• 대한피부과학회지
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• 제56권10호
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• pp.631-635
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• 2018

Microvenular hemangioma (MVH) is a rare acquired benign vascular neoplasm, which presents commonly as a solitary purple-to-red nodule or plaque measuring approximately 10 mm in diameter. MVH occurs primarily on the extremities or the trunk. Most lesions are solitary, and multiple lesions are rare. Histopathological features of MVH include numerous, scattered, thin and irregularly branching small vessels in the dermis and endothelial cells without atypia. Owing to similarities in clinical morphology and histopathological features, MVH may often be indistinguishable from the early patch stage of Kaposi sarcoma. Immunohistochemical (IHC) analysis helps differentiate between the 2 diseases. The results of IHC tests in patients with MVH show positive staining for CD31 and smooth muscle actin and typically, negative staining for the human herpes virus 8 antigen. We report a rare case of multiple MVH clinically mimicking the early patch stage of Kaposi sarcoma in a 63-year-old woman who presented with a 3-year history of slowly growing, compressible, soft, bluish-purple macules and plaques on the trunk and right arm.

• Clinical Pain
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• 제18권2호
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• pp.88-91
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• 2019

Unexplained pain and weakness, i.e., without obvious predisposing factors, are often encountered by physiatrists and efforts should be made to determine the cause. A 63-year-old male presented with radiating pain in his right arm and mild weakness of the right hand. An electrodiagnostic examination revealed distal symmetric sensory polyneuropathy in the upper and lower extremities, and denervation potentials in the forearm muscles, which were inconsistent with the cervical spine MRI images and symptoms. A predisposing undiscovered disease was revealed, i.e., squamous cell carcinoma in the lung; brain metastasis affecting the left primary motor cortex was also detected. Therefore, we concluded that the pain and weakness were related to paraneoplastic syndrome and brain metastases of the hand knob. The observed denervation potentials were characterized as trans-synaptic changes in the brain metastasis. This case highlights the importance of unexplainable focal pain and weakness in the increasing prevalence of cancer.

• 한국의학물리학회지:의학물리
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• 제34권4호
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• pp.48-54
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• 2023

Purpose: In this study, the dosimetric characteristics of lung stereotactic body radiotherapy (SBRT) plans using the new Halcyon system were analyzed to assess its suitability. Methods: We compared the key dosimetric parameters calculated for the Halcyon SBRT plans with those of a conventional C-arm linear accelerator (LINAC) equipped with a high-definition multileaf collimator (HD-MLC)-Trilogy Tx. A total of 10 patients with non-small-cell lung cancer were selected, and all SBRT plans were generated using the RapidArc technique. Results: Trilogy Tx exhibited significant superiority over Halcyon in terms of target dose coverage (conformity index, homogeneity index, D_{0.1 cc}, and D_95%) and dose spillage (gradient). Trilogy Tx was more efficient than Halcyon in the lung SBRT beam delivery process in terms of the total number of monitor units, modulation factor, and beam-on time. However, it was feasible to achieve a dose distribution that met SBRT plan requirements using Halcyon, with no significant differences in satisfying organs at risk dose constraints between both plans. Conclusions: Results confirm that Halcyon is a viable alternative for performing lung SBRT in the absence of a LINAC equipped with HD-MLC. However, extra consideration should be taken in determining whether to use Halcyon when the planning target volume setting is enormous, as in the case of significant tumor motions.

• Journal of Preventive Medicine and Public Health
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• 제57권4호
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• pp.388-398
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• 2024

