• Journal of Korean Neurosurgical Society
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• 제30권6호
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• pp.805-812
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• 2001

Objectives : The goal of the surgical management of large and giant aneurysm is complete extirpation of the aneurysms with preservation or reconstruction of the parent artery. To improve the surgical management results of those aneurysms in the future, we review our experience and discuss technical maneuvers and strategies used to avoid potential complications of those aneurysm surgery. Material and Methods : During the past 12 years, thirty six cases of large and giant aneurysms(diameter>19mm) were managed by surgery. The clinical characteristics, treatment methods, surgical complications and outcome of those cases were analyzed and, based on the review of the literatures, the preventive methods of surgical complication related to the clipping of those aneurysms were discussed. Results : The locations of those aneurysms were anterior circulation in 34 cases and posterior circulation in 2 cases. The most frequent site of aneurysmal location was a paraclinoidal region of the anterior circulation. The aneurysms were managed surgically by direct clipping of aneurysmal neck in 31 cases, aneurysmal trapping followed by extracranial-intracranial bypass in 2 cases, proximal clipping of parent artery, aneurysmorrhaphy, and excision of aneurysm followed by end to end anastomosis of parent artery in each one case. Surgical complications occurred in 13 cases. A parent vessel occlusion by thrombus formation and parent vessel stenosis after clipping of aneurysm were the main complications. We obtained good outcome in 27, fair 5, poor 1 and dead in 3 case(s). Conclusion : We conclude that selection of suitable management method for each case, high quality of surgical technique and prevention of complication during operation are important key points for the successful treatment of large and giant aneurysm. The heparinization prior to application of temporary clip on parent vessels, aneurysmal decompression during dissection and clipping of aneurysm, complete closing of the aneurysmal neck and avoiding the narrowing of parent vessel after clipping of aneurysm were the main technical maneuvers used to avoid complications of those aneurysm surgery.

• 대한골관절종양학회지
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• 제6권1호
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• pp.30-34
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• 2000

수부 및 족부의 작은골에 발생하는 거대세포종은 매우 드물다. 이러한 부위에 발생하는 거대세포종은 비교적 젊은 나이에 다발성으로 발생하며, 장골에 발생하는 거대세포종보다 재발율이 높다. 또한 수부에 발생하는 거대세포종은 내연골증, 동맥류성골낭종, 거대세포수복성육아종 등과 감별하여야 할 것이다. 저자들은 좌측 수부에 부종과 동통을 동반하는 거대세포종을 경험하여 소파술과 골 이식을 수행하였다. 조직학적 검사에서 단핵구가 주로 분포되어 있는 부위에 많은 수의 거대세포가 미만성으로 분포되어 있었고 이차적으로 동맥류성 골낭종과 출혈이 동반되었다.

• 지능정보연구
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• 제29권3호
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• pp.401-418
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• 2023

최근 ChatGPT 등의 등장으로 거대언어모델(이하 LLM: Large Language Model)에 대한 사회경제적 관심이 고조되고 있다. 생성형AI의 일종인 거대언어모델은 대본 창착이 가능한 수준까지 이르고 있다. 이러한 측면에서 일반인과 전문가들이 광범위하게 활용할 거대언어모델에서 공연예술 전반 혹은 특정 공연예술물이나 단체의 차별 이슈(성차별, 인종차별, 종교차별, 연령차별 등)를 어떻게 묘사하는지에 관심을 가지고 해결해 나가야 할 것이다. 그러나 아직 거대언어모델에서 공연예술의 차별 이슈에 대한 본격적인 조사와 논의는 이루어지지 않고 있다. 따라서 본 연구의 목적은 거대언어모델로부터의 공연예술 분야 차별이슈 인식 양상을 텍스트 분석하고 이로부터 공연예술분야가 대응할 시사점과 거대언어모델 개발 시사점을 도출하는 것이다. 먼저 거대언어모델에게 차별에 대한 감수성을 측정하기 위해 9가지 차별 이슈에 대한 BBQ(Bias Benchmark for QA) 질문 및 측정법을 사용했으며, 대표적인 거대언어모델로부터 도출된 답변에 대해서 공연예술 전문가에 의해 거대언어모델이 잘못 인지한 부분이 있는지의 검증을 거친 후에 내용분석법을 통해 공연예술분야의 차별적 관점의 윤리성에 대한 거대언어모델의 인식을 분석하였다. 분석 결과로 공연예술 분야에게 주는 시사점과 거대언어모델 개발 시 주의할 점 등을 도출하고 토의하였다.

