• Archives of Plastic Surgery
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• 제37권4호
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• pp.380-384
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• 2010

Purpose: Distinguishing different types of implants and assessing the position and size of implants by radiologic exam after orbital wall reconstruction is important in determining the surgery outcome and forecasting prognosis. We observed time-dependent density changes in three types of implants (porous polyethylene, resorbing plate and titanium mesh plate) by performing facial bone CT after orbital wall reconstructions. Methods: A total of 32 patients, who had underwent orbital wall fracture surgery from October 2006 to March 2009 and received facial bone CT as outpatients at 1 postoperative year were included in the study. Follow-up facial bone CT was performed on the patients pre- operatively, 1 month post-operatively, and 1 year post-operatively to observe the status of the orbital implants. Medpor $^{(R)}$ (Porex Surgical, Inc., Newnan, Ga.) was used as porous polyethylene and followed-up in 14 cases; for resorbing plate, Synthes mesh plate (Synthes, Oberdorf, Switzerland) was used in the reconstruction, and followed-up in 11 cases; and titanium mesh plate usage was followed-up in 7 cases. Computed tomographic scan (CT) and water's view were done for radiography, and hounsfield unit (HU) was used to compare density of those facial bone CT. Wilcoxon signed rank test was applied to statistically verify measurement difference in each group of hounsfield units. Results: Facial bone CT examination performed in 1 month post-operative showed that the density of porous polyethylene, resorbing plate and titanium mesh plate were -42.07, 105.67 and 539.48 on average, respectively. Among the three types of implants, titanium mesh plate showed the highest density due to its radiopaque feature. Following up the density of three types of implants in CT during 1 year after the orbital wall fracture surgery, the density of porous polyethylene increased in 10.52 House Field Units and the resorbing plate was decreased in 26.87 HouseField Units. There were no significant differences between densities in 1 month post-operatively and 1 year post-operatively in each group ($p{\geq}0.05$). Conclusion: We performed facial bone CT on patients with orbital fractures during follow-up period, distinguishing the types of implants by the different concentration of implant density, and the densities showed little change even at 1 year post-operative. To observe how implant densities change in facial bone CT, further studies with longer follow-up periods should be carried out.

• 대한두개안면성형외과학회지
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• 제19권4호
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• pp.248-253
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• 2018

Background: The presence of enophthalmos is an important determinant in the decision of orbital wall fracture surgery. We proposed eyelid drooping as a new anthropometric diagnostic measure and analyzed whether eyelid drooping is associated with enophthalmos. Methods: This retrospective study was performed from January 2014 to December 2016. A total of 75 patients with blowout fractures were studied. One experimenter measured the degree of enophthalmos using a Hertel exophthalmometer at 1 week after trauma and at 3 months after surgery. The height change of the upper eyelid was measured using the marginal reflex distance (MRD) on both sides, and the degree of eyelid drooping was calculated by comparing the two lengths. We analyzed statistically the correlation between enophthalmos and eyelid drooping. Results: We found a highly significant correlation between the degree of enophthalmos and the reduction rate of MRD (RRM, as an indicator of eyelid drooping) at 1 week after trauma (r= 0.845). Approximately 2.0 mm of enophthalmos was associated with a 30.8% reduction in MRD on the affected side as compared with the normal side. At 3 months after surgery, patients showed improved eyelid appearance, with a moderate association between enophthalmos and RRM. Conclusion: We demonstrated that the degree of enophthalmos, measured using an exophthalmometer, is associated with a change in the height of the upper eyelid. Thus, upper eyelid drooping can be used as another indicator for orbital wall fracture surgery. Compared with conventional methods, measurements of eyelid drooping are easy to perform, offering a great advantage and understanding to the patient.

• 한국추진공학회지
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• 제9권3호
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• pp.145-152
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• 2005

전 세계적으로 우주로의 여행 (우주여행, Space Tourism)에 대한 많은 관심이 일어나고 있다. 특히 2004년 10월 4일 Scaled Composites찬의 SpaceShipOne이 2주 연속하여 지상 100km 정도의 지구 저궤도 (Sub-Orbital) 비행에 성공함으로써 이러한 관심은 폭발적으로 증가하고 있다. 이것은 우주여행이라는 것이 민간에 의한 우주 개발의 노력으로 시도된다는 측면에서 기존의 패러다임, 즉, 우주 개발은 국가 주도 하에서만 가능하다는 기존의 패러다임을 부정하는 상당히 획기적인 사건이기 때문이었다. 따라서 민간주도의 우주여행 사업에 대해 미국을 중심으로 한 민간업체의 개발 동향과 함께 지구 저궤도 우주비행체에 대한 (응용) 시장의 (창출) 가능성, 법적인 측면, 사업적 관점, 그리고 기술적 관접에서 바라보고자 한다.

