악관절 습관성 탈구에 대한 외과적 악관절경술의 임상 성적

최도현,허원실,정 훈 대한 두개하악 장애학회 1999 대한두개하악장애학회지 Vol.11 No.2

In treating habitual dislocation of TMJ, generally there are two ways; conservative and open surgery, Conservative treatment has a high recurrence rate and open surgery involves surgical invasion. Consequently, many results of conservative and open surgery were unsatisfactory. Arthroscopic surgery for habitual dislocation of the TMJ solved the problems above. It is useful due to little recurrence, reducing surgical invasion and simple technique. Arthroscopic surgery was performed for on 18 cases out of 19 joints of patients who visited out hospital from May, 1989 to June, 1995. 18 cases of 19 joints after initial surgery showed good results and only one joint had recurrence. Even that one case improved after secondary arthroscopic surgery. Therefore, surgical arthroscopy is thought to be the best method for habitual dislocation of TMJ.

하악골 결손부의 골형성에 미치는 Bioplant HTRⓡ의 영향

최도현,유선열,김옥준,허원실 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.1

The present study was performed to investigate the effect of HTR□ (Hard Tissue Replacement) on osteogenesis in the mandibular bone defects. Eight adult male white rabbits weighing 2.5 to 3.0kg were used. Four bone defects (8mm in diameter and 4mm in depth) were made at the both mandibular body. In the control group, the right mesial bone defect was filled with blood clot and spontaneously healed, In the DFDB group, the right distal bone defect was filled with xenogenic demineralized freeze-dried bone. In the HTR□ group, the left mesial bone defect was filled with HTR□. In the HTR□-membrane group, the left dis- tal bone defect was filled with HTR□ and covered with BioMesh membrane. The rabbits were sacrified at 2,4,6 and 9 weeks after the operation and microscopic examination was performed. Results obtained were as follows: In the control and DFDB groups, inflammatory cells and the fibrous connective tissue existed and the bone growth was slower than HTR□ group by 6 week, and there was intervention of the soft tissue at 9 week. In the HTR□ group, bone trabeculi extended between the HTR□ particles without intervention of inflammatory cells and the connective tissue at 4 and 6 weeks. In addition, extensive osseous ingrowth into the HTR□ particles was observed at 9 week. Bone formation was more active in the HTR□ group than the control and DFDB groups. There was not obvious difference in the bone healing rate between the HTR□ and the HTR□-membrane group. These results suggest that the HTR□ promotes osteogenesis in the bone defects and the HTR□ group has no difference in comparison with the HTR□-BioMesh□ membrane group in bone healing.

Influence of Sodium Hyaluronate Concentration on Corneal Aberrations in Soft Contact Lens Wearers

Jong Soo Lee,Jong Moon Park,Hyun Kyung Cho,Su Jin Kim,Hyoun Do Huh2,Young Min Park 대한안과학회 2018 Korean Journal of Ophthalmology Vol.32 No.2

Purpose: This study aimed to evaluate the influence of varying concentrations of sodium hyaluronate (SH) eye drops on corneal aberrations in normal individuals wearing silicone hydrogel contact lenses. Methods: Normal individuals wearing silicone hydrogel contact lenses were enrolled in this study. Subjects were classified into two groups depending on the concentration of the preservative-free SH used (group 1, 0.1% SH; group 2, 0.3% SH). All subjects were asked to blink five times after instillation of the SH eye drop and before the Galilei measurements. Corneal aberrations were measured over the contact lenses before and after SH eye drop instillation. Visual acuity (VA) over the contact lenses was also measured both before instillation of the SH eye drop and after the subjects completed the five blinks. Results: There was no change in VA after SH instillation in group 1; however, group 2’s VA significantly deteriorated after SH instillation. Changes in VA after SH instillation compared to baseline were significantly higher in group 2 than in group 1. Similarly, the increase in corneal aberrations after SH instillation was significant in group 2 but not significant in group 1. Among the significantly increased corneal aberration parameters, defocus was the main type in group 2. Changes in corneal aberrations after SH instillation compared to baseline were significantly higher in group 2 than in group 1. Conclusions: A 0.3%-concentration of SH increases corneal aberration and decreases VA in soft contact lens wearers. Defocus is the main type of aberration that increased in the 0.3% SH instillation group.

Control of Oscillation Pattern in the Malonic acid-Bromate-Ruthenium-Hydroquinone Reaction by the Illumination of Visible Light

Huh, Do-Sung,Choe, Young-Min,Park, Do-Young,Park, Sung-Hyun,Zhao, Yan-Suhang,Choe, Sang-Joon Korean Chemical Society 2005 Bulletin of the Korean Chemical Society Vol.26 No.2

Histopathological Study on the Macrophage of Tilapia , Oreochromis nilotoicus , injectedd with Edwardsiella tarda

Huh,Min Do,Kim,Jee Young,Jeong,Hyun Do,Lee,Nam Sil 한국어병학회 1995 한국어병학회지 Vol.8 No.2

3D dosimetry by compass program with array detector for volumetric modulated arc therapy

