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A Case of Tracheal Neurilemmoma Which was Completely Removed by Bronchoscopic Laser Therapy (기관지경하 레이저 치료를 통해 완치한 기관내 신경초종 1예)

  • Park, Chul-Soo;Ahn, Joong-Hyun;Shin, Woo-Seung;Lee, Sang-Joon;Suh, Baek-Jong;Kwon, Sun-Suk;Kim, Young-Kyoon;Moon, Hwa-Sik;Song, Jeong-Sup;Park, Sung-Hak
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.4
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    • pp.942-948
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    • 1997
  • Benign Tracheobroncheal tumor is a rare disease such as 1.9% of all tumor of pulmonary origin. Because clinical manifestation of benign tracheal tumor resembles that of broncheal asthma, these patients are usually treated in a way that used in broncheal asthma. Therefore, the diagnosis is delayed. We experienced a case of tracheal neurilemmoma that cured by bronchoscopic laser therapy. A 23-year-old woman visited our hospital because of progressing dyspnea especially during inspiration. She was treated with aminophylline and 2 agonist under the impression of bronchial asthma at a local clinic. But because the symptoms were not relieved and pulmonary function test revealed variable extrathoracic lesion, we conducted bronchoscopy and biopsy. There were $1.5{\times}2cm$ sized movable mass with stalk attached right anterior wall of bronchus. The biopsy result was neurilemmoma. Therefore we conducted bronchoscopic Laser therapy four times and the lesion disappeared in bronchoscopy and chest CT.

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Versatility of Radial Forearm Free Flap on Head and Neck Cancer in Old-Aged Patient and its Donor Site Morbidity (노인 두경부 종양환자에서 노쪽아래팔유리피판술의 유용성 및 공여부 결과의 비교)

  • Lee, Ki-Eung;Koh, Sung-Hoon;Eo, Su-Rak
    • Archives of Reconstructive Microsurgery
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    • v.15 no.2
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    • pp.92-100
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    • 2006
  • Radial forearm free flap (RFFF) has been established itself as a versatile and widely used method for reconstruction of the head and neck, although it is still criticized for high mortality of donor site. Delayed wound healing, cosmetic deformity, vascular compromise and potentially reduced wrist function have many plastic surgeons hesitate to adapt it as a first choice in micro-reconstruction. To overcome these drawbacks, some techniques for donor-site repair such as V-Y advancement with full thickness skin graft (FTSG), application of artificial dermis ($Terudermis^{(R)}$) or acellular dermal matrix ($AlloDerm^{(R)}$), and double-opposing rhomboid transposition flap have been reported. Authors performed 4 cases of RFFF in old-aged patients of the head and neck cancer from April 2005 to February 2006. We compared the outcomes of donor site of RFFF which were resurfaced with split thickness skin graft (STSG) only and STSG overlying an $AlloDerm^{(R)}$. Patients were all males ranging from 59 to 74 years old (mean, 67.5). Three of them had tongue cancers, and the other showed hypopharyngeal cancer. All cases were pathologically confirmed as squamous cell carcinomas. We included the deep fascia into the flap, so called subfascially elevated RFFF in three cases, and in the other one, we dissected the RFFF suprafascially leaving the fascia intact. The donor site of the suprafascially elevated RFFF was resurfaced with STSG only. Among three of subfascially elevated RFFFs, donor-sites were covered with thin STSG only in one case, and STSG overlying $AlloDerm^{(R)}$ in two cases. All RFFFs were survived completely without any complication. The donor site of the suprafascially elevated RFFF was taken well with STSG only. But, the partial graft loss exposing brachioradialis and flexor carpi radialis muscle was unavoidable in all the subfascially elevated RFFFs irregardless of $AlloDerm^{(R)}$ application. Considering that many patients of the head and neck cancer are in old ages, we believe the RFFF is still a useful and versatile choice for resurfacing the head and neck region after cancer ablation. Its reliability and functional characteristics could override its criticism for donor site in old-aged cancer patients.

