• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권6호
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• pp.438-444
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• 2021

Objectives: Loss of the interdental papilla is multi-factorial and creates a multitude of problems. Autogenous connective tissue/biomaterial-based regeneration has been attempted for decades to reconstitute the black space created due to the loss of papilla. The aim of this present study was to regenerate papillary recession defects using an amnion-chorion membrane (ACM) allograft and to evaluate the clinical outcome up to six months postoperatively. Materials and Methods: Twenty patients with 25 Nordland and Tarnow's Class I/II interdental papillary recession defects were treated with ACM and coronal advancement of the gingivo-papillary unit via a semilunar incision on the labial aspect followed by a sulcular incision in the area of interest. A photographic image analysis was carried out using the GNU Image Manipulation software program from the baseline to three and six months postoperatively. The black triangle height (BTH) and the black triangle width (BTW) were calculated using the pixel size and were then converted into millimeters. The mean and standard deviation values were determined at baseline and then again at three and six months postoperatively. The probability values (P<0.05 and P≤0.01) were considered statistically significant and highly significant, respectively. An analysis of variance and post hoc Bonferroni test were carried out to compare the mean values. Results: Our evaluation of the BTH and BTW showed a statistically and highly significant difference from the baseline until both three and six months postoperatively (P=0.01). A post hoc Bonferroni test disclosed a statistically significant variance from the baseline until three and six months postoperatively (P<0.05) and a non-significant difference from three to six months after the procedure (P≥0.05). Conclusion: An ACM allograft in conjunction with a coronally advanced flap could be a suitable minimally invasive alternative for papillary regeneration.

• Archives of Plastic Surgery
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• 제43권2호
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• pp.145-152
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• 2016

Background Innovation has molded the current landscape of plastic surgery. However, documentation of this process only exists scattered throughout the literature as individual articles. The few attempts made to profile innovation in plastic surgery have been narrative, and therefore qualitative and inherently biased. Through the implementation of a novel innovation metric, this work aims to identify and characterise the most prevalent innovations in plastic surgery over the last 50 years. Methods Patents and publications related to plastic surgery (1960 to 2010) were retrieved from patent and MEDLINE databases, respectively. The most active patent codes were identified and grouped into technology areas, which were subsequently plotted graphically against publication data. Expert-derived technologies outside of the top performing patents areas were additionally explored. Results Between 1960 and 2010, 4,651 patents and 43,118 publications related to plastic surgery were identified. The most active patent codes were grouped under reconstructive prostheses, implants, instruments, non-invasive techniques, and tissue engineering. Of these areas and other expert-derived technologies, those currently undergoing growth include surgical instruments, implants, non-invasive practices, transplantation and breast surgery. Innovations related to microvascular surgery, liposuction, tissue engineering, lasers and prostheses have all plateaued. Conclusions The application of a novel metric for evaluating innovation quantitatively outlines the natural history of technologies fundamental to the evolution of plastic surgery. Analysis of current innovation trends provides some insight into which technology domains are the most active.

• 한국위성정보통신학회논문지
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• 제11권3호
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• pp.18-23
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• 2016

의료 센터에서 데이터 분석과 스마트폰 어플리케이션 권한을 부여함으로써 사물 인터넷 (IoT)은 환자 중심의 의료 관찰과 관리에서 대혁변을 일으킬 것이다. 네트워크 연결은 개인 의료 서비스에서 IoT 의학 장치로 부터 건강을 관찰하는 스마트폰으로부터 진료받는 사람들의 건강 정보를 모으기 위한 기본 요구사항이다. 스마트폰에 설치된 IoT 환경은 매우 효과적이고 이것은 사회 기반 시설을 필요로 하지 않는다. 본 논문은 ECG 캡처링에 영향을 주지 않기 위해 스마트폰이 개인 IoT 아키텍처를 효율적으로 사용하는 것을 보여준다. 적응 IoT 의료 장치 관문은 클라우드 구성에 관한 대용량을 가진 개인 의료 서비스에 사용된다. 이 접근법에서, 스마트폰 카메라는 개인 ECG 파형을 추출하기 위해 사용된 이미지 기술을 기반으로 하고, 그것을 IoT 아키텍처를 사용한 대용량 저장 연결에 근거한 클라우드로 보낸다. 정교해진 알고리즘은 스마트폰이나 테블릿 카메라로 부터 찍힌 얼굴이미지로 부터 효율적인 ECG 등록을 직접 가능할 수 있는 여지를 준다. 이 심도있는 기술은 아마 적절한 기능 강화들이 소개된 후에 개인 의료 서비스를 관찰하는데 있어서 특별한 가치를 가질 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2675-2677
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• 2015

