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경골극 골절의 관절경적 치료 후 슬관절의 전방 불안정성
최종혁,김성환,주종환,김형식,Choi, Chong-Hyuk,Kim, Sung-Hwan,Joo, Jong-Hwan,Kim, Hyung-Sik 대한관절경학회 2006 대한관절경학회지 Vol.10 No.1
목적: 경골극 골절에서 관절경을 이용한 골편의 정복 및 고정 후 골절편의 정복 정도와 전방 불안정성에 대한 결과를 알아보고자 하였다. 대상 및 방법: 경골극 골절로 관절경적 치료를 받은 32예를 대상으로 하였으며 평균 추시 기간은 18개월(12개월-48개월)이었다. 수술 후 평가는 Lachman 검사 및 회전 불안정성 검사와 KT-2000 관절측정기를 이용한 건측과의 전방전위차이(SSD)를 측정하였다. 방사선 사진 상 골편의 완전 정복, 전방 거상 및 정복 실패로 나누었고, 골편의 정복 정도에 따른 전방 불안정성 정도를 조사하였다. 결과: 골편의 완전 정복, 전방 거상, 정복 실패는 각각 23예(71%), 8예(25%), 1예(4%)였고 pull-out 방법 28예 중 8예(29%)에서 전방 거상이 있었다. 완전 정복군과 전방 거상군의 SSD는 각각 2.0 mm와 2.8mm로 의미 있는 차이는 없었으나 Lachman 0등급 비율(P=0.021)과 3 mm 미만의 SSD의 비율(P=0.048)은 의미 있게 정복군이 높았다. 결론: 심하게 전위된 골절일수록 골편의 정확한 정복이 술 후 전방 동요를 줄이는데 중요할 것으로 생각되며, 봉합사를 이용한 pull-out 방법에 의한 고정은 수술 후 골편 전방부의 거상을 유발할 수 있으므로 세심한 주의가 필요 할 것으로 생각된다. Purpose: We evaluated the result of the degree of reduction and anterior instability after arthroscopic treatment of tibial spine fractures. Materials and Methods: Thirty-two cases of tibial spine fractures treated with arthroscopic procedure could be evaluated and the mean follow-up period was $18\;(12{\sim}48)$ months. Evaluations included Lachman test, rotatory instability examination and side to side difference (SSD) using KT-2000 arthrometer. The degree of radiologic reduction was classified as accurate reduction, anterior elevation and reduction failure, according to which the degree of anterior instability was measured. Results: There were twenty three cases (71%) of accurate duction, eight cases (25%) of anterior elevation and one case (4%) of education failure. Eight (29%) of twenty eight cases with pull-out method showed anterior elevation. The SSDs of the accurate reduction and the anterior elevation group were 2.0 mm and 2.8 mm, respectively showing no significant difference. However, the percent age of grade 0 Lachman test and SSD less than 3 mm of the accurate reduction group were significantly higher. Conclusion: Accurate reduction is important in reducing anterior instability especially in unstable fractures. Therefore, arthroscopic pull-out method should be performed with great caution to avoid anterior elevation of the fracture fragment.
공동주택 건설 프로젝트의 성과관리를 위한 감리업무 데이터 적용성 분석
성유경 ( Sung Yookyung ),허윤경 ( Hur Youn Kyoung ),김성환 ( Kim Sung Hwan ),이승우 ( Lee Seung Woo ),강성미 ( Kang Seongmi ),박찬혁 ( Park Chan Hyuk ) 한국건축시공학회 2023 한국건축시공학회 학술발표대회 논문집 Vol.23 No.1
As data management and analysis technology advances, there is active discussion on how to utilize data generated in construction projects. Among them, the materials produced during the supervision work are highly useful because their generation cycle and format are regulated according to relevant laws. In this study, we analyzed whether the data produced during the supervision work in the construction phase of apartment housing can be utilized for project performance management. First, this study identified key data necessary for performance management through FGI with experts in the field of apartment housing. Next, we collected supervisory data from the case project and identified whether the data was generated, its cycle, and storage format. As a result of the analysis, the supervisory data contained various information that could measure the performance of construction projects and had the advantage of standardized data. In the future, utilizing supervisory data is expected to enable effective performance management of apartment housing construction projects.
