• Journal of Digestive Cancer Research
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• 제12권1호
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• pp.44-47
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• 2024

Malignant melanomas, which are rarely found in the Asian population, are malignant tumors or melanocytes that manifest in the skin mucosa. Malignant melanomas of the anorectum are very rare and account for approximately 1% of all malignant melanomas in the Asian population. Here, we present a rare case presenting a malignant melanoma of the anorectum. An 85-year-old woman visited the hospital with bloody stools and an anal mass. Sigmoidoscopy revealed a black mass protruding from the anus, and the scope was able to penetrate the anorectal mass. Close-up endoscopy revealed black moles of different sizes scattered across the rectal mucosa. PET-CT indicated multiple FDG uptakes in the liver, indicating multiple metastases. Pathologic examination led to the detection of malignant melanocytes with dark brown deposits. The patient's immunohistochemical markers were positive for melanin-A antibodies and HMB-45, indicating a malignant melanoma. As there was no evidence of malignant melanomas on the skin, the patient was diagnosed with primary malignant anorectal melanoma with liver metastases.

• 한국문헌정보학회지
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• 제47권1호
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• pp.105-124
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• 2013

국내 대통령기록물의 연구 및 활용, 서비스를 위해서는 다양한 대통령기록물의 유형과 포맷에 대한 통합 메타데이터 설계 및 운영이 필요하며, 상이한 메타데이터 구조를 가지고 있는 대통령기록관과 민간 대통령도서관 기념관의 메타데이터 표준화가 요구된다. 이에 이 연구에서는 국내 대통령기록물의 메타데이터 통합 운영을 위하여 통합 메타데이터 설계 원칙과 메타데이터 속성 및 관계를 제안하였다. 메타데이터 설계 원칙은 '대통령기록물 간의 관계 설정 및 설계', '다중 개체 모형을 적용한 대통령기록물 각 개체별 설계', '다양한 유형의 대통령기록물을 기술할 수 있도록 설계', '소장기관의 업무 전주기를 반영한 메타데이터 설계', '하이브리드형 장기보존 메타데이터 설계'이다. 메타데이터 요소는 모든 유형의 대통령기록물들이 공통적으로 지니고 있는 공통속성 요소, 특정 대통령기록물만이 갖는 고유속성 요소, 대통령기록물 생산에 관련된 타 기록물간의 연관 및 참조정보 요소이다.

• 대한한의학원전학회지
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• 제25권4호
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• pp.39-55
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• 2012

Objective : In order to find the decision system in differentiation of syndromes and treatments, I paid attention to divination by Achillea sibireca. Method : I pulled out the elements of differentiation of syndromes and treatments in Zh$\bar{o}$ng y$\bar{i}$n$\grave{e}$i k$\bar{e}$ xu$\acute{e}$(中醫內科學), Uihagipmun Sanghan(醫學入門 傷寒), Donguibogam Japbyeong(東醫寶鑑 雜病) and compared them with the horoscope in The Book of Changes(周易) from the relativity of both eight principles(八綱) etc and subdivision in the entity of the cosmos (太極內 分化). Result : From this viewpoint, the decision system that has relative references in differentiation of syndromes & treatments on cold diseases(傷寒病) and complexed diseases(雜病) by eight principles etc can be compared with the decision system in divination by Achillea sibireca that the entity of the cosmos(太極) gradually can be breakdown into the positive and negative(陰陽), the positive and negative can be breakdown into four phases(四象), four phases can be breakdown into eight signs of divination(八卦), eight signs of divination can be breakdown into 64 divination signs(64卦). Conclusion : I had found that differentiation of syndromes and treatments and divination by Achillea sibireca have similarity to each other in side of decision system. Those decision systems for clinical use and telling the future has many relative references and are made of multiple structures. Clinician can easily, exactly distinguish similar syndromes of many another diseases through this way.

