• Journal of Korean Medical Science
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• v.33 no.53
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• pp.342.1-342.6
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• 2018

We validated the diagnostic performance of a previously developed blood-based 7-protein biomarker panel, $AptoDetect^{TM}$-Lung (Aptamer Sciences Inc., Pohang, Korea) using modified aptamer-based proteomic technology for lung cancer detection. Non-small cell lung cancer (NSCLC), 200 patients and benign nodule controls, 200 participants were enrolled. In a high-risk population corresponding to ${\geq}55years$ of age and ${\geq}30pack-years$, the diagnostic performance was improved, showing 73.3% sensitivity and 90.5% specificity with an area under the curve of 0.88. $AptoDetect^{TM}$-Lung (Aptamer Sciences Inc.) offers the best validated performance to discriminate NSCLC from benign nodule controls in a high-risk population and could play a complementary role in lung cancer screening.

• Annals of Occupational and Environmental Medicine
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• v.35
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• pp.34.1-34.8
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• 2023

Background: Hydrogen sulfide is a toxic substance that humans can be exposed to occupationally, and cases of hydrogen sulfide poisoning of workers in industrial sites are commonly reported. However, there have been no cases of poisoning of the public due to an unauthorized discharge of wastewater, so it is important to describe this incident. Case presentation: In a small village in Jeollanam-do, Republic of Korea, accounts of a terrible stench had been reported. A 26-year-old man who lived and worked in a foul-smelling area was taken to the emergency room with a headache, dizziness, nausea, and repeated syncope. A subsequent police and Ministry of Environment investigation determined that the cause of the stench was the unauthorized discharge of 9 tons of wastewater containing hydrogen sulfide through a stormwater pipe while the villagers were sleeping. The patient had no previous medical history or experience of symptoms. Leukocytes and cardiac markers were elevated, an electrocardiogram indicated biatrial enlargement, left ventricular hypertrophy, and corrected QT interval prolongation. Myocardial hypertrophy was detected on a chest computed tomography scan, and hypertrophic cardiomyopathy was confirmed on echocardiography. After hospitalization, cardiac marker concentrations declined, symptoms improved, and the patient was discharged after 7 days of hospitalization. There was no recurrence of symptoms after discharge. Conclusions: We suspect that previously unrecognized heart disease manifested or was aggravated in this patient due to exposure to hydrogen sulfide. Attention should be paid to the possibility of unauthorized discharge of hydrogen sulfide, etc., in occasional local incidents and damage to public health. In the event of such an accident, it is necessary to have government guidelines in place to investigate health impact and follow-up clinical management of exposed residents.

• Journal of Korean Neurosurgical Society
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• v.51 no.5
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• pp.272-275
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• 2012

Objective : Choroid plexus papillomas (CPPs) are generally regarded as benign tumors with typical radiologic and pathologic findings. However, they sometimes have unusual findings. We have analyzed radiologic findings and pathologic growth patterns on CPPs. Methods : The study group included 5 male and 5 female patients (age range, 3 months to 58 years : median, 29 years). The study group included 3 pediatric and 7 adult patients. All patients underwent surgery; 9 patients had a gross total resection and 1 patient had a subtotal resection. We analyzed the radiologic findings (location, size, mottle-like appearance, enhancement, calcifications, and hydrocephalus) and pathologic growth patterns (typical papillary, papillary and solid, and papillary and tubular). Results : The median follow-up duration was 21.3 months (range, 4-47.8 months). There were no recurrences after initial treatment. All patients had benign CPPs. Pediatric CPPs were 3.2 cm masses (range, 2.7-4 cm) with homogeneous enhancement and a mottle-like appearance, which pathologically showed the papillary growth pattern. Hydrocephalus was present in all pediatric patients. Postoperatively, subdural hygroma had occurred in two patients. In adults, CPPs were located in the fourth ventricle in 6 patients and suprasellar area in 1 patient. The size varied from 0.5-4.2 cm. Hydrocephalus and calcifications occurred in 3 and 4 patients, respectively. Three patients showed the heterogeneous enhancement without a mottle-like appearance and pathologically showed combined papillary and solid growth in 2 patients and papillary and tubular growth in one. Postoperatively, two patients with large masses had injuries of the brainstem and underwent shunt procedures for aggravation of hydrocephalus. Conclusion : CPPs may show unusual radiologic findings, which preoperatively give the difficulty to be differentiated from other tumors. CPPs with unusual radiologic findings showed the combined pathologic growth patterns.

