• 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.

• Imaging Science in Dentistry
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• 제51권2호
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• pp.149-154
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• 2021

Purpose: This study aimed to investigate the computed tomography and magnetic resonance imaging features of giant cell tumors in the temporomandibular joint region to facilitate accurate diagnoses. Materials and Methods: From October 2007 to June 2020, 6 patients (2 men and 4 women) at Yonsei University Dental Hospital had histopathologically proven giant cell tumors in the temporomandibular joint. Their computed tomography and magnetic resonance imaging findings were reviewed retrospectively, and the cases were classified into 3 types based on the tumor center and growth pattern observed on the radiologic findings. Results: The age of the 6 patients ranged from 25 to 53 years. Trismus was found in 5 of the 6 cases. One case recurred. The mean size of the tumors, defined based on their greatest diameter, was 32 mm (range, 15-41 mm). The characteristic features of all cases were a heterogeneously-enhancing tumorous mass with a lobulated margin on computed tomographic images and internal multiplicity of signal intensity on T2-weighted magnetic resonance images. According to the site of origin, 3 tumors were bone-centered, 2 were soft tissue-centered, and 1 was peri-articular. Conclusion: Computed tomography and magnetic resonance imaging yielded a tripartite classification of giant cell tumors of the temporomandibular joint according to their location on imaging. This study could help clinicians in the differential diagnosis of giant cell tumors and assist in proper treatment planning for tumorous diseases of the temporomandibular joint.

• Advances in nano research
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• 제12권2호
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• pp.185-195
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• 2022

Deep learning is another field of artificial intelligence (AI) utilized for computer aided diagnosis (CAD) and image processing in scientific research. Considering numerous mechanical repetitive tasks, reading image slices need time and improper with geographical limits, so the counting of image information is hard due to its strong subjectivity that raise the error ratio in misdiagnosis. Regarding the highest mortality rate of Lung cancer, there is a need for biopsy for determining its class for additional treatment. Deep learning has recently given strong tools in diagnose of lung cancer and making therapeutic regimen. However, identifying the pathological lung cancer's class by CT images in beginning phase because of the absence of powerful AI models and public training data set is difficult. Convolutional Neural Network (CNN) was proposed with its essential function in recognizing the pathological CT images. 472 patients subjected to staging FDG-PET/CT were selected in 2 months prior to surgery or biopsy. CNN was developed and showed the accuracy of 87%, 69%, and 69% in training, validation, and test sets, respectively, for T1-T2 and T3-T4 lung cancer classification. Subsequently, CNN (or deep learning) could improve the CT images' data set, indicating that the application of classifiers is adequate to accomplish better exactness in distinguishing pathological CT images that performs better than few deep learning models, such as ResNet-34, Alex Net, and Dense Net with or without Soft max weights.

• 대순사상과 동아시아종교
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• 제2권2호
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• pp.73-99
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• 2023

The dragon is a special imaginary figure created by the people of East Asia. Its archetypes appeared primarily as totemic symbols of different tribes and groups in the region. The formation of early dynasties probably generated the molding of the dragon symbol. Dragon symbols carried deep imprints of nature. They concealed alternative messages of how ancient people at different locations dealt with or interacted with nature. Under pressure to standardize in the medieval and late imperial periods, the popular dragon had to transform physically and ideologically. It became imposed, unified, and framed, conveying ideas of caste classification and power, and losing itsecological implications. The dragon transitioned from a semi-ecological domain into a total social caste system. However, many people considered the "standardized" dragon as the symbol of the oppressor. Because of continuous orthopraxy and calls for imperial reverence, especially under orthopractic agenda and the surveillance of local elites, the popularized dragon was imbued within local artworks or hidden under the sanctity of Buddhas or popular gods in order to survive. Through disguise, the popular dragon partially maintained its ecological narratives. When the imperial dynasties ended in East Asia (1910 in Korea, 1911 in China, 1945 in Vietnam), the dragon was dramatically decentralized. However, trends of re-standardization and re-centralization have emerged recently in China, as the country rises in the global arena. In this newly-emerging "re-orthopraxy", the dragon has been superimposed with a more externally political discourse ("soft power" in international relations) rather than the old-style standardization for internal centralization in the late imperial period. In the contemporary world, science and technology have advanced humanity's ability to improve the world; however, it seems that people have abused science and technology to control nature, consequently damaging the environment (pollution, global warming, etc.). The dragon symbol needs to be re-defined, "re-molded", re-evaluated and reinterpreted accordingly, especially under the newly-emerging lens-the New Confucian "anthropocosmic" view.

