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RISS 인기검색어
- 검색키워드
- 저자 : Gordon K. Lee (검색결과 14 건)
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Inhoe Ku,Gordon K. Lee,Saehoon Yoon,Eui Cheol Jeong 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.5
Background Various surgical management methods have been proposed for ischial sore reconstruction, yet it has the highest recurrence rate of all pressure ulcer types. A novel approach combining the advantages of a perforator-based fasciocutaneous flap and a muscle flap is expected to resolve the disadvantages of previously introduced surgical methods. Methods Fifteen patients with ischial pressure ulcers with chronic osteomyelitis or bursitis, who underwent reconstructive procedures with an inferior gluteal artery perforator (IGAP) fasciocutaneous flap and a split inferior gluteus maximus muscle flap from January 2011 to June 2016, were analyzed retrospectively. The split muscle flap was rotated to obliterate the deep ischial defect, managing the osteomyelitis or bursitis, and the IGAP fasciocutaneous flap was rotated or advanced to cover the superficial layer. The patients’ age, sex, presence of bursitis or osteomyelitis, surgical details, complications, follow-up period, and ischial sore recurrence were reviewed. Results All ischial pressure ulcers were successfully reconstructed without any flap loss. The mean duration of follow-up was 12.9 months (range, 3–35 months). Of 15 patients, one had a recurrent ulcer 10 months postoperatively, which was repaired by re-advancing the previously elevated fasciocutaneous flap. Conclusions The dual-flap procedure with an IGAP fasciocutaneous flap and split inferior gluteus maximus muscle flap for ischial pressure ulcer reconstruction is a useful method that combines the useful characteristics of perforator and muscle flaps, providing thick dual padding with sufficient vascularization while minimizing donor morbidity and vascular pedicle injury.
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In Soo Lee,Gordon K. Lee 한국정보기술학회 2007 한국정보기술학회논문지 Vol.5 No.2
This paper presents a fault tolerant control architecture using fault diagnosis and switching functions. The fault tolerant control system consists of a fault detection part to sense the faults, a fault isolation part to identify the types of faults that have occurred and a bank of compensators with switching for the control part. In the proposed method, the fault is detected when the errors between the nonlinear system and the neural network (NN) nominal system output cross a predetermined threshold. Once a fault in the system is detected, the fault classifier based on the NN isolates the fault. These results are fed into a controller block that selects an appropriate compensation scheme to handle the fault. Simulation results demonstrate the effectiveness of the proposed fault tolerant control method for nonlinear systems.
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Ku, Inhoe,Lee, Gordon K.,Park, Chan Yong,Lee, Janghyuk,Jeong, Euicheol Korean Society of Plastic and Reconstructive Surge 2019 Archives of Plastic Surgery Vol.46 No.4
Background Prosthetic hands with a myoelectric interface have recently received interest within the broader category of hand prostheses, but their high cost is a major barrier to use. Modern three-dimensional (3D) printing technology has enabled more widespread development and cost-effectiveness in the field of prostheses. The objective of the present study was to evaluate the clinical impact of a low-cost 3D-printed myoelectric-interface prosthetic hand on patients' daily life. Methods A prospective review of all upper-arm transradial amputation amputees who used 3D-printed myoelectric interface prostheses (Mark V) between January 2016 and August 2017 was conducted. The functional outcomes of prosthesis usage over a 3-month follow-up period were measured using a validated method (Orthotics Prosthetics User Survey-Upper Extremity Functional Status [OPUS-UEFS]). In addition, the correlation between the length of the amputated radius and changes in OPUS-UEFS scores was analyzed. Results Ten patients were included in the study. After use of the 3D-printed myoelectric single electromyography channel prosthesis for 3 months, the average OPUS-UEFS score significantly increased from 45.50 to 60.10. The Spearman correlation coefficient (r) of the correlation between radius length and OPUS-UEFS at the 3rd month of prosthetic use was 0.815. Conclusions This low-cost 3D-printed myoelectric-interface prosthetic hand with a single reliable myoelectrical signal shows the potential to positively impact amputees' quality of life through daily usage. The emergence of a low-cost 3D-printed myoelectric prosthesis could lead to new market trends, with such a device gaining popularity via reduced production costs and increased market demand.
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Ku, Inhoe,Lee, Gordon K.,Yoon, Saehoon,Jeong, Euicheol Korean Society of Plastic and Reconstructive Surge 2019 Archives of Plastic Surgery Vol.46 No.5
Background Various surgical management methods have been proposed for ischial sore reconstruction, yet it has the highest recurrence rate of all pressure ulcer types. A novel approach combining the advantages of a perforator-based fasciocutaneous flap and a muscle flap is expected to resolve the disadvantages of previously introduced surgical methods. Methods Fifteen patients with ischial pressure ulcers with chronic osteomyelitis or bursitis, who underwent reconstructive procedures with an inferior gluteal artery perforator (IGAP) fasciocutaneous flap and a split inferior gluteus maximus muscle flap from January 2011 to June 2016, were analyzed retrospectively. The split muscle flap was rotated to obliterate the deep ischial defect, managing the osteomyelitis or bursitis, and the IGAP fasciocutaneous flap was rotated or advanced to cover the superficial layer. The patients' age, sex, presence of bursitis or osteomyelitis, surgical details, complications, follow-up period, and ischial sore recurrence were reviewed. Results All ischial pressure ulcers were successfully reconstructed without any flap loss. The mean duration of follow-up was 12.9 months (range, 3-35 months). Of 15 patients, one had a recurrent ulcer 10 months postoperatively, which was repaired by re-advancing the previously elevated fasciocutaneous flap. Conclusions The dual-flap procedure with an IGAP fasciocutaneous flap and split inferior gluteus maximus muscle flap for ischial pressure ulcer reconstruction is a useful method that combines the useful characteristics of perforator and muscle flaps, providing thick dual padding with sufficient vascularization while minimizing donor morbidity and vascular pedicle injury.
