• Title/Summary/Keyword: skin-depth

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Dosimetry for Total Skin Electron Beam Therapy in Skin Cancer (피부암치료를 위한 전자선 전신피부 치료방법과 선량분포 측정)

  • Chu, Sung-Sil;Loh, John-Jk;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.10 no.1
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    • pp.107-113
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    • 1992
  • Increasing frequency of skin cancer, mycosis fungoides, Kaposi's sarcoma etc, it need to treatment dose planning for total skin electron beam (TSEB) therapy. Appropriate treatment planning for TSEB therapy is needed to give homogeneous dose distribution throughout the entire skin surface. The energy of 6 MeV electron from the 18 MeV medical linear accelerator was adapted for superficial total skin electron beam therapy. The energy of the electron beam was reduced to 4.2 MeV by a $0.5\;cm\times90\;cm{\times}180\;cm$ acryl screen placed in a feet front of the patient. Six dual field beam was adapted for total skin irradiation to encompass the entire body surface from head to toe simultaneously. The patients were treated behind the acryl screen plate acted as a beam scatterer and contained a parallel-plate shallow ion chamber for dosimetry and beam monitoring. During treatment, the patient was placed in six different positions due to be homogeneous dose distribution for whole skin around the body. One treatment session delivered 400 cGy to the entire skin surface and patients were treated twice a week for eight consecutive weeks, which is equivalent to TDF value 57. instrumentation and techniques developed in determining the depth dose, dose distribution and bremsstrahlung dose are discussed.

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A Retrospective Study on Needling Depth of Hwangmun (BL51) and Jisil (BL52) with MRI (MRI를 통한 황문혈(BL51)과 지실혈(BL52)의 자침 깊이에 대한 연구)

  • Yang, Hyun Jung;Sim, Ho Yun;Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.33 no.2
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    • pp.89-96
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    • 2016
  • Objectives : The aim of this study is to investigate the needling depth of Hwangmun (BL51) and Jisil (BL52) retrospectively using an L-spine MRI. Methods : We measured the shortest distance from the skin to transversalis fascia at both sides of Hwangmun and Jisil, and analyzed the difference between male and female using a student t-test, and between the left and right sides with a paired t-test. Results : In the case of males, the average depth of left Hwangmun was $48.24{\pm}10.16mm$, and that of right was $47.23{\pm}9.59mm$ ; left Jisil was $56.91{\pm}9.00mm$ and right was $55.74{\pm}8.75mm$. In the case of females, the average depth of left Hwangmun was $42.26{\pm}9.29mm$, and that of right was $41.63{\pm}9.32mm$ ; left Jisil was $49.21{\pm}10.77mm$ and right was $48.41{\pm}11.38mm$. The depth of male insertion was deeper than that of female in Jisil, but there was no significant difference according to gender in Hwangmun. Conclusion : For males, the needling depth of left Hwangmun is 37.21 ~ 68.23 mm and right is 36.91 ~ 70.50 mm, while left Jisil is 42.97 ~ 70.84 mm and right is 43.75 ~ 72.00 mm. For females, the needling depth of left Hwangmun is 26.80 ~ 68.28 mm and right is 25.70 ~ 65.59 mm, while left Jisil is 30.94 ~ 79.06 mm and right is 28.13 ~ 77.27 mm.

Anti Photoaging Effects of Hyaluronic Acid following Oral Administration in SKH-1 Hairless Mice (SKH-1 Hairless Mice에서의 히알루론산 경구 투여를 통한 피부 광노화 개선 효과)

