• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2021년도 춘계학술대회
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• pp.308-311
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• 2021

본 논문은 가상현실을 기반으로 한 고령자용 치매 예방 기능성 게임 개발에 대해 기술한다. 게임의 개발에는 Unity 3D 엔진을 사용하였고, 가상현실 공간인 낚시터를 구현하였다. 게임의 대상자가 가상현실과는 상대적으로 친숙하지 않은 고령자인 점을 감안하여 VH HMD 장비에 쉽게 적응할 수 있도록 게임 내에서 플레이어의 움직임이 없도록 하였고, 조작에 있어서 어려움을 줄이기 위해 조작 버튼 개수를 최소화하였으며, 직관적인 게임 구성으로 거부감과 피로감을 줄였다. 또한, 게임 완료 후 별점을 부과하는 시스템으로 성취감을 주어 즐겁고 꾸준히 참여하도록 유도하였다. 개발된 게임은 전체적으로 메인, 인터페이스, 스테이지, 별점, TTS, 튜토리얼, 엔딩크레딧 등으로 이루어져 있다. 각 카테고리별 스테이지를 3단계로 나누어 하나의 통합 환경에서 구현하였고 VR HMD를 이용해 가상현실 내에서 기억력, 주의력, 판단력을 증진시킬 수 있는 게임을 진행할 수 있도록 되어 있다.

• Journal of Chest Surgery
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• 제57권2호
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• pp.169-177
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• 2024

Background: Pericardial effusion (PE) is a serious condition in cancer patients, primarily arising from malignant dissemination. Pericardial window formation is a surgical intervention for refractory PE. However, the long-term outcomes and factors associated with postoperative survival remain unclear. Methods: We retrospectively analyzed data from 166 oncology patients who underwent pericardial window formation at Samsung Medical Center between 2011 and 2023. We analyzed survival and PE recurrence regarding surgical approach, cancer type, and cytopathological findings. To identify factors associated with survival, we utilized Cox proportional-hazards regression. Results: All patients had tumors documented in accordance with the American Joint Committee on Cancer staging manual, including lung (61.4%), breast (9.6%), gastrointestinal (9.0%), hematologic (3.6%), and other cancers (16.4%). Surgical approaches included mini-thoracotomy (67.5%) and thoracoscopy (32.5%). Postsurgical cytopathology confirmed malignancy in 94 cases (56.6%). Over a median follow-up duration of 50.0 months, 142 deaths and 16 PE recurrences occurred. The 1-year overall and PE recurrence-free survival rates were 31.4% and 28.6%, respectively. One-year survival rates were significantly higher for thoracoscopy recipients (43.7% vs. 25.6%, p=0.031) and patients with negative cytopathology results (45.1% vs. 20.6%, p<0.001). No significant survival difference was observed between lung cancer and other types (p=0.129). Multivariate analysis identified New York Heart Association class, cancer stage, and cytopathology as independent prognostic factors. Conclusion: This series is the largest to date concerning window formation among cancer patients with PE. Patients' long-term survival after surgery was generally unfavorable. However, cases with negative cytopathology or earlier tumor stage demonstrated comparatively high survival rates.

• Journal of Korean Neurosurgical Society
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• 제29권8호
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• pp.1126-1135
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• 2000

Objectives : The goal of surgical management of cerebral arteriovenous malformation(AVM) is elimination of the lesion without development of new neurological deficits. To improve the management results of cerebral AVMs in the future, this article discusses about surgical complications of the AVM and their management. Material and Methods : During the past 18 years, 116 patients with cerebral AVMs were managed by surgery. Among these cases, 7 cases died, 7 cases developed new neurological deficits, 11 cases residual AVM and 5 cases intracerebral hematoma(ICH) after surgery. The author analyzes the causes of those complications and investigates the methods to minimized those complications based on the review of the literatures. Results : One stage removal of AVM and ICH in the poor neurological state were performed in 5 of 7 death cases. Subtotal removal of ICH followed by delayed AVM surgery after recovery is regard as one method to improve the outcome of patient with large ICH. Postoperative new neurological deficits developed owing to normal perfusion pressure breakthrough(NPPB) in 3, judgement error in 2, preoperative embolization in 1 and cortical injury in 1 case(s). Proper management of NPPB, accurate anatomical knowledge and physiological monitoring during operation, and well trained skill for embolization are regard as methods to minimize those complications. Residual AVMs after surgery were noticed in 11 cases, in which unintended 6 cases due to inaccurate dissection of peripheral margin of AVM, and intended 3 cases due to massive brain swelling during operation, 1 cases due to diffuse type and 1 case due to multiple type of AVM. Accurate dissection of peripheral margin of AVM and mild hypotension during operation may help to avoid this complication. Postoperative hemorrhage occurred in 3 cases due to rupture of the residual AVM and in 2 cases due to oozing from the AVM bed. Complete resection of AVM, complete control of bleeding points at AVM bed and mild hypotension during early postoperative period are the methods to avoid this complication. Conclusion : A precise but flexible therapeutic strategy and refined skill for endovascular, radiosurgical and microsurgical techniques are required to successful treatment of cerebral AVM. Adequate timing of AVM resection, accurate anatomical knowledge, proper management of NPPB and accurate dissection of peripheral margin of AVM are the key points for avoiding complications of the AVM surgery.

