• Journal of Yeungnam Medical Science
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• 제30권2호
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• pp.105-108
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• 2013

Type 1 neurofibromatosis (von Recklinghausen's disease, NF-1) is an autosomal-dominant neurocutaneous-disorder characterized by systemic cafe'-au-lait spots, multiple cutaneous neurofibromas, axillary or inguinal freckling, and Lisch nodules (pigmented iris hamartomas). Approximately 10-25% of NF1 patients have gastrointestinal neoplasms. Gastrointestinal stromal tumor (GIST) in patients with neurofibromatosis is most commonly found in the small bowel and the stomach, and approximately 60% of such patients have multiple tumors or multiple tumor sites. Although, the increased incidence of GIST in patients with neurofibromatosis is well documented in pathology literature in English, but has rarely been documented in Korea. Here, we report a case of multiple GISTs in a 48-year-old woman accompanied by NF1. She was admitted to Yeung-nam University Hospital with complaints of melena and dyspnea. A contrast-enhanced computed tomography (CT) scan revealed that multiple soft tissue masses were occupying the entire peritoneal cavity. An ultrasonogram- guided biopsy was performed and the tumors were found to have been composed of tumor cells that were positive for c-kit protein. The patient was put on Imatinib mesylate treatment, and further follow-up will be carried out.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3997-4001
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• 2016

Background: Cancer is a worldwide health problem and pain is among the most common and unpleasant effects affecting well-being of cancer patients. Accurate description of pain can help physicians to improve its management. Many English tools have been developed to assess pain. Onkly a limited number of these are applied in Arab countries. Our aim was to assess the quality, the nature and the severity of pain using the short McGill Pain Questionnaire (SF-MPQ) on cancer patients in the National Institute of Oncology (NIO) in Rabat, Morocco. Materials and Methods: The tool used is the SF-MPQ inspired from the Arabic version of the MPQ. The subjects were cancer patients (N=182) attending the NIO, from 24th October 2015 to 8th January 2016, aging ${\geq}18$ years old, experiencing pain and coming to have or to update their pain medication. Results: The rate of participation was 96.3%. Eight patients had difficulties to express their pain using descriptors, but could use the Visual Analogue Scale (VAS) and the body diagram. The most frequent sensory descriptors were 'Throbbing', 'Shooting', 'Hot-Burning'. The most used affective descriptor was 'Tiring-Exhausting'. The mean VAS was 6.6 (2.4). The mean score of all items was 11.9 (7.8). The patients were suffering from severe pain. The internal consistency of the form was s acceptable. Conclusions: The findings indicate that most of the patients attending the pain center of the NIO could use the descriptors of the SF-MPQ to describe their pain. They indicate the usefulness of the SF-MPQ to assess the nature and the severity of pain in cancer patients. This tool should be tested in other Moroccan and Arabic contexts associated with other tools in clinical trials.

• 정보교육학회논문지
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• 제10권1호
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• pp.155-161
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• 2006

유비퀴터스 로봇은 인간과 로봇 상호작용 즉 HRI를 통해 정보매체로 진화하고 있음에 따라, 최근 들어 로봇을 이용한 학습은 다른 매체보다 친근하고 동기유발에 효과적으로 나타나 로봇의 교육적 활용 연구가 시작되고 있다. 이에 본 연구에서는 교실에서 교육매체로서 교사 보조 로봇의 수업에서의 활용 가능성을 보기 위해, 초등학생 6학년의 기대역할을 갖는 프로토타입 로봇을 설계 개발하여 영어, 음악, 국어교과목 수업에 활용하는 실험을 $4{\sim}5$학년을 대상으로 실시하였다. 이를 통해 아동이 로봇에게 기대하는 역할이 실험자의 의도와 일치하는지와 교육적 효과 제고에 기여를 하는지를 알아보고자 하였다. 그 결과, 아동은 교사 보조 로봇을 자신보다 약간 높은 나이로 인식하고, 친근하지만 자신보다 우월하여 자신을 이끌어 줄 수 있는 역할을 기대한다는 것을 알 수 있었다. 또한 교사 보조 로봇 활용이 교사와 아동의 흥미 유발에 있어 매우 효과적임을 보여, 향후 교사 보조 로봇은 ICT 활용 교육의 또 다른 매체로서의 가능성을 확인하였다.