• 한국토양비료학회지
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• 제22권3호
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• pp.173-179
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• 1989

영남일대(嶺南一帶)에서 조사(調査)한 "잠존특이산성토(潛存特異酸性土)"의 특성(特性)과 분포(分布) 및 분류(分類)에 대한 연구결과(硏究結果)는 다음과 같다. 1. 하해혼성잠재특이산성토(河海混成潛在特異酸性土)는 범람원(氾濫原)(Flood plains)이나 강하류부(江下流部)에 퇴적(堆積)된 충적토로써 기층(基層) 2~4 m에 해당(該當)하는 배수불량(排水不良)한 환원상태(還元狀態)의 물리적미열성토층(物理的未熱成土層)(Physically unripened layer)이거나 그 직상층(直上層)으로서 유기물함량(有機物含量)이 상대적(相對的)으로 약간 높은 암색(暗色)의 세립질토층(細粒質土層)이었다. 2. 총유황함량(總硫黃含量)은 토층별(土層別) 0.45~0.90%이었으나 0.15%정도(程度)이드라도 석회함동(石灰含童)이 낮으면 $H_2O_2$ 산화후(酸化後)에는 강산성토층(强酸性土層)이 되었고 대부분(大部分)의 토층(土層)에서 $CaCO_3$ 환산량(換算量)이 총유황(總硫黃)보다 3배이하(倍以下)로써 잠재특이성토층(潛在特異性土層)(Potential acid sulfate layer)이었으나 남해안(南海岸)에 분포(分布)된 일부패각함유토층(一部貝殼含有土層)에서는 3배이상(倍以上)인 것도 있으며 이들은 $H_2O_2$ 산화(酸化) pH도 높았다. 3. 총유황함량(總硫黃含量)은 $H_2O_2$ 산화(酸化) pH와 유의(有意)한 부상관(負相關)이 있었고 또 유황함량(硫黃含量)이 많을수록 $H_2O_2$를 가(加)한 후(後) 격열(激烈)한 반응(反應)이 일어나는 시간(時間)도 짧았다. 4. 두께 20cm 이상의 함황토층(含黃土層)이 단면(斷面)4m이내(以內)에 출현(出現)되고 $CaCO_3$ 환산량(換算量)이 총유황(總硫黃)보다 3배이하(倍以下)이면서 총유황함량(總硫黃含量) 0.15~0.50 %인 때를 "약(弱)한 잠재특이산성토양(潛在特異酸性土壤)(토층(土層))", 0.50~0.75 %인 때를 "중간정도(中間程度)(중도(中度))잠재특이산성토양(潛在特異酸性土壤)(층(層))" 및 0.75 %이상(以上)인 것을 "강(强)한 잠재특이산성토양(潛在特異酸性土壤)(층(層))"이라 분류(分類)하는 실용적(實用的) 분류법(分類法)을 제안(提案)하였으며 경지정리(耕地整理) 등(等)의 토목공사실시지역(土木工事實施地域)은 사업(事業) 후(後) 문제점발생(問題點發生)을 예방(豫防)하고 토양관리(土壤管理)에 도움을 주고자 고정도(高精度) 정밀토괴조사(精密土壞調査)를 사업전(事業前)에 실시(實施)할 것을 제안(提案)하였다.

