• Title/Summary/Keyword: 골 전이

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Design and Implementation of Open GIS OLE DB Component Using RDBMS (RDBMS를 이용한 개방형 GIS OLE DB 제공자 컴포넌트의 설계 및 구현)

  • Kim, Min-Soo;Lee, Ki-Won;Lee, Jong-Hun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2000.10a
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    • pp.67-70
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    • 2000
  • 최근 네트워크 서비스 및 분산 컴퓨팅 환경의 급격한 발전과 더불어 인터넷 기반 지리정보 시스템과 이 기종 시스템간에 상호 운용성을 지원하는 분산 지리정보시스템의 기술이 혁신적으로 발전하게 되었다. 현재 이러한 상호 운용성과 더불어 기 구축된 시스템의 재 사용성을 극대화하기 위하여 개방형 컴포넌트 소프트웨어 기술이 발표[1]되었으며, 최근 발표되는 지리정보시스템들도 이러한 개방화와 컴포넌트화 기술을 채택하여 개발되고 있다. 이러한 개방형 컴포넌트 소프트웨어 기술은 컴퓨터 소프트웨어 산업 전반에 커다란 파급 효과를 끼치고 있다. 지리정보시스템 분야에서는 OpenGIS Consortium(OGC)을 주축으로 하여 개방형 컴포넌트 지리정보시스템을 위한 표준 구현 사양을 발표하고 있으며, 이러한 표준 사양을 수용한 제품들이 개발되고 있는 실정이다. 본 논문에서는 분산 환경에서 다양한 관계형 데이터베이스시스템을 이용하여 OGC가 제시한 OLE/COM 기반의 데이터 제공자 컴포넌트의 설계 및 구현에 중점을 두고 있다. 본 시스템의 데이터 제공자 컴포넌트는 순수한 관계형 데이터베이스시스템 기반 위에서 구성되므로, 우선 OGC에서 요구하는 GIS 관련 핵심 기능들을 제공하기 위해서 우선 관계형 데이터베이스와 ODBC를 이용하여 공간엔진을 구성하고 있다. 본 공간 엔진은 OGC 사양을 충족하기 위해서 이용되는 최소한의 기능-공간데이터 관리 기능, 공간 연산 처리, 공간 색인 기능 그리고 클라이언트와 통신하기 위한 기능-들을 포함하고 있다. 그러므로 본 논문에서는 이러한 공간 엔진의 기반 위에서 OGC OLE DB 제공자 컴포넌트의 설계 및 구현 방법에 대해서 자세히 살펴보고 실제 SQL Server 7.0 환경에서 구축된 공간 엔진 및 OLE DB 제공자 컴포넌트의 구현 예에 대하여 살펴볼 것이다. 혈액내방사선 조사량이 안전용량 범위(200rad)에 속하며 48시간 후 체내잔류량은 서양인과 큰 차이가 없었다.비출현의 소견을 보이는 악성종양 환자의 골 신티그람 53개중 44개 (83.0%)에서 척추 및 늑골에 미만성, 또는 다발성 침습이 관찰되었다. 또 골전이 부위를 두개골, 척추, 견대부, 늑골, 골반, 사지의 근위부 장골의 6개 부위로 나누어 분석할 경우 49개(92.5%)에서 3부위 이상에 전이가 발견되었고, 35개(66.0%)에서 4부위 이상에 전이가 발견되었으며, 5부위 이상, 6개 부위에 모두 전이가 발견된 것은 각각 20개 (37 7%), 11개(20.8%)이었다. 이상의 성적으로 보아 악성종양 환자의 골 신피그라피에서 신장 영상의 비출현은 종양의 광범위한 골전이를 간접적으로 시사하는 소견으로 생각된다. 여러 악성종양중 전립선암에서 신장 영상 비출현의 빈도가 가장 높았으며, 특히 위암에서 골전이 및 신장 영상 비출현의 빈도가 높음은 주목할 만한 것이라 하겠다.출한 결과 인,규소 증가와 자가영양성 미소플랑크톤(ANP)증가에 미치는 요인이 해안과 외해에서 동일하게 가장 큰 설명력을 보였다. N:P 비도 해안에서 36.4, 외해에서 32.6을 보이고 있어 인이 상당히 부족한 것으로 나타났다. 따라서 조사해역은 인이 식물플랑크톤 성장에 중요한 제한요인으로 작용하고 있다고 판단된다.의 회전. 전위력의 강도, 적용시점, 그리고 키, 체중등의 신체적 요인 등이 있으나 능숙한 기계사용과 정확한 슬관절 위치에서 검사할 때 전방 십자 인대 파열에 대한 진단에 유용한 기구이다.태라고 하였다. 본 연구에서는 이러한 근거를 바탕으로 개방형 문제의 유형을 다양한 답이 존재하는 문제, 다양한 해결 전략이 가능한 문제, 답이 없는 문제, 문제 만들기, 일반화가 가능한 문제 등으로 보고, 수학적 창의성 중

