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Primary Laryngeal Lymphoma (후두에 발생한 원발성 림프종)

  • Lee, Ho Joong;Kwon, Oh Jin;Woo, Seung Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.24 no.2
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    • pp.118-121
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    • 2013
  • Primary lymphoma of the larynx is rare, accounting for less than 1% of all laryngeal neoplasm. Early symptoms are ambiguous and nonspecific, and confirmation of the diagnosis is often difficult. The aim of this study was to report the experience of our department in the management of these aggressive lesions, as they require special diagnostic and therapeutic attention. We enrolled 3 patients who diagnosis of lymphoma involving the larynx were retrospectively reviewed. The histopathological diagnosis revealed 1 case of diffuse large B cell lymphoma, and 2 case of NK-T cell lymphoma. Details of the presentation, diagnostic procedures, treatment, and outcome of these patients were presented. Primary laryngeal lymphoma is a rare entity. Early symptoms are subtle and nonspecific, and confirmation of the diagnosis is often difficult. Because of the rarity of this tumor type, the optimal management remains controversial and it seems that should be managed not as a distinct disease entity but as an unusual presentation of non-Hodgkin lymphoma, according to the recent treatment trends.

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Factors associated with delay in reperfusion therapy in patients with acute myocardial infarction (급성심근경색 환자에서 재관류 치료 지연율과 그에 관련된 요인)

  • Kim, Yoon;Koh, Bong-Yeun
    • Health Policy and Management
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    • v.13 no.4
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    • pp.115-130
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    • 2003
  • Reperfusion delay in patients with acute myocardial infarction leads to increased morbidity and mortality. We sought to measure the rates of reperfusion delay and to identify factors associated with reperfusion delay after arrival to hospitals. We included 360 patients who had acute myocardial infarction with ST-elevation or left bundle branch block on electrocardiogram and received reperfusion therapy from the three participating academic medical centers from 1997 to 2000. Through retrospective chart review, we collected data about time to reperfusion therapy, patient and hospital factors potentially associated with reperfusion delay. Factors independently associated with reperfusion delay were determined by logistic regression analysis. Median door­to­needle time was 60.0 minutes, and median door­to­balloon time was 102.5 minutes. According to recommendation of the American College of Cardiology/American Heart Association Guidelines, 226 out of 264(85.6%) of thrombolytic patients and 43 out of 96(44.8%) percutaneous transluminal coronary angioplasty(PTCA) patients experienced reperfusion delay. The significant factors associated with delay were type of reperfusion therapy, patient factors including hypertension and delayed symptom onset to presentation(>4 hours), and hospital factors including nocturnal presentation(6pm∼8am), weekend, and an individual hospital. A significant proportion of patients experienced reperfusion delay. The identified predictors of reperfusion delay may help design a hospital system to reduce the delay in reperfusion therapy

Style has no age - Reconstructing age on Pinterest -

  • Babicheva, Eva;Lee, Kyu-Hye
    • The Research Journal of the Costume Culture
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    • v.25 no.6
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    • pp.719-740
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    • 2017
  • Sociocultural and demographic shifts have resulted in a changing perception of older age. Older women, historically subjected to age-ordering rules of dress, have increasingly refused to be marginalized fashion consumers and have been striving to construct a more positive age identity. Although studies have examined consumers' negotiation of marginalized identities, age identity has not received much attention as a type of marginalized identity. This study argues that Pinterest acts as a platform for identity work by allowing older women to creatively reconstruct their sense of self by saving images and organizing them into thematic boards. Drawing on symbolic interactionism theory and notions of digital self-presentation, this paper seeks to explore the discursive practices that older women employ on Pinterest to resist ageist fashion discourses. The sample consisted of 15 fashion-oriented Pinterest profiles of older women. Netnographic inquiry was employed first to examine what images were saved and what thematic boards were created. Three analytical frameworks for visual data analysis were integrated to further scrutinize the visual texts within the thematic boards. The analyses revealed three main themes-rejecting age, accepting age, and consuming age. The themes that emerged formed the basis for an age identity reconstruction process whereby women attempted to bridge the existing gap between older age and mainstream fashion discourse.