• Journal of Korean Neurosurgical Society
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• v.50 no.6
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• pp.538-541
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• 2011

Objective : We evaluated a modified trans-middle temporal gyrus (MTG) approach with good postoperative visual preservation for patients with trigonal tumors. Methods : Three patients with a trigonal tumor were treated via the modified trans-MTG approach guided by a neuro-navigator. Modified trans-MTG approach involve the incision at the MTG within 5 mm to the superior temporal sulcus. This approach makes a proper trajectory to the trigone but also reduces the retraction injury of MTG as little as possible to prevent postoperative visual field defect. Preoperative and postoperative visual field examination using perimetry was performed to evaluate the visual field. Results : Three patients underwent surgery for lymphoma in the right trigone, meningioma in the left trigone, and focal enhancing nodule in the right paratrigonal area, respectively. In case of lymphoma, preoperative examination showed a left homonymous hemianopsia : one week later after surgery, a visual field examination was performed and revealed improvement of the visual field defect. In case of the meningioma, the preoperative examination showed no visual field defect : one month later, the visual field had no defect. In case of the enhancing nodule, preoperative visual field testing revealed a partial left homonymous hemianopsia. Visual examination within one month after surgery showed no visual field defect. All three patients treated with the modified trans-MTG approach showed no visual deterioration after surgery. Conclusion : The modified trans-MTG approach provides a safe and useful technique for trigonal tumors without postoperative visual field deterioration and affords adequate exposure of the trigonal tumor with a short trajectory.

• 한국해양학회지
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• v.30 no.5
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• pp.480-492
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• 1995

Petrographic investigation has been carried out to determine the composition of the beach sediments and the affecting factors which have controlled their compositional variations from Hyupjae, Aeweol, Iho, Samyang, Hamdeok, Sehwa, Pyoseon, Jungmun, and Hwasun areas along the coast of the Cheju Island. Average mean sizes of the beach sediments are Hyupjae 2.2ø, Aeweol 0.8ø, Iho 1.4ø, Samyang 2.4ø, Hamdeok 1.6ø, Sehwa 1.5ø, Pyoseon 2.1ø, Jungmun 0.4ø, and Hwasun 0.9ø, thus, aries from 0.4 to 2.4ø. The beach sediments from Pyoseon and Hwasun areas are poorly sorted, those from Aeweol and Jungmun areas are moderately sorted and those from the rest of the areas are moderately well sorted. While-colored beach sediments in Hyupjae, Aeweol, Hamdeok, Sehwa, and Pyoseon areas are mostly composed of calcareous shells (more than 85%) such as mollusk, red algae, benthic foraminiferas, etc., whereas volcanic rock fragment is the dominant component of the black-colored beach sediments in Iho, Samyang, and Hwasun areas. Especially, the relatively white-colored beach sediment in Jungmun area, which is on e of the carbonate-dominant areas, shows a higher content of rock fragments than the other carbonate-dominant areas. The beach sediments in Pyoseon area show a high content of carbonate intercalates. Considering the contributions by organisms according to grain size, grains with the size range of 1∼2ø are mostly composed of calcareous red algae fragments, and grains with the size range of 2∼3ø consist of mollusk fragments. It is also notable that bryozoan fragments comprise about 48% of the sediment in Samyang area with the size range of 0∼1ø. The composition of the beach sediments in Cheju Island appears o be controlled by the riverine supply rate of volcanic rock fragments, the lithology of the rocks distributed ear the beaches, the direction of alongshore currents, and the direction of storms, etc.. It is suggested that the beach sediments in Iho and Samyang areas show black color because of the higher supply rate of the volcanic rock fragments from the nearby rivers, whereas those in the rest of the areas show white color due to the relatively lower content of volcanic rock fragments and higher content of carbonate components transported from shallow marine environment. In Hwasun area, the content of volcanic rock fragments is high, and they are directly from the tuffaceous rocks distributed nearby. Also, the volcanic rock fragments in Jungmun area are transported not only from the rivers nearby but also from the nearby tuffs by storm activities. The beach sediment in Pyoseon area contains a high content of carbonate intercalates, which formed in the nearby shallow marine environment through marine cementation. This indicates that active marine cementation occurs in shallow marine environment near Pyoseon area.

• Journal of the Korean Institute of Rural Architecture
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• v.20 no.1
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• pp.93-101
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• 2018

The area to be surveyed is the three-seat of Myeon office in Hwasun-gun, Jeollanam-do, where population is declining. Satisfaction with the use of local residents of rural central areas providing life services in the back area was identified, focusing on sustainable development and the compact cities. Based on the results of the study, the recommendations are as follows. First, the local spaces to be surveyed need a shift to a walk-centered choice and social structure, not a must-oriented, activity-centric structure. This not only improves the neighborhood of rural areas, but also increases the frequency of pedestrian exchange and helps keep the community afloat. Second, it could enhance the convenience of residents by reviving stocks in existing commercial areas and integrating public services. Finally, it has the effect of taking care of the socially disadvantaged and immigrants in terms of space welfare, and securing jobs through locally customized community businesses.

