백내장 수술 후 각막 지각의 변화와 각막신경 회복의 비교

김용민,김선웅,김태임,김응권,서경률,Yong Min Kim,Sun Woong Kim,Tae Im Kim,Eung Kwon Kim,Kyung Ryul Seo 대한안과학회 2007 대한안과학회지 Vol.48 No.1

Purpose: To compare corneal sensitivity and recovery of corneal innervations after a temporal clear corneal incision in cataract surgery. Methods: We measured changes to corneal sensitivity using Cochet-Bonnet esthesiometer in 25 eyes of 20 patients and analyzed corneal nerve density with confocal microscopy in 20 eyes of 20 patients who had undergone cataract surgery. The parameters were measured before, and at 1 week, 1 month, and 3 months after cataract surgery. Results: The mean preoperative corneal sensitivity was 56.40±3.39 mm at the temporal corneal incision site, and there was a significantly decreased sensitivity of 29.80±2.69 mm and 42.40±4.36 mm postoperatively at 1 week and 1 month, respectively. Nonetheless, by three months, corneal sensitivity had returned to 56.00±2.89 mm and was not significantly different from measurements prior to the cataract surgery. The mean preoperative subbasal nerve density was 5296±1642 ?m/mm2. After cataract surgery, the subbasal nerve density was significantly reduced to 4113±1421, 3555±1448, 4198±1239 ?m/mm2 at 1 week, 1 month, and 3 months, respectively. Conclusions: Corneal sensitivity after cataract surgery returned to near preoperative levels within 3 months before complete restoration of normal corneal innervations. Therefore, regeneration of subbasal nerve fibers (, as determined by confocal microscopy,) requires more time than the return of corneal sensation after cataract surgery.

순서기반 비정상행위 탐지 센서의 임계치 결정 방법

김용민,김민수,김홍근,노봉남,Kim, Yong-Min,Kim, Min-Su,Kim, Hong-Geun,No, Bong-Nam 한국정보처리학회 2001 정보처리학회논문지 C : 정보통신,정보보안 Vol.8 No.5

본 논문은 SOM과 HMM을 이용하여 시스템 호출 수준에서 순서기반의 비정상행위 탐지 센서를 구현하였다. 그리고, 시스템 호출에서 중요한 정보가 무엇이고 임계값은 어떻게 설정해야하는 지를 분석하였다. 본 논문에서 사용한 SOM의 새로운 필터링 규칙과 축약 규칙은 HMM의 입력 크기를 줄일 수 있었다. 이러한 축약은 HMM기반 비정상행위 탐지의 실시간 처리능력을 보장해 준다. 또한, 비정상행위 수라는 개념을 도입하여 HMM의 탐지결과에 대한 민감성을 둔화시켜서, 사용자가 탐지결과를 쉽게 이해하고 false-positive를 줄이는 효과가 있었다. 그리고, 능동적으로 threshold 값을 조정하여 시스템 상황에 따라 탐지센서가 적응할 수 있도록 하였다. In this paper, we implement sequence-based anomaly detection sensor using SOM and HMM, and analyze what is important information in system call and how a threshold is decided. The new filtering and reduction rules of SOM reduces the input size of HMM. This gives real-time processing to HMM-based anomaly detection sensor. Also, we introduced an anomaly count into the sensor. Due to lessened sensibility, a user easily understand easily the detection information and false-positive was decreased. And the active coordination of the threshold value makes the detection sensor adapt according to the system condition.

