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$H\"{u}rthle$ Cell Tumor of the Thyroid (갑상선의 $H\"{u}rthle$씨 세포 종양)

  • Chung Woong-Youn;Kim Suk-Ju;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.206-212
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    • 1997
  • H$\"{u}$rthle cell neoplasm of the thyroid gland is an uncommon, but potentially malignant lesion. However, in many instances, the malignant potential of the H$\"{u}$rthle cell neoplasm is very difficult to judge histologically. For this reason, the biologic behavior of this tumor and its optimal treatment have come under considerable debate in recent years. In order to review the clinicopathologic features of the H$\"{u}$rthle cell neoplasm and to determine its optimal treatment modalities, we studied 26 patients with path logical proof of H$\"{u}$rthle cell tumor from January 1987 to September 1997. We also performed an immunohistochemical study using the monoclonal antibodies against antigen CD34 for the angiogenic activity of this tumor and evaluated the differences of microvessel density(MVD) between benign and malignant tumors. The age of the patients ranged from 1 to 71 years with a mean of 44.2 years. There were 6 males and 20 females(M : F= 1 : 3.3). The accuracies of fine needle aspiration biopsy and frozen section were very low; 6.3% and 34.8%, respectively. There were 20 benign tumors and 6 malignant tumors(23.1%). All the malignant tumors were microinvasive(intermediate) type which had minimal capsular invasion and most of them(5 cases) were diagnosed postoperatively. Any specific clinicopathologic differences were not seen between benign and intermediate groups. Most of the cases had conservative surgeries(15 ipsilateral lobectomy-isthmusectomy, 7 subtotal thyroidectomy) while total thyroidectomy was performed in 4 cases. Of the cases with malignant tumor, 2 had ipsilateral lobectomy-isthmusectomy, 3 had subtotal thyroidectomy and the remaining 1 had total thyroidectomy. Mean size of the tumors was 3.0 cm(0.1- 8.5 cm) in the greatest diameter and multiple tumors were seen in 6 cases(23.1 %). During the follow-up period, only one recurrence(3.8%) of benign tumor occurred but distant metastasis or cause-specific death was seen in the benign or intermediate groups. Mean MVDs of the benign(n=13) and intermediate(n=6) groups were $121.7{\pm}35.3$ and $114.3{\pm}31.7$, respectively and there was no statistical significance between them. In conclusion, because of the low accuracies of fine needle aspiration biopsy and frozen section for the H$\"{u}$rthle cell neoplasm, the extent of surgery could be individualized based on permanent pathologic examination; Conservative surgery would be adequate for patients with benign or intermediate H$\"{u}$rthle cell neoplasm and total or near-total thyroidectomy for those with definite malignancy.

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The Algorithm for an Energy-efficient Particle Sensor Applied LEACH Routing Protocol in Wireless Sensor Networks (무선센서네트워크에서 LEACH 라우팅 프로토콜을 적용한 파티클 센서의 에너지 효율적인 알고리즘)

  • Hong, Sung-Hwa;Kim, Hoon-Ki
    • Journal of the Korea Society for Simulation
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    • v.18 no.3
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    • pp.13-21
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    • 2009
  • The sensor nodes that form a wireless sensor network must perform both routing and sensing roles, since each sensor node always has a regular energy drain. The majority of sensors being used in wireless sensor networks are either unmanned or operated in environments that make them difficult for humans to approach. Furthermore, since many wireless sensor networks contain large numbers of sensors, thus requiring the sensor nodes to be small in size and cheap in price, the amount of power that can be supplied to the nodes and their data processing capacity are both limited. In this paper, we proposes the WSN(Wireless Sensor Network) algorithm which is applied sensor node that has low power consumption and efficiency measurement. Moreover, the efficiency routing protocol is proposed in this paper. The proposed algorithm reduces power consumption of sensor node data communication. It has not researched in LEACH(Low-Energy Adaptive Clustering Hierarchy) routing protocol. As controlling the active/sleep mode based on the measured data by sensor node, the energy consumption is able to be managed. In the event, the data is transferred to the local cluster head already set. The other side, this algorithm send the data as dependent on the information such as initial and present energy, and the number of rounds that are transformed into cluster header and then transferred. In this situation, the assignment of each node to cluster head evenly is very important. We selected cluster head efficiently and uniformly distributed the energy to each cluster node through the proposed algorithm. Consequently, this caused the extension of the WSN life time.

