• 대한수의학회지
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• 제15권2호
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• pp.271-277
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• 1975

한국재내산양(韓國在來山羊) 11두(頭)의 흉벽근(胸壁筋)을 절개하여 관찰하였던 바 다음과 같은 결과(結果)를 얻었다. 1. 산양(山羊)의 흉벽(胸壁)에는 횡격막을 포함하여 11개의 筋들을 확인할 수 있었다 : 전배거근(前背鋸筋) M. serratusdorsalis cranialis, 후배거근(後背鋸筋) M. serratus dorsalis caudalis, 사각근(斜角筋) M. scalenus, 늑횡근(肋橫筋) M. transversus costarum, 늑골거근(肋骨擧筋) Mm. levatores costarum, 외늑간근(外肋間筋) Mm. intercostales externi, 내늑간근(內肋間筋) Mm. intercostales interni, 늑연골간근(肋軟骨間筋) Mm. intercartilaginei, 늑골후인근(肋骨後引筋) M. retractor costae, 흉횡근(胸橫筋) M. transversus thoracis, 횡격막(橫隔膜) Diaphragma. 2. 전배거근(前背鋸筋)의 발달이 아주 미약하여 단지 1예(例)에서만 볼 수 있었다. 3. 사각근(斜角筋)은 천부(淺部)(M. scalenus supracostalis)와 심부(深部)(M. scalenus primal costae)로 구분되었으며 이들은 각각 배(背), 복(腹)으로 나누어졌고, 천부(淺部)는 제 1늑골 및 제 3~4늑골에서 기시(起始)하고 있었다. 4. 늑연골간근(肋軟骨間筋)은 제 7늑간에서는 양쪽 늑골이 서로 밀접하게 붙어있어 나타나지 않았으며, 제 1늑간 부터 제 6늑간 사이에서는 섬유방향이 거의 수평으로 향하고 있어 내늑간근(內肋間筋)의 연장으로 보이고 제 8늑간 부터 마지막 늑간사이에서는 거의 수직으로 향하고 있어 외늑간근(外肋間筋)의 연장으로 보인다.

• 대한구순구개열학회지
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• 제8권2호
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• pp.81-86
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• 2005

Cleft palate patients with congenital anomalies have an increased risk of airway problems following palatoplasty. Factors that were related included presence of associated congenital anomalies, duration of surgery, age at time of surgery, history of previous airway problem, and excessive pressure exerted on the base of the tongue by Dingman retractor. This report described a complication of post-operative Pneumonia after palatoplasty (Furlow technique), which resulted in a life-threatening acute airway obstruction in an infant with cleft palate. Patient has a history of previous mild airway problems. In addition to this problem, we speculate that Furlow technique involves more extensive surgical dissection than other techniques may increase risk for upper airway obstruction. Awareness of this risk permits identifying those patients prior to surgery so that they can be monitored and managed properly, minimizing the likelihood of major complications or possibility of death.

• 대한임상검사과학회지
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• 제48권3호
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• pp.262-268
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• 2016

편측성 안면경련(hemifacial spasm)은 불수의적으로 안면의 근육에서 발작적인 경련이 일측성으로 반복해서 발생하는 질환이다. 한 근육의 수축으로 인해 동시적으로 여러 근육이 동시에 수축되는 동시 수축성(synkinesia)이 특징이다. 발병원인은 제 7뇌신경인 안면신경이 혈관에 의해 압박을 받아서 나타나게 된다. 본 연구는 편측성 안면경련 환자의 미세혈관 감압 수술을 받은 환자를 대상으로 수술 중 진행되는 신경계 감시검사 방법들에 대해 다루었다. 청각유발전위 검사에서는 수술용 뇌 견인기의 사용시 주의 사항과 검사시기에 대해 언급하였다. 안면신경의 근전도검사에서는 잡파의 혼입과 신경손상 시 근전도 파형의 감별에 대해, 측면전파 반응 검사에서는 마취의 유지의 중요성에 대해 그리고 체성감각 유발전위검사에서는 환자를 좀더 자세하게 검사할 수 있도록 새로운 방법을 제안하였다. 위에 언급한 내용들을 토대로 검사한다면 수술 중 신경계 감시 검사를 원활하게 할 수 있으리라 생각된다.

