• Journal of Chest Surgery
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• 제30권12호
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• pp.1232-1236
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• 1997

미만성 간질성 폐질환의 진단은 임상소견, 기관지폐포 세척액 검사, 경기관지 생검 그리고 폐생검등이 이용되고 있다. 확진을 위해서는 폐생검을 하여야 하며 흉강경을 이용한 폐생검이 흉강내를 자세히 관찰하여 적절한 위치을 선정할 수 있고 개흉적 폐생검보다 수술후 통증이 적음으로 해서 합병증이나 입원기간을 단 축하는 장점이 있다 중앙대학교 의과대학 흉부외과 교실에서는 1994년 4월부터 1996년 12월까지 미만성 간질성 폐질환 환자 22 명에서 흉강경을 이용한 폐생검을 실시하여 다음과 같은 결과를 얻었다. 1. 남녀비는 14:8로 남자에서 많았고 평균연령은 54.6세, 연령분포는 60대가 7례로 가장 많았다. 2. 생검부위는 좌우폐비가 6:20로 우측에서 많았으며, 부위별로는 우하엽이 13례, 우상엽이 4례, 우중엽이 3 례, 좌상엽이 3례 좌하엽이 3례로서 우하엽이 많았으며 한부위에서만 시행한 환자가 \ulcorner례, 2군데서 시행한 환자가 4례 있었다. 3. 수술전후 폐기능검사는 WC, FEVI, FEV1/PVC에서 의미있는 변화는 없었다. 4. 생검결과 통상성 간질성 폐렴이 8례로 가장 많았고 그 다음 속립성 결핵에 의한 것이 4례, 전이성 암성 폐질환이 3례, 박리성 간질성 폐렴, 기질화된 폐렴을 동반한 폐쇄성 기관지염이 각각 2례, 기타 유육종증, 범세기관지염, 기관지 확장증이 각각 1례씩 있었다. 결론적으로 미만성 간질성 폐질환 환자에서 확진을 위한 흉강경을 이용한 폐생검은 폐기능이 나쁜데도 불구 하고 안전하고 유용하게 사용할 수 있다.

• 대한후두음성언어의학회지
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• 제28권2호
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• pp.89-95
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• 2017

Background and Objectives : High-speed videolaryngoscopy (HSV) is the only technique that captures the true intra-cycle vibratory behavior of the vocal folds by capturing full images of the vocal folds. However, it has problems of no immediate feedback during examination, considerable waiting time for digital kymography (DKG), recording duration limited to a few seconds, and extreme demands for storage space. Herein, we demonstrate a new post-processing method that converts HSV images to two-dimensional digital kymography (2D-DKG) images, which adopts the algorithm of 2D videokymography (2D VKG). Materials and Methods : HSV system was used to capture images of vocal folds. HSV images were post-processed in Kay image-process software (KIPS), and conventional DKG images were retrieved. Custom-made post-processing system was used to convert HSV images to 2D-DKG images. The quantitative parameters of the post-processed 2D-DKG images was validated by comparing these parameters with those of the DKG images. Results : Serial HSV images for all phases of vocal fold vibratory movement are included. The images were converted by the scanning method using U-medical image-process software. Similar to conventional DKG, post-processed 2D DKG image from the HSV image can provide quantitative information on vocal fold mucosa vibration, including the various vibratory phases. Differences in amplitude symmetry index, phase symmetry index, open quotient, and close quotient between 2D-DKG and DKG were analyzed. There were no statistical differences between the quantitative parameters of vocal fold vibratory movement in 2D-DKG and DKG. Conclusion : The post-processing method of converting HSV images to 2D DKG images could provide clinical information and storage economy.

• 농촌계획
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• 제6권1호
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• pp.19-28
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• 2000

