• Journal of Chest Surgery
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• 제15권4호
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• pp.373-380
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• 1982

Experience with intracardiac surgery in infants indicates that for most anomalies the operation and late mortality after primary total correction is lower than the combined mortality after early palliation and delayed correction. In addition, there are secondary benefits of primary total correction in terms of reversal of retarded physical growth and social development and alleviation of parental anxiety. One hundred and fifteen infants under 2 years of age with congenital cardiac anomalies underwent primary surgical intervention at Seoul National University Hospital from Jan. `78 to Sep. `82. There were 70 patients with VSD, 17 patients with TOF, 10 patients with TGA, 4 patients with ASD, 4 patients with TA, 3 patients with TAPVR, and the remainders are Coronary AV Fistula, partial ECD+COA, SV, DORV, PA, Trilogy+PDA. The overall surgical mortality was 18.3%. In acyanotic group 6 patients died among 76 operated patients, and surgical mortality was 6.6%. But in cyanotic group, the mortality was very high as41.0% [16 patients among 39 patients]. This poor surgical result in cyanotic group was due to Improper pre-, intra- and post-operative care, and we are convincing that these factors soon be improved as experiences accumulated.

• 한국컴퓨터정보학회논문지
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• 제21권9호
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• pp.157-163
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• 2016

In this paper, I had studied to focus on the NCS(National Competency Standard) course in the development process of NCS-based curriculum and designed and developed 'Digital Color Correction' course. 'Digital Color Correction' course was come up with in process of development of NCS-based curriculum in a department of university that aims to educate video-broadcasting experts who lead the advanced digital age. The course developed in this paper follows criteria of NCS and is designed to step in course-profile, instruction and evaluation. Also I made an analysis of learning effects after applying to class. And I compared and analyzed NCS-class and non NCS-class. As a result of comparison, NCS-class is better than non NCS-class in student attitude for learning and evaluation method.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3229-3232
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• 2012

In this study, cancer incidence data were assessed to provide various rates of five year age groups for a given year, lying between two census years. The individual exponential growth rate method is most useful in both population-based and non-population cased cancer registries in India to estimate the population by five yearly age groups and also find the rates of crude rates, age standard rates and cumulative rates. This method has been shown to endure from bias and often results sacrificing the overall growth rate and correction factor must be needful in five year age group population to maintain it. A second method, the difference distribution method is also able to maintain the overall growth rate and overcome the bias in estimation of five yearly age group populations. From this point of view these methods serving a new technique for population estimation by five yearly age groups for inter census years.

• Journal of Positioning, Navigation, and Timing
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• 제2권2호
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• pp.109-114
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• 2013

The vulnerability of GPS to interference signals was reported in the early 2000s, and an eLORAN system has been suggested as a backup navigation system for replacing the existing GPS. Thus, relevant studies have been carried out in the United States, Europe, Korea, etc., and especially, in Korea, the research and development is being conducted for the FOC of the eLORAN system by 2018. The required performance of the eLORAN system is to meet the HEA performance, and to achieve this, it is essential to perform ASF correction based on a dLORAN system. ASF can be divided into temporal ASF, nominal ASF, and spatial ASF. Spatial ASF is the variation due to spatial characteristics, and is stored in an eLORAN receiver in the form of a premeasured map. Temporal ASF is the variations due to temporal characteristics, and are transmitted from a dLORAN site to a receiver via LDC. Unlike nominal ASF that is obtained by long-term measurement (over 1 year), temporal ASF changes in a short period of time, and ideally, real-time correction needs to be performed. However, it is difficult to perform real-time correction due to the limit of the transmission rate of the LDC for transmitting correction values. In this paper, to determine temporal ASF correction frequency that shows satisfactory performance within the range of the limit of data transmission rates, relative variations of temporal ASF in summer and winter were measured, and the stability of correction values was analyzed using the average of temporal ASF for a certain period.

• Journal of Korean Neurosurgical Society
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• 제44권1호
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• pp.52-56
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• 2008

Objective : The purpose of this study was to introduce our surgical experiences of scoliosis and to evaluate the effectiveness of anterior correction and fusion in adolescent idiopathic scoliosis (AIS). Methods : Between August 2004 and August 2007, four patients with AIS were treated with anterior segmental fusion and fixation at our hospital. Mean follow-up period was 9 (6-12) months. The average age was 14.0 (13-15) years. According to Lenke classification, three patients showed Lenke 1 curve and one patient with Lenke 5 curve. Single rod instrumentation was performed in one patient, dual rod instrumentation in one patient and combined rod instrumentation in two patients. Coronal Cobb measurements were performed on all curves in thoracic, thoracolumbar and, lumbar spine and the angle of hump was measured by a scoliometer pre- and postoperatively. Results : The average operative time was 394 minutes (255-525) with an average intraoperative blood loss of 1,225 ml (1,000-1,700). The mean period of hospital stay was 19.3 days and there was no complication related to the surgery. The mean Cobb angle was reduced from $43.3^{\circ}$ to $14.8^{\circ}$ (65.8% correction) postoperatively and the rib hump corrected less than $5^{\circ}$. All patients and their parents were satisfied with the deformity correction. Conclusion : Anterior spinal correction and fusion of AIS with Lenke 1 and 5 curve showed excellent deformity correction without any complications. In particular, we recommend anterior dual rod instrumentation because of mechanical stability, better control of kyphosis, and a higher fusion rate.

