• Title/Summary/Keyword: 50-year history

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Temporal Evolution of a Chronic Expanding Organizing Hematoma on MRI, Including Functional MR Imaging Techniques: a Case Report

  • Lee, Jeonghyun;Lee, Taebum;Oh, Eunsun;Yoon, Young Cheol
    • Investigative Magnetic Resonance Imaging
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    • v.21 no.1
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    • pp.43-50
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    • 2017
  • Chronic expanding organizing hematoma (CEH) occasionally mimics a soft tissue tumor on MRI, which becomes more problematic in patients with a history of surgical resection for musculoskeletal malignancy. Herein, we present a case of CEH which we were able to differentiate from recurrent tumor through MRI follow-up, including diffusion-weighted imaging (DWI) and dynamic contrast enhanced (DCE) imaging. A 66-year-old male visited our institution under suspicion of recurrent leiomyosarcoma of the thigh, 19 months after surgery and radiation therapy. Due to inconclusive results, three US-guided biopsies and 6 MRI examinations were performed over 2 years. In the end, we could diagnose a CEH using conventional and functional MRI techniques, and it was histopathologically confirmed after surgical resection. A CEH may occur remotely after an initiating event, and it may persist and expand over several years. Functional MR sequences, in addition to conventional sequences, are helpful in differentiating CEH from malignant neoplasms.

Rapid Clinical Course of Cerebral Metastatic Angiosarcoma from the Heart

  • Jung, Seung-Hoon;Jung, Tae-Young;Joo, Sung-Pil;Kim, Hyung-Seok
    • Journal of Korean Neurosurgical Society
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    • v.51 no.1
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    • pp.47-50
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    • 2012
  • We report here one case of rapid and aggressive course of cerebral metastatic angiosarcoma from the heart. A 36-year-old man presented with 10-days history of headache. Magnetic resonance imaging demonstrated subacute hemorrhage with a small region of enhancement in right parietal region and the pathological diagnosis was angiosarcoma. Transthoracic echocardiography demonstrated $3.2{\times}3$ cm sized mass on right atrial wall. Newly developed lesion was reoperated, three and four weeks later respectively, and whole brain radiotherapy of total 30 Gy was done. With the interval of two months, gamma knife surgery was done for new lesions two times, which were well controlled. Newly developed lesions rapidly happened even in the adjuvant treatment. He died 9 months after the diagnosis because of the aggravation of primary cancer. The cerebral metastatic angiosarcoma from the heart showed the rapid aggressive behavior and the closed follow-up could be needed for the adjuvant treatment.

Case-control Study of Risk Factors for Non-Hodgkin Lymphoma in Mumbai, India

  • Balasubramaniam, Ganesh;Saoba, Sushama;Sarade, Monika;Pinjare, Suvarna
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.775-780
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    • 2013
  • Background: In the year 2010, it is estimated that nearly 0.36 million new cases and 0.19 million deaths with Non-Hodgkin lymphoma occurred. In India, among males, NHL incidence rates vary across the country which has encouraged us to conduct a case-control study to study risk factors. Materials and Methods: The present unmatched hospital-based case-control study conducted at Tata Memorial Hospital included subjects registered between the years 1997-99. There were 390 'lymphoma cases' and 1,383 'normal controls. Results: Data on age, tobacco habits, occupational history, dietary factors, tea, coffee were collected by the social investigators. Univariate and multivariate methods were applied for obtaining the odds ratios for risk factors. Conclusions: In the study, cigarette smoking (OR=2.0) and bidi smoking (OR=2.8), were associated with excess risk of lymphoma. Among the dietary items, only consumption of mutton showed 7.3-fold significant excess risk for lymphoma. Consumption of milk showed a 6-fold excess risk (OR=1.5); while coffee showed a 50% reduction in risk for lymphoma. Among occupational exposure, exposure to use of pesticides showed 3-fold excess risk for lymphoma.

