• Journal of Chest Surgery
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• 제25권12호
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• pp.1404-1415
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• 1992

To understand the factors influencing Atrial fibrillation and embolism in mitral valve surgery and prevent their risk, we have reviewed our 324 patients who underwent mitral valve surgery from Fev. 1982 to May 1992. Age, disease duration, lesion type, left ventricular function and left atrial dimension were chosen as preoperative factors influencing the incidence of atrial fibrillation and embolism and their postoperative course, The number and type of replaced valve, site of atriotmy, LA obliteration, ACT and use of Defibrillator were chaser. as operative factors influencing postoperative rhythm change and postop emb-olization. The results of analyses were as follows 1. The incidence of preoperative atrial fibrillation, systemic embolism and LA throbmus was 63. 6%, 10.56% and 19.8% relatively. 2. The preoperative factors of atrial fibrillation onset was old age, prolonged symptom duration, stenotic lesion, lager LAD and lower ejection fraction. In the preoperative systemic embolism preoperative factors were old age, female, stenotic lesion. The left atrial thrombus found more commonly in patients with atrial fibrillation, old age, prolonged symptom duration, stenotic lesion and low ejection fraction. 3. The preoperative atrial fibriation persisted postoperatively in 165[50.9%] and converted to normal sinus rhythm in 50[15.4%]. The preoperative normal sinus rhythm per-eisted in 100[31%] and atrial fibrillation was occured postoperatively in 9[2.7%]. The prolonged symptom duration was the preoperative factor of persist atrial fibrillation. 4. Among 95 long term follow-up patients, atiral fibrillation was continued in 59[60%]. Conversion to normal sinus rhythm was more common significantly in left atriotomy and bileaflet valve replacement. 5. There were 12 patients who had postoperative embolism. Female, persist atrial fibrillation, no LA olbiteration and tilting disc monocusp valve were considered as possible factors influencing postoperative embolism but was impossible to analyse their statistical significance due to small sample size. So we have concluded that the patients with above risk factors need anticoagulant and early surgical intervention. Left atriotomy with minimal atrial injury, left auricular obliteration and bileaflet valve replacement may be needed to reduce postoperative atrial fibrillation persist and embolism.

• 대한디지털의료영상학회논문지
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• 제17권1호
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• pp.33-41
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• 2015

This study attempts to examine the clinical usefulness of High b-value DWI (diffusion weighted imaging) for brain tumors with an edema. Subjects were seven patients selected from 65 patients who received an MRI scan for suspected encephalopathy and confirmed diagnosis at our hospital from February to July 2015 (male: 7, average age : 66 years old). As test equipment, 3.0T MR System (ACHIEVA Release, Philips, Best, The Netherlands) and 8Channel SENSE Head Coill were used. DWI checks on the use of the variable TR 5460ms, TE 132ms, Slice Thickness 4mm, gap 1mm, Slice number 29 is, 3D T1WI is TR 8.4ms, TE 3.9ms, matrix size $240{\times}240$, Slice can set 180 piecesIt was. b value of 0, 1,000, 2,000 s/mm2 with DWI acquisition and 3D T1WI enhancement five minutes after the Slice Thickness 3mm, gap 0mm to reconstruct the upper face axis (MPR TRA CE) was. As for the experiment, in b-value 1,000 and 2,000 images, SNR and the lesion at the lesion site and CNR in the normal site opposite to the lesion are measured. WW(window width) and WL(window level) are made equal in MRICro software, and the volume of the lesion is measured from each of b-value and MPR TRA CE image. Using SPSS ver. 1.8.0.0 Mann Whitney-test was analyzed for SNR and CNR, while Kruskal-Wallis test was analyzed for volume.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권5호
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• pp.360-364
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• 2021

Objectives: The purpose of this study was to evaluate the clinical and radiographic characteristics of idiopathic bone cavity (IBC) to determine the effect of surgical intervention on the process of healing. Materials and Methods: All cases diagnosed with IBC during the period of 2011 to 2020 at our Department of Oral and Maxillofacial Surgery were searched. Ninety cases were retrieved. The features evaluated were sex, age, contour of the lesion, number of teeth involved, site, history of trauma, and postoperative healing pattern. The significance of differences was assessed by Mann-Whitney U test and chi-square test. Results: The female:male ratio showed no predilection toward either sex (0.9:0.8). The mean age of the collected sample was 22.05±14.38 years, and the age ranged from 10 to 58 years. All cases presented in the mandible and showed well-circumscribed radiolucency. Margins were either scalloped or round in shape, and the size varied from one tooth to six teeth involvement. Seventy cases involved three or fewer roots. Three cases showed bilateral lesion. Four cases had a history of trauma at the area of the lesion. Fifty-one cases were followed for six months after surgery, and all showed increased bone density at the lesion. Conclusion: There is no definitive radiological or clinical feature of IBC. Considering the diversity of clinical and radiological features, such a diagnosis relies primarily on surgical findings of an empty bone cavity with no epithelial lining. Our data suggest that surgical intervention be the first choice of treatment as opposed to observation.

