• Title/Summary/Keyword: 고신대학교

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A Case of Biliary Cast Syndrome After Endoscopic and Percutaneous Management of Common Bile Duct Stone (총담관 결석 환자에서 내시경적, 경피적 담관 시술 후 발생한 담관 원주 증후군)

  • Jae Chun Park;Jung Gu Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.224-229
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    • 2022
  • Biliary cast syndrome is an unusual complication in patients who have previously undergone liver transplantation. It occurs in approximately 5%-18% of such patients. Rare cases of biliary cast syndrome in patients without liver transplants have also been reported. The pathogenesis of biliary cast has not been clearly identified, although etiologic factors including post-transplant bile duct damage, ischemia, biliary infection, and presence of a post-operative biliary drainage tube have been proposed. Here we present a case of biliary cast that developed in a 49-year-old male who underwent a non-liver surgery after endoscopic and percutaneous management of common bile duct stone.

CT Findings of Central Airway Lesions Causing Airway Stenosis-Visualization and Quantification: A Pictorial Essay (협착을 유발하는 중심 기관지 병변들의 전산화단층촬영 소견-시각화 및 정량화: 임상화보)

  • Myeong Jin Choi;Hee Kang
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1441-1476
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    • 2021
  • The tracheobronchial tree is a system of airways that allows the passage of air to aerate the lungs and entire body. Several pathological conditions can affect this anatomical region. Multidetector CT (MDCT) helps identify and characterize various large airway diseases. Post-processing tools, such as virtual bronchoscopy and automatic lung analysis, can help enhance the performance of imaging studies. In this pictorial essay review, we provide imaging findings of various bronchial lesions manifested as wall thickening and endoluminal nodules on conventional MDCT and advanced image visualization and analysis.

A Case of Intra-thyroidal Parathyroid Adenoma Confirmed by Intraoperative Near-infrared Autofluorescence (수술 중 근적외선 자가형광으로 확인된 갑상선 내부의 부갑상선 선종 1예)

  • Dong Gyu Choi;Jun Sang Cha;Yeong Joon Kim;Hyoung Shin Lee;Kang Dae Lee
    • Korean Journal of Head & Neck Oncology
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    • v.39 no.1
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    • pp.53-57
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    • 2023
  • In general, the anatomical location and number of parathyroid glands are well known, but they are often found in a variety of locations, making it difficult to find parathyroid glands during surgery. Besides Intra-thyroidal parathyroid adenoma is extremely rare case, and it is harder to identify in surgery. We encountered a 51-year-old patient with a thyroid nodule. The results of the additional blood test and the Tc-99m MIBI were combined to determine that the left lower lobe parathyroid adenoma was highly likely. This patient was treated with left thyroid lobectomy with parathyroid identification using Near-infrared (NIR) imaging. Afterwards, the biopsy confirmed that it was a parathyroid adenoma, and has since been monitored through outpatient observation without any problem. We present this rare case with a review of related literatures.

Usefulness of 18F-FDG PET/CT and Multiphase CT in the Differential Diagnosis of Hepatocellular Carcinoma and Combined Hepatocellular Carcinoma-Cholangiocarcinoma (간세포암종과 혼합성 간세포암종-담관암종에서 다위상 전산단층촬영술 소견과 18F-FDG PET/CT에서 섭취율 차이에 대한 분석 )

