• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.289-296
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• 2018

Objectives: In these days, patients with stage I breast cancer have increased by regular health examination and diagnostic tool development. The aim of this retrospective study is to identify systemic recurrence related factors after breast conserving surgery (BCS) for stage I breast cancer. Methods: In this study, we analyzed the correlation between systemic recurrence and pathologic factors. We reviewed 223 patients who underwent BCS for stage I breast cancer. Postoperative pathologic factors, recurrent rates and sites were studied. In addition, preoperative patients'data were also collected. Statistical analysis was done by using PASW 16.0 (SPSS Inc., Chicago, IL, USA). Results: Systemic recurrence was found in 16 patients (7.17%) within 5 years after primary surgery. 5 patients had lymphatic invasion and 6 patients had vascular invasion. Lymphatic and vascular invasion had statistical correlation with systemic recurrence (P = 0.004, P = 0.001). Conclusions: In this retrospective study, we can conclude that vascular invasion and lymphatic invasion are related systemic recurrence after BCS for stage I patients. Further studies with large cohort will be required to fully understand the risk factors of systemic recurrence for stage I breast cancer patients.

• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.454-462
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• 2018

A 54-year-old man, suffering from severe headache and ophthalmoplegia after undergoing endoscopic sinus surgery was referred to a tertiary hospital. Computed tomography (CT) revealed soft tissue density lesions in the left sphenoid sinus. The internal carotid artery was shown to be occluded in brain magnetic resonance imaging (MRI) scans without any other cerebral lesion. Endoscopic view of left nasal cavity shows whitish hyphae in the ethmoid and the sphenoid sinuses. We diagnosed him with cavernous sinus syndrome caused by mucormycosis and conducted endoscopic sinus surgery to remove remaining lesions and decompress orbit and optic nerves. After the revision surgery the patient's headache and ophthalmoplegia were improved. However, multifocal cerebral infarctions were newly discovered in a postoperative CT scan. We experienced a case of mucormycosis of sphenoid sinus resulting in occlusion of internal carotid artery and multifocal cerebral infarction, and report it with a brief review of these disease entities.

• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.468-476
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• 2018

Perioperative anaphylaxis, although rare, is a severe, life-threatening unexpected systemic hypersensitivity reaction. Simultaneous administration of various drugs during anesthesia, the difficulty of communicate with patients in sedation and anesthesia, and coverage of the patient with surgical drapes are considered to be factors that impede early recognition of anaphylactic reactions. It is very important to perform an intradermal skin test because antibiotics are the most common cause of perioperative anaphylaxis. We report a case of negative-intradermal skin test antibiotic anaphylaxis mistaken for local aesthetic systemic toxicity without increase of serum tryptase for confirmative diagnostic biomaker during surgery under brachial plexus block. It is not possible to exclude the danger of anaphylaxis completely, even if it is negative-intradermal skin test and normal tryptase level. Therefore, anesthesiologists should be closely monitored and treated early for antibiotics related hypersensitive reaction, like other medicines during anesthesia.

• 고신대학교 의과대학 학술지
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• 제33권2호
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• pp.240-244
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• 2018

Knotting of a pulmonary artery catheter (PAC) is a rare, but well-known complication of pulmonary artery (PA) catheterization. We report a case of a double-knotted PAC with a large loop in a patient with hepatocellular carcinoma (HCC) undergoing liver transplantation, which has been rarely reported in the literature. A PAC was advanced under pressure wave form guidance. PAC insertion was repeatedly attempted and the PAC was inserted 80 cm deep even though PAC should be normally inserted 45 to 55 cm deep. However, since no wave change was observed, we began deflating and pulling the balloon. At the 30-cm mark, the PAC could no longer be pulled. Fluoroscopy confirmed knotting of the PAC after surgery (The loop-formed PAC was shown in right internal jugular vein); thus, it was removed. For safe PA catheterization, deep insertion or repeated attempts should be avoided when the catheter cannot be easily inserted into the pulmonary artery. If possible, the insertion of PACs can be performed more safely by monitoring the movement of the catheter under fluoroscopy or transesophageal echocardiography.

• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.409-414
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• 2018

Giant pulmonary bulla (GPB) is a rare manifestation of emphysema and usually enlarges gradually over time, occasionally resulting in complications. Hence, more often than not, the surgical intervention of a Bullectomy is the standard method of treatment for GPB. However, there are case reports that show the complete resolution of GPB after its inflammation process even without surgical intervention. A 51-year-old man was admitted to our clinic due to pleuritic pain. After a chest X-ray and CT scan, a new air-fluid level within the GPB was revealed in the right upper lobe of his lung. His clinical status had improved promptly with intravenous antibiotics. A one-year follow-up study showed the GPB was completely resolved.

