• Journal of the Korean Orthopaedic Association
• /
• v.54 no.5
• /
• pp.402-410
• /
• 2019

Sports injuries of the foot and ankle are commonly encountered in clinical practice. Ultrasound is very useful for the diagnosis of such injuries, because it is more economical, readily accessible, and can perform a dynamic study compared to magnetic resonance imaging. This review focused on the sonographic features of common foot and ankle sports injuries.

• Journal of the Korean Orthopaedic Association
• /
• v.54 no.1
• /
• pp.18-23
• /
• 2019

As the population grows older and medical treatments are advancing, the number of spine surgeries in elderly patients has been increasing. To obtain a successful outcomes of spine surgery in elderly patients, surgeons should prepare meticulously because elderly patients can have osteoporosis and surgery can be more extensive than in younger patients. Therefore, this study reviewed the perioperative medical treatment, particularly for osteoporosis, to improve the surgical outcomes in elderly patients.

• Journal of the Korean Orthopaedic Association
• /
• v.55 no.5
• /
• pp.397-404
• /
• 2020

Purpose: The purpose of this study was to evaluate the treatment outcome of leiomyosarcoma (LMS) of the somatic soft tissue and investigate the prognostic factors. Materials and Methods: Seventy-two patients with soft tissue LMS (extremities and trunk) between 2001 and 2017 were reviewed retrospectively. The local recurrence and metastasis after treatment were examined. The survival rates and prognostic factors affecting survival were investigated. Only patients followed-up more than one year were included. The mean follow-up time was 41 months (range, 7-163 months). Results: The overall survival rates at five-year and 10-year were 73.6% and 66.2%, respectively. The tumor size (p=0.018), grade (p=0.017), and local recurrence (p=0.04) affected survival. Metastases developed in 31.9% (23/72) and the median post metastasis survival was 15.6 months (range, 3-78 months). Conclusion: LMS of the soft tissue developed mainly at the lower extremity. The tumor size, grade, and local recurrence were associated with survival. Post metastatic survival was generally poor despite treatment.

• Journal of the Korean Orthopaedic Association
• /
• v.56 no.6
• /
• pp.491-497
• /
• 2021

Purpose: To investigate the prevalence of osteoporosis or osteopenia via dual-energy X-ray absorptiometry bone mineral density (DEXA BMD) in adult males who showed radiolucent lumbar vertebra on the plain radiographs. Materials and Methods: The DEXA BMD values of 98 adult males, who showed radiolucent vertebrae on plain X-rays, were compared with those of the control group (n=168) and osteoporosis-related fracture group (n=113) by statistical analysis. The World Health Organization (WHO) method (lower value between the mean lumbar and femur neck) and the Hansen's method (lowest lumbar vertebra) were used to determine osteoporosis. Results: The mean and standard deviation of the BMD value of each group was -1.4 (±1.2) in the suspicious group, -0.8 (±1.1) in the control group, and -2.4 (±1.0) in the fracture group, respectively; the difference was statistically significant. Using the WHO method, the prevalence ratio of osteoporosis was 17.3% in the suspicious group, 8.3% in the control group, and 45.1% in the fracture group, respectively. Osteopenia was observed in 40.8% of the suspicious group. Hansen's method (lowest lumbar vertebra) revealed the prevalence of osteoporosis in 30.6% of the suspicious group, 17.9% of the control group, and 62.0% of the fracture group. Conclusion: Approximately 17.3% of the suspicious group was diagnosed with osteoporosis, and 40.8% were osteopenic by a confirmative BMD study (WHO criteria) among the adult males showing apparent radiolucency on plain X-rays. The control group also showed an 8% prevalence of osteoporosis. These results suggest that males also are vulnerable to osteoporosis. Therefore, a BMD study should also be used for males, especially for the people showing lumbar vertebrae with radiolucent features.

