• Title/Summary/Keyword: 상선

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Hashimoto's Encephalopathy with Unusual MRI Findings Mimicking Meningoencephalitis: A Case Report and Literature Review (수막뇌염을 모방한 드문 뇌 자기공명영상 소견을 보인 하시모토 뇌병증: 증례 보고 및 문헌고찰)

  • Hie Bum Suh;Hyunseuk Kim;Hak Jin Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.453-458
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    • 2020
  • Hashimoto's encephalopathy (HE) is a rare autoimmune disease characterized by a high serum concentration of antithyroid antibodies without evidence of cerebral disease. Magnetic resonance imaging (MRI) findings in HE patients are nonspecific, although diffuse or focal white matter changes have been reported in several cases. We present a rare case involving a 79-year-old woman with elevated antithyroid antibody levels and abnormal imaging findings similar to meningoencephalitis. Serial MRI initially showed multiple T2 hyperintense lesions with diffuse leptomeningeal enhancement that disappeared after steroid therapy.

Evaluation of Usefulness for Anti-TPO Antibody Test in Item of the Medical Examination (건강검진 종목으로서 항갑상선 과산화효소 항체검사의 유용성에 대한 평가)

  • Kim, Yun-Hyun;Shin, Yong-Hwan;Kim, Ji-Young;Seok, Jae-Dong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.1
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    • pp.112-115
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    • 2009
  • Purpose: The test had been applied for outpatient by end of 2006, however, it has been included in the medical examination since January 2007, as demand and interests have been gradually increasing in the thyroid gland disease and cancer. thus, we would necessarily evaluate usefulness of the test by comparing the number of patients who are diagnosed as "benignancy" by the medical test with the number of outpatient who attend and are diagnosed as autoimmune thyroid disease among the benign patient, in samsung medical center for a certain period. Materials and Methods: Based on the result for Anti-TPO Antibody test by RIA for the 12,937 patients in samsung medical center from October 2007 to March 2008, for six months, benignancy rate classified by sex and age is measured statistically and number of the patients who are diagnosed as autoimmune thyroid disease are kept tracked on. Results: According to the analysis of the Anti-TPO antibody test 1,135 of 12,937, which is 8.77% are benign and 218 treated patient of them, which is 19.2%, were diagnosed as autoimmune thyroid disease. Conclusions: Based on the statistics, usefulness of the test seem to have co relationship with derivation of autoimmune thyroid disease. this is 19.2% of probability relatively high. this figure, however, does not have strong relationship with specialty of the disease. Thus screening test seems to have somewhat effectiveness, considering other experiments and their margin.

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A Study on the Improvement Method for Health Management of Seafares (상선 승무원들의 건강관리 개선방안 연구)

  • Kim, Jae-Ho
    • Journal of Navigation and Port Research
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    • v.37 no.1
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    • pp.29-34
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    • 2013
  • In this study, the corelation among the knowledge of and attitude to health care and the actual health protective practices of seafarers was surveyed and analyzed in order to provide the management method for improving seafarers' health care. The subjects of this study were 516 seafarers who took refresh training courses in Korea Institute of Maritime and Fisheries Technology. The questionnaire was constructed under the Guidelines for National Health of the Ministry of Health and Welfare and modified for studying seafarers' health state. The collected data were analyzed by SPSS package. The results were as follows: 1) The older, married, religion believer, higher ranker, the man who have longer career have the higher degree of knowledge, attitude, and practice-degree(p<0.05). 2) The degree of knowledge, attitude, and practice are $4.24{\pm}0.35$, $3.45{\pm}0.41$, and $3.39{\pm}0.22$ in mean by 5-score scale, respectably. 3) The corelation among the degree of knowledge, attitude, and practice was significant(r=0.33~0.63, p<0.05).

DENIAL CHARACTERISTICS OF PSEUDOHYPOPARATHYROIDISM : CASE REPORT (가성부갑상선기능저하증 환아의 구강내 증상에 관한 증례보고)

  • Chang, Ji-Young;Lee, Jae-Ho;Choi, Byung-Jai;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.486-491
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    • 1999
  • Hypoparathyroidism has abnormally decreased secretion of parathyroid hormon which responds to the blood calcium level. Wherease, Pseudohypoparathyroidism has normal activity of thyroid hormon, but end-organs, such as urinary tract and osteoclast, do not respond to parathyroid hormon. The cause of this disease is due to the mutation of Guanine stimulating(Gs) protein regulating Gs gene, which is the receptor to this hormon. Pseudohypoparathyroidism is usually noted before 20 years old on average of 8-9 years old. The clinical features of this disease includes delayed growth and development, round face, obesity, soft tissue calcification, ectopic ossification, shortening of metacarpals and metatarsals by epiphyseal closure in advance of age. The mutation of Gs gene which are found in brain, endocrine organs, and chondrocytes is the cause of those features. Reaction to Glucagon, gonadal hormon, and thyroid stimulating hormon is not expected in both cases. The common dental manifestations include enamel hypoplasia, delayed eruption, agenesis of tooth, hypodontia, dysplastic short roots, widened pulpal space, microdontia, intrapulpal calcification, and malocclusion are also often reported. This case which is diagnosed to Pseudohypoparathyroidism showed short and under-developed root of permanent troth, delayed eruption, and non-eruption of premolars and molars. And morphogenesis imperfecta of first and second premolars were also found.

