• Title/Summary/Keyword: Acquired

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Acquired Digital Fibrokeratoma over Nail (조갑 주변의 후천성 수지 섬유각화종)

  • Kwon, Young Woo;Choi, In Cheul;Park, Jong Woong
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.2
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    • pp.168-172
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    • 2021
  • Acquired digital fibrokeratoma is very a rare, benign, fibrous, and hyperkeratotic skin tumor that develops most frequently on the finger or toe. The tumor usually occurs in adults as a solitary, dome-shaped lesion. Sometimes, it appears as a rudimentary supernumerary digit and may be misdiagnosed as an accessory nail (double nail) or verruca vulgaris. The pathophysiology of an acquired digital fibrokeratoma is unknown. On the other hand, trauma has often been proposed as a predisposing factor for an acquired type of digital fibrokeratoma. This paper reports a case of trauma-related acquired digital fibrokeratoma presenting as a supernumerary digit and nail in a 36-year-old male. This case is presented with a 0.5 cm×0.4 cm×1.3 cm sized, firm, hyperkeratotic, protruding mass over the left second finger nail.

Acquired Color Vision Impairment among Solvent-Exposed Workers in Petrochemical industry (석유화학단지에서의 유기용제 노출에 의한 후천적 색각이상)

  • Lee, Eun-Hee;Cho, Sung-Il;Cheong, Hae-Kwan;Atchison, David A.;Paek, Do-Myung
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.257-267
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    • 2004
  • Our study investigated the association between solvent exposure and acquired color vision loss using the Lanthony D-15 desaturated panel in petrochemical industry. Since neurotoxic effects associated with chronic solvent exposure, subjects with more than 6 months of exposure were included. Exposure assesment was estimated mean, maximum and cumulative 8hr TWA from individual 8-hour sampling. Exposure status were classified into two groups, occupationally exposed group to solvent and a non-exposed group. The results showed that CCI was positively related for age. According to the results of qualitative analysis, there was no significant difference in the prevalence of specific Type of dyschromatopsia the two examined group. However, the prevalence showed a higher proportion of dyschromatopsia to solvent exposure. It was affect with acquired dyschromatopsia(Type II, III and Complex) in exposed worker group(5.9%,7.86%,14.99%, respectively) than in the nonexposed group(6.16%,7.55%,13.71%, respectively). After each variable was adjusted for age, alcohol and tobacco consumption, a relationship between acquired dyschromatopsia and exposure showed an increase in the Odds ratio as compared to the nonexposed group at only left. The results showed that acquired dyschromatopsia was positively related to age (p<0.001). The results showed that solvent exposure, although not significant, could cause the acquired dyschromatopsia and visual system can serve important information on early neurotoxic effects in generally. Therefore, we need to concerns about eye health in workers.

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Acquired Drug Resistance during Standardized Treatment with First-line Drugs in Patients with Multidrug-Resistant Tuberculosis (다제내성결핵 환자에서 표준 1차 항결핵제 치료 중 발생한 획득 내성)

  • Jeon, Doosoo;Kim, Dohyung;Kang, Hyungseok;Min, Jinhong;Sung, Nackmoon;Hwang, Soohee;Park, Seungkew
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.198-204
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    • 2009
  • Background: First-line drugs, if sensitive, are the most potent drugs in the treatment of multidrug-resistant tuberculosis (MDR-TB). This study examined the frequency and risk factors associated with acquired drug resistance to first-line drugs during a standardized treatment using first-line drugs in patients with MDR-TB. Methods: This study included patients who were diagnosed with MDR-TB at the National Masan Tuberculosis Hospital between January 2004 and May 2008, treated with standardized first-line drugs, and for whom the preand post-treatment results of the drug susceptibility test were available. Their medical records were reviewed retrospectively. Results: Of 41 MDR-TB patients, 14 (34.1%) acquired additional resistance to ethambutol (EMB) or pyrazinamide (PZA). Of 11 patients initially resistant to isoniazid (INH) and rifampicin (RFP), 3 (27.3%) acquired additional resistance to both EMB and PZA, and 3 (27.3%) to PZA. Of 18 patients initially resistant to INH, RFP and EMB, 6 (33.3%) acquired additional resistance to PZA. Of 6 patients initially resistant to INH, RFP and PZA, 2 (33.3%) acquired additional resistance to EMB. Ten of the 41 MDR-TB patients (24.4%) changed from resistant to susceptible. No statistically significant risk factors associated with acquired resistance could be found. Conclusion: First-line drugs should be used cautiously in the treatment of MDR-TB in Korea considering the potential acquisition of drug resistance.

