치과용 초음파 골수술기 설계 및 평가

이주희,오정민,홍연우,김세기,백종후,이영진,이정배,이승대,Lee, Joo-Hee,Oh, Jung-Min,Hong, Younwoo,Kim, Seiki,Paik, Jonghoo,Lee, Young-Jin,Lee, Jeong-Bae,Lee, Seung-Dae 한국전기전자재료학회 2012 전기전자재료학회논문지 Vol.25 No.12

A piezoelectric ultrasonic bone surgical instrument, usually used to remove the tartar out of teeth or to cut the dentine of the tooth, is a recently popular instrument for dental treatment due to its several merits such as small size, low-electric power and precision control of surgical operation. It has typically two parts of a tip and vibration system which is also composed of head, piezoelectric elements and tail-mass. In order to improve the performance of the instrument, it is important to standardize the size of the vibration system without tip for high performance. In this study, a Finite Element Analysis (FEA) was utilized to optimize the structure of ultrasonic instrument in vibration system. Consequently, this study revealed that influence of several tips on property were minimized and it showed good property at the frequency range of 22~32 kHz.

치과 임플란트용 골융합 측정기의 설계 및 평가

이주희,김창일,백종후,조정호,전명표,정영훈,이영진,이정배,이승대,Lee, Joo-Hee,Kim, Chang-Il,Paik, Jong-Hoo,Cho, Jeong-Ho,Chun, Myoung-Pyo,Jeong, Young-Hun,Lee, Young-Jin,Lee, Jeong-Bae,Lee, Seung-Dae 한국전기전자재료학회 2011 전기전자재료학회논문지 Vol.24 No.3

The osseointegration of dental implant is influenced by many factors such as surface geometry, loading and the amount of bone. Thus, stability of the dental implant should be checked periodically. In order to test the stability of dental implant by using resonance frequency analysis, we designed a structure of transducers and fabricated a piezoelectric devices. Using finite element analysis, the thickness and length of piezoelectric device and transducers were tailorized and the optimized frequency of 10 kHz was obtained. The resonance frequency from simulation analysis and evaluation was estimated to be similar as 10 kHz. The osseointegration was further enhanced with increasing frequency from the evaluation result of the finite element analysis.

방풍통성산(防風通聖散)에 대한 역제학(方劑學)적 연구(硏究)

이주희,윤용갑,Lee, Ju-Hee,Yun, Young-Gab 대한한의학방제학회 2010 大韓韓醫學方劑學會誌 Vol.18 No.1

From the Herbal Prescriptional Study of Bangpungtongsungsan(防風通聖散, BPTS). It can be concluded as follows. 1. The origin of BPTS is the book of sunmyungronbang(宣明論方) in 1172. BPTS' hebal compositons are not changed in history, but it's doses had been changed. When BPTS are written to dongeuibogam(東醫寶鑑) in 1610, that's doses are added 0.75g to each herbs dose according to the korean people's constitution. 2. BPTS are composed of five elemental prescriptions. that are yugilsan(六一散), bakhotang(白虎湯), hoechunyanggyeoksan(回春凉膈散), jowiseunggitang(調胃承氣湯) and saengryosamultang(生料四物湯), and three subsidiary prescriptions and some herbs have collateral effects in BPTS. 3. BPTS can cure some diseases that are cause by fever with wind, heat in gastrointestinal tract, anemia after childbirth, heat that is caused by kidney's disease, hemorrhoids, alcoholic poisoning, contusion and constipation that are caused by intestinal heat. 4. BPTS can cure hypertension, hyperlipidemia and Obesity also.

