• 디지털융복합연구
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• 제14권1호
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• pp.305-310
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• 2016

최근 초음파검사의 접근이 일반화되면서 한국에서는 갑상선암발생율의 연간변화율이 24.5%로 상승하였다. 이에 고식적 갑상선암의 위험요인인 전리방사선과 요오드식이 이외의 갑상선암의 위험요인을 파악하고자 하였다. 2011년 1월부터 2013년 3월까지 종합검진센타에서 초음파검사 후 미세침흡인검사로 진단된 양성결절 260명과 악성 결절 151명의 여자를 대상으로 나이, 혈액학적 수치, 비만지수, 허리둘레, 폐경여부, 유방결절 유무, 자근근종 유무, 지방간 유무를 비교하였다. 연구 결과 갑상선암 그룹에서 비만인 경우, 유방의 결절과 자궁근종이 있는 경우가 많았으며 갑상선자극호르몬 수치가 양성결절그룹보다 높게 나타났다. 향후 갑상선 및 갑상선암에 영향을 끼치는 요인들을 정립시키기 위한 연구가 지속적으로 필요할 것이다.

• 대한수의학회지
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• 제1권1호
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• pp.54-60
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• 1961

For the purpose of investigating seasonal changes of germinal centers of splenic lymph nodules and of blood lymphocytes of ducks, the spleens of 8 ducks from a flock were observed histologically every season; 2 cases in spring (March and April), 2 in summer (July and August), 2 in autumn (October and November) and 2 in winter (December and January). Blood cells of 8 ducks from the same flock also were counted during the summer (from July to August) and autumn (from October to November) The results obtained were summarized as follows: 1. There were seasonal changes in the germinal centers of lymph nodules, that is, the germinal centers were formed in spring and disappeared in autumn. In summer these were at the stage of transition from formation in spring to disappearance in autumn. In winter, on tile other hand. the process was reversed from the stage of disappearance in autumn to the stage of formation in spring. 2. The germinal center of splenic lymph nodule was encapsulated with a fibrous capsule which disappeared concommitantly with its germinal center. 3. The percentage and absolute value of lymphocytes in autumn were higher than those in summer, the fact that seemed to be not in agreement with Flemming's view that the lymphocytic clear germinal center may be functionally at the stage of lymphocyte formation, but in agreement with Maximow's view that the large lymphocytic clear germinal center is functionally at the stage of resting and medium-sized lymphocytic germinal center may be functionally at the stage of lympocyte formatiom.

• 대한수의학회지
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• 제45권3호
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• pp.369-373
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• 2005

A male mixed breed dog with unknown age (case 1) and 5-year-old female golden retriever (case 2) were admitted to the Department of Veterinary Pathology at College of Veterinary Medicine, Seoul National University after sudden death. At necropsy, stifle region of case 1 was replaced by coalescing firm tan nodules approximately 1-3 cm in diameter. Neoplastic nodules were also presented in the lung. In case 2, the spleen was enlarged 3-5 times its normal size and numerous firm tan nodules were noted in the kidney, pericardium, diaphragm and lymph nodes. Histopathologically, the neoplastic masses of case 1 consisted of plump spindle cells having abundant cytoplasm and indistinct cell borders that formed interlacing bundle. In case 2, the masses were consisted of round to polygonal cells with abundant eosinophilic cytoplasm and eccentric nuclei. Numerous multinucleated giant cells containing nuclei of various sizes were noted. Immunohistochemically, neoplastic cells of all two cases stained intensely with vimentin and lysozyme. Based on the gross and light microscopic findings together with immunohistochemistry, both cases were diagnosed as localized histiocytic sarcoma with pulmonary metastasis and disseminated histiocytic sarcoma, respectively.

