• Title/Summary/Keyword: endoscopy

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Hypoglossal nerve stimulation for treatment of obstructive sleep apnea (OSA): a primer for oral and maxillofacial surgeons

  • Hong, Sung ok;Chen, Yu-Feng;Jung, Junho;Kwon, Yong-Dae;Liu, Stanley Yung Chuan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.27.1-27.5
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    • 2017
  • The prevalence of obstructive sleep apnea (OSA) is estimated to be 1-5% of the adult population world-wide, and in Korea, it is reported at 4.5% of men and 3.2% of women (Age 40 to 69 years old). Active treatment of OSA is associated with decrease in insulin resistance, cardiovascular disease, psychosocial problems, and mortality. Surgical treatment of OSA has evolved in the era of neuromodulation with the advent of hypoglossal nerve stimulation (HGNS). We share this review of HGNS with our maxillofacial surgical colleagues to expand the scope of surgical care for OSA.

Three Cases of Unusual Foreign body in the Esophagus (드문 식도이물 3예)

  • 최정현;손영규;조광수;이용화;이선철
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.8.4-8
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    • 1981
  • Foreign bodies in the esophagus are frequently seen in the otolaryngologic field and there are numerous reports of them. Also the kinds of these foreign bodies are valiable and almost all things arround us are likely to be foreign bodies. Authors have recently experienced three cases of rare and interesting foreign bodies in the esophagus. Foreign bodies were removed by endoscopy and all of these were sharp square shaped hard plastic package which enclosing tablet of medicine. This is the report of clinical findings on these cases along with literature review.

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유니버설 주거평면에 대한 소비자 반응 연구 - 다원적 도구를 활용한 소집단 워크샵 연구 -

  • 이연숙;박지연;연태경
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2002.04a
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    • pp.62-65
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    • 2002
  • The purpose of this study was first, to confirm of the key hypothetical concepts through the research of previous literature analysis results, and second, to Identify responses of various prospective consumers on key hypothetical concepts and the validity of the plan for improvement before construction was employed through the small group workshop. The participants in workshop were working housewives with 1 or 2 children, residing in an apartment of a net area of 25.7py. The materials used in the process were questionnaire, existing apartment floor plan, developing floor plan for universal apartment, small scale model, endoscopy images, computer simulation images, and recording equipment like audio recorder, video tape recorder, and camera.

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Unfolding of Virtual Endoscopy Using Ray Template (광선 템플릿을 이용한 가상 대장 내시경에서의 펼친 영상 생성)

  • Lee Hye-Jin;Shin Byeong-Seok
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.07a
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    • pp.691-693
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    • 2005
  • 가상 내시경 기법 중 하나 펼친 영상 가시화(unfold rendering) 기법은 장기 내부를 펼쳐서 본 영상을 제공함으로써 장기의 내부 구조와 병변의 유무를 쉽게 판단할 수 있도록 해준다. 가장 일반적으로 사용하는 원형 광선 투사법은 곡률이 급격하게 변하는 경우에 광선들이 교차하여 병변이 두 개로 나타나는 문제가 발생할 수 있다. 본 논문에서는 경로의 제어점을 따라 광선 템플릿을 적용하여 적은 비용으로 펼친 영상을 생성하는 방법을 제안한다. 우선 중심 경로의 제어점들에서 곡률을 계산하여 곡률에 해당하는 광선 템플릿을 적용하여 광선 원뿔(ray Cone)을 구한다. 그리고 생성된 광선 원뿔간의 교차 검사와 보정을 통해 이들이 서로 교차하지 않도록 조정한다. 제어점들 사이의 샘플점들은 앞서 구한 제어점에서의 광선 투사 위치로부터 다음 제어점에서의 투사 위치를 잇는 선분을 보간하여 광선 투사 방향을 결정하게 된다. 마지막으로 계산된 방향에 따라 광선을 투사하여 영상을 생성한다.

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DICOM(Digital Imaging and Communications in Medicine) 표준을 사용한 PACS 연동 구현 사례

  • Jeong, Jun-Su
    • Korean Journal of Digital Imaging in Medicine
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    • v.2 no.1
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    • pp.44-51
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    • 1996
  • DICOM 표준은 의학 영상 장비를 Network으로 연결하여 사용을 원하는 사용자의 욕구를 충족시키기 위하여 만들어 졌다. 이것은 영상 장비가 출력하는 정보의 표준화를 통하여 영상 정보는 물론 환자 및 검사 정보 교환을 가능케 하여 장비의 효율적인 운용을 목표로하고 있다. 이런 목적외에도 장기 저장 매체의 저장 방식 및 지원되는 영상 장비의 개념을 확대하여 기존의 방사선과 장비는 물론, Endoscopy, Pathology, 및 Dematology를 포함하는 포괄적 영상 장비 연동을 위한 표준화 작업이 진행중에 있다. 본문에서는 DICOM 표준을 적용하여 시스템간의 연동을 구현한 사례로 PACS 와 RIS 연동과 같은 Text-based 연동과 DICOM Gateway를 사용하여 서로 다른 시스템간의 Image 연동을 위한 Image-based 연동으로 구분하여 예를 들었다. 결론적으로 DICOM 표준을 사용하면 서로 다른 형태의 영상 정보를 가지는 장비들를 Network으로 연결하여 정보 전달이 가능해 지고 이와 같은 연동은 서로 다른 시스템의 정보의 무결성을 보장하며 정보의 중복 저장을 방지할수 있게 되어 전체 시스템의 운용 효율을 증가 시킬수 있다.