• Proceedings of the KAIS Fall Conference
• /
• 2009.05a
• /
• pp.565-570
• /
• 2009

국내의 비정형 건축물은 현재 도입기로, 동대문디자인파크, 전곡선사박물관, 부산국제영화센터 등이 건설 계획 되어지고 있지만 대부분이 실시설계 또는 착공단계에 머물고 있고, 아직까지 구체적인 시공단계에 이른 건축물이 없는 실정으로 비정형외장재의 이중곡률 (Non-Uniform Rational B-Spines)을 반영한 프로토타이핑(Prototyping), 패널화(Panelizing), 현장조립 시 기하학 통제기법, 시공오차 측정기법, As-Planned 도면과 As-Built 도면의 비교를 통한 준공도면의 작성기법 등에 대한 준비가 절실히 필요한 상황이다. 그러나 현재 비정형 건축물의 설계는 초기계획(Concept Design) 단계에서 건축가와 구조기술자의 협업 중요성만 강조되고 있고, 건축물이 비정형화됨에 따라 기하학적으로 설계 및 시공되어야 하는 건축물의 외장재에 대한 설계방법과 시공단계에서 시공품질 확보방안, 시공 하자를 유발시키는 다양한 변수에 대한 대응방안 등은 아직까지도 그 중요성을 인식하지 못하고 있는 실정이다. 따라서 본 연구에서는 비정형 건축물의 설계에 사용되는 Architectural Geometry Control 도구 중 그 활용성이 부각되어 지고 있는 Bentley 사의 Generative Components를 활용하여 비정형 건축물의 이중곡률 곡면외장재의 부재생산을 위한 패널화, 제작도면 추출에 관한 연구를 수행하고자 한다.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2020.06a
• /
• pp.386-386
• /
• 2020

가뭄은 강수, 증발산, 대기온도, 토양수분 등 다양한 수문기상학적 인자들이 복합적으로 작용하여 발생되기 때문에 가뭄의 정확한 사상을 분석하는 것은 매우 어렵다. 또한 어떤 요인을 중심으로 고려하느냐에 따라 가뭄은 다양한 시각으로 정의되고 있다. 일정기간 평균 강수량보다 적은 강수로 인해 건조한 날이 지속되는 것, 즉 기상요소를 중심으로 가뭄을 정의하는 것을 기상학적 가뭄이라 하며, 작물의 생육에 필요한 수분을 중심으로 고려하는 것을 농업적 가뭄이라 한다. 또한 하천유량, 댐 저수량 등 전반적인 수자원 공급원의 부족을 수문학적 가뭄이라 한다. 이와 같이 다양하게 나타는 가뭄의 발생특성을 정량적으로 해석하기 위해 다양한 가뭄지수가 개발되어 왔다. 그러나 현재까지 개발된 가뭄지수들은 공통적으로 정형데이터를 활용하여 산정한다. 하지만 최근에는 비정형데이터를 활용하여 지수(Index)를 산정하거나, 재난관리에 적용하는 등 비정형 데이터의 활용이 급증하고 있다. 따라서 본 연구에서는 비정형 데이터(뉴스 데이터)를 활용하여 가뭄지수를 산정하고 기존의 가뭄지수들과의 상관성 분석을 실시 한 뒤, 지수결합을 통해 가뭄사상 분석의 새로운 방안을 제시하고자 하였다. 본 연구의 공간적범위는 2014~2015 충남서북부가뭄 지역 중 가장 큰 피해를 입었던 보령지역으로 선정하였으며 시간적범위는 2013~2016년으로 설정하였다. 비정형 데이터의 구축은 크롤링(Crawling)을 활용하여 네이버 뉴스의 기사를 수집하였으며 자료의 신뢰성을 위해 URL이 동일한 중복기사 및 '보령', '가뭄' 단어가 없는 기사는 제거하였다. 구축된 데이터를 기반으로 월별 빈도를 산출하고 표준점수(Z-score)로 환산하여 가뭄지수를 산정하였다. 산정된 가뭄지수가 어떤 가뭄의 유형(기상학적, 농업적, 수문학적)을 보이는지 확인하기 위해 기존의 가뭄지수들과 상관성분석을 실시하였으며, 가장 높은 상관성을 보이는 가뭄지수와 결합을 통해 새로운 가뭄 사상을 분석하였다. 본 연구에서 진행한 가뭄사상 분석은 향후 가뭄만이 아니라 다양한 재난분야에서 비정형 데이터를 활용한 분석의 기초로자료로 활용될 수 있을 것이다.

