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A Study on the Diagnosis of Urinary Stone Location by Abdominal Positioning Variations (요로결석 위치 진단에 대한 복부자세 변화에 따른 연구)

  • Kim, Dong-Jin;Chae, Jong-Sang;Yoo, Chae-Min;Lee, Bae-Won
    • Journal of radiological science and technology
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    • v.41 no.1
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    • pp.7-12
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    • 2018
  • Patients who visit the emergency room with urinary stones have difficulty lying down in a supine position due to severe pain when performing the KUB test. The purpose of this study was to find methods to reduce the patients' pain and image distortion, and obtain medical images with high diagnostic values. After checking the standard classification of disease and cause of death, the target group consisted of 121 patients who had clearly distinguished stones from computed tomography. Patients with stones in the ureteralvesical junction were excluded. Qualitative image evaluation was performed by confirming the location of the stone in the computed tomography images. and evaluated the rate of visual discrimination of stones possible through KUB and abdominal plain X-ray. Quantitative image evaluation was performed on the KUB, abdominal plain X-ray images. The transverse process of the first lumbar vertebrae served as the standard point, and the length from this point to the lower part of the stone was measured. Results from looking at the rate of visual discrimination of stones possible through KUB and abdominal plain X-ray showed: 94 patients (77.6%) for KUB images and 91 patients (75.2%) for computed tomography images. The standard deviation for KUB and abdominal X-ray was 3 (2.4%). Comparing and analyzing the location from KUB images and abdominal plain X-ray images, the stone position was 10.1 mm in the kidney, 10.5 mm in the ureteropelvic junction, and 9.7 mm in the ureters. It was shown that the stone moved 10 mm on average with significant statistical difference (P<0.05). In cases where the pain is so severe that it is impossible to perform the test in the supine position, an alternative may be to check the stone position by performing a modified KUB test by having the patient stand in a vertical position. In the future, this will provide convenience to both the examiner and the patient when performing the examination, and it will contribute with its reproducibility.

Analytical Study on the Characteristic of Fatigue Behavior in Connection Parts of Orthotropic Steel Decks with Retrofitted Structural Details in Longitudinal Rib (세로리브 내부 보강상세에 따른 강바닥판 연결부의 피로거동 특성에 관한 해석적 연구)

  • Sun, Chang Won;Park, Kyung Jin;Kyung, Kab Soo;Kim, Kyo Hoon
    • Journal of Korean Society of Steel Construction
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    • v.20 no.1
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    • pp.105-119
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    • 2008
  • In steel deck bridges suffering directly on wheel load according to the number of serviced years, the occurrence of fatigue cracks increases in structural details, which includes the cross section parts of the longitudinal rib and transversal rib, and so on. Through the control method for these fatigue cracks the increased thickness of the steel deck plate or the application of retrofit detail to the inside of the longitudinal rib was observed to be effective. This study suggests structural details for the retrofitted and non-retrofitted longitudinal rib. The target details in this study are the connection parts of the lo ngitudinal and transversal rib, and the slit parts of transverse rib where fatigue cracks were frequently reported in previous studies. In the analyses, detailed structural analyses were performed as parameters, which include the shape, change of size and attached position. From the results the stress reduction in the target details was observed to be larger in the retroffited details. Also, the improvement of fatigue strength is more effective in the retrofitted details with the vertical rib than the bulkhead plate.

Study on the Coefficient of Thermal Expansion for Composites Containing 2-Dimensional Ellipsoidal Inclusions (2차원 타원형의 충전제를 함유하는 복합재료의 열팽창 계수 연구)

