• Tuberculosis and Respiratory Diseases
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• 제76권2호
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• pp.84-87
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• 2014

We hereby observe four co-infection cases of pandemic influenza H1N1 and Mycobacterium tuberculosis with various clinical presentations. It may be prudent to consider M. tuberculosis co-infections when patients with pandemic influenza reveal unusual clinical features that do not improve despite appropriate treatments against the influenza, especially in Korea, in the endemic areas of M. tuberculosis.

• Tuberculosis and Respiratory Diseases
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• 제48권5호
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• pp.720-729
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• 2000

연구배경 : 결핵의 병리소견은 하나의 스펙트럼을 이루는데, 결핵균에 대한 면역기능이 정상이면 육아종의 형성이 좋고 결핵균이 거의 발견되지 않지만, 결핵균에 대한 면역 기능이 저하되어 있으면 육아종의 형성이 나쁘며 많은 결해균이 발견된다. 이에 저자들은 결핵성 경부 림프절염 환자의 림프절 조직에서 결핵균에 대한 면역기능의 정도를 알아보기 위해 병리소견과 항산균의 유무를 분석하고 임상적인 특징과 관련이 있는지 알아보고자 하였다. 방법 : 조직검사로 결핵성 경부 림프절염으로 진단받은 33명의 환자들의 병리소견을 분석하고 조직표본들을 탈파라핀화한 후 auramine-rhodamine 염색을 시행하여 조직에서의 항산균 유무를 검사한 후, 조직에서의 결핵균 검출 유무가 병리적인 특성(육아종의 형성정도, 건락성 과시의 유무, 중성구의 침윤) 또는 임상적인 특성(림프절의 크기, 림프절의 발견시점에서 조직검사까지의 기간, 림프절 부위의 통증이나 압통의 유무, 흉부방사선 소견상 결핵 소견의 유무)과 연관성이 있는지 알아보았다. 결과 : 1) 대상환자의 평균연령은 42.4세였고, 남녀비는 1:4.5였다. 2) 조직검사 소견 상 모든 예에서 육아종의 형성이 좋았고, 다양한 정도의 건락성 괴사가 관찰되었으며, 39%에서 육아종성 염증 주위로 다형백혈구의 침윤이 관찰되었다. 3) 52%의 예에서 조직표본에서 항산균이 검출되었고, 항산균은 세포 외에 존재하였고, 건락성괴사 부위의 가장자리에서 주로 발견되었다. 4) 조직에서의 항산균 검출 유무와 병리학적 특성 또는 임상적 특성과는 연관성이 없었다. 결론 : 결핵성 경부 림프절염의 경우 육아종의 형성이 좋았고, 조직에서의 항산균 검출 유무와 병리적 또는 임상적 특성과는 연관성이 없었다.

• Archives of Plastic Surgery
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• 제47권4호
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• pp.333-339
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• 2020

Background The purpose of this study was to compare the anatomical features of the internal mammary vessels (IMVs) at the second and third intercostal spaces (ICSs) with regard to their use as recipient vessels in deep inferior epigastric artery perforator (DIEP) flap breast reconstruction. Methods A total of 38 consecutive DIEP breast reconstructions in 36 patients were performed using IMVs as recipient vessels between March 2017 and August 2018. The intraoperative findings and postoperative complications were analyzed. Anatomical analyses were performed using intraoperative measurements and computed tomography (CT) angiographic images. Results CT angiographic analysis revealed the mean diameter of the deep inferior epigastric artery to be 2.42±0.27 mm, while that of the deep inferior epigastric vein was 2.91±0.30 mm. A larger mean vessel diameter was observed at the second than at the third ICS for both the internal mammary artery (2.26±0.32 mm vs. 1.99±0.33 mm, respectively; P=0.001) and the internal mammary vein (IMv) (2.52±0.46 mm vs. 2.05±0.42 mm, respectively; P<0.001). Similarly, the second ICS was wider than the third (18.08±3.72 mm vs. 12.32±2.96 mm, respectively; P<0.001) and the distance from the medial sternal border to the medial IMv was greater (9.49±2.28 mm vs. 7.18±2.13 mm, respectively; P<0.001). Bifurcations of the IMv were found in 18.4% of cases at the second ICS and in 63.2% of cases at the third ICS. Conclusions The IMVs at the second ICS had more favorable anatomic features for use as recipient vessels in DIEP flap breast reconstruction than those at the third ICS.

