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Evaluation of the Usefulness of Digital Tomosynthesis in the Chest (흉부영역에서 디지털 토모신테시스의 유용성 평가)

  • Jang, Dong-Hyuk;Shim, Sung-Shine;Choi, Jae-Wook;Choi, Jun-Gu
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.340-348
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    • 2012
  • To evaluate the usefulness of tomosynthesis in the chest area, simple radiograph, low-dose CT, and tomosynthesis examinations were performed, and their absorbed doses were compared, and finally the images were evaluated. The absorbed dose recorded with the simple Radiograph examination was $0.33{\pm}0.27$ mGy, that of low-dose CT $1.26{\pm}0.56$ mGy, and that of tomosynthesis $0.55{\pm}0.02$ mGy, which indicate significance differences in absorbed doses among the examinations(p<0.001). Based on the evaluations of the images, The simple radiograph scores were $1.66{\pm}0.72$, $1.61{\pm}0.63$, and $1.57{\pm}0.73$, respectively; low-dose CT scores were $2.92{\pm}0.26$, $2.91{\pm}0.29$, and $2.88{\pm}0.32$, respectively; and tomosynthesis scores were $2.69{\pm}0.51$, $2.76{\pm}0.43$, and $2.66{\pm}0.61$, respectively. That is, there were statistically significant differences among the examinations(p<0.001), although there was no significant difference between low-dose CT and tomosynthesis examinations. Therefore, tomosynthesis is judged to be a useful examination that can minimize radiation doses to patients during chest examinations and enhance diagnostic efficacy.

Association between astigmatism and amblyopia.

  • Sapkota, Kishor;Kim, Douk Hoon
    • Journal of Korean Clinical Health Science
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    • v.10 no.1
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    • pp.1553-1558
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    • 2022
  • Purpose: The aim of this study was to determine the association between stigmatism and amblyopia. Methods: It was a hospital based, cross-sectional retrospective study conducted in Nepal Eye Hospital. Medical record of amblyopic children aged 13 years or younger from were reviewed. Children with amblyopic eyes due to simple astigmatism were included. Relation between depth of amblyopia with magnitude and types of astigmatism, orientation of axis was determined. Out of 139 amblyopic eyes of 82 children, 93 were simple myopic astigmatism and remaining 42 were simple hyperopic astigmatism. Results: Mean age of patients was 7.38±2.61 years. Visual acuity improved by at least one line in Snellen chart in 4/5th of eyes after astigmatic correction. Moderate amblyopia was found to be present in 45% eyes while severe amblyopia in 16% of eyes. With the rule astigmatism was found to be present in 88% eyes. Mean astigmatism was 2.47±0.98D and majority of eyes (67.7%) had high astigmatism. Depth of amblyopia was not associated with magnitude of astigmatism (p > 0.05) but number of lines improved with astigmatic correction was correlated with the magnitude of astigmatism (p < 0.001). Risk of amblyopia is more in high myopic astigmatism. Conclusion: Presenting age of amblyopic children was late in Nepal. Depth of amblyopia was not associated with magnitude of astigmatism.

Suggestion of A Practical Simple Calculation Method for Safe Transportation Time after Radioactive Iodine Treatment in Patients with Thyroid Cancer (갑상선암 환자에서 방사성옥소치료 후 안전하게 이동할 수 있는 시간을 계산하기 위한 실용적인 간편계산법 제안)

  • Park, Seok-Gun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.3919-3925
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    • 2015
  • When a patient with thyroid cancer is released from isolation after I-131 treatment and return to home using a vehicle, travel time should be controlled to reduce the amount of radiation to accompanying person. As the calculation of appropriate travel time is difficult, there is no patient-specific guideline until now. If we assume that there is no excretion and no physical decay during the relatively short travel time, calculation become quite simple; total radiation dose = dose rate ${\times}$ travel time. Results of this simple calculation and conventional calculation were compared using datum from 120 patients. Travel time calculated by simple method was 56% of conventional method in 0.3 m, 91% in 0.5 m and 96% in 1 m. Simple method was safe. It can be applied easily and also can be applied to the patients with hyperthyroidism treated by I-131.