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The Usefulness of Three-phase Bone Scan and Thermography for Making the Diagnosis of CRPS-I (제1형 복합부위 통증증후군의 진단에서 적외선 체열측정과 3상 골스캔의 유용성)

  • Park, Sang Hyun;Lee, Pyung Bok;Lim, Yun Hee;Lee, Seung Yoon;Choi, In Yong;Lee, Sang Jin;Oh, Yong Seok
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.81-86
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    • 2006
  • Background: Complex regional pain syndrome (CRPS) is a painful and disabling disease, yet the diagnosis of this can be difficult to confirm by purely objective measures. Therefore, we performed three-phasic bone scans and thermography as a work up in order to determine their predictive value and usefulness for making the diagnosis of CRPS. Methods: 44 patients who had been diagnosed with CRPS type-1, according to the modified criteria, were evaluated. All the patients were examined by performing a three-phasic bone scan and thermography as part of a work-up for diagnostic confirmation. The diffuse increased tracer uptake in the delayed image (phase III) was estimated by the positive findings. The findings were considered positive for CRPS if the thermographic findings showed temperature asymmetries between the affected and non- affected extremities of more than $1.00^{\circ}C$ Results: A review of the three-phasic bone scan for 44 patients indicated that 16 patients (36.4%) had diffusely positive scans, and thermographic abnormalities were noted in 35 of 44 patients (79.5%). Conclusions: The use of thermography in clinical settings can play an important role in the diagnosis of CRPS. However, a three-phasic bone scan alone cannot provide a completely accurate diagnosis, so it is imperative that the three-phasic bone scan data be integrated with the clinical evaluation and the other relevant tests.

Activity and sublethal effects of several insecticides to the rice skipper, Parnara guttata Bremer et Grey (Lepidoptera : Hesperiidae) (줄점팔랑나비 (Parnara guttata)에 대한 몇 가지 살충제의 활성과 아치사농도에 의한 영향)

  • Oh, Hong-Kyu;Lee, Young-Su;Lee, Sang-Gae;Park, Hyung-Man;Choi, Yong-Seok;Ryu, Gab-Hee;Chang, Young-Duck
    • The Korean Journal of Pesticide Science
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    • v.6 no.4
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    • pp.257-263
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    • 2002
  • This study was carried out not only to investigate the toxicities of 12 registered insecticides on different developmental stages, but also to determine the sublethal effects on longevity and reproduction of newly emerged adult female and development of the next generation in the rice skipper, Parnara guttata. Fenitrothion, fenthion, cartap hydrochloride, ethofenprox highly suppressed egg-hatch. All insecticides treated showed high larvicidal activity on the 1st to 2nd instar larva. The insecticides showed higher larvicidal activities on the 5th instar larva were fenitrothion, fenthion, ethofenprox, fipronil, methoxyfenozide, tebufenozide and Bt. var. kurstaki. The sublethal doses of fenthion, tebufenozide, cartap hydrochloride, methoxyfenozide, ethofenprox, imidacloprid and fipronil shortened the longevities of newly emerged adult female from the treated larva ($3{\sim}4$ instar). BPMC, imidacloprid, ethofenprox, fipronil and methoxyfenozide delayed the preoviposition periods of adult females and decreased the number of eggs laid when they were treated at the larval stages of the previous generation. Ethofenprox caused severe sublethal effects on P. guttata offspring, completely blocking the production. All insecticides except fenitrothion affected the egg viability, and all eggs from the adult females emerged from the survivors treated larvae with imidacloprid or fipronil fail to hatch. IGRs, methoxyfenozide and tebufenozide showed an adverse effect on the development of next generation larva.

