• Title/Summary/Keyword: 전이성

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Primary Malignant Fibrous Histiocytoma of the Diaphragm -One Case Report- (횡격막의 원발성 악성 섬유성 조직구종 -1례 보고-)

  • 김대현;김범식;조규석;박주철
    • Journal of Chest Surgery
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    • v.36 no.2
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    • pp.118-121
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    • 2003
  • A 25-year-old female patient was adimitted due to discomfort in the right chest and left epigastric area. Chest X-ray and chest CT showed a round 4$\times$4$\times$4cm sized mass located in the right lower lobe and abutted on the right diaphragm and metastatic lesions in the right lower lobe and right middle lobe. In exploratory thoracotomy, we discovered a mass originating from the right diaphragm which directly invaded the right lower lobe and metastatic subpleural lesions in the right lower lobe and right middle lobe. The mass was diagnosed as sarcoma by frozen section biopsy and we removed the mass by on bloc resection of the right diaphragm and right lower lobe. Metastatic subpleural lesions in the right lower lobe and right middle lobe were removed by wedge resection. The mass was malignant fibrous histiocytoma of the diaphragm in permanent pathologic examination and chemotherapy was done as adjuvant measure. We report one extremely rare case of malignant fibrous histiocytoma of the diaphragm with literature.

Shifts in the stage-discharge rating by vegetal growth on the control (식생의 영향에 의한 수위-유량관계곡선의 전이)

  • Shim, Eun-Jeung;Baek, Kyung-Ho;Lee, Jin-Won;Jung, Sung-Won
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.164-168
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    • 2009
  • 우리나라 하천의 대부분은 다양한 수리학적, 형태학적 특징을 가지고 있으며 이에 따라 수위-유량관계는 민감하게 변화한다. 그 중 하도구간에 서식하고 있는 식생의 영향은 우리가 쉽게 예측할 수 없는 통제 특성을 발생시킨다. 식생(Vegetation)은 서서히 혹은 빠르게 성장하고, 쉽게 변화하여 기간별로 혹은 주기별로 다른 양상의 수위-유량관계를 발생시키고 이는 레이팅 전이(Rating shift)로 이어진다. 본 연구에서는 식생의 영향에 의해 발생되는 수위-유량관계를 좀 더 명확하게 규명하고자, 영산강 수계 황룡강 중류부에 위치한 임곡 지점을 대상 지점으로 선정하고 주기적으로 유량측정을 실시하여 시기별, 측정성과별로 식생의 정도를 검토하고 그 경향성을 파악하였다. 하도 내에서 수중식물의 성장이 진행되면 흐름 저항의 정도가 변하게 되며, 이의 영향으로 유속 역시 변하게 된다. 식생(Vegetation)의 성장기에는 유속이 감소하여 유량이 작아지는 수위-유량관계의 일차적인 음의 전이가 발생하며, 식생의 성장이 극대화되는 8월에는 좀 더 큰 음의 전이가 발생하게 된다. 하지만 식생에 의한 곡선의 전이(Rating Shift)는 영구적인 것이 아니라 계절별로 순환하는 특성을 지니고 있기에, 식생의 영향이 소멸하기 시작하는 9월 이후에는 수위-유량관계가 식생의 영향이 없는 원래의 수위-유량관계로 다시 접근하는 것을 확인할 수 있었다. 결과적으로 본 연구에서는 식생의 영향이 없는 수위-유량관계곡선(Original rating curve)을 개발하고 식생의 성장 및 영향의 정도에 따른 기간분리를 실시하여 전이된 수위-유량관계곡선(Shift curve)을 개발하였다. 아울러 전체적인 유출평가의 과정을 거쳐 개발된 곡선식의 적정성 검토를 실시하였다.

