• Title/Summary/Keyword: 20-HE

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Multicentric Primary Tumor of the Esophagus (다발성 원발성 식도종양 1례 보)

  • Lee, Jae-Won;Gang, Jeong-Ho;Ji, Haeng-Ok
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.348-352
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    • 1987
  • A 51 year-old male was admitted with the chief complaints of swallowing difficulty and pain on neck and upper chest for 2 months prior to admission: He was taken biopsy under esophagoscopy, and the result was squamous cell carcinoma. Preoperatively we studied the esophagogram and chest CT. On these, we found the main appreciable mass at midesophagus easily. But, we missed the upper cervical unexpected mass. So we performed the esophagectomy and lymph node dissection from upper clavicle level to the esophagogastric junction by thoracic approach as wide as possible, and cervical esophagostomy and feeding gastrostomy also. At that evening we reviewed the studied films in detail, and we found another mass lesion at C4-C6 level of cervical esophagus. We performed the 2nd operation e.g. cervical esophagectomy on next morning without hesitation. Between these two masses, there was almostly normally looking skip area grossly. The squamous cell carcinoma of the esophagus could be multicentric in character and may have skip area. But, we heard little reports until now. The two masses could be different in origin or be same probably by submucosal spreading. Anyway, it was an alarming case to the surgeon not to neglect the another possible lesions in squamous cell type. Postoperative course was uneventful, he took G-tube feeding with no problems on 7th postoperative day. Now he took the postoperative irradiation at out patient department.

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Understanding "The Art of Fiction" ("The Art of Fiction"의 이해(理解))

  • Kim, Chung-Il
    • English Language & Literature Teaching
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    • no.4
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    • pp.269-284
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    • 1998
  • The purpose of this thesis is to understand Henry Jame's theory of the novel and to clarify the importance of him as a theorist. He developed many literary techniques through his dozens of works. But it is more important that he is a theorist who established the unique theory of novel through his critical essays. I arranged Jame's early theories, focusing on "The Art of Fiction" that was one of his major essays written in 1884. His main idea was that the purpose of novel was to represent life. The "experience" that James emphasized was composed of characters, impression and consciousness. "Psychological Realism", which is Jame's unique realism, reflected his interests in the inner mind of man. James believed in the capacity of human imagination as the source of creative inspiration and its ability to perceive reality in a manner that is more intense and comprehensive and transform it into a more balanced and orderly ideality. Henry James always insisted on the importance of writer's imagination. Another important imagination in Henry Jame's novel is the character's imagination. It is closely related with the consciousness, the heart of the Jame's literary world. James devised the new form of novel as well as the possibility of representation of mind. At this point, it is said that James was the pioneer of literary criticism. He evoked the trend of the early 20th century.

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Study on Listening Diagnosis to Vocal Sound and Speech (문진(聞診) 중 성음(聲音).언어(言語)에 대한 연구)

  • Kim, Yong-Chan;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.2
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    • pp.320-327
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    • 2006
  • This study was written in order to help understanding of listening diagnosis to vocal sound and speech. The purpose of listening diagnosis is that we know states of essence(精), Qi(氣) and spirit(神). Vocal sound and speech are made by Qi and spirit. Vocal sound originates from the center of the abdominal region(丹田) and comes out through vocal organs, for example lung, larynx, nose, tongue, tooth, lip and so on. Speech is expressed by vocal sound and spirit. They are controled by the Five Vital organs(五臟). Various changes of vocal sound and speech observe the rules of yinyang. For example, if we consider patient likes to say or not, we can diagnose heat and coldness of illness. If we consider he speaks loudly or quietly, we can diagnose weak and severe of illness. If we consider he speaks clearly or thick, we can diagnose inside and outside of illness. If we consider he speaks damp or dry, we can diagnose yin and yang of illness. If we consider change of voice, we can diagnose new and old illness. Symptoms of changes of five voices, five sounds, dumbness and huskiness are due to abnormal vocal sound, and symptoms of changes of mad talk, mumble, sleep talking and so on are due to abnormal speech.

