• 제목/요약/키워드: S-distal

검색결과 710건 처리시간 0.033초

제한 절개를 통한 관혈적 정복 및 내고정술을 이용한 경골 Pilon 골절의 치료 (Limited Open Reduction and Internal Fixation of the Tibial Pilon Fractures)

  • 강충남;김종오;김동욱;고영도;고상훈;유재두;황준호
    • 대한족부족관절학회지
    • /
    • 제1권2호
    • /
    • pp.102-111
    • /
    • 1997
  • 저자들은 1993년 9월부터 1996년 5월까지 본원 정형외과에 입원하여 Pilon 골절로 치료받고 1년 이상 추시 가능하였던 19례(18명)를 대상으로 다음과 같은 결론을 얻었다. 1. Ovadia와 Beals의 분류상 제1형이 2례, 제2형이 3례, 제3형이 10례, 제4형이 1례, 제5형이 3례였고, 제3형이 53%로 가장 많았으며, 교통사고와 추락손상 등 고에너지 손상에 의한 골절이 16례로 전체의 약 84%를 차지하였다. 2. 손상의 정도가 비교적 적은 제1형과 제2형에서는 모두 양호 이상의 임상결과를 나타내었으며, 제4형과 5형에서는 손상의 정도가 심하고 이로인한 정확한 정복의 어려움으로 인해 보통 이하의 성적을 나타내었다. 3. 합병증은 외상후 관절염이 6례로 가장 많았으며 손상정도가 심한 3형 이상에서 정확한 정복이 이루어지지 않은 경우에 발생하였으며, 방사선학적 평가가 보통이하였던 제3형 3례에서 부정 유합이 발생하였으나 임상결과와의 연관성은 없었다. 4. 저자들은 제한된 관혈적 정복 및 내고정술로 연부조직의 합병증을 현격히 줄일 수 있었으며, 손상의 정도가 적고 정확한 정복이 가능한 경우, Pilon 골절의 좋은 치료 술식의 하나라고 사료된다.

  • PDF

남극반도 서 대륙붕의 빙해양 퇴적물의 규조군집 특성과 고해양 변화 (Diatom Assemblages and its Paleoceanography of the Holocene Glaciomarine Sediments from the Western Antarctic Peninsula shelf, Antarctica)

  • 신유나;김예동;강천윤;윤호일
    • 한국해양학회지:바다
    • /
    • 제6권3호
    • /
    • pp.152-163
    • /
    • 2001
  • 남극반도 서 대륙붕의 흘로세 빙해양 퇴적작용과 고해양 변화를 이해하기 위해 서 대륙붕에서 얻은 두 개의 코어퇴적물에 대하여 C-14 연대측정, 퇴적학 및 지화학 특성과 규조군집 특성을 조사했다. 분석 결과, 코어는 크게 세 개의 퇴적상으로 구분되었다. 코어 최하부는 사질과 각력이 많고, 분급이 불량한 다이아믹튼으로 구성된다. 이 퇴적상이 유기물과 규조각이 적고, 사질함량과 평균 입도의 변화가 큰 것으로 보아 빙붕 밑에 발달한 기저쇄설층으로부터 역의공급을 받아 퇴적된 다이아믹튼으로 해석된다. AMS C-14분석 결과 이 퇴적상은 11,000 yrs BP전 까지 빙붕 아래에서 퇴적되었으며, 특히 11,500${\sim}$12,700 yrs BP동안에 기온의 하강으로 빙하가 다시 진출함에 따라 유기물이 급격히 감소하고, 접빙종의 산출이 급증한 것으로 보인다. 시기적으로 이 기간은 북대서양 일원에서 일어났던 영거드라이아스 냉각기와 잘 대비된다. 다이아믹튼 바로 위에 나타나는 규조질 이토가 유기물과 규조각이 최대이며, 접빙종의 산출이 최소인 점으로 보아, 이 퇴적상은 원양환경에서 일차생산력의 증가로 형성된 많은 양의 유기물이 해저로 공급된 결과로 보인다. AMS C-14분석 결과, 유기탄소 함량이 최대이고, C. resting spore의 산출빈도가 최대인 구간의 퇴적시기는 9,000${\sim}$2,500 yrs BP로 나타났다. 일반적으로 이 시기는 흘로세 중기에 오늘날보다 더 따뜻했던 고열기와 잘 일치한다. 코어 최상부의 규조질 사질 이토가 아래의 규조질 이토에 비해 접빙종의 산출과 사질함량이 많은 것은 빙하 진출로 인해 육상기원 물질의 공급이 증가한 것으로 보인다. AMS C-14분석 결과 상부 퇴적상의 퇴적시기는 2,500yrs BP경으로 나타났으며, 이 시기는 남극반도 지역에서 홀로세 말에 있었던 신빙하기(neoglacial)의 출발과 일치한다. 남극반도서 대륙붕에서 얻은 이상의 연구 결과는 향후 남반구에서 흘로세 동안에 일어났던 천년단위의 고기후 변화와 그에 따른 고해양 변화를 이해하는데 중요한 정보를 제공해 준다.