  • Lee, Kee-Yoon;Kim, Kyung-Hwan;Jeoung, Sun-Kyoung;Jeon, Hyoung-Jin;Joo, Sang-Il
    • Polymer(Korea)
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    • v.31 no.2
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    • pp.160-167
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    • 2007
  • This paper proposes a model for the solutions predicting the coefficient of thermal expansion of composites including fiber-like shaped$(a_1>a_2=a_3)$ and disk-like shaped$(a_1=a_2>a_3)$ inclusions like two dimensional geometries, which was analyzed by one axis and a single aspect ratio, $(\rho_\alpha=a_1/a_3)$. The analysis follows the procedure developed for elastic moduli by using the Lee and Paul's approach. The effects of the aspect ratio on the coefficient of thermal expansion of composites containing aligned isotropic inclusions are examined. This model should be limited to analyze the composites with unidirectionally aligned inclusions and with complete binding to each other of both matrix and inclusions having homogeneous properties. The longitudinal coefficients of thermal expansion $\alpha_{11}$ decrease and approach the coefficient of thermal expansion of filler, as the aspect ratios increase. However, the transverse coefficients of thermal expansion $\alpha_{33}$ increase or decrease with the aspect ratios.

Brown Ring Spot on Leaves of Kiwifruit Caused by Alternaria alternata (Alternaria alternata에 의한 참다래 갈색둥근무늬병)

  • Jeong, In-Ho;Kim, Gyung-Hee;Lim, Myoung-Taek;Hur, Jae-Seoun;Shin, Jong-Sup;Koh, Young-Jin
    • Research in Plant Disease
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    • v.14 no.1
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    • pp.68-70
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    • 2008
  • Brown leaf spots on leaves of kiwifruit(Actinidia deliciosa) were observed at farmers' orchards in Suncheon and Goheung, Jeonnam Province, Korea in June, 2006. They developed to form dark brown ring spots and severely infected leaves resulted in defoliation during the growing season of kiwifruit. Alternaria sp. was isolated from the diseased leaves repeatedly and was identified as Alternaria alternata on the basis of its mycological characteristics on potato dextrose agar and its pathogenicity was confirmed by wound inoculation on healthy leaves of kiwifruit. A. alternata formed gray to dark sooty gray colony and produced numerous conidia on potato dextrose agar. The conidia, commonly in long chains of 5 or more produced on conidiophores, have $3{\sim}5$ transverse and $1{\sim}2$ longitudinal septa and mostly ovoid or obclavate in shape and were pale brown golden brown in color. The condia were $16.5{\sim}42.1{\times}6.7{\sim}19.5\;{\mu}m$ in size and conidiophores were $8.6{\sim}112.7\;{\mu}m$ in length. This is the first report on the brown ring spot on leaves of kiwifruit caused by A. alternata in Korea.

Using a Kirschner wire as an internal splint at nasal fractures accompanied fracture of frontal process of maxilla or perpendicular plate of ethmoid (상악골 전두돌기 골절 및 사골 수직판 골절을 동반한 비골 골절에서 K 강선을 이용한 내고정)

  • Rho, Kyoung Hwan;Yoon, Eul Sik;Yoon, Byung Min;Dhong, Eun Sang
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.623-628
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    • 2009
  • Purpose: In cases where nasal fractures involve frontal process of maxilla or perpendicular plate of ethmoid, 4 - 5 days of nasal packing may not provide sufficient support for avoiding displacement after packing removal. Therefore a single Kirschner - wire(K - wire) is used as an internal splint when nasal fractures involve the above two areas. Methods: Thirty five patients during the last 3 practical years were treated with a K -wire pinning according to the anatomic locations of nasal fractures. We performed a retrospective study using 13 nasal fractures out of total 35 patients. Among 13 cases, 10 patients involved frontal process of maxilla, and 3 patients were diagnosed as bilateral nasal side wall fractures accompanied with fractures of perpendicular plate of ethmoid. One patient of the last three cases had been augmented with dorsal silicone implant long before the trauma. We analyzed the anteroposterior displacement of key stone area and the width between both lateral walls by comparing immediate postoperative radiographs with 2 month follow - ups. To reduce the errors, the same measurements were taken by two different inspectors, and the mean of each inspector's measurements was compared. Patient satisfaction was analyzed using a questionnaire regarding the esthetic and functional outcomes. Results: Ten patients underwent a longitudinal K - wire fixation in submucoperiosteal plane underneath the frontal process of maxilla. And three patients underwent a transverse K - wire fixation from the one side of lateral wall to the perpendicular plate of ethmoid and to the other side of lateral wall. The mean postoperative anteroposterior displacement of the key stone area measured by two inspectors were 1.84% and 3.06%; mean narrowing of bony pyramid were 1.33% and 1.48%, respectively. Subjective satisfaction scores regarding the esthetic appearance and the maintenance of nasal shape compared with immediate post - operative state with the long term ones were not different (p>0.05). Conclusion: K - wire pinning after closed reduction is a reliable and useful method for the treatment of nasal fractures involving frontal process of maxilla or perpendicular plate of ethmoid. This is because it achieves longer intranasal support after reduction. This method also leaves conspicuous external scar, and minimal soft - tissue injury.