Sequential Surgical Treatment of Hemoptysis Caused by Bilateral Aspergilloma -A case report- (양측 폐상엽 진균구에 의한 객혈의 순차적 수술 치험 1례)

  • Hur, Jin;Goo, Bon-Won
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.569-573
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    • 2001
  • We experienced a case of hemoptysis caused by bilateral upper lobe aspergilloma. He was 66 years old and had a history of old unclear pulmonary tuberculosis with irregular medication 20 years ago and intermittent hemoptysis for several years. In x-ray study, there was a bilateral upper lobe aspergilloma with cavity. He received bilateral wedge resection through thoracotomy with some interval to reduce postoperative complications. We selected the priorty of operation through the bronchoscope in the operation room. Both sides had the same pathology of aspergilloma and he was discharged after an uneventful postoperative course.

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An Influence of Japanese Culture on F. L. Wright′s Organic Architecture (F. L. 라이트의 유기적 건축에 나타난 일본문화의 영향에 관한 연구)

  • 이권영;서치상
    • Korean Institute of Interior Design Journal
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    • v.13 no.5
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    • pp.11-20
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    • 2004
  • F. L. Wright was, from his early days, influenced by Japanese Culture and endeavored his original concept of orgonic orchitecture. In his 1st Golden Age, he devoted to establish an architectural concept of Organism which was proved by the theories of New Science and also had been universal in ancient Orient. Later, in his 2nd Golden Age, he tried to embody his unique concept in prairie houses and office buildings. The organic structure and spatial unit that actually applied to these works, were good examples of realization of the simplicity and continuity which he found out in Japanese culture. This paper is to study on the influence of Japanese culture on a course of Wright's embodying his organic architecture, and to study on a way of its realization in his works. To be concrete, main contents of the study are as follows; 1) the relationship between Wright's integrate perception and the orientalism 2) the influence of the traditional Japanese painting like woodblock prints and the aesthetic theory of the traditional Japanese pictorial art on Wright's design principles 3) the influence of Wright's experiences in Japan on his design principles 4) the influence of Wright's analysis of the traditional Japanese dwelling on his design principles 5) the course of Wright's embodying his organic architecture concept, and the way of its realization in his works.

RADIATION-INDUCED OSTEOSARCOMA : REPORT OF A CASE (방사선 치료에 의해 발생한 골육종의 치험례)

  • Park, Kwan Soo;Lee, Yong Gyoo;Park, Hyo Sang;Kim, Jong Bae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.4
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    • pp.379-382
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    • 1998
  • The 44 years old man was consulted to our department due to restriction of mouth opening. On radiograph, we found bony expansive lesion at right mandibular ramus and temporal bone that it was suspected malignant tumor. So we had performed incisional bone biopsy at right ramus through skin incision. The result of biopsy was osteosarcoma. Then, he had experienced radiation therapy for the protection of recurrence after several times surgery of nasopharyngeal angiofibroma, 28 years ago. So, we concluded radiation induced osteosarcoma from his radiation therapy history. He had referred to the department of hematooncology because of severe expansion to skull base and was received 4 times chemotherapy with cisplatin and adriamycin, but he was expired just after 4th chemotherapy. Such radiation induced osteosarcoma have relative good prognosis due to rare metastasis from other reports. So if it will early detect from close follow up after radiation therapy, survival rate will rise up. But we missed early detection of our case. So, we report a case of rare radiation induced osteosarcoma. Ly detection of our case.

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Juvenile psammomatoid ossifying fibroma of the maxilla

  • Kwon, Yongseok;Shin, Donghyeok;Kim, Jeenam;Lee, Myungchul;Choi, Hyungon
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.193-197
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    • 2020
  • Juvenile psammomatoid ossifying fibroma (JPOF) is a rare, benign, fibro-osseous variant of ossifying fibroma. It exhibits short-term rapid growth and has a high recurrence rate. Herein we describe a case of JPOF of the maxilla that was treated via complete excision utilizing an intraoral approach with immediate reconstruction using an iliac bone graft, in conjunction with a comprehensive review of the literature. A 20-year-old man presented with a mass on his right cheek that he reported had been growing over the last 10 months. In that cheek he had noticed fullness and experienced pressure, tenderness, and fluffiness, with no other ophthalmic or dental symptoms. After clinical, radiological, and histological examinations, the diagnosis was confirmed as JPOF. Surgical excision was performed, followed by immediate reconstruction with an autologous iliac cortical and cancellous bone graft harvested from the right iliac crest under general anesthesia. Good cicatrization of the intraoral surgical wounds and right iliac crest were evident. He was monitored for 6 months after the surgery and exhibited appropriate midfacial contour. There were no signs of recurrence or complications.

