• Journal of Yeungnam Medical Science
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• 제35권1호
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• pp.130-134
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• 2018

Heterotopic ossification (HO) around the hip joint is not uncommon following neurological injury. Often, surgical treatment is performed in patients with restricted motion and/or refractory pain due to grade III or IV HO according to Brooker classification. The major complication that occurs as a result of surgical HO removal is perioperative bleeding due to hyper-vascularization of the lesion. Here, we report a case of preoperative embolization in a 51-year-old male patient presenting with restricted bilateral hip range of motion (ROM) due to HO following a spinal cord injury. In the right hip without preoperative arterial embolization, massive bleeding occurred during surgical removal of HO. Thus, the patient received a transfusion postoperatively due to decreased serum hemoglobin levels. For surgery of the left hip, preoperative embolization of the arteries supplying HO was performed. Surgical treatment was completed without bleeding complications, and the patient recovered without a postoperative transfusion. This case highlights that, while completing surgical removal for ROM improvements, orthopedic surgeons should consider preoperative arterial embolization in patients with hip HO.

• 임상간호연구
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• 제25권1호
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• pp.55-66
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• 2019

Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

• Clinics in Shoulder and Elbow
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• 제21권4호
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• pp.220-226
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• 2018

Background: This study introduces a surgical technique with good clinical outcome useful in the treatment of osteoporotic displaced 3- or 4-part proximal humeral fractures. Methods: From May 2014 to February 2016, 16 patients with displaced 3- or 4-part proximal humeral fractures were treated by application of a locking plate with an endosteal strut allograft via a deltoid splitting approach with a minimum follow-up of 12 months. The allograft was inserted through a fractured gap of the greater tuberosity to support the humeral head and then fixed by a locking plate with meticulous soft tissue dissection to protect the axillary nerve. Surgical outcomes were evaluated by the American Shoulder and Elbow Surgeons (ASES) and visual analogue scale (VAS) scores, radiological imaging, and clinical examination. Fixation failure on radiographs was defined as a >$5^{\circ}$ loss of neck shaft angle (NSA) compared to that on an immediate postoperative radiograph. Avascular necrosis (AVN) of the humeral head was also evaluated. Results: In all cases, complete union was achieved. The ASES and VAS scores were improved to $85.4{\pm}2.1$ and $3.2{\pm}1.3$, respectively. Twelve patients (75.0%) had greater than a $5^{\circ}$ change in NSA; the average NSA change was $3.8^{\circ}$. Five patients (31.3%) had unsatisfactory ranges of motion exhibiting a <$100^{\circ}$ active forward flexion. No axillary nerve injuries or AVN were observed at the last follow-up. One patient was converted to reverse total arthroplasty due to severe pain and functional deficit. Conclusions: Minimally invasive fixation via a locking compression plate and an endosteal fibula strut allograft in Neer classification 3-or 4-part fractures with severe osteoporosis in elderly patients can achieve good clinical results.

• 한국정보통신학회논문지
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• 제24권9호
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• pp.1224-1230
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• 2020

스마트폰의 보급 이후 웨어러블 디바이스에 대한 관심이 높아지고 다양화되면서 사용자들의 생활에 밀접하게 연관되고 있으며, 개인화된 서비스를 제공하기 위한 방법으로 사용되고 있다. 본 논문에서는 스마트폰에 내장된 3축 가속도 센서와 3축 자이로 센서의 정보를 합성곱 신경망에 적용하여 사용자의 행동을 검출하는 방법을 제안한다. 인간의 행동은 동작의 크기와 범위에 따라서 동작을 구성하는 신호 데이터의 지속시간을 포함한 시작 시점과 끝나는 시점이 다르다. 이로 인해 합성곱 신경망에 그대로 적용하면 행동 인식 정확도에 대한 성능상의 문제가 있다. 따라서 센서 데이터를 시간의 구간에 따라 분할된 특징을 학습하는 시분할 특징 융합 합성곱 신경망(TDFFCNN: Time-Division Feature Fusion Convolutional Neural Network)을 제안하였다.

• Clinics in Shoulder and Elbow
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• 제26권4호
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• pp.373-379
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• 2023

Background: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries. Methods: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal. Results: No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups. Conclusions: Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.

• 한국전자파학회논문지
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• 제29권7호
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• pp.508-514
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• 2018

뇌전도는 뇌 활동 시 발생하는 뇌 세포 간 상호작용으로 생성된 전기적 활동이며, 손동작 시 뇌 활동으로 인해 뇌전도가 발생한다. 본 연구에서는 16채널 뇌전도 측정 장비를 이용하여 손동작 전과 좌 혹은 우 손동작 시 발생되는 뇌전도를 측정하였으며, 측정된 데이터는 지도 학습 모델인 서포트 벡터 머신으로 분류하며, 서포트 벡터 머신의 학습 시간을 단축 위해 동작관련 정보 손실을 최소화하고, 뇌전도 정보를 축약할 수 있는 필터링을 통한 특징 추출과 벡터 차원 축소 기법을 제안한다. 분류 결과, 전두엽 부위의 전극에서 손동작 전 상태-손동작사이에서 평균 72.7 %의 정확도로 분류되었다.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제3권8호
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• pp.299-308
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• 2014

