• Journal of Korean Neurosurgical Society
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• 제60권3호
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• pp.301-305
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• 2017

Multiloculated hydrocephalus (MLH) is a condition in which patients have multiple, separate abnormal cerebrospinal fluid collections with no communication between them. Despite technical advancements in pediatric neurosurgery, neurological outcomes are poor in these patients and the approach to this pathology remains problematic especially given individual anatomic complexity and cerebrospinal fluid (CSF) hydrodynamics. A uniform surgical strategy has not yet been developed. Current treatment options for MLH are microsurgical fenestration of separate compartments by open craniotomy or endoscopy, shunt surgery in which multiple catheters are placed in the compartments, and combinations of these modalities. Craniotomy for fenestration allows better visualization of the compartments and membranes, and it can offer easy fenestration or excision of membranes and wide communication of cystic compartments. Hemostasis is more easily achieved. However, because of profound loss of CSF during surgery, open craniotomy is associated with an increased chance of subdural hygroma and/or hematoma collection and shunt malfunction. Endoscopy has advantages such as minimal invasiveness, avoidance of brain retraction, less blood loss, faster operation time, and shorter hospital stay. Disadvantages are also similar to those of open craniotomy. Intraoperative bleeding can usually be easily managed by irrigation or coagulation. However, handling of significant intraoperative bleeding is not as easy. Currently, endoscopic fenestration tends to be performed more often as initial treatment and open craniotomy may be useful in patients requiring repeated endoscopic procedures.

• Korean Journal of Radiology
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• 제21권4호
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• pp.483-493
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• 2020

Objective: To evaluate the distribution and characteristics of peripheral nerve abnormalities in chronic inflammatory demyelinating polyneuropathy (CIDP) using magnetic resonance neurography (MRN) and to examine the diagnostic efficiency. Materials and Methods: Thirty-one CIDP patients and 21 controls underwent MR scans. Three-dimensional sampling perfections with application-optimized contrasts using different flip-angle evolutions and T1-/T2- weighted turbo spin-echo sequences were performed for neurography of the brachial and lumbosacral (LS) plexus and cauda equina, respectively. Clinical data and scores of the inflammatory Rasch-built overall disability scale (I-RODS) in CIDP were obtained. Results: The bilateral extracranial vagus (n = 11), trigeminal (n = 12), and intercostal nerves (n = 10) were hypertrophic. Plexus hypertrophies were observed in the brachial plexus of 19 patients (61.3%) and in the LS plexus of 25 patients (80.6%). Patterns of hypertrophy included uniform hypertrophy (17 [54.8%] brachial plexuses and 21 [67.7%] LS plexuses), and multifocal fusiform hypertrophy (2 [6.5%] brachial plexuses and 4 [12.9%] LS plexuses) was present. Enlarged and/or contrast-enhanced cauda equina was found in 3 (9.7%) and 13 (41.9%) patients, respectively. Diameters of the brachial and LS nerve roots were significantly larger in CIDP than in controls (p < 0.001). The largest AUC was obtained for the L5 nerve. There were no significant differences in the course duration, I-RODS score, or diameter between patients with and without hypertrophy. Conclusion: MRN is useful for the assessment of distribution and characteristics of the peripheral nerves in CIDP. Compared to other regions, LS plexus neurography is more sensitive for CIDP.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권6호
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• pp.352-356
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• 2015

Basal cell adenoma (BCA) is a rare, benign neoplasm that most frequently arises in the parotid gland. We treated a 54-year-old female patient with BCA that had developed in the deep portion of the left parotid gland. The patient presented with gradual facial swelling with no other symptoms. We performed a total parotidectomy to excise the mass, but we preserved the facial nerve. Histopathology revealed a well-encapsulated mass. The tumor was composed of islands of comparatively uniform, small, dark, basaloid epithelial cells in the stroma. Histologic and immunohistochemical studies concluded that the BCA tumors were mostly trabecular. Postoperatively, there was no facial nerve weakness, and the tumor did not recur during the 24-month follow-up period.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제4권6호
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• pp.77-85
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• 1998

Recently, every hospital requires the creative and novel design which is different from the conventional concept to deal with various circumstances. Accordingly, various space arrangements are proposed against the past uniform hospital type. But the sufficient studies about medical facilities in small and medium city and countryside still lack, otherwise there is short but continuous accumulation of data about the study for general hospitals. In this sense, this study generalizes the present medical condition in Ansan city and analyzes the spatial composition and area distribution in departments for the purpose of presentation of fundamental data about medical policy and architecture in Ansan city.

• 대한세포병리학회지
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• 제4권1호
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• pp.66-69
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• 1993

Granular cell tumor is mostly benign and thought to be of Schwann ceil origin. The head and neck, particularly tongue, breast, and upper respiratory tract are frequently involved. Recently, we have experienced a case of granular cell tumor of the right thigh in a 30-year old male, diagnosed by fine needle aspiration cytology which revealed distinct cytologic features The smear revealed cellular aspirates with clear back-ground. The tumor cells showed uniform small nuclei and abundant eosinophilic, granular cytoplasm with hazy cell border. Mitoses were not found.

