• Clinics in Shoulder and Elbow
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• v.15 no.2
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• pp.91-98
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• 2012

Purpose: The objective of this study is to evaluate the functional outcome and identify prognosis of retear patients in patients aged 65 years or over undergoing surgical repair for a large to massive full-thickness rotator cuff tear. Materials and Methods: From 1995 September to 2010 March, 147 patients aged 65years or over (40 male, 107 female, with an average age of 69.6) undergoing surgical repair for large to massive full thickness rotator cuff tear (large 67 cases, massive 80 cases). For functional evaluation, preoperative and postoperative 1 year range of motion and muscle power checked. For subjective evaluation, American shoulder and elbow surgeons score and Constant score were checked. For anatomical evaluation, 87 patients were checked shoulder MRI at the time of the postoperative 1 year. Results: ASES score improved from to 50.4 to 88.9, Constant score improved from 47.1 to 75.2. Supraspinatus power improved from 51.1% to 80.8%, external rotator muscle power improved from 64.5% to 83.1%. Forward elevation improved from 117.4 degrees to 153 degrees, external rotation improved from 23.6 degrees to 41.8 degrees. Follow up MRI showed re-tear in 23%, all re-tear patients were from massive tear except one patient. All re-tear patients showed improved clinical outcomes, but supraspinatus and external rotator muscle power were not improved. Conclusions: Patients aged 65 years or over undergoing surgical repair for a large to massive full-thickness rotator cuff tear showed successful outcomes over 90 percent. Re-tear patients also showed successful clinical outcomes. In elderly patients with large to massive full thickness rotator cuff tear, aggressive surgical repair leads good clinical outcomes.

• Tuberculosis and Respiratory Diseases
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• v.44 no.2
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• pp.321-328
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• 1997

Background : we have evaluated the association of age, smoking, type of anesthesia, type of operation, duration of surgery, previous history of chronic pulmonary diseases with postoperative pulmonary complications and identified which parameter of preoperative spirometry was a predictor of postoperative pulmonary complications. Method : In 270 patients older than 60 years, the postoperative pulmonary complications were evaluated according to age, smoking, type of anesthesia, type of operation, duration of surgery, previous history of chronic pulmonary diseases and the parameters of preoperative spirometry were analyzed. Results : The postoperative pulmonary complications rates were significant higher among patients older than 70 years, and among those with previous chronic pulmonary diseases or their smoking history. The pulmonary complications were increased among patients with general anesthesia or duration of surgery more than 2 hours. The pulmonary complications rates did not differ according to sex, type of operation. The patients with hypercarbia($PaCO_2$ > 45mmHg) have more increased postoperative complications. The preoperative FEV1 less than $1\;{\ell}$, FVC, MMEFR & MVV less than 50% of predicted respectively were predictive of complications. Conclusion : Age $\geq$ 70, history of smoking,duration of operation more than 2 hours, general anesthesia, previous chronic pulmonary disease and hypercarbia ($\geq$45mmHg) on preoperative arterial blood gas analysis were predictive of pulmonary complications. Among the parameters of spirometry, FEV1, FVC, MMEFR and MVV were indicator of predicting postoperative pulmonary complications.

• Journal of the Korean Orthopaedic Association
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• v.52 no.1
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• pp.25-32
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• 2017

Purpose: The purpose of this study was to analyze the radiological and clinical outcomes in elderly patients with unstable intertrochanteric femur fractures in accordance with the length of intramedullary nail. Materials and Methods: Between August 2009 and December 2014, a total of 139 patients-older than 65 years of age with AO/OTA classification of 31-A2 unstable intertrochanteric femur fracture-who has been followed-up for at least 1 year after the treatment with internal fixation by using an intramedullary nail were enrolled for this retrospective control study. The subjects were classified into two groups according to the length of intramedullary nail: 106 patients in the short group (group I) and 33 patients in the long group (group II). For radiological assessments, the reduction state, time to union, and implant related complications were examined. The clinical outcomes were assessed by preoperative hemoglobin, operating time, intraoperative bleeding amount, blood transfusion rate, hospitalization period, and Charnley hip pain scoring system at the final follow-up. Results: The postoperative radiographs showed good or acceptable reduction in all cases. The mean time of radiologic bone union was 4.8 months, and there was no difference between the two groups. With respect to surgical time, the group II was found to take longer (57.87 minutes) than the group I (45.65 minutes) (p=0.003). The bleeding amount during surgery of the group II was greater (288.78 ml) than that of the group I (209.90 ml) (p=0.046). The clinical results at the final follow-up were found to be satisfactory in both groups. Conclusion: In cases of good reduction of the fracture from the treatment of unstable intertrochanteric femur fracture accompanying the posteromedial fragment in elderly patients, both groups-long and short intramedullary nails-showed satisfactory radiological and clinical outcomes.

