• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제24권5호
• /
• pp.413-422
• /
• 2021

Intestinal lymphangiectasia is a rare disease which is causing protein-losing enteropathy. Treatment of intestinal lymphangiectasia can be a challenge for clinicians because of the lack of specific guidelines regarding pharmacological indications. We sought to introduce a diagnostic approach and suggest guidelines for treatment. After exclusion of secondary intestinal lymphangiectasia, magnetic resonance lymphangiography is a promising tool for the assessment of abnormal lymphatic lesions in primary intestinal lymphangiectasia. Determining the extent of the lesion provides direction for treatment options. Focal short-segment intestinal lymphangiectasia can be treated via intestinal resection or radiologic embolization after dietary therapy failure. Diffuse intestinal lymphangiectasia and extensive lymphangiectasia should be treated with several drugs with a full understanding of their mechanisms.

• 한국자기학회지
• /
• 제26권3호
• /
• pp.92-98
• /
• 2016

신호증강효과기법을 이용한 자기공명혈관술에서 뇌동맥을 half scan factor에 따른 절반스캔과 완전스캔의 영상을 평가하는데 목적으로 한다. 뇌혈관성 질환이 없는 환자(n = 30)를 대상으로 절반스캔과 완전스캔 하였고, 뇌동맥의 관심영역을 세 영역(C1, C2, C3)에서 7~8 mm의 범위로 설정하였다. MIP로 재구성한 영상으로 신호강도를 SNR(signal to noise ration), PSNR(peak signal noise to ratio), RMSE(root mean square error), MAE(mean absolute error)을 산출하고 paired t-test를 이용하여 통계분석 하였다. 스캔시간은 절반스캔(4분 53초), 완전스캔(6분 04초)이었다. 뇌혈관의 모든 ROI의 평균 측정 범위(7.21 mm)이었고, 첫번째 C1의 SNR은 완전스캔(58.66 dB), 절반스캔(62.10 dB)이었고, 양의 상관관계($r^2=0.503$)이고, 두 번째 C2의 SNR은 완전스캔(70.30 dB), 절반스캔(74.67 dB)이고 양의 상관관계($r^2=0.575$)이었다. 세 번째 C3의 완전스캔 SNR(70.33 dB), 절반스캔 SNR (74.64 dB)로 양의 상관관계를 ($r^2=0.523$)로 분석되었다. 절반스캔과 완전스캔의 비교에서 SNR($4.75{\pm}0.26dB$), PSNR($21.87{\pm}0.28dB$), RMSE($48.88{\pm}1.61$)이었고 MAE($25.56{\pm}2.2$)로 산출되었다. SNR은 두 검사 스캔에서 통계학적으로 유의하지 않았고 (p-value > .05) 영상의 질에서는 많은 차이가 없어 완전스캔을 사용하였을 때보다 적은 시간이 소요되는 절반스캔을 적용하여 검사하여도 된다.

• Clinics in Shoulder and Elbow
• /
• 제23권1호
• /
• pp.11-19
• /
• 2020

Background: The purpose of this study was to evaluate and compare deltoid origin status following large rotator cuff repair carried out using either an open or an arthroscopic method with a propensity score matching technique. Methods: A retrospective review of 112 patients treated for full-thickness, large rotator cuff tear via either a classic open repair (open group) or an arthroscopic repair (arthroscopic group) was conducted. All patients included in the study had undergone postoperative magnetic resonance imaging (MRI) and clinical follow-up for at least 12 and 18 months after surgery, respectively. Propensity score matching was used to select controls matched for age, sex, body mass index, and affected site. There were 56 patients in each group, with a mean age of 63.3 years (range, 50-77 years). The postoperative functional and radiologic outcomes for both groups were compared. Radiologic evaluation for postoperative rotator cuff integrity and deltoid origin status was performed with 3-Tesla MRI. Results: The deltoid origin thickness was significantly greater in the arthroscopic group when measured at the anterior acromion (P=0.006), anterior third (P=0.005), and middle third of the lateral border of the acromion level (P=0.005). The deltoid origin thickness at the posterior third of the lateral acromion was not significantly different between the arthroscopic and open groups. The arthroscopic group had significantly higher intact deltoid integrity with less scarring (P=0.04). There were no full-thickness deltoid tears in either the open or arthroscopic group. Conclusions: Open rotator cuff repair resulted in a thinner deltoid origin, especially from the anterior acromion to the middle third of the lateral border of the acromion, at the 1-year postoperative MRI evaluation. Meticulous reattachment of the deltoid origin is as essential as rotator cuff repair when an open approach is selected.

