• Tuberculosis and Respiratory Diseases
• /
• 제40권4호
• /
• pp.449-453
• /
• 1993

A 64-year-old male was admitted due to abruptly developed, severe dyspnea via local clinic. He had been a heavy smoker and alcoholic for a long time. Chest PA showed huge haziness in right upper lung field. Sputum culture for bacteriology was positive for Klebsiella pneumoniae. Immediately, appropriate antibiotics were administered and artificial ventilation was started. On 40th hospital day, simple chest roentgenogram taken due to sudden aggravated dyspnea showed marked hyperlucency in right upper lung field, suggestive of rupture of abscess cavity and resultant pneumothorax. At that time, chest tube was inserted but air leakage from the chest tube persisted. Chest CT scan taken after chest tube insertion showed the tube inserted into a thin-walled cavity in the above lesion. on 84th hospital day, right upper lobectomy with decortication was performed. Pathologically, cavittary lung abscess was diagnosed on the findings of partial re-epithelialization of ciliated columnar epithelium with severe pulmonary vascular occlusion and extensive fibrous pleural adhesions.

• Journal of Korean Neurosurgical Society
• /
• 제45권6호
• /
• pp.381-385
• /
• 2009

The first case of intracranial metastases of a cervical intramedullary low-grade astrocytoma without malignant transformation in adult is presented in this report. Seven years ago, a 45 year-old male patient underwent biopsy to confirm pathologic characteristics and received craniocervical radiation and chemotherapy for a grade II astrocytoma in the cervical spinal cord. Two years later, posterior fusion was necessary for progressive kyphosis in the cervical spine. He was well for approximately 7 years after the primary surgery. Two months ago, he presented with partial weakness and incoordination with gait difficulty. MRI Scan demonstrated multiple small lesions in the cerebellar vermis and left hemisphere. After suboccipital craniectomy and posterior cervical exposure, the small masses in the cerebellar vermis and hemispheres were excised to a large extent by guidance of an intraoperative navigation system. The tumor at the cervical and brain lesions was classified as an astrocytoma (WHO grade II). When a patient with low-grade astrocytoma in the spinal cord has new cranial symptoms after surgery, radiaton, and chemotherapy, the possibility of its metastasis should be suspected because it can spread to the intracranial cavity even without malignant transformation as shown in this case.

• 대한두경부종양학회지
• /
• 제35권1호
• /
• pp.33-36
• /
• 2019

Mucosa-associated lymphoid tissue (MALT) lymphoma has specific clinical and pathologic features. The most common site MALT lymphomas is the stomach; however, it can also occur in other organs, such as the salivary glands. MALT lymphoma is rare, but its prognosis is good. A 32-year-old man visited Konyang university hospital with parotid mass. Superficial partial parotidectomy was performed to exclude lymphoid neoplasms. IgH gene rearrangement analysis of the surgical specimen led to the diagnosis of MALT lymphoma. The patient underwent esophagogastroduodenoscopy, positron emission tomography-computed tomography, and whole-body bone scan. Regional or distant metastasis was not observed on staging workup. The patient underwent postoperative radiation therapy, there has been no recurrence of MALT lymphoma to date. Here, we report this rare case of parotid MALT lymphoma that was treated with surgery and postoperative radiation therapy.

• Advances in concrete construction
• /
• 제10권6호
• /
• pp.537-546
• /
• 2020

Exterior walls in buildings are exposed to various forms of thermal loads, which depend on the positions of walls. Therefore, one of the efficient methods for improving the energy competence of buildings is improving the thermal properties of insulation plaster mortar. In this study, lightweight fine aggregate (LWFA) and micro rubber ash (MRA) from recycled tires were used as partial replacements for sand. The flow ability, unit weight, compressive strength, tensile strength, thermal conductivity (K-value), drying shrinkage and microstructure scan of lightweight rubberized mortar (LWRM) were investigated. Ten mixtures of LWRM were prepared as follows: traditional cement mortar (control mixture); three mixes with different percentages of LWFA (25%, 50% and 75%); three mixes with different percentages of MRA (2.5%, 5% and 7.5%); and three mixes consisting both types with determined ratios (25% LWFA+5% MRA, 50% LWFA+5% MRA and 75% LWFA+5% MRA). The flow ability of the mortars was 22±2 cm, and LWRM contained LWFA and MRA. The compressive and tensile strength decreased by approximately 64% and 57%, respectively, when 75% LWFA was used compared with those when the control mix was used. The compressive and tensile strength decreased when 5% MRA was used. By contrast, mixes with determined ratios of LWFA and MRA affected reduced unit weight, K-value and dry shrinkage.

