• 제목/요약/키워드: Case finding

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기관 및 기관지를 침범한 재발성다발연골염 1례 (A Case of Relapsing Polychondritis involving Trachea and Bronchi)

  • 임상철;장일권;임성철;박경옥
    • 대한기관식도과학회지
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    • 제4권1호
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    • pp.117-121
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    • 1998
  • Relapsing polychondritis is a rare disesase involving any cartilaginous structure of entire body and is characterized by recurrent episode of inflammation and degeneration of cartilage and most commonly involve ear, nose, larynx, trachea, ribs, Eustachian tube, etc. Its signs and symptoms are recurrent swelling of auricle, saddle nose deformity, polyarthralgia, hoarseness and dyspnea, audiovestibular disturbance and cardiovascular abnormality, etc. Characteristic histologic findings are loss of normal basophilic staining of cartilage, perichondrial inflammatory infiltration with plamsa cells, lymphocytes and neutrophils, and finality, destruction of cartilage and replacement with scar tissue. Our case had saddle nose deformity, arthralgia, tracheal collapse, hearig loss and positive histologic finding but no auricular perichnodritis. Her major problem was airway. obstruction due to tracheal collapse. This case was diagnosed with relapsing polychondritis according to the Damiani's criteria. This case indicates that any patients complaining of airway obstruction have to be examined systemically.

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Appendiceal Mucinous Neoplasm Detected due to the Protrusion of Mucin, in the Absence of Appendiceal Distension: A Case Report

  • Park, Jin Woo;Park, Min Geun;Song, Ji-Sun;Cho, Hyeon Je;Kim, Yu Jin
    • Journal of Digestive Cancer Reports
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    • 제8권2호
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    • pp.109-111
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    • 2020
  • A mucocele is a cystic dilatation of the vermiform appendix that contains mucous material. The symptoms associated with it are not specific and the diagnosis is seldom made prior to surgery. The reported prevalence in appendectomy specimens procured during surgery is 0.2-0.3%. Recently, we experienced a case of patient with appendiceal mucocele detected by colonoscopic examination. This case did not show typical colonoscopic features of a mucocele, demonstrating protrusion of mucin, in the absence of a smooth mound with normal overlying mucosa surrounding the appendiceal orifice. The case involved a 64-year-old woman who underwent a colonoscopy. An abdominopelvic computed tomography scan suggested a normal appendix. Subsequently, we performed an appendectomy. The pathologic finding was a low-grade appendiceal mucinous neoplasm.

Bechet`s 병과 합병된 상부대동맥류: 치험 1례 보고 (Behcet`s Syndrome with Aortic Aneurysm: A Case Report)