Hyun Do Huh,Sang Hyoun Choi,Sang Hyoun Choi,Hun Jeong Kim,Seong Hoon Kim,Young Hoon Ji,Kum Bae Kim,Dong oh Shin,Suk Lee,Jang Bo Shim,Sam Ju Cho,Sang Hoon Lee,Kwang Hwan Cho,Chul Kee Min 대한방사선방어학회 2011 대한방사선방어학회 학술발표회 논문요약집 Vol.2011 No.11

나일 틸라피아에 대한 질병예방제 및 면역보조제로서의 PS-K 효과 분석

허성회,정현도,허민도,하재이,박경현 한국어병학회 1997 한국어병학회지 Vol.10 No.1

단백질 결합 다당류인 PS-K가 Edwardsiella tarda의 감염에 대한 나일 틸라피아(Oreochromis niloticus)의 저항력 증강 효과에 대한 능력분석을 실시하였다. PS-K를 0.1 ㎎/g 어체중의 농도로 처리한 나일 틸라피아에 대하여 여러 농도외 E. tarda로 공격 실험을 하였다. 저농도(1.2×10^7 그리고 1.2×10^8 cfu/틸라피아)의 공격에 대하여 PS-K 처리구는 100% 생존율을 나타내었고 대조구는 각각 50%와 100%의 폐사율을 보여 주었다. 그러나 고농도의 E. tarda(1.2×10^9 그리고 1.2×10^(10) cfu/틸라피아) 공격에 대해서는 약간의 수명 연장효과만 있었을뿐 대조구와 같이 100%의 폐사율을 보여 주었다. E. tarda(1.2×10^7 cfu/틸라피아) 공격 1주일 후 PS-K를 복강 투여한 나일 틸라피아는 100%의 생존율을 나타내었으나 대조구는 50% 생존율을 나타내어 PS-K가 가지고 있는 치료제로서의 잠재력을 보여 주었다. 그리고 PS-K 투여 1주일 후 주사된 E. tarda FKC에 대하여 보여준 나일 틸라피아의 높은 항체 반응은 PS-K가 어류의 특이 액성 면역반응에 관여하여 어류가 세균 감염시 높은 저항성을 갖게 하여 주는 것으로 나타났다. A protein-bound polysaccharide preparation, PS-K, isolated from Coriolus versicolor was evaluated for its ability to enhance resistance against Edwardsiella tarda, causal agent of classical edwardsiellosis in tilapia, Oreochromis niloticus. Fish treated with a dose rate of 0.1 ㎎ PS-K g^(-1) body weight were challenged by intraperitoneal injection of E. tarda with different concentrations. Against low burdens of injections(1.2×10^7 and 12 ×10^8 cfu/fish), PS-K treated fish did not show any mortality compared to 50% and 100% mortality of control groups, respectively. However there was no increase of resistance against challenge with high concentrations of E. tarda (1.2×10^9 and 1.2×10^(10)cfu /fish) except few days delaying of death. Tilapia injected with PS-K one day after intraperitoneal inoculation of E tarda(1.2×10^7 cfu/fish) showed 100% survival rate compared to control group of 50% survival rate. The result indicates the potential of PS-K as a prophylactic agent in aquaculture. The increased antibody response in fish received PS-K one week prior to FKC administration suggested the influence of PS-K on the specific humoral immunity and increased resistance against bacterial infection.

Control of Oscillation Pattern in the Malonic acid-Bromate-Ruthenium-Hydroquinone Reaction by the Illumination of Visible Light

Do Sung Huh*,Young Min Choe,Do Young Park,Sung Hyun Park,Yan Suhang Zhao,Sang Joon Choe 대한화학회 2005 Bulletin of the Korean Chemical Society Vol.26 No.2

History of Radiation Therapy Technology

Huh, Hyun Do,Kim, Seonghoon Korean Society of Medical Physics 2020 의학물리 Vol.31 No.3

Here we review the evolutionary history of radiation therapy technology through the festschrift of articles in celebration of the 30th anniversary of Korean Society of Medical Physics (KSMP). Radiation therapy technology used in clinical practice has evolved over a long period of time. Various areas of science, such as medical physics, mechanical engineering, and computer engineering, have contributed to the continual development of new devices and techniques. The scope of this review was restricted to two areas; i.e., output energy production and functional development, because it is not possible to include all development processes of this technology due to space limitations. The former includes the technological transition process from the initial technique applied to the first model to the latest technique currently used in a variety of machines. The latter has had a direct effect on treatment outcomes and safety, which changed the paradigm of radiation therapy, leading to new guidelines on dose prescriptions, innovation of dose verification tools, new measurement methods and calculation systems for radiation doses, changes in the criteria for errors, and medical law changes in all countries. Various complex developments are covered in this review. To the best of our knowledge, there have been few reviews on this topic and we consider it very meaningful to provide a review in the festschrift in celebration of the 30th anniversary of the KSMP.

