• 한국어류학회지
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• 제35권3호
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• pp.160-170
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• 2023

멸종위기어류 버들가지 Rhynchocypris semotilus의 생태적 특징을 밝히기 위해 강원도 고성군 현내면의 송현천에서 2022년 4월부터 10월까지 생활사를 조사하였다. 4개 지점을 선정하여 7회 조사한 결과, 동소출현종은 10과 18종이 채집되었으며, 버들가지는 아우점종이었다. 버들가지는 송현천 중·상류의 바위와 큰돌, 수생식물로 이루어진 느린 여울부와 소에 주로 서식하고 있었다. 산란이 시작되는 5월에 전장빈도분포도로 버들가지의 연령을 추정하면, 전장 4~12 mm는 당년생 치어, 32~49 mm는 만 1년생, 50~65 mm는 만 2년생, 66~91 mm는 만 3년생, 92~116 mm는 만 4년생 이상으로 추정되었고, 5월부터 9월까지 급격한 성장을 보였다. 암컷과 수컷의 전장은 비교적 유사하였고, 암·수 성비(♂/♀)는 0.78이었다. 산란기는 5월부터 7월이며(수온은 17~21℃), 생식소는 전장 66 mm 이상인 만 3년생부터 성숙하였다. 5월의 생식소성숙도(GSI)는 평균 암컷 10.6±2.99%, 수컷 8.2±2.34%였고, 포란수는 평균 6,830±1,943개, 성숙란의 크기는 1.34±0.16 mm였다. 끝으로 버들가지의 생활사 특징을 버들치속과 연준모치속 어류와 비교·논의하였다.

• 한국의료질향상학회지
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• 제10권1호
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• pp.28-41
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• 2003

Background : Because unplanned readmissions to intensive care unit(ICU)might be related with undesirable patient outcomes, we investigated the pattern of and reason for unplanned ICU readmission to provide baseline data for reducing unplanned returns to ICU. Methods : The subjects included all patients who readmitted to ICU during the same hospitalization at a tertiary referral hospital between January 1st and June 30th 2002. Quality improvement(QI) nurse collected the data through medical records and a medical director reviewed the data collected. Results : 1) The average unplanned ICU readmission rate was 5.6%(gastroenterology 14.6%, pediatrics 12.7%, pulmonology 11.9%, neurosurgery 6.3%, general surgery 5.3%, chest surgery 3.9%, and cardiology 3.3%). 2) Among the unplanned readmissions, more than 50% of cases were from patients older than 60 years, and the main categories of diagnose at hospital admission were neurologic disease(29.9%) and cardiovascular disease(27.6%). 3) Of unplanned ICU readmissions, 41.8% had recurrence of the initial problems, 44.8% had occurrence of new problems. And 9.7% required post-operative care after unplanned operations. 4) The most common cause responsible for unplanned ICU readmission were respiratory problem(38.3%) and cardiovascular problem(14.3%). 5) About 40% of unplanned ICU readmission occurred within 3 days after ICU discharge. 6) Average length of stay of the readmitted patients to ICUs were much longer than that of non-readmitted patients. 7) Hospital mortality rate was much higher for unplanned ICU readmitted patients(23.6%) than for non-readmitted patients(1.5%) (P<0.001). Conclusions : This study showed that the unplanned ICU readmitted patients had poor outcomes(high morality and increased length of stay). In addition study results suggest that more attention should be paid to patients in ICU with poor respiratory function or elderly patients, and careful clinical decisions are required at discharged from ICU to general ward.

• 대한치과의사협회지
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• 제48권8호
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• pp.615-620
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• 2010

