• Title/Summary/Keyword: rarity

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Rhabdomyolysis after the free fibular flap operation for mandibular reconstruction: a case report

  • Choi, Won-Hyuk;Kim, Yong-Deok;Song, Jae-Min;Lee, Jae-Yeol
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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    • pp.41.1-41.4
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    • 2018
  • Background: Free fibular flap is one of the most useful methods in the hard tissue reconstruction of the maxillamandible. Free fibular flap presents some advantages in which the reconstruction of both soft and hard tissues can be done at the same time. It also provides a safe and successful bone graft for the reconstruction, along with a low rate of complications. Despite these advantages and the rarity of a postoperative complication, particularly in oral and maxillofacial surgery procedures, a prolonged operation might exhibit some complications related with rhabdomyolysis. We experienced the rare event of rhabdomyolysis after oral cancer surgery. Case presentation: In this article, we report the case of a patient who developed rhabdomyolysis after undergoing free fibular flap surgery. Conclusions: Despite the advantages of the free fibular flap operation, clinicians must be aware of the risk of complications because there are multiple factors that could result in rhabdomyolysis, such as duration of operation, position of the subject, and pre-existing conditions of diabetes and hypertension. Once the diagnosis of rhabdomyolysis is confirmed, a prompt treatment plan should be made and applied as soon as possible. This will increase the chance of a full recovery for the patient who is exhibiting symptoms of rhabdomyolysis.

A Case of Combined Small Cell Carcinoma with Non-Small Cell Lung Carcinoma, Adenocarcinoma and Squamous Cell Carcinoma (편평상피세포암종과 선암종이 동반된 복합형 소세포암종(Combined Small Cell Carcinoma) 1예)

  • Park, Hye-Jung;Mun, Yeung-Chul;Yu, Sung-Keun;Shin, Kyeong-Cheol;Chung, Jin-Hong;Lee, Kwan-Ho;Kim, Mi-Jin;Lee, Jung-Cheul
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.1
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    • pp.72-77
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    • 2000
  • A proper pathologic diagnosis of small cell lung cancer(SCLC) is essential for the application of aggressive treatment modalities. However, various authors have suggested several subtypes of SCLC based on morphological features. Among them, the incidence of small cell lung cancer(SCLC) combined with squamous cell and/or adenocarcinoma, represents less than 1% to 3% of all SCLC tumors. Because of the rarity of SCLC combined with squamous cell and/or adenocarcinoma, very little is known about its clinical characteristics and response to therapy. We report a case of SCLC combined with squamous cell and adenocarcinoma in a 68 year old male who experienced pneumonectomy of the left lung.

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Multifocal Skeletal Muscle Metastasis from Kidney Cancer (Transitional Cell Carcinoma) - A Case Report - (신장암의 다발성 골격근 전이 - 1례 보고 -)

  • Rhee, Seung-Koo;Kang, Yong-Koo;Park, Won-Jong;Chung, Jin-Wha;Sur, Yoo-Joon
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.2
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    • pp.48-53
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    • 2002
  • Although direct skeletal muscle invasion by carcinoma is well recognized, distant metastasis to skeletal muscle is uncommon. Furthermore, multifocal skeletal muscle metastasis is a very exceptional event. Some factors such as variable intra-muscular blood flow, mechanical factors including turbulent blood flow and muscle contraction, intra-muscular acidic condition, lactic acid, protease inhibitors in the extra-cellular matrix were proposed as causes of the rarity of distant metastasis to skeletal muscle. We report here a case of a 67 year old male who had multifocal skeletal muscle metastasis from the transitional cell carcinoma of left kidney.

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Isolation and Characterization of Trophoblast Stem Cells-like Cells Derived from Human Term Placenta

  • Na, Kyu-Hwan;Shin, Kyung-Seon;Choi, Jong-Ho;Cha, Dong-Hyun;Kim, Gi-Jin
    • Development and Reproduction
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    • v.14 no.3
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    • pp.155-162
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    • 2010
  • The trophectoderm is one of the earliest cell types to differentiate in the forming placenta. It is an important for the initial implantation and placentation during pregnancy. Trophoblast stem cells (TBSCs) develop from the blastocyst and are maintained by signals emanating from the inner cell mass. However, several limitations including rarity and difficulty in isolation of trophoblast stem cells derived from blastocyst still exist. To establish a model for trophoblast differentiation, we isolated TBSCs from human term placenta ($\geq$38 weeks) and characterized. Cell cycle was analyzed by measuring DNA content by FACS analysis and phenotype of TBSCs was characterized by RT-PCR and FACS analysis. TBSCs have expressed various markers such as self-renewal markers (Nanog, Sox2), three germ layer markers (hNF68, alpha-cardiac actin, hAFP), trophoblast specific markers (CDX-2, CK7, HLA-G), and TERT gene. In FACS analysis, TBSCs isolated from term placenta showed that the majority of cells expressed CD13, CD44, CD90, CD95, CD105, HLA-ABC, cytokeratin 7, and HLA-G. Testing for CD31, CD34, CD45, CD71, vimentin and HLA-DR were negative. TBSCs were shown to decrease the growth rate when cultured in conditioned medium without FGF4/heparin as well as the morphology was changed to a characteristic giant cell with a large cytoplasm and nucleus. In invasion assay, TBSCs isolated from term placenta showed invasion activities in in vivo using nude mice and in vitro Matrigel system. Taken together, these results support that an isolation potential of TBSCs from term placenta as well as a good source for understanding of the infertility mechanism.