A Study on the Analysis of Teachers' Questions in the Korean Classroom for Academic Purposes-Focusing on Problem-Based Instruction (학문 목적 교양 한국어 수업에서의 교사 질문 분석 연구 -문제 중심 수업을 중심으로-)

  • Kong, Harim
    • Journal of Korean language education
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    • v.29 no.3
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    • pp.1-24
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    • 2018
  • The purpose of this study was to analyze teachers' questions in the actual general Korean classroom for academic purposes and identify types of questions. The results of the question analysis by type identified 713 teacher's questions in total: echoic questions made up 41% while epistemic questions were 19.3% and expended question turned out to make up 39.7%. 'Comprehension check questions' were 29%, which was a major part in the echoic question. 'Referential questions' were a major part in the epistemic question. Also, the research discovered that 'knowledge integration' questions held the largest majority in expended questions. Since the teacher-led lecture was often conducted in the problem-presentation stage, the percentage of Echoic question was high; and moreover, the problem-solving stage promoted to come up with more improved solutions of the problem. In the outcome and presentation stage, it was discovered that the questions aimed to check understanding of content in the subject and expand thoughts. Therefore, it is necessary to develop strategies for teacher's questions by phase and further conduct research on the interaction between learners and teacher's questions in the future.

Reninoma: a rare cause of curable hypertension

  • Kim, Ji Hye;Kim, Ji Hyun;Cho, Myung Hyun;Park, Eujin;Hyun, Hye Sun;Ahn, Yo Han;Kang, Hee Gyung;Moon, Kyung Chul;Ha, Il-Soo;Cheong, Hae Il
    • Clinical and Experimental Pediatrics
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    • v.62 no.4
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    • pp.144-147
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    • 2019
  • The most common type of refractory hypertension found in children is secondary hypertension, which is a potentially curable disease. Reninoma, a renin-secreting juxtaglomerular cell tumor, is a rare cause of severe hypertension that is usually diagnosed in adolescents and young adults. Surgical resection of the tumor completely cures the hypertension of patients with reninoma. The typical clinical presentation of reninoma includes hypokalemia, metabolic alkalosis, and features secondary to the increased activation of the renin-angiotensin system without renal artery stenosis. We report a case of reninoma in a female adolescent with a typical clinical presentation, in which surgical removal of the tumor completely cured hypertension. We discuss here the clinical features, imaging studies, and immunohistochemical examination of the tumor used to establish the diagnosis of reninoma and for the management of the condition.

An Encoding Method for Presentation of ISO 19848 Data Channel and Management of Ship Equipment Failure-Maintenance Types (ISO 19848 데이터 채널 표현과 선박 기관장비 고장·유지보수 유형 관리를 위한 코드화 기법)

  • Hwang, Hun-Gyu;Woo, Yun-Tae;Kim, Bae-Sung;Shin, Il-Sik;Lee, Jang-Se
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.24 no.1
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    • pp.134-137
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    • 2020
  • Recently, there are emphasized to support the maintenance and management system of vessels using acquired data from engine part equipment. But, there are limitations for data exchange and management. To solve the problem, the ISO published ISO 19847 and 19848. In this paper, we analyze the ISO 19848 requirements related to identify data channel ID for ship equipment, and propose the examples for applying encoding techniques. In addition, we suggest the proposed technique for applying of managing the failure and maintenance type of the ship's engine part facilities by examples. If this method is applied, the vessel's equipment can exchange data through the sharing of the code table, and express what response is needed or acted, including where the failure occurred.

Type in Motion as a Visual Storytelling (Visual Storytelling으로서의 Type in Motion에 관한 연구)

  • 박효신
    • Archives of design research
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    • v.13 no.3
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    • pp.235-244
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    • 2000
  • The form or interpretation of today's communication design lies in content development and storytelling to the designer. However, the understanding as well as exteriment of the mechanisms behind content creation remain an obscure concept. Particularly given the rapid development of digital technology, since the 1980s typography has been quickly transforming itself from its static state to the more dynamic'Type in Motion'. following this came the need for solid research in'Type in Motion'as the best means of presenting story content and form The previous passage has studied the effectiveness of'Type in Motion'in presenting this kind of content. Type in Motion has allowed vast developments in the methods of story presentation. It is Due that today's digital technology has given many benefits to the designer, but on the other hand, it has required a more diverse understanding of digital design. furthermore, even the designers in digital typography lack the understanding and research in'Type in Motion'not only as a mode of visual language but also of verbal language. Given this point· in hand, the entire interpretation and interrelation of story and'Type in Motion'can be considered essential, given their shaping of effective digital typography.