• Clinical Endoscopy
• /
• 제56권6호
• /
• pp.681-692
• /
• 2023

In general, gastroesophageal reflux disease (GERD) is diagnosed clinically based on typical symptoms and/or response to proton pump inhibitor treatment. Upper gastrointestinal endoscopy is reserved for patients presenting with alarm symptoms, such as dysphagia, odynophagia, significant weight loss, gastrointestinal bleeding, or anorexia; those who meet the criteria for Barrett's esophagus screening; those who report a lack or partial response to proton pump inhibitor treatment; and those with prior endoscopic or surgical anti-reflux interventions. Newer endoscopic techniques are primarily used to increase diagnostic yield and provide an alternative to medical or surgical treatment for GERD. The available endoscopic modalities for the diagnosis of GERD include conventional endoscopy with white-light imaging, high-resolution and high-magnification endoscopy, chromoendoscopy, image-enhanced endoscopy (narrow-band imaging, I- SCAN, flexible spectral imaging color enhancement, blue laser imaging, and linked color imaging), and confocal laser endomicroscopy. Endoscopic techniques for treating GERD include esophageal radiofrequency energy delivery/Stretta procedure, transoral incisionless fundoplication, and endoscopic full-thickness plication. Other novel techniques include anti-reflux mucosectomy, peroral endoscopic cardiac constriction, endoscopic submucosal dissection, and endoscopic band ligation. Currently, many of the new endoscopic techniques are not widely available, and their use is limited to centers of excellence.

• 공업화학
• /
• 제28권6호
• /
• pp.638-644
• /
• 2017

전기이중층 커패시터(electric double layer capacitor, EDLC) 전극용 핏치계 활성탄소섬유의 고출력 특성을 향상시키기 위하여 불소와 산소 혼합가스의 다양한 불소분압에 따라 함산소불소화 표면처리를 수행하였다. 함산소불소화 처리된 핏치계 활성탄소섬유는 불소 부분압이 증가함에 따라 선형적인 불소관능기의 증가를 보였고, 산소관능기는 증가하였으나 부분압에 따라 차이가 없었다. 또한 함산소불소화를 통하여 활성탄소섬유 표면의 식각 반응으로 인하여 비표면적 및 기공부피는 감소하였으나 중간기공 부피는 약 4.5배 증가하였다. 50%의 불소가스 분압으로 처리한 활성탄소섬유의 경우 5와 50 mV/s의 전압주입속도에서 비정전용량이 약 29%와 61%로 증가함을 확인하였다. 이러한 비정전용량의 향상은 함산소불소화 처리를 통한 활성탄소섬유 표면의 산소 및 불소 관능기의 도입과 중간기공의 증가에 의한 효과로 사료된다.

• 대한치과보철학회지
• /
• 제61권4호
• /
• pp.367-378
• /
• 2023

최근 CAD-CAM (computer-aided design-computer-aided manufacturing) 기술 및 3D 프린팅 기술의 발전과 함께 다양한 디지털 기법들의 도입으로 top-down 방식의 최종 보철 수복의 정확성과 효율성이 증대되고 있다. 본 증례는 전후 엇갈린 교합을 가진 환자에서 총 9개의 상하악 구치부 임플란트 식립을 통해 안정적인 교합 지지를 얻으면서 잔존 치조골의 고도 흡수 경향을 보인 상악 전치부 무치악 부위는 케네디 4급 임플란트 보조 국소의치로 수복함으로써 연조직의 심미성을 회복하였다. 전산화단층촬영 가이드 수술로 계획된 위치에 임플란트를 식립하고, 이중 스캔 기법으로 임시 수복 단계에서 안정화된 교합을 최종 보철물에 반영하며, 코핑과 프레임워크를 금속 3D 프린팅으로 제작하여 효율적이며 예측 가능한 top-down 방식의 전악 구강 수복을 달성하였기에 이를 보고하고자 한다.

• 치과방사선
• /
• 제27권2호
• /
• pp.27-47
• /
• 1997

The purpose of this study was to evaluate the accuracy and usefulness of spiral tomography through the comparison and analysis of SCANORA cross-sectional tomographs and DentaScan computed tomographic images of dry mandibles taken by a SCANORA spiral tomographic machine and a computed tomographic machine. Thirty-one dry mandibles with full or partial edentulous areas were used. To evaluate the possible effect of location in the edentulous area, it was divided into 4 regions of Me (region of mental foramen), MI (the midportion between Me and M2), M2 (the midportion between mental foramen and mandibular foramen) and S (the midportion of the mandibular symphysis). A ZPC column (sized 4 mm x 5 mm) was seated on the edentulous regions of Me, MI, M2 and S using the acrylic stent. Then SCANORA spiral tomography and computed tomography were taken on the edentulous regions which contained the ZPC column. The ZPC columns and cross-sectional images of the mandible were measured in the radiographs by three observers and the differences between the two imaging modalities were analysed. The results were as follows: 1. In comparing the actual measurements of the ZPC column and measurements in the radiographs, the mean error of the DentaScan computed tomography was 0.07 mm in vertical direction and -0.06 mm in horiwntal direction, while the mean error of the SCANORA spiral tomography was 0.06 mm in vertical direction and -0.12 mm in horizontal direction. There was a significant difference between the two radiographic techniques in the horizontal measurement of the ZPC column of the symphysis region (p<0.05). But there was no significant difference in the measurements of other regions (p>0.05). 2. In measurements of the distance from the alveolar crest to the inferior border of the mandible (H), and of the distance from the alveolar crest to the superior border of the mandibular canal (Y), there was no significant difference between the two radiographic techniques (p>0.05). 3. In measurements of the distance from the lingual border of the mandible to the buccal border of the mandible (W), and of the distance from the lingual border of the mandible to the lingual border of the mandibular canal (X), there was a significant difference between the two radiographic techniques in measurements of the midportion between the mental foramen and the mandibular foramen (M2) (p<0.05). But there were no significant differences in measurements of the other regions of symphysis (S), mental foramen (Me), the first one-fourth portion between the mental foramen and the mandibular foramen (M1) (p>0.05). 4. Considering the mean range of measurements between observers, the measurements of SCANORA spiral tomography showed higher value than those of DentaScan computed tomography, except in measurements of symphysis (S). 5. On the detectability of the mandibular canal, there was no significant difference between the two radiographic techniques (p>0.05). In conclusion, SCANORA spiral tomography demonstrated a higher interobserver variance than that of DentaScan computed tomography for implant site measurements in the posterior edentulous area of the mandible. These differences were mainly the result of difficulty in the detection of the border of the mandible in SCANORA spiral tomography. But considering the cost and the radiation exposure, SCANORA spiral tomography can be said to be a relatively good radiographic technique for implant site measurement.

