• Title/Summary/Keyword: Dongtan

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Ectopic Intrapulmonary Thyroid: A Case Report

  • Ko, Ho Hyun;Cho, Sung Woo;Lee, Hee Sung;Kim, Hyoung Soo;Nam, Eun Sook;Cho, Seong Jin
    • Journal of Chest Surgery
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    • v.46 no.3
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    • pp.237-239
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    • 2013
  • An ectopic thyroid is caused by abnormalities in migration of the thyroid during development and rarely occurs in the thoracic cavity or the abdominal cavity. We report the case of a 64-year-old female who had abnormal findings from a thyroid hormone test during follow-up after thyroid cancer surgery. Based on the radioisotope diagnostic test, an ectopic thyroid inside the thoracic cavity was suspected. Through surgical treatment, the patient was diagnosed with ectopic intrapulmonary thyroid. Ectopic intrapulmonary thyroid is reported to be very rare and the case is described along with a literature review.

Life-Threatening Acute on Chronic Pulmonary Thromboembolism Requiring Extracorporeal Membrane Oxygenation

  • Lee, Heemoon;Kim, Min Soo;Kim, Wook Sung;Kim, Yong Han;Cho, Sung Ho;Lee, Jae Jin
    • Journal of Chest Surgery
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    • v.51 no.3
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    • pp.205-208
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    • 2018
  • A 71-year-old female patient was admitted to the emergency department with sudden aggravation of chest pain and severe dyspnea. Computed tomography showed extensive pulmonary thromboembolism. Venoarterial extracorporeal membrane oxygenation (ECMO) was instituted due to sudden bradycardia and hypotension. An emergency operation was performed. However, chronic pulmonary thromboembolism combined with an acute pulmonary embolism was detected in the operating room. Embolectomy and endarterectomy were performed. ECMO was then discontinued. The patient was discharged on postoperative day 13 with warfarin for anticoagulation. The patient was followed up for 46 months as an outpatient without further thromboembolic events.

Various autogenous fresh demineralized tooth forms for alveolar socket preservation in anterior tooth extraction sites: a series of 4 cases

  • Kim, Eun-Suk;Lee, In-Kyung;Kang, Ji-Yeon;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.37
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    • pp.27.1-27.7
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    • 2015
  • The aim of this study was to evaluate the clinical relevance of autogenous fresh demineralized tooth (Auto-FDT) prepared at chairside immediately after extraction for socket preservation. Teeth were processed to graft materials in block, chip, or powder types immediately after extraction. Extraction sockets were filled with these materials and dental implants were installed immediately or after a delay. A panoramic radiograph and a conebeam CT were taken. In two cases, tissue samples were taken for histologic examination. Vertical and horizontal maintenance of alveolar sockets showed some variance depending on the Auto-FDT and barrier membrane types used. Radiographs showed good bony healing. Histologic sections showed that it guided good new bone formation and resorption pattern of the Auto-FDT. This case series shows that Auto-FDT prepared at chairside could be a good material for the preservation of extraction sockets. This study will suggest the possibility of recycling autogenous tooth after immediate extraction.

A Study on the Brand Image Intergration of Apartment By Residents' Evaluation (아파트 거주자 평가를 통한 아파트 브랜드의 이미지 통합 실태 연구)

  • Lee, Yong-Min;Kwon, Oh-Jung
    • Journal of the Korean housing association
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    • v.20 no.2
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    • pp.87-99
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    • 2009
  • The brand is getting more important purchase factor in apartment market, so domestic construction companies have tried to differentiate it from others by creating the unique brand image. The purpose of this study was to investigate consistency of apartment brand image as a process which includes publicity, design and customer service and to analyze how using intergrated brand image affects brand preference and purchasing intention. To examine hypotheses, an empirical study using a survey questionnaire for residents living in 4 different brand apartments in Dongtan, Hwasung city was conducted. The collected data were treated with the SPSS Win Program 14.0. The study indicates that residents living in brand apartment generally preferred natural friendly image, high-class image and modern image to the others. And at first apartment brand images were created with image advertising on TV, catalog for sale and model house tour, but residents have most needs for customer service reflected in brand images. The study also has found that brand images in each process including publicity, design and customer service were not intergrated. However brand image intergration had positive effects on residential satisfaction and customer loyalty. The results of the study are expected to become the useful data in developing sustainable apartment brands and building effective marketing strategy of construction companies.

