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Spinal Cord Injury due to the Giant Cell Tumor of the Second Thoracic Vertebra: A Case Report
김희상,이종언,천진만,윤동환,박용구,조은혜,정상수 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.2
Giant cell tumor (GCT) is a relatively rare neoplasm. In GCT, the bone affection of the axial skeleton is extremely rare. Most GCT arises in the meta-epiphyseal ends of the long bones. Its peak incidence is between 30 to 40 years of age. GCT is usually classified as benign, but shows locally aggressive behavior and may occasionally undergo a malignant transformation. The patients with GCT in the spine often complain of the lower back pains, as the tumors primarily involve the sacrum. We report a case of an adolescent female complaining of the upper back pain with a sudden weakness of the lower extremities, later diagnosed with the GCT of the T2 vertebra. The present patient showed American Spinal Injury Association Impairment Scale (AIS) D before the surgery, which changed to AIS E after the treatments including the surgery, radiation therapy and rehabilitation.
김희상,유승돈,윤동환,김동환,Jin Mann Chon,Sung Hun Kim,Yong Won Shin 대한재활의학회 2010 Annals of Rehabilitation Medicine Vol.34 No.6
Objective To evaluate the association of ultrasonographic (US) findings of medial meniscus protrusion (MMP) with clinical and plain radiographic assessment in knee osteoarthritis (OA). Method One hundred and twenty six knees of 63 patients were studied. The degree of protrusion for each knee of patients was measured during standing by US. Radiographs were examined in order to determine whether the participants had radiographic osteoarthritis, graded using the Kellgren-Lawrence (K-L) grade. Clinical assessment was performed by recording a visual analogue scale (VAS). Correlation was obtained between the difference of VAS and MMP in the same patient. Assessment of pain, stiffness, and disability were performed by comparison of K-WOMAC index and MMP in a patient. Results Mean protrusion (mean±S.D.) for knees with each K-L I, II, III, and IV grade were 0.27±0.52 cm, 0.38±0.60 cm, 0.55±0.76 cm, and 0.75±0.08 cm, respectively. The difference was significant (p<0.05). Significant correlation was observed between MMP and VAS in K-L grades II (p=0.002, r=0.500) and III (p=0.002, r=0.684), also between ΔMMP and ΔVAS (p=0.000, r=0.558). With the K-WOMAC index, MMP were correlated with pain and stiffness (p<0.01), but not with disability score. Conclusion The degree of MMP measured by US is associated with K-L grade in knee OA patients. The degree of MMP can be a reliable indicator, like K-L grade, for radiological severity of knee OA. MMP has been correlated with VAS and with subscore of pain and stiffness, but not disability in the K-WOMAC index.
물체의 컬러 정보를 이용한 그림자 제거 기법의 성능 향상
김희상,김지홍,최두현 한국멀티미디어학회 2009 멀티미디어학회논문지 Vol.12 No.7
As supplying of automatic surveillance or patrol systems based on image processing, the needs on object extraction technology from images increases. The extraction is more difficult when the lighting condition is changed from time to time. There are many approaches to extract objects from images excluding shadow. They have a common problem something like loss of object region according with shadow removal. In this paper a restoration method using color information of objects to complement the problem is presented. The usefulness of the method is verified using images taken from different lighting conditions and selected from well-known DB. 영상 처리 기술에 기반한 경비 및 보안 감시 시스템이 보급되면서, 영상으로부터 정확하게 대상 물체를 추출하는 기술의 필요성이 증대되었다. 조명이 시시각각 변하는 경우 물체를 정확하게 추출하느냐는 더욱 어려운 문제가 된다. 영상으로부터 그림자를 제거한 물체를 추출해내기 위해서 많은 노력이 있었다. 여러 그림자 제거 방법들이 공통적으로 가지는 문제점이 있는데, 그림자 제거 시 물체의 일부도 손상시킨다는 점이다. 본 논문에서는 이런 문제점을 보완하기 위해서 그림자 제거 후 컬러 정보를 이용하여 물체의 손상된 영역을 복원하는 방법을 제안한다. 다양한 환경으로부터 획득한 영상에 제안한 방법을 적용하여 그 타당성을 검증하였다.
김희상,김도훈 한국정보보호학회 2024 情報保護學會誌 Vol.34 No.1
최근 몇 년 동안 탈중앙화 금융(DeFi)은 블록체인 기술의 혁신적인 사용을 통해 금융 부문의 지형을 재정의할 획기적인 세력으로 부상했다. 본 연구는 DeFi의 제도화를 향한 패러다임 전환에 대한 포괄적인 기술적 분석을 제시하며, DeFi가 전통적인 금융 시스템을 혼란에 빠뜨리고 글로벌 경제 프레임워크를 재구성할 수 있는 잠재력을 강조한다. 본 연구에서 스마트 계약, 분산형 자율 조직(DAO) 및 합의 알고리즘을 포함한 DeFi 핵심 기술의 복잡성을 조사하고 이러한 요소가 어떻게 집합적으로 보다 개방적이고 투명하며 포용적인 금융 생태계를 조성하는지 탐구한다. 주요 고려 사항에는 규제 장애물, 보안 문제, 확장성 문제, 혁신과 소비자 보호 간의 균형이 포함된다. 금융 포괄성, 특히 은행 서비스를 받지 못하는 인구와 은행 서비스를 받지 못하는 인구에게 금융 서비스에 대한 접근을 제공하는 역량 측면에서 DeFi의 혁신적인 잠재력에 대해 논의하여 일드 파밍, 유동성 채굴, 분산형 대출 등 새로운 금융 상품 및 서비스를 도입하는 데 있어 DeFi의 역할을 평가하여 소비자와 기존 금융 기관 모두에 미치는 영향을 강조한다. DeFi의 기술 기반과 기관 금융 프레임워크 내에서 급성장하는 역할에 대한 자세한 조사를 제공함으로써 본 논문은 금융의 미래 궤적과 글로벌 경제 시스템의 진화하는 역학에 대한 귀중한 통찰력을 제공하는 것을 목표로 한다.
Balance Control and Knee Osteoarthritis Severity
김희상,Seong He Choi,윤동환,유승돈,김동환,Yong Seol Jeong,Jee-Sang Yun,Dae Gyu Hwang,Pil Kyo Jung 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.5
Objective To investigate balance control according to the severity of knee osteoarthritis (OA) using clinical tests and Tetra-ataxiometric posturography (Tetrax®). Method A total 80 patients with primary knee OA classified according to American College of Rheumatology criteria, and 40 age-matched controls were enrolled in this study. Of those with OA, 39 patients had mild OA (Kellgren-Lawrence [KL] grade 1, 2) and the other 41 had moderate to severe OA (KL grade 3, 4). The postural control capabilities of the subjects were assessed using the timed up and go test (TUG), Berg balance scale (BBS),and Tetrax®, which utilizes two paired force plates to measure vertical pressure fluctuations over both heels and forefeet. The subjects were checked for their stability index (ST), Fourier index, weight distribution index (WDI),and synchronization index (SI) in eight positions using Tetrax®. Results Patients with moderate to severe OA exhibited signifi cantly higher stability indices in all positions than patients with mild OA. The Fourier index was also higher in patients with moderate to severe OA than in patients with mild OA. However, the weight distribution index and synchronization of both heels and forefeet were not signifi cantly diff erent in the three groups. Conclusion These fi ndings suggest that patients with moderate to severe OA have more defi cits in balance control than those with mild disease. Therefore, evaluation of balance control and education aimed at preventing falls would be useful to patients with knee OA.