• The Journal of the Korea institute of electronic communication sciences
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• v.11 no.12
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• pp.1259-1264
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• 2016

Ultrasonic therapy has received great attention in the field of cosmetics related to the treatment of skin thickening because of its fast recovery and safety. In this study, an output circuit of a high intensity focused ultrasound system was developed for the treatment of beauty. To verify the applicability of the high intensity focused ultrasound system to the cosmetic treatment field, we measured and analyzed the 3D ultrasound intensity energy using a hydrophone. And high-intensity focused ultrasound devices were found to be useful for cosmetic treatment.

• Restorative Dentistry and Endodontics
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• v.27 no.3
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• pp.270-276
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• 2002

치근단 수술시 구동형 수술현미경과 미세수술기구들이 사용됨에 따라 치근단 절제술 후 역충전와동의 효과적인 형성 및 충전을 위해 새로운 초음파기구가 개발되었다 따라서 본 연구에서는 최근 상품화되어 사용되고 있는 초음파기구중 신속하게 역충전와동을 형성할 뿐아니라 충분한 깊이를 제공하여 역충전재료의 변연누출 감소에 효과적인 것으로 알려져 있는 3종의 초음파기구를 사용하여 역 충전와동을 형성 한 후 SuperEBA로 충전하여 그 변연누출을 비교하였다. 모두 56개의 근첨형성이 완료된 단근치를 선택하여 Profile .06를 사용하여 근관형성한 후 음성대조군 2개를 제외한 54개의 치아를 수직가압법으로 충전하였다. 근단부 3mm를 절제한 뒤 KaVo Isthmus, KaVo T-shape 그리고 KiS tip을 각각 18개의 치아에 사용하여 역충전와동을 형성하고 그중 각각 2개의 양성대조군 치아를 제외한 나머지 치아에 SuperEBA로 충전하였다. 각치아는 1% methylene blue dye에 침윤시켜 1주일 후 종절단하여 그 색소침투정도를 측정, 비교하였다. 실험결과 측정된 평균 변연누출은 KaVo Isthmus가 $1.5\pm$1.4mm, KaVo T-shape이 1.7$\pm$1.2mm이고 KiS tip은 1.1$\pm$0.7mm 이었으며, 통계적으로 유의할만한 차이는 없었다. 따라서 초음파기구를 사용한 역충전와동의 임상시술 성공여부는 술자의 편의도와 임상적 사용시 조작능력에 달려 있는 것으로 사료된다.

• Journal of Chest Surgery
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• v.30 no.12
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• pp.1205-1213
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• 1997

This study reviewed useful aspects of the intraoperative transesophageal echocardiography among the patients in whom heart surgery were undertaken between January 1996 and July 1996 at St.Pauls hospital, Medical College of Catholic University, Seoul, Korea. During that period, 61 patients were operated on because of valvular heart disease(25 patients), coronary artery disease(22 patients), congenital heart disease(13 patients), and combined coronary artery disease and valvular heart disease(1 patient). Two patients(1 redo-VSD and 1 valvular heart diease) needed repeated aortic cross clamping and complementary procedures because of incomplete initial procedures. There was no incidence of air embolism. We could observe significant relationship of cardiac output monitoring methods either by thermodilution technique and transesophageal echocardiography by linear regression analysis(p<0.001). We tested myocardial response(percentage of systolic wall thickness, PSWT) with low dose dobutamine challenge to predict post-CABG myocardial perfusion. And the test showed statistically significant resp.onse(sensitivity 76%, specificity 94.7%, positive predictive value 95%, negative predictive value 75%). These results suggest that cardiac surgeon could draw more benefits by intraoperative transesophageal echocardiography.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.15 no.1
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• pp.1-7
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• 2016

In the dentistry field, an ultrasonic surgery unit is widely used in bone cutting and scaling to reduce operation time and minimize hemorrhage. The purpose of this study was to evaluate bone cutting and the effect of a specimen's temperature on the two-type ultrasonic surgery unit using a handpiece moving system(HMS). A HMS, which can cut the bone, was developed to perform the experimental procedure with precision of motion control. Bone specimens were prepared from a combination of epoxy-hardener and cortical bone of bovine leg. Through the bone-cutting experiment, the cutting depth was evaluated by not only scanning electron microscopy, but also Vernier calipers. Also, the temperature distribution was measured by a thermo-graphic camera. This study may be applied methodically in various experimental evaluations on a performance test by a HMS.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.19 no.2
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• pp.1-8
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• 2020

While dental clinics still use the ultrasonic scaling/surgery tool for teeth scaling and cleaning the tool's use is expanding steadily to include treatment of damaged teeth and bone tissue. In this study, a handpiece moving system (HMS) was developed to evaluate bone scaling and cutting in the field of dentistry. The HMS, through a scaling test of bone using a scaler tip, it was able to identify surface damage. Additionally, a thermos-graphic camera was used to observe the temperature distribution that occurred during the bone scaling and cutting process. Consequently, we found that increasing the working load increased the amount of surface damage. Changes in temperature distribution occurred slowly and were maintained within safety bounds for 10 minutes. Going forward, we will compare the HMS performance on scaling and cutting with other devices.