• Fire Science and Engineering
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• v.30 no.2
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• pp.87-91
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• 2016

Recently, it has been increasing an incidence of heart diseases which is a causative factor in sudden death as Korean population structure has been changing to an aging society. There is growing needs for A portable ventilator which automatically be operated by the pressure of the supplied oxygen and has been spread worldwide. So, we would like to present test methods in accordance with the performance requirements which are important for components of a respirator and a portable ventilator itself. And also would like to find the most suitable condition of internal pressure reduction for the performance requirements according to the changing conditions of internal pressure reduction setting of a portable ventilator.

• Journal of Chest Surgery
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• v.32 no.1
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• pp.58-61
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• 1999

Cor triatriatum is a rare anomaly in old age. This is a case report of a 66 year-old man who had been preoperatively diagnosed as coronary artery disease and cor triatriatum. The operative findings revealed that the left atrium had an intra-atrial septum with one small opening 10mm in diameter, the upper compartment received both pulmonary veins, and there were no other anomalies like anormalous pulmonary venous connection or atrial septal defect. The patient successfully underwent open heart surgery ; the anomalous septum was resected, the mitral valve was reconstructed using French technique with Carpentier-Edwards ring, and coronary artery bypass grafting was performed.

• Journal of the Korean Society of Radiology
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• v.82 no.3
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• pp.729-736
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• 2021

Multiple primary malignant neoplasms refer to two or more malignancies in an individual that are not related. We report a case of a 78-year-old male with concurrent breast mucinous carcinoma and extramammary lymphoma. The patient initially presented with palpable masses in the left breast and the right groin, which were pathologically confirmed after a surgical biopsy as breast mucinous carcinoma and diffuse large B-cell lymphoma, respectively. He underwent whole-body 18-fluorine deoxyglucose PET/CT before surgery, and an enhancing nodular lesion in the left lingual tonsil was found incidentally. It was later confirmed as a diffuse large B-cell lymphoma, a pathology of the same type as the right inguinal mass. Unspecified lymphadenopathies in breast cancer patients may easily be considered as metastatic lesions. However, this case suggests that lymphomas should be included in the differential diagnoses to avoid misdiagnosis and treatment delay, especially in older adult patients.

• Proceedings of the Korean Vacuum Society Conference
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• 2010.02a
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• pp.288-288
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• 2010

현대사회의 급속한 고령화로 암 환자의 수는 2002년 기준 약 10만 명에서 매년 7~10 %씩 증가되어 2012년에는 20만 명이 될 것으로 추정되어지고 있다. 수술, 방사선 치료, 약물요법 등이 주요 치료방법이며, 암 환자의 30-50 %가 전리 방사선치료를 받고 있다. 방사선치료는 19세기 말에 발견된 미지의 X-선이 희망의 방사선으로 변화하여 암의 진단 및 치료에 활용되고 있으며, 인간 삶의 질 향상에 핵심적인 역할을 담당하고 있다. 기존의 X-선이나 감마선의 단점을 극복 할 수 있는 입자 빔을 1970년대 미국의 캘리포니아 대학 Berkely National Laboratory에서 처음으로 암 치료에 적용하였다. 현재는 일본과 독일에서 활발하게 활용되고 있으며 국내에서도 입자 치료시설을 구축 또는 개발계획 중에 있다. 방사선치료의 완치율을 높이기 위해서는 정확한 선량을 암세포에 전달해야 한다. 환자에 전달되는 입자빔을 실시간으로 측정하는 기술이 연구되어지고 있다. 지금까지는 빔의 특성을 측정하기 위해 간섭적인 방법을 사용하였으나, 투과형 검출기를 개발하여 실시간으로 치료와 빔 특성을 동시에 수행하는 기술개발연구가 보고되고 있다. 본 연구에서는 Multileaf Faraday Cup (MLPC) 검출기 설계구조와 데이터 측정방법에 관한 연구를 수행하고자 한다. 빔의 전송 방향으로 3개층의 $4{\times}4$ 배열의 구조로 48 channel의 전류값을 측정하여 입자빔의 분포를 실시간으로 관측하고, 측정된 전류는 ADC를 거쳐 치료계획에 의해 선택된 영역의 SOBP를 유지하도록 range modulation propeller를 조절하는 feed-back system을 갖춘 방사선치료빔 실시간 측정장치 개발에 관한 결과를 보고하고자 한다.

