• 대한골관절종양학회지
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• 제9권1호
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• pp.18-23
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• 2003

목적: 골 육종, 연골 육종은 흔한 질환이 아니므로, 일차 진료 현장에서 명확한 진단이 신속히 이루어지지 않고, 진단의 지연이나 오진으로 인해 문제를 야기할 수 있다. 따라서, 상기 질환에 대한 초기 증상과 임상적 특징을 조사하여 이를 확인하고, 조기 진단에 도움을 주고자한다. 대상 및 방법: 본원에서 진단된 골 육종이나 연골 육종 환자로, 기록 검토와 설문지 조사가 가능한 139명을 대상으로 하였다. 골 육종 환자가 108명, 연골 육종이 31명이었고, 남자가 86명, 여자가 53명이었으며, 평균 연령은 골 육종이 20.2세, 연골 육종이 42.4세이었다. 결과: 병원을 방문하게 된 초기 증상은 두 질병 군 모두에서 동통이 가장 많았는데, 골 육종은 101명(93.5%), 연골 육종은 19명(61.3%)이었다. 이들 중 골 육종의 49명(48.5%), 연골 육종의 1명(5.3%)에서 통증이 외상과 관련되어 시작되었으며, 야간 동통이 골 육종의 77명(76.2%), 연골 육종의 11명(57.8%)에서 있었다. 처음 방문한 진료 기관에서 악성 골 종양으로 진단된 경우는 골 육종에서는 66명(61.1%), 연골 육종에서 20명(64.5%)이었고, 오진된 경우는 골 육종에서는 골절로 본 경우가 18명(16.7%)으로 가장 많았으며, 연골 육종에서는 골 감염으로 본 경우가 6명(19.4%)으로 가장 많았다. 초진 시에 방사선 촬영을 시행한 경우 골 육종과 연골 육종 모두에서 진단율이 유의하게 높았고(p=0.009, p=0.014), 성인 군에서의 진단율이 높았다(p=0.037). 연골 육종에서 골 육종보다 환자와 의사에 의한 지연이 모두 길었다. 진단의 의사 지연을 길게 하는 요소로는 초진 시에 단순 방사선 사진을 촬영하지 않는 것과 골반 등 축성골에 종양이 위치하는 것이었고, 외상과 미성년 환자는 진단의 환자 지연을 단축시킬 수 있는 요소로 파악되었다. 결론: 악성 골 종양의 조기 진단을 위해서는 외상이나 야간 동통 등의 병력 청취를 소홀히 하지 않아야 할 것이며, 초진시의 단순 방사선 촬영과 주기적인 경과 관찰 및 방사선 사진의 비교 등으로 조기 진단의 정확성에 힘써야 할 것이다.

• Clinical and Experimental Pediatrics
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• 제56권7호
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• pp.291-297
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• 2013

Purpose: The aim of this study was to investigate prophylactic treatment effects in Korean patients with severe hemophilia A. Methods: A prospective study of 32 severe hemophilia A patients was conducted with the approval of the Institutional Review Board at the Eulji University Hospital. Two patients received primary prophylaxis; whereas, the other 30 patients were divided into 2 groups-secondary prophylaxis (n=15) and on-demand (n=15)-on the basis of their consent for secondary prophylaxis. A 20-25 IU/kg dose of factor VIII concentrate was administered to the primary and secondary prophylaxis group patients every 3 days for 1 year. The prophylactic effect was evaluated by observing changes in the Pettersson scores, annual number of total and joint bleeds, and factor VIII consumption for 1 year. Results: No moderate or severe bleeding was observed, and the Pettersson scores remained unchanged during the prophylaxis period in the patients who received primary prophylactic treatment. After the treatment was changed from on-demand to secondary prophylaxis, the annual number of total and joint bleeds in the secondary prophylaxis group decreased by $64.4%{\pm}13.0%$ and $70.0%{\pm}15.2%$, respectively. The average increase in Pettersson scores within 1 year was $0.5{\pm}0.8$ and $1.3{\pm}1.1$ in the secondary prophylaxis and on-demand groups, respectively. Prophylactic effects were also observed in patients >17 years who had nearly the same initial Pettersson scores. Conclusion: Intermediate-dose prophylactic treatment may delay hemarthropathy progression and prevent its occurrence in Korean severe hemophilia A patients.