  • Lee, Sung-jin;Seo, YoonHee;Yun, Min-kyu;Yu, Heui-jong;Choe, Soo-Young
    • The Korean Journal of Food And Nutrition
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    • v.28 no.6
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    • pp.941-946
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    • 2015
  • Photoaging is the main extrinsic aging factor that is induced due to UVB. Many studies have revealed that application of hyaluronic acid to the skin is effective in healing photoaging. However, the effect of hyaluronic acid through oral administration is unclear. The aim of this research was to investigate the effect on skin photoaging after oral administration of hyaluronic acid. During a ten week study, hyaluronic acid was fed to hairless mice, which were illuminated by UV radiation. After ten weeks, wrinkle indicator and histological changes were determined. Compared with the control group, the sample group had a decrease in wrinkle depth, thickness, and number. Especially, the HA 160 mg/kg group had a similar value of wrinkle depth ($19.44{\pm}0.75{\mu}m$), number ($654.00{\pm}98.34$), and thickness ($1.35{\pm}0.08mm$), when compared with the RA (retinoic acid) group ($19.28{\pm}0.95{\mu}m$, $653.57{\pm}83.54$, and $1.34{\pm}0.07mm$ respectively). Also, the treated group showed improved elastosis and decreased collagen degradation resulting from UV irradiation. Thus, we can conclude that hyaluronic acid has a positive effect in improving skin photoaging induced by UV radiation. Hyaluronic acid therefore has the potential to be an ingredient in skin health function foods.

Evaluation of Skin Friction to Large Size Pneumatic Caissons (대형 뉴매틱케이슨의 주면마찰력 산정)

  • 홍원표;여규권;김태형
    • Journal of the Korean Geotechnical Society
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    • v.20 no.4
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    • pp.15-27
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    • 2004
  • In this study, skin friction evaluation methods developed f3r deep foundation system were investigated and a method that can properly evaluate the skin friction of large size pneumatic caisson was proposed. Especially, based on Hong Won-Pyo's method, new technique (Kn parameter method) was suggested for estimation of the skin friction. The $\lambda$ method used widely to pile foundation was also investigated fur the applicability of estimation of the skin friction of large size pneumatic caisson. To do this, the data measured from the pneumatic caissons installed as a substructure of main tower in the suspension bridge part of Youngjong Grand Bridge were utilized. The data show that the skin friction is proportional to the rate of sinking, and the skin friction distribution with depth is similar to parabolic type rather straight line, which is a type generally observed in pile foundation. The skin frictions predicted by the Kn and $\lambda$ methods were plotted with the measured data for comparisons. It is cleary shown that the skin frictions estimated by the proposed Kn parameter method are well matched with the measured data. That is, for the large size pneumatic caisson having wide base, the new technique developed from Hong Won-Pyo's method is more suitable for estimation of the skin friction rather than the $\lambda$ method.

Gamma-ray-induced skin injury in the mini-pig: Effects of irradiation exposure on cyclooxygenase-2 expression in the skin (감마선조사에 의한 돼지 피부장애에 cyclooxygenase-2의 발현변화)

  • Kim, Joong Sun;Park, Sunhoo;Jang, Won Seok;Lee, Sun Joo;Lee, Seung Sook
    • Journal of Radiation Protection and Research
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    • v.40 no.1
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    • pp.65-72
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    • 2015
  • The basic concepts of radiation-induced skin damage have been established, the biological mechanism has not been studied. In this study, we have examined the effects of gamma rays on skin injury and cyclooxygenase(COX)-2 expression. Gamma irradiation induced clinicopathological changes in a dose- and time-dependent manner in mini-pig skin. The histological changes were consistent with the changes in gross appearance at 12 weeks after irradiation. After three days' irradiation, apoptotic cells in the basal layer were found more frequently in irradiated skin than in normal skin, with the magnitude of the effect being dose-dependent. The thickness of the epidermis transiently increased 3 days after irradiation, and then gradually decreased, although changes in the epithelial thickness of the irradiated field were not observed with irradiation doses over 50 Gy. In the epithelium, there was an initial degenerative phase, during which the rate of basal cell depletion was dependent on the radiation dose (20-70 Gy). One week after irradiation, COX-2 expression was mostly limited to the basal cell layer and was scattered across these cells. High COX-2 expression was detected throughout the full depth of the skin after irradiation. The COX-2 protein is upregulated after irradiation in mini-pig skin. These histological changes associated with radiation exposure dose cause the increased COX-2 expression in a dose-dependent fashion.

