반회후두신경 손상을 동반하지 않은 갑상선 절제술 환자에서 수술 초기의 음성 및 연하 기능의 변화에 대한 분석

김희진,금보람,김근희,전승식,김혜진,김성균,홍석진,홍석민,김용복,박일석,Kim, Heejin,Keum, Bo-Ram,Kim, Geun Hee,Jeon, Seung Sik,Kim, Hyejeen,Kim, Sung Kyun,Hong, Seok Jin,Hong, Seok-Min,Kim, Yong-Bok,Park, Il-Seok 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.2

Background and Objectives : After thyroidectomy, many patients experience problems report such things as reduced voice range and vocal fatigue, swallowing problems without superior and recurrent laryngeal nerve injury. The purpose of this study was to evaluate voice and swallowing problems before and after thyroid surgery without laryngeal nerve injury. Materials and Methods : Ninety-three patients who underwent thyroidectomy without laryngeal nerve injury and completed the follow-up evaluations were studied between June 2013 and December 2015. Each evaluation was performed preoperatively, as well as 1 week, 1 month postoperatively. Analysis was performed including voice handicap index (VHI), dysphagia handicap index (DHI), and acoustic voice analysis. Results : Patients show significant variation of parameters in the fundamental frequency (F), maximal phonation time (MPT), shimmer, jitter and soft phonation index (SPI) early after operation, and most of them showed recovery of parameters after 1month of operation. Perceptive complaint of voice and swallowing also showed significant decreased after operation (p<0.005). After 1month of operation, MPT, highest frequency and frequency ranges still showed significant decreased parameters. Comparing acoustic and perceptive parameters of total thyroidectomy and lobectomy, there was no significant changes between them except highest frequency (p=0.042). Conclusion : The results from both subjective and objective evaluations show voice and swallowing disturbance after thyroidectomy even in the absence of laryngeal nerve and provide patients information about the recovery process after surgery. Highest frequency parameter showed most significant changes after operation.

그래핀/구리폼과 그래파이트 하이브리드 구조체의 열전도 특성 연구

김희진,김형근,김예나,이우성,윤대호,양우석,Kim, Hee Jin,Kim, Hyeungkeun,Kim, Yena,Lee, Woo Sung,Yoon, Dae Ho,Yang, Woo Seok 한국결정성장학회 2013 한국결정성장학회지 Vol.23 No.5

그래핀(Graphene)은 전기 전도성 및 열전도성이 우수하고 1 nm 수준의 초 박막 형 필름 소재를 제조할 수 있다는 장점으로 인하여, 차세대 트랜지스터 소자 및 디스플레이 장치에 적용 가능한 방열 소재로서 많은 연구가 활발히 진행되고 있다. 또한 CVD(chemical vapor deposition)제조법으로 합성된 그래파이트(Graphite)는 구조의 단순성 및 유연성 때문에 안정하고 열에 강한 탄소계 방열소재로 주목 받고 있다. 본 연구는 열전도도가 우수한 폼(foam)형태의 구리를 촉매로 상압과 진공에서의 CVD법을 이용하여 그래핀을 성장시킨 후 구리 폼의 기공 안에 다양한 종류의 그래파이트(Natural graphite, expandable(/expanded) graphite, etc)를 복합 및 안정화시켜 기존보다 높은 열전도도를 가지는 방열소재를 개발하였다. 제조된 금속폼/그래파이트 소재를 OM(optical microscopy)과 SEM(scanning electron microscopy)을 이용하여 표면을 확인하였고 DSC(Differential Scanning Calorimetry), 아르키메데스 법을 활용한 비열, 밀도 결과를 확보하였다. 또한 LFA(Laser Flash Analysis)를 이용하여 열 확산계수 예측을 통한 열전도 특성을 평가하였다. Pure-carbon materials such as graphite, graphene, carbon nanotubes, and diamond have very high thermal conductivities. The reported thermal conductivity of graphene is in the range 3000~5000W/m-K at room temperature. Here, we developed graphene/cu foam hybrid type heat spreader to obtain higher thermal conductivity than Cu foam. Hybrid materials were characterized using optical microscopy (OM), scanning electron microscopy (SEM) and thermal conductivity measurement system; LFA (Laser Flash Analysis @ LFA 447, NETZSCH). We suggest that excellent thermal properties of graphene/cu foam hybrid structures are beneficial for all proposed electrical applications and can lead to a thermal management application.