Now in order to overcome the weakest points of the rural areas of the city of Kimje and, transform them into rural cultural villages which have local governing systems suitable to new localization age and activate this plan, we selected Daesan Village as a model village which had shown a lot of potentials in the basic research and studied it dividing it into the former part and the latter part. We studied Daesan village in the former part focusing on state analysis and basic ideas and in the latter part focusing on master plan and detail planning. We can summarize the conclusion like the followings. 1. Daesan Village located 8 kilometer away from the downtown Kimje and the city of Iksan respectably has comparatively good environment of good sunny place as an open field whose surrounding configuration of the ground consists of farming lands and low hills in front and rear. It has 38 farming households in all. 2. Human environment(인문환경); the village road whose width is about 4 meters is forming a flow system forking off into three. There is a route bus which operates three times a day even into the inside of the village. The main sources of revenue are vegetables in facilities, fruits and floriculture. Their average revenue is about 10.5 million won. 3. Here in DaeSan Village a legend dealing with Teasan literally meaning a big mountain consist of th village's tradition and you can see the tombs of a very faithful son and Anwi an army general in the age of the Japanese Invasion of Korea of 1592 to 1598 inside the village. 4. 85 out of the eitire population 141 whose age are over 20 showed very positive attitudes in a questionnaire about, making the village a cultural one and its development. 5. The basic of planned ideas is to increase the revenue of the farming household by making the village a professional farming one which has a state-of the-art production facility and agricultural technique. It is to make the village the one where people can enjoy the sense of the rural life and the farmer can enjoy their lives through consumptive and consistant leisure and resting activities. 6. We are planning to make entrance space, life space, rest and sport space, and cultural space considering the characteristics of the village and the demand of the resident. We are also planning to make tile entire city of Kimje an information transmitting base in short and long term perspectives. 7. DaeSan Village was planned as a place where tradition and the future exist together. On the basis of this concept we planned future programs for Daesan Village and in the latter part of the study master plans and detail plans will be continued.the regional agricultural condition. The development permissions were only during the period of restricted to use ($1979.12{\sim}1993.11$). We propose that the authority of development permission should be given to the local autonomy government, because the local government has the knowledge of its individual agricultural conditions.

• Journal of Chest Surgery
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• 제8권1호
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• pp.37-44
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• 1975

Authors have reviewed the records of seven patients of multiple rib fractures with severe flail chest who were admitted to Hanyang University Hospital during the 3 years period from 1972 through 1975. Of the seven patients studied, automobile accidents led to the injuries in 4 cases, two patients were injured in fall from a tree and on the ox-heading. All who had a blunt trauma without any open wound on the chest. The numbers of the fractured ribs accounted for 6 to 9 of the ribs including double fractures from 3 to 5 ribs. The left side fractures occurred in the 6 patients and in the right only one patient. Thus the flail segment was more often located in the left antero-lateral position than in the right lateral position [the ratio was 6:1].. All cases had associated injuries. The injuries and multiple fractures were the most common associated injuries occurring in four and five of the patients respectively. The patients were classified as having associated head injuries when they were admitted in comatose or semicomatose state. When a major degree of instability of the thoracic cage exists, adequate respiratory change is not possible. For this reason the tracheostomy was performed in five patients in an acutely injured patient with flail chest only after an endotracheal tube has been inserted or after an endotracheal suction. All patients had secondary complications in the pleural cavity, such as hemothorax or hemopneumothorax with or without intrapulmonary hemorrhage and subcutaneous emphysema. Therefore, closed thoracostomy was performed in five patients in the emergency room. The thoracotomy was required in four patients: immediate operation without closed thoracostomy was performed in two patients and the thoracotomy was indicated in two patients after closed thoracostomy, because of increasing intrathoracic hemorrhage. As to the fixation of the flail segments, authors employed two techniques; one was towel clip traction of the flail segments and the other was intramedullary insertion of Kirschner`s wire in to the double fractured rib fragments for the fixation of the flail segments [Kirschner`s wire fixation]. Because` of an different results in the course of treatment between two techniques, data from patients with towel clip traction was compared with those from patients with thoracotomy and Kirschner`s wire fixation of the flail segments. Of the three patients with towel clip traction, two patients required bronchoscopic toilet due to lung atelectasis which developed because of inadequate motion of thoracic cage and poor expectoration. This was in contrast to the four patients with thoracotomy and Kirschner`s wire fixation, who didn`t these complication because of adequate motion of the thoracic cage and subsequent good expectoration.

• 한국해안해양공학회지
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• 제19권4호
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• pp.329-335
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• 2007

