• Clinics in Shoulder and Elbow
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• 제20권1호
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• pp.30-36
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• 2017

Background: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. Methods: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. Results: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5-9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0-5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45-77] to 89.3 [range, 81-100], p=0.029), and ASES score (52.3 [range, 30-77] to 90.0 [range, 80-100], p=0.002). There was no healing failure on imaging. Conclusions: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder.

• Clinics in Shoulder and Elbow
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• 제19권3호
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• pp.130-136
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• 2016

Background: A novel technique for the repair of tears of the upper subscapularis tendon-intraarticular knotless fixation-has been introduced recently. The purpose of this study was to evaluate the clinical and structural outcomes of arthroscopic intraarticular knotless fixation for the treatment of upper subscapularis tendon tears. Methods: We retrospectively analyzed the clinical and radiological outcomes of 27 patients who underwent arthroscopic intraarticular knotless fixation for upper subscapularis tendon tears. Finally, a total of 10 patients who could participate in at least a 6 month follow-up of magnetic resonance imaging evaluation and in a least 1-year follow-up on an outpatient basis were enrolled in our study. The mean age at the time of operation was 60.7 years, and the mean duration of follow-up was 14.7 months. Two patients had concomitant tears of the supraspinatus tendon and 8 patients had concomitant tears of the supraspinatus and the infraspinatus tendons. Results: The clinical and radiological outcomes improved after the patients had undertaken arthroscopic intraarticular knotless fixation. The mean visual analogue scale score for pain during motion improved from 6.7 preoperatively to 1.4 at the final follow-up (p<0.001). The mean Constant score improved from 59.3 preoperatively to 79.6 at the final follow-up, and the mean the University of California at Los Angeles score, from 21.7 to 30.2, respectively (p<0.001 and p<0.001). The upper subscapularis tendon tear was healed in every patient except one (90%), for the patient had suffered from a postoperative trauma that resulted in a retear. Conclusions: We found that arthroscopic intraarticular knotless fixation gives good clinical and structural outcomes for the repair of upper subscapularis tendon tears. Arthroscopic intraarticular knotless fixation provided such a reliable and efficient restoration of the subscapularis tendon footprint that we anticipate it will become a widely-used procedure for upper subscapularis tendon tears.

• Imaging Science in Dentistry
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• 제31권1호
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• pp.9-16
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• 2001

Purpose: To investigate bone and disc configuration on MR images in internal derangement related to age. Materials and methods: MR images of 150 TMJs in 107 patients were analyzed to determine the morphologic changes. Two groups were distinguished to be correlated with age. Group I consisted of TMJs that were diagnosed as having anterior disc displacement with reduction (ADDwR), and Group 2 consisted of TMJs that were diagnosed as having anterior disc displacement without reduction (ADDwoR). We assessed the configuration of the articular disc, degree of anterior disc displacement, and osseous changes of TMJs. Results: The third decade (83 of 150 joints) was most frequent in this study. In the ADDwR group biconcave discs was most frequent at all ages except fifth decade, but in the ADDwoR group deformed discs was most frequent at third and forth decades. In the ADDwR group slightly displaced discs was most frequent at all ages, but in the ADDwoR group severely displaced discs was most frequent at second decade, and the degree of disc displacement was increased with aging over 30 years of age. TM joints showed osseous changes in 17% of the ADDwR group, and in 30% of the ADDwoR group. MR findings of osseous changes of the TMJ were not found to be significantly correlated with age. Conclusion: The prevalence of deformation of disc, displacement of disc, and osseous changes of TMJ was higher in the ADDwoR group than in the ADDwR group. MR findings of disc configuration and degree of disc displacement were found to be correlated with age.

