A Case of Osmotic Demyelination Presenting with Severe Hypernatremia.

Osmotic demyelination syndrome is a demyelinating disorder associated with rapid correction of hyponatremia. But, it rarely occurs in acute hypernatremia, and it leads to permanent neurologic symptoms and is associated with high mortality. A 44-year-old woman treated with alternative medicine was admitted with a history of drowsy mental status. Severe hypernatremia (197mEq/L) with hyperosmolality (415mOsm/kgH2O) was evident initially and magnetic resonance imaging revealed a high signal intensity lesion in the pons, consistent with central pontine myelinolysis. She was treated with 0.45% saline and 5% dextrose water and intravenous corticosteroids. Serum sodium normalized and her clinical course gradually improved. Brain lesion of myelinolysis also improved in a follow-up imaging study. This is the first report of a successful treatment of hypernatremia caused by iatrogenic salt intake, and it confirms the importance of adequate fluid supplementation in severe hypernatremia.

A case of teriparatide on pregnancy-induced osteoporosis.

Pregnancy-induced osteoporosis is a rare disorder characterized by fragility fracture and low bone mineral density (BMD) during or shortly after pregnancy, and its etiology is still unclear. We experienced a case of a 39-year-old woman who suffered from lumbago 3 months after delivery. Biochemical evidence of increased bone resorption is observed without secondary causes of osteoporosis. Radiologic examination showed multiple compression fractures on her lumbar vertebrae. We report a case of patient with pregnancy-induced osteoporosis improved her clinical symptom, BMD and bone turnover marker after teriparatide therapy.

True euglycemic diabetic ketoacidosis in a person with type 2 diabetes and Duchenne muscular dystrophy.

True euglycemic diabetic ketoacidosis is a rare complication of diabetes. We describe a case of diabetic ketoacidosis in a male with type 2 diabetes and Duchenne muscular dystrophy. He presented with normal plasma glucose as a consequence of starvation, reduced muscle mass and increased body fat.

Gigabit radio-over-fiber link for converged baseband and millimeter-wave band signal transmission using cascaded injection-locked Fabry-Pérot laser diodes.

A novel scheme, for both baseband and millimeter-wave band gigabit data transmission in radio-over-fiber system, is proposed and experimentally demonstrated by using cascaded injection-locked Fabry- Pérot laser diodes. It was able to improve suppression ratio of carrier suppressed signal using the cascaded injection-locking. The suppression ratio improvement of the optical carrier suppressed signal of 20 dB was verified. Applying this mechanism, 60-GHz millimeter-wave carrier of enhanced signal quality could be accomplished. Its peak power and phase noise were obtained as -40 dBm and -103.5 dBm/Hz respectively, which was suitable for 60-GHz data transmission. In addition, a successful bidirectional transmission of 1.25-Gbps wired and wireless data was achieved by adopting remodulation technique using a gain-saturated reflective semiconductor optical amplifier for uplink.