Mineralogy of gold-silver deposits in Chungcheong Province (충청도(忠淸道) 일원(一圓)의 금(金)·은(銀)광상(鑛床)에 대한 광물학적(鑛物學的) 연구(硏究))

  • Choi, Seon Gyu;Park, No Young;Hong, Sei Sun
    • Economic and Environmental Geology
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    • v.21 no.3
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    • pp.223-234
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    • 1988
  • A large number of gold and/or silver-bearing quartz veins occur in or near Mesozoic granite batholith elongated in a NE-SW direction within the Chungcheong Province. Precambrian schists and gneisses, and Jurassic and Cretaceous granitic rocks serve as hosts for gold and/or silver deposits. On the basis of Ag/Au total production and ore grade ratio, 15 mines may be divided into three major groups: gold-dominant deposits, gold-silver deposits, and silver-dominant deposits. The chemical composition of electrum from skarn deposit (Geodo mine), alaskite-type deposit (Geumjeong mine) and 15 vein deposits was summarized. It was found that the Au content of electrum for vein deposits ranging from 5.2 to 86.5 is lower than that for skarn and alaskite deposits. Among 15 vein deposits, the composition of electrum associated with pyrrhotite is relatively high and has a narrow range of 40.8 to 86.5 atomic % Au, but the Au content of electrum with pyrite is in range of 5.2 to 82.8 atomic %, and is clearly lower than that with pyrrhotite. The grouping of ages for these mines indicates that gold and/or silver mineralizations occurred during two periods in the Mesozoic. Daebo igneous activities are restricted to gold mineralization in the range of 158 to 133 Ma, whereas Bulgugsa igneous activities are related to gold and/or silver mineralization ranging from 108 to 71 Ma. Generally speaking, Jurassic gold-dominant veins have many common characteristics; notably prominent association with pegmatites, simply massive vein morphology, high fineness in the ore concentrates, rarity of silver minerals, and a distinctively simple mineralogy, including sphalerite, galena, chalcopyrite, pyrrhotite and/or pyrite. Although individual deposits exhibit widely differing diversity, Cretaceous gold-silver and silver-dominant veins are characterized by features such as complex vein, low to medium fineness in the ore concentrates and abundance of silver minerals including Ag sulfosalts, Ag sulfides, Ag tellurides and native silver.

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Analysis of Color Image Wedding Bouquet in the Interflora World Cup Competition (인터플로라 세계월드컵대회의 웨딩부케 색채이미지 분석)

  • Yeo, Hwa Sun;Kim, Shin Won;Park, Si Hyun
    • FLOWER RESEARCH JOURNAL
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    • v.18 no.4
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    • pp.308-314
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    • 2010
  • Importance of color in floral design has been emphasized for long time, but it is difficult to find out standardization of color for floral design and for educational system. Wedding bouquet is major and important part of floral design and it shows same problem. The research is concentrated on color image analysis of wedding bouquet designs which have been submitted for 'Interflora World Cup Competition' with the intention to utilize the study result as the basic information of floral design. Colors of wedding bouquets from 20 different countries were analyzed. All of designers chose high brightness and saturation more for designing the bouquets. Warm colors and cold colors have been taken in similar portion. Blue color has been rarely used and it is probably because of the rarity of blue flowers. This study shows each continent has different color preference. European designers used wide variety of colors while Asian designers preferred red color. From this study, we found that color image scales of wedding bouquets represent 8 images out of 12 representative images. Four exceptions are 'clean', 'elegant', 'gentle' and 'modern' images.

Novel analysis procedure for red ginseng polysaccharides by matrix-assisted laser desorption/ionization time-of-flight/time-offlight mass spectrometry

  • Jin, Ye Rin;Oh, Myung Jin;Yuk, Heung Joo;An, Hyun Joo;Kim, Dong Seon
    • Journal of Ginseng Research
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    • v.45 no.5
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    • pp.539-545
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    • 2021
  • Background: Red ginseng polysaccharides (RGPs) have been acknowledged for their outstanding immunomodulation and anti-tumor activities. However, their studies are still limited by the complexity of their structural features, the absence of purification and enrichment methods, and the rarity of the analytical instruments that apply to the analysis of such macromolecules. Thus, this study is an attempt to establish a new mass spectrometry (MS)-based analysis procedure for RGPs. Methods: Saponin pre-excluded powder of RG (RG-SPEP, 10 mg) was treated with 200 µL of distilled water and centrifuged for 5 h at 1000 rpm and 85 ℃. Ethanol-based precipitation and centrifugation were applied to obtain RGPs from the heated extracts. Further, endo-carbohydrase treatments were performed to produce specific saccharide fragments. Solid-phase extraction (SPE) processes were implemented to purify and enrich the enzyme-treated RGPs, while matrix-assisted laser desorption/ionization time-of-flight/time-of-flight (MALDI-TOF/TOF) MS was employed for the partial structural analysis of the obtained RGPs. Results: Utilizing cellulase, porous graphitized carbon (PGC), hydrophilic interaction chromatography (HILIC), and MALDI-TOF/TOF MS, the neutral and acidic RGPs were qualitatively analyzed. Hexn and Hexn-18 (cellulose analogs) were determined to be novel neutral RGPs. Additionally, the [Unknown + Hexn] species were also determined as new acidic RGPs. Furthermore, HexAn (H) was determined as another form of the acidic RGPs. Conclusion: Compared to the previous methods of analysis, these unprecedented applications of HILIC-SPE and MALDI-TOF/TOF MS to analyze RGPs proved to be fairly effective for fractionating and detecting neutral and acidic components. This new procedure exhibits great potential as a specific tool for searching and determining various polysaccharides in many herbal medicines.

