• The Journal of the Korean bone and joint tumor society
• /
• v.11 no.2
• /
• pp.168-174
• /
• 2005

Purpose: We experienced 8 cases of osteoid osteoma arising around hip joint which had some characteristics that differ from those arising on long bone. we reports the characteristics of osteoid osteoma arising around the hip joint. Materials and Methods: 8 cases of osteoid osteoma were diagnosed during 1985 to 2004 at hanyang university hospital. all cases were comfirmed patholgically. 6 cases were male, 2 cases were female patients. The mean age was 17 years old (ranged from 8 to 29). They occurred in intertrochanteric area (4 cases), subtrochanteric area (2 cases), acetabulum (1 case) and femoral neck (1 case). We used radiologic tools including magnetic resonance image, computed tomography, bone scintigraphy. clinicopathologic test including erythrocyte sedimentation rate and Creactive protein. Results: The patients expressed various symptoms including thigh pain, knee pain, low back pain and radiating pain respectively. 2 patients had experienced operation on knee joint. 3 patients showed limping gait. Aspirin relieved the pain in 3 patients. The difference in circumference was 1cm between both thighs in 2 cases. Conclusion: Patients with osteoid osteoma arising around hip joint which have various symptoms such as severe knee pain and claudication, differ from infectious disease by clinicopathologic test including erythrocyte sedimentation rate and C- reactive protein and had better diagnostic result in computed tomography.

• Journal of dental hygiene science
• /
• v.5 no.4
• /
• pp.199-204
• /
• 2005

Background : Oral leukoplakia(OL) and lichen planus(LP) are common soft tissue lesions characterized by white plaque or striae with erosion. The clinical characteristics of these diseases are similar but the cause and clinical course of them are very different. I compared OL with LP by analysizing clinical and histopathological characteristics and follow up study. Patients and methods : The clinical analysis of 200 patients with OL and LP was performed by review of dental and medical charts. And H/E slides were examined under the light microscope. we examined H/E slides by the light microscope. The follow up study of patients was performed. Statistical analysis was done using the SPSS/PC WINDOWS (version 13.0). Results : The age distribution of OL was in the range of 13-75 years old being most prevalent in the 5th decade and there was a tendency of male prevalent. The age distribution of LP was in the range of 20-79 years old being most prevalent in the 4th decade and there was a tendency of female prevalent. The most common site of involvement was the buccal mucosa in both diseases. The most common clinical features of OL and LP were white plaque type and white lesion with striae, respectively. In case of LP, the most common clinical sign was tenderness to palpation. Fifteen cases of OL and eight cases of LP showed epithelial dysplasia. Twelve cases of OL recurred after surgery of oral squamous cell carcinoma and 2 cases of LP were transformed into oral squamous carcinoma. Conclusion : There was statistically significant difference in age, sex, clinical signs of patients, frequency of epithelial dysplasia between OL and LP. The Pearson coefficient correlation efficient was 0.51(p < 0.05). The knowledge of the difference between OL and LP can help understand these diseases.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2007.05a
• /
• pp.612-616
• /
• 2007

