• 제목/요약/키워드: incidental

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Profiles of Epstein-Barr Virus Associated Gastric Carcinomas in Brunei Darussalam

  • Yen, Rachel Lai Siaw;Telisinghe, Pemasari Upali;Cunningham, Anne;Abdullah, Muhd Syafiq;Chong, Chee Fui;Chong, Vui Heng
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권23호
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    • pp.10489-10493
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    • 2015
  • Background: Gastric cancer is the second most common gastrointestinal cancer and is largely attributed to Helicobacter pylori (H. pylori) infection. In addition, studies have also shown association with Epstein-Barr virus (EBV) in 10% of gastric cancers. This study assessed the characteristics of EBV associated gastric cancers (EBVaGC) in Brunei Darussalam. Materials and Methods: This study included gastric cancers diagnosed between 2008 and 2012, registered with the Department of Pathology RIPAS Hospital, Brunei Darussalam. Clinical case notes were systematically reviewed. Histology specimens were all stained for EBV and also assessed for intestinal metaplasia and H. pylori. Results: There were a total of 81 patients (54 male and 27 females) with a mean age of $65.8{\pm}14.8years$ included in the study. Intestinal metaplasia and active H. pylori infection were detected in 40.7% and 30.9% respectively. A majority of the tumors were proximally located (55.6%), most poorly differentiated (well differentiated 16%, moderately differentiated 30.9% and poorly differentiated 53.1%) and the stages at diagnosis were; stage I (44.4%), stage II (23.5%), stage III (8.6%) and stage IV (23.5%). EBV positivity (EBVaGC) was seen in 30.9%. Between EBVaGC and EBV negative gastric cancers, there were no significant differences (age, gender, ethnic group, presence of Intestinal metaplasia, tumor locations, stages of disease and degree of tumor differentiation). Conclusions: This study showed that a third of gastric cancers in Brunei Darussalam were positive for EBV, higher than what have been reported in the literature. However, there were no significant differences between EBVaGC and EBV negative gastric cancers. This suggests that the role of EBV in gastric cancer may be mostly incidental rather than any causal relation. However, further studies are required.

Pharmacoat Coating in an Aqueous System : The Dissolution Behavior and Reduction in Coating Time

  • Sekigawa Fujio;Muto Hiroaki;Araume Kiyoshi
    • Journal of Pharmaceutical Investigation
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    • 제20권3호spc1호
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    • pp.51-76
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    • 1990
  • It is sometimes said lately that the pH of the human gastric juice is significantly different among individuals. Thus, the dissolution behavior of coated solid dosage forms should preferably be independent of the pH of the test solution. With these points as a background, the effect of pH on the dissolution velocity of coated tablets was studied to compare that of Pharmacoat with other gastric soluble film coating materials. Three viscosity types of Pharmacoat have been available(3, 6 and 15cP) until now. the 6cP type has been considered to be the most suitable for a tablet coating amongst the three types. The 3 cP type with a low degree of polymerization, is capable of providing high concentration, but the film strength is so inferior that sometimes cracking of the film may occur. On the other hand, in the case of the 15cP type, high polymer concentration cannot be achieved because of the high dgree of polymerization, and thus it is uneconomical for coating. Now, there is a strong demand to reduce the coating time even when HPMC is used in the 6cP type in order to reduce the coating cost. In order to improve this problem, we have concentrated our attention on reducing the viscosity value of HPMC to an allowable lower limit from 6cP. As a result of this study, it was found that the reduction of the viscosity value to around 4.5cP enabled the use of a higher solution concentration and an incidental shorter coating time without giving any substantial adverse effects on the properties of coated preparations. These experiment results are presented in the later part of this presentation. Based on this study, we have added the viscosity type of 4.5cP as one of the Pharmacoat products as Pharmacoat-645.

