• 대한핵의학회지
• /
• 제39권1호
• /
• pp.9-14
• /
• 2005

목적 : 좌각차단이나 우심실조율박동과 같은 부정맥을 가진 환자들에서 심근관류는 의미있게 변화한다는 것이 알려져 있다. 비정상적인 심근관류는 심실조기흥분에 의해서도 야기될 수 있다고 알려져 있지만, 그 위치 범위 강도와 부전도로와의 관계는 아직 정립되어 있지 않았다. 이에 WPW 증후군 환자에서 부전도로의 위치와 SPECT상에서 관류양상의 관계에 대해 알아보고자 하였다. 대상 및 방법 : WPW 증후군 환자 11명에 대해 Adenosine 99m-Tc MIBI 또는 Tl-201 심근관류 SPECT를 시행하였다, 관류결손은 Fitzpatrick's algorithm을 기초로 한 심전도 또는 전기생리학적검사 및 전극도자 절제술을 이용한 부전도로의 위치와 비교하였다. 결과: 11명의 환자들의 평균 나이는 $39.9{\pm}8.6$세 였고, 비특이적인 흉통을 호소하거나, 증상이 없었다. 11명 모두 관삳동맥의 위험도에 관한 계산도표를 이용하여 관상동맥질환의 확률을 예측했으나 0.1 이하로 위험도가 낮았고 이중 4명은 관상동맥조영술을 시행한 결과 3명은 정상이었고 1명은 관동맥 협착 (50%) 부위의 심근혈류가 정상이었다. 4명의 환자에서 전기생리학적검사 및 전극도자 절제술을 시행하였다. 9명의 가역적 그리고 1명의 비가역적 관류결손이 관찰되었고. 범위는 소에서 대까지 강도는 경도에서 중등도까지 나왔다. 부전도로의 위치가 우외측인 1명은 관류결손이 없었으나, 그 외의 환자들은 다양한 양상을 보였다. 부전도로의 위치가 좌외측인 환자중 1명에 대해 전극도자 절제술을 시행하였고 6주후에 SPECT를 한 결과 시술 전에 있던 관류결손의 범위가 현저하게 감소하였다. 결론: WPW환자에서 심근관류결손은 다양한 범위, 강도 및 위치를 가진다. 거의 대부분의 환자에서 비정상적인 관류결손이 나타났으나, SPECT 소견으로 부전도로의 위치를 특이적으로 예측하기는 어려웠다. 그러므로 WPW증후군 환자에서 심근관류 SPECT의 결과를 주의 깊게 해석해야 한다.

• Tuberculosis and Respiratory Diseases
• /
• 제47권1호
• /
• pp.111-116
• /
• 1999

저자들은 기침을 주소로 입원하였던 46세 여자환자에서 임상적, 방사선학적 및 조직학적 검사를 통해 진단된 폐의 원발성 혈관주위세포종 1예를 경험하였기에 보고하는 바이다.

• Journal of Yeungnam Medical Science
• /
• 제30권2호
• /
• pp.132-135
• /
• 2013

Gastric lipoma is a typical benign submucosal tumor that is usually asymptomatic and is generally detected incidentally when performing gastroscopy. However, depending on its size and location, an atypical gastrointestinal lipoma can cause abdominal pain, diarrhea, constipation, intestinal obstruction, intussuception and life-threatening gastrointestinal bleeding. We report herein a case of gastric lipoma with bleeding in a 43-year-old man. The gastroscopy showed a $4{\times}4$ cm ulcero-fungating submucosal mass at the anterior wall of the gastric antrum. Laparoscopic gastric wedge resection was performed and the lesion was diagnosed as gastric lipoma.

• Tuberculosis and Respiratory Diseases
• /
• 제51권4호
• /
• pp.373-378
• /
• 2001

저자들은 애성을 주소로 내원한 60세 남자 환자에서 prednisolone과 tranilast의 투여로 호전된 특발성 종격동 섬유화증 1예를 경험하였기에 문현고찰과 함께 보고하는 바이다.

• 설비공학논문집
• /
• 제29권3호
• /
• pp.97-104
• /
• 2017

Reinforcement of insulation in apartment buildings reduces the heating and cooling energy consumption by lowering the heat transfer in the building envelope. There are differences between internal and external insulation methods in heat transmission properties. However, some building load calculation programs cannot analysis the differences between the two. This is because these programs do no account for the timelag or thermal storage effect of the wall according to the location of insulation. In this study, the heat transmission characteristics of internal and external insulation were analyzed by EnergyPlus, and heating and cooling energy demand was compared. The results showed that external insulation system had lower heating and cooling loads than internal insulation system. Also the heat transfer rate of external insulation is steadier than internal insulation. About 13.6% of heating and cooling energy demand decreased when the outdoor wall was finished with external insulation compared to the demand with internal insulation.