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A Presentation on the Manual Hydraulic Calculation Method of the Loop Type Fire Sprinkler System (Loop형 스프링클러 설비의 수리계산 방법에 대한 제시)

  • Jeong, Keesin
    • Fire Science and Engineering
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    • v.29 no.1
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    • pp.73-79
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    • 2015
  • There are three kinds of design method of the fire sprinkler systems. Grid type is connected all branch as a trapezoid. Loop type is connected cross-mains like circle. The last one is a tree type most commonly used. Grid type needs computer program to calculate the friction loss and flow rate apart from very simple form. In loop type, manual calculation is possible. Design engineer can draw up and calculate the demands without computer program. Because water supplies two direction in loop type, friction loss is smaller than tree type. Water distribution in operation area is uniform because of the small differences of sprinklers discharge pressure. Loop type is superior to tree type in respect of total pressure and flow rate. Using the small diameter pipe, the labor and construction cost will be decreased in the end. Loop type sprinkler design is rarely laid out because design engineers don't know the method. This paper is intended to inform that the loop type is better than the tree type in performance and economic point of view. And also this paper intend to use the loop type easily and widely.

Content Creation and Flow: Why They Clik or Create UCCs (콘텐츠 창조와 플로우:동영상 UCC 이용 동기)

  • Chun, Bang-Jee
    • The Journal of the Korea Contents Association
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    • v.8 no.12
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    • pp.222-235
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    • 2008
  • This study looks at motivations of video UCC users as a member of creative class. A qualitative research method was used for analyzing data collected by interviews. Killing time users, active clickers and creators are distinguished as different types of UCC users and their differing motivations are explored. The findings of the study are as follows: First, information sharing, self presentation, communication needs, ease of use for self presentation, usefulness are expressed as motivating factors for both active clickers and creators, Pleasure motivates every type of users. However, content creators experience a specific type of pleasure which is the pleasure of creativity or flow, which this study highlights as a key driving factor for content creators. The study adds to the findings of UCC user research which applies the TAM and the PAD model by revealing what pleasure and flow specifically mean for different types of UCC users.

Subungual Exostosis of the Foot (족부의 조갑하 외골종)

  • Ahn, Jong-Chul;Shin, Duk-Seop;Shon, Oog-Jin;Choi, Joon-Hyuk
    • The Journal of the Korean bone and joint tumor society
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    • v.5 no.1
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    • pp.56-62
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    • 1999
  • Purpose : This study was conducted to analyze the clinical materials and treatment results of 13 cases of subungual exostosis. Materials and Methods : Thirteen subungual exostoses of the foot treated from January 1991 to December 1997 were studied. We analyzed the clinical data and results of treatment to identify the clinical characteristics of this disease. We investigated the location, shape and relation of exostosis to phalanx with simple x-ray of the foot to identify the radiological characteristics. All the cases were sent to pathologic examination after resection to determine the pathological characteristics. Results : The results of physical examination on presentation were various. Most cases were located at the dorsomedial side of the distal phalanx and were involved in the toe nail. Eleven cases were located at great toes and one each at the 2nd and 3rd toe. Causes of exostosis were not clear, but 2 cases were related to trauma. For the type of exostosis, 7 cases were sessile and 6 were stalk type. On histologic examination, 9 cases showed a cartilaginous portion with overlying proliferating fibrous tissue and underlying bone formation. There was a gradual maturation of spindle cell proliferation from cartilage to cancellous bone. The cartilage was moderately cellular with some pleomorphism, but true anaplasia was not present. Conclusion : The clinical presentation and findings of simple x-rays were most helpful in diagnosing subungual exostosis. Complete excision of the mass achieved complete relief of symptoms and recovery without recurrence in all cases.

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