• Journal of Digestive Cancer Research
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• v.12 no.1
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• pp.44-47
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• 2024

Malignant melanomas, which are rarely found in the Asian population, are malignant tumors or melanocytes that manifest in the skin mucosa. Malignant melanomas of the anorectum are very rare and account for approximately 1% of all malignant melanomas in the Asian population. Here, we present a rare case presenting a malignant melanoma of the anorectum. An 85-year-old woman visited the hospital with bloody stools and an anal mass. Sigmoidoscopy revealed a black mass protruding from the anus, and the scope was able to penetrate the anorectal mass. Close-up endoscopy revealed black moles of different sizes scattered across the rectal mucosa. PET-CT indicated multiple FDG uptakes in the liver, indicating multiple metastases. Pathologic examination led to the detection of malignant melanocytes with dark brown deposits. The patient's immunohistochemical markers were positive for melanin-A antibodies and HMB-45, indicating a malignant melanoma. As there was no evidence of malignant melanomas on the skin, the patient was diagnosed with primary malignant anorectal melanoma with liver metastases.

• Journal of the Korean Society for Library and Information Science
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• v.47 no.1
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• pp.105-124
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• 2013

Metadata standardization of resources, having a heterogeneous metadata structure for each presidential archive and presidential library and museum is preferentially required for utilizing and sharing presidential records. An integrated operation model of metadata to manage various types of presidential records is then needed. The purpose of this study is to create a design principle of integrated metadata, and to suggest relationships and attributes of metadata, needed for developing integrated metadata operation system on presidential records. The design principle includes "creation of relationship among presidential records", "design of each entity, applicable multiple entity data model", "design to describe various types of presidential records", "design to reflect lifelong management on records of holding institutes", and "designing hybrid metadata for long term preservation". Metadata element set consists of elements for common attributes with all types of presidential records for a unique attribute for a specific presidential record and for reference information among different records related to the production of presidential records.

• Journal of Korean Medical classics
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• v.25 no.4
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• pp.39-55
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• 2012

Objective : In order to find the decision system in differentiation of syndromes and treatments, I paid attention to divination by Achillea sibireca. Method : I pulled out the elements of differentiation of syndromes and treatments in Zh$\bar{o}$ng y$\bar{i}$n$\grave{e}$i k$\bar{e}$ xu$\acute{e}$(中醫內科學), Uihagipmun Sanghan(醫學入門 傷寒), Donguibogam Japbyeong(東醫寶鑑 雜病) and compared them with the horoscope in The Book of Changes(周易) from the relativity of both eight principles(八綱) etc and subdivision in the entity of the cosmos (太極內 分化). Result : From this viewpoint, the decision system that has relative references in differentiation of syndromes & treatments on cold diseases(傷寒病) and complexed diseases(雜病) by eight principles etc can be compared with the decision system in divination by Achillea sibireca that the entity of the cosmos(太極) gradually can be breakdown into the positive and negative(陰陽), the positive and negative can be breakdown into four phases(四象), four phases can be breakdown into eight signs of divination(八卦), eight signs of divination can be breakdown into 64 divination signs(64卦). Conclusion : I had found that differentiation of syndromes and treatments and divination by Achillea sibireca have similarity to each other in side of decision system. Those decision systems for clinical use and telling the future has many relative references and are made of multiple structures. Clinician can easily, exactly distinguish similar syndromes of many another diseases through this way.

• Tuberculosis and Respiratory Diseases
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• v.69 no.5
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• pp.354-360
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• 2010

Background: Primary non-Hodgkin's lymphoma of the lung is a rare entity. It is represented commonly as marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) type. Although there have been a few reviews of this lymphoma, clinical features, radiologic findings, management and prognosis have not been well defined. Methods: We reviewed the medical records of 24 patients with primary pulmonary lymphoma between January 1995 and September 2008; all diagnoses had been confirmed based on pathology. Results: The median follow-up time was 42.3 months (range, 0.1~131.2 months). Five (20.8%) patients were asymptomatic, 17 (70.8%) patients had pulmonary symptoms, and the remaining 2 (8.3%) patients presented with constitutional symptoms. There were 16 (66.7%) patients with MALT lymphoma, 4 (16.7%) patients with diffuse large B-cell lymphoma and 4 (16.7%) patients with lymphoma that had not received a WHO classification. Radiologic findings of primary pulmonary lymphoma were diverse and multiple nodule or consolidation was the most common finding regardless of pathologic lymphoma type. PET scan was carried out in 13 (54.2%) patients and all lesions showed notable FDG uptake. MALT lymphoma showed a trend of better prognosis (3-year survival, 78.8% vs. 70.0%; 5-year survival, 78.8% vs. 52.5%; p=0.310) than non-MALT lymphoma. Conclusion: Primary non-Hodgkin's lymphoma of the lung occurs with nonspecific clinical features and radiologic findings. MALT lymphoma is the most common pathologic type of primary pulmonary lymphoma. This entity of lymphoma appears to have a good prognosis and in this study, there was a trend of better outcome than non-MALT lymphoma.

