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A Case of Hemophagocytic Lymphohistiocytosis Presenting with Neck Mass in a Child (경부 종괴를 동반한 소아에서의 혈구탐식성 림프조직구증 1례)

  • Kil, Bu Kwan;Lee, Dong Won;Kim, Jeong Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.55-59
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    • 2020
  • Hemophagocytic lymphohistiocytosis (HLH) is a rare but life-threatening one syndrome of excessive immune activation. This immune dysregulation disorder is prominently associated with cytopenias and combinations of clinical signs and extreme inflammation symptoms. For survival, it is important to diagnose early and treat appropriately. We report a case of 10 years old boy who was admitted to the hospital with a month history of fever and cervical lymph node enlargement. There were signs of hemophagocytic histiocytosis in the lymph node and bone marrow. The etiology, diagnosis, and treatment of hemophagocytic lymphohistiocytosis are reviewed.

Practice through Interaction: Asking Someone to Do Something in English

  • Suh, Jae-Suk
    • English Language & Literature Teaching
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    • v.11 no.4
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    • pp.49-77
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    • 2005
  • This paper has an aim to examine English native speakers' requests, and offer an instructional technique to develop EFL students' pragmatic ability. For this purpose, English-speaking native speakers' requests were collected in six different face-threatening situations, and analyzed in three ways: directness levels, internal modification and sequence of request. The analysis of requests showed that they were realized mainly through conventionally indirect level in most situations, were internally modified frequently through the use of downgraders, and had a certain sequence of utterances realizing a request. On the basis of these findings, two kinds of interactional activities (Jigsaw and pair work) were provided as sample activities to promote EFL students' pragmatic knowledge about the appropriate ways of making requests given the fact that pragmatic errors can be more serious and more problematic than grammatical errors in social interaction.

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A Flight Control System design for an Unmanned Helicopter

  • Park, Soo-Hong;Kim, Jong-Kwon;Jang, Cheol-Soon
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1375-1379
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    • 2004
  • Unmanned Helicopter has several abilities such as vertical Take off, hovering, low speed flight at low altitude. Such vehicles are becoming popular in actual applications such as search and rescue, aerial reconnaissance and surveillance. These vehicles also used under risky environments without threatening the life of a pilot. Since a small aerial vehicle is very sensitive to environmental conditions, it is generally known that the flight control is very difficult problems. In this paper, a flight control system was designed for an unmanned helicopter. This paper was concentrated on describing the mechanical design, electronic equipments and their interconnections for acquiring autonomous flight. The design methodologies and performance of the helicopter were illustrated and verified with a linearized equation of motion. The LQG based estimator and controller was designed and tested for this unmanned helicopter.

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THE HEMOSTASIS IN INTRACTABLE POSTERIOR NASAL BLEEDING WITH ANGIOGRAPHIC EMBOLIZATION;A CASE REPORT (혈관조영색전술을 이용한 비조절성 후비강부 출현의 처치;증례 보고)

  • Nam, Ki-Young;Kwon, Tae-Geon;Kim, Jong-Bae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.4
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    • pp.454-457
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    • 2000
  • The posterior nasal bleeding sometimes develope a life threatening situation because of its limited access and the profuse vascular network of the bleeding area. There are various methods of hemostasis including packing, cautery, and arterial ligation those vary in effectiveness. But sometimes patients cannot tolerate these methods or show rebleeding sign. So, if all of these methods are not successful, we should consider the further treatment. The selective angiographic embolization has various advantages such as rapidness, repetition, good visualization, and being performed under local anesthesia, therefore it can provide useful way in patients with massive, intractable posterior nasal bleeding. We report a case of angiographic embolization for intractable posterior nasal bleeding patient and review the effectiveness of the this treatment.

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A Study on CRM Using Knowledge of Customer in Korean Financial Institutions (고객의 지식을 활용한 금융기관의 CRM에 관한 연구)

  • Kwon Kum-Tack
    • Management & Information Systems Review
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    • v.12
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    • pp.17-35
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    • 2003
  • In the customer-centered era, financial institutions have understood the importance of Customer Relationship Management(CRM), and heavily invested into building the required technology infrastructure more than ever. In a competitive environment that are changing fast, knowledge management is necessary. To know customers' needs and desire, we have to approach their environment and mind, and the method by estimating in terms of supposing or imitating. Applying customers' knowledge is effective and will come up with a stepping-stone to get rid of threatening factors by having competitiveness in a competitive environment and extending and changing the corporation. This purpose, the study has identified knowledge-oriented infra that corporations know and customer relations by conducting a poll of local corporations and have presented motives that can effectively carry out knowledge-based customer relations. To gain competitive advantage, these Institutions need to understand their customers' potential value to find out more and to recognize the significant changes of customer. Then the CRM implementation will help Financial Institutions move to more of a sales culture away from product and closer to the customer.

