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Evaluation of the clinical efficacy of a TW3-based fully automated bone age assessment system using deep neural networks

  • Shin, Nan-Young;Lee, Byoung-Dai;Kang, Ju-Hee;Kim, Hye-Rin;Oh, Dong Hyo;Lee, Byung Il;Kim, Sung Hyun;Lee, Mu Sook;Heo, Min-Suk
    • Imaging Science in Dentistry
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    • v.50 no.3
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    • pp.237-243
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    • 2020
  • Purpose: The aim of this study was to evaluate the clinical efficacy of a Tanner-Whitehouse 3 (TW3)-based fully automated bone age assessment system on hand-wrist radiographs of Korean children and adolescents. Materials and Methods: Hand-wrist radiographs of 80 subjects (40 boys and 40 girls, 7-15 years of age) were collected. The clinical efficacy was evaluated by comparing the bone ages that were determined using the system with those from the reference standard produced by 2 oral and maxillofacial radiologists. Comparisons were conducted using the paired t-test and simple regression analysis. Results: The bone ages estimated with this bone age assessment system were not significantly different from those obtained with the reference standard (P>0.05) and satisfied the equivalence criterion of 0.6 years within the 95% confidence interval (-0.07 to 0.22), demonstrating excellent performance of the system. Similarly, in the comparisons of gender subgroups, no significant difference in bone age between the values produced by the system and the reference standard was observed (P>0.05 for both boys and girls). The determination coefficients obtained via regression analysis were 0.962, 0.945, and 0.952 for boys, girls, and overall, respectively (P=0.000); hence, the radiologist-determined bone ages and the system-determined bone ages were strongly correlated. Conclusion: This TW3-based system can be effectively used for bone age assessment based on hand-wrist radiographs of Korean children and adolescents.

Heterologous Expression of Yeast Prepro-$\alpha$-factor in Rat $GH_3$ Cells

  • Lee, Myung-Ae;Cheong, Kwang-Ho;Han, Sang-Yeol;Park, Sang-Dai
    • Animal cells and systems
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    • v.4 no.2
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    • pp.157-163
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    • 2000
  • Yeast pheromone a-factor is a 13-amino acid peptide hormone that is synthesized as a part of a larger precursor, prepro-$\alpha$-factor, consisting of a signal peptide and a proregion of 64 amino acids. The carboxy-terminal half of the precursor contains four tandem copies of mature $\alpha$-factor. To investigate the molecular basis of intracellular sorting, proteolytic processing, and storage of the peptide hormone, yeast prepro-$\alpha$-factor precursors were heterologously expressed in rat pituitary $GH_3 cells. When cells harboring the precursor were metabolically labeled, a species of approximately 27 kD appeared inside the cells. Digestion with peptide: N-glycosidase F (PNG-F) shifted the molecular mass to a 19 kD, suggesting that the 27 kD protein was the glycosylated form as in yeast cells. The nascent polypeptide is efficiently targeted to the ER in the $GH_3 cells, where it undergoes cleavage of its signal peptide and core glycosylation to generate glycosylated pro-a-factor. To look at the post ER intracellular processing, the pulse-labelled cells were chased up to 2 hrs. The nascent propeptides disappeared from the cells at a half life of 30 min and only 10-25% of the newly synthesized, unprocessed precursors were stored intracellularly after the 2 h chase. However, about 20% of the pulse-labeled pro-$\alpha$-factor precursors were secreted into the medium in the pro-hormone form. With increasing chase time, the intracellular level of propeptide decreased, but the amount of secreted propeptide could not account for the disappearance of intracellular propeptide completely. This disappearance was insensitive to lysosomotropic agents, but was inhibited at $16^{circ}C or 20^{\circ}C$, suggesting that the turnover of the precursors was not occurring in the secretory pathway to trans Golgi network (TGN) or dependent on acidic compartments. From these results, it is concluded that a pan of these heterologous precursors may be processed at its paired dibasic sites by prohormone processing enzymes located in TGN/secretpry vesicles producing small peptides, and that the residual unprocessed precursors may be secreted into the medium rather than degraded intracellularly.

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Rabbit maxillary sinus augmentation model with simultaneous implant placement: differential responses to the graft materials

  • Kim, Young-Sung;Kim, Su-Hwan;Kim, Kyoung-Hwa;Jhin, Min-Ju;Kim, Won-Kyung;Lee, Young-Kyoo;Seol, Yang-Jo;Lee, Yong-Moo
    • Journal of Periodontal and Implant Science
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    • v.42 no.6
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    • pp.204-211
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    • 2012
  • Purpose: This study was performed to establish an experimental rabbit model for single-stage maxillary sinus augmentation with simultaneous implant placement. Methods: Twelve mature New Zealand white rabbits were used for the experiments. The rabbit maxillary sinuses were divided into 3 groups according to sinus augmentation materials: blood clot (BC), autogenous bone (AB), and bovine-derived hydroxyapatite (BHA). Small titanium implants were simultaneously placed in the animals during the sinus augmentation procedure. The rabbits were sacrificed 4 and 8 weeks after surgery and were observed histologically. Histomorphometric analyses using image analysis software were also performed to evaluate the parameters related to bone regeneration and implant-bone integration. Results: The BC group showed an evident collapse of the sinus membrane and limited new bone formation around the original sinus floor at 4 and 8 weeks. In the AB group, the sinus membrane was well retained above the implant apex, and new bone formation was significant at both examination periods. The BHA group also showed retention of the elevated sinus membrane above the screw apex and evident new bone formation at both points in time. The total area of the mineral component (TMA) in the area of interest and the bone-to-implant contact did not show any significant differences among all the groups. In the AB group, the TMA had significantly decreased from 4 to 8 weeks. Conclusions: Within the limits of this study, the rabbit sinus model showed satisfactory results in the comparison of different grafting conditions in single-stage sinus floor elevation with simultaneous implant placement. We found that the rabbit model was useful for maxillary sinus augmentation with simultaneous implant placement.

