• Title/Summary/Keyword: 중정형

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Factors for Survival and Complications of Malignant Bone Tumor Patients with a Total Femoral Replacement (대퇴골 전치환술 받은 악성 골종양 환자의 생존인자와 합병증)

  • Cho, Wan Hyeong;Jeon, Dae-Geun;Song, Won Seok;Park, Hwan Seong;Nam, Hee Seung;Kim, Kyung Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.244-252
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    • 2020
  • Purpose: Total femoral replacement (TFR) is an extreme form of limb salvage. Considering the rarity of this procedure, reports have focused on the complications and a proper indication is unclear. This study analyzed 36 patients with TFR who were asked the following: 1) prognostic factors related to survival in patients who underwent TFR with a tumoral cause; 2) overall implant and limb survival; 3) complications, functional outcome, and limb status for patients surviving for more than 3 years. Materials and Methods: According to the causes for TFR, 36 patients were categorized into three groups: extensive primary tumoral involvement (group 1, 15 cases), tumoral contamination by an inadvertent procedure or local recurrence (group 2, 16 cases), and salvage of a failed reconstruction (group 3, 5 cases). The factors that may affect the survival of patients included age, sex, cause of TFR, and tumor volume change after chemotherapy. Results: The overall five-year survival of the 36 patients was 31.5%±16.2%. The five-year survival of 31 patients with tumoral causes was 21.1%±15.6%. The five-year survival of 50.0%±31.0% in patients with a decreased tumor volume after chemotherapy was higher than that of increased tumor volume (p=0.02). The five-year survival of 12 cases with a wide margin was 41.7%±27.9%, whereas that of the marginal margin was 0.0%±0.0% (p=0.03). The ten-year overall implant survival of 36 patients was 85.9%±14.1%. The five-year revision-free survival was 16.6%±18.2%. At the final follow-up, 12 maintained tumor prosthesis, three underwent amputation (rotationplasty, 2; above knee amputation, 1), and the remaining one had knee fusion. Among 16 patients with a follow-up of more than three years, 14 patients underwent surgical intervention and two patients had conservative management. Complications included infection in 10 cases, local recurrences in two cases, and one case each of hip dislocation, bushing fracture, and femoral artery occlusion. Conclusion: Patients showing an increased tumor volume after chemotherapy and having an inadequate surgical margin showed a high chance of early death. In the long-term follow-up, TFR showed a high infection rate and the functional outcome was unsatisfactory. Nevertheless, this procedure is an inevitable option of limb preservation in selected patients.

Retrospective Analysis of Equine General Anesthesia Performed at Korea Racing Authority (한국마사회에서 실시한 말의 전신마취에 대한 후향 분석)

  • Kim, Ahrham;Yang, Youngjin;Song, Daeyoung;Kim, Jinkap;Kim, Hagi;Kwon, Cheoljae;Seo, Eugene;Jeong, Hyohoon;Lee, Inhyung
    • Journal of Veterinary Clinics
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    • v.31 no.2
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    • pp.102-107
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    • 2014
  • This study was conducted to analyze the results of inhalation anesthesia performed at the equine hospital of Korea Racing Authority (KRA) and to find out the influencing factors on mortality during and/or after inhalation anesthesia. Among 585 cases of anesthesia, orthopedic surgery (410) was performed the most frequently, followed by colic surgery (85) and upper airway surgery (45). Twenty out of 585 horses were either euthanized or died during and/or after anesthesia. Among those twenty horses, fourteen horses received colic surgery, three received orthopedic surgery, and three others received upper airway surgery. The major causes of mortality were rupture of intestine in colic surgery and airway obstruction during recovery in upper airway surgery. Myopathy, refracture, laminitis were the causes of mortality in orthopedic surgery. Consequently, the horses that received colic and upper airway surgeries showed significantly high mortality rate rather than horses that received orthopedic surgery (p < 0.01). According to the results, horses that received colic surgery showed the highest mortality rate from euthanasia due to poor and grave prognosis. To reduce the perioperative mortality of horses, it is recommended to perform perioperative intensive care for colic surgery and careful monitoring for upper airway surgery during recovery.

Rupture of the ischial origin of the hamstring tendon - A case report - (좌골 결절부위 기시부에서 내측 슬괵건 파열 - 증례 보고 -)

  • Kim, Hyung Kan;Hwang, Sun Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.10 no.2
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    • pp.129-132
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    • 2011
  • A complete rupture of hamstring tendon originated from ischial tuberosity is a uncommon sports injury in adults. We present successful outcome obtained by attachment on ischial tuberosity using suture anchor in relatively rare case of the proximal rupture of the medial hamstring tendon sustained during landing with the review of literatures.