오랫동안 홍수조절, 용수공급, 전력생산, 레저 활동을 위해 건설된 댐들은 하천이나 호소의 생태적 기능보다는 치수 및 이수기능이 중요시되면서 운영 관리되어 왔다. 하지만 최근 들어 선진국을 중심으로 환경 및 생태의 중요성이 인식되면서 하천생태계 보호를 위한 환경유량 산정이 언급되고 있는데 이는 하천이 동 식물의 서식처로서 적절한 수질뿐만 아니라 수심, 유속, 하상재료, 먹이원, 어류를 보호할 수 있는 휴식 및 은신처 등의 다양한 조건을 제공할 수 있어야 한다고 제시되고 있다. 이들 조건 중 유량(Flow)은 하천에서 생물집단을 구성하는데 있어 물리적 서식조건의 주요한 결정인자로 작용하는데, 댐 하류하천의 자연유량(natural flow)을 변화시키면 생태학적 측면에서 기대치 않던 영향을 야기할 수 있다. 따라서 댐 건설 전 후의 자연유량과 조절유량 사이에서 생태학적 어류조사연구를 통한 차이점을 찾는 것은 매우 중요하다고 볼 수 있다. 본 연구의 최종목적은 수계 내 댐 건설 전 후의 어류군집과 유량 등 수리조건과의 연관성을 분석하여 하천구간별로 어류생태에 적합한 유량을 산정하는 것이다. 조사대상 구간은 금강본류를 대상으로 하되 용담댐과 대청댐을 중심으로 하여 10개 구간을 선정하였고. 과거로부터 2000년도까지와 용담댐 건설후인 $2002{\sim}2004$년도에 조사된 어류생태자료를 활용하였다. 용담댐 상류로부터 대청댐 하류에 이르기까지 전 구간을 대상으로 조사된 자료를 분석한 결과 총 20과 82종이 출현하였고, 이중 종 45종(54.9%)이 잉어과에 해당하며 미꾸리과(6종), 동자개과(4종), 망둑어과(5종)를 제외한 대다수의 분류군(Family)들은 단일 또는 2종으로만 구성되었다. 이들 중 천연기념물 제 259호로 지정되어 법적으로 보호되고 있는 어름치(금강에서 서식한 어름치를 따로 천연기념물 238호로 지정함)를 비롯하여 다묵장어를 포함한 7종의 멸종위기종이 확인되었다. 또한 각시붕어 등 총 29종(39.4%)의 높은 한국고유종 출현과 6종의 외래도입종도 확인되었다. 금강의 중 상류에 해당하는 구역을 포함하는 대청댐 상 하류 구간에서 대청댐 건설 전(1980년 이전)을 포함하는 2000년 이전 조사 자료가 가장 다양한 어류상과 특이어종(멸종위기종 및 한국고유종)을 보였고, 최근자료$(2002{\sim}2004)$를 살펴볼 때 용담댐 상 하류에서보다 대청댐 상 하류에서 멸종위기종(7종$\rightarrow$1종) 및 한국고유종(28종$\rightarrow$16종)의 출현감소와 외래도입종의 출현증가(1종$\rightarrow$6종)와 같은 주요한 어류군집 변화를 보였다. 이는 댐 건설에 따라 주로 계류성 어종을 중심으로 정수역 구간에서 인근 지류로 이동하게 되고 일부는 제한된 서식공간과 하천교란으로 인해 개체군이 극감하거나 일부 소멸된 종이 발생하였을 것으로 사료된다. 실측 유량자료 분석에 의하면 홍수기 최대유량 변화는 크지 않으나, 갈수기 최소유량은 크게 증가한 것을 알 수 있었고, 대다수 어류의 산란기인 봄철(5월, 6월) 최소유량은 증가하였으나, 최대유량은 감소한 것으로 분석되었다. 이러한 변화는 어류생태계에 긍정적인 면과 부정적인 면이 있으며, 향후 이러한 영향을 분석하기 위해 선택어종(Target species)별 생태환경 서식조건을 확인할 수 있는 조사기법 및 자료구축이 절실히 필요한 실정이다.

• Neonatal Medicine
• /
• v.17 no.1
• /
• pp.21-33
• /
• 2010

Purpose : The increased survival of preterm infants in the neonatal intensive care unit recently has resulted in an increased frequency of bronchopulmonary dysplasia (BPD), especially with atypical forms. However, there have been few studies compairing classic and atypical BPD. The aim of this study was to investigate the differences between these two types of BPD. Methods : Infants with a gestational age less than 32 weeks born at the Seoul National University Hospital and Bundang Seoul National University Hospital from May 2004 to April 2007 were included. The data were categorized in 2 groups, classic and atypical BPD. We determined the incidence of BPD, and compared perinatal factors and postnatal managements between two groups. Results : Among 260 study subjects, 141 (54.2%) infants had BPD. Classic BPD infants were 64 and atypical BPD infants were 77. Comparison of differences between 2 groups, classic BPD infants were associated with respiratory distress syndrome, patent ductus arteriosus, intrauterine growth restriction, more high-frequency ventilator (HFV) use, low 1 and 5 minute Apgar scores. Atypical BPD infants were associated with antenatal steroid use, maternal premature rupture of membrane and chorioamnionitis (CAM). In multivariate analysis, more HFV use was associated with classic BPD. Antenatal steroid use, clinical CAM and histological CAM were associated with atypical BPD. Conclusion : The results of this study showed that antenatal factors (antenatal steroid use, clinical CAM, histological CAM) were associated with atypical BPD and postnatal factors (HFV used more) were associated with classic BPD. Further studies are needed for prevention and treatment of BPD.

