• Imaging Science in Dentistry
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• 제49권4호
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• pp.317-321
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• 2019

Steatocystoma multiplex is an uncommon benign skin disease, which typically manifests as numerous intradermal cysts that can be scattered anywhere on the body. Although usually asymptomatic, it can be significantly disfiguring. One type of steatocystoma multiplex is known to be associated with the autosomal dominant inheritance of a mutation in the gene coding for keratin 17 (KRT17). In such cases, it is often concurrent with other developmental abnormalities of the ectoderm-derived tissues, such as the nails, hair, and teeth. To the best of our knowledge, few cases have been reported of steatocystoma multiplex of the oral and maxillofacial region. This report describes a case of steatocystoma multiplex of both sides of the neck and multiple dental anomalies, with a focus on its clinical, radiological, and histopathological characteristics, as well as the possibility that the patient exhibited the familial type of this condition.

• 한국시뮬레이션학회논문지
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• 제17권2호
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• pp.49-61
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• 2008

대부분의 함정 전투체계의 교전 시뮬레이션은 필수적으로 운용자(통제관 및 대항군)가 포함될 수밖에 없음으로 인해 시뮬레이션은 실시간 정도의 저속이며, 시뮬레이션 결과도 객관적인 평가가 어렵다. 이러한 문제를 다루기 위해 본 논문에서는 인간 대신 다중 에이전트 시스템을 이용하는 에이전트 기반의 함정전투 M&S 시스템을 제안한다. 에이전트기반 M&S 시스템은 인간의 개입을 배제하고 자율적 추론기능을 제공함으로써 전투체계의 효과도 분석 및 운용전술개발 등께 대한 효과적인 지원을 가능하게 해준다. 본 논문에서는 이를 위하여 첨단 M&S 프레임워크와 자율 에이전트 설계 원칙을 도입함으로써 인간 미개입형 M&S 시스템 설계 개념과 방법론을 제시하였고, 서해교전상의 함정전투 사례연구를 통해 그 타당성을 검증하였다.

• Tuberculosis and Respiratory Diseases
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• 제75권4호
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• pp.165-169
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• 2013

An inflammatory myofibroblastic tumor (IMT) is a rare disease entity reported to arise in various organs. It is thought to be a neoplastic or reactive inflammatory condition, controversially. The treatment of choice for myofibroblastic tumor is surgery, and recurrence is known to be rare. The optimal treatment method is not well-known for patients ineligible for surgery. We report a 47-year-old patient with aggressive recurrent IMT of the lungs. The patient had been admitted for an evaluation of back-pain two years after a complete resection of pulmonary IMT. Radiation therapy was performed for multiple bone recurrences, and the symptoms were improved. However the patient presented again with aggravated back-pain six months later. High-dose steroid and non-steroidal anti-inflammatory drugs were administered, but the disease progressed aggressively, resulting in spinal cord compression and metastasis to intra-abdominal organs. This is a very rare case of aggressively recurrent pulmonary IMT with multi-organ metastasis.

• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1135-1138
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• 2015

Background: The objective of this study was to investigate the MSCT characteristics of PTL in order to enhance the awareness of this uncommon entity among both clinicians and radiologists. Materials and Methods: The clinicopathological data and MSCT images of 27 patients with PTL were retrospectively reviewed. The MSCT appearances were classified into three types: type 1, solitary nodule surrounded by normal thyroid tissue; type 2, multiple nodules in the thyroid, and type 3, enlarged thyroid glands with a reduced attenuation with or without peripheral thin hyperattenuating thyroid tissue. Results: The patients were enrolled in the study with a mean age of 68 years (range, 51-86years) and compression symptoms or enlarged cervical lymph nodes at diagnosis. Hashimoto's thyroiditis was in 20 patients. All patients had non-Hodgkin lymphoma of B-cell in origin, including 22 cases of diffuse large B-cell lymphoma (DLBCL) and 5 of low-grade B-cell lymphoma of mucosa-associated lymphoid tissue (MALT). For MSCT appearance, type 1 pattern was observed in 2 patients, type 2 in 8, and seventeen type 3 in 17. The lesions occurred in more than one lobe with a mean maximal transverse diameter of 6.9 cm and an ill-defined margin. Most tumors showed a homogeneous attenuation equal to that of surrounding muscles before contrast and obvious enhancement after contrast. Cervical lymph node involvement and invasion of the trahea and (or) esophagus were mainly observed in patients with DLBCL. Conclusions: PTL should be clinically considered in elder patients presenting with a history of Hashimoto's thyroiditis and cervical lymphadenopathy. The MSCT characteristics of PTL includes a mass diffusely affecting more than one thyroid lobe, isointense to muscle and obvious enhancement before and after contrast. DLBCL, the most common histological subtype of PTL, is associated with a higher invasive tendency.