  • PDF

상지(上肢) 외전위(外轉位)에서 시행(施行)한 쇄골상(鎖骨上) 상완신경총차단(上腕神經叢遮斷) (Supraclavicular Brachial Plexus block with Arm-Hyperabduction)

  • 임권;임화택;김동권;박오;김성열;오흥근
    • The Korean Journal of Pain
    • /
    • 제1권2호
    • /
    • pp.214-222
    • /
    • 1988
  • With the arm in hyperabduction, we have carried out 525 procedures of supraclavicular brachial plexus block from Aug. 1976 to June 1980, whereas block with the arm in adduction has been customarily performed by other authors. The anesthetic procedure is as follows: 1) The patient lies in the dorsal recumbent position without a pillow under his head or shoulder. His arm is hyperabducted more than a 90 degree angle from his side, and his head is turned to the side opposite from that to be blocked. 2) An "X" is marked at a point 1 cm above the mid clavicle, immediately lateral to the edge of the anterior scalene muscle, and on the palpable portion of the subclavian artery. The area is aseptically prepared and draped. 3) A 22 gauge 3.5cm needle attached to a syringe filled with 2% lidocaine (7~8mg/kg of body weight) and epineprine(1 : 200,000) is inserted caudally toward the second portion of the artery where it crosses the first rib and parallel with the lateral border of the muscle until a paresthesia is obtained. 4) Paresthesia is usually elicited while inserting the needle tip about 1~2 em in depth. If so, the local anesthetic solution is injected after careful aspiration. 5) If no paresthesia is elicited, the needle is withdrawn and redirected in an attempt to elicit paresthesia. 6) If, after several attempts, no paresthesia is obtained, the local anesthetic solution is injected into the perivascular sheath after confirming that the artery is not punctured. 7) Immediately after starting surgery, Valium is injected for sedation by the intravenous route in almost all cases. The age distribution of the cases was from 11 to 80 years. Sex distribution was 476 males and 49 females (Table 1). Operative procedures consisted of 103 open reductions, 114 skin grafts combined with spinal anesthesia in 14, 87 debridements, 75 repairs, i.e. tendon (41), nerve(32), and artery (2), 58 corrections of abnormalities, 27 amputations above the elbow (5), below the elbow (3) and fingers (17), 20 primary closures, 18 incisions and curettages, 2 replantations of cut fingers. respectively (Table 2). Paresthesia was obtained in all cases. Onset of analgesia occured within 5 minutes, starting in the deltoid region in almost all cases. Complete anesthesia of the entire arm appeared within 10 minutes but was delayed 15 to 20 minutes in 5 cases and failed in one case. Thus, our success rate was nearly 100%. The duration of anesthesia after a single injection ranged from $3\frac{1}{2}$ to $4\frac{1}{2}$, hours in 94% of the cases. The operative time ranged from 0.5 to 4 hours in 92.4% of the cases(Table 3). Repeat blocks were carried out in 33 cases when operative times which were more than 4 hours in 22 cases and the others were completed within 4 hours (Table 4). Two patients of the 33 cases, who received microvasular surgery were injected twice with 2% lidocaine 20 ml for a total of $13\frac{1}{2}$ hours. The 157 patients who received surgery on the forearms or hands had pneumatic tourniquets (250 torrs) applied without tourniquet pain. There was no pneumothorax, hematoma or phrenic nerve paralysis in any of the unilateral and 27 bilateral blocks, but there was hoarseness in two, Horner's syndrome in 11 and shivering in 7 cases. No general seizures or other side effects were observed. By 20ml of 60% urcgratin study, we confirm ed the position of the needle tip to be in a safer position when the arm is in hyperabduction than when it is in adduction. And also that the humoral head caused some obstraction of the distal flow of the dye, indicating that less local anesthetic solution would be needed for satisfactory anesthesia. (Fig. 3,4).

  • PDF

Lingual sliding mechanics의 lever arm 효과에 대한 유한요소분석 (Finite element analysis of effectiveness of lever arm in lingual sliding mechanics)

  • 김경희;이기준;차정열;박영철
    • 대한치과교정학회지
    • /
    • 제41권5호
    • /
    • pp.324-336
    • /
    • 2011
  • 전치의 후방 견인 시 적절한 치아 이동 상태 조절은 필수적이다. 설측 장치를 이용한 레버 암 길이의 조절을 통하여 치아 이동에 관한 연구는 있었으나 3차원적인 변위 양상에 대한 연구는 많이 이루어지지 않은 실정이다. 이에 본 연구는 상악 전치부의 레버 암(lever arm)의 길이를 5 mm 단위로 20 mm까지 증가시켰으며 대구치와 TPA (trans palatal arch) 상에 있는 견인 훅(hook)의 위치를 달리 하여 200 gm의 후방 견인력을 가했을 때 나타나는 치아 변위 양상과 응력분포를 3차원적 유한요소분석을 통하여 알아보고자 하였다. 이를 위하여 아시아 성인의 표본조사를 통해 제작된 치아모형(Nissan Dental Product, Kyoto, Japan)을 3차원적으로 스캐닝한 후 상악치아, 치주인대, 치조골에 대한 유한요소 모델을 제작하였다. 각 치아의 절단연과 치근첨의 이동량을 x, y, z 좌표에서 각각 계산하여 치열의 변위 양상을 분석하고 von Mises 응력 분포를 계측하였다. 연구 결과, 정상 교합 모형의 레버 암 길이가 15 mm, 20 mm인 경우 전치 절단연과 치근첨의 설측 변위가 유도되었다. 본 실험의 조건 중 20 mm에서 치근첨의 설측 변위는 최대로 나타났다. 구치부 견인 훅이 치근첨에 있을 때 대구치 치관은 원심 방향으로 변위되었다. 또한 레버 암의 길이가 20 mm인 경우 전치부의 정출은 미약하였고 견치 치관은 협측 방향으로 전위되었다. 이 때 구치부 견인 훅의 위치가 TPA의 구개 중앙 측에 있을 때보다 가장자리 측에 있을 때 견치 치관은 더 많이 전위되었다. 이상의 결과를 토대로 설측 장치를 이용한 상악 6전치의 후방 견인 시 레버 암의 길이가 길고 구치부 견인 훅의 위치가 구개 중앙부에 있을 때 전치부 절단연(incisal edge)의 정출 없이 견치의 측방 전위 및 전치부 절단연과 치근첨의 설측 변위가 공히 나타남을 알 수 있었다.