• 한국정보처리학회논문지
• /
• 제6권6호
• /
• pp.1656-1666
• /
• 1999

회로가 복잡해지고, 고속화되면서 회로의 동작에 대한 검사 뿐 아니라, 회로가 원하는 시간 내에 동작함을 보장하는 지연 검사의 중요성이 점점 커지고 있다. 본 논문에서는 주사환경을 사용하는 순차회로에서의 경로 지연 고장을 위한 테스트 패턴 생성 과정을 효율적으로 수행할 수 있도록 빠른 시간에 간접 유추를 수행할 수 있는 알고리즘을 제안한다. 구조적으로 발생 가능한 정적 학습 과정은 테스트 패턴 생성 과정 중의 선행 처리 단계에서 각각의 게이트에 정적 학습이 발생할 수 있는 경우를 분석하여 그 정보를 각각의 게이트에 대해 저장하고 있다가 알고리즘을 이용한 테스트 패턴 생성 과정 중 조건에 만족하는 경우에 유추될 수 있는 값을 바로 할당하게 된다. 본 논문에서는 이를 지연고장 검출에 맞도록 수정하여 이용하였다. 회로 내에 몇몇 주입력에서 나온 신호선을 모두 포괄하는 분할지점이 존재하면, 이 지점을 지나는 경로들 중에 그 이전, 혹은 이후의 경로가 동일한 경로들은 분할지점에 의해 분할된 입력의 부분들이 같은 입력값을 필요로 함을 예상할 쑤 있다. 본 논문에서는 경로 지연 고장 검출에서 유용하게 사용될 수 있는 이러한 회로분할을 사용하여 보다 효율적으로 테스트 입력을 생성하였다. 마지막으로, 이 두 가지 알고리즘을 적용한 효율적인 경로 지연 고장 테스트 입력 생성기를 개발하였으며, 알고리즘의 효용성을 실험을 통하여 입증하였다.

• 구강회복응용과학지
• /
• 제39권1호
• /
• pp.9-20
• /
• 2023

목적: 하악 부분 무치악 모형에서 pick-up type 인상용 코핑을 사용한 개방형 인상 채득법과 transfer type 인상용 코핑을 사용한 폐쇄형 인상 채득법, 개방형 인상 채득법에서 pick-up type 인상용 코핑 고정 재료에 따른 인상 채득 정확성을 비교 하고자 하였다. 연구 재료 및 방법: 하악 부분 무치악 모형의 좌측 구치부에 직경 4.5 mm, 길이 11.5 mm의 임플란트 고정체 두 개 식립 후 3D 프린터를 이용하여 개방형 개인 트레이 30개 폐쇄형 개인 트레이 10개를 제작하였다. 제작한 개인 트레이를 이용하여 PN군: 개방형 인상 채득법(non-splint), PG군: 개방형 인상 채득법(splint GC pattern resin), PH군: 개방형 인상 채득법(splint Herifix), TN군: 폐쇄형 인상 채득법으로 나누어 각 군당 10회씩 총 40회의 인상 채득을 진행하였다. 인상채득 후 석고 모형을 제작하여 모델 스캐너로 스캔 후 역설계 프로그램으로 스캔오차를 측정하여 95% 유의수준으로 평가 하였다. 결과: 폐쇄형 인상 채득법 TN군이 개방형 인상 채득법 PN군 보다 더 낮은 오차값을 보였다. 개방형 인상 채득법(splint)에 사용된 인상용 코핑 고정 재료 간의 비교 결과에서는 PH군에서 가장 낮은 오차값을 보였으며 PN군, PG군 순으로 정확한 인상 채득 정확성을 보여주었다. 결론: 임플란트 인상 채득 방법이나 인상용 코핑의 연결 고정 유무에 따른 각 군 간의 정확성에 유의한 차이는 없다.