• Journal of Veterinary Clinics
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• v.30 no.5
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• pp.346-352
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• 2013

The study was aimed to investigate the influence of diode laser on osteoarthritis (OA) of stifle joint induced by anterior cruciate ligament transection (ACLT). Sixty 10-week-old male Sprague-Dawley rats were used in this study. Right stifle joint was operated to create ACLT or sham. There were five study groups: control, Sham, ACLT, ACLT + Laser irradiation (ACLT+L) and ACLT + meloxicam administration (ACLT+M). Low-level laser therapy (LLLT) was applied at the operated stifle joint twice a week using an 808-nm indium-gallium-arsenide (InGaAs) diode laser during 8-week experimental period. Radiographical, gross morphological and histopathological findings were examined at 2, 4 and 8 weeks post-surgery. Radiography, CBC and chemistry tests showed no significant difference between groups. ACLT+L group showed remarkable cartilage damages compared with sham group morphologically and histopathologically at 2, 4 and 8 weeks after surgery. ACLT+M group also had more cartilage damages compared with sham group. Low-level laser therapy (LLLT) showed limitation to prevent progression of OA in the rat anterior cruciate ligament transection models; on the contrary it accelerated cartilage damage. It is assumed that the aggravating results of LLLT in this study might be due to excessive unstable movement of stifle joint from the pain-relieving effect of LLLT, rather than direct damaging effect of irradiation since LLLT did not affect cell viability.

• The Journal of the Korean bone and joint tumor society
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• v.6 no.1
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• pp.35-40
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• 2000

We report the radio-frequency ablation technique applied on an osteoid osteoma under CT guide and review other new methods of treatment for the osteoid osteoma. An 18-year-old boy with an osteoid osteoma at the left proximal tibia, which was visible at plain film and MRI. He was treated by the percutaneous radio-frequency ablation technique under CT guide after a needle biopsy. He is free from any symptom and able to do daily activities. So, we proposed that the percutaneous radio-frequency ablation technique under CT guide is the effective and safe treatment method for an osteoid osteoma.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.543-551
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• 2018

Purpose : The purposes of this study were to evaluate the changes of intraocular pressure according to corneal ablation amount after corneal refractive surgery and the changes of intraocular pressure according to refractive errors before corneal refractive surgery. Methods : The mean age of adults who underwent LASIK corneal refractive surgery were $37.34{\pm}7.42years$, and 108 adults(48 males, 60 females) were participated in this study. Refractive errors, intraocular pressure, and corneal ablation amount were measured using an autorefractor, a noncontact tonometer, and an excimer laser. All test values were considered statistically significant when p<0.05. Results : The mean intraocular pressure before corneal refractive surgery was $15.08{\pm}2.60mmHg$ in males and $14.16{\pm}2.67mmHg$ in females. The decrease of intraocular pressure after corneal refractive surgery were 4.22mmHg in males and 3.61mmHg in females. Spherical equivalent power were $-3.89{\pm}2.17D$ in males and $-4.45{\pm}2.92D$ in females before corneal refractive surgery, and $-0.10{\pm}0.46D$ in males and $-0.04{\pm}0.46D$ in females after corneal refractive surgery. The corneal ablation amount after corneal refractive surgery were statistically significant, with $53.95{\mu}m$ in males and $61.26{\mu}m$ in females. There was significant correlation between corneal ablation amount and decrease of intaocluar pressure(r=0.2299, p<0.001). As the growth of corneal ablation amount in males, the decrease of intraocular pressure was significantly increased. As the growth of refractive error, the amount of decrease in intraocular pressure was also significant. The decrease of intraocualr pressure were $3.04{\pm}2.18mmHg$ in low refractive error, $4.10{\pm}2.16mmHg$ in middle refractive error, and $4.65{\pm}3.29mmHg$ in high refractive error. Conclusion : We found that intraocular pressure decreased after corneal refractive surgery by noncontact tonometer and the change of intraocular pressure which is an important index for glaucoma diagnosis, may affect the judgment of eye disease. We think that a preliminary questionnaire whether corneal refractive surgery is necessary for the measurement of intraocular pressure.