• Clinical and Experimental Pediatrics
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• 제53권1호
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• pp.89-92
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• 2010

장문합부위 궤양은 영유아기에 장 절단과 문합 후 발생하는 합병증으로 발병기전은 아직 정확하게 밝혀져 있지 않으며, 효과적인 치료법도 아직 개발되어 있지 않다. 저자들은 10세 된 여아의 만성 철 결핍 빈혈과 성장부전의 원인을 찾기 위하여 실시한 대장 내시경검사에서 장문합부위 궤양을 발견하고, 궤양이 있는 부위의 수술적 제거와 문합부 재교정 이후 증상의 호전을 경험하였기에 문헌고찰과 함께 국내 처음으로 보고하는 바이다. 장 절단술 후 증상의 발현이 늦어 진단이 어렵기 때문에 영유아기에 수술을 받은 환자의 경우 추적관찰을 통해 장문합부위 궤양의 발병 가능성을 예의주시해야 한다.

• Journal of Yeungnam Medical Science
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• 제32권1호
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• pp.26-30
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• 2015

Sarcoidosis is a systemic disease of unknown cause involving multiple organs and is characterized by noncaseating granuloma. Immune thrombocytopenia (ITP) is an autoimmune disease characterized by increased peripheral platelet destruction due to the presence of an antibody to the platelet and abnormal platelet production. There is no known pathogenesis that occurs concurrently with ITP and sarcoidosis. However, considering together of 2 known pathogenesis, abnormal immune response triggers either ITP or sarcoidosis. The disease that develops first stimulates secondary disease. After development of secondary disease, they stimulate each other. A few cases of ITP associated with sarcoidosis are well documented in English; however, the disease has rarely been reported in Korea. Here, we report on a case of ITP with sarcoidosis in a 29-year-old man. He suffered from easy bruising. The chest X-ray and the contrast-enhanced computed tomography scan showed bihilar lymphadenopathy and reticulonodular infiltrates. Bone marrow study and fluoroscopy-guided percutaneous needle biopsy were performed and the patient was diagnosed with sarcoidosis and ITP. He was put on 400 mg/kg of intravenous immunoglobulin for 5 days and administered oral steroids and further follow-up will be carried out. He has shown a good response without significant bleeding event. However, administration of more oral steroid and additional follow-up is required than for single disease, whether sarcoidosis or ITP.

• 한국문헌정보학회지
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• 제25권
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• pp.389-413
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• 1993

This study was inspired by the growing importance of information as a resource for improving the quality of life, the lack of systematic research about the information environment of Koreans in the United States and the lack of understanding of the relationships between individual characteristics and information seeking behavior. During 1990 and 1991, 204 Koreans, 18 years old and more, residing in the City of Los Angeles, were interviewed. Generally the information seeking behavior of Koreans appeared to be similar to that of the socioeconomically advantaged segment of the general public. They are relatively well aware of their information needs. capable of articulating them, and willing to pursue information to meet their needs. Major findings include: (1) the dominance of educational information needs: (2) positive feelings of hope, curiosity. and interest associated with information needs: (3) the tendency to pursue information with the expectation of potential rather than immediate rewards: (4) the expertise of information sources and their ability to provide information directly relevant to a need as criteria for selecting an information source: (5) the generally heavy reliance on informal interpersonal information sources and the high ranking of professionals as the starting point for information seeking and in judgements of usefulness: and (6) the dominant use of Korean ethnic information sources. Statistically significant correlations found at the 0.05 level relate (1) level of education, age, and gender with type of information need, the feelings associated with an information need, motivations to seek information, and the use of information sources, (2) proficiency in English and length of residence in the United States with the extent to which ethnic information sources are used, and (3) pattern of daily use of media with the use of media in seeking information.