• 한국광물학회지
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• 제26권2호
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• pp.111-118
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• 2013

제천시 수산면의 고생대 백운암에는 속성기원 흑색 처트 단괴들이 함유되어 있으며, 흑운모 화강암 관입과 관련된 접촉변성작용으로 백운석과 처트가 반응하여 단괴 주위로 변질대가 형성되었다. 변질 초기에 활석 및 방해석이 처트와 백운암을 교대하며 생성되었지만, 후기에 투각섬석이 활석과 방해석을 교대하였다. 처트 단괴들이 밀집한 백운암 층준에서는 회백색 투각섬석이 다량으로 산출된다. 주사전자현미경 및 광학현미경 관찰결과, 투각섬석은 다양한 종횡비의 신장된 입자 형태를 보이며, 수 mm의 좁은 공간에서 같이 산출된다. 침상-섬유상 입자들이 다발을 이루는 석면상 투각섬석도 있으나, 주상 입자들도 흔히 존재함이 확인되었다. 따라서 자연 유래 석면물질의 경우, 모든 투각섬석이 석면상 투각섬석은 아니므로 석면 정량 시 유의해야 한다. 수산 지역에서 석면상 각섬석의 산출 환경은 함처트 백운암, 열원, 수용성 유체의 존재가 투각섬석 석면의 지질학적 생성 조건이 될 수 있음을 지시한다.

• Applied Biological Chemistry
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• 제41권5호
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• pp.355-362
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• 1998

병아리콩 근류의 호스트부분에서 플라스티드에 존재하는 것으로 추정되는 포스포프룩토오스 키나아제(EC 2.7.1.11; PFK)을 순수분리 정제하고, 정제된 단백질 분자량이 220 kDa인 비당단백질(N-linked)이다. SDS-PAGE와 Western blot의 결과는 정제된 효소가 4개의 55 kDa subunit로 이루어져 있음을 지적하고 있다. 이 효소는 pH 8에서 최적활성으로 날카로운 곡선을 나타내고 있으며, 최적 pH 8과 생리적으로 비슷한 pH 7에서 Fru-6-P 및 nucleoside triphosphate 기질에 Michaelis-Menten kinetics을 나타냈다. MgATP가 뉴크레오 삼인산중에 가장 효율적인 인산기 공여체로서 나타냈다. 포스포엔롤피루베이트는 마이너 형태의 PFK 활성에 가장 강력한 억제자이며, 또한 이 효소는 3-포스포글리세레이트와 2-포스포글리세레이트에 의해 강하게 억제된다. 마이너 형태의 PFK는 KCl, NaCl등 Pi에 의해 약하게 활성이 증진되지만, 높은 농도에서는 억제자로서 작용한다.

• International Journal of Contents
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• 제5권1호
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• pp.33-36
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• 2009

Since the diagnosis of malignancy and benign of thyroid gland diseases is difficult only by using ultrasonogram opinions, the combination of fine needle aspiration (FNA) has been generalized trend for precise pathological diagnosis. Therefore, the current study aimed to know about its availability. The study subjected 500 patients who received the FNA along with the ultrasonogram screening for thyroid gland from October, 2007 to April, 2008. As the equipments for the study, Philips HDI-3500 and Philips UITRAMARKer-9 (UM-9) were used to conduct the comparative analysis of pathological results that were obtained through the inspection of ultrasonogram screening and through ultrasonogram guided FNA. Among the 464 patients who were found to be benign from the ultrasonogram screening inspection, II cases of the FNA diagnosis results judged to be malignancy, and 13 cases of the FNA diagnosis resulted to be benign among 36 patients who were diagnosed to be malignancy. The cases observed as solid from the opinions of ultrasonogram screening were often found to be malignancy, and most of the malignancy results were observed to show the hypoechoic pattern. Among the patients diagnosed with malignancy from the diagnosis of FNA, the 32 patients were found to have the papillary carcinoma, and the benign type was observed to be goiter and hyperplasia in 263 patients, which took up 52.6%. The ultrasonogram screening test that is performed for the purpose of diagnosing thyroid gland diseases, it is distinctively an useful inspection to diagnosis the presence, size and shape of nodules. However, the results of performing of FNA for those of nodules which were observed to be benign from the ultrasonogram were often came up with malignancy and there were cases that the nodules diagnosed with malignancy were diagnosed as benign from the FNA diagnosis.