• Restorative Dentistry and Endodontics
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• 제43권4호
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• pp.39.1-39.20
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• 2018

Magnetic resonance imaging (MRI) is an advanced diagnostic tool used in both medicine and dentistry. Since it functions based on a strong uniform static magnetic field and radiofrequency pulses, it is advantageous over imaging techniques that rely on ionizing radiation. Unfortunately, the magnetic field and radiofrequency pulses generated within the magnetic resonance imager interact unfavorably with dental materials that have magnetic properties. This leads to unwanted effects such as artifact formation, heat generation, and mechanical displacement. These are a potential source of damage to the oral tissue surrounding the affected dental materials. This review aims to compile, based on the current available evidence, recommendations for dentists and radiologists regarding the safety and appropriate management of dental materials during MRI in patients with orthodontic appliances, maxillofacial prostheses, dental implants, direct and indirect restorative materials, and endodontic materials.

• Journal of Acupuncture Research
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• 제34권4호
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• pp.180-184
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• 2017

Background: Recently, Cervi Parvum Cornu pharmacopuncture has been widely used. But no studies on the indicator materials for Cervi Parvum Cornu pharmacopuncture have been conducted. The aim of this study was to select indicator materials that would aid in the uniform preparation of standardized Cervi Parvum Cornu pharmacopuncture. Methods: Three lots of Cervi Parvum Cornu pharmacopuncture were analysed. Each lot was prepared using the same methods and materials. Chondroitin sulfate, alanine, and leucine were selected as the indicator materials for Cervi Parvum Cornu. For standardization, chondroitin sulfate analysis was performed using the colorimetric method, while alanine and leucine were analyzed using liquid chromatography-mass spectrometry (LC-MS). Results: Analysis of the three lots of Cervi Parvum Cornu pharmacopuncture found chondroitin sulfate levels of $108.9{\pm}17.3ug/ml$, $118.8{\pm}5.0ug/ml$ and $112.3{\pm}11.9ug/ml$. Alanine levels were $44.9{\pm}2.8ug/ml$, $44.6{\pm}0.3ug/ml$, and $43.9{\pm}0.2ug/ml$. Leucine levels were $29.6{\pm}0.7ug/ml$, $29.0{\pm}0.1ug/ml$, and $29.4{\pm}0.1ug/ml$. Conclusion: These results suggest that chondroitin sulfate, alanine, and leucine may be useful for the standardization of Cervi Parvum Cornu pharmacopuncture.

• 대한세포병리학회지
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• 제17권1호
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• pp.46-50
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• 2006

A micropapillary variant of urothelial carcinoma (MPC) is a distinct entity with an aggressive clinical course. It has a micropapillary configuration resembling that of ovarian papillary serous carcinoma. Its cytologic features have rarely been reported. We report a case of MPC detected by urine cytology. A woman aged 93 years presented with a chief complaint of macroscopic hematuria. Cytology of her voided urine showed clusters of malignant cells in a micropapillary configuration. Each tumor cell had a vacuolated cytoplasm, a high nuclear:cytoplasmic ratio, and irregular hyperchromatic nuclei. An ureteroscopic examination revealed exophytic sessile papillary masses extending from the left lateral wall to the anterolateral wall of the urinary bladder. A transurethral resection of the tumor was carried out. The tumor was characterized by delicate papillae with a thin, well-developed fibrovascular stromal core and numerous secondary micropapillae lined with small cuboidal cells containing uniform low- to intermediate-grade nuclei and occasional intracytoplasmic mucinous inclusions. These tumor cells infiltrated the muscle layers of the bladder, and lymphatic tumor emboli were frequently seen. Recognizing that the presence of MPC components in urinary cytology is important for distinguishing this lesion from low-grade papillary lesions and high-grade urothelial carcinomas can result in early detection and earlier treatment for an improved treatment outcome.

• 대한토목학회논문집
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• 제4권1호
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• pp.1-10
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• 1984