Purpose: The short dental implant is considered as possible solution in the alveolar bone height deficient cases. The aim of this study was to evaluate clinical availability of short implants by measuring the marginal bone loss of short length implants and comparing with that of conventional length implants. Materials and Methods: The groups were composed of patients who had received at least one implant. The samples of this study were selected from patients who with functional loading after prosthetic treatment for 1 year follow up period. The implants with a length of 5.7 mm and 6mm were considered short. (Bicon Dental implants, USA). The experiment group was composed of $4.5{\times}6mm$, $5{\times}6mm$, $6{\times}5.7mm$ implants (total 18 implants were placed in 14 patients, 8 on maxilla, 10 on mandible). The control group was composed of $4.5{\times}8mm$, $5{\times}8mm$, $4.5{\times}11mm$, $5{\times}11mm$. All implants were selected only by implants placed on molar area. We evaluated marginal bone loss in radiographic images at baseline (implant loading) and 3, 6, 12 months after loading. Additionally, crown-to-implant ratio was evaluated, and marginal bone loss according to crown-to-implant ratio after functional loading was analyzed. Results: The short implant group had a mean marginal bone level of $-0.52{\pm}0.69mm$; the 8mm group, $-0.22{\pm}0.82mm$; and the II mm group, $-0.10{\pm}1.09mm$ after I year of functional loading. But significant differences were not detected between three groups at every follow-up period. Crown-to-implant ratio in short implant group was $1.55{\pm}0.23$; 8mm group was $1.15{\pm}0.18$; and 11mm group was $0.92{\pm}0.15$. Additionally, significant differences between three groups were founded. (P<.0001) The greatest marginal bone loss after 1 year follow-up was founded at crown-to-implant ratio 1~1.49 range in short implant. Conclusion: The marginal bone loss of short implants was comparable to that of long implants. So, the short implants can be a clinically acceptable option.

• Korean Journal of Radiology
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• 제25권6호
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• pp.565-574
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• 2024

Objective: To evaluate the safety and clinical outcomes of the Passeo-18 Lux drug-coated balloon (DCB) in endovascular revascularization procedures under real-world conditions in a Korean population with atherosclerotic disease of the infrainguinal arteries, including below-the-knee (BTK) arteries. Materials and Methods: Eight institutions in the Republic of Korea participated in this prospective, multicenter, single-arm, post-market surveillance study. Two hundred patients with Rutherford class 2-5 peripheral arterial disease and infrainguinal lesions suitable for endovascular treatment were competitively enrolled. Data were collected at baseline, the time of intervention, discharge, and 1-, 6-, 12-, and 24-month follow-up visits. The primary safety endpoint was freedom from major adverse events (MAE) within 6 months (except when limiting the time frame for procedure- or device-related mortality to within 30 days), and the primary effectiveness endpoint was freedom from clinically driven target lesion revascularization (CD-TLR) within 12 months after the procedure. Results: A total of 197 patients with 332 target lesions were analyzed. Two-thirds of the patients had diabetes mellitus, and 41.6% had chronic limb-threatening ischemia. The median target lesion length was 100 mm (interquartile range: 56-133 mm). Of the target lesions, 35.2% were occlusions, and 14.8% were located in the BTK arteries. Rate of freedom from MAE was 97.9% at 6 months, and the rate of freedom from CD-TLR was 95.0% and 92.2% at 12 and 24 months, respectively. Subgroup analysis of 43 patients and 49 target lesions involving the BTK arteries showed rate of freedom from MAE of 92.8% at 6 months and rates of freedom from CD-TLR of 88.8% and 84.4% at 12 and 24 months, respectively. Conclusion: The results of the present study, including the BTK subgroup analysis, showed outcomes comparable to those of other DCB studies, confirming the safety and effectiveness of Passeo-18 Lux DCB in the Korean population.

• 한국측량학회지
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• 제39권6호
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• pp.549-554
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• 2021

정밀한 3차원 도로공간정보는 자율주행을 위한 기본 인프라로 안전한 자율주행을 위한 필수 데이터라 할 수 있다. MMS (Mobile Mapping System)은 도로공간정보 구축을 위한 장비로 활용되고 있으며, 관련 연구가 수행되고 있다. 하지만 MMS를 활용한 성과물의 정확도에 중요한 요인이 되는 기준점 거리가 성과물의 정확도에 미치는 영향을 분석한 연구는 부족한 실정이다. 이에 본 연구에서는 MMS를 이용하여 취득되는 데이터의 기준점 거리별 정확도를 분석하고자 하였다. 연구대상지 도로에 대해 MMS를 이용하여 포인트클라우드 데이터를 구축하였다. 데이터 처리는 MMS 데이터는 기준점과의 거리를 고려하여 4개의 데이터를 구축하였으며, 정확도 평가를 위해 12개의 검사점 성과와 비교하여 정확도를 분석하였다. MMS 데이터의 정확도는 수평방향으로 -0.09m~0.11m, 높이방향으로 0.04m~0.19m의 차이를 나타내었다. 수평방향에 비해 수직방향의 오차가 크게 나타났으며, 기준점과의 거리가 증가함에 따라 정확도가 감소함을 알 수 있었다. 또한 구간의 거리가 길어질수록 기준점과의 거리가 하나의 데이터 셋에서 달라질 수 있기 때문에 추가적인 연구가 필요하며, 향후 여러 개의 기준점을 사용하는 방법에 대한 정확도 평가가 이루어진다면 정밀한 도로공간정보 구축을 위한 효과적인 기준점 활용 방안을 제시할 수 있을 것이다.