Numerical Analysis on the Flow in Cannulae having Side Holes (사이드 홀을 가진 케뉼라에 관한 수치해석적 연구)

  • Park Joong Yull;Park Chan Young;Min Byoung Goo
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.489-496
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    • 2004
  • Insertion of cannulae into vessels may disturb the blood flow doing non-physiological load and stress on blood cells such that ADP may increase and result in hemolysis. Authors used the computational method to simulate the 3-dimensional blood flow inside of the cannula using numerical method. We limited the research to within the drainage cannulae with side holes inserted through the human vein. In this paper, 9 different cannulae with side holes categorized by the number of side holes of 4, 12, and 20, and also categorized by the array type of side holes of staggered array, in-line array, and alternative in-line array were studied and compared to the cannula with no side holes by using CFD analysis. We evaluated the flow rate, the wall shear stress, and the shear rate and compared them with one another to estimate the effect of the side holes. The flow rate is not proportional to the number of the side holes. However, larger number of side holes can reduce the mean shear rate. Both the number and the array type of side holes play an important role on the fluid dynamics of the blood flow in cannulae.

Clinical Significance of CLDN18.2 Expression in Metastatic Diffuse-Type Gastric Cancer

  • Kim, Seo Ree;Shin, Kabsoo;Park, Jae Myung;Lee, Han Hong;Song, Kyo Yong;Lee, Sung Hak;Kim, Bohyun;Kim, Sang-Yeob;Seo, Junyoung;Kim, Jeong-Oh;Roh, Sang-Young;Kim, In-Ho
    • Journal of Gastric Cancer
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    • v.20 no.4
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    • pp.408-420
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    • 2020
  • Purpose: Isoform 2 of tight junction protein claudin-18 (CLDN18.2) is a potential target for gastric cancer treatment. A treatment targeting CLDN18.2 has shown promising results in gastric cancer. We investigated the clinical significance of CLDN18.2 and other cell-adherens junction molecules (Rho GTPase-activating protein [RhoGAP] and E-cadherin) in metastatic diffuse-type gastric cancer (mDGC). Materials and Methods: We evaluated CLDN18.2, RhoGAP, and E-cadherin expression using two-plex immunofluorescence and quantitative data analysis of H-scores of 77 consecutive mDGC patients who received first-line platinum-based chemotherapy between March 2015 and February 2017. Results: CLDN18.2 and E-cadherin expression was significantly lower in patients with peritoneal metastasis (PM) than those without PM at the time of diagnosis (P=0.010 and 0.013, respectively), whereas it was significantly higher in patients who never developed PM from diagnosis to death than in those who did (P=0.001 and 0.003, respectively). Meanwhile, CLDN18.2 and E-cadherin expression levels were significantly higher in patients with bone metastasis than in those without bone metastasis (P=0.010 and 0.001, respectively). Moreover, we identified a positive correlation between the expression of CLDN18.2 and E-cadherin (P<0.001), RhoGAP and CLDN18.2 (P=0.004), and RhoGAP and E-cadherin (P=0.001). Conversely, CLDN18.2, RhoGAP, and E-cadherin expression was not associated with chemotherapy response and survival. Conclusions: CLDN18.2 expression was reduced in patients with PM but significantly intact in those with bone metastasis. Furthermore, CLDN18.2 expression was positively correlated with other adherens junction molecules, which is clinically associated with mDGC and PM pathogenesis.

Freezing Behaviors of Frozen Foods Determined by $^1H$ NMR and DSC

  • Lee, Su-Yong;Moon, Se-Hun;Shim, Jae-Yong;Kim, Yong-Ro
    • Food Science and Biotechnology
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    • v.17 no.1
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    • pp.102-105
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    • 2008
  • The freezing patterns of commercial frozen foods were characterized by using proton nuclear magnetic resonance ($^1H$ NMR) relaxometry and differential scanning calorimetry (DSC). The liquid-like components like unfrozen water were investigated as a function of temperature (10 to $-40^{\circ}C$) and then compared with the unfrozen water content measured by DSC. The formation of ice crystals and the reduction of water in the foods during freezing were readily observed as a loss of the NMR signal intensity. The proton NMR relaxation measurement showed that the decreasing pattern of the liquid-like components varied depending on the samples even though they exhibited the same onset temperature of ice formation at around $0^{\circ}C$. When compared with the unfrozen water content obtained by the DSC, the NMR and DSC results could be closely correlated at the temperature above $-20^{\circ}C$. However, the distinct divergence in the values between 2 methods was observed with further decreasing temperatures probably due to the solid glass formation which was not detected by DSC.

