• Journal of Chest Surgery
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• v.38 no.2 s.247
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• pp.139-145
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• 2005

Background: There were very few reports on long-term survival after coronary artery bypass graft (CABG) in this country. The aim of this study is to investigate the long-term result in patients undergoing CABG in the early period in this hospital. Material and Method: One-hundred and fourteen patients (male/female, 79/35) who had undergone CABG from December 1990 to December 1995 were identified. Most of the patients had undergone CABG using left internal thoracic artery and vein grafts under cardiopulmonary bypass and cardiopulmonary arrest, and the proximal and distal anastomoses of the grafts were performed during the single aortic cross clamping period. Result: During the mean follow-up period of $135.5\pm17.9$ months, 37 patients $(32.5\%)$ were dead and only 10 patients $(27\%)$ of them died of cardiac cause. Risk-unadjusted survival after CABG was $95.6\%,\;85.1\%,\;71.8\%,$ and $57.9\%$ at 1, 5, 10, and 13 years, respectively, and cardiac death-free survival was $97.4\%,\;94.5\%,\;92.1\%$, and $81.3\%$ at 1, 5, 10, and 13 years, respectively. Predictable factors of long-term survival were sex and age. Predictable factors of postoperative coronary angiography and intervention were hypertension, diabetes, and dyslipidemia. Conclusion: Long-term survival after CABG in the early operative period was comparable to the previous outcomes, and females showed the better long-term survival. Postoperative coronary intervention was more common in patients with preoperative dyslipidemia.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.6 no.2
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• pp.129-139
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• 2003

Purpose: The aim of the study was to evaluate the long-term outcome of glycogen storage disease (GSD) type 1 with particular reference to hepatic adenoma and hepatocellular carcinoma, and to analyze risk factors affecting the development of hepatic adenoma in GSD type 1. Methods: Forty-three GSD type 1 patients (31 males and 12 females, mean age $13.9{\pm}6.4$ years) were analyzed retrospectively. Hepatic adenoma was detected on abdominal USG and diagnosed on histologic examination. Clinical profiles were compared between patients with hepatic adenoma (n=16) and age-matched controls without hepatic adenoma (n=16). Results: 1) Of 43 GSD type 1 patients, 16 (37.2%) had hepatic adeoma. Hepatic adenoma was detected at the age of mean $14.2{\pm}4.1$ years (range: 7.9~25.7 years). Fourteen (87.5%) adenomas were multiple at detection. 2) Comparison of the clinical profiles between adenoma group and non-adenoma group revealed that age at first introduction of uncooked cornstarch treatment was significantly late in adenoma group compared with non-adenoma group ($9.1{\pm}5.2$ years vs. $3.0{\pm}1.8$ years, p=0.003). Portocaval shunt surgery was performed in 11 (68.8%) patients in adenoma group and 3 (18.8%) in non-adenoma group (p=0.004). Hepatic adenoma developed mean $5.8{\pm}4.2$ years after shunt operation. 3) One patient was diagnosed as hepatocellular carcinoma at the age of 25.7 years. Conclusion: Hepatic adenoma is an important late complication of GSD type 1 with the risk of malignant transformation. Early introduction of cornstarch therapy with strict metabolic control is needed to prevent the development of hepatic adenoma in GSD type 1.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.112-113
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• 2021