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Formal Specification and Security Analyis of CEPS(Common Electronic Purse Specification) (CEPS(Common Electronic Purse Specification)의 정형명세 및 보안성 분석)

  • Kim Il-Gon;Moon Young-Joo;Bang Ki-Seok;Kang Inhye;Choi Jin-Young
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.07a
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    • pp.124-126
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    • 2005
  • 초고속 통신망 및 이동통신 단말기의 보급을 통해 전자상거래 서비스가 널리 확산되고 있으며, 이로 인해 유.무선 기반의 다양한 전자지불 시스템 및 표준들이 제안되고 있다. 그 중에서도 스마트 카드를 이용한 CESP 전자 상거래 표준이 많이 사용되고 있다. 본 논문에서는 Casper 및 FDR 도구를 사용하여, CEPS 표준 중에서 전자화폐를 이용한 물품 구입 프로토콜을 정형적으로 명세하고, 보안 취약점을 분석해 보았다.

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A Study on the Design Characteristics of Court Housing in Korea Case Study on the Competition Entries of Eunpyung Newtown (중정형 공동주택의 공간계획 특성 연구 - 은평 뉴타운 현상설계공모안을 중심으로 -)

  • Kang, In-Ho;Park, So-Young
    • Journal of the Korean housing association
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    • v.17 no.5
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    • pp.107-116
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    • 2006
  • This study was to figure out the design characteristics of court housing type for the purpose of searching for the possibility of applying it to the housing design in Korea. In spite of changes of housing design condition in Korea, especially steep increase in density, there have been changes only in the height of housing block, not in the housing types, layout, spatial organization and other design properties. Due to such a situation, housing in Korea has been criticised as too high, monotonous one - especially types of housing block tend to be fixed into a slab block and a point block. As one of the alternatives to respond to the criticism, this study focused on the positive aspects of the court housing type, and suggested the design direction throughout the analysis of 8 entries in the design competition of EunPyeong New Town, which attempted to overcome the negative problems - mainly the daylighting, orientation, and privacy - and tried to maximize the positive properties of this type of housing.

Dialogue Relation Extraction using Dialogue Graph (상호참조 정보와 대화 그래프를 활용한 대화 관계추출 모델)

  • Jungwoo Lim;Junyoung Son;Jinsung Kim;Yuna Hur;Jaehyung Seo;Yoonna Jang;JeongBae Park;Heuiseok Lim
    • Annual Conference on Human and Language Technology
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    • 2022.10a
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    • pp.385-390
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    • 2022
  • 관계추출은 문서 혹은 문장에서 자동으로 엔티티들간의 관계를 추출하는 기술로, 비정형 데이터를 정형데이터로 변환하기에 자연어 처리 중에서도 중요한 분야중 하나이다. 그 중에서도 대화 관계추출은 기존의 문장 단위의 관계추출과는 다르게 긴 길이에 비해 적은 정보의 양, 빈번하게 등장하는 지시대명사 등의 특징을 가지고 있어 주어와 목적어 사이의 관계를 예측하기에 어려움이 있었다. 본 연구에서는 이러한 어려움을 극복하기 위해 대화의 특성을 고려한 대화 그래프를 구축하고 이를 이용한 모델을 제안한다. 제안하는 모델은 상호참조 정보와 문맥정보를 더 반영한 그래프를 통해 산발적으로 퍼져있는 정보를 효율적으로 수집하고, 지시대명사로 인해 어려워진 중요 발화 파악 능력을 증진시켰다. 또한 이를 실험적으로 보이기 위하여 대화 관계추출 데이터셋에 실험해본 결과, 기존 베이스라인 보다 약 10 % 이상의 높은 F1점수를 달성하였다.

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Drought evaluation using unstructured data: a case study for Boryeong area (비정형 데이터를 활용한 가뭄평가 - 보령지역을 중심으로 -)

  • Jung, Jinhong;Park, Dong-Hyeok;Ahn, Jaehyun
    • Journal of Korea Water Resources Association
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    • v.53 no.12
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    • pp.1203-1210
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    • 2020
  • Drought is caused by a combination of various hydrological or meteorological factor, so it is difficult to accurately assess drought event, but various drought indices have been developed to interpret them quantitatively. However, the drought indexes currently being used are calculated from the lack of a single variable, which is a problem that does not accurately determine the drought event caused by complex causes. Shortage of a single variable may not be a drought, but it is judged to be a drought. On the other hand, research on developing indices using unstructured data, which is widely used in big data analysis, is being carried out in other fields and proven to be superior. Therefore, in this study, we intend to calculate the drought index by combining unstructured data (news data) with weather and hydrologic information (rainfall and dam inflow) that are being used for the existing drought index, and to evaluate the utilization of drought interpretation through verification of the calculated drought index. The Clayton Copula function was used to calculate the joint drought index, and the parameter estimation was used by the calibration method. The analysis showed that the drought index, which combines unstructured data, properly expresses the drought period compared to the existing drought index (SPI, SDI). In addition, ROC scores were calculated higher than existing drought indices, making them more useful in drought interpretation. The joint drought index calculated in this study is considered highly useful in that it complements the analytical limits of the existing single variable drought index and provides excellent utilization of the drought index using unstructured data.