• Tuberculosis and Respiratory Diseases
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• 제72권1호
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• pp.82-87
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• 2012

In 2005, a group of mycolic acid-containing bacteria was characterized as belonging to a novel genus, Segniliparus with species Segniliparus rugosus and S. rotundus. We report a case of the S. rugosus isolated from a 54-year-old woman with radiologic features mimicking that of non-tuberculous mycobacteriosis (NTM). When the patient first visited our hospital, an acid-fast bacteria (AFB) smear tested positive and Mycobacterium tuberculosis polymerase chain reaction (TB PCR) was negative in the bronchoalveolar lavage sample. After 2 months, the growing colonies were reported as NTM, but could not be identified because they had died. One year after the initial visit, induced sputum samples showed the same results, positive AFB smear and negative TB PCR. At this point, the growing colonies were identified as S. rugosus. Therefore, we should consider Segniliparus genus as a differential diagnosis for AFB in respiratory specimens in addition to the genus Mycobacterium.

• 대한한방내과학회지
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• 제30권1호
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• pp.129-143
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• 2009

Objective : This study was aimed to investigate the general features and differences between obesity and skinniness of patients with Bell's palsy. Methods : We measured the sex, age. BMI. pulse diagnosis and HBGS (House-Brackmann Grading System) of 234 patients who were diagnosed with Bell's palsy. Results and Conclusions : The results with statistical significance were as follows (1) The distribution of age revealed that 40s was the most at 30.8 %: (2) The improvement period in facial palsy patients with sub-paralysis was shorter than whole-paralysis. And in one part the more we treated, the shorter the improvement period was: (3) In distribution of fat rate in facial palsy patients, obesity was the most at 61.37%, low weight 15.88%. So we found that the fatter the patients was. the higher the onset rate was: (4) In distribution of pulse diagnosis in facial palsy patients with obesity. the ratio of Xu mai (虛脈) was 67.06%. Shi mai (實脈) 32.94%. The Xu mai was similar to Qi xu (氣虛). So we found that the facial palsy patients with obesity were more Qi xu than with low weight. In distribution of pulse diagnosis in facial palsy patients with skinniness, the ratio of Chi mai (遲脈) was none. Shuo mai (數脈) was most: (5) In distribution of region in facial palsy patients with obesity-Xu mai. the ratio of left was 45.10%, right 54.90%, but this result was not statistically significant.

• 복식문화연구
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• 제29권3호
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• pp.422-436
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• 2021

The fashion industry analyzes the value of its essence with ecological design and is expressed as an innovative sculpture using digital technology. Accordingly, this study explores ecological images and digital technologies, categorizes types and derives their meanings through analysis of ecological images shown in modern digital fashion. A literature survey was conducted on ecological images and digital technology as a theoretical background. To analyze the expression type and internal meanings of ecological images, designs with ecological formability were selected and analyzed from related journals, books, and internet sites. The finding are as follows: The expression type was first identified as organic curved garment silhouettes of a non-material liquid with digital retouching. Second, ecological fashion design includes structural shape that applies the silhouette of an organism and patterning of the ecosystem. Third, ecosystems consist of interactions between components of an ecosystem that appear in the interactive type. Accordingly, the internal meanings of ecological images in modern digital fashion are: first, digital fashion can encircle the inherent concepts of nature as organic collections of individuals; second, digital ecological images emphasize a sense of community with coexistence and harmony, playing a complementary role; and finally, the images express perceptual features by providing people with transcendent experiences. This study is significant as it analyzes new formative features based on ecological systems in the digital fashion environment, establishes an aesthetic system through internal meanings, and enhances awareness of human-natural relationships.