A Study on the Problems of elementary School Safety and its Improvement in Korea (우리나라 초등학교 학교안전의 문제점 및 개선방향에 관한 연구)

  • Yoon, Yong-Gi
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.13 no.3
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    • pp.1-14
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    • 2014
  • This research aims to orientation for new ways to improve school safety environment composition : The first study was the survey of various literature and status on primary school safety has been established in residential developments in urban areas were investigated and analyzed. This study was constructed as follows : The first chapter of the study is composed with the purpose, contents and configuration of study, definitions of terms, and consists of a limitation of such studies. And in chapter 2, we define such concepts, the range of school safety incidents. In Chapter 3, the nation's school safety situation was investigated, And in the fourth chapter introduced the practice of foreign school safety plan, Chapter 5 was to provide direction for future school safety and accident prevention plan. Including 12 new elementary school in Dongbaek district and Dongtan New-Town 20 new elementary schools in the metropolitan area of New-City were examined for safety issues, such as the environment of school, school zones, school premises form compositions and its outdoor and indoor facilities. This study was aimed at some of the nation's metropolitan New Town Elementary School. Therefore, there is a limit to this generalization. Also planned construction safety plan elements for the indoor facilities are further studies are needed for this hayeoteumeuro excluded. In addition, the architectural planning elements of the school safety needs additional studies is excluded.

Nursing Performance, Compassion Fatigue, and Job Stress in Emergency Room Nurses (응급실 간호사의 공감피로와 간호업무수행 및 직무 스트레스)

  • Choi, Eun-MI;Bae, Sun Hyoung
    • Journal of muscle and joint health
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    • v.27 no.1
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    • pp.41-49
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    • 2020
  • Purpose: This study was a descriptive correlation research to identify the relationships between nursing performance, compassion fatigue, and job stress in emergency room nurses and to provide basic data on reducing job stress in emergency room nurses. Methods: For the research, this study collected data from August 4 to September 26 with 133 nurses who worked at emergency rooms at 3 general hospitals in Gyeonggi-do with 500 beds, and analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient with the SPSS 21.0 program. Results: Correlation analysis between nursing performance, compassion fatigue, and job stress demonstrated that the job stress had a significant positive correlation with compassion fatigue and nursing performance. On the other hand, there was no statistically significant correlation between compassion fatigue and nursing performance. Conclusion: The study results showed that the emergency room nurse experienced job stress due to intensive compassion fatigue and nursing performance. Thus, it is necessary to develop intervention programs to reduce job stress in emergency room nurses by alleviating compassion stress and having moderate level of nursing performance.

The Choice of Laryngeal Reinnervation Versus Medicalization Laryngoplasty in Unilateral Vocal Fold Paralysis (일측성 성대 마비의 치료에서 후두 신경재식법과 내측 후두 성형술의 선택)

  • Kim, Heejin
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.1
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    • pp.1-6
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    • 2020
  • In unilateral vocal fold paralysis (UVFP) patients, we try to improve their symptoms such as hoarseness or aspiration by restoring nerve functions or medialization laryngoplasty (ML), etc. Until now, ML (thyroplasty and/or arytenoid adduction) is considered as gold standard of treatment for UVFP. However, if recurrent laryngeal nerve (RLN) is damaged and use of RLN is feasible during operation, laryngeal reinnervation (LR) would be a good option. Anastomosis with ansa cervicalis to RLN is most common reinnervation method. Delayed LR may be considered in young patients when the RLN denervation period is not long (less than 2 years) for the treatment of surgery-related UVFP. Injection laryngoplasty and laryngeal framework surgery showed great voice outcomes in UVFP. Combination therapy (neuromuscular pedicle innervation with ML) also showed good post-operative voice outcomes even in longer periods (over 2 years). In pediatric patients, LR would be considered as a good treatment option because all procedures need to general anesthesia.