A Highly Reliable Fall Detection System for The Elderly in Real-Time Environment (실시간 환경에서 노인들을 위한 고신뢰도 낙상 검출 시스템)

  • Lee, Young-Sook;Chung, Wan-Young
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.2
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    • pp.401-406
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    • 2008
  • Fall event detection is one of the most common problems for elderly people, especially those living alone because falls result in serious injuries such as joint dislocations, fractures, severe head injuries or even death. In order to prevent falls or fall-related injuries, several previous methods based on video sensor showed low fall detection rates in recent years. To improve this problem and outperform the system performance, this paper presented a novel approach for fall event detection in the elderly using a subtraction between successive difference images and temporal templates in real time environment. The proposed algorithm obtained the successful detection rate of 96.43% and the low false positive rate of 3.125% even though the low-quality video sequences are obtained by a USB PC camera sensor. The experimental results have shown very promising performance in terms of high detection rate and low false positive rate.

A Study on Basic Costume Appearing in Genre Paintings from the Late 17th Century to the Early 18th Century : focused upon Works of DuSeo Yun and YoungSeok Cho (17C말~18C초 풍속화에 나타나는 복식에 관한 연구 - 윤두서, 조영석 작품 중심으로 -)

  • 최은주
    • The Research Journal of the Costume Culture
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    • v.8 no.6
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    • pp.915-929
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    • 2000
  • As a result of research, the character of the general dress-costumes from the late 17th century to the early 18th century in Genre Paintings of DuSeo Yun and YoungSeok Cho is as follows. Firstly young women wore braided hair at the back of head and married women wore hair in the style of Unjeun-mori with Gache. The length of Jeogori (Korean traditional jacket) covered waistor shortened to waist length. The width of Jeongori was suitable, because side-seam line was straight or oblique as it comes into inner line. The width of Git was enough and Mokpan-git (shape of board) and Kal-kit (shape of knife) appeared, and sometimes used other color fabric. Sleeve was narrow and ostly folded up. Chima (Korean traditional skirt) used darker color fabric than Jeogori and the width of Chima was narrow and its length was short. Sokbaji (Korean traditional underpants) shown below were narrow and its end narrower. They were barefoot or they wore Hye (Korean traditional shoes) after putting on Beoseon (Korean traditional socks). Secondly general man's hair tie a topknot (sangtu) and put on headdres, 'Bang-lip', 'Mang-geon', hairband, 'Tang-geon' on head. The length of Jeogori became shorter from the line which covered hip to the line which covered waist. The width of Jeogori was suitable and sometimes it had a slit of side-seam line. The width of Git (neckand) was wide and the length of Git was long. 'Kal-git'appeared and it used other color fabric. The shape of sleeve was straight and narrow. They folded up their sleeves. They folded up their sleeves. They folded up their slack that look like 'Jam-bang-i'and the width of slacks was not suitable, and it was narrow. Baji (Korean traditional pants) were with or without knot, worn 'Hangjeon'(ankle band). They were barefoot and wore 'Hye'or 'Jipsin'(Korean traditional straw shoes). Thirdly a person of high birth or a low-ranked official put 'Yu-geon', 'Mang-geon', 'Gat', 'Tang-geon', 'Bok-du', 'Bok-geon', 'Whi-hang'on their head on a topknot. They wore 'Po (Shim-ui, Jick-ryeong'Jung-chi-mak, Do-po, etc)'on Baji and Jeogori. 'Po'was long and wide, it knot with 'Se-jo-dae'(string belt) or 'Po-baek-dae'(band belt). It had a slit of sideline and 'Mu'which had or had not or which were hard to confirm. The shape of sleeve was straight or very wide and its length was long. The width of Baji was wide and knotted with 'Hangjeon'and wore'Beoseon'and 'Hye'. Fourthly child's hair was short or knotted to the back of the head. The length of Jeogori reached waist line and its width was wide. It had a 'Jeogori'which had s slit of sideline. The shape of sleeve was 'Tong-su'(straight), and the length of sleeve was diverse. They put 'Baeja'on 'Jeogori'. The width of Baji was not wide. They wore them straight without or with knot, 'Hangjeon'. They were barefoot or put on 'Jipsin'.