• 대한관절경학회지
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• 제14권2호
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• pp.114-119
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• 2010

목적: 50세 이상에서 발생된 화농성 슬관절염 환자의 관절경적 세척술 및 변연 절제술후 치료 결과를 평가하고 결과에 영향을 주는 예후인자에 대해 알아보고자 하였다. 대상 및 방법: 2002년 1월부터 2005년 8월까지 본원에서 화농성 슬관절염 환자로 관절경 치료를 시행한 총 52예의 환자를 대상으로 하였으며, 평균 나이는 64세(50~79)였고 평균 추시기간은 평균 27.5개월(12~49)이었다. 수술 전과 후의 기능 평가는 Lysholm knee score와 C-반응성 단백 수치의 정상화 되는 기간을 통해 그 치유 효과를 판정하였다. 연령, 감염전 관절염 정도(Kellgren stage), 기저 질환, 원인균과 치료 시기 등이 술후 예후에 영향을 미치는지에 대해 조사하였다. 결과: 일차 수술후 감염의 완치는 94%였으며, 재수술은 2예에서 실시되었다. 원인은 15예에서 관절내 주사, 2예에서 외상에 의해 발병하였으며 그 외에는 원인 미상이었다. 발생 원인균으로는 13예에서 황색포도상구균이 가장 많았고, 27예에서는 균이 동정되지 않았다. 술후 기능의 호전 정도는 관절염의 정도가 낮고, 연령이 적을수록, 그리고 조기에 치료할수록 좋았다. 하지만, 동반질환에 의해서는 결과에 유의한 영향을 주지 못한 것으로 나타났다. 최종 추시시 52예 중 4예에서 관절운동의 제한을 보이는 합병증이 있었으며 그 외에는 동통이 없는 관절 운동으로 발병전 상태로 복귀하였다. 결론: 고령의 급성 화농성 관절염 환자에서 관절경적 세척술 및 변연 절제술은 효과적인 치료방법으로 사료되며 술후 기능은 환자의 연령이 60세 미만이고, 감염전 관절염 정도가 낮으며, 조기에 치료를 시행할수록 좋은 결과를 보고하였다.

• Archives of Plastic Surgery
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• 제50권6호
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• pp.557-562
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• 2023

Augmentation mammoplasty is one of the most popular cosmetic surgeries, but there is a high reoperation rate (29.7%) commonly due to capsular contracture, implant malpositioning, infection, and unsatisfactory size. Although infection only accounts for 2% of cases, its management is very challenging, especially with nontuberculous mycobacteria (NTM) infection. Breast prosthetic NTM infection is a rare but is a disastrous condition with an incidence of approximately 0.013%. Immediate salvage reimplantation is usually not suggested, and most studies recommend a gap of 3 to 6 months after combination antibiotics therapy before reimplantation. However, delayed reimplantation often leads to great psychological stress and struggle between the doctor and patient. We present the case report of successful reimplantation in treating prosthetic NTM infections in a 28-year-old female. We discuss a novel technique "transaxillary capsulorrhaphy" to correct the bottoming-out deformity. One year after the combination of antibiotics and surgery, the follow-up computed tomography scan showed complete remission of NTM without recurrence. We discuss the surgical technique in detail. The 1-year follow-up assessment (photos and dynamic video) revealed good cosmesis and reliable correction using the new technique. This report is the first formal description and discussion of one-stage reimplantation following NTM infections. Transaxillary capsulorrhaphy allows for a successful salvage operation when an implant is displaced. This approach provides highly favorable result in eastern women undergoing revision augmentation mammoplasty. This study reflects level of evidence V, considering opinions of respected authorities based on clinical experience, descriptive studies, or reports of expert committees.

• 한국소음진동공학회논문집
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• 제25권4호
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• pp.238-246
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• 2015

A stepping motor is widely used to operate the elevation and azimuth stage of the X-band antenna with 2-axis gimbal system for effective image data transmission from a satellite to a ground station. However, such stepping motor also generates an undesirable micro-vibration which is one of the main disturbance sources affecting image quality of the high-resolution observation satellite. In order to improve the image quality, the micro-vibration isolation of the X-band antenna system is essential. In this study, the low rotational stiffness isolator has been proposed to reduce the micro-vibration disturbance induced by elevation direction operation of the X-band antenna. In addition, its structural safety was confirmed by the structure analysis based on the derived torque budget. The effectiveness of the design was also verified through the micro-vibration measurement test.