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$^{99m}Tc$-HMDP Bone Uptake Quantification and Plasma Osteocalcin, PTH Levels in Hemodialysis Patients (만성 신부전 환자에서 $^{99m}Tc$-HMDP 골신티그램상 섭취정도와 혈중 osteocalcin, 부갑상선 호르몬치와의 상관관계)

  • Kim, Euy-Neyng;Sohn, Hyung-Sun;Bang, Chan-Young;Chung, Soo-Kyo;Kim, Choon-Yul;Shinn, Kyung-Sub;Park, Chul-Whee;Chang, Yoon-Sik
    • The Korean Journal of Nuclear Medicine
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    • v.30 no.3
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    • pp.338-343
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    • 1996
  • In this preliminary study, plasma osteocalcin, PTH level and $^{99m}Tc$-HMDP (hydro-xymetylene diphosphonate) bone uptake(BU) were measured in 14 patients with chronic end-stage renal failure who were on maintenance hemodialysis. The aim of this study was to determine the difference of bone uptake between renal failure patients and normal volunteers, and to determine the correlation between bone uptake and osteocalcin - a sensitive and specific marker of osteoblastic activity and PTH - a important hormone of bone metabolism. There was a statistically significant increase in 180 minute uptake in the patient group when compared to the normal volunteers while there was no statistically significant difference in 20 minute uptake. Plasma osteocalcin and PTH levels were also significantly elevated compared to normal values. But the correlation between osteocalcin, PTH and 20 and 180 minute bone uptake was not significant. In conclusion, our preliminary study suggests that, in chronic renal failure patients, 180 minute $^{99m}Tc$-HMDP bone uptake is increased significantly without direct correlation with serum osteocalcin or PTH levels. It seems that further study is needed to evaluate other unknown factors that may influence the direct correlation between bone uptake and plasma osteocalcin and PTH in patients with chronic renal failure.

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Investigation into Occupational Disease of Merchant Crew (상선승무원들의 질병실태 조사)

  • Kim Jae-Ho;Chang Seong-Rok;Moon Serng-Bae;Ha Hae-Dong;Yang Won-Jae;Lee Sang-Woo
    • Journal of Navigation and Port Research
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    • v.30 no.6 s.112
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    • pp.551-559
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    • 2006
  • The purpose of this study was to find out morbidity rate and pattern of disease and affect of variables related disease and medical management of seafares'. The subjects this study were 1049 seafares' were took education in Korea Institute of Maritime and Fisheries Technology. This questionnaire was focused on finding the basic data for prevention of disease and promotion health for the seafares'. The collected data were analyzed by using descriptive statistics, Chi-square, cross tab, linear regression by SPSS 10.1 package. The result of this study are as follow. 1)The morbidity rate within recent 12 months was 69.0%. 2)there were significant differences qf occurred disease in age(p<0.05), income(p<0.01), career of ship on board(p<0.01), rank(p<.01), perceived health status(p<0.01), worry of health(p<0.01), fatigue symptoms(0.01), satisfy of job(p<0.05), rest time(p<0.05) 3) Considering disease unable to work more than 4 hour, the number of those who had oral disease 7.3%> tinea 6.6%> gastric ulcer 6.4, and musculoskeletal disease group were 20.9%, which revealed the highest rate oral disease 13.6%> skin disease> 12.4%, digestive disease> 12.1%. 4) As refer to medical management, The pain above 31days 35.7%, hospitalization and treatment below 7days were each 50.2%, 42.8%, medical service were doctor's office 27.9, which revealed the highest rate.

A Study on the Problems and Improvements of the Management System for Foreign Seafarers Boarding Korean Ocean-Going Vessels (우리나라 외항상선에 승선하는 외국인 선원 관리제도의 문제점 및 개선방안에 관한 연구)

  • Kim, Kun-Jin;Shin, Sang-hoon;Shin, Yong-John
    • Journal of Navigation and Port Research
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    • v.43 no.6
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    • pp.384-394
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    • 2019
  • This study investigated the current status of the management system for foreign seafarers boarding Korean ocean-going vessels and analyzed the problems and suggested measures for improvement through the survey of shipping companies, ship management companies, crew manning companies and related associations. The conclusion is summarized as follow. First, it is necessary to reorganize and apply the collective agreements or the laws applicable to the foreign seafarer separately in regard to the foreign seafarer related laws and collective agreements applied in the same way as the Korean seafarer. Second, it is necessary to change the decision-making to shipowner in deciding on the number of foreign seafarers employed by the Korean ocean-going vessels or if the decision-maker remains the same, the relevant laws must be clearly defined pertinent to the decision-maker. Additionally, the number of foreign seafarers should be applied for each position and ship's type. The third is to expand the recognition arrangement for certificate of ships' officers to Eastern Europe and Asian countries to expand the range of options for hiring foreign seafarers. The fourth is to prevent the waste of administrative manpower by simplifying complicated and unnecessary administrative procedures from hiring and boarding of foreign seafarers. The fifth is to establish a systematic training and education system for foreign seafarers in cooperation with related shipping companies and government authorities, associations and so on. This study will contribute to providing a more efficient and systematic management of foreign seafarers boarding Korean ocean-going vessels.

