Estimation and Comparison of Cortical Thickness Index and Canal‑to‑Calcar Ratio Using Manual Method and Deep Learning Method

Sun‑Jung Yoon,Minwoo Kim,Il‑Seok Oh,Kyungho Kim,한갑수 대한전기학회 2020 Journal of Electrical Engineering & Technology Vol.15 No.3

Manual calculation of the cortical thickness index (CI) and canal-to-calcar ratio (CC) using radiographs has been widely used. The purpose of this study was to investigate the diference between manual gold standard and automatic calculation based on deep convolutional neural networks (CNNs) of the proximal femur. We obtained institutional review board approval to utilize previous radiographs for the study and the radiograph images were used to train CNN architecture. The calculation experiment of a dataset of 136 images of the proximal femur to estimate CI and CC was performed using a trained CNN architecture (Automatic). Also, manual segmentation method (Manual) to calculate CI and CC was conducted using the standard protocol by two experts as a reference for the results comparison. The mean values of the Manual and Automatic calculation of CI for the proximal femur were 0.56 and 0.54, respectively, showing a statistically signifcant diference (p=0.035). Signifcant diference (p<0.001) was also seen in the calculation of CC by Manual and Automatic method resulting in 0.42 and 0.47, respectively. In addition, the automatic method showed far better results in terms of calculation speed (less than 30 s per single image). Therefore, we suggest that the manual method be carefully considered while planning a surgery.

Comparison of Melanoma Subtypes among Korean Patients by Morphologic Features and Ultraviolet Exposure

( Hong Sun Jang ),( Jee Hung Kim ),( Kyu Hyun Park ),( Jae Seok Lee ),( Jung Min Bae ),( Byung Ho Oh ),( Sun Young Rha ),( Mi Ryung Roh ),( Kee Yang Chung ) 대한피부과학회 2014 Annals of Dermatology Vol.26 No.4

Background: Genetic alterations have been identified in melanomas according to different levels of sun exposure. Whereas the conventional morphology-based classification provides a clue for tumor growth and prognosis, the new classification by genetic alterations offers a basis for targeted therapy. Objective: The purpose of this study is to demonstrate the biological behavior of melanoma subtypes and compare the two classifications in the Korean population. Methods: A retrospective chart review was performed on patients found to have malignant melanoma in Severance Hospital from 2005 to 2012. Age, sex, location of the tumor, histologic subtype, tumor depth, ulceration, lymph node invasion, visceral organ metastasis, and overall survival were evaluated. Results: Of the 206 cases, the most common type was acral melanoma (n=94, 45.6%), followed by nonchronic sun damage-induced melanoma (n=43, 20.9%), and mucosal melanoma (n=40, 19.4%). Twenty-one patients (10.2%) had the chronic sun-damaged type, whereas eight patients (3.9%) had tumors of unknown primary origin. Lentigo maligna melanoma was newly classified as the chronic sun-damaged type, and acral lentiginous melanoma as the acral type. More than half of the superficial spreading melanomas were newly grouped as nonchronic sun-damaged melanomas, whereas nodular melanoma was rather evenly distributed. Conclusion: The distribution of melanomas was largely similar in both the morphology-based and sun exposure-based classifications, and in both classifications, mucosal melanoma had the worst 5-year survival owing to its tumor thickness and advanced stage at the time of diagnosis. (Ann Dermatol 26(4) 485~490, 2014)

