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악교정 수술을 위한 한국인 하악지의 해부학적 위치에 관한 연구 (A STUDY OF MANDIBULAR ANATOMY FOR ORTHOGNATHIC SURGERY IN KOREANS)

  • 우순섭;조정연;박원희;유임학;이영수;심광섭
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권2호
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    • pp.126-131
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    • 2002
  • Anatomical shape of the mandibular ramus, which includes the area from the rear of the mandibular second molar to the mandibular posterior border and from the mandibular sigmoid notch to the inferior mandibular border, must be carefully considered to perform orthognathic surgery. The locations of the lingula and mandibular foramen in medial side of mandibular ramus are one of the most important factors to decide the location of the horizontal medial osteotomy in sagittal split ramus osteotomy and to select the line of vertical osteotomy in intraoral vertical ramus osteotomy. Sixty-five different Korean human dry mandibles were surveyed. All mandible have permanent dentition including complete eruption of the mandibular second molar. The locations of the lingula and mandibular foramen in medial side of the ramus were identified and following results were obtained. Anterior ramal horizontal distance from lingula was $16.13{\pm}3.53mm(range:8.6{\sim}24.3mm)$, anterior ramal horizontal distance from mandibular foramen was $23.91{\pm}4.79mm(range: 14.1{\sim}39.7mm)$, horizontal width of mandibular foramen was $2.79{\pm}0.95mm(range:1.5{\sim}6.1mm)$, height of lingula was $10.51{\pm}3.84mm(range:3.1{\sim}22.4mm)$, vertical distance from sigmoid notch to lingula was $19.82{\pm}5.11mm(range:9.1{\sim}35.3mm)$. From this study, the result could be used to select the location of osteotomy lines and to decide amount of periosteal elevation to avoid injury of neurovascular bundle, and to accomplish the appropriate split in Korean patients in mandibular orthognathic surgery.

Activity concentrations and radiological hazard assessments of 226Ra, 232Th, 40K, and 137Cs in soil samples obtained from the Dongnam Institute of Radiological & Medical Science, Korea

  • Jieun Lee;HyoJin Kim;Yong Uk Kye; Dong Yeon Lee;Wol Soon Jo;Chang Geun Lee;Jeung Kee Kim;Jeong-Hwa Baek;Yeong-Rok Kang
    • Nuclear Engineering and Technology
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    • 제55권7호
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    • pp.2388-2394
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    • 2023
  • The radioactivity concentration of environmental radionuclides was analyzed for soil and sand at eight locations within a radius of 255 m centered on the Dongnam Institute of Radiological & Medical Science (DIRAMS), Korea. The average activity concentrations of 40K, 137Cs, 226Ra, and 232Th were 661.1 Bq/kg-dry, 0.9 Bq/kg-dry, 21.9 Bq/kg-dry, and 11.1 Bq/kg-dry, respectively. The activity of 40K and 137Cs was lower than the 3-year (2017-2019) average reported by the Korea Institute of Nuclear Safety, respectively. Due to the nature of granite-rich soil, the radioactivity of 40K was 0.6-fold higher than in other countries, while 137Cs was in the normal fluctuation range (15-30 Bq/kg-dry) of the concentration of radioactive fallout from nuclear tests. The activity of 226Ra and 232Th was lower than in Korean soils reported by the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). The average activity concentrations of 232Th and 40K for the soil and sand samples from DIRAMS were within the range specified by UNSCEAR in 2000. The radium equivalent activity and internal and external hazard index values were below the recommended limits (1 mSv/y). These radionuclide concentration (226Ra, 232Th, 40K, and 137Cs) data can be used for regional environmental monitoring and ecological impact assessments of nuclear power plant accidents.

조선시대 경락도(經絡圖)에 관한 고찰 (A Study of Meridian and Collateral Diagrams of Chosun Dynasty)

  • 한봉재;안상우;김남일
    • 한국의사학회지
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    • 제21권2호
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    • pp.123-133
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    • 2008
  • The Meridian and Collateral Diagram is one of the most important 圖像s of Traditional Korean Medicine. A 圖像 is a picture made on a two-dimensional surface using lines and colors to portray an object or an image. Meridian and Collateral diagram is a 圖像 of the human body with indications of acupoints and meridian passageways and have different names such as 經穴圖, 輸穴圖, 鍼灸圖, 明堂圖, 銅人圖, in accordance with its classification. The documental basis of the Meridian and Collateral Diagram is the Internal Classic and the very first Meridian and Collateral Diagram confirmed through textual evidence can be found in 葛洪's "抱朴子 雜應". The Korean 동인도 in existence today, called '銅人明堂之圖', exists in two versions; a hand-copied version and a wooden engraving block version. It displays all the locations of the acupoints located on the anterior side of the human body, labels the names of the acupoints, and specifically distinguishes 起始穴 and 終止穴 of the eight meridian vessels.

