• 제목/요약/키워드: Primary Head

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Gingival Squamous Carcinoma with Metastatic Lymph Node Involvement of Papillary Thyroid Carcinoma

  • Kim, Ju-Won;Lee, Chang-Youn;Oh, Seung-Min;Yang, Byung-Eun;Kim, Jwa-Young;Song, Yun-Jung;Ahn, Kang-Min;Park, Joo-Yong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권4호
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    • pp.276-279
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    • 2012
  • The development of multiple primary tumors is a problem leading to the treatment of patients diagnosed with gingival squamous cell carcinoma (SCC). The occurrence of multiple primary cancers in patients with SCC of the head and neck is uncommon. Thyroid carcinomas have been found incidentally in the cervical lymph nodes after histopathologic examination. A 72-year-old male with SCC of the lower gingiva at the clinical stage T2N0M0 was treated with partial mandibulectomy and selective neck dissection. Histopathologic examination showed the foci of papillary thyroid carcinoma metastasis. The patient subsequently underwent total thyroidectomy. We report a case of papillary thyroid carcinoma associated with SCC of the oral gingiva along with a review of literatures.

구강악안면영역의 선양낭성암종환자의 생존율 등에 관한 임상적 연구 (A CLINICAL STUDY ABOUT ADENOID CYSTIC CARCINOMA IN ORAL AND MAXILLOFACIAL AREA)

  • 김용각;박형국
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제19권1호
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    • pp.79-86
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    • 1997
  • Adenoid cystic carcinoma is characterized by sloe growth, multiple recurrence, a long clinical course and late metastasis. It is less than 1% of all head and neck malignancy, but most prevalent malignancy in salivary gland origin. During 14 years(from 1982 to 1995), 24 patients were diagnosed as adenoid cystic carcinoma in oral and maxillfacial area, in department of Oral and Maxillofacial Surgery, Korea Cancer Center Hospital. We studied clinically about their age and sex distribution, primary site distribution, TNM staging, treatment modalities, overall survival rates, survival rates according to stages. The age range were from 15 years to 79 years, average age weas 51 years. 15 were men and 9 Were women. Maxilla and palate were the most prevalent primary site. The most cases were in stage III(37%) and stage IV(46%). The 3 year and 5 year overall survival rate were 65.0% and 58.5%. The 5 year survival rate of the stage III cases was 66.7%, and that of the stage IV cases was 38.4%.

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핵연료상단고정체 누름스프링 체결나사의 파손해석 (Failure Analysis of Top Nozzle Holddown Spring Screw for Nuclear Fuel Assembly)

  • 고승기;류창훈;이정준;나의균;백태현;전경락
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 추계학술대회
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    • pp.1234-1239
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    • 2003
  • A failure analysis of holddown spring screw was performed using fracture mechanics approach. The spring screw was designed such that it was capable of sustaining the loads imposed by the initial tensile preload and operational loads. In order to investigate the cause of failure, a stress analysis of the top nozzle spring assembly was done using finite element analysis and a life prediction of the screw was made using a fracture mechanics approach. The elastic-plastic finite element analysis showed that the local stresses at the critical regions of head-shank fillet and thread root significantly exceeded than the yield strength of the screw material, resulting in local plastic deformation. Primary water stress corrosion cracking life of the Inconel 600 screw was predicted by using integration of the Scott model and resulted in 1.42 years, which was fairly close to the actual service life of the holddown spring screw.

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Citizen Awareness of the Smart City: A Study of Khon Kaen, Thailand

