• 제목/요약/키워드: experience report

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Dosimetry of Brachytherapy Sources: Review of The AAPM TG-43 Formalism

  • Cho, Sang-Hyun
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.141-143
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    • 2002
  • In 1995, the American Association of Physicists in Medicine (AAPM) Task Group 43 published a report dealing with the dosimetry of interstitial brachytherapy sources, generally known as the TG-43 report. Compared to previously adopted formalisms, a formalism proposed in this report provides a more accurate and systematic brachytherapy dose calculation method, especially for Ir-192 and other low energy gamma sources such as 1-125 and Pd-l03. In this lecture, an overview of the TG-43 formalism will be presented, along with the lecturer's experience in determining the TG-43 parameters by the Monte Carlo method and experimental methods such as TLD and radiochromic film.

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각질가시세포종에서 유래한 편평상피암의 치험례 (Clinical Experience of Cutaneous Squamous Cell Carcinoma Arising in Keratoacanthoma)

  • 신승준;박동하
    • Archives of Plastic Surgery
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    • 제33권4호
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    • pp.506-509
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    • 2006
  • Purpose: The cutaneous squamous cell carcinoma is the second most common skin malignancy. It is noted that keratoacanthoma is difficult to differentiate from squamous cell carcinoma, clinically or historically. It is still a hypothetical question whether keratoacanthoma is a pseudomalignancy or a form of squamous cell carcinoma. Methods: We report the case of squamous cell carcinoma around left ala of nose in a 64-year-old female patient. Through an incisional biopsy, the mass was found to be keratoacanthoma in the pathologic report. An excisional biopsy was performed. Results: Pathologic report notified that it was found well-differentiated squamous cell carcinoma arising in keratoacanthoma with focal involvement of deep resection margin. Wide excision was made with 0.5-1.5 cm margin and immediate reconstruction was performed. Conclusion: The relationship between keratoacanthoma and squamous cell carcinoma has been debated in the treatment. It is still controversial whether to excise it or not. We concluded that kerathoacanthoma must be removed completely.

성별에 따른 급성심근경색증의 특성비교 (Comparison of Presentation in Acute Myocardial Infarction by Gender)

  • 최귀윤;홍은석
    • 성인간호학회지
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    • 제20권1호
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    • pp.126-134
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    • 2008
  • Purpose: This study was to explore gender differences on presenting patients with acute myocardial infarction in the emergency department. Methods: The survey was done with 143 emergency medical charts presented to the emergency department and diagnosed with acute myocardial infarction between January 2005 and December 2006. The collected data were analyzed with frequency, chi-square, and t-test. Results: Significant gender differences were apparent in age, route to the emergency department, elapsed time from onset of symptoms to arrival, and initial heart rate. Women were significantly more likely to report hypertension, diabetes, and congestive heart failure than men, but men were significantly more likely to report smoking. Chest pain was the most common initial symptom in both men and women. Women were significantly more likely to report dyspnea and nausea/vomiting than men. Conclusion: Although similarities exist in the associated symptoms of acute myocardial infarction, women might experience different symptoms, compared to men. These findings have implication that patients and health care providers should consider gender difference in presenting symptoms.

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4개의 외측 소족지 중족 족지 관절의 탈구 후 발생한 관절의 강직에서 시행한 절제 관절 성형술(1예 보고) (Resection Arthroplasty for the Treatment of Joint Stiffness after Dislocation of the Four Lateral Lesser Metatarsophalangeal Joints (A Case Report))

  • 박철현;이우천
    • 대한족부족관절학회지
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    • 제16권1호
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    • pp.58-61
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    • 2012
  • Motion of the metatarsophalangeal joints is essential for the normal gait. Therefore it is important to recover the motion of normal joint in the treatment of stiffness of the metatarsophalangeal joints. However, there have been no report about the treatment of stiffness of the four lateral lesser metatarsophalangeal joints yet. We report an experience that good clinical and radiographic results were obtained after resection arthroplasty for the post-traumatic stiffness of the four lateral lesser metatarsophalangeal joints.

Surgical Treatment of an Innominate Artery Aneurysm Using Near-Infrared Spectroscopy for Cerebral Monitoring: A Case Report

  • Jeon, Byeng Hun;Lee, Chul Ho;Bae, Chi Hoon;Jang, Jae Seok;Cho, Jun Woo
    • Journal of Chest Surgery
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    • 제54권6호
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    • pp.517-520
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    • 2021
  • Innominate artery aneurysms are challenging for surgeons to treat because of the requirement for brain protection during surgery. In innominate artery aneurysms, the endovascular approach does not require cardiopulmonary bypass, but patients who can be treated using this approach are limited in number, and the long-term results of endovascular treatment are unclear. Here, we report our experience of successfully treating a patient with an innominate artery aneurysm using near-infrared spectroscopy without cardiopulmonary bypass support or hypothermic circulatory arrest.

