• Journal of Trauma and Injury
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• v.27 no.3
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• pp.71-74
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• 2014

Among chest trauma patients, cardiac laceration is a rare, but severe, condition requiring prompt management. Depending on the patient's hemodynamic status, early detection rate of a cardiac laceration may or may not be occur. If a possibility of cardiac laceration exists, an emergent thoracotomy should be performed. Furthermore, patients who experience a cardiac laceration also experience different kinds of complications. Therefore, close follow-up and monitoring are required. Herein, we report a 41-year-old man with a left atrium and a left ventricle laceration caused by a thoracic stab injury.

• Nuclear Medicine and Molecular Imaging
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• v.40 no.2
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• pp.132-140
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• 2006

Well-differentiated thyroid cancer is the most common endocrine malignancy with an increasing incidence. Most patients with well-differentiated thyroid caner have a favorable prognosis with high survival rate. While surgery and radioiodine therapy is sufficient treatment for the majority of patients with differentiated thyroid cancer, a minority of these patients experiences progressive, life-threatening growth and metastatic spread of the disease. Because there is no prospective controlled study to evaluate the differences of management of thyroid cancer, it is hard to choose the best treatment option. And there are still lots of controversies about the management of this disease, such as surgical extent, proper use of radioiodine for remnant ablation and therapy, use of rhTSH instead of withdrawal of thyroid hormone, long-term follow-up strategy, thyroglobulin as a tumor marker, etc. In this review, recent data related to these conflicting issues and recent advances in diagnosis, radioiodine therapy and long-term monitoring of well-differentiated thyroid cancer are summarized.

• Journal of Trauma and Injury
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• v.34 no.3
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• pp.208-211
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• 2021

Gallbladder injuries are rare in cases of blunt abdominal trauma and are usually associated with damage to other internal organs. If the physician does not suspect gallbladder injury and check imaging studies carefully, it may be difficult to distinguish a gallbladder injury from gallbladder stone, hematoma, or bleeding. Therefore, in order not to miss the diagnosis, the clinical findings and correlation should be confirmed. In the present case, a 60-year-old male presented to a local trauma center complaining of pain in the upper right quadrant and chest wall following a motor vehicle collision. Abdominal computed tomography (CT) showed a hepatic laceration and hematoma in the parenchyma in segments 4, 5, and 6 and active bleeding in the lumen of the gallbladder. Traumatic gallbladder injuries generally require surgery, but in this case, non-operative management was possible with cautious follow-up consisting of abdominal CT and angiography with repeated physical examinations and hemodynamic monitoring in the intensive care unit.

• Kosin Medical Journal
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• v.33 no.3
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• pp.391-395
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• 2018

We report a case of a patient with locally advanced prostate cancer who had only lymph node involvement without bone metastasis on F-18 FDG PET/CT. A 62-year-old Korean male was admitted to our hospital due to dysuria. His PSA level on admission was 79.35 ng/mL. A transrectal ultrasound-guided prostate biopsy confirmed prostate cancer and his Gleason score was 10 (5+5). F-18 FDG PET/CT demonstrated a hypermetabolic mass lesion with SUVmax 7.0 in the prostate and hypermetabolism with SUVmax 4.7 of the abdominal and pelvic lymph nodes. Tc-99m HDP bone scan showed no significant bone metastasis. The patient underwent hormonal therapy for 9 months. Follow-up F-18 FDG PET/CT showed significantly reduced size and FDG uptake in the prostate and abdominal and pelvic lymph nodes. In this case, treatment monitoring with F-18 FDG PET/CT showed decreased mass size and FDG uptake in the prostate and abdominal and pelvic lymph nodes.

• The Bulletin of The Korean Astronomical Society
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• v.44 no.2
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• pp.51.4-51.4
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• 2019

We started a systematic observational study of the 22 GHz water and 44 GHz class I methanol masers in 87 high-mass young stellar objects (HM-YSOs) as a KaVA large program (LP). The primary goal is to understand dynamical evolution of HM-YSOs and their circumstellar structures by measuring spatial distributions and 3-dimensional velocity fields of multiple maser species. In the first-year observations (2016-2017), we made snap-shot imaging surveys of 25 water and 19 methanol maser sources. In the second-year observations (2018-2019), we have carried out monitoring observations of 19 water and 3 methanol maser sources that were selected on the basis of the first-year survey results. By combining follow-up observations with VERA (distances), JVN/EAVN (6.7 GHz methanol masers), and ALMA cycles 3 and 6 (thermal lines/continuum), we will provide novel information on physical properties (density, temperature, size, mass), 3D dynamical structures of disk/jet/outflow/infalling envelope, and relationship between evolutionary of HM-YSOs. In this presentation, we will report the current status and future plans of our KaVA large program.

• Journal of Chest Surgery
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• v.47 no.4
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• pp.358-366
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• 2014

Background: To improve sinus rhythm conversion, the Cox maze III procedure with narrow mazes (width: ${\leq}3.0cm$) was performed in combination with left atrial volume reduction. Methods: From October 2007 to April 2013, 87 patients with atrial fibrillation (paroxysmal in 3, persistent in 14, and permanent in 70) underwent the Cox maze procedure concomitant with another cardiac procedure. They were followed-up with serial electrocardiographic and echocardiographic studies. We used 24-hour Holter monitoring tests to evaluate postoperatively symptomatic patients. Results: At the mean follow-up time of 36.4 months, 81 patients (94.2%) had sinus rhythm and two were on anti-arrhythmic medication (one on a beta-blocker and the other on amiodarone). Five patients (5.8%) with postoperative recurrent and persistent atrial fibrillation never experienced sinus rhythm conversion; however, they did not require any medication for rate control. On postoperative echocardiography, the left atrial A waves were more frequently observed after concomitant mitral valve repair than after concomitant mitral valve replacement (82.4% vs. 40.4%, respectively; p<0.001). Conclusion: For the Cox maze procedure, narrow mazes and atrial volume reduction resulted in excellent sinus rhythm conversion without the preventive use of anti-arrhythmic drugs, and they did not affect the presence of the left atrial A waves on echocardiography.