• 콘크리트학회지
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• 제7권4호
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• pp.169-179
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• 1995

본 논문은 고강도 콘크리트($f'_c=700kg/cm^2$)를 사용한 보_기둥 접합부의 소성힌지 확산을 위하여 중간철근을 수직으로 앵커한 수직앵커형 중간철근으로 보 단부를 보강함으로써 보_기둥 접합부에 발생하는 소성힌지를 보 내측으로 1.0d 만큼 확산시키고자 하는 것이다. 실험의 주 변수로는 중간철근의 유물 및 앵커여부로 설정하여 중간철근의 보강형태에 따른 부재의 역학적 거동을 규명하도록 하였다. 실험결과로부터 보 단부의 1.0d부분을 수직앵커형 중간철근으로 보강하면 소성힌지를 1.0d 부분으로 확산할 수 있었으며, 에너지 분산능력도 ACI318-89에 따라 설계한 관례적인 실험체에 비하여 약 1.6배정도 향상되었다.

• 융합신호처리학회논문지
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• 제12권4호
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• pp.322-332
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• 2011

본 논문에서는 한일공동VLBI상관기(Korea-Japan Joint VLBI Correlator, KJJVC)의 핵심 구성시스템인 VLBI상관서브 시스템(VLBI Correlation Subsystem, VCS) 본제품의 1차 성능시험에 대해 기술한다. VCS 본제품의 1차 성능시험의 주요 목적은 현장에 설치하기 전에 제작사에서 다양한 시험항목을 대상으로 시험을 수행하여 문제점을 확인 후 전체 시스템의 완성도를 높이는 것이다. 이번 성능시험에서는 VCS 시작품에서 발견된 FFT 재양자화의 유효비트 부족으로 인한 오버폴로어 문제점을 포함한 기능적인 시험을 수행하였다. 이번 VCS 본제품의 공장시험을 통하여 2008년 VCS 시작품의 성능시험에서 발견한 FFT 의 재양자화 문제점이 완전히 해결되었으며 VCS 본제품에 지연추적, 지연보상, 주파수 묶음 등의 중요 기능도 추가되었다. 그리고 실제 관측 데이터(광대역/협대역)를 이용한 상관처리 시험에서도 예측되는 상관결과가 출력되는 것을 확인하였다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제15권7호
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• pp.2496-2512
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• 2021

The requirements for powerful computing capability, high capacity, low latency and low energy consumption of emerging services, pose severe challenges to the fifth-generation (5G) network. As a promising paradigm, mobile edge networks can provide services in proximity to users by deploying computing components and cache at the edge, which can effectively decrease service delay. However, the coexistence of heterogeneous services and the sharing of limited resources lead to the competition between various services for multiple resources. This paper considers two typical heterogeneous services: computing services and content delivery services, in order to properly configure resources, it is crucial to develop an effective offloading and caching strategies. Considering the high energy consumption of 5G base stations, this paper considers the hybrid energy supply model of traditional power grid and green energy. Therefore, it is necessary to design a reasonable association mechanism which can allocate more service load to base stations rich in green energy to improve the utilization of green energy. This paper formed the joint optimization problem of computing offloading, caching and resource allocation for heterogeneous services with the objective of minimizing the on-grid power consumption under the constraints of limited resources and QoS guarantee. Since the joint optimization problem is a mixed integer nonlinear programming problem that is impossible to solve, this paper uses deep reinforcement learning method to learn the optimal strategy through a lot of training. Extensive simulation experiments show that compared with other schemes, the proposed scheme can allocate resources to heterogeneous service according to the green energy distribution which can effectively reduce the traditional energy consumption.

• Hip & pelvis
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• 제35권2호
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• pp.73-87
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• 2023

The aim of this review is to conduct an analysis of existing literature on outcomes of application of various methods of joint decompression in management of septic arthritis of the hip in children. A search of literature in PubMed, Embase, and Google Scholar was conducted for identification of studies reporting on the outcomes of intervention for septic arthritis of the hip in children. Of the 17 articles selected, four were comparative studies; two of these were randomized controlled trials while the rest were single arm studies. Statistical difference was observed between the proportion of excellent clinical and radiological outcomes in arthrotomy (90%, 95% confidence interval [CI] 81-98%; 89%, 95% CI 80-98%), arthroscopy (95%, 95% CI 91-100%; 95%, 95% CI 90-99%), and arthrocentesis (98%, 95% CI 97-100%; 99%, 95% CI 97-100%), respectively. The highest overall rate of additional unplanned procedures was observed in the arthrocentesis group (24/207, 11.6%). Patients who underwent arthrocentesis had a statistically greater chance of excellent clinical and radiological outcomes, although the highest level of need for additional unplanned surgical intervention was observed in the arthrocentesis group, followed by the arthroscopy group and the arthrotomy group. Future conduct of a prospective multi-centric study focusing on the developed and developing world, along with acquisition of data. such as delay of treatment and severity of disease will enable assessment of the efficacy of one technique over the other by surgeons worldwide.

