• Title/Summary/Keyword: episodes

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Four Times of Relapse of Plasmodium vivax Malaria Despite Primaquine Treatment in a Patient with Impaired Cytochrome P450 2D6 Function

  • Choi, Sungim;Choi, Heun;Park, Seong Yeon;Kwak, Yee Gyung;Song, Je Eun;Shin, So Youn;Baek, Ji Hyeon;Shin, Hyun-IL;Oh, Hong Sang;Kim, Yong Chan;Yeom, Joon-Sup;Han, Jin-Hee;Kim, Min Jae
    • Parasites, Hosts and Diseases
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    • v.60 no.1
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    • pp.39-43
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    • 2022
  • Plasmodium vivax exhibits dormant liver-stage parasites, called hypnozoites, which can cause relapse of malaria. The only drug currently used for eliminating hypnozoites is primaquine. The antimalarial properties of primaquine are dependent on the production of oxidized metabolites by the cytochrome P450 isoenzyme 2D6 (CYP2D6). Reduced primaquine metabolism may be related to P. vivax relapses. We describe a case of 4 episodes of recurrence of vivax malaria in a patient with decreased CYP2D6 function. The patient was 52-year-old male with body weight of 52 kg. He received total gastrectomy and splenectomy 7 months before the first episode and was under chemotherapy for the gastric cancer. The first episode occurred in March 2019 and each episode had intervals of 34, 41, and 97 days, respectively. At the first and second episodes, primaquine was administered as 15 mg for 14 days. The primaquine dose was increased with 30 mg for 14 days at the third and fourth episodes. Seven gene sequences of P. vivax were analyzed and revealed totally identical for all the 4 samples. The CYP2D6 genotype was analyzed and intermediate metabolizer phenotype with decreased function was identified.

Saddle Embolism Caused by Left Atrial Myxoma -A Case Report- (안장 색전증을 유발한 좌심방 점액종 -수술 치험 1례-)

  • 송정근
    • Journal of Chest Surgery
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    • v.28 no.3
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    • pp.316-319
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    • 1995
  • Systemic emboli occur in approximately one-third of patients with cardiac myxoma. Embolization is common because of the friability of the tumor and intracardiac location. Embolic episodes in young patients with normal sinus rhythm should arouse suspicions of cardiac myxoma in the absence of active endocarditis. We present one case of 17 years old girl having saddle embolism combined with left atrial myxoma. We planned staged operation. First, the emergency thromboembolectomy of aortic bifurcation was performed through bilateral transfemoral approach with use of Forgaty catheter. One week later, the extirpation of myxoma was successfully done with ECC.

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A Study on the Episodes of Ozone in Seoul Metropolitan Area (수도권지역의 고농도 오존사례에 관한 연구)

  • 이종범;방소영
    • Proceedings of the Korea Air Pollution Research Association Conference
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    • 1999.10a
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    • pp.366-367
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    • 1999
  • 오존과 같은 광화학 오염물질의 특징 중의 하나는 도시나 공업단지 등의 차량이나 공장 등으로부터 초기에 배출된 질소산화물(NO$_{x}$ :Oxides of nitrogen), 비메탄계 유기화합물(NMOC:non-methan organic carbon), 알데히드류(RCHO, HCHO 등)와 같은 1차 오염물질이 바람을 따라 풍하측으로 이동하면서 광화학반응을 일으켜 풍하측의 도시에 고농도의 오존을 발생시키는 것이다.(중략)

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The Meteorological Characteristics for High-Ozone Episodes Experienced in Pusan (부산지역을 대상으로 한 고농도오존 사레의 기상학적 특성)

  • 김유근;이화운;오인보
    • Proceedings of the Korea Air Pollution Research Association Conference
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    • 2000.04a
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    • pp.55-56
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    • 2000
  • 급격한 도시화는 도시의 기후변조와 함께 오존오염 문제를 야기 시켰다. 즉 지표오존(ground-level ozone)의 고농도 현상이 도시대기환경의 주된 관심사가 되었고, 이를 해결하기 위해 여러 연구가 국내·외에서 지역특성에 맞게 활발히 이루어지고 있는 실정이다. 일반적으로 지표오존은 전구물질의 배출량 및 도시의 지형학적 위치와 기상학적 특성에 따라 생성·소멸·이류 메카니즘이 다르게 나타난다. 따라서 이러한 국지적 특성의 고려는 지표오존의 고농도분석에 있어 반드시 수반되어야 하며, 이를 바탕으로 최종적으로 농도예측이 이루어 져야 할 것이다. (중략)

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Pulmonary Involvement in Behcet's Disease -A Case Report- (폐동맥류를 동반한 Behcet's Disease)

  • 백효채
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.402-406
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    • 1994
  • Behcet`s disease is a rare systemic disease of unknown cause and it is a progressive disorder with episodes of activity and remission. The major features are oral and genital ulceration and skin and eye lesions. Pulmonary involvement is rare, and we have experienced a 38 year old female patient who had undergone right lower lobe lobectomy due to extensive, rapidly growing pulmonary thromboemboli and pseudoaneurysm in pulmonary artery.