본(本)논문(論文)은 재료(材料)의 성질(性質)이 직교(直交)하는 방향(方向)으로 상이(相異)한 이방성(異方性) 구조체(構造體)에 부분등분포(部分等分布) 전단하중(剪斷荷重)이 경계(境界)에 작용(作用)할 경우의 수직응력(垂直應力)과 전단응력(剪斷應力)을 나태내는 엄밀해법(解法)을 제시(提示)하였다. 이 해법(解法)은 평형조건(平衡條件)과 적합조건(適合條件)을 동시에 만족하는 탄성론적(彈性論的)인 엄밀 해법(解法)이다. 따라서 이러한 문제(問題)를 해석(解析)하기 위하여 Airy 응력함수(應力凾數)를 이용(利用)하였다. 본해법(本解法)의 타당성(妥當性)을 증명(證明)하기 위하여 이방성(異方性)인 경우의 방정식(方程式)들의 이방성상수(異方性常數)들을 등방성(等方性)인 경우의 상수(常數)들로 대치(代置)할 경우에 등방성(等方性)인 경우의 방정식(方程式)들로 변환(變換)되지 않으면 안된다. 이를 검토(檢討)하기 위하여 L'hospital의 법칙(法則)을 이용하였다. 그 결과(結果) 이방성(異方性)인 경우의 모든 방정식(方程式)들은 등방성(等方性)인 경우의 방정식(方程式)들로 정확히 변환(變換)되었고 이 식들은 이미 연구된 자료(資料)의 값들과 비교(比較)된 결과(結果) 정확히 일치(一致)되었다. 또한 집중하중(集中荷重)의 경우와의 관계(關係)에서는 부분등분포하중(部分等分布荷重)의 특별(特別)한 경우가 집중하중(集中荷重)임을 고려하고 L'hospital의 법칙(法則)을 이용(利用)하면 부분등분포하중(部分等分布荷重)의 경우의 방정식(方程式)들은 바로 집중하중(集中荷重)의 경우의 방정식(方程式)들로 변환(變換)됨을 알 수 있다. 본 결과(結果)로 미루어 보아 해법(解法)의 타당성(妥當性)이 입증(立證)되었다고 할 수 있다. 본해법(本解法)의 방정식(方程式)들은 간단(簡單)한 형태(形態)로 구성(構成)되어 있어 수치결과(數値結果)를 정확히 누구나 얻을 수 있는 장점이 있다. 응력(應力)의 값을 나타내는 수치결과(數値結果)를 이방성재료(異方性材料)인 3단합판(合板)과 중첩합판을 예로 들어 나무결을 2가지 방향(方向)으로 강축(强軸)을 바꾸어 각각의 수직(垂直) 및 전단응력(剪斷應力)을 구(求)하여 도표(圖表)로 표시(表示)하였으며, 그 결과 응력(應力)의 분포(分布)는 재료(材料)의 성질과 강축(强軸)의 방향(方向)에 따라 현저하게 달라지는 현상을 볼 수 있다.

• 핵의학기술
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• 제16권2호
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• pp.12-17
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• 2012

방사성 요오드 치료병실에서 나온 환의 및 시트는 본디 방사성폐기물로서 관련 규정에 따라 일반 쓰레기와 동일하게 처리해야 하지만 사정상 일정기간 보관하여 방사능을 감쇄시킨 후 재사용하게 된다. 통상 최소보관기간 산출에 표면오염도(Bq/$m^2$)를 기반으로 하는 반출기준을 적용하고 있다. 하지만 방사선측정기를 이용하여 단위 면적당 총방사능량을 구하는 방법은 측정방법에 따라 편차와 불확실성이 상당히 커진다. 본 연구에서는 '방사성폐기물 자체처분 등에 관한 규정'에서 제시하고 있는 핵종 농도(Bq/g)를 Dose Calibrator를 이용하여 직접 측정하여 최소보관기간을 구함으로써, 환의 및 시트의 정확한 재사용 주기를 산출하고자 한다. 한편 반출기준으로 산출한 최소보관기간과 비교하여 그 차이를 살펴보았다. 본원의 방사성 요오드 치료병실에서 2011년 7월부터 2012년 3월까지 I-131을 3.7 GBq (100 mCi) 이상을 사용하여 방사성 요오드 치료를 시행한 환자 31명이 사용한 환의와 시트의 방사선 오염도를 측정하여 최소보관기간을 산출하였다. 최소보관기간은 핵종 농도를 측정하여 '방사성폐기물 자체처분 등에 관한 규정'에 따라 100 Bq/g이 되는 시점과 표면오염도를 측정하여 반출기준에 따라 허용표면오염도의 1/10, 즉 4 kBq/$m^2$되는 시점을 붕괴식에 대입하여 산출하였다. 반출기준으로 산출한 최소보관기간은 침대/담요시트는 14.2일, 베개시트는 4.6일, 환의(상(上))은 63일, 환의(하(下))는 78일 이었으며, 자체처분 기준에 따른 최소보관기간은 베개시트는 18.1일, 환의(상(上))은 43일, 환의(하(下))는 62일로 산출되었다. 표면오염도와 핵종 농도의 상관관계를 분석해 본 결과 베개시트와 환의(상(上))는 상관관계가 높게 나타났으나, 환의(하)는 낮게 나타났다. 이는 베개시트와 환의는 방사성오염이 부분에 국한 되어 측정값이 일정한 반면, 환의(하(下))는 소변에 의한 방사성오염이 여러 부분에 산재되어 있어 방사선측정기의 측정값이 상대적으로 낮게 측정된 결과로 생각 된다. 실질적으로 방사성 오염도를 측정한 결과 반출기준과 자체처분 기준을 상당량 초과하는 방사능이 존재하는 것을 확인할 수 있었다. 환의와 시트의 최소보관기간 산출에는 핵종 농도를 기준으로 하는 자체처분 기준을 적용하는 것이 더 적합하다고 할 수 있다. 방사능에 오염된 환의 및 시트는 최소 60일 정도는 보관해야 성급한 재사용에 따른 불필요한 방사선피폭 및 오염 확산을 방지할 수 있을 것으로 생각된다.