• 제목/요약/키워드: Segmental features

검색결과 71건 처리시간 0.024초

하악골에 발생한 선양치성낭의 치험례 (Glandular odontogenic cyst of mandible: case report)

  • 권진일;김현우;한선희;남웅;차인호;김형준
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권3호
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    • pp.211-213
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    • 2010
  • Glandular odontogenic cyst (GOC) is an intraoral cyst originated from serre remnants which has incidence of rare frequency. Only 111 cases have been reported since Gardener first introduced it in 1987. The clinical features are the following components: cortical bone thinning, locally aggressive root resorption, non-painful swelling. The following recurrences rate are 64.3% in conservative treatment, and 0% in wide excision for instance, segmental or marginal mandibulectomy. So, its prognosis is similar to that of odontogenic keratocyst and ameloblastoma. Therefore, periodic recall follow ups are essential to detect disease recurrence. Here, we will report the first case of GOC diagnosed in our department considering with references. And we share this treatment experience because these aggessive lesions may be misjudged for simple dental cyst.

초음파에서 보이는 다양한 고환 내 저음영 병변 (Various Intratesticular Hypoechoic Lesions on Scrotal Sonography)

  • 조정인;양달모;김현철;김상원
    • 대한영상의학회지
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    • 제83권4호
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    • pp.861-875
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    • 2022
  • 고주파 탐촉자를 이용한 초음파 검사는 음낭 검사의 일차선택 영상기법이다. 대부분의 고환 내 병변은 초음파 검사에서 저음영 병변으로 보인다. 고환 내 저음영 병변을 악성 혹은 양성 병변으로 구별하는 것은 중요한데, 병변의 악성 혹은 양성 여부에 따라 병변의 치료가 달라지기 때문이다. 이에 본 임상화보에서는 고환의 낭성 병변, 고환 종양, 고환의 염증성 병변, 고환 구역성 경색증, 그리고 고환 외상 등 다양한 고환 내 저음영 병변의 초음파 소견들에 대해 알아보고자 한다.

조영증강 유체감쇠반전회복기법 영상에서 일과성 혈관 벽 조영증강으로 나타나는 가역성 대뇌 혈관 수축 증후군: 증례 보고 및 문헌 고찰 (Reversible Cerebral Vasoconstriction Syndrome Presenting as Transient Vessel Wall Enhancement on Contrast-Enhanced Fluid-Attenuated Inversion Recovery Images: A Case Report and Literature Review)

  • 허선아;김은수;이열
    • 대한영상의학회지
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    • 제81권5호
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    • pp.1239-1245
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    • 2020
  • 가역성 대뇌 혈관 수축 증후군(reversible cerebral vasoconstriction syndrome)은 벼락두통과 함께 3개월 안에 소실되는 뇌혈관의 다발성 협착을 특징으로 하는 임상적 영상의학적 증후군이다. 해당 환자 중 일부에서 혈관 벽 조영증강이 보고되고 있으나 그 병태생리학적 의미와 진단적 가치는 불분명하다. 이에 혈관 벽 조영증강을 동반한 가역성 대뇌 혈관 수축 증후군의 증례를 보고하고 병태생리학적 의미와 진단적 가치를 고찰하고자 한다.

소세포 폐암의 확진을 위한 수술후 호전된 소세포 폐암에 의한 Lambert-Eaton 근무력 증후군 1예 (A Case of Lambert-Eaton Myasthenic Syndrome Improved after Surgical Resection for Diagnosis of Small Cell carcinoma of the Lung)

  • 박성하;최선아;유태현;김길동;김세규;장준;신동환;선우일남;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제45권3호
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    • pp.596-603
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    • 1998
  • 소세포 폐암에 동반된 LEMS는 부종양성 증후군의 일종으로 LEMS가 진단된 환자의 50% 이상에서 소세포 폐암이 동반되는데 특히 흡연력이 있는 고령에서 잠재성암을 진단하기 위한 적극적인 노력이 필요하다. 저자 등은 기괸지경 검사상 조직학적으로 진단되지 않았으나 폐암이 강력히 의심되어 적극적으로 수술적 치료를 시행하여 소세포 폐암을 진단하였고, 수술 후 LEMS의 임상양상이 호전되었으며 항암 화학요법후 추가로 호전된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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Bridging the Gap between Research in Linguistics and English Teaching Pedagogy: Focusing on English Pronunciation Education