• Tuberculosis and Respiratory Diseases
• /
• v.42 no.2
• /
• pp.206-217
• /
• 1995

Background: In patients with obstructive sleep apnea syndrome(OSAS), there are several factors increasing upper airway resistance and there is a predisposition to compromised respiratory function during waking and sleep related to constitutional factors including a tendency to obesity. Several recent studies have suggested a possible relationship between sleep apnea(SA) and systemic hypertension. But the possible pathophysiologic link between SA and hypertension is still unclear. In this study, we have examined the relationship among age, body mass index(BMI), pulmonary function parameters and polysomnographic data in patients with OSAS. And also we tried to know the difference among these parameters between hypertensive OSAS and normotensive OSAS patients. Methods: Patients underwent a full night of polysomnography and measured pulmonary function during waking. OSAS was diagnosed if patients had more than 5 apneas per hour(apnea index, AI). A careful history of previously known or present hypertension was obtained from each patient, and patients with systolic blood pressure $\geq$ 160mmHg and/or diastolic blood pressure $\geq$ 95mmHg were classified as hypertensives. Results: The noctural nadir of arterial oxygen saturation($SaO_2$ nadir) was negatively related to AI and respiratory disturbance index(RDI), and the degree of noctural oxygen desaturation(DOD) was positively related to AI and RDI. BMI contributed to AI, RDI, $SaO_2$ nadir and DOD values. And also BMI contributed to $FEV_1,\;FEV_1/FVC$ and DLco values. There was a correlation between airway resistance(Raw) and AI, and there was a inverse correlation between DLco and DOD. But there was no difference among these parameters between hypertensive OSAS and normotensive OSAS patients. Conclusion: The obesity contributed to the compromised respiratory function and the severity of OSAS. AI and RDI were important factors in the severity of hypoxia during sleep. The measurement of pulmonary function parameters including Raw and DLco may be helpful in the prediction and assessment of OSAS patients. But we could not find clear difference between hypertensive and normotensive OSAS patients.

• Journal of Korea Water Resources Association
• /
• v.52 no.10
• /
• pp.719-728
• /
• 2019

Valve in water distribution network (WDN), that controls the flow in pipes, is used to isolate a segment (a part of WDN) under abnormal water supply conditions (e.g., pipe breakage, water quality failure event). The segment isolation degrades pressure and water serviceability in neighboring area during the water service outage of the segment. Recent hydraulic and water quality failure events reported encouraging WDN valve installation based on various abnormal water supply scenarios. This study introduces a scenario-based optimal valve installation approach to optimize the number of valves, the amount of undelivered water, and a shortest water supply path indicator (i.e., Hydraulic Geodesic Index). The proposed approach is demonstrated in the valve installation of Pescara network, and the optimal valve sets are obtained under multiple scenarios and compared to the existing valve set. Pressure-driven analysis (PDA) scheme is used for a network hydraulic simulation. The optimal valve set derived from the proposed method has 19 fewer valves than the existing valve set in the network and the amount of undelivered water was also lower for the optimal valve set. Reducing the reservoir head requires a greater number of valves to achieve the similar functionality of the WDN with the optimal valve set of the original reservoir head. This study also compared the results of demand-driven analysis (DDA) and the PDA and confirmed that the latter is required for optimal valve installation.