간 전이 암 환자의 18F-FDG PET 기반 종양 영역 정의: 영상 인자와 자동 영상 분할 기법 간의 관계분석

김희진,박승우,정해조,김미숙,유형준,지영훈,이철영,김금배,Kim, Heejin,Park, Seungwoo,Jung, Haijo,Kim, Mi-Sook,Yoo, Hyung Jun,Ji, Young Hoon,Yi, Chul-Young,Kim, Kum Bae 한국의학물리학회 2013 의학물리 Vol.24 No.2

간 전이 암은 이전에는 수술을 통한 외과적 절제가 주요 치료기법이었지만 방사선 치료 기법의 발전으로 인해 점차 방사선치료의 시행이 늘어나고 있다. 18F-FDG PET 영상은 간 전이 암 진단 시 더욱 우세한 민감도와 특이도를 보이며, 치료계획용 CT 영상과 더불어 종양조직의 위치를 정의하는 중요한 영상장비로 자리매김하고 있다. 본 연구에서는 간 전이 암의 18F-FDG PET 영상에 나타난 종양영역을 영상분할기법 적용하였으며 PET영상의 여러 인자들이 영상분할기법들에 미치는 영향을 알아보았다. 2009년부터 2012년까지 방사선 치료를 받은 간전이 환자들 중 18F-FDG PET/CT 촬영을 시행한 13명의 환자들의 치료계획용 CT와 PET/CT 영상을 얻었다. 그 뒤 PET 영상의 관심영역을 설정하기 위하여 3가지 영상 분할 기법인 상대적문턱기법, 기울기기법, 영역성장기법을 적용하였다. 이 결과들을 바탕으로 GTV와 각 영상 기법으로 구현된 종양 영역과 부피 비교를 시행하였으며 영상 분할 기법에 영향을 미치는 영상인자들과의 관계를 회귀 분석하였다. GTV (Gross Tumor Volume)의 평균 부피는 $60.9{\pm}65.9$ cc이며, 40% 상대적문턱값 기법은 $22.43{\pm}35.3$ cc, 50% 상대적문턱값 기법은 $10.11{\pm}17.9$ cc, 영역성장기법은 $32.89{\pm}36.8$ cc, 기울기기법은 $30.34{\pm}35.8$ cc로 나타났다. 기존의 GTV와 가장 유사한 영역을 나타낸 영상 분할 기법은 영역성장기법 이었다. 이 영역성장기법에 영향을 미치는 영상인자를 정량적으로 분석하기 위해 표준화 계수 ${\beta}$값을 이용하였으며, GTV의 크기, $TumorSUV_{MAX/MIN}$, $SUV_{max}$, TBR 순으로 나타났다. 이와 같은 PET 영상인자를 반영한 영상 분할 기법을 이용해서 종양 영역을 정의한다면 보다 정확하고 일관성 있는 종양그리기를 수행할 수 있으며 궁극적으로 종양에 최적화된 방사선량을 투여할 수 있을 것이다. The surgical resection was occurred mainly in liver metastasis before the development of radiation therapy techniques. Recently, Radiation therapy is increased gradually due to the development of radiation dose delivery techniques. 18F-FDG PET image showed better sensitivity and specificity in liver metastasis detection. This image modality is important in the radiation treatment with planning CT for tumor delineation. In this study, we applied automatic image segmentation methods on PET image of liver metastasis and examined the impact of image factors on these methods. We selected the patients who were received the radiation therapy and 18F-FDG PET/CT in Korea Cancer Center Hospital from 2009 to 2012. Then, three kinds of image segmentation methods had been applied; The relative threshold method, the Gradient method and the region growing method. Based on these results, we performed statistical analysis in two directions. 1. comparison of GTV and image segmentation results. 2. performance of regression analysis for relation between image factor affecting image segmentation techniques. The mean volume of GTV was $60.9{\pm}65.9$ cc and the $GTV_{40%}$ was $22.43{\pm}35.27$ cc, and the $GTV_{50%}$ was $10.11{\pm}17.92$ cc, the $GTV_{RG}$ was $32.89{\pm}36.8$4 cc, the $GTV_{GD}$ was $30.34{\pm}35.77$ cc, respectively. The most similar segmentation method with the GTV result was the region growing method. For the quantitative analysis of the image factors which influenced on the region growing method, we used the standardized coefficient ${\beta}$, factors affecting the region growing method show GTV, $TumorSUV_{MAX/MIN}$, $SUV_{max}$, TBR in order. The result of the region growing (automatic segmentation) method showed the most similar result with the CT based GTV and the region growing method was affected by image factors. If we define the tumor volume by the auto image segmentation method which reflect the PET image parameters, more accurate and consistent tumor contouring can be done. And we can irradiate the optimized radiation dose to the cancer, ultimately.