• Applied Microscopy
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• 제28권4호
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• pp.513-525
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• 1998

The spermatogenetic process in the edible giant snail is similar to those in the other snails, except for the axoneme formation process. In this study, the axoneme formation process in the giant snail was mainly examined by means of electron microscopy. The tail portion of a spermatozoon is about $160{\mu}m$ long, and extends straight to the rear, surrounded by two large and long mitochondria in spiral forms. A number of glycogen particles $(40\sim70nm)$ are found in the swollen matrix of the mitochodria. The axoneme which composes the tail of a spermatozoon is surrounded by $7\sim10$ lamella-form fibrous sheaths of about $0.2{\mu}m$ in thickness. Most of the mature spermatozoa are found to be clustered into a group of $5\sim7$ ea in syncytial bridges formed by cytoplasmic processes. Sertoli cells contain glycogen particles, endoplasmic reticulum, a lot of mitochondria, and lipids in their cytoplasm. They protrude their filiform pseudopodia and phagocytize abnormal spermatids or spermaozoa.

• Journal of Korean Neurosurgical Society
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• 제29권3호
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• pp.330-335
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• 2000

Objective : The purpose of this report is to assess the morbidity and mortality associated with clipping of intracranial unruptured aneurysms. Methods : At the authors' institution between May 1989 and December 1998, a total of 128 unruptured aneurysms in 110 patients were treated with surgical clippings. The medical records and neuroimaging studies of the patients were reviewed retrospectively. Results : The main locations of the aneurysms were : middle cerebral artery 31%, internal carotid-posterior communicating artery 28%, anterior communicating artery 16%, paraclinoid 6.5%, internal carotid-anterior choroidal artery 7%, posterior circulation 7%. Forty three percent of the aneurysms were symptomatic and 57% asymptomatic. The overall outcome of the surgery was : Glasgow outcome scale(GOS) I 86%, GOS II 6%, GOS III 4.3%, GOS IV 0% and GOS V(death) 3.5%. The operative risk is higher for large to giant aneurysms, and for aneurysms in posterior circulations. Patients with non-giant aneurysm in anterior circulation showed no mortality, but morbidity of 8.2%, and in posterior circulation : 25% of mortality and 75% of morbidity. Patients with giant anterior circulation aneurysm have 22% of mortality and 22% of morbidity. For patients with giant posterior circulation aneurysm, mortality and morbidity were 25% and 25%, respectively. The postoperative deaths were related to occlusion of the major parent artery in 3 cases(75%). The postoperative morbidity was related to occlusion of artery(9/13), intraoperative rupture(3/13), and cranial nerve injury(1/13). Conclusion : This report documents 3.5% mortality and 13% of morbidity in the clipping surgery for unruptured intracranial aneurysms, and the relatively low risk of surgical clipping in non-giant and those located in anterior circulation. The natural history, especially risk of bleeding, of the unruptured intracranial aneurysms is still controversial. However, with respect to surgical results, unruptured non-giant aneurysm located in anterior circulation should be operated in patients with low risk.

• 한국어병학회지
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• 제1권2호
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• pp.111-116
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• 1988

There occurred a large quantity of death of the cultured carp (Cyprinus carpio) in net pens in Lake Taechong and Lake Chungju(Chungcheongbuk-do) from July through Sep., 1987. The carp were two-year-old and 500g to 2,500g in body weight. As a result of biopsy of dying carp, 1 through 10 egg-shaped giant cysts with 12 through 60mm in diameter were observed in their intestine per one carp. The author suggested that the carp were died from blockade of intestinal tract and following enteritis by the giant cysts. The giant cysts were filled with numerous mature Thelohanellus genus spores confirmed to Thelohanellus kitauei after following examination. In this case the author could find out this disease was spread by transverse infection following infestation in net pens of fingerling fish farms.