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Factors Affecting Primary Stability on Sites of Alveolar Ridge Preservation Using Porcine-derived Bone Minerals

  • Lee, Su-Yeon;Lee, Young;Choi, Seong-Ho;Lee, Dong-Woon
    • Journal of Korean Dental Science
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    • 제14권1호
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    • pp.1-11
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    • 2021
  • Purpose: The alveolar ridge preservation (ARP) is widely conducted for implant placement. However, experimental results using deproteinized porcine bone mineral (DPBM) have been scarce. This retrospective study evaluated factors affecting the primary stability of implants in an area where ARP was performed using DPBM. Materials and Methods: Thirty-eight patients were divided into two groups based on the primary stability, with torque value of 30 Ncm as borderline. To determine the factors that affect the primary stability of implants, we collected data from patients' medical records including age, sex, reentry time, socket location, remaining bone wall at the time of extraction, and type of collagen membrane, as well as from radiographs and histomorphometric analysis. Result: The results showed statistically significant difference for the remaining extraction socket wall (P=0.014), residual graft (P=0.029), and fibrovascular tissue (P=0.02) between the two groups. There was an insignificant tendency toward the time of reentry surgery (P=0.052) and location (P=0.077). All implants placed in sites using DPBM functioned well up to 3 years. Conclusion: Within the limitations of the present study, extraction socket wall, residual graft, and fibrovascular tissue can affect the primary stability at the time of implant placement on grafted sites using DPBM and collagen membranes. In addition, reentry time and locations can be considered. In future studies, comparative experiments in quantified models will be required to supporting the findings.

코일 위치에 따른 동맥류 내부 혈류유동의 변화 (Intraaneurysmal Blood Flow Changes for the Different Coil Locations)

  • 이계한;정우원
    • 대한의용생체공학회:의공학회지
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    • 제25권4호
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    • pp.295-300
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    • 2004
  • 코일을 동맥류에 삽입하여 동맥류 내부 유동 정체를 유발하므로 동맥류를 치료 방법이 최근 많이 사용되고있다. 동맥류의 내부를 코일로 완전히 채우지 못하고 부분 폐색할 경우가 발생하며, 동맥류의 부분 폐색 위치에 따라 혈류 유동이 변하므로 이는 동맥류 내부의 혈전 형성에 영향을 미필 수 있다. 또한 동맥류가 발생한 모혈관의 형상에 따라 동맥류로 유입되는 유동 특성이 변하므로, 모혈관의 형상에 따라 효율적인 동맥류 폐색을 위한 코일의 위치가 변할 수 있다. 효율적인 동맥류 폐색을 위한 코일 위치를 제시하기 위하여 내경 동맥에서 발생한 측방 동맥류의 부분 폐색위치와 내경 동맥의 형상에 따른 동맥류 내부 유동장을 수치해석을 이용하여 해석하였다. 3차원 맥동 유동장은 혈액의 비뉴톤성 점성 특성을 고려하여 계산되었다. 또한 동맥류 폐색에 영향을 미치는 유체역학적 인자인 동맥류 유입 유량 및 벽전단응력을 계산하였다. 코일은 동맥류 목에 삽입하였을 경우에는 천정부에 삽입한 경우에 비해 동맥류 내부로 혈류의 유입을 감소되었다. 임계 벽전단응력 이하의 저 전단응력지역은 곡선형 모혈관에 비해 직선형 모혈관에서 컸으며, 원위부 목 폐색 모델에서 가장 크게 나타났다. 따라서 동맥류 원위부 목은 동맥류 내부로의 혈류 유입이 감소하고, 저 전단응력 지역을 크게하는 코일 위치이므로, 이 위치는 동맥류 색전술시 혈전의 형성으로 인한 동맥류 폐색에 적합한 위치로 예상된다.

정위적 뇌생검의 임상분석 (Clinical Analysis of Stereotactic Biopsy in Brain Lesions)

  • 김영욱;김재휴;서승권;이정길;김태선;정신;김수한;강삼석;이제혁
    • Journal of Korean Neurosurgical Society
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    • 제29권1호
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    • pp.15-22
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    • 2000
  • Objective : This study was undertaken to evaluate the benefits and risks of the stereotactic biopsy in brain lesions. We assessed the diagnostic accuracy and morbidity rate associated with the stereotactic biopsy. Methods : The authors present a review of 47 patients, who underwent stereotactic biopsy using Cosman-Roberts-Wells(CRW) stereotactic apparatus during last six years. Results : Target locations were supratentorial in 36 cases, infratentorial in 9 and multiple in 2. According to pathological diagnosis, the largest group was neoplasm(29) followed by infection(9), infarction(2), cyst(2), and non-specific(5). Definitive diagnosis could be made in 42 of 47 cases(89.4%). When the mass lesion had been suspected as neoplastic condition, the diagnostic rate was 96.7%(29/30). It was being much higher than that of non-neoplastic lesion, 76.5%(13/17). The treatment modality was changed in 15 cases(32%) because the result of stereotactic biopsy was different from clinical diagnosis. Subsequent craniotomy after stereotactic biopsy was then performed in 6 cases, and the pathological diagnoses were precisely coincident in all of these cases. There were two complications(4.3%) : One intratumoral hemorrhage in glioblastoma and a transient hemiparesis in benign astrocytoma. There was no mortality in this series. Conclusion : The precise histological verification is crucial to determine the adequate treatment modality in intracranial lesions. Stereotactic biopsy is a safe and accurate diagnostic procedure for intracranial lesions with a low complication rate.

