• 대한정형외과학회지
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• 제54권4호
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• pp.327-335
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• 2019

목적: 골다공증성 척추 압박 골절 환자에서 척추경 나사못을 이용한 고정술을 시행 시 골시멘트(polymethylmethacrylate) 보강의 방사선적 효용성에 대해 조사하고자 하였다. 대상 및 방법: 골다공증성 압박 골절에서 골시멘트 보강술을 이용한 척추경 나사 고정을 시행한 20예의 환자가 연구에 포함되었다. 평균 추시 기간은 15.6개월이었으며, 인구학적인 자료, 골밀도(bone mineral density, BMD), 유합 분절, 척추경 나사의 사용 개수 및 골시멘트 주입량은 의무기록을 통하여 검토되었다. 방사선적인 결과를 산출하기 위하여 시간 순차적(수술 전, 수술 직후, 술 후 6주, 술 후 3, 6개월 및 술 후 1년) 추시를 통해 방사선적 지표를 측정하였다. 결과: 본 연구에 총 20명의 환자(여자 16예[80.0%]; 평균 나이, 69.1±8.9세)가 포함되었다. 평균 BMD는 -2.5±0.9 g/cm², 각각의 추체당 평균 골시멘트 주입량은 6.3 ml였다. 술 전 측정한 후만각(Cobb angle)은 32.7°±7.0°였으며, 술 후 측정값은 8.7°±6.9° (p<0.001)로 큰 호전을 나타내었고, 교정은 술 후 시간 순차적인 추시에서도 유지됨을 보였다. 기구 고정 후 후만각, 설상각, 시상지표 또한 유사한 호전 양상을 나타내었다. 또한 골절된 추체의 전방 높이 또한 수술 전 11.0±5.0 mm에서 수술 후 18.5±5.7 mm (p=0.006)로 호전되었고 3, 6개월 및 1년간의 추시 간에도 유지됨이 확인되었다. 결론: 골다공증성 압박 골절에서 골시멘트 보강술을 이용한 척추경 나사 고정은 효과적인 치료법이라 생각되며, 이 술식을 통해 국소 흉요추부 후만의 충분한 교정을 얻을 수 있고 술 후에도 잘 유지할 수 있는 방법으로 골다공증 척추 압박 골절 환자에서 유용한 술식으로 생각된다.

• 대한방사선기술학회지:방사선기술과학
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• 제45권1호
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• pp.41-47
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• 2022

The purpose of this study is to apply a deep learning model that can distinguish lung perfusion and lung ventilation images in nuclear medicine, and to evaluate the image classification ability. Image data pre-processing was performed in the following order: image matrix size adjustment, min-max normalization, image center position adjustment, train/validation/test data set classification, and data augmentation. The convolutional neural network(CNN) structures of VGG-16, ResNet-18, Inception-ResNet-v2, and SE-ResNeXt-101 were used. For classification model evaluation, performance evaluation index of classification model, class activation map(CAM), and statistical image evaluation method were applied. As for the performance evaluation index of the classification model, SE-ResNeXt-101 and Inception-ResNet-v2 showed the highest performance with the same results. As a result of CAM, cardiac and right lung regions were highly activated in lung perfusion, and upper lung and neck regions were highly activated in lung ventilation. Statistical image evaluation showed a meaningful difference between SE-ResNeXt-101 and Inception-ResNet-v2. As a result of the study, the applicability of the CNN model for lung scintigraphy classification was confirmed. In the future, it is expected that it will be used as basic data for research on new artificial intelligence models and will help stable image management in clinical practice.

• Journal of Animal Science and Technology
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• 제65권3호
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• pp.638-651
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• 2023

The objective of this study was to quantitatively estimate the level of grazing area damage in outdoor free-range pig production using a Unmanned Aerial Vehicles (UAV) with an RGB image sensor. Ten corn field images were captured by a UAV over approximately two weeks, during which gestating sows were allowed to graze freely on the corn field measuring 100 × 50 m². The images were corrected to a bird's-eye view, and then divided into 32 segments and sequentially inputted into the YOLOv4 detector to detect the corn images according to their condition. The 43 raw training images selected randomly out of 320 segmented images were flipped to create 86 images, and then these images were further augmented by rotating them in 5-degree increments to create a total of 6,192 images. The increased 6,192 images are further augmented by applying three random color transformations to each image, resulting in 24,768 datasets. The occupancy rate of corn in the field was estimated efficiently using You Only Look Once (YOLO). As of the first day of observation (day 2), it was evident that almost all the corn had disappeared by the ninth day. When grazing 20 sows in a 50 × 100 m² cornfield (250 m²/sow), it appears that the animals should be rotated to other grazing areas to protect the cover crop after at least five days. In agricultural technology, most of the research using machine and deep learning is related to the detection of fruits and pests, and research on other application fields is needed. In addition, large-scale image data collected by experts in the field are required as training data to apply deep learning. If the data required for deep learning is insufficient, a large number of data augmentation is required.