A Simple Model of Shrinkage Cracking Development for Kaolinite (수축 균열 발달 과정을 위한 단순 모델)

  • Min, Tuk-Ki;Nhat, Vo Dai
    • Journal of the Korean Geotechnical Society
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    • v.23 no.9
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    • pp.29-37
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    • 2007
  • The experiments have been conducted on Kaolinite in laboratory to investigate the development of shrinkage cracking and propose a simple model. Image analysis method consisting of control point selection(CPS) technique is used to process and analyze images of soil cracking captured by a digital camera. The distributions of crack length increment and crack area increment vary as a three-step process. These steps are regarded as stages of soil cracking. They are in turn primary crack, secondary crack and shrinkage crack stages. In case of crack area, the primary and secondary stages end at normalized gravimetric water content(NGWC) of 0.92 and 0.70 for different specimen thicknesses respectively. In addition, the primary stage in case of crack length also ends at NGWC of 0.92 while the secondary stage stops at NGWC of 0.79, 0.82, and 0.85 for the sample thicknesses of 0.5, 1.0, and 2.0 cm respectively Based on the experimental results, the distributions of crack length increment and crack area increment appear to be linear with a decrease of NGWC. Therefore, the development of shrinkage cracking is proposed typically by a simple model functioned by a combination of three linear expressions.

Simple Coiling versus Stent-Assisted Coiling of Paraclinoid Aneurysms : Radiological Outcome in a Single Center Study

  • Kim, Soo Yeon;Park, Dong Sun;Park, Hye Yin;Chun, Young Il;Moon, Chang Taek;Roh, Hong Gee
    • Journal of Korean Neurosurgical Society
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    • v.60 no.6
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    • pp.644-653
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    • 2017
  • Objective : Paraclinoid aneurysms are a group of aneurysms arising at the distal internal carotid artery. Due to a high incidence of small, wide-necked aneurysms in this zone, it is often challenging to achieve complete occlusion when solely using detachable coils, thus stent placement is often required. In the present study, we aimed to investigate the effect of stent placement in endovascular treatment of paraclinoid aneurysms. Methods : Data of 98 paraclinoid aneurysms treated by endovascular approach in our center from August 2005 to June 2016 were retrospectively reviewed. They were divided into two groups : simple coiling and stent-assisted coiling. Differences in the recurrence and progressive occlusion between the two groups were mainly analyzed. The recurrence was defined as more than one grade worsening according to Raymond-Roy Classification or major recanalization that is large enough to permit retreatment in the follow-up study compared to the immediate post-operative results. Results : Complete occlusion was achieved immediately after endovascular treatment in eight out of 37 patients (21.6%) in the stent-assisted group and 18 out of 61 (29.5%) in the simple coiling group. In the follow-up imaging studies, the recurrence rate was lower in the stent-assisted group (one out of 37, 2.7%) compared to the simple coiling group (13 out of 61, 21.3%) (p=0.011). Multivariate logistic regression model showed lower recurrence rate in the stent-assisted group than the simple coiling group (odds ratio [OR] 0.051, 95% confidence interval [CI] 0.005-0.527). Furthermore there was also a significant difference in the rate of progressive occlusion between the stent-assisted group (16 out of 29 patients, 55.2%) and the simple coiling group (10 out of 43 patients, 23.3%) (p=0.006). The stent-assisted group also exhibited a higher rate of progressive occlusion than the simple coiling group in the multivariate logistic regression model (OR 3.208, 95% CI 1.106-9.302). Conclusion : Use of stents results in good prognosis not only by reducing the recurrence rate but also by increasing the rate of progressive occlusion in wide-necked paraclinoid aneurysms. Stent-assisted coil embolization can be an important treatment strategy for paraclinoid aneurysms when considering the superiority of long term outcome.