• Journal of the Korean Orthopaedic Association
• /
• v.56 no.4
• /
• pp.305-309
• /
• 2021

Purpose: This study analyzed the increase in disposal rate of femoral heads in the bone bank of a single hospital from medical disease and drug history, as assessed by the Korean health insurance review and assessment service. Materials and Methods: The disposal rate and cause of 340 femoral heads were analyzed according to the regulations of the bone bank based on the standard model of the Ministry of food and drug safety. Results: One hundred and seven (33%) of 323 femoral heads collected from 2009 to 2018, and 65 (46%) of 142 femoral heads collected from 2015 to 2018 were discarded. The most common causes were related to the history of dementia and the administration of radioisotope for nuclear medicine. Conclusion: The current methods and screening tools can lead to errors in disposing of the available tissues in a bone bank. Thus, improved standards and screening methods are needed.

• Journal of Yeungnam Medical Science
• /
• v.18 no.2
• /
• pp.215-225
• /
• 2001

Background: There are many evidences that inflammation is an important determinant of the development of atherosclerosis and one of the systemic markers of inflammation, C-reactive protein(CRP), is associated with extent of coronary artery disease and risk of coronary events. We assessed the time response of CRP response after coronary angioplasty and it's influence on the clinical restenosis in angina patients. Materials and Methods: Patients included 36 angina patients undergoing single vessel angioplasty. Levels of CRP were measured before and 12, 24, 48, and 72 hours after angioplasty. Clinical restenosis was assessed at 6 months after procedure. Results: Baseline CRP level was $0.30{\pm}0.01$ mg/dL in stable and $0.46{\pm}0.28$ mg/dL in unstable angina patients(p<0.05). After angioplasty, CRP level was increased with peak at 24 hour and persisted to 72 hours after angioplasty. At 24 hour after angioplasty, the magnitude of CRP change was $0.32{\pm}0.31$ mg/dL in stable and $0.79{\pm}0.73$ mg/dL in unstable angina patient(p<0.05). The change of CRP level was not associated with troponin-T after angioplasty. In unstable angina patients, clinical restenosis was developed in 8% of patients with low baseline CRP levels and in 50% of those with high baseline CRP levels more than 0.6 mg/dL(p<0.05). Conclusion: In unstable angina patients, inflammatory response is more increased than stable angina patients, and increased inflammatory response effects on the restenosis after coronary angioplasty.

• Journal of the Korean Orthopaedic Association
• /
• v.54 no.4
• /
• pp.309-316
• /
• 2019

Purpose: This study examined the residential environment and accessibility of rehabilitation for cerebral palsy (CP) to identify the problems with residential laws pertaining to the disabled and provide basic data on the health legislation for the rights of the disabled. Materials and Methods: The literature was searched using three keywords: residence, rehabilitation, and accessibility. Two items were selected: residential environment and rehabilitation accessibility. The questionnaire included 51 items; 24 were scored using a Likert scale and 27 were in the form of multiple-choice questions. Results: This study included 100 subjects, of which 93 lived at home and seven lived in a facility. Of these 93 subjects, 65% were living in apartments, usually two or more floors above ground, and 40% of them were living without elevators. According to the Gross Motor Function Classification System, subjects with I to III belonged to the ambulatory group and IV, V were in the non-ambulatory group. Subjects from both groups who lived at home found it most difficult to visit the rehabilitation center by themselves. In contrast, among those who lived at the facility, the ambulatory group found it most difficult to leave the facility alone, while the non-ambulatory group found it most difficult to use the toilet alone. Moreover, 83% of respondents thought that rehabilitation was necessary for CP. On the other hand, 33% are receiving rehabilitation services. Rehabilitation was performed for an average of 3.6 sessions per week, 39 minutes per session. Conclusion: There is no law that ensures secure and convenient access of CP to higher levels. Laws on access routes to enter rooms are insufficient. The disabled people's law and the disabled person's health law will be implemented in December 2017. It is necessary to enact laws that actually reflect the difficulties of people with disabilities. Based on the results of this study, an investigation of the housing and rehabilitation of patients with CP through a large-scale questionnaire will necessary.

• Computational Structural Engineering
• /
• v.22 no.5
• /
• pp.23-31
• /
• 2009