광범위 외측 접근법으로 수술한 종골 골절의 술 후 조기 합병증

변영수,조영호,박준우,이진석,김지환 대한골절학회 2004 대한골절학회지 Vol.17 No.4

목적 : 광범위 외측 접근법으로 수술한 종골 골절에서 술 후 조기 합병증들을 분석하고 창상 합병증에 대한 위험 요인들을 알아보았다. 대상 및 방법 : 1990년 7월부터 2003년 2월까지 광범위 외측 접근법으로 수술한 종골 골절 104명, 116예를 대상으로 하였다. 환자들의 병록지에서 술 후 조기에 발생한 합병증들을 조사하여 분석하였으며, 창상 합병증의 위험을 증가시키는 요인들을 알아보기 위해 예견되는 변수들에 대하여 통계학적 분석을 하였다. 결과 : 감염이 14예 (12.0%)에서 발생하였으며, 10예 (8.6%)는 표재 감염이었고 4예 (3.4%)는 삼부 감염으로 수술적 치료가 필요하였다. 피부 괴사가 8예 (6.9%)에서 발생하였으며, 6예 (5.2%)는 수술창 변역부의 피부 괴사였고 2예 (1.7%)는 피판 괴사로 수술적 치료가 필요하였다. 비복신경 손상이 7예 (6.0%)에서 발생하였으나 부가적인 치료 없이 회복되었다. 통계학적 분석 결과 개방성 골절 군(p=0.003)과 수술시간이 90분 이상 연장된 군 (p=0.049)에서 창상 합병증의 발생률이 유의하게 높았다. 결론 : 광범위 외측 접근법으로 수술한 종골 골절에서 술 후 조기 합병증의 발생률이 높으므로 개방성 골절에서는 개방창을 철저하게 치료하고, 술 전 계획과 계획된 술기를 통하여 수술 시간을 90분 이내로 단축하고, 비복신경의 해부학적 위치를 고려하여 절개함으로 술 후 조기 합병증의 발생률을 감소시킬 수 있을 것으로 사료된다. Purpose : To analyze early postoperative complications of calcaneal fractures operated by a lateral extensile approach and to identify risk factors for would complications. Materials and Methods : From July 1990 to February 2003, 116 calcaneal fractures in 104 patients were treated by open reduction and internal fixation through a lateral extensile approach. The patient's records were reviewed for early postoperative complications. Statistical analysis was performed to determine significant relationships between predicted variables and the development of would complications. Results: Fourteen fractures (12.0%) developed infection. Ten of them were superficial infection and four were deep infection that required surgical treatment. Eight fractures (6.9%) developed skin necrosis. Six of them were marginal skin necrosis and two were flap necrosis that required surgical treatment. Seven fractures (6.0%) developed sural nerve injury, but their symptoms were improved without additional treatment. Open fracture (p=0.003) and prolonged operating time (p=0.049) increased significantly the rate of wound complications. Conclusion: The rate of early postoperative complications of calcaneal fractures operated by a lateral extensile approach is high. These complications can be reduced by meticulous treatment of an open wound, reduced operating time within 90minutes through preoperative planning and skillful technique, and correct incision to avoid damage of the sural nerve.

학교체육과 지역사회체육의 연계실태와 실천방안

강전민,가경환,권창기,윤해철,손수범,변해심,신민철 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

