• 제목/요약/키워드: Head of Ri

검색결과 81건 처리시간 0.034초

미만성 갑상선중독증(그레이브씨병)의 갑상선 아전절제술 후 갑상선 기능의 변화에 대한 연구 (The Changes of Thyroid Function after Subtotal Thyroidectomy in Diffuse Toxic Goiter(Graves' Disease))

  • 송은영;김성배;김상효
    • 대한두경부종양학회지
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    • 제18권1호
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    • pp.60-64
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    • 2002
  • Objectives: Three classic treatment modalities have been used to treat Graves' disease: antithyroid medication, radioiodine ablation, and subtotal thyroidectomy. Postoperative thyroid functions were studied in patients with Graves' disease treated by subtotal thyroidectomy to evaluate the superiority of surgical treatment. Materials and Methods: One hundred fourty patients of Graves' disease were analysed retrospectively in follow-up for more than three years following subtotal thyroidectomy. Postoperative serum levels of $T_3,\;T_4, TSH, TSH-R Ab, free $T_4$, were evaluated to watch hypo- or hyperthyroidsm. Results: In the evaluation of preop- and postoperative thyroid function after three years of subtotal thyroidectomy, $T_3$ was changed from $464.10{\pm}196.16ng/dl$ to $140.41{\pm}76.56ng/dl$ in mean value, $T_4$ was changed from $20.76{\pm}7.98{\mu}g/dl$ to $9.54{\pm}4.02{\mu}g/dl$, $TSHT_3$ was changed from $0.55{\pm}4.42{\mu}u/ml$ to $4.96{\pm}7.20{\mu}u/ml$, TSH-R Ab was changed from $41.6{\pm}28.27%$ to $28.7{\pm}28.79%$ and free $T_4$ was changed from $4.45{\pm}2.33ng/dl$ to $1.44{\pm}0.69ng/dl$ in mean value. Euthyroidism was noted in 118 patients(84.3%), overt hyperthyroidism in 6 patiens(4.3%), latent hyperthyroidism in 8 patients(5.7%), overt hypothyroidism in 2 patint(1.4%), and latent hypothyroidism in 6 patients(4.3%). Of surgical complications, permanant hypoparathyroidism was found in one patient, recurrent laryngeal nerve injury in two patients, postoprative bleeding with reoperation in two patients, and death in one patient. Conclusion: The thyroid function after subtotal thyroidectomy in diffuse toxic goiter is normal level (euthyroidism) in 84.3% and low recurrence rate of hyperthyroidism is showed with rare surgical complication. Therefore, subtotal thyroidectomy in diffuse toxic goiter is more effective and safe than RI or longterm ATD treatment, if the operation is performed by skillful surgeon.

영상유도 방사선치료에서의 KV 콘빔CT 이용 (Implementation of KV Cone Beam CT for Image Guided Radiation Therapy)

  • 유영승;이화중;김대영;유리
    • 대한방사선치료학회지
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    • 제19권1호
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    • pp.43-49
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    • 2007
  • 목 적: 본 연구는 콘빔CT를 이용한 영상유도 방사선치료시 치료시간과 치료부위별 셋업 오차를 조사하여 임상 이용 효과를 평가하였다. 대상 및 방법: 두부, 체부, 골반부 환자 각각 3명을 선택하여, 선형가속기(CLINAC iX, Varian, USA)에 장착된 콘빔CT를 이용하여 15번씩 총 135번의 영상을 획득하였다. 그리고 각 부위에서의 셋업오차 값을 vertical, longitudinal, lateral 세 방향으로 나타내고 치료부위별로 평균 오차범위를 조사하여 비교하였다. 또한 영상획득과 오차값 산출에 소요되는 시간을 측정하여 매치료 시 콘빔CT 실행으로 인해 추가되는 시간에 대해서 알아보았다. 결 과: 두부 환자들의 경우 셋업오차는 vertical, longitudinal, lateral 방향으로 각각 0.07, 0.12, 0.1 cm의 평균 오차를 보였으며, 체부는 0.3, 0.26, 0.22 cm, 골반부 환자들은 0.21 0.18, 0.15 cm으로 측정 되었다. 이미지 획득과 오차 값 산출에 소요되는 시간은 평균 약 $6{\sim}7$분 정도로 나타났다. 결 론: 콘빔CT를 이용하여 환자의 셋업오차를 치료 직전에 보정하여 치료할 수 있었으며 치료 자세에 대한 오차 값을 산출 할 수 있었다. 골반부나 체부의 경우에는 두부에 비해 오차 값이 크게 나타나는 것을 확인할 수 있었는데 이는 환자의 움직임이나 각종 고정용구의 사용 등에 따른 것으로 보인다. 콘빔CT 실행 시에는 $6{\sim}7$분 정도의 치료 외에 시간이 추가 되는데 이에 따라 치료전 환자의 상태에 대한 고려가 필요할 것으로 생각된다.