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Evaluation of a Curtain-Type Radiation Protection Device for Veterinary Interventional Procedures

  • Minsik Choi;Jaepung Han;Changgyu Lim;Jiwoon Park;Sojin Kim;Uhjin Kim;Jinhwa Chang;Dongwoo Chang;Namsoon Lee
    • 한국임상수의학회지
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    • 제41권3호
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    • pp.157-164
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    • 2024
  • The standard radiation protection method in the angiography suite involves the use of a thyroid shield, a lead apron, and lead glasses. However, exposure to substantial amounts of ionizing radiation can cause cataracts, tumors, and skin erythema. A newly developed curtain-type radiation protection device consists of a curtain drape composed of a five-layer bismuth and lead acrylic head-shielding plate, with both bearing an equivalent 0.25 mm lead thickness. In this study, a quality assurance phantom was used as the patient to create radiation scatter from the radiographic source, and an anthropomorphic mannequin phantom was used as the interventionalist to measure the radiation dose at seven different anatomical locations. Thermoluminescent dosimeters were used to measure the radiation dose. The experimental groups consisted of all-sided or one-sided curtain set-ups, the presence or absence of a conventional shielding system, and the orientation of beam irradiation. Consequently, the curtain-type radiation protection device exhibited better radiation protection range and capabilities than conventional radiation protection systems, especially in safeguarding the forehead, eyes, arms, and feet, with minimal radiation exposure. Moreover, the mean shielding ratios of the conventional shielding system and curtain-type radiation protection device were measured at 51.94% and 93.86%, respectively. Additionally, no significant decrease in the radiation protection range or capability was observed, even with changes in the beam orientation or one-sided protection. Compared with a conventional shielding system, the curtain-type radiation protection device decreased radiation exposure doses and improved comfort. Therefore, it is a potential new radiation protection device for veterinary interventional procedures.

의료영상 분석을 위한 CUDA 기반의 고속 DRR 생성 기법 (CUDA-based Fast DRR Generation for Analysis of Medical Images)

  • 양상욱;최영;구승범
    • 한국CDE학회논문집
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    • 제16권4호
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    • pp.285-291
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    • 2011
  • A pose estimation process from medical images is calculating locations and orientations of objects obtained from Computed Tomography (CT) volume data utilizing X-ray images from two directions. In this process, digitally reconstructed radiograph (DRR) images of spatially transformed objects are generated and compared to X-ray images repeatedly until reasonable transformation matrices of the objects are found. The DRR generation and image comparison take majority of the total time for this pose estimation. In this paper, a fast DRR generation technique based on GPU parallel computing is introduced. A volume ray-casting algorithm is explained with brief vector operations and a parallelization technique of the algorithm using Compute Unified Device Architecture (CUDA) is discussed. This paper also presents the implementation results and time measurements comparing to those from pure-CPU implementation and open source toolkit.

고선량율 원격강내조사의 코발트-60 이동선원에 의한 선량특성 (Dose Characteristics by the Co-60 Source Oscillations in High Dose Rate After Loading Irradiations)

  • 최태진;김옥배;노홍균
    • 한국의학물리학회지:의학물리
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    • 제1권1호
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    • pp.51-60
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    • 1990
  • Dose distributions around Co- 60 moving source in high dose rate remote afterloading unit, Buchler 3K unit, were experimented with X-omat V films and calculations. In our experiments, film dosimetries have achieved to evaluated the axial dose distributions for source oscillations were 0, 3.5, 5.0 and 6.0 cm in periodically, In results, the dose distributions in axial of source movement showed apparently higher than in transverse direction caused by source locations, dwelling time and air gap in the applicator. In the calculations, the dose rate was derived by using the inverse square law, filteration corrections and Meisberger constant for scatter corrections as source movings. In our experiments and calculations, the average dose uncertainties were showed -2.1$\pm$1.9% in fixed sourdce, -2.9$\pm$1.8%, -7.4$\pm$6.1% and -6.7$\pm$4.6% at 3.5 cm, 5.0 cm and 6.0 cm source oscillations, but the calculations have showed very close to experimental dose rate within 4 cm distance from source.

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노년기 우울증의 특징 (Characteristics of Depression in the Aged People)

  • 박종한
    • 보험의학회지
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    • 제20권
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    • pp.70-77
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    • 2001
  • Some characteristics of depression in the aged were elucidated. Compared with the previous thoughts, much more attention was given to the biological aspects of depression. However, we have to face up to and solve a variety of enigmas about depression in the aged people. They are:locations and underlying mechanisms in the cerebrum responsible for depression;relationship of senile depression to the presenile one;possible difference(s) between depression with and without psychotic features;possible neurotransmitter differences between senile and presenile depressions. New insights into these areas could bring some lights in the under standing and treatment of depresseion in the aged.

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