• Title/Summary/Keyword: Center lobe

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Mixed Tumor in Deep Lobe and Versatility of Acellular Dermal Matrix

  • Byun, Jin Hwan;Lim, Jung Soo;Lee, Hye Kyung
    • Archives of Craniofacial Surgery
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    • v.18 no.2
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    • pp.132-136
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    • 2017
  • Frey's syndrome and infra-auricular depressed deformities are the ones of the most common complications that can occur after total parotidectomy. We report 1 case of pleomorphic adenoma occurred in the deep lobe that obtained good results from using acellular dermal matrix (ADM) after total parotidectomy. A 24-year-old man visited the hospital with oval shape mass in right mandibular angle which of 4 cm in size was found in the deep lobe of right parotid gland from Magnetic resonance imaging scanning and a pleomorphic adenoma was suspected. A total parotidectomy was performed while preserving the facial nerve. The material known as ADM were placed in the depressed part from where the mass was removed, and the site was sutured. The surgery site was healed well without any complications such as Frey's syndrome or infra-auricular depressed deformities. The pathological result was confirmed as pleomorphic adenoma. In addition to these advantages, it does not have little potential of deformation by the gravity after the surgery, and there is no restraint on circulation, which makes fabrication free and each deformation into various shapes can be described as another advantage of the reconstruction using the ADM.

Effects of an Exercise Program on Frontal Lobe Cognitive Function in Elders (운동 프로그램이 노인의 전두엽 인지기능에 미치는 효과)

  • Shin, Mee-Kyung
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.107-115
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    • 2009
  • Purpose: The purpose of this study was to identify the effects of an exercise program on frontal lobe cognitive function in seniors. Methods: The participants were 42 seniors using a health center in Seoul (experimental group) and 28 seniors using a facility for elders in Seoul (control group). The exercise program was carried out for 16 weeks from April to August 2007. The frontal lobe cognitive function, which includes short term memory, attention, immediate memory, delayed memory, verbal fluency and motor function, was measured by the Digit Span Forward test, Trail Making test, Immediate recall words test, Delayed recall words, Controlled oral word association test and Finger tapping test. The collected data were analyzed by Fisher's exact test, Chi-square, t-test, and ANCOVA using the SAS program. Results: The major findings of this study were as follows: Attention (p=.009), immediate memory (p=.005), delayed memory (p=.009), and verbal fluency (p=.004) improved after the exercise program. Conclusion: In this study, the exercise program was effective in improving frontal lobe cognitive function in elders. So it provides basic information for further nursing education on exercise programs which will be effective for prevention of early cognitive function decline in normally aging elders.

Adjuvant Chemotherapy in Patients with Node-Negative Non-Small Cell Lung Cancer with Satellite Pulmonary Nodules in the Same Lobe

  • Park, Jiyoun;Lee, Junghee;Jeon, Yeong Jeong;Shin, Sumin;Cho, Jong Ho;Kim, Hong-Kwan;Choi, Yong Soo;Kim, Jhingook;Zo, Jae Ill;Shim, Young Mog
    • Journal of Chest Surgery
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    • v.55 no.1
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    • pp.10-19
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    • 2022
  • Background: According to the eighth TNM (tumor-node-metastasis) staging system, the presence of separate tumor nodules in the same lobe is designated as a T3 descriptor. However, it remains unclear whether adjuvant chemotherapy confers survival advantages in this setting. Methods: We retrospectively identified 142 pathologic T3N0M0 patients with additional pulmonary nodules in the same lobe from a single-institutional database from 2004 to 2019. The main outcomes were overall survival and recurrence-free survival. Multivariable Cox regression was used to identify the benefit of adjuvant chemotherapy while adjusting for other variables. Results: Sixty-one patients received adjuvant chemotherapy (adjuvant group) and 81 patients did not receive adjuvant therapy after surgery (surgery-only group). There were no demonstrable differences between the 2 groups regarding hospital mortality and postoperative complications, indicating that treatment selection had not significantly occurred. However, the use of adjuvant chemotherapy was associated with improved 5-year overall survival (70% vs. 59%, p=0.006) and disease-free survival (60% vs. 46%, p=0.040). A multivariable Cox model demonstrated that adjuvant chemotherapy was associated with a survival advantage (adjusted hazard ratio, 0.54; p<0.001). In exploratory analyses of subgroups, the effect of adjuvant chemotherapy seemed to be insufficient in those with small main tumors (<4 cm). Conclusion: Adjuvant chemotherapy was associated with better survival in T3 cancers with an additional tumor nodule in the same lobe. However, the role of adjuvant chemotherapy in patient subgroups with small tumors or those without risk factors should be determined via large studies.

