• 제목/요약/키워드: ENT

검색결과 484건 처리시간 0.026초

초기 성문암종에서 레이저를 이용한 성대절제술의 효과 (Endoscopic Laser Cordectomy for Early Glottic Cancer)

  • 최종욱;박정수;민헌기;정광윤;최건;유홍균
    • 대한두경부종양학회지
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    • 제12권2호
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    • pp.201-205
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    • 1996
  • 이상의 성적에서 레이저 성대 절제술은 초기 성문암종에 대한 일차 치료법으로 유용하다고 생각되었으며, 일차 절제가 가장 중요하고 그후 성대를 포함한 전체 후두점막에 대하여 주기적으로 현수후두경하에 수술현미경을 이용한 추적관찰과 원격전이 및 이차암의 발생 유무에 대하여 적극적인 추적검사가 필요할 것으로 사료된다.

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두경부에 발생한 점막형 악성흑색종의 임상적 특성 (Clinical Characteristics of Head and Neck Mucosal Melanoma)

  • 최종욱;석윤식;최건;유홍균
    • 대한두경부종양학회지
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    • 제12권2호
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    • pp.188-192
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    • 1996
  • 점막형 악성흑색종 10례에 대한 임상분석 결과 비강에서 가장 호발하였고 증상은 비폐색이 가장 많았다. 치료 성적은 수술을 우선적으로 선택한 후 방사선요법을 시행한 경우군에서 평균생존기간이 20.8개월이었고 방사선치료를 우선적으로 선택한 경우군에서는 14.7개월로, 접막형 악성흑색종의 경우 광범위 절제술 후 방사선요법을 시행하는 것이 도움이 될 것으로 생각되나 윈격전이 6례를 포함한 8례의 환자에서 재발이 있어 예후가 극히 불량한 암종으로 생각된다.

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유도항암요법에 반응치 않는 환자와 재발한 두경부암환자에서 Cisplatin과 방사선 동시치료 (Concurrent Cisplatin and Radiotherapy in Refractory Patients to Induction Chemotherapy and Recurrent Head and Neck Cancer)

  • 김훈교;강진형;이경식;김동집;장홍석;윤세철;조승호;서병도
    • 대한두경부종양학회지
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    • 제8권1호
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    • pp.21-24
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    • 1992
  • In patients with locally advanced head and neck cancers who do not respond to induction chemotherapy and who have locoregional recurrence after local treatment subsequent radiotherapy alone does not have any additative effect. The theoretical rationale and promising clinical response of concurrent chemoradiotherapy in patients with the head and neck cancers have been recently conducted Ten patients(9 stage IV, q stage III) were treated with concurrent chemoradiotherapy(radiotherapy start from day 1 of chemotherapy; cisplatin $100mg/m^2$ intravenously every 3 weeks for $3{\sim}4$ cycles on day 1.22 and 43..). Four patients achieved complete response(CR) and overall response rate was 80% (8/10). The major toxicities we re leukopenia (90%), nausea/vomiting(80%), stomatitis(80%) and peripheral neuropathy(30%). Most of these side effects were mild to moderate and reversible.

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기후변화를 고려한 잣나무의 미래 적지적수 변화 예측 (Anticipation of the Future Suitable Cultivation Areas for Korean Pines in Korean Peninsula with Climate Change)

  • 최재용;이상훈;이상혁
    • 한국환경복원기술학회지
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    • 제18권1호
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    • pp.103-113
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    • 2015
  • Korean pines(Pinus koraiensis) are one of the major plantation species in the Republic of Korea and their natural habitats range from Japan and China to Siberia. The seed of Korean pines, pine nuts, are well know for good food reserves. Due to the global changes which drive the Korean peninsula into the semi-tropical climate, current plantations and natural habitats of Korean pines are faced with the change in the environmental conditions to some extent. To anticipate suitable sites for Korean pines in the future, the location of Korean pines were extracted from the 'Map of suitable trees on a site' that provides the map of suitable trees on a site considering tree species for timber and special uses, and then MaxEnt modelling was used for generating a prediction map on the basis of statistical analysis. As a result, the order of predicted suitable sites were Kangwon-do, Kyungsangbuk-do and Chungcheongbuk-do provinces and sites with high elevation within those provinces were considered most suitable in common. The prediction map of suitable sites for Korean pines presented that suitable sites in the future decreased by 72.2% by 2050's and almost disappeared with a decrease of 92.1% by 2070's on a nationwide scale. In relation to the major production regions of pine nuts in South Korea - Gapyung gun and Yangpyung gun, Kyunggi province and Hongcheon gun, Kangwon province, suitable sites within their areas were predicted to increase by 2050's but become extinct in South Korea by 2070's. To establish a long-term countermeasures against the improvement on forest productivity quality in terms of managing national food security, the result from this study can be considered as a firm basis of predicting plantation suitability. Also, it can be used to predict the changes in supply of forest products and thereby market values in accordance with climate change scenarios.