세계 결핵 추세와 우리나라 결핵실태

김희진,Kim, Hui-Jin 대한결핵협회 2007 보건세계 Vol.54 No.3

도재용착주조관용 Co-Cr계 비귀금속 합금의 전단결합강도 비교평가에 관한 연구

김희진,김부섭,Kim, Hee-Jin,Kim, Bu-Sob 대한치과기공학회 2010 대한치과기공학회지 Vol.32 No.3

Purpose: The purpose of this study was to observe the microstructural changes of surface in the specimens, performing the shear bond strength testing. The currently most used non-precious alloys are nickel-chromium based alloys with or without beryllium. However, their biocompatibility has been questioned concerning possible damages to the health of the patient and professionals involved in the fabrication of prosthesis caused by long exposure to Ni and Be. An option to nickel-chromium alloys is the cobalt-chromium alloy, an alternative that does not sacrifice the physical properties of the metal porcelain systems. Studies in the animals substantially show that the cobalt-chromium alloys are relatively well tolerated, being therefore more biocompatible than the nickel-chromium alloys. Methods: Non-addition Be to nickel-chromium based alloy(Bellabond plus) and cobalt-chromium alloy which has been widely used(Wirobond C) fused with ZEO light porcelain classified control group and cobalt-chromium alloy which is developing alloy of Alphadent company in Korea(Alphadent alloy) fused with ZEO light porcelain classified experimental group. The specimens of $4mm{\times}4mm{\times}0.5mm$ were prepared as-cast and as-opaque to cast body to analyze the mechanical characteristic change, the microstructure of alloy surface. The phase change was used to observe through XRD analysis and OM/SEM was used to observe the surface of specimens as-cast and as-opaque to cast body. Chemical formation of their elements was measured with EDS. Then hardness was measured with Micro Vicker's hardness tester. Shear bond strength test thirty specimens of $10mm{\times}10mm{\times}2mm$ was prepared, veneered, 3mm high and 3mm in diameter, over the alloy specimens. The shear bond strength test was performed in a universal testing machine(UTM) with a cross head speed of 0.5mm/min. Ultimate shear bond strength data were analyzed with one-way ANOVA and the Scheffe's test (P<0.05). Within the limits of this study, the following conclusions were drawn: The X-ray diffraction analysis results for the as-cast and as-opaque specimens showed that the major relative intensity of Bellabond plus alloy were changed smaller than Wirobond C and Alphadent Co-Cr based alloys. Results: Microstructural analysis results for the opaque specimens showed all the alloys increased carbides and precipitation(PPT). Alphadent Co-Cr based alloy showed the carbides of lamellar type. The Vickers hardness results for the opaque specimens showed Wirobond C and Alphadent Co-Cr based alloys were increaser than before ascast, but Bellabond plus alloy relatively decreased. The mean shear bond strengths (MPa) were: 33.11 for Wirobond C/ZEO light; 25.00 for Alphadent Co-Cr alloy/ZEO light; 18.02 for Bellabond plus/ZEO light. Conclusion: The mean shear bond strengths for Co-Cr and Ni-Cr based alloy were significantly different. But the all groups showed metal-metal oxide modes in shear bond strengths test at the interface.

