• 대한핵의학회지
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• 제32권4호
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• pp.354-364
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• 1998

목적: 단순골X-선검사와 골스캔은 다발성 골수종 병변의 조기검출에 많은 제한점을 가진다. 본 연구는 다발성 골수종에서 방사능 표지 항백혈구항체를 이용한 골수스캔의 유용성을 평가하기 위해 실시되었다. 대상 및 방법: 다발성 골수종 환자 22례의 경우 남녀비는 2.1:1이었고 중간연령은 57세였으며, Stage II는 3례, Stage III는 19례였다. 골수스캔은 $^{99m}Tc$으로 표지된 항백혈구 항체를 이용하여 전신상을 촬영하였고, 그 결과를 단순골X-선검사 및 골스캔과 부위별로 비교하였다. 결과: 단순골X-선검사는 14명(64%), 골스캔에서는 11명(50%)의 환자에서 병변을 검출한 반면, 골수스캔에서는 19명(86%)의 환자에서 국소결손병변을 검출하였다. 골수스캔은 Stage II에서는 33%의 환자(1/3)에서 병변을 검출하였고, Stage III에서는 90%의 환자(17/19)에서 병변을 검출하였다. 골수스캔에서 골수확장의 소견은 68% (15/22)에서 관찰되었다. 전체환자 22명에서 124개의 국소결손병변이 단순골X-선 검사, 골스캔, 골수스캔에서 검출되었는데, 단순골X-선검사는 58개 병변을, 골스캔은 40개 병변을 검출한 반면 골수스캔을 통해서는 92개 병변을 검출하였고, 단순골X-선검사나 골스캔에서는 검출하지 못한 국소결손병변을 51개나 더 검출할 수 있었으며, 이는 특히 새로운 흉요추 국소결손병변의 검출에 도움이 되었다. 결론: 골수스캔은 단순골X-선검사나 골스캔보다 높은 검출율을 보였고, 흉요추병변의 검출에 많은 도움을 줄 수 있는 것으로 생각된다. 또한 골수스캔은 진행한 병기에서 더 높은 검출율을 보여주어 골수스캔소견과 임상적 병기간에 상관성을 가지는 것으로 생각된다. 다발성 골수종에서의 골수스캔은 새로운 병변의 검출뿐만 아니라 병기정도의 평가에 도움이 될 것으로 판단된다.

• Archives of Plastic Surgery
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• 제33권2호
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• pp.263-267
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• 2006

In both cosmetic and functional aspects, loss of digital pulp is a common problem. Compound or composite defects of the hand and fingers with exposed denuded tendon, bone, joint, or neurovascular structures may require flap coverage. Most often these lesions can be repaired by using simple local flap, neurovascular flap, thenar flap, and cross-finger flap. But microvascular reconstruction is sometimes needed for large defects. But Authors do not recommend these procedures in case of severe crushing injuries involving multiple finger pulp losses because they have possibility of damage of the vascular network and infection. So we applied distant flaps such as chest flaps, groin flaps, abdominal flaps and etc. And then we applied surgical rubber gloves for remodeling the flap after cutaneous healing. We have acquired satisfactory results, after the simple molding method for distant flap finger by using surgical rubber gloves treatment.

• Nuclear Engineering and Technology
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• 제36권4호
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• pp.327-337
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• 2004

It is commonly required that tubes with defects exceeding $40\%$ of wall thickness in depth should be plugged; however, this criterion is too conservative for some locations and for some types of defects. Many studies have been done with the aim of developing an alternative plugging criteria, and these studies have shown that steam generator tubes with a certain range of axial through-wall cracks could remain in service without any safety or reliability problems. However, these studies have been limited, thus far, to consideration of single cracked tubes, necessitating a study on multiple cracks, which are commonly found. A crack coalescence model applicable to steam generator tubes with two collinear axial through-wall cracks was proposed in the previous study. In this paper, the investigation is extended to the parallel axial cracks spaced in a circumferential direction, because parallel axial cracks are more frequently detected during in-service inspections than collinear axial cracks. Interaction effects between two parallel cracks are evaluated by performing elastic and elastic-plastic finite element analyses.