  • 권보영
    • 말소리와 음성과학
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    • 제1권4호
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    • pp.73-84
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    • 2009
  • Despite the growing interest among researchers in the field of second language (L2) phonological acquisition and its apparent contribution to linguistic and acquisition theories, there have been concerns about the lack of pedagogical application of the research findings in L2 classrooms (Levis, 1999, Derwing & Munro, 2005). Based on the belief that meeting an existing pedagogic need is something that should receive primary attention in SLA, this study attempts to bridge the gap between L2 pronunciation research and pronunciation pedagogy. In so doing, this study provides a narrative literature review of papers on L2 pronunciation published from 1994 to 2008 in Korea. The articles for review were retrieved from five database search engines. In addition, six journals where relevant articles most frequently appeared were selected and electronic searches of these six journals were conducted. A total of 117 articles which met the selection criteria were collected, and were reviewed to answer the following three research questions: a) What are the current research trends in L2 pronunciation in Korea? b) Do the research trends reflect a shift of focus on L2 pronunciation teaching? and c) What is the range of research practices in L2 pronunciation? The review of the papers indicates that the number of studies on L2 pronunciation increased sharply from 1999 to 2003. Some changes in research topics were also noticed. Research on segmental features of English was dominant from 1994 to 1998, but became more balanced with research on suprasegmentals from 2004 to 2008. This review also discusses the range of research practices in L2 pronunciation and makes suggestions for future directions in L2 pronunciation research.

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Are Blood Blister-Like Aneurysms a Specific Type of Dissection? A Comparative Study of Blood Blister-Like Aneurysms and Ruptured Mizutani Type 4 Vertebral Artery Dissections

  • Sim, Sook Young;Chung, Joonho;Shin, Yong Sam
    • Journal of Korean Neurosurgical Society
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    • 제56권5호
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    • pp.395-399
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    • 2014
  • Objective : Blood blister-like aneurysms (BBAs) resemble arterial dissections. The purpose of this study was to investigate the relationship between these two disease entities and highlight commonalities and distinct features. Methods : Among 871 consecutive patients with aneurysmal subarachnoid hemorrhage, 11 BBAs of internal carotid artery and seven vertebral artery dissections (VADs) with a short segmental eccentric dilatation (Mizutani type 4), which is morphologically similar to a BBA, were selected. The following clinical factors were studied in each group : age, gender, risk factors, Hunt and Hess grade (HHG), Fisher grade (FG), vasospasms, hydrocephalus, perioperative rebleeding rate, and treatment outcome. Results : The mean age was 47.9 years in the BBAs group and 46.4 years in the type 4 VADs group. All the BBA patients were female, whereas there was a slight male predominance in the type 4 VAD group (male : female ratio of 4 : 3). In the BBA and type 4 VAD groups that underwent less aggressive treatment to save the parent artery, 29% (n=2/7) and 66.6% (n=2/3), respectively, eventually required retreatment. Perioperative rebleeding occurred in 72.7% (n=8) and 28.6% (n=2) of patients in the BBA and type 4 VAD groups, respectively. There was no statistical difference in the other clinical factors in both groups, except for the male dominancy in the type 4 VAD group (p=0.011). Conclusion : BBAs and ruptured type 4 VADs have a similar morphological appearance but there is a distinct clinical feature in gender and perioperative rebleeding rates. Complete isolation of an aneurysm from the parent artery might be the most important discipline for the treatment of these diseases.

Balloon Kyphoplasty through Extrapedicular Approach in the Treatment of Middle Thoracic Osteoporotic Compression Fracture : T5-T8 Level

  • Kim, Hyeun-Sung;Kim, Seok-Won;Ju, Chang-Il
    • Journal of Korean Neurosurgical Society
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    • 제42권5호
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    • pp.363-366
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    • 2007
  • Objective : Kyphoplasty performed in the middle thoracic spine presents technical challenges that differ from those in the lower thoracic or lumbar region due to small pedicle size and angular severity for thoracic kyphosis. The purpose of this study was to evaluate the efficacy of balloon kyphoplasty through extrapedicular approach for the treatment of intractable osteoporotic compression fractures in the middle thoracic spine. Methods : The patients who were performed with one level balloon kyphoplasty through extrapedicular approach due to painful osteoporotic compression fractures at T5-T8 from June 2003 to July 2005 were retrospectively analyzed. Imaging and clinical features were analyzed including involved vertebrae level, vertebral height, Injected cement volume, clinical outcome and complications. Results : Eighteen female patients (age ranged from 60 to 77 years old) were included in this study. The average amount of the implanted cement was $4.2{\pm}1.5\;cc$. The mean cobb angle and compression rate were improved from $12.1{\pm}6.5^{\circ}$ to $8.5{\pm}7.2^{\circ}$ and from 30% to 15%, respectively. The mean pain score (visual analogue scale) prior to kyphoplasty was 7.9 and it decreased to 3.0 after the procedure. Cement leakage to the adjacent disc (2 cases) and paravertebral soft tissues (1 case) were seen but there were no major complications such as pneumothorax, segmental arte 이 Injury, pulmonary embolism, or epidural leakage. Conclusion : Balloon kyphoplasty through extrapedicular approach is considered as a safe and effective in treating the middle thoracic regions with low complication rate.