• 인터넷정보학회논문지
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• 제1권1호
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• pp.47-62
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• 2000

지리정보시스템은 많은 응용분야에서 이용될 수 있는 자료를 다룬다. 그러나 각 응용분야를 위한 필요한 정보가 지리정보의 설계단계에서 해상도, 추상화정도와 표현 방법에 따라 다르게 표현될 수 있다. 이와 같은 다양한 필요성을 다루기 위해서 지리정보시스템은 지리현상에서 발생하는 각 개체의 독립성과 동질성 여부에 따라 표현해야 한다. 또한 공간 객체 사이의 관계성이 역할에 따라 다르게 표현되는 방법도 다루어야 한다. 이 논문에서는 지리정보시스템에 대한 객체와 객체들 사이의 관계성에 의한 형식적 정의 문제를 제시하고 있다. 지리 자료는 지리-객체와 지리-필드로 분류되는데, 지리적 공간상에 존재하는 실제의 연속적이고, 이산적인 표현으로 나타낸 것이다. 이 논문은 지리-객체, 지리-필드와 비지리-객체 상에서 클래스와 관계 역할에 대해 연구하고자 한다. 이 연구의 결과는 클래스의 상태에 대한 특성인 속성-영역 관계를 이용하여 공간 객체의 속성을 형식적으로 구분함으로 해서 클래스 관계에 효율성을 기하고자 한다.

• Archives of Plastic Surgery
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• 제35권1호
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• pp.104-106
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• 2008

Purpose: Fewer than 100 cases of calcifying aponeurotic fibroma have been reported in the literature since this entity was initially described by Keasbey in 1953 who called it calcifying juvenile aponeurotic fibroma. The tumor is a slowly growing, painless mass. In most cases the mass is poorly circumscribed and causes neither discomfort nor limitation of movement. Most lesions occur in children, with a peak incidence ages of 8-14 years. There is no evidence of any increased familial prevalence. Predilection sites are palm, finger, toe, but it also occurs in the wrist, forearm, elbow, upper arm, neck, abdominal wall, lumbar paravertebral area, leg and ankle. We herein describe a rare case of calcifying aponeurotic fibroma occurring on the chin with review of the literature. Methods: A 14-year-old male had painless, slowly growing mass(${\phi}2.5cm$) on a chin for a year. The tumor was excised elliptically under local anesthesia and the excisional site was repaired directly. Due pathological examination was processed. Results: Histological examination revealed an illdefined fibrous growth that extends with multiple processes into the surrounding tissue with centrally located foci of calcification. The tumor is composed of short spindled plump fibroblasts with round or ovoid nuclei separated by collagenous stroma, showing vaguely palisading pattern. Diagnosis of calcifying aponeurotic fibroma was conferred. Postoperatively, the patient did well, and the lesion had not recurred. Conclusion: Fewer than 100 cases of calcifying aponeurotic fibroma have been reported in the literature. The most common occurring sites are palm, finger & toe, but it has been reported in the wrist, forearm, elbow, upper arm, neck, abdominal wall, lumbar paravertebral area, leg and ankle. Two cases of calcifying aponeurotic fibroma occurring on the neck have been reported in the literature. To the authors knowledge, our case of calcifying aponeurotic fibroma occurring on the chin is the first to be reported.

