• Title/Summary/Keyword: 과오

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A Clinical Study of Pulmonary Hamartoma -Analysis of 41 Reported Cases in Korea Including 13 Cases in Severance Hospitol- (폐과오종에 대한 임상적 고찰 -국내 문헌 보고 41예를 포함한 세브란스 병원 13예에 대한 분석-)

  • Kim, Sung-Eun;Lee, Hong-Lyeol;Kim, Se-Kyu;Chang, Joon;Ahn, Chul-Min;Kim, Sung-Kyu;Lee, Won-Young;Choe, Kyu-Ok;Chung, Kyung-Young;Shin, Dong-Hwan
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.5
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    • pp.565-574
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    • 1993
  • Background: Pulmonary hamartomas are benign tumors that occur in the parenchyma or in the bronchi. They present as a solitary pulmonary nodule(SPN) or as a cause of bronchial obstruction. The incidence, once minimal, is increasing in Korea. To get clinical spectrum about the tumor, we analyzed all the reported cases in Korea since 1964. Methods: We reviewed the clinical, radiological and pathological findings of 13 patients of intrapulmonary or endobronchial hamartomas in Severance Hospital and of 38 reported cases in Korea published in literatures from 1964 to 1992 retrospectively. Results: Including 17 endobronchial hamartomas, 54 cases were studied. There were 25 men and 29 women, with a mean age of 47.2 years; 45.3 years in endobronchial type and 51.3 years in parenchymal type. Pulmonary symptoms were present in 8 patients (22%) of intrapulmonary type and in all patients of endobronchial type: cough (65%), dyspnea (53%), sputum (35%), fever (29%) in order. On chest X-rays, atelectasis was seen in 10 patients (59%) in endobronchial type; but SPN was noted in 36 patients (97%) of intrapulmonary type. Calcification was present in 7 intapulmonary hamartomas (23%); but is in 2 endobronchial hamartomas (12%). The diagnostic yield was 6 out of 14(43%) in endobronchial ones; 4 out of 7(57%) in intrapulmonary ones. Fifty patients underwent operations as follows: lobectomy (28), enucleation (8), resection (8), bilobectomy (4), pneumonectomy (2). The hamartomas were 1.2 times more common in the right lung; mean transverse diameter at the time of operation was 2.3 cm in endobronchial type, 3.8 cm in intrapulmonary ones. Chondroid components were present in 11(65%) of 17 endobronehial ones but in 30(91%) of 33 intrapulmonary hamartomas. No malignant changes were seen perioperative period and up to early 1993. Conclusion: The younger age in endobronchial hamartomas, the preponderance of the female sex and the more incidence in the right lung, and the diagnostic choice of lobectomies were different from the studies of the Western countries.

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A Study on the Malpractice of Information Professionals (정보전문가의 과오행위에 관한 연구)

  • 홍명자
    • Journal of Korean Library and Information Science Society
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    • v.33 no.4
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    • pp.179-207
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    • 2002
  • This study outlined the malpractice of information professionals. including librarians and information brokers, providing inaccurate and insufficient information to the users, which was derived from the lack of reasonable care in the performance of professional duties and caused actual damage to the users. The author analysed the essential requirements for the charge of information malpractice and suggested the method of safeguard against it.

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Endobronchial Chondroid Hamartoma Removed by Segmentectomy -Surgical Experience of One Case - (폐구역절제술로 제거된 기관지 내 연골성 과오종 -수술치험 1예 -)

  • Cho, Seong-Ho;Park, Sung-Dal
    • Journal of Chest Surgery
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    • v.38 no.9 s.254
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    • pp.652-655
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    • 2005
  • In comparison to parenchymal hamartoma, endobronchial hamartoma is rare benign neoplasm of the lung. Most parenchymal hamariomas are asymptomatic and are found incidentally. However, endobronchial hamartomas are frequently discovered through respiratory symptoms as a result of bronchial irritation or obstruction. A 47-year-old male patient was admitted to our hospital due to dry cough f month prior to admission. On bronchoscopic examination, a polypoid mass was found completely obliterating the anterior segmental bronchus of the left upper lobe. We report a case of endobronchial chondroid hamartoma, which was resected by anterior segmentectomy of the left upper lobe.

Convergence Factors Influencing on Perception of Medical Errors Report Related to Patient Safety of Healthcare Workers in a General Hospital (일개 종합병원 의료종사자들의 환자안전과 관련된 의료과오보고 인식에 영향을 미치는 융합요인)

  • Kang, Jung-Mi;Kwon, Jeong-Ok
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.61-70
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    • 2018
  • The purpose of this study was to identify the of patient safety related to perception of Hospital environment, Organizational culture, Reporting system and Factors Influencing on Perception of Medical Errors Report Related to Patient Safety of Healthcare Workers in a General Hospital. Healthcare Workers in a General Hospital in B City who signed on the written consent participated in this study between February 12 and 28, 2017. A total of 244 copies were collected and were analyzed using the SPSS 22.0 program. The result mean score perception of Hospital environment was 3.26(${\pm}0.31$)point on a scale of 0 to 5, and Organizational culture 3.74(${\pm}0.54$)point, Reporting system 3.64(${\pm}0.57$)point. Factors influencing on perception of medical errors report is sex(${\beta}=.137$, p=.023), Type of occupation(${\beta}=289$, p=.001), Department of Nursing(${\beta}=-.196$, p=.023), Hospital environment(${\beta}=.327$, p=<.001), Organizational culture(${\beta}=.288$, p=<.001). Therefore management and hospital management efforts should be made to establish a system that enables healthcare workers to report without fear of medical errors reporting, and appropriate staffing and open communication.