• Pediatric Infection and Vaccine
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• 제12권2호
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• pp.178-185
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• 2005

목 적 : 안와 연조직염은 성인에 비해 소아에서 흔한 질환으로 안와 중격을 경계로 안와의 침범여부에 따라 안와주위 연조직염과 안와 연조직염으로 구분된다. 이 구분은 치료와 예후에 많은 차이를 보인다. 저자들은 안와 연조직염의 원인균, 임상증상, 검사 소견, 치료 및 합병증의 발생 등의 차이를 알아보고자 하였다. 방 법 : 1995년 5월부터 2004년 4월까지 안와 연 조직염으로 연세의료원에 입원 치료한 환아 50명을 대상으로 후향적으로 의무기록 고찰을 시행하였다. 결 과 : 총 50명 중 남아 32명, 여아 18명이었으며, 평균 연령 $3.2{\pm}3.5$년이었다. 안와 컴퓨터 단층 촬영상에서 안와주위 연조직염으로 진단받은 환아는 36명이었고, 안와 연조직염으로 진단받은 환아 10명, 확진되지 않은 환아 4명이었다. 안와주위 연조직염은 안구주위 부종 이외에 발열 7례(19%), 안구 동통 2례(6%), 결막 부종 8례(22%)의 증상이 있었으며, 안와 연조직염은 안구주위 부종 이외에 발열 8례(80%), 안구 동통 6례(60%), 안구 돌출 2례(20%), 결막 부종 7례(70%), 안구 운동 장애 2례(20%)의 증상이 있었다. 안와주위 연조직염의 선행질환으로 부비동염 5례(14%), 상기도감염 3례(8%), 결막염 7례(19%), 피부 상처 5례(14%), 원인 불명 16례(44%)였으며, 안와 연조직염의 선행질환은 부비동염 5례(50%), 상기도감염 2례(20%), 원인 불명 3례(30%)였다. 안와주위 연조직염 환아에서 C반응성단백, 적혈구침강속도는 각각 10례(50%), 15례(65%)에서 상승하였으며, 안와 연조직염에서는 4례(80%), 3례(100%)에서 상승하였다. 안와 연조직염 10례 중 9례에서, 안와주위 연조직염 36례 중 34례에서 1차 선택 항생제로 cefoxitin+aminoglycoside, penicillinase resistant penicillin+3세대 cephalosporin이 선택되었다. 안와주위 연조직염에서는 1차 선택 항생제로 모두 호전되었으나, 안와 연조직염 환아에서는 cefoxitin+aminoglycoside를 투여했던 7례 중 5례에서 호전 소견을 보이지 않아, 2차 항생제로 vancomycin 또는 clindamycin이 추가되었다. 수술적 처치는 총 3례에서 시행되었으며, 안와 연조직염 1례에서 세균성 뇌수막염이 동반되었다. 결 론 : 안와 연조직염은 안와의 침범여부에 따라 임상양상, 치료 및 예후가 달라지며, 임상 양상이 모호한 경우가 있으므로 초기단계에 반드시 안와 컴퓨터 단층촬영을 시행한 후에 치료에 임하는 것이 필요할 것으로 사료된다.

• 대한두개안면성형외과학회지
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• 제21권5호
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• pp.276-282
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• 2020

Background: Orbital fractures are the most common pediatric facial fractures. Treatment is conservative due to the anatomical differences that make children more resilient to severe displacement or orbital volume change than adults. Although rarely, extensive fractures may result in enophthalmos, causing cosmetic problems. We aimed to establish criteria for extensive fractures that may result in enophthalmos. Methods: We retrospectively reviewed the charts of patients aged 0-15 years diagnosed with orbital fractures in our hospital from January 2010 to February 2019. Computed tomography images were used to classify the fractures into linear, trapdoor, and open-door types, and to estimate the defect size. Data on enophthalmos severity (Hertel exophthalmometry results) and fracture pattern and size at the time of injury were obtained from patients who did not undergo surgery during the follow-up and were used to identify the surgical indications for pediatric orbital fractures. Results: A total of 305 pediatric patients with pure orbital fractures were included-257 males (84.3%), 48 females (15.7%); mean age, 12.01±2.99 years. The defect size (p=0.002) and fracture type (p=0.017) were identified as the variables affecting the enophthalmometric difference between the eyes of non-operated patients. In the linear regression analysis, the variable affecting the fracture size was open-door type fracture (p<0.001). Pearson's correlation analysis demonstrated a positive correlation between the enophthalmometric difference and the bony defect size (p=0.003). Using receiver operating characteristic curve analysis, a cutoff value of 1.81 ㎠ was obtained (sensitivity, 0.543; specificity, 0.724; p=0.002). Conclusion: The incidence of enophthalmos in pediatric pure orbital fractures was found to increase with fracture size, with an even higher incidence when open-door type fracture was a cofactor. In clinical settings, pediatric orbital fractures larger than 1.81 ㎠ may be considered as extensive fractures that can result in enophthalmos and consequent cosmetic problems.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권1호
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• pp.110-116
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• 2000

A 61-years old man with diabetes mellitus(DM) was admitted to our hospital, complaining of progressive right periorbital swelling, headache and toothache on the right lower second molar. On the first visit, moderate swelling was noticed from the right periorbital region with exophthalmos and subconjunctival effusion. Intraorally, right lower second molar had a severe periodontal disease and fistular formation on its distal area. From 3 days after hospitalization, the visual acuity of his right eye was gradually worsen and we performed CT scan. CT scan demonstrated an inflammatory change at the right orbit with subperiosteal abscess at the inferior orbital wall, which was extended from the right infratemporal, parapharyngeal and internal pterygoid space. Patient was treated by mean of intraoral(right upper vestibular and retromolar) and extraoral(infraorbital) incision and drainage, massive anti-therapy and DM control. The patient improved gradually and finally was discharged from the hospital, but his visual loss of right side was not recovered.

