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생비골 성장판 이식술을 통하여 화농성 관절염에 의한 상완골두 변형의 재건
정덕환,박광희,서재완,Chung, Duke Whan,Park, Kwang Hee,Seo, Jae Wan 대한미세수술학회 2012 Archives of reconstructive microsurgery Vol.21 No.2
Purpose: To report the clinical and radiological result of the vascularized fibular epiphyseal transplantation in the treatment of humeral head deformity by septic arthritis Material & Methods: A 3 years old male who has humeral head deformity and bone defect by septic arthritis on neonatal period. We replaced bone defect as vascularized fibular epiphyseal transplantation and lengthened humerus shaft for humerus discrepancy. We followed it up for 14 years. Result: We saw the callus formation 2 months after surgery and obtained bone union, one year after surgery. The transplanted fibular bone got hypertrophy. We could check full range of motion on lt. shoulder and The bone deformity was not worsened and The graft did not displaced on last follow up. Conclusion: Humeral head reconstruction by vascularized fibular epiphyseal transplantation showed good clinical outcome.
부인과 수술 후 통증 관리에 있어서 프로파세타몰의 모르핀 절감 및 내분비 대사에 대한 효과
한태형(Tae Hyung Han),서재완(Jae Wan Seo),신백효(B 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.2
N/A Background: The analgesic efficacy and safety of propacetamol, an injectable prodrug of acetoam- inophen, in combination with intravenous morphine PCA were studied in 40 patients after gynecological surgery requiring lower abdominal incision. Methods: Using a double-blind, randomized, parallel-group design, the effects of four(every 6 hr) intravenous injections of 2 g propacelamol( 1 g acetoaminophen) were compared with four injections of placebo(PL) immediately after surgery. Efficacy of cumulative dose of morphine and number of boluses requested was assessed over 24 hours by automated recording on the PCA device. It was assessed on pain scores rated on a ten-point verbal scale along with vital signs, K', glucose, BUN, creatinine, FI' and PIT were measured along with stress hormones(epinephrine, norepinephrine and cortisol). Results: There were no differences in demographic data between two groups. Propacetamol group demonstrated approximately 21% morphine sparing effect compared to placebo group(33.1 ± 10.4 mg vs 41.4 ± 8.0 mg). No significant differences noted in K, glucose, BUN, Creatinine, FT and PTT levels. There were significant increases in norepinephrine and cortisol in placebo group postoperatively, compared to preoperative values. At the same time, propacetamol group also showed significant changes in these hormones. Both group revealed high degree of patient satisfaction. Conclusion: Propacetamol showed significant morphine sparing effect to some degree. Side effects were much less in propacetamol group with subsequently high patient satisfaction. The secretion of stress hormone were not blocked by postoperative propacetamol injections. Authors concluded that propacetamol should be considered as an excellent adjuvant analgesics in postoperative pain control in opioid patient controlled analgesia.
STRIDE 위협 모델링에 기반한 스마트 TV 보안 요구사항 도출
오인경(In-Kyung Oh),서재완(Jae-Wan Seo),이민규(Min-Kyu Lee),이태훈(Tae-Hoon Lee),한유나(Yu-Na Han),박의성(Ui-Seong Park),지한별(Han-Byeol Ji ),이종호(Jong-Ho Lee),조규형(Kyu-Hyung Cho),김경곤(Kyounggon Kim) 한국정보보호학회 2020 정보보호학회논문지 Vol.30 No.2
스마트 TV가 최근 IoT 생태계의 중심으로 떠오름에 따라 그 중요성은 갈수록 높아지고 있다. 스마트 TV 내 취약점이 발생하는 경우 도청, 도촬로 인한 사생활 침해 및 개인정보 유출의 측면 뿐만 아니라 금전적 피해까지 발생할 가능성이 있다. 본 논문에서는 스마트 TV 취약점 분석의 완전성을 높이기 위해 STRIDE 위협 모델링을 통해 위협을 체계적으로 식별하고 공격 대상에 대한 특성을 파악하였다. 또한 Attack Tree와 취약점 점검리스트를 제작하고 실제 취약점 분석을 통하여 점검리스트의 효과성을 검증하여 안전한 스마트 TV 사용 환경을 위한 보안 요구사항을 도출하였다. As smart TVs have recently emerged as the center of the IoT ecosystem, their importance is increasing. If a vulnerability occurs within a smart TV, there is a possibility that it will cause financial damage, not just in terms of privacy invasion and personal information leakage due to sniffing and theft. Therefore, in this paper, to enhance the completeness of smart TV vulnerability analysis, STRIDE threat classification are used to systematically identify threats. In addition, through the manufacture of the Attack Tree and the actual vulnerability analysis, the effectiveness of the checklist was verified and security requirements were derived for the safe smart TV use environment.
한정수,정덕환,이재훈,정비오,박현철,김진영,송종훈,서재완,Han, Chung-Soo,Chung, Duke-Whan,Lee, Jae-Hoon,Jeong, Bi-O,Park, Hyun-Chul,Kim, Jin-Young,Song, Jong-Hoon,Seo, Jae-Wan 대한미세수술학회 2009 Archives of reconstructive microsurgery Vol.18 No.2
Purpose: To analyze the clinical and radiologic results of the shoulder arthrodesis in brachial plexus injury patients with flail upper extremity. Material and Method: From Aug 1978 to April 2008, 29 shoulders in 29 patients with brachial plexus injury with shoulder fusion, we evaluated 20 shoulders in 20 patients, more than 1 year follow up. The average follow-up period was 6.45years (range: 1year~24years). There were 13 men and 7 women, and the mean age at the time of trauma was 32.0years(2~65 years). The type of injury was a motorcycle accident in 11 patients, in car accident in 5, pedestrian accident in 3, and fall from a height in 1. The lesion of injury was root and trunk in 1 patient, trunk and cord in 1, trunk in 18. Surgery was performed on the whole arm type paralysis in 12 patients, lower arm type paralysis in 8 patients. The preoperative visual analog scale score was 8.7(7~10). When the trapezius and serratus anterior muscle were in function, operation was performed. 18 patients were processed to the additional operation. Gracilis free flap in 6 patients, neurotization in 3, Steindler flexor plasty in 6, and tendon transfer in 3 were performed. Fixation was conducted with cancellous screws in 13 patients, Knoles pins in 5, and cancellous screws and Knoles pins in 2. The position of the arthrodesis at operation was $28.5^{\circ}$($20~45^{\circ}$) in abduction, $30.3^{\circ}$($20~45^{\circ}$) in flexion, and $30.8^{\circ}$($20~40^{\circ}$) in internal rotation. Result: The follow up visual analog scale score was 3.4(0~7). Postoperatively, shoulder spica cast was applied for 15.3weeks(8-20weeks). The median time to bony union was 17.7weeks(9~28weeks). Average range of motion was $32.0^{\circ}$($15~40^{\circ}$) of abduction, $24.0^{\circ}$($10~40^{\circ}$) of flexion, and $18.5^{\circ}$($10~30^{\circ}$)of internal rotation. Conclusion: The shoulder fusion in brachial plexus injury patients is one of the good methods to relieve pain, improve the function and stabilize the flail shoulder joint.