Objectives: A substantial proportion of women experience mental health challenges during pregnancy or the postpartum period. Common mental disorders (CMDs), including depression, anxiety, and obsessive-compulsive disorder, are prevalent. Identifying causes and associated risk factors is imperative for early intervention and the prevention of mental health issues. Methods: This study utilized data from the 2018 Basic Health Research, which was conducted nationwide in Indonesia, using a cross-sectional approach. We focused on women aged 13-49 years who were currently or previously married, and had experienced pregnancy, including 8889 pregnant women and 77 012 women who had delivered between January 1, 2013 and August 31, 2018. The Self-Reporting Questionnaire-20 was employed to assess CMDs. Multivariate logistic regression was performed. Results: The prevalence of CMDs in pregnant women was 12.6%, while postpartum mothers exhibited a prevalence of 10.1%. Poor health status displayed the strongest impact on CMDs during both pregnancy (adjusted odds ratio [aOR], 12.23; 95% confidence interval [CI], 9.01 to 16.60) and the postpartum period (aOR, 16.72; 95% CI, 14.85 to 18.82). Additional significant factors for both group include young maternal age, lack of education, unemployment, history of hypertension, and smoking status. Among pregnant women, CMDs was also associated with first-trimester pregnancy, previous pregnancy complications, and small upper arm circumference. For postpartum mothers, significant factors include living in rural areas, history of abortion, unwanted pregnancy, pregnancy complications, lack of antenatal care, spontaneous delivery, postpartum complications and contraceptive use. Conclusions: CMDs can impact in pregnant and postpartum women. Early diagnosis and management must be seamlessly integrated into primary healthcare practices.

• Korean Circulation Journal
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• 제52권4호
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• pp.288-300
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• 2022

Background and Objectives: We compared real-world clinical outcomes of patients receiving intravascular lithotripsy (IVL) versus rotational atherectomy (RA) for heavily calcified coronary lesions. Methods: Fifty-three patients who received IVL from January 2017 to July 2020 were retrospectively compared to 271 patients who received RA from January 2017 to December 2018. Primary endpoints were in-hospital and 30-day major adverse cardiovascular events (MACE). Results: IVL patients had a higher prevalence of acute coronary syndrome (56.6% vs 24.4, p<0.001), multivessel disease (96.2% vs 73.3%, p<0.001) and emergency procedures (17.0% vs 2.2%, p<0.001) compared to RA. In-hospital MACE (11.3% vs 5.9%, p=0.152), MI (7.5% vs 3.3%, p=0.152), and mortality (5.7% vs 3.0%, p=0.319) were not statistically significant. 30-day MACE was higher in the IVL cohort vs RA (17.0% vs 7.4%, p=0.035). Propensity score adjusted regression using IVL was also performed on in-hospital MACE (odds ratio [OR], 1.677; 95% confidence interval [CI], 0.588-4.779) and 30-day MACE (OR, 1.910; 95% CI, 0.774-4.718). Conclusions: These findings represent our initial IVL experience in a high-risk, real-world cohort. Although the event rate in the IVL arm was numerically higher compared to RA, the small numbers and retrospective nature of this study preclude definitive conclusions. These clinical outcomes are likely to improve with greater experience and better case selection, allowing IVL to effectively treat complex calcified coronary lesions.

• Journal of Chest Surgery
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• 제38권5호
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• pp.366-370
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• 2005

배경: 일반적으로 심장수술은 정중흉골절개를 통해 행해져 오고 있으며, 과거 십 년간 내시경 장비와 수술 수기의 향상은 작은 절개를 이용한 최소 침습적 심장수술의 발전을 이끌었다. 술자의 음성 명령을 인식하여 내시경을 움직이는 로봇 팔(AESOP 3000, Automated Endoscope System for Optimal Positioning)의 등장으로 심장수술은 로봇 시대에 진입하였다. 대상 및 방법: 2004년 4월부터 12월까지 총 78명의 환자들에게 수술로봇을 이용한 심장수술을 시행하였고 그 중 64명의 환자들에게는 음성명령으로 조절되는 로봇 팔과 대퇴 동정맥관 삽관, 경피적 내경정맥관 삽관, 흉곽을 통한 대동맥 겸자를 사용하여 5cm 우외측 최소개흉으로 로봇을 이용한 최소 침습적 심장수술을 시행하였다. 다른 14명의 환자들에게는 AESOP을 이용한 내흉동맥 박리를 통해 최소 침습적 관상동맥 우회술(MIDCAB)을 시행하였다. 결과: 로봇을 이용한 심장수술은 승모판막 성형술이 37예, 승모판막 치환술이 10예, 대동맥판막 치환술이 1예, MIDCAB이 14예, 심방중격결손증 수술이 9예, Maze 수술만 시행한 경우가 1예였다. 승모판 수술의 경우 평균 체외순환시간은 $165.3\pm43.1$분이었고 평균대동맥 차단 시간은 $110.4\pm48.2$분이였다. 재원일수의 중간값은 승모판 수술인 경우 6일($3\~30$일), MIDCAB은 4일($2\~7$일), 심방중격결손증 수술은 4일($2\~6$일)이였다. 합병증으로는 술 후 출혈로 재수술한 경우가 3예이였고 사망환자는 없었다. 결론: 수술로봇을 이용한 심장수술을 시행한 우리의 경험으로 볼 때 많은 심장외과 의사들이 로봇을 이용하여 작은 창상을 통해 최소 침습적 심장수술이 가능하리라 본다. 수술로봇을 이용한 심장수술의 이점을 분석하기 위해서는 잘 계획된 연구와 긴밀한 장기간의 관찰이 필요할 것으로 판단된다.

