• Title/Summary/Keyword: B-Scan

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Knowledge and Management of Children with Infectious Diseases by Daycare Facility Teachers (보육교사의 전염성 질환에 대한 지식 및 전염성 질환 아동 관리 실태)

  • Park, Sun-Nam;Lee, Young-Ran;Jeong, Young-Ju;Kim, Kyung-Mi
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.115-125
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    • 2010
  • Purpose: This study was conducted to investigate the knowledge of infectious diseases and the management of children with infectious diseases among daycare facility teachers. Methods: This study was based on survey questionnaires completed by 122 day care facility teachers from 36 daycare center sin one district in Seoul. Results: Seventy three (72.8%) of the participating daycare facility teachers had not received infectious disease prevention education. They recognized that they did not have enough knowledge of infectious diseases. The average knowledge level of infectious diseases was scored as 9.30 on a 0-30 scale, with 0 representing no knowledge and 30 expert knowledge, and compliance level of management of children with infectious diseases was scored as 4.29 on a 0-16 scale, with 0 present no compliance and 16 representing total compliance Confidence of management of children with infectious diseases (r=0.24, p=.031) and the compliance level of management (r=0.35, p=.001) were higher with increased knowledge of infectious diseases. Conclusions: Daycare facility teacher scan lack sufficient knowledge about b infectious diseases. The education about infectious diseases and management of children with infectious diseases is indispensable to prevent trans mission of infectious diseases in daycare facilities.

Acute Respiratory Failure Caused by Hepatopulmonary Fistula in a Patient with Hepatocellular Carcinoma

  • Lee, Jungsil;Kim, Yoon Jun;Kim, Hyung-Jun;Kim, Jee-Min;Kim, Young-Chan;Choi, Sun Mi
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.3
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    • pp.179-183
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    • 2016
  • A 59-year-old man presented with acute dyspnea following sudden productive cough and expectoration of a full cup of "blood-tinged" sputum. He had been diagnosed with hepatitis B virus-related hepatocellular carcinoma and had received transarterial chemoembolization 5 years ago for a 20-cm hepatic mass; he denied any history of hematemesis and the last esophagogastroduodenoscopy from a year ago showed absence of varix. Chest computed tomography (CT) with angiography showed new appearance of right basal lung consolidation but no bleeding focus. Despite the use of systemic antibiotics, the patient developed respiratory failure on day 7 of hospitalization. After intubation, a massive amount of brown sputum with anchovy-paste-like consistency was suctioned via the endotracheal tube. Bronchoscopic toileting was performed and the patient was extubated. In the ward, he continued to expectorate the brown sputum. On day 25 of hospitalization, a repeat CT scan showed simultaneous disappearance of the pneumonic consolidation and the necrotic fluid within the hepatic mass, suggesting the presence of a fistula. He has continued to receive systemic antibiotics, sorafenib, and entecavir, and follow up by respiratory and hepato-oncology specialists.

Nontuberculous Mycobacterial Lung Disease Caused by Mycobacterium lentiflavum in a Patient with Bronchiectasis

  • Jeong, Byeong-Ho;Song, Jae-Uk;Kim, Wooyoul;Han, Seo Goo;Ko, Yousang;Song, Junwhi;Chang, Boksoon;Hong, Goohyeon;Kim, Su-Young;Choi, Go-Eun;Shin, Sung Jae;Koh, Won-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.4
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    • pp.187-190
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    • 2013
  • We report a rare case of lung disease caused by Mycobacterium lentiflavum in a previously healthy woman. A 54-year-old woman was referred to our hospital due to chronic cough and sputum. A computed tomography scan of the chest revealed bilateral bronchiectasis with bronchiolitis in the right middle lobe and the lingular division of the left upper lobe. Nontuberculous mycobacteria were isolated twice from three expectorated sputum specimens. All isolates were identified as M. lentiflavum by multilocus sequence analysis based on rpoB, hsp65, and 16S rRNA fragments. To the best of our knowledge, this is the first documented case of M. lentiflavum lung disease in an immunocompetent adult in Korea.

