• Radiation Oncology Journal
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• 제28권3호
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• pp.177-183
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• 2010

목 적: 유방암 치료를 위한 방사선치료계획에 전산화단층촬영을 이용한 모의치료가 널리 이용되고 있다. 이는 환자 개개인의 해부학적 특징에 기반하여 종양 표적과 정상 조직을 정의할 수 있다. 본 연구는 일반적으로 유방 크기가 작은 한국인 유방암 환자에서 적용하는 방사선치료계획 방법에 따라 치료용적 및 치료범위에 차이가 있는지를 알아보기 위해 시행하였다. 대상 및 방법: 2008년 11월부터 2009년 1월까지 조기유방암으로 유방보존술을 시행 받은 25명의 환자를 대상으로 통상적인 접면조사의 이차원치료 계획과 전산화단층촬영을 기반으로 한 삼차원치료계획을 시행하였다. 이차원 치료계획에서 방사선조사영역의 경계는 유방실질을 촉지하여 결정하였고 위쪽으로는 쇄골의 바로 아래, 내측은 몸의 정중선, 외측은 중심 액와선 그리고 아래쪽은 유방밑주름에서 2 cm 아래에 표시하였다. 삼차원치료계획에서 임상표적체적은 모든 유선 조직을 포함하였고 계획용 표적체적은 임상표적체적에서 피부 쪽을 제외한 모든 방향으로 1 cm의 여유를 두어 결정하였다. 이차원과 삼차원치료계획 간의 조사영역의 경계 차이 및 동등조사영역의 차이를 확인하고 신체질량지수, 폐경 여부 및 유방크기의 관련성을 평가하였다. 그리고 선량분포로 지정한 유방조사량과 삼차원 선량분포에 기반하여 측정된 조사된 폐용적과 심장용적을 평가하였다. 결 과: 2명의 환자를 제외하고 계획용표적체적(PTV)은 삼차원치료계획이 이차원치료계획보다 모든 방향에서 표시한 방사선조사영역을 감소시켰고 위쪽 경계에서 그 차이값이 가장 컸다. 동등조사영역크기는 한 명을 제외하고 삼차원치료계획에서 이차원치료계획에서보다 작았으며(평균 0.9 cm), 신체질량지수, 폐경 여부 및 유방크기(브래지어 사이즈)와의 관련성은 보이지 않았다. 조사된 폐용적은 삼차원치료계획에서 유의하게 감소하였고, 심장용적 또한 감소하였지만 통계적으로 유의한 차이는 보이지 않았다. 결 론: 통상적인 치료계획과 비교하여 전산화단층촬영을 기반으로 한 삼차원치료계획이 작은 유방을 가진 환자에서 방사선조사영역 및 손상위험장기의 조사량을 줄이면서 수술 후 변화를 포함하여 더 정확한 종양치료가 가능할 수 있음을 보여주었다. 그러나 앞으로 임상표적체적의 정의에 대한 추가적인 연구 및 일반적인 합의가 필요하다.

• 한국유체기계학회 논문집
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• 제4권1호
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• pp.7-13
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• 2001

In developing a multistage compressor, the stage matching is one of the critical design issues. The mismatching can be often observed even if each stage has been proven good and then used as part of a compression system. A good matching among the stages can be achieved by changing various design parameters (i.e., passage cross sectional areas, blades angles, stagger angles, curvature, solidity, etc.). Therefore, designers need to find out what parameters must be changed and how much. In this study, a method to search the design parameters for optimum stage matching has been used based on an 1-D mathematical model of a compressor, which uses the data obtained from the preliminary test to identify the design parameters. This methodology is applied with a two-stage axial compressor, which was originally designed for a helicopter gas turbine engine. After identifying design parameters using preliminary test data, an optimization process has been employed to achieve the best matching between the stages (i.e., maximum efficiency of the compressor at its operation modes within a given range of the rotor speed under given restrictions for required stall margins and mass flow). 3-D flow calculations have been performed to confirm the usefulness of the corrections based on the 1-D mathematical model. Calculational results agree well with the experimental data in view of the performance characteristics. Some promising results were produced through the methodology proposed in this paper in conjunction with flow calculations.