진료자세가 고정성 국소의치의 지대치 삭제에 미치는 영향 (An influence of operator's posture on the shape of prepared tooth surfaces for fixed partial denture)

  • 원인재;권긍록;배아란;최대균
    • 대한치과보철학회지
    • /
    • 제49권1호
    • /
    • pp.38-48
    • /
    • 2011
  • 연구 목적: 본 연구는 고정성 국소의치 제작을 위한 상악 좌측 제2소구치 및 제2대구치의 지대치 삭제에 대하여 인체공학적으로 안정된 진료 자세를 확립하고, 치과의사의 일반적 작업 자세와 비교, 분석하고 인체공학적으로 안정된 자세의 임상적용 가능성을 알아보고 이를 이용하여 향후 치과의사 교육의 기초 자료로 활용하기 위함이다. 연구 재료 및 방법: 상악 좌측 고정성 국소의치를 위한 인체공학적으로 안정된 자세를 고안하고 임상 경력 3-6년의 보철과 전공의 과정에 있는 치과의사 8명을 선정하여 임의의 자세로 상악 좌측 고정성 부분의치 지대치 삭제를 시행하고 연구 대상자들에게 인체공학적으로 안정된 자세를 교육하고 연구 대상들에게 인체공학적으로 안정된 자세로 상악 좌측 고정성 국소의치 지대치 삭제를 시행하였다. 임의의 자세로 삭제 시행한 치아와 인체공학적으로 안정된 자세로 삭제 시행한 치아를 KHDP 3-dimensional measuring device를 사용하여 계측해 교합면 삭제량, 변연의 폭경, 변연의 깊이 축면 경사도. 그리고 삭제시간을 측정 비교하였다. 모든 계측된 결과를 윈도우즈용 SPSS 통계 프로그램 (ver. 18.0, SPSS, Chicago, IL, USA)을 이용하여 교합면 삭제량, 변연의 폭 및 깊이, 축면 경사도, 치아 삭제 시간을 평균값 및 표준편차 분석하고 T-test를 Random Position 와 Home Position에 따른 차이 검정하였다. 결과: 와(fossa) 부위에서의 교합면 삭제량은 상악 좌측 제2소구치 및 제2대구치 모두에서 지시삭제량에 비해 적었으며, 교두정에서의 삭제량은 지시삭제량 1.7 mm에비해 많았으나, Random position과 Home position간에 유의차는 없었다 (P > .05). 변연 폭의 삭제량은 상악 좌측 제2소구치 및 제2대구치 모두에서 지시삭제량에 비해 많았으며, Random position과 Home position간에 유의차는 없었다 (P > .05). 변연 깊이의 삭제량은 상악 좌측 제2소구치 및 제2대구치 모두에서 Random position이 Home position에 비하여 지시삭제량보다 깊었다 (P < .05). 축면경사각은 상악 좌측 제2소구치 및 제2대구치 모두에서 Home position의 축면 경사각이 Random position의 축면경사각보다 작았으나 유의차는 없었다 (P > .05). 피어슨 상관분석 결과, Random position에서 교합면 삭제량, 변연 깊이, 축면경사각은 서로에게 영향을 주고 있었으나, Home position에서는 측정결과 들이 거의 독립적으로 서로에게 영향을 주지 않았다 (P < .05). Home position 삭제 횟수가 많아질수록 삭제소요 시간은 줄어들었고, 이는 실험에 참여한 8명 모두에서 Random position 삭제시간과 비슷해지거나 더 짧았다. 결론: 고정성 국소의치를 위한 상악 좌측 제2소구치 및 제2대구치 삭제의 경우, 교합면 삭제량, 변연의 폭, 변연의 깊이, 축면 경사각에 있어서 Home position과 Random position 간에는 큰 차이가 없었다. 삭제시간, 인접치 인접면 손상 정도는 Home position이 Random position보다 적었다. 또한 자세분석을 한 결과 Home position이 Random position에 비하여 곧은 자세로 인체에 무리를 주지 않았다. 따라서 인체공학적으로 안정된 자세인 Home position의 임상적용 가능성이 높다고 생각된다.

광조사 방식이 복합레진의 중합과 누출에 미치는 영향 (THE EFFECT OF IRRADIATION MODES ON POLYMERIZATION AND MICROLEAKAGE OF COMPOSITE RESIN)

