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개실술에서 우측흉골우연소절개법을 이용한 최소침투수술 (Minimally Invasive Cardiac Surgery through A Small Right Parasternal Incision)

  • 공준혁;이응배;조준용;전상훈;장봉현;이종태;김규태
    • Journal of Chest Surgery
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    • 제33권9호
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    • pp.723-728
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    • 2000
  • Background: Minimally invasive techniques for open heart surgery are widely accepted in these days. There are minimally invasive approaches by the right or left parasternal incision and another approaches by mini-sternotomy of upper or lower half or sternum. We report the safety and efficacy of minimally invasive technique with right parasternal incision compared with the routine full sternotomy. Material and Method: From April 1997 through February 1999, 20 patients(Group A) underwent minimally invasive cardiac operations. We chose 41 patients(Group B) whose preoperative diagnosis were the same and general conditions were similar and who underwent routine full sternotomy before April 1997. We compared A group and B group in many aspects. We performed routine full median sternotomy in B group but we did a minimally invasive technique through a small right parasternal incision in A group. Result: mean age was 36.1 years in both groups. In disease entities, there were 11 cases of ASD, 9 cases of mitral valve disease in group A, and 16 cases of ASD, 25 cases of mitral valve diseases in group B. In ASD, operation time, cardiopulmonary bypass time of aortic occulusion time were 263 min, 82 min, and 41 min in group A and 180 min, 53 min, and 32 min in group B. In mitral valve disease, operation time, cardiopulmonary bypass time and aortic occlusion time were 267min, 106 min, and 70min in A group and were 207 min, 82 min, and 69 min in group B. There were significant differences in operation time, CPB time, and ACC time between group A and group B. There was a significant difference in the amount of bleeding in postoperative day 1 between group A and group B of mitral diasease. However, there was no significant difference in the amount of bleeding in other comparisons. Mean length of incision was 8.7 cm in group A. There was no significant difference in postoperative complications between A group and B group. There was no mortality in either group. Conclusion: We conclude that this minimally invasive technique with right parasternal incision is cosmetically excellent but it is not effective in reducing operative time and there was no significant difference in recovery time and postoperative complications compared with routine full sternotomy.

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다채널 선형자동흡연장치 부착형 부류연 포집장치의 개발과 평가 (The Development and Evaluation of Sidestream Smoke Collecting Apparatus Compatible for Linear Smoking Machine)

  • 김효근;황건중;지상운;이존태;이문수
    • 한국연초학회지
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    • 제27권1호
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    • pp.120-126
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    • 2005
  • The Fishtail Chimney system mounted on 1 channel smoking machine is not appropriate for the routine analysis of sidestream smoke, because of its low repeatability and very long time required for smoke collection. To overcome this inconvenience, we developed a new sidestream smoke collecting apparatus compatible for 8 channel linear smoking machine. An electric motor driven stroke and automatic control system were adopted in this device to maximize convenience and efficiency of its operation. Also, we carried out the international collaborative study on monitoring sidestream smoke analysis to test the performance of this system. From the statistical analysis of the data obtained in our laboratory and other participating labs, it has been indicated that the newly developed sidestream smoke collection apparatus could be applicable to the routine analysis of sidestream smoke.

Florid osseous dysplasia in a middle-aged Turkish woman: A case report

  • Onder, Buket;Kursun, Sebnem;Oztas, Bengi;Baris, Emre;Erdem, Erdal
    • Imaging Science in Dentistry
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    • 제43권3호
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    • pp.197-200
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    • 2013
  • Florid osseous dysplasia (FOD) is an uncommon, benign, cemento-osseous lesion of the jaws. The etiology of FOD is still unknown. It is often asymptomatic and may be identified on routine dental radiographs. The classic radiographic appearance of FOD is amorphous, lobulated, mixed radiolucent/radiopaque masses of cotton-wool appearance with a sclerotic border in the jaws. In our case the lesion was found incidentally on routine periapical radiographs taken for restored teeth and edentulous areas. For further and detailed examination, a panoramic radiograph and cone-beam computed tomograph (CBCT) were taken. The panoramic radiograph and CBCT revealed maxillary bilateral and symmetrical, non-expansile, well-defined, round, radiopaque masses in contact with the root of the maxillary right second molar and left first molar teeth. Our aim in presenting this case report was to highlight the importance of imaging in diagnosis of FOD.