Complete Transsection of the Trachea by Blunt Trauma (둔상에 의한 기관 완전 절단 - 1예 보고 -)

  • Kim, Dae-Hwan;Yoo, Byung-Ha;Kim, Han-Yong;Hwang, Sang-Won
    • Journal of Chest Surgery
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    • v.40 no.1 s.270
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    • pp.79-82
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    • 2007
  • Tracheobronchial rupture due to blunt chest trauma is an uncommon injury although the incidence is increasing. Early diagnosis and primary repair of tracheobronchial rupture not only restore a normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair We present one case of the tracheal transsection caused by traffic accident. Patient suffered from progressive dyspnea, subcutaneous emphysema on the neck and anterior chest wall and tension pneumothorax at both sides were noted. Although both closed thoracostomy were done, massive air leakage through the chest tube continued and subcutaneous emphysema spread to the anterior abdominal wall and scrotum and the degree of dyspnea aggravated. With the impression of tracheobronchial injury, we performed the emergency operation. Preoperative bronchoscopy at the operation room was proceeded, which revealed the trachea was near totally transsected in transverse direction. Operation was performed through collar incisiion on the anterior neck, and the trachea was anastomosed with 4-0 $Vicryl^{(R)}$ interruptedly. Postoperative course were uneventful and patient discharged without any complications.

A Study on Dose Distribution around Fletcher-Suit Colpostat Containing Cs-137 Source by a Computer (컴퓨터 의한 Fletcher-Suit Colpostat 주변의 Cs-137의 선량분포에 관한 연구)

  • Kang Wee-Saing
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.305-311
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    • 1989
  • Fletcher-Suit colpostat has an internal structure to reduce dose to bladder and rectum. Some programs were developed to calculate dose at any point in water in three dimension around the colpostat containing Cs-137 tube, to find the shielding effect to dose by the internal structure, and to draw isodose curves and iso-shielding effect curves. Computer was an IBM compatible AT with EGA card and language was MS-Basic V6.0, Material, shape and geometry of the strucure, tube and colpostat were considered in algorithm for calculation of dose. Dose rates per unit mg. Ra. eq. in water calculated by a program were stored in auxiliary memory devices and retrieved in another programs. Isodose curves on medial side shrinked. Dose distribution was not symmetric about a transverse axis bisecting the colpostat. Reduction of dose was more excessive on top side than on bottom. Iso-shielding effect curve showed that the shielding effect was higher on top side than on bottom, and that there was shielding effect over almost all area of medial side. Such results were related to both shifted position of tube in the colpostat and asymmetric distribution of active source in the tube. Maximum of shielding effect was $49\%$ on top side and $44\%$ on bottom side. The direction of iso-shielding effect curve was generally radial from the center of active source. In treatment planning using Fletcher-Suit colpostat, the internal structure should be considered to find precise doses to bladder and rectum, etc.