Recent update on reading disability (dyslexia) focused on neurobiology

  • Kim, Sung Koo
    • Clinical and Experimental Pediatrics
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    • v.64 no.10
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    • pp.497-503
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    • 2021
  • Reading disability (dyslexia) refers to an unexpected difficulty with reading for an individual who has the intelligence to be a much better reader. Dyslexia is most commonly caused by a difficulty in phonological processing (the appreciation of the individual sounds of spoken language), which affects the ability of an individual to speak, read, and spell. In this paper, I describe reading disabilities by focusing on their underlying neurobiological mechanisms. Neurobiological studies using functional brain imaging have uncovered the reading pathways, brain regions involved in reading, and neurobiological abnormalities of dyslexia. The reading pathway is in the order of visual analysis, letter recognition, word recognition, meaning (semantics), phonological processing, and speech production. According to functional neuroimaging studies, the important areas of the brain related to reading include the inferior frontal cortex (Broca's area), the midtemporal lobe region, the inferior parieto-temporal area, and the left occipitotemporal region (visual word form area). Interventions for dyslexia can affect reading ability by causing changes in brain function and structure. An accurate diagnosis and timely specialized intervention are important in children with dyslexia. In cases in which national infant development screening tests have been conducted, as in Korea, if language developmental delay and early predictors of dyslexia are detected, careful observation of the progression to dyslexia and early intervention should be made.

Guillain-Barré Syndrome after Lung Transplantation in the Immediate Postoperative Period: Case Report

  • Gu, Byung Mo;Ko, Ho Hyun;Lee, Hong Kyu;Ra, Yong Joon;Lee, Hee Sung;Kim, Hyoung Soo
    • Journal of Chest Surgery
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    • v.54 no.5
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    • pp.396-399
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    • 2021
  • A 58-year-old man, incapable of maintaining oxygen saturation with mechanical ventilation, was admitted to our hospital for veno-venous extracorporeal membrane oxygenation (ECMO) treatment. He was diagnosed with acute respiratory distress syndrome (ARDS) due to influenza A pneumonia. His condition stabilized with antibiotics and steroid administration, but weaning from ECMO failed due to post-infectious pulmonary sequelae. On day 84 after admission, he underwent bilateral lung transplantation. In the postoperative phase, he did not regain consciousness even after discontinuation of sedatives for 3 days. However, spontaneous pupillary reflex and eye movements were preserved, while communication and upper and lower limb movements were affected. The nerve conduction study was diagnostic of Guillain-Barré syndrome. He was managed with intravenous immunoglobulins and plasmapheresis. Mild recovery of the facial muscles was seen, but he died 24 days post-surgery due to progressive ARDS and sepsis.

Trends in Utilization of Transnasal Esophagoscopy (경비강 식도경의 임상적 활용)

  • Park, Il-Seok
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.67-69
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    • 2018
  • The development of office-based, unsedated transnasal esophagoscopy (TNE) has proven to be a major technological advance and with time and experience the application of this technology is becoming more widespread. TNE has allowed otolaryngologists to perform a variety of diagnostic and therapeutic procedures in the office setting. Studies consistently demonstrate that the image quality and diagnostic capability of TNE is equivalent to conventional esophagoscopy. The modern TNE endoscopes offer high quality optics, air-insufflation, and irrigation capability through a 2-mm working channel, and the ability to perform biopsies and select procedures. In general, the role of TNE in the head and neck patient is three-fold : to screen for synchronous and metachronous esophageal squamous cell carcinoma (ESCC) ; to differentiate post-treatment changes/symptoms from malignancy ; and to perform certain office-based procedures. TNE offers many specific advantages to the head and neck patient that are not afforded by conventional esophagoscopy. Because of surgical and postirradiation changes, many HNSCC patients have trismus or neck stiffness preventing completion of conventional transoral esophagoscopy. Perhaps most importantly, TNE provides enhanced patient safety, increased tolerability, better practice efficiency, and cost savings. For these reasons, TNE has become a particularly useful tool in the otolaryngologist's armamentarium.