• 한국환경농학회지
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• 제20권4호
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• pp.238-243
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• 2001

본 연구에서는 소형 퇴비화 용기의 최적 조건에서 미생물이나 퇴비화 보조제를 첨가하지 않고 가정에서 발생되는 음식물쓰레기를 매일 1 kg씩 투입하여 퇴비화를 진행하였다. 실험결과를 요약하면 다음과 같다; 퇴비화 진행과정 중 수분함량은 $51.04{\sim}53.45%$로 유지되었다. 질소는 퇴비화 진행과정에서 산화되어 암모니아성 질소 및 아질산성 질소로서 검출되지 않았다. Hemicellulose, Lignin은 시간의 경과에 따라 뚜렷한 경향을 나타내지 않았으나, Cellulose는 점차 감소하는 것으로 나타났다. 중금속의 함량은 Cu, Cd, Pb, Hg, As는 검출되지 않았고 Cr은 $9.8{\sim}13.8$ mg/kg으로 부산물 비료의 기준치 300 mg/kg보다 낮았으며, Zn은 $25{\sim}100$ mg/kg이었다. 무기성분은 $P_2O_5$ $1.32{\sim}1.71%$, CaO $1.29{\sim}1.48%$, MgO $0.41{\sim}0.49%$, $K_2O$ $0.38{\sim}0.74%$로 퇴비화 과정 중 큰 변화가 없었다. 20일 동안 퇴비화한 후 무게 감소율은 습윤 기준 67.5%, 분해율은 48%이었다. 배출된 퇴비의 숙성도는 3등급이었다.

• 한국수산과학회지
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• 제35권6호
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• pp.682-685
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• 2002

노래미와 쥐노래미의 유전적인 종 동정의 확립과 우량 품종 개발을 위한 유전 육종학적 연구의 기초 자료를 얻고자, 최근 양식 대상어로 대두되고 있는 두 어종을 대상으로 적혈구 세포와 핵의 크기, DNA 함량, 핵형 분석 등의 세포유전학적 연구를 수행하였다. 노래미의 적혈구 세포의 크기는 장, 단축이 각각 $9.76{\pm}0.27{\mu}m^2$, $6.35{\pm}0.07{\mu}m$로, 쥐노래미의 $9.17{\pm}0.05{\mu}m$, $6.2424{\pm}0.04{\mu}m$ 보다 크게 나타났으며 , 표면적과 부피 역시 노래미가 $48.62{\pm}1.74{\mu}m^2$, $213.67{\pm}7.51{\mu}m^3$로 쥐노래미의 적혈구 세포 표면적 $44.85{\pm}0.44{\mu}m^2$, 부피 $187.57{\pm}2.45{\mu}m^3$보다 큰 것으로 나타났다. 또한 노래미의 DNA 함량은 2.15$\pm$0.04pg, 쥐노래미는 2.10$\pm$0.03pg으로 핵의 크기와 유사한 양상을 나타내었다. 노래미와 쥐노래미의 염색체수는 48개로 동일한 핵형으로 구성되어 있었으며, NOR분석 결과 역시 두 종에서 1쌍의 acrocentric chromosome의 short arm에서 NOR이 확인되었다. 성별에 따른 염색체의 수적 차이나 hetero-morphic한 염색체, 그리고 개체간 염색체 다형 현상은 관찰되지 않았다.