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Glioblastoma in a Pekingese (페키니즈견의 아교모세포종 증례)

  • Cho, Hyun-kee;Yoo, Dae-Young;Kang, Joo-yeon;Lee, Kwon-Young;Hwang, In-Koo;Choi, Jung-Hoon;Chung, Jin-Young
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.544-547
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    • 2015
  • An 11-year-old, intact male Pekingese was brought to the Veterinary Teaching Hospital of Kangwon National University with a 10-day history of seizures. Fifteen days before coming to Kangwon National University, the dog had visited a local animal hospital for lameness, and non-steroidal anti-inflammatory drugs were prescribed to treat this symptom. However, 10 days before coming to our hospital, the dog experienced generalized seizures. Two days before his arrival, generalized ataxia and mental dullness also occurred. Our examinations revealed no remarkable findings on a routine blood test or X-ray. However, the neurological examinations confirmed mental dullness, generalized ataxia, and a lack of menace response and pupillary light reflexes. Nine hours later, dyspnea occurred, and 12 hours after that, the patient was euthanized per the client's request. A necropsy of transverse sections confirmed the presence of a prominent midline shift due to extended tumor growth. On histopathological analyses, pseudopalisading necrosis of the glial cells and microvascular proliferation were observed. In immunohistochemical analysis, glial fibrillary acidic protein, proliferating cell nuclear antigens, and ionized calcium binding adaptor molecule 1 immunoreactive cells were observed in the tumor area. Based on the results, the tumor was confirmed to be a glioblastoma. Primary intracranial tumors are rare in the veterinary field. This case report describes the clinical and histopathological findings of glioblastoma in a Pekingese.

Stabilization using Screws, Wire, and PMMA for Traumatic Cervical Fracture in a Maltese Dog (말티즈 견에서 Screw, Wire와 PMMA를 사용한 외상성 경추 골절의 안정화)

  • Kim, KeunYung;Kim, Minkyung;Park, Ji-Hun;Shin, Jeong-In;Kim, Junsu;Jang, Yun-Seol;Lee, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.31 no.6
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    • pp.519-522
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    • 2014
  • A 2-year-old, 2 kg Maltese dog was evaluated for progressive tetraparesis and neck pain. The dog had been treated with steroids for the preceding 2 weeks after unknown trauma but was deteriorating progressively and had become tetraparetic. The dog was presented with a non-ambulatory tetraparesis. Radiographic and computed tomographic examinations revealed a transverse C2 fracture with subluxation of the atlantoaxial joint and C2-C3. In addition, hydrocephalus was observed on magnetic resonance imaging. Stabilization of C1-C3 using screws, wires, and polymethyl methacrylate (PMMA) was performed. Application of ventral screws, wires, and PMMA resulted in improvement of the clinical signs after 4 weeks, and the dog could walk as before the tetraparesis 6 weeks after the operation. This stabilization method is an effective surgical treatment for management of cervical instability.

Anatomical Comparison of Compression, Opposite, and Lateral Woods in a Branch of Pinus parviflora S. et Z. (섬잣나무(Pinus parviflora S. et Z.) 지재의 압축이상재, 측면재, 대응재에 관한 해부학적 특성 비교)

  • Xu, Guang Zhu;Eom, Young Geun
    • Journal of the Korean Wood Science and Technology
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    • v.33 no.1 s.129
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    • pp.38-47
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    • 2005
  • Compression, lateral, and opposite woods in a branch of Pinus parviflora S. et Z. were described and compared in the qualitative anatomical aspects through light and scanning electron microscopy. Tracheid transition from earlywood to latewood in the compression wood appeared to be relatively more gradual than in the opposite or lateral wood. Growth ring width and proportion of latewood were thought to be greater in the compression wood than in the lateral or opposite wood. The latewood tracheids of compression wood in transverse surface were mostly round, differently from those of lateral and opposite woods with square to angular shapes. Also, intercellular spaces, helical cavities and checks, and slit-like pit apertures were observed only in the compression wood tracheids. Cross-field pitting in the compression wood appeared not to be used as diagnostic guide because of their severe alteration from normal fenestriform or window-like type to cupressoid to taxodioid types. In tangential surface, fusiform rays in the compression wood were wider but lower than those in the lateral wood or opposite wood. In conclusion, compression wood was different from lateral and opposite woods but lateral and opposite woods were almost identical in qualitative anatomical features.