조현병을 동반한 파킨슨병

계민석,김병건,권오현,박종무,이정주,강규식,윤정환,김남오,이웅우 대한신경과학회 2018 대한신경과학회지 Vol.36 No.4

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하이브리드 앱 기반의 개인 트레이닝 추천 시스템

계민석,장현숙,정회경,Kye, Min-Seok,Jang, Hyeon-Suk,Jung, Hoe-Kyung 한국정보통신학회 2014 한국정보통신학회논문지 Vol.18 No.6

Fitness 센터 이용자들은 자신에게 맞지 않은 기구를 선택함으로써 부상의 위험이 존재했고 효율적인 운동 방법을 익히기 위해서는 오랜 시간이 필요했다. 이를 해결하기 위해 사람들은 퍼스널 트레이닝을 이용하지만 값비싼 비용의 문제가 발생하고 혼자 운동하는 습관을 기르는데 어려움을 갖게 했다. 본 논문에서는 다양한 스마트 폰 플랫폼과 호환성을 가진 하이브리드 앱 기반으로 개인화된 트레이닝 마켓 시스템을 구축하였다. 사용자들은 Fitness 센터에서 자신의 운동 기록을 스마트 폰의 하이브리드 앱을 활용해 가속도 센서를 활용하여 입력하거나 직접 입력하는 방식으로 웹에 전송한다. 이를 기반으로 사용자들에게 맞는 운동 프로그램을 웹에 있는 트레이닝 마켓을 통해 제공하게 된다. 퍼스널 트레이닝 마켓에는 다양한 사용자들이 운동 기록을 확인하여 그에 대한 운동 프로그램을 추천할 수 있고 스스로 선택하여 적용할 수 있다. 이를 통해 사용자는 자신에게 맞는 운동 프로그램으로 장기간 운동할 수 있는 습관을 기를 수 있고 능동적인 목표 설정이 가능하다. Wellness is IT fused with the user manage and maintain the health of a service can help you. If you are using an existing Fitness Center to yourself by choosing appliances that fit with the risk of injury in order to learn how the efficient movement had existed for a long time was needed. To resolve, use the personal training but more expensive cost of people's problems, and shown again in the habit of exercising alone will have difficulty. This paper provides a variety of smart phones based on a hybrid app with compatibility with the platform and personalized training market system. Users of the Fitness Center is built into smart phones in the history of their movement sensors or transmits to the Web by typing directly. This is based on exercise programs tailored to users via the training market. Personal training marketplace has a variety of users, check the history of this movement he can recommend an exercise program for themselves can be applied by selecting the. This provides users with the right exercise program can do long-term exercise habits can be proactive and goal setting.

내족저변 격막 유리피판을 이용한 수지 연부조직 결손 재건술

박승하,안덕선,구상환,윤을식,계민석 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.4

Various surgical methods have been used to reconstruct severe soft tissue defects of the finger with exposed critical structures such as tendon, bone, and nerve. Some of these methods include rotation flap, cross finger flap, or regional flap similar to neurovascular island flap. However, there were often difficult situations where a flap could not be applied depending on the remaining surrounding tissue, injured area, and size of defect. As a result, free flap or distant flap may become necessary. However, distant flaps often cause stiffness of the finger joints since the hands need to be immobilized for a long time, while standard free flaps may be too thick to cover the finger and cause problems such as morbidities of the donor site. Since May, 1997, at Anam Hospital, we have performed reconstruction on 6 patients with soft tissue defect using a thin, flexible medial plantar septo-cutaneous free flap similar to the volar aspect of the finger in anatomical characteristics of the skin and subcutaneous tissue covering. The vessels used for this flap were superficial branches of medial division of the medial plantar artery and vena comitantes, or the subcutaneous veins. The mean size of the flaps was 2.75㎝ × 4.25㎝. Primary repair or split-thickness skin graft was performed on the donor site depending on the size. All the flaps survived without significant complications, except one case of venous insufficiency. The composition of the transferred flaps was good with the recovery of pain, touch and temperature sensation. A free medial plantar septo-cutaneous flap has several advantages, e.g., it is small in comparison with other standard free flaps, having two draining venous pathways, good color and texture, and a good recovery of protective sensation. This flap can be used for the reconstruction of soft tissue defect on the heel and foot, as well as the volar aspect of fingers.

Paget-Schroetter 증후군의 치험례

고한웅,계민석,동은상,윤을식,구상환,박승하 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.4

Paget-Schroetter syndrome is synonymous with spontaneous or effort-induced thrombosis of the axillosubclavian vein that is characterized by swelling and pain on upper extremity. Though axillosubclavian thrombosis represents only 1-2%, its frequency of diagnosis has increased over the past years due to improvement of ultrasonography. Although the cause of catheter and drug-related cases is clear, several studies have invested the etiology of Paget- Schroetter syndrome, a condition more commonly seen in the young and otherwise healthy individual. Factors often cited include compression of the vein by the anatomic structure, stress, or excessive effort to the extremity, and repetitive shoulder-arm motion. In the view of treatment, thrombolysis by direct infusion of urokinase has proven to be superior to surgical thrombectomy and is now treatment of choice.We successfully treated a 30-year-old man who suffered from swelling and pain on the right upper extremity by using direct urokinase infusion on thrombosis of subclavian vein.This is very rare disease in plastic and reconstructive surgery, thus diagnosis will seldom be made on clinical evaluation. It should be included in the differential diagnosis of upper extremity swelling compared with lymphedema.