• Radiation Oncology Journal
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• 제36권4호
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• pp.295-303
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• 2018

Purpose: We evaluated prognostic value of the 8th edition of the American Joint Committee on Cancer/International Union for Cancer Control (AJCC/UICC) staging system for nasopharyngeal cancer and investigated whether tumor volume/metabolic information refined prognostication of anatomy based staging system. Materials and Methods: One hundred thirty-three patients with nasopharyngeal cancer who were staged with magnetic resonance imaging (MRI) and treated with intensity-modulated radiotherapy (IMRT) between 2004 and 2013 were reviewed. Multivariate analyses were performed to evaluate prognostic value of the 8th edition of the AJCC/UICC staging system and other factors including gross tumor volume and maximum standardized uptake value of primary tumor (GTV-T and SUV-T). Results: Median follow-up period was 63 months. In multivariate analysis for overall survival (OS), stage group (stage I-II vs. III-IVA) was the only significant prognostic factor. However, 5-year OS rates were not significantly different between stage I and II (100% vs. 96.2%), and between stage III and IVA (80.1% vs. 71.7%). Although SUV-T and GTV-T were not significant prognostic factors in multivariate analysis, those improved prognostication of stage group. The 5-year OS rates were significantly different between stage I-II, III-IV (SUV-T ≤ 16), and III-IV (SUV-T > 16) (97.2% vs. 78% vs. 53.8%), and between stage I, II-IV (GTV-T ≤ 33 mL), and II-IV (GTV-T > 33 mL) (100% vs. 87.3% vs. 66.7%). Conclusion: Current anatomy based staging system has limitations on prognostication for nasopharyngeal cancer despite the most accurate assessment of tumor extent by MRI. Tumor volume/metabolic information seem to improve prognostication of current anatomy based staging system, and further studies are needed to confirm its clinical significance.

• Clinical and Experimental Pediatrics
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• 제55권12호
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• pp.487-490
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• 2012

We report a case of isodicentric chromosome 15 (idic(15) chromosome), the presence of which resulted in uncontrolled seizures, including epileptic spasms, tonic seizures, and global developmental delay. A 10-month-old female infant was referred to our pediatric neurology clinic because of uncontrolled seizures and global developmental delay. She had generalized tonic-clonic seizures since 7 months of age. At referral, she could not control her head and presented with generalized hypotonia. Her brain magnetic resonance imaging scans and metabolic evaluation results were normal. Routine karyotyping indicated the presence of a supernumerary marker chromosome of unknown origin (47, XX +mar). An array-comparative genomic hybridization (CGH) analysis revealed amplification from 15q11.1 to 15q13.1. Subsequent fluorescence in situ hybridization analysis confirmed a idic(15) chromosome. Array-CGH analysis has the advantage in determining the unknown origin of a supernumerary marker chromosome, and could be a useful method for the genetic diagnosis of epilepsy syndromes associated with various chromosomal aberrations.

• 디지털융복합연구
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• 제11권11호
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• pp.529-536
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• 2013

본 실험의 목적은 TSE-CHESS 지방소거와 TSE-SPAIR 지방소거 기법을 비교하여 인체굴곡부위 지방소거에 있어서 TSE-SPAIR 기법의 임상적 유용성을 알아보고자 하였다. 총 25명의 경추질환이 없는 정상인을 대상으로 3.0 T MRI 기기를 이용하여 검사를 하였고, 사용된 두 기법에 대한 인체굴곡 부위 지방소거에 대한 정량적 분석으로 PSNR과 CNR을 평가하였다. 실험결과로 굴곡부위에 대한 PSNRs 과 CNRs 값은 TSE-SPAIR 기법이 유의성 있는 결과를 얻었다. 결론적으로, TSE-CHESS 지방소거와 TSE-SPAIR 지방소거 기법을 비교했을 때, 인체굴곡 부위에 대한 지방소거 평가에서 증가된 PSNRs 과 CNRs 값을 얻었다. 이러한 결과는 향후 인체굴곡 부위 지방소거 진단에 유용성 있는 정보를 제공 할 것이다.

• 마이크로전자및패키징학회지
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• 제26권4호
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• pp.69-74
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• 2019

PMN-PT 단결정 시편의 유전 및 압전 특성의 측정 결과에 미치는 측정 기구물의 영향을 고찰하였다. 샘플에 교류 전기신호를 인가하는 지그핀의 압력이 감소할수록 공진저항은 낮게 측정되고 기계적 품질계수는 높게 계산되었다. 지그핀의 스프링 텐션이 20 grf인 경우 기계적 품질계수는 418으로 측정되었고, 스프링 텐션이 200 grf인 경우 품질계수 값은 절반으로 감소하였다. 4-프로브 방식의 픽스쳐는 압전특성 측정에는 부적합하지만 유전손실 값의 측정에는 가장 적합하였다. 정확한 PMN-PT의 압전특성 평가를 위하여 지그핀의 스프링 텐션을 최대한 낮추는 것이 필요하며, 정확한 유전특성의 평가를 위하여 4-프로브 방식이 적합함을 알 수 있다.

