• 대한핵의학회지
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• 제21권2호
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• pp.155-165
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• 1987

The noninvasive nature of the radionuclide angiocardiography provided a useful approach for the evaluation of left-to-right cardiac shunts (LRCS). While the qualitative information can be obtained by inspection of serial radionuclide angiocardiograms, the quantitative information of radionuclide angiocardiography can be obtained by the analysis-of time-activity curves using advanced computer system. The count ratios method and pulmonary-to-systemic flow ratio (QP/QS) by gamma variate fit method were used to evaluate the accuracy of detection and localization of LRCS. One hundred and ten time-activity curves were analyzed. There were 46 LRCS (atrial septal defects 11, ventricular septal defects 22, patent ductus arteriosus 13) and 64 normal subjects. By computer analysis of time-activity curves of the right atrium, ventricle and the lungs separately, the count ratios modified by adding the mean cardiac transit time were calculated in each anatomic site. In normal subjects the mean count ratios in the right atrium, ventricle and lungs were 0.24 on average. In atrial septal defects, the count ratios were high in the right atrium, ventricle and lungs, whereas in ventricular septal defects the count ratios were higher only in the right ventricle and lungs. Patent ductus arteriosus showed normal count ratios in the heart but high count ratios were obtained in the lungs. Thus, this count ratios method could be separated normal from those with intra cardiac or extracardiac shunts, and moreover, with this method the localization of the shunt level was possible in LRCS. Another method that could differentiate the intracardiac shunts from extracardiac shunts was measuring QP/QS in the left and right lungs. In patent ductus arteriosus, the left lung QP/QS was higher than those of the right lung, whereas in atrial septal defects and ventricular septal defects QP/QS ratios were equal in both lungs. From this study, it was found that by measuring QP/QS separately in the lungs, intracardiac shunt could be differenciated from extracardiac shunts.

• Journal of Chest Surgery
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• 제30권1호
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• pp.17-26
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• 1997

경상대학교병원 흉부외과에서는 1988년 10월부터 1995년 12월까지 7년 2개월 동안 366례의 선천성 심장기형에 대한 수술을 시행하였다. 남자가 171례, 여자가 195례이었고, 생후 5일부터 64세에까지 분포하였으며 성인(만 15세 이상)이 80례이었다. 비청색증형이 313례(84.2%)이었으며 청색증이 53례(15.8%)이었다 전체 사망율은 10.4%이었는데, 6개월 미만 5)례 중 37%, 6개월과 1년 사이가48례 중 10.6%를 나타내어 12개월 미만 영아 사망율은 24.8%(25/101)이었으며, 50세 이상의 노년 환자 13례에서는 사망이 없었다. 비청색증군은 5.5%, 청색증군은 36.2%의 수술사망이 있었다. 수술사망율에 영향을 미치는 몇 가지 위험 인자들을 통계 분석하였다. 단변수 분석상 개심술의 사망율과 관계가 있는 위험 인자는 연령(p< 0.0001), 체중(p<0.0001), 체외순환시간(p< 0.0001) 및 심근허혈시간(p<0.0001), 완전순환정 지법의 이용 (P<0.0001)그리고 청색증질환(p<0.00이)이었다. 그러나, 다변량 분석상 개심술의 사망율과 관련이 있는 위험인자는 질환의 유형(p=0.002)이었고, 특히 활로4징증 이외의 청색증군이 사망율과 관련이 컸다 (odds ratio=15.3). 청색증군만\ulcorner 분석한 결과, 사망율의 위험인자로 단변수 분석상에서는 연령(p=0. 002)과 질환의 유형(p=0.008)이었으나, 다변량 분석에서는 질환의 유형(p=0.012) 뿐이었다. 저자들의 경험례 중 청색증군에서 사망율이 높았던 것은 질병자체의 영향임을 알 수 있었고,단변수 분석상 나타난 위험인자들 중 기술적 개선이 가능한 요인들에 대해서는 특별한 노력이 있어야 될 것으로 판단되는 것이다.