하천으로 유입되는 오염물질은 유수의 흐름에 따라 이송되며 혼합된다. 이러한 오염물질의 해석을 위해서는 확산 또는 분산계수 산정이 필요하다. 오염물질의 거동과 관련된 실험적 연구는 방사선 동위원소와 형광성 물질을 이용하여 수행되어 왔으나, 추적자 실험은 많은 비용 및 인력을 요하며, 고정식으로 설치한 계측장비로부터 수집한 시계열 농도자료만을 이용하여 분석하기 때문에 공간적 분포에 대한 자료 취득은 어렵다는 한계가 있다. 하천의 오염물질을 모니터링하기 위해서는 공간을 이동하는 입자의 관점에서 물리량을 표현하는 Lagrangian 방식보다 특정 위치에서 물리량 변화를 표현하는 Eulerian 방식이 적합하다. 그러나 드론을 활용한 하천원격탐사 연구의 대부분은 이동식 플랫폼으로 활용되어 특정 시간에 공간적 분광특성의 분포 파악이 한정적이며, 동일 지점에서 분광특성의 시간적 변화를 파악할 수 없다. 따라서 본 연구에서는 기존의 면단위를 측정하는 이동식 플랫폼의 한계를 극복하고 하천 모니터링에 적합한 Eulerian 방식을 적용하기 위하여 CCTV 형태의 고정식 초분광촬영 플랫폼을 도입하였다. 본 연구에서는 하천으로 유입되는 오염물질의 거동을 분석하기 위하여 자연하천에서 형광성물질인 Rhodamine WT를 이용하여 추적자 실험을 수행하였으며, 접촉식 센서를 활용한 농도측정과 동시에 드론과 초분광센서를 활용하여 CCTV 형태의 고정식 초분광영상을 획득하였다. 실험결과 도출된 전통적인 방식의 분산계수 산정과 시공간 초분광영상을 활용한 분산계수 산정을 비교하여 오염물질 거동 분석에 초분광영상 활용의 가능성을 검토하였다. 본 연구에서 제시한 드론기반 시공간 초분광영상 기법을 교량이나 기타 하천구조물에 초분광 센서를 설치하여 CCTV형식으로 활용할 경우, 공단이나 하·폐수 처리장 등의 점오염원이 밀집해 있는 지역에 직접 설치하여 화학사고의 감지 및 오염물질의 유출 확인 및 조류, 부유사 등의 다양한 수질항목의 농도 변화 감지가 가능하고, 수심변화 감지로 장기적으로 활용할 경우 특정 지점에서의 하상변동 조사가 가능하다. 또한, 오염물질의 유출 사고 발생 등의 사람이 직접 접근이 불가능한 지역에 드론을 활용하여 초분광센서를 이용한 오염물질 감지가 가능할 것으로 판단된다.

• Progress in Medical Physics
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• v.20 no.1
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• pp.14-20
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• 2009

We measured the dose distribution for spinal cord and tumor using Gafchromic film, applying 3D and 4D-Treatment Planning for lung tumor within the phantom. A measured dose distribution was compared with a calculated dose distribution generated from 3D radiation treatment planning and 4D radiation treatment planning system. The agreement of the dose distribution in tumor for 3D and 4D treatment planning was 90.6%, 97.64% using gamma index computed for a distance to agreement of 1 mm and a dose difference of 3%. However, a gamma agreement index of 3% dose difference tolerence of and 2 mm distance to agreement, the accordance of the dose distribution around cord for 3D and 4D radiation treatment planning was 57.13%, 90.4%. There are significant differences between a calculated dose and a measured dose for 3D radiation treatment planning, no significant differences for 4D treatment planning. The results provide the effectiveness of the 4D treatment planning as compared to 3D. We suggest that the 4-dimensional treatment planning should be considered in the case where such equipments as Cyberknife with the real time tracking system are used to treat the tumors in the moving organ.

• Proceedings of the Korea Water Resources Association Conference
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• 2009.05a
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• pp.997-1001
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• 2009

