• 대한기관식도과학회지
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• 제19권1호
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• pp.25-27
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• 2013

A 47-year-old man was referred for TEF. He underwent tracheostomy three months ago to maintain prolonged ventilator care. Computed tomography (CT) scan and fiberoptic examination showed bilateral vocal cord palsy with median fixation and about 2 inch sized long segmental tracheoesophageal fistula (TEF) tract along the necrotic cricoid and tracheal cartilages. Narrow field total laryngectomy was performed to remove devitalized cartilages and mucosa, and repair TEF. He discharged without complication except mild stenotic change of tracheal fenestration 19 days later.

• Tuberculosis and Respiratory Diseases
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• 제45권6호
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• pp.1305-1309
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• 1998

심막기종은 드문 질병이고 성인에서는 대부분 그 원인이 외상성으로 알려져 있으나, 저자들은 최근 식도 편평상피암에 동반된 전형적인 심막기종을 경험하였기에 문헌 고찰과 함께 이를 보고하는 바이다.

• Journal of Oral Medicine and Pain
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• 제23권3호
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• pp.257-261
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• 1998

Angiokeratoma is a cutaneous vascular disorder that occurs at any sites as trunk,extremities, fingers and toes etc. Although solitary or multiple cutaneous lesions have been reported, oral lesions have been very care. A 72-year-old man who had an exophtic, essile mass with dark red, black colored which located on buccal mucosa, was treated with excisional biopsy. He had no specific systemic history except for the medication of allopurinol, for treatment of gout since 10 years. Final diagnosis was determined as angiokeratoma by evaluation of clinical and histopathological finding, and the lesion has not been recurred for two months by decrease of allopurinol. It has been emphasized that the relationship between oral mucosal disease and the complication of allopurinol. Allopurinol is widely used for gout treatment, which we will report a case on the allopurinol-associated angiokeratoma in the oral mucosa.

• Annals of Clinical Neurophysiology
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• 제17권2호
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• pp.82-85
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• 2015

A 59-year old man was admitted for drowsiness and stiff neck. CSF examination showed lymphocytic pleocytosis and PCR for herpes simplex virus (HSV)-1 was positive in CSF. Brain MRI revealed enhanced lesions in left temporal lobe. His symptom improved with acyclovir. Follow-up studies showed red blood cells in CSF and a hematoma in the left temporal lobe. There was no additional symptom related to the hematoma. He was discharged after conservative care. Although rare, hematoma can develop in HSV-1 meningoencephalitis.

• Journal of Chest Surgery
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• 제52권5호
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• pp.372-375
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• 2019

A 55-year-old man was admitted to the trauma center after a car accident. Cardiac tamponade, traumatic aortic injury, and hemoperitoneum were diagnosed by ultrasonography. The trauma surgeon, cardiac surgeon, and interventional radiologist discussed the prioritization of interventions. Multi-detector computed tomography was carried out first to determine the severity and extent of the injuries, followed by exploratory sternotomy to repair a left auricle rupture. A damage control laparotomy was then performed to control mesenteric bleeding. Lastly, a descending thoracic aorta injury was treated by endovascular stenting. These procedures were performed in the hybrid-angio room. The patient was discharged on postoperative day 135, without complications.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2010년도 추계학술대회
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• pp.381-385
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• 2010

최근 고령화 시대에 접하여 독거노인들이 많이 늘고 있다. 독거노인들은 행동이 불편하므로 간호사가 주기적으로 방문하여 건강의 이상 유무를 확인하여야 한다. 그러나 적은 수의 간호사가 많은 노인들을 보살피기에는 많은 어려움이 따른다. 이러한 문제는 원격지에서 노인의 건강정보 데이터 혹은 집안 환경의 데이터를 수집하여 호스트 컴퓨터에 보내는 시스템으로 해결할 수 있다. Ethernet을 이용한 데이터 통신은 원격지에 있는 자료를 원하는 곳에서 쉽게 전송할 수 있는 장점을 갖고 있다. 원격지의 데이터 저장장치는 측정한 데이터를 저장하고. 저장된 데이터를 일정기간 지난 후 Ethernet 통신을 통하여 호스트 DB로 전송한다. 이러한 장치의 소형화를 위해서는 OS-less Embedded Ethernet Server시스템이 되어야 한다. 이 시스템은 단지 H/W만으로 파일을 관리하는 시스템이다. 저장장치는 주로 SD카드를 사용한다. SD카드는 소형이며 저 전력으로 동작한다. 512MB SD 메모리를 사용하였을 때, 매초마다 한 번씩, 약 10바이트의 크기의 온도 값을 저장할 경우 5~6년간의 데이터를 저장할 수 있다. 본 논문에서 W3100A, Atmega128 MCU 이용하여 Embedded Ethernet Server를 구현하였고, SD카드를 이용하여 데이터 저장시스템을 구현하였다. 이 시스템은 저장장치를 제어하는 O/S-less Embedded Ethernet Server로 동작한다. File System과 Storage, Ethernet 구현에 대하여 설명하고, MCU인 Atmega128과 LAN LSI인 W3100A간의 Interface, W3100A와 Phyceiver인 RTL8201간의 Interface, 그리고 MCU와 SD-Card간의 Data I/O 및 File System에 대해 설명하였다. 그리고 실험 장치와 모니터링 결과를 그림으로 보였다.