• Korean Journal of Environment and Ecology
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• v.17 no.4
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• pp.346-359
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• 2004

Flora was investigated in the Dongbok stream area of hwasun-gun, Jeonllanam-do from February in 2002 to August, were identified as 206 taxa; 75 families,158 genera,174 species,31 varieties and 1 form of plant. Hydrophytes of research site was investigated total, 29 taxa; 16 families, 23 genera, 26 species and 3 varieties. Emerged plants, submerged plant, floating leaved plants and floating plants among the hydrophytes was classified 22, 4, 2 and 1 taxa respectively. Naturalized plants of research site was investigated total, 19 taxa; 10 families, 17 genera, 17 species, 2 varieties. Based on the list of rare and endangered plants from the Forest Research Institute and the Ministry of Environment 1 species Sparganium stoloniferum were recorded in the studied area.

• Tuberculosis and Respiratory Diseases
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• v.61 no.2
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• pp.150-156
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• 2006

Background: Gefitinib (ZD 1839, Iressa) is a new anticancer agent; more specifically, it is a selective epidermal growth factor receptor tyrosine kinase inhibitor that is, widely used for various solid cancers, including lung cancer. Cutaneous adverse reactions induced by gefitinib have recently been reported; however, not much on this topic has been reported in the Korean literature. Method: We studied cutaneous adverse reactions of gefitinib in 23 patients who suffered with non-small cell lung cancer at Chonnam National University Hwasun Hospital from October 2004 to September 2005. Result: The patients ranged from 23-72 years old, and there were 17 patients with adenocarcinoma, 5 with squamous cell carcinoma and 1 with bronchioloalveolar carcinoma. The most common adverse reaction was acneiform eruptions in 15 patients (65.2%). This reaction appeared within 2 months after medication, and it didn't correlate with the therapeutic response and tumor type. Pruritus was the second most common reaction (39.1%), which was mild and generalized, especially around eyelid area. Xerosis (26.1%), exfoliation on palm and sole (21.7%), and paronychia (21.7%) followed. Hair breakage and intertrigo were rare adverse reactions. Conclusion: Various cutaneous adverse reactions were observed in patients with non-small cell lung carcinoma after gefitinib treatment. The skin complications could be alleviated with dermatologic consultations and treatments, skin complications could be alleviated.

• Korean Journal of Radiology
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• v.24 no.6
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• pp.498-511
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• 2023

Objective: To evaluate the diagnostic performance of chest computed tomography (CT)-based qualitative and radiomics models for predicting residual axillary nodal metastasis after neoadjuvant chemotherapy (NAC) for patients with clinically node-positive breast cancer. Materials and Methods: This retrospective study included 226 women (mean age, 51.4 years) with clinically node-positive breast cancer treated with NAC followed by surgery between January 2015 and July 2021. Patients were randomly divided into the training and test sets (4:1 ratio). The following predictive models were built: a qualitative CT feature model using logistic regression based on qualitative imaging features of axillary nodes from the pooled data obtained using the visual interpretations of three radiologists; three radiomics models using radiomics features from three (intranodal, perinodal, and combined) different regions of interest (ROIs) delineated on pre-NAC CT and post-NAC CT using a gradient-boosting classifier; and fusion models integrating clinicopathologic factors with the qualitative CT feature model (referred to as clinical-qualitative CT feature models) or with the combined ROI radiomics model (referred to as clinical-radiomics models). The area under the curve (AUC) was used to assess and compare the model performance. Results: Clinical N stage, biological subtype, and primary tumor response indicated by imaging were associated with residual nodal metastasis during the multivariable analysis (all P < 0.05). The AUCs of the qualitative CT feature model and radiomics models (intranodal, perinodal, and combined ROI models) according to post-NAC CT were 0.642, 0.812, 0.762, and 0.832, respectively. The AUCs of the clinical-qualitative CT feature model and clinical-radiomics model according to post-NAC CT were 0.740 and 0.866, respectively. Conclusion: CT-based predictive models showed good diagnostic performance for predicting residual nodal metastasis after NAC. Quantitative radiomics analysis may provide a higher level of performance than qualitative CT features models. Larger multicenter studies should be conducted to confirm their performance.

• Korean Journal of Head & Neck Oncology
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• v.26 no.2
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• pp.259-261
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• 2010

The meningiomas are slowly growing tumors arising from meningoepithelial cells and they generally occur in the intracranial space. Tumor extension to the extracranial structures occurred in about 20 percent of intracranial meningiomas. Meningiomas extending to the cervical area are uncommom. Beacuse these patients complain of localized symptoms, sometimes those tumors have been operated as cervical tumors. In this report, we incidentally found a meningioma in the left parapharyngeal space in a 63-year-old female, who was confirmed by histopathologic diagnosis to have meningioma. We report herewith this case with the review of literatures.