• 한국환경과학회지
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• 제1권2호
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• pp.125-136
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• 1992

Digestion of a municipal wastewater sludge by the anaerobic sequencing batch reactor (ASBR) was investigated to evaluate the performance of the ASBR process at a critical condition of high-solids-content fined. The reactors were operated at an HRT of 10 days with an equivalent loading rate of 0.8-1.5 gVS/L/d at 35$^{\circ}C$ The main conclusions drawn from this study were as follows: 1. Digestion of a municipal wastewater sludge was possible using the ASBR in spite of high concentration of settleable solids in the sludge. The ASBRS with 3- and 4-day cycle period showed almost identical high digestion performances. 2. No adverse effect on digestion stability was observed In the ASBRS in spite of withdrawal and replenishment of 30% or 40% of liquid contents. A conventional anaerobic digester could be easily converted to the ASBR without any stability problem. 3. Flotation thickening occurred in thicken step of the ASBRS throughout steady state, and floating bed volume at the end of thicken period occupied about 70% of the working volume of the reactor Efficiency of flotation thickening in the ASBRS could be comparable to that of additional gravity thickening of a completely mixed digester. 4. Solids were accumulated rapidly in the ASBR during start-up period. Solids concentrations in the ASBRS were 2.6 times higher than that in the completely mixed control reactor at steady state. Dehydrogenase activity had a strong correlation with the solids concentration. Dehydrogenase activity of the digested flu형e in the ASBR was 2.9 times higher than that of the flu형e in the control reactor, and about 25 times higher than that of the subnatant in the ASBR. 5. Remarkable increase in equivalent gas production of 52% was observed at the ASBRS compared with the control reactor in spite of similar quality of clarified effluent from the ASBRS and control reactor. The increase in gas production from the ASBRS was believed to be combined results of accumulation of microorganisms, higher driving force applied, and additional long-term degradation of organics continuously accumulated.

• Journal of Korean Neurosurgical Society
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• 제40권6호
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• pp.406-411
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• 2006

Objective : The authors have developed a procedure, termed posterior microscopic lesionectomy, that creates a minimal laminotomy site according to the location of the shifted disc using the $METRx^{TM}$ system in the lumbar spine. This study compared the usefulness and surgical outcomes of this procedure with those of traditional standard lumbar discectomy. Methods : From June 2003 to June 2004, Twenty-two patients with one-level radiculopathy due to lumbar disc herniation underwent posterior microscopic lesionectomy with the assistance of an operating microscope and the $METRx^{TM}$ tubular retractor. Surgical results of the new procedure were compared to those of 39 patients who underwent traditional lumbar discectomy from April 2003 to September 2004. All patients were evaluated for pain score, clinical assessment according to the VAS, and Roland-Morris scores pre-operatively and at 1, 3, 6, and 12 months post-operatively. Results : Mean blood loss, operation time, and admission date showed significant improvements for microscopic lesionectomy compared to traditional lumbar discectomy [P < 0.001]. Also, both measures of short-term functional improvement, the Visual Analogue Scale[VAS] and Roland-Morris[RM] scores, were statistically better for microscopic lesionectomy than for traditional discectomy [P < 0.001]. Conclusion : Posterior microscopic lesionectomy can be performed more safely and provide greater benefit than traditional discectomy. The procedure is associated with less post-operative pain, shorter hospital stays, and quicker rehabilitation.