Osseous metaplasia of the palate: a case report

  • Kim, Won-Yong;Kim, Chul-Hwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제48권5호
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    • pp.315-317
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    • 2022
  • Osseous metaplasia is defined as the formation of lamellar bone inside soft tissue structures where bone normally does not exist. It results from the transformation of non-osseous connective tissue into mature bone. This condition is rare in the oral and maxillofacial region. We report a case of osseous metaplasia of the maxilla, a rare benign tumor in an uncommon region. A 60-year-old male patient visited our clinic complaining of foreign body sensation and asymptomatic swelling on the right palatal side. However, he did not experience pain and reported no local trauma that he could remember. Intra-oral examination revealed an exophytic lesion on the right palatal portion. On computed tomography, there was a round hard-tissue mass approximately 2 cm in diameter on the right palate area. The mass was biopsied and diagnosed as an osseous metaplasia. We review the clinical, radiographic, and histologic features and common causes of osseous metaplasia and report a rare case of osseous metaplasia of the palate.

Delayed fatal rupture of vertebral artery after treated with flow-diverter in fibromuscular dysplasia patient: A case report and review of the literature

  • Min-Woo Kim;Eun-Sung Park;Eun Suk Park;Dae-Won Kim
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • 제26권2호
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    • pp.204-209
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    • 2024
  • Fibromuscular dysplasia (FMD) is a noninflammatory arterial diseases that affects predominantly women. Multiple studies have demonstrated an increased prevalence of FMD in patients who experience carotid or vertebral artery dissection (VAD). This case report presents a 57-year-old female who presented with a headache and was diagnosed with partially thrombosed giant aneurysm of vertebral artery. This aneurysm was successfully treated with flow-diverter and coil, but new onset rupture of vertebral artery was detected two weeks later, leading to internal trapping. This case report underscores the need for awareness and understanding of treatment of dissection and aneurysm in patient who is suspected FMD.

개심술 치험 10례 보고 (Clinical experience of open heart surgery: report of 10 cases)

  • 임승평
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.75-82
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    • 1983
  • This report is concerned to our experience of 10 cases of open heart surgery under the extracorporeal circulation at the Department of Thoracic and Cardiovascular Surgery, Capital Armed Forces General Hospital during the period between May, 1982 and February, 1983. 1. Six cases were male and two cases were female. Age was varied from 21 years to 50 years and mean age was 34 years. 2. The cases included 2 Ventricular Septal Defects, 1 Atrial Septal Defect, I Tetralogy of Fallot and 6 acquired valvular heart diseases. 3. The surgical managements were 3 primary repairs for Ventricular Septal Defects and Atrial Septal Defect, I total correction for Tetralogy of Fallot and 6 mitral valve replacements with bovine xenograft by Ionescu-Shiley combining 3 Tricuspid annuloplasties [ De Vega method ] and 1 deauricularization of left atrial appendage for acquired valvular heart diseases. 4. The average cardiopulmonary bypass time was 37 minutes for acyanotic congenital heart diseases and 92 minutes for cyanotic heart disease and acquired valvular heart diseases. And the average aortic cross clamping time was 19 minutes for the former and 70 minutes for the latter. 5. Postoperatively, there were 1 hemolytic anemia, 1 congestive heart failure, 1 hemolytic jaundice and 1 thermal burn as complications, but there was no operative mortality. 6. All patients received valve replacement were recommended anticoagulation with Persantin and Aspirin.

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성인에 발생한 흉막폐아세포종 -수술치험 1예- (Pleuropulmonary Blastoma in an Adult -Surgical Experience of One Case-)

  • 김종인;조성호;변정훈;이해영;장희경;조성래
    • Journal of Chest Surgery
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    • 제37권11호
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    • pp.959-962
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    • 2004
  • 흉막폐아세포종은 주로 5세 이하의 소아의 폐나 흉막에서 발생하는 드문 악성종양으로, 매우 빠른 성장으로 예후가 불량하다. 흉강 내의 원발성 태생 신생물인 성인형 폐아세포종은 악성 모세포, 상피세포와 간엽세포 모두를 가지고 있지만 흉막폐아세포종은 악성 상피세포를 보이지 않는 것이 특징이다. 흉막폐아세포종이 성인에서 발견된 경우는 매우 드물어 단지 수 예가 보고되어 있다. 21세의 남자에서 발생한 흉막폐아세포종 1예를 수술 치험하였기에 문헌고찰과 함께 보고한다.

대전자부 압박궤양을 가지고 있는 하지마비 환자에서 대퇴골 골절부위에 발생한 비정상적 골증식의 치험례 (A Case of Atypical Bone Growth after Femur Neck Fracture in the Paraplegic Patient with Trochanteric Sore)

  • 양정열;천지선
    • Archives of Plastic Surgery
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    • 제35권1호
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    • pp.92-95
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    • 2008
  • Purpose: Heterotopic ossification in pressure sore patients is reported to rarely develop, but once it occurs, it frequently causes joint stiffness and mobilization restriction. The aim of this article is to report our experience of atypical bone growing at femur neck fracture site with chronic, extensive pressure sore in patient with paraplegia secondary to spinal injury. Methods: A 28-year-old male patient presented with atypical bone growth at femur neck fracture site with pressure sore. He had undergone atypical growth bone removal and separation of united iliac bone and femur, and then pressure sore was covered by advanced rotation flap. Results: The patient mobilized hip joint and rode in a wheelchair. Complications such as dehiscence, infection, hematoma and flap necrosis did not occur. Conclusion: We experienced successful correction of atypical bone growth removal and recovery of pressure sore. We report our experience of atypical bone growth of fracture site and the related literature was reviewed.