  • Jae Chun Park; Jung Gu Park;Gyoo-Sik Jung;Hee Kang;Sungmin Jun
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1424-1435
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    • 2020
  • Purpose The purpose of this study was to evaluate the usefulness of multiphasic CT and 18F-fluorodeoxyglucose (FDG) PET/CT for the differentiation of combined hepatocellular carcinoma-cholangiocarcinoma (cHCC-CCA) from hepatocellular carcinoma (HCC). Materials and Methods From January 2007 to April 2016, 93 patients with pathologically confirmed HCC (n = 84) or cHCC-CCA (n = 9) underwent CT and PET/CT imaging. Contrast enhancement patterns were divided into three types based on the attenuation of the surrounding liver parenchyma: type I (early arterial enhancement with delayed washout), type II (early arterial enhancement without delayed washout), and type III (early hypovascular, infiltrative appearance, or peripheral rim enhancement). Results cHCC-CCAs (89%) had a higher PET/CT positive rate than did HCCs (61%), but the PET/CT positive rate did not differ significantly (p = 0.095). Among the 19 cases of the type II enhancement pattern, 3 (21%) of 14 HCCs and 4 (80%) of 5 cHCC-CCAs were PET/CT positive. cHCC-CCAs had a significantly higher PET/CT positive rate (p = 0.020) in the type II enhancement pattern. Conclusion The PET/CT positive rate of cHCC-CCA was significantly higher than that of HCC in lesions with a type II enhancement pattern. The 18F-FDG PET/CT can be useful for the differentiation of cHCC-CCA from HCC in lesions with a type II enhancement pattern on multiphasic CT.

A Case of Immunotherapy in Small Cell Type Malignant Melanoma of Nasal Cavity (비강 내 소세포형 악성 흑색종의 면역치료 1예)

  • Kim, Chang Hoi;Kwon, Jae Hwan;Kim, Ju Yeon
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.259-263
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    • 2018
  • There are many treatment options for the malignant melanoma. Wide excisional surgery is one of the most acceptable treatments for locoregional treatment. Depending on the pathologic classification, however, some other treatment option can be included such as chemotherapy, radiotherapy and immunotherapy as adjuvant treatment. Small cell type malignant melanoma is a rare variant of malignant melanoma. It is known that melanomas manifesting this morphology are invariably in vertical growth phase and have an aggressive course. The authors encountered small cell type malignant melanoma and would like to share the experience of successful treatment with surgery plus immunotherapy as one of adjuvant treatment options.

The Next Generation of Energy News Big Data Analytics (차세대 에너지 관련 뉴스 빅데이터 분석)

  • Lee, YeChan;Cho, HaeChan;Ban, ChaeHoon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.451-453
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    • 2016
  • 대규모의 데이터가 생산되고 저장되는 정보화 시대에서 현재와 과거의 데이터를 바탕으로 미래를 추측하고 방향성을 알아갈 수 있는 빅데이터의 중요성이 강조되고 있다. 정형되지 못한 대규모 데이터를 빅데이터 분석 도구인 R을 통해 통계를 기초로 데이터의 정보분석과 정형화하도록 한다. 본 논문에서는 R을 이용하여 뉴스에서 나타나는 차세대 에너지 관련 빅데이터를 분석한다. 뉴스 기사에서 차세대 에너지 관련 데이터를 수집하고 수집된 키워드를 이용하여 근미래의 효율적인 차세대 에너지의 등장을 예측한다. 에너지 산업의 추진에 대한 흐름과 방향성을 제시하고 의사결정을 위한 기술적 과제를 도출함으로 탄력적인 경영과 의사결정에 도움을 주며 기술적 문제의 근원을 사전에 예측하고 방지할 수 있을 것으로 보여진다.

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Negative-Pressure Wound Therapy for Septic Ankle Arthritis Following Intractable Lateral Malleolar Bursitis: A Case Report (족관절 화농성 관절염이 동반된 난치성 외과 점액낭염의 음압 창상치료: 증례 보고)

  • Kim, Jiyoun;Jang, Jihoon;Chung, So Hak
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.190-194
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    • 2021
  • A bursa is an obstructive sac filled with synovial fluid and usually occurs in any area of the body exposed to friction. The bursa of the ankle is not a normal anatomical structure and is caused by repetitive trauma, constant friction, or inflammatory disease of the ankle. Bursitis can occur in any bursa in the human body; however it rarely progresses to septic arthritis. We report a rare case of septic ankle arthritis following intractable lateral malleolar bursitis successfully treated with negative-pressure wound therapy.