This study was formed the basis of propelling for being closely connecting between School PE(Physical Education) and Local Society Exercise for regarding the cooperation possibility depending on the actual situation. From this, it is helpful for evaluating the total understanding of the present condition form School PE and Local Society Exercise and grasping the realities concretely. To gain the above result, the subject of study is on 48 agencies among 50 agencies that include 30 elementary and middle schools, 15 government offices, 5 YMCA offices. After investigating the plan of providing physical activity program except result PE class and the connecting program with School PE and its activation, it comes to the conclusion below this. There is the period of possible time for propelling the cooperating model at School and Local Society PE which is special activity class after school, club activity class, discretional activity class and the vacation, weekends. And also there are many participating agencies that are school, local society, public sports center and community, the youth group, local autonomous entity PE post, prfessional physical association and community, city and countries Education Office and the sports-lover's group etc. So far, the connecting program is operated at 24 agencies which are 3 elementary school(30%), 5 middle school(50%), 4 high school(40%)m 7 government office(70%), 5 YMCA office(80%). As the reason of non-operating it, the first is the lack of the charger, spare time and considering teacher's advantage when time is arranged at the teacher and leader's part. The second is the falling behind facility and the lack of place and appliance for practicing. The third is the insufficient of connecting program at program part and increasingly number of students who are individual participating at the side of local society physical agency at school. The forth is the lack of finances for running at economy part and overpaying of using fee. The fifth is the lack of the activity time at the elementary school and putting first in importance the exam for university enterance at middle and high school. The sixth is the parents and principals and school committee have little understanding of the physical educating in common at recognition part. The seventh is the cooperating company's preparation is not enough and incomplete relation each other. Looking into the opinion for activating plan of connecting program which is classified into common contents, the result is presented the same reaction both of them that the professional leader arrangement is needed at teacher and leader's part. At the facility expansion and open program part is required for a various program. In the case of school at economy condition part, more cheaper than expenses for facilities is needed and also the renovation of the education system And at the recognition part, the positive attitude of school is needed. At the safety part, the solution of safety problem for responsibility is needed. At the administration part, the support for professional agency and the change of systemic role for connecting agency.

Physiological processes during the silvering in nocturnal eel, Anguilla japonica: environmental influence of dopamine and melatonin

Jun-Hwan Byun,Ji-Yeon Hyeon,Eun-su Kim,Han-Jun Kim,Sung-Pyo Hur,Akihiro Takemura 한국수산해양기술학회(구 한국어업기술학회) 2018 한국수산해양기술학회 학술발표대회 Vol.2018 No.11

Simulink 기반 다채널 디지털 보청기 알고리즘 개발 플랫폼 구현

변준(Jun-Byun),민지환(Ji-hwan Min),차태환(Tae-hwan Cha),지유나(You-na Ji),박영철(Young-cheol Park) 한국정보전자통신기술학회 2016 한국정보전자통신기술학회논문지 Vol.9 No.2

본 논문에서는 Matlab에서 제공하는 Simulink를 활용하여 다채널 디지털 보청기 알고리즘 개발 플랫폼의 구현을 제안하였다. 디지털 보청기는 난청자의 원활한 의사소통을 돕는 의료기구로 그 중요성이 날로 증가하고 있다. 특히 다채널 디지털 보청기는 난청자의 주파수 별 청력 손실 정도에 따른 보상이 가능해 고막의 손상을 최소화하는 동시에 보청기 사용자에게 적합한 증폭이 가능해진다. 본 논문에서 구현한 개발 플랫폼은 WOLA 필터뱅크를 이용해 입력 신호의 분석 및 합성이 이루어지며 광역동범위압축(Wide Dynamic ragne compression) 기반의 난청 보상 알고리즘, 적응필터를 이용한 음향 궤환 제거 알고리즘(Adaptive feedback cancellation)을 포함한다. Simulink를 이용한 개발 플랫폼에서 각 블록의 파라미터를 설정 할 수 있고 블록별 결과가 확인이 가능하다. 이를 이용해 기계어 코딩 전 단계에서 알고리즘 테스트가 가능하기 때문에 보청기 알고리즘의 개발 시간이 단축 가능하고 계산량 및 성능 최적화가 가능해졌다. In this paper, we implement the development platform of multichannel digital hearing aid algorithm using Simulink provided by Matlab. The digital hearing aids are considered medical devices designed to compensate for hearing loss, they need to be correctly selected, to help a person who has difficulty in hearing. The development platform that implemented in this paper, includes WOLA filterbank for analysis/synthesis of input signal, Wide dynamic range compression for hearing loss compensation and adaptive filter for feedback cancellation. Using the development platform, algorithm parameters for each block can be set depending on the hearing aid user. Thus it is possible to test the algorithm before the machine language. As a result, the time for algorithm development can be saved and performance and computational complexity can be optimized.