  • KAMNUANSILPA, Peerasit;LAOCHANKHAM, Sirisak;CRUMPTON, Charles David;DRAPER, John
    • The Journal of Asian Finance, Economics and Business
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    • 제7권7호
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    • pp.497-508
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    • 2020
  • Using primary data collected through semi-structured interviews conducted during February 2019, this article examines citizen's awareness and knowledge of Khon Kaen Smart City (KKSC) among the residents of five contiguous municipalities within Khon Kaen Province, Thailand. A self-weighted sample of 420 respondents was selected through a two-stage, 30-cluster sampling process. In the first stage, a sample of 30 artificial clusters of 100 households each was selected. In the second, 14 households were randomly selected from each of these clusters. The head of household or, if unavailable, a resident aged 18 or over was interviewed. The study applies the "citizens as democratic participants" dimension of Simonofski et al.'s (2019) evaluative framework. Results found that, because of ineffective citizen engagement, the levels of awareness and knowledge about KKSC were low. However, multiple logistic regression found that, despite the low levels of awareness and knowledge, education and income could establish an independent effect on awareness of KKSC. Those who completed post-secondary school were more aware of KKSC than those who finished only secondary or primary education. Similarly, the analysis of data clearly indicated that educational attainment, solely and independently from all other socio-economic and demographic variables, could explain the positive effect of education on knowledge about KKSC.

산화제 과잉 예연소기 냉각 성능 수치 해석 (Numerical Analysis on Cooling Characteristics of Oxidizer-Rich Preburner)

  • 이선미;하성업;이수용
    • 한국추진공학회지
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    • 제17권3호
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    • pp.67-75
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    • 2013
  • 케로신-액체산소 로켓 엔진에 적용되는 산화제 과잉 예연소기의 냉각 성능 확인을 위한 수치 해석을 수행하였다. 예연소기 1차 연소구역을 상사하기 위하여 분사기 배열에 따른 혼합비를 바탕으로 연소가스 물성치를 계산하였고, 냉각제로서 채널을 흐르는 산소의 물성치는 실제기체 조건에 대하여 적용하였으며, 1차 연소구역과 냉각제로 쓰인 액체산소의 혼합과정은 다상혼합모델을 적용하였다. 수치 해석으로 계산된 결과를 연소시험과 비교하였으며, 이를 통하여 재생냉각 채널과 연소실에서의 물성 등을 정량적으로 파악할 수 있었다.

ROLE OF GRAIN BOUNDARY CARBIDES IN CRACKING BEHAVIOR OF Ni BASE ALLOYS

  • Hwang, Seong Sik;Lim, Yun Soo;Kim, Sung Woo;Kim, Dong Jin;Kim, Hong Pyo
    • Nuclear Engineering and Technology
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    • 제45권1호
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    • pp.73-80
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    • 2013
  • The primary water stress corrosion cracking (PWSCC) of Alloy 600 in a PWR has been reported in the control rod drive mechanism (CRDM), pressurizer instrumentation, and the pressurizer heater sleeves. Recently, two cases of boric acid precipitation that indicated leaking of the primary cooling water were reported on the bottom head surface of steam generators (SG) in Korea. The PWSCC resistance of Ni base alloys which have intergranular carbides is higher than those which have intragranular carbides. Conversely, in oxidized acidic solutions like sodium sulfate or sodium tetrathionate solutions, the Ni base alloys with a lot of carbides at the grain boundaries and shows less stress corrosion cracking (SCC) resistance. The role of grain boundary carbides in SCC behavior of Ni base alloys was evaluated and effect of intergranular carbides on the SCC susceptibility were reviewed from the literature.

Primary intraosseous squamous cell carcinoma mimicking periapical disease: a case report

  • Choi, Yoon-Joo;Oh, Song-Hee;Kang, Ju-Han;Choi, Hwa-Young;Kim, Gyu-Tae;Yu, Jae-Jung;Choi, Yong-Suk;Hwang, Eui-Hwan
    • Imaging Science in Dentistry
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    • 제42권4호
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    • pp.265-270
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    • 2012
  • Primary intraosseous squamous cell carcinoma (PIOSCC) is a rare carcinoma, which arises within the jaws without connection to the oral mucosa and presumably develops from a remnant of odontogenic epithelium. We present a case of solid type PIOSCC in a 52-year-old male patient complaining of dull pain on his left lower molar. In this case, early stage PIOSCC mimicking a periapical lesion might lead to a one-year delay in treatment due to the misdiagnosis of osteomyelitis after extraction of the third molar. The clinical, radiological, and histologic features are described. In this case, there was initial radiographic evidence for PIOSCC mimicking a periapical lesion. Incautious radiographic interpretation and treatment procedures had delayed the correct diagnosis and resulted in extensive bony destruction during the patient's disease progression.