Evaluations of Thermal Fog for Domestic Mosquito Vector Control (국내 주요 모기에 대한 가열연막의 방제효과)

  • Jeong, Su-Yule;Min, Young-Hwan;Jung, Sun Ho;Kang, Gi-Seok;Jeong, Hyo-Bin;Lee, Dong-Kyu
    • Korean journal of applied entomology
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    • v.61 no.1
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    • pp.267-274
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    • 2022
  • Portable and vehicle thermal fogs were tested using etofenprox, bifenthrin, and deltamethrin diluted with diesel oil, kerosene, and water against domestic vector mosquitoes, Aedes albopictus, Anopheles sinensis s.l., Culex pipiens, and Culex tritaeniorhynchus. The female mosquitoes were confined in small cages suspended on poles at progressively greater distances from the fog release point at an open field. The average mortality rates of four vector mosquitoes to the three insecticides were 52.0% and 64.0% at a portable thermal fogs diluted with diesel oil and water within a 10 m distance, respectively. A vehicle thermal fog had a mean mortality of 34.8% of the females to the insecticides diluted with diesel oil within 50 m. The mortality rates were not significantly different among all the tested distances. At a dilution solvent test, the mortality of the females to the insecticides diluted with kerosene was 1.9 times higher than that of diesel oil.

Design of Query Processing based on Profiles for Efficient Searching Events (효율적인 이벤트 검색을 위한 프로파일 기반 질의 처리 방법)

  • Kim, ChangHoon;Kim, TaeYoung;Kim, JongMin;Ban, ChaeHoon;Kim, DongHyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.10a
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    • pp.249-252
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    • 2009
  • Recently, it is possible for users to acquire necessary data easily as the various schemes of the searching information are developed. Since these data rise continuously like stream data, it is required to extract the appropriate data for the user's needs from the mass data on the internet. In the traditional scheme, they are acquired by processing the user queries after the occurred data are stored at a database. However, it is inefficient to process the user queries over the large volume of continuous data by using the traditional scheme. In this paper, we propose the query processing scheme to extract the data efficiently for the user requirements from the large volume of continuous data. On the proposed scheme, we present the Event-Profile Model to define the data occurrence on the internet as the events and the user's requirements as the profiles. We also show the filtering scheme to process the events and the profiles efficiently.

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Comparative Analysis of Course Satisfaction and Student Assessment Results in Redesigned Problem-Based Learning (문제기반학습 교육과정 개편에 따른 과정 만족도 및 학생평가 결과 비교 분석 연구)

  • Kim, Sejin;Kim, Minjeong;Kong, Seom Gim;Jeong, Ho Joong
    • Korean Medical Education Review
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    • v.24 no.2
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    • pp.128-140
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    • 2022
  • The purpose of this study was to redesign a problem-based learning (PBL) curriculum and compare the differences between the previous and redesigned PBL based on the results of course satisfaction and student assessments. The PBL was redesigned using curriculum design guidelines (including revisions of curriculum objectives, learning components, learning environments, and assessment methods) that were developed based on previous studies and evaluation results. A comparative study was employed using course satisfaction surveys from the previous and redesigned curricula, and a total of 45 students participated. We also compared student assessment results from concept mapping, learning issue reports, modified essay questions, and reflection journals. We identified four key findings. First, we explored the possibility that the redesigned PBL could be implemented by student facilitators without professors as tutors. Second, the redesigned PBL fostered group dynamics that facilitated developing communication skills and collaborative learning through small-group discussions. Third, the new learning elements added in the redesigned PBL made a meaningful contribution to enhancing students' clinical reasoning based on hypothetico-deductive reasoning. Fourth, concept maps in redesigned PBL contained more complex and various nodes and connections, and the levels of the nodes were more appropriate. The implications of this study can provide meaningful preliminary information for redesigning PBL curricula for medical students to develop their essential competencies through PBL.