• Title/Summary/Keyword: self-limiting

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Pattern of Cerebral Glucose Metabolism on F-18 FDG Brain PET during Vomiting and Symptom Free Periods in Cyclic Vomiting Syndrome (주기성 구토 증후군 환아에서 보인 F-18 FDG PET에서의 뇌 포도당 대사 소견)

  • Kim, Yu-Kyeong;Lee, Dong-Soo;Kang, Eun-Joo;Seo, Jeong-Kee;Yeo, Jeong-Seok;Chung, June-Key;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.3
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    • pp.198-204
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    • 2001
  • Cyclic Vomiting Syndrome (CVS) is characterized by recurrent, periodic, self-limiting vomiting. However, its pathogenesis is not yet established. We investigated the changes of the cerebral glucose metabolism using F-18 FDG during the vomiting attack and symptom free period in two children with CVS. FDG PET study showed the markedly increased metabolism in both temporal lobes and also in the medulla and cerebellum during the vomiting period. Also, FDG PET showed the decreased metabolism un the parieto-occipital and occipital areas during the vomiting period. The area with decreased metabolism seemed to be related with the region showing abnormalities in EEG and perfusion SPECT studies. We expect that what we observed would be a helpful finding in clarifying the pathogenesis of the CVS.

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Etiologic Study in Children with Chronic Cough (만성(慢性)기침 환아(患兒)의 원인질환(原因疾患)에 관(關)한 임상적(臨床的) 고찰(考察))

  • Yoon Sang-Hyub;Choi In-Hwa
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.77-94
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    • 1998
  • Chronic cough is one of the most common respiratory symptoms, especially in children. And it can be the sale presenting manifestation of bronchial asthma. Although most coughs are self limiting, chronic cough often proves to be a frustrating problem. It is commonly defined as a persistent or recurrent cough exceeding 3weeks duration. The post nasal syndrome has been determined to be the most common cause of chronic cough, followed by asthma, chronic bronchitis, gastroesophageal reflux and bronchiectasis. This study was performed at both City-Oriental Medicine Hospital and Pundang Cha Oriental Medicine Hospital from January,1,1998 to November 31,1998, and 114 children with chronic cough persisting for longer than 3 weeks were evaluated. We investigated the clinical findings and evaluated the etiology in children with chronic cough syndrome including: type of cough (with or with out sputum and daily onset) and associated signs & symptoms. The results were as follows: The most common cause of chronic cough was asthma with sinusitis (27.2%); The second and third were post nasal drip syndrome(22.8%) and bronchial hypereactivitic cough(14.9%). The other causes included asthma, paranasal sinusitis, bronchitis and rhinitis. Therefore, in the diagnostic and therapeutic approach to this symptom, it should be considered that the cause of this type of cough is either bronchus and pulmonary disease or that associated with another problem, especially sinusitis, gastroesophageal reflux and allergic disease. Also, in infants and toddlers, congenital abnormaly should be considered.

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Two Pediatric Cases of Dengue Fever Imported from Philippines (필리핀에서 유입된 소아 뎅기열 2례)

  • Oh, Mi Ae;Shim, Jae Won;Kim, Duk Soo;Jung, Hye Lim;Park, Moon Soo;Shim, Jung Yeon
    • Pediatric Infection and Vaccine
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    • v.20 no.2
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    • pp.98-104
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    • 2013
  • Dengue fever is an important health problem for international travelers to all endemic areas. The steadily increasing numbers of tourists visiting endemic areas raise the risk of exposure, and imported dengue cases are increasingly observed in nonendemic area. Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. While most patients recover following a self-limiting, non-severe clinical course, a small proportion progress to severe disease such as dengue hemorrhagic fever or dengue shock syndrome. Therefore, it is important to suspect dengue fever in every febrile patient returning from the tropics. Whenever it is suspected, a quick diagnosis and adequate managements are essential to avoid complications. We report two cases of imported dengue fever in Korean children presenting with fever, headache, nausea, and rash.