• Journal of Chest Surgery
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• v.42 no.2
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• pp.238-243
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• 2009

Background: Radiofrequency obliteration and endovenous laser therapy of the greater saphenous vein have recently been introduced as alternative, minimally invasive techniques for the treatment of saphenous vein incompetence. The 7 Fr. VNUS $ClosureFAST^{(R)}$ radiofrequency obliteration system was introduced in Gwang-Ju Veterans hospital. The purpose of this study is to evaluate the efficacy and complications of radiofrequency obliteration using the 7 Fr. VNUS $ClosureFAST^{(R)}$ system. Material and Method: Between May 2, 2007 and May 31, 2008, we performed radiofrequency obliteration on 90 patients. The number of males was 67 and their mean age was $57.9{\pm}11.0$ (range: $23{\sim}78$) years old. The patients underwent follow up exams at 3 weeks after the procedures and then every 3 months. The effects of treatment and the complications were reviewed. Result: The postoperative complications were ecchymosis (94.4%), pain (27.8%), paresthesia (25.6%), bullous formation (8.9%), edema (6.7%) and phlebitis (2.2%). One patient showed good blood flow after 3 weeks and one patient showed good blood flow after 3 months. The one-year success rate of radiofrequency obliteration in varicose veins was 97.6%. Conclusion: Our data showed acceptable operative results and short-term clinical results for treating varicose veins with radio frequency obliteration. Long-term follow-up and comparison of radio frequency obliteration with high ligation and stripping, previous radiofrequency ablation and endovenous laser therapy are needed in the future.

• Journal of Chest Surgery
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• v.30 no.12
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• pp.1237-1241
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• 1997

Tracheal stenosis is a difficult disease entity to manage. Laser ablation is one effective treatment for treacheal stenosis and can be utilized if tracheal reconstructive surgery is impossible. Potassium titanyl phosphate laser, transmitted via flexible quartz fiber, can be precisely manipulated through flexible bronchoscope under local anesthesia. We treated 7 patients with trach al and broncheal lesion under local anesthesia with KTP laser from January 1995 to July 1996. The patients included three males and four females. The age of patients ranged from 22 to 66 years with a mean of 43.7 years The etiology of tracheal stenosis in patients was stenosis after tracheostomy(3 cases), prolong inturbation in cases of sepsis(1 cases), and the recurrence of lung cancer within endobronchial lesion(2 cases). In the cases of tracheal stenosis treated with laser ablation, there were 2 cases of recurrence of stenosis at the anastomosis site after the operation, 3 cases of stenosis at tracheostomy site, and 2 cases of local recurrence of lung cancer. The site of the tracheal stenosis was the balloon site of the tracheostomy tube(3-4cm inferior to the tracheostomy site, 2-3cm superior to the carina) and the anastomosis site that were narrowed to less than 5mm(4 cases). For the stenosis lesion in the endobronchial area, there were 2 patients with a lesion at the anterior wa l, 1 patient with a lesion at the posterior wall, 2 patients with circumferential stenosis. Laser ablation time was 25.4 $\pm$5.9min and used energy was 1768 $\pm$365J. We have used KTP laser via (lexible bronchoscope without major complications. Adjuvant radiation therapy may prevent fibroblast proliferation which leads to restenosis. In three patients of restenosis after laser ablation, adjuvant irradiation started within 4 hours after laser ablation, and the radiation doses were 1500cGy given in five fraction. In patients with adjuvant radiation therapy, stenosis has not recurred

• Proceedings of the Korean Vacuum Society Conference
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• 2015.08a
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• pp.134-134
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• 2015