Chest Wall Hamartoma in Infancy A case report (흉벽의 간엽세포종(과오종)수술치험 1예 보고)

  • Jo, Hyeon-Min;Kim, Hae-Gyun;Mun, Dong-Seok
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1170-1172
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    • 1996
  • Chest wall hamartoma Is a very rare disease. The female infant was suffered from frequent upper respiratory infection. The chest AP revealed destruction of the ribs and widening of the intercostal space Chest CT demonstrated well-defined solid and cystic extrapleural mass. Chest M Rl revealed high signal and low signal intensities In the mass. In December, 1995, she underwent excision of the mass with partial resection of the ribs and ch st wall reconstruction with thick Cortex patch. The chest wall hamartoma was confirmed with histopathological examination. The postop course was smooth and uneventful.

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CT and MRI Features of Middle Ear Fibrous Hamartoma of Infancy: A Case Report (중이에서 발견된 영유아 섬유성 과오종의 영상 소견: 증례 보고)

  • Sang Hun Baek;Sanghyeon Kim;Kyungjae Lim
    • Journal of the Korean Society of Radiology
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    • v.83 no.2
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    • pp.420-424
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    • 2022
  • Fibrous hamartoma of infancy in the middle ear is extremely rare. We report the case of a 26-month-old male patient who presented with a mass in the left middle ear. A temporal bone CT scan showed complete opacification of the left middle ear and mastoid air cells without ossicular erosion. On MRI, the mass revealed heterogeneous signal intensities indicative of fat and fibrous components. A definitive diagnosis was made postoperatively based on the histological results. Although rare, fibrous hamartoma of infancy should be considered as a differential diagnosis of a middle ear mass during childhood.

Mesenchymal Cystic Hamartoma of the Lung - 1 Case Report - (폐에 발생한 간엽 낭성 과오종 - 1례 보고 -)

  • 최광민;김건일;조성우;신호승;박희철;홍기우;안혜경
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.189-193
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    • 1999
  • Mesenchymal cystic hamartoma of the lung is quite rare lesion which has an unknown prevalence, firstly described in 1986. It is characterized by multiple nodules and variable sized cysts in both lung field. The nodules of immature mesenchymal cells gradually enlarge and become cysts which are lined with normal or metaplastic respiratory epithelium and have the cambium layer of primitive mesenchymal cells. Main symptoms are hemoptysis, recurrent pneumothorax, and hemothorax. It is known to benign tumor, but has possibility of malignant degeneration. In gross findings in opertive field, multiple and variable-sized cystic lesions and nodules were observed. The cysts were lined with normal respiratory epithelium and had the cambium layer of primitive mesenchymal cell. Gross and microscopic findings were compatible with mesenchymal cystic hamartoma. We report a case of mesenchymal cystic hamartoma in a 27-year-old woman who had recurrent pneumothorax and hemoptysis.

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Endobronchial Chondroid Hamartoma - A case report- (기관지 내 연골성 과오종 -1예 보고-)

  • Lee Song Am;Kim Jun Seok;Lee Tae Hoon;Lim So Dug;Hwang Eun Gu;Kim Yo Han;Hwang Jae Joon
    • Journal of Chest Surgery
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    • v.39 no.3 s.260
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    • pp.240-243
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    • 2006
  • Pulmonary hamartoma is a common benign tumor of the lung, but endobronchial hamartoma is a rare tumor. Although bronchoscopic rcemoval or removal by bronchotomy or sleeve resection with preservation of the lung may be possible, when irreversible lung damage has occurred because of chronic obstruction and pneumonitis, pulmonary resection may be indicated. We herein report a case of endobronchial hamartoma which was treated by left upper lobectomy. A 42-year-old female with 3-week history of cough and left chest pain visited our hospital. Bronchoscopy showed total occlusion of the orifice of the left upper lobe bronchus by a lobulated endobronchial tumor and bronchoscopic biopsy was failed due to bleeding. A left upper lobectomy was performed because of severe consolidation of the left upper lobe by chronic obstruction. The patient was discharged on postoperative 14th day.

Respiratory Epithelial Adenomatoid Hamartoma at an Unusual Location: A Case Report and Literature Review (흔치 않은 위치에서 발생한 호흡상피 선종양 과오종: 증례 보고와 문헌고찰)

  • Da Eun Kwon;Da Mi Kim;Chang June Song;In Ho Lee;Yong Min Kim
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.247-251
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    • 2024
  • Respiratory epithelial adenomatoid hamartoma (REAH) in the head and neck is a rare benign lesion containing glandular tissue covered with ciliated respiratory epithelium. In the head and neck, REAH of the nasal cavity, paranasal sinuses, and nasopharynx have been reported in literature. Due to rareness of REAH and insufficient knowledge of its imaging features, the diagnosis can be challenging when we encounter a non-specific cystic mass at an uncommon site in the head or neck. Here, we report the case of a pathologically confirmed REAH showing a cystic mass centered at the buccal space (retromaxillary fat pad) with CT and MRI findings.

지상중계 - 서정욱 장관이 밝힌, '21세기의 과학기술 진흥정책'

  • Korean Federation of Science and Technology Societies
    • The Science & Technology
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    • v.32 no.7 s.362
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    • pp.32-34
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    • 1999
  • 서정욱 과학기술부장관은 지난 5월 24일 조선호텔에서 열린 과학기술포럼(이사장:김시중) 토론회에서 '21세기 과학기술 진흥정책'을 내용으로 주제발표를 했다. 서장관은 이 강연을 통해 "20세기의 과학기술이 엄청난 공헌도 했지만 적지않은 과오도 범했다"고 지적하고 "21세기의 한국의 과학기술은 20세기의 과학기술이 저질러 놓은 모순과 과오를 시정하면서 지구가족, 인류사회의 미래를 위해 큰 기여를 하도록 노력해야 한다"고 강조했다.

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