A Comparative Study on Bearing Capacity of Single Pile Based on Calculation Method (산정방법에 따른 단말뚝의 지지력 비교연구)

  • 이영대;심재현
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.39 no.2
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    • pp.124-133
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    • 1997
  • Pile load test is good for estimating pile bearing capacity, but using this method is limited by time and cost required. Dynamic and static method is more convenient and economical, but confidence of estimated value by dynamic and static method are lower than that of pile load test. After being compared pile bearing capacity data obtained from pile load test with those of other two methods, the results from this study were summarised as follows. For allowable bearing capacity values greater than 175t per pile, bearing capacity acquired from static method was higher than that acquired from pile load test, whereas bearing capacity acquired from pile load test was higher than that acquired from static method for values under 175 per pile. It was that variance of bearing capacity was large when bearing capacity obtained by dynamic method was higher than 250t. Also bearing capacity based on dynamic method was higher than that based on pile load test. Allowable bearing capacity get from dynamic method suggested that carefull precautions are necessary in application for allowable bearing capacity values higher than 2S0ton per pile.

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Clinical experience of open heart surgery: 211 cases (개심술 211례에 대한 임상적 고찰)

  • 강인득
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.804-810
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    • 1984
  • Two hundred twenty one cases of open heart surgery were done in the Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital from July, 1981 to October, 1984. 1.There were 154 cases [73%] of congenital anomalies and 57 cases [27%] of acquired valvular heart diseases. Among the congenital cases, 128 cases were acyanotic and 26 cases were cyanotic. Among the 57 cases of acquired valvular replacement surgery, 3 cases had open heart commissurotomy, one had Kay annuloplasty. 2.The age distribution of the congenital acyanotic anomalies ranged from 5 to 32 years with mean age of 12.8 years, the congenital cyanotic anomalies from 3 to 29 years with mean age of 14.2 years and the acquired valvular diseases from 9 to 51 years with mean age of 30 years. The difference of sex distribution was no significance. 3.Three methods for debubbling process were used in our institute, in 133 cases, the vent was inserted into the left ventricular apex, in 61 cases inserted into the left atrium through right superior pulmonary vein and in 17 cases used needle aspiration only. 4.For cardioplegia, the GIK solution was infused repeatedly from 30 to 40 minutes interval and brought excellent results for myocardial protection during open heart surgery. 5.Overall mortality was 7.6%. The mortality along with each disease is 1.56% in congenital acyanotic cases, 26.9% in congenital cyanotic cases and 12.3% in acquired valvular disease.

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2 Cases of Male Urethral Diverticulum Combined with Stone (결석이 동반된 남성 요도게실 2례)

  • Shin, Hyun-Chul;Kim, Young-Soo;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.416-421
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    • 1992
  • Male urethral diverticulum is uncommon lesion, furthermore calculus formation within the male urethral diverticulum is very rare. Generally, urethral diverticula are classified as congenital and acquired. The majority of male urethral diverticula are acquired and approximately 10 to 20 per cent are congenital. Acquired urethral diverticula in the male may arise from many sources, including infection(prostatic abscess, infection of periurethral glands, hematoma or schistosomiasis), obstruction (stricutre, impacted stone, Cunningham clamp or condom catheter) and trauma(instrumentation, external injury and pelvic fracture). Calculi formation is more common in the acquired diverticulum owing to stagnation of urine and infection. These calculi in the diverticulum usually are solitary and may attain considerable size with predisposing factors. 1) a ureteral or bladder calculus that is lodged in the urethra, 2) urethral trauma or stricture, 3) calcification around a foreign body or hair. The treatment of urethral diverticulum conbined with stone is excision of the diverticula with removal of stone. We treated two cases of urethral diverticulum combined with stone in the male, and report with review of literature.