해수면의 상태를 보고 파고를 측정하는 목측은 선박이나 먼 바다에서의 파랑관측 방법으로 여전히 이용되고 있으며, 오랜 경험을 가진 숙련자의 경우에는 상당히 정확하게 파고를 관측할 수 있다. 이러한 목측의 표준지표로 뷰퍼트(Beaufort) 풍력계급표가 가장 널리 이용되고 있다. 그러나 이 지표에 설명된 해수면의 모양은 연구자 또는 일반인에게는 친숙하지 않기 때문에 파고별 대표영상 등의 보다 구체적인 참고자료가 필요하다. 현대의 현장계측기술은 실시간으로 해양관측자료를 획득할 수 있는 수준에 이르렀으며, 기존의 파고 및 기상 관측시설과 함께 현장의 해상상태 영상자료까지 획득할 수 있게 되었다. 본 연구에서는 속초 조도동방등표에 설치되어 운영 중인 실시간해양관측 시스템에 무선영상전송장치를 설치하여 파랑자료와 영상이미지를 수집하고 유의파고별로 현장이미지를 비교 및 분류하였다. 관측된 해상상태 영상들과 뷰퍼트 풍력계급표의 해면 상태 설명과 비교한 결과 해상상태 영상자료의 가치를 확인할 수 있었다. 뷰퍼트 풍력계급표는 순수하게 목측이나 파고척을 이용하여 목측으로 만들어진 것에 비해 본 연구의 결과는 정밀한 파고센서와 과학적인 해상상태 영상정보 수집으로 파고의 실체적인 모습을 파악할 수 있었으며 관측파고의 신뢰성을 제고할 수 있는 기회가 되었다.

• 공업화학
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• 제31권5호
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• pp.539-544
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• 2020

본 연구에서는 넓은 면적의 나노필라 배열 필름을 기반으로 포토 및 소프트 리소그래피 기술과 화학적 희석 고분자 중합을 조절하여 3차원 다공성의 폴리아닐린 필름을 제조하였다. 3차원 폴리아닐린 필름은 계층 간 연결된 폴리아닐린 나노파이버들로 구성되어 있어, 넓은 표면적과 개방형의 다공성 구조를 가지는 3차원 계층형 나노웹 필름을 형성한다. 전기화학분석법을 기반으로 3차원 폴리아닐린 필름이 유연한 pH 센서 전극이 되는 것을 증명하였다. 3차원 폴리아닐린 필름은 이상적인 네른스트 거동과 근접한 60.3 mV/pH의 높은 민감도를 보였다. 또한, 3차원 폴리아닐린 전극은 10 min의 빠른 반응 속도, 우수한 반복성 그리고 높은 선택성을 나타내었다. 3차원 폴리아닐린 전극을 기계적으로 굽힌 상태에서 센서 특성을 측정하였을 때, 전극이 60.4 mV/pH의 높은 민감도를 보여줌으로써, 유연한 pH 센서 성능을 증명하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권5호
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• pp.428-434
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• 2001

After miniplate fixation of mandibular angle fractures, fracture line stability during functional loading was evaluated. Using panoramic radiographs, 15 mandibular angle fracture patients who were treated by open reduction and one miniplate fixation along the external oblique ridge, were evaluated at postoperative 1, 4 and 8 weeks. At each time, 2 radiographs were taken: one taken during maximum biting of hardened silicone sheet on the affected side molar area and the other on the non-affected side. The distraction gap of inferior border of mandible at each time and each side was measured and these data were analysed statistically with clinical findings. The differences of inferior border distraction gap during hardened silicone sheet biting on the affected side molar area and on the non-affected side molar area at 4 week radiographs were smaller than those of 1 week's except one case. At 8 week's radiographs, the fracture lines were so stabilized that it was almost impossible to find the gap differences except one case and there were increased radiopacity along the entire fracture lines. Clinically, bony union was confirmed in all cases during plate removal performed at postoperative 6 month. By statistical analysis(paired t-test), the inferior border distraction gap during biting of hardened silicone sheet on the affected side was significantly reduced during 1 and 4 week interval(p<0.01). The differences of inferior border distraction gap during biting on the affected side molar area and on the non-affected side molar area were also significantly reduced at 1 and 4 week interval(p<0.01). But the inferior border distraction(compression) gap during non-affected side biting was not significantly changed. From these findings, it could be concluded that fracture line stability during functional loading after one miniplate fixation of mandibular angle fractures stems mainly from reduction of inferior border distraction gap during affected side biting on time interval. According to these radiographic and clinical findings, the clinical superiority of one miniplate fixation technique in mandibular angle fracture treatment could be confirmed.