• 대한두경부종양학회지
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• 제19권2호
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• pp.133-136
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• 2003

Background and Objectives: Kikuchi's disease or subacute necrotizing lymphadenitis is a cause of persistently enlarged lymph nodes unresponsive to antibiotic therapy. It affects predominantly young women under the age of 30, and it is seen primarily in the Asian population. Although this disease usually follows a benign course, all describing a clinical entity that has been mistaken for malignant lymphoma, lupus, and an assortment of infectious diseases. The purpose of this study is to report clinical characteristics and treatment outcome in order to contribute to the precise diagnosis and treatment. Materials and Methods: We reviewed 27 cases, who were diagnosed as subacute necrotizing lymphadenitis on excisional biopsy during the past 5 years from January 1998 to December 2002. Results: It occurred more often in females (20 cases ; 74%) than males (7cases ; 26%), and it was seen more frequently in the second and third decades (21 cases ; 78%). Cervical lymphadenopathy were usually multiple (24 cases, 89%) and measured less than 2cm (20 cases, 74%). The posterior cervical and deep jugular chains are the most common location(34 cases ; 81%). Leukopenia(18 cases, 67%) and elevated ESR(20 cases, 75%) were commonly noted in laboratory data. Conclusions: It is easy that Kikuchi's disease is mistaken for malignant lymphoma. So we should consider fine needle aspiration or open biosy of lymph node for histologic diagnosis in patients who have localized cervical lymphadenopathy unresponsive to antibiotic therapy.

• 대한기관식도과학회지
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• 제6권2호
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• pp.164-171
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• 2000

Background and Objectives： Necrotizing lymphadenitis or Kikuchi's disease is characterized by cervical lymphadenopathy of unknown etiology with unique histologic findings in young female patients. The importance of this disease lies in the fact that it can be easily misdiagnosed as malignant lymphoma, hence, clinicians need to aware of this disease entity. The purpose of this study is to report the clinicopathologic findings, radiographic findings, and many laboratory tests in order to contribute to the diagnosis and treatment of necrotizing lymphadenitis. Materials and Methods： We evaluated 31 patients, who were diagnosed as necrotizing lymphadenitis by excisional biopsy or fine needle aspiration cytology or ultrasound guided 18G cutting needle biopsy, retrospectively. Result : The median age was 24.8 years (range 12 to 43 years) and the male to female ratio was 1 : 2.4(9：22), with 14 females (45.1%) under 30 years. The common chief complaints were neck mass, easy fatigue and fever. Lymph node enlargement was limited to the cervical area in most cases (28cases : 90.3%). The involved lymph nodes were usually multiple (20cases : 64.5%), unilateral (26cases 83.9%) and small sized. Leukopenia (19cases : 61.3%) and elevation of ESR (18cases : 58.1%) appeared most frequently in the abnormal laboratory data. These symptoms will be gone spontaneoulsy without any specific treatment in several weeks or months. Conclusion : We should consider open biopsy or fine needle aspiration cytology or ultrasound guided cutting needle biopsy with lymph node in patients who have cervical lymphadenopathy with easy fatigue and fever, especially young women to exclude other conditions such as malignant lymphoma and tuberculosis, etc.

• 한국기록관리학회지
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• 제18권2호
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• pp.215-242
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• 2018

레코드 컨티뉴엄 이론은 전통적인 기록관리 이론인 생애주기이론의, 시간적 흐름을 기반으로 하는, 현용-준현용-비현용의 분절된 기록관리를 비판하며 호주에서 연구되기 시작하였다. 또한 시간적 공간적 제약이 없는 전자기록을 관리하는 새로운 패러다임으로 등장하여, 기록을 고정된 물리적 객체로만 인식하지 않고, 논리적, 개념적 개체로 인식하며, 기록을 둘러 싼 복합적이고 다차원적인 환경을 고려한 다원화된 기록관리를 주장하고 있다. 이러한 레코드 컨티뉴엄이론을 바탕으로 이론 연구자인 업 워드(Frank Upward)의 레코드 컨티뉴엄 도해(圖解, 개념도)의 4개의 축선과 차원에 현재의 ICT기술을 적용하고, 동영상 기록관리 및 이용을 지능화하여 전자기록시대에 적합한 동영상 기록관리 방법론을 현실화 해보고자 한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권1_2호
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• pp.160-168
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• 1992

저자는 31세 여자환자의 좌측하악부에서 매복된 제3대구치 주위의 함치성 낭종에서 기원한 Group 3a type의 다방성의 낭종성 법랑아세포종을 경험하여 병소에 포함된 치아 발거슬 및 enucleation/curettage로 현재까지 재발없이 치유되었기에 병리조직학적 소견을 중심으로 문헌고찰과 함께 보고하는 바이다.