Fatal Facial Mucormycosis on a Diabetic Patient: A Case Report (당뇨 환자에서 발생한 안면부 털곰팡이증에 대한 증례)

  • Choi, Jung-Hun;Kim, Young-Joon;Kwon, Ji-Eun;Kim, Hoon;Nam, Sang-Hyun;Choi, Young-Woong
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.93-95
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    • 2011
  • Purpose: Mucormycosis generally occurs in patients with uncontrolled diabetes mellitus and immunocompromised conditions. It is rare, but once a patient is infected with it, it can occur as a rapidly extending, aggressive, and life-threatening rhinocerebral infection with a high mortality rate. Methods: A 70-year-old female patient had a 40 years of history of adult onset diabetes mellitus. She presented herself with severe right hemifacial pain, swelling, and weakness for 3 days and was admitted to ENT. On a facial computed tomography (CT) scan, it was found that her infection extended from her inferior temporal scalp to her submental area and involved her submandibular, masseter, prevertebral, parapharyngeal, retropharyngeal, and pharyngeal mucosal space and pansinusitis. Through endoscopic sinus surgery, mucormycosis was confirmed via histologic examination. Results: Despite empiric antibiotics and amphotericin B administration, the patient was in a septic condition and in a coma. The patient's family wanted to withdraw her life support, and the patient expired. Conclusion: Mucormycosis is very rare, but is one of the disastrous complications of uncontrolled diabetes mellitus. Suspicion of its occurrence, based on identified risk factors, and its rapid diagnosis can enhance the chance of its cure.

A Case of Crigler-Najjar Syndrome Type 2 Diagnosed Using Genetic Mutation Analysis (유전자 검사로 진단된 제2형 Crigler-Najjar 증후군 1예)

  • Kim, Sang-Yee;Lee, Soo-Hyun;Koh, Hong;Lee, Seung-Tae;Ki, Chang-Seok;Kim, Jong-Won;Chung, Ki-Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.2
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    • pp.219-222
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    • 2008
  • Crigler-Najjar syndrome is a rare inherited disease associated with unconjugated hyperbilirubinemia. It is inherited via an autosomal recessive pattern and is caused by mutation in one of the five exons of the bilirubin uridine-diphosphoglucuronate glucuronosyltransferase (UGT1A1) gene. The synthesis of inactive isoforms of bilirubin uridine-diphosphoglucuronate glucuronosyltransferase (B-UGT) results in unconjugated hyperbilirubinemia. A 13-year-old boy with jaundice for 4 months was admitted to our hospital. He had unconjugated hyperbilirubinemia with no evidence of infection, hemolysis, or structural abnormalities on abdominal ultrasonography or 99mTc-DISIDA scan. The authors identified a missense mutation of Tyr486Asp in the fifth exon of the UGT1A1 gene and diagnosed the patient with Crigler-Najjar syndrome type II. This is the first reported case of Crigler-Najjar syndrome in a Korean child, and it is also the first reported case of a genetic mutation leading to Crigler-Najjar syndrome in Korea.

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Primary Cardiac Lymphoma : 1 Case Report (원발성 심장 림프종 : 1례 보고)

  • Bae, Jun-Ho;Lee, Jong-Suk;Kim, Hyung-Jun;Kim, Min-Kyung;Park, Young-Ho;Hong, Gue-Ru;Park, Jong-Sun;Sin, Dong-Gu;Kim, Young-Jo;Sim, Bong-Sup
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.82-86
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    • 2000
  • Primary cardiac lymphoma, defined as involving only the heart and pericardiwn, is very rare and is diagnosed predominantly late in the course of illness or autopsy. This tumor is commonly fatal and until recently were rarely diagnosed antemortem. Recently, it was reported in patients with acquired immunodeficiency syndrome. We report a case of primary cardiac lymphoma in a 56 year old female who showed progressive exertional dyspnea. On echocardiogram and CT scan, a large ill defined mass was demonstrated in right atrial and ventricular wall. It was diagnosed as B-cell type lymphoma on open cardiac biopsy.

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PERFORATION OF THE TEMPOROMANDIBULAR JOINT MENISCUS: DIAGNOSED BY MAGNETIC RESONANCE IMAGING (MAGNETIC RESONANCE IMAGING을 이용한 악관절 원판 천공 진단)

  • Kim, Houng-Gon;Dolan, Eward;Vogler, James B.;Nokes, Steven R.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.2
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    • pp.11-18
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    • 1989
  • Advancement of surgical techniques has made it necessary to accurately diagnose internal derangements. Arthrography and computerized tomography have been used to diagnose the majority of temporomandibular joint disorders, however, these methods have had their disadvantages. Magnetic resonance imaging utilizing surface coils has greatly improved the ability to diagnose meniscus abnormalities without using intrarticular injections or ionizing radiation. Ninety-two patients (184 joints) were evaluated by means of magnetic resonance imaging(MRI). Thirty-one patients (39 joints) were diagnosed as having meniscus perforation. Retrospective review of fifteen patients (20 joints) with a perforated meniscus diagnosed by magnetic resonance imaging pre-operatively demonstrated a sixty-five percent correlation between the radiographic diagnosis and the surgical findings.