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Rubrics for Assessing the Elementary School Students' Ability to Use ICT (초등학생 ICT 활용능력 평가를 위한 수행평가 척도)

  • 문외식
    • Journal of the Korea Computer Industry Society
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    • v.4 no.4
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    • pp.467-478
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    • 2003
  • The purpose of this paper is to develop and to introduce the rubrics for performance assessment, which can measure elementary school upper graders' ability to use ICT, With a goal of improving their ability to use ICT, the students, who are in the fourth, fifth, six grades, received instructions on the basic skills and knowledge for using the computer during the extracurricular-activity session or the self-directed session after regular classes. In the study, the rubrics were developed on the basis of the 7th national curriculum, and defined respectively assessment criteria and attainment targets for the upper graders. The assessment criteria were set after the researcher determined the most basic and important skills and knowledge that the upper graders should have, and then compared them with the attainment criteria in the national curriculum. Accordingly, the application of the rubrics developed for this study is expected to lessen the burden of elementary school teachers when they implement performance assessment in their classrooms. Finally, using the rubrics, the study assessed elementary school students' ability to use the computer, and showed somewhat limiting but satisfactory results.

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A Case of Parathyroid Carcinoma with Systemic Calcification (전신성 석회증을 동반한 부갑상선 암 1예)

  • Kim, Heui-Sik;Lee, Chan-Woo;Nam, Sang-Yiup;Park, Jin-Chul;Yoon, Ji-Sung;Lee, Jae-Chun;Won, Kyu-Chang;Cho, Ihn-Ho;Kim, Tae-Nyun;Lee, Hyoung-Woo;Hyun, Myung-Soo;Lee, Hyun-Woo
    • Journal of Yeungnam Medical Science
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    • v.14 no.2
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    • pp.459-466
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    • 1997
  • Hyperparathyroidism due to parathyroid cancer is rare. It is difficult to diagnose preoperatively but there should be an increased index of suspicion in those parathyroid patients with palpable neck masses, profound hypercalcemia(greater than 14mg/dl), marked increase of the parathyroid hormone level to greater than twice normal, and significant metabolic complications. In parathyroid cancer, systemic calcinosis is an extremely rare manifestation. The most common metastatic calcification site is lung and the other involved site is stomach, liver, skin and heart. After resection of parathyroid tumor, this systemic calcinosis is self-limiting. We experienced a patient with primary hyperparathyroidsm, presented with metastatic calcification in the lung and stomach disappeared by successful parathyroidectomy.

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Cell Culture Models of Human Norovirus: the End of the Beginning? (인간노로바이러스의 세포배양 기술개발 : 새로운 시작?)

  • Nguyen, Minh Tue;Park, Mi-Kyung;Ha, Sangdo;Choi, In-Soo;Choi, Changsun;Myoung, Jinjong
    • Microbiology and Biotechnology Letters
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    • v.45 no.2
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    • pp.93-100
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    • 2017
  • Human norovirus (hNoV) infection accounts for the vast majority of virus-mediated gastroenteritis cases worldwide. It causes self-limiting acute illnesses in healthy individuals lasting for a few days, however, in immunocompromised patients, hNoV can establish chronic and potentially fatal infections. Since its discovery in 1968, much effort had been made to develop cell culture and animal infection models to no avail. Only recently, some promising breakthroughs in the development of in vitro infection models have been made. Here, we will contrast and compare those models and discuss what further needs to be done to develop a reliable and robust cell culture model.

The Study to ETS Exposure and Their Biomarkers in Hair of Restaurant Workers (식당 종업원의 환경 담배 연기(ETS)의 노출과 머리카락 중 생체지표 연구)

  • Jo Seong-Joon
    • Environmental Analysis Health and Toxicology
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    • v.19 no.2
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    • pp.169-176
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    • 2004
  • ETS (environmental tobacco smoke) is composed of exhaled mainstream smoke (MS) from the smoker, sidestream smoke (SS) emitted from the smoldering tobacco between puffs and contaminants that diffuse through the cigarette paper and mouth between puffs. These emissions contain both vapor phase and particulate contaminants. ETS is a complex mix of over 4,000 compounds. This mix contains many known or suspected human carcinogens and other toxic agents. More of these toxic compounds are found in SS than in MS. Workplace exposure to ETS can result in significant smoke intake, and passive smoke exposure may be related to impair respiratory function and an increase risk of lung cancer in nonsmokers. For nonsmokers sharing a work environment with cigarette smokers, the workplace must be considered hazardous independently of any specific industrial toxic exposure. The risk is particularly important when a high percentage of the workers smoke or where smokers and nonsmokers work in poorly ventilated areas. Nicotine is converted in the body to cotinine; cotinine therefore can be used as an indirect measure of a person's recent exposure to tobacco smoke. Levels of nicotine in hair and levels of cotinine in body fluids (saliva and urine) have been shown to increase with increasing environmental nicotine levels and with self-reported ETS exposure. The measurement of nicotine or cotinine in hair may be more appropriate for longer-term exposure to tobacco. The purpose of this study is to comparing airborne nicotine levels and hair cotinine level in restaurant workers. Concentration of airborne nicotine and hair nicotine (and cotinine) is closely related to exposed frequency of sidestream smoke in the workplace. Nicotine in hair is a better predictor of airborne nicotine than hair cotinine. Hair nicotine can be a useful tool to assess ETS exposure interventions. It may have limiting levels of ETS exposure by placing regulatory restrictions on smoking in workplaces and in public spaces.