Reduced P300 amplitude during a visuospatial attention task in idiopathic rapid eye movement sleep behavior disorder

Byun, Jung-Ick,Lee, Byeong Uk,Kim, Minah,Sunwoo, Jun-Sang,Lim, Jung-Ah,Moon, Jangsup,Lee, Soon-Tae,Jung, Keun-Hwa,Chu, Kon,Kim, Man-Ho,Jeong, Min Hee,Cha, Kwang Su,Choi, Jeong Woo,Kim, Kyung Hwan,Lee, Elsevier 2017 SLEEP MEDICINE Vol.38 No.-

<P><B>Abstract</B></P> <P><B>Objectives</B></P> <P>Idiopathic rapid eye movement sleep behavior disorder (IRBD) patients are prone to cognitive deficits, which include attention, executive, and visuospatial dysfunctions. Even patients with normal cognition may exhibit subclinical electrophysiological dysfunction. This study aimed to evaluate visuospatial attention processing in IRBD patients with normal cognition and to compare their findings with those of age- and sex-matched healthy controls.</P> <P><B>Methods</B></P> <P>We recorded event-related potentials (ERPs) and performance measures during a variant of the Posner task in 14 IRBD patients and 14 control subjects. Behavioral data and the mean P300 amplitude were compared between groups.</P> <P><B>Results</B></P> <P>No group difference was found for reaction time or accuracy, but a significant group effect was observed for the P300 amplitude. IRBD patients had reduced P300 amplitude (μV) than controls in both valid (IRBD: 0.53 ± 1.05 vs Controls: 1.61 ± 0.95; p = 0.008) and invalid (IRBD: 0.74 ± 0.99 vs Controls: 1.73 ± 0.86; p = 0.009) conditions. The P300 amplitude was correlated with Montreal cognitive assessment (MOCA) scores (r = 0.424, p = 0.024).</P> <P><B>Conclusion</B></P> <P>Reduced P300 amplitude during the Posner task provides electrophysiological evidence for subclinical visuospatial attention deficits in cognitively normal IRBD patients. The results of this study imply that cortical dysfunction is already present in patients with IRBD in their early disease stage.</P> <P><B>Highlights</B></P> <P> <UL> <LI> IRBD with normal cognition had reduced P300 amplitude during Posner task. </LI> <LI> Reduced P300 in IRBD was independent of age, sex, depression, and autonomic function. </LI> <LI> The P300 amplitude correlated with MOCA scores. </LI> <LI> Cortical dysfunction may be present in early stage of IRBD. </LI> </UL> </P>

극초음속 실험장치의 구동부 특성에 관한 연구

변영환,허철준 건국대학교 산업기술연구원 1997 건국기술연구논문지 Vol.22 No.-

There are shock tunnel, gun tunnel, piston tunnel and expansion tube as ground-based hypersonic test facilities. Performances of these facilities depend on many things, but mainly characteristics of driver. These drivers are very important impulse facilities but hardly known for lack of theoretical analysis. Most of knowledges about drivers are based on facility developer's own experiences and experimental data. Characteristics of shock wave compression and piston compression have been studied in this reseach to study characteries of drivers of impulse test facilities. Change of ratio of driver pressure to stagnation pressure has been compared to well known results of other researches and it shows very similar trend. Shock wave compression is more effective than piston compression in low pressure, but piston compression is more effective than shock wave compression in high pressure. Results of our gas gun tests show that piston compression is more effective to get higher stagnation pressure in the region of the above 72 of driver pressue ratio.

Extrusion of Plant-based meat increases Immune-modulation effect in RAW264. 7 macrophages cells

Jun-Pyo Hong,Bo-Gyeong Yoo,Eui-Hong Byun,Gi-Hyung Ryu,Bon-Jae Gu,Mi-Hwan Kim 한국식품영양과학회 2022 한국식품영양과학회 학술대회발표집 Vol.2022 No.10

Urinary bladder involvement in patients with systemic lupus erythematosus : with review of the literature

Jun Ki Min,Jae Young Byun,Sang Heon Lee,Yeon Sik Hong,Sung Hwan Park,Chul Soo Cho,Ho Youn Kim 대한내과학회 2000 The Korean Journal of Internal Medicine Vol.15 No.1

Objectives: To investigate the etiologies of urinary bladder involvement in patients with systemic lupus erythematosus (SLE), the clinicoradiologic features of gastrointestinal tract manifestations and clinical outcomes in patients with lupus cystitis acco

Economic Burden of Colorectal Cancer in Korea

Byun, Ju-Young,Yoon, Seok-Jun,Oh, In-Hwan,Kim, Young Ae,Seo, Hye-Young,Lee, Yo-Han The Korean Society for Preventive Medicine 2014 Journal of Preventive Medicine and Public Health Vol.47 No.2