An Improved Multi-Keyword Search Protocol to Protect the Privacy of Outsourced Cloud Data (아웃소싱된 클라우드 데이터의 프라이버시를 보호하기 위한 멀티 키워드 검색 프로토콜의 개선)

  • Kim, Tae-Yeon;Cho, Ki-Hwan;Lee, Young-Lok
    • KIPS Transactions on Computer and Communication Systems
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    • v.6 no.10
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    • pp.429-436
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    • 2017
  • There is a growing tendency to outsource sensitive or important data in cloud computing recently. However, it is very important to protect the privacy of outsourced data. So far, a variety of secure and efficient multi-keyword search schemes have been proposed in cloud computing environment composed of a single data owner and multiple data users. Zhang et. al recently proposed a search protocol based on multi-keyword in cloud computing composed of multiple data owners and data users but their protocol has two problems. One is that the cloud server can illegally infer the relevance between data files by going through the keyword index and user's trapdoor, and the other is that the response for the user's request is delayed because the cloud server has to execute complicated operations as many times as the size of the keyword index. In this paper, we propose an improved multi-keyword based search protocol which protects the privacy of outsourced data under the assumption that the cloud server is completely unreliable. And our experiments show that the proposed protocol is more secure in terms of relevance inference between the data files and has higher efficiency in terms of processing time than Zhang's one.

Early and Late Effect of External Abdominal Irradiation on Small Intestine of Mice at Various Total Dose and Intervals - Histopathologc Aspects of Damage and Recovery - (복부 방사선 조사에서 총 선량 및 회복기간에 따른 마우스 소장의 급만성 효과 -손상 및 회복의 병리조직학적 변화-)

  • Kim, Myung-Se;Choi, Won-Hee
    • Radiation Oncology Journal
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    • v.5 no.1
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    • pp.1-11
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    • 1987
  • Total 390 mice were irradiated with $2{\times}3cm$ abdominal field and $200{\times}5/wk$ regimen with orthovoltage x-ray machine. All animals were divided into 2 large groups, damage and recovery, and histopathologic changes were analyzed at various total dose level (1,000 cCy-5,000 cCy) and intervals (1 week-15 weeks). Almost acute changes such as decreased mitotic activity, villi shortening and focal erosion of mucosa recovered within 1-2 weeks in 1,000-3,000 cGy irradiated group but mild changes persisted in 4,000 and 5,000 cCy irradiated groups. Chronic delayed changes such as thickening of vessel wall with focal thrombosis, submucosal fibrosis, mucosal atrophy and chronic ulcer were observed from 2-3 week specimens in 4,000 and 5,000 cGy groups, These late changes recovered slightly, as increasing time intervals after irradiation but mild, persistant changes were observed throught all follow up period. These data suggest hat even 4,000 cCy is not completely safe for possible permanent damage and judicious modificiation of total dose, dose rate, fraction size, and field size should be considered for better results.

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A Study on Improvement Options of Objection Procedure in the Supervision and Guidance of Maritime Safety Supervisors (해사안전감독관 지도·감독 이의신청 제도의 개선방안 연구)

  • Lee, Seok-Mal
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.6
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    • pp.708-716
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    • 2019
  • After the Sewol ferry disaster, the maritime safety supervisor system was introduced to strengthen maritime safety control for coastal vessels. If any critical defect is found in vessel facilities during periodical or occasional guidance and supervision on a vessel, a maritime safety supervisor takes an administrative measure: detention of the vessel until it has been completely corrected. The detention order is one of the most powerful regulations exercised by a maritime safety supervisor. It would not be an overstatement to say that the guidance and supervision conducted by a maritime safety supervisor is very important for the safety of a vessel and protection of the maritime environment. However, the regulatory level of each Regional Office of Oceans and Fisheries toward vessels may vary with the enforcers, and an individual's intentional act or negligence might occur during the execution process. Detention of a coastal vessel by the Regional Office of Ocean and Fisheries can easily lead to delayed navigation, and a vessel owner may suffer economic loss from suspension of a charter party. Nevertheless, the Maritime Safety Act does not prescribe filing a petition for objection to the measure of detention order by a maritime safety supervisor. To overcome this problem, therefore, the objection procedure under the Maritime Safety Act has to be reformed to reclaim a right against an inappropriate detention order measure caused by an individual's intentional act or negligence through a formal objection.