• 대한두경부종양학회지
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• 제27권2호
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• pp.177-182
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• 2011

Backgrounds : Head and neck cancer is one of the most prevalent cancers in the world. It tends to remain localized at the primary site and regional lymph nodes, but if distant metastasis occurs, it has a poor prognosis. This study was performed to evaluate the prevalence of distant metastasis and to determine the risk factor in locally advanced head and neck cancer after induction chemotherapy followed locoregional control therapy. Methods : A retrospective review was performed in 420 patients with locally advanced head and neck cancer who treated with induction chemotherapy followed locoregional control therapy from January 2001 to December 2010. Among them, 31 patients who had distant metastasis as first relapse within 2 years after termination of therapy were analyzed for clinical features and the risk factors of distant metastasis. Results : The overall incidence of distant metastasis was 7.3%. The bone, lung, and liver were the most frequent metastatic organs. In univariate analysis, nodal stage, nasopharyngeal cancer, laryngeal cancer, G3/G4 neutropenia during induction chemotherapy, and concurrent chemoradiotherapy were the influencing factors for distant metastasis. In multivariate analysis, advanced N stage and nasopharynx were the risk factors of distant metastasis, and grade 3/4 neutropenia during induction chemotherapy was considered to decrease distant metastasis. Conclusion : This study suggests that the advanced N stage is the risk factor of distant metastasis and Grade 3/4 neutropenia during induction chemotherapy can be beneficial against distant metastasis in locally advanced head and neck cancer patients treated with induction chemotherapy followed locoregional control therapy.

• 대한지리학회지
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• 제39권1호
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• pp.116-131
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• 2004

본 연구의 목적은 조선산업 하청구조의 공간 특성을 고찰하는 것이다. 오늘날 기업은 다른 기업과 연관된 생산시스템을 통하여 기업의 목표를 달성해 나간다. 복잡하고 거대한 플랜트를 건조하는 조선산업의 하청구조는 모기업과의 거래관계를 규정하는 공간적 요인에 따라 상이한 특성을 보이고 있다. 우선 모기업의 생산공정에 직접 참여하는 사내하청기업이나 사외지역의 협동화단지업체들은 분사화된 특성을 보이면서 밀접하게 연결되어 있다. 그리고 기계산업으로 특화되어 있는 창원이나 전통적으로 조선기자재산업이 발달한 부산지역 업체들은 전문화의 정도가 상대적으로 높아 하청관계가 비교적 강하게 연결되어 있다. 이에 비해 비국지적으로 분포하거나 표준화된 제품을 공급하는 하청기업들은 대부분 연결도가 낮게 나타난다. 조선산업의 성숙한 발전을 위해서는 모기업 주변의 사내ㆍ외지역에 집적하는 조선전문 하청기업들과의 집중적 협력과 함께 기술적으로 특화된 원거리 업체들과의 선택적 거래관계를 강화해야 할 것이다.

• 한국균학회지
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• 제47권2호
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• pp.121-124
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• 2019

An endophytic fungus, Rhizosphaera pini strain NIE7426, was isolated from the sub-alpine coniferous tree Abies nephrolepis in Mt. Nochu of Gangwon Province. It was characterized by macroscopic and microscopic features, as well as the internal transcribed spacer (ITS) 1, 2 and 5.8S sequences. All morphological and molecular features support the first recognition of this taxon in Korea. In addition, this study adds A. nephrolepis as a host plant R. pini.

• 한국임상수의학회지
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• 제23권3호
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• pp.337-339
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• 2006

4년령의 중성화된 암컷 말티즈 견이 급성으로 발병하고 4일 동안 지속된 진신 진전 우측으로의 사경 수평성 안구진탕, 그리고 약간의 보행실조에 대한 평가를 위해 내원하였다. 환견은 의식이 뚜렷하고 외부자극에 잘 반응하였다. 신경계 검사 상에서 양안의 수평성-, 위치성 안구진탕 그리고 약간의 보행실조가 나타났다. 또한 양안의 위협반사가 소실된 상태였다. 중등도의 전신 긴장성 진전이 사지와 두부에서 특이적으로 관찰되었다. 혈액검사, 방사선, 그리고 자기공명영상에서 이상소견이 관찰되지 않았다. 뇌척수액의 세포학적 검사를 통해 약간의 비화농성 염증 소견을 확인하였다. 이와 같이 염증성 그리고 특발성의 특징을 가지고 있었기 때문에 스테로이드 반응성 진전 증후군이 강하게 의심되었다. 환견은 면역억제 용량으로 투여된 코르티코스테로이드에 매우 잘 반응하였다. 따라서 진전을 유발하는 다른 원인들을 배제하고, 임상증상 및 치료에 대한 반응에 근거하여 스테로이드 반응성 진전 증후군으로 최종 진단하였다. 이것은 국내에서 스테로이드 반응성 진전 증후군의 최초 보고이며, 이 질환의 임상적 그리고 신경학적 특징들을 기술하고 있다.