• Journal of the Korean Society of Hazard Mitigation
• /
• v.9 no.6
• /
• pp.31-39
• /
• 2009

This study has found that there is a reverse phase with interdecadal variation in temporal variations of tropical cyclone (TC) genesis frequency (TCGF) between Northwest sector and Southeast sector, based on climatological mean tropical cyclone genesis location over the western North Pacific. The TCGF in the Northwest sector has been increased since the mid 1980s (1986-2005), while TCGF in the Southeast sector was higher until the early 1970s (1951-1970). The analysis of a difference between 1986-2005 and 1951-1970 showed results as follows: i) Through the analysis of vertical wind shear (VWS) and sea surface temperature (SST), less VWS and higher SST in the former (latter) period was located in the Northwest (Southeast) sector. ii) In the analysis of TC passage frequency (TCPF), TCs occurred in the Northwest sector frequently passed from east sea of the Philippines, through East China Sea, to Korea and Japan in the latter period, while TCs in the former period frequently has a lot of influences on South China Sea (SCS). In the case of TCs occurred in the Southeast sector, TCs in the west (east), based on $150^{\circ}E$ had a high passage frequency in the latter (former) period. In particular, TCs during the latter period frequently moved toward from the east sea of the Philippines to SCS and southern China. iii) This difference of TCPF between the two periods was characterized by 500 hPa anomalous pressure pattern. Particularly, anomalous cyclonic circulation strengthened over the East Asian continent caused anomalous southerlies along the East Asian coast line from the east sea of the Philippines to be predominate. These anomalous winds served as steering flows that TC can easily move toward same regions.

• Tuberculosis and Respiratory Diseases
• /
• v.40 no.5
• /
• pp.565-574
• /
• 1993

Background: Pulmonary hamartomas are benign tumors that occur in the parenchyma or in the bronchi. They present as a solitary pulmonary nodule(SPN) or as a cause of bronchial obstruction. The incidence, once minimal, is increasing in Korea. To get clinical spectrum about the tumor, we analyzed all the reported cases in Korea since 1964. Methods: We reviewed the clinical, radiological and pathological findings of 13 patients of intrapulmonary or endobronchial hamartomas in Severance Hospital and of 38 reported cases in Korea published in literatures from 1964 to 1992 retrospectively. Results: Including 17 endobronchial hamartomas, 54 cases were studied. There were 25 men and 29 women, with a mean age of 47.2 years; 45.3 years in endobronchial type and 51.3 years in parenchymal type. Pulmonary symptoms were present in 8 patients (22%) of intrapulmonary type and in all patients of endobronchial type: cough (65%), dyspnea (53%), sputum (35%), fever (29%) in order. On chest X-rays, atelectasis was seen in 10 patients (59%) in endobronchial type; but SPN was noted in 36 patients (97%) of intrapulmonary type. Calcification was present in 7 intapulmonary hamartomas (23%); but is in 2 endobronchial hamartomas (12%). The diagnostic yield was 6 out of 14(43%) in endobronchial ones; 4 out of 7(57%) in intrapulmonary ones. Fifty patients underwent operations as follows: lobectomy (28), enucleation (8), resection (8), bilobectomy (4), pneumonectomy (2). The hamartomas were 1.2 times more common in the right lung; mean transverse diameter at the time of operation was 2.3 cm in endobronchial type, 3.8 cm in intrapulmonary ones. Chondroid components were present in 11(65%) of 17 endobronehial ones but in 30(91%) of 33 intrapulmonary hamartomas. No malignant changes were seen perioperative period and up to early 1993. Conclusion: The younger age in endobronchial hamartomas, the preponderance of the female sex and the more incidence in the right lung, and the diagnostic choice of lobectomies were different from the studies of the Western countries.