The Dose Distribution of Arc therapy for High Energy Electron (고에너지 전자선 진자조사에 의한 선량분포)

  • Chu, S.S.;Kim, G.E.;Suh, C.O.;Park, C.Y.
    • Radiation Oncology Journal
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    • v.1 no.1
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    • pp.29-36
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    • 1983
  • The treatment of tumors along curved surfaces with stationary electron beams using cone collimation may lead to non-uniform dose distributions due to a varying air gap between the cone surface and patient. For large tumors, more than one port may have to be used in irradiation of the chest wall, often leading to regions of high or low dose at the junction of the adjacent ports. Electron-beam arc therapy may elimination many of these fixed port problems. When treating breast tumors with electrons, the energy of the internal mammary port is usually higher than that of the chest wall port. Bolus is used to increase the skin dose or limit the range of the electrons. We invertiaged the effect of various arc beam parameters in the isodose distributions, and combined into a single arc port for adjacent fixed ports of different electron beam eneries. The higher fixed port energy would be used as the arc beam energy while the beam penetration in the lower energy region would be controlled by a proper thickness of bolus. We obtained the results of following: 1. It is more uniform dose distribution of electron to use rotation than stationary irradiation. 2. Increasing isocenter depth on arc irradiation, increased depth of maximum dose, reduction in surface dose and an increasing penetration of the linear portion of the curve. 3. The deeper penetration of the depth dose curve and higher X-ray background for the smaller field sized. 4. If the isocenter depth increase, the field effect is small. 5. The decreasing arc beam penetration with decreasing isocenter depth and the isocenter depth effect appears at a greater depth as the energy increases. 6. The addition of bolus produces a shift in the penetration that is the same for all depths leaving the shape of the curves unchanged. 7. Lead strips 5 mm thick were placed at both ends of the arc to produce a rapid dose drop-off.

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Estimation on the Depth of Anesthesia using Linear and Nonlinear Analysis of HRV (HRV 신호의 선형 및 비선형 분석을 이용한 마취심도 평가)

  • Ye, Soo-Young;Baik, Seong-Wan;Kim, Hye-Jin;Kim, Tae-Kyun;Jeon, Gye-Rok
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.23 no.1
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    • pp.76-85
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    • 2010
  • In general, anesthetic depth is evaluated by experience of anesthesiologist based on the changes of blood pressure and pulse rate. So it is difficult to guarantee the accuracy in evaluation of anesthetic depth. The efforts to develop the objective index for evaluation of anesthetic depth were continued but there was few progression in this area. Heart rate variability provides much information of autonomic activity of cardiovascular system and almost all anesthetics depress the autonomic activity. Novel monitoring system which can simply and exactly analyze the autonomic activity of cardiovascular system will provide important information for evaluation of anesthetic depth. We investigated the anesthetic depth as following 7 stages. These are pre-anesthesia, induction, skin incision, before extubation, after extubation, Post-anesthesia. In this study, temporal, frequency and chaos analysis method were used to analyze the HRV time series from electrocardiogram signal. There were NN10-NN50, mean, SDNN and RMS parameter in the temporal method. In the frequency method, there are LF and HF and LF/HF ratio, 1/f noise, alphal and alpha2 of DFA analysis parameter. In the chaos analysis, there are CD, entropy and LPE. Chaos analysis method was valuable to estimate the anesthetic depth compared with temporal and frequency method. Because human body was involved the choastic character.

Serration Behavior of AA5l82/Polypropylene/AA5182 Sandwich Sheets (알루미늄5182/폴리프로필렌/알루미늄5182 샌드위치 판재의 톱니모양 거동)