권혁우 ( Hyuk Woo Kwon ),김준영 ( Jun Young Kim ),민성환 ( Sung Hwan Min ),최민아 ( Min Ah Choi ),오연이 ( Youn Lee Oh ),공원식 ( Won Sik Kong ),김성환 ( Seong Hwan Kim ) 한국균학회 2014 韓國菌學會誌 Vol.42 No.1
Button mushroom (Agaricus bisporus) strains from diverse origins were compared in this study to obtain basicin formation on their growth and biochemical properties that are helpful for breeding. Among 31 dikaryotic strains tested, most strains showed better mycelial growth on oatmeal agar than on MEA and PDA. Mycelia of the mushroom strains revealed β-glucosidase activity the most clearly among the seven extracellular enzymes tested. All the strains showed protease activity, but β-glucosidase activity was found in 27 strains and xylanase activity was found in 30 strains. The activity of avicelase, CM-cellulase, amylase, and pectinase was detected in less than 20 strains. These results implied that enzymatic characteristics could be used as a criterion of strain selection for breeding study.
보문 : 배양조건에 따른 붉은자루동충하초 균주 간의 균사생장 특성 재평가
김준영 ( Jun Young Kim ),권혁우 ( Hyuk Woo Kwon ),성기호 ( Gi Ho Sung ),최형균 ( Hyung Kyoon Choi ),성재모 ( Jae Mo Sung ),김성환 ( Seong Hwan Kim ) 한국균학회 2013 韓國菌學會誌 Vol.41 No.4
To obtain basic data for the better use of Cordyceps pruinosa we reassessed the effect of different medium, culture method, pH, and carbon and nitrogen sources on the mycelial growth properties of four C. pruinosa isolates. The growth of mycelia differed among the four isolates depending on medium type and cultivation days. Among the tested 8 kinds of solid media, the four isolates grew well on PDA and MMMA (mushroom minimal medium agar). While, among the tested 8 kinds of liquid media, all the isolates grew well in SDYM (Sabourand`s dextrose yeast extract medium) . The isolates also grew well in the SDYM with pH from 4.0 to 9.5 without any inhibition. One isolate could best grow at pH 8 to 9.5. Regarding the ability of utilizing carbon source, the difference of mycelia growth among the isolates was the most with xylose. Regarding nitrogen source, three isolates could utilize urea which is new fact in this species. These results provide new points on the growth properties of the fungal mycelium which has not been explored before. Overall, this reassessed study concluded that it is necessary to check in advance the growth properties of mycelium when a new isolate of C. pruinosa is expected to be used for application.
심근 관류 SPECT에서 핵종에 따른 Uniformity correction map 설정을 통한 영상의 질 비교
송재혁,김경식,이동훈,김성환,박장원,Song, Jae hyuk,Kim, Kyeong Sik,Lee, Dong Hoon,Kim, Sung Hwan,Park, Jang Won 대한핵의학기술학회 2015 핵의학 기술 Vol.19 No.2
SPECT에서 Uniformity는 균일한 방사능을 갖는 선원에 대하여 균일한 영상을 제공하는 능력이다. 영상에서 다양한 이유로 불균일이 발생하게 되고, 불균일은 artifacts를 발생시켜 임상적으로 진단하는데 영향을 줄 수 있다. Uniformity correction map은 검사에 사용되는 방사성 동위원소를 이용하여 영상에서 Uniformity의 변동폭을 최소화 시켜주는 역할을 한다. 본원에서 시행되고 있는 $^{201}Tl$을 이용한 심근 SPECT에서는 $^{99m}Tc$으로 기본 설정되어 있는 Uniformity correction map을 사용하고 있으며, 이에 따라 본 연구에서는 $^{201}Tl$과 $^{99m}Tc$ 두 가지 핵종으로 Uniformity correction map을 각각 설정하였을 때 영상의 질에 차이가 있는지 비교 분석하고, 영상의 질을 최적화 할 수 있는 방법에 대하여 모색해 보고자 한다. 장비는 GE Ventri Gamma camera, Flood phantom, Jaszczak ECT phantom을 이용하였다. 