• Industrial Engineering and Management Systems
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• 제7권1호
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• pp.51-56
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• 2008

With growing demand for zero defects, predicting reliability of software systems is gaining importance. Software reliability models are used to estimate the reliability or the number of latent defects in a software product. Most reliability models to estimate the reliability of software in the literature are based on the development lifecycle stages. However, in the maintenance phase, the software needs to be corrected for errors and to be enhanced for the requests from users. These decrease the reliability of software. Software Reliability Growth Models (SRGMs) have been applied successfully to model software reliability in development phase. The software reliability in maintenance phase exhibits many types of systematic or irregular behaviors. These may include cyclic behavior as well as long-term evolutionary trends. The cyclic behavior may involve multiple periodicities and may be asymmetric in nature. In this paper, SGRM has been adapted to develop a reliability prediction model for the software in maintenance phase. The model is established using maintenance data from a commercial shop floor control system. The model is accepted to be used for resource planning and assuring the quality of the maintenance work to the user.

• Clinical Endoscopy
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• 제56권6호
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• pp.754-760
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• 2023

Background/Aims: Endoscopic vacuum therapy (EVT) can heal a variety of defects within the gastrointestinal (GI) tract via applying negative pressure, which reduces the defect size, aspirates the infected fluid, and promotes granulation tissue. Here we present our experience with EVT as it relates to both spontaneous and iatrogenic upper GI tract perforations, leaks, and fistulas. Methods: This retrospective study was conducted at four large hospital centers. All patients who underwent EVT between June 2018 and March 2021 were included. Data on multiple variables were collected, including demographics, defect size and location, number and intervals of EVT exchanges, technical success, and hospital length of stay. Student t-test and the chi-squared test were used to analyze the data. Results: Twenty patients underwent EVT. The most common defect cause was spontaneous esophageal perforation (50%). The most common defect location was the distal esophagus (55%). The success rate was 80%. Seven patients were treated with EVT as the primary closure method. The mean number of exchanges was five with a mean interval of 4.3 days between exchanges. The mean length of hospital stay was 55.8 days. Conclusions: EVT is a safe and effective initial management option for esophageal leaks and perforations.

• 한국멀티미디어학회논문지
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• 제15권2호
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• pp.204-214
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• 2012

본 논문은 비전장비의 결함 검사 시스템을 위한 불균일한 휘도분포를 가지는 TFT-LCD 영상에서 결함 영역을 분할하는 방법을 다룬다. 불균일한 휘도분포 때문에 결함의 영역을 찾기 어려우며 이를 위해 많은 방법들이 제안되었다. Kamel과 Zhoa는 문자 및 그래픽의 분할을 위해 논리적 단계화 방법을 제안하였고, 이 방법은 공간상에서 수행되어지는 지역적 분할 방법으로 불균일한 분포 상에서도 문자가 잘 분할되는 장점이 있다. TFT-LCD의 저해상도 영상도 배경의 분포가 불균일하여 본 논문에서는 Kamel과 Zhoa의 방법을 답습하여 새로운 결함 영역 분할 방법을 제안한다. 제안한 방법은 결함주위에 발생하는 과검출(Ghost object)이 적은 장점이 있으며 제안 방법의 성능을 증명하기위해 실제 결함이 존재하는 TFT-LCD 영상을 이용하여 실험하고, 주파수상에서 많이 사용되는 FFT의 밴드패스 필터를 이용한 분할 방법과 비교하였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.11.1-11.8
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• 2016

Background: Silk cocoon is composed of multiple layers. The natural silk cocoon containing all layers was cut as a rectangular shape as defined as total group. The inner and outermost layers were removed from the total group and the remained mat was defined as the middle group. The objectives of this study was to compare the total group with the middle group as a barrier membrane for the guided bone regeneration. Methods: The effects of these materials on the cellular proliferation and alkaline phosphatase (ALP) expression of MG63 cells were explored. For comparing bone regeneration ability, bilateral bone defects were created in calvarial areas in ten adult New Zealand white rabbits. The defects were covered with silk membranes of the middle group, with silk membrane of the total group used as the control on the contralateral side. The defects were allowed to heal for 4 and 8 weeks. Micro-computerized tomography (${\mu}CT$) and histological examination were performed. Results: The middle group exhibited a higher MTT value 48 and 72 h after treatment compared to the total group. ALP expression was also higher in the middle group. The results of ${\mu}CT$ and histologic examination showed that new bone formation was significantly higher in the middle group compared to the total group 8 weeks postoperatively (P < 0.05). Conclusions: In conclusion, the middle layer of the silk cocoon supports guided bone regeneration better than unprocessed silk cocoon.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제42권5호
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• pp.265-270
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• 2016

