• Clinical and Experimental Pediatrics
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• v.50 no.4
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• pp.386-389
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• 2007

Cyclic vomiting syndrome (CVS) is a paroxysmal, recurrent vomiting disorder of unknown pathophysiology and target organ. It has been hypothesized that CVS shares the same mechanism as migraine. We describe here a 5-year-old boy with CVS characterized by episodic vomiting attacks. These recurrent vomiting episodes began at 3 years of age, occurred every month and lasted for 5 days at a time. At the time of admission, no abnormal physical or neurological findings were observed and laboratory findings, including brain MRI and endoscopic examination, revealed nothing specific. The vomiting episodes were self-limited but recurrent and severely interrupted his daily life. When this patient was treated with topiramate, he showed a marked increase of symptom-free periods.

• Journal of Veterinary Clinics
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• v.33 no.1
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• pp.21-24
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• 2016

Four dogs and two cats received laparoscopic or laparoscopic-assisted biopsy of abdominal organs for definite diagnosis of illness. Patients were presented with a chief complaint of acute or chronic vomiting excluding case 5 (seizure). Two patients needed the liver biopsy (case 1 and 5), and others did stomach and small intestine biopsy excluding case 2 (small intestine biopsy only). Surgical procedure was performed with modified standard methods. All patients recovered uneventfully and did not require any hospitalization without complications. Laparoscopic and laparoscopic-assisted biopsy could offer benefits of reduced incision length and rapid postoperative recovery.

• Journal of Chest Surgery
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• v.36 no.5
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• pp.371-374
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• 2003

Atherosclerosis has more than 60% of the causes of arterial occlusive diseases. The abdominal aorta and lower extremity arteries are the most common sites of occlusion. We have treated surgically 2 cases who had intermittent claudication and were diagnosed as simultaneous aortobifemoral and bilateral femoropopliteal obstruction by angiography, but had ineffective results from medical treatment or angioplasty. Simultaneously aortobifemoral bypass using Hemashield Y graft and bilateral femoropopliteal bypass using autologous greater saphenous vein were done. After operations, the symptom disappeared and there were no specific post-operative complications except abdominal wound dehiscence. In postoperative angiography, we had obtained good patency of bypass graft. We are following up patients through the out patient department without recurrence up to 16 months.

• Journal of Veterinary Clinics
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• v.26 no.6
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• pp.655-658
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• 2009

An 11-year-old, female, Maltese dog was presented with abdominal distension and intermittent slight lameness on left hindlimb. Palpable abdominal pain and purulent vaginal discharge were observed on physical examination. Severe leukopenia with toxic change, and azotemia, hyperphosphatemia, and hyponatremia were identified on blood profile. On radiographs and abdominal sonograms, remarkable soft tissue mass containing echogenic material deviating intestines craniodorsally compatible with pyometra. On stifle radiographs, 4-5 fragmented sesamoid bone (fabella) was identified on both stifle joint with medial patella luxation. Immediate ovariohysterectomy was performed and the patient was recovered well with normal blood work. No specific treatment was attempted to the left hindlimb showing minimal and intermittent lameness. No remarkable abnormal gait was reported for 3-month follow-up period. The fragmented lateral fabella is considered congenital multipartite of lateral fabella not related to the lameness.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.2 no.1
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• pp.24-26
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• 2009

A 20-year-old patient who got injured on his right big toe and complained pain visited to our hospital 9 months ago. Before the patient transferred to our hospital, plain radiographs were obtained at a private hospital and the patient underwent conservative treatment with uncertain diagnosis. However, the symptom was not improved, and he continued to complain intra-articular pain on his interphalangeal joint of big toe during plantarflexion or dorsiflexion. On plain radiographs of our hospital, we observed small bone fragment in his interphalangeal joint of the big toe. On the ultrasonographic images, two loose bodies in the interphalangeal joint were found. Then, we removed the loose bodies as surgical treatment, and the symptom was subsided completely. The purpose of this study is to report the ultrasonographic finding of the loose bodies of interphalangeal joint of the big toe.