Genetic Diversity and Population Structure of Spiraea prunifolia for. simpliciflora by Inter-Simple Sequence Repeats (조팝나무의 유전적 다양성과 집단구조 분석을 위한 ISSR 분석)

  • Huh, Man-Kyu
    • Journal of Life Science
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    • v.19 no.9
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    • pp.1183-1189
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    • 2009
  • 85 individual Spiraea prunifolia for. simpliciflora (Rosaceae) were sampled to examine the genetic diversity and population structure of S. prunifolia for. simpliciflora populations. Inter-simple sequence repeats (ISSR) produced 65 polymorphic loci and identified 78 ISSR genotypes. Three multilocus genotypes were shared by more than one plant within a population. Total genetic diversity values ($H_T$) and inter-locus variation in the within-population genetic diversity ($H_S$) were 0.293 and 0.183, respectively. On a per-locus basis, the proportion of total genetic variation due to differences among populations ($G_{ST}$) was 0.373. This indicated that about 37.3% of the total variation was among populations. ISSR markers are very effective in classifying natural population levels of S. prunifolia for. simpliciflora in Korea. In addition, insights into the relative gene diversity among and within populations of S. prunifolia for. simpliciflora would be useful in plant breeding and also for the development of strategies for ex situ conservation of plant genetic resources.

Comparison of Water Quality Between Private and Simple-Piped Drinking Water Supply in Rural Community (농촌지역 개인소유 음용수와 간이상수도의 수질에 대한 비교 연구)

  • 이진헌;이인숙
    • Journal of Environmental Health Sciences
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    • v.20 no.1
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    • pp.54-61
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    • 1994
  • This study was carried out to investigate the degree of contamination in private-drinking water supply (PDWS) and simple-piped water supply (SPWS), and to compare of water quality between them for 3 years from 1990 to 1992. The results of the study were as follows: 1. Private-drinking water supply (PDWS) (1) Field-Site (ㄱ) The items which were very significantly over the criteria (p<0.01), were temp., pH, NO-N, standard plate count (S.P.C.) and Coliform. (ㄴ) No. of households which were over the criteria, were 11.2~51.7% in temp., pH, NH$_3$-N and NO$_2$-N, and 83.1~93.3% in NO-N, S.P.C. and Coliform. (2) Moutain-Site (ㄱ) The items which were over the criteria, were NO$_2$-N (p<0.05), S.P.C. (p<0.01) and Coliform (p<0.01). (ㄴ) No. of households which were over the criteria, were 33.6 ~ 75.6% in NO$_2$-N, S.P.C. and Coliform. (3) No. of households which were fit to the criteria of all items, were 9.0% in field-site and 14.1% in mountain-site. 2. Simple-piped water supply (SPWS) (1) The items which were very significantly over the critera (p<0.01), were standard plate count (S.P.C.) and Coliform. (2) The water qualities of adjacent and remote samples were better than those of source samples. (3) Residual chloride was not detected in any sample. In conclusion, rural community requires to be continually performed the policy of safety drinking water supply, and to be devised an epoch-making counterplan for the level-up of simple-piped water supply (SPWS), espically on the method of disinfection.

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Short-Term Surgical Outcome of the Partial Nail Extraction in Ingrown Nail of Military Trainee: Is Matrixectomy Necessary? (훈련병에게 처음 발생한 내향성발톱에서 부분 발톱 절제술의 단기 추시 결과: 기질 절제술이 꼭 필요한가?)