콘택트렌즈 보존 용기 유래 Acnnthamoebc lugdunensis을 KA/LS주의 내공생세균 (Bacterial endosymbiosis within the cytoplasm of Acanthamoeba Lwnunensis isolated from a contact lens storage case)

  • 정동일;공현희
    • Parasites, Hosts and Diseases
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    • 제35권2호
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    • pp.127-134
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    • 1997
  • 콘택트렌즈 보존 용기 유래 가시아메바 KA/LS주의 세포질 내에 존재하는 bacterial endosymbiont(내공생세균)를 투과전자현미경으로 관찰하여 확인하였다. 숙주인 가시아메바 KA/LS주는 형태학적으로 제2군에 속하였고 rDNA PCR-RFLP 결과 A. lugdunensis로 동정되었다. 미토콘드리아 DNA RFLP와 동위효소 분석상 이 충주는 국내 콘택트렌즈 보존용기에서 가장 흔히 분리되는 type인 KA/L1주, 국내 임상 분리주 중 하나인 KA/E2주, 내공생세균을 가지는 것으로 보고된 병원 냉각수 유래 KA/W4주 및 L3a주와 동일하거나 매우 유사한 성적을 보였다. 내 공생세균은 약 $1.38{\;}{\times}{\;}0.50{\;}{\mu\textrm{m}}$의 크기였고, 아메바 세포질 내에 불규칙하게 분포하고 있었으며 그 표면에 아메바의 ribosome이 부착되어 있었다. 내공생세균을 둘러싼 lacunae나 막과 같은 구조는 관찰되지 않았다. Legionoun 특이 primer를 이용한 효소중합반응(PCR)에서 내공생세균의 염색체 DNA는 증폭되지 않았다 A. lugdunensis의 우리말 이름을 담수가시아메바로 제안한다.

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브라운관 전자총 부품의 펄스 Nd:YAG레이저 용접에 관한 연구 (I) - 빔의 출력특성과 광학변수 - (A Study on Pulsed Nd:YAG Laser Welding of Electron Gun in Braun Tubes (I) - Characteristics of Beam Output Energy and Optical Parameters -)

  • 김종도;하승협;조상명
    • Journal of Welding and Joining
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    • 제20권4호
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    • pp.525-534
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    • 2002
  • During laser spot welding of the braun tube electron gun, phenomena such as serious spattering and oxidative reaction, etc. were occurred. The spatter occurred from weld pool affects the braun tube, namely it blocks up a very small hole on the shadow mask and causes short circuit between two roles of the electron gun. We guessed that high power density and oxidative reaction are main sources of these problems. So, we studied to prevent and to reduce spatter occurring in spot welding of the braun tube electron gun using pulsed Nd:YAG laser. The characteristics of laser output power was estimated, and the loss of laser energy by optical parameter and spatter was measured by powermeter. The effects of welding parameters, laser defocused distance and incident angle, were investigated on the shape and penetration depth of the laser welded bead in flare and flange joints. From these results, the laser peak power was a major factor to control penetration depth and to occur spatter. It was found that the losses of laser energy by optic parameter and sticked spatter affect seriously laser weldability of thin sheets. The deepest penetration depth is gotten on focal position, and a "bead transition" occurred with a slight displacement of focal position relative to the workpiece surface and the absorption rate of the laser energy is affected by the shape factor of the workpiece. When we changed the incident angle of laser beam, the penetration depth was decreased a little with increasing of the incident angle, and the bead width was increased. The spattering was prevented by considering laser beam energy and incident angle.ent angle.

컬러이미지 대상 고용량 적응형 LSB 스테가노그라피 (Adaptive LSB Steganography for High Capacity in Spatial Color Images)

  • 이혜영
    • 한국컴퓨터그래픽스학회논문지
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    • 제24권1호
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    • pp.27-33
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    • 2018
  • 본 논문은 컬러 이미지대상 고용량 데이터 은닉을 위한 새로운 적응형 least-significant-bit(LSB) 스테가노그라피 알고리즘을 제시한다. 은닉할 데이터 비트와 교체하기 위한 컬러 이미지 픽셀의 빨강, 초록, 파랑 (RGB) 컴포넌트의 LSB 비트 수는 peak signal noise ratio (PSNR) 최저값 분석을 통해 결정하였다. 은닉 데이터의 70%는 픽셀의 두 색상 컴포넌트 LSB 3비트를, 나머지 컴포넌트 LSB 2 비트를 교체하고, 30%는 모든 RGB 컴포넌트 LSB 4비트를 교체하는 조합을 제안한다. 또한, 데이터를 은닉할 에지영역 픽셀 선택을 위하여 지역적인 정렬방법도 제안한다. 본 방법은 픽셀 당 9.2 비트(9.2bpp)의 고용량 은닉이 가능하다. 30K - 60K바이트 데이터 은닉 실험결과 512x512 컬러 이미지의 평균 PSNR값은 43.9db이고 자연스러운 히스토그램도 도출되었다.

