Sang-Woo;Kim, Je-Bong
    • Journal of radiological science and technology
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    • v.30 no.2
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    • pp.105-111
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    • 2007
  • This study is to calculate the proper angle for the optimal image of PNS Water's view on children, comparing and analyzing the PNS Water's projection angles between children and adults at every age. This study randomly selected 50 patients who visited the Medical Center from January to May in 2005, and examined the incidence path of central ray, taking a PNS Water's and skull trans-Lat. view in Water's filming position while attaching a lead ball mark on the Orbit, EAM, and acanthion of the patients's skull. And then, we calculated the incidence angles(Angle A) of the line connected from OML and the petrous ridge to the inferior margin of maxilla on general(random) patients's skull image, following the incidence path of central ray. Finally, we analyzed two pieces of the graphs at ages, developing out the patients' ideal images at PNS Water's filming position taken by a digital camera, and calculating the angle(Angle B) between OML and IP(Image Plate). The angle between OML and IP is about $43^{\circ} in 4-years-old children, which is higher than $37^{\circ}, as age increases the angle decreases, it goes to $37^{\circ} around 30 years of age. That is similar result to maxillary growth period. We can get better quality of Water's image for children when taking the PNS Water's view if we change the projection angles, considering maxillary growth for patients in every age stage.

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Evaluation of Water Stress Using Canopy Temperature and Crop Water Stress Index (CWSI) in Peach Trees (복숭아나무의 엽온 및 작물수분스트레스 지수를 이용한 수분스트레스 평가)

  • Yun, Seok Kyu;Kim, Sung Jong;Nam, Eun Young;Kwon, Jung Hyun;Do, Yun Soo;Song, Seung-Yeob;Kim, Minyoung;Choi, Yonghun;Kim, Ghiseok;Shin, Hyunsuk
    • Journal of Bio-Environment Control
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    • v.29 no.1
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    • pp.20-27
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    • 2020
  • The study was performed to calculate canopy temperatures and crop water stress index (CWSI) of 2-year-old 'Yumi' peach trees using thermal infrared imaging under different soil water conditions, and to evaluate availability for water stress determination. Canopy temperatures showed similar daily variations to air temperatures and they were higher during the daytime than air temperatures. Canopy temperatures for 24 h were correlated highly to air temperatures (r2 =0.95), solar radiations (r2 =0.74), and relative humidity (r2 =-0.88). In addition, soil water potential showed a highly negative correlation to canopy temperatures (r2 =-0.57), temperature differences between leaf and air (TD) (r2 =-0.71), and CWSI (r2 =-0.72) during the daytime (11 to 16 h). CWSI for 24 h was highly related to canopy temperatures (r2 =0.90) and TD (r2 =0.92), whereas CWSI was not correlated to soil water potential (r2 =-0.27) for 24 h but related highly to water potential (r2 =-0.72) during the daytime (11 to 16 h). Correlation coefficients between CWSI (y) and soil water potential (x) were highest from 11 to 12 h and a regression equation was deduced as y = -0.0087x + 0.14. CWSI was calculated as 0.575 at -50 kPa, which soil water stress generally occurs. Thus our result suggests that this regression equation using thermal infrared imaging is useful to evaluate soil water stress of peach trees.

A Study on the Impact of Competency of Technology: Based Startups on Performance Using ETRI Technology (ETRI 기술을 활용한 기술창업기업의 역량이 경영성과에 미치는 영향에 관한 연구)