Raman Spectra of the Solid-Solution between $Rb_2La_2Ti_3O_10$ and $RbCa_2Nb_3O_10$

김희진,변송호,윤호섭,Kim, Hui Jin,Byeon, Song Ho,Yun, Ho Seop Korean Chemical Society 2001 Bulletin of the Korean Chemical Society Vol.22 No.3

A site preference of niobium atom in Rb2-xLa2Ti3-xNbxO10 (0.0 $\leq$ x $\leq1.0)$ and RbLa2-xCaxTi2-xNb1+xO10 (0.0 $\leq$ x $\leq2.0)$, which are the solid-solutions between Rb2La2Ti3O10 and RbCa2Nb3O10, has been investigated by Raman spectroscopy. The Raman spectra of Rb2-xLa2Ti3-xNbxO10 (0.0 $\leq$ x $\leq1.0)$ gave an evidence that niobium atoms substituted for titanium atoms preferably occupy the highly distorted outer octahedral sites rather than the central ones in triple-octahedral perovskite layers. In contrast, the Raman spectra of RbLa2-xCaxTi2-xNb1+xO10 (0.0 $\leq$ x $\leq2.0)$ showed no clear information for the cationic arrangement in perovskite slabs. This difference indicated that a site preference of niobium atoms is observed only when the linear Rb-O-Ti linkage can be replaced by much stronger terminal Nb-O bond with double bond character. From comparison with the Raman spectroscopic behavior of CsLa2-xA’xTi2-xNb1+xO10 (A’ = Ca and Ba; 0.0 $\leqx\leq2.0)$, it is also proposed that a local difference in arrangement of interlayer atoms causes a significantly different solid acidity and photocatalytic activity of the layered perovskite oxides, despite their crystallographically similar structures.

국립축산과학원 양계연구동향 - 닭 장관 내 미생물군집의 영양학적 역할

김희진,Kim, Hui-Jin 대한양계협회 2022 월간 양계 Vol.54 No.4

TB클리닉 - 결핵 치료시 흔히 접하는 문제들

김희진,Kim, Hui-Jin 대한결핵협회 2009 보건세계 Vol.56 No.6

외래에서 흔히 이용하는 결핵 진단법으로는 객담 도말과 배양검사, 엑스선 검사가 있다. 일단 활동성 결핵으로 진단되면 환자의 과거력 등을 참조하여 치료를 하게 되는데, 초치료인 경우 아이나, 리팜핀, 에탐부톨, 피라진아마이드를 이용한 6개월 단기 초치료 처방으로 치료를 한다. 4제 처방의 효과는 강력하여 규칙적으로 약을 복용한다면 대부분 완치되며, 완치 판정은 치료 중 추구 객담검사를 이용한다. 대부분의 환자들은 진단, 치료에 어려움이 없지만 실제 외래 치료시에는 진단, 치료에서 어려운 문제가 발생하기도 한다. 이에 외래에서 부닥칠 수 있는 상황과 적절한 대처법을 알아보기로 한다.

국립축산과학원 양계연구동향 - 동물복지 닭고기는 일반 닭고기와 다를까?

김희진,Kim, Hui-Jin 대한양계협회 2021 월간 양계 Vol.53 No.4

C-arm 방사선 투영법을 이용한 식도 점막 하 이물 제거

김희진,김효상,차원재,성명훈,하정훈,Kim, Heejin,Kim, Hyo-Sang,Cha, Wonjae,Sung, Myung-Whun,Hah, J. Hun 대한기관식도과학회 2013 大韓氣管食道科學會誌 Vol.19 No.1

Esophageal foreign body is common condition for visit emergency room, and most of them were successfully removed with endoscopy. However, in case of esophageal foreign body impaction, it can be difficult to localize the foreign body. We report a 29-year old man with esophageal foreign body impaction. We successfully localized and removed the esophageal submucosal foreign body using rigid endoscopy under C-arm guidance, avoiding more invasive procedure. The patient was followed up without any complication.