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17개월 여아에서 발견된 근육내 결핵 1례 (A case of pyomyositis due to Mycobacterium tuberculosis)

  • 배윤진;최진성;이영아;김성수;나서희;정진아
    • Clinical and Experimental Pediatrics
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    • 제49권10호
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    • pp.1116-1119
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    • 2006
  • 화농근육염은 골격근의 원발성 세균 감염으로, 주로 대퇴사두근이나 둔근에 발생한다. 화농근육염의 병리기전은 잘 알려져 있지 않으나 국소부위의 외상과 동반된 균혈증에 의한 것으로 설명되며, Staphylococcus aureus가 가장 흔한 원인균이다. Mycobacterium tuberculosis은 폐결핵을 일으키는 경우가 가장 흔하며, 활동성 폐결핵과 근골격계 결핵이 동반되는 경우는 약 30%이다. 근육내 결핵은 폐결핵을 일으키는 Mycobacterium tuberculosis가 근육 내로 침입하여 발병하는 것으로, 폐외 결핵 중 비교적 드문 형태이다. 저자들은 17개월 여아에서 다른 부위의 결핵을 동반하지 않은 근육내 결핵 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

The first pediatric case of tularemia in Korea: manifested with pneumonia and possible infective endocarditis

  • Yeom, Jung Sook;Rhie, Kyuyol;Park, Ji Sook;Seo, Ji-Hyun;Park, Eun Sil;Lim, Jae-Young;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • 제58권10호
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    • pp.398-401
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    • 2015
  • Tularemia is a potentially severe zoonotic disease caused by Francisella tularensis. A lack of awareness about tularemia can be embarrassing and could result in delayed treatment because of improper diagnosis. The diagnosis of tularemia is difficult, because the infections are rare and the clinical spectrum is broad. As only 1 adult case has been reported in Korea thus far, pediatricians in Korea may be unfamiliar with tularemia. We report our experience with a 14-year-old male adolescent with tularemia who presented with atypical pneumonia and possible infective endocarditis. Although the infectivity and mortality rates for tularemia are very high if left untreated, we did not suspect tularemia in this case until the incidental isolation of F. tularensis. The present case suggests that clinicians in Korea should be more aware of tularemia. This case also suggests that tularemia should be considered in undetermined cases of atypical pneumonia or acute febrile illness without local signs.

Analysis of Clip-induced Ischemic Complication of Anterior Choroidal Artery Aneurysms

  • Cho, Min-Soo;Kim, Min-Su;Chang, Chul-Hoon;Kim, Sang-Woo;Kim, Seong-Ho;Choi, Byung-Yon
    • Journal of Korean Neurosurgical Society
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    • 제43권3호
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    • pp.131-134
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    • 2008
  • Objective: The surgical approach for anterior choroidal artery (AChA) aneurysm is typically similar to those used for other supraclinoid internal carotid artery (ICA) lesions. However, the surgical clipping of this aneurysm is complicated and as a result. can result in postoperative ischemic complications. The purpose of this study was to clarify the risk of clip-induced ischemic complication in AChA aneurysm and to get the benefits for helping decision making. Methods: We retrospectively investigated 53 cases (4.0%) of AchA aneurysm treated surgically. We divided the AChA aneurysm to 3 subtype according to the origin of aneurysmal neck; A type originating from the AChA itself. J type from junction of AChA and ICA and I type from the ICA itself. We evaluated brain CT about 1 week post-operative day to confirm the low density in AChA territory. Results: Ruptured aneurysm was 26 cases and unruptured aneurysm 27 cases. The aneurysmal subtype of A, J, and I was 13, 17, and 23 cases. Of the 53 cases who performed surgical neck clipping, twelve (22.6%) had postoperative AChA distribution infarcts. Increased infarct after neck clipping had statistic significance in non-I subtype (r=0.005) Conclusion: AChA aneurysm surgery carries a significant risk of postoperative stroke. Don't always stick to clipping only, especially in non-I type of incidental small aneurysm, which has high risk of post-clip ischemic complications.