공간디자인의 감성에 대한 개념적 연구 (A Conceptual Study on Sensibility of Space Design)

  • 이성미
    • 한국실내디자인학회논문집
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    • 제17권1호
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    • pp.102-109
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    • 2008
  • Recently, as emotional elements have been applied to many fields including marketing, architecture, and design, new understanding on and interest in sensibility are emerging. The sensibility, as opposite meaning to the reason, has been excluded from academic object, and researches in sensibility have been diversified for the meaning, scope, application methods and even application target of sensibility without consistency. This study aims to redefine meaning of sensibility by examining documents related to sensibility, and to examine the features of sensibility in design, especially in space design. Consequently, sensibility was defined to function as a filter which deals with numerous stimulative informations intuitively and uniformly while human gives significance to a stimulus. According to the examination on apparent features of sensibility and studies of sensibility engineering, the sensibility occurs not only by visual and physical stimulus but also by meaningful stimulus, and both are known to have mutual influence on each other. In space design, spaces of many purposes can be categorized into the spaces of routine and out of routine following the empirical time, and physical stimulus and interesting factor pursued by these spaces are inversely proportional. This study is meaningful insofar as it enabled to explain interaction between physical stimulus, meaning, and other factors within sensibility as a comprehensive concept by redefining its concept.

A Fast and Precise Blob Detection

  • 빈흐타한
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2009년도 춘계 종합학술대회 논문집
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    • pp.23-29
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    • 2009
  • Blob detection is an essential ingredient process in some computer applications such as intelligent visual surveillance. However, previous blob detection algorithms are still computationally heavy so that supporting real-time multi-channel intelligent visual surveillance in a workstation or even one-channel real-time visual surveillance in a embedded system using them turns out prohibitively difficult. In this paper, we propose a fast and precise blob detection algorithm for visual surveillance. Blob detection in visual surveillance goes through several processing steps: foreground mask extraction, foreground mask correction, and connected component labeling. Foreground mask correction necessary for a precise detection is usually accomplished using morphological operations like opening and closing. Morphological operations are computationally expensive and moreover, they are difficult to run in parallel with connected component labeling routine since they need much different processing from what connected component labeling does. In this paper, we first develop a fast and precise foreground mask correction method utilizing on neighbor pixel checking which is also employed in connected component labeling so that the developed foreground mask correction method can be incorporated into connected component labeling routine. Through experiments, it is verified that our proposed blob detection algorithm based on the foreground mask correction method developed in this paper shows better processing speed and more precise blob detection.

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Comparison of Off-site Radiological Dose Due to the Routine Release of Gaseous Radioactive Effluents Based on the Korean and Japanese Regulatory Recommendations

  • Hwang, Won Tae;Kim, Chang Lak;Lee, Cheol-Woo;Han, Moon Hee
    • Journal of Radiation Protection and Research
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    • 제44권4호
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    • pp.161-165
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    • 2019
  • Background: Not only regulatory framework including radiation protection quantities and regulatory standards, but also methodology for regulatory compliance may be different in each country due to inherent philosophy for radiation protection. Materials and Methods: Based on the Korean regulatory models, off-site radiological dose resulting from the routine releases of gaseous radioactive effluents was calculated by applying the parameter values and assumptions recommended in the Korean and Japanese regulations. Results and Discussion: Effective dose for adult based on the Korean recommendation were 17.5 and 1.6 times higher than those of Japanese recommendation for 131I and 133I, respectively, for the same atmosphere dispersion and ground deposition factors. Conclusion: It was due to different parameter values and assumptions recommended for the purpose of evaluating compliance with dose criteria for the radiation protection of the public in each country.

아들러의 '논리적 결과'를 활용한 학급운영이 초등학생의 문제 행동 개선에 미치는 효과 (The effects of the class management with Adler's logical consequences on elementary children's problem behavior)

  • 남은미
    • 초등상담연구
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    • 제7권1호
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    • pp.135-163
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    • 2008
  • This study intends to confirm if it is effective in improving the problem behaviors by applying "Logical Consequence" suggested by Adler to the class management. The researcher who is in charge of the 4th grade class of elementary school in G city applied Adlerian logical consequence to her children, observed and examined the effectiveness of reducing the problem behaviors by the qualitative study method of in-depth interview from March to October. The problem behaviors treated in this study includes irrelevant remarks and gossip in school time, no preparation for taking lessons in time, no preparation of a textbook and a supply, no involvement in doing homework, scribbling and poor handwriting on a textbook, teasing a friend (abusive language, joking, violence), indoor running, no involvement in doing a task, being late and no arrangement of indoor shoes. In conclusion, this study indicated that the use of Logical Consequence was relatively effective in improving the problem behaviors and more effective in individual behaviors rather than group's behaviors. While the problem behaviors conducted in a class in the daily routine were effective at the point of the occurred problems, the problem behaviors occurred at the point of time related to a home or the finish of daily routine were ineffective.

