• Journal of Yeungnam Medical Science
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• v.35 no.1
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• pp.130-134
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• 2018

Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.

• Journal of Korean Neurosurgical Society
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• v.64 no.3
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• pp.447-459
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• 2021

Objective : Oblique lateral interbody fusion (OLIF) is becoming the preferred treatment for degenerative lumbar diseases. As beginners, we performed 143 surgeries over 19 months. In these consecutive cases, we analyzed the learning curve and reviewed the complications in our experience. Methods : This was a retrospective study; however, complications that were well known in the previous literature were strictly recorded prospectively. We followed up the changes in estimated blood loss (EBL), operation time, and transient psoas paresis according to case accumulation to analyze the learning curve. Results : Complication-free patients accounted for 43.6% (12.9%, early stage 70 patients and 74.3%, late stage 70 patients). The most common complication was transient psoas paresis (n=52). Most of these complications occurred in the early stages of learning. C-reactive protein normalization was delayed in seven patients (4.89%). The operation time showed a decreasing trend with the cases; however, EBL did not show any significant change. Notable operation-induced complications were cage malposition, vertebral body fracture, injury to the ureter, and injury to the lumbar vein. Conclusion : According to the learning curve, the operation time and psoas paresis decreased. It is important to select an appropriately sized cage along with clear dissection of the anterior border of the psoas muscle to prevent OLIF-specific complications.

• The Korean Journal of Nuclear Medicine Technology
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• v.28 no.1
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• pp.23-29
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• 2024

Purpose: 99mTc-mebrofenin hepatobiliary scintigraphy (HBS) is an important and clinically useful diagnostic imaging study for detecting complications after liver transplantation. CT contrast agents due to their high atomic numbers, lead to a decrease in gamma ray count rates. This study investigated the impact of CT contrast agents on the uptake of 99mTc-mebrofenin in the liver. Materials and Methods: The quantitative HBS was performed on sixty-two liver transplantation patients (male:female=36:26), with a mean age of 59.4±6.4 years. Statistical comparison of hepatic uptake reduction ratio (HURR%) before and after the injection of CT contrast agents was performed using a paired t-test. Results: Hepatic uptake of the reduction ratio was 94.47±3.65% for the pre-CT contrast agents and 92.17±4.00% for the post-CT contrast agents. HURR% after CT contrast agent injection showed a statistically significant difference compared to before the injection (t=11.09, P<0.001). Conclusion: It will be necessary to pay attention when examining the HBS of patients with liver transplantation after the injection of CT contrast medium. It is advisable to schedule the examination on a different day to prevent residual contrast medium in the body from interfering with the quantitative evaluation of the nuclear medicine examination.

• Journal of Biomedical Engineering Research
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• v.45 no.1
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• pp.49-55
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• 2024

Accurate measurement of blood pressure is essential for classifying an individual's disease, identifying blood pressure-related risks, and managing health. Due to the environmental and health hazards of mercury sphygmomanometers, automatic sphygmomanometers using the oscillometric method are widely used in hospitals as well as in general homes, and have established themselves as a practical standard sphygmomanometer. In this study, we developed a blood pressure simulator using an actuator that provides simulated pressure to an automatic blood pressure cuff. The developed blood pressure simulator adopts an arm-shaped cylindrical shape similar to the situation in which a person measures blood pressure with an automatic blood pressure monitor, and implements a method of transmitting pressure to the cuff using a pressure plate. Accuracy was evaluated through the mean and standard deviation of the difference with the commercialized blood pressure simulator BP PUMP 2, and reproducibility was confirmed using two automatic blood pressure monitors. The developed blood pressure simulator enables automatic blood pressure monitoring in a simple manner and also meets the evaluation standards for accuracy and reproducibility. In the future, as a standardized blood pressure simulator, it is expected to be of great help in evaluating and verifying the performance of automatic blood pressure monitors by supplementing precise hardware and software and building a blood pressure database.

• Korean Journal of Radiology
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• v.23 no.7
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• pp.752-762
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• 2022

Objective: To compare a deep learning-based reconstruction (DLR) algorithm for pediatric abdominopelvic computed tomography (CT) with filtered back projection (FBP) and iterative reconstruction (IR) algorithms. Materials and Methods: Post-contrast abdominopelvic CT scans obtained from 120 pediatric patients (mean age ± standard deviation, 8.7 ± 5.2 years; 60 males) between May 2020 and October 2020 were evaluated in this retrospective study. Images were reconstructed using FBP, a hybrid IR algorithm (ASiR-V) with blending factors of 50% and 100% (AV50 and AV100, respectively), and a DLR algorithm (TrueFidelity) with three strength levels (low, medium, and high). Noise power spectrum (NPS) and edge rise distance (ERD) were used to evaluate noise characteristics and spatial resolution, respectively. Image noise, edge definition, overall image quality, lesion detectability and conspicuity, and artifacts were qualitatively scored by two pediatric radiologists, and the scores of the two reviewers were averaged. A repeated-measures analysis of variance followed by the Bonferroni post-hoc test was used to compare NPS and ERD among the six reconstruction methods. The Friedman rank sum test followed by the Nemenyi-Wilcoxon-Wilcox all-pairs test was used to compare the results of the qualitative visual analysis among the six reconstruction methods. Results: The NPS noise magnitude of AV100 was significantly lower than that of the DLR, whereas the NPS peak of AV100 was significantly higher than that of the high- and medium-strength DLR (p < 0.001). The NPS average spatial frequencies were higher for DLR than for ASiR-V (p < 0.001). ERD was shorter with DLR than with ASiR-V and FBP (p < 0.001). Qualitative visual analysis revealed better overall image quality with high-strength DLR than with ASiR-V (p < 0.001). Conclusion: For pediatric abdominopelvic CT, the DLR algorithm may provide improved noise characteristics and better spatial resolution than the hybrid IR algorithm.