• Proceedings of the Korea Information Processing Society Conference
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• 2019.10a
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• pp.754-757
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• 2019

대한민국 인구의 고령화는 점점 더 심화되며 노인 환자의 수도 증가하는 추세이다. 노인환자들은 의약품 부작용 위험도가 높기 때문에 노인에게 부적절한 약물과 처방 이후의 부작용 발생 현황에 대한 통계적인 분석이 필요하다고 판단하였다. 의약품 부작용관련 문헌 정보와 실제 병원의 전자 의무 기록을 이용해 데이터 베이스를 구축하고 Python 을 사용해 부작용 탐지 알고리즘을 설계했다. 노인 환자가 특정 약품을 투약한 이후에 그 약품에 부작용에 해당하는 진단을 받는다면 부작용이 발생한 것으로 판단한다. 알고리즘을 기반으로 사용자들이 쉽게 접근할 수 있도록 웹을 구축했다. d3.js 를 통해 직관적으로 부작용 확률을 확인할 수 있도록 구현했고 새로운 진단 또는 처방을 입력하여 실시간으로 확률에 반영하였다. 실시간으로 데이터를 확인할 수 있기 때문에 부작용 이슈에 신속하게 예방 및 대응이 가능할 것으로 기대된다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2021.07a
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• pp.317-320
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• 2021

본 연구는 주기적인 알츠하이머 병의 중증도 모니터링을 위해 스마트 인솔을 통한 보행 특징 추출과 머신러닝 기반 중증도 분류의 성능에 대해 살펴보았다. 최근 고령화가 가속화되는 추세에 있어 치매 환자가 급증하고 있으며, 중증도가 심해질수록 필요한 치료 비용 및 노력이 급증하기 때문에 조기 진단이 최선의 치료 전략으로 보여진다. 환자 친화적이고 저비용의 관성 측정 장치가 내장된 스마트 인솔만을 사용하여 다양한 보행 실험 패러다임에서 환자의 보행 특징을 추출하고, 이를 알츠하이머 병의 중증도 진단을 위한 머신러닝 기반 분류기를 훈련시켜 성능을 평가한 결과, 숫자세기와 같이 뇌에 부하를 주는 하위 작업이 포함된 복합 보행을 측정한 데이터셋을 사용하여 훈련된 분류 모델이 일반 걷기 데이터셋을 사용한 모델보다 성능이 높게 나타나는 것이 관찰되었다. 본 연구는 안전하고 환경적 제약이 적은 방법을 사용하여 시기 적절한 진단뿐만 아니라 주기적인 중증도 모니터링 시스템의 일환으로 활용될 수 있을 것이다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2023.01a
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• pp.273-274
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• 2023

최근 고령화 사회로 인해 노년층의 인구 비율이 증가하고, 각종 질병 및 조기사망 등 많은 위험에 노출되고 있다. 이러한 위험을 최소화하기 위해 다양한 의료 기기들이 발전해나가고 있다. 그 중 일반 사람들이 접하기 쉬운 기기가 바로 AED(자동제세동기)이다. 현재 상용화되어 있는 AED는 의학 지식이 부족한 일반인에게 음성 및 화면을 통해 가이드를 해주고, 부착 패드에 전기를 가하여 심장에 전기충격을 줄 수 있게 만들어져 있다. 본 논문에서 AED 기능을 고도화하여 환자의 상태를 확인하고 환자의 위치와 바이탈 체크 정보를 수집하여 웹 서버로 전송하는 기능을 구현하였다. 서버에 전달된 정보는 출동하는 구급대원에서 전달되어 보다 빠른 조치가 가능한 응급시스템에 이용된다. 본 논문의 결과는 환자의 상태나 위치를 손쉽게 확인하고 관리함으로써 비상 상황 시 대처를 신속하게 할 수 있으며 기존 AED보다 경제제적 부담을 줄이는 기대 효과를 가질 수 있다.