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흉부X선촬영(胸部X線撮影)에 있어서 피폭선량(被曝線量)의 저감(低減)에 관(關)한 연구(硏究) (A Study on the Chest Radiography for Reducing Exposure Dose)

  • 이만구;윤한식;이종석;이선숙;임태랑;석전유치;전전미향;앵정달야
    • 대한방사선기술학회지:방사선기술과학
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    • 제19권1호
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    • pp.41-49
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    • 1996
  • We have been used super sensitive screen/film system which is thought to be the limit of sensitivity, however, we think this method is not satisfactory. As a general radiographic rule, reduction of exposure is inconsistent with improvement of image quality, but it is necessary to challenge this rule to get better method. We tried air gap method for minimal diffuse lung shadow which is difficult to find out by our routine method. As a result, air gap method with super sensitive screen/film system(SRO 1000/TMH) showed lower exposure dose, 50% of our routine system(SRO 750/SRH with grid), and better image quality for pulmonary pattern in the lower lung field.

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Application on Microwave Energy in the Preparation of Fish Samples for Electron Microscopic Observation

  • Kim Soo Jin;Oh Hae Keun;Song Young-Hwan;Chung Hyun-Do;Kim Young-Tae;Park Nam-Kyu;Choi Tae-Jin
    • Fisheries and Aquatic Sciences
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    • 제1권2호
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    • pp.187-191
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    • 1998
  • Chemotherapy can not be applied for the control of fish viral diseases because viruses depend on host machinery for their replication. Although new control strategies including vaccination are under development, avoidance of virus introduction by rapid and correct diagnosis is the best way of fish viral disease control. Although observation of virus particles with an electron microscope is an easy method for virus detection, it take a few days for the sample preparation. In order to shorten the sample preparation time, microwave radiation was applied in the procedure. With this method, 15 seconds was enough for fixation of virus infected fish samples or cultured cells inoculated with infectious hematopoietic necrosis virus, which takes 2-4 hours with routine methods. Also four minutes was enough for polymerization of embedding resin which takes 24-48 hours with routine methods. Samples prepared with microwave were good enough for direct electron microscopic observation and immunogold labeling assay.

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정량적 게이트 심근관류 SPECT (Quantitative gated myocardial perfusion SPECT)

  • 안병철
    • 대한핵의학회지
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    • 제37권4호
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    • pp.207-218
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    • 2003
  • Myocardial perfusion imaging has been increasingly used to provide prognostic data and guidance on the choice of appropriate management of patients with known or suspected coronary artery disease. The electrocardiogram gated myocardial SPECT program is corning into wide use with an advent of $^{99m}Tc-labeled$ tracers and an improvement of SPECT machines. The gated technique permits measurement of important cardiac prognostic indicators without any further discomforts or radiation burden in patients underwent standard myocardial perfusion SPECT. In addition, gated study significantly improves diagnostic yield by reducing the number of borderline interpretations and could find myocardial stunning and viable myocardium. Gated single photon emission computed tomography (SPECT) imaging allows the automated calculation of end-diastolic volume, end-systolic volume, ejection fraction, myocardial mass and the assessment of regional wall motion and thickening, and it have dramatically improved assessment of coronary artery disease in routine nuclear practice. This allows the simultaneous assessment of both perfusion and function within the same acquisition, and serves as a cost-effective technique for providing more diagnostic data with fewer diagnostic tests. Because the diagnostic and prognostic power derived from knowledge of left ventricular function can be added to that provided by assessing myocardial perfusion, gated SPECT imaging has rapidly gained widespread acceptance and is now used on a routine clinical basis in a growing number of laboratories, including South Korea. The gated SPECT technique for measurement of left ventricular parameters has been validated against a variety of well established techniques. In this work, overview of gated myocardial perfusion SPECT focus on functional parameters is presented.