• 한국임상수의학회지
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• 제37권2호
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• pp.106-108
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• 2020

An eight-month-old, outdoor, intact male English Pointer dog weighing 23.5 kg presented to the hospital with signs of hematochezia, soft stools, and weight-loss. There were no remarkable findings on physical examination, complete blood count, serum biochemistry, electrolyte and gas analysis, and radiography. The serologic and Polymerase Chain Reaction (PCR) tests for canine parvovirus were negative. A fecal smear examination showed rod-shaped, sporeforming bacteria. Additionally, a fecal flotation test showed ova of Ancylostoma spp. The size of ova was 60 × 40 ㎛, and it was identified as Ancylostoma caninum using light microscopy. The PCR test indicated a Clostridial perfringens infection and the presence of C. perfringens alpha toxin. The diagnosis given was C. perfringens enterotoxicosis with ancylostomiasis. Treatment included antibiotics (metronidazole, trimethoprim-sulfamethoxazole) and anthelmintics (afoxolaner, milbemycin oxime). After two weeks, the clostridial infection resolved, but ancylostomiasis persisted for six weeks. The anthelmintic was changed to Drontal^â plus (praziquantel/pyrantel pamoate/febantel). After four weeks, there were no remarkable findings in the fecal samples, but the patient still presented with watery stools and hematochezia. Survey of abdominal ultrasound had performed, and a target-like sign with multiple rings was seen in the cecocolic region. The patient was diagnosed with A. caninum-induced cecocolic intussusception from the history and clinical signs. After a surgery, he recovered fully. This is the first clinical case report of Ancylostoma caninum parasitizing from the small intestine and causing an intussusception in the large intestine.

• 한국지역지리학회지
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• 제13권6호
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• pp.639-650
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• 2007

이 글은 나주 광주 전남 공동혁신도시의 건설에 즈음하여 이전대상 공공기관의 직원들이 가족과 함께 혁신도시로의 이전 및 정착 의사에 관해 분석한 것이다. 이 글은 혁신도시 건설에 따른 지역사회에 대한 파급효과를 극대화하기 위해서는 우선 이전 공공기관의 종사자 및 그 가족들의 이주와 조기 정착이 이뤄져야 한다는 논점에 입각하여 분석을 수행하였다. 분석 결과를 살펴보면, 이주 및 정착 가능성에 대한 부정적 응답 비율이 절반 가까이 높은 것으로 나타났으며, 또한 혁신도시의 현재와 미래에 대해서도 다소 비관적 의견이 높았다. 따라서 혁신도시로의 이주 및 정착을 유도하기 위해서는 특히 교육여건과 아울러 요양 및 실버타운 등의 각종 생활서비스 시설들의 중점적인 확충이 필요한 것으로 밝혀졌다.

• Journal of Chest Surgery
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• 제39권4호
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• pp.340-342
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• 2006

원발성 흉골 골수염은 드문 질환이다. 특히 소아에서 발생한 경우는 매우 드물어 영어로 보고된 문헌에 11예가 보고되었다. 원발성 흉골 골수염은 영양실조, 면역 저하, 흉부 둔상, 정맥을 통한 약물 주사, 낫 세포빈혈증 등의 환자에서 주로 발생하며, 배농 및 항생제 투여로 치료한다. 저자들은 기저질환이 없는 16세 남아에서 발생한 원발성 흉골 골수염 1예를 문헌 고찰과 함께 보고하는 바이다.

• 대한영상의학회지
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• 제79권6호
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• pp.348-353
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• 2018

간의 가성 림프종은 비종양성 림프구의 절 외 과다증식에 의해 형성되는 드문 양성 종양이다. 검색한 바에 따르면 현재까지 영문으로 46예가 보고되었다. 우리는 75세 여자환자에서 과혈관성 종양으로 오인된 간의 가성 림프종 증례를 보고하고자 한다. 조직검사상 직장의 신경내분비 암종이 진단된 후 시행한 조영증강 전산화단층촬영에서 1.0 cm 크기의 경계가 불분명하고 낮은 감쇄를 보이는 결절이 간에 관찰되었다. 자기공명영상에서는 동맥 조영기에 조영 증강을 보이고, 20분 지연기 조영 영상에서 저신호 강도를 보이며, 확산강조영상에서 고신호 강도를 보였다. Fluorodeoxyglucose (이하 FDG) positron emission tomography (PET)/CT에서는 FDG의 섭취 증가를 보였다. 초음파에서는 저에코성 병변으로 관찰되었고, 초음파 유도 하 조직검사를 통하여 간의 가성 림프종으로 확진 되었다.