• Title/Summary/Keyword: 두피

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Case Report of Angiosarcoma on Scalp (2 cases) (두피에 발생한 혈관 육종의 치험 2례)

  • Yang, Eun Zin;Kim, Jeong Tae;Kim, Youn Hwan;Yi, Hyeong Joong
    • Archives of Plastic Surgery
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    • v.36 no.1
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    • pp.96-100
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    • 2009
  • Purpose: Angiosarcoma of the scalp is unusual vascular tumor originating from endothelial cell. Angiosarcoma is an aggressive tumor with high propensity for both local recurrence and distant metastasis. We report 2 cases of angiosarcoma having poor prognosis recently. Methods: Case 1 was a 67 - year - old male patient. He visited the hospital with a $3{\times}5cm$ sized discolored mass in forehead. It began at one month ago from coming to the hospital. Case 2 was a 64 - year - old male patient. He visited for our hospital to remove a $4{\times}5cm$ sized scalp mass. He had a pruritis on scalp from 9 months ago before coming to the hospital. Despite of the conservative treatments, the wound was not healed and advanced necrotic lesion with hemorrhage. Results: Case 1 diagnosed as an angiosarcoma. He underwent a radical operation 5 times. But the tumor expanded multiple area in dura & frontal area of the brain. The patient rejected the treatment any more. And he died one month later. Case 2 diagnosed as an angiosarcoma and metastased to skull in MRI. He got a radical resection including cranium. Three months later, it recurred to ipsilateral Sternocleidomastoideus muscle. He got a additional operation & started radiotherapy. And now he is receiving chemotherapy, but the recurred lesion is expanding. Conclusion: Angiosarcoma is a highly malignant tumor. Especially it arises in vascularized area, it easily metastases. So it is the best to treat angiosarcoma with surgery included wide margins. Despite of the lesion is small, we remember that angiosarcoma is a tumor that consider to metastases.

Long-term follow-up of recurred adenoid cystic carcinoma of the scalp (폐 전이를 보이는 두피부의 재발성 선양 낭포 암종에 대한 장기간의 추적 관찰)

  • Park, Bo Young;Kim, Yang Woo;Kang, So Ra
    • Archives of Plastic Surgery
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    • v.36 no.4
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    • pp.507-511
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    • 2009
  • Purpose: Adenoid cystic carcinoma (ACC) is a rare malignant epithelial neoplasm derived from the salivary glands. In some cases, ACC may arise in other primary sites, such as skin. We report a case of adenoid cystic carcinoma arising the scalp skin of 69 - year - old woman. Methods: A 69 - year - old woman presented with a tender scalp nodule. A local wide excision was performed. Histopathologic examination was revealed the adenoid cystic carcinoma with basaloid cells in a cribriform pattern. The resection margins were free of tumor. Two years later a tumor recurred in the scarred area. The lesion was removed surgically and the histopathological diagnosis of adenoid cystic carcinoma was again established. After two years, tumor recurred again and diatant metastasis of the lung was diagnosed. A surgical wide excision was done and the close regular follow - up for recurrence was done. Two years later, third recurrence of the scalp was observed. We also performed the wide local excision with tumor free margin. Results: We experience the recurrent adenoid cystic carcinoma of the scalp with pulmonary metastasis. We have performed the wide local excision for three times. The patient has been followed up for 10 years with regular work - up for recurrence and metastasis Conclusion: primary cutaneous adenoid cystic carcinoma is a rare skin neoplasm with a high potential for recurrence after local excision. The standard treatment of ACC is wide local excision with tumor - free margins established by permanent section.