• Clinical Endoscopy
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• 제56권2호
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• pp.229-238
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• 2023

Background/Aims: Shear wave elastography (SWE) is used for liver fibrosis staging based on stiffness measurements. It can be performed using endoscopic ultrasound (EUS) or a transabdominal approach. Transabdominal accuracy can be limited in patients with obesity because of the thick abdomen. Theoretically, EUS-SWE overcomes this limitation by internally assessing the liver. We aimed to define the optimal technique for EUS-SWE for future research and clinical use and compare its accuracy with that of transabdominal SWE. Methods: Benchtop study: A standardized phantom model was used. The compared variables included the region of interest (ROI) size, depth, and orientation and transducer pressure. Porcine study: Phantom models with varying stiffness values were surgically implanted between the hepatic lobes. Results: For EUS-SWE, a larger ROI size of 1.5 cm and a smaller ROI depth of 1 cm demonstrated a significantly higher accuracy. For transabdominal SWE, the ROI size was nonadjustable, and the optimal ROI depth ranged from 2 to 4 cm. The transducer pressure and ROI orientation did not significantly affect the accuracy. There were no significant differences in the accuracy between transabdominal SWE and EUS-SWE in the animal model. The variability among the operators was more pronounced for the higher stiffness values. Small lesion measurements were accurate only when the ROI was entirely situated within the lesion. Conclusions: We defined the optimal viewing windows for EUS-SWE and transabdominal SWE. The accuracy was comparable in the non-obese porcine model. EUS-SWE may have a higher utility for evaluating small lesions than transabdominal SWE.

• Mycobiology
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• 제32권2호
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• pp.98-101
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• 2004

A fruit soft rot caused by Mucor piriformis occurred on sweet persimmon storages in Jinju, Changwon and Gimhae, Gyeongnam province, Korea, 2003. The disease infection usually started from wounding after cracking of fruits. At first, the lesions started with water soaked and rapidly softened and diseased lesion gradually expanded. Colonies on potato dextrose agar at $20^{\circ}C$ were whitish to olivaceous-buff Sporangia were globose, black and $96{\sim}153{\mu}m$ in size. Sporangiophores were $26{\sim}42{\mu}m$ in width. Sporangiospores were ellipsoid and $5.8{\sim}10.6{\times}4.3{\sim}7.6{\mu}m$ in size. Columella was obovoid, cylindrical-ellipsoidal, pyriform, subglobose and $80{\sim}125{\mu}m$ in size. Optimal temperature for mycelial growth was $20^{\circ}C$ on PDA. The causal organism was identified as M. piriformis. This is the first report of fruit soft rot on sweet persimmon caused by M. piriformis in Korea.

• Mycobiology
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• 제33권4호
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• pp.240-242
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• 2005

A soft rot of fruits caused by Mucor racemosus occurred on cherry tomato collected in Agricultural Products Wholesale Market in Jinju, Korea. The disease infection usually occurred wounded areas after cracking of fruits. At first, the lesions started with water soaked and rapidly softened and diseased lesion gradually expanded. Colonies were white to brownish to gray in color. Sporangia were $32{\sim}54\;{\mu}m$ in size and globose in shape. Sporangiophores were $8{\sim}14\;{\mu}m$ in width. Sporangiospores were $5{\sim}12\;{\times}\;4{\sim}8\;{\mu}m$ in size, ellipsoidal to subglobose in shape. Columella was $27{\sim}42\;{\mu}m$ in size, obovoid, ellipsoidal, cylindrical-ellipsoidal, slightly pyriform in shape. Chlamydospores were numerous in sporangiophores and barrel-shaped when young, subglobose in old cultures. Optimum growth temperature was about $25^{\circ}C$. The fungus was identified as M. racemosus Fres.. This is the first report of soft rot on cherry tomato caused by M. racemosus in Korea.

• Mycobiology
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• 제28권1호
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• pp.51-53
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• 2000

The powdery mildew of safflower (Carthamus tinctorius L.) extensively occurred at 1999 at the experimental farm of Kyongsangnam-do Agricultural Research and Extension Services. Both sides of the leaves and the older stems were covered with the fungus, and then the leaves and stems turned yellow. The conidia, conidiophores and perithecia were observed on the leaf lesion. Perithecia were ellipsoidal, $80-117\;{\mu}m$ in diameter. Asci were subglobose and $84{\sim}99{\times}59{\sim}73\;{\mu}m$ in size. Ascospore were ellipsoidal to ovoid, and $15{\sim}34{\times}11{\sim}23\;{\mu}m$ in size. Conidia were ellipsoid to barrel-shaped, $25{\sim}37{\times}11{\sim}22\;{\mu}m$ in size and formed in long chains. The causal organism was identified as Sphaerotheca fuliginea. This is the first report on powdery mildew of safflower caused by Sphaerotheca fuliginea in Korea.