• Journal of Yeungnam Medical Science
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• 제27권1호
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• pp.85-90
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• 2010

Pyogenic granuloma is one of the common benign vascular tumors of infants and children and it can also occur in adults. There are 25 reports of patients with pyogenic granuloma in the Korean medical literature. In three reports, giant pyogenic granuloma developed over 2 cm in size ($1.3{\times}0.7cm$, $1.2{\times}0.8cm$ and $1.1{\times}0.7cm$, respectively). There have been no reports in the Korean medical literature of pyogenic granuloma over 2 cm in size. Herein, we report on a giant pyogenic granuloma on the palm of a 72-year old female. The lesion was of an unusually large size of $2.8{\times}2.5{\times}1.3cm$ and we excised it by performing electrosurgery.

• Journal of Korean Neurosurgical Society
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• 제54권4호
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• pp.350-354
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• 2013

To present a rare case of a cystic giant schwannoma of the sacrum mimicking aneurysmal bone cyst (ABC). A 54-year-old man visited our institute complaining left leg weakness and sensory change for several years. Magnetic resonance imaging revealed a large multilocular cystic mass with canal invasion and bone erosion confined to left S1 body. The lesion showed multiple septal enhancement without definite solid component. Initially the tumor was considered as ABC. The patient underwent grossly-total tumor resection with lumbosacral reconstruction via posterior approach. The tumor was proved to be a cystic schwannoma. The postoperative course was uneventful and the patient was relieved from preoperative symptoms. We present a rare case of pure cystic giant schwannoma confined to sacrum mimicking ABC. The surgical treatment is challenging due to the complex anatomy of the sacrum. Schwannoma should be considered in the differential diagnosis of osteolytic sacral cysts.

• Journal of Korean Neurosurgical Society
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• 제30권4호
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• pp.509-513
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• 2001

Sacral schwannoma is a rare lesion with a tendency to reach large proportions. The benign schwannoma rarely involves the vertebral bodies extensively. The authors report a case of giant intrasacral schwannoma in 30-year-old woman who had intermittent lower back pain during 3 years period. CT and MRI showed a destructive mass lesion within the upper part of sacrum with a large mass extending into the presacral space. The patient underwent combined surgery consisted of anterior transabdominal approach and posterior sacral laminectomy and total removal of tumor. The characteristics of the lesion were discussed with a review of literatures.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.512-515
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• 2009

Purpose: Neurofibromatosis(NF) is an autosomal - dominant systemic disease. Up to fifty percent of patients with NF are reported to have concomitant vascular abnormalities. In the resection of a larger NF, the risk of uncontrolled hemorrhage is much higher due to the difficulty of hemostasis of large vessels within the tumor. We ligated the base of the giant NF with a simple loop - shaped ligation before removal of the giant NF in both buttocks. And then we could successfully reduce the amount of hemorrhage during the operation. Methods: A 46 - year - old female patient presented for giant masses of both gluteal area, which has been growing slowly for the last ten years. Each mass was about $30{\times}20cm$ in size. After designing the elliptical resection margin, we tightened the tumor base by using continuous loop - shaped suture ligation(weaving the thread up and down in a loop - shaped pattern, leaving a space of 2 cm between each loop) with a straight needle and prolene 2 - 0. After skin incision, we proceeded the dissection toward the central and inferior side of the mass obliquely while we avoided breaking large vascular sinuses. We resected the tumor in a wedged - shape. Subcutaneous tissue was sutured layer by layer and skin was closed by vertical mattress and interrupted suture. The loop - shaped ligation of the base was removed and compressive dressing was done with gauzes and elastic bandages. Results: Postoperative complications such as infection, hemorrhage, hematoma, and dehiscense did not occur. Perioperatively the patient was sufficiently transfused with five units of blood and two units of fresh frozen plasma. During the subsequent 1 year follow - up, the functional and cosmetic result was excellent. Conclusion: A continuous loop - shaped suture ligation procedure along the base of the giant NF effectively reduced the amount of hemorrhage during the operation, made dissection and ligation of vessels easily and quickly, and shorten the operating time and postoperative recovery time.