  • 김기주;신광선
    • Transactions of the Korean Society of Automotive Engineers
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    • v.12 no.3
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    • pp.192-203
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    • 2004
  • The AA5182/polypropylene/AA5182 (AA/PP/AA) sandwich sheets have been developed for the application for automotive body panels in the future light weight vehicles with significant weight reduction. It has been reported that the 5182 aluminum sheet shows Luders band because of dissolved Mg atoms that causes fabrication process problem, especially surface roughness. The examination of serration behavior has been made after the tensile deformation of the AA/PP/AA sandwich sheets as well as that of the 5182 aluminum skin at room and elevated temperatures. All sandwich sheets and the 5182 aluminum skin showed serration phenomena on their flow curves. However, the magnitude of the serration was significantly diminished in the sandwich sheet with the high volume fraction of the polypropylene core. According to the results of the surface roughness analysis after the tensile test, the sandwich sheet evidently showed lower Luders band depth than the 5182 aluminum skin. Strain rate sensitivity, m-value, of the 5182 aluminum skin was -0.006. By attaching this skin with polypropylene core which has relatively large positive value, 0.050, m-value of the sandwich sheets was changed to the positive value. The serration reduction of the sandwich sheets was quantitatively investigated in the point of the effect on the polypropylene core thickness variation, that on the strain rate sensitivity. It was found that the serration reduction degree from the experimental results of the sandwich sheet was higher than that from the calculated values by the rule of mixture based on volume fraction of the skins and the core.

Urethroplasty of extensive penile urethral strictures with a longitudinal ventral tubed flap of penile skin (modified Orandi urethroplasty): 20 years of follow-up of two cases

  • Heo, Jae Won;Hong, Woo Taik;Kim, Yong Hun;Yang, Chae Eun;Kim, Jiye;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.47 no.6
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    • pp.613-618
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    • 2020
  • The surgical treatment of extensive urethral strictures remains a controversial topic; although techniques have evolved, there is still no definite method of choice. Since 1968, when Orandi presented an original technique for one-stage urethroplasty using a penile skin flap, the Orandi technique has become the most prevalently used one-stage procedure for anterior urethral strictures. We present a 20-year follow-up experience with one-stage reconstruction of long urethral strictures using a longitudinal ventral tubed flap of penile skin, with some important technical changes to Orandi's original technique to overcome the deficient vascularity caused by periurethral scar tissue. In 1997, a 55-year-old male patient complained of severe voiding difficulty and a weak urinary stream because of transurethral resection of the prostate due to benign prostatic hyperplasia. Another 47-year-old male patient had the same problem due to self-removal of a Foley catheter in 2002. In both patients, a urethrogram demonstrated extensive strictures involving the long segment of the anterior urethra. A rectangular skin flap on the ventral surface of the penis was used considering the appropriate length, diameter, and depth of the neourethra. The modified Orandi flap provided a pedicled strip of penile skin measuring an average of 8 cm. The mean duration of follow-up was 20.5 years. A long-term evaluation revealed stable performance characteristics without any complications.

A study of modern application of Kyungohkgo through historical analysis of its virtues (경옥고의 역대 주치증 분석을 통한 현대적 응용 방안의 고찰)

  • Lee, Jeong-hyeok;Seo, Young-bae;Kim, Byoung-soo
    • Journal of Haehwa Medicine
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    • v.24 no.2
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    • pp.25-34
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    • 2016
  • Objectives : Historical study on application of Kyungohkgo, one of the most popular tonic medicine, and suggestion of modernistic method through it Methods : Investigated effect and its range of Kyungohkgo in original texts of Korean medicine, and researched studies on medical action and treatment effect of Kyungohkgo nowaday. Results : Kyungohkgo has "replenish essence and marrow(補精益髓)" as a major effect, and various original text suggested that Kyungohkgo can be used as antioxidant tonic medicine, treatment of respiratory disease like tuberculosis and medicine for bone disease controling hormone. Several research about these subjects has been progressed recently. However, the most of these researches is not an in-depth study about virtues in original texts, but deduced from effects of Kyungohkgo, and there are some studies experimented with Kyungohkgo that has not followed its own formula. Conclusions : It is required to discuss new application based on understanding effect and is range of Kyungohkgo. It could be thought that using for skin disease based on t theory of "lung presides skin and hair", chronic pulmonary disease based on treatment of cough(咳嗽), and disease of uterine and bone based on "replenish essence and marrow(補精益髓)".