• Title/Summary/Keyword: rare events

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A novel association between cerebral sinovenous thrombosis and nonketotic hyperglycinemia in a neonate

  • Yurttutan, Sadik;Oncel, Mehmet Yekta;Yurttutan, Nursel;Degirmencioglu, Halil;Uras, Nurdan;Dilmen, Ugur
    • Clinical and Experimental Pediatrics
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    • v.58 no.6
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    • pp.230-233
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    • 2015
  • Lethargy in newborns usually indicates central nervous system dysfunction, and many conditions such as cerebrovascular events, infections, and metabolic diseases should be considered in the differential diagnosis. Nonketotic hyperglycinemia is an autosomal recessive error of glycine metabolism, characterized by myoclonic jerks, hypotonia, hiccups, apnea, and progressive lethargy that may progress to encephalopathy or even death. Cerebral sinovenous thrombosis is a rare condition with various clinical presentations such as seizures, cerebral edema, lethargy, and encephalopathy. Here, we report the case of a newborn infant who presented with progressive lethargy. An initial diagnosis of cerebral venous sinus thrombosis was followed by confirmation of the presence of nonketotic hyperglycinemia.

Benford's Law in Linguistic Texts: Its Principle and Applications (언어 텍스트에 나타나는 벤포드 법칙: 원리와 응용)

  • Hong, Jung-Ha
    • Language and Information
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    • v.14 no.1
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    • pp.145-163
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    • 2010
  • This paper aims to propose that Benford's Law, non-uniform distribution of the leading digits in lists of numbers from many real-life sources, also appears in linguistic texts. The first digits in the frequency lists of morphemes from Sejong Morphologically Analyzed Corpora represent non-uniform distribution following Benford's Law, but showing complexity of numerical sources from complex systems like earthquakes. Benford's Law in texts is a principle reflecting regular distribution of low-frequency linguistic types, called LNRE(large number of rare events), and governing texts, corpora, or sample texts relatively independent of text sizes and the number of types. Although texts share a similar distribution pattern by Benford's Law, we can investigate non-uniform distribution slightly varied from text to text that provides useful applications to evaluate randomness of texts distribution focused on low-frequency types.

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Total Occlusion of the Abdominal Aorta Caused by Detachment of Cardiac Myxoma

  • Hong, Sung-Yong;Park, Kyung-Taek;Choe, Hyun-Min
    • Journal of Chest Surgery
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    • v.45 no.3
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    • pp.183-185
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    • 2012
  • Abdominal aortic occlusion (AAO) caused by detachment of cardiac myxoma (CM) is a very rare complication in patients with CM. Although the nature of CMs has been well established, detachment of CM may cause unexpected serious complications such as vicious embolic events. Actually, in several cases of AAO caused by detachment of CM, it has been reported that CM fragments easily migrated to the brain, heart, and lungs, and caused lifelong neurological complications despite appropriate surgical therapy. Herein, we report a case of a patient with AAO caused by detachment of CM who underwent CM excision and abdominal aortic thromboembolectomy. Additionally, we have presented the preoperative and postoperative images using 64-multidetector computed tomography.

Exact Asymptotics in a Multi-class M/G/1 Queue

  • Lee, Ji-Yeon;Dabrowski, Andre;McDonald, David R.
    • 한국데이터정보과학회:학술대회논문집
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    • 2006.04a
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    • pp.43-47
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    • 2006
  • Consider a multitype queue where queued customers arc served in their order of arrival at a rate which depends on the customer type. Here we calculate the sharp asymptotics of the probability the total number of customers in the queue reaches a high level before emptying. The natural state space to describe this queue is a tree whose branches increase in length as the number of customers in the queue grows. Consequently it is difficult to prove a large deviation principle. Moreover, since service rates depend on the customer type the stationary distribution is not of product form so there is no simple expression for the stationary distribution. Instead, we use a change of measure technique which increases the arrival rate of customers and decreases the departure rate thus making large deviations common.

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Pulmonary Thromboembolism after Intravenous Immunoglobulin Therapy in Guillain-Barre Syndrome (길랭-바레증후군에서 면역글로불린 치료 후 발생한 폐혈전색전증)

  • Park, Jin-Mo;Kim, Nam Kyun;Park, Jin-Sung
    • Annals of Clinical Neurophysiology
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    • v.18 no.1
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    • pp.14-17
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    • 2016
  • Intravenous immunoglobulin (IVIG) is a safe treatment to treat various neurological disorders, but fatal thrombotic events as rare complications have been reported. A 54-year-old woman with Guillain-Barre syndrome complained of dyspnea during IVIG treatment. She was finally diagnosed with pulmonary thromboembolism. To the best of our knowledge, this is the first case of pulmonary thromboembolism associated with IVIG treatment in a Korean patient with Guillain-Barre syndrome.