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한국산 날망둑속(屬) 3종(種) (망둑어과(科))의 연령과 성장 (Age and Growth of Three Species of Genus Gymnogobius from Korea)

  • 김영자;김종만
    • 한국어류학회지
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    • 제13권4호
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    • pp.237-247
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    • 2001
  • 강원도 삼척시 호산리 호산천에서 채집된 꾹저구, 검정꾹저구, 무늬꾹저구 3종의 연령과 성장에 관하여 조사하였다. 체장 빈도 분포 조사에 의한 성별 성장조사에서 꾹저구의 당년생 수컷이 암컷보다 컸던 경우를 제외하고는 차이가 없었으나, 종간(種間)비교에서는 차이를 나타내었다. 즉, 꾹저구는 체장 45 mm 미만 집단이 당년생, 45~60 mm 집단이 1년생, 체장 60~80 mm 집단은 2년생, 80 mm 이상 집단은 3년생으로 추정되며 최대 체장은 105.0 mm였다. 검정꾹저구는 체장 55 mm 미만 집단이 당년생, 55~65 mm 집단은 1년생, 65~85 mm 집단은 2년생, 85 mm 이상 집단은 3년생으로 추정되며 최대 체장은 105.3 mm였다. 무늬꾹저구는 체장 40 mm 미만 집단이 당년생, 40~55 mm 집단은 1년생, 체장 55~75 mm 집단은 2년생, 체장 75 mm 이상은 3년생으로 추정되며 최대 체장은 85 mm를 넘지 않았다. 본 조사에서 만 4년생 이상되는 개체는 채집되지 않았고 암수간에 성장은 비슷하였다. 3종(種) 중 검정꾹저구가 모든 연령에서 다른 2종보다 성장이 약 5~10 mm 더 빨랐던 반면, 무늬꾹저구는 가장 느린 성장을 나타내었다 (p<0.0001). 체장의 성장에 따른 몸 부위의 형태적 변화를 공분산분석으로 비교검토해 본 결과, 종간(種間) 차이가 인정된 형질은 체고, 두장, 미병고, 상악장, 배지느러미의 길이였다. 즉, 꾹저구는 두장과 배지느러 길이에서 연령이 증가할수록 가장 빠른 성장을 나타내었고 검정꾹저구는 체고, 미병고, 상악장의 형질에서 가장 빠른 성장을 한 반면, 무늬꾹저구는 5개의 형질 모두 가장 느린 성장을 하였다.

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2.4 GHz의 무선전력전송에 사용되는 4 × 8 배열 안테나에 대한 인체안전성평가 (Human Safety Assessment for a 4 × 8 Array Antenna Used for Wireless Power Transfer at 2.4 GHz)

  • 주영준;김준희;이유리;김윤명;임용석
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2018년도 추계학술대회
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    • pp.338-341
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    • 2018
  • Beam-forming 방식을 적용한 배열 안테나의 무선전력전송(WPT)은 송신기와 수신기를 접촉하지 않고 서로 떨어져도 높은 효율의 무선전력전송이 가능하다. 하지만 이 방식은 송신기와 수신기의 떨어진 거리에 따른 전자파에 대한 인체안전기준을 만족해야 사용할 수 있다. 본 논문에서는 시뮬레이션을 통해 2.4 GHz용 $4{\times}8$ 배열 안테나를 모델링하고 배열 안테나의 단일 안테나에 각각 1W의 2.4 GHz 정현파를 인가하여 배열 안테나로부터 떨어진 거리에 따른 전기장 세기 및 머리에 대한 10 gram 평균 SAR (Specific Absorption Rate)를 구하였다. 그리고 이 값들과 2018 ICNIRP (International Commission on Non-Ionizing Radiation Protection) 가이드라인 초안의 인체안전기준치와 비교하였다. 그 결과, 원거리장의 전기장 세기로부터 도출된 전력밀도가 $33.257W/m^2$로 직업인에 대한 전력밀도의 인체안전기준치는 만족하나 일반인에 대한 전력밀도의 인체안전기준치를 초과하였다. 10 gram 평균 SAR 또한 인체안전 기준치를 초과하였다.

