• Journal of Chest Surgery
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• v.27 no.5
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• pp.413-417
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• 1994

Adenoid cystic carcinoma usually grows in the trachea or near its bifurcation and causes obstruction of the air way. We recently experienced a 33 year-old male patient who had adenoid cystic carcinoma in the left main bronchus with the chief complaint of productive cough. On the bronchoscopy, the mass obstructed the left main bronchus completely and had nodularity and increased vascularity.The trachea was shifted to the left side and the lower lobe of the left lung was atelectatic on chest X-ray and computed axial tomogram.He underwent left tracheal sleeve pneumonectomy and lymph node dissection through bilateral thoracotomy. At first,we attempted left tracheal sleeve pneumonectomy through the left thoracotomy,however, it was very difficult to perform carinoplastic procedure after sleeve resection of 2.5cm of distal trachea and 1cm of proximal right main bronchus including whole left lung because of poor operative field and difficulty in the anastomosis of the right main bronchus to the distal end of the trachea without tension.Therefore after radical resection of the left lung we made right thoracotomy,through which we could anastomosed the distal trachea and right main bronchus with 4-0 PDS interrupted suture after mobilization of the right hilum without difficulty. The tumor was confirmed to be adenoid cystic carcinoma with metastasis to subcarinal lymph node histopathologically. Postoperative course was uneventful but he needed two bronchoscopic procedure to clear distal airway of the retained bronchial secretion. He was discharged at 14 days after operation with complete recovery.

• Proceedings of the Korea Information Processing Society Conference
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• 2019.10a
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• pp.1080-1081
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• 2019

만성간질환의 조기 발견과 적절한 관리는 중증 질환으로 진행을 차단하거나 완치하는데 큰 역할을 할 수 있다. 만성간질환을 진단하는 Gold Standard는 조직검사이지만 시간적·비용적인 측면에서 제한점이 있다. 현재 만성간질환 진단을 위해 최우선 시행하고 있는 검사는 혈액검사이며 진단정확도가 낮은 것으로 보고된다. 영상진단검사는 검사비용 측면에서 혈액검사보다 비싸며 진단정확도 측면에서 조직검사를 대체하기에는 정확도 향상이 요구된다. 본 연구에서는 획득된 의료영상을 활용하여 간세포 이질성과 결정성을 신속하게 정량 분석할 수 있는 소프트웨어를 개발하고 만성간질환 환자를 대상으로 정량 평가함으로서 임상활용 가능성을 확인하고자 한다.

• Journal of the Korean Society for Nondestructive Testing
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• v.32 no.2
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• pp.155-161
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• 2012

It was attempted to evaluate the microstructure and quality of various types of cast iron by ultrasonic velocity measurement. Three types of commercial gray cast iron and ductile cast iron were used for this investigation, respectively. One type of the ductile cast iron was heat-treated as a function of annealing time to produce different microstructure. Ultrasonic velocity measurement, microstructural analysis (pearlite area fraction, graphite length and nodularity), and hardness measurement were performed to find empirical correlations among these parameters. Ultrasonic velocity of ductile cast iron was markedly faster than that of gray cast iron. Ultrasonic velocity decreased with the decrease of fraction of pearlite structure. As a quality monitoring parameter of cast iron, potential of ultrasonic velocity was suggested.

• Archives of Plastic Surgery
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• v.39 no.2
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• pp.126-129
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• 2012

Background : Facial capillary malformations (CMs) rarely recede; they often become darker and raised in proportion to their growth. These malformations may hypertrophy in adulthood, resulting in increased disfigurement and dysfunction. Laser treatment is considered a first-line therapy for focal CMs, but thick wide lesions, which are accompanied by hypertrophy and have a well-circumscribed nodularity, may be treated with surgical excision and reconstruction. Methods : We retrospectively reviewed the records of 25 consecutive patients who had undergone complete or partial excisions of facial capillary malformations in our unit. After the excisions, the defects that encompassed their facial aesthetic units were subsequently covered by various methods, including primary closures, local flaps, expanded flaps, split-thickness skin grafts, and full thickness skin grafts. Results : The data demonstrated satisfactory results and reliability. Our patients were treated without significant complications, and all of the patients were moderately or fully satisfied with the outcome of their surgeries. Conclusions : Among the many reconstructive options for adult patients with facial capillary malformations, thick split-thickness skin grafts can be a good choice for the coverage of widely excised wounds.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.21 no.2
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• pp.86-92
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• 2018