• Journal of Korean Neurosurgical Society
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• 제48권3호
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• pp.219-224
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• 2010

Objective : A minimally invasive transforaminal lumbar interbody fusion (MIS TLlF) has recently been introduced. However, MIS TLlF is a technically challenging procedure. The authors performed retrospective analysis about MIS TLlF using a single interbody cage. Methods : Twenty-eight consecutive patients were treated by MIS TLlF. Of these 28 patients, 20 patients were included in this retrospective study. Perioperative, clinical, and radiologic outcomes were assessed. Clinical outcomes were assessed using Oswestry Disability Index (ODI) and Visual Analogue Scores (VAS). Fusion rates and cross-sections of operated spinal canals were assessed by CT. Results : Twelve patients underwent MIS TLlF at one segment and 8 patients at two segments (L3/4: 4, L4/5: 17, L5/S1: 7). Operation time for a single segment was 131.7 min and for two segment was 201.4 min, and corresponding blood losses were 208.3 mL and 481.2 mL, respectively. ODI and VAS scores were significantly improved at 6 months postop (ODI from 30.32 to 15.54, VAS from 7.80 to 2.20, p = 0.001) Twenty-two segments (78.6%) achieved grade I fusion, 4 segments (14.3%) achieved grade II, 2 segments (7.1%) achieved grade III and 0 segments achieved grade IV at 12 months. Postoperatively at 12 months, spinal canal cross sectional areas at disc spaces significantly increased from 157.5 to $294.3\;mm^2$ (p = 0.012). Conclusion : MIS TLlF achieved good clinical outcomes and high fusion rates. Our findings show that MIS TLlF performed with a single Interbody cage and a tubular retractor system can be used as a standard MIS TLlF technique.

• 대한수의학회지
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• 제26권1호
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• pp.11-17
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• 1986

The arterial supply to the eyeball of the Korean native goat has been described. Observations were made by dissection of ten Korean native goats fixed in embalming fluid and injected with neoprene latex. The results were as follows. 1. The eyeball and accessory ocular organ of the Korean native goat received its blood supply chiefly from the A. ophthalmica externa and partly from the branches of A. temporalis superficialis and A. malaris. 2. A. ophthalmica externa formed Rete mirabile ophthalmicum after giving off Ramus muscularis and A. lacrimalis, and continued to A. supraorbitalis. 1) A. lacrimalis was given off between Mm. rectus lateralis and dorsalis, and supplied lacrimal gland. 2) Rete mirabile ophthalmicum gave off A. ciliares posteriores longae and Rami musculares. A. ciliates posteriores longae gave off A. ciliates posteriores medialis and lateralis, Ramus anastomoticus cum A. ophthalmica interna, A. centralis retinae, Aa. ciliares posteriores breves and Aa. episcaeralis. Rami musculares supplied to M. rectus dorsalis, M. obliquus dorsalis, M. retractor bulbi, M. levator palpebrae superioris and M. rectus medialis, and continued Aa. ciliares anteriores after giving off A. episclerales and A. conjunetivales. 3) A. supraorbitalis supplied to M. rectus dorsalis. M. obliquus dorsalis and conjuntiva, and passed into supraorbital foramen. 3. A. malaris gave off A. palpebrae tertiae, A. palpebralis inferior medialis and A. palpebralis superior medialis, which supplied to third eyelid, medial aspect of the eyelids and conjunctiva. 4. A. temporalis superficialis gave off A. palpebralis inferior lateralis and A. palpebralis superior lateralis, which supplied to lateral aspect of the eyelids, M. orbicularis oculi and M. frontoscutularis.

• 한국음향학회지
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• 제37권4호
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• pp.256-261
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• 2018

