• Journal of Chest Surgery
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• 제28권6호
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• pp.565-570
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• 1995

Seventy-three patients with isolated total anomalous pulmonary venous connection the patients associated with other major cardiac anomalies such as single ventricle, DORV[Double Outlet Right Ventricle and large VSD[Ventricular Septal Defect were excluded were underwent surgical repair from January 1980 through October 1993. There were 45 boys and 28 girls. The mean age at operation was 19.9 months[range 6 days to 24 years and mean body weight was 7.1kg[range 2.6kg to 45kg . The anomalous locations of connection were supracardiac in 38, cardiac in 21, infracardiac in 5, and mixed in 9. In 38 patients[52% , the venous drainage was obstructed. The obstruction ratios according to the connection type were as follows: 53%[28/38 in supracardiac, 52%[11/21 in cardiac, 100%[5/5 in infracardiac, 22%[2/9 in mixed type. The associated cardiac anomalies were persistent left SVC[2 , tricuspid valve regurgitation[3 , cor triatriatum[1 , and mitral cleft[1 . And associated noncardiac anomalies were imperforate anus[1 and Neil Weightman syndrome[1 . The operative mortality was 23%. The causes of death were pulmonary hypertensive crisis, perioperative myocardial failure, pneumonia with sepsis, arrhythmia and etc. The statistically significant factors in postoperative mortality were the pulmonary venous obstruction and age [p<0.01 . The operative mortality was high in groups of age under 1 month and pulmonary venous obstruction. The mean follow-up was 27.1 months. There were two late deaths. The first patient was three months old boy with supracardiac type and severe obstructive symptoms. The postoperative echocardiography was showed anastomotic stenosis and reoperations were performed twice but the patients expired due to pneumonia and sepsis. The second patient was three month old boy with supracardiac type and total correction was done and was doing well postoperatively. Eight years later, he expired suddenly due to arrhythmia. But all the other patients were in NYHA Fc I and received no medications. The 5-year survival rate excluding early expired patients is 97.1 $\pm$ 0.03 %. In conclusion, although the operative mortality of total anomalous pulmonary venous connection was relatively high compared to other major cardiac anomalies, we could expect excellent long-term results by early surgical correction.

• 대한치과교정학회지
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• 제45권4호
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• pp.190-197
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• 2015

Objective: The aim of the study was to analyze the prevalence and distribution of ectopic eruption of the permanent maxillary first molar (EEM) in individuals scheduled for orthodontic treatment and to investigate the association of EEM with dental characteristics, maxillary skeletal features, crowding, and other dental anomalies. Methods: A total of 1,317 individuals were included and randomly divided into two groups. The first 265 subjects were included as controls, while the remaining 1,052 subjects included the sample from which the final experimental EEM group was derived. The mesiodistal (M-D) crown width of the deciduous maxillary second molar and permanent maxillary first molar, maxillary arch length (A-PML), maxillomandibular transverse skeletal relationships (anterior and posterior transverse interarch discrepancies, ATID and PTID), maxillary and mandibular tooth crowding, and the presence of dental anomalies were recorded for each subject, and the statistical significance of differences in these parameters between the EEM and control groups was determined using independent sample t -tests. Chi-square tests were used to compare the prevalence of other dental anomalies between the two groups. Results: The prevalence of maxillary EEM was 2.5%. The M-D crown widths, ATID and PTID, and tooth crowding were significantly greater, while A-PML was significantly smaller, in the EEM group than in the control group. Only two subjects showed an association between EEM and maxillary lateral incisor anomalies, which included agenesis in one and microdontia in the other. Conclusions: EEM may be a risk factor for maxillary arch constriction and severe tooth crowding.

• 대기
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• 제25권3호
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• pp.435-447
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• 2015

This study explores the synoptic characteristics of cold days over South Korea and their relationship with large-scale climate variability. The cold day, which is different from cold surge, is defined when daily-mean surface air temperature, averaged over 11 KMA stations, is colder than 1-percentile temperature in each year by considering its long-term trend over 1960~2012. Such event is detected by quantile regression and the related synoptic patterns are identified in reanalysis data. Composite geopotential height anomalies at 500 hPa show that cold days are often preceded by positive anomalies in high latitudes and negative anomalies in midlatitudes on the west of Korea. While the formers are quasi-stationary and quasi-barotropic, and often qualified as blocking highs, the latters are associated with transient cyclones. At cold days, the north-south dipole in geopotential height anomalies becomes west-east dipole in the lower troposphere as high-latitude anticyclone expands equatorward to the Northern China and mid-latitude cyclone moves eastward and rapidly develops over the East Sea. The resulting northerlies cause cold days in Korea. By performing composite analyses of large-scale climate indices, it is further found that the occurrence of these cold days are preferable when the Arctic Oscillation is in its negative phase and/or East Asian monsoon circulation and Siberian high are anomalously strong.