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Malignant melanoma associated with a plaque-type blue nevus of the cheek: a case report

  • Yoon Kyu Chung;Min-Seok Kim;Jin Yong Shin;Nae-Ho Lee;Ae Ri An;Si-Gyun Roh
    • 대한두개안면성형외과학회지
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    • 제24권2호
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    • pp.78-82
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    • 2023
  • Blue nevi, which are characterized by collections of pigment-producing melanocytes in the dermis, have a variety of clinicopathological characteristics. Plaque-type blue nevus (PTBN) is a variant of blue nevi. PTBN presents at birth or arises in early childhood, and it shows a combination of the features found in common blue nevus and cellular blue nevus. It is typically found on the dorsal surface of the hands and feet or on the head and neck, and it is usually benign and stable over time. However, reports have occasionally described malignant melanomas developing in or associated with a PTBN. Malignant blue nevi are most commonly found on the scalp. We report the case of an 88-year-old woman with a malignant melanoma associated with a PTBN of the cheek.

저/고분자량 키토산에 의한 종래형 치과용 글라스아이오노머 시멘트의 강화 (Strengthening of conventional dental glass ionomer cement by addition of chitosan powders with low or high molecular weight)

  • 김동애;김규리;전수경;이정환;이해형
    • 대한치과재료학회지
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    • 제44권1호
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    • pp.69-77
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    • 2017
  • The aim of this study was to investigate the effects of chitosan powder addition on the strengthening of conventional glass ionomer cement. Two types of chitosan powders with different molecular weight were mixed with conventional glass ionomer cement (GIC): low-molecular weight chitosan (CL; 50~190 kDa), high-molecular weight chitosan (CH; 310~375 kDa). The chitosan powders (CL and CH) were separately added into the GIC liquid (0.25-0.5 wt%) under magnetic stirring, or mixed with the GIC powder by ball-milling for 24 h using zirconia balls. The mixing ratio of prepared cement was 2:1 for powder to liquid. Net setting time of cements was measured by ISO 9917-1. The specimens for the compressive strength (CS; $4{\times}6mm$), diametral tensile strength (DTS; $6{\times}4mm$), three-point flexure (FS; $2{\times}2{\times}25mm$) with flexure modulus (FM) were obtained from cements at 1, 7, and 14 days after storing in distilled water at $(37{\pm}1)^{\circ}C$. All mechanical strength tests were conducted with a cross-head speed of 1 mm/min. Data were statistically analyzed by one-way ANOVA and Tukey HSD post-hoc test. The mechanical properties of conventional glass ionomer cement was significantly enhanced by addition of 0.5 wt% CL to cement liquid (CS, DTS), or by addition of 10 wt% CH (FS) to cement powder. The CL particles incorporated into the set cement were firmly bonded to the GIC matrix (SEM). Within the limitation of this study, the results indicated that chitosan powders can be successfully added to enhance the mechanical properties of conventional GIC.

치과 임플란트 수술용 고출력 초음파 수술기 설계 및 제작 (Design and Fabrication of a High Power Piezoelectric Ultrasonic Surgery Unit for Dental Implantation)

  • 김나리;전대우;김진호;김선욱;황종희;이정배;최성재;임대진;이영진
    • 한국전기전자재료학회논문지
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    • 제30권10호
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    • pp.656-664
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    • 2017
  • This paper presents the design and fabrication of a high power piezoelectric ultrasonic surgery unit for multi-purpose dental implantation. A conventional piezoelectric ultrasonic surgery units consists of a transducer and a tip. However, the drawback of this simple structure is that the output performance of the transducer considerably changes with the change of the tips. An ultrasonic surgery unit that has an additional booster between the transducer and the tip can solve this problem to some extent; for this, an optimal structural design for the transducer is required. We used the Bolted Langevin Transducer (BLT) as the basic transducer; it consists of piezoelectric ceramics and a metal body. It's structure was optimized using mathematical methods to determine the length and radius of the tail and head masses. Additionally, the booster was also subjected to the same methods. Using these mathematical methods, optimal results in terms of the resonance frequency (24.96 kHz), displacement ($14.27{\mu}m$), and pressure (2.8 MPa), could be obtained. The validity of this proposed surgery unit was confirmed experimentally, exhibiting a cutting force of around 7% higher than that of a conventional surgery unit.