Purpose: Celiac disease is a common non-communicable disease with varied presentations. Purpose of this study was to find the duodeno-endoscopic features in celiac disease and to compare duodeno-endoscopic and histological findings between typical and atypical celiac disease in children. Methods: Hospital based observational study was conducted at Sir Padampat Mother and Child Health Institute, Jaipur from June 2015 to May 2016. Patients were selected and divided in two groups- typical and atypical celiac disease based upon the presenting symptoms. Upper gastrointestinal endoscopy and duodenal biopsy was performed for serology positive patients. Results were analysed using appropriate statistical test of significance. Results: Out of 101 enrolled patients, 47.5% were male. Age ranged from 1 to 18 years. Study showed that 54.5% were typical and 45.5% were atypical. Patients presenting with atypical symptoms were predominantly of older age group. On endoscopy, scalloping, mosaic pattern, reduced fold height and absent fold height; and in histology, advanced Marsh stage were significantly higher in the typical group. Conclusion: Awareness of atypical presentations as well as duodeno-endoscopic features may have considerable practical importance for the diagnosis of celiac disease in children. Scalloping, mosaic pattern, reduced fold height and nodularity are main endoscopic markers of celiac disease in children. Endoscopic markers of duodenal mucosa may be important in early diagnosis of celiac disease, in children subjected to endoscopy for atypical presentations or indication other than suspected celiac disease.

• Journal of the korean academy of Pediatric Dentistry
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• v.31 no.2
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• pp.223-227
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• 2004

Lymphangioma is a benign tumor of lymphatic vessels. The majority of cases are present at birth and 95% of the tumors aroused before the age of 10 years. Oral lymphangioma may occur at various sites but are most frequent on the anterior two thirds of the tongue, where they often result in macroglossia. The lesions present nodularity with gray and pink projections. In the present cases, all the patients who had the macroglossia combined with lymphangioma showed openbite and mandibular prognathism. The purpose of this paper was to report the dental and craniofacial findings of macroglossia combined with lymphangioma and review the pertinent literature through the cases.

• Journal of Korea Foundry Society
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• v.29 no.3
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• pp.120-127
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• 2009

The characterestics of high Si-high Mo ductile cast iron, high Si-high Mo C.V. cast iron and Ni-resist cast iron were compared and evaluated. The nodule count of the last one was lower and the nodularity was higher than those for the first one, respectively. The first two had ferritic matrices with small amounts of molybdenum carbides. The first one had the highest tensile strength and the last one the lowest elongation. This had the highest high temperature strength and that of the second one was greatly increased from the room temperature strength. The volumes of the first two were decreased during cooling and that of the last one changed little. The thermal expansion coefficient of the last one was the highest and the first one the lowest. During high temperature oxidation, even though the volume of the first one was increased, the weight was decreased and the volume and weight of the second one were increased. The change of the increased weight of the last one was more than that of thickness.

• Journal of Yeungnam Medical Science
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• v.21 no.2
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• pp.191-197
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• 2004