• Journal of Chest Surgery
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• 제30권3호
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• pp.336-339
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• 1997

최근 흉부 대동맥의 수술적 치료가 과거에 비해 좋은 성적을 얻고 있다. 전 흉부 대동맥을 포함하는 대동맥류나 대동맥 박리증의 경우대개 두단계나세단계로나누어 수술하였다. 본원에서는 숲 대동맥을 포함한 드베키 타입 I 만성 대동맥 박리증 환자에 있어서 한번에 출 대동맥을 치환하는 수술을 시행하였다. 환자는 호흡 부전과 Marfan 환자의 특징적 외모를 갖고있는 25세 남자로 심한 대동맥 부전증과 만성 드베키 타입 I대동맥 박리증 진단하에 수술시행하였다. 수술소견상상행 대동맥이 매우 커져 있었으며 상행대동맥에 두 개의 내막 파열이 관찰되 었고 가혈관으로 부터 늑간 동맥들과 우측 신동맥이 혈공급을 받고있었다. 벤탈 술식과 함께 술 대동맥 치환술을 성공적으로 시행하였으며, 환자는 현재까지 큰 합병증없이 외래를 통해 추적 관찰중이다.

• 한국초전도학회:학술대회논문집
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• 한국초전도학회 1999년도 High Temperature Superconductivity Vol.IX
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• pp.102-106
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• 1999

We have designed and fabricated a four-bit shift register circuit using YBCO bicrystal junctions and experimentally tested its operations by a computer-controlled digital measurement set-up. Laser ablated YBCO thin films with clean surface were used in this work. The circuit consists of the shift register and two read SQUIDs placed next to each sides of the shift register. The SQUIDs were inductively coupled to the nearby shift register stages. A probe equipped with high speed coax lines were used in this experiment. The major obstacle in testing the circuit was the interference between the read SQUIDs and we solved the problem by finding the correct operation points of the SQUIDs from the simultaneously measured modulation curves. Loaded Data("1" or "0") were successfully shifted from a stage to the next one by a controlled current pulse injected to the bias lines located between the stages and the data shifts were correctly monitored by the read SQUIDs

• 한국정보통신학회논문지
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• 제10권9호
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• pp.1727-1736
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• 2006

지능 시스템에서 고속으로 퍼지 데이터를 처리하기 위해서, 퍼지 제어시스템이 해결해야 할 중요한 문제점들 중의 하나는 퍼지 추론 및 비퍼지화 단계에서 수행속도를 개선하는 것이다. 이를 위해서는, 특히 후건부의 연산 및 비퍼지화 단계에서 고속 연산이 이루어져야 한다. 따라서 본 논문에서는 지능 시스템을 위한 퍼지 제어기의 속도향상을 위해 후건부 및 비 퍼지화 단계에서 [0, 1]의 실수 연산을 하지 않고, 퍼지 소속함수의 실수 값을 정수형 격자에 매핑 시켜 곱셈, 나눗셈이 필요 없는 정수형 덧셈을 고속으로 수행할 수 있는 알고리듬을 제안하고, truck backer-upper 제어 시스템에 적용하여 기존의 방법보다 매우 빠른 실시간 고속 퍼지 시스템을 보여준다. 본 논문에서 제안한 시스템은 로봇의 팔 움직임 제어 와 같은 실시간 고속 지능 시스템에 잘 활용될 수 있다.

• 대한두개안면성형외과학회지
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• 제13권2호
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• pp.139-142
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• 2012

Purpose: To reconstruct the midface, local flaps such as nasolabial flaps have been frequently used. These local flaps, however, have the shortcomings of requiring a secondary operation or limitations in the movement of the flap. Thus, new methods have been developed. This paper reports a case wherein the basal cell carcinoma on the cheek was resected and the skin and soft tissue defect was successfully treated using a facial artery perforator flap. Methods: A 68-year-old female consulted the authors on the basal cell carcinoma that developed on her cheek. The mass was fully resected and revealed a $2.3{\times}2.3cm$ defective region. Using a Doppler ultrasonography, the facial artery path was traced, and using a loupe magnification, the facial artery perforator flap was elevated and the defective region was covered with the flap. Results: The flap developed early venous congestion, but it disappeared without any treatment. Six months after the surgery, the patient was satisfied with the postoperative result. Conclusion: The facial artery perforator flap has a thin pedicle. It offers a big arc of the rotation that allows free movement and one-stage operation. These strengths make the method useful for the reconstruction of the midface among other procedures.