• Journal of Astronomy and Space Sciences
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• 제36권2호
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• pp.75-86
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• 2019

UV Psc is a typical RS CVn type system undergoing dynamic chromosphere activity. We performed photometric observations of the system in 2015 and secured new BVR light curves showing well-defined photometric waves. In this paper, we analyzed the light curves using Wilson-Devinney binary code and investigated the orbital period of the system. The combination of our light curve synthesis with the spectroscopic solution developed by previous investigators yielded the absolute parameters as: $M_1=1.104{\pm}0.042M_{\odot}$, $R_1=1.165{\pm}0.025R_{\odot}$, and $L_1=1.361{\pm} 0.041L_{\odot}$ for the primary star, and $M_2=0.809{\pm}0.082M_{\odot}$, $R_2=0.858{\pm}0.018R_{\odot}$, and $L_2=0.339 {\pm}0.010L_{\odot}$ for the secondary star. The eclipse timing diagram for accurate CCD and photoelectric timings showed that the orbital period may vary either in a downward parabolic manner or a quasi-sinusoidal pattern. If the latter is adopted as a probable pattern for the period change, a more plausible account for the cyclic variation may be the light time effect caused by a circumbinary object rather than an Applegate-mechanism occurring via variable surface magnetic field strengths.

• Journal of Astronomy and Space Sciences
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• 제31권1호
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• pp.41-50
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• 2014

The Earth is not perfectly spherical and its rotational axis is not fixed in space, and these geophysical and kinematic irregularities work as dominant perturbations in satellite orbit propagation. The International Earth Rotation Service (IERS) provides the Conventions as guidelines for using the Earth's model and the reference time and coordinate systems defined by the International Astronomical Union (IAU). These guidelines are directly applied to model orbital dynamics of Earth satellites. In the present work, the effects of the latest conventions released in 2010 on orbit propagation are investigated by comparison with cases of applying the previous guidelines, IERS Conventions (2003). All seven major updates are tested, i.e., for the models of the precession/nutation, the geopotential, the ocean tides, the ocean pole tides, the free core nutation, the polar motion, and the solar system ephemeris. The resultant position differences for one week of orbit propagation range from tens of meters for the geopotential model change from EGM96 to EGM2008 to a few mm for the precession/nutation model change from IAU2000 to IAU2006. The along-track differences vary secularly while the cross-track components show periodic variation. However, the radial-track position differences are very small compared with the other components in all cases. These phenomena reflect the variation of the ascending node and the argument of latitude. The reason is that the changed models tested in the current study can be regarded as small fluctuations of the geopotential model from the point of view of orbital dynamics. The ascending node and the argument of latitude are more sensitive to the geopotential than the other elements. This study contributes to understanding of the relation between the Earth's geophysical properties and orbital motion of satellites as well as satellite-based observations.

• 우주기술과 응용
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• 제4권1호
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• pp.62-73
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• 2024

본 연구에서는 추력기가 없는 저궤도 초소형위성의 자세변경을 통한 궤도변경 방식이 충돌회피기동에 얼마나 효과적인지 분석하였다. 연구 결과, 단면적의 변화는 위성의 진행방향에 영향을 주며, 단면적 변화비율과 임무고도에 따라 기동전 궤도의 변화량이 달라졌다. 특히, 임무고도가 낮은 위성에서 짧은 시간 동안의 자세변경으로 충돌위험을 현저히 감소시킬 수 있음을 확인하였다. 본 연구를 통해 추력기가 없는 초소형위성 운영에 있어 자세기동을 통한 단면적의 변화방식이 충분히 활용가능한 방안으로 판단되며, 뉴스페이스 시대의 위성 운영 안전성 향상에 기여할 것으로 기대된다.

• Bulletin of the Korean Chemical Society
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• 제28권9호
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• pp.1573-1578
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• 2007

Fluorescence quenching of norfloxacin (NOR) by Cu2+, Ni2+, Co2+ and Mn2+ was studied in water. The change in the fluorescence intensity and lifetime was measured as a function of quencher concentration at various temperatures. According to the Stern-Volmer plots, the NOR was quenched both by collisions and complex formation with the same quencher. However, the static quenching had a more important effect on the emission. Large static and dynamic quenching constants support significant ion-dipole and orbital-orbital interactions between NOR and cations. The both quenching constants by Cu2+ were the largest among quenchers. Also, quenching mechanism of Cu2+ was somewhat different. The change in the absorption spectra due to the quencher provided information on static quenching. The fluorescence of NOR was relatively insensitive to both the dynamic and static quenching compared with other quinolone antibiotics. This property can be explained by the twisted intramolecular charge transfer.