  • 박종진;박정원;박성호;박주명;권태경;김성교
    • Restorative Dentistry and Endodontics
    • /
    • 제27권2호
    • /
    • pp.158-174
    • /
    • 2002
  • Filtek$^{TM}$ Z-250(3M Dental Products, St. Paul., MN. USA) 광중합형 복합레진을 대상으로 다양한 광조사 방식이 중합수축, 중합도 및 미세누출에 미치는 영향을 알아보고자 하였다. VIP$^{TM}$(Bisco Dental Products, Schaumburg, IL, USA)를 이용하여 200, 400 및 600mW/$\textrm{cm}^2$의 일정한 광도로 중합시킨 세 군(V2, V4 및 V6군)과 200mW/$\textrm{cm}^2$의 광도로 3초간 중합시키고 5분간 방치 한 후 다시 600mW/$\textrm{cm}^2$의 광도로 중합시키는 pulse-delay 방식을 이용한 군(VPD군) 그리고 Optilux 501$^{TM}$(Demetron/Kerr, Danbury, CT, USA)을 이용하여 C-mode와 R-mode로 중합시킨 두 군(OC군, OR군) 등 모두 6개의 군으로 나누어 실험하였으며, 복합레진의 중합과 누출을 다음의 네 가지 방법으로 측정하였다. 첫째, V2, V4, V6, OC군은 60초간, OR군은 20초간 그리고 VPD군은 두번째 광조사를 60초간 시행하면서 시간에 따른 선형 중합수축을 Linometer(R&B, Daejeon, Korea)로 측정하였다. 둘째, V2, V4, V6, OC군은 각각 5, 10, 20, 40, 60초간 그리고 OR군과 VPD군은 정해진 조건에 따라 중합시킨 2mm 두께 시편의 바닥면에서 시료를 채취한 후 KBr method로 시편을 제작하고, FTIR spectrometer(IFS 120 HR, Broker, Karlsruhe, Germany)로 미반응 잔류단량체의 양을 계측하여 중합도를 측정하였다. 셋째, 두번째 실험과 같은 조건으로 중합시킨 2mm 두께 시편의 광조사면과 바닥면에서 중합 10분 후 미세경도 측정기(FM7, Future-Tech Co., Tokyo, Japan)로 500g의 하중을 10초간 가하여 Knoop Hardness Number(KHN) 값을 측정하였다. 끝으로, 90개의 발거치 치경부에 제5급 와동을 형성하고 V2군은 60초간, V4군은 40초간, V6군은 30초간 그리고 OC, OR, VPD군은 정해진 조건에 따라 중합시킨 후, methylene blue 용액에 침적시키고 종절단하여 법랑질과 상아질 변연의 미세누출 정도를 측정하였다. 중합수축. 중합도 및 미세경도 측정치는 one-way ANO-VA와 Duncan's multiple range test를, 변연누출 정도는 chi-square test를 이용, 통계처리하여 다음의 결과를 얻었다. . 중합수축의 정도는 VIP$^{TM}$(Bisco) 사용군에서 전체 조사광도가 높을수록 큰 경향을 보여 600mW/$\textrm{cm}^2$군에서 가장 크게 나타났고, 그 다음으로 Pulse-delay군, 400mW/$\textrm{cm}^2$군, 200 mW/$\textrm{cm}^2$군 순이었고, Optilux 501$^{TM}$(Demetron/Kerr) 사용군에서는 Continuous 방식이 Ramp 방식 보다 크게 나타났다. . 중합도와 미세경도 값은 공히, 전체 조사광도가 높을수록 높게 나타났으며 , 최종 중합도는 44.77~54.98%의 범위를, 미세경도 값은 34.10~56.30의 범위를 보였다. . 미세누출은 전반적으로 상아질 변연이 법랑질 변연에 비해 많았고, VIP$^{TM}$(Bisco) 사용 군에서는 광도가 높을수록 상아질 변연에서 미세누출이 증가하는 양상을 보였으며, 법랑질 변연에서는 Optilux 501$^{TM}$(Demetron/Kerr)의 Continuous 방식이, 상아질 변연에서는 Ramp 방식이 가장 적은 미세누출을 보였다.

韓國山 端脚類의 系統分類學的 硏究: II. 淡水産 Gammarus 屬의 種의 地理學分布 및 變異에 관하여 (A Systematic Study on the Amphipods in Korea, II. On the Geographical Distribution and Variation of Species of Fresch-Water Gammarus(Crustacea : Amphipoda, Gammaridae))

  • 김훈수;이경숙
    • 한국동물학회지
    • /
    • 제20권1호
    • /
    • pp.29-40
    • /
    • 1977
  • 저자들은 1976년과 1977년 사이에 남한의 13개 지점의 山間溪流에서 채집된 Gammarus 屬의 표본들과 그 전에 7개 지점에서 채집된 것들을 동정하고 형질들을 비교 관찰하였다. 그 결과는 다음과 같다. 1. 이것들은 Gammarus pulex-group에 속하며 본토 山間溪流 및 도서 지방의 계류에 널리 분포하고 있다. 2. 이것들은 이미 보고된 G. pulex koreanus와 다음 점에서 다르다. 후자에서 제 3꼬리다리의 안 가지와 바깥 가지의 바깥 가장자리에만 깃털이 있고, 제 2 안테나의 병부에 털이 듬성듬성 나 있고 채찍에 calceoli가 있는데 대하여, 전자의 경우에는 제 3꼬리다리의 바깥 가지의 안 가장자리와 안 가지의 양 가장자리에 깃털이 나있고, 제 2안테나의 병부에 털이 촘촘하게 많이 나 있고, 채찍에 calceoli가 없다. 3. 이것들은 이미 보고된 G. pulex sobaegensis와는 제 3꼬리다리에 깃털이 나 있는 상태와 제 2 안테나의 모양은 비슷하나, 후자는 동굴에 서식하는데 대하여 전자는 그렇지 않다. 또한 이 양자는 윗입술과 제 2 握肢의 제 5절의 모양, $제1 \\sim 제3$ 밑마디에 가시가 나있는 상태, 기타 형질에서 차이가 있다. 4. 이것들은 지역에 따른 변이성이 있어 3그룹으로 나뉜다. 제 1그룹(오대산, 소금강 지역)에서는 제3 꼬리다리의 바깥 가지의 바깥 가장자리에는 털이나 깃털이 매우 적고 이것의 안 가장자리와 안 가지의 양 가장자리에 깃털이 비교적 촘촘히 나 있다. 바깥 가지의 제 2절이 비교적 길다. 제 2그룹(제1, 제3 그룹을 제외한 전 지역)에서는 제3 꼬리다리의 바깥 가지의 바깥가장자리에 털이 무성하나 깃털은 없고 이것의 안 가장자리와 안가지의 양 가장자리에 깃털이 무성하다. 제 3그룹(소요산 지역)에서는 제 3꼬리다리의 깃털 배열 상태는 제 2그룹과 비슷하나 바깥 가지의 제 2절은 매우 짧고 기타 형질에서도 차이가 있다., 염색체의 크기는 위의 2종 보다 커서 $7.5\\mu - 1.5\\mu$이다. 핵형은 상염색체가 아주 뚜렷한 2군으로 나뉘어 지는데, 11쌍의 큰 아크로센트릭 염색체군과 2쌍의 아주 작은 중부 염색체군이다. X염색체는 비교적 큰 차단부 염색체로서 쉽게 구별이 된다. 본 실험에서 숫컷을 재료로 상요하지 못했기 때문에 Y염색체는 판정할 수가 없었다. 또한 본 종의 핵형은 쏘련산 Tscherskia triton 의 핵형과 동일하다. 따라서 Cricetulus 속과 Tscherskia속과의 분류에 있어서 동일함이 핵형으로도 증명된 셈이다. 본 종의 염색체수는 다른 햄스터류보다 많으나, 아주 작은 2쌍의 중부 염색체군이 있음이 특이하며, 한국산 햄스터로서의 세포유전학적 실험동물로서 이용가치가 있다고 사료된다.4% 그리고, 고막은 22.3$\pm$3.21% 포식하였고, 별불가사리의 경우 피조개를 46.5$\pm$6.62% 포식한 반면, 바지락과 고막 모두 26.5$\pm$2.45% 포식함으로써 두 종 모두 피조개에 대한 포식률이 가장 좋았다.있음을 알 수 있었다.료방법의 하나로 응용될 수 있으리라 생각된다..7%), 혈액투석, 식도부분절제술 및 위루술·위회장문합술을 시행한 경우가 각 1례(2.9%)씩이었다. 13) 심각한 합병증은 9례(26.5%)에서 보였는데 그중 식도협착증이 6례(17.6%), 급성신부전증 1례(2.9%), 종격동기흉과 폐염이 병발한 경우와 폐염이 각 1례(2.9%)였다. 14) 식도경 시행회수는 1회가 17례(54.8%), 2회가 9례(29.0%), 3회 이상이 5례(16.1%)였다.EX>$IC_{50}$/ 값이 210 $\mu\textrm{g}$/$m\ell$로서 효과적인 저해 활성을 나타내었다 따라서, 본 연구에서 빈랑으로부터 분리한 phenol 성 물질은 피부 결합 조직을 구성하는