• Journal of Chest Surgery
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• 제10권2호
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• pp.268-273
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• 1977

During the period from March, 1963, to November, 1977, forty-eight patients with secundum type atrial septal defects have undergone surgical repair using cardiopulmonary bypass with a pump oxygenator at the Seoul National University Hospital. Twenty-six [55 percent] of the patients were females and Twenty-two [45 percent] were males. The patients varied in age from 3 years to 51 years. We have divided secundum defects into three types. These are: 1] the high defect; 2] Ovale type defect; and 3] low defect including the defect in the area of the coronary sinus. An ovale type defect was present in forty-one cases [85 percent]. Partial anomalous pulmonary venous connections were present in two patients in the high defect group. All of the forty-eight patients had had right heart catheterization before operation. The pulmonary to systemic flow ratio [Qp/Qs] was determined in our 38 patients. The Qp/Qs was less than 1.5/1 in only five of the 38 patients. Among the 33 patients with moderate and severe left-to-right shunts [Qp/Qs 1.6-3.5/1], the systolic pulmonary artery pressures. ranged from 30 to 80 mm Hg. Large left-to-right shunts [Qp/Qs>3.6/1] were present in 13 patients. The postoperative complications occurred in 13 patients [27. 1 percent]. Postoperative wound infections were the most frequent complications being present in 6 patients [12.5%]. Forty-six of the patients with secundum atrial septal defects survived surgical repair of their defects. Thus the hospital mortality of surgery was 4.2 percent. The causes of death in the early postoperative period were: 1] low cardiac output syndrome related to severe pulmonary hypertension in one case; and 2] postoperative several bleeding in one case.

• Journal of Periodontal and Implant Science
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• 제52권5호
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• pp.370-382
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• 2022

Purpose: The aim of this study was to evaluate the preclinical results of 2 types of commercially available deproteinized bovine bone mineral (DBBM) when applied to alveolar bone defects in dogs. Methods: This study was conducted using 6 beagles. Alveolar defects in the mandible were formed and filled with 2 DBBMs produced by a similar procedure. Defects were randomly assigned to be filled using DBBM 1 or 2. All defects were covered with a collagen membrane and had a healing period of 12 weeks. After the dogs were sacrificed, histological, histomorphometric, and linear/volumetric analyses were performed. Results: Both DBBM groups showed similar histological findings, demonstrating that bone remodeling had occurred and new bone had formed. The residual bone particles were surrounded by newly formed vital bone. In the histomorphometric analysis, the ratio of the area of vital bone and residual bone substitute in DBBM 2 (38.18% and 3.47%, respectively) was higher than that of DBBM 1 (33.74% and 3.41%, respectively), although the difference was not statistically significant. There were also no statistically significant differences between both groups in linear and volumetric analyses using micro-computed tomography scans and digitized images of dental casts. Conclusions: In the present study, DBBM 1and 2, which were produced by similar processes, showed similar results in histological, histomorphometric, and volumetric analyses. Further studies are needed to identify more specific differences between the 2 DBBMs.

• Korean Circulation Journal
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• 제52권3호
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• pp.233-242
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• 2022

Background and Objectives: For adult men with congenital heart disease (ACHD), data on erectile dysfunction (ED) is limited. We aimed to assess the frequency of ED, its role in patient-physician communication and to identify parameters predicting ED. Methods: Male ACHD ≥18 years registered at the German National Register for Congenital Heart Defects were invited to participate in an online questionnaire about sexual health. Participants with presumed ED according to International Index of Erectile Function Score were compared to patients without ED. Results: The 371 patients responded to the questionnaire (83% with moderate to highly complex ACHD). The 43% presented with more than mild ED. When ED was present, patients complained about general anxiety to be sexually active more often (p<0.05) and underwent sexual activity less frequently compared to those without ED (p<0.05). Age ≥40 years (odds ratio [OR], 3.04; p=0.002), being single (OR, 6.82; p<0.0001), anxiety to be sexually active (OR, 2.64; p=0.0002) and psychiatric disease (OR, 4.33; p<0.0007) emerged as independent predictors for ED. Overall, patients sought medical advice in 6.7% of cases, whilst 29.6% would appreciate an active approach by the physician to address this sensitive topic. Conclusions: ED is affecting one third to one half of male ACHD according to a questionnaire-based analysis. Older age, being single, fear of sexual activity due to ACHD and psychiatric disorder emerged as independent predictors for ED. These parameters can easily be assessed to identify patients at risk. ED should be addressed proactively by health professionals.