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Adrenal Mass as Initial Presentation of Metastatic Hepatocellular Carcinoma: A Case Report (부신의 종괴로 처음 발현한 전이성 간세포암: 증례보고)

  • Kim, Hwan Yong;Park, Chul Hi;Kim, Min Ji;Kim, Yeo-Eun;Lee, Dong Hoon;Hwang, Ho Kyung;Shin, Dong Gue
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.4
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    • pp.321-325
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    • 2013
  • Metastases from hepatocellular carcinoma (HCC) can be found in the multiple organs including adrenal gland. But adrenal metastasis of HCC without obvious hepatic lesion is very rare. We report CT and MR findings of a patient who presented with adrenal metastasis as the first clinical manifestation of HCC. Signal intensity and enhancement pattern of adrenal metastastic mass of HCC were similar to those of HCC on MRI.

Diagnosis of Primary Malignant Lesion Using $^{18}F$ FDG PET/CT in Metastatic Bone Tumor (전이성 골종양에서 $^{18}F$ FDG PET/CT를 이용한 원발성 악성 질환의 진단)

  • Yoon, Hoi-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.1
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    • pp.44-50
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    • 2008
  • Purpose: To evaluate usefulness in diagnosing primary malignant lesion of metastatic bone tumor using $^{18}F$ FDG PET/CT. Material & Methods: Retrospective analysis was executed on 5,452 patients who were taken with $^{18}F$ FDG PET/CT between December 2003 and December 2007. 180 patients who had not any history of malignancy and complained musculoskeletal pain and had ill-defined osteolytic lesion in plain X-ray, were included. 96 male and 84 female were enrolled and mean age was 59.1 year old (22~90). We analyzed diagnostic accuracy, age and sex distribution of primary malignant lesion, location of metastatic lesion. Results: We could confirmed primary malignant lesion in 152 cases (84.4%). Most common malignant primary lesion was lung (28.3%), breast (18.9%) and gastrointestinal system (16.7%) and spine was the most common metastatic location of primary malignant lesion. Conclusion: $^{18}F$ FDG PET/CT is a effective molecular imaging detecting primary malignant lesion in patients having metastatic bone lesion without history of malignancy.

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Transferable R plasmid of Streptococci Ioslation from Diseased Olive Flounder (Paralichthys olivaceus) in Jeju (제주도 양식넙치병어에서 분리된 연쇄상구균의 약제내성 전이성 plasmid)

  • Kim, Jong-Hun;Lee, Chang-Hoon;Kim, Eun-Heui
    • Journal of fish pathology
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    • v.19 no.3
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    • pp.267-276
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    • 2006
  • Seventy-five streptococci were isolated from diseased olive flounder, Paralichthys olivaceus in Jeju. Their drug susceptibility and transferable multiple drug resistance were characterized. All isolates were resistant to flumequine (AR) and oxolinic acid (OA) and 26 isolates (34.7%) showed 4~6 multiple resistance of ampicillin (ABPC), AR, doxycycline (DOXY), erythromycin (EM), norfloxacin(NOR), OA and oxytetracycline (OTC) in various combinations. pST9 of a transferable R plasmid was detected from a multiple drug resistance strain, Streptococcus sp., ST9 originated from diseased flounder in Jeju, previously. We performed DNA hybridization to know the distribution of plasmid with the same DNA structure as pST9 in streptococci. Thirteen out of 60 isolates analyzed were positive in colony DNA hybridization and the part of bacteria isolated from raw meal was also hybridized with pST9. It suggested that raw meal is one of the origin of the resistance plasmid and R plasmid with DNA structure differing from pST9 is also involving in multiple drug resistance of the streptococci. In conjugation experiment, we found transferable R plasmid carrying OTC, DOXY and/or EM resistance determinant in the 13 resistance strains. all of the streptococci carrying the transferable R plasmid were similar in RAPD patterns. However, pST -type R plasmid was rare in S. iniae most frequently appearing in flounder farm.