  • Bae, Hongbeom;Song, Minkyung;Kim, Seokyun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.1
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    • pp.61-72
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    • 2018
  • In a rapidly changing environment, such as globalization, technology-based startups are attracting attention as a new growth engine that creates jobs and added value and promotes national competitiveness. At present, countries around the world recognize the development of technology-based start-up companies as a major policy task and strive to make policy efforts to revitalize start-ups and strengthen innovation capabilities of companies. Especially, in order to secure superiority in the fierce market competition, it is becoming more and more important for the growth and development of technological start-up companies that pioneer new markets and energize the economy based on original and innovative technologies. Therefore, it is necessary to study systematically and plan for survival and growth of technology start-up companies. The purpose of this study is to investigate the entrepreneurial spirit of Innovation, Entrepreneurship, Risk Sensibility and Technology Innovation Capacity, R&D ability, Technology Accumulation Capacity, Technology Innovation System, The results of this study are as follows. the effects of marketing ability on technical performance and financial performance are examined. First, the CEO 's entrepreneurial spirit has an effect on the technical performance and financial performance of the management performance. Second, the technology accumulation ability and the R & D capability have a positive effect on the technical performance. Finally, it was found that the ability to commercialize the technology commercialization capacity affects both technical performance and financial performance. The policy implications that can be gained through this are as follows. First, by strengthening cooperation between universities and research institutes, related technology entrepreneurship education programs should be upgraded so that technology entrepreneurs or preliminary entrepreneurs can capture business opportunities and secure market price competitiveness. Secondly, R & D for the purpose of start-up should be developed and marketable technology should be developed and linked to direct start-up. Third, it is necessary to activate the program to match the company with the honorary retirement manpower of large enterprises and SMEs, which have more experience in field experience than the founders.

Analysis on the Decrease of Planning Target Volume in the Case of Lung Radiation Surgery with the Application of Respiratory Gated Radiotherpy Method (폐암 환자의 방사선수술 시 호흡연동 방사선치료 방법의 적용을 통한 계획용표적체적 감소 효과 분석)

  • Song, Ju-Young;Nah, Byung-Sik;Chung, Woong-Ki;Ahn, Sung-Ja;Nam, Taek-Keun;Yoon, Mee-Sun;Jung, Jae-Uk
    • Progress in Medical Physics
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    • v.19 no.4
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    • pp.263-268
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    • 2008
  • The application of a respiratory gated radiotherpy method to the lung radiation surgery was evaluated compared with the conventional method in which the whole tumor motion range is considered in the delineation of PTV (Planning target volume). The four dimensional CT simulation images were acquired for the five NSCLC (Non-small cell lung cancer) patients for radiation surgery. The respiratory gated plan was prepared with the 50% phase CT images and the conventional method was planned based on the ITV (Internal target volume) which include all the target volumes created in each phase CT images within a whole respiratory period. The DVH (Dose volume histogram) of OAR (Organ at risk) which calculated in each method was compared for the evaluation of the plan properness. The relative decrease of OARs' DVH were verified in the application of respiratory gated method. The average decrease rate were $16.88{\pm}9.97%$ in the bronchus, $34.13{\pm}19.15%$ in the spinal cord, $28.42{\pm}18.49%$ in the chest wall and $32.48{\pm}16.66%$ in the lung. Based on these results, we can verified the applicability and the effectiveness of the respiratory gated method in the lung radiation surgery.

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Pathogenicity bioassay of entomopathogenic nematode, Steinernema carpocapsae GSN1 strain (Nematoda: Steinernematidae) on the shiitake fungus moth, Morophagoides moriutii (Lepidoptera: Tineidae) (표고버섯좀나방에 대한 곤충병원성 선충의 병원성 검정)

  • Kim, Hyeong Hwan;Kim, Dong Hwan;Cho, Myung Rae;Yang, Chang Yeol;Kang, Taek Jun;Jeon, Sung Wook;Song, Jin Sun;Jung, Young Hak;Park, Hae Woong;Park, Chung Gyoo;Choo, Ho Yul
    • Journal of Mushroom
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    • v.12 no.4
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    • pp.357-362
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    • 2014
  • Pathogenicity of Steinernema carpocapsae GSN1 strain was evaluated against Morophagoides moriutii larvae. In Petridish tests, insect mortality by the nematode was dose dependent, which increased with dose from 5 to 160 infective juveniles(IJs)/larva. Pathogenicity against fourth-instar larvae was higher than the rate of corresponding second- and third-instar larvae, showing 100% insect mortality with the dose of 40 IJs/$4^{th}$ instar larva and 80 IJs/$2^{nd}$ or $3^{rd}$ instar larvae. Lethal concentration values at 50% ($LC_{50}$) of S. carpocapsae GSN1 strain were 4.2 IJs/$2^{nd}$ instar larva; 8.5 IJs/$3^{rd}$ instar larva; and 2.3 IJs/$4^{th}$ instar larva, respectively. The number of nematodes established in M. moriutii larvae after infection increased in the increment of dose and insect developmental stage. The highest number of nematodes was harvested from fourth instar larvae of M. moriutii at a dose of 160 IJs per larva, showing 22.5 nematodes per insect larva. Nematode reproductive capacity was related to insect developmental stage, showing 6,335 IJs/$2^{nd}$ instar larva, 21,660 IJs/$3^{rd}$ instar larvae, and 88,700 IJs/$4^{th}$ instar larvae.