  • PDF

단순 Fogarty 혈전색전 제거술의 효과 (The Effect of the Simple Fogarty Thromboembolectomy)

  • 오중환;박일환;이종국
    • Journal of Chest Surgery
    • /
    • 제42권4호
    • /
    • pp.480-486
    • /
    • 2009
  • 배경: Fogarty 카테터는 원위부 동맥 색전을 제거하기 위하여 고안되었으며 1960년대 이래로 급성혈전색전의 치료에 획기적인 치료법이 되었다. 그러나 지난 30년동안 동맥폐쇄의 주원인이 심장에서 비롯하는 색전으로부터 죽상동맥경화증으로 변화하였으며 이런 맥락에서 단순 Fogarty 혈전색전제거술이 여전히 효과가 있는지 의문점이 생긴다. 대상 및 방법: 1990년 3월부터 2008년 8월까지 본원에서 Fogarty 혈전제거술을 시행한 156명을 대상으로 하였다. 환자를 혈전제거술만 시행한 79명(제 1 군)과 혈관우회수술을 같이 시행한 77명(제 2 군)으로 나누어 증상의 기간, 혈전의 원인, 응급실 내원 여부, 한방치료 및 오진경험, 동반질환, 주발생부위, 사망원인 등을 후향적으로 T 검증, 교차분석, 카이제곱 및 Kaplan-Meier을 이용하여 비교분석 비교하였다. 결과: 두군 모두 환자의 나이는 평균 64$\pm$10세로 비슷하였다. 제1군과 2군의 다리 통증 기간은 평균 12$\pm$4일 vs 71$\pm$14일(p=0.001), 응급실 내원한 경우는 50명(63%) vs 18명(23%) (p=0.005), 디스크로 오인하여 치료를 받거나 침을 맞은 경우가 20명(25%) vs 30명(39%), 내원전 항응고제 치료 받은 경우는 22명(28%) vs 11명(14%), 혈전원인은 심장질환 24명(30%) vs 6명(8%) (p=0.001), 동맥경화증 46예(58%) vs 67명(87%) (p=0.001), 외상 9명(11%) vs 6명(8%)이었다. 동반질환으로는 뇌졸증, 고혈압 당뇨가 주를 이루었으며(22$\sim$37%), 막힌 부위는 대부분 장골 및 대퇴동맥이었다 우회수술은 58명(75%)에서 대퇴-대퇴 및 대퇴-슬와동맥간 우회수술을 시행했다. 내막절제술은 각각 7명(9%) vs 18명(23%)에서 동반시술이 이루어졌다(p=0.012). 수술의 성공율은 27명(34%) vs 40명(52%) (p=0.019), 다시 막힌 경우는 37명(47%) vs 20명(26%) (p=0.000), 하지절단 4명(5%) vs 12명(16%) (p=0.012), 사망 10명(13%) vs 3명(4%) (p=0.044)으로 의의있는 차이를 보였다. 결론: 최근 급성동맥폐쇄증의 원인이 류마티스 심장질환에서 동맥경화성 질환으로 변화함으로서 단순한 Fogarty 혈전색전 제거술의 효과가 줄어들고 있어 이러한 단순 시술 대신에 부가적인 우회수술법이 고려되어야 할 것이다.

High Resolution HC$_3$N Observations toward the Central Region of Sagittarius B2

  • H.S-Ching;Oh, M.ishi;M.Morimoto
    • 한국우주과학회:학술대회논문집(한국우주과학회보)
    • /
    • 한국우주과학회 1993년도 한국우주과학회보 제2권2호
    • /
    • pp.17-17
    • /
    • 1993
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70${\pm}$1.32mmHg/min)compared to CF dialyzers(4.32${\pm}$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500,550,570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500,550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100,300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.