• Tuberculosis and Respiratory Diseases
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• 제69권5호
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• pp.354-360
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• 2010

Background: Primary non-Hodgkin's lymphoma of the lung is a rare entity. It is represented commonly as marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) type. Although there have been a few reviews of this lymphoma, clinical features, radiologic findings, management and prognosis have not been well defined. Methods: We reviewed the medical records of 24 patients with primary pulmonary lymphoma between January 1995 and September 2008; all diagnoses had been confirmed based on pathology. Results: The median follow-up time was 42.3 months (range, 0.1~131.2 months). Five (20.8%) patients were asymptomatic, 17 (70.8%) patients had pulmonary symptoms, and the remaining 2 (8.3%) patients presented with constitutional symptoms. There were 16 (66.7%) patients with MALT lymphoma, 4 (16.7%) patients with diffuse large B-cell lymphoma and 4 (16.7%) patients with lymphoma that had not received a WHO classification. Radiologic findings of primary pulmonary lymphoma were diverse and multiple nodule or consolidation was the most common finding regardless of pathologic lymphoma type. PET scan was carried out in 13 (54.2%) patients and all lesions showed notable FDG uptake. MALT lymphoma showed a trend of better prognosis (3-year survival, 78.8% vs. 70.0%; 5-year survival, 78.8% vs. 52.5%; p=0.310) than non-MALT lymphoma. Conclusion: Primary non-Hodgkin's lymphoma of the lung occurs with nonspecific clinical features and radiologic findings. MALT lymphoma is the most common pathologic type of primary pulmonary lymphoma. This entity of lymphoma appears to have a good prognosis and in this study, there was a trend of better outcome than non-MALT lymphoma.

• Annals of Clinical Neurophysiology
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• 제4권1호
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• pp.44-50
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• 2002

Introduction : Orthostatic tremor develops in the legs while standing up with no weakness, pain or imbalance in the leg and the tremor is characteristically not observed when walking. However there have been some confusions about orthostatic tremor in several aspects. For the past ten years, we have observed 4 patients with orthostatic tremor. In each case tests were performed to investigate the following three important areas of inquiry about orthostatic tremor. Firstly, whether this disorder is an independent diagnostic entity or a variant of essential tremor. Secondly, whether the progress of this disorder is specifically related with standing posture. Lastly, the nature of the pathophysiologic mechanism behind the appearance of the tremor when standing after the lapse of a certain latent period and its disappearance upon the commencement of walking. Methods : Our 4 cases of orthostatic tremor were studied clinically, electrophysiologically, and pharmacologically. Electrophysiological tests included tremor spectrum test and electromyography. Results : We observed the presence of this tremor in several other tonic postures, as well as its absence, in a vertically lifted position from all our cases. Our cases registered a variable tremor frequency between 5 and 12 Hz according to the tremor spectrum test and EMG. Furthermore all our 4 cases demonstrated patterns of both synchronous EMG activity and alternating EMG activity at various times in homologous muscles of both legs. Orthostatic tremor was improved significantly with propranolol as well as clonazepam. Conclusions : From the results of our study we drew the following conclusions. It is probable that orthostatic tremor is simply a variant of essential tremor rather than being an independent diagnostic entity and that in most cases its development is specifically related with muscle contraction rather than merely with the act of standing. Furthermore we discovered a clue in the previously described neural control mechanism that the nuclear bag fibers in the muscle spindle have lag time of several seconds in their response to muscle strength and that their baseline does not reset fully in rapidly moving muscle. This neural control mechanism could offer sufficient explanation for the phenomena of tremor appearance when standing and disappearance when walking in orthostatic tremor.