• Tuberculosis and Respiratory Diseases
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• v.48 no.1
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• pp.78-83
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• 2000

Endobronchial chondroma is a cartilaginous benign tumor, which arises from bronchial cartilage. As a rare benign tumor, endobronchial chondroma differs from cartilaginous hamartoma in that it includes cartilage components only, but hamartoma contains lipomatous and lymphoid tissue. The clinical manifestations of endobronchial chondroma are associated with the extent of mechanical obstruction of bronchus. Symptoms of endobronchial chondroma are nonspecific, such as cough, sputum, fever, or dyspnea on exertion. Endobronchial chondroma is often misdiagnosed as other diseases, such as asthma, chronic obstructive pulmonary disease, or pulmonary tuberculosis. The treatment is usually surgical procedures, such as resection of lung segment or lobe by thoracostomy, or resection of tumor by bronchoscopy. We report a case of the patient who was diagnosed to have endobronchial chondroma treated by bronchial resection and end to end anastomosis.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.19.1-19
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• 1983

The dentigerous cyst involving maxilla is rare disease in Otolaryngologic field. A case of 22-year-old male patient involving dentigerous cyst of the maxilla with chronic inflammatory signs has been presented. The occurrence of odontogenic epithelium in the wall of dentigerous cyst is a well known entity. This epithelium usually remains inactive and does not have clinical significance, but these small inactive islands of epithelium may be stimulated, resulting in chronic inflammation, ameloblastoma and squamous cell carcinoma. Therefore correct diagnosis and proper treatment are very important. The authors have recently experienced a case of dentigerous cyst causing a mild disfigulation of face. The cyst was surgically enucleated through sublabial approach.

• Journal of the Korean Arthroscopy Society
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• v.13 no.2
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• pp.165-169
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• 2009

The lateral meniscus is morphologically more variable than the medial meniscus. An abnormal lateral meniscus also varies with respect to its size, shape and stability, and such variations can occur in any patient of any age. The most common variant is a discoid lateral meniscus. We recently encountered a patient with a discoid lateral meniscus for which the anterior horn of the meniscus was anomalously inserted into the anterior ACL. The patient was forty five years old women who had persistent pain for three to four years without any specific trauma history. She was preoperatively diagnosed as having discoid lateral meniscus by MRI, and was confirmed the presence of the complex tear and anomalous insertion of the anterior horn of the discoid lateral meniscus into the anterior ACL by arthroscopic examination. Arthroscopic subtotal meniscectomy was performed and the symptoms were improved after surgery.

• Proceedings of the Korea Water Resources Association Conference
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• 2015.05a
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• pp.581-581
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• 2015

