• 수면정신생리
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• 제3권1호
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• pp.79-84
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• 1996

Kleine-Levin syndrome is a disorder characterized by recurrent episodes of hypersomnia, hyperphagia and hypersexuality that typically occur weeks or months apart. A 17-years-old male showed these episodes and took nocturnal polysomnography(NPSG) and multiple sleep latency test(MSLT). As results of NPSG, sleep latency was 82.5min, sleep efficiency was 82.5min, sleep efficiency was 82.5%, latency and percentage of REM sleep were 106.5min and 14.6% and percentage of slow wave sleep was 12.7%. In 4 times MLST, average of sleep latency and REM latency were 8min 7sec and 5min 20sec with 3 times sleep onset REM period(SOREMP). These findings are consistent with these of Keine-Levin syndrome. And the possible causes and classification of this syndrome were discussed.

• 한국의사학회지
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• 제19권1호
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• pp.3-17
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• 2006

This paper examines the episodes of some herbalists described in the various anthologies in the Joseon Dynasty. Especially the kernels of the stories, which have still considerable influence upon oriental medicine in my opinion, will be arranged in narrative style. Not to mention, it was not rare that in someone's huge collection of works only a few lines of clinical diagnosis and prescriptions could be found. But they are invaluable. In this respect, we are very fortunate in having medical contents in the anthologies such as Jisanjip, Igejip and Wanamjip. The result of the analysis is summarized as follows. First, the materials can be used to examine the level of the medicine at that times. Second, the records of clinical diagnosis and prescriptions in the anthologies are precious even at the present time. Third, it is confirmed that the herbalists of Joseon had handed down their remedies and also inherited at any forms. And most important, they had added their own recipes to that.

• Archives of Plastic Surgery
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• 제49권5호
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• pp.689-695
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• 2022

Background Lymphaticovenular anastomosis (LVA) is an effective, functional treatment for limb lymphedema. This study reports an alternative surgical approach to lymphedema treatment without the use of indocyanine green mapping. Methods A retrospective analysis was performed on 29 consecutive lymphedema patients who underwent LVAs from January 2015 to December 2020, whereby incisions were made along the anatomy of the superficial venous systems in both upper and lower extremities around the joint areas. The evaluation included qualitative assessments and quantitative volumetric analyses. Result The mean number of anastomoses was 3.07, and the operative time was 159.55 minutes. Symptom improvement was recorded in 86.21% of the patients, with a mean volume reduction of 32.39%. The lymphangitis episodes decreased from 55.17% before surgery to 13.79% after surgery, and the median number of lymphangitis episodes per year decreased from 1 before surgery to 0 after surgery. Conclusions The superficial venous anatomical approach is an easy way to start a lymphedema practice using LVA without other advanced surgical equipment. With this reliable technique, microsurgeons can perform LVA procedures and achieve good results.

• Annals of Clinical Neurophysiology
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• 제23권2호
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• pp.126-129
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• 2021

We present a patient with a primitive neuroectodermal tumor arising from the right atrium who experienced multiple syncope episodes daily, which had first appeared 1 month after surgery. The symptoms continued to worsen over the course of chemotherapy, and the autonomic function test (AFT) was performed after the 14th chemotherapy cycle. The AFT revealed orthostatic hypotension and reduced baroreflex-dependent sympathetic reactivity. Physical counterpressure techniques were applied with a visual biofeedback intervention, and were found to be effective in reducing the syncope episodes.

• Acta Via Serica
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• 제8권1호
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• pp.55-70
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• 2023

Carpets are a useful tool for highlighting the cultural uniqueness of a region because their characteristic usage often reveals distinctive natural features of the place or the unique cultural identity of a group. Investigating anecdotes and associated patterns found in three medieval trans-Eurasian travelogues, this paper focuses on observations made by the Chinese Buddhist monk, Faxian, the Sunni pilgrim and scholar, Ibn Battuta, and Marco Polo, the Venetian merchant examining their thoughts, observations, and perspectives on carpet-related customs in their experienced contexts. In particular, this manuscript touches on the controversies, impacts, and narratives associated with carpet practices observed in each travel writer's context respectively, concluding that each traveler shows several things in common rather than showing different patterns depending on the characteristics of their religion. Overall, they observed the uses of carpets according to their jobs and travel purposes and appropriately detailed related episodes if the intended purpose and context matched the uses.