An Epidemiologic Study of Metastatic Bone Tumor (전이성 골종양의 역학적 연구)

  • Kim, Jae-Do;Lee, Duk-Hee;Park, Jeong-Ho;Son, Young-Chan;Hong, Yonng-Gi;Son, Jeong-Hwan
    • The Journal of the Korean bone and joint tumor society
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    • v.1 no.1
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    • pp.38-44
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    • 1995
  • Metastatic bone tumor is the most common bone tumor and 32.5% of all primary malignant tumors are eventually metastasize to bone. Metastatic bone tumor has been more frequently encountered disease in the orthopedic fields due to the greater longevity of life of the patients with primary visceral cancers by major advances in early detection, diagnosis, and surgical/radiotherapeutic/chemotherapeutic treatment of primary and metastatic lesions. Therefore, the epidemiologic data about the incidences and the patterns of bone metastasis is important. We reviewed 417 patients who were diagnosed and treated for metastatic bone tumor at Kosin University Medical Center from 1985 to 1993 to analyse the primary lesion, age and sex distributions, location of bone metastasis, patterns of metastasis according to the primary. The results were as follows : 1. The common origin of bone metastasis were lung(29.5%), stomach(15.3%), breast(11.3%), unknown(7.7%), cervix(5.3%), liver(4.8%) in order of frequency. 2. There were 251 men and 166 women and their mean age was 54.8 years and the peak age incidence was in 6th decades. Most cases(85.3%) were occured beyond 5th decades. 3. The preferred sites of metastatic deposits were spine(64.0%), pelvis(40.5%), rib(38.8%), femur(36.7%), skull(21.1%), humerus(13.9%), scapula(13.0%) in order of frequency. In the spine, thoracic(42.1%), lumbar(39.1%), cervical(13.2%), sacral(5.6%) vertebrae were involved in order of frequency. 4. Multiple bone metastases were more common(73.1%) than single metastasis(26.9%). 5. In the lung cancer, the peak age incidence was 6th decades, and the preferred sites of bone metastasis were spine, pelvis, femur. 6. In the stomach cancer, the peak age incidence was 6th decades, and the preferred sites of bone metastasis were spine, femur, pelvis. 7. In the breast cancer, the peak age incidence was 5th decades, and the preferred sites of bone metastasis were spine, rib, pelvis. 8. In the bone metastasis with unknown primary site, the peak age incidence was 7th decades, the preferred sites of bone metastasis were spine, femur, pelvis, and the common histologic types were adenocarcinoma and squamous cell carcinoma.

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산화공정을 통해 제작 된 전이금속산화물 박막의 저항변화 특성 연구

  • Seong, Yong-Heon;Go, Dae-Hong;Kim, Sang-Yeon;Do, Gi-Hun;Seo, Dong-Chan
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2009.11a
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    • pp.30.1-30.1
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    • 2009
  • 정보화가 급속히 진전됨에 따라 보다 많은 양의 정보를 전송, 처리, 저장하게 되면서 이를 위해 대용량, 고속, 비휘발성의 특징을 갖는 차세대 메모리의 개발이 절실히 요구되고있다. 이 중 저항 변화 메모리(ReRAM)는 일반적으로 TiO2, Al2O3, NiO2, HfO2, ZrO2 등의 전이금속산화물을 이용한 MIM 구조로서 적당한 전기 신호를 가하면 저항이 높아서 전도되지 않는 상태(Offstate)에서 저항이 낮아져 전도가 가능한 상태(On state)로 바뀌는 메모리 특성을가진다. ReRAM은 비휘발성 메모리이며 종래의 비휘발성 기억소자인 Flash memory 보다 access time 이105 배 이상 빠르고, 5V 이하의 낮은 전압에서도 동작이 가능하다. 또한 구조가 간단하여 공정 단순화가 가능하고 소자의 집적화도 쉽다는 점 등 많은 장점들이 있어서 Flash memory를 대체할 수 있는 유력한 후보로 여겨지고 있다. 본연구에서는 DC-magnetron Sputtering 방법으로 전이금속 박막을 증착하고, Dry furnace로 산화시켜 전이금속산화물 박막을 제작한 후 저항변화 특성을 연구하였다. 두 개의 전이금속산화물 박막을 dual-layer로 형성시켜 저항변화특성을 관찰하였으며 또한, 전이금속산화물 박막의 조성을 달리 하여 저항변화를 관찰 하였다. 전이금속산화물 박막의 전기적 특성을 알아보기 위해 Si(100) wafer 위에 Pt를 이용 MIM 형태로 capacitor 시편을 제작 하여, probe station으로 I-V 측정을 하였고 조성 및 표면 분석을 위해서는 AES와 AFM을, 미세구조를 분석을 위해서는 TEM과 SEM 을 사용하였다.