연장된 경결막 절개와 상안검 경로를 통한 안와 재건

윤민호,계민석,강동희,윤을식,박승하,구상환 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.5

In case of blow-out fracture involving floor or inferomedial wall, the fracture site can be accessed by methods such as subcilliary incision, mid-lower eyelid incision, infra-orbital incision and transconjunctival incision. Meanwhile, in case of orbital fracture involving supero-medial wall or roof, above-mentioned methods have the limitation of fracture site exposure, and bicoronal incision is required to overcome the difficult approach. The authors exposed fracture site widely and executed accurate reduction through extended transconjunctival approach and transpalpebral approach, instead of the approach by bicoronal incision. We executed 118 cases of orbital reconstruction by above method among 96 patients who consulted doctors to reconstruct blow-out fracture and enophthalmos from September 1997 to May 2001. Among the 118 cases were 50 cases of orbital floor fracture, 4 cases of orbital roof fracture, 48 cases of orbital medial wall fracture, 13 cases of complex type and 3 cases of enophthalmos. The authors made wide dissection of antero-superial medial wall of orbit and roof fracture of orbit enabled by above methods, which allowed enough exposure and approach to orbital fracture site and prevented side effects such as post operative lower eyelid scar or ectropion and scleral show.

뇌염 이후 일시적으로 나타난 급성 자율신경기능이상

윤정환,계민석,이웅우,강규식,박종무,김병건,권오현,이정주 대한신경과학회 2018 대한신경과학회지 Vol.36 No.4

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간엽줄기세포와 진피섬유모세포의 이종 이식이 쥐의 혈관신생에 미치는 영향

한승규,전경욱,계민석,김우경 대한성형외과학회 2004 Archives of Plastic Surgery Vol.31 No.4

수장부에 발생한 상피양 육종의 치험례

서인수,윤을식,계민석,동은상,구상환,박승하 대한성형외과학회 2003 Archives of Plastic Surgery Vol.30 No.1

Epitheloid sarcoma is rare malignant tumor of the skin, connective tissue, subcutaneous tissue and tendon sheath, which was first described by Enzinger in 1970. It is usually located in the extremities. We treated a 30-years-old man who developed an epitheloid sarcoma in the radial side of the left palm. The tumor was 2× 1.6×1cm sized, arose from the thenar muscle, and histologically the mass was composed of epitheloid cells. It was treated by wide local excision. However, after 2 months of initial operation, second operation and radiotheraphy was performed because of local recurrence.Because of its harmless appearance and similarity to an inflammatory response, it is often mistaken for a benign lesion. Even though it is a rare tumor, clinicians and pathologists should be aware of this malignant nature. Metastasis can be local or may involve draining lymph node and other distant organs, mostly the lung.Diagnosis is made on pathologic evaluation. Aggressive surgical approach is required in order to prevent recurrence, and radiotherapy and chemotherapy should be considered in all cases.

내족저변 격막 피판의 해부학적 고찰 및 임상적 적용

윤을식,김정배,계민석,동은상,한승규,이병일,구상환,박승하,김우경,Yoon, Eul-Sik,Kim, Jung-Bae,Kae, Min-Seok,Dhong, Eun-Sang,Han, Seung-Kyu,Lee, Byung-Il,Koo, Sang-Hwan,Park, Seung-Ha,Kim, Woo-Kyung 대한미세수술학회 2002 Archives of reconstructive microsurgery Vol.11 No.1

Several investigators have reported clinical experience of medial plantar septo-cutaneous flap for reconstruction for soft tissue defect of the hand and digits. Jayme and Hamilton first described the anatomy of superficial branch of medial division of the medial plantar artery used in this flap through cadavaric study in 1997. But, they had a few cases for this flap and there was no anatomic study in Korean. We experienced the reliability of medial plantar septo-cutaneous flap for reconstruction for soft tissue defect of hand and digits through an anatomic study (20 fresh specimens dissected) and clinical application (17 patients). An anatomic study revealed that there were differences in diameter and length of the vessels between Korean and Caucasian. The diameter of vessels in Korean is larger than Caucasian one in each area. Based on this anatomic knowledge, we could harvest this flap safely, and have performed reconstruction on 17 patients with soft tissue defects of hand and digits using a thin, flexible medial plantar septo-cutaneous flap similar to the volar aspect of the hand and digits in anatomical characteristics of the skin and subcutaneous tissue covering. The vessels used for this flap were superficial branches of medial division of the medial plantar artery and vena comitants, or the subcutaneous veins. The mean size of the flap was $2.82cm{\times}4.15cm$. All the flaps survived without significant complications. A medial plantar septo-cutaneous flap possesses several advantages : (1) It is very thin in comparison with other standard free flap; (2) it has two draining venous pathways; (3) it provides a good color and texture match for hand and finger; (4) a good recovery of protective sensation is achievable.