실험에 앞서 Collimator를 제거한 상태에서 Detector 표면 중심으로부터 2.5 m 떨어진 지점에 1 cc 주사기에 $^{99m}Tc$ 25.9 Mbq, $^{201}Tl$ 14.8 Mbq의 방사성 동위원소를 주입한 point source를 이용하여 장비사에서 권고하는 $6{\times}10^7count$로 $^{99m}Tc$와 $^{201}Tl$ 각각의 방사성 동위원소로 Uniformity Mapping을 실시하였다. Flood phantom에는 $^{201}Tl$ 21.3 kBq/mL, Jaszczak ECT phantom에는 $^{201}Tl$ 33.4 kBq/mL를 주입하여 phantom을 제작하였다. Flood Phantom으로 획득된 데이터는 Xeleris ver 2.05 프로그램을 이용하여 Integral uniformity, Differential uniformity을 두 가지 항목에 대하여 분석하였다. Jaszczak ECT Phantom으로 획득된 데이터를 본원에서 자체 개발한 Interactive Data Language 프로그램에 입력하여 Integral uniformity, Contrast, Coefficient of variation, Spatial Resolution을 4가지 항목에 대하여 분석하였다. Flood phantom test 에서는 $^{99m}Tc$에서의 Flood I.U값은 3.6%, Flood D.U값은 3.0%으로 나타났고, $^{201}Tl$ Flood I.U값은 3.8%, Flood D.U값은 2.1%으로 나타났다. 이를 통해 $^{201}Tl$으로 Uniformity correction map을 설정하였을 때, Flood I.U값은 감소하였으나 Flood D.U은 향상되어 Flood 영상에서는 크게 영상의 질이 개선되었는지는 알 수 없었다. 반면 Jaszczak ECT Phantom test에서는 $^{99m}Tc$에서의 SPECT I.U값은 13.99%, Coefficient of variation값은 4.89%, contrast값은 0.69, $^{201}Tl$에서의 SPECT I.U값은 11.37%, Coefficient of variation값은 4.79%, contrast값은 0.78로 나타났으며, 육안 분석을 실시한 Spatial Resolution 항목에서는 육안으로 큰 차이를 보이지 않았다. 이를 통해 $^{201}Tl$으로 Uniformity correction map을 설정하였을 때, Spatial Resolution 을 제외한 SPECT I.U, Coefficient of variation, Contrast 세 항목에서 각각 18%, 2%, 13%의 향상된 수치를 보였다는 점에서 영상의 질이 개선되었음을 알 수 있었다. Uniformity correction map이 영상의 질을 크게 좌우할 수 없으나, 개선의 효과를 가져다 준다는 점에서 임상적으로 진단에 영향을 주는지 또한 다른 검사에서 또 다른 방사성 동위원소로 Uniformity correction map을 설정했을 경우 영상의 질을 개선시킬 수 있는지에 관하여 추가적인 연구가 필요할 것으로 사료된다. Purpose When the patients takes myocardial perfusion SPECT using $^{201}Tl$, the operator gives the patients an injection of $^{201}Tl$. But the uniformity correction map in SPECT uses $^{99m}Tc$ uniformity correction map. Thus, we want to compare the image quality when it uses $^{99m}Tc$ uniformity correction map and when it uses $^{201}Tl$ uniformity correction map. Materials and Methods Phantom study is performed. We take the data by Asan medical center daily QC condition with flood phantom including $^{201}Tl$ 21.3 kBq/mL. After postprocessing with this data, we analyze CFOV integral uniformity(I.U) and differential uniformity(D.U). And we take the data with Jaszczak ECT Phantom by American college of radiology accreditation program instruction including $^{201}Tl$ 33.4 kBq/mL. After post processing with this data, we analyze spatial Resolution, Integral Uniformity(I.U), coefficient of variation(C.V) and Contrast with Interactive data language program. Results In the flood phantom test, when it uses $^{99m}Tc$ uniformity correction map, Flood I.U is 3.6% and D.U is 3.0%. When it uses $^{201}Tl$ uniformity correction map, Flood I.U is 3.8% and D.U is 2.1%. The flood I.U is worsen about 5%, but the D.U is improved about 30% inversely. In the Jaszczak ECT phantom test, when it uses $^{99m}Tc$ uniformity correction map, SPECT I.U, C.V and contrast is 13.99%, 4.89% and 0.69. When it uses $^{201}Tl$ uniformity correction map, SPECT I.U, C.V and contrast is 11.37%, 4.79% and 0.78. All of data are improved about 18%, 2%, 13% The spatial resolution was no significant changes. Conclusion In the flood phantom test, Flood I.U is worsen but Flood D.U is improved. Therefore, it's uncertain that an image quality is improved with flood phantom test. On the other hand, SPECT I.U, C.V, Contrast are improved about 18%, 2%, 13% in the Jaszczak ECT phantom test. This study has limitations that we can't take all variables into account and study with two phantoms. We need think about things that it has a good effect when doctors decipher the nuclear medicine image and it's possible to improve the image quality using the uniformity correction map of other radionuclides other than $^{99m}Tc$, $^{201}Tl$ when we make other nuclear medicine examinations.