BRAIN ABSCESS FOLLOWING ODONTOGENIC INFECTION (치성 감염에 의한 뇌 농양)

  • Kim, Il-Kyu;Ryu, Mun-Kwang;Ku, Je-Hoon;Jang, Keum-Soo;Kim, Ju-Rok;Kawk, Hyun-Jong;Choi, Jin-Ung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.2
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    • pp.174-178
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    • 2006
  • Brain abscess is a rare, extremely aggressive, life-threatening infection. It may occur following : infection of contiguous structure, hematogenous spread, or cranial trauma/surgery. Dental pathology and/or treatment have been linked to a small number of brain abscesses as possible source of infection. 50-year-old male patient was presented with a brain abscess caused by Streptococcus viridans. In the case presented, the significant oral findings were chronic periapical and periodontal infection due to root remnant of lower right 3rd molar. A case history and brief literature review of brain abscess related odontogenic infection was presented after successful treatment with antibiotics and craniotomy.

A Study on the Ground Improvement by Compaction Grouting System (CGS에 의한 기초지반보강에 관한 연구)

  • 천병식;권형석
    • Journal of the Korean Society for Railway
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    • v.2 no.4
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    • pp.9-19
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    • 1999
  • The use of compaction grouting evolved in 1950's to correct structural settlement of buildings. Over the almost 50 years, the technology has been developed and is currently used in wide range of applications. Compaction grouting, the injection of a very stiff, 'zero-slump' mortar grout under relatively high pressure, displaces and compacts soils. It can effectively repair natural or man-made soil strength deficiencies in variety of soil formations. Major applications of compaction grouting include densifying loose soils or fill voids caused by sinkholes, poorly compacted fills, broken utilities, improper dewatering, or soft ground tunneling excavation. Other applications include preventing liquefaction, re-leveling settled structures, and using compaction grout bulbs as structural elements of minipiles or underpinning. In this paper, on the basis of the case history constructed in this year, a study has been performed to analyze the basic mechanism of the compaction grouting. Also, the effectiveness of the ground improvement and the bearing capacity of the compaction pile has been verified by the Cone Penetration Test(CPT) and Load Test. Relatively uniform compaction grouting column could be maintained by planning the quality control in the course of grouting. And, the Qualify Control Plan has been conceived using grout pressure, volume of grout and drilling depth.

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Risk Management for PX Plant Through Revalidation of Process Hazard Analysis (PX 공장에서의 공정위험성 재평가에 의한 위험관리)

  • Lim, Jong Woo;Woo, In Sung
    • Journal of the Korea Safety Management & Science
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    • v.19 no.3
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    • pp.35-42
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    • 2017
  • Process Hazard Analysis(PHA) have been performed for a risk management of process (petrochemical) industry for nearly 50 years. There are many PHA methods for application in the process industry, Hazop Study method has been recognized as a good method used typically in most of phase of process plant. And also there was inconvenient opinion that Hazop Study is too resource (man power, time etc.) consuming comparing its result performance (a quality of recommendations) for a good operating and existing plant. In this study, two types of PHA method - checklist and K-PSR - were performed respectively for a new para-xylene(PX)plant and 30 year old PX plant. Past history and experience of incident, operation, maintenance and so on are very important in PHA by those two methods. The higher effectiveness were realized in PHA by a checklist and K-PSR Method than prior Hazop study. And also some suggestions including PHA cycle determination, RBPS application, Follow-up plan of PHA result etc. were proposed about PHA improvement measures for a best risk management.

A Study on Eating Habits, Life Styles and Nutrition Care of Diabetic Outpatients

  • Chang, Kyung-Ja;Nam, Moon-Suk
    • Journal of Community Nutrition
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    • v.1 no.2
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    • pp.133-139
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    • 1999
  • The purpose of this survey was to investigate eating habits, life styles and nutritional care of diabetic outpatients and to provide basic data for developing individualized nutritional care and diabetic education programs. This survey was carried out by nutritional counseling with a questionnaire and checking medical record. Information about the general characteristics of the subjects, eating habits, health-related life styles and attitude and perception of subjects to diet therapy was gathered from 200 randomly-sampled diabetic outpatients at a University Hospital located in Inchon. All data were analyzed by Statistical Analysis System(SAS) software. The results are summarized as follows : Female subjects were 63.5% of total subjects and 65.5% of total subjects were 50 years or more. The average Body Mas Index(BMI) of male and female subjects were 23.06kg/㎡ and 25.02kg/㎡ respectively and 44% of all subjects wee obese. Among subjects, type II diabetic patients were 81.0% and 82.5% of subjects had suffered from diabetes for more than one year. Also 41% subjects had diabetic history in their family. More than half of the subjects had nutrition education concerning diabetes. Also 75.5% of them thought that nutrition education was effective. The most important guideline in diet therapy was to eat cooked rice with dietary fiber-rich grains. Therefore, it might be necessary to develop nutrition education program adjusted according to diabetic patient's needs and life styles, which may increase feasibility of self-care and implementation of management guidelines.