무증상 송과체 낭종의 임상적 양상 및 자기공명영상 소견 (The Magnetic Resonance Images and Clinical Features of the Asymptomatic Pineal Cysts)

  • 임강택;박세혁;신동익;조병문;오세문;황도윤
    • Journal of Korean Neurosurgical Society
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    • 제29권1호
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    • pp.113-117
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    • 2000
  • Objective : Asymptomatic cyst of the pineal gland is a common incidental finding in adults on computerized tomography or magnetic resonance image(MRI) or at postmortem examination. This study was conducted to identify MRI findings of the benign pineal cysts and to determine the proper management of asymptomatic pineal cysts. Methods : From January 1995 to March 1999, 13 cases of asymptomatic pineal cysts were diagnosed incidentally on MRI. The mean age of the patients at diagnosis was 43 years(ranged 8 to 69 years). Five patients were females and eight patients were males. We analyzed the clinical presentations and MRI findings. Results : Clincal features were not related to pineal cysts in all 13 cases included posttraumatic headache in seven cases, headache related to brain tumor in two cases, one of facial palsy, one of diabetic neuropathy, and two of other diseases. MRI demonstrated a well-demarcated mass lesion(mean 1.3cm in diameter) of low signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Gadolinium-enhanced MRI, performed in 10 cases, demonstrated a rim enhancement. Hydrocephalus was not present in all cases. Follow-up MRI(ranged 12 to 36 months) obtained in 3 of the 13 patients showed stability of cyst size. After symptomatic treatment, presenting symptoms were resolved in all patients and symptom related to pineal cysts have not been developed during follow up period(mean 27 months). Conclusion : The long-term behavior of asymptomatic pineal cysts is still unknown. But we advocate conservative management of these benign pineal cysts that may be developmental variants of normal pineal gland.

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Prevalence, Distribution, and Significance of Incidental Thoracic Ossification of the Ligamentum Flavum in Korean Patients with Back or Leg Pain : MR-Based Cross Sectional Study

  • Moon, Bong Ju;Kuh, Sung Uk;Kim, Sungjun;Kim, Keun Su;Cho, Yong Eun;Chin, Dong Kyu
    • Journal of Korean Neurosurgical Society
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    • 제58권2호
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    • pp.112-118
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    • 2015
  • Objective : Thoracic ossification of the ligamentum flavum (OLF) is a relatively rare disease. Because of ambiguous clinical symptom, it is difficult for early diagnosis of OLF and subsequent treatment can be delayed or missed. Therefore, the purpose of this study is to comprehensively assess the prevalence and distribution of thoracic OLF by magnetic resonance imaging (MRI) and coexisting spinal disease in Korean patients with back pain or leg pain. Methods : The sample included 2134 Korean patients who underwent MRI evaluation for back pain. The prevalence and distribution of thoracic OLF were assessed using lumbar MRI with whole spine sagittal images. Additionally, we examined the presence of coexisting lumbar and cervical diseases. The presence of thoracic OLF as well as clinical parameters such as age, sex, and surgery were retrospectively reviewed. Results : The prevalence of thoracic OLF in total patients was 16.9% (360/2134). The prevalence tended to increase with aging and was higher in women than in men. The lower thoracic segment of T10-11 was the most frequently affected segment. Of the 360 patients with OLF, 31.9% had coexisting herniated thoracic discs at the same level. Approximately 74% of the patients with OLF had coexisting lumbar and cervical disease. Nine (2.5%) of 360 OLF patients underwent surgery for thoracic lesion. Conclusion : The prevalenceof thoracic OLF was relatively higher than those of previous reports. And coexisting lumbar and cervical disease were very frequent. Therefore, we should check coexisting spinal diseases and the exact diagnostic localization of ossification besides lumbar disease.

폴드 개념을 이용한 환경설계방법 연구 - 도산공원 재설계를 사례로 - (Environmental Design Methods Based on the Idea of Fold : The Re-Design Proposal of Do-San Park)