기후변화의 영향으로 자연재해 현상이 더욱 심각해지고 있다. 기상청에 의하면 서울특별시의 2005~2014년의 강수량은 1970년대에 비해 여름철에 38.7% 증가한 반면, 나머지 계절은 8.7%감소하여 홍수와 가뭄의 빈도가 상승하는 역설적 현상이 나타나고 있다. 또한 수도권 지역의 경우 도시화로 인한 불투수 면적 증가로 하천변의 홍수 피해지역이 더욱 증가되고 있는 실정이다. 재해 발생 규모는 점차 대형화되고 유형 또한 다양화되어 재해 발생 시 단순히 단일 지역이 아닌 여러지역에 걸쳐 피해가 발생되고 있다. 때문에 협력과 연계를 통한 치수대책이 효과적이지만, 현재 재해관련 업무는 여러 부처에 분산되어 있으며 지자체간 협력이 미흡한 실정이다. 이러한 한계를 극복하기 위해 본 연구에서는 재해 발생 시 피해를 최소화하기 위해 지자체들의 개별화 되어있는 대책을 서로 연계하는 방재협력시스템과 방재 대책 협력 방안을 제시하고자 한다. 국내 외 방재정책의 패러다임을 진단하기 위하여 관련 법령과 자료 및 도시의 협력대응사례를 조사, 분석하여 새로운 패러다임을 수립하고 이를 기초로, 기후변화를 고려하여 새로운 방재시스템을 제시하고 재난관리 협력방안을 모색하였다. 본 연구를 통하여 제안하고자 하는 새로운 방재시스템은 복구와 구조물적 대응 위주인 기존의 방재 패러다임에서 예방에 의한 방재와 탄력적 대응을 도입하도록 하여 예방적 차원의 이슈를 논의하고 비구조물/구조물 융합형 방재 개념을 실제 시스템으로 사용하도록 구체적 방안을 제안하였다. 또한 기존의 국내 도시방재형 패러다임을 분석한 결과, 인접지역의 계획간 연계가 부족하여 정책적 사각이 발생하고, 재해취약지역이 적절히 관리되지 못할 위험성이 존재하며 환경이나 지속 가능성에 취약한 형태가 될 수 있다. 따라서 수도권 내 지방자치 단체 간 협력을 통하여 사용할탄력적 개념을 제시하였으며, 이 개념의 적용을 통하여 효율적 재해 대응이 이루어 질 수 있다. 본 연구의 정책 제안을 기반으로 수도권 내 서울시 인천시 경기도 지역이 상호 협력하여 탄력적인 방재시스템을 구축하기 위한 기초자료로 활용될 수 있을 것으로 사료된다.

• Proceedings of the Korea Water Resources Association Conference
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• 2018.05a
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• pp.460-460
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• 2018

댐 수문학적 안전성평가는 "시설물의 안전 및 유지관리에 관한 특별벌(이하 시특법)"에 따른 댐시설물의 정밀안전진단의 안전성평가 중 가장 중요한 평가 항목으로 댐 시설물을 평가 수행 시 주요한 평가 항목이다. 기존의 수문학적 안전성평가는 가능최대강수량 발생 시 댐의 월류 및 여유고 확보여부에 대한 평가 여부만 판단하고 있으나, 본 연구에서는 기후변화를 고려하는 장기적 관점의 추가 평가항목을 도출하고자 한다. 현재 가능최대강수량으로 event적 평가를 수행하는 수문학적 안전성 평가에서 기존평가항목 뿐만 아니라, 기후변화 장기적 관점의 추가적인 기후영향인자를 도출하고 이를 함께 적용할 수 있는 평가 체계를 구축하고자한다. 장기적 관점의 기후영향인자라 함은 기상청에서 제공하는 기후변화 시나리오 결과에서 30년동안 장기적인 관점에서 대상 댐의 운영에 부담을 야기할 것으로 판단되는 인자를 말하는 것이며, 이때 기후변화 시나리오의 일자료를 활용하여 기후인자의 장기적 변동성을 추정하고자 하며, 이때 활용한 지표로는 월최대강수량, 연강우강도 및 댐 상태에 영향을 미칠 수 있는 최소기온을 사용하였다. 기후변화 시나리오의 불확실성을 최소화하기 위하여 월최대 강수량값을 산출하였고, 1년 동안 발생한 강우의 일수 및 강수량에 대한 영향을 고려하기 위하여 연강우강도값을 산출하였다. 또한 댐의 월류 및 여유고 확보여부 평가 시 댐 상태에 대하여 고려하기 때문에 댐의 외부상태에 영향을 주는 최소기온을 활용하여 댐별 평가를 수행하였다. 이때 2011~2040년(S1), 2041년~2070년(S2), 2071년~2100년(S3)기간으로 나누어 장기간 기후에 대한 영향 평가를 수행하여 1종 댐 시설물의 기후영향인자 값을 도출하였다. 도출된 기후영향인자를 기존 수문학적 안전성평가 항목과 함께 평가 될 수 있도록 AHP분석기법을 활용하여 각 인자에 대한 가중치를 재산출하였고, 기후영향인자를 고려하는 수문학적 안전성평가 체계를 구축하였다.