  • PDF

Sensory Information Processing

  • Yoshimoto, Chiyoshi
    • 대한의용생체공학회:의공학회지
    • /
    • 제6권2호
    • /
    • pp.1-8
    • /
    • 1985
  • The wall shear stress in the vicinity of end-to end anastomoses under steady flow conditions was measured using a flush-mounted hot-film anemometer(FMHFA) probe. The experimental measurements were in good agreement with numerical results except in flow with low Reynolds numbers. The wall shear stress increased proximal to the anastomosis in flow from the Penrose tubing (simulating an artery) to the PTFE: graft. In flow from the PTFE graft to the Penrose tubing, low wall shear stress was observed distal to the anastomosis. Abnormal distributions of wall shear stress in the vicinity of the anastomosis, resulting from the compliance mismatch between the graft and the host artery, might be an important factor of ANFH formation and the graft failure. The present study suggests a correlation between regions of the low wall shear stress and the development of anastomotic neointimal fibrous hyperplasia(ANPH) in end-to-end anastomoses. 30523 T00401030523 ^x Air pressure decay(APD) rate and ultrafiltration rate(UFR) tests were performed on new and saline rinsed dialyzers as well as those roused in patients several times. C-DAK 4000 (Cordis Dow) and CF IS-11 (Baxter Travenol) reused dialyzers obtained from the dialysis clinic were used in the present study. The new dialyzers exhibited a relatively flat APD, whereas saline rinsed and reused dialyzers showed considerable amount of decay. C-DAH dialyzers had a larger APD(11.70$\pm$1.32mmHg/min)compared to CF dialyzers(4.32$\pm$0.55mmHg/min)(p<0.05). However, there was no observable difference in the UFR between the two dialyzers. Neither APD nor UFR showed any significant increase with an increasing number of reuses for up to more than 20reuses. A substantial number of failures observed in APD(larger than 20mmHe/min)on the reused dialyzers(2 out of 40 CP and S out 26 C-DAK) were attributed to the Possible damage on the fibers. The CF 15-11 HFDs which failed APD test did not show changes in the UFR compared to normal dialyzers indicating that APD is a more sensitive test than UFR test to evaluate the integrity of the fibers. 30527 T00401030527 ^x For quantitative measurement of reflected light from a clinical diagnostic strip, a prototype old reflectance photometer was designed. The strip loader and cassette were made to obtain more accurate reflectance parameters. The strip was illuminated at 45˚c through optical fiber and the intensity of reflected light was determined at rectanguLat angle using a photodiode. The kubelka-munk coefficient and reflection optical density were determined ar four different wavelengths(500, 550, 570 and 610nm) for blood glucose strip. For higher concentration than 300mg/41 about glucose, a saturation state of abforbance was observed at 500, 550 and 570nm. The correlation between glucose concentration and parameters was the best at 610nm. 30535 T00401030535 ^x Radiation-induced fibrosarcoma tumors were grown on the flanks of C3H mice. The mice were divided into two groups. One group was injected with Photofrin II, intravenously (2.5mg/kg body weight). The other group received no Photofrin II. Mice from both groups were irradialed for approximately 15 minutes at 100, 300, or 500 mW/cm2 with the argon (488nm/514.5 nm), dye(628nm) and gold vapor (pulsed 628 nm) laser light. A photosensitizer behaved as an added absorber. Under our experimental conditions, the presence of Photolfrin II increased surface temperature by at least 40% and the temperature rise due to 300 mW/cm2 irradiation exceeded values for hyperthermia. Light and temperature distributions with depth were estimated by a computer model. The model demonstrated the influence of wavelength on the thermal process and proved to be a valuable tool to investigate internal temperature rise. 30536 T00401030536 ^x We investigated the structural geometry of thirty-eight Korean femurs. The purpose of this study is to identify major geometrical differences between Korean femurs 3nd others that we believe belong to Caucasians so that we would be able to get insights into the femoral component design that fits Asians including Koreans. We utilized computerized tomography (CT) images of femurs extracted from cadavers. The CT images were transformed into bitmap data by using a film scanner, and then analyzed by using a commercially available software called Image v.1.0 and a Macintosh IIci computer.The resulting data were compared with already published data. The major results show that the geometry of the Korean femurs is significantly different from that of Caucasians: (1) the anteversion angle and the canal flare index are greater by the amount of approximately 8˚ and 0.5, respectively, (2) the shape of the isthmus cross section is more round, and (3) the distance between the teaser trochanter and the proximal border of the isthmus is shelter by about 15 mm. The results suggested that the femoral component suitable for Asians should be different from the currently-used components designed and manufactured mostly by European or American companies. 30537 T00401030537 ^x It is well known that nonlinear propagation characteristics of the wave in the tissue may give very useful information for the medical diagnoisis. In this paper, a new method to detect nonlinear propagation characteristics of the internal vibration in the tissue for the low frequency mechanical vibration by using bispectral analysis is proposed. In the method, low frequency vibration of f0( = 100Hz) is applied on the surface of the object, and the waveform of the internal vibration x (t) is measured from Doppler frequency modulation of silmultaneously transmitted probing ultrasonic waves. Then, the bispectra of the signal x (t) at the frequencies (f0, f0) and (f0, 2f0) are calculated to estimate the nonlinear propagation characteristics as their magnitude ratio, w here since bispectrum is free from the gaussian additive noise we can get the value with high S/N. Basic experimental system is constructed by using 3.0 MHz probing ultrasonic waves and the several experiments are carried out for some phantoms. Results show the superiority of the proposed method to the conventional method using power spectrum and also its usefulness for the tissue characterization. 30541 T00401030541 ^x This paper describes the implementation of a computerized radial pulse diagnosis by aids of a clinical expert. On this base, we composed of the radial pulse diagnosis system in korean traditional medicine. The system composed of a radial pulse wave detection system and a radial pulse diagnosis system. With a detection system, we detected Inyoung and Cheongu radial pulse wave and processed it. Then, we have got the characteristic parameters of radial pulse wave and also quantified that according to the method of Inyoung-Cheongu Comparison Radial Pulse Diagnosis. We defined the jugement standard of radial pulse diagnosis system and then we confirmed the possibility for realization of automatic radial pulse diagnosis in korean traditional medicine. 