• Archives of Plastic Surgery
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• 제36권1호
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• pp.33-37
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• 2009

Purpose: Liver transplantation is considered as the treatment of choice in many acute and chronic liver diseases, and it is becoming more common. Since successful microscopic anastomosis of hepatic artery is a crucial requirement of successful liver transplantation, we studied and analyzed the result of hepatic artery anastomosis of liver transplantation in our liver transplantation center. Methods: 145 liver transplantations were performed between February 2005 and May 2008. Male to female ratio of the liver transplantation recipients was 3.4 : 1. Anastomosis of portal vein, hepatic vein and biliary tract was performed by the general surgeon, and anastomosis of hepatic artery was performed by the plastic surgeon under the loupe or microscopic vision. After the hepatic artery was reconstructed, anastomosed site status and flow were checked with Doppler ultrasonography intraoperatively and with contrast enhanced CT or angiography postoperatively if necessary. Results: Out of 145 liver transplantations, cadaveric liver donor was used 37 cases and living donor liver transplantation was performed 108 cases including the 2 dual donor liver transplantations. As for the baseline diseases that resulted in the liver transplantation, there were 57 cases of liver cirrhosis and hepatocellular carcinoma due to hepatitis B, taking up the greatest proportion. Single donor hepatic artery was used in 114 cases, and mean artery diameter was 2.92 mm and mean artery length was 24.25 mm. Hepatic artery was used as the recipient artery in every case except the 8 cases in which gastroepiploic artery was used as alternative. Out of 145 cases of hepatic artery anastomosis, 3 cases resulted in the thrombosis of the hepatic artery, requiring thrombectomy and re - anastomosis. In all 3 cases, thrombosis was found in left hepatic artery and there was no past history of hepatic artery chemoembolization. Conclusion: Incidence of hepatic artery thrombosis after the anastomosis of hepatic artery during liver transplantation was 2.1%, which is considered sufficiently low.

• 한국측량학회지
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• 제28권3호
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• pp.305-315
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• 2010

본 연구는 지상모바일매핑시스템을 이용하여 취득한 중첩 전방위 영상을 이용하여 객체점의 3차원 좌표를 결정하는 방법을 제시하고 정확도를 분석하고자 한다. 제안된 방법은 먼저 개별 센서 및 대상공간에 좌표계를 정의하고 좌표계간의 관계를 설정한다. 이에 기반하여 전방위 영상의 한점에 투영되는 객체점이 위치한 직선을 유도하고, 공액점으로부터 결정되는 한쌍의 직선을 교차하여 객체점의 3차원 좌표를 결정한다. 제안된 방법을 통해 결정된 객체점의 좌표를 GPS와 토탈스테이션으로 측정한 검사점 좌표와 비교하여 정확도를 검증하였다. 본 연구의 결과 기선의 길이 및 카메라/대상객체 사이의 상호 위치를 적절하게 설정한다면 객체점의 상대좌표를 수 cm 내의 정확도로 결정할 수 있었다. 절대좌표의 정확도는 정오차로 인해 수 cm에서 1 m 정도를 보였다. 향후 카메라 좌표계와 GPS/INS 좌표계 사이의 관계를 보다 정확하게 설정하고 전방위 카메라의 보정을 통해 절대 좌표의 정확도를 개선할 계획이다.