• Annals of Clinical Neurophysiology
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• v.4 no.1
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• pp.44-50
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• 2002

Introduction : Orthostatic tremor develops in the legs while standing up with no weakness, pain or imbalance in the leg and the tremor is characteristically not observed when walking. However there have been some confusions about orthostatic tremor in several aspects. For the past ten years, we have observed 4 patients with orthostatic tremor. In each case tests were performed to investigate the following three important areas of inquiry about orthostatic tremor. Firstly, whether this disorder is an independent diagnostic entity or a variant of essential tremor. Secondly, whether the progress of this disorder is specifically related with standing posture. Lastly, the nature of the pathophysiologic mechanism behind the appearance of the tremor when standing after the lapse of a certain latent period and its disappearance upon the commencement of walking. Methods : Our 4 cases of orthostatic tremor were studied clinically, electrophysiologically, and pharmacologically. Electrophysiological tests included tremor spectrum test and electromyography. Results : We observed the presence of this tremor in several other tonic postures, as well as its absence, in a vertically lifted position from all our cases. Our cases registered a variable tremor frequency between 5 and 12 Hz according to the tremor spectrum test and EMG. Furthermore all our 4 cases demonstrated patterns of both synchronous EMG activity and alternating EMG activity at various times in homologous muscles of both legs. Orthostatic tremor was improved significantly with propranolol as well as clonazepam. Conclusions : From the results of our study we drew the following conclusions. It is probable that orthostatic tremor is simply a variant of essential tremor rather than being an independent diagnostic entity and that in most cases its development is specifically related with muscle contraction rather than merely with the act of standing. Furthermore we discovered a clue in the previously described neural control mechanism that the nuclear bag fibers in the muscle spindle have lag time of several seconds in their response to muscle strength and that their baseline does not reset fully in rapidly moving muscle. This neural control mechanism could offer sufficient explanation for the phenomena of tremor appearance when standing and disappearance when walking in orthostatic tremor.

• Fire Science and Engineering
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• v.21 no.2 s.66
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• pp.42-47
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• 2007

This paper presents the development of a case-based system for an electrical fire cause diagnosis system using the entity relation database. The relation database which provides a very simple but powerful way of representing data is widely used. The system focused on database construction and cause diagnosis can diagnose the causes of electrical fires easily and efficiently. In order to store and access to the information concerned with electrical fires, the key index items which identify electrical fires uniquely are derived out. The case-based system consists of a case which contains information from the past fires. The case-based system could present the cause of a newly occurred fire to be diagnosed by searching the case-based database for reasonable matching. The case-based system has not only searching functions with multiple attributes by using the collected various information(such as fire evidence, structure, and weather of a fire scene) but also more improved diagnosis functions which can be easily used for the electrical fire cause diagnosis system.

• Journal of information and communication convergence engineering
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• v.5 no.2
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• pp.144-149
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• 2007

Grid technologies make it possible for IT resources to be shared across organizational and security domains. The traditional identity-based access control mechanisms are unscalable and difficult to manage. Thus, we propose the FAS (Federation Agent Server) model which is composed of three modules: Certificate Conversion Module (CCM), Role Decision Module (RDM), and Authorization Decision Module (ADM). The proposed FAS model is an extended Role-Based Access Control (RBAC) model which provides resource access capabilities based on roles assigned to the users. FAS can solve the problem of assigning multiple identities to a shared local name in grid-map file and mapping the remote entity's identity to a local name manually.

• Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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• 2004.04a
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• pp.171-176
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• 2004

Image matching is fundamental process in photogrammetry and computer vision to identify and to measure corresponding features on the multiple images. Uniqueness of the matching entities and robustness of the algorithm are the key issues that have influence on quality of the matching result. The optimal solution could be obtained by utilizing appropriate matching entities in the first place. In this study, candidate matching points were extracted by interest operator, and an area-based matching method was applied with characteristics of the gray value distribution as the matching entities. The characteristic information is based on the concept of "intrinsic image" (or parameter image). The information was utilized as additional and/or complementary matching entities. Matching on interest points with the characteristic information resulted in high quality of matching because matching windows were created with surrounding pixels of the interest points that contain distinct and unique features. The experiment shows that matching quality and reliability increase by exploiting interest operator, and the characteristic information has potential to be matching entity.

• Proceedings of the IEEK Conference
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• 2003.07d
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• pp.1491-1494
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• 2003

Video adaptation in response to dynamic resource conditions and user preferences is required as a key technology to enable universal multimedia access (UMA) through heterogeneous networks by a multitude of devices in a seamless way. Although many adaptation techniques exist, selections of appropriate adaptations among multiple choices are often ad hoc. To provide a systematic solution, we present a general conceptual framework to model video entity, adaptation, resource, utility, and relations among them. It allows for formulation of various adaptation problems as resource-constrained utility maximization. We apply the framework to a practical case of dynamic bit rate adaptation. Furthermore, we present a description tool, which has been accepted as a part of the MPEG-21 Digital Item Adaptation (DIA), along with a brief overview of the .elated descriptors to support terminal and network quality of service (QoS).

• Health Policy and Management
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• v.13 no.2
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• pp.101-124
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• 2003

Performance of public hospitals is difficult to define and measure because not only their managerial or financial performance but also their role as a public entity is important. The purpose of this paper is to examine the internal and external factors that influence the performance of local government hospitals. A multiple regression was performed to analyze the effects of the environmental, organizational, operational, and cost-related factors on the return on total assets(ROA), operating margin(OM), and the ratio of Medicaid patients. Empirical results show that financial performance (ROA and OM) are more influenced by operational or cost-related factors, while the ratio of Medicaid patients is more affected by environmental or organizational characteristics. It is noteworthy that competition and the contract with private sector management have negative effects on the ratio of Medicaid patients that local government hospitals treat.