• 한국융합학회논문지
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• 제11권12호
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• pp.419-427
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• 2020

본 연구는 중년기 과민성방광증후군 환자의 증상심각도와 스트레스가 우울에 미치는 영향에 대해 알아보기 위한 서술적 조사연구이다. 연구대상자는 G광역시에 소재한 비뇨기과 의원 및 병원 외래에서 과민성방광증후군으로 진단받은 40~60세의 중년기 환자 167명을 대상으로 하였다. 자료분석은 SPSS 23.0 프로그램을 이용하였으며, 빈도분석, pearson' correlation, t-test, multiple regression로 분석하였다. 연구 결과 중년기 과민성방광증후군 환자의 우울에 영향을 미치는 요인은 증상심각도, 연령, 배우자 유무 순으로 나타났다. 따라서 대상자의 우울을 감소시키기 위해 적극적 치료 유도와 생활 습관 교정 및 행동치료를 교육하고, 연령대별, 배우자 유무에 따른 맞춤형 간호 중재를 수행할 수 있는 프로그램을 개발이 필요하다.

• 한국멀티미디어학회논문지
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• 제24권2호
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• pp.285-294
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• 2021

This study developed a responsive healthcare system that users can easily use in real life to prevent turtle neck syndrome by posture correction. We propose a system that naturally induces direct posture improvement by adjusting the height with a responsive cradle through a turtle neck discrimination algorithm detecting the turtle neck posture in real time using a webcam. The turtle neck algorithm was developed based on machine learning, using the points that the distance relationship between the jaw line and the shoulder varies depending on the posture. For the younger age group, which is particularly problematic due to the increase in the use of IT devices, image data in different situations according to the height and posture of the cradle was collected and learned as a support vector machine classifier. In addition, a height-adjustable cradle that can support a laptop has been created and expanded into a responsive cradle that can be controlled with software by interlocking with the Arduino. Therefore, this service enables posture correction of many modern people suffering from turtle neck syndrome and will become an essential platform in the increasing online environment in the non-contact era.

• 핵의학기술
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• 제20권2호
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• pp.21-26
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• 2016

최근엔 대부분의 PET-CT영상의 감쇠보정은 많은 강점을 가지고 있는 CT를 기반으로 사용하고 있다. 하지만 CT 검사때 metal artifact가 발생하게 된다면, PET 영상에서 영향을 주게 된다. 이에 본 논문에서는 감쇠보정 영상의 count와 비감쇠보정 영상의 count의 비를 통하여 보정계수($e^{-{\mu}x}$)을 구하였고 이를 통해 측정 SUV에 대입하여 실제 SUV를 추정하는 방법에 대하여 고찰해보았다. 실험장비로는 본원에서 사용하고 있는 Biograph mCT S(40)_SIMENS을 촬영 장비로 이용하였고, phantom은 micro phantom을 사용하였다. 팬텀 실험방법은 micro phantom에 metal artifact를 발생시켜 촬영한 뒤 감쇠보정 영상과 비 감쇠보정 영상으로 재구성하였다. 그리고 SIMENS 사의 Sygo.via VA11A 프로그램을 이용 감쇠보정 영상과 비 감쇠보정 영상의 count를 측정하고 이를 통해 보정계수를 구하여 Metal artifact 발생 부위와 Metal artifact 발생 직전 부위의 보정계수를 비교 분석해 보았다. 임상영상에서는 본원에 내원한 환자 10명($66{\pm}15$세)의 데이터를 이용하여 여러 장기의 평균 보정계수를 계산하였고, Metal artifact가 발생한 연부조직의 보정계수와 metal artifact가 발생하기 직전의 연부조직의 보정계수를 비교 분석하였다. 분석결과 phantom 실험에서는 밝은 artifact 부분에서의 보정 계수는 Metal artifact가 발생하지 않은 부분에서의 보정계수보다 평균 12%증가 되게 나타났다. 어두운 artifact 부분에서의 보정계수는 발생하지 않은 부분에서의 보정계수보다 6% 감소 되게 나타났다. 또한 phantom 실험결과 본 논문에서 사용한 식을 이용한 추정 SUV가 실제 SUV와 유의미한 차이가 없다는 것을 확인 할 수 있었다. 임상영상에서는 normal 장기의 보정계수를 계산 하였고, 이를 이용한 각 장기의 평균 보정계수를 계산하여 그래프를 작성하였다. 그리고 이 결과 값을 통해 CT number가 큰 조직 일수록 보정계수도 커지는 상호 비례 관계를 확인 할 수 있었다. 또한 metal artifact시 밝은 artifact 부분의 연부조직 보정계수는 metal artifact가 발생 하지 않은 연부조직 보정계수에 비해 평균 20% 증가, 그리고 어두운 artifact 부분은 10% 감소된 것으로 나타났다. 그래프로 작성한 soft tissue 평균값과 비교 하였을 때는 metal artifact가 발생 하지 않은 연부조직에 비해 밝은 artifact 부위는 평균 19% 증가 어두운 artifact 부위는 평균 9% 감소 된 것으로 나타났다. 즉 경우에 따라 각 개인의 보정계수를 계산 할 필요 없이 그래프로 작성한 평균값을 간편하게 활용 할 수 있을 것으로 사료된다. 이와 같이 실험결과로 보아 본 논문에서 제시하였던 감쇠보정 영상과 비 감쇠보정 영상에서의 count의 비를 통해 metal artifact가 발생하지 않는 부위의 보정계수와 발생한 부위의 보정계수를 구하고, 이를 활용하여 측정 SUV에 대입하여 실제 SUV를 추정하는 방법 역시 metal artifact 발생 부위의 더 정확한 정량분석 위하여 고려 해볼 수 있는 대안이 될 수 있을 것이라 사료 된다.