Anti-Inflammatory Effects of Tongbi-san(通痺散) Extract on RAW264.7 Macrophages

김용민,김희택,김이화,Kim, Yong-Min,Kim, Hee-Taek,Kim, Ee-Hwa The Society of Korean Medicine Ophthalmology 2016 한방안이비인후피부과학회지 Vol.29 No.4

Objectives : This study is to investigate the anti-inflammatory and anti-oxidant effects of Tongbi-san extract (TS) on RAW264.7 macrophages using by cell cytotoxicity, Nitric Oxide (NO) and Prostaglandin $E_2$ ($PGE_2$) production and 1,1-diphenyl-2-picryl ghdrazyl (DPPH) free radical scavenging capability. Methods : Cell cytotoxicity was measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The production of NO was measured by Griess assay. The production of $PGE_2$ was measured by immunoassay. And the anti-oxidant activity was measured by the DPPH method. Results : TS did not increased significantly compared to the TS untreated group in the cell cytotoxicity. TS inhibited NO and $PGE_2$ production in lipopolysaccharide-stimulated RAW 264.7 cells. TS had the DPPH free radical scavenging capability. Conclusion : The anti-inflammtory and anti-oxidant effects of TS may be use for a treatment of anti-inflammatory diseases.

만성 발목 관절 외측 불안정성의 진단에서 스트레스 방사선검사의 유용성

김용민,조병기,김동수,최의성,손현철,박경진,김동환,Kim, Yong-Min,Cho, Byung-Ki,Kim, Dong-Soo,Choi, Eui-Sung,Shon, Hyun-Chul,Park, Kyoung-Jin,Kim, Dong-Hwan 대한정형외과스포츠의학회 2011 대한정형외과스포츠의학회지 Vol.10 No.1

목적: 만성 발목 관절 외측 불안정성 환자에 대한 기계적 불안정성의 평가에서 스트레스 방사선검사의 진단적 유용성을 알아보고자 하였다. 대상 및 방법: 본원에서 변형 Brostrom 술식을 시행받은 환자들 중 수술 소견상 외측 측부인대(전 거비 인대)의 완전 파열이 확인되었던 42예를 대상으로 하였다. 대조군으로는 발목 관절 손상의 과거력이 없고 이학적 검사상 불안정성 소견을 보이지 않는 정상 한국인 성인 총 60명(120예)을 모집하였다. Telos 기구를 이용한 전방 전위 및 내반 스트레스 검사를 시행한 뒤, 거골 경사각과 거골 전방전위 정도를 계측하였다. 대조군에서 얻어진 정상범위를 기준으로 스트레스 방사선검사의 민감도, 특이도, 양성 예측도, 음성 예측도를 분석하였다. 결과: 스트레스 방사선검사 상 정상 한국인 성인에서의 거골 경사각은 평균 $4.2{\pm}2.1$도, 거골 전방전위는 평균 $3.9{\pm}1.9$ mm로 계측되었다. 95% 신뢰한계 분석을 이용한 정상 범위의 설정시 거골 경사각의 정상 범위는 8.3도 이하, 거골 전방전위는 7.6 mm 이하로 분석되었다. 이 수치를 기준값으로 하는 경우 발목 관절 스트레스 방사선검사 상 거골 경사각의 민감도는 57%, 특이도는 97%, 양성 예측도는 89%, 음성 예측도는 86% 였고, 거골 전방전위의 민감도는 69%, 특이도는 97%, 양성 예측도는 91%, 음성 예측도는 90% 였다. 결론: 만성 발목 관절 외측 불안정성 환자에 대한 기계적 불안정성의 평가에서 스트레스 방사선검사는 비교적 우수한 특이도 및 양성, 음성 예측도를 보였으나 민감도는 낮아, 유용하지만 정확성은 떨어지는 검사법인 것으로 분석되었다. 기계적 불안정성이 발목 관절 스트레스 방사선검사 상 실제보다 덜 반영된다고 생각되며, 스트레스 방사선검사 소견만으로 발목 관절 외측 불안정성을 배제해서는 안 될 것으로 생각한다. Purpose: This study was performed to evaluate the diagnostic usefulness of ankle stress radiograph for evaluation of chronic lateral ankle instability. Materials and Methods: Among patients undergoing the modified-Brostrom procedure, 42 cases with complete rupture of the anterior talofibular ligament were enrolled in this study. Sixty Korean adults (120 cases) were recruited as the control group. Radiologic measurement of talar tilt and anterior talar translation was performed through stress radiographs using Telos device. We obtained the normal range of Korean adults, and used as a standard value for judgment of mechanical instability. We analyzed the sensitivity, specificity, positive and negative prediction value of ankle stress radiograph. Results: On ankle stress radiograph, normal range of talar tilt angle and anterior talar translation was below $8.3^{\circ}$, below 7.6mm. Talar tilt angle on varus stress radiograph showed 57% of sensitivity, 97% of specificity, 89% of positive and 86% of negative prediction value. Anterior talar translation on anterior drawer stress radiograph showed 69% of sensitivity, 97% of specificity, 91% of positive and 90% of negative prediction value. Conclusion: Ankle stress radiograph had a good specificity, positive and negative prediction value for the evaluation of mechanical instability. However it underestimated the mechanical instability of ankle joint. It must be remembered that normal stress radiograph does not exclude ankle instability.

