• 대한두개안면성형외과학회지
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• 제19권3호
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• pp.194-199
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• 2018

Background: Cases of simultaneous multiple skin cancers in a single patient have become more common. Due to the multiplicity of lesions, reconstruction in such cases is more difficult than after a single lesion is removed. This study presents a series of patients with multiple facial skin cancers, with an analysis of the surgical removal, reconstruction process, and the results observed during follow-up. Methods: We reviewed 12 patients diagnosed with multiple skin cancers on the face between November 2004 and March 2016. The patients' medical records were retrospectively reviewed to identify the type of skin cancer, the site of onset, methods of surgical removal and reconstruction, complications, and recurrence during follow-up. Results: Nine patients had a single type of cancer occurring as multiple lesions, while three patients had different skin cancer types that occurred together. A total of 30 cancer sites were observed in the 12 patients. The most common cancer site was the nose. Thirteen defects were reconstructed with a flap, while 18 were reconstructed with skin grafting. The only complication was one case of recurrence of basal cell carcinoma. Conclusion: Multiple skin cancers are removed by performing Mohs micrographic surgery or wide excision, resulting in multiple defect sites. The authors emphasize the importance of thoroughly evaluating local lesions surrounding the initially-identified lesions or on other sites when reconstructing a large defect which can not be covered by primary closure. Furthermore, satisfactory results can be obtained by using various methods simultaneously regarding the condition of individual patients, the defect site and size, and the surgeon's preference.

• 대한핵의학회지
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• 제25권2호
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• pp.237-244
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• 1991

$^{99m}Tc-DMSA$ renal scan has been evaluated not only the renal functional cell mass but also some anatomical structures at a loss of the renal parenchymal function. The author classified a renal morphology of the posterior image of $^{99m}Tc-DMSA$ renal scan as the groups of symmetric and asymmetric morphology, the groups of the large, normal and small sized kidneys, the groups of the central photon defects (PD) which could be noted in a dilated pelvocalyceal system due to obstructive uropathy and the cortical photon defects (CD) due to focal parenchymal lesions or scars after a loss of function and the last groups of the single and multiple CD for a suggestion of the clinical usefulness. Regarding to measurement of normal renal size, the longest size of the kidneys were evaluated with 5 cm of a lead scale on the posterior renal image, and those were decided to the limits beteen 104.1 and 119.4 mm as comparison with the renal size of intravenous pyelogram (IVP) in 59 cases who were underwent $^{99m}Tc-DMSA$ and IVP concommitantly. Among 85 cases of PD in $^{99m}Tc-DMSA$ renal scan, the 61 (71.8%) were cases of a dilated pelvocalyceal system related with obstructive uropathy, meanwhile the 28 (27.0%) of 162 cases with CD were cases of obstructive and infectious uropathy. The probability of a presence of some uropathy in cases of CD were 99.3%, meanwhile that of the presence of CD in cases of some uropathy were 37.9%. Besides, there were some specific anatomical findings such as polycystic kidneys with symmetric enlarged kidneys with multiple CD and the kidneys of chronic renal failure and/or hypertension with symmetric small size in $^{99m}Tc-DMSA$ renal stan.

• Childhood Kidney Diseases
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• 제21권2호
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• pp.136-141
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• 2017

Purpose: This study aimed to investigate clinical and radiological factors that may predict high-grade vesicoureteral reflux (VUR) in patients with febrile urinary tract infection (UTI). Methods: We retrospectively analyzed medical records of 446 patients diagnosed with febrile UTI from March 2008 to February 2017. All patients underwent renal-bladder ultrasonography (RBUS), 99mTc dimercaptosuccinic acid (DMSA) renal scan, and voiding cystourethrography (VCUG), and were divided in to 3 groups: a high-grade VUR group (n=53), a low-grade VUR group (n=28), and a group without VUR (n=365). Results: The recurrence and non-Escherichia coli infection rates in febrile UTI were significantly higher in the high-grade VUR group than in the other two groups (P<0.05). RBUS showed that hydronephrosis and ureter dilatation were more frequent in the high-grade VUR group than in the other groups (P<0.05). In the high-grade VUR group, a renal cortical defect was more likely to appear as multiple defects, and the difference in bilateral renal scan uptake between both kidneys was larger than in the other two groups (P<0.001). Conclusion: Recurrent UTI, non-E. coli UTI, abnormal findings on RBUS such as hydronephrosis and ureter dilatation, and abnormal findings in the DMSA renal scan such as multiple renal cortical defects and greater uptake difference were associated with high-grade VUR. VCUG should be selectively performed when RBUS and/or DMSA renal scan reveal significant abnormalities.