High-Performance Compton SPECT Using Both Photoelectric and Compton Scattering Events

  • Lee, Taewoong;Kim, Younghak;Lee, Wonho
    • Journal of the Korean Physical Society
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    • 제73권9호
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    • pp.1393-1398
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    • 2018
  • In conventional single-photon emission computed tomography (SPECT), only the photoelectric events in the detectors are used for image reconstruction. However, if the $^{131}I$ isotope, which emits high-energy radiations (364, 637, and 723 keV), is used in nuclear medicine, both photoelectric and Compton scattering events can be used for image reconstruction. The purpose of our work is to perform simulations for Compton SPECT by using the Geant4 application for tomographic emission (GATE). The performance of Compton SPECT is evaluated and compared with that of conventional SPECT. The Compton SPECT unit has an area of $12cm{\times}12cm$ with four gantry heads. Each head is composed of a 2-cm tungsten collimator and a $40{\times}40$ array of CdZnTe (CZT) crystals with a $3{\times}3mm^2$ area and a 6-mm thickness. Compton SPECT can use not only the photoelectric effect but also the Compton scattering effect for image reconstruction. The correct sequential order of the interactions used for image reconstruction is determined using the angular resolution measurement (ARM) method and the energies deposited in each detector. In all the results of simulations using spherical volume sources of various diameters, the reconstructed images of Compton SPECT show higher signal-to-noise ratios (SNRs) without degradation of the image resolution when compared to those of conventional SPECT because the effective count for image reconstruction is higher. For a Derenzo-like phantom, the reconstructed images for different modalities are compared by visual inspection and by using their projected histograms in the X-direction of the reconstructed images.

평창군 방림리에 발달하는 횡와습곡의 형성 기작 (Formation Mechanism of Recumbent Fold observed in the Bangrim-ri, Pyeongchang-gun, Korea)

  • 천영범;강희철;하상민;이선갑;손문;류충렬
    • 암석학회지
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    • 제28권3호
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    • pp.217-225
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    • 2019
  • 강원도 평창군 뱃재터널의 북쪽 입구 사면에서 대규모 횡와습곡이 확인되어 이를 기재하고 형성기작에 관해 해석하였다. 이 습곡은 고생대 조선누층군 정선석회암층 내에 수백 m 규모로 발달하고 있다. 습곡의 머리는 북쪽을 향하며, 층리와 축면엽리의 복합엽리면상에 발달하는 신장선구조($L_1$)는 남쪽으로 약 $10^{\circ}$ 침강하고 있다. 습곡 날개부에는 S-형 비대칭 습곡과 함께 A-형 또는 안상 칼집습곡들이 흔히 관찰되며 이들 습곡의 축은 습곡의 중앙부와 후면부에서 확인된 신장선구조($L_1$) 방향과 거의 평행하다. 따라서 이곳 대규모 횡와습곡은 상부가 북쪽으로 향하는 강한 연성전단작용에 의해 생성된 칼집습곡으로 고생대말-트라이아스기 송림조산운동의 결과로 해석된다.

발레 뤼스에 나타난 박스트의 무대의상 연구 (A Study on Leon Bakst's Stage Costumes for Ballets Russes)

  • 이영숙
    • 복식문화연구
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    • 제17권3호
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    • pp.407-423
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    • 2009
  • The purpose of this study is to analyze Bakst's stage costume illustrations for Ballets Russes. The Russian Ballets has renown in the West since the early 20th century. Diaghilev first made his name as the organizer of art exhibitions in Russia and Western Europe. Diaghilev risked presenting only ballets in 1909, that time Bakst designed $Sch{\acute{e}}h{\acute{e}}razade$, L'Oiseau de Feu and Le Carnival. $Sch{\acute{e}}h{\acute{e}}razade$ was something new which overwhelmed the French people by then. It was seen to be the achievement of Wagner's idea where all the elements; the music, the design, the choreography, and the dancing fused into a perfect whole. The entire production was a hitherto unseen harmony of colors, sounds and movements. For the 1911 season in Paris, Diaghilev planned to present six new ballets and Bakst designed four ballets. Bakst's design of the set and the costume greatly shocked the audience. His "Originality" shines on the fact that he introduced a palette of colors in theater for the first time in history. He used a magic of colors to suggest the secret meaning of what was happening on the stage. The results can be divided into three distinct characteristics. First, oriental designs such as $Cl{\acute{e}}op{\hat{a}}tre$, $Sch{\acute{e}}h{\acute{e}}razade$, L'Oiseau de Feu, La $P{\acute{e}}ri$ and Le Dieu Blue with Russian, Indian and Persian traditional design in headdress and accessories ars found. Second, Le Carnival and La Spectre de la Rose used romantic styles with oriental details. Third, Greek chiton and Himation are used in Narcisse, $H{\acute{e}}l{\grave{e}}ne$ de Sparte, $L'Apr{\grave{e}}s-Midi\;d^{\grave{\;}}un$ Faune and Daphnis et $Chlo{\acute{e}}$ inspirde with various colors and geometic patterns. Bakst's orient of lush colored costumes, head dress, cushions, rugs and hangings became the immediate fashion imitated by Parisian couture houses and interior decorators.

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