• 한방비만학회지
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• 제23권1호
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• pp.28-41
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• 2023

Objectives: This study was aimed to evaluate the hemodynamic feasibility using pulse parameters as a way to establish safe dose guidelines for herbal prescription containing Ephedra herb (Ephedra intermedia Schrenk & C.A.Mey) on weight loss, and to provide a foundation for developing evidence-based guidelines for clinical use. Methods: Forty-two volunteers were recruited to participate in a study examining the changes in pulse wave characteristics following the ingestion of Gambi-hwan, a herbal prescription containing ephedra, over a period of 4 weeks, and pulse wave measurements were taken before and after the administration. Pulse wave parameters were measured in this study using a 3-dimensional radial pulse tonometry device (DMP-Lifeplus). In addition, questionnaire, blood pressure, temperature, and body composition were also measured as secondary measures. Results: Fifteen minutes after administration of Gambi-hwan, the non-adverse event group (non-AE) exhibited a statistically significant increase in several power and pressure-related parameters, including h1, h5, systolic area, pulse area, and pulse width, while the AE group showed a trend of decreasing stroke volume and increasing Radial Augmentation Index (RAI), w, and w/t. After 4 weeks of administration, both groups exhibited significant changes in pulse rate, w/t, RAI, t3/t, stroke volume (SV), and stroke volume Index (SVI). Notably, there are significant differences between AE group and non-AE group in w/t, SV, and SVI. Conclusions: These findings suggest that pulse parameters may be a useful way to establish safe dosing guidelines for weight loss herbal prescription containing ephedra. Further research is needed to confirm these results and to develop evidence-based guidelines for clinical use.

• 대한한의학회지
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• 제35권2호
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• pp.19-27
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• 2014

Objectives: To investigate the different effects of Sa-Am acupuncture with Spleen Jung-gyuck and Spleen Seung-gyuck on the radial pulse in healthy subjects. Methods: Sixty healthy volunteers (30 males and 30 females) participated in this study. The participants were randomly divided into three groups: control (C), Sa-Am acupuncture with Spleen Jung-gyuck (SP+) and Sa-Am acupuncture with Spleen Seung-gyuck (SP-). The radial pulse was measured using a multi-step tonometry system before, and 0, 30 and 60 minutes after acupuncture. Results: The heart rate adjusted radial augmentation index (RAI/HR) and high-tensioned pulse area (W area) significantly increased in the SP- group compared to the C and SP+ groups in males. The systolic pulse period (T4) increased significantly in the SP- group compared to the C and SP+ groups in females. The RAI/HR had positive correlations with W area and T4. Conclusion: The effects of Sa-Am acupuncture with Spleen Jung-gyuck and Spleen Seung-gyuck are different. Sa-Am acupuncture with Spleen Seung-gyuck induces acute increases of radial pulse parameters related to arterial stiffness in healthy subjects.

• Archives of Plastic Surgery
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• 제33권6호
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• pp.681-687
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• 2006

Purpose: The nose of most Koreans is characterized as a low nasal dorsum, retracted columella, and an acute columella-labial angle. For the surgical correction of the tip and columella, a modified septal extension graft, along with augmentation rhinoplasty has been developed. Methods: With this technique, a septal extension graft is fixed on the entire caudal margin of the septum (the cephalic-caudal axis) and at the same time, it is placed above the anterior nasal spine, in the membranous portion of the septum and at the base of the columella(the anterior-posterior axis). The present report describes the results obtained in 13 patients and offers an analysis of the results as judged by the columella-labial angle and 4 proportional indices(nose height index, nasal bridge length index, nasal tip projection index, columella length index), measured by photogrammetry. Results: The postoperative values obtained in these 5 categories increased significantly compared to the preoperative ones, thus confirming that the projection of tip was augmented, the nose was lengthened, and the columella was advanced caudally and lengthened. Moreover, these positive outcomes were still maintained during the follow-up period, and no side effects, such as saddle nose deformity, were reported. Conclusion: A modified septal extension graft can be considered as an effective method for the surgical correction of the nasal tip and columella in Koreans.

