• Journal of Chest Surgery
• /
• v.43 no.5
• /
• pp.557-561
• /
• 2010

In the treatment of myasthenia gravis, thymectomy is generally accepted as the standard of therapy. For thymectomy, there have been various conventional open approaches including sternal splitting, but recently minimally invasive approaches have been increasingly applied. A 28-year-old man presenting with weakness of both hands and fatigability was diagnosed as having myasthenia gravis with thymic hyperplasia. He underwent a robot-assisted thymectomy with the 'da Vinci' surgical system. Through the right thoracic cavity, two thirds of the thymic gland was dissected, and the remainder was resected through the left; these procedures took, respectively, 1 hour and 30 minutes. The patient was discharged on the 8th postoperative day without complications. The minimally invasive approach with the 'da Vinci' surgical system is emerging as a popular choice and various advantages have been reported. Here we report the first successful case of robot-assisted thymectomy.

• Tuberculosis and Respiratory Diseases
• /
• v.41 no.2
• /
• pp.120-126
• /
• 1994

Background : Antibiotic therapy has proven an effective method of treatment on the majority of patients with pyogenic lung abscess and infected bulla. When medical therapy has failed, pulmonary resection is the current generally recommended therapy. But nowdays complications of percutaneous tube drainage has decreased with the use of small catheter. So we evaluated the effect of percutaneous tube drainage as an alternative therapy to the pyogenic lung abscess and infected bulla refractory to medical therapy in preference ot the pulmonary resection. Method : Nine cases of the lung abscess and three cases of infected bulla which has large cavity size over 6cm, and has underlying diseases such as lung cancer, diabetes mellitus, refractory to over 1 week of antibiotics, were performed percutaneous tube drainage with All Purpose Drainage catheter(Medi-tech, Watertown, USA) under fluoroscopy. Results : All the cases except one case which complicated empyema was improved clinically. Fever was down within 4days of percutaneous tube drainage(mean : 1.9days). Mean duration of tube drainage was 9.9days. Conclusion : Percutaneous tube drainage is an effective and relatively safe procedure in the management of lung abscesses that do not response to medical therapy. We speculate this procedure should be considered as an alternative therapy for the lung abscess refractory to medical therapy in preference to the surgery. The safety and effectiveness of this procedure in infected bulla should be evaluated with an additional study.

• Tuberculosis and Respiratory Diseases
• /
• v.56 no.2
• /
• pp.216-220
• /
• 2004

Because a cavitary pulmonary metastasis is rare, it may not be readily identified. However, various types of cancers can metastasize to the lung in the form of cavities. We report a case of a multiple cavitary metastases to the lung from a cholangiocarcinoma in a 60-year-old man. He complained of generalized weakness and a poor oral intake for 2 months. The plain chest radiography and the chest computed tomography showed multiple small thick-walled cavities and nodules the both lungs. A bronchoscopic examination revealed a focal irregularly elevated surface of the mucosa at the orifice of the superior segment of the right lower lobe and the biopsy demonstrated an infiltrative metastatic adenocarcinoma. The abdomen-pelvis computed tomography showed an ill-marginated and irregularly low-dense area in the right lobe of the liver and a diffuse dilatation of the peripheral intrahepatic bile ducts. The esophagogastroscopy and colonoscopy showed no abnormal findings. It was concluded that the cholangiocarcinoma of the liver metastasized to the lung in the form of cavities. Thereafter, the patient underwent six cycles of the systemic chemotherapy with gemcitabine and cisplatin, and the follow-up imaging studies showed a partial response.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.13 no.1
• /
• pp.13-18
• /
• 2013

