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Recurrent T-cell lymphoma occurred in the vocal fold: a case report (성대에서 발견된 재발성 T세포 림프종에 대한 증례 보고)

  • Kang, Karam;Choi, In Hak;Lee, Doh Young;Baek, Seung-Kuk;Jung, Kwang Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.2
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    • pp.55-58
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    • 2017
  • Background. Lymphoma of the vocal fold is extremely rare due to low lymphoid content in the larynx. To date, fewer than 100 cases of laryngeal lymphoma have been reported; however, none of these literatures are concerned about exclusive laryngeal involvement of recurred lymphoma which initially appeared in other body sites. Specific consensus about management for these patients yet to exist, due to its rare occurrence; however, the main modality of treatment is chemotherapy alone or in combination with radiation therapy. Case. Herein, we report a case of a 51-year-old female patient who had recurrent T-cell lymphoma developing in bilateral vocal folds. The patient was originally diagnosed of T-cell lymphoma in right colic flexure 10 years ago, and was cured by chemotherapy. Immunohistochemical stain revealed the histologic type of recurred tumor in the vocal folds that are identical to the previously cured lymphoma. Conclusion. To the best of our knowledge, this was the first case that recurrent lymphoma occurred solely in the vocal folds. Despite its rarity, lymphoma should be put in the index of suspicion among those patients with decreased vocal fold mucosal wave without definite vocal fold mass who had a history of cured lymphoma.

An Experimental Study. on Dynamic Characteristics of Submerged Co-axial Cylinderical Shells (수중 동축원통쉘 구조물의 경계조건 변화에 따른 동특성 시험)

  • 박진호;류정수;김태룡;심우건
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2001.05a
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    • pp.668-674
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    • 2001
  • An experimental study was performed for two types of co-axial cylindrical shell structures in order to establish the relationship between in-air dynamic characteristics and in-water ones and to observe hydrodynamic mass effects on their mode shapes when submerged. The outer cylinders are prepared with two kinds to get more insights on the fluid-structure interaction phenomena: one is flexible, which means that the outer cylinder has almost same stiffness as the inner one, and the other is a rigid one whose stiffness is more than ten times of the inner one's(it might be regarded as the scaled-down model of the reactor internals). The finite element. analyses were also implemented to support the experimental results. The results show that the natural frequencies of a co-axial cylindrical shell structure in water are remarkably lower than those in air due to the fluid mass effects. In case of the flexible-to-flexible cylinders, there exist in-phase and out-of-phase mode shapes and they are affected by the annular gap between the. co-axial cylinders. For the in-phase mode the in-water natural frequency decreases exponentially as the gap increases, while it slightly increases in case of the out-of-phase mode due to the squeezing effect of the gap fluid. In the flexible-to-rigid case, the normalized natural frequency(in-water frequency/in-air one) of the inner cylinder(core barrel model) ranges between in-phase and out-of-phase mode frequencies of the flexible-to-flexible co-axial cylindrical structure having identical dimensions. Also the normalized natural frequency of the inner cylinder of the flexible-to-rigid one moves from near of the in-phase mode frequency into the out-of-phase mode value of the flexible-to-flexible case as circumferential mode number(n) increases.

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High Grade Surface Osteosarcoma - Case Report - (고등급 표면(High Grade Surface) 골육종 - 증례 보고 -)

  • Lee, Bong-Jin;Lee, Sung-Rak;Yoo, Tae-Yeul;Eom, Ki-Seong;Ha, Chang-Won
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.1
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    • pp.32-37
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    • 2002
  • High grade surface osteosarcoma is the most rare subtype of osteosarcoma arising on the surface of bone, accounting for less than 1% of the total number of osteosarcomas. Only a few case reports and studies have been reported in the world. In Korea, only one case out of 127 osteosarcomas has been described up to now, but there was no information about the patient, clinicopathologic features and treatment. We experienced a case of high grade surface osteosarcoma in the subtrochanteric area of a 66-year-old female and treated her with neoadjuvant chemotheraphy, wide resection and limb salvage operation with tumor prosthesis and adjuvant chemotheraphy. This tumor is identical to conventional high grade intramedullary osteosarcoma in histology, treatment and prognosis. So, this tumor should be differentiated from other surface osteosarcomas such as parosteal osteosarcoma and periosteal osteosarcoma.