• 한국어류학회지
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• 제28권4호
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• pp.239-248
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• 2016

한국고유종 동방종개 Iksookimia yongdokensis의 생태적 특성을 밝히기 위해 2015년 3월부터 2016년 2월까지 경상북도 영덕군 축산군의 축산천에서 서식지와 연령, 산란기 특성 등을 조사하였다. 연령별로 서식지를 분석한 결과 당년생(0+)과 1~4년생은 구별되었는데, 당년생은 유속이 느리고 ($2.4{\pm}2.09\;cm/sec$) 수심이 낮으며 ($29.2{\pm}7.57\;cm$) 모래 바닥 (하상 크기 $0.6{\pm}1.44\;cm$)에 주로 서식하였지만, 1~4년생은 유속이 비교적 빠르고 (3.8~4.6 cm/sec) 수심은 깊은 (50~70 cm) 자갈과 돌 바닥(하상크기 5.5~6.1 cm)에 주로 서식하여 차이를 보였다. 전장빈도분포도로 연령(암컷)을 추정한 결과, 산란기인 6월에 35~64 mm는 만 1년생, 65~94 mm는 만 2년생, 95~119 mm는 만 3년생, 120~145 mm은 만 4년생 이상으로 추정되었다. 생후 13개월 후에 수컷 가슴지느러미 기조에 골질반(lamina circularis)이 형성되어 암 수가 구별되었고, 성비(♂/♀)는 0.69였으며, 암컷이 수컷보다 10~30 mm가 더 컸다. 산란기는 생식소성숙도 (GSI)로 추정한 결과 6~7월 (수온 $20{\sim}25^{\circ}C$)이었고, 포란수는 $2,292{\pm}618$개, 성숙난 크기는 $1.46{\pm}0.02\;mm$였다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권6호
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• pp.521-530
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• 2020

Purpose: Malnutrition is a common feature in critically ill children. Enteral nutrition (EN) is the main strategy to nutritionally support critical ill children, but its use can be hindered by the development of intolerance. The study aimed to assess the effectiveness and safety of amoxicillin/clavulanate (A/C) to treat EN intolerance. Methods: We retrospectively evaluated patients admitted to the pediatric intensive care unit from October 2018 to October 2019. We conducted a case-control study: in the first 6 months (October 2018-April 2019) we implemented the nutritional protocol of our Institution with no drug, whereas in the second half (May 2019-October 2019) we employed A/C for 1 week at a dose of 10 mg/kg twice daily. Results: Twelve cases were compared with 12 controls. At the final evaluation, enteral intake was significantly higher than that at baseline in the cases (from 2.1±3.7 to 66.1±27.4% of requirement, p=0.0001 by Wilcoxon matched-pairs signed rank test) but not in the controls (from 0.2±0.8 to 6.0±14.1% of the requirement, p=NS). Final gastric residual volume at the end of the observation was significantly lower in the cases than in the controls (p=0.0398). The drug was well tolerated as shown by the similar safety outcomes in both cases and controls. Conclusion: Malnutrition exposes critically ill children to several complications that affect the severity of disease course, length of stay, and mortality; all may be prevented by early EN. The development of intolerance to EN could be addressed with the use of A/C. Future prospective clinical trials are needed to confirm these conclusions.

• 한국전문물리치료학회지
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• 제21권4호
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• pp.23-33
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• 2014

The aim of this study was to evaluate the effects of walking on a treadmill while using dynamic functional electrical stimulation (Dynamic FES) on functional ability and gait in chronic stroke patients. This was a prospective, randomized controlled study. Twelve patients with chronic stroke (>24 months) who were under grade 3 in dorsiflexor strength with manual muscle test were included and randomized into intervention (Dynamic FES) ($n_1$=7) and control (FES) ($n_2$=5). Both the Dynamic FES group and FES group were given a neuromuscular development treatment. The Dynamic FES group has implemented a total of 60 minutes of exercise treatment and gait training with Dynamic FES application. The FES group, with the addition of applying FES while sitting, has also implemented a total of 90 minutes of gait training on treadmill after the exercise treatment. Both two groups accomplished the program, twice a week, for a total of 24 times in a 12-week period. Exercise treatment, gait training on treadmill, and both Dynamic FES and FES were implemented for 30 minutes each. Korean version activities-specific balance confidence scale (K-ABC) was measured to determine self-efficacy in balance function. Timed up and go (TUG) test was performed to evaluate the physical performance. K-ABC, TUG, Berg balance scale (BBS), modified physical performance test (mPPT) and G-walk were evaluated at baseline and at 12 weeks. After 12 weeks, statistically significant differences (p<.05) were apparent in the Dynamic FES group in the changes in K-ABC and BBS. mPPT, TUG, gait speed, stride length and stance phase duration (%) were compared with the FES group. K-ABC had higher correlation to BBS, along with mPPT to TUG. Our results suggest that walking with Dynamic FES in chronic stroke patients may be beneficial for improving their balance confidence, functional ability and gait.