학술발표회 초록 ( 분리기술 (Ⅴ) ) : 흡착탑내에서 coupled Langmuir isotherm 을 갖는 bulk gas 거동의 cell model 에의한 고찰

김용민,신흥수,서성섭 ( Yong Min Kim,Heung Soo Shin,Sung Sup Suh ) 한국화학공학회 1993 추계학술발표회 Vol.- No.-

진행된 무지 강직증에서 생체흡수성 압박나사를 이용한 원위 중족골의 배측 쐐기 절골술

김용민,조병기,김동수,최의성,손현철,박경진,박지강,최승명,Kim, Yong-Min,Cho, Byung-Ki,Kim, Dong-Soo,Choi, Eui-Sung,Shon, Hyun-Chul,Park, Kyoung-Jin,Park, Ji-Kang,Choi, Seung-Myung 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.1

Purpose: This study was performed retrospectively to evaluate clinical outcomes of distal metatarsal osteotomy using bio-compression screw as the joint preservation method for advanced hallux rigidus. Materials and Methods: Eleven cases were followed up for more than 1 year after distal metatarsal dorsal wedge osteotomy for advanced hallux rigidus. The clinical evaluation was performed according to the American Orthopaedic Foot and Ankle Society (AOFAS) score and patient's satisfaction score. The range of motion, and the period to return to running exercise, tip-toeing gait, squatting, walking down the stairs were evaluated. As the radiographic evaluation, the interval of $1^{st}$ MTP (metatarsophalangeal) joint space and the period to union were measured. Results: The AOFAS hallux score had improved significantly from preoperative average 50.7 points to 87.6 points at the last follow-up (p=0.005). The subjective satisfaction score was average 90.6 points. There were no case of subsequent fusion or additional operation, and no complication associated with bio-compression screw. The period to return to running exercise, tip-toeing gait, squatting, walking down the stairs were average of 24.8 weeks, 20.4 weeks, 16.8 weeks, 18.5 weeks respectively. Dorsiflexion of $1^{st}$ MTP joint had improved significantly from preoperative average $17.5^{\circ}$ to $44^{\circ}$ (p<0.001). All cases achieved union of osteotomy site, and the period to union was average 10.4 weeks. The interval of $1^{st}$ MTP joint space had improved significantly from preoperative average 1.2 mm to 3.5 mm (p=0.014). Conclusion: Distal metatarsal osteotomy using bio-compression screw seems to be one of effective treatment methods for advanced hallux rigidus, because of restoration of the first MTP joint motion, and reliable pain relief, and needlessness of hardware removal.