Improved Specificity of $^{18}F-FDG$ PET/CT for Lymph Node Staging of Non-Small Cell Lung Cancer Considering Calcified Lymph Node as Benign (비소세포 폐암에서 석회화 림프절을 양성으로 보았을 때 $^{18}F-FDG$ PET/CT의 특이도 향상)

  • Kwon, Seong-Young;Seo, Young-Soon;Min, Jung-Joon;Song, Ho-Chun;Na, Kook-Joo;Choi, Chan;Kim, Young-Chul;Kim, Yun-Hyun;Bom, Hee-Seung
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.1
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    • pp.16-21
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    • 2007
  • Purpose: We evaluated the diagnostic value of $^{18}F-FDG$ PET/CT (PET/CT) in lymph node staging of non-small cell lung cancer (NSCLC) considering calcification and histologic types as well as FDG uptake. Materials and Methods: Fifty-three patients (38 men, 15 women; mean age, 62 years) with NSCLC underwent surgical resection (tumor resection and lymph node dissection) after PET/CT. After surgery, we compared PET/CT results with the biopsy results, and analyzed lymph node metastases, based on histologic types. PET diagnosis of lymph node metastasis was determined by maximum SUV (maxSUV) > 3.0, and PET/CT diagnosis was determined by maxSUV > 3.0 without lymph node calcification. Results: By PET diagnosis, the sensitivity, specificity, and accuracy of overall lymph node staging were 45% (13 of 29), 91% (228 of 252), and 86% (241 of 281). Specificity was 91% in both squamous cell carcinoma and adenocarcinoma, while sensitivity was 71% in squamous cell carcinoma and 36% in adenocarcinoma. When we excluded calcified lymph node with maxSUV > 3.0 from metastasis by PET/CT diagnosis, specificity improved to 98% in squamous cell carcinoma and 97% in adenocarcinoma. The degree of improvement was not dependent on histologic types. Conclusion: PET/CT improved specificity of lymph node staging by reducing false positive lymph node regardless of histologic types of NSCLC.

Clinical Significance of Food-specific IgE Antibody Tests in Food Protein-induced Proctocolitis (식품 단백질 유발성 직결장염에서 식품 특이 IgE 항체 검사의 임상적 의의)

  • Song, Jeong-Yoon;Kang, Yu-Na;Kim, Jae-Ryong;Hwang, Jin-Bok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.1
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    • pp.36-41
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    • 2008
  • Purpose: The aim of this study was to determine the clinical significance of food-specific IgE antibody tests in detecting triggering antigens in food protein-induced proctocolitis (FPIPC). Methods: Between February 2006 and May 2007, data from 16 consecutive FPIPC patients that underwent MAST and Uni-CAP tests on initial visits, were reviewed. The endoscopic criterion used for establishing a diagnosis of FPIPC was an increase in the number of eosinophils in the lamina propria (${\geq}60$ per 10 high power fields). Offending foods were suspected clinically based on elimination and challenge testing to mother or patient diets with the following five highly allergenic foods: dairy products, eggs, nuts and soybean, fish and shellfish, and wheat and buckwheat. We compared the results of initial MAST or Uni-CAP tests with clinically suspected offending foods. Results: For the 16 FPIPC patients, MAST tests showed positive results in 2 patients (12.5%), and Uni-CAP tests showed positive results in 3 patients (18.8%). Through clinical elimination and challenge, the 33 offending foods were identified: 7 fish and shellfish (21.2%), 6 eggs (18.2%), 6 wheat and buckwheat (18.2%), 4 dairy products (12.1%), 3 soybean (9.1%), 3 pork (9.1%), 2 nuts (6.1%), 1 beef (3.0%), and 1 mushroom (3.0%). Clinically suspected offending foods and MAST and Uni-CAP test results were found to be correlated in 1 patient (6.7%) each. Conclusion: Food specific IgE antibody tests are inappropriate for predicting offending foods in FPIPC. Clinical food elimination and challenge testing provide useful means of detecting offending foods.

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