• Investigative Magnetic Resonance Imaging
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• 제21권1호
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• pp.38-42
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• 2017

Schwannomas are mostly solid tumors, some of which may contain cystic degenerations or hemorrhages. However, a schwannoma seen as a purely hemorrhagic cystic tumor is very rare. A 63-year-old woman was referred to the hospital due to a slow-growing mass (present for about 5 years) on her right thigh. She complained about vague pain but without neurologic symptoms such as numbness or tingling sensations. MR images showed an oval lesion with defined margins surrounded by the rectus femoris, vastus lateral, and the vastus intermedius. It was characterized as a multilocular cystic lesion composed of hemorrhagic fluid. In addition, the benign hemorrhagic cystic lesion was differentially diagnosed by radiological techniques as a hemorrhagic ganglion cyst. The lesion was surgically excised and, based on pathological features, was diagnosed as being a schwannoma. We report a purely hemorrhagic cystic schwannoma located in an intermuscular plane.

• Asian Pacific Journal of Cancer Prevention
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• 제17권7호
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• pp.3185-3190
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• 2016

Background: This study was designed to compare radioguided versus routine wire localization of nonpalpable non-malignant breast lesions in terms of efficacy for complete excision, ease of use, time saving, and cosmetic outcome. Materials and Methods: Patients with non-palpable breast masses and non-malignant core biopsy results who were candidates for complete surgical lumpectomy were enrolled and randomly assigned to radioguided or wire localization groups. Radiologic, surgical, and pathologic data were collected and analyzed to determine the difficulty and duration of each procedure, ease of use, accuracy, and cosmetic outcomes. Results: This prospective randomized study included 60 patients, randomly divided into wire guided localization (WGL) or radioguided occult lesion localization (ROLL) groups. The mean duration of localization under ultrasound guidance was shorter in the ROLL group (14.4 min) than in the WGL group (16.5 min) (p<0.001). The ROLL method was significantly easier for radiologists (p=0.0001). The mean duration of the surgical procedure was 22.6 min (${\pm}10.3min$) for ROLL and 23.6 min (${\pm}9.6min$) for WGL (p=0.6), a non-significant difference. Radiography of the surgical specimens showed 100% lesion excision with clear margins, as proved by pathologic examination, with both techniques. The surgical specimens were slightly heavier in the ROLL group, but the difference was not significant (p=0.06). Conclusions: The ROLL technique provides effective, fast, and simple localization and excision of non-palpable non-malignant breast lesions.

• Archives of Plastic Surgery
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• 제35권1호
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• pp.100-103
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• 2008

Purpose: Eccrine porocarcinoma is a very rare, potentially fatal tumor which arises from the intraepidermal portion of the eccrine sweat ductal apparatus. It does not have a characteristic clinical feature but does have a high incidence of metastasis. It may be developed de novo or in a preexisting benign eccrine poroma. It usually affects older people and is located most commonly on lower extremities. We report a rare case of eccrine porocarcinoma which developed on the back without metastasis. Methods: The patient was a 94-year-old woman who showed a painful, ulcerated, dark brown colored polypoid $3.5{\times}3.0cm$ sized mass on the back for 3 years. We totally excised the lesion including normal tissue. Results: After wide excision of the lesion, pathologist reported an eccrine porocarcinoma. Histopathologic findings reveal that the classic type of eccrine gland carcinoma, eccrine porocarcinoma. Immunocytochemical studies showed a positive reactivity to anti-EMA antibody and anti-CEA antibody. Conclusion: Authors experienced a rare case of primary eccrine porocarcinoma on the back. Because of the propensity to develop local recurrence, wide excision of the primary tumor with histologic confirmation of negative margins represents the only curative treatment regimen for eccrine porocarcinoma.