GIS 기반의 HEC-HMS를 이용하여 유량자료가 있는 소하천인 정자천 유역을 대상으로 장기 강우 유출 분석을 하였다. 일반적으로 홍수량 산정은 단기해석으로 분석하나 평 갈수기와 홍수기 때의 하천 유황이 다르기 때문에 매개변수가 불일치할 것이라 생각되고, 이에 대한 보정이 필요한지 판단이 필요하다. 이를 위해 장기 연속모의를 통하여 매개변수의 보정 필요성을 검토하였다. 연구는 수치지도를 조합하여 ARC-VIEW로부터 Map파일 및 Basin파일을 생성하였고, 토지이용도와 토양도를 ARC-VIEW를 이용하여 CN value를 추출하였다. 계산조건중 손실량 산정방법은 SCS Curve Number법으로 하였고, 단위도 방법은 Clark UH법, 하도추적방법은 Muskingum방법, 기저유량산정방법은 Constant monthly로 설정하였다. 유역면적, 도달시간자료, 저류상수 값 등의 추출은 GIS기법을 이용하여 추출하였다. HEC-HMS의 장기 연속모의(Continuous Simulation)로 얻어진 Element Graph를 보면 대략적인 형태가 일치하나 2006년도에 대한 모의에서는 홍수기의 결과만 일치하는 것으로 보이고, 2007년도에 대한 모의에서는 평 갈수기와 홍수기의 그래프 형태가 유사하게 나타났다. 실측 유량보다 유량 값이 약간 크게 산출되어 홍수량 산정에서 볼 때 안정성에 무리가 없다고 판단되지만, 평 갈수기 기간에서 볼 때 연마다 하천의 매개변수가 일치하지 않는다고 생각되며, 홍수 후 유역의 변화로 매개변수가 변화한 것이라 생각된다. 향후 정자천유역의 보다 많은 강우사상과 실측유량을 통해 HEC-HMS의 유출량을 비교 분석하면 보다 더 정확한 해석이 가능할 것이며, 홍수가 빈번한 지역의 경우 유수지의 검토와 저수지의 시간당 방류량을 알 수 있다면 오차의 범위를 줄일 수 있다고 생각된다. 더 나아가 우리나라에 적합한 매개변수와 GIS 프로그램이 개발된다면 보다 쉽고 정확한 해석이 가능할 것이라고 생각된다.

• Radiation Oncology Journal
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• v.10 no.2
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• pp.129-135
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• 1992

We studied the T lymphocyte and its subpopulation percentage change in 40 patients immediately after the radiation therapy. Study population consisted of 12 patients treated at the site of head and neck region,14 patients treated at the site of thoracic region, and 14 patients treated at the site of pelvic region. Twenty two patients received radiotherapy as radical modality, and remaining 18 patients received radiotherapy as postoperative modality. Immediately after radiotherapy, total T lymphocyte (T1) percentage was decreased from $56.4\%$ to $55.2\%$, helper T cell (T4) percentage was decreased from $36.4\%$ to $34.1\%$, but suppressor T lymphocyte (T8) percentage was increased from $23.5\%$ to $25.4\%$. As a result, T4/T8 ratio was decreased from 1.57 to 1.39. This study suggested that immediate change after radiotherapy of the T lymphocyte and its subpopulation percentage was not related to the treatment volume and the degree of helper T cell decrement was not pronounced by the radiation dose increment. Long-term follow-up study En larger scale is needed to determine long term changing pattern in T lymphocyte subpopulation and its relationship to the prognosis of patients.

• Journal of Korea Water Resources Association
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• v.39 no.3 s.164
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• pp.261-274
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• 2006

This study performs a daily long-term runoff analysis for 30 years to forecast medium- and long-term probabilistic reservoir inflows on the Soyang River basin. Snowmelt is computed by Anderson's temperature index snowmelt model and potenetial evaporation is estimated by Penman-combination method to produce input data for a rainfall-runoff model. A semi-distributed TOPMODEL which is composed of hydrologic rainfall-runoff process on the headwater-catchment scale based on the original TOPMODEL and a hydraulic flow routing model to route the catchment outflows using by kinematic wave scheme is used in this study It can be observed that the time variations of the computed snowmelt and potential evaporation are well agreed with indirect observed data such as maximum snow depth and small pan evaporation. Model parameters are calibrated with low-flow(1979), medium-flow(1999), and high-flow(1990) rainfall-runoff events. In the model evaluation, relative volumetric error and correlation coefficient between observed and computed flows are computed to 5.64% and 0.91, respectively. Also, the relative volumetric errors decrease to 17% and 4% during March and April with or without the snowmelt model. It is concluded that the semi-distributed TOPMODEL has well performance and the snowmelt effects for the long-term runoff computation are important on the study area.