THREE-DIMENSIONAL FINITE ELEMENT STRESS ANALYSIS OF PORCELAIN INLAY AND ONLAY (도재인레이 및 온레이에 대한 삼차원유한요소법적 응력분석)

  • Kwon, Hyuk-Choon;Um, Chung-Moon;Son, Ho-Hyun;Cho, Byeong-Hoon
    • Restorative Dentistry and Endodontics
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    • v.23 no.2
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    • pp.647-655
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    • 1998
  • 심미도재수복시의 와동의 폭과 교두의 capping이 응력의 분포에 미치는 영향을 비교하기 위하여 연속사진 촬영술을 이용하여 상악제1소구치의 3차원 유한요소 모델을 제작하였다. 법랑질, 상아질, 도재 및 복합레진시멘트의 각각의 재질에 대한 물성치를 부여하고, 140N의 하중을 가하여 Super SAP 프로그램으로 해석하여 다음과 같은 결과를 얻었다. 1. 응력은 탄성계수값이 큰 법랑질과 도재를 따라 분포되고, 연질의 상아질에는 적게 발생된다. 2. 와동의 협측치수선각부위에서는 인레이모델의 경우에는 와동폭의 증가에 따른 응력의 증가는 관찰되지 않으나, 온레이모델에서는 응력의 증가가 관찰된다. 3. 온레이모델의 경우에는 근심협측교두를 피개하고 있는 도재부위에 최대주응력이 크게 나타나고, 치은변연부의 도재에서는 교두를 피개하지 않은 인레이모델의 해당되는 법랑질에 비해 응력이 1/2정도로 감소된다. 4. 하중이 증가되면 잔존치질의 파절은 근심와동의 협측치은선각부위에서 협측보다는 치은을 향해 경사지게 일어날 것이다. 5. 교두를 피개하면 교두피개부위에서의 도재의 파절가능성은 증가되고, 치은변연에서는 도재와 하부의 치질의 파절가능성은 감소된다. 6. 도재를 이용하여 교두를 피개할 경우에는 응력을 견딜 수 있는 도재의 두께를 부여할 수 있도록 교두를 충분히 삭제하여야 하고, 충분한 강도를 갖는 도재를 선택하여야 한다.

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Correlations of Exogenous and Endogenous Components of Auditory ERPs to Psychometric Measures of Personality (청각 EPR의 내외생적 요소들과 성격의 상관에 관한 연구)

  • 박창범;이지영;지상은;박은혜;이영혁;김현택
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2002.11a
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    • pp.132-139
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    • 2002
  • 본 실험은 청각 사상관련전위(ERP)를 이용하여 다양한 성격 특질 모형들의 생물학적 근거와, 구조의 공통점과 차이점을 명확히 하기 위해서 설계되었다. 48명의 대학생 피험자들에게 4가지 성격 측정 검사(NEO-PI-R, EPQ-R, BIS/BAS 척도, IVE)를 시행하고, 이어 두 종류의 청각 자극 세트(50ms와 300ms)를 이용한 오드볼 과제를 통해 ERP를 측정하였다. 설문지 간의 상관과, 설문지와 ERP 내외생적 구성 요소 간의 상관, 그리고 그 상관의 두피 분포 양상을 통합적으로 고려하여 해석하였다. 각 성격 검사의 외향성 척도에 해당한다 할 수 있는 E, E, BAS-FUN은 양성 모두에서 높은 수준의 설문지 척도 간 정적 상관을 보였으나, 50ms 자극으로 유발된 P3 진폭은 E와 BAS-FUN에 대해서만 유의하게 높은 상관을 나타내었다. 이 결과는 Eysenck의 모델과 일견 일치하는 결과이지만, 그가 개발한 EPQ-R의 외향성 척도(E) 보다는 오히려 다른 척도들이 뇌파에 반영된 성격의 생물학적 기제를 측정하기 위한 적절한 도구일 수도 있음을 시사한다. 신경증적 경향성을 반영하는 N과 N 척도는 50ms 자극에 대한 여성 피험자의 N1, P2 진폭과 유의한 상관을 보였다. 그러나 이론적으로 두 척도에 등가적인 것으로 예상되었던 BIS 척도는 설문지 간 상관이나 ERP 요소와의 상관에서 모두 유의한 결과를 보이지 않았다. Eysenck가 성격의 세 번째 축(차원)으로 제시했던 P(정신병적 경향성) 역시 여성 피험자들에게서 두드러지는 설문지 간 상관을 보였으나, 300ms 자극에 대한 P2 진폭과의 정적인 상관은 양성을 합한 자료에서만 발견되었다. 여성의 상관 분포는 비록 통계적으로 유의한 수준에는 이르지 못하였으나, 양성 자료의 분포와 유사함이 확인되었다. 이 실험의 결과는 P3 진폭과 외향성 간의 부적인 상관 관계를 보고하였던 기존 연구들을 지지한다. 또한 본 실험에서 확인된 Eysenck 모델의 신경증적 경향성이나 정신병적 경향성이 ERP의 비교적 초기에 나타나는 외생적 구성 요소들(N1, P2)과의 상관 양상은, P3 요소에 집중하였던 기존 연구들이 외향성 이외의 차원으로 일관된 결과를 얻어내지 못했던 이유를 설명해줄 수 있을 것이다. 또한 성격 차원과 그것을 지표 하는 ERP 구성 요소 간의 관계를 해석할 때에 성별이나 유발 자극의 속성을 고려해야 함을 보여준다.