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A Case of Pleural Hydatid Cyst Mimicking Malignancy in a Non-Endemic Country

  • Kim, Se-Joong;Jung, Ki-Hwan;Jo, Won-Min;Kim, Young-Sik;Shin, Chol;Kim, Je-Hyeong
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.4
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    • pp.338-341
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    • 2011
  • Hydatid disease is caused by the larval stage of taenia $Echinococcus$, which endemic in the Mediterranean region. Recently, the prevalence of the disease has increased worldwide due to an increase in the frequency of travel and immigration. As the infested larvae migrate through the bloodstream, the final destination is most commonly the liver or lungs; direct pleural invasion is very rare. A 50-year-old diabetic Korean man presented with an incidentally noted 2 cm right pleural nodule. On follow up imaging after three months, its size had increased. To confirm the diagnosis of the lesion, surgical excision was performed. Histopathological examination showed the diagnosis of a hydatid cyst. The patient had no history of overseas travel, but lives in an urban area where many foreign workers from endemic countries reside. This is the first reported case of primary pleural hydatid disease in a non-endemic country.

Research Trends of Studies Related to the Nature of Science in Korea Using Semantic Network Analysis (언어 네트워크 분석을 이용한 과학의 본성에 관한 국내연구 동향)

  • Lee, Sang-Gyun
    • Journal of the Korean Society of Earth Science Education
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    • v.9 no.1
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    • pp.65-87
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    • 2016
  • The purpose of this study is to examine Korean journals related to science education in order to analyze research trends into Nature of science in Korea. The subject of the study is the level of Korean Citation Index (KCI-listed, KCI listing candidates), that can be searched by the key phrase, "Nature of science" in Korean language through the RISS service. In this study, the Descriptive Statistical Analysis Method is utilized to discover the number of research articles, classifying them by year and by journal. Also, the Sementic Network Analysis was conducted to Word Cloud Analysis the frequency of key words, Centrality Analysis, co-occurrence and Cluster Dendrogram Analysis throughout a variety of research articles. The results show that 91 research papers were published in 25 journals from 1991 to 2015. Specifically, the 2 major journals published more than 50% of the total papers. In relation to research fields., In addition, key phrases, such as 'Analysis', 'recognition', 'lessons', 'science textbook', 'History of Science' and 'influence' are the most frequently used among the research studies. Finally, there are small language networks that appear concurrently as below: [Nature of science - high school student - recognize], [Explicit - lesson - effect], [elementary school - science textbook - analysis]. Research topic have been gradually diversified. However, many studies still put their focus on analysis and research aspects, and there have been little research on the Teaching and learning methods.

Massive Hemoptysis Due to Impaction of Fractured Rib into the Lung Parenchyme - 1 Case Report - (폐실질내 골절된 늑골의 합입에 의한 대량각혈)

  • 이용재
    • Journal of Chest Surgery
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    • v.25 no.7
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    • pp.711-715
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    • 1992
  • Massive hemoptysis is defined as pulmonary hemorrhage of more than 600ml to 800ml within 24hours. Among the many causes, the most common include pulmonary tuberculosis, abscess, bronchiectasis, cystic fibrosis bronchial carcinoma. Most acute episodes of hemoptysis last less than 24 hours and gradually subside. However, when the hem-optysis is massive, it carries a mortality rate of 50% to 100%. It is generally agreed that surgery is the treatment of choice for patients with massive hemoptysis. We had the one case of 39 year-old male with recurrent massive hemoptysis. In the past history, he had pulmonary tuberculosis 20 years ago but no chest trauma, Previous chest CT showed well defined cavitary lesion with calcification on RUL Under the bronchoscope finding, we indentified active bleeding from right upper lobe bronchus without end-obronchial lesion. Therefore, emergency thoracotomy was done with impression of hem-optysis due to pulmonary tuberculosis. But operative findings were as follows ; the 4th fractured rib was impacted into the lung parenchyme with severe adhesion and middle lobe was not inflated. So, Upper and middle lobectomy were performed. He was diagnosed finally by operative and pathological findings as massive hemoptysis due to impaction of fractured rib into the lung parenchyme and discharged without complication.

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