• Title/Summary/Keyword: internal capsule

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A Case of Cryptococcosis involving Lung and CNS without Underlying Disease (폐와 중추신경계를 침범한 효모균증(Cryptococcosis) 1예)

  • Lee, Min-Su;Park, Sang-Seon;Koh, Young-Il;Jang, An-Soo;Lim, Sung-Chul;Yang, Ju-Yeoul;Park, Hyung-Kwan;Na, Hyun-Joo;Kim, Young-Chul;Choi, In-Seon;Park, Kyung-Ok
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.4
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    • pp.618-623
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    • 1995
  • Cryptococcosis is a systemic mycosis that most often involves the lungs and central nervous system and, less frequently, the skin, skeletal system, and prostate gland. Cryptococcus neoformans, the causative organism, is a yeastlike round or oval fungus, 4 to $6{\mu}m$ in diameter, which is surrounded by a polysaccharide capsule and reproduces by budding and found in soil and other environmental areas, especially those contaminated by pigeon droppings. Humans and animals acquire infection after inhalation of aerosolized spores. Condition or factors that predispose to cryptococcosis include corticosteroid therapy, lymphoreticular malignancies, HIV infection, and sarcoidosis etc. We discribed a case of cryptococcosis involving lung and CNS coincidently without specific underlying disease and the literature on subject were reviewed. A fifty-six year-old previously healthy female presented with headache of 3 months of duration. She had no history suggesting immunologic suppression and we could not find any abnormal laboratory findings including blood sugar, serum immunoglobulin and complement level, HIV antibody, and T cell subsets. Chest roentgenogram and CT scan showed a solitary soft tissue mass in LUL with distal pneumonitis. Brain MRI showed granulomatous lesion in cerebellum and parasagittal cortex of right frontal lobe. The diagnosis was made by bronchoscopic brushing cytology, transthoracic fine needle aspiration, and sputum KOH mount and culture. She was treated 6 weeks course of Amphotericin B and switched to oral fluconazole therapy for 3 months. Her symptoms and X-ray findings were improved gradually and she is now under regular clinical follow up.

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Implementation of cusomized RFID receiver module for In-VIVO wireless transmission (체내심부 무선전송을 위한 맞춤형 RFID 수신 모듈 구현)

  • An, Jinyoung;Sa, Gi-Dong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.55-57
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    • 2022
  • In this study, a customized semi-passive RFID receiver module was implemented for in-VIVO deep tissue photo-therapy. A novel wireless technique is required due to a limitation of RF communication in body environment, as internal body has a complex structure such as, skin, fat, skeleton, water, and so on. Recently, coherently incoherent beamforming (CIB) based on RFID was introduced and it is able to transmit wireless signal with high reliability under the incoherent condition such as in-VIVO deep tissue. The proposed miniature photo capsule based on RFID consists of miniature controller, ultra small LED array and wireless RFID chip. RF Reader can access with standard RFID protocol (ISO 18000-6c) using UHF RFID antenna, a control command is wirelessly writtern on USER Bank memory. With received control command, therapy LED array dims with mulilevel under timer control. The signal process of designed RFID photo therapy capsule is analyzed and evaluated under the various environments in detailed.

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Functioning Parathyroid Carcinoma - A Case Report - (기능성 부갑상선암)

  • Lim Dae-Jin;Choi Jin-Sub;Han Jee-Young;Lim Seung-Kil;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.9 no.1
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    • pp.56-62
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    • 1993
  • The parathyroid carcinoma is a rare cause of primary hyperparathyroidism. There was approximately 170 reports in the would literature. and only two documented cases in Korean literature. It is still difficult to distinguish. histologically, benign from malignant parathyroid tumors. However, if diagnotic criteria are that strict, it can be suscessfully cured by initial operation. The initial operation should be an en bloc resection of the tumor, avoiding rupture of the tumor capsule and spillage of tumor cells. This report details the management of a 51 year old female with functioning parathyroid carcinoma who underwent an en bloc resection of the tumor at the time of initial operation.