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Spontaneous Regression of Extensive Pulmonary Metastasis of Benign Giant Cell Tumor of Bone - A Case Report - (자연 소실된 거대 세포종의 광범위한 폐전이 - 1예 보고-)

  • Park, Ru-Ppo;Lee, Sang-Hoon;Cho, Whan-Sung;Kim, June-Hyuk;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.39-44
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    • 2004
  • A Giant cell tumor of bone has unusual characteristics of pulmonary metastasis as well as local aggressiveness. Clinical courses of pulmonary metastasis of benign giant cell tumor vary including rapid growth, continuously slow growth or spontaneous regression. We report a case of extensive pulmonary metastasis of giant cell tumor of bone, which regressed spontaneouly.

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Surgical Treatment for Metastatic Pulmonary Sarcoma (폐전이 골 연부조직 육종에 대한 외과적 치료)

  • 박재길;이선희
    • Journal of Chest Surgery
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    • v.30 no.12
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    • pp.1214-1218
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    • 1997
  • The therapeutic results of pulmonary resection for metastatic bone and soft tissue sarcomas were analyzed. From 1986 to 1996, 14 patients(11 male and 3 female) underwent 15 pulmonary resections for metastatic sarcomas. One(7.1%) patient had 2 thoracotomies for recurrences. The number of metastatic tumors were from one to five. The primary malignant tumors were from bone in 4 and from soft tissues in 10. Mean survival time after thoracotomy was 29.2 months, and Kaplan-Meier's 5-year survival rate from the first metastasectomy was 33.2%. Three patients who had the tumor free interval period over 3 years were alive(mean survival period 52.6 months), whereas eleven patients of the less than 3 years were dead with disease(mean survival period 17.3 months). These results suggested that pulmonary. metastasectomy in bone and soft tissue sarcoma may prolong the survival rate.

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Chondrosarcoma of Proximal Tibia Trated by Allograft - A Case Report - (동종골 이식술로 치료한 경골 근위부에 발생한 연골 육종 - 증례 보고 -)

  • Jung, Gu-Hee;Kim, Jae-Do;Chung, So-Hak;Cha, Sang-Won
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.165-170
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    • 2006
  • We reported a case of chondrosarcoma in proximal tibia in a 44-year-old man. MR images demonstrated a $3.5{\times}20$ cm sized bone tumor. In reconstruction of resected proximal tibia, we used the allograft bone and soft tissue defects were covered by medial gastrocnemius rotation flap and skin graft. There were no local recurrence and distant metastasis and any complication such as secondary infection, nonunion, metal failure at the time of the last follow-up. There was no limitation of knee motion through the appropriate rehabilitaion programs.

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Differential Diagnosis of Metastatic Bone Disease and Benign Bone Disease on Spine SPECT in Patients with Low Back Pain (요통 환자의 척추골 SPECT에서 골전이 병변과 양성골질환의 섭취 양상 분석을 통한 감별진단이 가능한가)