A Study on the Working Status and Onboard Training Satisfaction Level of Merchant Ship's Cadets (상선 위탁실습생의 업무실태 및 실습만족도에 관한 연구)

  • Kim, Deug-Bong;Lee, Chang-Hyun;Lee, Hong-Hoon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.6
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    • pp.709-716
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    • 2018
  • In 2017, there was an accident in which a cadet onboard training was killed. This cadet worked 12 hours a day. No regulation has yet been laid down to define hours and breaks for interns. Therefore, the purpose of this study is to investigate the working status of commissioned training, the satisfaction survey of commissioned training, and to improve the treatment of commissioned trainees. The survey was conducted on students commissioned from merchant vessels, and 461 respondents answered the questionnaire. The results of the survey are as follows. First, 43.0 % of cadets said that they worked 10 hours a day on average, regardless of the vessel type, and 35.2 % said that the average rest time was 8 hours. 15.6 % of respondents said they had worked more than 12 hours. Unreasonable order cases deviating from the purpose of education were "making ramen, working at rest time, instruction of dangerous work, making night snack and private errands." Second, the satisfaction level of cadets who practiced on LNG carriers was high, while the satisfaction level of cadets on bulk carriers and container carriers was low. It was confirmed that the ship's size, ship's age, working hours, rest time and training support costs had little minor effect on educational satisfaction. Lastly, 56.8 % of the cadets answered 'commissioned training is like work.' Based on the results of the questionnaires, we proposed the following improvement methods; providing legislation for working hours and rest time for commissioned training cadets, protection system against violence and sexual harassment and victim protection. This study focuses on the working and rest time of merchant ship's cadet and it is meaningful to investigated the onboard training satisfaction by ship's type, size and age.

Fine Structure of the Silk Spigots in the Spider Dolomedes sulfureus (Araneae: Pisauridae) (닷거미과의 황닷거미(Dolomedes sulfureus)의 실크 분비장치의 미세구조)

  • Moon, Myung-Jin
    • Applied Microscopy
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    • v.38 no.2
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    • pp.89-96
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    • 2008
  • Dolomedes spiders of the family Pisauridae are one of free wandering spiders with semi-aquatic habitation. They do not build web for prey-hunting but build a nursery web for spiderlings. This paper describes the fine structure of the silkspinning spigots of the fishing spider Dolomedes sulfureus revealed by the field emission scanning electron microscope (FESEM). The fishing spider Dolomedes sulfureus possesses only three types of silk glands which connected through the typical spinning tubes on the spinnerets. The silk spigots of this spider were identified as three groups: ampullates, pyriforms and aciniforms. Two pairs of major ampullate glands send secretory ductules to the anterior spinnerets, and another two pairs (or $1{\sim}2$ pairs in males) of minor ampullate glands supply the middle spinnerets. In addition, the pyriform glands feed silk into the anterior spinnerets ($62{\sim}68$ pairs in females and $45{\sim}50$ pairs in males), and the aciniforms send ductules to the middle ($33{\sim}40$ pairs in females and $18{\sim}25$ pairs in males) and the posterior spinnerets ($42{\sim}50$ pairs in females and $24{\sim}28$ pairs in males). Among these, the ampullate one is the most predominate gland in both sexes.

PSEUDOHYPOPARATHYROIDISM : CASE REPORT (가성부갑상선 기능저하증 환아의 구강 증상)

  • Kim, Seong-Oh;Hong, Eun-Kyoung;Choi, Hyung-Joon;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.262-266
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    • 2004
  • The parathyroid hormone plays a major role in the metabolism of calcium and phosphorus. In hypoparathyroidism the parathyroid glands are atrophied or absent associated with autoantibodies against parathyroid tissue. Pseudohypoparathyroidism is a metabolic disease caused by the disturbance in peripheral action of parathormone, but parathormone level is normal. In general, patients with pseudohypoparathyroidism have short stature, round face, brachydactylia, obesity, mental retardation, cataracts & ectopic calcifications on soft tissues. Dental manifestations are enamel hypoplasia, delayed eruption, blunting of root apex, hypodontia, pulp calcification, thickened lamina dura, excessive caries & malocclusion. In this case, intraoral examination showed enamel hypoplasia on the erupted permanent teeth & hypermobility on the remaining deciduous teeth. From the radiographic view severe dental anomalies were observed on canines and shortening and blunting of root apex was observed on mandibular incisors. Pathologic root resorption was also observed on deciduous teeth.

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