CATCH 22 syndrome is a one of the most common chromosome microdeletion syndrome with multiple organ anomalies in humans, with an incidence of approximately 1:4,000 to 1:5,000 live births. It is caused by a microdeletion of 1.5 to 3.0 megabases on the long arm of chromosome 22. The phenotypic spectrum of this disorder is wide and various. A 19-year-old patient who showed delayed growth and development (Height; 110 cm, Weight; 18 kg) was referred to our department for the treatment of dental cavities. She was diagnosed as CATCH 22 syndrome in 2004. Physical examination revealed hypertelorism, a short philtrum, thick reflected lips and a small mouth. She underwent cleft palate surgery at 1 year of age and heart valve surgery due to the cardiovascular abnormality at 13 years of age. Convulsive seizures had persisted until 5 years ago but are well controlled at present. Oral examination showed poor oral hygiene, crowding, prolonged retention on #65, 75 and dental cavities on #16, 21, 65, 26, 36, and 46. Cavity treatment and prophylaxis were performed under general anesthesia. Also continuous follow-up checks have been carrying out with the periodic prophylaxis and dental home education. Problems with numerous cavities and gingivitis which can lead to specific risks are common for CATCH 22 syndrome patients. It is therefore of great importance that these patients are referred to foremost physician and dental specialist for the oral care. In addition, preventive treatment targeting the risk of dental cavities and gingivitis is especially important and, as the syndrome involves many different medical problems, the dental treatment should be carried out in collaboration with the patient's physician.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.9 no.6
• /
• pp.788-801
• /
• 1998

Meteor Burst Communication can provide effective and economical means of communication where long distance VHF NLOS data transmission is needed ; often ranges more than 1000 km. It has been, however, so far considered unsuitable for short distance application because of phenomenal decrease in burst durations, which leads to decreation of total duty rate of the system. This paper extensively analyzes characteristics of shot distance MB(Meteor Burst) path and shows the low duty rate may be improved by increasing burst rate through adapting antennal beam width to cover entire hot-spot region in the space and, by compensating effective burst length throughcutting down man-made noises introduced by antennal. Based on the analysis, we are developed a small-opening-cavity antennal, especially designed for short distance MB path. In operation, the antenna is to be buried under ground surface so as to improve directivity and reduces noise introduction. The antennal exhibits power gain of 3 dB with 90 degree beam width and thus enables to illuminate entire hot-spot regions with the elevation angle of 8-90 degree which is the case of transmission less than 100 km. Directivity horizontal to earth surface is suppressed to minimum which enables to cut man-made noises from near-by sources down to more than 3 dB from the level reported with conventional 4 element Yagi. A series of experiments performed on 100km MB paths have conformed that, with the antenna installed at receiving site, the burst rate and duration time have been noticed to increase by 10 and 20 percent respectively from the values obtained by conventional 4-element Yagi antennal under same testing condition.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.29 no.4
• /
• pp.592-599
• /
• 2002

Objective : The purpose of this study was to evaluate the effects of several light curing methods and several adhesives on the microleakage of composite resin restorations in primary teeth. Materials and methods : In 150 extracted human primary anterior teeth, O-shaped cavities were prepared in the labial surface ; the cavity diameter and depth were 1.6mm. The cavities were filled with light-activated composite resin, Compoglass. Four kinds of adhesives were used. Each filling materials were polymerized with three light cure methods. The restorations were polished using Sof-Lex discs(3M Co., USA). The samples were thermocycled 1,000 times between $5^{\circ}C$ and $55^{\circ}C$ with a 1-minute dwell time. Then, they were immersed in a 2% methylene blue solution(pH 7) for 12hours. Subsequently they were sectioned labio-lingually through the center of the restoration with a diamond saw at low speed with a water coolant, and evaluated by stereomicroscopy. Microleakage analyses were done, using scores from 0 to 4. Results : Results showed the least microleakage in Compoglass group(P<0.05). There were less microleakage in SBMP group among the adhesive groups, but no significant difference was observed(P>0.05). And there were no significant differences among the groups depending on curing methods(P>0.05).