A Case of Primary Pulmonary Artery Sarcoma (원발성 폐동맥 육종 1례)

  • Kim, Hee Joung;Seo, Suk Min;Kim, Sung Yong;Kim, Myung Sook;Kim, Seung Joon;Kim, Young Kyoon;Kim, Kwan Hyoung;Moon, Hwa Sik;Song, Jeong Sup;Park, Sung Hak
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.2
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    • pp.230-235
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    • 2003
  • A primary pulmonary artery sarcoma is a rare malignant tumor derived from the intimal layer of the pulmonary artery. Its clinical presentation can lead to a misdiagnosis of more common diseases such as thromboembolic disease. It is known to have a very poor prognosis. Therefore, the correct diagnosis of a primary pulmonary artery sarcoma is difficult and often delayed. We experienced a case of primary pulmonary artery sarcoma mimicking a pulmonary thromboembolism. The patient was admitted as a result of progressive dyspnea and coughing. The lung perfusion scan showed a large perfusion defect involving almost the entire right lung and suspicious small perfusion defects in the left upper lobe. Magnetic resonance imaging of the chest showed an enhancing nodule within the thrombus in the right pulmonary artery. The mass was removed completely by surgery, but the patient died as a result of shock.

Evaluation of Phosphine Efficacy on Anoplophora chinensis and A. glabripennis in Export Bonsai (수출분재 주요 해충인 알락하늘소와 유리알락하늘소에 대한 포스핀 훈증 효과 검정)

  • Lee, Sang Myeong;Jung, Young Hack;Lee, Byung-Ho;Kim, Bong-Su;Park, Min-Goo;Lee, Dong Woon
    • Korean journal of applied entomology
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    • v.57 no.3
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    • pp.151-160
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    • 2018
  • Anoplophora chinensis and A. glabripennis is classified as important quarantine Cerambycidae beetles worldwide. These beetles cause serious damage on natural host plants and export bonsai trees in Korea. We evaluated efficacy of phosphine fumigant for control of two Cerambycidae beetles in bonsai. In the preliminary test to achieve CT (Concentration x time) values of phosphine to Cerambyicdae beetles larvae, we used Monochamus alternatus of larvae as an alternative insect. A 24 h phosphine fumigation with $2g/m^3$ phophine achieved 100% eggs mortality against Anoplophora chinensis and A. glabripennis. Larva of A. chinensis was also completely controlled when treated for 168-h at same dose desiccator. 100% mortality on larval stage of two beetle species were achieved both in dormancy (January) and vegetative period (February) of bonsai when treated with $2g/m^3$ phosphine. However, phosphine fumigation against vegetative period of Acer palmatum, Carpinus turczaninowii and Malus sieboldii bonsai showed slight phytotoxicity (shorten leaf and flower size and delayed flowering).

Accelerated Germination of Orchardgrass(Dactylis glomerata) Seed Under Water Stress by Seed Pre-treatments (수분 장애시 종자 전처리가 오차드그라스의 발아에 미치는 영향)

  • Baek, Seong-Beom;Kim, Geon-Yeop;Kim, Heung-Bae
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.13 no.1
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    • pp.31-37
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    • 1993
  • It is important to improve the germination of grass seeds because they are poor germination under water stress. This experiment was conducted to investigate the response of seeds pre-treated individually with Polyethylene glycol 6000 (PEG) and growth regulators(GA$_3$, Kinetin, NAA) on the germination characteristics when two levels of osmotic potential (0, -5 bar) were put to seeds of Orchardgrass. In the untreated seeds, the total germination rate was decreased under water stress, and the mean germination time was delayed. Priming of Orchardgrass seeds using PEG or GA$_3$ resulted in improved germination under water stress(-5 bar), whereas the opposite was true of kinetin or NAA. The response of seeds primed in solutions of either -15 bar PEG or 100 ppm GA$_3$ was particulary marked compared with the untreated seeds. It is suggested that PEG and GA$_3$ may have positive regulatory effects in triggering the system for water stress alleviation. But the inhibitory effect of the water stress was not completely removed by allowing the seeds to pre-treat in solution of PEG or GA$_3$.

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