  • Lee, Seung-Hun;Choi, Yun-Young;Cho, Suk-Shin
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.6
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    • pp.371-377
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    • 2001
  • Purpose: One or more abnormal vertebrae detected on bone scintigraphy is a common finding in clinical practice, and it could pose a diagnostic dilemma especially in cancer patients. as either metastasis or benign disease may cause scintigraphic abnormality. The purpose of this study was to determine whether additional spine SPECT has a role in differentiating malignant from benign lesions in patients with back pain. Materials and Methods: We reviewed spine SPECT studios obtained over a three-year period in 108 patients. Among them, forty-five patients with abnormal SPECT and clinically followed records were evaluated (20 cancer patients were included). Uptake patterns were classified as follows: 1. Body: diffusely increased uptake, linear increased uptake of end plate, segmental increased uptake, and cold defect, 2. Posterior element: posterior to body (pedicle), posterior to Intervertebral disc space (facet joint), and spinous process. Lesions were correlated with radiological findings and with final diagnosis. Results: Sixty-nine bone lesions were detected on SFECT images, including 18 metastases, 28 degenerative diseases and 21 compression fractures. Cold defect (6) and segmental increased uptake (5) were dominant findings in metastasis; linear increased uptake (12), and facet joint uptake (15) were in degenerative change; and diffuse increased uptake (9), and linear increased uptake (9) were in compression fracture. Conclusion: Cold defect and segmental increased uptake of body were characteristic findings of metastasis, but care should be taken because compression fracture also shows segmental increased uptake in some cases. Degenerative disease was easily diagnosed because of the typical finding of linear increased uptake of end plate and facet joint. Therefore, additional bone SPECT after planar bone scan would be helpful for differentiating metastasis from benign condition in cancer patients.

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Total Hip Arthroplasty in Patients with Avascular Necrosis of the Entire Femur (전체 대퇴골에 발생한 골괴사 환자에서 인공 고관절 전치환술)

  • Yi, Seung Rim;Im, Se Hyuk;Park, Sang Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.281-286
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    • 2019
  • Avascular necrosis (AVN) is defined as the cellular death of bone and bone marrow components due to the loss of blood supply, and associated with post-traumatic or non-traumatic events. AVN usually involves the epiphysis of a long bone, such as the femoral and humeral heads, which are susceptible to osteonecrosis. Many studies have been conducted but they were restricted to investigations of femoral head avascular necrosis. The presence of osteonecrosis in the proximal femur may impair biological fixation after total hip arthroplasty. We report a 56-year-old male patient with avascular necrosis located not only at the femoral head, but also in the entire femur, including the medullary cavity, who underwent total hip arthroplasty 2 years earlier along with a review of the relevant literature.

Development of a Bone Conduction Telephone for Conductive Hearing Impaired Persons and its Performance Test (전음성 청각장애인용 골도 전화기 개발 및 성능 평가)

  • Kang, Kyeong-Ok;Kang, Seong-Hoon
    • The Journal of the Acoustical Society of Korea
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    • v.14 no.2
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    • pp.113-122
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    • 1995
  • This paper describes characteristics of a bone conduction telephone which was developed for conductive hearing impaired persons to call without additional devices and results of its performance test. Not only the hearing impaired but also normal hearing persons can use this telephone because we developed a bone conduction vibrator with which they can perceive speech signal using functions of air conductive hearing as well as bone conductive hearing. It also has tone control function compensating hearing losses for the hearing impaired originating from their hearing characteristics, and using this function together with received volume control it has received volume range of 20dB in loudness rating, which is similar effect as what a telephone set with built-in received amplifier has. From results of articulation and intelligibility tests for 19 hearing impaired persons, we can see that if their bone-conduction hearing loss is 61dB or less, they can understand words or sentences and response well with this telephone.

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Compression Plate Fixation with Autogenous Bone Graft for Humerus Shaft Nonunion (상완골 간부 불유합에 대한 금속판 고정 및 자가골 이식술)

  • Cho, Chul-Hyun;Song, Kwang-Soon;Bae, Ki-Cheor;Kim, In-Kyoo;Kwon, Doo-Hyun
    • Clinics in Shoulder and Elbow
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    • v.12 no.1
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    • pp.33-37
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    • 2009
  • Purpose: To evaluate the results of the compression plate fixation and autogenous bone graft in the management of humerus shaft nonunion. Materials and Methods: Eighteen cases were treated for humerus shaft nonunion using compression plate fixation and an autogenous iliac bone graft. The mean follow-up period was 28 months. Bony union was confirmed from the serial radiographs and the clinical outcomes were assessed according to ASES scoring system. Results: In 12 cases of initial plate fixation, the causes of nonunion were 6 cases of inadequate plate length, 2 with a broken plate, 2 with screw loosening, 1 infection and 1 noncompliance of a psychiatric patient. In 3 cases of initial intramedullary fixation, the cause of nonunion was a distraction of the fracture site. In 3 cases of external fixation, the cause of nonunion was inadequate fixation. All cases showed bony union after an average of 24 weeks. The clinical outcomes were 11 excellent, 6 good and 1 fair. Conclusion: In the treatment for nonunion, compression plate fixation with autogeneous bone graft after complete removal of the fibrous and necrotic tissue is believed to give satisfactory results.