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Inhoe Ku,Gordon K. Lee,박찬용,Janghyuk Lee,Eui Cheol Jeong 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.4
Background Prosthetic hands with a myoelectric interface have recently received interest within the broader category of hand prostheses, but their high cost is a major barrier to use. Modern three-dimensional (3D) printing technology has enabled more widespread development and cost-effectiveness in the field of prostheses. The objective of the present study was to evaluate the clinical impact of a low-cost 3D-printed myoelectric-interface prosthetic hand on patients’ daily life. Methods A prospective review of all upper-arm transradial amputation amputees who used 3D-printed myoelectric interface prostheses (Mark V) between January 2016 and August 2017 was conducted. The functional outcomes of prosthesis usage over a 3-month follow-up period were measured using a validated method (Orthotics Prosthetics User Survey–Upper Extremity Functional Status [OPUS-UEFS]). In addition, the correlation between the length of the amputated radius and changes in OPUS-UEFS scores was analyzed. Results Ten patients were included in the study. After use of the 3D-printed myoelectric single electromyography channel prosthesis for 3 months, the average OPUS-UEFS score significantly increased from 45.50 to 60.10. The Spearman correlation coefficient (r) of the correlation between radius length and OPUS-UEFS at the 3rd month of prosthetic use was 0.815. Conclusions This low-cost 3D-printed myoelectric-interface prosthetic hand with a single reliable myoelectrical signal shows the potential to positively impact amputees’ quality of life through daily usage. The emergence of a low-cost 3D-printed myoelectric prosthesis could lead to new market trends, with such a device gaining popularity via reduced production costs and increased market demand.
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Rhinoplasty Education Using a Standardized Patient Encounter
Eric J. Wright,Rohit K. Khosla,Lori Howell,Gordon K. Lee 대한성형외과학회 2016 Archives of Plastic Surgery Vol.43 No.5
Background Comprehensive aesthetic surgery training continues to be a challenge for residency programs. Our residency program developed a rhinoplasty-based objective structured clinical examination (OSCE) based upon validated methods as part of the residency education curriculum. We report our experience with the rhinoplasty-based OSCE and offer guidance to its incorporation within residency programs. Methods The encounter involved resident evaluation and operative planning for a standardized patient desiring a rhinoplasty procedure. Validated OSCE methods currently used at our medical school were implemented. Residents were evaluated on appropriate history taking, physical examination, and explanation to the patient of treatment options. Examination results were evaluated using analysis of variance (statistical significance P<0.05). Results Twelve residents completed the rhinoplasty OSCE. Medical knowledge assessment showed increasing performance with clinical year, 50% versus 84% for postgraduate year 3 and 6, respectively (P<0.005). Systems-based practice scores showed that all residents incorrectly submitted forms for billing and operative scheduling. All residents confirmed that the OSCE realistically represents an actual patient encounter. All faculty confirmed the utility of evaluating resident performance during the OSCE as a useful assessment tool for determining the Next Accreditation System Milestone level. Conclusions Aesthetic surgery training for residents will require innovative methods for education. Our examination showed a program-educational weakness in billing/coding, an area that will be improved upon by topic-specific lectures. A thoroughly developed OSCE can provide a realistic educational opportunity to improve residents’ performance on the nonoperative aspects of rhinoplasty and should be considered as an adjunct to resident education.
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Reish, Matthew E.,Huff, Gregory S.,Lee, Wonho,Uddin, Mohammad Afsar,Barker, Alex J.,Gallaher, Joseph K.,Hodgkiss, Justin M.,Woo, Han Young,Gordon, Keith C. American Chemical Society 2015 Chemistry of materials Vol.27 No.8
<P>The electronic properties of the donor–acceptor (DA) polymer poly{5,6-bis(octyloxy)-4-(thiophen-2-yl)benzo[<I>c</I>]-1,2,5-thiadiazole} (PTBT) have been investigated using spectroscopic and computational techniques. Electronic absorption and emission spectra reveal the presence of an ordered and a disordered phase in solution. Franck–Condon modeling of the ordered phase yields Huang–Rhys factors of 0.55 (20 °C) and 0.51 (−180 °C), indicating little structural distortion between ground and excited state. DFT calculations with resonance Raman spectroscopy are consistent with a lowest energy excited state that is electronically delocalized and has little charge-transfer character, unexpected for a copolymer with a low bandgap (∼1.8 eV). Transient absorption spectroscopy of PTBT:fullerene blends reveals near-unity internal charge-transfer yields in both ordered and disordered film morphologies. In the disordered blend, charge transfer is complete within the laser pulse (100 fs), whereas the ordered blend also features a slower phase due to exciton diffusion in the phase separated morphology. In the ordered blend, the spectra and dynamics of charge transfer reveal that excitons and charges promptly occupy delocalized states on extended polymer chains. The pervasive use of donor–acceptor structures in polymer devices makes understanding the interplay of morphology and electronic structure of these polymers essential and here a spectroscopic and computational investigation gives an extensive picture of the electronic properties and their effect on charge dynamics in a DA polymer.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/cmatex/2015/cmatex.2015.27.issue-8/cm504655f/production/images/medium/cm-2014-04655f_0009.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/cm504655f'>ACS Electronic Supporting Info</A></P>
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