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심초음파에서 국소 좌심실벽 운동 추적을 위한 Color Kinesis 구현에 관한 연구 (Tracking Regional Left Ventricular Wall Motion With Color Kinesis in Echocardiography)

  • 신동규;김동윤;최경훈
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 추계학술대회
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    • pp.579-582
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    • 1997
  • The two dimnesional echocardiography is widely used to evaluate regional wall motion abnormaility, because of its abilities to depict left ventricluar wall motion. A new method, color kinesis is a technology or echocardiographic assessment of left ventricular wall motion. In this paper, we proposed a algorithm or color kinesis which is based on acoustic quantification and automatically detects endocardial motion during systole on a frame-by-frame basis. The echocardiograms were obtained in the short-axis views in normal subjects. Automated edge detection and endocardial contour tracing algorithm was applied to each frames, quantitative analysis based on segmentation was performed, and pre-defined color overlays superimposed on the gray scale images. Segmental analysis of color kinesis provided automated, quantitative diagnosis of regional wall motion abnormality.

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동맥근 농양 및 좌심실유출호 가성 심실류 환자에서 폐동맥 자가이식편을 이용한 대동맥근부치환술 -1례 치험 보고- (Aortic Root Replacement with Pulmonary Autograft in Patient with Subaortic Abscess and False Aneurysm in Left Ventricular Outflow Tract -Report of A Case-)

  • 장병철
    • Journal of Chest Surgery
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    • 제28권7호
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    • pp.704-707
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    • 1995
  • The use of the patient`s pulmonary valve for replacement of the patient`s diseased aortic valve was introduced and developed by Mr. Donald Ross. The long term benefits of having a normal, fully viable, trileaflet semilunar valve in aortic position was demonstrated. A 38 year old male had histories of failures of previously implanted aortic prosthetic valves twice and evidence of progressive heart failure. At operation, aortic root abscess was found; the abscess extension to adjacent structures and partial valve dehiscence had occurred. The patient underwent replacement of the aortic root with autologous pulmonary valve, autologous pericardial patch repair of left ventricuar outflow tract and recontruction of the right ventricular outflow tract and pulmonary artery with prosthetic valved conduit. Postoperatively, the patient recovered well. Postoperative doppler echocardiography demonstrated minimal central regurgitation in new aortic valve. Aortic root replacement with pulmonary autograft in a patient of recurrent aortic root abscess and false aneurysm of left ventricuar outflow tract was experienced and reported with follow up echocardiography.

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Incidental finding of metastatic malignancy involving the sphenoid sinus on a cone-beam computed tomographic scan: A case report

  • Amintavakoli, Niloufar
    • Imaging Science in Dentistry
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    • 제51권1호
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    • pp.87-90
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    • 2021
  • The increased use of cone-beam computed tomographic (CBCT) scans has made it increasingly necessary to evaluate incidental findings on CBCT scans. This report describes the case of a 66-year-old female patient who presented to the Department of Oral and Maxillofacial Pathology, Radiology and Medicine at the College of Dentistry of the author's institution and underwent a CBCT scan for maxillary alveolar process implant planning. Upon evaluation of the CBCT scan, a radiopaque (soft tissue attenuation) mass in the left superior aspect of the nasal cavity and left locule of the sphenoid sinus with opacification of the left locule of the sphenoid sinus was incidentally noted. These radiographic findings were suggestive of a space-occupying mass with a high possibility of malignancy. A further medical evaluation confirmed renal cell cancer metastasis to the sphenoid sinus. This study shows the significance of reviewing the entire CBCT scan for incidental findings.

Can Right-Handed Surgeons Insert Upper Thoracic Pedicle Screws in much Comfortable Position? Right-Handedness Problem on the Left Side