Osteological Development of the Larvae and Juvenile in Konosirus punctatus (전어(Konosirus punctatus) 자치어 발육단계에 따른 골격발달과정)

  • Ji-Hoon Seo;KwanSeok Kim;Jin Lee;Won-Jun Choi;Sang-Hun Cha;Tae-Sik Yu;Sung-Hun Lee;Kyeong-Ho Han
    • Korean Journal of Ichthyology
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    • v.35 no.2
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    • pp.83-90
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    • 2023
  • Five days after hatching in Konosirus punctatus, the larvae were 5.86~6.21 mm (mean 5.96 mm) in TL and ossified parasphenoid, prefrontal, premaxillary, dentary. Sixteen days after hatching, the larvae were 9.66~10.18 mm (mean 9.96 mm) in TL and ossified prootic, opisthotic, ectopterygoid, and epihyal. Twenty-five days after hatching, the larvae were 11.02~12.64 mm (mean 11.03 mm) in TL and ossified supraclavicle, posttemporal, four actinost. Twenty-eight days after hatching, the larvae were 11.98~12.81 mm (mean 12.34 mm) in TL and ossified frontal, pterotic, epiotic, exoccipital, basioccipital, preorbital, maxillary, hyomadibular, preopercle, opercle, hypohyal. Thirty-six days after hatching, the larvae were 15.26~16.39 mm (mean 16.11 mm) in TL and ossified scapula. 37 days after hatching, the larvae were 15.33~16.87 mm (mean 16.25 mm) in TL and ossified ethmoid, nasal, parietal, supraoccipital, and suborbital. Forty-five days after hatching, the larvae were 20.01~21.83 mm (mean 21.14 mm) in TL, and the shoulder girdle was completed by coracoid formation. Forty-eight days after hatching, the larvae were 22.46~24.03 mm (mean 23.20 mm) in TL and ossified articular and subopercle. When the juvenile reached 27.11~34.09 mm (mean 30.11 mm) in TL (53 days after hatching) completed ossification of the cranium, vertebrae, pelvic girdle, shoulder girdle, caudal bone, and pterygiophore.

Changes of root length and crestal bone height before and after the orthodontic treatment in nail biting patients (손톱 깨물기 습관을 가진 아동의 교정 치료 시 전치부 치근 길이와 치조골 높이의 변화)

  • Hwang, Chung-Ju;Yang, Jae-Hong
    • The korean journal of orthodontics
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    • v.34 no.1 s.102
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    • pp.47-61
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    • 2004
  • Although the purpose of orthodontic treatment is to increase the function and esthetics of the jaws along with increasing stability, there are many side effects during the treatment itself, such as root resorption and alveolar bone resorption. Such resorption of the apical root Is unpredictable, and may even proceed into the dentin layer. Once the process has begun, it is irreversible. By evaluating the effect of many oral habits, especially that of nail biting, in correlation with the root and the periodontal tissues, the appropriate biomechanics for orthodontic treatment can be taken into consideration, along with the possibility of root resorption and alveolar bone loss during orthodontic treatment, and any legal problems that might occur. Among the male and female patients of the ages $10\~15$ without skeletal deformity, 63 were chosen as the experiment group with known nail biting habits at time of examination, and within the same age group without nail biting habits as the control. After the orthodontic treatment, number of the experiment group was 31 and the control group was 22. The periapical radiographies of anterior teeth were taken and the assesment of the root length and alveolar bone level were taken before(T1) and after(T2) the orthodontic treatment. The results from this study were as follows : 1. Before the orthodontic treatment, average crown-to-root ratio of the experimental group showed noticeably high values in 4 maxillary incisors and mandibular right central incisor. 2. Before the orthodontic treatment, comparing the root length, maxillary and mandibular right central incisors and both mandibular incisors had a smaller value in the experimental group. 3. Before the orthodontic treatment, comparing and evaluating the alveolar bone loss measured from the cemento-enamel junction to the alveolar bone crest, some crestal bone of the experiment group showed greater loss than the control. 4. After the orthodontic treatment, there was shortening of the root length and loss of the crestal bone in both groups. 5. After the orthodontic treatment, the changes of C/R ratio and the shortening of root length were significantly high in the experimental group. 6. After the orthodontic treatment, the level of alveolar crestal bone showed greater loss in the experimental group.