• Title/Summary/Keyword: SHE

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Herlyn-Werner-Wunderlich Syndrome with Central Precocious Puberty: A Case Report

  • Han, Jeeho;Lee, Jae Man;Kim, Geon Hee;Kim, Su Jin
    • Childhood Kidney Diseases
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    • v.23 no.2
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    • pp.124-127
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    • 2019
  • Herlyn-Werner-Wunderlich (HWW) syndrome is a rare congenital anomaly of the genitourinary tract comprising uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. Patients with HWW syndrome usually present symptoms such as dysmenorrhea, abdominal pain, pelvic mass, and purulent vaginal discharge. If not treated at an appropriate time, complications such as infertility, endometriosis, pyosalpinx, and subsequent pelvic adhesions may occur. Here, we report a case of HWW syndrome in a 7-year-old-girl who was also diagnosed as having central precocious puberty. She was brought to the pediatric department with chief complaints of lump in her breast and vaginal discharge. When she was around 2 months old, she was confirmed to have a single kidney on ultrasonography. We checked her past medical history and diagnosed her as having HWW syndrome based on the results of imaging studies, including abdominal ultrasonography and pelvic magnetic resonance imaging. She underwent treatment with gonadotropin-releasing hormone analogue for 2 years. During 24 months of follow-up, she showed no serious problems or complications. If renal anomalies are identified immediately after birth or in infancy, further screening tests should be conducted prior to menstruation for determining congenital abnormalities of the reproductive tract and vice versa.

A Case Report of Climacteric Symptoms in Premature Ovarian Failure Patient Who Has One Side Ovariectomy and Pelvic Tuberculosis (골반결핵과 단측 난소절제의 병력이 있는 환자의 조기 폐경 후 갱년기 증상 치험 1례)

  • Lee, Yeon-Kyeong;Yoo, Yung-Ki;Lee, Dong-Nyung;Kim, Hyung-Jun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.3
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    • pp.269-278
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    • 2008
  • Purpose: The purpose of this study is to report the effect of Traditional Korean Medicine therapy on climacteric symptoms in premature ovarian failure patient. Methods: The patient in this case was 32 years old female. She had a history of the right side ovariectomy and antituberculous chemoteraphy caused by pelvic tuberculosis. And she was diagnosed with premature ovarian failure in October, 2007. She had a climacteric symptoms when she admitted to the OBGY department of Se-Myung University in Je-Cheon. She received Korean Medicine therapies such as herbal medicine, moxibustion, acupuncture. We evaluated patient's health status by Kupperman's index and VAS. Results: After the treatment, the climacteric symptoms in premature ovarian failure patient was improved. Conclusion: This case study shows that Korean Medicine therapies have significant effect on climacteric symptoms in premature ovarian failure.

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A rare case of childhood-onset systemic lupus erythematosus associated end-stage renal disease with cerebral abscess and hemorrhage

  • Jee Hyun Kim;Jae Il Shin; Ji Hong Kim;Keum Hwa Lee
    • Childhood Kidney Diseases
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    • v.28 no.1
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    • pp.44-50
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    • 2024
  • Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease that affects multiple organs. More than half of the patients with SLE have kidney involvement, and up to 10% of patients with lupus nephritis develop end-stage renal disease (ESRD). Central nervous system (CNS) involvement in SLE occurs in 21% to 95% of patients. Severe neurological manifestations such as seizures, cerebrovascular disease, meningitis, and cerebrovascular accidents can develop in childhood-onset SLE, but cerebral infections, such as brain abscess and hemorrhage, are seldom reported in lupus nephritis, even in adults. Here, we report a rare case of childhood-onset SLE with ESRD, cerebral abscess, and hemorrhage. A 9-year-old girl diagnosed with lupus nephritis was administered high-dose steroids and immunosuppressant therapy to treat acute kidney injury (AKI) and massive proteinuria. The AKI deteriorated, and after 3 months, she developed ESRD. She received hemodialysis three times a week along with daily peritoneal dialysis to control edema. She developed seizures, and imaging showed a brain abscess. This was complicated by spontaneous cerebral hemorrhage, and she became unstable. She died shortly after the hemorrhage was discovered. In conclusion, CNS complications should always be considered in clinical practice because they increase mortality, especially in those with risk factors for infection.

Treatment of Nerve Root Injury during Cervical Epidural Block -A case report- (경부 경막외 블록 중 발생한 신경근 손상 치료경험 -증례 보고-)

  • Kim, Won-Hong
    • The Korean Journal of Pain
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    • v.14 no.1
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    • pp.123-125
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    • 2001
  • A 50-year-old female patient developed severe right neck and upper extremity pain, hyperesthesia and allodynia during cervical epidural block. Her pain was diagnosed as neuropathic nature. She was treated with repeated stellate ganglion block (SGB) and electrical stimulation (EST). After 3 weeks of treatment, symptomatic relief was achieved, but a mild degree of hyperesthesia and motor weakness was remained. However, she refused all treatment. So treatment was stopped. In a follow-up done, 15 weeks after the nerve injury, she had recovered without complications.