  • Akyoldas, Goktug;Senturk, Salim;Yaman, Onur;Ozdemir, Nail;Acaroglu, Emre
    • Journal of Korean Neurosurgical Society
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    • 제61권5호
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    • pp.568-573
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    • 2018
  • Objective : Thoracic pedicles have special and specific properties. In particular, upper thoracic pedicles are positioned in craniocaudal plane. Therefore, manipulation of thoracic pedicle screws on the left side is difficult for right-handed surgeons. We recommend a new position to insert thoracic pedicle screw that will be much comfortable for spine surgeons. Methods : We retrospectively reviewed 33 patients who underwent upper thoracic pedicle screw instrumentation. In 15 patients, a total of 110 thoracic pedicle screws were inserted to the upper thoracic spine (T1-6) with classical position (anesthesiologist and monitor were placed near to patient's head. Surgeons were standing classically near to patient's body while patients were lying in prone position). In 18 patients, a total of 88 thoracic pedicle screws were inserted to the upper thoracic spine with the new standing position-surgeons stand by the head of the patient and the anesthesia monitor laterally and under patient's belt level. All the operations performed by the same senior spine surgeons with the help of C-arm. Postoperative computed tomography scans were obtained to assess the screw placement. The screw malposition and pedicle wall violations were divided and evaluated separately. Cortical penetration were measured and graded at either : 1-2 mm penetration, 2-4 mm penetration and >4 mm penetration. Results : Total 198 screws were inserted with two different standing positions. Of 198 screws 110 were in the classical positioning group and 88 were in the new positioning group. Incorrect screw placement was found in 33 screws (16.6%). The difference between total screw malposition by both standing positions were found to be statistically significant (p=0.011). The difference between total pedicle wall violations by both standing positions were found to be statistically significant (p=0.003). Conclusion : Right-handedness is a problem during the upper thoracic pedicle screw placement on the left side. Changing the surgeon's position standing near to patient's head could provide a much comfortable position to orient the craniocaudal plane of the thoracic pedicles.

Effect of Unilateral Pneumonectomy on the Secretory Function of Type II Pneumocyte and Compensatory Growing Pattern of the Residual Lung in Growing Rabbits

  • Lee, Young-Man;Lee, Suck-Kang;Choo, Young-Eun
    • The Korean Journal of Physiology
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    • 제25권1호
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    • pp.81-85
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    • 1991
  • At the fifth day after right lung pneumonectomy in New-Zealand white rabbits $(0.8{\sim}1.1\;kg\;B.W.)$, phospholipid and protein concentration in the left lung lavage fluid were measured for clarification of the effect of unilateral pneumonectomy on the secretory function of the type II pneumocytes in growing rabbits. In an attempt to evaluate the effect of unilateral pneumonectomy on the compensatory growth of the residual lung, left lung weight and left lung weight-body weight ratio and DNA concentration, RNA/DNA and total DNA content in the left lung tissue were measured in pneumonectomized and in sham operated control rabbits. The lung weight of pneumonectomized rabbit was approximately two times heavier than that of the control rabbits. DNA concentration and RNA/DNA of the lung tissue were not changed but total DNA content was increased significantly. Phospholipid concentration in the lung lavage fluid of the pneumonectomized rabbits was over two times higher than that of control rabbits. from these experimental results, It is concluded that unilateral pneumonectomy in growing rabbits might cause to increase the secretion of pulmonary surfactant from type II pneumocyte of the residual lung. The cellular hyperplasia seems to be the primary response of the compensatory growing lung in unilateral pneumonectomized growing rabbits.

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New Insights into Autonomic Nerve Preservation in High Ligation of the Inferior Mesenteric Artery in Laparoscopic Surgery for Colorectal Cancer

  • Yang, Xiao-Fei;Li, Guo-Xin;Luo, Guang-Heng;Zhong, Shi-Zhen;Ding, Zi-Hai
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권6호
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    • pp.2533-2539
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    • 2014
  • Aim: To take a deeper insight into the relationship between the root of the inferior mesenteric artery (IMA) and the autonomic nerve plexuses around it by cadaveric anatomy and explore anatomical evidence of autonomic nerve preservation in high ligation of the IMA in laparoscopic surgery for colorectal cancer. Methods: Anatomical dissection was performed on 11 formalin-fixed cadavers and 12 fresh cadavers. Anatomical evidence-based autonomic nerve preservation in high ligation of the IMA was performed in 22 laparoscopic curative resections of colorectal cancer. Results: As the upward continuation of the presacral nerves, the bilateral trunks of SHP had close but different relationships with the root of the IMA. The right trunk of SHP ran relatively far away from the root of IMA. When the apical lymph nodes were dissected close to the root of the IMA along the fascia space in front of the anterior renal fascia, the right trunk of SHP could be kept in suit under the anterior renal fascia. The left descending branches to SHP constituted a natural and constant anatomical landmark of the relationship between the root of IMA and the left autonomic nerves. Proximal to this, the left autonomic nerves surrounded the root of the IMA. Distally, the left trunk of the SHP departed from the root of IMA under the anterior renal fascia. When high ligation of the IMA was performed distal to it, the left trunk of SHP could be preserved. The distance between the left descending branches to SHP and the origin of IMA varied widely from 1.3 cm to 2.3 cm. Conclusions: The divergences of the bilateral autonomic nerve preservation around the root of the IMA may contribute to provide anatomical evidence for more precise evaluation of the optimal position of high ligation of the IMA in the future.

