• 제목/요약/키워드: Definitive

검색결과 962건 처리시간 0.028초

폐포 단백증의 세포학적 소견 - 1예 보고 - (Pulmonary Alveolar Proteinosis - A Case Report with Diagnostic Features in Bronchoalveolar Lavage Specimen -)

  • 하승연;조현이;오영하
    • 대한세포병리학회지
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    • 제11권2호
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    • pp.103-108
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    • 2000
  • Pulmonary alveolar proteinosis(PAP) is a rare disease in which the alveolar spaces are filled with an eosinophilic, PAS-positive material, whereas the interstitial architecture of the lung usually remains unaffected. Although a definitive diagnosis is usually made by an open lung biopsy, bronchoalveolar lavage(BAL) cytology may play a decisive role in the diagnosis and therapy of these patients and may spare a patient a more invasive diagnostic procedure. The author presents a patient in whom BAL cytology specimen contained the characteristic globules of amorphous proteinaceous PAS-positive material accompanied by background of rare macrophages and inflammatory cells. Ultrastructural study using BAL specimen can confirm the diagnosis of PAP.

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Is This Symptom Even a Food Allergy?: Clinical Types of Food Protein-induced Enterocolitis Syndrome

  • Hwang, Jin-Bok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제17권2호
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    • pp.74-79
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    • 2014
  • Food protein-induced enterocolitis syndrome (FPIES) is an under-recognized non-IgE-mediated gastrointestinal food allergy. The diagnosis of FPIES is based on clinical history, sequential symptoms and the timing, after excluding other possible causes. It is definitively diagnosed by an oral food challenge test. Unfortunately, the diagnosis of FPIES is frequently delayed because of non-specific symptoms and insufficient definitive diagnostic biomarkers. FPIES is not well recognized by clinicians; the affected infants are often mismanaged as having viral gastroenteritis, food poisoning, sepsis, or a surgical disease. Familiarity with the clinical features of FPIES and awareness of the indexes of suspicion for FPIES are important to diagnose FPIES. Understanding the recently defined clinical terms and types of FPIES is mandatory to suspect and correctly diagnose FPIES. The aim of this review is to provide a case-driven presentation as a guide of how to recognize the clinical features of FPIES to improve diagnosis and management of patients with FPIES.

A Digital Approach to a Definitive Immediate Denture: A Clinical Report

  • Lee, Ju-Hyoung;Kim, Hyung Gyun
    • Journal of Korean Dental Science
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    • 제9권2호
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    • pp.74-80
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    • 2016
  • Even though an immediate denture (ID) is a practical prosthesis, fabricating an ID may be challenging, as unexpected removals of periodontally compromised teeth may occur during an impression procedure. This clinical report introduces a digital approach to a maxillary ID. An intraoral scanner was applied to prevent accidental extraction. A physical cast and a resin pattern of a framework were fabricated with rapid prototyping technology. A proper border and retention was also achieved by an altered cast impression.

신경발달학적 신경영상학 (NEUROIMAGING IN NEURODEVELOPMENT)

  • 이정섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.26-32
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    • 2005
  • 신경발달학적 신경영상학은 급속하게 발전하는 분야이고 사용되는 새로운 영상학적인 기술의 수도 해마다 급속하게 증가하고 있다. 신경발달학적인 관점에서 소아청소년 정신과적 장애들에서 아직 명확한 신경병리학적인 원인은 밝혀지지 않았으나, 점차로 많은 수의 논문에서 일관적인 뇌영상학적인 이상 소견들이 발표되고 있다. 이 논문에서는 신경발달학적인 관점에서 신경영상학적인 연구에서 과거와 현재 상황을 기술하고 제한점과 함께 미래에 대한 조망을 하고자 한다.

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Early Postoperative Retrograde Jejunojejunal Intussusception after Total Gastrectomy with Roux-en-Y Esophagojejunostomy: A Case Report

  • Lee, Se-Youl;Lee, Jong-Chan;Yang, Doo-Hyun
    • Journal of Gastric Cancer
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    • 제13권4호
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    • pp.263-265
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    • 2013
  • Intussusception is a rare cause of postoperative intestinal obstruction in adults. Many retrograde intussusceptions occur during the period following gastrectomy. A 77-year-old woman visited our hospital because of detected gastric adenocarcinoma. She received radical total gastrectomy with Roux-en-Y esophagojejunostomy. On the fifth postoperative day, she complained of abdominal pain, and we found leakage at the esophagojejunostomy site and dilatation of the Roux limb and the afferent limb of the jejunojejunostomy. Emergency surgery was performed. Retrograde jejunojejunal intussusception accompanied with a nasojejunal feeding tube was found at the efferent loop of the jejunojejunostomy. No ischemic change was found; therefore, manual reduction and primary repair of esophagojejunostomy was performed. She was discharged without complications on the 23rd re-postoperativeday. We suggest that the nasojejunal feeding tube acted as a trigger of intussusception because there was no definitive small bowel mass or postoperative adhesion. We present our findings here along with a brief review of the literature.