Update on Current Role of Perioperative Chemotherapy in Upper Tract Urothelial Carcinoma (상부 요로상피암에서 신보조 항암요법 및 보조 항암요법의 최신 지견)

  • Jeon, Byeong Jo;Tae, Bum Sik;Park, Jae Young
    • The Korean Journal of Urological Oncology
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    • v.16 no.3
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    • pp.89-96
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    • 2018
  • Upper tract urothelial carcinoma (UTUC) has a relatively low prevalence rate of about 1.8 per 100,000 people. According to the recent literature, the development of diagnostic techniques has gradually increased the prevalence and diagnosis rate. In the past, when UTUC was diagnosed, more than 60% of the patients were diagnosed as locally advanced or metastatic cancer. However, since 2010, approximately 70% of the patients have been diagnosed as operable stage. Although radical nephroureterectomy is known as the basis of treatment for UTUC, overall survival is poor in patients with lymph node invasion. Especially, the finding that a localized UTUC is associated with a high risk of cancer metastasis in approximately 50% of patients suggests that these patients may not have sufficient treatment through surgery alone. The European Association of Urology and the National Comprehensive Cancer Network guideline 2017 suggested that postoperative adjuvant chemotherapy may be considered in patients with advanced UTUC beyond pT2. Also, recent meta-analyses have reported that cisplatin-based adjuvant chemotherapy can be expected to have a synergistic effect of overall survival and disease-free survival. However, many patients with UTUC undergo postoperative renal failure, which may result in failure to perform cisplatin-based adjuvant chemotherapy with adequate dose. For this reason, several researchers have suggested that it is beneficial to apply neoadjuvant chemotherapy when the preoperative renal function is maintained to a certain extent. But, neoadjuvant chemotherapy has not been used by many clinicians because of the lack of studies and the rarity of the disease. We are currently discussing the outcomes and prospects of perioperative chemotherapy.

The Archival Exhibition organized by the Archives of Jogye Order of Korean Buddhism - Korean Buddhism and Jogye Order through the archives - (대한불교조계종 중앙기록관 역사기록전시 - 기록으로 보는 한국불교와 조계종 -)

  • Kim, Jae-Hun;Lee, Kyung-Hoon
    • The Korean Journal of Archival Studies
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    • no.13
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    • pp.287-320
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    • 2006
  • The ultimate purpose of records management is for reference service. Archival exhibition provides an opportunity to raise the public's interest at archives and maintain records management and to offer the reference service to unknown users. As for archivists, archival exhibition allows to summarize generally the archives that he may have and to appraise its value. At the opening of the Memorial hall for the history and culture of Korean buddhism, the Archives of Jogye Order of Korean Buddhism held an archival exhibition by showing archives of Korean Buddhism History to the public. The exhibition mainly consists in 2 themes: History of Jogye Order of Korean Buddhism and its activities. Over 300 archives were selected in accordance with historicity, rarity and particularity of each archives that the Jogye Order of Korean Buddhism posses. The present paper aims to suggest different models of Archival Exhibition with the help of detailed explanation on Exhibition planning, Selection of archives and the practice.

Classification of Protected Flora through Delphi Method (전문가 델파이 조사를 통한 천연기념물 식물 유형 개발)

  • Son, Ji Won;Shin, Jin Ho;Lee, Jae Jin;Kim, Do Hee
    • Korean Journal of Heritage: History & Science
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    • v.49 no.4
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    • pp.218-227
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    • 2016
  • Protected Flora are natural heritage that involve a wide variety of valuable natural values and cultural values. Over time, "Cultural Properties Preservation Law" has been changing the definition and the criteria of Protected Flora. In addition to the academic value and the rarity of the plant, historical, ethnic and landscape values have become increasingly important. For that reason the declaration and management processes of the Protected Flora need to be improved. However, the current statute has focused on the morphological characteristics of the plants which have a limit to encompass various values of the plant. It also does not correspond to the definition of Protected Flora and its declaration criteria stated on the "Cultural Properties Preservation Law." For this reason, the main purpose of this study is to develop new types of Protected Flora so that various Protected Flora can be discovered in the future.