• Journal of Radiation Protection and Research
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• 제41권4호
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• pp.402-408
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• 2016

Background: Ascertainment bias are common in epidemiologic studies to assess the association between thyroid cancer risk and living near nuclear power plants because many thyroid cancers are diagnosed by chance through health examination. We surveyed the ultra sonography (USG) examination history and conducted thyroid and breast USG in residents living near nuclear power plants. Materials and Methods: The study population comprised 2,421 residents living near nuclear power plants in Korea. Information on demographic characteristics, including diagnostic examination history, was collected by interview using questionnaires. USG examination was conducted to evaluate the presence of thyroid nodules and breast lesion. Study participants were divided into 3 groups according to the distance of their respective villages from a nuclear power plant. The proportions of USG examination history and prevalence of thyroid nodules and breast lesions were compared between groups. Results and Discussion: Examination histories of thyroid USG were 23.1%, 13.7%, and 10.5% in men and 31.3%, 26.7%, 18.3% in women in the short, intermediate, and long distance groups, respectively. There were significant inverse associations between thyroid USG history and the distance from nuclear power plants (P for trend = 0.001 for men and 0.017 for women). However, there was no association between the distance of villages from nuclear power plants and prevalence of thyroid nodules. Conclusion: Our results suggest that there may be an ascertainment bias in population-based studies examining the harmful effects of NPPs examination and researchers should pay attention to ascertainment bias resulted from differential health examination. Correction for ascertainment bias, active follow-up and examination for all study population to remove differential health examination is needed.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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• pp.6.4-7
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• 1978

1974년 5월부터 1977년 4월까지 만 3년간 이화여자대학교 의과대학 이비인후과 외래에 내원하여 간접후두경하에서 성대결절 적출수술을 받고 음성기능검사에 응한 50례를 대상으로 하여 수술전후의 발성지속시간의 비교, 청음상음질검사의 비교를 중심으로 하여 임상 연구를 시행한 결과를 문헌적고찰과 더불어 보고하고자 한다. 1) 년령별분포를 보면 30∼39세(30대)가 21명으로42%를 차지함으로 수위이고 40대가 17명으로 34%로 대부분 30, 40대였다. 2) 성별로는 남자 28명, 여자 22명으로 1.3 : 1로 남자가 약간 많았다. 3) 발생측별로는 좌측이 25례(50%), 우측이 18례(36%), 양측이 7례(14%)로 좌측에 많이 발생하였다. 4) 종양별로는 nodule이 22례(44%), polyp이 21례(42%), papilloma 가 5례 (10%), post-anesthetic granuloma가 2례(4%)로 nodule과 polyp이 대부분이었는데 nodule은 여자가, polyp은 남자가 많았다. 5) 수술전후의 발성지속시간의 비교에서 수술전의 극도로 단축되었든 발성지속시간이 수술후 2주일째 시행한 검사에서 전례에서 연장되어 있었다. 6) 수술후 음질검사에서 결절에서는 대부분 정상회복되었고 polyp에서도 역시 정상회복이 대부분이었으나 3례에서 회복을 보지못한 증례가 있었다. Papilloma는 전례가 회복되었으나 정상음성까지는 기대할 수 없었고 post-anesthetic granuloma는 좋은 결과를 얻었다.

• Tuberculosis and Respiratory Diseases
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• 제69권2호
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• pp.124-128
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• 2010

Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.

• Tuberculosis and Respiratory Diseases
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• 제83권4호
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• pp.283-288
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• 2020

Background: Latent tuberculosis (TB) infection among TB contacts is diagnosed using plain chest radiography and interferon-gamma release assays (IGRAs). However, plain chest radiographs often miss active TB, and the results of IGRA could fluctuate over time. The purpose of this study was to elucidate changes in the results of the serial IGRAs and in the findings of the serial submillisievert chest computed tomography (CT) scans among the close contacts of active pulmonary TB patients. Methods: Patients age 20 or older with active pulmonary TB and their close contacts were invited to participate in this study. Two types of IGRA (QuantiFERON-TB Gold In-Tube assay [QFT-GIT] and the T-SPOT.TB test [T-SPOT]) and submillisievert chest CT scanning were performed at baseline and at 3 and 12 months after enrollment. Results: In total, 19 close contacts participated in this study. One was diagnosed with active pulmonary TB and was excluded from further analysis. At baseline, four of 18 contacts (22.2%) showed positive results for QFT-GIT and T-SPOT; there were no discordant results. During the follow-up, transient and permanent positive or negative conversions and discordant results between the two types of IGRAs were observed in some patients. Among the 17 contacts who underwent submillisievert chest CT scanning, calcified nodules were identified in seven (41.2%), noncalcified nodules in 14 (82.4%), and bronchiectasis in four (23.5%). Some nodules disappeared over time. Conclusion: The results of the QFT-GIT and T-SPOT assays and the CT images may change during 1 year of observation of close contacts of the active TB patients.