• Tuberculosis and Respiratory Diseases
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• v.41 no.2
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• pp.127-134
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• 1994

Background : Diffuse panbronchiolitis(DPB) is a chronic inflammatory lung disease of unknown etiology which has characteristic clinical, radiological and pathological features, and is distinguished from bronchial asthma, chronic bronchitis, pulmonary emphysema, bronchiectasis, or alveolitis. Clinically, patients with DPB have chronic cough, purulent sputum, exertional dyspnea, and finally respiratory failure. Until a few years ago, the prognosis of DPB had been thought to be very grave, because there had been no effective treatment for the disease. But recent1y, low-dose long-term erythromycin was found to be very effective on DPB. Even though DPB is prevalent in Japan, and is known to be rare outside of Japan, we have a1ready reported the clinical features of 16 DPB cases in Korea. We tried low-dose long-term erythromycin on DPB patients and analyzed the clinical effect of erythromycin. Methods : We analyzed the changes of subjective symptoms, physical signs, pulmonary function tests and chest X-rays on 14 DPB patients with more than 6 months erythromycin treatment during the period from September 1989 to August 1992 in Seoul National University Hospital. Results : 1) Subjective symptoms improved in all patients within 2-3 months, and 54.5% of the patients showed no symptom after one year of treatment. 2) Crackles and wheezing decreased in 92.9% of the patients after 3 months and completely disapppeared in 63.5% of the patients after one year of treatment. 3) FVC and FEV1 increased remarkably during the first 3 months, and slowly increased thereafter, reaching normal level after one year of treatment. 4) Small nodular lesions on chest X-ray decreased in all patients, and chest PA was normal in 36.4% of the patients after one year of treatment. 5) There was side effect in one patient, stopping medication because of dyspepsia. One patient stopped medication because of no symptom after 16 months of treatment, but her symptom recurring after one month, improving again after retreatment. Conclusion: Low-dose long-term erythromycin showed ramarkable effectiveness on DPB. Further studies are needed on the mechanism of the drug and the duration of the treatment.

• Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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• 2007.04a
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• pp.115-119
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• 2007

종중복도 60%이상, 횡중복도 30%이상 촬영되어지는 항공영상과 스테레오 촬영이 가능한 위성영상은 도화에 사용되는 입체시를 이용하여 영상(Stereo Aerial Image) 자체를 화면상에 입체적으로 구현하여 건물의 높이 정보 판독 및 해당 지역상에서 년도별 변화지역을 판독하는 일련의 업무 수행에 있어 중요한 자료로 활용하고 있지만 장기간의 작업시간, 작업에 대한 정확성에 취약점을 나타내고 있으며, 이는 행정업무의 효율성 저하요인을 발생하고 있다. 이에 본 연구에서는 이러한 항공사진 및 위성영성의 촬영상의 특성을 활용하여 영상 매칭 DEM을 활용한 높이정보의 변화와 영상 정합을 통한 변화지역 판독을 자동화 하는 시스템을 구현하였다. 시스템 구현을 위해서 개발 언어로 Visual C++을 사용하였으며, 개발된 알고리즘에 대한 평가 수행을 위해 사용자가 직접 입체 판독 및 분석을 수행할 수 있도록 편광 모니터를 사용하여 판독 시스템을 추가적으로 개발하였다.

• Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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• 2006.04a
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• pp.360-364
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• 2006

물수지 분석을 통해서 유역의 수문순화 체계를 이해하기 위해서는 무엇보다 필요한 인자가 증발산량이다. 장기간에 걸쳐 연구유역에서 수소와 산소 동위원소를 이용하여 증발산량을 산정하였다. 물 분자를 이루는 이상적인 추적자인 수소와 산소 강우를 풍수기($4{\sim}10$월)와 갈수기(11월$\sim$3월)로 나누어 수소와 산소 동위원소 조성을 강수량 가중 평균치를 구하고 이 값을 지하수의 수소와 산소 동위원소 조성 값과 비교하여 증발산량을 산정한 것이다. 이러한 시도는 증발산량의 산정이 단순한 경험식이나 열전도 가정식이 아닌 실측했다는데 의의가 있다.