기업합병: 다수경쟁에서의 과잉지분에 대한 연구 (THE OVERPAYMENT IN MULTIPLE BIDDING)

  • 이유태
    • 재무관리연구
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    • 제14권3호
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    • pp.319-339
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    • 1997
  • This paper provides an empirical analysis of the winner's curse in the context of corporate takeovers. The study analyzes conditions which make overpayment likely. For a sample of corporate takeovers completed between 1982 and 1993, the analysis shows that the volatility of targets relative to that of acquirers (not the uncertainty of the target or acquirer alone) has a definitive impact on the magnitude of the winner's curse. Also, the incidence is more pronounced in multiple-bidder than in single-bidder contests. Specifically, white knights are more likely to overpay than other acquirers in multiple bidding situations. Furthermore, the study finds that the process of competitive bidding is a zero sum game since the greater returns to the shareholders of target firms in multiple-bid contests come at the expense of the acquiring companies, Overall, the evidence suggests that the bidders need to become more conservative, particularly as the relative uncertainty of the target's 'true' value and the number of bidders increase.

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Rehabilitation of a patient with non-syndromic partial oligodontia

  • Kang, Hyeon-Goo;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Advanced Prosthodontics
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    • 제8권3호
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    • pp.241-250
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    • 2016
  • Oligodontia is defined as a congenital tooth agenesis with the absence of six or more permanent teeth. This clinical report describes a patient with non-syndromic partial oligodontia, with retained deciduous teeth and the absence of 16 permanent teeth. Anterior esthetic problems were caused by interarch tooth size discrepancy, interdental space, aberrant tooth dimensions, and the absence of centric contacts of the anterior teeth. Prosthetic restoration after orthodontic and implant treatment was performed with a multi-disciplinary team approach. Favorable functional and esthetic results were obtained using a definitive prosthesis.

타액선 종양의 방사선치료 (Radiotherapy for Malignant Salivary Gland Tumor)

  • 류성렬
    • 대한두경부종양학회지
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    • 제9권1호
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    • pp.98-101
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    • 1993
  • Surgery has been known to be traditional treatment modality for the malignant salivary gland tumor, the tumors being considered as radioresistant. However, reviews of the literature have shown a high recurrence rate, especially in advanced and/or high grade tumors. The retrospective data suggests that conservative surgery with adjunctive radiation therapy is justified in view of the enhanced locoregional control. In inoperable and recurrent tumor, definitive radiotherapy can achieve $30{\sim}40%$ of average 5 year survival rate, but in early stage, local control and survival rate could be raised more than 80%. This results shown to be aggressive radiotherapy can replace surgical management for the selected cases of small sized tumor. Neutron therapy is another option for curative treatment of malignant salivary gland tumors.

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간의 다발성 맥관근지방종 - 세침흡인 세포학적 검사로 진단한 1예 보고 - (Multiple Angiomyolipoma of the Liver - Report of a Case with Diagnosis by Fine Needle Aspiration Cytology -)

  • 임현이;박광화;이기범
    • 대한세포병리학회지
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    • 제9권1호
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    • pp.79-84
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    • 1998
  • Angiomyolipoma(AML) of the liver is a rare benign tumor; about 50 cases, almost solitary, have been reported. We present here a extremely rare case of multiple AML in the liver diagnosed by fine needle aspiration cytology(FNAC). Two large masses were found in a 51 year-old woman complaining of abdominal discomfort by computed tomography and several smaller masses are scattered in the liver. FNAC was performed, showing bundles of spindle shaped smooth muscle cells intermingled with mature fat cells. FNAC may be a valuable method for definitive diagnosis of hepatic AML. The diagnosis was further confirmed by histologic examination with immunohistochemical studies.

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Issues in Chinese prosody: conceptual foundations of a linguistically-motivated text-to-speech system for Mandarin

  • Lavin, Richard S.
    • 한국언어정보학회:학술대회논문집
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    • 한국언어정보학회 2002년도 Language, Information, and Computation Proceedings of The 16th Pacific Asia Conference
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    • pp.259-270
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    • 2002
  • I examine various controversial aspects of Chinese prosody-tone structure, syllable structure, stress, and intonation-and stress the need to view all of these as interacting systems, aspects of a hierarchical prosodic structure. 1 examine various proposals at these various levels of the hierarchy and suggest which are most appropriate. Specifically, 1 suggest the adoption of Bao's version of syllable and tone, and Chen's account of stress. As for intonation, it is still not possible to make any definitive claims regarding an optimal model, but I examine work done by Kratochvil, Shih, and Carding et al, and suggest promising directions for future work.

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