Performance Analysis of VaR and ES Based on Extreme Value Theory

  • Yeo, Sung-Chil
    • Communications for Statistical Applications and Methods
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    • v.13 no.2
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    • pp.389-407
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    • 2006
  • Extreme value theory has been used widely in many areas of science and engineering to deal with the assessment of extreme events which are rare but have catastrophic consequences. The potential of extreme value theory has only been recognized recently in finance area. In this paper, we provide an overview of extreme value theory for estimating and assessing value at risk and expected shortfall which are the methods for modelling and measuring the extreme financial risks. We illustrate that the approach based on extreme value theory is very useful for estimating tail related risk measures through backtesting of an empirical data.

Treatment of Complete Persistent Sciatic Artery with Distal Thromboembolism by Thromboembolectomy Only

  • Choi, Yun Kyung;Ahn, Jae Ho;Kim, Kwan Chang;Won, Tae Hee
    • Journal of Chest Surgery
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    • v.45 no.5
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    • pp.342-344
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    • 2012
  • A persistent sciatic artery (PSA) is very rare congenital vascular anomaly which is present in 0.025% to 0.04% of the population by an angiographic study. A PSA is usually combined with aneurismal disease or thromboembolic events because of its arteriosclerosis and vessel wall degeneration. The treatments of symptomatic PSA are comprised of exclusion of PSA from circulation and bypass surgery for the lower limb. However, surgical treatment should be tailored to its anatomy and presentation. We report a successful treatment of PSA with distal thromboembolism by thromboembolectomy without bypass surgery.

A Case of Midgut Volvulus with Gastric Perforation and Periveintricular Leukomalacia in a Term Infant

  • Park, Seul Gi;Hwang, Jong Hee
    • Neonatal Medicine
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    • v.28 no.1
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    • pp.53-58
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    • 2021
  • Intestinal malrotation with midgut volvulus (MV) is a life-threatening surgical emergency. Most events of MV occur in the neonatal period with bilious vomiting, abdominal distension, feeding intolerance, and bloody stools. Neonatal gastric perforation (GP) is a rare and life-threatening condition associated with high mortality. It occurs either in an idiopathic form or in association with gastrointestinal anomalies such as duodenal atresia and MV. The pathogenesis of both MV and GP is related to ischemic change and inflammatory response. MV and GP can lead to morbidities such as sepsis, intestinal ischemia, and organ failure, but not neurologic problems. We herein report the case of a term infant at 5 days after birth, with MV accompanied by GP, who developed periventricular leukomalacia.

Antibiotic-Induced Increase in Inflammatory Markers in Cured Infectious Spondylitis : Two Case Reports

  • Eom, Ki Seong
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.487-491
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    • 2019
  • Conservative therapy with appropriate antibiotics is essential for most patients with infectious spondylitis. Although most antibiotics do not cause problems if it used properly and serious side effects are rare, side effects can occur with any class of drugs and adverse reactions of antibiotics can range from mild allergic reactions to serious and fulminant adverse events. These side effects are also extremely variable from patient to patient and from antibiotic to antibiotic. A side effect of antibiotics may paradoxically increase inflammatory marker levels. Here, the author presents two cases of antibiotic-induced increase in inflammatory markers in cured infectious spondylitis. The patients were successfully treated after stopping the antibiotic therapy. The differential diagnosis between antibiotic side effects and infection should be considered very carefully because the treatment is completely different. Although the exact mechanisms underlying successful treatment without antibiotics are unclear, we should consider the side effects of antibiotics when following inflammatory markers during treatment of infectious spondylitis.

Recurrent Ischemic Stroke by Carotid Free-Floating Thrombus in Patient with Antiphospholipid Antibody Syndrome (항인지질항체증후군 환자에서 경동맥 부동혈전에 의한 반복적인 허혈뇌졸중)

  • Kim, Ki-Hong;Lee, Ho-Cheol;Hwang, Yang-Ha;Kim, Yong-Won
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.333-336
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    • 2018
  • Carotid free-floating thrombus (FFT) is a rare cause of stroke. The FFT is commonly associated with an atherosclerotic plaque rupture, but other causes need to be examined in young patients. We report a case of 31-year-old male patient with recurrent ischemic stroke caused by carotid FFT. Although initial laboratory test was unremarkable, recurrent stroke events led us to perform additional study and antiphospholipid syndrome (APLS) was diagnosed. Repetitive testing for APLS seems considerable when young patients present with recurrent stroke.