http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
면역억제제 Basiliximab이 신장이식 1년 이내 급성 거부반응의 빈도에 미치는 영향
홍우성(Woo Sung Hong),이병모(Byung Mo Lee),오창권(Chang-Kwon Oh),김세중(Se Joong Kim),김흥수(Heungsoo Kim),신규태(Gyu Tae Shin) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.6
Purpose: Basiliximab has become widely used in clinical practice for initial immunosuppression in renal transplantation cases, to reduce the incidence of acute rejection without adverse events. Herein, we report the early outcomes of renal transplantation using basiliximab at a single center. Methods: This retrospective study included 148 renal allograft recipients at a single center. All patients were followed for longer than 1 year after transplantation, and treated with a calcineurin inhibitor and steroids for maintenance immunosuppression. The use of basiliximab and mycophenolate mofetil (MMF) was optional. We compared the incidence of episodes of acute graft rejection in kidney recipients who were treated with basiliximab as an initial immunosuppressive therapy with those who were treated without basiliximab. Results: Basiliximab was used for initial immunosuppression in 58 patients. Patients maintained immunosuppression with triple (n=69) or double (n=79) regimens including a calcineurin inhibitor (cyclosporine A (n=111) or tacrolimus (n=37)) and methylprednisolone with or without MMF. Thirty-six (24.3%) patients had a rejection episode within 1 year after transplantation and twenty-six (17.6%) patients had an episode of infection. The patients who were treated with basiliximab had fewer rejection episodes (n=11, 18.9%) within the first year after transplantation than the patients who did not take basiliximab (n=25, 27.7%); this difference was not statistically significant. (P=0.245). However, basiliximab significantly affected the number of rejection episodes in the double regi men group (P=0.006), but not the number of rejections in the triple regimen group (P=0.432) and did not affect the number of infection episodes in both groups (P value of double, triple=0.291, 0.772) within one year after transplantation. Conclusion: The results of this study suggest that basiliximab might be more useful for graft recipients who are treated with double immunosuppression with a calcineurin inhibitor and steroid than for the recipients with triple immunosuppression including MMF.
골다공증성 흉요추부 압박골절에서 경피적 풍선 척추 성형술의 결과에 영향을 미치는 요인
이정희 ( Jung Hee Lee ),황대우 ( Dae Woo Hwang ),신재흥 ( Jae Heung Shin ),홍우성 ( Woo Sung Hong ),김주완 ( Ju Wan Kim ) 대한골절학회 2007 대한골절학회지 Vol.20 No.1
목 적: 경피적 풍선 척추 성형술의 결과에 영향을 미치는 요인들을 분석하고, 술 후 예후 측정 인자를 모색하였다. 대상 및 방법: 2004년 9월부터2005년 10월까지 본 술식을 시행 받은 환자 중 6개월 이상 (평균 10.5개월) 추시 가능한 50명, 55추체를 대상으로 술 전 골밀도 값, 압박률, 술 후 복원율, 술 중 시멘트 유출의 발생 유무에 따라 분류하고, 각각의 술 전, 술 후, 추시 측면 방사선 사진상 압박률, 복원율을 비교 분석 하였다. 결 과: 골밀도 값이 0.4g/㎠ 이상인 12추체의 평균 압박률은 30.58%, 술 후 복원율은 12.35%P, 추시 복원율은 9.93%P로 2.42%P의 복원 소실이 있었으며, 0.4g/㎠ 미만인 15추체의 경우 각각 26.73%, 11.77%P, 5.26%P로 6.51%P의 복원 소실이 있었다(p=0.004). 그 밖의 인자에 대한 연구상 술 전 압박이 적을수록, 술 후 복원이 적을수록, 그리고 골시멘트의 누출이 없을수록 복원의 소실이 적은 것으로 나타났으나 모두 통계학적인 유의성은 없었다. 결 론: 언급된 요인들 중 골밀도 값이 술 후 결과에 영향을 주는 가장 중요한 요인이며, 술 전 압박률, 술 후 복원율, 술 중 추체외 시멘트 유출의 유무는 술 후 결과에 영향은 주나 통계학적인 유의성은 없었다. Purpose: We are to find the method to objectify postoperative prognosis, analyzing the factors confluencing the result of kyphoplasty in osteoporotic vertebral compression fracture (OVCF). Materials and Methods: Our study included 50 patients (55 vertebral bodies) who have undergone kyphoplasty from Sep. 2004 until Oct. 2005. We divided in the group according to bone mineral density (BMD), compression rate, recovery rate and cement leakage. We verified the significance of each group, using independent t-test, and ANOVA test among observers. Results: We performed kyphoplasty on 55 vertebral bodies, 12 cases with more than 0.4 g/㎠ in BMD (mean: 0.53 g/㎠) and their mean preoperative compression rate (CR), immediate postoperative recovery rate (RR-IPO), and recovery rate after 6 months (RR-6M) was each 30.58%, 12.35%P, 9.93%P. 15 cases under 0.4 g/㎠ (mean 0.31 g/㎠), and their CR, RR-IPO and RR-6M was 26.73%, 11.77%P, 5.26%P respectively. The p-value was 0.004. Another studies according to CR, RR-IPO and leakage of cement revealed the better results in the cases of the lower CR, the smaller reduction and abscecnce of cement leakage, but statistically insignificant (p=0.309, 0.069, 0.356). Conclusion: Preoperative BMD was most important factor that confluencing postoperative radiological result in OVCF. Other factors were also thought to be confluencing factors, but statistically insignificant.