Analysis of Reflux Cooling in the SG U-Tubes Under Loss of RHRS During Midloop Operation with Primary System Partly Open

  • Son, Young-Seok;Kim, Won-Seok;Kim, Kyung-Doo;Chung, Young-Jong;Chang, Won-Pyo
    • Nuclear Engineering and Technology
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    • 제30권2호
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    • pp.112-127
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    • 1998
  • The present study is to assess the applicability of the best-estimate thermal-hydraulic codes, RELAP5/MOD3.2 and CATHARE2V1.3U, to the analysis of thermal-hydraulic behavior in PWRs during midloop operation following the loss of RHRS. The codes simulate an integral test, BETHSY 6.94, which was conducted in the large scale test facility of BETHSY in France. The test represents the accident where the loss of RHRS occurs during midloop operation with the pressurizer and upper head vents open and the sight level indicator broken. Besides, the hot legs are half filled with water and the upper parts of the primary cooling system are filled with nitrogen, with a letdown line open and only one SG available. The purposes of this study are to understand the physical phenomena associated with reflux cooling in the 5G U-tubes when noncondensable gas is present under low pressure and to assess the applicability of the codes to simulate the loss of RHRS event by comparing the predictions with the test results. The results of the study may contribute to actual applications for plant safety evaluation and description of the emergency operating procedure.

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Early diagnosis and surgical treatment of primary cutaneous marginal zone B-cell lymphomas of the face in an Asian patient

  • Lee, Sam Yong;Kim, Woo Hyeong;Choi, Jun Ho;Kim, Kwang Seog;Hwang, Jae Ha
    • 대한두개안면성형외과학회지
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    • 제22권5호
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    • pp.280-284
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    • 2021
  • Primary cutaneous marginal zone B-cell lymphoma (PCMZL) is an uncommon type of malignant lymphoma that mainly occurs in the trunk and upper extremity, with less frequent incidence observed on the head. Herein, we report the early diagnosis and treatment of a rare case of facial PCMZL in an Asian patient. A 51-year-old man presented with masses on the forehead and nose tip, which he had incidentally discovered 2 months previously. The masses appeared as a papule on the forehead and a patch on the nose. There were no signs of infection or bleeding, and the patient reported no other symptoms. After complete surgical excision, PCMZL was diagnosed based on the permanent biopsy. The histopathological findings revealed lymphoid aggregations with multifocal granulomas. Further treatment and follow-up were conducted at the hematology and oncology department. Despite its rarity in Asian populations, cutaneous lymphoma should be included in the differential diagnosis of facial masses. Early diagnosis and treatment based on a physical examination, imaging study, and excisional biopsy are important for a favorable prognosis.

THE BIPOLAR SMOULDER PROSTHESIS LONGER TERM RESULTS (5-10 YEARS) IN THE MANAGEMENT OF PRIMARY GLENOHUMERAL OSTEOARTHRITIS

  • M.B.B.S Prue Keith;Worland Richard L.
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2002년도 아시아견관절학술대회
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    • pp.125-134
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    • 2002
  • This is a prospective study in which we evaluate the 5-10 year results of BiPolar shoulder arthroplasty in 64 patients (71 shoulders) with primary glenohumeral osteoarthritis. Fifty two patients (56 shoulders) were followed for greater than 60 months (average 79months)1 and no patients were lost to follow Lip. The average age of the patient at operation was 72.5 years. The UCLA score increased from 10.8 preoperatively to 25,7 postoperatively. The final Constant score in this elderly subset of patients averaged $65\%$ (unadjusted). Eighty seven percent of patients were satisfied with their final result. Excellent pain relief was achieved with a VAS of 2.5 (0=no pain, 15=excruciating pain). Active anterior forward flexion improved from $45^{\circ}$ to $104^{\circ}$. Seventy five percent of patients reveal persisting head-shell motion at an average of 7 years. There were two reoperations because of humeral stem loosening; both stems should have been cemented at the initial arthroplasty. It is demonstrated that BiPolar shoulder arthroplasty is durable over time, with clinical results equivalent to that in the literature when compared with hemiarthroplasty and total shoulder replacement.

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