• Archives of Plastic Surgery
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• 제35권5호
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• pp.574-580
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• 2008

Purpose: Philtral deformity is a stigma of secondary cleft lip nose. It occurs from the false arrangement of orbicularis oris muscle and the scar of previous operation. Various methods have been used to correct this deformity. We successfully corrected philtral deformity using overlapping of orbicularis oris muscle flap. Methods: From November 2000 to August 2007, we performed 39 cases of correction of philtral deformity in secondary cleft lip nose with overlapping of orbicularis oris muscle flap. Their age ranged from 5 to 53 years old. Existing scar tissue of previous operation was deepithelialized and preserved as scar flap. Lateral orbicularis oris muscle flap was elevated, advanced and overlapped upon medial muscle flap after dissection of orbicularis oris muscle of both sides. Reconstruction of philtral column was made from overlapping area by fixation of end part of lateral muscle flap to the point between philtral dimple and column. The degree of muscle flap advancement was decided by correction state of lateral muscle bulging. Correction of nostril floor depression or whistle deformity was also performed with preserved scar flap, if necessary. Results: Realignments of orbicularis oris muscle were possible in the majority of the patients and final results of philtral reconstruction were satisfactory mostly. Correction of nostril floor depression and whistle deformity was also achieved. Additional correction was performed later to 4 patients in whom insufficient reconstruction was noted. No significant complication was observed. Conclusion: More natural and symmetric philtrum was acquired with overlapping of orbicularis oris muscle flap. To the authors' knowledge, it is an easy and effective method for correction of philtral deformity through anatomical rearrangement of distorted orbicularis oris muscle with relatively simple procedure.

• Archives of Plastic Surgery
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• 제44권2호
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• pp.157-161
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• 2017

Background Thin hairs are critical to achieve natural result in female hairline correction surgery. However, there are few studies on the usefulness of hair thinning by intense pulsed light (IPL) after hairline correction surgery in East Asian females. Methods Hair thinning using IPL was performed in 54 women who had complained about thick hairs along the frontal hairline after hairline correction surgery. Patient mean age was 31.2 years old and patients were an average of 2.1 years post-hairline correction surgery. Initial treatment used 10 J, while second and third sessions were conducted with 10 to 15 J according to responsiveness to treatment. Results Mean thickness of individual hairs assessed before the procedure was $78.86{\mu}m$. The mean number of procedures was 1.6 per patient. Forty of 54 subjects (74%) achieved satisfactory hair thinning with only one procedure from 78.01 to $66.14{\mu}m$ after treatment. The measured thickness was $66.43{\mu}m$ at the end of the first year in patients who were satisfied after one procedure. Thirteen cases achieved satisfactory hair thinning after two sessions. Mean thickness was $74.44{\mu}m$ and $67.51{\mu}m$, before and after the second session. One case required a third session with 15J, thinning from 89.00 to $66.50{\mu}m$. Conclusions Hair thinning by IPL is a very useful method to provide a natural look after hairline correction surgery in East Asians, who have naturally thick hair.