• 한국지반공학회지:지반
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• 제11권3호
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• pp.55-68
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• 1995

본 연구는 수직구의 바닥굴착을 위한 바닥발파시 삼승근환산식과 자승근환산식의 발파진동상수 및 감쇠지수와 암질지수(RQD)와의 관계를 시험발파계측을 통하여 정리분석한 것이다. 각종 발파시 발파진동의 크기는 장약량, 발파원과 발파진동 측정지점과의 거리, 지반의 특성에 따라 크게 좌우되며 본 논문에서는 지반의 특성이 발파진동에 미치는 영향을 규명하기 위하여 암반의 절리특성을 대표하는 RQD와 발파진동 크기와의 관계를 연구한 것이다. 시험결과 RQD의 증가에 따라 발파진동상수 K와 감치지수 n의 절대치는 상대적으로 증가하는 것으로 나타났으며 본 연구결과에 의하여 향후 암질지수에 따른 바닥발파의 발파진동속도를 예측할 수 있다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제8권2호
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• pp.371-388
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• 2014

Cognitive Radio (CR) has been recently proposed as a promising technology to remedy the problems of spectrum scarcity and spectrum underutilization by enabling unlicensed users to opportunistically utilize temporally unused licensed spectrums in a cautious manner. In Cognitive Radio Ad Hoc Networks (CRAHNs), data routing is one of the most challenging tasks since the channel availability and node mobility are unpredictable. Moreover, the network performance is severely degraded due to large numbers of path failures. In this paper, we propose the Fault-Tolerant Cognitive Ad-hoc Routing Protocol (FTCARP) to provide fast and efficient route recovery in presence of path failures during data delivery in CRAHNs. The protocol exploits the joint path and spectrum diversity to offer reliable communication and efficient spectrum usage over the networks. In the proposed protocol, a backup path is utilized in case a failure occurs over a primary transmission route. Different cause of a path failure will be handled by different route recovery mechanism. The protocol performance is compared with that of the Dual Diversity Cognitive Ad-hoc Routing Protocol (D2CARP). The simulation results obviously prove that FTCARP outperforms D2CARP in terms of throughput, packet loss, end-to-end delay and jitter in the high path-failure rate CRAHNs.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권10호
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• pp.4865-4886
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• 2017

The user experience of practical indoor power line communication (PLC) applications is greatly affected by the system quality-of-service (QoS) criteria. With a general broadcast-and-multi-access (BMA) relay scheme, in this work we investigate the joint source and relay power optimization of the amplify-and-forward (AF) relay systems used under indoor broad-band PLC environments. To achieve both time diversity and spatial diversity from the relay-involved PLC channel, which is time-varying in nature, the source node has been configured to transmit an identical message twice in the first and second signalling phase, respectively. The QoS constrained power allocation problem is not convex, which makes the global optimal solution is computationally intractable. To solve this problem, an alternating optimization (AO) method has been adopted and decomposes this problem into three convex/quasi-convex sub-problems. Simulation results show the fast convergence and short delay of the proposed algorithm under realistic relay-involved PLC channels. Compared with the two-hop and broadcast-and-forward (BF) relay systems, the proposed general relay system meets the same QoS requirement with less network power assumption.

• 대한족부족관절학회지
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• 제4권2호
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• pp.83-86
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• 2000

A vascular necrosis of the talus has frequently been reported following trauma because talus has no muscle insertions, sixty percent of the surface of the talus is covered by hyaline cartilage, takes only a small area for entrance of a blood supply. Osteonecrosis is also associated with a variety of nontraumatic disorders. There are many indications for steroid usage, patient with rheumatoid arthritis, systemic lupus erythematosus, chronic obstructive pulmonary disease, and status- post renal or cardiac transplantation may be on long- term steroid usage, osteonecrosis may develop. A vascular necrosis of the talus secondary to chronic steroid usage is an unusual case. Delay in detection of osteonecrosis may lead to fragmentation and collapse of the talar body. When pain on range of motion is present and conservative treatment have been exhausted, surgical treatment is indicated, that is, fusion of the ankle joint. However it is important that conservative treatment may prevent its various sequelae with early diagnosis because steroid - treated patients have a more operative risk and increased risk for postoperative infection. We report a rare case of corticosteroid induced avascular necrosis of talus after cardiac transplantation.