• 한국광학회지
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• 제2권3호
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• pp.139-148
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• 1991

광섬유를 사용하여 미소 교류자기장 (200Hz-2kHz) 감지를 위한 광섬유 간섭계 자기센서시스템을 구성하였다. 자왜효과(magnetostriction effect)가 큰 비정질 metallic glass(2605SC)를 광섬유에 부착하여 자기장 감지부를 제작하고 방향성 결합기 metallic glass(2605SC)를 광섬유에 부착하여 자기장 감지부를 제작하고 방향성 결합기(directional coupler)를 사용한 광섬유 일체식(all-fiber type)으로 Mach-Zehnder 간섭계를 구성하여 외부 자기장의 변화를 간섭계의 위상변화로 변환시켜 그 크기를 측정하였다. 온도변화, 진동 등 주위환경에서 오는 불규칙한 신호에 의한 간섭계의 신호소멸(signal fading) 문제는 능동 위상추적방법(active phase tracking method)으로 간섭계의 기준 광통로(reference arm)에 위치한 위상 변조기에 보상신호를 되먹임으로써, 직각조건(quadrature condition)을 이루어 안정시켰다. 측정 결과 metallic glass의 주파수 반응특성은 900Hz-2kHz 대역에서 거의 비슷한 경향을 보였으며 최대 감도를 나타내는 직류 바이어스 자기장은 3.5 Oe 였다. 미소 교류자기장에 대한 간섭계의 출력은 $\pm$0.5 Oe 범위 안에서 좋은 선형성을 보였다. 1 kHz 교류자기장에 대한 scale factor S는 8.0 rad/Oe 이었으며 최소감지자기장은 $3X10^{-6} Oe/\sqrt{Hz}$(1Hz detection bandwidth)이었다.

• Archives of Plastic Surgery
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• 제34권1호
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• pp.52-59
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• 2007

Purpose: The venous flap is used as an alternative method to the standard free flap for the management of small and thin soft tissue defects. Especially, the venous flap has advantages of being thin, easy harvest and various donor sites, as well as it having lower morbidity. Yet their clinical applications have been limited by their unstable postoperative course and also by their complications such as partial necrosis. The aim of this study is to extend the clinical indications of venous flaps with using various methods. Methods: From May 2005 to March 2006, total of 19 patients(21 cases) underwent various venous flaps for soft tissue defects as a result of trauma(15 cases), facial skin cancer(3 cases), chronic ulcer(1 case) and surgical wound for congenital anomaly(2 cases). The arterialized venous free flap were applied in 18 cases, the pure venous free flap was applied in 1 case and the pure venous pedicled flap were applied in 2 cases. Among them, two flow-through arterialized venous free flaps were applied that used the great saphenous vein to reconstructed major arteries as well as the injured skin and soft tissues in the arm. All the flap were harvested from the volar wrist(11 cases), dorsum of foot(5 cases), thenar(2 cases), and medial thigh(3 cases). Results: The sizes of the flap ranged from $0.75cm^2$ to $264cm^2$(mean size: $40.06cm^2$). The follow-up period ranged from two to twelve months. In the majority of cases, we obtained satisfying results, which was the excellent reconstruction of skin and soft tissue defects and especially in the case of limb salvage, replantation and cancer reconstruction. However, there were 5 cases of partial necrosis and 2 cases of complete failure. The donor sites were closed primarily in 7 cases and wound closure with skin graft were in 14 cases. Conclusion: We conclude that the venous flap will not only be useful for reconstruction of small defect in the hand and foot, but also be useful for various other clinical indications.