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확산텐서영상에서 확산경사자장의 방향수에 따른 FA값 및 FA의 표준편차와의 상관 관계

  • 이영주;황문정;배성진;장용민;우성구;서수지
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.33-33
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    • 2003
  • 목적: 확산텐서영상 획득시 확산경사자장의 방향수와 FA값, 그리고 FA값의 표준편차와의 상관관계를 조사해 보고자 하였다. 대상 및 방법: 3T MR scanner에서 정상성인 10명(남자 5명, 여자 5명)을 대상으로 걸어주는 확산강조 경사자장의 수(N = 6, 11, 23, 35, 47)를 증가시키며 확산텐서영상을 획득하였다. 획득된 영상들로부터 FA map을 만들고 주요 뇌구조물(frontal GM, putamen, posterior limb of internal capsule, thalamus 등)에 관심영역을 설정하여 FA값을 측정하였으며 그 FA값의 표준편차(sd) 를 계산하였다. 이때 사용한 펄스열은 Stejskal-Tanner type의 확산강조 경사자장이 포함된 single-shot SE EPI를 사용하였으며 영상획득시 사용한 피라미터는 다음과 같다. TR/TE=8000ms/71ms, Thickness/spacing=5/2mm, FOV=240mm, Matrix=$128{\times}128$, NEX= 1, b value=1000s/$\textrm{mm}^2$.

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Motor Cortex in Hemiparetic Patientsto Deep Intracerebal Hematoma

  • 백현만;최보영;손병철;정성택;이형구;서태석
    • Proceedings of the KSMRM Conference
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    • 2003.10a
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    • pp.87-87
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    • 2003
  • Purpose: To determine the motor cortex dysfunction in hemiparetic patients due to deep intracerebral hematoma, authors peformed proton magnetic resonance spectroscopy (1H MRS) for the evaluation of biochemical changes in the cortex on affected hemisphere according to axonal injury at the level of internal capsule. Materials and methods: Ten control subjects and 14 patients with documentable hemiparesis of varying severity hemiparesis were included. All the hemiparesis was caused by deep intracerebral hematoma (putaminal and thalamic hemorrhage). In vivo 1H MRS study was performed on a 3T MRI/MRS system using STEAM sequence. As a single-voxel technique, Spectral parameters were: 20 ms TE, 2000 ms TR, 128 averages, 2500 Hz spectral width, and 2048 data points.

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Detection of Virulence-Associated Genes in Clinical Isolates of Bacillus anthracis by Multiplex PCR and DNA Probes

  • Kumar, Sanjay;Tuteja, Urmil
    • Journal of Microbiology and Biotechnology
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    • v.19 no.11
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    • pp.1475-1481
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    • 2009
  • Anthrax is a zoonotic disease caused by Bacillus anthracis, and well recognized as a potential agent for bioterrorism. B. anthracis can be identified by detecting the virulence factors genes located on two plasmids, pXO1 and pXO2. The aim of the present study was to determine the presence of virulence genes in 27 isolates of B. anthracis isolated from clinical and environmental samples. For this purpose, multiplex PCR and DNA probes were designed to detect protective antigen (pag), edema factor (cya), lethal factor (lef), and capsule (cap) genes. Our results indicated that all the isolates contained all the above virulence genes, suggesting that the isolates were virulent. To the best our knowledge, this is the first study about the determination of virulence marker genes in clinical and environmental isolates of B. anthracis using multiplex PCR and DNA probes in India. We suggest that the above methods can be useful in specific identification of virulent B. anthracis in clinical and environmental samples.

In vivo Visualization of Human White Matter Tract by Diffusion Tensor Imaging Fiber Tractography (DTI-FT)

  • Lee, Seung-Koo;Kim, Dong-Ik
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.85-85
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    • 2002
  • Purpose: To evaluate the white matter fiber connectivity of normal human using diffusion tensor MRI. Method: Normal young healthy volunteers (2 women and 1 man) and 3 brain tumor patients participated in this study. All studies were performed using a 1.5T Philips Gyroscan Intern system. Diffusion weighted imaging was performed using single-shot echo planar imaging, with navigator echo phase correction and SENSE. Diffusion weighting was performed along six independent axes, using diffusion weighting of b=800s/$\textrm{mm}^2$. 128matrix, 23cm FOV, 2.5mm slice thickness were used for Imaging parameters. Data were processed on a Window-2000 PC equipped with IDL and PRIDE (Philips Medical System). Corticospinal tract was traced from mid-pons level via posterior limb of internal capsule. Corpus callosum, cerebellar peduncles and frontal fibers were traced by fiber tractography.