근접방사선치료용 다목적 팬톰을 이용한 직장 내 선량분석

허현도(Hyun Do Huh),김성훈(Seong Hoon Kim),조삼주(Sam Ju Cho),이석(Suk Lee),신동오(Dong Oh Shin),권수일(Soo il Kwon),김현정(Hun Jung Kim),김우철(Woo Chul Kim),노준규(John J K Loh) 대한방사선종양학회 2005 Radiation Oncology Journal Vol.23 No.4

목 적: 근접방사선 치료시 직장내 선량측정은 치료간(inter-fraction) 직장의 형태가 변화하므로 측정의 재현성을 이 룰 수 없다. 본 연구에서는 근접방사선치료용 다목적 팬톰(Multi Purpose Brachytherapy Phantom, MPBP)을 제작하 여 치료 시와 동일한 조건을 재현하였고 이때 측정한 선량 값을 직장의 부작용을 줄이기 위해 선량최적화에 적용 하고자 하였다. 대상 및 방법: 자궁경부암 근접방사선 치료 시 탄뎀(tandem)과 난형체(ovoid)를 사용한 환자 4명을 대상으로 다이오드 검출기를 이용하여 직장표시 기준점 R1에서 선량측정을 시행하였다. 환자 당 5회씩 총 20회 직장선량을 측정하였다. 그리고 반복 측정 시 다이오드 검출기의 설정 변화(set up variation)를 분석하였다. 그리고 자체 제작된 근접방사선치료용 다목적 팬톰에서 MFA (Multi Function Applicator)를 이용하여 치료 시와 동일한 조건을 재현한 후열형광선량계(TLD)를 이용하여 직장 표시 기준점 좌표 위치에서 선량을 측정하였다. 결 과: 직장 내 다이오드 검출기의 측정 결과 설정 변화는 환자 1의 경우에 Y방향에서 최고 11.25±0.95 mm보였고, 환자 2와 3은 Z 방향에서 각각 9.90±2.40 mm와 20.85±4.50 mm를 나타냈다. 그리고 환자 4는 Z 방향에서 19.15±3.33 mm의 변화를 나타내었다. 또한 다이오드 검출기 위치에 따른 평균선량 값은 122.82±7.96 cGy∼323.78 ± 11.16 cGy로 나타났다. MPBP에서 TLD의 측정 결과는 직장 표시 기준점(R1)에서 환자1과 4는 상대오차가 각각 최고 8.6%와 7.7%를 보였고, 환자2와 3은 각각 1.7%와 1.2%의 오차를 보였다. 그리고 R과 R2에서 측정한 선량 값들은 환자 2의 R 지점을 제외하고 계산값과 비교하여 1.7∼8.6% 높은 값을 나타냈다. 그리고 반복측정으로 인한 위치변화와 그에 따른 선량 값의 변화는 분석하지 않았다. 계산 값과 측정값의 상대오차가 미국의학물리학회 보고서에서 권고한 15% 내에서 잘 일치하는 것으로 분석되었다. 결 론: 자체 제작된 근접치료용 다목적 팬톰(MPBP)은 치료 시와 동일한 조건에서 선량측정의 재현성을 이룰 수 있었고, 직장의 기준점에서 선량을 정확히 분석할 수 있었다. 또한 팬톰에서 측정한 데이터를 이용하여 직장의 부작용을 줄이기 위해 치료 전 선량 최적화를 이루는데 충분한 자료로 활용할 수 있다고 판단되었다. Purpose: In this work we designed and made MPBP (Multi Purpose Brachytherapy Phantom). The MPBP enables one to reproduce the same patient set-up in MPBP as the treatment of the patient and we tried to get an exact analysis of rectal doses in the phantom without need of in-vivo dosimetry. Materials and Methods: Dose measurements were tried at a point of rectum 1, the reference point of rectum, with a diode detector for 4 patients treated with tandem and ovoid for a brachytherapy of a cervix cancer. Total 20 times of rectal dose measurements were made with 5 times a patient. The set-up variation of the diode detector was analyzed. The same patient set-ups were reproduced in self-made MPBP and then rectal doses were measured with TLD. Results: The measurement results of the diode detector showed that the set-up variation of the diode detector was the maximum 11.25±0.95 mm in the y-direction for Patient 1 and the maximum 9.90±2.40 mm, 20.85± 4.50 mm, and 19.15±3.33 mm in the z-direction for Patient 2, 3, and 4, respectively. In analyzing the degree of variation in 3 directions the more variation was showed in the z-direction than x- and y-direction except Patient 1. The results of TLD measurements in MPBP showed the relative maximum error of 8.6% and 7.7% at a point of rectum 1 for Patient 1 and 4, respectively and 1.7% and 1.2% for Patient 2 and 3, respectively. The doses measured at R1 and R2 were higher than those calculated except R point of Patient 2. This can be thought to related to the algorithm of dose calculation, whcih corrects for air and water but is guessed not to consider the correction for the scattered rays, but by considering the self-error (±5%) TLD has the relative error of values measured and calculated was analyzed to be in a good agreement within 15%. Conclusion: The reproducibility of dose measurements under the same condition as the treatment could be achieved owing to the self-made MPMP and the dose at the point of interest could be analyzed accurately. If a treatment is performed after achieving dose optimization using the data obtained in the phantom, dose will be able to be minimized to important organs.