• Title/Summary/Keyword: Review Features

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Combined Hepatocellular-Cholangiocarcinoma: Changes in the 2019 World Health Organization Histological Classification System and Potential Impact on Imaging-Based Diagnosis

  • Tae-Hyung Kim;Haeryoung Kim;Ijin Joo;Jeong Min Lee
    • Korean Journal of Radiology
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    • v.21 no.10
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    • pp.1115-1125
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    • 2020
  • Combined hepatocellular-cholangiocarcinoma (cHCC-CCA) is a primary liver cancer (PLC) with both hepatocytic and cholangiocytic phenotypes. Recently, the World Health Organization (WHO) updated its histological classification system for cHCC-CCA. Compared to the previous WHO histological classification system, the new version no longer recognizes subtypes of cHCC-CCA with stem cell features. Furthermore, some of these cHCC-CCA subtypes with stem cell features have been recategorized as either hepatocellular carcinomas (HCCs) or intrahepatic cholangiocarcinomas (ICCs). Additionally, distinctive diagnostic terms for intermediate cell carcinomas and cholangiolocarcinomas (previous cholangiolocellular carcinoma subtype) are now recommended. It is important for radiologists to understand these changes because of its potential impact on the imaging-based diagnosis of HCC, particularly because cHCC-CCAs frequently manifest as HCC mimickers, ICC mimickers, or as indeterminate on imaging studies. Therefore, in this review, we introduce the 2019 WHO classification system for cHCC-CCA, illustrate important imaging features characteristic of its subtypes, discuss the impact on imaging-based diagnosis of HCC, and address other important considerations.

Is This Symptom Even a Food Allergy?: Clinical Types of Food Protein-induced Enterocolitis Syndrome

  • Hwang, Jin-Bok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.2
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    • pp.74-79
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    • 2014
  • Food protein-induced enterocolitis syndrome (FPIES) is an under-recognized non-IgE-mediated gastrointestinal food allergy. The diagnosis of FPIES is based on clinical history, sequential symptoms and the timing, after excluding other possible causes. It is definitively diagnosed by an oral food challenge test. Unfortunately, the diagnosis of FPIES is frequently delayed because of non-specific symptoms and insufficient definitive diagnostic biomarkers. FPIES is not well recognized by clinicians; the affected infants are often mismanaged as having viral gastroenteritis, food poisoning, sepsis, or a surgical disease. Familiarity with the clinical features of FPIES and awareness of the indexes of suspicion for FPIES are important to diagnose FPIES. Understanding the recently defined clinical terms and types of FPIES is mandatory to suspect and correctly diagnose FPIES. The aim of this review is to provide a case-driven presentation as a guide of how to recognize the clinical features of FPIES to improve diagnosis and management of patients with FPIES.

A Comparative Review on Problem-& Project-based Learning and Applied Method for Engineering Education (공학교육에서 문제 및 프로젝트기반학습의 비교 고찰과 적용 방안)

  • Kim, Moon-Soo
    • Journal of Engineering Education Research
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    • v.18 no.2
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    • pp.65-76
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    • 2015
  • Despite its ineffectiveness, the dominant pedagogy for engineering education is still "chalk & talk". Meanwhile, student-centered learning models have been highlighted for strong communication, teamwork skills, deep understanding and analysis on social, environmental and economic issues as well as application of their engineering knowledge in practice. Among others, on problem- and project-based learning, this article examines theoretical background and detailed features and a comparison between both learning models including common and different features from the previous theoretical and empirical studies. It reviews some cases of where they have been practiced successfully in engineering, and further, applied strategies for engineering education are suggested.

Cytomegalovirus Infection and Memory T Cell Inflation

  • Kim, Jihye;Kim, A-Reum;Shin, Eui-Cheol
    • IMMUNE NETWORK
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    • v.15 no.4
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    • pp.186-190
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    • 2015
  • Cytomegalovirus (CMV) infection in healthy individuals is usually asymptomatic and results in latent infection. CMV reactivation occasionally occurs in healthy individuals according to their immune status over time. T cell responses to CMV are restricted to a limited number of immunodominant epitopes, as compared to responses to other chronic or persistent viruses. This response results in progressive, prolonged expansion of CMV-specific $CD8^+$ T cells, termed 'memory inflation'. The expanded CMV-specific $CD8^+$ T cell population is extraordinarily large and is more prominent in the elderly. CMV-specific $CD8^+$ T cells possess rather similar phenotypic and functional features to those of replicative senescent T cells. In this review, we discuss the general features of CMV-specific inflationary memory T cells and the factors involved in memory inflation.

Theoretical Analyses of Science Teaching Models (과학수업모형들의 특성에 관한 이론적 분석)

  • Kim, Han-Ho
    • Journal of The Korean Association For Science Education
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    • v.15 no.2
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    • pp.201-212
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    • 1995
  • The purpose of this study was to analyze science teaching models: Cognitive Conflict Teaching Model(CCTM), Generative Learning Model(GLM), Learning Cycle Model(LCM), Hypothesis-Testing Model(HTM), and Discovery Teaching Model(DTM). Using literature review, the models were analyzed and compared in several aspects; philosophical and psychological bases, primary goals and assumptions, syntax, implementation environments, and probable effects. The major finding were as follows; 1. Science teaching models had been diverse features. In the comparisons of science teaching models, some differences and similarities were founded. These were different in the degree of similarity and emphasis. 2. CCTM and GLM resemble each other in philosophical and psychological bases, primary goals and main assumptions, implementation environments, and probable effects. 3. LCM and HTM showed similarities in philosophical bases, syntax, and implementation environments. But differences were founded in other aspects These results showed that the diverse features of science teaching models should be considered in choosing a model for science teaching.