산업보건 교육후기 5 - CS강사 양성과정을 마치며

김용민,Kim, Yong-Min 대한산업보건협회 2017 산업보건 Vol.347 No.-

당뇨황반부종의 치료에서 유리체 절제술의 효과와 유리체강 내 트리암시놀론 주입술과의 비교

김용민,김성수,이성철,권오웅,고형준,Yong Min Kim,Sung Soo Kim,Sung Chul Lee,Oh Woong Kwon,Hyung Jun Koh 대한안과학회 2006 대한안과학회지 Vol.47 No.7

Purpose: The purpose of this study is to evaluate the benefit of pars plana vitrectomy (PPV) and removal of the internal limiting membrane (ILM) in diabetic macular edema, and to compare the effects of PPV and removal of ILM with intravitreal triamcinolone acetonide injection. Methods: Fifteen eyes of 14 patients on whom PPV and removal of the ILM (group A) were performed and 14 eyes of 14 patients who received single intravitreal triamcinolone acetonide injection (group B) for diabetic macular edema over six months were included in this study. The main outcome measures were macular thickness, as measured by optical coherence tomography and visual acuity at 1, 3, and 6 months postoperatively. Results: The mean preoperative visual acuity was 0.06±0.05 and macular thickness 516.01±120.29 ?m in group A. At 1 month postoperatively, this group showed no significant improvement of visual acuity. However, there was significant improvement at 3 and 6 months postoperatively. Macular thickness also decreased significantly at 1, 3, and 6 months postoperatively. In group B, the mean preoperative visual acuity was 0.10±0.08 and macular thickness was 548.82±116.44 ?m. At 1 and 3 months postoperatively, significant improvement of visual acuity was noted in this group. However, there was no significant difference at 6 months postoperatively. Macular thickness also decreased significantly at 1, 3, and 6 month postoperatively. Between two groups, visual acuity and macular thickness improved in Group B at 1 month postoperatively but at 6 months, visual acuity improved in Group A and there was no significant difference of macular thickness between the two groups. Conclusions: PPV and removal of the ILM are good therapeutic options for diabetic macular edema to improve visual acuity and macular thickness. These also offer more long term efficacy than intravitreal tiamcinolone acetonide injection.

데이터를 활용한 태양광 발전 시스템 모듈온도 및 발전량 예측

김용민,문승재,Kim, Yong-min,Moon, Seung-Jae 한국플랜트학회 2021 플랜트 저널 Vol.17 No.4

본 연구에서는 태양광발전 출력 및 모듈온도 값을 기상청 데이터를 이용하여 예측해보고 실측 데이터와 날씨, 일사량, 주변온도, 풍속별로 비교 분석해보았다. 날씨별 예측정확도는 눈이 오거나, 새벽에 해무가 끼는 날의 데이터를 가장 많이 보유한 맑은날의 데이터의 예측정확도가 가장 낮았다. 일사량에 따른 모듈온도와 발전량의 예측정확도는 일사량이 커질수록 정확도가 떨어졌으며, 주변 온도에 따른 예측정확도는 모듈온도는 주변 온도가 커질수록, 발전량은 주변온도가 낮을수록 예측정확도가 떨어졌다. 풍속은 모듈온도와 발전량 모두 풍속이 높아질수록 예측정확도가 감소하였지만, 풍속이 영향 다른 기상조건에 의한 영향보다 미미하여 그 상관관계를 정의하기가 어려웠다. In this study, the PV output and module temperature values were predicted using the Meteorological Agency data and compared with actual data, weather, solar radiation, ambient temperature, and wind speed. The forecast accuracy by weather was the lowest in the data on a clear day, which had the most data of the day when it was snowing or the sun was hit at dawn. The predicted accuracy of the module temperature and the amount of power generation according to the amount of insolation decreased as the amount of insolation increased, and the predicted accuracy according to the ambient temperature decreased as the module temperature increased as the ambient temperature increased and the amount of power generated lowered the ambient temperature. As for wind speed, the predicted accuracy decreased as the wind speed increased for both module temperature and power generation, but it was difficult to define the correlation because wind speed was insignificant than the influence of other weather conditions.

가스저장탱크 제조업의 보건관리 사례

김용민,Kim, Yong-Min 대한산업보건협회 2007 산업보건 Vol.230 No.-