• 한국지구물리탐사학회:학술대회논문집
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• 한국지구물리탐사학회 2006년도 공동학술대회 논문집
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• pp.155-160
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• 2006

이 논문에서 중력이상에서 광역이상과 잔여이상을 분리하는 문제를 다루었다. 지구통계학의 한 가지 방법인 인자크리깅 기법을 이용하여 공간필터링에 적용하였다. 이 방법은 일반적으로 광역이상은 공간적으로 큰 규모의 상관관계를 가지고 잔여이상은 좁은 지역에서 높은 상관관계를 가진다는 가정에서 출발하였다. 크리깅 방법의 하나인 인자크리깅(Factorial kriging)을 적용하기 위하여 영향 반경이 큰 지역과 작은 지역에 적합한 서로 다른 베리오그램 모델을 적용하여 각각을 광역이상과 잔여이상으로 구분하였다. 이 방법의 적용가능성을 검증하기 위하여 한 방향으로 증가하는 경향을 가정한 광역이상에 단일 이상체를 가정한 잔여이상이 더해진 합성 모델에 대하여 적용하였다. 베리오그램 모델은 각각 광역이상과 잔여이상을 나타내는 두개의 서로 다른 베리오그램 모델의 합으로 근사할 수 있었다. 따라서 서로 다른 두개의 베리오그램 모델에 대하여 인자 크리깅을 이용한 공간필터링을 적용한 결과 광역이상과 잔여이상을 구분할 수 있다. 이 방법을 폐갱도가 존재하는 지역에서의 고정밀중력탐사 자료에서 적용하여 잔여이상을 추출하였고, 다항식 접합법의 결과와도 비교하였다. 이 연구를 통하여 인자크리깅을 이용한 공간필터링 방법이 중력이상에서 광역이상과 잔여이상을 분리해 낼 수 있는 한 가지 방법이 될 수 있음 보였다.

• 한국항공우주학회지
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• 제39권3호
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• pp.225-231
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• 2011

GPS 위성 이상 신호의 발생 요인 중 위성 시계의 이상 현상은 GPS 측정치에 매우 큰 영향을 미칠 수 있으나, 측정치에는 궤도 오차, 이온층 지연 오차, 대류층 지연 오차, 다중경로 오차, 수신기 시계 오차 등의 성분들이 포함되어 있어 위성 시계의 오차 범위가 다른 요소에 의한 오차보다 커지기 전에는 위성 시계의 이상 현상을 검출하기 어려운 문제가 있다. 위성 시계에 이상 현상이 발생하였을 때 이상 판별의 임계 범위를 최소화 하여 빠르고 정확하게 검출을 수행할 수 있도록, 본 논문에서는 이중 주파수 측정치로부터 반송파 스무딩 필터를 적용하고 수신기 시계 오차 및 다른 여러 가지 요인에 의한 오차를 보정한 후 정확한 위성 시계 오차를 추정하는 방법을 제시하였고 IGS 기관에서 제공하고 있는 위성 시계 정보와 비교를 통해 제시한 방법의 성능을 확인하였다.

• 대한두경부종양학회지
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• 제10권2호
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• pp.122-127
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• 1994

One hundred fifty four cases of branchial anomaly treated from January 1987 to July 1993 were analysed to determine clinical features, embryologic and anatomic types of the branchial cleft anomaly, to investigate the differences between adults and pediatrics, and to establish the appropriate treatment plan. The male to female ratio was not signifiacntly different in pediatric and adult patients. The mean symptom duration was 0.5 years(range 0.08-14 years) in pediatric patients and 1.67 years (0.7-7 years) in adult patients. The clinical presentations of these anomalies were lateral neck mass in 112(72.7%), infected discharge in 22(14.3%), non-infected discharge in 6(3.9%), and abscess in 14 cases(9.l%). Sites of the lesions were upper third of the neck in 93(60.3%), infraauricular in 35(22.7%), middle third of the neck in 17(11.0%) and inferior third of the neck in 9 cases(5.8%). The anatomic types were cystic form in 117(75.9%), sinus in 24(15.5%), and fistula in 13 cases(8.4%). Embryologic classification were 124 second branchial cleft anomalies(80.5%), 29 first branchial cleft anomalies(18.8%), and 1 third branchial cleft anomaly(0.6%). Immediate surgery under the uncontrolled infection in 17 cases result in 82.4% recurrent rate(14 cases), and 17.6% cure rate(3 cases). Delayed surgery under the controlled infection in 8 cases recurrent rate(1 case), and 87.5% cure rate(7 cases). In summary, the most common branchial cleft anomaly is second type cyst both in pediatric and adult group, delayed surgical exterpation after infection control with I & D or antibiotics may give a good chance for care and may reduce the recurrence.