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Reconstruction of Scalp and Calvarial Defects Using Latissimus Dorsi Myocutaneous Free Flap (광배근 유리 피판술을 이용한 두피 및 두개골 결손의 재건)

  • Kim, Seong-Ki;Roh, Si-Gyun;Lee, Nae-Ho;Yang, Kyung-Moo
    • Archives of Reconstructive Microsurgery
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    • v.22 no.1
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    • pp.29-32
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    • 2013
  • Purpose: Reconstruction of scalp and calvarial defects should provide both aesthetic and functional aspects. The inelastic nature of the scalp and previous surgery or radiation preclude the use of primary closure or a local flap. With development of microsurgical technique, a free tissue transfer is a good option. We use the latissimus dorsi myocutaneous free flap for reconstruction. Materials and Methods: A review of all latissimus dorsi free flap reconstructions performed in nine patients from 2009 to 2012 was conducted. There were six males and three females, ranging in age from seven to 69 years, and nine different regions, including five temporal regions, two occipital regions, and two frontoparietal regions. The flaps ranged in size from $9.0{\times}10.0cm$ to $14.0{\times}15.0cm$. Recipient vessels available for microanastomosis were most often the superficial temporal vessels and two patients had anastomoses to the external carotid artery and internal jugular vein. Results: All flaps survived postoperatively. With a median follow-up period of 14 months, no major complications were noted. However, two patients developed minor wound dehiscence, and a hematoma was observed in one patient. Conclusion: We performed the latissimus dorsi myocutaneous free flap reconstruction, which is one of the most popular reconstructive methods. The latissimus dorsi myocutaneous free flap reconstruction has been proven successful in our patients with satisfactory results. During the long term follow-up period, even though depressions were observed on the defect area in some patients, they were treated successfully with cranioplasty. Therefore, we recommend the latissimus dorsi myocutaneous free flap for reconstruction of scalp and calvarial defects.

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Incorporation of Droplet Breakup Model at Spacer Grid into RELAP5/ MOD2 (핵 연료봉 지지격자에 의한 Droplet Breakup Model의 RELAP5 / MOD2 삽입)

  • Park, Jong-Ho;Lee, Sang-Yong;Kim, Si-Hwan;Chang, Soon-Heung
    • Nuclear Engineering and Technology
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    • v.22 no.4
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    • pp.326-336
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    • 1990
  • Recent experiments show the existence of spacer grid improves the heat removal from the fuel rods during the reflood phase of LOCA. The local heat transfer within and downstream of the grid is increased due to the earlier quenching than rod surface, shattering of the entrained droplets into smaller ones which can be more easily evaporated and enhanced turbulent effect. Therefore, the consideration of these phenomena is necessary for the DFFB regime which prevails above the water level during the reflood. In this paper, droplet breakup model at spacer grid has been developed and incorporated into RELAP5/MOD2. Verification calculations are carried out for FEBA tests which examine the thermalhydraulic performance of grid spacer during reflood.

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A Study on the Influence and Utilization Level of Practical Subjects of National Hairdresser Licensing Examination on the Practical Field (미용사 일반 국가자격증 실기과제가 현장실무에 미치는 영향 및 활용정도)

  • Kim, Yu-Ri;Park, Jang-Soon
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.449-455
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    • 2016
  • In this study, the survey targeting 180 in-service hair dressers from beauty salons located in Seoul was carried out in order to determine the connection between the practical tasks(scalp, shampoo, cut, blow dry, roll setting, blow dry, coloring) of national hairdresser licensing examination and the practical field. The utilization level of 7 practical subjects tasks was average except for hair coloring which showed a high support of spread and spread-skill tasks. Also, the utilization level of two subjects including haircut and coloring gave a positive influence on the practical skill (p<0.05). Therefore, practical application of haircut which is one of the most important subjects for in-service hair dressers and high quality education for customer satisfaction are necessary and it is necessary to check other subjects which have no influence on the practical field again.