국소마취하 상악 측절치 치근단 절제술 후 인식된 신경병성 비정형 치통 1예 -증례 보고- (A Neuropathic Atypical Odontalgia Recognized after the Apicoectomy under Local Anesthesia on the Maxillary Lateral Incisor -A Case Report-)

  • 모동엽;유재하;최병호;김하랑;이천의;김종배
    • 대한치과마취과학회지
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    • 제10권1호
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    • pp.20-26
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    • 2010
  • This type of neuropathic pain(atypical odontalgia) is seen most often in middle-aged women or men after dentoalveolar operation. Atypical odontalgia probably is caused by deafferentation leading to intraneural changes in the medullary dorsal horn. Treatment of this problem is difficult, but some success has been reported in uncontrolled, open-labeled studies using high doses of tricyclic antidepressants. This is the management report of a patient case, that had a neuropathic atypical odontalgia recognized with the right maxillary lateral incisor. The patient was consulted to the Department of Pain Clinics, ENT & Neurology and diagnosed the adenoid cystic carcinoma on left cerebellum and right paranasal sinus with extension to the cavernous sinus. In spite of the osteoplastic craniotomy, neurosurgical mass removal and radiation therapy were done with chemotherapy, atypical odontalgia was continued. In addition to the consultation to Psychology, stress management and antidepressant medication were done and improved slowly.

Robinow 증후군 환아의 전신마취를 이용한 치료증례보고 (TREATMENT OF THE CHILD WITH ROBINOW SYNDROME UNDER GENERAL ANESTHESIA : A CASE REPORT)

  • 박재홍;이긍호
    • 대한소아치과학회지
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    • 제23권3호
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    • pp.601-608
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    • 1996
  • 저자는 전반적인 치아우식증을 주소로 개인 의원에서 경희대학교병원 소아치과에 의뢰된 10세 여아에서 Robinow syndrome 의 드문 증례의 치료를 시행하고 문헌을 고찰하여 다 음과 같은 결론을 얻었다. 1. 전신소견으로 전두부 돌출, 양안격리, 넓은 안검렬, 들창코 등을 보이는 태아모습의 특정적 안모와 작은키, 짧은 팔, 굽은 손가락, 생식기의 미발육 등이 관찰되었고 전반적인 발육지연이 있었다. 2. 구내소견으로 치아우식, 치아총생, 구개수의 미발육, 수술받은 구개열, 구호흡이 관찰되었다. 3. 이 증후군에서 드물게 보여지는 정신지체, 청각장애, 삼출성 중이염을 동반하였다. 4. 가족력은 발견할수 없었다. 5. 전신마취하에 전반척인 치과치료와 이비인후과치료를 함께 시행하였다. 6. Robinow 증후군은 여러 합병증을 수반할 수 있으므로 타과와의 협력하에 전반적인 검사를 시행하고 포괄적인 협력진료가 요구된다.

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MDM2 and TP53 Polymorphisms as Predictive Markers for Head and Neck Cancer in Northeast Indian Population: Effect of Gene-Gene and Gene-Environment Interactions

  • Bhowmik, Aditi;Das, Sambuddha;Bhattacharjee, Abhinandan;Choudhury, Biswadeep;Naiding, Momota;Deka, Sujata;Ghosh, Sankar Kumar;Choudhury, Yashmin
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5767-5772
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    • 2015
  • Background: Polymorphisms in the MDM2 309 (T>G) and TP53 72 (G>C) genes are reported to increase the susceptibility to head and neck cancer (HNC) in various populations. The risk for HNC is also strongly associated with etiologic habits such as smoking, alcohol consumption and/or chewing of betel quid (BQ). In a case-control study, we investigated the significance of the above polymorphisms alone, and upon interaction with one another as well as with various etiologic habits in determining HNC risk in a Northeast Indian population. Materials and Methods: Genotyping at 309 MDM2 and 72 TP53 in 122 HNC patients and 86 cancer free healthy controls was performed by PCR using allele specific primers, and the results were confirmed by DNA sequencing. Results: Individuals with the GG mutant allele of MDM2 showed a higher risk for HNC in comparison to those with the TT wild type allele (OR=1.9, 95%CI: 1.1-3.3) (p=0.022). The risk was further increased in females by ~4-fold (OR=4.6, 95% CI: 1.1-19.4) (P=0.04). TP53 polymorphism did not contribute to HNC risk alone; however, interaction between the TP53 GC and MDM2 GG genotypes resulted in significant risk (OR=4.9, 95% CI: 0.2-105.1) (p=0.04). Smokers, BQ- chewers and alcohol consumers showed statistically significant and dose-dependent increase in HNC risk, irrespective of the MDM2 genotype. Conclusions: MDM2 genotype could serve as an important predictive biomarker for HNC risk in the population of Northeast India.