최근 액체 플라즈마에 대한 주된 이슈는 방전에 의해 발생하는 히드록실라디칼(OH-)과 버블이다. 액체 플라즈마를 이용한 다양한 응용분야에서는 히드록실라디칼에 주목하고 있다. 액체 플라즈마는 그래핀 파생물의 용액 친화도 향상을 위해 이용될 수 있다. 흑연이 포함된 과산화수소(H2O2) 용액에서 전기적인 방전으로 만들어진 히드록실라디칼로 그래핀 파생물의 용액 친화도를 향상시킨다. 이는 잠재적인 프린팅(printing) 기술 발전에 기대된다. 그리고 이 라디칼은 폐수에서 발암성의 트라이클로로아세트산(CCl3COOH)을 탈 염소하고 분해하는 역할을 하여 액체 플라즈마가 새로운 수처리 기술로 부상되고 있다. 또한 인체에서는 살균 작용을 하는 것 뿐만 아니라 단백질 고리를 끊는 역할을 하여 전립선 수술과 같은 인체수술에 적용될 수 있다. 최근 액체 플라즈마를 이용한 돼지 각막 임상수술에서 레이저와 필적할 정도로 매우 정밀하게 수술된 연구결과가 발표되어 인체 각막수술 적용에 기대된다. 이처럼 액체 플라즈마를 이용한 대부분의 응용분야에서 히드록실라디칼의 역할이 중요하다. 액체 플라즈마의 또 다른 이슈인 버블은 2가지의 역할을 한다. 첫 번째로 방전소스의 역할이다. 액체 속에 담긴 얇은 전극에 전압을 인가하면 전극 주변에서 강한 전기장의 발생으로 줄열(joule heating)에 의해 버블이 생성된다. 전극에서 버블이 생성되었을 때, 서로 다른 유전율을 가진 두 물질로 나누어진다. (버블 안은 공기로 상대 유전율 ${\varepsilon}r{\fallingdotseq}=1$, 용액은 ${\varepsilon}r{\fallingdotseq}=80$이다.) 시스템에 인가된 전압이 항복 전압(breakdown voltage)을 넘어서면 유전율이 상대적으로 낮은 버블내부에 강한 전기장이 걸리게 되어 방전이 일어난다. 만약 버블이 존재하지 않는다면 방전을 위해서 매우 높은 전압이 필요하다. 따라서 버블은 플라즈마 방전의 소스역할을 한다. 두번째로 버블은 전극의 부식을 방지하는 역할을 한다. 전극 부식은 주로 전기분해로 인한 산화반응에 의해 발생하는데 버블을 전극에 오래 머무르게 하면 부식을 방지할 수 있다. 이처럼 액체 플라즈마 시스템에서 버블의 역할들은 상당히 중요하다. 일반적으로 버블은 시스템에 인가하는 전원, 전극 극성 그리고 전압크기에 따라 거동이 달라진다. 시스템에 AC파워를 인가하면 버블은 주파수가 높을수록 전극에서 떨어지는 속도가 빨라지는 특성을 보인다. 핀 전극 극성이 음극일 때는 양극일 때보다 버블이 더 잘 생성된다. 또한 인가전압크기에 따라 거동이 달라지며 시스템에 같은 전압을 인가하여도 크기가 항상 같지 않고, 거동도 일관성을 보이지 않은 랜덤적인 모습을 보인다. 본 연구에서는 이 랜덤적인 버블의 거동을 정리하고 응용분야에서 중요하게 여기는 히드록실라디칼 생성에 대해 공부하기 위해 염류 용액(saline solution)에 핀(pin)-면(plane) 전극 구조를 설치하여 10Hz 주파수(1% duty cycle)를 가진 0-600V 구형펄스로 실험하였다. 실험을 통한 결과로서 랜덤적인 버블의 거동을 전극에서 버블이 떨어지는 속도와 플라즈마 특성에 따라 슈팅모드(shooting mode)와 유지모드(keeping mode) 2가지 모드로 분류하였다. 슈팅모드에서는 버블이 핀 전극에서 성장하지 못하고 빠른 속도로 떨어지는 모드로 플라즈마 방전이 잘 이루어지지 않는다. 반면 유지모드에서는 버블이 핀 전극에서 떨어지지 않고 지속적으로 성장한다. 이 모드에서는 펄스 시간 동안 하나의 버블로 연속적인 방전이 가능하다. 방전이 일어날 때 발생하는 히드록실라디칼의 생성은 버블 내부의 쉬스와 관련이 있다. 이 라디칼을 만들기 위해서는 높은 에너지가 요구되기 때문에 버블 내부의 쉬스(sheath)에서 만들어진다. 펄스 동안 쉬스는 주로 핀 전극 주변에서 유지되며 히드록실라디칼은 이곳에서 주로 만들어진다. 따라서 버블과 함께 쉬스도 성장하는 버블유지모드에서 슈팅모드보다 히드록실라디칼이 더 많이 생성된다.