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Comparison of Measurement Methods and Prediction Models for Drying Shrinkage of Concrete (콘크리트 건조수축 측정 방법 및 예측 모델에 대한 비교)

  • Yang, Eun-Ik;Kim, Il-Sun;Yi, Seong-Tae;Lee, Kwang-Myong
    • Journal of the Korea Concrete Institute
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    • v.22 no.1
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    • pp.85-91
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    • 2010
  • In this study, the drying shrinkage strains were compared of 24~60 MPa concrete specimens subjected to various curing conditions and measurement methods were compared. And, the applicability of the test and prediction methods were investigated. According to the results, drying shrinkage was significantly reduced in 28 day curing condition. In the sealed curing case, drying shrinkage strain from demolding time was identical to the one of the standard curing case for low strength concrete, however, drying shrinkage strain was greatly increased than the standard case for high strength case because of the effect of autogenous shrinkage. The efficient measurement was possible using the embedded gage for concrete drying shrinkage, but, the measured value by contact gage was lower than the one by the embedded gage. The test results agreed with EC2 model better than the other.

A Case of Disseminated Coccidioidomycosis Involving Lung and Skin in Patient with Diabetes Mellitus and Iatrogenic Cushings Syndrome (당뇨와 의인성 쿠싱 증후군 환자에서 폐와 피부에 병발한 콕시디오이데스 진균증)

  • Han, Seung Yong;Kim, Cheol Hong;Son, Kwang Pyo;Kim, Jin Kyung;Byun, Hyeon Woo;Kim, Young Soon;Jeong, In Kyung;Woo, Heung Jeong;Hyun, In-Gyu;Jung, Ki-Suck;Lee, Eil Seong
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.4
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    • pp.399-403
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    • 2005
  • Coccidioidomycosis is caused by a dimorphous fungus, Coccidioides, which consists of two species, C. immitis and C. posadasii. Although these organisms are genetically distinct and do not exchange DNA, they appear identical phenotypically and the disease or immune response to the organisms is also identical. Coccidioides grows as a mycelium in the soil and is mainly found in Southwestern United States, northwestern Mexico, and Argentina. An infection usually results from inhaling the spores of the fungus in an endemic area. Patients with a localized infection and no risk factors for complications often require only a periodic reassessment to demonstrate the resolution of the self-limited process. However, patients with extensive spread of infection or high risk of complications as a result of immunosuppression or other preexisting factors require a variety of treatment strategies such as antifungal therapy, surgical debridement, or both. Korea is not endemic area of a coccidioidomycosis. We report a case of disseminated coccidioidomycosis involving the lung and skin, which was detected incidentally after sunburn in a 69 year-old Korean male with diabetes mellitus and iatrogenic Cushings syndrome, with a review of the relevant literature.

Trademark Protection In The Fashion Industry with ICT Issues (패션산업의 상표권 보호 및 ICT 쟁점 - Louboutin 사건, Levi 사건에 대한 분석을 중심으로 -)

  • Lee, Jae-Kyoung
    • Journal of Legislation Research
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    • no.44
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    • pp.185-209
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    • 2013
  • With the broader range of information and communications technology, of which fashion is a foundational medium, to analyze fashion as an information technology in order to better understand the industry's desire for intellectual property protection, popular resistance to such protection, and the most efficacious balance between them in terms of creative expression. It is, therefore to be focused on cultural and historical reasons for the limited degree of intellectual property protection extended in the past to certain categories of human creativity, including fashion design. So, the question of why some tension still exists between creators and consumers of fashion, how information theory can contribute to an explanation for that tension, and what role law can play in its resolution with Louboutin case and Levi case. Consumers and designers alike are better served by promotion of fair competition, lower litigation costs, and the inventive synergy of the fashion industry. Louboutin shows the comfortable, respectful limits of trademark law, while Levi illustrates the dangerous, overreaching deference that a few circuits have granted to famous marks. The Supreme Court could clarify the standard for dilution claims, requiring that a junior mark be "identical or nearly identical" or even "significantly similar" to a senior mark. Courts should need a deference in making dilution determinations and can choose to make this factor quite subjective with the highest degree of similarity.

An Experimental Study on Characteristics of Wind Pressure on Long-Span Roof of the Kwangju World Cup Stadium (광주월드컵 경기장 지붕면의 풍압특성에 관한 실험적 연구)

  • Park, Yeon Soo;Kim, Yun Seok;Park, Sun Joon
    • Journal of Korean Society of Steel Construction
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    • v.12 no.5 s.48
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    • pp.495-502
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    • 2000
  • In this study, the wind tunnel test for Kwangju World Cup Stadium with long span roof was carried out and its results were considered in the two roofs: one is the case of one roof, and the other is the case of two roofs which are identical. In this experiment, a 1/400-scale model was used. As a result of measuring wind pressure in the case of one roof and then two, when two roofs are set up, wind load for structural frame decreases by 35%, compared to that of one roof. These results show that the current criteria for wind loadings, which specify that wind pressure on the roof depends only on the altitude, have limitations for adoption, and a wind tunnel test is essential to design.