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Primary Pituitary Abscess - Two Cases Report - (원발성 뇌하수체 농양 - 2례 보고 -)

  • Lee, Sung Yeal;Lee, Chang Young;Yim, Man Bin
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1098-1102
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    • 2000
  • Pituitary abscess is a very rare disorder, since antibiotics therapy has become widely available. Clinically and radiologically, the preoperative diagnosis of pituitary abscess is difficult because of its features which may be identical to those of any space-occupying lesions of the sella turcica. A combination of clinical features, such as meningitis, paranasal sinusitis and panhypopituitarism with intrasellar cystic lesion with homogeneous ring enhancement on computed tomography or magnetic resonance image should raise the suspicion of a pituitary abscess. Drainage of the abscess through trans-sphenoidal approach, appropriate antibiotics therapy, endocrine assessment and hormonal replacement should bring complete recovery to the patient. The authors review the literature and report two cases of primary pituitary abscess.

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Some Ecological and Physiological Features of the Antarctic Clam, Laternula elliptica (King and Broderip) in a Nearshore Habitat on King George Island

  • Ahn, In-Young;Chung, Ho-Sung;Choi, Kwang-Sik
    • Ocean and Polar Research
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    • v.23 no.4
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    • pp.419-424
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    • 2001
  • The Antarctic clam Laternula elliptica, is one of the most representative benthic invertebrates in the Antarctic nearshore waters. Endemic to the Antarctic, L. elliptica is widely distributed around the Antarctica occurring as dense patches in shallow sheltered areas and exhibits high biomass. Despite its apparent ecological importance, L. elliptica has rarely been studied until recently probably due to difficulties in sampling in the ice-impacted waters. Recent studies have revealed various aspects of its ecology and physiology. In this review, some physiological and ecological characteristics of this species are discussed in relation to some prevailing features of its habitat environment, in particular physical instability of habitat substrates and extreme seasonality of food availability.

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Supratentorial Clear Cell Ependymoma Mimicking Oligodendroglioma : Case Report and Review of the Literature

  • Lee, Byoung-Hun;Kwon, Jeong-Taik;Park, Yong-Sook
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.240-243
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    • 2011
  • Clear cell ependymomas (CCEs) are rare variants of ependymomas. Tumors show anaplastic histological features and behave as an aggressive manner. CCEs have a predilection for extraneural metastases and early recurrence, and they demonstrate characteristic radiographic features. These tumors should be radiologically and pathologically differentiated from oligodendrogliomas. On microscopic examination, CCEs are composed of sheets of cells and resemble oligodendroglioma. However, upon closer examination, the nature of CCEs can be detected earlier, resulting in prompt treatment of the tumor. Although we report only one case, we emphasize the importance of early diagnosis and treatment. Future description of more cases of these rare cancers is necessary to aid in their diagnosis and treatment.

Lichenoid Dysplasia Misdiagnosed as Oral Lichen Planus: 3-Year Follow-up Case Report

  • Shim, Young-Joo;Yoon, Jung-Hoon
    • Journal of Oral Medicine and Pain
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    • v.40 no.4
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    • pp.163-168
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    • 2015
  • Lichenoid dysplasia is a lichenoid features with epithelial dysplasia clinically and histopathologically similar to oral lichen planus. It can be clinically mistaken for oral lichen planus, but has histopathologic features of dysplasia and a true malignant predisposition. The clinician should be able to differentiate between oral lichen planus and lichenoid dysplasia for the proper management. We experienced a 75-year-old man with erosive, erythematous lesion on the left buccal mucosa previously diagnosed as oral lichen planus. He underwent surgical excision and the final histopathological result confirmed it to be lichenoid dysplasia with massive candidal infection. We report this case with a review of the related literature.

Cases report of ossifying fibroma showing various radiographic appearances in posterior mandible (하악골 후방부위에서 다양한 방사선학적 소견을 보이는 골화성섬유종의 증례보고)

  • Lee, Byung-Do;Oh, Seung-Hwan;Son, Hyun-Jin
    • Imaging Science in Dentistry
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    • v.40 no.1
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    • pp.53-58
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    • 2010
  • Common radiographic appearances of ossifying fibroma (OF) are well demarcated margin, radiolucent or mixed lesion. Lesions for the radiographic differential diagnosis with OF include fibrous dysplasia, focal cemento-osseous dysplasia. Other confusing lesions might be the mixed lesions such as calcifying odontogenic cyst, adenomatoid odontogenic tumor, calcifying epithelial odontogenic tumor, and benign cementoblastoma. We reported three cases of OF in posterior mandible. These cases showed a little distinguished radiographic features of OF and diagnosed from a combination of clinical, radiographic, and histopathologic information. We need to further refine radiographic and histopathological features of OF and other confusing lesions with literatures review because some cases of these lesions are not easily differentiated radiographically and histopathologically.