성인 심장수술 후 중환자실에 입실한 환자의 계획된 발관 후 비계획적 기관 재삽관 위험요인과 임상결과

이주희,최혜란,Lee, Ju-Hee,Choi, Hye-Ran 한국중환자간호학회 2022 중환자간호학회지 Vol.15 No.3

Purpose : This study aimed to identify risk factors for unplanned reintubation after planned extubation and to analyze the clinical outcomes in patients admitted to the intensive care unit after cardiac surgery. Methods : The study examined patients who underwent intubation and planned extubation admitted to the intensive care unit after cardiac surgery between January 1, 2017, and December 31, 2021. The reintubation group comprised 58 patients underwent unplanned reintubation within 7 days of planned extubation. The maintenance group comprised 116 patients who did not undergo reintubation and were matched with the reintubation group using the rational for matching criteria. Data were collected retrospectively from electronic medical records. We used the independent t-test, Mann-Whitney U test, 𝑥²-test, Fisher's exact test, and logistic regression analysis with SPSS/WIN 27.0. Results : The multivariate logistic regression analysis demonstrated that albumin (odds ratio [OR]=0.38, 95% confidence interval [CI]=0.20-0.72), surgery time (OR=1.54, 95% CI=1.20-1.97), PaO₂ before extubation (OR=0.85 per 10 mmHg, 95% CI=0.75-0.97), postoperative arrhythmia (OR=2.82, 95% CI=1.22-6.51), reoperation due to bleeding (OR=4.65, 95% CI=1.27-17.07), and postoperative acute renal failure (OR=2.97, 95% CI=1.09-8.04) were risk factors for unplanned reintubation. The reintubation group had a higher in-hospital mortality rate (𝑥²=33.74, p<.001), longer intensive care unit stay (Z=-7.81, p<.001), and longer hospital stay than the maintenance group (Z=-8.29, p<.001). Conclusion : These results identified risk factors and clinical outcomes of unplanned reintubation after planned extubation after cardiac surgery. These findings should be considered when developing and managing an intervention program to prevent and reduce the incidence of unplanned reintubation.

Removal torque of a two-piece zirconia abutment with a novel titanium component in an internal connection implant system after dynamic cyclic loading

이주희,Lee, Joo-Hee The Korean Academy of Prosthodonitics 2017 대한치과보철학회지 Vol.55 No.2

목적: 이 연구의 목적은 새로운 타이타늄 구성요소를 가진 지르코니아 지대주의 나사 제거력의 변화에 대해 알아보는 것이다. 내부연결 임플란트를 위한 새로운 지르코니아 지대주의 동적하중 후 지대주 나사의 제거력을 기존의 타이타늄 지대주와 비교하여 분석하였다. 재료 및 방법: 내측연결 임플란트와 타이타늄 지대주, 타이타늄 구성요소를 가진 지르코니아 지대주를 준비하였다. 12개의 내부연결형 임플란트에 6개의 타이타늄 지대주를 연결하고(대조군), 6개의 타이타늄 구성요소를 가진 지르코니아 지대주(실험군)를 30 Ncm의 토크로 연결한 후 동적하중 전후의 나사 제거력을 측정하였다. 동적 만능재료시험기를 사용하여 연결체의 장축과 30도 각도를 이루도록 하고 300 N 하중크기로 100만번의 하중이 가해졌다. 동적하중 전후의 지대주 나사 제거력을 t검정을 통해 신뢰구간 95%로 통계적 유의성을 검증하였다. 결과: 두 그룹 모두에서 동적하중 후 나사 풀림을 보이지 않았다. 동적 하중 전후의 나사 제거력은 두 그룹 모두에서 통계적으로 유의한 차이가 있게 나타났다(P < .05). 동적 하중 전후의 나사 제거력 차이는 대조군에서 $-7.25{\pm}1.50Ncm$, 실험군에서 $-7.33{\pm}0.93Ncm$ 로 나타났다. 통계분석 결과 두 군간에 나사 제거력 차이에서는 유의한 차이를 보이지 않았다(P > .05). 결론: 이 실험의 결과에 한하여 타이타늄 구성요소를 사용한 지르코니아 지대주의 동적하중 후 지대주 나사 제거력의 변화는 타이타늄 지대주와 통계학적으로 유의한 차이를 보이지 않았다. Purpose: The aim of this study was to evaluate screw removal torque of the two-piece zirconia abutment with the novel titanium component compared to the conventional one-piece titanium abutment in the internal connection implant before and after dynamic cyclic loading. Materials and methods: Two types of the abutment assemblies with internal connection were prepared and divided into the groups; titanium abutment-titanium abutment screw assemblies as control, and zirconia abutment-titanium socket-titanium abutment screw assemblies as experimental group. A total of 12 abutments and implants were used of six assemblies each group. Each assembly was tightened to 30 Ncm. A cyclic load of 300 N at an angle of 30 degrees in reference to the loading axis was applied until one million cycles or failure. The removal torque values (RTVs) of the abutment screws were measured with a digital torque gauge before and after cyclic loading. The RTVs of the pre load and post load were analyzed with t-test, and P-values < .05 were considered statistically significant. Results: The assemblies of both groups survived all after the dynamic cyclic loading test without screw loosening. The statistically significant differences were found between the mean RTVs before and after the cyclic loading in both groups (P < .05). The RTV differences for the control and the experimental group were $-7.25{\pm}1.50Ncm$ and $-7.33{\pm}0.93Ncm$, respectively. Statistical analysis revealed that the RTV differences in both groups were not significantly different from each other (P > .05). Conclusion: Within the limitation of this study, the two-piece zirconia abutment with the titanium component did not show a significant RTV difference of the abutment screw compared to the titanium abutment after dynamic cyclic loading.