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Epidemiological Investigation of an Outbreak of Hepatitis A at a Residential Facility for the Disabled, 2011

  • Lim, Hyun-Sul;Choi, Kumbal;Lee, Saerom
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.2
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    • pp.62-73
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    • 2013
  • Objectives: An outbreak of hepatitis A occurred at a residential facility for the disabled in July 10, 2011. This investigation was carried out to develop a response plan, and to find the infection source of the disease. Methods: A field epidemiologist investigated the symptoms, vaccination histories, living environments, and probable infection sources with 51 residents and 31 teachers and staff members. In July 25, 81 subjects were tested for the hepatitis A virus antibody, and specimens of the initial 3 cases and the last case were genetically tested. Results: Three cases occurred July 10 to 14, twelve cases August 3 to 9, and the last case on August 29. Among the teachers and staff, no one was IgM positive (on July 25). The base sequences of the initial 3 and of the last case were identical. The vehicle of the outbreak was believed to be a single person. The initial 3 patients were exposed at the same time and they might have disseminated the infection among the patients who developed symptoms in early August, and the last patient might have, in turn, been infected by the early August cases. Conclusions: The initial source of infection is not clear, but volunteers could freely come into contact with residents, and an infected volunteer might have been the common infection source of the initial patients. Volunteers' washing their hands only after their activity might be the cause of this outbreak. Although there may be other possible causes, it would be reasonable to ask volunteers to wash their hands both before and after their activities.

Cyber trade : ROADMAP for success (사이버무역의 성공적인 수행을 위한 ROADMAP 구축)

  • Cho Won-Gil
    • The Journal of Information Technology
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    • v.6 no.3
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    • pp.169-188
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    • 2003
  • Roadmap of cyber trade offers members the opportunity to interact electronically with like-mined individuals and to both create and buyer relevant to a topic of interest. Roadmap of cyber trade was conduct on the economic effect of electronic commerce according to the method of constructing the Internet. Firms using cyber trade have difficulty enjoying a uniformly identical effect. That is, since the improvement effect of the intrafirm business method, unnecessary repeated manual paperwork and the use effect of being able to maintain the close relationship with to the parties to trades in the process of prompt receipt and delivery of documents are long-term and indirect effects, they have some limitation in that they can not be measured as coefficients but only as scales. In terms of business management, the intensification of corporate competitiveness improved by $10.00\%$ in case of less than 10 times and by $11.53\%$ in case of 50 to less than 50 times. And it was found that the effect of profit increase as the number of inquiries was large. That is, it was found that the effect of profit increase was $10.88\%$ when the number of inquiries was less than 10 times but it increased to $14.00\%$ in case of 50$\∼$less than 100 times. Therefore, to revitalize cyber trade, it is thought that government, the academic community and the business world all need to make much research into and sustained investment in cyber trade.

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A Study on the Effect of Delta-V Based on Vehicle Damages and Injuries Subjected by Rear-End Collisions (후미추돌사고의 유효충돌속도가 차량손상 및 승차자 상해에 미치는 영향에 관한 연구)

  • Kang, Sung-Mo;Ahn, Byung-Joon
    • Journal of the Korean Society of Safety
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    • v.23 no.2
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    • pp.72-80
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    • 2008
  • In a case of an automobile collision, vehicle damage and injury of the driver and the passenger occur. The scale of the collision which is effected by the extent of vehicle damage and the injury of the passenger, depends on the delta-V. Based on the photograph interpretation o the actual case of accidents in the Seoul and the Incheon area, this study measured the depth of crush and calculated the delta-V. Through verifying the correlation of the depth of crush and the change of velocity, relative equation was evaluated and compared with the prior study results to prove that they are almost identical. Thus, the depth of crush can be used as an index of the degree of impact, which can be utilized as the change of velocity to evaluate the level of injury done to the passengers. However, the period of hospitalization and diagnostics claimed by the injured proves to have no correlation with the delta-V and the extent of vehicle damage, this is due to the non-objective way of diagnosis and the anamnesis of the injured. This study established the absolute limit harmlessness and the choosing limit harmlessness, allowing the appraisal for Yes or No of the injury or the harmlessness based on the prior studies. Moreover, utilizing the relative equation formed between the depth of crush and the delta-V, each case of collision was compared and evaluated in comparison to the limit harmlessness to prove that the 90.4% of the so-called 'claiming-to-be-injured' were exaggerating or fabricating.