박정현 ( Jeong-hyeon Park ),송민석 ( Min-seok Song ),백찬영 ( Chan-young Baek ),홍우성 ( Woo-sung Hong ),김연정 ( Yeun-jung Kim ),문남미 ( Nammee Moon ) 한국정보처리학회 2022 한국정보처리학회 학술대회논문집 Vol.29 No.1
시청각 중복 장애인은 타인과 의사소통에 어려움이 있기 때문에 이에 대한 연구가 필요하다. 본 논문에서는 시청각 중복 장애인이 타인과 실시간 의사소통이 가능한 팔목 보호대 형태의 Google Cloud Speech API 기반 점자 단말기를 제안한다. 점자 단말기에는 심박, 온도, 인바디 센서를 부착하여 착용자의 건강상태를 분석한다. 또한 타인과 실시간 소통을 위해 점자 출력 닷 셀 6 개와 점자 입력버튼을 2 X 3 형태로 배치하여 STT 를 통해 타인의 음성을 점자형태로 출력하여 읽거나 점자를 입력하여 TTS 를이용해 타인에게 스피커를 통해 의사를 전달할 수 있다. 이를 통해 시청각 중복 장애인들은 타인과 실시간 의사소통과 정보 취득에 자유로워질 수 있다.
슬관절 전치환술에서 슬개골 위치가 굴곡 간격에 미치는 영향
김희천 ( Hee Chun Kim ),노재영 ( Jae Young Roh ),이철우 ( Churl Woo Lee ),홍우성 ( Woo Sung Hong ) 대한슬관절학회 2007 대한슬관절학회지 Vol.19 No.1
Purpose: The aim of this study was to investigate the relationship between eversion or reduction of patella and the heights of the extension or flexion gaps. Materials and Methods: Measurements of the heights of the extension and flexion gaps were obtained during 32 primary posterior-stabilized total knee arthroplasties in 25 osteoarthritic patients. A tensor device was introduced after femoral and tibial bony resections while putting the knees flat on the operating table to measure the extension gaps in the medial and lateral compartments, respectively. The knee was flexed 95° degrees, and the tensor was introduced to measure the flexion gaps in the same manner. A calibrated torque wrench permitted the application of the force of about 113.4N.cm both in extension and in flexion in right knee, and of about 152.4 N.cm both in extension and in flexion in left knee. Results: The average height of the extension gap with everted patella was 20.9±2.6mm medially and 23.6±2.5 mm laterally, respectively. The average height of the extension gap with reduced patella was 21.0±2.6 mm medially and 23.7±2.4mm laterally, respectively. The average height of the flexion gap with everted patella was 20.7±2.5mm medially and 23.2±2.8 mm laterally, respectively. The average height of the flexion gap with reduced patella was 22.1 ± 2.3 mm medially and 24.2±2.8 mm laterally, respectively. After reducing the patella, the flexion gap height increased an average 1.4±1.l (range: 0~4) mm and l.0±1.2 (range: -1 ~ 3) mm in the medial and lateral compartments, respectively. Conclusion: The height of flexion gap would be increased by reducing the patella from everted position in posterior-stabilized total knee arthroplasty for the patient with good preoperative flexion. The flexion gap must be observed not with everted patella but with reduced patella to determine whether it appears symmetric and balanced.