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      • SCOPUSSCIEKCI등재

        Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release : Report of 31 Cases

        Lee, Gun Sang,Lee, Myung Ki,Kim, Woo Jae,Kim, Ho Sang,Kim, Jeong Ho,Kim, Yun-Suk The Korean Neurosurgical Society 2017 Journal of Korean neurosurgical society Vol.60 No.1

        Objective : We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. Methods : Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12-30). The mean age at time of surgery was 30.3 years (range, 20-54). Patients were evaluated with a modified Lee's scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. Results : The modified Lee's scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was $15.4^{\circ}$ (range, 5.4-29.0), which was reduced to a mean of CMA of $6.3^{\circ}$ (range, 0-25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. Conclusion : Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.

      • KCI등재

        중합방법이 다른 의치상 레진의 적합도 평가

        이상건,송윤관,송광엽 대한치과기재학회 1999 대한치과재료학회지 Vol.26 No.3

        In addition to continuing the search for more accurate and dimensionally stable materials for denture bases, recently several processing methods for denture base resins which may reduce dimensional change during fabrication has been developed. The purpose of this study was to compare the dimensional accuracy of denture bases cured by four denture base processing methods, using the conventional heat-compression molding method, the continuous-pressure injection method, the microwave curing processing method, and the Sulfone system. A metal die simulating a maxillary edentulous arch and a polyvinylsiloxane impression(Reprosil, L. D. Caulk Co. U.S.A.) were used to construct 40 simulated master casts and denture bases with artificial teeth. Forty simulated denture bases 3 to 4㎜ thick were processed by four denture base processing methods following the manufacturer's instructions. The processed denture bases and casts sectioned through the posterior palatal region to allow measurement of its change by means of an travelling microscope. Observations were made on center of posterior palatal sectioned region. One-way ANOVA and paired samples t-tests were employed to compare the differences in distortion after deflasking and after finishing and polishing. The obtained results were as follows; 1. After deflasking, dimensional changes were diminished in order of conventional heat-compression molding, Sulfone system, continuous-pressure injection method, microwave processing method(p<0.05). 2. After finishing and polishing, dimensional changes were diminished in order of conventional heat-compression molding method, Sulfone system, microwave processing method, continuous-pressure injection method. The significant difference was found between conventional hear-compression method, continuous-pressure injection method(p<0.05). 3. The significant difference was found between after deflasking and after polishing in all methods, except continuous-pressure injection method(p<0.05).

      • 대용량 음성 인식을 위한 Parser 연구

        이주헌,박윤건,권영헌,이건상,양성일 한양대학교 이학기술연구소 2004 이학기술연구지 Vol.7 No.

        본 논문에서는 대용량 연속음성 인식에서 시스템의 성능 향상을 위해 음성인식 후처리 과정 중 구문분석을 위한 파서(Parser)를 구현하였다. 과싱(Parsing)을 위한 문법으로는 자유 어순의 언어인 한국어 특성에 적합한 '중심어 주도 구구조 문법(HPSG)을 사용하였으며, 한국어의 문장에 대한 구조적 측면에서 서술어의 형식과 성질에 따른 결합 문행을 제시하였다. 현태소 분석을 위한 인식엔진으로는 한양대학교 제어계측공학과 ROSP 연구실, 물리학과 음향학 연구실(FSL)에서 개발한 '한양 한국어 형태소 분석기(H2MA)'의 엔진을 사용하였다. 실험을 위해 문형에 따른 문장과 합성 동사문을 포함한 총 110여 문장이 사용되었다. 실험 결과 이중 주어문과 합성 동사문 을 포함한 단문의 경우 91.82%의 인식률을 얻었다. In this paper, we construct Parser for sentence analysis in order to improve performance of Large-vocabulary continuous speech recognition system. We use HPSG which is suitable for Korean of its partially-free word order characteristics, as a grammar for Parsing. We propose a combination of sentence pattern and characteristic of predicate in structural for Korean sentence. As recognition engine for Morpheme analysis, we use H2MA developed by ROSP laboratory and FSL laboratory in Hanyang University. As a result, we obtain the recognition rate 91.82% about short sentences including double subjects and synthesize verb sentences.

      • 흰쥐에서 음경발기 평가의 척도로서 음경해면체내압측정술 확립

        송윤섭,김용준,이광우,김준모,문기혁,박영호,민영기,유형균,김형건 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1

        Purpose: Because studies about the control of penile erection at the entral nervous system was dependent on the animal experiments, establishment of measuring penile erection is important to evaluate the effects changes at the central nervous system on the penile erection. Intracavernous pressure measurement in rats has been introduced as a suitable index for the evaluation of penile erection but this method is invasive and technically difficult. So, we established the intracavernous pressure measurement in rats as the experimental index for penile erection. Materials and Methods: 42 male adult Sprague-Dawley rats (250-300gm) were divided to saline or papaverine treated group. Rats were placed on a heating table to maintain their body temparature and anesthetized with 50mg/kg of pentobarbital sodium by intraperitoneal injection. A cannula was inserted to the left carotid artery to measure systemic blood pressure. Saline (0.05, 0.1ml), papaverine(0.05, 0.1, 0.25, 0.5, 1.0, 2.0mg) were injected intracavernously via 26 guage needle filled with saline or papaverine which connected to pressure transducer and polygraph was inserted into the corpus cavernosum on one side to inject the drug and to measure intracavernous presure. Results: Properly executed insertion and intracavernous administration produced a instantaneous but transient rise in intracavernous pressure that substantially stabilized and maintained at 5.4±0.4mmHg. Intracavernous pressure and duration of penile blood flow following intracavernous injection of papaverine are increased comared to those of saline. Conclusions: Monitoring intracavernous pressure in rats represents a suitable index for the evaluation of penile erection in small laboratory animals.

      • 조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

        주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

        Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

      • SCOPUSKCI등재
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