• Genomics & Informatics
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• 제6권4호
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• pp.173-180
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• 2008

The human genome has evolved as a consequence of evolutionary forces, such as natural selection. In this study, we investigated natural selection on the human genes by comparing the numbers of nonsynonymous (NS) and synonymous (S) mutations in individual genes. We initially collected all coding SNP data of all human genes from the public dbSNP. Among the human genes, we selected 3 different selection groups of genes: positively selected genes (NS/S${\geq}$3), negatively selected genes (NS/S${\leq}$1/3) and neutral selection genes (0.9

• 비파괴검사학회지
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• 제35권1호
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• pp.46-51
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• 2015

스테인레스강은 고온, 고압에서 부식에 효과적인 재료로써 액화수소, 가스 등을 저장하는 저장용기 및 고온의 유체들을 이송하는 배관재료로 널리 사용되고 있다. 일반적으로 스테인레스강의 용접은 TIG용접이 이용되어지고 있으며 용접후 용접부위에 발생하는 초기 용접결함 및 사용중 발생하는 열적 피로균열 등이 재료의 신뢰성을 저하하는 요인들로 지적되고 있다. 본 논문에서는 레이저 유도초음파를 이용하여 초기 용접결함에 대한 초음파 특성 규명을 위하여 스테인레스강의 용접부에 인공균열의 크기를 5 mm, 10 mm, 20 mm 길이로 가공후 유도초음파의 결함 길이 변화에 따른 특성을 평가하였다. 배관의 두께 등을 고려하여 L(0,1)모드와 L(0,2)모드를 이용하였으며 각각의 모드가 결함의 길이 변화에 따라 변화를 보였지만 L(0,2)모드가 L(0,1)모드보다 결함 길이에 더욱 민감하게 반응하였다. 본 연구에서는 L(0,1)모드와 L(0,2)모드의 진폭비를 구하여 결함과의 연관성을 평가한 결과 결함 길이와 선형적인 관계를 나타냄으로써 각 모드를 단독적으로 평가하는 것보다는 두 모드의 진폭비를 이용하여 결함을 평가하는 것이 더욱 효과적임을 알 수 있었다.

• Journal of Periodontal and Implant Science
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• 제24권3호
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• pp.633-648
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• 1994

Synthetic bone graft materials have been used for the regeneration of periodontal tissue lost due to periodontal disease, but the limitations of these materials had prompted the use of composite grafts. Among those, a composite graft of calcium carbonate(CC) and calcium sulfate(CS) is one of those materials that has not been studied extensively. CC, which is extracted from a natural coral, is known to possess osteoconductive property. SC can play an adjunctive role in the regeneration of bone tissue, and has shown good resorbability and biocompatibility. This study was conducted in order to investigate the effects of CC and CS composite graft to the regeneration of bone in the intrabony defects of dogs. 3-wall intrabony defects ub size of $4mm{\times}4mm{\times}4mm$ were created in the alveolar bone in the premolar areas. Then those defects that were treated with root planning only were designated as control, while the experimental group 1 and 2 each received the CC and CS composite grafts in the ratio of 8 : 2 and 5 : 5 the animals were sacrificed after 8weeks and the specimens were histologically analyzed. The results were as follows ; 1. No inflammation or foreign body reaction were observed in all subjects. CS has not been seen due to complete resorption, and resorption pattern of CC was observed. 2. Significant differences(p<0.05) in new cementum formation were observed between control($1.42{\pm}0.64mm$) and experimental groups(group 1 ; $2.53{\pm}0.94mm$, group 2 ; $2.23{\pm}0.96mm$) but the difference between the two experimental groups was not significant. 3. Significant differences(p<0.01) in new bone formation were observed between control($0.59{\pm}0.55mm$) and experimental groups(group 1 ; $2.27{\pm}0.61mm$, group 2 ; $2.05{\pm}0.56mm$) but the difference between the two experimental groups was not significant. 4. The extent of apical epithelial migration has shown no significant difference between control($1.18{\pm}1.24mm$) and experimental groups(group 1 ; $0.51{\pm}0.54mm$, group 2 ; $0.73{\pm}0.70mm$). 5. The extent of bone formation was generally limited to the extent of cementum formation for all groups, and significant correlation was found in the amount of bone formation and cementum formation in experimental group 1.(Co.=0.86, p<0.01) These results suggest that the composite graft of CC and CS is biocomplatible and effective in the new bone and new cementum formations. In the case of 3-wall intrabony defects of dogs, the composite ratio of 8 : 2 and 5 : 5 had shown no significant differences in the healing.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제34권1호
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• pp.36-48
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• 2008