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An Analysis of Stress Transfer Behaviors within the Necrotic Cancellous Bone following Surgical Procedures or the Management of the Osteonecrosis of the Femoral Head (대퇴골두 무혈성 괴사증의 수술적 기법 적용 후 괴사 망상골 내에서의 응력 변화 해석)

  • Kim, J.S.;Lee, S.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.245-248
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    • 1997
  • Operative interventions for the management of osteonecrosis of the femoral head (ONFH) include core drilling, with or without vascularized fibular bone grafting. Nevertheless, their clinical results have not been consistently satisfactory. Recently, a new surgical procedure that incorporates cementation with polymethylmethacrylate (PMMA) after core drilling has been tried clinically. In this study, a biomechanical analysis using a finite element method(FEM) was undertaken to evaluate surgical methods and their underlying surgical parameter. Our finite element models included five types. They were (1) normal model (Type I), (2) necrotic model (Type II), (3) core decompressed model (Type III). (4) fibular bone grafted model (Type IV), and (5) cemented with PMMA model (Type V). The geometric dimensions of the femur were based on digitized CT-scan data of a normal person. Various physiological loading conditions and surgical penetration depths by the core were used as mechanical variables to study their biomechanical contributions in stress transfer within the femoral head region. In addition. the peak von Mises stress(PVMS) within the necrotic cancellous bone of the femoral head was obtained. The fibular bone grafted method and cementation method provided optimal stress transfer behaviors. Here. substantial increase in the low stress level was observed when the penetration depth was extended to 0mm and 5mm from the subchondral region. Moreover, significant decrease in PVMS due to surgery was observed in the fibular bone grafted method and the cementation method when the penetration depths were extended up to 0 and 5mm from the subchondral region. The drop in PVMS was greater during toe-off than during heel-strike (57% vs. 28% in Type IV and 49% vs. 22% in Type V). Both the vascularized fibular bone grafting method (Type IV) and the new PMMA technique (Type V) appear to be very effective in providing good stress transfer and reducing the peak Von-Mises stress within the necrotic region. Overall results show that fibular bone grafting and cementation methods are quite similar. In light of above results, the new cementation method appears to be a promising surgical alternative or the treatment of ONFH. The use of PMMA for the core can be less prone to surgical complication as opposed to preparation of fibular bone graft and can achieve more immediate fixation between the core and the surrounding region.

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Thyroid Tuberculosis (갑상선 결핵)

  • Lee Jae-Hoon;Chung Woung-Yoon;Kang Hae-Youn;Park Cheong-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.201-205
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    • 2000
  • Objectives: Despite of high prevalence of tuberculosis in Korea, thyroid tuberculosis is very rare and only a few records are available. This study was carried out to evaluate the clinicopathologic characteristics of thyroid tuberculosis and to find out optimal therapeutic strategies for these lesions. Materials & Methods: From Jan. 1986 to July. 2000, of 5,493 patients who were underwent thyroidectomy, only 8(0.14%) had discovered to have thyroid tuberculosis. The medical records of them were analyzed retrospectively. Results: There were one man and seven women with a mean age of 40.3 years. Only one had tuberculosis sequalae on chest X-ray and two had past history of tuberculous lymphadenitis. However, none of them had symptomatic pulmonary tuberculosis. Most frequent symptom was palpable neck mass. The preoperative U/S, CT and FNAB failed to diagnose thyroid tuberculosis. The pathologic reports were chronic granulomatous thyroiditis with caseous necrosis in all the cases and AFB stain was positve in 5 cases. All cases were successfully treated by surgical resection and anti-Tbc. medications. Conclusions: The incidence of thyroid tuberculosis was extremely low and most of them have been presented as a palpable neck mass especially in relatively young-aged female patients. Although any diagnosis for thyroid tuberculosis prior to microscopical study of tissue removed at operation was not yielded, the preoperative diagnostic workups will be available with experience. Surgical resection and anti- Tbc medication would be the choice in the management of thyroid tuberculosis.

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Numerical Study on the Hydrodynamic Performance Prediction of a Turbopump Inducer (인듀서 성능예측에 대한 수치해석적 연구)

  • Choi, Chang-Ho;Hong, Soon-Sam;Kim, Jin-Han
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.31 no.6
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    • pp.72-78
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    • 2003
  • In the present paper, computational studies on the hydrodynamic behavior of the inducer for the rocket-engine turbopump are presented including the effect of the mass flow rate. As the mass flow rate is increased, the inducer showed better performance with weak back flows which may have deleterious effects upon the anti-cavitation ability. But the adopted inducer showed low head rise with high volume flow rates, which may be caused by the small passage area near the trailing edge. The static pressure distributions at the shroud surface are compared with experimental results showing very good agreements except near the leading edge where strong back flows are present. The overall performance of the inducer such as, efficiency, head rise is also compared with experiments. The computational results are generally in good agreements with experimental ones near the design point, but two results show discrepancy at the high flow rate.