Background: Depending on various pathological factors, non muscle invasive bladder cancer (NMIBC) shows varying degrees of recurrence. The aim of this study was to determine the incidence of recurrence of NMIBS in our centre, study the influence of intrinsic tumour characteristics like grade, stage, size and number, and compare our results with data in the published literature. Materials and Methods: A hospital based retrospective study was conducted on patients who underwent treatment for NMIBC from 2011 to 2014. The factors studied were number, size, grade, stage and site for correlation with recurrence. Statistical analysis was performed using Medcalc version 12, using Pearson's Chi square test to ascertain associations between variables. Results: A total of 73 patients with NMIBC were studied of which 48 (65.8%) had low grade and 25 (34.2%) had high grade tumours. Some 38 patients (52.1%) had Ta tumours, 34 (46.6%) had T1 and one had CIS. Mean follow up was 34.3 months. Recurrence rates were found to be 33.3% in low grade and 52.0% in high grade tumours. The overall recurrence rate in our centre was 39.7%. Significant correlations were seen between stage and recurrence, with a rate of 15% for Ta and 63.3% for T1 tumours. Fourteen out of 21 bladder cancers (66.6%) with multiple tumours demonstrated recurrence (p=0.006). Grade, size and site had no influence. Conclusions: In our study, recurrence of NMIBC was found to be directly proportional to stage and number of primary tumours, but not grade, size and site. The incidence of recurrence of NMIBC both stage wise and grade wise in our centre was also low compared to the data in the published literature.

• 센서학회지
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• 제10권6호
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• pp.273-278
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• 2001

혈중 헤모글로빈 농도를 비침습적으로 측정하기 위하여 가시광선부터 근적외선 영역인 $400{\sim}2500\;nm$ 영역에서 주요 혈중 성분들의 스펙트럼의 분석에 관하여 연구하였다. 근적외선 영역에서는 물이 주 흡수 성분이 되는데 특정성분의 농도 변화에 따라 물의 상대적인 흡수변화가 수반되므로(water displacement effect) 특정성분의 농도 변화에 따른 물의 농도변화를 고려해줌으로써 보정된 스펙트럼을 얻었고 이로부터 각 흡수 peak을 정확히 얻어내었고 농도변화에 따른 선형적인 증가를 보여주었다 비침습적으로 헤모글로빈 측정을 위한 조직의 산란효과와 타 성분의 영향을 고려하여 파장대역의 선정하였다.

• 대한화장품학회지
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• 제40권3호
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• pp.259-268
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• 2014

최근 여러 가지 비침습적인 방법으로 피부조직의 생검 또는 조직학적 처리과정 없이 피부의 실시간 이미지를 이용한 연구가 가능해졌다. Confocal scanning laser microscope (CSLM) 이미지는 830 nm의 근적외선 파장을 사용하는 비침습적 방법으로 피부의 내부 구조를 이미지화할 수 있으며, CSLM을 이용한 연구를 통해 비침습적인 피부 측정법으로 색소 침착 부위의 기저층과 진피 유두 사이에서 melanin cap, papillary ring과 같은 지표가 뚜렷하게 관찰된다고 보고되었다. 본 연구에서는 scanning probe image processor (SPIP)소프트웨어를 사용하여 CSLM 디지털 이미지 정량 분석을 처음 시도하였으며 본 연구결과는 정성적 피부조직 이미지 데이터를 정량화함으로써 향후 CSLM 활용범위를 높이게 될 것으로 기대하고 있다.