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A Improvement Method of the Speech Quality by Pitch Compensation in Transition Region in G.723.1 (전이구간에서의 피치보상에 의한 G.723.1 부호화기의 음질 향상 방법)

  • KIM JongKuk;BAE MyungJin
    • Proceedings of the Acoustical Society of Korea Conference
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    • spring
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    • pp.43-46
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    • 2000
  • G.723.1 부호화기는 음성신호의 주기성을 피치와 피치 이득계수로, 스펙트럼 정보를 LSP(Line Spectrum Pair)로 부호화하고 있다. 그런데 주기성을 부호화 할 때 유성음의 피치가 일정한 안정구간과 피치가 변화하는 전이구간의 차이를 두지 않고 처리하여 전이구간에서의 정확한 피치검출이 이루어지지 않는다. 이러한 처리 때문에 전이구간에서의 음질의 열하가 발생하게 된다. 본 논문에서는 전이구간의 피치검출의 정확성을 높여 음질을 향상시킬 수 있는 새로운 알고리즘을 제안한다. 먼저 G.723.1 부호화기에서 검출되는 피치 이득계수를 이용하여 안정구간의 피치 이득계수의 문턱 값을 정한다. 그리고 피치 이득 계수가 문턱 값을 넘는 부분에 한하여 구해진 피치를 전후 10샘플을 조절하여 피치 이득계수를 다시 구하여 문턱 값에 가장 가까운 값을 대표피치 이득계수로 정하고 그때의 피치와 함께 부호화한다. 실험 결과 평균 0.6(dB) segmental SNR(Signal to Noise)과 평균0.12 MOS가 향상되었다.

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Cardiac Metastasis of Malignant Melanoma - A case report - (심장으로 전이된 악성 흑색종 - 1례 보고 -)

  • 김오곤;홍종면;이석재;홍장수
    • Journal of Chest Surgery
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    • v.32 no.9
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    • pp.840-843
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    • 1999
  • We report a case of a resection of very large intracavitary metastatic malanoma causing obstruction of the right ventricular inflow and outflow tract of the heart. A 49-year-old woman with dyspnea and generalized edema was seen. Echocardiography reveal an intra cavitary mass occupying the entire right ventricle and pericardial effusion. The lesion was palliatively resected using a cardiopulmonary bypass and was confirmed as a malignant melanoma. The patient is alive and improved symptomatically 30days after the operation.

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A Qualitative Case Study on Conflict Transfer Factors of College Graduates with Early Careers (대졸초기경력자의 갈등 전이 요인에 대한 질적 사례 연구)

  • Choi, Min-Seo;Park, Si-Yeon
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.484-496
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    • 2019
  • The purpose of this study is to identify the factors influencing conflict transition through the conflict transition process experienced by college graduates with early careers. The participants of this study were in-depth interviews with a total of 8 young people aged 25-34 who graduated from college and found their common subjects in all cases. As a result, the topics such as 'lack of recognition and compensation', 'unfairness of supervisor', 'characteristics of job (interdependence, autonomy)' were derived. 'Lack of recognition and compensation' brought about a sense of skepticism about the idea that even though they worked hard, they could not be recognized. And it caused a conflict transition. When the participants felt the 'unfairness of the supervisor', the task conflicts were further amplified and it transfer to relationship conflict. Among the characteristics of 'job characteristics', when highly interdependent occupations were carried out, conflict transition was shown and conflict levels were high. On the other hand, the work environment with job autonomy showed job satisfaction and did not show conflict transition. This study has an academic significance in that it revealed the types of conflicts and conflict transfer factors experienced in early career status of college graduates. In addition, this research have the practical implications to improves the participants' understanding of the conflict transfer through actual scene in the workplace.