A case of Kikuchi's disease with skin involvement (일과성의 홍반성 피부병변을 동반한 소아 Kikuchi병 1례)

  • Jang, Ji Min;Woo, Chul Hee;Choi, Jung Woo;Song, DaeJin;Yoo, Young;Lee, Kwang Chul;Son, Chang Sung
    • Clinical and Experimental Pediatrics
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    • v.49 no.1
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    • pp.103-106
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    • 2006
  • Histiocytic necrotizing lymphadenitis, which is also commonly referred to as Kikuchi's disease (KD), is a self-limiting disease of unknown etiology. It affects individuals of all ages, although it is usually seen in young women. However, only a few descriptions of this disease are available in the pediatric literature. KD is clinically characterized by cervical lymphadenopathy, high fever, myalgia, neutropenia and, rarely, cutaneous eruptions. Cutaneous manifestations have been reported in 16-40 percent of KD cases. The specific skin changes occurring in cases of KD have yet to be completely characterized. In most of the reported cases thus far, the lesions have been located on the face and upper extremities. In this report, we describe a case of pediatric Kikuchi's disease, occurring in a 9-year-old boy. The boy exhibited transient erythematous maculopapular skin lesions over the entirety of his body, including his lower extremities.

Suggestion for the Maintenance Program of the Sea Dike Using Geophysical Methods (지구물리학적 방법을 이용한 방조제 유지·관리 체계 제안)

  • Yong, Hwan-Ho;Cho, In-Ky;Song, Sung-Ho
    • Geophysics and Geophysical Exploration
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    • v.16 no.4
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    • pp.275-283
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    • 2013
  • The sea dike is the most important facility of reclamation projects, and plays an important role in securing freshwater in the reservoir. Systematic research on practical approaches and data analysis techniques are lacking even though some geophysical methods such as electrical resistivity and self-potential surveys are included within the inspection processes. Hence, geophysical methods were considered for improvement of precision safety diagnosis methods after problems in the maintenance system have been identified, such as safety checks and precision safety diagnoses. In addition, geophysical methods customized according to variations in ambient environmental limiting factors such as pore pressure changes by tidal fluctuation, compaction characteristics of the fill materials, and the surface condition of the embankment were suggested.

Natural Course and Treatment of Fetal Ovarian Cysts (산전 진단된 난소낭의 자연 경과 및 치료)

  • Kim, Hyun-Yoong;Park, Kwi-Won;Jung, Sung-Eon;Lee, Seong-Cheol;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.11 no.1
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    • pp.1-8
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    • 2005
  • With the development of fetal ultrasonography, detection of fetal ovarian cysts has been increased. Although ovarian cyst formation during the perinatal period is a self limiting process, there is still considerable controversy regarding the best treatment of the fetal ovarian cyst. The purpose of this study is to evaluate the natural history of fetal ovarian cysts and to analyze the result of treatment. From 1995 to 2004, 31 consecutive fetuses with ovarian cysts were followed by ultrasonography during the perinatal period. The fetal ovarian cyst was diagnosed by prenatal ultrasonography between 25weeks and 38 weeks and the mean size of the cysts was 5cm (ranged from 2 to 8cm). At birth, 3 cysts disappeared. In 2 cases, the diagnoses were changed to multicystic kidney disease and intestinal duplication. During following up of 26 cysts, 15 cysts have resolved completely. Seven cysts required oophorectomy because of cyst torsion (n=3), differentiation of tumorous condition (n=2), increased size of cyst (n=1), and large size (8cm) of cyst at birth (n=l). Fetal ovarian cyst should primarily be observed, and only in the limited cases, surgical treatment would be required for the risk of complications such as torsion and differentiation from benign to malignant pathology.

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