30545 T00401030545 ^x Microspheres are expected to be applied to biomedical areas such as solid-phase immunoassays, drug delivery systems, immunomagnetic cell separation. To synthesize microspheres for biomedical application, "two stage shot growth method" was developed. The uniformity ratio of synthesized microspheres was always smaller than 1.05. And the surface charge density (or the number of ionizable functional groups) of the microspheres synthesized by "two stage shot growth method" was 6~13 times higher than that of the microspheres synthesized by conventional seeded batch copolymerization. As a previous step for biomedical application, adsorption experiments of bovine albumin on microspheres were carried out under various conditions. The maximum adsorbed amount was obtained in the neighborhood of pH 4.5. Isoelectric point of bovine albumin is pH 5.0, so experimental result shows that it shifted to acid area. The adsorption isotherm was obtained, the plateau region was always reached at 2.Og/L (bulk concentration of bovine albumin).The effect of the kind and the amount of surface functional group was also examined. 30575 T00401030575 ^x A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network). 30592 T00401030592 ^x In the conventional infrared imaging system, complex infrared lens systems are usually used for directing collimated narrow infrared beams into the high speed 2-dimensional optic scanner. In this paper, a simple reflective infrared optic system with a 2-dimensional optic scanner is proposed for the realization of medical infrared thermography system. It has been experimentally proven that the intfrared thermography system composed of the proposed optic system has the temperature resolution of 0.1˚c under the spatial resolution of lmrad, the image matrix size of 256 X 240, and tile imaging time of 4 seconds. 30593 T00401030593 ^x In this paper, MIIS (Medical Image Information System) has been designed and implemented using INGRES RDBMS, which is based on a client/server architecture. The implemented system allows users to register and retrieve patient information, medical images and diagnostic reports. It also provides the function to display these information on workstation windows simultaneously by using the designed menu-driven graphic user interface. The medical image compression/decompression techniques are implemented and integrated into the medical image database system for the efficient data storage and the fast access through the network. 30594 T00401030594 ^x In this paper, computerized BEAM was implemented for the space domain analysis of EEG. Trans-formation from temporal summation to two-dimensional mappings is formed by 4 nearest point inter-polaton method. Methods of representation of BEAM are two. One is dot density method which classify brain electrical potential 9 levels by dot density of gray levels and the other is colour method which classify brain electrical 12 levels by red-green colours. In this BEAM, instantaneous change and average energy distribution over any arbitrary time interval of brain electrical activity could be observed and analyzed easily. In the frequency domain, the distribution of energy spectrum of a special band can easily be distinguished normality and abnormality. 30608 T00401030608 ^x Laboratory information system (LIS) is a key tool to manage laboratory data in clinical pathology. Our department has developed an information system for routine hematology using down-sized computer system. We have used an IBM 486 compatible PC with 16MB main memory, 210 MB hard disk drive, 9 RS-232C port and 24 pin dot printer. The operating system and database management system were SCO UNIX and SCO foxbase, respectively. For program development, we used Xbase language provided by SCO foxbase. The C language was used for interface purpose. To make the system use friendly, pull-down menu was used. The system connected to our hospital information system via application program interface (API), so the information related to patient and request details is automatically transmitted to our computer. Our system interfaced with fwd complete blood count analyzers(Sysmex NE-8000 and Coulter STKS) for unidirectional data tansmission from analyzer to computer. The authors suggests that this system based on down-sized computer could provide a progressive approach to total LIS based on local area network, and the implemented system could serve as a model for other hospital's LIS for routine hematology. 30609 T00401030609 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed a composite that is consisted of calcium phosphate and collagen. To use as the structural matrix of the composite, collagen was purified from human umbilical cord. The obtained collagen was treated by pepsin to remove telopeptides, and finally, the immune-free atelocollagen was produced: The cross linked atelocollagen was highly resistant to the collagenase induced collagenolysis. The cross linked collagen demonstrated an improved tensile strength. 30618 T00401030618 ^x This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively. 30619 T00401030619 ^x To develop an artificial bone substitute that is gradually degraded and replaced by the regenerated natural bone, the authors designed and produced a composite that is consisted of calcium phosphate and collagen. Human umbilical cord origin pepsin treated type I atelocollagen was used as the structural matrix, by which sintered or non-sintered carbonate apatite was encapsulated to form an inorganic-organic composite. With cross linking atelocollagen by UV ray irradiation, the resistance to both compressive and tensile strength was increased. Collagen degradation by the collagenase induced collagenolysis was also decreased. 30620 T00401030620 ^x We have developed a monoleaflet polymer valve as an inexpensive and viable alternative, especially for short-term use in the ventricular assist device or total artificial heart. The frame and leaflet of the polymer valve were made from polyurethane, To evaluate the hemodynamic performance of the polymer valve a comparative study of flow dynamics past a polymer valve and a St. Jude Medical prosthetic valve under physiological pulsatile flow conditions in vitro was made. Comparisons between the valves were made on the transvalvular pressure drop, regurgitation volume and maximum valve opening area. The polymer valve showed smaller regurgitation volume and transvalvular pressure drop compared to the mechanical valve at higher heart rate. The results showed that the functional characteristics of the polymer valve compared favorably with those of the mechanical valve at higher heart rate. 30621 T00401030621 ^x Explosive evaporative removal process of biological tissue by absorption of a CW laser has been simulated by using gelatin and a multimode Nd:YAG laser. Because the point of maximun temperature of laser-irradiated gelatin exists below the surface due to surface cooling, evaporation at the boiling temperature is made explosively from below the surface. The important parameters of this process are the conduction loss to laser power absorption (defined as the conduction-to-laser power parameter, Nk), the convection heat transfer at the surface to conduction loss (defined as Bi), dimensionless extinction coefficient (defined as Br.), and dimensionless irradiation time (defined as Fo). Dependence of Fo on Nk and Bi has been observed by experiment, and the results have been compared with the numerical results obtained by solving a 2-dimensional conduction equation. Fo and explosion depth (from the surface to the point of maximun temperature) are increased when Nk and Bi are increased.To find out the minimum laser power for explosive evaporative removal process, steady state analysis has been also made. The limit of Nk to induce evaporative removal, which is proportional to the inverse of the laser power, has been obtained. 