• 대한의용생체공학회:의공학회지
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• 제23권5호
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• pp.397-403
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• 2002

뇨당 측정 시스템은 소변 속의 글루코오스 농도를 측정함으로서 당뇨 수치를 모니터링하는 비침습적인 당뇨병 자가 진단 장치이다. 본 논문에서는 기존의 침습형 혈당측정방법의 불편성과 비색계를 이용한 뇨당 검사법의 단점을 보완한 뇨당 측정시스템을 설계하였다. 뇨당 측정시스템은 뇨당 측정용 화학센서, 신호검출부, 디지털 제어 및 신호분석부, 디스플레이부 및 전원부로 구성된다. 뇨당측정용 센서로는 재현성이 뛰어나고 다루기가 간편하며 저렴한 가격으로 대량 생산할 수, 있는 일회용 뇨당측정용 전류화학센서를 개발하였다. 설계한 뇨당 측정시스템의 성능을 평가하기 위하여 사람의 소변에 임의의 농도의 글루코오스 성분을 섞은 용액에 대하여 글루코오스 성분 분석시 사용되는 표준장비와의 비교분석을 통해서 글루코오스 농도 검출에 대한 신뢰성 평가를 수행하였다. 회귀분석에 기초한 신뢰성 평가를 수행한 결과 표준오차는 2.85282로 나타났다. 또한, 화학센서를 사용해서 측정하는 시스템을 평가 시 중요한 파라미터인 S.D(Standard Deviation)는 10%로서 임상적으로 유효한 15% 범주 내에 있음을 확인하였고, C.V(Coefficient of Validation)값은 ,5%이내이므로 혈당센서의 기준으로 평가해 볼때 만족하는 결과를 보였다.

• Journal of Trauma and Injury
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• 제22권2호
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• pp.161-166
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• 2009

Purpose: This study was conducted to analyze chest-trauma patients and the old-aged patients with a traumatic hemopneumothorax. Methods: We reviewed the medical records of 101 chest-trauma patients admitted to the department of cardiovascular and thoracic surgery from June 1999 to November 2008. We evaluated the general characteristics of the chest-trauma patient, especially those of old-aged patients with a traumatic hemopneumothorax. Results: Rib fracture was observed in 99 of the cases, the location distribution was right: left =261: 255, with right being dominant. Rib fractures commonly involved the 4th and the 7th rib. The average number of rib fractures was 5.1, and the average number of rib fractures in the old-aged patients was significantly higher than that in the non-old-aged patients (p=0.04). There were 17 cases of a hemopnuemothorax in old-aged patients, 52 cases in non-old-aged patients. The blood loss through the chest tube for old-aged patients was significantly more than that for the non-old-aged patients, and the initial hemoglobin level was lower in the old-aged patients. Conclusion: Elderly trauma patients are more likely to die after trauma than other age groups. Even with relatively stable vital signs, invasive hemodynamic monitoring and intensive treatment are recommended.

• Journal of Chest Surgery
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• 제22권4호
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• pp.589-593
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• 1989

The frequency spectrum of the metallic closing sound and its loudness were measured by non invasive techniques in 66 patients. They had examined a total of 7 Carbomedics valve, 10 Duromedics valve, 11 St. Jude heart valve in mitral position and 8 Carbomedics, 10 Duromedics, 20 St. Jude heart valve prostheses functioning normally in aortic position. Statistical comparison of the loudness from sound produced by the three valves in each position, the following; The Carbomedics valve has the lowest average loudness, followed by the St. Jude medical valve, and finally the Edward Duromedics valve. And we analysis the changing factor of the loudness of valve sound, only the velocity of the flow through the valve influenced to the valve sound.

• 대한전기학회논문지:시스템및제어부문D
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• 제54권12호
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• pp.737-740
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• 2005

This paper describes the possibility of evaluating and classifying arthritic pathology using the acoustical analysis of knee joint sound. Six normal subjects and 11 patients with knee problems were enrolled. Patients were divided into the 1st patient group which required an orthopeadic surgery and the 2nd patient group of osteoarthritis. During sitting and standing periods, subjects' active knee flexion and extension were monitored. Fundamental frequency, mean amplitude of pitch, jitter and shimmer were analyzed according to the position. The results demonstrate that the values of fundamental frequency, jitter and shimmer of the 2nd patient group were larger than others and changed unstably. The values of the standing position were larger than the sitting position.