• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.9 no.2
• /
• pp.247-252
• /
• 1998

Neuroleptic malignant syndrome(NMS) is an acute, potentially fatal, idiosyncratic reaction to neuroleptic medication. Early recognition and intensive care are crucial. An important issue is whether NMS will recur after initial recovery and subsequent use of neuroleptic medication. The authors presented with a male adolescent who had suffered a bipolar disorder manic episode and been taking clozapine after recovering from MNS. He had been admitted into a psychiatric ward once before and similarly diagnosed. On the second admission, he showed muscle rigidity, autonomic instability, mild fever, severe diaphoresis, and altered mental status on the fourth hospital day following a haloperidol injection. He was diagnosed with NMS, according to the clinical signs and laboratory data. After the use of antipsychotics was discontinued, he was moved to intensive care unit and given dantrolene. His condition began to improve about 48 hours after the onset of NMS. Due to manic behavior, he returned to the psychiatric ward. On the 21 st hospital day, clozapine was administered to counter the manic symptoms. The final dose was 350mg and showed good remission signs without further recurrence of NMS.

• Journal of the Korean Society for Marine Environment & Energy
• /
• v.12 no.4
• /
• pp.227-234
• /
• 2009

Using a finite volume ocean circulation model based on an unstructured grid (FVCOM), we studied the structure of a fresh water bulge that influences on the Region Of Freshwater Influence. Fresh water discharged a river forms a coastal boundary current to the righthand side and a cyclonically circulation freshwater bulge that grows with time. In the middle of the bulge, vertical motions bring fresh water to the bottom. When tidal motions are included, the bulge disappears while the boundary currents becomes wider. Through a simple comparison of areas occupied low salinity water we quantified vertical and horizontal mixing due to the tide and showed that the tidal motion enhances the vertical mixing. During the first few tidal cycles right after the onset of the river discharge, due to tidal excursion the horizontal mixing becomes stronger. The vertical mixing by the tide mixes the fresh water After a certain time the water around the river mouth is well mixed and the horizontal excursion of the fresh water near the river mouth does not have much effect on the horizontal mixing. When there is no tidal motion horizontal mixing is mainly by the inertial instability at the surface and the horizontal mixing becomes stronger over time.