• Korean Journal of Biological Psychiatry
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• v.8 no.1
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• pp.140-146
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• 2001

In clinical setting, treatment-refractoriness, medication induced tardive dyskinesia and amenorrhea in chronic schizophrenia are frequently problematic. However, there are few guideline solving these problem available to clinicians. The goal of this study was collecting clinical data on clinical effectiveness and predictors of response of switching to olanzapine. We attempted to switch to olanzapine from risperidone and clozapine in chronic 31(risperidone 17, clozapine 14) schizophrenia and schizoaffective disorder patients suffering from sustained symptoms, weekly blood monitoring, medication induced tardive dyskinesia and amenorrhea. Previous antipsychotics dosage was gradually decreased for 2 or 3weeks, at the same time olanzapine dosage was gradually increased. At baseline, after 1 week, after 2 weeks and after 4 weeks we checked Brief Psychiatric Rating Scale, Clinical Global Impression Scale, Sympson-Angus Rating Scale, Barnes Akathisia Rating Scale and followed up after 12 months. Successful switch after 4 weeks was achieved in 25 patients(clozapine 9(64.2%), risperidone 16(94.1%)). Overall, mean BPRS and CGI scores increased significantly. Successful maintenance after 12 months was achieved in 17 patients(clozapine 5(35.7%), risperidone 12(70.5%)). Overall, mean BPRS and CGI scores increased significantly too. Switching to olanzapine from other atypical antipsychotics is recommendable in chronic schizophrenia with treatment refractoriness and drug induced side effect.

• Journal of Korean Public Health Nursing
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• v.9 no.2
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• pp.104-114
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• 1995

This study was designed to develop preventing occupational disease programme in small-medium scale industries. The intervention was done in 354 enterprises from July to December in 1993 by health personnels in mobile occupational health centers. The summarized results of the above achievements were as follows. 1. Total number of enterprises were 354. Among them $66.9\%$ was under 100 workers, $26.6\%$ was u!1der 200 workers, and $6.5\%$ was belong to over 200 workers. The majority manufactures were non-metallic mineral product industries $(11.3\)$ fabricated metal product industries $(11.0\%)$. and textile industries $(10.7\%)$. 2. In 1993, for 350 enterprises were carried out evaluation of workplace environment. A total of $76.3\%$ industries were found to improper showing higher level of hazardous agent than the TLV. Noise and dust are the typical agent of which levels in workplace were high in most of industries. 3. A total 60 cases $(0.8\%)$ of occupational diseases were detected through physical check-up from 7,394 industrial workers in 1993. Detection rate by hazardous agent was highest among workers in relation to dust, and secondly highest to noise. 4. Through the systematic approach by hazardous agent was increased to the monitoring of work condition and follow up care of occupational disease. In future, there should be development in the scaled check list of preventing occupational disease management.

• Journal of the Korea Society for Simulation
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• v.20 no.4
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• pp.67-79
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• 2011

The statistical process control (SPC) assumes that observations follow the particular statistical distribution and they are independent to each other. However, the time-series data do not always follow the particular distribution, and most of cases are autocorrelated, therefore, it has limit to adopt the general SPC in tim series process. In this study, we propose a MPBC (Model Parameter Based Control-chart) method for fault detection in time-series processes. The MPBC builds up the process as a time-series model, and it can determine the faults by detecting changes parameters in the model. The process we analyze in the study assumes that the data follow the ARMA (p,q) model. The MPBC estimates model parameters using RLS (Recursive Least Square), and $K^2$-control chart is used for detecting out-of control process. The results of simulations support the idea that our proposed method performs better in time-series process.

• Food Science of Animal Resources
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• v.33 no.5
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• pp.617-625
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• 2013

The present study was carried out to assess dietary exposure and risk for the infant population by lead (Pb), cadmium (Cd), and arsenic (As) exposure through modified milk powder and formulas. Analysis of heavy metals was performed using a microwave device and inductively coupled plasma-mass spectrometry, the method for which was fully validated. Various samples (n=204), including modified milk powder, modified milk, follow-up modified milk powder, infant formula and follow- up formula, were collected from retail outlets and markets across Korea. The mean contents of heavy metals were Pb 0.0004 (modified milk)-0.010 (infant formula) mg/kg, Cd 0.002 (modified milk)-0.007 (follow-up formula) mg/kg, and As 0.004(modified milk)-0.040 (infant formula) mg/kg, respectively. For risk assessment, daily intakes of heavy metals through maximum intake of modified milk powder and formulas were calculated and compared with reference doses established by JECFA and WHO. The dietary exposures of heavy metals were $0.78-1.04{\mu}g$ Pb/d, $0.65-0.87{\mu}g$ Cd/d, and $2.25-3.00{\mu}g$ As/d, corresponding to 2.0-4.5%, 7.1-16.0%, and 0.4-0.9% of reference doses, respectively. Therefore, the level of overall dietary exposure to heavy metals for Korean infant through food intake was below 20% of the reference dose, indicating a low risk to infant consumers.