• 자원환경지질
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• 제24권1호
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• pp.9-20
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• 1991

구시납석광상은 전남 해남지역의 중생대 백악기 화산암류를 모암으로 산출된다. 모암을 이루는 화산암류는 대부분 웅회암류이나 일부 유문암의 변질산물도 있으며, 이들의 열수변질 산물로서 구시광상의 납석 및 도석을 형성 시켰다. 이 변질작용의 결과로 형성된 광물조합에 의하여 이들은 변질대의 중심부로부터 외각으로 가면서 납석, 디카이트, 석영 및 일라이트-스멕타이트대로 구분된다. 이러한 변질광물의 분포양상은 모암인 장구리응회암이 상대적으로 높은 Si와 K이온 활동도를 갖는 강한 산성 열수용액에 의한 변질작용에 의하여 형성되었음을 지시한다. 이들 광물의 안정영역을 고려할 때 일라이트-스멕타이트대는 $200^{\circ}C$ 이하에서, 디카이트대는 $200{\sim}250^{\circ}C$ 범위에서, 납석대는 $260^{\circ}C$ 이상의 온도 영역에서 형성 되었음을 지시한다. 납석대의 일부에서 다이아스포어를 함유하는 것으로 보아 이때의 최고 온도는 $300^{\circ}C$ 정도에 이르렀을 것이다. 이들 변질작용은 본역에 분포된 화산암류를 형성시킨 화산활동에 기인된 열수변질작용으로 해석된다.

• 대한두경부종양학회지
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• 제24권2호
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• pp.203-206
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• 2008

Objectives：DFSP(Dermatofibrosarcoma protuberans) is an uncommon, slowly growing, locally invasive malignant tumor that usually presents as a painless, often long-standing mass arising in the dermis of skin. It occurs most frequently on the trunk and proximal parts of the limbs, less commonly in the head and neck region and has a frequent tendency to recur after surgical excision. Clinically, the initial appearance of the tumor similar to that of benign tumor such as keloid and dermatofibroma. Therefore, accurate clinical diagnosis and adequate surgical excision are important. Materials and Methods：We experienced 6 patients of DFSP in head and neck during the recent 6 years, 5 male and 1 female patients. The age of the patients ranged from 31 to 66. As reconstructive methods, the authors used cervicofacial flap, trapezius musculocutaneous flap, TRAM flap, anterolateral thigh free flap and skin graft. Results：The patients were followed up after operation from 24 to 79 months and all remained free of disease except one case, who occurred at forehead area. Conclusion：We present the experience of 6 cases of DFSP occurred in head and neck. We obtained satisfactory results with appropriate diagnosis and treatment which wide excision with surgical margins 3-5cm. We also present an operative plan of this locally aggressive and highly recurrent tumor.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권6호
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• pp.570-574
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• 2005

Keratoacanthoma is a benign, self-limited epithelial lesion that closely resembles Squamous cell carcinoma(SCC). Keratoacanthoma occur primarily exposed skin in male patients over 45 years of ages. although etiology is unknown, sunlight, genetic, and human papillomavirus factor have been considered. in clinical feature, rapid enlargement occurs over 4$\sim$8 weeks, resulting ultimately in a hemispheric, firm, elevated, asymptomatic nodule that contains a central plug of keratin. When fully developed, the keratoacanthoma contains a core of keratin surrounded by a concentric collar of raised skin. Over the next 4$\sim$8 weeks, static lesion persists. Then undergoes spontaneous regression over the next 6$\sim$8weeks period by expulsion of the keratin core with resorption of the mass. In histologic feature, Keratoacanthoma consists of hyperplastic squamous epithelium growing into the underlying connective tissue. The surface is covered by a thickened layer of parakeratin with central plugging. Epithelium cell shows dysplastic features and the margins the normal adjacent epithelium is elevated. The differential diagnosis includes SCC. Keratoacanthoma present as a exophytic lesion with horny keratin occupying a depression on the top of the lesion, persists static period and undergoes rapid growth compared with SCC. Keratoacanthoma is usually treated by surgical excision or curettage of the base, spontaneous regression does not occur in every case. A 60 years old male who present facial lesion visit our hospital and surgical excision was done. Biopsy result was keratoacanthoma. We report case with review of literatures.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2004년도 추계학술대회논문집
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• pp.574-577
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• 2004