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Pulmonary Lymphangiomyomatosis - A Case Report - (폐림프관근종증 치험 1례)

  • 정수상;박병률;이종수;양석숭
    • Journal of Chest Surgery
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    • v.26 no.2
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    • pp.160-162
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    • 1993
  • Pulmonary lymphangiomyomatosis is rare but extremely interesting condition caused by progressive widespread smooth muscle proliferation in the perilymphatic regions throughout the lungs. The patient was a 25-year-old female. She had angiofibromas in the face, and angiomyolipoma in the left kidney which was removed 5 years earlier. Three years ago she started having severe dyspnea with bilateral pneumothoraces. Treatment was initiated with bilateral closed thoracotomies followed by open thoracotomy through median sternotomy and lung biopsy, which revealed the diagnosis of pulmonary lymphangiomyomatosis. Recurrence of pneumothorax was treated by repeated chemical pleurodesis with tetracycline. She has been in good condition during medroxyprogesterone administration for 3 years.

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Output Voltage Control in a Serise Multilevel H-bridge Inverter with SHE-PWM Method (직렬 멀티레벨 H-bridge inverter에서 SHE-PWM방식을 사용한 출력 전 압의 제어)

  • Kim J.Y.;Jeong S.G.
    • Proceedings of the KIPE Conference
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    • 2003.07a
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    • pp.1-4
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    • 2003
  • This paper proposes a method of voltage control for three-phase multilevel H-bridge inverters with selective harmonic elimination (SHE) PWM The full-bridge configuration of H-bridge inverter cells enables voltage control with a fixed PWM pattern by means of phase shifting between the legs, which greatly simplifies the control while maintaining the harmonic elimination characteristics. The series combination of the cells in multilevel configuration can be exploited to further improve the hormonic elimination characteristics with proper phase shifting between the ceil volitage. A complexor-based control method is introduced to control the magnitude and phase angle of cell voltages that form three-phase multilevel output voltages. Simulation results show that the proposed method along with SHE PWM would provide satisfactory performance in spite of its simplicity.

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A study on the constructive principle and Techniques of Vionnet's works (Vionnet 작품의 구성원리와 기법에 대한 연구)

  • Chun, Hei-Jung
    • Journal of the Korean Society of Costume
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    • v.17
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    • pp.209-219
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    • 1991
  • The purpose of this study was to identify the constructive principle and techniques of Vionnet's works. According to analysis of Vionnets works, it was found that Vionnet conceived of the human body as a continuous shaping of a cylinder. Vionnet's drapery denied the planner presumption of woman and gave real three-dimension to form and to fashion. The techniques of Vionnet's works were as fallow : (1) She introduced the diogonal "bias cut" and changed dress design by her sensuous use of fabrics. (2) She eliminated interfacing to keep the silhouette and the fabric soft. (3) She manipulated the fabric to remove the excess for fit and decoration at the same time. (4) She treated the fabric with a synthesis of geometry and grace. (5) The sale luxury allowed was to note the choice of seams, facings, hems, and stitches. (6) Vionnet's dresses were not lined.

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The current status of the Korean student health examination

  • Shin, Hye-Jung
    • Clinical and Experimental Pediatrics
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    • v.56 no.8
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    • pp.313-322
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    • 2013
  • Recent trends place an emphasis on school health care, the ultimate goal of which is to protect, maintain, and promote students' health. School health care is a program that integrates health care services, health education, health counseling, and local social health services. The student health examination (SHE) system is a part of school health care and schools and communities must be available to provide professional health services. Pediatricians also have important roles as experts in both school health care and the SHE system. In this article, the history of school health care, its legal basis, and the current status of the SHE system in Korea are reviewed. Furthermore, sample surveys from the past few years are reviewed. Through this holistic approach, future directions are proposed for the improvement of SHE and school health care.

Application of MIKE SHE Modeling System to the Gyeongancheon Watershed (경안천 유역에 대한 MIKE SHE모형의 적용)

  • Im, Sang-Jun;Kim, Hyeon-Jun;Jang, Cheol-Hee
    • Proceedings of the Korean Society of Agricultural Engineers Conference
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    • 2003.10a
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    • pp.463-466
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    • 2003
  • The physically based distributed modelling system, MIKE SHE, has been applied to the upper sub-watershed of the Gyeongancheon watershed. A horizontal grid square was constructed to represent the spatial variations in watershed characteristics, landuse, soil, and rainfall distributions. The hydraulic model MIKE 11 was also coupled with the MIKE SHE to simulate river flow in the main and tributaries of Gyeongancheon. The simulated daily stream flow at the outlet of the watershed was compared to the observed data for the period of 1988 to 1991. The results demonstrated the applicability of a comprehensive hydrological modelling system as management tool for watershed and floodplain.

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학술정보전달시스템으로서 대학출판부의 활성화 방안-부산대학교 출판부를 중심으로-

  • 송정숙
    • Journal of Korean Library and Information Science Society
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    • v.28
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    • pp.137-170
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    • 1998
  • The University Press, as a publishing division of the university, is a high quality and low cost scholarly communication system. In contrast to European and American university presses, Korean university presses publish very small amount of books. So the author took a case study of the Pusan National University Press(PNUP). She interviewed with faculty who had published or were going to publish. And then she analyzed why or why not the faculty at the Pusan National University selected PNUP as a publisher. On the basis Of the results, she identified problems of the PNUP and she made an activating program that can be a n.0, pplied to most of Korean university presses. This program involved setting up the mission of the press; a n.0, ppointing a professional to the staff and establishing a fund; encouraging high quality scholarly publishing, refined bookmaking and positive marketing; and increasing the expense of the library and improving community su n.0, pport of the university press.

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