복식호흡 운동이 요부근육의 활성화에 미치는 영향 (Effect of Diaphragmatic Breathing Exercise on Activation of Lumbar Paraspinal Muscles of Healthy people.)

  • 김경
    • 대한물리의학회지
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    • 제1권1호
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    • pp.59-66
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    • 2006
  • Purpose : The purpose of this study was to investigate the effects of diaphragmatic breathing on activation of lumbar paraspinal muscles of normal healthy people. Diaphragmatic breathing may affect activation of trunk muscles. The assumptions are as follows: the crural diaphragm attatches to the lumbar vertebrae from L1 to L3, the voluntary downward pressurization of the diaphragm increases intra-abdominal pressure, and this increases the stiffness of the spine. Methods : Sixty male college students ranging 19 to 34 years were screened and % maximal voluntary contraction(% MVC) of trunk muscles on the four positions of back extension exercise was compared during the pre and post of inspiration of diaphragmatic breathing. Results : 1. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the dynamic right arm and left leg extension position(p<0.05). 2. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the dynamic left arm and right leg extension position(p<0.05). 3. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the static lying prone extension position(p<0.05). 4. % MVC of right and left erector spinae had the statistically significant difference between pre and post inspiration of diaphragmatic breathing in the static lying on prone position(p<0.05). Conclusion : This study will be used as the purpose of data collection of lumbar paraspinal muscles on diaphragmatic breathing and be introduced as the new therapeutic intervention for management of patients with back pain.

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체표 캐패시턴스 측정 방식을 이용한 체표 경락.경혈 에너지 변화 분석 (Analysis of Meridian Energy and its Change Pattern with Time using Measurement of Skin-Capacitance on Source Points)

  • 김수병;권선민;명현석;이경중;강희정;임윤경;이용흠
    • Korean Journal of Acupuncture
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    • 제26권3호
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    • pp.1-11
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    • 2009
  • Objectives : The object of this study is to investigate the balance/imbalance of skin capacitances between left and right meridians, and to analyze the change patterns of electric energy on meridians with the lapse of time. Method : Electric potential was measured on five source points (LU9, PC7, HT7, LI4, SI4) bilaterally for 4 hours. The energy balance/imbalance between left and right was investigated, and the change patterns with time were analyzed. Results and Conclusions : The amplitude of meridian energy on five source points and the energy balance/imbalance between left and right were varied in each individual. When a source point showed a balanced meridian energy bilaterally, the change patterns of meridian energy with time were similar between left and right. While, when it showed an imbalanced energy between left and right, the change patterns of meridian energy were also different between left and right. Through this study, we proposed a new diagnostic method of meridian energy.

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인터넷 토론 사이트의 논쟁댓글 및 논쟁관계 시각화 (Extracting and Visualizing Dispute comments and Relations on Internet Forum Site)

  • 이윤정;정인준;우균
    • 한국콘텐츠학회논문지
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    • 제12권2호
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    • pp.40-51
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    • 2012
  • 최근에는 인터넷 토론 사이트에서 댓글을 이용해 다른 사람들과 토론이나 논쟁하는 경우를 흔히 볼 수 있다. 논쟁을 통해 게시물의 내용과는 다른 새로운 의견이 나타날 수도 있으므로 논쟁댓글을 파악하고 식별하는 것은 중요한 문제라고 할 수 있다. 본 논문에서는 국내의 인터넷 토론 사이트인 SkepticalLeft와 아고라에서 수집한 댓글을 통해 인터넷 토론 게시판에서 논쟁댓글의 특성을 분석하였다. 그리고 이를 바탕으로 댓글 목록의 논쟁구간과 논쟁관계를 검출하고 이를 시각화하는 방법을 제안한다. 제안 방법의 성능을 보이기 위해 논쟁댓글과 논쟁 쌍을 검출하고 정확도와 재현율 그리고 F-measure를 측정하였다. 논쟁댓글검출 성능은 F-measure가 0.84(SkepticalLeft)와 0.83(아고라)으로 측정되었고, 논쟁 쌍 검출은 각각 0.75(SketpcialLeft)와 0.82(아고라)로 측정되었다. 제안 방법은 댓글 작성자의 순서관계만을 이용하므로 사용언어나 철자법에 제약받지 않는다. 또한 시각화된 뷰를 통해 게시판 이용자들이 댓글에 내포된 논쟁구조를 파악하는데 도움을 줄 것이다.