  • 강정호;이정호;유회성
    • Journal of Chest Surgery
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    • 제10권1호
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    • pp.98-105
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    • 1977
  • A 36 year old blindman, engineer was admitted with chief complaints of hemoptysis, recurrent sore throat, pyoderma in genital organ, uveitis and thrombophlebitis for 10 years. Above the chief complaints were remission or exacerbation during hospitalization. Physicalexamination showed that left radial, ulnar & brachial pulse was not palpable. No bruit or murmur was obtained over the mass. Neurologic examination revealed no significant finding.On admission, chest P-A showed hen egg sized round & oval compact hazy density on left upper lung field. Bronchogram revealed no pathological finding and Lt. tomogram showed well define large,ovoid mass density in the superior mediastinum. Fluoroscopy finding showed nonpulsatile on left upper lung field. Pre-op. aortography was not taken, under the impression of lung Ca. rule out .sortie aneurysm, exploratory operation was performed through the 2nd intercostal space, Lt. It was performed that the mass was ascending sortie aneurysm of saccular type. Direct aneurysmectomy with multiple figure of eight suture were done without any prosthetic graft. Post-op. control I.V.C graphy showed completely obstruction sign. Postopcontrol aortography revealed good surgical result. Final, histopathological answered non-specific sortie aneurysm, saccular type. Post-op. courses were uneventful except mild neurologic disturbance with subclavian steal syndrome and associated with both lower leg pitting edema due to inferior vena cava obstruction. After op, 3 month later, discharged to home, with big systemic problem. Behcet`s syndrome reviewed with related literatures. The coexistence of mouth and genital ulceration with hypopyon mentioned by hippocrates and described by various workers in the early part of this century was first defined as a syndrome by Behcet in 1937. In 1937 Behcet described a chronic relapsing triple symptom complex of oral ulceration, genital ulceration, and ocular inflammation. The place of the syndrome as part of a systemic disorder in now clearer, and the under lying pathology appears to be a vasculitis. The disease runs a- chronic course, blindness being the greatest disability and control nervous system involvement a cause of death. Thrombophlebitis is fairly frequent, france et al [1951] giving an incidence of 25% and Dowling [1961] 12%, superficial thrombophlebitis migrans and thrombosis of large veins, including venae cavae [Thomas, 1947: Boolukos 1960] are recorded. Little attention has been paid to arterial involvement. Mishima et al. [1961] described resection cf an aortic aneurysm in a 38 year old man with Behcet`s syndorme. Mounsey in a clinicopathological conference described a case [Brit, med. J., 1966] of ruptured aortic aneurysm in Bechcet`s syndrome treated by aorto-iliac graft. Also, Shikano and Oshima et al [1963] recorded two aneyrysm of smaller arteries. Unfrequently, aortic aneurysm was presumed to be secondary to osteomyelitis of the lumber spine, though the possible association between aortic aneurysm and Behcet`s syndrome was raised. A further case is reported here, in which ascending aortic aneurysm with Behcet`s Ds. appeared to form part of this generalized disease. This is a case report of surgical experience of Behcet`s Ds. with ascending aortic aneurysm which had nearly all the typical clinical features. Above mentioned and was reviewed with related literatures.

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복부 외상 후 발생한 동맥-집뇨계 간 연결 (Artery to Collecting System Communication after Abdominal Trauma)

  • 이창욱;권오정;방성학;최낙영;이창섭;안승현
    • Journal of Trauma and Injury
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    • 제19권2호
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    • pp.192-195
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    • 2006
  • Degenerative vascular disease, previous arterial surgery, long-term ureteral stenting, pelvis surgery, and radiotheraphy are reported as causes of artery-to-collecting-system communication.. Artery-to-collecting-system- communication associated with blunt trauma is rare, but potentially fatal. The diagnosis is very difficult and requires a high degree of suspicion. We were able to make the diagnosis based on the characteristic finding of contrast-enhanced computed tomography (CT) obtained in the early phase, equivalent to the finding obtained in the corticomedullary phase of the kidney. We report a case of artery to collecting system communication due to blunt abdominal trauma following a fall, which was treated by embolization.

STRONG CONVERGENCE OF AN ITERATIVE METHOD FOR FINDING COMMON ZEROS OF A FINITE FAMILY OF ACCRETIVE OPERATORS

  • Jung, Jong-Soo
    • 대한수학회논문집
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    • 제24권3호
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    • pp.381-393
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    • 2009
  • Strong convergence theorems on viscosity approximation methods for finding a common zero of a finite family accretive operators are established in a reflexive and strictly Banach space having a uniformly G$\hat{a}$teaux differentiable norm. The main theorems supplement the recent corresponding results of Wong et al. [29] and Zegeye and Shahzad [32] to the viscosity method together with different control conditions. Our results also improve the corresponding results of [9, 16, 18, 19, 25] for finite nonexpansive mappings to the case of finite pseudocontractive mappings.

5-SS 공간 7절 운동생성기 합성을 위한 대수적 소거 알고리듬의 개발과 구현 (Development and Implementation of Algebraic Elimination Algorithm for the Synthesis of 5-SS Spatial Seven-bar Motion Generator)

  • 이태영;심재경
    • 대한기계학회논문집A
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    • 제24권1호
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    • pp.225-231
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    • 2000
  • Dimensional synthesis of planar and spatial mechanisms mostly requires solution-finding, procedure for a system of polynomial equations. In case the system is nonlinear, numerical techniques like Newton-Raphson are often used. But there are no logical ways for finding all possible solutions in such iterative methods. In this paper, algebraic elimination is used to get all solutions for the synthesis of 5-SS spatial mechanism with seven prescribed positions. The proposed algorithm is more suitable for computer implementation and takes less time than existing one. Two numerical examples are given to demonstrate the implemented algorithm.