How predictive are temporal lobe changes of underlying TDP-43 pathology in the ALS-FTD continuum?

  • Bueno, Ana Paula Arantes;Bertoux, Maxime;de Souza, Leonardo Cruz;Hornberger, Michael
    • Annals of Clinical Neurophysiology
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    • v.19 no.2
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    • pp.101-112
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    • 2017
  • Detection of underling proteinopathies is becoming increasingly important across neurodegenerative conditions due to upcoming disease intervention trials. In this review, we explored how temporal lobe changes in amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) can potentially predict underlying TDP-43 pathology subtypes in FTD. To date, emphasis has been given to frontal lobe changes in the study of the cognitive and behavioural impairments in both syndromes but an increasing number of pathological, imaging and neuropsychological studies suggest how temporal lobe changes could critically affect the cognition and behaviour of these conditions. In this current article, we reviewed pathological, imaging as well as clinical/neuropsychological findings of temporal involvement in the ALS-FTD continuum, how they relate to temporal lobe changes and the underlying TDP-43 pathology in FTD. Findings across studies show that TDP-43 pathology occurs and coincides in many structures in ALS and FTD, but especially in the temporal lobes. In particular, anterior and medial temporal lobes atrophy is consistently found in ALS and FTD. In addition, memory and language impairment as well as emotional and Theory of Mind processing deficits that are characteristics of the two diseases are highly correlated to temporal lobe dysfunction. We conclude by showing that temporal lobe changes due to TDP-43 type B might be particular predictive of TDP-43 type B pathology in behavioural variant FTD, which clearly needs to be investigated further in the future.

The Effects of Various Apodization Functions on the Filtering Characteristics of the Grating-Assisted SOI Strip Waveguides

  • Karimi, Azadeh;Emami, Farzin;Nozhat, Najmeh
    • Journal of the Optical Society of Korea
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    • v.18 no.2
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    • pp.101-109
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    • 2014
  • In this paper, four apodization functions are proposed for silicon-on-insulator (SOI) strip waveguides with sidewall-corrugated gratings. The effects of apodization functions on the full width at half maximum (FWHM), the side-lobe level, and the reflectivity of the reflection spectrum are studied using the coupled-mode theory (CMT) and the transfer-matrix method (TMM). The results show that applying proposed apodization functions creates very good filtering characteristics. Among investigated apodized waveguides, the apodization functions of Polynomial and z-power have the best performance in reducing side-lobes, where the side-lobe oscillations are entirely removed. Four functions are also used for precise adjustment of the bandwidth. Simulation results show that the minimum and maximum values of the FWHM are 0.74 nm and 8.48 nm respectively. In some investigated functions, changing the apodization parameters decreases the reflectivity which is compensated by increasing the grating length.