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A Study on the Environmental Consciousness of University Students for Sustainable Development (지속가능한 발전을 위한 대학생의 환경의식에 관한 연구)

  • Lim, Mann-Taek;Kim, Gon
    • KIEAE Journal
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    • v.1 no.2
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    • pp.37-45
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    • 2001
  • As the global environmental crisis has been emerged as an important problem threatening the survival of the mankind, the environmental problems are recognized as a great issue governing the destiny of the whole mankind as well as a national problem. Therefore, more active attitude playing a leading role of global and local environmental preservation is required, escaping from conventional passive position for the minimization of economic damages according to global environment regulations. This study evaluates the 150 university students' consciousnesses and attitudes of the seriousness, major policies and issues of environmental pollutions, extracts their consciousness of environment and practicable tasks for the 21st century and is to give the basic reference materials of environmental policy development.

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Achievements and Challenges of 40th Anniversary Health Insurance (건강보험 40년 성과와 과제)

  • Lee, Kyu Sik
    • Health Policy and Management
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    • v.27 no.2
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    • pp.103-113
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    • 2017
  • There have been many achievements for 40 years since the introduction of compulsory health insurance. Despite many achievements, it has many challenges in health insurance. Aging, non-communicable disease, and low growth economy are threatening the sustainability of health insurance, and it is time to reform the health insurance. A long-term reform plan will be an absolute necessity for reform of health insurance and health care system. Health insurance and health care reform should be an extremely revolutionary content that completely changes the framework. This reform should deal with the philosophy of health, approach of medical education and doctor training, changing supply of medical service, the innovation of primary medical care, reform of public health system, the management of medical utilization, the integration of medical cure and care services, enhancing the benefit coverage, prohibition of covered and non-covered services, etc. Therefore, it is urgent to form a consensus on the necessity of reform, to establish the health insurance plan on this consensus, and to make efforts to make health insurance sustainable.

Preparation of the MnO2/Macroporous Carbon for PET Glycolysis

  • Choi, Bong Gill;Yang, MinHo
    • Journal of Powder Materials
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    • v.25 no.3
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    • pp.203-207
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    • 2018
  • Plastic pollution is threatening human health and ecosystems, resulting in one of the biggest challenges that humanity has ever faced. Therefore, this study focuses on the preparation of macroporous carbon from biowaste (MC)-supported manganese oxide ($MnO_2$) as an efficient, reusable, and robust catalyst for the recycling of poly(ethylene terephthalate) (PET) waste. As-prepared $MnO_2/MC$ composites have a hierarchical pore network and a large surface area ($376.16m^2/g$) with a narrow size distribution. $MnO_2/MC$ shows a maximum yield (98%) of bis(2-hydroxyethyl)terephthalate (BHET) after glycolysis reaction for 120 min. Furthermore, $MnO_2/MC$ can be reused at least nine times with a negligible decrease in BHET yield. Based on this remarkable catalytic performance, we expect that $MnO_2$-based heterogeneous catalysts have the potential to be introduced into the PET recycling industry.

Severe Acidosis after Massive Metformin Overdose (혈당 강하제 metformin 중독 후 발생한 심각한 산혈증 1례)

  • Kim, Bo-In;Jung, Jin-Hee;Eo, Eun-Kyung
    • Journal of The Korean Society of Clinical Toxicology
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    • v.6 no.1
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    • pp.42-44
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    • 2008
  • Metformin which is an oral hypoglycemic agents, acts by enhancing insulin sensitivity, decreasing hepatic glucose production and increasing peripheral utilization of glucose. Deliberate self poisoning with oral hypoglycemic agents is rare. The lactic acidosis associated with metformin toxicity is well described in the medical literature. Metformin overdose even in otherwise healthy patients may produce a profound and life threatening lactic acidosis. We report a case of massive metformin ingestion(75g) in a patient presenting with lactic acidosis and hypotension. She died 24h after presenting to our emergency department despite bicarbonate treatment and hemofiltration therapy.

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A Study on the Growth and Environmental Development for the Protection-nourishment of Fisheries Resources 2. Marine Litter on the Sea-bed of Chinhae Bay (어자원 보호육성을 위한 생육환경 개선에 관한 연구 II -진해만의 해저 폐기물 실태-)

  • 김삼곤
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.35 no.4
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    • pp.359-365
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    • 1999
  • This study deals with litter which has sunk and accumulated on the sea-bed of the Chinhae Bay obtained by using a beam trawler. The litter collected through the duration of survey (1997~1998) were distributed from 8.76~80.63 items/ha and 3.51~108.39 kg/ha, respectively, in quantities and weights. Especially bulky wastes(shell, tires, motorcycle and refrigerator) were composed of 76% of them, next metal and glasses, 29.5%. The seasonal variability of litters in the bay is large, as 62% in April, next August, 23%, in total weights.These discarded substances have the widespread distribution but varied in each sampled area. Therefore they exist in a significant pollutants, as threatening the fishing activities and near marine environment, and also potential damage to marine resources.

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