Anonymity of Medical Brain Images (의료 두뇌영상의 익명성)

  • Lee, Hyo-Jong;Du, Ruoyu
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.49 no.1
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    • pp.81-87
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    • 2012
  • The current defacing method for keeping an anonymity of brain images damages the integrity of a precise brain analysis due to over removal, although it maintains the patients' privacy. A novel method has been developed to create an anonymous face model while keeping the voxel values of an image exactly the same as that of the original one. The method contains two steps: construction of a mockup brain template from ten normalized brain images and a substitution of the mockup brain to the brain image. A level set segmentation algorithm is applied to segment a scalp-skull apart from the whole brain volume. The segmented mockup brain is coregistered and normalized to the subject brain image to create an anonymous face model. The validity of this modification is tested through comparing the intensity of voxels inside a brain area from the mockup brain with the original brain image. The result shows that the intensity of voxels inside from the mockup brain is same as ones from an original brain image, while its anonymity is guaranteed.

Study on the Ultrastructural Characteristics of Human Hair Medulla (인체 두피 모발에서 수질의 미세구조적 특성에 관한 연구)

  • Chang, Byung-Soo
    • Journal of the Korea Convergence Society
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    • v.8 no.7
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    • pp.123-129
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    • 2017
  • Morphological and ultrastructural characteristics of human hair medulla was investigated with scanning electron microscopy and transmission electron microscopy. The medulla is located in the central position of hair shaft and appear greatly variable forms which discontinuous shape arranged from hair root to apical portion according to longitudinal axis. The thickness of medulla from a single hair presented as very variable in size. The diameter of cross section of human hair medulla measured as $21{\mu}m$ and longitudinal section showed $27{\mu}m$. It grows up to 1/3 from 1/4 in diameter of human hair shaft. It appears emptied hole during separating of macrofibrils in the keratinocyte. The empty space measured $6.5{\mu}m$ in diameter as maximum size and it was filled with air.

A Giant Sebaceous Epithelioma on the Scalp: A Case Report (두피에 발생한 거대 피지샘 상피종 1례)

  • Kim, Eun Yeon;Kim, Sun Goo;Kim, Yu Jin;Lee, Se Il
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.76-79
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    • 2012
  • Purpose: Sebaceous epithelioma (sebaceoma) is a benign tumor with sebaceous differentiation. It presents primarily as a yellowish papule or nodule on the face and scalp. It must be differentiated from basal cell carcinoma and other appendageal tumors. We report a giant sebaceous epithelioma on the scalp and describe the immunohistochemical character of the cells in sebaceous epithelioma to epithelial membrane antigen (EMA). Methods: A 55-year-old-man who presented with 5-cm-diameter 2-cm-height, round shape exophytic ulcerated tumor on his head presented for treatment. The patient had noticed the lesion 40 years prior as a small yellowish plaque and 18 months ago, the plaque started to grow progressively larger. We excised the lesion with 1 cm resection margin, considering the possibility of malignancy because this lesion grossly resembled basal cell carcinoma (BCC). The defect was repaired with the use of a splitthickness skin graft. Results: When we excised the lesion, the margin was clear. Histology showed nodules that consisted of an admixture of basaloid cells and mature adipocytes lacking an organized lobular architecture. Strong expression of EMA on mature adipose cells confirmed the differential diagnosis from BCC with sebaceous differentiation because of the absence of a nuclear palisade pattern and cleft-like spaces on the hematoxylin and eosin (H&E) section. Conclusion: We treated the giant sebaceous epithelioma on the scalp with surgical excision and a split-thickness skin graft. It is important to know that the diagnosis of sebaceous epithelioma should be made based on the histologic pattern of the H&E section. Immunohistochemistry with EMA can help to confirm the differential diagnosis between sebaceous epithelioma and BCC.