Objectives: The incidence and survival rate of colorectal cancer in Korea are increasing because of improved screening, treatment technologies, and lifestyle changes. In this aging population, increases in economic cost result. This study was conducted to estimate the economic burden of colorectal cancer utilizing claims data from the Health Insurance Review and Assessment Service. Methods: Economic burdens of colorectal cancer were estimated using prevalence data and patients were defined as those who received ambulatory treatment from medical institutions or who had been hospitalized due to colorectal cancer under the International Classification of Disease 10th revision codes from C18-C21. The economic burdens of colorectal cancer were calculated as direct costs and indirect costs. Results: The prevalence rate (per 100 000 people) of those who were treated for colorectal cancer during 2010 was 165.48. The economic burdens of colorectal cancer in 2010 were 3 trillion and 100 billion Korean won (KRW), respectively. Direct costs included 1 trillion and 960 billion KRW (62.85%), respectively and indirect costs were 1 trillion and 160 billion (37.15%), respectively. Conclusions: Colorectal cancer has a large economic burden. Efforts should be made to reduce the economic burden of the disease through primary and secondary prevention.

MR Imaging of the Internal Auditory Canal and Inner Ear at 3T: Comparison between 3D Driven Equilibrium and 3D Balanced Fast Field Echo Sequences

Jun Soo Byun,Hyung-Jin Kim,Yoo Jeong Yim,Sung Tae Kim,Pyoung Jeon,Keon Ha Kim,Sam Soo Kim,Yong Hwan Jeon,Jiwon Lee 대한영상의학회 2008 Korean Journal of Radiology Vol.9 No.3

Objective: To compare the use of 3D driven equilibrium (DRIVE) imaging with 3D balanced fast field echo (bFFE) imaging in the assessment of the anatomic structures of the internal auditory canal (IAC) and inner ear at 3 Tesla (T). Materials and Methods: Thirty ears of 15 subjects (7 men and 8 women; age range, 22 71 years; average age, 50 years) without evidence of ear problems were examined on a whole-body 3T MR scanner with both 3D DRIVE and 3D bFFE sequences by using an 8-channel sensitivity encoding (SENSE) head coil. Two neuroradiologists reviewed both MR images with particular attention to the visibility of the anatomic structures, including four branches of the cranial nerves within the IAC, anatomic structures of the cochlea, vestibule, and three semicircular canals. Results: Although both techniques provided images of relatively good quality, the 3D DRIVE sequence was somewhat superior to the 3D bFFE sequence. The discrepancies were more prominent for the basal turn of the cochlea, vestibule, and all semicircular canals, and were thought to be attributed to the presence of greater magnetic susceptibility artifacts inherent to gradient-echo techniques such as bFFE. Conclusion: Because of higher image quality and less susceptibility artifacts, we highly recommend the employment of 3D DRIVE imaging as the MR imaging choice for the IAC and inner ear. Objective: To compare the use of 3D driven equilibrium (DRIVE) imaging with 3D balanced fast field echo (bFFE) imaging in the assessment of the anatomic structures of the internal auditory canal (IAC) and inner ear at 3 Tesla (T). Materials and Methods: Thirty ears of 15 subjects (7 men and 8 women; age range, 22 71 years; average age, 50 years) without evidence of ear problems were examined on a whole-body 3T MR scanner with both 3D DRIVE and 3D bFFE sequences by using an 8-channel sensitivity encoding (SENSE) head coil. Two neuroradiologists reviewed both MR images with particular attention to the visibility of the anatomic structures, including four branches of the cranial nerves within the IAC, anatomic structures of the cochlea, vestibule, and three semicircular canals. Results: Although both techniques provided images of relatively good quality, the 3D DRIVE sequence was somewhat superior to the 3D bFFE sequence. The discrepancies were more prominent for the basal turn of the cochlea, vestibule, and all semicircular canals, and were thought to be attributed to the presence of greater magnetic susceptibility artifacts inherent to gradient-echo techniques such as bFFE. Conclusion: Because of higher image quality and less susceptibility artifacts, we highly recommend the employment of 3D DRIVE imaging as the MR imaging choice for the IAC and inner ear.