차량 내부에는 BSR(Buzz, Squeak, Rattle) 세 가지 유형의 소음이 발생한다. 본 논문에서는 심층 컨볼루션 신경망으로 추출한 소음 특징에 기반하여 자동으로 차량 내부의 BSR 소음을 분류하는 분류기를 제안한다. 차량 내부의 소음은 전처리 단계에서 STFT(Short-time Fourier Transform) 알고리즘을 사용하여 소음 맵으로 표현된다. 생성된 소음 맵 내부에서 실제 소음의 위치를 정확하게 파악하기 어려운 문제에 대처하기 위해서 슬라이딩 윈도우 방법으로 분할하였다. 본 논문에서는 t-SNE(t-Stochastic Neighbor Embedding) 알고리즘을 사용하여 심층 컨볼루션 신경망 내부 파라미터를 시각화하고 정성적인 방식으로 오분류데이터를 분석하였다. 분류된 데이터의 정량적인 분석을 위해 소음의 종류별 유사도를 SSIM(Structural Similarity Index) 수치에 기반하여 정량화하여 리트랙터의 떨림음이 정상주행음과 가장 유사하다는 것을 밝혔다. 제안하는 방법의 분류기는 기타 기계학습 알고리즘 대비 최고 분류 정확도를 달성하였다(99.15%).

• Journal of Korean Neurosurgical Society
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• 제48권5호
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• pp.406-411
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• 2010

Objective : Esophageal/hypopharyngeal injury can be a disastrous complication of anterior cervical surgery. The amount of hypopharyngeal wall exposure within the surgical field has not been studied. The objective of this study is to evaluate the chance of hypopharyngeal wall exposure by measuring the amount of axial rotation of the thyroid cartilage (ARTC) and posterior projection of the hypopharynx (PPH). Methods : The study was prospectively designed using intraoperative ultrasonography. We measured the amount of ARTC in 27 cases. The amount of posterior projection of the hypopharynx (PPH) also was measured on pre-operative CT and compared at three different levels; the superior border of the thyroid cartilage (SBTC), cricoarytenoid joint and tip of inferior horn of the thyroid cartilage (TIHTC). The presence of air density was also checked on the same levels. Results : The angle of ARTC ranged from $-6.9^{\circ}$ to $29.7^{\circ}$, with no statistical difference between the upper and lower cervical group. The amount of PPH was increased caudally. Air densities were observed in 26 cases at the SBTC, but none at the TIHTC. Conclusion : Within the confines of the thyroid cartilage, surgeons are required to pay more attention to the status of hypopharynx/esophagus near the inferior horn of the thyroid cartilage. The hypopharynx/esophagus at the TIHTC is more likely to be exposed than at the upper and middle part of the thyroid cartilage, which may increase the risk of injury by pressure. Surgeons should be aware of the fact that the visceral component at C6-T1 surgeries also rotates as much as when the thyroid cartilage is engaged with a retractor. The esophagus at lower cervical levels warrants more careful retraction because it is not protected by the thyroid cartilage.

• Archives of Plastic Surgery
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• 제47권4호
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• pp.347-353
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• 2020

Background This study evaluated the outcomes of a new modified Wies technique for patients with involutional lower eyelid entropion without horizontal eyelid laxity. Methods This case series retrospectively analyzed consecutive patients with entropion who underwent surgery between January 2014 and March 2019 by the same experienced surgeon. Horizontal eyelid laxity, lower eyelid retractor function, and orbicularis muscle overriding were recorded before and after surgery. The recurrence rate and complications were also evaluated. This technique consisted of modified everting sutures combined with reattachment of the lower eyelid retractors to the inferior tarsal plate. Results This new technique was performed on 28 eyes in 25 patients (mean age, 71.0±8.0 years; range, 56-87 years). Nine patients (36%) were women and 16 (64%) were men. Lower lid entropion was present in the right eye in 14 patients (56%), the left eye in eight patients (32%), and both eyes in three patients (12%). The mean follow-up period was 27.3±12.4 months (range, 6-60 months). No intraoperative complications were observed. All patients' symptoms were alleviated. One patient (3.6%) had recurrence after 2 years (success rate, 96.4%). The remaining 27 eyes maintained a satisfactory and comfortable eyelid position. No patients had problems with scarring. Conclusions The approach described herein proved to be safe and feasible in eyes with involutional lower eyelid entropion without horizontal eyelid laxity. These advantages of this procedure include the lack of a conjunctival scar, punctal eversion, and lateral canthal angle deformation. A low recurrence rate and a long interval to recurrence were also observed.