• 한국산학기술학회논문지
• /
• 제17권7호
• /
• pp.380-388
• /
• 2016

마그네트 기어를 이용하면 기계적인 접촉없이 동력을 전달할 수 있다. 마그네트 기어 기반 감속 시스템에서 종동축은 구동축으로부터 분리되어있기 때문에 시스템은 제한된 공극 강성으로 부하 변화에 대응해야하는 2관성 공진 시스템이다. 종동축 즉, 저속측은 구동축 인가 토크만으로 제어되고 갑작스런 외란에 따라 일반적인 기계식 기어 시스템과 달리 과도한 진동이나 슬립이 발생할 수 있다. 따라서 저속측에 인가되는 부하 등의 외란은 실시간으로 측정되거나 추정되어야 한다. 본 논문에서는 고조파 조절기 일체형 마그네트 기어를 이용한 감속 시스템의 저속측 속도 제어를 위한 전상태 되먹임 제어기를 제안하고 이를 전산 모의 시험과 실험을 통해 검증하였다. 저속측 부하를 추정하기 위해 새로운 상태변수를 도입하여 관측기를 설계하였으며 이를 기반으로 하는 전상태 제어기를 통한 외란에 대한 강건성은 2자유도 PI 속도 제어기와 비교하였다. 상대적으로 짧은 시간안에 극의 슬립이 보정되는 것을 확인하였으며 추정된 변수는 실제 측정 결과와 유사한 경향을 나타내었다. 이러한 결과는 마그네트 기어 감속기의 서보 시스템으로의 응용 가능성을 담보해주는 결과인 것으로 판단된다.

• Journal of Oral Medicine and Pain
• /
• 제42권2호
• /
• pp.29-34
• /
• 2017

Purpose: To evaluate aggravating factors of intermittent locking among temporomandibular joint using magnetic resonance imaging (MRI) and diagnostic criteria for temporomandibular disorder (DC/TMD) diagnosis. Methods: A retrospective analysis was conducted of 35 patients with intermittent locking history but normal intra-articular findings between September 2012 and June 2015 in Kyung Hee University Dental Hospital. A standardized DC/TMD assessment was performed on subjects with MRI findings. Clinical findings were assessed on the basis of maximum mouth opening (active & passive), self-reported habits, patients' age, gender, systemic diseases at the initial visit. First, chi square test was used to examine differences with variables and then risk factors for intermittent locking were assessed using multivariate logistic regression. Results: Self-reported bruxism was strongly associated with intermittent locking history. Conclusions: The new DC/TMD protocol is intended for use within any clinical setting and supports the full range of diagnostic activities from screening to definitive evaluation and diagnosis. Self-reported sleep bruxism has been associated with a higher likelihood of intermittent locking. Comorbidity is therefore a factor that must be assessed. It is necessary to consider the amount of contact of the teeth and the duration.

• 전기학회논문지
• /
• 제58권3호
• /
• pp.578-585
• /
• 2009

In this paper, we present the design of an electromagnetic scanning mirror with torsional springs. The scanning mirror consisting of torsional springs and electromagnetic coils was designed for the applications of laser animation systems. We analyzed and optimized three types of torsional springs, namely, straight beam springs (SBS), classic serpentine springs (CSS), and rotated serpentine springs (RSS). The torsional springs were analyzed in terms of electrical resistance, fabrication error tolerance, and resonance mode separation of each type using analytical formula or numerical analysis. The RSS has advantages over the others as follows: 1) A low resistance of conductors, 2) wide resonance mode separation, 3) strong fabrication error tolerance, 4) a small footprint. The double-layer coils were chosen instead of single-layer coils with respect to electromagnetic forces. It resulted in lower power consumption. The geometry of the scanning mirror was optimized by calculations; RSS turn was 12 and the width of double-layer coil was $100{\mu}m$, respectively. When the static rotational angle is 5 degrees, the power consumption of the mirror plate was calculated to be 9.35 mW since the resistance of the coil part and a current is $122{\Omega}$ and 8.75 mA, respectively. The power consumption of full device including the mirror plate and torsional springs was calculated to be 9.63 mW.