프로그레시브 금형의 품질관리를 위한 정도관리 시스템 개발 (Development of a Precision Management System for Quality Control of Progressive die)

  • 박종남
    • 한국산학기술학회논문지
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    • 제15권9호
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    • pp.5434-5439
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    • 2014
  • 금속의 표면관리는 공구 현미경이나 표면 조도 측정기를 이용하고 있다. 이러한 방법은 구조적인 문제로 인하여 생산현장에서 금형의 표면 상태 확인을 하기에는 효율성이 떨어진다. 이런 이유로 완성된 금형의 노후화에 따른 마모, 흠집 및 표면 상태를 관리할 수 있는 분석시스템 또는 측정시스템이 필요하다. 본 연구는 금형이나 가공품의 자동분석 및 기준화를 위한 표면상태 분석 소프트웨어를 개발하였다. 소프트웨어는 기본적으로 원, 점, 선 등의 요소들을 측정할 수 있게 개발하였으며, 캡처한 사진을 3차원 이미지로 구현하여 금형에 생긴 홈의 깊이와 단면 프로파일을 추정할 수 있도록 중점을 두었다. 실험분석결과 표면 조도는 93.2%이상의 정확도를 나타냈으며, 조명밝기에 대한 표면 조도의 최대편차는 $3{\mu}m$ 이내로 매우 정밀하였다. 이런 결과로 금형의 측정 및 표면분석을 통한 품질관리의 효율성을 확인 할 수 있었다.

치은암의 하악골 침범에 관한 방사선학적 및 조직학적 연구 (RADIOGRAPHIC AND HISTOLOGIC STUDY OF THE MANDIBULAR INVASION BY GINGIVAL SQUAMOUS CELL CARCINOMA)

  • 문원규;차인호;홍순재;백석기;최성원;이의웅;이은하;김진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권1호
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    • pp.41-47
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    • 1999
  • The route of bony invasion and spread pattern of tumor in the mandible are important in management of gingival cancer. Ten patients with gingival cancer involving mandibular body region were operated by composite resection. The radiographic and histopathologic features of the mandibular invasion and spread were analysed and compared. Our results showed that histopathologic extent of tumor invasion were greater than the radiographic prediction, especially in width of the tumor. And the pattern of bony invasion in the body area was mostly found in transmedullary spread rather than perineural spread. The vertical involvement in the mandibular body with tumor was evaluated. It indicated that if a oncologic surgeon was to ensure an adequate safety margin for extirpation of tumor, in most cases, the maintenance of the mandibular continuity is difficult. If the mandibular involvement by gingival cancer was identified radiographically and clinically, segmental mandibulectomy was required for the adequate safety margin, in consideration of the spread pattern in the body area.

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A New Classification for Cervical Ossification of the Posterior Longitudinal Ligament Based on the Coexistence of Segmental Disc Degeneration

  • Lee, Jun Ki;Ham, Chang Hwa;Kwon, Woo-Keun;Moon, Hong Joo;Kim, Joo Han;Park, Youn-Kwan
    • Journal of Korean Neurosurgical Society
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    • 제64권1호
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    • pp.69-77
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    • 2021
  • Objective : Classification systems for cervical ossification of the posterior longitudinal ligament (OPLL) have traditionally focused on the morphological characteristics of ossification. Although the classification describes many clinical features associated with the shape of the ossification, including the concept of spondylosis seems necessary because of the similarity in age distribution. Methods : Patients diagnosed with OPLL who presented with increase signal intensity (ISI) on magnetic resonance imaging were surgically treated in our department. The patients were divided into two groups (pure versus degenerative) according to the presence of disc degeneration. Results : Of 141 patients enrolled in this study, more than half (61%) were classified into the degenerative group. The pure group showed a profound male predominance, early presentation of myelopathy, and a different predilection for ISI compared to the degenerative group. The mean canal compromise ratio (CC) of the ISI was 47% in the degenerative group versus 61% in the pure group (p<0.0000). On the contrary, the global and segment motions were significantly larger in the degenerative group (p<0.0000 and p=0.003, respectively). The canal diameters and global angles did not differ between groups. Conclusion : Classifying cervical OPLL based on the presence of combined disc degeneration is beneficial for understanding the disorder's behavior. CC appears to be the main factor in the development of myelopathy in the pure group, whereas additional dynamic factors appear to affect its development in the degenerative group.