선형시변 시스템의 안정도 영역에 관하여 (On a Stability Region of Liner Time-Varying Systems)

  • 최종호;장태정
    • 대한전기학회논문지
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    • 제37권7호
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    • pp.484-489
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    • 1988
  • Sufficient conditions concerning the perturbation region of system parameters, which guarantee the asymptotic stability of linear time- varying systems, are presented. These conditions are obtained by Lyapunov function approach for continuous-time and discrete-time systems. Also, a computational algorithm using nonlinear programming is proposed for finding the maximum perturbation region which satisfies the sufficient condition for the continuous-time systems. The technique of finding the solution for the continuous-time systems can also be applied to the discrete-time systems. In the continuous-time case, it is shown by an example that the method proposed in this paper yields much larger perturbation region of parameters than other previously reported results. An example of the perturbation region of system paramters for the discrete-time system is also given.

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식도(食道) 평활근종(平滑筋腫)의 수술치험(手術治驗) 1례(例) (Leiomyoma in the Esophagus (Report of A Case))

  • 오철수;김근호
    • Journal of Chest Surgery
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    • 제9권2호
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    • pp.311-314
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    • 1976
  • This is a report of leiomyoma in the esophagus. patient had suffered from mild intermittent dysphagia on eating without any other complaints. This complaint had been going for 45 days, but was not progressed. The esophagogram revealed an ovoid walnut-sized smooth filling defect in the midportion of the esophagus. The mucosal folds of the esophagus were not destroyed. A benign intramural tumor of the esophagus, such as leiomyoma, was suspected with X-ray finding and clinical features. On Aug. 13, 1976 a thoracotomy was performed at right 4th intercostal space. A firm, irregular shaped mass in the wall of the esophagus was enucleated by blunt dissection without any injury of the mucosa of the esophagus. The diagnosis of leiomyoma was confirmed with histopathological finding. Postoperative course was uneventful.

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초월함수 치역을 구하는 문제를 통한 학습시스템 모델에 관한 연구 (A Case Study:A Learning System for Finding the Ranges of Transcendental Functions)

  • 김일곤;유석인
    • 인지과학
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    • 제1권1호
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    • pp.103-127
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    • 1989
  • 예를 이용하여 학습하는 방법은 ALEX,LP,LEX 에 이르기까지 각각 특유의 방법을 가지면서 발전해 왔다.특히 Silver 의 LP 시스템은 방정식(Symbolic Equation)을 푸는데 있어, 과거에 풀었던 예로부터 이에 적용된 일련의 연산자들을 이용하는 방법으로 구축되어 있다. 본논문에서는 기존의 학습시스템 LEX,LP를 보다 일반화시킨 새로운 학습시스템 LRD를 제안한다. LRD에서는 연구된 예에서의 연산자 활용을 이와 유사한 모든 문제에까지 적용시킬 수 있도록 하기위하여 일반화 과정과 세분화 과정을 설정하여 학습하는 방법을 제시한다.초월함수의 치역을 구하는 예를 통하여 LRD의 학습기법을 설명하고,기존의 LEX및 LP시스템 에서 다루어지는 문제들을 통해 LEX및 LP시스템과 LRD 시스템이 비교 되어진다.

폐동맥에서의 우관상동맥 기시이상증 -1례 치험- (Anomalous Origin of Right Coronary Artery from Pulmonary Artery)

  • 박성혁;김용진
    • Journal of Chest Surgery
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    • 제21권3호
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    • pp.553-557
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    • 1988
  • Anomalous origin of right coronary artery from pulmonary artery is a rare congenital cardiac anomaly. Anomalous right coronary artery often be a incidental finding without serious cardiovascular sequale. The only characteristic physical finding is a continuous murmur with diastolic accentuation. There are no diagnostic EKG or chest X-ray changes. Diagnosis is made best by selective left coronary arteriography showing retrograde filling of right coronary artery from collateral vessels. Here, we present a case of twenty-four months old aged girl with anomalous origin of right coronary artery combined with pulmonary stenosis. This is the first pediatric patient with anomalous right coronary artery and the first patient to have surgical correction for this malformation.

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