• 비파괴검사학회지
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• 제30권4호
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• pp.330-337
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• 2010

본 논문은 원전 증기발생기(SG, steam generator) 세관의 정밀 진단을 위한 차세대 탐촉자인 배열형 와전류 탐촉자의 특성 해석에 대한 3차원 전자기 수치해석을 수행하였다. 다양한 결함 해석을 위해 ASME(American Society of Mechanical Engineers) 표준시험편과 X-probe combo 표준보정시험편(inline EXP/spiral groove combo standard)을 선정하여 탐상신호를 획득하고, 실제 실험 신호와 비교하여 결과의 타당성을 검증하였다. 표준 보정 시험편의 해석 결과를 바탕으로 원전 SG 세관에서 주로 발생하고 있는 pitting, SCC(stress corrosion cracking), multiple SCC, wear 결함에 대하여 탐상신호를 획득하였다. 해석 대상으로는 원자력발전소 SG 세관으로 사용하고 있는 Inconel 600 도체관을 사용하였고, 이때의 시험주파수는 300 kHz이다. 본 논문을 통하여 각각의 결함에 대한 신호 특성을 파악하여 배열형 와전류 탐촉자의 결함의 종류에 따른 신호 특성을 확인할 수 있었다. 본 논문의 결과는 배열형 와전류 탐촉자의 와전류 탐상 신호 평가시 도움이 될 것이다.

• 대한장애인치과학회지
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• 제12권2호
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• pp.92-95
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• 2016

Beckwith-Wiedemann syndrome은 다양한 임상적 특징을 보이는 질환이다. 거대설은 BWS 환아에서 가장 흔히 관찰되는 특징으로 그로 인한 섭식 문제와 호흡곤란이 야기될 수 있어 치과 치료 시, 주의를 요하게 된다. 또한 거대설로 야기될 수 있는 골격적인 문제에 대한 장기적인 평가가 필요하다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제12권1호
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• pp.127-134
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• 1990

본인은 본교실에서 치험한 악골내 발생된 각화성 낭종들중 다발성인 경우에 이상의 증례에서 동반된 이상소견을 의도적으로 조사해 봄으로써, 악골계를 담당하는 의사로서 악골내에서 다발성 낭종이 발견될 때 NBCCS을 간과해서는 안됨을 느끼게 된다. 또한 이상의 증례에서는 확연한 가족력을 찾아볼 수는 없었으나 이 증후군 자체가 상염색체 우성유전으로 인자전달이 잘 되는 것이므로 세심한 주의와 계속적인 관찰이 요하리라 생각된다.

• 전자공학회논문지S
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• 제34S권10호
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• pp.98-103
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• 1997

Given the small bit allocation for motion information in very low bit-rate coding, motion estimation using the block matching algorithm(BMA) fails to maintain an acceptable level of prediction errors. The reson is that the motion model, or spatial transformation, assumed in block matching cannot approximate the motion in the real world precisely with a small number of parameters. In order to overcome the drawback of the conventional block matching algorithm, several triangle-based methods which utilize triangular patches insead of blocks have been proposed. To estimate the motions of image sequences, these methods usually have been based on the combination of optical flow equation, affine transform, and iteration. But the compuataional cost of these methods is expensive. This paper presents a fast motion estimation algorithm using a multiple linear regression model to solve the defects of the BMA and the triange-based methods. After describing the basic 2-D triangle-based method, the details of the proposed multiple linear regression model are presented along with the motion estimation results from one standard video sequence, representative of MPEG-4 class A data. The simulationresuls show that in the proposed method, the average PSNR is improved about 1.24 dB in comparison with the BMA method, and the computational cost is reduced about 25% in comparison with the 2-D triangle-based method.

• 대한조선학회논문집
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• 제28권2호
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• pp.275-284
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• 1991

최근 압력용기, 고압배관, LNG Tank 및 선체등의 구조물 파괴에 대한 안전성을 보증하기 위하여, 구조부재의 표면결함에 대한 균열성장 거동을 파악하는 것이 중요한 과제중에 하나라고 인식되어지고 있다. 본 연구에서는 단일 및 복수표면 결함의 피로균열 성장을 바탕으로 표면에서 관통되기까지의 균열성장 수명의 추정등 실질적이고 일반적인 문제들을 해석할려고 시도하였다. 또한, 복수균열 문제에 적용하기 위하여 복수 언더컷의 합체진전현상을 검토하였으며 단일 언더컷과 복수 언더컷의 전파특성이 유사함을 밝혔다.

• 한국측량학회지
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• 제39권5호
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• pp.253-263
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• 2021

Traffic data collected using advanced equipment are highly valuable for traffic planning and efficient road operation. However, there is a problem regarding the reliability of the analysis results due to equipment defects, errors in the data aggregation process, and missing data. Unlike other detectors installed for each vehicle lane, radar detectors can yield different error types because they detect all traffic volume in multilane two-way roads via a single installation external to the roadway. For the traffic data of a radar detector to be representative of reliable data, the error factors of the radar detector must be analyzed. This study presents a field survey of variables that may cause errors in traffic volume collection by targeting the points where radar detectors are installed. Video traffic data are used to determine the errors in traffic measured by a radar detector. This study establishes three types of radar detector traffic errors, i.e., artificial, mechanical, and complex errors. Among these types, it is difficult to determine the cause of the errors due to several complex factors. To solve this problem, this study developed a radar detector traffic volume error analysis model using a multiple linear regression model. The results indicate that the characteristics of the detector, road facilities, geometry, and other traffic environment factors affect errors in traffic volume detection.

• 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.