• Imaging Science in Dentistry
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• 제34권1호
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• pp.25-30
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• 2004

Purpose: Several panoramic indices have been suggested to assess bone quality from the morphology and width of mandibular cortex on panoramic radiography. The purpose of this study was to compare dental implant failure group with control group in panoramic mandibular index (PMI), mandibular cortical index (MCI), and gonion index (GI) and to determine the effect of these panoramic indices on dental implant failure. Materials and Methods: A case-control study was designed. Test group (n=42) consisted of the patients who had their implants extracted because of peri-implantitis. Control group (n=139) consisted of the patients who retained their implants over one year without any pathologic changes and had been followed up periodically. They had dental implants installed in their mandibles without bone augmentation surgery from 1991 to 2001. The following measures were collected for each patients: 1) PMI, MCI, and GI were measured twice at one-week interval on preoperative panoramic views; and 2) age, sex, implant length, implant type, installed location, occluding dentition state, and complication were investigated from the chart record. Results: The PMI showed moderate level of repeatability. The intra-observer agreement of MCI and GI were good. There was statistically significant difference in PMI between two groups. There were significant different patterns of distribution of MCI and GI between two groups. Among the panoramic indices, PMI and MCI showed significant correlation with dental implant failure. Conclusion: Panoramic indices can be used as reference data in estimating bone quality of edentulous patients who are to have implants installed in their mandibles.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4807-4814
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• 2012

Purpose: The chemoresistance of human hepatocellular carcinoma (HCC) to cytotoxic drugs, especially intrinsic or acquired multidrug resistance (MDR), still remains a major challenge in the management of HCC. In the present study, possible mechanisms involved in MDR of HCC were identified using a 5-fluorouracil (5-FU)-resistant human HCC cell line. Methods: BEL-7402/5-FU cells were established through continuous culturing parental BEL-7402 cells, imitating the pattern of chemotherapy clinically. Growth curves and chemosensitivity to cytotoxic drugs were determined by MTT assay. Doubling times, colony formation and adherence rates were calculated after cell counting. Morphological alteration, karyotype morphology, and untrastructure were assessed under optical and electron microscopes. The distribution in the cell cycle and drug efflux pump activity were measured by flow cytometry. Furthermore, expression of potential genes involved in MDR of BEL-7402/5-FU cells were detected by immunocytochemistry. Results: Compared to its parental cells, BEL-7402/5-FU cells had a prolonged doubling time, a lower mitotic index, colony efficiency and adhesive ability, and a decreased drug efflux pump activity. The resistant cells tended to grow in clusters and apparent changes of ultrastructures occurred. BEL-7402/5-FU cells presented with an increased proportion in S and G2/M phases with a concomitant decrease in G0/G1 phase. The MDR phenotype of BEL-7402/5-FU might be partly attributed to increased drug efflux pump activity via multidrug resistance protein 1 (MRP1), overexpression of thymidylate synthase (TS), resistance to apoptosis by augmentation of the Bcl-xl/Bax ratio, and intracellular adhesion medicated by E-cadherin (E-cad). P-glycoprotein (P-gp) might play a limited role in the MDR of BEL-7402/5-FU. Conclusion: Increased activity or expression of MRP1, Bcl-xl, TS, and E-cad appear to be involved in the MDR mechanism of BEL-7402/5-FU.

• 한국항공우주학회지
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• 제39권10호
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• pp.946-951
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• 2011

본 논문에서는 제주 국제 공항에서 실시된 항공우주연구원의 비행 실험 데이터를 기반으로 항공기 착륙 상황을 시뮬레이션하고, Protection Level 관점에서 제주 국제 공항 GBAS 시스템의 가용성 및 성능 향상을 위한 요구조건을 분석하였다. 요구조건을 분석하기위해, CAT I, CAT II/III의 결심고도에서 항공기 착륙 상황 (기준국 정밀좌표, 항공기 착륙 속도, 기준국 및 항공기 안테나 성능지표 등)을 Protection Level 계산에 적용하였다. 이 때 귀무가설 / 대립가설 (H0 / H1) Protection Level을 한계치 (Alert Limit)와 비교 분석하여, 현재 CAT I, CAT II/III의 가용도 및 개선 방향을 도출하였다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2009년도 제40회 하계학술대회
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• pp.1966_1967
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• 2009

As an attempt to characterize the pulse behaviors at the three pulse diagnosis positions in the oriental medicine which are called Chon, Gwan, and Cheok, we measure the pluse waveforms by SphygmoCor apparatus, that has been used widely for the evaluation of the arterial stiffness, and examine the Augmentation Index (AIx) at the aorta. For the study, twenty healthy men at the age of twenties have participated as the subject group. The pulse has been measured twice at the three palpation positions, and by two-way repeated measures ANOVA we tested the repeatability and the mean differences in the aortic AIx between Chon, Gwan, and Cheok. The AIx was found to be statistically different between the measurement positions. Duncan's test shows that the AIx is statistically different between Chon and the other two positions. Our study may be used as a reference for further scientific quantification of the pulse diagnosis.