• Journal of the korean academy of Pediatric Dentistry
• /
• v.29 no.4
• /
• pp.519-528
• /
• 2002

It is not a rare occasion that certain dental procedures involving tooth reduction being peformed under inadequate water cooling due to a variety of reasons. This situation could possibly inflict the critical insult to the pulpal tissue of indicated tooth. The purpose of this experiment was to study the pattern of diffusion of external heat produced during routine dental procedures into the pulpal tissue. 30 stone blocks containing three lower second primary molars were used for certain restorative procedures and the temperature of the indicated tooth surface was measured by thermography(Inframetrics 600) and further used as a baseline data for the finite element analysis model fabrication designed in order to evaluate the pattern of thermal diffusion. The ranges of highest surface temperature measured from several dental procedures under water cooling and non-water cooling were $30.8^{\circ}C{\sim}43.6^{\circ}C$ and $51.2^{\circ}C{\sim}103.4^{\circ}C$ respectively. Among procedures studied, crown preparation showed the highest value and amalgam removal showed the lowest. Comparisons between data measured under water cooling and non-water cooling conditions have shown the statistically significant difference(p<0.05). All the non-cooling conditions have shown the relatively larger increment of temperature change at the pulp horn area than the cooling conditions. The results of this study strongly indicate that the water coolant is the essential element in restorative procedures for the maintenance of healthy pulp. Further related studies involving more procedures and conditions are recommended.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.35 no.2
• /
• pp.259-267
• /
• 2008

This in vitro study aimed to investigate the influence of flowable composite lining with different thicknesses on the marginal quality. One hundred twenty cavities, each preparated with proximal boxtype( 3mm of bucco-lingual width, 2mm of mesio-distal depth and gingival margin of 1mm supra-CEJ) were randomly dived into four groups. group I : Tetric ceram filling alone(control group) group II: 0.5mm thickness Tetric flow + Tetric ceram filling group III: 1.5mm thickness Tetric flow + Tetric ceram filling group IV: 2.5mm thickness Tetric flow + Tetric ceram filling The followings are the results: 1. Group II showed significantly less microleakage compared to group I(control group)(p<0.05). 2. There was no statistically significant difference between group III, IV and group I(p>0.05). 3. Group II showed significantly less microleakage compared to group III, IV(p<0.05). 4. There was microleakage more or less in all group. It was concluded that 0.5mm flowable composite lining improved cavity adaptation and marginal sealing.

• Journal of the Korean GEO-environmental Society
• /
• v.21 no.3
• /
• pp.5-11
• /
• 2020

Recently, ground pits that have been occurring frequently in urban areas are hindering traffic flow and causing property damages and loss of human life, acting as factors that are threatening the safety of citizens. Therefore, sunken ground must be quickly restored and provisions must be made for additional damage but current domestic detailed standards regarding ground pits and accurate definitions regarding causes and measures to be taken for reoccurrences are lacking. Restoration methods of sunken ground include backfilling by reusing sunken soil or other fill material and paving the road and while this is the most often used method, this only prevents ground from sinking temporarily and can not serve as a fundamental solution. Also, additional ground pits can occur on ground that is reinforced using this method due to faulty backfill material or faulty hardening. This study used Eco-friendly High-Strength Material (EHSM) as restoration material that can be used in the restoration of underground cavities that have occurred due to ground subsidence to analyze the engineered characteristics of modified dredging clay and test pieces made from changed ratios of EHSM and weathered granite soil were uniaxial compression tests were conducted and freezing-thawing tests were conducted to study strength properties according to environmental changes of restoration material, and after tests were concluded by each level, uniaxial compression tests and dynamic elasticity tests were conducted for intensity analysis. Also, to evaluate strength characteristics of the restored ground, dynamic plate load tests were conducted to verify the improvement effectiveness of the restored ground.

• Progress in Medical Physics
• /
• v.16 no.2
• /
• pp.53-61
• /
• 2005

The quality factors for cylindrical ionization chambers for kV X-rays were determined by Monte Carlo calculation and measurement. In this study, the X-rays of 60-300 kV beam (lSO-4037) installed in KFDA and specified in energy spectra and beam qualities, and the chambers of PTW N23333 and N30001 were investigated. In calculations, the $R_{\mu}\;and\;R_{Q,Q_{0}}$ in IAEA dosimetry protocols were determined from the air kerma and the cavity dose obtained by theoretical and Monte Carlo calculations. It is shown that the N30001 chamber has a flat response of $\pm1.7\%$ in $110\~300kV$ region, while the response range of two chambers were shown to $\pm3\~4\%$ in $80\~250kV$ region. From this work we have discussed dosimetry protocol for the kV X-rays and we have found that the estimation of energy dependency is more important to apply dosimetry protocol for kV X-rays.