• 대한암한의학회지
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• 제15권1호
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• pp.63-69
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• 2010

We report a case of an 85-year old man with an adenocarcinoma of the rectosigmoid colon (clinical stage II). Though tumor was resectable, the patient was considered to be inoperable because of old age and comorbidities such as asthma, diabetes and old myocardial infarction. He wanted to receive alternative care, so he was exclusively treated with standardized Allegern-removed Rhus verniciflua Stokes (aRVS) extract and other herbal medicine such as BOJUNGIKGI-TANG GAMIBANG. During 18 months, he has shown good performance status without transfusion. This report suggests that herbal treatment including standardized aRVS for rectosigmoid colon cancer could be an alternative treatment option when it is unabled to be treated by surgical resection.

• Tuberculosis and Respiratory Diseases
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• 제67권6호
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• pp.560-564
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• 2009

Sarcoidosis is a granulomatous disease that can involve any organ, although it primarily involves the lungs, intrathoracic lymph nodes, skin, and eyes. We present a case of sarcoidosis with pancytopenia, resulting from bone marrow involvement. A 35-year-old man was admitted to hospital for chronic cough and blurred vision. On chest computed tomography, there were multiple pulmonary nodules and mediastinal lymph nodes enlargement. As the patient also showed pancytopenia, we performed a bone marrow biopsy, as well as a transbronchial lung biopsy. Both biopsies showed non-caseating granulomas. We diagnosed the patient with sarcoidosis with pulmonary, bone marrow, uvea, liver and spleen involvement. After oral steroid therapy, the patient's symptoms as well as his pancytopenia improved. We present this case to demonstrate the significance of bone marrow biopsy in cases of sarcoidosis with pancytopenia, as well the possibility of clinical improvement with steroid treatment.

• Tuberculosis and Respiratory Diseases
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• 제75권1호
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• pp.25-27
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• 2013

Carbohydrate antigen 19-9 (CA 19-9) is a widely-used tumor marker in patients with pancreatic cancer. However, some patients with respiratory disease also exhibit elevated serum CA 19-9 levels. We report a case of normalization of elevated serum CA 19-9 levels after treatment of the nodular bronchiectatic form of Mycobacterium abscessus lung disease. A 40-year-old man visited our hospital because of chronic cough and sputum. A computed tomography scan revealed severe bronchiectasis in the right upper and right middle lobes. Nontuberculous mycobacteria were repeatedly isolated and identified as M. abscessus. The serum CA 19-9 level was elevated to 142.35 U/mL (normal range, <37 U/mL). Surgical resection was performed because of failure of sputum conversion after antibiotic treatment. The serum CA 19-9 level returned to the normal range after surgery. This case suggested that serum CA 19-9 levels could be elevated in patients with the nodular bronchiectatic form of M. abscessus lung disease.

• Tuberculosis and Respiratory Diseases
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• 제72권1호
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• pp.55-58
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• 2012

Mycobacterium szulgai is a rare nontuberculous mycobacterium found in Korea. It is an opportunistic pathogen and is usually isolated from patients with a history of alcoholism, chronic pulmonary disease, or an immunocompromising condition. We present here a case of M. szulgai isolated from a patient with a history of pulmonary tuberculosis. A 54-year-old man was admitted with dyspnea and febrile sensation. He had a history of pulmonary tuberculosis which occurred 30 years earlier and treatment with anti-tuberculosis medication. His chest computed tomography scan showed cavitary consolidation in both upper lungs. A sputum acid-fast bacilli (AFB) smear was positive and anti-tuberculous medication was started. However, a polymerase chain reaction for mycobacterium tuberculosis was negative and anti-tuberculous medication was stopped. M. szulgai was isolated on 3 separate sputum and bronchial wash fluid AFB cultures. He was treated with clarithromycin, rifampicin, and ethambutol. After 1 month, a sputum AFB smear and culture became negative and no additional M. szulgai were isolated during a 16-month treatment.