30622 T00401030622 ^x N1 and N2 gross neural action potentials were measured from the round window of the guinea pig cochlea at the onset of the acoustic stimuli. N1-N2 audiograms were made by means of regulating stimulant intensities in order to produce constant N1-N2 potentials as criteria for different input tone pip frequencies. The lowest threshold was measured with an input tone pip I5 dB SPL in intensity and 12 KHz in frequency when the animal was in normal physiological condition. The procedure of experimental measurements is explained in detail. This experimental approach is very useful for the investigation of the Cochlear function. Both noN1inear and active functions of the Cochlea can be monitored by N1-N2 audiograms. 30623 T00401030623 ^x In electrical impedance tomography(EIT), we use boundary current and voltage measurements toprovide the information about the cross-sectional distribution of electrical impedance or resistivity. One of the major problems in EIT has been the inaccessibility of internal voltage or current data in finding the internal impedance values. We propose a new image reconstruction method using internal current density data measured by NMR. We obtained a two-dimensional current density distribution within a phantom by processing the real and imaginary MR images from a 4.77 NMR machine. We implemented a resistivity mage reconstruction algorithm using the finite element method and sensitivity matrix. We presented computer simulation results of the mage reconstruction algorithm and furture direction of the research. 30624 T00401030624 ^x A new method of digital image analysis technique for discrimination of cancer cell was presented in this paper. The object image was the Thyroid eland cells image that was diagnosed as normal and abnormal (two types of abnormal: follicular neoplastic cell, and papillary neoplastic cell), respectively. By using the proposed region segmentation algorithm, the cells were segmented into nucleus. The 16 feature parameters were used to calculate the features of each nucleus. A9 a consequence of using dominant feature parameters method proposed in this paper, discrimination rate of 91.11% was obtained for Thyroid Gland cells. 30625 T00401030625 ^x An electrical stimulator was designed to induce locomotion for paraplegic patients caused by central nervous system injury. Optimal stimulus parameters, which can minimize muscle fatigue and can achieve effective muscle contraction were determined in slow and fast muscles in Sprague-Dawley rats. Stimulus patterns of our stimulator were designed to simulate electromyographic activity monitored during locomotion of normal subjects. Muscle types of the lower extremity were classified according to their mechanical property of contraction, which are slow muscle (msoleus m.) and fast muscle (medial gastrocneminus m., rectus femoris m., vastus lateralis m.). Optimal parameters of electrical stimulation for slow muscles were 20 Hz, 0.2 ms square pulse. For fast muscle, 40 Hz, 0.3 ms square pulse was optimal to produce repeated contraction. Higher stimulus intensity was required when synergistic muscles were stimulated simultaneously than when they were stimulated individually. Electrical stimulation for each muscle was designed to generate bipedal locomotion, so that individual muscles alternate contraction and relaxation to simulate stance and swing phases. Portable electrical stimulator with 16 channels built in microprocessor was constructed and applied to paraplegic patients due to lumbar cord injury. The electrical stimulator restored partially gait function in paraplegic patients. 30626 T00401030626 ^x Two-Dimensional modelling of the Cochlear biomechanics is presented in this paper. The Laplace partial differential equation which represents the fluid mechanics of the Cochlea has been transformed into two-dimensional electrical transmission line. The procedure of this transformation is explained in detail. The comparison between one and two dimensional models is also presented. This electrical modelling of the basilar membrane (BM) is clearly useful for the next approach to the further. Development of active elements which are essential in the producing of the sharp tuning of the BM. This paper shows that two-dimension model is qualitatively better than one-dimensional model both in amplitude and phase responses of the BM displacement. The present model is only for frequency response. However because the model is electrical, the two-dimensional transmission line model can be extended to time response without any difficult. 30627 T00401030627 ^x A method has been proposed for the fully automatic detection of left ventricular endocardial boundary in 2D short axis echocardiogram using geometric model. The procedure has the following three distinct stages. First, the initial center is estimated by the initial center estimation algorithm which is applied to decimated image. Second, the center estimation algorithm is applied to original image and then best-fit elliptic model estimation is processed. Third, best-fit boundary is detected by the cost function which is based on the best-fit elliptic model. The proposed method shows effective result without manual intervention by a human operator. 30628 T00401030628 ^x The intelligent trajectory control method that controls moving direction and average velocity for a prosthetic arm is proposed by pattern recognition and force estimations using EMG signals. Also, we propose the real time trajectory planning method which generates continuous accelleration paths using 3 stage linear filters to minimize the impact to human body induced by arm motions and to reduce the muscle fatigue. We use combination of MLP and fuzzy filter for pattern recognition to estimate the direction of a muscle and Hogan's method for the force estimation. EMG signals are acquired by using a amputation simulator and 2 dimensional joystick motion. The simulation results of proposed prosthetic arm control system using the EMf signals show that the arm is effectively followed the desired trajectory depended on estimated force and direction of muscle movements. 30638 T00401030638 ^x A new neural network architecture for the recognition of patterns from images is proposed, which is partially based on the results of physiological studies. The proposed network is composed of multi-layers and the nerve cells in each layer are connected by spatial filters which approximate receptive fields in optic nerve fields. In the proposed method, patterns recognition for complicated images is carried out using global features as well as local features such as lines and end-points. A new generating method of matched filers representing global features is proposed in this network. 30659 T00401030659 ^x An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3, 000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented. 30768 T00401030768 ^x In this paper, we describe the design methodology and specifications of the developed module-based bedside monitors for patient monitoring. The bedside monitor consists of a main unit and module cases with various parameter modules. The main unit includes a 12.1" TFT color LCD, a main CPU board, and peripherals such as a module controller, Ethernet LAN card, video card, rotate/push button controller, etc. The main unit can connect at maximum three module cases each of which can accommodate up to 7 parameter modules. They include the modules for electrocardiograph, respiration, invasive blood pressure, noninvasive blood pressure, temperature, and SpO2 with Plethysmograph.SpO2 with Plethysmograph.

  • PDF