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1981.05a
• /
• pp.3.2-3
• /
• 1981

This paper was attemped to analize 55 cases of fiberoptic bronchoscopy during period of 3 years from Feb. 1978 till Feb. 1981 in Chung Ang University hospital. The results were as follow; 1) In age distribution; Most common age group was 5th decade (15 cases, 27.2%) and the other age groups showed relatively even distribution. 2) The ratio of male to female was 3 to 1. 3) The chief complaints were presented in following order; cough (52%), hemoptysis(25%), dyspnea(23.6%), chest pain(18%), chest disomfort(9%). 4) Direct smear of bronchoscopic aspiration material; Not found 33 cases (60%) were most common finding. In the founded bacteria Gram positive cocci 2 cases (3.6%), Gram negative cocci 2 cases (3.6%), Gram positive bacilli 1 cases (1.8%), Gram negativebacilli 2 cases (3.6%), mixed form 15 cases(27.2%) were presented. 5) Bacterial culture of bronchoscopic aspiration material; No growth 28 cases (50.9%) were most common finding. In the bacterial growth, alpha hemolytic streptococci 10 cases (18.2%), Neisseria group 7cases(12.7%), Klebsiella 2 cases (3.6%), Pseudomonas 2 cases (3.6%), mixed culture 6 cases (10.9%) were presented, 6) The diagnosis of bronchoscopic appearance, laboratory exam., and pathologic exam. of biopsed specimen were 21 cases (38.1%) primary carcinoma of bronchus, 8 cases (14.5%) pulmonary tuberculosis, 7 cases (12.7%) bronchitis in orders.

• The Journal of Korean Society for Radiation Therapy
• /
• v.19 no.2
• /
• pp.99-106
• /
• 2007

Purpose: The patient's position and anatomy during the treatment course little bit varies to some extend due to setup uncertainties and organ motions. These factors could affected to not only the dose coverage of the gross tumor but over dosage of normal tissue. Setup uncertainties and organ motions can be minimized by precise patient positioning and rigid immobilization device but some anatomical site such as prostate, the internal organ motion due to physiological processes are challenge. In planning procedure, the clinical target volume is a little bit enlarged to create a planning target volume that accounts for setup uncertainties and organ motion as well. These uncertainties lead to differences between the calculated dose by treatment planning system and the actually delivered dose. The purpose of this study was to evaluate the differences of interfractional displacement of organ and GTV based on the tomoimages. Materials and Methods: Over the course of 3 months, 3 patients, those who has applied rectal balloon, treated for prostatic cancer patient's tomoimage were studied. During the treatment sessions 26 tomoimages per patient, Total 76 tomoimages were collected. Tomoimage had been taken everyday after initial setup with lead marker attached on the patient's skin center to comparing with C-T simulation images. Tomoimage was taken after rectal balloon inflated with 60 cc of air for prostate gland immobilization for daily treatment just before treatment and it was used routinely in each case. The intrarectal balloon was inserted to a depth of 6 cm from the anal verge. MVCT image was taken with 5 mm slice thickness after the intrarectal balloon in place and inflated. For this study, lead balls are used to guide the registration between the MVCT and CT simulation images. There are three image fusion methods in the tomotherapy, bone technique, bone/tissue technique, and full image technique. We used all this 3 methods to analysis the setup errors. Initially, image fusions were based on the visual alignment of lead ball, CT anatomy and CT simulation contours and then the radiation therapist registered the MVCT images with the CT simulation images based on the bone based, rectal balloon based and GTV based respectively and registered image was compared with each others. The average and standard deviation of each X, Y, Z and rotation from the initial planning center was calculated for each patient. The image fusions were based on the visual alignment of lead ball, CT anatomy and CT simulation contours. Results: There was a significant difference in the mean variations of the rectal balloon among the methods. Statistical results based on the bone fusion shows that maximum x-direction shift was 8 mm and 4.2 mm to the y-direction. It was statistically significant (P=<0.0001) in balloon based fusion, maximum X and Y shift was 6 mm, 16mm respectively. One patient's result was more than 16 mm shift and that was derived from the rectal expansions due to the bowl gas and stool. GTV based fusion results ranging from 2.7 to 6.6 mm to the x-direction and 4.3$\sim$7.8 mm to the y-direction respectively. We have checked rotational error in this study but there are no significant differences among fusion methods and the result was 0.37$\pm$0.36 in bone based fusion and 0.34$\pm$0.38 in GTV based fusion.