• 고신대학교 의과대학 학술지
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• 제33권3호
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• pp.415-421
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• 2018

Cases showing complications such as esophageal injury, deep neck infection, and mediastinitis caused by accidental ingestion of fish bone are common. But ingestion of fish bone rarely causes perforation of the gastrointestinal tract or an intra-abdominal abscess. We report herein a case of a 78-year-old man with a periumbilical mesenteric abscess caused by fish bone which was ingested unconsciously. The fish bone was found in the terminal ileum and it was removed by colonoscopy. The patient improved and he was discharged after systemic antibiotic therapy. Occasionally, when patients swallow fish bone without a foreign body sensation, clinicians should suspect perforation caused by fish bone in case of an intra-abdominal abscess of unknown cause.

• 대한의용생체공학회:의공학회지
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• 제42권3호
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• pp.116-124
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• 2021

It is important to differentiate between the target tissue (or organ) and the rest of the tissue before incision during surgery. And when it is necessary to preserve the differentiated tissues, the blood vessels connected to the tissue must be preserved together. Various non-invasive medical imaging methods have been developed for this purpose. We aimed to develop a medical imaging system that can simultaneously apply fluorescence imaging using indocyanine green (ICG) and laser speckle contrast imaging (LSCI) using laser speckle patterns. We designed to collect images directed to the two cameras on a co-axial optical path and to compensate equal optical path length for two optical designs. The light source used for fluorescence and LSCI the same 785 nm wavelength. This system outputs real-time images and is designed to intuitively distinguish target tissues or blood vessels. This system outputs LSCI images up to 37 fps through parallel processing. Fluorescence for ICG and blood flow in animal models were observed throughout the experiment.

• 한국전자통신학회논문지
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• 제15권6호
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• pp.1195-1200
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• 2020

굴뚝연기의 혼탁도 측정하는 DOM(: Digital Optical Method)은 쉽게 구할 수 있는 저렴한 비용의 디지털 카메라를 이용해 측정하고자하는 구역과 그 대조 구역을 설정하여 혼탁도를 계산하는 방법이다. 그러나 흐린 하늘에서는 구름과 백색 굴뚝연기가 구분되지 않아 측정이 어려운 문제점 있다. 본 논문에서는 이러한 문제를 해결하기 위하여 배경하늘을 주기적으로 디지털 카메라로 촬영하고 유형을 분류하여 대표할 수 있는 배경하늘 유형 모델을 개발한다. 또한 개발된 배경하늘 유형 모델을 기반으로 백연 이미지 보정을 최적화하기 위한 필터를 개발하고 실험을 통하여 우수성을 입증한다.

• 한국전자통신학회논문지
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• 제17권6호
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• pp.1237-1242
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• 2022

대기오염물질인 미세먼지의 50% 이상을 차지하고 있는 비산먼지는 건설공사가 주요 배출원(29.5%)으로 이에 대한 관리를 위하여 비산먼지 억제를 위한 시설 설치 및 조치에 관한 기준을 법으로 제시하고 있다. 그러나 소규모 건설현장은 관리 대상기준이 아니며 건설현장에서 발생하는 비산먼지를 개량적으로 측정하여 조치하는 항목이 미흡하다. 본 논문에서는 비산먼지를 더욱 쉽게 측정하고 모니터링하기 위하여 먼지의 혼탁도를 측정하는 광학기법을 사용한 방법을 설계하고 구현하였다. 먼저 광학기법을 이용한 비산먼지의 혼탁도를 측정하는 방법을 제시하고 비산먼지측정 시스템을 구현하여 건설현장에서 발생하는 실제 비산먼지의 혼탁도를 측정하였다.

• 근관절건강학회지
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• 제29권3호
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• pp.151-164
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• 2022

Purpose: The purpose of this study was to explore the illness experiences of patients who had spinal surgery. Methods: Colaizzi's phenomenological method was used for the data analysis. Patients who had spinal surgery were included in this study. The data was collected between April and October 2022 by conducting a one-on-one, in-depth interview. Results: Five theme clusters were identified based on the illness experiences of patients who had spinal surgery: "An agonizing life changed by pain", "Efforts to alleviate the pain", "Surgery was determined to be the best way to relieve pain", "Recovered daily life after relieving pain caused by surgery", and "Dedicated to living a healthy, pain-free life". The analysis further yielded 20 themes. Patients used various treatment methods to relieve pain, but ultimately chose surgery due to unbearable pain. Patients who had spinal surgery felt grateful that they were feeling good and healthy because they could return to their normal daily lives. After all, the pain was relieved after the surgery. Even though some pain remained unrelieved, the patients had the hope of getting better through exercise and rehabilitation. Conclusion: This study provides an in-depth understanding and meaning of the illness experiences of patients who had spinal surgery and presents new perspectives on clinical practice. The findings of this study are expected to be useful in developing and applying systematic and customized nursing interventions before and after spinal surgery.