• 한국임상수의학회지
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• 제31권5호
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• pp.367-370
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• 2014

본 연구는 개에서 건삭파열로 유발한 급성 이첨판 폐쇄부전 모델의 혈류역학적 변화를 관찰하는 것이다. 이 연구는 10마리의 정상 심장기능을 가진 비글견에서 실시되었다. 직접혈압측정법과 Swan-Ganz 카테터를 통해 건삭을 실험적으로 파열시키는 기간동안 혈류역학적 지표 변화를 진행하였다. 이첨판 폐쇄부전 모델을 만들기 위해 5번 늑간으로 접근하여 관절경에 사용하는 작은 훅나이프를 사용하여 건삭을 파열하였다. 수술 중 칼라 도플러 영상 검사를 통해 이첨판 역류를 확인하였다. 혈류역학적 지표를 측정한 결과 폐모세혈관쇄기압은 유의적으로 증가하였지만, 평균동맥압, 정맥압, 폐동맥압, 심박출량, 심박출 지수는 건삭 파열 후에 유의적으로 감소한다는 것을 발견하였다. 이것은 건산파열로 인해 좌심실로 부터 역류된 혈액이 좌심방에 과부하를 일으킨다는 것을 나타내는 것이다. 본 연구를 통해 개에서 급성 이첨판 폐쇄부전 모델을 만드는데 있어 건삭파열방법이 효과적인 것을 알 수 있었고, 이첨판 역류 유발 후 시간이 지나면 만성 이첨판 부전증으로 진행할 수 있을 것으로 생각되며, 차후 판막의 만성적 변화 양상을 연구하는데 도움을 줄 수 있을 것으로 생각됩니다.

• 한국조경학회지
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• 제44권6호
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• pp.120-136
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• 2016

본 연구는 경관의 색채를 시간의 개념을 포함하는 연속적 지각의 시퀀스로 보고, 그 흐름과 데이터를 정량적으로 분석하는 기법과 그것을 활용하여 개방성에 따른 도시색채 변화경향을 연구한 것이다. 이는 매우 경험자의 체험에 근접한 리듬으로 대구시 도시철도 3호선인 모노레일 속에서 바라다보는 도시의 색채 시퀀스를 좌우 양쪽에서 동영상을 촬영하여 2초 간격의 프레임에서 대표색 데이터와 시각량을 산출하여 색상, 명도, 채도, 고채도 분포로 시퀀스 데이터를 분석하는 기법들을 도출하였다. 공간의 개방성, 밝기 정도, 선명도 정도, 고채도 분포와 코드, 시각량의 우위, 지배적 노출인자, 한난색의 이미지, 각 세분별 시퀀스 리듬의 다이나믹 정도를 비교 분석할 수 있는 기법을 도출하였으며, 도출된 시퀀스 데이터 중 하늘의 시각량으로 공간 개방도를 결정하고, 개방도에 따른 도시 색채의 경향을 회귀분석하였다. 도시색채는 개방도가 높아질수록 명도는 낮아지고, 채도는 미세하게 증가하였으며, 한색계열이 현저하게 증가하였다. 이는 또한 린치의 공간 위요비례와도 매우 관계가 깊었으며, 도시 색채변화경향을 실제 경관을 통해 더 구체적으로 파악할 수 있었다.

• 한국운동역학회지
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• 제17권1호
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• pp.191-199
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• 2007

This study was conducted to examine the biomechanical characteristics of open spike in the volleyball to improve the technique of the volleyball spike. The subjects were six male college and high school athletes. The motions of volleyball spike were filmed by using two Sony VX 2000 Video Cameras. The mechanical factors were angle and angular velocity of body segments in the upper and the lower limbs. The conclusions were as follows; 1. The angle of the shoulder joint of the skilled showed larger than that of the unskilled in impacting of the volley ball spike. 2. The angle of the elbow joint of the skilled showed larger than that of the unskilled in impacting of the volley ball spike. 3. The angle of the wrist joint of the skilled showed smaller than that of the unskilled in impacting of the volley ball spike. 4. The angle of the hip joint of skilled showed larger than that of unskilled in impacting of the volley ball spike. 5. The angle of the knee joint of the skilled and the unskilled showed same in take off and impacting of the volley ball spike, and that of the skilled showed smaller than that of the unskilled in take-off touchdown and touchdown after impact of the volley ball spike. 6. The angle of the ankle joint of skilled showed larger than unskilled in take-off of the volley ball spike. 7. The angular velocity of the shoulder joint, elbow joint, wrist joint of the skilled showed faster than that of the unskilled in impacting of the volley ball spike. Taken together the result of them, I have come to conclusion that knee joint angle in touchdown of the take off should be decreased and knee joint angle in take off should be increased, and then stability of the take off should be made and, and that extension of the elbow joint should be made and wrist joint angle decreased and shoulder and hip joint angle increased, and then C.O.G of the arm and hand should be positioned ahead C.O.G of the body in impacting for effective impact of the spike, and that the transfer of the angular velocity of body segments for effective impact of the spike make from the proximal segment to the distal segment at spike in volleyball.