• Journal of Yeungnam Medical Science
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• 제22권1호
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• pp.43-51
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• 2005

자궁경부 종괴형 자궁경부임신은 빠른 진단과 치료를 요하는 산과적 응급 상황으로 특징적인 초음파 및 MRI 소견을 정확하게 숙지하고 있어야 한다. 특징적인 초음파 소견으로는 혈중 ${\beta}$-HCG 수치가 상승되어 있는 환자에서 자궁경부의 확장, 심하게 불균일한 종괴, 색도플러 검사에서 강한 혈류, 영양막주위 혈류 양상 등이 있다. 특징적인 MRI 소견으로는 자궁경부의 종대, T2-강조영상에서 심하게 불균일한 혼합 신호강도, 가장자리의 저신호강도의 띠, 조기에 강하게 조영증강되는 결절성 부분 등이 있다.

• 대한두경부종양학회지
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• 제9권2호
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• pp.210-220
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• 1993

Histologically proven 465 cases of neck mass in children were analized for the determination of the nature of lesions. Pathologic specimens were obtained during 10 years from January 1981 to December 1989 at Severance Hospital, Yonsei University, College of Medicine. 1) Congenital lesion was most common in neonate(80%) and congenital lesion and inflamatory disease were common in infancy and inflammatory disease was most common in more than one year old children. Thyroglossal duct cyst was most common(35.4%) disease of the congenital lesion. followed by cytic hygroma(34%) and branchial cleft remnants(29.2%). 2) Benign tumors were discovered most frequently in adolescence (55.2%) and thyroid adenoma(23.7%) and epithelial tumor(21.1%) and hemangiomas(19.7%) were most common. Most common malignant tumors were malignant lymphoma (50%) and Hodgkin's disease and were present in the older children. Metastatic cancers were very rare and their primary sites were deductable in all cases. 3) Reactive hyperplasia of lymph node was most common in inflammatory disease(23.7%). Tuberculosis lymphadenitis was more common than nonspecific lymphadenitis. 4) Bilaterality of lesion was commonly seen in malignant disease(41.7%), reactive hyperplasia of lymph node (38.85%) and metastatic disease(33.3%). Size and duration of the masses were not helpful in the differential diagnosis of the cause of the masses. Pediatric neck mass must be evaluated with its characteristics. sites, bilaterality, size and its cange, duration and patient's age but any of these alone cant not be predicted its causes without biopsy or excision. Biopsy or excision can be done with few complication but biopsy of lymph node for diagnosis is carefully made because a large number of lymph node biopsy showed no definite diagnosis in these selected cases of patients.

• 한국자원식물학회지
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• 제27권4호
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• pp.371-379
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• 2014

14종의 잿빛곰팡이병 균주를 순무의 잎에 접종시켜 병반의 확대 정도를 조사한 결과 순무잎은 '사과-01' 등 4종의 균주에 대해서는 감수성을, '아카시아' 등 7종에 대해서는 보통, '오렌지' 등 3종에 대해서는 저항성을 보였다. 순무잎에 함유된 glucosinolate (GLS)를 분석한 결과 butenyl-GLS, indol-3-ylmethyl GLS (I3M), 4-methoxy-indol-3-ylmethyl GLS (4MOI3M) 및 normal methoxy-indol-3-ylmethyl GLS (NMOI3M) 등 4 종류가 동정되었다. 순무잎의 GLS 함량은 감수성을 보이는 균주에 감염되었을 때보다 저항성을 보이는 균주에 감염되었을 때 높게 유지되거나 분해가 지연되는 것으로 나타났다. 특히 I3M의 함량은 저항성인 균주에 감염되었을 때는 무처리보다 보다 2.5배 이상 함량이 증가하였으나 감수성 균주에 감염되었을때는 무처리 보다 함량이 낮았다. 4MOI3M 및 NMOI3M의 함량도 저항성을 보인 균주에서 무처리에 비해서 각각 2.3 및 2.7배 이상의 증가를 보였다. 잿빛곰팡이병이 순무잎에 감염되면 병반의 중심으로 부터 5~10 mm 부근에 GLS 함량이 현저하게 증가하였다. 그러나 저항성 균주를 처리한 곳에서는 GLS 함량이 계속 유지되면서 병반의 확대가 더 이상 진전되지 않으나, 감수성 균주를 처리한 잎에서는 기존에 합성되었던 GLS의 함량이 감소되면서 병반이 계속적으로 확대되어 갔다. 이는 GLS가 순무잎의 잿빛 곰팡이병에 대한 저항성을 나타내는 중요한 물질임을 시사한다.