X-ray 영상에서 SegNet을 이용한 폐결핵 자동검출 시스템의 유용성 평가

이주희,안현수,최동혁,태기식,Lee, J.H.,Ahn, H.S.,Choi, D.H.,Tae, Ki Sik 대한의용생체공학회 2017 의공학회지 Vol.38 No.1

Testing TB in chest X-ray images is a typical method to diagnose presence and magnitude of PTB lesion. However, the method has limitation due to inter-reader variability. Therefore, it is essential to overcome this drawback with automatic interpretation. In this study, we propose a novel method for detection of PTB using SegNet, which is a deep learning architecture for semantic pixel wise image labelling. SegNet is composed of a stack of encoders followed by a corresponding decoder stack which feeds into a soft-max classification layer. We modified parameters of SegNet to change the number of classes from 12 to 2 (TB or none-TB) and applied the architecture to automatically interpret chest radiographs. 552 chest X-ray images, provided by The Korean Institute of Tuberculosis, used for training and test and we constructed a receiver operating characteristic (ROC) curve. As a consequence, the area under the curve (AUC) was 90.4% (95% CI:[85.1, 95.7]) with a classification accuracy of 84.3%. A sensitivity was 85.7% and specificity was 82.8% on 431 training images (TB 172, none-TB 259) and 121 test images (TB 63, none-TB 58). This results show that detecting PTB using SegNet is comparable to other PTB detection methods.