• Journal of Korean Neurosurgical Society
• /
• 제53권3호
• /
• pp.194-196
• /
• 2013

Isolated abducens nerve paresis related to ruptured vertebral artery (VA) aneurysm is rare. It usually occurs bilaterally or ipsilaterally to the pathologic lesions. We report the case of a contralateral sixth nerve palsy following ruptured dissecting VA aneurysm. A 38-year-old man was admitted for the evaluation of a 6-day history of headache. Abnormalities were not seen on initial computed tomography (CT). On admission, the patient was alert and no signs reflecting neurologic deficits were noted. Time of flight magnetic resonance angiography revealed a fusiform dilatation of the right VA involving origin of the posterior inferior cerebellar artery. The patient suddenly suffered from severe headache with diplopia the day before the scheduled cerebral angiography. Neurologic examination disclosed nuchal rigidity and isolated left abducens nerve palsy. Emergent CT scan showed high density in the basal and prepontine cistern compatible with ruptured aneurismal hemorrhage. Right vertebral angiography illustrated a right VA dissecting aneurysm with prominent displaced vertebrobasilar artery to inferiorly on left side. Double-stent placement was conducted for the treatment of ruptured dissecting VA aneurysm. No diffusion restriction signals were observed in follow-up magnetic resonance imaging of the brain stem. Eleven weeks later, full recovery of left sixth nerve palsy was documented photographically. In conclusion, isolated contralateral abducens nerve palsy associated with ruptured VA aneurysm may develop due to direct nerve compression by displaced verterobasilar artery triggered by primary thick clot in the prepontine cistern.

• 한국정보통신학회논문지
• /
• 제9권5호
• /
• pp.1052-1058
• /
• 2005

본 논문은 저주파 구동형 집어등용 전자식 안정기의 설계 및 제작에 관하여 기술하였다. 제.안한 안정기는 전파 정류회로, 정전력형 전류원으로 동작하는 강압형 컨버터와 130Hz 구형파 발진의 인버터 및 재점등 보호회로로 구성하였다. 램프의 음향공명현상은 130Hz의 저주파 구형 펄스로 제거할 수 있었으며, 램프의 재점등을 위한 고전압 펄스 발생회로를 부가하였다. 실험결과로부터 본 안정기에 의해 구동되는 램프 전압과 전류는 각각 132.5V, 7.6A, 소비전력은 약 1,000 W이었다. 전자식 안정기의 가장 큰 이점으로 중량은 동일 용량의 자기식 안정기에 비해 약 1/5로 감소하였다.

• 전력전자학회논문지
• /
• 제7권1호
• /
• pp.30-40
• /
• 2002

본 논문은 250w 메탈 할라이드 램프용 전자식 안정기의 개발에 관한 연구로써 안정기의 입력 역율은 PFC IC를 이용하여 개선하였고, 벅 Type의 DC-DC 컨버터를 회로에 삽입하여 인버터회로에서 램프의 정격전압만을 공급할 수 있도록 함으로써 인버터 스위칭소자의 스트레스를 줄이게 되었다. 인버터의 형태는 풀 브릿지로 하였고 램프 점등을 구형 저주파에 고주파 성분을 첨가하는 방식으로 음향공명현상을 제거하였다. 또한 LC 회로를 이용한 간단 한 점화기 회로를 개발하였다. 벅 컨버터의 출력 전압을 조절하여 램프의 전압이 가변되는 원리를 이용하여 조광 제어를 할 수 있으며 계절별 및 시간대별로 점등시간과 조도조절이 가능토록 하였다. 벅 컨버터 출력 전압의 조절과 무부하 보호 및 과전류 보호 기능은 마이크로프로세서의 프로그램을 개발하여 수행하였다.

• 한국자기공명학회논문지
• /
• 제9권2호
• /
• pp.110-121
• /
• 2005

E.coli methionyl tRNA synthetase consist of 676 amino acids and plays a key role in initiation of protein synthesis. The native form of this enzyme is a homodimer, but the monomeric enzyme truncated approximately C-terminal 120 amino acids retains the full enzymatic activities. X-ray crystal structure of the active monomeric enzyme shows that it has two domains. The N-terminal domain is thought to be a binding site for acceptor stem of tRNA, ATP, and methionine. The C-terminal domain is mainly a-helical and makes an interaction with the anticodon of $tRNA^{Met}$. Especially it is suggested that the region of helix-loop-helix including the tryptophan residue at the position 461 may be the essential for the interaction with anticodon of $tRNA^{Met}$. In this work the structure and function of E. coli methionyl-tRNA synthetase was studied by spectroscopic method (NMR, CD, Fluorescence). The importance of tryptophan residue at the position 461 was investigated by fluorescence spectroscopy. Tryptophan 461 is expected to be an essential site for the interaction between E. coli methionyl-tRNA synthetase and E. coli $tRNA^{Met}$. Proton and heteonuclear 2-dimensional NMR spectroscopy were also used to elucidate the protein-tRNA interaction.