Objectives: To gain information on anatomical variation in anterolateral thigh (ALT) flaps in a series of clinical cases, with special focus on perforators and pedicles, for potential use in reconstruction of oral and maxillofacial soft tissue defects. Materials and Methods: Eight patients who underwent microvascular reconstructive surgery with ALT free flaps after ablative surgery for oral cancer were included. The number of perforators included in cutaneous flaps, location of perforators (septocutaneous or musculocutaneous), and the course of vascular pedicles were intraoperatively investigated. Results: Four cases with a single perforator and four cases with multiple perforators were included in the ALT flap designed along the line from anterior superior iliac spine to patella. Three cases had perforators running the septum between the vastus lateralis and rectus femoris muscle (septocutaneous type), and five cases had perforators running in the vastus lateralis muscle (musculocutaneous type). Regarding the course of vascular pedicles, five cases were derived from the descending branch of the lateral circumflex femoral artery (type I), and three cases were from the transverse branch (type II). Conclusion: Anatomical variation affecting the distribution of perforators and the course of pedicles might prevent use of an ALT free flap in various reconstruction cases. However, these issues can be overcome with an understanding of anatomical variation and meticulous surgical dissection. ALT free flaps are considered reliable options for reconstruction of soft tissue defects of the oral and maxillofacial area.

• 한국정밀공학회지
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• 제32권6호
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• pp.529-536
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• 2015

A defect could be generated in bolts for a use of oil filters for the manufacturing process and then may affect to the safety and quality in bolts. Also, fine defects may be imbedded in oil filter system. So it is very important that such defects be investigated and screened during the multiple manufacturing processes. Therefore, in order effectively to evaluate the fine defects, the FEM simulations were performed to make characterization in the crack detection of the bolts and the parameters such as number of turns of the coil, the coil size, applied frequency were calculated based on the simulation results. Simulations were carried out for the defect signal of eddy current probe. Exciter and receiver were utilized. In this paper, the FEM simulations were performed in both bobbin-type and pancake-type probe, both probes were optimized under Eddy current FEM simulations and the results of calculation were discussed.

• 대한핵의학회지
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• 제23권2호
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• pp.201-207
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• 1989

Patients with acute pyleonephritis may present with a spectrum of clinical symptoms and signs. There are few noninvasive diagnostic studies, however, to confirm or exclude this diagnosis. To evaluate the clinical utility of $^{99m}Tc-DMSA$ renal scan in diagnosis of acute pyelonephritis, we performed $^{99m}Tc-DMSA$ renal scan in 37 patients suspected with urinary tract infection. Simultaneously, kidney ultrasonography was done in 21 patients diagnosed with acute pyelonephritis, clinically. And we performed the followup scan after treatment in two to six weeks. The results were as follows: 1) $^{99m}Tc-DMSA$ renal scan disclosed single or multiple cortical defects and decreased radiouptake ratio of affected kidney in 23 patients among 25 patients diagnosed with acute pyleonephritis. 2) In the 21 patients with acute pyelonephritis, kidney ultrasonography showed abnormal finding in the 7 patients. And $^{99m}Tc-DMSA$ renal scan disclosed abnormal cortical defects in this 7 patients also. 3) Between the patients with acute pyelonephritis and those with lower urinary tract infection, asymptomatic bacteriuria or pyuria. right-to-left radiouptake ratios (R/L ratio) were significantly different (p < 0.001). 4) In two to six weeks after antibiotic therapy, we performed followup $^{99m}Tc-DMSA$ renal scan for 5 patients among 25 acute pyelonephritis patients. And we have found the improvement of cortical defects and the right-to-left radiouptake ratio. In conclusion, we thought that $^{99m}Tc-DMSA$ renal scan should be useful in diagnosis of acute pyelonephritis and follow-up examination.