• Proceedings of the KOSOMBE Conference
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• v.1994 no.05
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• pp.127-130
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• 1994

This study is focused on investigating the mechanical properties of the human cornea and its shape through the inverse nonlinear finite element approach using the clinical and experimental data. The results of the inverse approach were used to construct the finite element model of the photorefractive excimer laser surgery for the myopia patients. The results of the finite element model were compared with those of the current clinical experiences and showed good agreements. Finally this study came to the conclusion that the finite element method has potential of the application to the medicine.

• Korean Journal of Bronchoesophagology
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• v.17 no.1
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• pp.29-34
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• 2011

Traditionally, the main strategy of treatment of the head and neck cancer was en bloc resection including adjacent normal tissues through wide incision. However, the procedures may leave severe functional deficit such as swallowing difficulty, aspiration, and wide neck scar. Therefore, many attempts have been made up to minimize these morbidities. Of them, the minimal invasive approach such as transoral laser microsurgery (TLM) and transoral robot surgery (TORS) have been spolighted as a sensible strategy for organ preservation of the head and neck cancer patients. Results of TLM are equivalent to those obtained by conventional surgery, with considerably less morbidity, less hospital time and better postoperative function. Oncologic results of TLM are equivalent to conventional surgery. TORS are safe, feasible, and promising but oncologic safety is not yet verified. This article covers to current application of TLM and TORS, their advantages and limitations, and future direction.

• Journal of Biomedical Engineering Research
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• v.17 no.4
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• pp.491-498
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• 1996

The development of a compact two-wavelength Nd:YAG laser for dental and ENT applications is presented. The Nd:YAG resonator generates either 1.06$\mu$m or 1.32$\mu$m. The wavelength selection is made at the control panel. The Nd:YAG laser parameters at 1.06$\mu$m are ; the maximum pulse duration of 150$\mu$s, repetition rates of I-100Hz, and the maximum average power of 25W. At 1.32$\mu$m, the pulse duration is the same where the repetition rates and the maximum average power are I-30Hz and lOW respectively. High voltage power supply consists of a simmer module and two identical high voltage DC converters. In order to make a complete medical laser system, an optical fiber delivery unit, foot pedal and water spray handpiece are also developed. The wavelength selection is reliable since no movement of optical or mechanical components is required. The high voltage power supply is compact, easy to be maintained and applicable for other laser systems due to its modular design.

• The Journal of Korean Physical Therapy
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• v.2 no.1
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• pp.123-125
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• 1990

문헌에 의하면 대상포진의 원인은 바이러스에 대한 세포성 면역이 저하될 때, 또는 악성종양 등으로 면역억제제 치료를 받아서 2차적으로 면역이 저하될 때 체내에 잠재해 있던 바이러스가 재활되어 발병하는 것으로 추정하고 있다. 본 저자도 이에 대하여 의견을 같이하고 있는데 노령층의 $60\~70$대 여자환자수가 압도적으로 많았다는 점과, $20\~39$세 사이의 청${\cdot}$장년층에서는 단1명의 대상자가 없다는 점뿐 아니라, 본 대상자중 11세의 소녀는 7세때 뇌종양 수술을 2차례에 걸쳐 실시한 후 면역제제를 계속적으로 사용하는 있는 점 등은 문헌의 발병원인과 상당히 일치하였다. <전파 양식> 비말 감염 (droplet infection)으로 전파되며, 수두와 달리 전염성이 높지 않다. <잠복기> 잠복해 있던 바이러스가 언제 재활할지 알 수 없으므로 불명이다. 그러나 본조사에서는 대상포진에 대한 병력을 가진 사람이 없었고, 발생 원인을 본인 자신도 모르고 있었다. <합병증> Ramsay Hunt의 증후에 의하면 합병증은 외이도의 수포, 안면신경마비, 혀의 2/3부분의 미각상실, 간혹 청각 및 평행장애를 일으킨다고 한다. <치료> 대상포진의 대증요법으로 calamine lotion Burrow solution의 wet dressing 진통제 및 cytosine arabinoside나 adenosine arabinoside와 같은 항히스타인제, 최근에는 Acyclovir가 많이 사용되고 있는 것으로 알려졌다.