  • 오창송;조경진
    • 한국조경학회지
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    • 제30권2호
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    • pp.50-62
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    • 2002
  • From modernism to post-modernism, the practice in the design field often reduced the complexity of environment and to remove variety. However, contemporary ideas of space have been changed. The current thought premise is that the environment is mutable and is evolving according to inner and outer forces and elements. Therefore, leading designers recognize that the environment is complex in itself while anticipating a new theory explaining on-going trends. The idea of fold formulated by Gilles Deleuze can provide a theoretical base for new environmental design in constrat to current design practices. The fold is a hybrid by accommodating complex relations within an object. It carries a dynamic world view through continual process and yields a topological space against absolute space like Euclid geometry. The characteristics of the fold can be paraphrased as rhizome, stratification and smooth space. Rhizome forms a non-hierarchial connection like networking in internet space. Stratification is a kind of superimposition of autonomous potential layers within a single object. Smooth space is a free space and event oriented space keeping non-linear form. This study tried to incorporate the idea of fold to environmental design methods and design process in order to make space which can correspond with complex environment and topological form. In the design process adapted to fold theory, rhizome analysis accepts the complexity of environment and stratification strategy embraces the possibility of accidental use. As a result, the designed park carries a monadic image and produces an ambiguous space. Lastly, smooth space makes topological space unlike Euclid geometry and is free space comosed by the user themselves. Transporting the idea of fold into environmental design could be an alterative way for indeterminate and flexible design to accept new identity of place. Therefore, this study accepts the concept of incidental morphogenesis to make space based on the complexity of environment. The designed space based on the idea of fold searches to create free event space determined by user rather than designated by designer.

실버세대의 스마트폰 사용 지원을 위한 원격제어 UI 어플리케이션 설계 (Design of Remote Control UI Application for Support of Silver Generation's Smartphone Uses)

  • 유재형;윤종원;한창희;권명준;오창헌
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2018년도 춘계학술대회
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    • pp.709-711
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    • 2018
  • 최근 실버세대의 스마트폰 보급이 증가하고 있으나, 낮은 학습 및 경험 수준, 이해도로 인해 스마트폰 사용 시 어려움이 존재한다. 본 논문에서는 실버세대의 스마트폰 사용 지원을 위한 원격제어 UI 어플리케이션을 제안한다. 제안하는 어플리케이션의 경우 홈 화면에 피쳐 폰의 주요 기능들을 $3{\times}2$ 배열형태로 아이콘을 배열하여 빠른 인지가 가능하도록 하고 Node.js 서버와 Socket 통신을 통한 원격제어를 제공하여 부수적인 기능사용에 어려움을 겪을 시, 원격 제어를 통한 사용 지원이 가능하여 스마트폰을 사용하는 실버세대의 사용성과 이해도를 증대 시킬 수 있을 것으로 기대된다.

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국산 Kaolin 광물에 수반된 철화합물의 종류 및 존재상태 구명에 관한 연구 (A Study on Iron Compounds Accompanied in Korean Kaolin Minerals)

  • 박금철;최석진;박영갑
    • 한국세라믹학회지
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    • 제11권2호
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    • pp.22-30
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    • 1974
  • This study was carried out to investigate the species of iron compounds in kaolin mineral and the bonding relation between the major kaolin and its subordinate iron compound existing as incidental mineral in common clay by means of chemical composition, X-ray diffraction, thermal differential and thermogravimetrie analysis for the application of clays in the field of ceramic raw material. The domestic clay are produced abounduntly in many places, but San-Cheong kaolin, Chu-An clay, and Yeong-Am clay were selected as samples in this experiment because of their frequent utilization in porcelain industry. Two kinds of samples with low and high iron content are picked up respectively from the place of production and elutriated under two micron size to determine the properties and concentration of iron compound very fine particles or colloidal substance of low crystalline grade. Therefore, hydrothermal treatment in autoclave was conducted considering the existence of low crystalline grade of iron compounds known as an amorphoue state in X-ray diffraction pattern furthermore, de-iron treatment of hydrothermal compound was done in order to identify the related iron compound before and after hydrothermal reaction and iron compound which is one of the samples was synthesized for the determination of their compounds state in more detail. The obtained results in this study are as follows: In San-Cheong kaolin, Chu-An clay and Yeong-Am clay 1) It is proved that species accompanying iron compound is $\alpha$-FeOOH form. 2) Iron compound is composed of very fine particles or colloidal substance. 3) The iron substance encircles the fine parts of clay minerals under 2 micron and acts as cementizing agent.

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