Ultrasound-Guided Axillary Brachial Plexus Block, Performed by Orthopedic Surgeons (정형외과 의사가 시행한 초음파 유도 액와 상완 신경총 차단술)

  • Kim, Cheol-U;Lee, Chul-Hyung;Yoon, Ja-Yeong;Rhee, Seung-Koo
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.513-521
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    • 2018
  • Purpose: The purpose of this study was to assess the effectiveness and complications of an ultrasound-guided axillary brachial plexus block performed by orthopedic surgeons. Materials and Methods: From March to May 2017, an ultrasound-guided axillary brachial plexus block was performed on a total of 103 cases of surgery. A VF13-5 transducer from Siemens Acuson X300 was used. The surgical site was included in the range of the anatomic sensory distribution of the blocked nerve, except for the case where an operation time of more than 2 hours was expected due to multiple injuries and the operation of the upper arm. The procedure was performed by 2 orthopedic surgeons in the same method using 50 ml of solution (20 ml of lidocaine HCl in 2%, 20 ml of ropivacaine in 0.75%, 10 ml of normal saline in 0.9%). The success rate of anesthesia induction during surgery, anesthetic induction time, anatomical range of operation, duration of postoperative analgesia and complications were investigated. Results: The results from the 2 practices were similar. The anesthesia was successful in 100 out of 103 patients (97.1%). In these patients, the average needling time was 5.5 minutes (2.5-13.2 minutes), the average induction time to complete anesthesia was 18.4 minutes (5-40 minutes), and the average duration of postoperative analgesia was 402.8 minutes (141-540 minutes). The post-anesthesia immediate complications were dizziness in 1 case, nausea and vomiting in 4 cases, and peri-oral numbness in 2 cases, but surgery was performed without problems. All these 7 cases with complications recovered on the same day. A total of 3 cases failed with anesthesia, and they were treated by an injection with local anesthesia in the operation room in 2 cases and switched to general anesthesia in 1 case. Conclusion: An ultrasound-guided axillary brachial plexus block, which was performed by orthopedic surgeons allows anesthesia in a brief period and the high success rates of anesthesia for certain surgeries of the elbow and surgeries on forearm, wrist and hand. Therefore, it can reduce the waiting time to the operating room. This technique is a relatively safe procedure and dose selective anesthesia is possible.

A Case of Carotid Artery Pseudoaneurysm Misdiagnosed as Aggravation of Non-tuberculous Mycobacterial Lymphadenitis (비정형 결핵성 림프절염의 악화로 오인된 경동맥 가성동맥류 1예)

  • Noh, Woong Jae;Lee, Hyoung Shin;Kim, Sung won;Lee, Kang Dae
    • Korean Journal of Head & Neck Oncology
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    • v.33 no.1
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    • pp.73-77
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    • 2017
  • An 81 year-old male patient presented with rapid enlargement of left lateral neck mass, diagnosed two months earlier as cervical nontuberculous mycobacterial lymphadenitis. Abscess formation and impending rupture related to aggravation of nontuberculous mycobacterial lymphadenitis was highly suspected. Unexpectedly, blood flow was detected by Doppler ultrasonography, which indicated possible vascular mass. Computed tomography demonstrated a $6.0cm{\times}4.0cm$ sized enhancing mass consistent with pseudoaneurysm of internal carotid artery. The patient underwent pseudoaneurysmectomy. Surgical drainage without adequate evaluation might have led to potentially life-threatening condition. We describe this rare case with importance of imaging screening in a neck mass.

Text Mining and Visualization of Unstructured Data Using Big Data Analytical Tool R (빅데이터 분석 도구 R을 이용한 비정형 데이터 텍스트 마이닝과 시각화)

  • Nam, Soo-Tai;Shin, Seong-Yoon;Jin, Chan-Yong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.25 no.9
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    • pp.1199-1205
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    • 2021
  • In the era of big data, not only structured data well organized in databases, but also the Internet, social network services, it is very important to effectively analyze unstructured big data such as web documents, e-mails, and social data generated in real time in mobile environment. Big data analysis is the process of creating new value by discovering meaningful new correlations, patterns, and trends in big data stored in data storage. We intend to summarize and visualize the analysis results through frequency analysis of unstructured article data using R language, a big data analysis tool. The data used in this study was analyzed for total 104 papers in the Mon-May 2021 among the journals of the Korea Institute of Information and Communication Engineering. In the final analysis results, the most frequently mentioned keyword was "Data", which ranked first 1,538 times. Therefore, based on the results of the analysis, the limitations of the study and theoretical implications are suggested.