• 한국대기환경학회:학술대회논문집
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• 한국대기환경학회 2005년도 추계학술대회 논문집
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• pp.216-218
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• 2005

• Tuberculosis and Respiratory Diseases
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• 제74권2호
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• pp.63-69
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• 2013

Background: Aiming to improve outcome of lung transplantation (LTx) patients, we reviewed risk factors and treatment practices for the LTx recipients who experienced respiratory infection in the late post-LTx period (>1 month after LTx). Methods: We analyzed the clinical data of 48 recipients and donors from 61 LTx, who experienced late respiratory infections. Late respiratory infections were classified according to the etiology, time of occurrence, and frequency of donor-to-host transmission or colonization of the recipient prior to transplantation. Results: During the period of observation, 42 episodes of respiratory infections occurred. The organisms most frequently involved were gram (-) bacteria: Acinetobacter baumannii (n=13, 31.0%), Pseudomonas aeruginosa (n=7, 16.7%), and Klebsiella pneumoniae (n=4, 10.0%). Among the 42 episodes recorded, 14 occurred in the late post-LTx period. These were bacterial (n=6, 42.9%), fungal (n=2, 14.3%), viral (n=4, 28.5%), and mycobacterial (n=2, 14.3%) infections. Of 6 bacterial infections, 2 were from multidrug-resistant (MDR) A. baumannii and one from each of MDR P. aeruginosa, extended spectrum ${\beta}$-lactamase (+) K. pneumoniae, methicillin-resistant Staphylococcus aureus and Streptococcus pneumoniae. Infection-related death occurred in 6 of the 14 episodes (43%). Conclusion: Although the frequency of respiratory infection decreased sharply in the late post-LTx period, respiratory infection was still a major cause of mortality. Gram (-) MDR bacteria were the agents most commonly identified in these infections.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4549-4553
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• 2014

Background: Infection is a serious cause of mortality in febrile neutropenia of pediatric cancer patients. Recently, monotherapy has replaced the combination therapy in empirical treatment of febrile neutropenia. Since there has been no reported trial comparing the efficacy of meropenem and piperacillin-tazobactam (PIP/TAZ) monotherapies, the present retrospective study was conducted to compare safety and efficacy in febrile neutropenic children with cancer. Materials and Methods: Charts of febrile, neutropenic children hospitalized at our center between March 2008 and April 2011 for hemato-oncological malignancies were reviewed. Patients received PIP/TAZ 360 mg/kg/day or meropenem 60 mg/kg/day intravenously in three divided doses. Duration of fever and neutropenia, absolute neutrophil count, modification, and success rate were compared between the two groups. Resolution of fever without antibiotic change was defined as success and resolution of fever with antibiotic change or death of a patient was defined as failure. Modification was defined as changing the empirical antimicrobial agent during a febrile episode. Results: Two hundred eighty four febrile neutropenic episodes were documented in 136 patients with a median age of 5 years. In 198 episodes meropenem and in 86 episodes PIP/TAZ were used. Duration of fever and neutropenia, neutrophil count, sex, and primary disease were not different between two groups. Success rates and modification rate between two groups showed no significant differences (p>0.05). Overall success rate in the meropenem and PIP/TAZ groups were 92.4% and 91.9% respectively. No serious adverse effects occurred in either of the groups. Conclusions: Meropenem and PIP/TAZ monotherapy are equally safe and effective in the initial treatment of febrile neutropenia in children with cancer.

• 한국대기환경학회지
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• 제28권3호
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• pp.282-293
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• 2012

This study aimed to show the chemical characteristics of $PM_{10}$ and $PM_{2.5}$ during Asian dust (AD) events and high PM episodes observed in Seoul. Time-resolved chemical composition of $PM_{10}$ or $PM_{2.5}$ was monitored in 1 hour interval using ambient ion monitor, semi-continuous carbon monitor, and on-line XRF spectrometer at Seoul intensive monitoring site in 2009. Considering that AD events were classified into three different cases according to the source area and pathway, the concentrations of ammonium-sulfate and trace metal components were relatively high when the AD were occurred in Gobi and inner-mongolia and transported across the Bohai bay. In addition, the influence of alkaline dust, which carried from saline land located in the northeastern China, was observed when the AD was originated from Gobi, inner-mongolia, and Manchuria. Except AD events, the high PM episodes observed in Seoul were impacted by various anthropogenic sources such as biomass burning, motor vehicle, oil combustion and road dust.

• 한국대기환경학회지
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• 제31권2호
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• pp.131-142
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• 2015

This study investigated physicochemical and optical characteristics for three episodes of Asian dust, stagnant haze and long-range transport haze and for one clean day. $PM_{10}$ mass concentration during Asian dust and two haze days was increased by 2~9 times compared to that of clean episode. During Asian dust episode, coarse particle concentration was increased and the mass concentration of calcium in a coarse mode ($1.8{\sim}10{\mu}m$) was $5.4{\mu}g/m^3$ which was 7 times higher than that of clean episode. The calcium was presented as a form of $CaCO_3$ in a coarse mode. During the two haze episodes, fine particle (< $1.8{\mu}m$) concentration was increased and secondary inorganic pollutants such as sulfate, ammonium and nitrate composed of 90% of the total ions. $(NH_4)_2SO_4$ and $NH_4NO_3$ were dominant in a fine mode for stagnant haze episode. But they were the most dominant form in both fine mode and coarse mode for long-range transport haze episode. According to the optical properties for each episode (Asian dust, stagnant haze and long-range transport haze) were classified as dust, black carbon and mixture, respectively.