• Journal of Astronomy and Space Sciences
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• 제26권1호
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• pp.25-30
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• 2009

태양의 북-남 비대칭성을 고려하여 태양활동과 기후변화 사이의 관계에 대하여 연구하였다. 이를 위해 흑점 수와 지구연평균 기온아노말리(temperature anomalies) 시계열을 이용하여 이동 상관계수를 계산하였고 상관계수의 부호가 바뀌는 시점을 태양의 북-남 비대칭성의 부호가 바뀌는 시점과 비교하였다. 상관계수의 부호는 1907년을 기준으로 음의 상관에서 양의 상관으로 바뀌었고 1985년을 기준으로 양의 상관이 을의 상관으로 바뀌었다. 이 둔 시점은 태양의 북-남 비대칭성의 부호가 바뀌는 시점과 잘 일치하였다. 흑점 수에 대한 기온아노말리 변화 그래프를 통해 태양활동과 기후변화 사이의 관계가 1907년과 1985년으로 나뉘어진 세 기간으로 분류되었고 각 기간에 대해서 기온아노말리의 흑점 수에 대한 상관계수를 계산하였다. 이를 통해 태양의 남반구에서 태양활동이 강할 때는 태양활동과 기후변화의 관계가 음의 상관을 보이고 북반구의 태양활동이 강할 때는 양의 상관을 보인다는 것을 확인하였다.

• Advances in pediatric surgery
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• 제14권1호
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• pp.21-26
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• 2008

There is significant morbidity and mortality associated with the combination of esophageal atresia (EA) and duodenal atresia (DA). Nevertheless, the management protocol for the combined anomalies is not well defined. The aim of this study is to review our experience with the combined anomalies of EA and DA. From May 1989 to August 2006, seven neonates were diagnosed as EA with DA at Asan Medical Center. In all cases, the type of EA was proximal EA and distal tracheoesophageal fistula (TEF). The diagnosis of DA was made in theprenatal period in 1, at birth in 4, 4 days after birth in 1 (2 days after EA repair) and at postmortem autopsy in 1. Except the one case where DA was missed initially, primary simultaneous repair was attempted. DA repair with gastrostomy followed by EA repair in 2, EA repair followed by DA repair without gastrostomy in 2, and TEF ligation followed by DA repair with gastrostomy in 1. There were two deaths. One baby had a large posterolateral diaphragmatic hernia, and operative repair was not attempted. The other infant who had a TEF ligation and DA repair with gastrostomy expired from cardiac failure due to a large patent ductus arteriosus. Simultaneous repair of EA and DA appears to be an acceptable management approach for the combined anomalies, but more experience would be required for the selection of the primary repair of both anomalies.

• Imaging Science in Dentistry
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• 제45권3호
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• pp.187-192
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• 2015

Cleidocranial dysplasia (CCD) is a rare congenital disorder, typically characterized by persistently open skull sutures, aplastic or hypoplastic clavicles, and supernumerary teeth. Mutations in the gene encoding the runt-related transcription factor 2 (RUNX2) protein are responsible for approximately two thirds of CCD patients. We report a 20-year-old CCD patient presenting not only with typical skeletal changes, but also complex dental anomalies. A previously undiagnosed odontoma, 14 supernumerary teeth, a cystic lesion, and previously unreported fused primary teeth were discovered on cone-beam computed tomography (CBCT) scans. Mutation analysis identified the causal c.578G>A (p.R193Q) mutation in the RUNX2 gene. At 20 years of age, the patient had already missed the optimal period for dental intervention. This report describes the complex dental anomalies in a belatedly diagnosed CCD patient, and emphasizes the significance of CBCT assessment for the detection of dental anomalies and the importance of early treatment to achieve good outcomes.

• 대한의용생체공학회:의공학회지
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• 제22권6호
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• pp.503-510
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• 2001

인체의 각 조직은 서로 다른 저항률(resistivity)을 가지고 있고. 심장의 박동이나 호흡과 같은 생리현상은 해당 생체조직의 임피던스를 변화시킨다. 본 논문에서는 인체 내부에 존재하는 비정상 조직의 크기와 위치를 검출하기 위한 32-채널 생체 임피던스 측정 시스템에 대하여 기술한다. 이러한 기술은 유방암 조직의 경우와 같이 배경 조직과는 저항률이 다른 비정상 조직을 검출하는 경우에 응용할 수 있을 것으로 기대한다. 32-채널 생체 임피던스 측정 시스템을 위하여 32개의 복합형 전극과 32 채널의 정전류원을 사용하였다. 임피던스의 측정을 위해 50kHz의 정현파 전류를 주입하고. 유기되는 전압을 가변 이득 협대역 계측용 증폭기로 측정하고, 그 크기를 위상감응복조기로 검출하였다. 검출된 임피던스 신호는 A/D 변환하여 PC에 입력하였다. 전해질 팬텀을 이용한 실험에서 전체 시스템의 정확도는 2.42%이며, 직경 270mm인 팬텀 내부에 존재하는 직경 8mm 이상인 물체의 크기와 위치를 검출할 수 있었다. 본 연구의 결과를 기초로 다채널 생체 임피던스 측정 시스템의 정확도를 개선하여. 직경 lmm 이내의 물체를 검출하는 것이 향후의 연구 목표이다 이러한 정확도를 가지는 생체 임피던스 계측 시스템을 개발하면. 인체 내부의 임피던스 분포를 측정하는 EIT(electrical impedance tomography) 시스템과, 최근에 연구되고 있는 자기공명 임피던스 단층촬영(MREIT, magnetic resonance electrical impedance tomography)에도 응용이 가능할 것이다.