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Isolation Rate of Methicillin-Resistant Staphylococcus aureus (MRSA) from Nasal cavity inferior regions and Cellular phones

  • Kim, Chung Hwan;Lee, Jun Young;Kim, Mi Kyeong;Kim, Sung Hwan;Park, Geun Young;Bae, So Yeon;Seo, Myeong Jin;Go, In Hyeog
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.3
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    • pp.118-123
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    • 2012
  • Nosocomial infection and community-acquired infection with Staphylococcus aureus, especially methicillin-resistant S. aureus (MRSA), has become a strong concern in human body sites and related effects. The aim of this study is investigate the isolation rate of MRSA from nasal cavity inferior regions and cellular phones to assess the risk factor of nosocomial infection and community-acquired infection. 34.7% and 37.2% isolates were MRSA from the nasal cavity inferior regions and cellular phones according to a Mannitol salt agar (added oxacillin $6{\mu}g/mL$) culture and PCR according to S. aureus specific 16S rRNA and mecA primers. Thus, the distribution of S. aureus and the isolation rate of MRSA represent a very high risk factor regards nosocomial infection and community-acquired infection.

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Application assessments of concrete piezoelectric smart module in civil engineering

  • Zhang, Nan;Su, Huaizhi
    • Smart Structures and Systems
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    • v.19 no.5
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    • pp.499-512
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    • 2017
  • Traditional structural dynamic analysis and Structural Health Monitoring (SHM) of large scale concrete civil structures rely on manufactured embedding transducers to obtain structural dynamic properties. However, the embedding of manufactured transducers is very expensive and low efficiency for signal acquisition. In dynamic structural analysis and SHM areas, piezoelectric transducers are more and more popular due to the advantages like quick response, low cost and adaptability to different sizes. In this paper, the applicable feasibility assessment of the designed "artificial" piezoelectric transducers called Concrete Piezoelectric Smart Module (CPSM) in dynamic structural analysis is performed via three major experiments. Experimental Modal Analysis (EMA) based on Ibrahim Time Domain (ITD) Method is applied to experimentally extract modal parameters. Numerical modal analysis by finite element method (FEM) modeling is also performed for comparison. First ten order modal parameters are identified by EMA using CPSMs, PCBs and FEM modeling. Comparisons are made between CPSMs and PCBs, between FEM and CPSMs extracted modal parameters. Results show that Power Spectral Density by CPSMs and PCBs are similar, CPSMs acquired signal amplitudes can be used to predict concrete compressive strength. Modal parameter (natural frequencies) identified from CPSMs acquired signal and PCBs acquired signal are different in a very small range (~3%), and extracted natural frequencies from CPSMs acquired signal and FEM results are in an allowable small range (~5%) as well. Therefore, CPSMs are applicable for signal acquisition of dynamic responses and can be used in dynamic modal analysis, structural health monitoring and related areas.

Acquired Portosystemic Shunts Secondary to Hepatic Microvascular Dysplasia in a Young Dog

  • Hwang, Taesung;An, Soyon;Kim, Ahreum;Han, Changhee;Huh, Chan;Lee, Hee Chun
    • Journal of Veterinary Clinics
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    • v.37 no.2
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    • pp.88-90
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    • 2020
  • A one year old spayed female Bichon Frise dog presented with gait abnormalities and seizure. Serum biochemical results showed elevated levels of alkaline phosphatase, alanine aminotransferase, and ammonia. Serum bile acid level was also increased to be over 30 μmol/L on preprandial. Urinalysis identified the presence of ammonium urate crystal. Abdominal ultrasonography and CT revealed aberrant, tortuous, and multiple small vessels connected to the caudal vena cava between left kidney and caudal vena cava. Macroscopic specific findings associated with extrahepatic congenital portosystemic shunts (PSS) or other liver diseases were not identified. Liver biopsy was performed. Histopathologic evaluation revealed hepatic lobular hypoplasia with portal arterial duplication and vascular shunts. Based on these finding, this case was diagnosed as multiple acquired PSS secondary to hepatic microvascular dysplasia (HMD) and hepatic encephalopathy. A liver biopsy is recommended to differentiate HMD from other liver diseases and to confirm HMD when a young dog has multiple acquired PSS.