A Study on the Characteristics of Marcel Breuer′s furniture designs (마르셀 브로이어의 가구디자인 특성에 관한 연구)

  • 유연숙
    • Korean Institute of Interior Design Journal
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    • no.30
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    • pp.59-67
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    • 2002
  • Marcel Breuer is considered one of the most important furniture designers of the 20th century. He studied at the Bauhaus in Weimar from 1920 to 1924 and in 1925 became master of the furniture studio at the Bauhaus in Dessau. Virtually from the outset, he was one of the most prolific and inventive designers at the bauhaus and fulfilled its claim to create designs for serial production. Gropius, the Bauhaus founder, had a profound influence on his furniture designs. In 1925, Breuer created the tubular-steel armchair, which revolutionized design and technique in the field, marking the advent of a new era. The furniture that was developed, by him and by others, from this design - technically cool, but light, elegant and clear - became the very symbol of modernism. Despite the success of his tubular-steel furniture, Breuer went on to explore the use of other new materials, such as aluminium and plywood. He made use of these new materials, which were associated with new technologies, to create new forms, as it were, some which proved to be foreunners of later developments in furniture design. Breuer had a profound influence on the evolution of modern design through his furniture designs, which received worldwide recognition and acclaim. His work unified functionality and beauty in a way that was to become a valid expression of its time and simultaneously far ahead of it.

Achalasia Previously Diagnosed as Gastroesophageal Reflux Disease by Relying on Esophageal Impedance-pH Monitoring: Use of High-Resolution Esophageal Manometry in Children

  • Pyun, Jung Eun;Choi, Da Min;Lee, Jung Hwa;Yoo, Kee Hwan;Shim, Jung Ok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.1
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    • pp.55-59
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    • 2015
  • Gastroesophageal reflux disorder (GERD) is the most common esophageal disorder in children. Achalasia occurs less commonly but has similar symptoms to GERD. A nine-year old boy presented with vomiting, heartburn, and nocturnal cough. The esophageal impedance-pH monitor revealed nonacidic GERD (all-refluxate clearance percent time of 20.9%). His symptoms persisted despite medical treatment for GERD, and he was lost to follow up. Four years later, he presented with heartburn, solid-food dysphagia, daily post-prandial vomiting, and failure to thrive. Endoscopy showed a severely dilated esophagus with candidiasis. High-resolution manometry was performed, and he was diagnosed with classic achalasia (also known as type I). His symptoms resolved after two pneumatic dilatation procedures, and his weight and height began to catch up to his peers. Clinicians might consider using high-resolution manometry in children with atypical GERD even after evaluation with an impedance-pH monitor.

Plating of Cu layer with the aid of organic film on Si-wafer (유기박막을 이용한 Si기판상의 구리피복층 형성에 관한 연구)

  • Park Ji-hwan;Park So-yeon;Lee Jong-kwon;Song Tae-hwa;Ryoo Kun-kul;Lee Yoon-bae;Lee Mi-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.5 no.5
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    • pp.458-461
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    • 2004
  • In order to improve the adhesion properties of copper, MPS(3-mercaptopropyltrimethoxysilane) organic film were employed. The plasma pretreatment in pure He or $He/O_{2}$ mixed gas environment greatly increased adhesion force. Adhesion force was measured by scratch test with nano indenter. Microstructures and surface roughness were observed with scanning electron microscope(SEM). The characteristics of MPS layer for pretreatment were studied with flourier transform infrared spectroscope(FT-IR) and contact angle tester. The heighest adhesion was achieved in the specimen pretreated with mixed plasma and NPS coating, which was 56mN. Other specimen showed lower value by $20{\%}$ to $30{\%}$. The roughness of substrate was not affected by the bonding strength of copper plating.

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