High Dose Therapy of Radioactive Iodine for Thyroid Ablation in Thyroid Carcinoma (갑상선 악성종양에서 갑상선 전절제술 후 방사성 요오드 치료의 효과)

  • Ahn Hee-Cheol;Kang Seong-Joon;Hong In-Soo
    • Korean Journal of Head & Neck Oncology
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    • v.14 no.1
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    • pp.61-69
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    • 1998
  • Objectives: The response rate of the radioactive iodine(RI) therapy with low dose was variable. Only a few studies reported the response and complication rate with high dose. The goal of this study was to access the ablation and complication rate after high dose of RI therapy (more than 100mCi) and to evaluate the factors affect the results. Material and Methods: During a period of 12 years, 225 patients received high dose of RI from 100 to 200mCi depending on the RI uptake in the whole body after total thyroidectomy. 100mCi of RI was given to 123 patients for ablation who showed the uptake only in the thyroid bed. 150mCi was given to another 84 patients for ablation who had uptake confined to the neck. The other 21 patients took more than 200mCi of RI because the whole body scan showed distant metastasis. Among these patients, the ablation and the complication rate was investigated. Results: Elevated level of the serum thyroglobulin(Tg) decreased less than 5ng/ml after RI therapy in all patients except two in the first group. The second group showed reduction of the serum Tg in 93%. Eighteen of the 21 patients in the third group are still alive after RI therapy. There were no fatal complications after high dose RI therapy and most of the complications were minimal and transient. The complication rate was not related with the dose of RI, age, sex, DNA flowcytometry, serum thyroglobulin level and the extent of node dissection. Conclusion: We concluded that RI therapy with high dose was very effective for thyroid ablation after operation and it also showed excellent results with minimal complications for treatment of metastatic lesions.

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Crash Worthiness of a Post with Clip-type Slip Base Subject to Side Impact (클립형 단부분리장치를 갖는 지주의 측면충돌 시 충격완화효과)

  • Ko, Man-Gi;Kim, Kee-Dong;Kim, Kyoung-Ju;Sung, Jung-Gon;Yun, Duk-Geun
    • International Journal of Highway Engineering
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    • v.12 no.4
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    • pp.175-186
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    • 2010
  • When a rigid post is exposed to traffic, it is hazardous not only to head-on impacts but also to side impacts. Clip-type slip base is an effective measure to reduce the severity of head-on impacts and side impacts as well because of its multi-directional release mechanism. Side impact tests were conducted and the results were analysed to demonstrate the hazardousness of a rigid post to a side impact and the crash worthiness of a post having clip-type slip base. For that, side impact test standard was made adapting the NCHRP Report 350, and 820kg-50km/h side impact tests were made for posts of D101.6mm(t=4.2mm) with and without slip base. Additionally, 35km/h side impact to the same post with slip base was conducted to check whether the clip-type slip base release mechanism works properly to the low impact speed. The tests revealed that the rigidly connected post was very hazardous to side impact while the post with the clip-type slip base reduced the impact severity tremendously.

Assessment of DRL for Computed Tomography in Local Hospital (지역병원에서의 전산화단층촬영 검사에 대한 DRL 평가)

  • Choi, Seok-Yoon
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.619-625
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    • 2022
  • In the field of imaging medicine, computed tomography is one of the most common test methods and one of the most frequently used test methods in hospitals. However, it is accompanied by a very high radiation exposure compared to other test methods. In order to reduce exposure, CT scans should be performed only when absolutely necessary, and even if the tests are performed because they are absolutely necessary, a protocol that serves the purpose of the test and allows the test to be performed in a small dose should be used. In this study, we wanted to learn about the most up-to-date radiation dose usage information used by the region's leading general hospitals and develop a diagnostic reference level (DRL). In the experimental results, the Head CT and Abdomen CT tests showed that DLP was higher than the NRPB (U.K) and Korean DRL. The DLP values used by Chest CT were low for all 3 types of CT devices. The hospital found that efforts to reduce exposure should be made during CT examinations, and in particular, Head CT and Abdomen CT determined that efforts to reduce exposure were necessary.