• 한국지반신소재학회논문집
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• 제17권3호
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• pp.9-18
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• 2018

연약지반 설계에 중요한 지반정수는 압축지수($C_c$)이며, 현장의 압밀침하량 및 압밀침하속도를 산출하는데 필요하다. 이러한 압축지수 산정은 실내압밀시험을 통해 얻어지는데, 실내압밀시험에서는 반드시 시료교란이 발생하며, 이러한 교란현상을 보정하기 위하여 Schmertmann(1955)이 제시한 보정 압축지수 산정방법이 일반적으로 사용되고 있다. 그러나 최근 시료 샘플링기술의 발전과 국내 지반조건 등이 Schmertmann이 제시한 것과 상이하므로 이에 대한 검증이 필요하다. 이에 본 연구에서는 저소성 실트(ML), 저소성(CL) 및 고소성 점토시료(CH)에 대하여 교란도를 변화시켜 압밀시험을 실시하여 각각의 압밀곡선의 교차 간극비를 평가하였다. 시험결과 저소성 실트(ML)의 경우 $0.521e_0$, 저소성 점토(CL)의 경우 $0.404e_0$, 고소성 점토(CH)의 경우 $0.458e_0$로 산정되어, Schmertmann이 제시한 $0.42e_0$의 보정값과 다른 결과를 확인하였으며, 흙의 종류에 따른 소성지수(PI)를 활용한 보정식을 제안하였다. 그러나 본 연구결과는 한정된 지역에서의 시험결과이므로 흙의 소성도에 따른 압축지수 보정방법을 제시하기 위해서 다양한 국내 점토에 대한 후속연구가 필요할 것으로 판단된다.

• Clinics in Shoulder and Elbow
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• 제1권1호
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• pp.26-34
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• 1998

The management of acute acromioclavicular dislocations has usually followed the accepted principles of obtaining an anatomical reduction of the joint and maintaining it until soft tissue healing has occurred. So, the preferred treatment for acute acromioclavicular dislocation is controversial. We analysed operatively treated twenty-eight cases for acute acromioclavicular dislocation between February 1994 and January 1997 and reviewed postoperatively to evaluate the results of three different methods. We collected retrospectively the data via clinical history, associated injury, type of injury, radiographic review, Taft score, and final results. Follow up time averaged 14 months. (range, 12 to 21 ) In according to Rockwood's classification, ]7 cases were type Ⅲ, 1 case was type IV, and 10 cases were type V. Ten cases were treated with the modified Phemister method, ten cases with the modified Bosworth method and eight cases with the modified Weaver-Dunn method. ]n patients treated by modified Phemister method, the Taft score was 9.4 points and 8 cases achieved good or excellent results. In patients treated by modified Bosworth method, the Taft score was 9.8 points and 8 cases achieved good or excellent results. In patients treated by modified Weaver-Dunn method, the Taft score was 10.3 points and 7 cases achieved good or excellent results. The overall Taft score was 9.9 points and 23 cases achieved good or excellent results. There were four complications, such as calcification or metallic loosening or breakage of K-wire, but did not influence late results. In conclusions, there was no significant difference of results regarding the different three methods. However, our results indicated that the coracoclavicular ligament reconstruction by transfer of coracoacromial ligament produced better results.

• 한국근적외분광분석학회:학술대회논문집
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• 한국근적외분광분석학회 2001년도 NIR-2001
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• pp.1617-1617
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• 2001

It is well known now that near infrared spectroscopy (NIRS) is a fast, no destructive, and inexpensive analytical technique that could be used to classify, identify, and authenticate a wide range of foods and food items. Therefore, the main aims of this study were to provide a new insight into the authentication of five strawberry (Fragaria x ananassa) varieties and to correlate them with geographical zones and the propagating methods used. Three weeks plants of five different strawberry varieties (F. x ananassa Duch. cv Camarosa, Seascape, Chandler, F. Chiloensis, and F. Virginiana) were cultivated in vitro first and then transferred to pots with special soil, and grown in a greenhouse at CINVESTAV, all varieties were acquired from California (USA). After 18 months, ten leaves from each variety were collected. Transmission spectra from each leave were recorded over a range of 10, 000-4, 000 cm$-^{1}$, 32 scans of each strawberry leave were collected using a resolution of 4 cm$-^{1}$ with a Paragon IdentiCheck FT-NIR System Spectrometer. Triplicates of each strawberry leave were used. All spectra were analyzed using principal component analysis (PCA) and soft independent modeling class analogy (SIMCA). The optimum number of components to be used in the regression was automatically determined by the software. Camarosa was the only variety grown from the same shoot but propagated by a different method (direct or in vitro). Five different classes (varieties) or clusters were observed among samples, however, larger inter class distances were presented by the two wildtype samples (F. Chiloensis and F. Virginiana). Camarosa direct and Camarosa in vitro displayed a small overlapping region between them. On the other hand, Seascape variety presented the smallest rejection percentage among all varieties (more similarities with the rest of the samples). Therefore, it can be concluded that the application of NIRS technique allowed the authentication of all strawberry varieties and geographical origin as well. It was also possible to form subclasses of the same materials. The results presented here demonstrate that NIRS is a very powerful and promising analytical tool since all materials were authenticated and classified based on their variety, origin, and treatment. This is of a tremendous relevance since the variety and origin of a plant material can be established even before it gives its typical fruit or flower.