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Role of Endoscopic Vacuum Therapy as a Treatment for Anastomosis Leak after Esophageal Cancer Surgery

  • Lee, Dong Kyu;Min, Yang Won
    • Journal of Chest Surgery
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    • v.53 no.4
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    • pp.205-210
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    • 2020
  • Esophageal anastomotic leak is the most common and serious complication following esophagectomy. However, the standard treatment for anastomotic leaks remains unclear. Recently, endoscopic vacuum therapy has become an important non-surgical alternative treatment method for patients with esophageal anastomotic leak. This treatment involves the endoscopic placement of a sponge connected to a nasogastric tube into the defect cavity or lumen. Subsequently, continuous negative pressure is delivered to the cavity through the tube. Several studies have reported a treatment success rate of 80% to 100%. In this study, we review the mechanism of action, the method of performing the procedure, its safety and efficacy, and prognostic factors for failure of endoscopic vacuum therapy in the management of patients with anastomotic leak, and on this basis attempted to confirm the possibility of establishing a standardized treatment protocol using endoscopic vacuum therapy.

Diagnosis and Treatment of Ibuprofen-induced Gastric Ulcer in a Dog (개에서 Ibuprofen에 의해 속발된 위궤양의 진단 및 치료)

  • 강성수;김중현;김명환;이재영;최석화
    • Journal of Veterinary Clinics
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    • v.19 no.1
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    • pp.100-102
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    • 2002
  • Nonsteroidal anti-inflammatory drugs are widely used for treatment of animals. Their use is limited by frequent side effects commonly involving the gastrointestinal tract, most important of which is development of ulcerating lesions principally In the stomach. Unfortunately, presence of such lesions is often unsuspected because clinical signs may be overlooked until a complication develops. A 5-year-old, female mongrel dog was referred to Veterinary Teaching Hospital in Chungbuk National University. She was showed vomiting, anorexia and lethargy after administration of ibuprofen (400 mg/body, qid, oral) for 5 days. General examination and plain radiography were performed in the patient. Physical examination, hematologic values, chemical profiles, urinalysis and radiographs were normal. Therefore, endoscopic examination was performed in this patient and confirmed to show the gastric ulcer in pyloric region of the stomach. Drug therapy was performed successfully in this case. This article reports the development of a gastric ulcer associated with orthopedic disease treated by ibuprofen.

Balloon dilation with triamcinolone intralesional injection successfully treated rectal stricture in a three-month kitten

  • Lee, Hee-Ryung;Adam, Gareeballah Osman;Lee, Sei-Jin;Kim, Shang-Jin
    • Korean Journal of Veterinary Research
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    • v.60 no.1
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    • pp.39-42
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    • 2020
  • This report describes a three-month-old Korean domestic kitten presented with dehydration and poor body condition. Physical examination revealed abdominal distension. Rectal diagnosis was unachievable due to the small rectum diameter. X-ray radiography and endoscopy confirmed presence of abdominal distension and indicated a stricture located 1.5 cm from the anus. A balloon was gently inserted into the rectum and inflated several times followed by triamcinolone injection. Four months later, same procedures were repeated. This report is the first to describe the use of balloon dilation of a rectal stricture followed by intralesional triamcinolone injection in a small cat with poor condition.

Immersive Virtual Endoscopy Training System (체험형 가상 내시경 모의 훈련 시스템)

  • Kwon, Koojoo;Lee, Byeong-Jun;Shin, Byeong-Seok
    • Proceedings of the Korea Information Processing Society Conference
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    • 2015.10a
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    • pp.1689-1691
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    • 2015
  • 인체 장기의 내부 구조를 학습하기 위해 많은 3 차원 인체영상관련 콘텐츠들이 소개되어 왔다. 하지만, 이러한 학습 콘텐츠들은 사실적인 색상을 표현하기 어려울 뿐만 아니라 사용자가 조작할 때 현실감이 떨어지기 때문에 해부도감과 같은 2 차원 학습 콘텐츠와 차별성이 적다. 본 논문에서는 사실적인 인체 색 정보를 가지고 있는 컬러 인체 데이터와 사용자의 동작을 인식하는 센서를 활용하여 몰입감 높은 체험형 가상 내시경 모의 훈련 시스템을 제안한다. 컬러 인체 데이터를 양안시 볼륨렌더링 하여 입체감을 높이고 동작인식 센서를 이용하여 사용자의 손동작으로 직접 가상 내시경 카메라를 조작하여 항행하도록 하였다. 제안한 시스템을 이용하여 다양한 인체 장기의 내부 구조를 사실적으로 표현할 수 있으며 이를 통해 의학정보 학습에 도움을 줄 수 있다.

Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma

  • Sriphongphankul, Hansa;Tanpowpong, Pornthep;Ruangwattanapaisarn, Nichanan;Thirapattaraphan, Chollasak;Treepongkaruna, Suporn
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.6
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    • pp.571-575
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    • 2019
  • We report a case of a 13-year-old girl who presented with a 2-month history of intermittent abdominal pain. Laboratory examination showed hepatitis and pancreatitis. Because of persistent vomiting, computed tomography (CT) was performed, which revealed a circumferential soft tissue density in the duodenal wall, causing partial obstruction. Supportive therapy failed. Repeat CT showed no significant change from the initial study. The patient underwent upper endoscopy, which revealed a mass in the second portion of the duodenum, which occluded most parts of the lumen. The histopathological finding was consistent with an anaplastic large cell lymphoma, a rare form of small bowel neoplasm. After the third course of chemotherapy, complete resolution of the mass was noted, and her symptoms were relieved.