Primary Hyperparathyroidism due to Parathyroid Adenoma (부갑상선 선종에 의한 원발성 부갑상선 기능 항진증)

  • Park, Woo-Hyun;Bae, Byung-Jin;Choi, Soon-Ok
    • Advances in pediatric surgery
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    • v.6 no.1
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    • pp.68-69
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    • 2000
  • A case of primary hyperparathyroidism due to parathyroid adenoma is presented. A 14 year-old male was admitted to the hospital comptaining of voiding difficulty. The intravenous pyelogram demonstrated a stone in the proximal one third of the left ureter and marked hydronephrosis of the left kidney. The Tc-99m sestamibi nuclear scan demonstrated a hot spot below the lower pole of the left lobe of the thyroid. Laboratory study demonstrated hypercalcemia (12.4 mg/dL) and elevated parathyroid hormone (143.67 pg/mL). A parathyroid gland located below the lower pole of the left lobe of the thyroid was excised. A parathyroid adenoma, consisting of mainly chief cells was found on pathologic examination. Postoperatively the patient had transient hypocalcemic symptoms, which resolved with administration of calcium preparation and vitamin D.

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Design and Analysis of Switching Timing for High Power GPS Meaconing Jammer

  • Lee, Byung-Hyun;Oh, In-Geun;Kim, Sung-Il
    • Journal of Positioning, Navigation, and Timing
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    • v.7 no.4
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    • pp.227-233
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    • 2018
  • The purpose of satellite navigation meaconing jamming is to make the target GPS receiver calculate false navigation by meaconing the received satellite signals. At this time, since the received and transmitted signals have the same frequency, the back-lobe reduction level of antenna should be -160 dB when the Effective Radiated Power (ERP) is 1 Watt (30 dBm). Therefore, meaconing jamming is impossible by merely reducing the back-lobe level of antenna when the transmitter and receiver are in proximity to each other. In general, the transmitter and receiver are isolated by the time division method to eliminate such transmission/reception interference. This paper studied the optimal switching timing between transmitting and receiving when isolating the time division transmission and reception for GPS meaconing jamming.

A Study on EMI Shield Optimization for Improvement of EMI between MIL-SATCOM and ES on a Surface Ship (수상함 MIL-SATCOM과 ES간의 전자기 간섭 개선을 위한 EMI 차폐판 최적설계 연구)

  • Chang, Hoseong;Ham, Younghoon;Jo, Kwanjun
    • Journal of the Korea Institute of Military Science and Technology
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    • v.20 no.1
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    • pp.63-71
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    • 2017
  • During the sea trial test, we discovered EMI(Electromagnetic Interference) between MIL-SATCOM parabolic antenna and ES(Electronic Warfare Support) omni antenna. Emitted side lobe of CW(Continuous Wave) from MIL-SATCOM raises the threshold level of ES omni antenna. Therefore detection rate of ES is decreased. To solve this problem, the path of side lobe of CW from MIL-SATCOM should be blocked using EMI shield. This paper presents the method how to calculate the size of EMI shield, material, and optimized deployment. The test of the EMI shield effect was performed on a surface ship. After installing EMI shield, EMI has been decreased significantly. This paper will provide a method how to design EMI shield and a way to verify the result.

Comparison of Ictal-Interictal Subtraction and Statistical Parametric Mapping in Patients with Temporal Lobe Epilepsy

  • Rahyeong Juh;Taesuk Suh;Kim, Jaeseung;Daehyuk Moon
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.335-337
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    • 2002
  • The aim of this study was investigate the epileptogenic zone in temporal lobe epilepsy (TLE). We evaluated the subtraction image of interictal SPECT from ictal SPECT coregistered to 3-dimensional (3D) MRI, and compared with the normal healthy SPECT using a SPM99. Forty-nine patients with TLE (M:F=28:21, mean age: 33${\pm}$2.1 years) underwent a pairs of ictal and interictal SPECT. We performed subtraction interictal SPECT from ictal SPECT in TLE patients. In addition, using SPM methods and t-statistics, SPECT images of the TLE patients were compared with normal healthy SPECT on a voxel by voxel basis. The voxels with a p-value of less than 0.05, 0.005, 0.001 were considered to be significantly different. The subtraction results by ictal and interictal SPECT coincided with the significant rCBF changes when compare of the normal healthy SPECT using a SPM99. The results suggested that analysis of difference of the two methods using healthy normal SPECT with SPM99 is useful tool in evaluation of seizure focus in epilepsy.

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