• 정보보호학회논문지
• /
• 제22권6호
• /
• pp.1271-1282
• /
• 2012

최근 기업의 기밀정보 및 개인정보의 대량 유출에 따른 보안사고가 지속적으로 발생하고 있다. 이에 내부 정보 유출 방지를 위한 인증 강화와 접근통제 관련 보안 기술이 주목받고 있다. 특히 사용자의 현재 위치정보를 인증 요소로 활용하는 위치기반인증은 접근을 시도하는 사용자의 물리적 통제와 더욱 강력한 인증을 제공하고 내부 정보 유출 경로를 원천적으로 차단할 수 있다는 장점을 가지고 있어 다양한 형태로 제안되고 있다. 그러나 위치정보는 또 하나의 개인 식별 정보로써 인증 수행 시 안전하게 처리되어야 하며, 사용자 위치정보의 특성을 이용하여 유연한 물리적 통제를 수행할 수 있어야 한다. 본 논문에서 제안한 위치기반 인증 기법은 기존 관련 위치기반인증 프로토콜과 비교하여 위치정보 처리 과정의 안정성을 높이고, 최종 사용자 인증에 일회용 패스워드를 사용하여 사용자 인증을 강화한다. 제안된 기법은 내부 정보 유출 방지를 위해 인증 수행과 함께 사용자의 물리적 접근 통제의 개념을 접목시켜 기존 연구보다 높은 보안성을 제공함과 동시에 낮은 통신비용을 보장한다.

• 대한두경부종양학회지
• /
• 제5권1호
• /
• pp.5-13
• /
• 1989

Carotid body paraganglioma is uncommon, with appoximately 900 reports of it in the world literature, and with only 7 documented cases in the Korean literature. The classic carotid body paraganglioma develops in the bifurcation of common carotid artery and involves both the internal and external carotid arteries at it expands. The diagnosis may almost always be established preoperatively by selective angiography which shows a widening of the carotid bifurcation with a well defined vascular mass. Differential consideration of a single, lateral cervical mass in this location include branchial cleft cyst, neurogenic tumor, metastatic thyroid cancer, carotid body aneurysm and salivary gland tumor. Surgical therapy is the preferred method of treatment as these tumors are regarded as radioresistant. Because of their high vascularity and anatomical location, surgical removal of these tumors reguires a considerable degree of caution and a high degree of surgical expertise. With improved diagnostic and surgical technique, the morbidity and mortality has been reduced lately. This report details the management of 3 patients with carotid body paraganglioma who underwent safe resection by subadventitial dissection or using an internal vascular shunt.

• Journal of Korean Neurosurgical Society
• /
• 제49권5호
• /
• pp.287-289
• /
• 2011

Thalamoperforating artery aneurysms are rarely reported in the literature. We report an extremely rare case of ruptured distal anterior thalamoperforating artery aneurysm which was treated by endovascular obliteration in a patient with occlusion of both the internal carotid arteries (ICAs) : A 72-year-old woman presented with severe headache and loss of consciousness. Initial level of consciousness at the time of admission was drowsy and the Glasgow Coma Scale score was 14. Brain computed tomography (CT) scan was performed which revealed intracerebral hemorrhage in right basal ganglia, subarachnoid hemorrhage, and intraventricular hemorrhage. The location of the aneurysm was identified as within the globus pallidus on CT angiogram. Conventional cerebral angiogram demonstrated occlusion of both the ICAs just distal to the fetal type of posterior communicating artery and the aneurysm was arising from right anterior thalamoperforating artery (ATPA). A microcatheter was navigated into ATPA and the ATPA proximal to aneurysm was embolized with 20% glue. Post-procedural ICA angiogram demonstrated no contrast filling of the aneurysm sac. The patient was discharged without any neurologic deficit. Endovascular treatment of ATPA aneurysm is probably a more feasible and safe treatment modality than surgical clipping because of the deep seated location of aneurysm and the possibility of brain retraction injury during surgical operation.

• Journal of Mechanical Science and Technology
• /
• 제17권12호
• /
• pp.2010-2018
• /
• 2003

Although continuous casting process has highly developed, there still remain many problems to be considered. Specifically, two vortex flows resulting from impingement against narrow walls make a flow field unstable in a mold, and it is directly related to internal and external defects of steel products. To cope with this instability, EMBR (Electromagnetic Brake Ruler) technique has been lately studied for the stability of molten steel flow, and it is revealed that molten steel flow in a mold can be controlled with applied magnetic field. However, it is still difficult to clarify flow pattern in an EMBR caster due to complex correlations among variables such as geometric factors, casting conditions, and the place and the intensity of charged magnetic field. In the present study, flow field in a mold is focused with different conditions of electromagnetic effect. To accurately analyze the case, three dimensional low Reynolds turbulent model and appropriate boundary conditions are chosen. To evaluate the electromagnetic effect in molten steel flow, dimensionless numbers are employed. The results show that the location and the intensity of the applied magnetic field significantly influence the flow pattern. Both impingement and internal flow pattern are changed remarkably with the change of the location of applied magnetic field. It turns out that an insufficient magnetic force yields adverse effect like channeling, and rather lowers the quality of steel product.

• 보건행정학회지
• /
• 제18권2호
• /
• pp.67-85
• /
• 2008

This study evaluated the specialization status of Korean hospitals by applying index measures that were developed to determine how hospitals are specialized. In addition, multivariate regression analysis was applied to assess how the measures responded to the internal and external factors of hospitals. National Health Insurance claims for 2004 were used to calculate the information theory index, internal Herfindahl index, number of distinct diagnosis-related groups (DRGs) treated, and percent of the five most common DRGs. Data from the Ministry of Health and Welfare and Korean Hospital Association were used to determine the size, ownership, teaching status, organization type, and location of the hospitals. The four indexes analyzed showed that there were significant differences in the specialization status of providers, depending on the provider size, organization type, and location. Hospitals that were smaller and located in metropolitan areas tended to provide specialized services; this is considered to constitute a competitive strategy for hospitals. It is expected that specialized hospitals will increase given the current market structure. Therefore, policy makers will need an index for measuring how hospital services are specialized. Information from such an index could provide a picture of how hospital services are mixed and change over time.