Background: This study was performed to reconsider the efficacy of transrectal ultrasonography (TRUS) in diagnosing prostate cancer by analyzing the results of a digital rectal examination (DRE), serum prostate-specific antigen (PSA) and a transrectal ultrasonography in patients with prostate specific antigen levels of 10 ng/ml or less. Materials and Methods: One-hundred and eighty one men with PSA levels of 10 ng/ml or less, who had a TRUS-guided tissue biopsy performed, were included in this study. The detection rate of prostate cancer was compared according to the TRUS result and the presence or absence of nodularity and the consistency of the prostate on DRE. Results: In a total 181 patients, there were 73 patients with PSA levels of 4 ng/ml or less and 4 of them had prostate cancer. Thre were 108 patients with PSA levels of 4-10 ng/ml and 18 of them were prostate cancer. TRUS was performed in 152 patients and 16 out of 58 patients diagnosed with prostate cancer, 3 out of 39 diagnosed with suspicious prostate cancer, and 2 out of 55 patients diagnosed as having no prostate cancer were found to have prostate cancer. In 40 patients, a nodule was palpated on DRE and 8 of them were found to have prostate cancer. Five out of 19 patients with a stony hard consistency, 3 of 12 with a firm to hard consisency, 12 of 129 with a firm consistency, 0 of 13 with a soft to firm consistency, and 2 of 8 with a soft consistency were prostate cancer. In the prostate cancer patients, there were 4 patients with PSA levels of 4 ng/ml or less and all these patients were diagnosed with prostate cancer or suspicious prostate cancer on TRUS but the nodule was not palpated in all patients. Two were soft and 2 were firm consistency on DRE. Conclusion: In patients with serum PSA levels of 10 ng/ml or less, TRUS is a more useful supporting method than DRE and a more active application of TRUS may lead to an early diagnosis and pertinent treatment of prostate cancer.

• Tuberculosis and Respiratory Diseases
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• v.42 no.4
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• pp.600-604
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• 1995

Lymphangioleiomyomatosis, a rare disease in women of childbearing age, is the result of benign nodular hypertrophy of the smooth muscle of the lypmhatics and other tissues of the abdomen and thorax. We report a 36-years-old woman with pulmonary and retroperitoneal lymphangioleiomyomat.osis who responded with hormone treatment. She developed vaginal pruritis and a pelvic ultraound was done given her significant past medical history. Ultrasound examination demonstrated a large mass in the right side of her pelvis. Therefore she was admitted to St. Michael's Hospital in Toronto for laparoscopy. Result of cytology was to be consistent with the diagnosis of retroperitoneal lymphangioleiomyomatosis. High resolution CT sacn of the thorax demonstrated multiple small cystic lesions, without associated nodularity compatible with a diagnosis of pulmonary lymphangioleiomyomatosis. She has been taking Provera tablets 100mg po tid since Dec. 15, 1993. We have given her a prescription for Depo provera 500mg IM monthly since she came back to Korea. and made arrangements for regular follow up monthly. We performed chest X-ray, CT of chest(high resolution), abdomen and pelvis, pulmonary function tests and arterial blood gas analysis. Chest X-ray and CT findings showed no significant change since July. 20, 1993.

• Journal of Korea Foundry Society
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• v.43 no.6
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• pp.279-285
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• 2023

In order to predict the mechanical properties of ductile cast iron heat treated in an intercritical temperature range, samples machined from cast iron with a tensile strength of 450 MPa were heat-treated at various intercritical temperatures and air-cooled, after which a microstructural analysis and Brinell hardness test were conducted. As the heat treatment temperature was increased in the intercritical temperature range, the ferrite fraction in the ductile cast iron decreased and the pearlite fraction increased, whereas the nodularity and nodule count did not change considerably from the corresponding values in the as-cast condition. The Brinell hardness values of the heat-treated ductile cast iron increased gradually as the heat treatment temperature was increased. Based on the measured alloy composition, the fraction of each stable phase and the hardness model from the literature, the hardness of the ductile cast iron heat treated in the intercritical temperature range was calculated, showing values very similar to the measured hardness data. In order to check whether it is possible to predict the hardness of heat-treated ductile cast iron by using the phase fraction obtained from thermodynamic calculations, the volumes of graphite, ferrite, and austenite in the alloy were calculated for each temperature condition. Those volume fractions were then converted into areas of each phase for hardness prediction of the heat-treated ductile cast iron. The hardness values of the cast iron samples based on thermodynamic calculations and on the hardness prediction model were similar within an error range up to 27 compared to the measured hardness data.