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Pure Sylvian Fissure Arteriovenous Malformation

  • Kim, Sung-Joon;Han, Young-Min;Chung, Dong-Sup
    • Journal of Korean Neurosurgical Society
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    • v.38 no.6
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    • pp.471-474
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    • 2005
  • Pure sylvian fissure arteriovenous malformations[AVMs] are vascular malformations confined to the sylvian fissure without parenchymal involvement. Surgical removal is regarded as difficult because the nidus is located just lateral to important structures such as the basal ganglia and the internal capsule. Because most feeding arteries to the nidus are branches of the middle cerebral artery[MCA], differentiation between these feeders from en passant and normal vessels is of great importance in order to reduce morbidity and mortality from surgical intervention. We report a case of pure sylvian fissure AVM who presented with an intra-temporal lobe hematoma that was located around venous aneurysms distant from the nidus. The clinical characteristics of this AVM and the surgical methods employed to avoid complications are discussed.

Small Bowel Tumors and Polyposis: How to Approach and Manage? (소장 종양과 용종증: 접근 방법과 관리)

  • Ko, Bong Min
    • The Korean Journal of Gastroenterology
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    • v.72 no.6
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    • pp.277-280
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    • 2018
  • Although small bowel the mainly occupies the most part of the gastrointestinal tract, small intestine tumors are rare, insidious in clinical presentation, and frequently represent a diagnostic and management challenge. Small bowel tumors are generally classified as epithelial, mesenchymal, lymphoproliferative, or metastatic. Familial adenomatous polyposis and Peutz-Jeghers syndrome are the most common inherited intestinal polyposis syndromes. Until the advent of capsule endoscopy (CE) and device-assisted enteroscopy (DAE) coupled with the advances in radiology, physicians had limited diagnostic examination for small bowel examination. CE and new radiologic imaging techniques have made it easier to detect small bowel tumors. DAE allows more diagnosis and deeper reach in small intestine. CT enteroclysis/CT enterography (CTE) provides information about adjacent organs as well as pictures of the intestinal lumen side. Compared to CTE, Magnetic resonance enteroclysis/enterography provides the advantage of soft tissue contrast and multiplane imaging without radiation exposure. Treatment and prognosis are tailored to each histological subtype of tumors.

Effects of AIF on Knee Osteoarthritis Patients: Double-blind, Randomized Placebo-controlled Study

  • Park, Sung-Hoon;Kim, Seong-Kyu;Shin, Im-Hee;Kim, Hyung-Gun;Choe, Jung-Yoon
    • The Korean Journal of Physiology and Pharmacology
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    • v.13 no.1
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    • pp.33-37
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    • 2009
  • Anti-inflammatory factor(AIF) is a water soluble extract of three herbs, Panax notoginseng(Burk.) F. H. Chen, Rehmannia glutinosa Libosch and Eleutherococcus senticosus. The present study aimed to investigate the safety and efficacy of herb extracts, AIF, on Korean knee osteoarthritis patients for six weeks. Fifty seven patients with knee osteoarthritis, ranging from 43 to 73 years of age, who fulfilled the "American College of Rheumatology"(ACR) classification of idiopathic osteoarthritis of knee and radiographic criteria were randomly selected and enrolled for the study. After initial screening and resting period, two capsules each of AIF(Each capsule contains; 400 mg) and similar identical placebo were administered twice a day to both groups. Pain intensity at second, fourth, and sixth weeks of study as well as one week after discontinuation of drugs was assessed by using 100 mm visual analogue scale(VAS). Changes in the Korean version of the Western Ontario and McMaster Universities(K-WOMAC) index score were compared at the initiation and completion of the study. VAS assessed by patients were significantly reduced(at visit 2; $54.64{\pm}14.72$, at visit 4, $37.32{\pm}16.58$, p<0.001) after AIF administration. Results showed an improvement in the physical function of K-WOMAC scale which was significantly higher(p=0.013) in AIF than placebo group, and decreases of total K-WOMAC score were also significantly higher(p=0.030) in AIF groups than placebo group. No serious adverse effect was observed, and there was no difference in incidence of adverse effect between AIF and placebo groups. In this population of Korean patients with knee osteoarthritis, AIF was found to be safe, tolerable and effective for symptomatic improvement of pain and physical function.