• 한국안광학회지
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• 제9권1호
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• pp.181-188
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• 2004

모노비전은 한눈은 원용 시력을 위해 다른 눈은 근용시력을 위해 양안에 콘택트렌즈를 교정한 형태를 말한다. 단초점 콘택트렌즈가 각 눈에 이용되는데 환자는 다른 눈을 사용하는 동안 한 눈을 선택적으로 억제한다. 본 연구는 젊은 학생에게 +3.00D 가입시켜 인위적으로 유도된 모노비전의 양안시 기능과 환자 만족도를 측정하기 위해 시행하였다. 144명의 대학생을 대상으로 우위안 검사를 하여 비우위안에 +3.00D를 가입하여 원용 교정안경을 양안에 장용시켰다. 모노비전의 양안시 기능을 조사하기 위해 입체시 검사를 포함하여 장애물 코스, 물부어 담기, 던지기와 받기, 구슬 분류하기를 시행하여 정상 양안시 상태와 비교하였다. 그 결과 입체시는 현저하게 저하되었지만 장애물 코스, 물부어 담기, 던지기와 받기, 구슬 분류하기 등 양안시 기능에 대한 결과에는 차이가 거의 없었다. 따라서 본 연구를 통해 콘택트렌즈 모노비전은 환자 선택과 임상적 지식을 활용하여 처방하면 노안 교정을 위한 효과적이고 권장할 만한 방법이라는 것을 알 수 있었다. 그리고 이와 같은 방법을 응용하여 학생들의 모노비전에 대한 이해를 높이는 실습에도 효과적으로 활용될 것으로 사료된다.

• 한국산학기술학회논문지
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• 제12권6호
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• pp.2644-2651
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• 2011

본 연구의 목적은 촉각과 온각 자극에 따른 악력, 상지 기민성, 그리고 손 기능 변화의 차이 를 비교 분석하여 움직임에 가장 영향력 있는 자극의 종류를 규명하는 것이었다. 건강한 성인 남성 40명을 대상으로 하였고 신체적 특성을 파악한 뒤 악력과 상지 기민성 및 손 기능을 측정하였다. 이 후 부드러운 솔을 이용하여 촉각 입력을 발현한 뒤 재측정 하였으며 다음날 핫팩을 이용하여 온각 자극 발현 뒤 재측정하였다. 연구 결과 악력과 상지 기민성 검사의 모든 변인에서 통계적으로 유의한 차이가 나타났고(p<.001), Lifting small objects를 제외한 모든 손 기능 변인에서 통계적으로 유의한 차이가 나타났다(p<.01). 결론적으로 자극의 입력은 악력, 기민성, 그리고 손 기능을 증가시킨다. 또한 자극의 종류에 따른 영향에서 온각 자극 입력은 촉각 자극 입력보다 악력, 기민성, 그리고 손 기능을 더욱 증가시킨다. 따라서 재활치료 및 산업 현장에서 상지와 손의 기능 촉진을 위해서는 적절한 자극의 적용이 도움이 될 것이며 앞으로 자극의 빈도와 강도에 대한 연구가 더욱 필요할 것으로 생각된다.