Community Health Program Planning and Local Public Health System : The MAPP Model (지역사회보건기획과 지역보건체계 강화: MAPP 모형의 사례)

  • Kwak, Min-Son;Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.27 no.3
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    • pp.59-66
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    • 2010
  • Objectives: This paper aims to describe a public health planning model, Mobilizing for Action through Planning and Partnership(MAPP), and to discuss its application in Korea with a specific focus on the Local Public Health System (LPHS) component of MAPP. Methods: Literature content review was performed on research papers on MAPP development and application, MAPP handbook and guides, the guidelines for the 5th Phase Community Health Plan, and a research report on public health center evaluation system. Results: MAPP has been applied to public health planning (the 5th Phase Community Health Plan) and a performance evaluation system for public health center in Korea. The current application is limited to the early stages of the MAPP. Limited or partial application affects the integrity of the model. Follow-through should be strengthened especially for evaluation planning. Conclusion: Systems thinking approaches should be considered for the development of LPHS and strengthening logical and practical linkage between planning and evaluation of community health planning.

Computer Simulation of Sideways Overturning of Side-Loaded Mini-Forwarder (측면 적재형 소형 임내 작업 차량의 횡전도 시뮬레이션)

  • Shim, S.B.;Park, Y.J.;Kim, K.U.;Kim, J.W.;Park, M.S.;Song, T.Y.
    • Journal of Biosystems Engineering
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    • v.32 no.2 s.121
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    • pp.69-76
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    • 2007
  • This study was conducted to evaluate the sideways overturning stability of side loaded mini-forwarder. The model of a prototype was developed using a 3D CAD modeler and the performance was experimentally validated. The prototype model was run on the multibody dynamic analysis program, RecurDyn 6.0, to simulate motions when the model traversed over a circular bump on a inclined ground surface. The simulation was performed at a constant forward speed of 1.85 km/h under the loaded and unloaded conditions. The forward direction was also controlled to vary from 0 to 360 degrees with an increment of 10 degrees. Results of the simulation showed safe regions in which the mini forwarder could travel safely in terms of direction and slope of the ground. Even when the mini-forwarder was loaded by 20 logs of 3.6 m long and 12 cm diameter, it traveled safely within the ground slopes of 1 to 45 degrees by directions.

Reliable design and electrical characteristics of vertical MEMS probe tip (수직형 MEMS 프로브 팁의 신뢰성 설계 및 전기적 특성평가)

  • Lee, Seung-Hun;Chu, Sung-Il;Kim, Jin-Hyuk;Han, Dong-Chul;Moon, Sung
    • Journal of Applied Reliability
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    • v.7 no.1
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    • pp.23-29
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    • 2007
  • Probe card is a test component which is to classify the known good die with electrical contact before the packaging in the ATE (automatic testing equipment). Conventional probe tip was mostly needle type, it has been difficult to meet with conventional type, because of decreasing chip size, pad to pad pitch and pads size increasingly. For that reason, probe cards using MEMS (micro electro mechanical system) technology have been developed for various semiconductor chips. In this paper, Area Array type MEMS Probe tip was designed,, fabricated, and characterized its mechanical and electrical properties. The authors found that good electrical characteristics under $1{\Omega}$ were acquired with gold (Au) and aluminium (Al) pad contact test over 0.5gf and 4gf respectively. And, contact resistance variation under $0.1{\Omega}$ were achieved with 100,000 times of repetition test. And, insertion loss (IS) for high frequency operation was ascertained over 300MHz at -3dB loss.

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SCUBA-2 Observation of the JWST/GTO Time Domain Survey Field

  • Hyun, Minhee;Smail, Ian;Im, Myungshin;Windhorst, Roger A.;Jansen, Rolf A.;Wilmer, Christopher N.A.;Cotton, William D.;Fazio, Giovanni;Perley, Richard;Condon, James J.;Swinbank, Mark;Cohen, Seth;Lin, Li-Hwai;An, Fangxia;Shim, Hyunjin
    • The Bulletin of The Korean Astronomical Society
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    • v.45 no.1
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    • pp.35.3-36
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    • 2020
  • The Time Domain Field is one of the future GTO program fields of JWST(JWST/GTO TDS), surveying about 14' diameter field at the North Eliptical Pole(NEP) with NIRCam/NIRISS. As a part of the multi-wavelength study of the field, we have obtained SCUBA-2 850㎛ mapping which reaches a depth of σrms = 0.9mJy/beam and detect 93 sources at S/N > 3.5 ― which are expected to be highly star-forming (SFR>400M◉/yr) galaxies at z ≳ 1.5-4 and pinpoint the location at <0. " 1 accuracy of 68 sub-mm sources by identifying VLA 3GHz radio counterparts. In this talk, we will introduce the SCUBA-2 JWST/GTO TDS project and the newly discovered sub-mm sources in this field.

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