• Bulletin of the Korean Chemical Society
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• 제31권12호
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• pp.3567-3572
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• 2010

Black pine barks from the southern region of Korea were extracted using pressurized hot water and the water soluble extracts were then separated in a stepwise fashion using a variety of solvents, column chromatography (CC), thin layer chromatography (TLC), and high pressure liquid chromatography (HPLC). The antioxidant activities of each fraction and the active compounds were determined based on the radical scavenging activities of 2,2-diphenyl-1-picrylhydrazyl (DPPH), reductive potential of ferric ion, and total phenol contents. A DPPH test showed that the half maximal effective concentration ($EC_{50}$ value : $6.59{\pm}0.31\;{\mu}g/mL$) of the ethyl acetate fraction (ca. 0.67%) was almost the same as that of the control compounds and inversely proportional to the value of the total phenol contents. The cell viability of the water extracts was confirmed by methyl thiazol-2-yl-2,5-diphenyl tetrazolium bromide (MTT) with enzyme linked immune sorbent assay (ELISA). Catechin, epicatechin, quercetin and ferulic acid were isolated from the ethyl acetate fraction as active compounds and identified by nuclear magnetic resonance. The antioxidant activity as value of DPPH of each of the separated compounds was lower than the ethyl acetate fraction, and ferulic acid was the lowest among these compounds.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2017년도 제48회 춘계학술대회논문집
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• pp.622-627
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• 2017

본 연구에서는 실물형 연소기와 동일한 연소 및 음향 공진 조건을 가질 수 있는 축소형 모델 연소기의 추진제 공급부 매니폴드의 수치해석을 진행하였다. 비원통형 연소기의 형상을 고려한 일렬형 다중 인젝터로 구성된 헤드를 대상으로 해석하였으며 매니폴드의 형상과 유입유로의 개수 및 형태에 따라 해석결과를 분석했다. 메인추진제의 매니폴드 형태는 재순환영역이 적고 제작이 용이할 수 있게 원형으로 구성하였다. 액체산소는 유동을 균일하게 공급하기 위해 distributor를 구성하였고 케로신은 직접 화염면이 닿는 곳이기 때문에 재순환영역을 최대한 줄이도록 방사형 $360^{\circ}$로 유입유로를 구성하였다. 액체질소 매니폴드는 분사기 근처의 속도차이를 줄이고자 방사형 유입유로로 구성하였다.

• Journal of electromagnetic engineering and science
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• 제6권1호
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• pp.47-52
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• 2006

The objective of this study is to evaluate the effects of size and permittivity on the specific absorption rate(SAR) values of rat brains during microwave exposure at mobile phone frequency bands. A finite difference time domain (FDTD) technique with perfect matching layer(PML) absorbing boundaries is used for this evaluation process. A color coded digital image of the Sprague Dawley(SD) rat based on magnetic resonance imaging(MRI) is used in FDTD calculation with appropriate permittivity values corresponding to different tissues for 3, 4, 7, and 10 week old rats. This study is comprised of three major parts. First, the rat model structure is scaled uniformly, i.e., the rat size is increased without change in permittivity. The simulated SAR values are compared with other experimental and numerical results. Second, the effect of permittivity on SAR values is examined by simulating the microwave exposure on rat brains with various permittivity values for a fixed rat size. Finally, the SAR distributions in depth, and the brain-averaged SAR and brain 1 voxel peak SAR values are computed during the microwave exposure on a rat model structure when both size and permittivity have varied corresponding to different ages ranging from 3 to 10 weeks. At 900 MHz, the simulation results show that the brain-averaged SAR values decreased by about 54 % for size variation from the 3 week to the 10 week-old rat model, while the SAR values decreased only by about 16 % for permittivity variation. It is found that the brain averaged SAR values decreased by about 63 % when the variations in size and permittivity are taken together. At 1,800 MHz, the brain-averaged SAR value is decreased by 200 % for size variation, 9.7 % for permittivity variation, and 207 % for both size and permittivity variations.