  • Kim, Jaeyoung;Kim, Yoon Seok;Yi, Young
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.2
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    • pp.52-57
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    • 2019
  • Purpose: An ingrown nail is common in military trainees who are exposed to highly demanding activities. Although the matrixectomy procedure has been the main treatment modality, several drawbacks may follow after the procedure, such as infection, periostitis, and continued pain that causes a delayed return to duty. This study examined the outcomes of a simple partial nail extraction with the hypothesis that this procedure may bring an earlier return to duty, lower the perioperative complications, and produce a comparable recurrence rate. Materials and Methods: The medical records of patients who had surgical treatment for an ingrown nail in the authors' institution between April 2016 and December 2017 were reviewed retrospectively. Under the inclusion and exclusion criteria, 28 patients with a simple partial nail extraction (group A) and 29 patients with a partial nail extraction with matrixectomy (group B) were investigated. As the clinical outcome, the visual analogue scale (VAS) and satisfaction score, time to return to duty, complications, and recurrence rate were checked and compared between the groups. Results: The VAS scores of group B were significantly higher during the first (p<0.001) and second (p=0.026) follow-up week than group A. The time to return to duty was shorter in group A (7.8 days) than group B (10.1 days), and this difference was significant (p<0.001). Group B had five patients with complications, whereas group A had none (p=0.028). No differences in the recurrence rate (p=0.197) and patient satisfaction (p=0.764) were found between the groups. Conclusion: In this study, simple partial nail extraction in military trainees resulted in lower postoperative pain, lower complication rates, and earlier return to duty than the procedure with matrixectomy. Military trainees are temporarily exposed to highly demanding activities. Thus, a satisfactory outcome would be expected with simple partial nail extraction without performing a radical procedure, such as a matrixectomy.

Development and Evaluation of Simple Regression Model and Multiple Regression Model for TOC Contentation Estimation in Stream Flow (하천수내 TOC 농도 추정을 위한 단순회귀모형과 다중회귀모형의 개발과 평가)

  • Jung, Jaewoon;Cho, Sohyun;Choi, Jinhee;Kim, Kapsoon;Jung, Soojung;Lim, Byungjin
    • Journal of Korean Society on Water Environment
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    • v.29 no.5
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    • pp.625-629
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    • 2013
  • The objective of this study is to develop and evaluate simple and multiple regression models for Total Organic Carbon (TOC) concentration estimation in stream flow. For development (using water quality data in 2012) and evaluation (using water quality data in 2011) of regression models, we used water quality data from downstream of Yeongsan river basin during 2011 and 2012, and correlation analysis between TOC and water quality parameters was conducted. The concentrations of TOC were positively correlated with Chemical Oxygen Demand (COD), Biochemical Oxygen Demand (BOD), TN (Total Nitrogen), Water Temperature (WT) and Electric Conductivity (EC). From these results, simple and multiple regression models for TOC estimation were developed as follows : $TOC=0.5809{\times}BOD+3.1557$, $TOC=0.4365{\times}COD+1.3731$. As a result of the application evaluation of the developed regression models, the multiple regression model was found to estimate TOC better than simple regression models.

A Simple and Sensitive Assay for Cefepime in Human Plasma Using High Performance Liquid Chromatography

  • Kim, Young-Sun;Yim, Dong-Seok;Lee, Dong-Gun;Lee, Sang-Bok
    • The Korean Journal of Physiology and Pharmacology
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    • v.7 no.4
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    • pp.247-250
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    • 2003
  • A simple and sensitive assay method was developed for cefepime in human plasma using high performance liquid chromatography (HPLC). Cefepime and cefadroxil (the internal standard) were extracted from heparinized human plasma by simple deproteination with perchloric acid. The extract was injected into an Atlantis dC18 column ($250{\times}4.6$ mm; particle size $5{\mu}m$, Waters) and the column was eluted with methanol and 0.01 M dihydrogen phosphate at pH 3.0 (15:85 v:v) as a mobile phase at a flow rate of 0.7 mL/min. Linearity was confirmed for the range 0.25 to $200{\mu}L/mL$ and the limit of quantitation was $0.25{\mu}L/mL$. The retention times were 10.2 min and 13.4 min for cefepime and cefadroxil, respectively. This method was successfully applied to a pharmacokinetic study of cefepime in plasma from bone marrow transplant patients.