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Construction reproducibility of a composite tooth model composed of an intraoral-scanned crown and a cone-beam computed tomography-scanned root

  • Lim, Seung-Weon;Moon, Ryu-Jin;Kim, Min-Seok;Oh, Min-Hee;Lee, Kyung-Min;Hwang, Hyeon-Shik;Kim, Tae-Woo;Baek, Seung-Hak;Cho, Jin-Hyoung
    • The korean journal of orthodontics
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    • v.50 no.4
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    • pp.229-237
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    • 2020
  • Objective: To evaluate the construction reproducibility of a composite tooth model (CTM) composed of an intraoral-scanned crown and a cone-beam computed tomography (CBCT)-scanned root. Methods: The study assessed 240 teeth (30 central incisors, 30 canines, 30 second premolars, and 30 first molars in the maxillary and mandibular arches) from 15 young adult patients whose pre-treatment intraoral scan and CBCT were available. Examiner-Reference (3 years' experience in CTM construction) and Examiners-A and Examiner-B (no experience) constructed the individual CTMs independently by performing the following steps: image acquisition and processing into a three-dimensional model, integration of intraoral-scanned crowns and CBCT-scanned teeth, and replacement of the CBCT-scanned crown with the intraoral-scanned crown. The tooth axis angle in terms of mesiodistal angulation and buccolingual inclination of the CTMs constructed by the three examiners were measured. To assess the construction reproducibility of CTMs, intraclass correlation coefficient (ICC) assessments were performed. Results: The ICC values of mesiodistal angulation and buccolingual inclination among the 3 examiners showed excellent agreement (0.950-0.992 and 0.965-0.993; 0.976-0.994 and 0.973-0.995 in the maxillary and mandibular arches, respectively). Conclusions: The CTM showed excellent construction reproducibility in mesiodistal angulation and buccolingual inclination regardless of the construction skill and experience levels of the examiners.

A Study on Low Velocity Impact and Residual Compressive Strength for Carbon/Epoxy Composite Laminate (탄소섬유/에폭시 복합적층판의 저속 충격 및 잔류 압축강도에 관한 연구)

  • Lee, S.Y.;Park, B.J.;Kim, J.H.;Lee, Y.S.;Jeon, J.C.
    • Proceedings of the KSME Conference
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    • 2000.11a
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    • pp.250-255
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    • 2000
  • Damage induced by low velocity impact loading in aircraft composite laminates is the form of failure which is occurred frequently in aircraft. Low velocity impact can be caused either by maintenance accidents with tool drops or by in-flight impacts with debris. As the consequences of impact loading in composite laminates, matrix cracking, delamination and eventually fiber breakage for higher impact energies can be occurred. Even when no visible impact damage is observed, damage can exist inside of composite laminates and the carrying load of the composite laminates is considerably reduced. The reduction of strength and stiffness by impact loading occurs in compressive loading due to laminate buckling in the delaminated areas. The objective of this study is to determine inside damage of composite laminates by impact loading and to determine residual compressive strength and the damage growth mechanisms of impacted composite laminates. For this purpose a series of impact and compression after impact tests are carried out on composite laminates made of carbon fiber reinforced epoxy resin matrix with lay up pattern of $[({\pm}45)(0/90)_2]s$ and $[({\pm}45)(0)_3(90)(0)_3({\pm}45)]$. UT-C scan is used to determine impact damage characteristics and CAI(Compression After Impact) tests are carried out to evaluate quantitatively reduction of compressive strength by impact loading.

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Design and Implementation of Hand-Held Inspection Device for High Performance Mobile TFT LCD/OLED Module (고성능 모바일 TFT LCD/OLED 모듈을 위한 헨드헬드 검사장비 설계 및 구현)

  • Moon, Seung-Jin;Kim, Hong-Kyu
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.34 no.6B
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    • pp.630-640
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    • 2009
  • The thesis suggests hand-held equipment to overhaul for mobile TFT LCD/OLED module of high-performance. The established module equipment to overhaul could distinguish outputting video data to module for distinguishing flicker, but it is impossible with low system. In this thesis, supporting system could check the various supplement functions from bringing equipment to overhaul without changing design of FPGA or H/W the module various size for equipment to overhaul for module of high-performance coincidently. The system includes hand-held equipment to overhaul, test software embedded and software a base personal computer and have designed to output, save, and certify all contents of module test of hand-held equipment to overhaul to interface universal serial bus. Setting up 9 items that represent for efficient verification of the proposed system have been possible confirmation with TFT LCD/OLED module of high-performance, establishment scan time, creation gamma, changing register, supporting interface, and multi inch modules.