신체 동작, 얼굴 표정과 같이 아주 복잡한 생체 패턴을 인식하고 분류하는 인간의 능력을 모방한 정보처리 컴퓨팅 관련 연구가 최근 다수 등장하고 있다. 특히 컴퓨터비전 분야에서는 인간의 뛰어난 인지 능력 중 상황정보 없이 시각시퀀스에서 동작을 분류하는 기능을 통해 시공간적 패턴 코딩과 빠른 인식 방법을 이해하고자 한다. 본 연구는 비디오 시퀀스상의 동작인식에 생물학적 시각인지과정의 영향을 받은 생체 기반 컴퓨터비전 모델을 제시하였다. 제안 모델은 이미지 시퀀스에서 동작을 검출하고 시각 패턴을 판별하는 데 생체 시각처리과정의 신경망 구조 단계를 반영하였다. 실험을 통해 생체 기반 동작인식 모델이 인간 시각인지 처리의 여러 가지 속성을 고려했을 뿐 아니라 기존 동작인식시스템에 비해 시간 정합성이 뛰어나며 시간 변화에 강건한 분류 능력을 보임을 알 수 있다. 제안 모델은 지능형 로봇 에이전트와 같은 생체 기반 시각정보처리 시스템 구축에 기여할 수 있다.

• 대한전자공학회논문지SP
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• 제43권1호
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• pp.67-74
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• 2006

모바일 단말 환경에서 상황인식 컴퓨팅 기술은 유비쿼터스 컴퓨팅의 핵심기술 중 하나이다. 상황인식 컴퓨팅은 사용자의 일상생활 활동에 능동적으로 반응하는 컴퓨터 응용들을 실현 가능하게 한다. 본 논문에서는 물체나 인간의 물리적인 활동 상태를 감지할 수 있는 가속도센서를 사용하여 모바일 디바이스에 적용한다. 인간의 활동 상태를 추정하기위한 방법은 평균, 표준 편차, 왜도와 같은 다양한 통계치를 분류를 위한 특징으로 활용하는 것이 몇몇 간단한 통계치만을 의존하는 기존의 방법들 보다 더 효과적일 것이다. 분류 알고리듬은 제한된 리소스를 가진 모바일 디바이스를 고려하여 기존의 신경망 대신 간단한 결정 트리를 이용하고자 한다. 유비쿼터스 컴퓨팅과 모바일 응용들을 위한 우리의 상황 검출 시스템의 실험은 기존의 방법들 보다 성능이 향상되었으며 그 결과를 제시한다.

• Archives of Reconstructive Microsurgery
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• 제20권1호
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• pp.38-42
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• 2011

Purpose: To evaluate the effect of intermittent bleeding method in the distal phalanx replantation. Materials and Methods: From January 2007 through June 2009, authors have replanted 117 cases of distal phalangeal amputation in adults at Soo Hospital and Chonbuk National University Hospital. Cases of zone II were 60 cases and zone III 57 according to Allen classification. Male to female ratio was 8.7:1.3. The most common cause was machinery injury in the factory, 98 cases(83.8%), next one was belt injury of the machine, 11 cases(9.4%) and others, 8(6.8%). At least one digital artery and digital nerve were anastomosed under the operating microscope, but vein was impossible to anastomosis as unable to find out in the zone II and III. After anastomosis of one or more digital arteries and nerves, heparine(6,000-10,000 units) was kept to intravenous injection for 24 hours and at the same time fish mouth incision in 2-3 millimeter diameter was made in the distal radial and ulnar margin of the replanted distal phanlanx. From the first 30 minutes to an hour after replantation, incision site was swabbed with heparinized cotton ball for 5 minutes in every 30 to 40 minutes to make sure perfusion for 24 hours, every an hour at the second day, every two hours at the postoperative third to fifth day. Results: 92 cases(78.6%) was completely survived at average postoperative third week follow-up and satisfied with preservation of the finger nail, digit length, good range of motion of the distal interphalangeal joint and acceptable sensibility at average 1.2 years follow-up. Conclusions: Intermittant bleeding method in replantation of crushed distal phalanx impossible to anastomosis of vein at zone II and III of Allen classification was regarded as one of the notable salvage procedure.

• Archives of Plastic Surgery
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• 제39권6호
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• pp.643-648
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• 2012

Background Aggressive treatment of sternoclavicular joint (SCJ) infection involves systemic antibiotics, surgical drainage and resection if indicated. The purpose of this paper is to describe a classification of post resectional SCJ defects and highlight our reconstructive algorithm. Defects were classified into A, where closure was possible often with the aid of topical negative pressure dressing; B, where parts of the manubrium, calvicular head, and first rib were excised; and C, where both clavicular, first ribs and most of the manubrium were resected. Methods Twelve patients (age range, 42 to 72 years) over the last 8 years underwent reconstruction after SCJ infection. There was 1 case of a type A defect, 10 type B defects, and 1 type C defect. Reconstruction was performed using the pectoralis major flap in 6 cases (50%), the latissimus dorsi flap in 4 cases (33%), secondary closure in 1 case and; the latissimus and the rectus flap in 1 case. Results All wounds healed uneventfully with no flap failure. Nine patients had good shoulder motion. Three patients with extensive clavicular resection had restricted shoulder abduction and were unable to abduct their arm past $90^{\circ}$. Internal and external rotation were not affected. Conclusions We highlight our reconstructive algorithm which is summarised as follows: for an isolated type B SCJ defect we recommend the ipsilateral pectoralis major muscle for closure. For a type C bilateral defect, we suggest the latissimum dorsi flap. In cases of extensive infection where the thoracoacromial and internal mammary vessels are thrombosed, the pectoralis major and rectus abdominus cannot be used; and the latissimus dorsi flap is chosen.