• Proceedings of the Korean Geotechical Society Conference
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• 2000.02a
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• pp.71-78
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• 2000

SHANSEP method involves the consolidation to stresses in excess of the preconsolidation pressure in order to overcome sample disturbance effect. The concept of SHANSEP is based on an approach to laboratory test which attempts to reproduce the in-situ conditions more closely than is possible in routine tests and evaluates normalized strength parameters for the soil as a function of OCR. But SHANSEP method can be applied only to fairly uniform clay deposits, and is unsuitable for a random deposit. In this study, CK/sub o/U triaxial compression test and incremental loading consolidation test were performed for the application of SHANSEP method on Yangsan clay. During the K/sub o/-consolidation, triaxial specimens were consolidated to stress equal to two times the in-situ vertical effective stress. And for overconsolidated condition, the specimens were swelled to a known vertical effective stress in order to have the desired OCR. With the results of CK/sub o/U triaxial compression test using the block samples, the relationship between c/sub u//σ/sub vc/' and OCR on Yangsan clay was established. For evaluating the undrained shear strength of Yangsan clay with depth, CK/sub o/U triaxial compression test was performed using the piston samples taken from Yangsan site. And also undrained shear strength was analyzed from the in-situ test such as Cone Penetration Test(CPT), Dilatometer Test(DMT), and Field Vane Test(FVT) and was compared with that of CK/sub o/U triaxial compression test.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2000.04a
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• pp.91-98
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• 2000

Derivation of stage-discharge relationship and characteristics for Yangsan river is presented in this paper. This research has been conducted as the second one after the first trial of 1997. The determination of discharge at a Yangsan river gauging was best made by measuring the flow velocities with a current meter and rod float. The rating curve obtained through 52 stage-discharge measurements on Yangsan river basin in 1999 is represented by Q=15.3540-140.6076H+182.44372$H^2$, which is discovered to be most excellent among other curves in reliability analysis. The capability of the observed stage-discharge data for Yangsan river was tested by HEC-RAS program, and its capability to reproduce discharge was investigated and compared with the computational results. Rating curve stability is determined on the basis of deviations in the stage-discharge relationship, utilization of specific gauge, and absolute differences between sequential stream flow measurements and an analysis residuals. Therefore it seems necessary to research method to obtain rating curve in a rigorous and accurate manner.

• Sleep Medicine and Psychophysiology
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• v.22 no.1
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• pp.5-10
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• 2015

The secretion of melatonin exhibits a circadian rhythm entrained with the sleep-wake cycle. An alteration of this secretory rhythm has been found in various psychiatric disorders. This review summarizes the regulation of melatonin and its relationship to the circadian rhythm, major depressive disorder, bipolar disorder, seasonal affective disorder, Alzheimer's disease and autism. The review also looks at the effect of melatonin and melatonin agonist on sleep and symptoms of depression, bipolar disorder and seasonal affective disorder. In Alzheimer's disease, the circadian rhythm alterations are associated with the change of melatonin levels and melatonin receptors. It has been reported that melatonin and melatonin synthetic enzyme levels decrease in autism spectrum disorder.

• Journal of The Geomorphological Association of Korea
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• v.25 no.1
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• pp.19-30
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• 2018

This study tries to infer fault lines and produce a map for the lines based on a classification of fault-related landforms and fluvial landformsin the Gyeongju area of the Yangsan Fault Valley. Fault activities in the study area are thought to be older than the time of river formation or stronger than the erosion by river, while the northern and southern parts of the study area seem to have experienced fault activities after valley formation. It is also possible that weaker fault activities than the erosion by river seem to have been prevailed in the parts. In the study area, the Gyeongju alluvial fan is located within a wide erosional valley at the joint area of the Yangsan and Ulsan Faults. From the distribution of the landforms, it is inferred that several fault lines parallel to the Yangsan Fault are distributed at both sides of the fault valley. In particular, the area from Bae-dong to Nogok-ri, Naenam-myeon shows the most obvious linearity of the landforms within the study area. Several fault lines with a direction of NNE-SSW are also found around the epicenter of the 2016 Gyeongju Earthquake.

• Proceedings of the Korean Geotechical Society Conference
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• 1999.10a
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• pp.75-80
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• 1999

In this study, clay sampled from Yangsan$.$Mulkum site were used to analyze mineral properties. Mineral and chemical properties of clay were investigated through X-ray fluorescence spectrometer(XRF), X-Ray Diffraction(XRD), and Scanning Electron Microscope(SEM) analysis. The result of this test represents that Yangsan$.$Mulkum clay are composed of quartz, albite, anorthite, orthocalse and illite.