This paper presents a hybrid system combining lead rubber bearings and hydraulic actuators controlled by a $\mu-synthesis$ method for seismic response control of a cable-stayed bridge. A hybrid system could alleviate some of restrictions and limitations that exist when each system is acting alone because multiple control devices are operating. Therefore, the overall control performance of a hybrid system may be improved compared to each system, however the overall system robustness may be negatively impacted by active device in the hybrid system or active controller may cause instability due to small margins. Therefore, a $\mu-synthesis$ method that guarantees the robust performance is considered to enhance the possibility of real applications of the control system. The performances of the proposed control system are compared with those of passive, active, semiactive control systems and hybrid system controlled by a LQG algorithm. Furthermore, an extensive robust analysis with respect to stiffness and mass matrices perturbation and time delay of actuator is performed. Numerical simulation results show that the performances of the proposed control system are superior to those of passive system and slightly better than those of active and semiactive systems and two hybrid systems show similar control performances. Furthermore, the hybrid system controlled by a f-synthesis method shows the good robustness without loss of control performances. Therefore, the proposed control system could effectively be used to seismically excited cable-stayed bridge which contains many uncertainties.

• 식품과학과 산업
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• 제51권4호
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• pp.270-277
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• 2018

대두단백이 인체에 유익한 효과를 주는 양질의 단백질이라는 사실은 수많은 임상연구를 통해 검증됐다. 동물성 단백질의 높은 탄소발자국과 지속가능성에 대한 우려가 증가하고, 식물성 식품의 섭취를 늘릴 것을 권고하는 각국 보건당국의 움직임에 따라 식물성 단백질에 대한 수요가 증가하고 있다. 대두단백은 상용화된 식물성 단백질 중에서는 유일하게 완전단백질 식품으로 알려진 우유 및 달걀과 동등한 영양가를 갖는 단백질이다. 대두단백은 HDL콜레스테의 감소 없이 LDL 콜레스테롤, 총 콜레스테롤 및 중성지방을 감소시키는 효과가 있어 심혈관계 건강 증진에 도움을 주며, 동맥경화 진행을 늦추는 것으로 알려졌다. 대두단백은 다른 고품질 단백질과 마찬가지로 포만감을 증가시켜 체중 조절에 도움을 줄 뿐만 아니라, 체중 감소 시 실질체중(lean body mass) 보존을 도와 체성분 구성을 개선할 수 있도록 한다. 대두단백은 필수 아미노산의 적절한 공급을 통해 근육량을 보존시킬 뿐 아니라, 유청단백질과 카제인 등의 유단백과 함께 섭취함으로써 근육 성장을 더욱 촉진시키는 이점이 있다. 대두단백은 다양한 종류의 제품에 적용할 수 있다. 분산성, 유화 정도, 점도, 밀도, 겔 형성도 및 용해도를 조절한 다양한 분리대두단백 제품이 출시되었기 때문에, 원하는 조직감, 식감, 수화 정도 등에 따라 적절한 제품을 선택하여 적용할 수 있다. 이와 같은 장점 때문에 대두단백은 영양보충용 음료, 뉴트리션 바, 아이스크림 및 푸딩 등에 동물성 단백질의 대체재 혹은 보완재로 사용된다. 또, 대두단백은 육가공품 및 수산가공식품의 동물성단백질을 대체하여 경제적으로 제품의 품질을 향상시키면서도 본래의 식감을 유지할 수 있게 해준다. 마지막으로, 대두단백은 스낵, 시리얼, 음료, 파스타 및 간편식의 단백질 함량을 높이기 위해서도 널리 사용된다.