• Journal of the Korean Society for Precision Engineering
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• v.33 no.5
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• pp.377-383
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• 2016

Recently, research on bone fracture and osteoplasty using ultrasonic bone surgery unit has been ongoing in the fields of dentistry, plastic surgery, and otorhinolaryngology. However, detailed data evaluation with ultrasonic bone surgery unit has not been conducted to date. In this study, we developed handpiece moving system (HMS) for cutting performance evaluation. In the experimental setup of HMS, a handpiece was immobilized, and bone samples from cortical bone of bovine leg were prepared. Also, the experimental process was described in detail, and a basic experiment was carried out to evaluate the cutting performance. Future study is required on all experimental process conditions by HMS.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.15 no.3
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• pp.102-108
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• 2016

A dental ultrasonic surgical instrument, commercially known as a scaler, is a high-value-added advanced technology that is used for tartar removal, implant operations, and gum and jaw bone surgery. In this study, the piezoelectric phenomenon for making linear motion associated with input electrical signals was studied, and the behavior of the ultrasonic vibrator was investigated by using the commercially available finite element program ANSYS(R) for the purpose of designing dental surgery tools. Modal analysis was carried out, and the optimal frequency range was calculated from the analyzed results. The ultrasonic vibrator was then redesigned based on the calculated optimal frequency range. The performance of the system was tested, and consequently, the proposed methodology was proven useful in vibrator design.

• Childhood Kidney Diseases
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• v.10 no.1
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• pp.33-39
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• 2006

Purpose : Neonatal hydronephrosis is diagnosed with an incidence of 4.5-7% of pregnancies. Recently, early detection of neonatal hydroneprosis with antenatal ultrasonography has be-come possible. But consensus about its management has not been reached, especially concerning surgical intervention. The purpose of this study is to analyze the natural course of neonatal hydronephrosis and to determine the guideline of surgical intervention and follow up study. Methods : Sixty nine hydronephrotic kidneys were confirmed from April 2001 to April 2005. All cases were rechecked by ultrasonography once at least and had a minimum follow-up of 6 months. We classified the patients into 4 groups according to the anterior posterior pelvic diameter(APPD) on perinatal ultrasonography. Ultrasonography to measure the APPD diameter and Society for Fetal Urology(SFU) grade, $^{99m}Tc-MAG3$ scan were done to a set protocol. Pyeloplasty was peformed according to the protocol. Results : Pyeloplasty was not needed in most cases where the APPD was below 10 mm and where the SFU grade were less than grade 3. Many cases with APPD 10 mm above or SFU grade III above had undergone pyeloplasty. We found a correlation between obstruction grade on MAG3 scan and whether surgery was performed or not. Conclusion : If APPD is above 10 mm, SFU grade is above grade 3 or urinary tract obstruction is suspected by MAG3 scan, pyeloplasty must be considered. In cases where APPD is below 10mm and SFU grade is less than grade 3, we can observe the natural course of neonatal hydronephrosis with consecutive follow-up. (J Korean Soc Pediatr Nephrol 2006;10:33-39)

• Journal of Chest Surgery
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• v.30 no.8
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• pp.815-818
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• 1997

Prosthetic valve endocarditis(PVE), although uncommon, is associated with significant mortality if the infection spreads into the paravavular structures with later abscess formation. However, combined antibiotic and surgical treatment is often successful. Accurate diagnosis by on echocardiography, effective myocardial protection during operation and increased surgical experience have improved the short-term and long-term outcomes for patients with PVE. A 35-year-old male had a history of replacement of aortic and mitral valve, and tricuspid annuloplasty on August 1994, was admitted due to sudden onset of aphasia, leftward deviation of both eyeballs and spiking fever and diagnosed of having PVE by echocardiography. Reoperation was done after 6weeks of antibiotic treatment. On the operative field, we could notice circumferential vegetation along aortic valve annulus, paravalvular leakage and abscess pocket. The mitral valve amlulus was healthy. The patient underwent redo aortic valve replacement using cryopreserved aortic homograft after radical debridement of infected issue. During the follow up of 7 months period the homograft was well functioning without recurrence of symptoms.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.41 no.1
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• pp.13-19
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• 2017

The use of ultrasonic surgery units and scalers are steadily increasing in the field of dentistry. Such units and scalers should be evaluated before they are commercialized because the mechanical performance and stability of equipment is crucial for patients. Hence, we created a hand-piece moving system that can test bone cutting and teeth scaling. The purpose of this study was to evaluate the teeth scaling performance of ultrasonic scaler unit. Additionally, we measured the temperature distribution and noise during the test. through an experimental test, we found that a high output of an Ultrasonic NX device can cause serious damage to the teeth surface, and it was not within range in heat generation distribution and noise test.