• 한국화재소방학회논문지
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• 제21권2호
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• pp.42-47
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• 2007

본 연구는 객체 관계형 DB를 이용한 전기화재 원인을 진단할 수 있는 사례기반 시스템을 개발하였다. 시스템은 간편하고 그리고 효율적으로 DB를 구축 및 전기화재의 원인 진단에 중점을 두고 있다. 전기화재와 관련된 정보를 저장하고 접근하기 위해서 전기화재를 분별할 수 있는 주요한 항목들을 도출하였다. 사례기반 시스템은 과거의 전기화재 사례로부터 정보를 추출하여 구성하고, 새롭게 발생된 화재의 원인은 패턴매칭을 통해 사례기반 DB를 검색함으로써 진단될 수 있다. 사례기반 시스템은 수집된 다양한 정보를 이용하여 다중 속성에 대한 검색 기능뿐만 아니라 원인진단을 쉽게 사용될 수 있도록 향상된 진단 기능을 갖고 있다.

• Journal of information and communication convergence engineering
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• 제5권2호
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• pp.144-149
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• 2007

Grid technologies make it possible for IT resources to be shared across organizational and security domains. The traditional identity-based access control mechanisms are unscalable and difficult to manage. Thus, we propose the FAS (Federation Agent Server) model which is composed of three modules: Certificate Conversion Module (CCM), Role Decision Module (RDM), and Authorization Decision Module (ADM). The proposed FAS model is an extended Role-Based Access Control (RBAC) model which provides resource access capabilities based on roles assigned to the users. FAS can solve the problem of assigning multiple identities to a shared local name in grid-map file and mapping the remote entity's identity to a local name manually.

• 한국측량학회:학술대회논문집
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• 한국측량학회 2004년도 춘계학술발표회논문집
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• pp.171-176
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• 2004

Image matching is fundamental process in photogrammetry and computer vision to identify and to measure corresponding features on the multiple images. Uniqueness of the matching entities and robustness of the algorithm are the key issues that have influence on quality of the matching result. The optimal solution could be obtained by utilizing appropriate matching entities in the first place. In this study, candidate matching points were extracted by interest operator, and an area-based matching method was applied with characteristics of the gray value distribution as the matching entities. The characteristic information is based on the concept of "intrinsic image" (or parameter image). The information was utilized as additional and/or complementary matching entities. Matching on interest points with the characteristic information resulted in high quality of matching because matching windows were created with surrounding pixels of the interest points that contain distinct and unique features. The experiment shows that matching quality and reliability increase by exploiting interest operator, and the characteristic information has potential to be matching entity.

• 대한전자공학회:학술대회논문집
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• 대한전자공학회 2003년도 하계종합학술대회 논문집 Ⅲ
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• pp.1491-1494
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• 2003

Video adaptation in response to dynamic resource conditions and user preferences is required as a key technology to enable universal multimedia access (UMA) through heterogeneous networks by a multitude of devices in a seamless way. Although many adaptation techniques exist, selections of appropriate adaptations among multiple choices are often ad hoc. To provide a systematic solution, we present a general conceptual framework to model video entity, adaptation, resource, utility, and relations among them. It allows for formulation of various adaptation problems as resource-constrained utility maximization. We apply the framework to a practical case of dynamic bit rate adaptation. Furthermore, we present a description tool, which has been accepted as a part of the MPEG-21 Digital Item Adaptation (DIA), along with a brief overview of the .elated descriptors to support terminal and network quality of service (QoS).

• 보건행정학회지
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• 제13권2호
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• pp.101-124
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• 2003

Performance of public hospitals is difficult to define and measure because not only their managerial or financial performance but also their role as a public entity is important. The purpose of this paper is to examine the internal and external factors that influence the performance of local government hospitals. A multiple regression was performed to analyze the effects of the environmental, organizational, operational, and cost-related factors on the return on total assets(ROA), operating margin(OM), and the ratio of Medicaid patients. Empirical results show that financial performance (ROA and OM) are more influenced by operational or cost-related factors, while the ratio of Medicaid patients is more affected by environmental or organizational characteristics. It is noteworthy that competition and the contract with private sector management have negative effects on the ratio of Medicaid patients that local government hospitals treat.