델파이 분석을 통한 조경설계공모 과정의 문제점 분석

이주희,조세환,Lee, Joo-Hee,Cho, Se-Hwan 한국조경학회 2013 韓國造景學會誌 Vol.41 No.3

본 연구는 1983년 설계공모 제도가 한국 조경계에 도입되고 30년이 지난 현 시점에서 조경 설계공모 과정에서 발생되고 있는 문제점을 분석 고찰함으로써 향후 조경 설계공모 과정 개선에 기여할 수 있는 기초자료를 제공하기 위한 목적으로 수행하였다. 연구를 수행하기 위해 조경 설계공모에 관여하는 전문가를 대상으로 델파이 조사를 실시하여 문제점을 도출하였으며, 그 결과는 다음과 같다. 첫째, 조경설계 공모 관련 이론과 선행연구를 분석한 결과, '설계공모 방식', '설계공모 지침', '당선작 선정과정', '당선작 이후 설계변화' 등 4가지 관점에서 문제점이 있는 것으로 나타났다. 둘째, 전문가 델파이 분석을 통하여 전문가들의 의견을 합의하는 과정을 이끌었고, 그 결과 총 12개의 항목으로 조경설계 공모 과정의 문제점이 도출되었는바, '설계공모 방식'에서는 '설계공모 기간의 문제', '설계공모 방식' 등 2가지의 항목, '설계공모 지침'에서는 '비위계적이고 혼란스러운 지침', '규정적으로 정해지는 지침', '지침의 분량의 과다' 등 3개 항목, '당선작 선정과정'에서는 '심사위원 전문성 결여', '비조경전문가 참여', '심사배점 방식에 문제점' 등 3개 항목, '당선작 이후 설계변화'에서는 '발주처 설계담당자의 잦은 인사이동', '설계기간의 기약 없는 과다연장', '발주처의견이 과다하게 반영되는 풍토', '원설계의 창의성을 저감시키는 발주처 의견' 등 4가지 항목이 문제점으로 나타났다. This study has been performed to analyze and consider the problems after 30 years in terms of landscape design competition process in Korea, so that it can provide the basic data, which can improve the future landscape design competition. We have used Delphi Investigation to carry out a survey that targets professionals and identifies problems. The results are summarized as follows. Firstly, the results of the analysis of Landscape Design Competition for institution theory and case studies showed that there is an issue from four perspectives which are 'method of design competition', 'guidelines for design competition', 'winner selection process', and 'design changes after winning' Secondly, the process by professional Delphi performed expert analysis, and agree with expert opinion. As a result, we derived the problems of a landscape design competition system with the 12 items. Third, in the 'design competition style', two items, the 'design competition style' and 'problem of design public offering period' had become a problem. Fourth, the 'Guidelines for design competition', 'non-hierarchical excess of the amount of instructions', 'directive determined the guidelines', and the 'provision of confusion' three items had also become a problem. Fifth, 'sex expert committee review selection process winning work', 'Problems of participation', 'examination scoring system experts lack', and 'non-landscaping' had become a problem. Sixth, 'The design of the original order' as much as possible 'design changes after the winning work' Four 'order to Comments to reduce the creativity of the design of the climate', 'original extension', 'contractor feedback of excess without the promise of frequent personnel changes', design period of the person in charge is reflected in excess item has become a problem. I considered that a continuous research on the improvement of the problems of the landscape design competition system based on the results must be performed.

담음(痰飮)에 대(對)한 문헌적(文獻的) 고찰(考察) -호흡기(呼吸器) 질환(疾患)을 중심(中心)으로-

이주희,오태환,정승기,이형구,Lee, Ju-Hee,Oh, Tae-Hwan,Jung, Sung-Gi,Rhee, Hyung-Koo 대한한방내과학회 1992 大韓韓方內科學會誌 Vol.13 No.1

This study has been carried out to investigate the cause and symptom treatment of Dam-Hum (痰飮) by referring to 41 literatures. The results were as follows; 1. The factors causing Dam-Eum (痰飮) divided into 3 groups. The 1st outer factors are six dirty (六淫), 2nd week and yanghu (陽虛), 3rd mental. 2. The symptom of Dam-Eum (痰飮) is as follows. (1) dam(痰) : cough, retching, pain of sub-ribs, vomiting, crazy, coma, dizziness. (2) eum(飮) : edema, stimulus feeling in throat, cough with pain, cough, hemoptysis indigestion. 3. The treatment of Dam-Eum (痰飮) is as follows. gudam(祛痰), sungi(順氣), bobipaesin(補脾肺腎), chungyul(淸熱), jesep(除濕). 4. The drugs of Dam-Eum (痰飮) is as follows. gudam (祛痰): ejintang (二陳湯), dodamtang (導痰湯), gunghatang (芎夏湯). sungi (順氣) : chilgitang (七氣湯), gamisachiltang (加味四七湯). babi (補脾) : gwibitang (歸脾湯), sagunjatang (四君子湯). bopae (補肺) : bapaetang (補肺湯), yunpaeeum (潤肺湯), saeumjun (四飮煎). bosin (補腎) : yukmihwan (六味丸), palmihwan (八味丸), singihwan (腎氣丸).

레이저 - 의학분야에서의 이용과 전망

이주희,Lee, Ju-Hui 한국과학기술단체총연합회 1985 과학과 기술 Vol.18 No.3

비색증과 알레르기비염에 관한 문헌적 고찰 -(원인과 증상을 중심으로)-

이주희,김현,최영철,정희재,오태환,정승기,이형구,Lee, Ju-Hui,Kim, Hyeon,Choe, Yeong-Cheol,Jeong, Hui-Jae,O, Tae-Hwan,Jeong, Seung-Gi,Lee, Hyeong-Gu 대한한방내과학회 1993 大韓韓方內科學會誌 Vol.14 No.1