To repair bone defects in the oral and maxillofacial field, bone grafts including autografts, allografts, and artificial bone are used in clinical dentistry despite several disadvantages. The purpose of this study was to evaluate new bone formation and healing in rat calvarial bone defects using hydroxyapatite (HA, $Ca_{10}[PO_4]_6[OH]_2,\;Bongros^{(R)}$, Bio@ Co., KOREA) and tricalcium phosphate (${\beta}-TCP,\;Ca_3[PO_4]_2$, Sigma-Aldrich Co., USA) mixed at various ratios. Additionally, this study evaluated the effects of type I collagen (Rat tail, BD Biosciences Co., Sweden) as a basement membrane organic matrix. A total of twenty, 8-week-old, male Sprague-Dawley rats, weighing 250-300g, were divided equally into a control group (n=2) and nine experimental groups (n=2, each). Bilateral, standardized transosseous circular calvarial defects, 5.0 mm in diameter, were created. In each experimental group, the defect was filled with HA and TCP at a ratio of 100:0, 80:20, 70:30, 60:40, 50:50, 40:60, 30:70, 20:80, and 0:100 with or without type I collagen. Rats were sacrificed 4 and 8 weeks post-operation for radiographic (standardized plain film, Kodak Co., USA), histomorphologic (H&E [Hematoxylin and Eosin], MT [Masson Trichrome]), immunohistochemical staining (for BMP-2, -4, VEGF, and vWF), and elementary analysis (Atomic absorption spectrophotometer, Perkin Elmer AAnalyst $100^{(R)}$). As the HA proportion increased, denser radiopacity was seen in most groups at 4 and 8 weeks. In general radiopacity in type I collagen groups was greater than the non-collagen groups, especially in the 100% HA group at 8 weeks. No new bone formation was seen in calvarial defects in any group at 4 weeks. Bridging bone formation from the defect margin was marked at 8 weeks in most type I collagen groups. Although immunohistochemical findings with BMP-2, -4, and VEGF were not significantly different, marked vWF immunoreactivity was present. vWF staining was especially strong in endothelial cells in newly formed bone margins in the 100:0, 80:20, and 70:30 ratio type I collagen groups at 8 weeks. The calcium compositions from the elementary analysis were not statistically significant. Many types of artificial bone have been used as bone graft materials, but most of them can only be applied as an inorganic material. This study confirmed improved bony regeneration by adding organic type I collagen to inorganic HA and TCP mixtures. Therefore, these new artificial bone graft materials, which are under strict storage and distribution systems, will be suggested to be available to clinical dentistry demands.

• 한국정보통신학회논문지
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• 제11권5호
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• pp.997-1003
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• 2007

이 논문에서는 LCD에 사용되는 편광필름 영상에서 결함을 검출하는 방법을 제안하였다. 제안한 방법은 결함의 지엽적인 특징을 이용하는 것이 아니라 특이값 분해를 이용하여 영상의 전역적인 정보를 반영하는 방법이다. 편광필름 영상을 특이값 분해하고 특이값 중에서 첫 번째 특이값만을 사용하여 영상을 재구성하면 재구성한 영상에서 정상 부분의 화소값과 결함 부분의 화소값들은 서로 다른 특성을 나타낸다. 입력 영상과 재구성한 영상의 화소값 비를 구하고 확률론적 방법을 사용하여 결함을 검출하였다. 제안한 방법을 이용하여 여러 가지 결함을 갖는 편광필름 영상에서 결함을 검출한 결과 검출력이 매우 우수한 것으로 나타났다.