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Inner Circumstellar Ring of Galactic Luminous Blue Variable G26.

  • Lee, Jae-Joon
    • The Bulletin of The Korean Astronomical Society
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    • v.43 no.2
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    • pp.51.4-51.4
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    • 2018
  • Luminous blue variables (LBVs) are luminous evolved massive stars (thus with very large initial masses) typified by their irregular variabilities, which are sometimes associated with eruptive mass loss. G026.47+0.02 is one of the known Galactic LBV surrounded by large circumstellar shell (r~1') detected in far IR. In this presentation, we report the identification of another shell of smaller radii (r~20") indicating that the central star experienced multiple episodes of eruptions. We present detailed multi-wavelength study of the inner shell in near IR and sub-mm, with which we reconstruct its mass-loss history.

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INTRODUCTION TO THE PHYSICS OF ACCRETION DISK

  • Wheeler, J. Craig
    • Publications of The Korean Astronomical Society
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    • v.8 no.1
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    • pp.163-168
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    • 1993
  • At intermediate mass transfer rates, accretion disks in binary star systems undergo a thermally-driven limit cycle instability. This instability leads to outburst episodes when the disk is bright and the flow through the disk is rapid separated by long intervals when the disk is dim and the flow through it is low. This intrinsic outburst mechanism can help to understand a wide range of astrophysical phenomena from dwarf novae to soft X -ray transients involving white dwarf, neutron star, and black holes. and to a deeper understanding of the mechanism of angular transport and viscosity in the accretion disk.

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Numerical Study on the Characteristics of High PM2.5 Episodes in Anmyeondo Area in 2009 (2009년 안면도 지역 고농도 PM2.5 특성에 관한 수치 연구)

  • Jeon, Won-Bae;Lee, Hwa Woon;Lee, Soon-Hwan;Park, Jae-Hyeong;Kim, Hyun-Goo
    • Journal of Environmental Science International
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    • v.23 no.2
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    • pp.249-259
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    • 2014
  • This paper investigates the characteristics of high $PM_{2.5}$ episodes occurred at Anmyeondo area in spring time, 2009. The monthly mean $PM_{2.5}$ concentration during April was the highest in the year and especially, high levels of $PM_{2.5}$ exceeding standard regulation level were sustained consecutively during 5 to 13 April. To analyze more detailed $PM_{2.5}$ characteristics, numerical simulations were carried out using CMAQ(Community Multi-scale Air Quality) with IPR(Integrated Process Rate) and DDM-3D(Decoupled Direct Method). $PM_{2.5}$ level was lower in daytime than that in nighttime due to vigorous vertical mixing during daytime. The chemical composition was showed that ratio of primary ion components such as sulfate($SO_4{^{2-}}$), nitrate($NO_3{^-}$) and ammonium($NH_4{^+}$) were nearly half of total amount of $PM_{2.5}$. Aerosol and transport process dominantly contributed to $PM_{2.5}$ concentration in Anmyeondo area and contribution rate of local emissions was nearly zero since Anmyeondo area has rare anthropogenic PM emission sources. DDM-3D analysis result showed that $PM_{2.5}$ in Anmyeondo area was influenced by emissions from Shanghai and Shandong region of China.

Experiences with Endoscopic Interventions for Variceal Bleeding in Children with Portal Hypertension: A Single Center Study

  • Kim, Seung Jin;Oh, Seak Hee;Jo, Jin Min;Kim, Kyung Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.16 no.4
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    • pp.248-253
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    • 2013
  • Purpose: The aim of this study was to compare the efficacy and safety of band ligation and injection sclerotherapy in the endoscopic treatment of children with variceal bleeding. Methods: The study population included 55 children, all of whom were treated at the time of endoscopic diagnosis of esophageal varices at Asan Medical Center, Seoul, Korea, between January 1994 and January 2011. The primary outcomes included initial success rates and duration of hemostasis after endoscopic management (band ligation vs. injectionsclerotherapy). Results: The mean age was $6.7{\pm}5.2$ years and the mean follow-up time was $5.4{\pm}3.7$ years. The most common cause of esophageal varices was biliary atresia. Of 55 children with acute variceal bleeding, 39 had band ligation and 16 had injection sclerotherapy. No differences between groups were observed in terms of the size, location, and presence of red color sign. The success rates of band ligation and sclerotherapy in the control of acute bleeding episodes were 89.7% and 87.5%. The mean duration of hemostasis after endoscopic intervention was $13.2{\pm}25.1$ months. After one year, 19 of 39 patients (48.7%) treated with band ligation and 7 of 16 patients (43.8%) with injection sclerotherapy had experienced rebleeding episodes. Complications after the procedures were observed in 10.3% and 18.8% of children treated with band ligation and injection sclerotherapy. Conclusion: The results of our current study suggest that band ligation and injection sclerotherapy are equally efficient treatments for the control of acute variceal bleeding and prevention of rebleeding.