배연탈황흡수제의 탈황성능에 관한 연구

양정선,김선근,오의경 중앙대학교 생산공학연구소 1995 생산공학연구소 논문집 Vol.4 No.2

배연 탈황 흡수제의 특성을 sand-bad 반응기를 이용하여 살피었다. 흡수제, 공정변수, 그리고 첨가제를 바꾸어 가며 기상에서의 탈황율을 비교하였다. 그리고 이 결과를 SEM, EDX, XRD, TGA, BET 등으로 탈황 전후의 흡수제 분말을 관찰하고 분석하여 검토하였다. 탈황율은 탈황제의 흡습성, 표면적, pore 구조 변화 등에 크게 의존하였다. 특히 Ca(OH)₂의 경우 흡수제의 pore 막힘 현상을 관찰하였으며 습도 및 첨가제의 효과가 이와 직접 연관이 있음을 알았다. Characteristics of sorbents for flue gas desulfurization has been investigated in sand-bed reactor. SO₂removal efficiency in gas phase was compared for the various sorbents, process variables and additives. The results have been discussed by observing and analyzing the sorbent particles before and after sulfation with SEM, EDX, XRD, TGA and BET. The SO₂ removal efficiency of the sorbents was affected by their hygroscopicity, surface area and pore-structure change during the reaction. In case of Ca(OH)₂, pore plugging was observed, and humidity of the gas and addition of the additives were directly related with the pore plugging.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

횡단보도 보행 잔여시간제공에 의한 보행행태의 변화에 관한 연구

오윤표,안영종,정순현 東亞大學校 建設技術硏究所 2005 硏究論文集 Vol.29 No.1

Recently, the countdown signal was introduced to enhance the pedestrian environment of crosswalk. However, research is still insufficient as to how comfortable and safe it is compared to existing signals as well as the most suitable location for installment. The statistical significance of the extent of change of pedestrian moving time on the graph was analyzed through a paired t-test, a before-after study on pedestrian crossing patterns and χ^(2)-test of both groups. Results form the application of the proposed analysis of the study showed that on introduction of the countdown signal, pedestrians will cross more amiably and comfortably than before.

微分方程式의 攝動이 있는 安定性에 관한 硏究

오영선,황정주,안정향 대구대학교 부설 과학교육연구소 1994 과학교육 Vol.7 No.-

심한 낙타혹(Hump)의 형성을 동반한 제 2 형 막증식성 사구체신염(Dense Deposit Disease) 1예

오희정,유민아,이영숙,김미연,김승정,강덕희,윤견일,최규복,성순희 이화여자대학교 의과대학 2004 EMJ (Ewha medical journal) Vol.27 No.1

Dense deposit disease (DDD), known as type Ⅱ MPGN, is an uncommon form of glomerulonephritis. It is an acquired primary glomerular disease, characterised by electron microscopic evidence of a continous, dense membrane deposition replacing the lamina densa. There is associated alternative pathway complement activation and a C3 nephritic factor maybe present. Patients with dense deposit disease tend to be young at clincal onset and more commonly have persistent nephrotic syndrome, gross hematuria, and acute nephritis episode and persistent depression of the serum complement level. The prognosis of dense deposit disease is worse than that of typeⅠMPGN. We experienced a patient with dense deposit disease that presenting persistent nephrotic syndrome, gross hematuria and having subepithelial hump. It is a first report of dense deposit disease having subepithelial hump in Korea, therefore we report this case with the review of relevant literatures.

대학병원의 외래진찰실 및 수술실 활용도 조사방법에 대한 연구 : 지방소재 J대학교 사례조사를 중심으로 Case study in J university hospital

오종희,권순정,김광현 대한건축학회 2004 대한건축학회논문집 Vol.20 No.3

The purpose of this study is to develop the survey method for the proper, effective space utilization and to analyze the utilization rate of the outpatient's consulting room and the operating room in the university hopsital. The utilization rate of the outpatient's consulting room could be got by the survey to investigate the outpatient's consulting room session utilization, doctor's behavior, time delay, special medical department's behavior etc. The utilization rate of the operating room could be got by the survey to investigate the every part of the process in the operation, that is operation time, preparation time, cleaning & arrangement time, eating time etc. Finally it was suggested that the department of internal medicine & rehabilitation medicine need to have more consulting room and surgery, othopedic surgery, neurosurgery need to reduce the number of consulting room. About the operating room, it was suggested that if the present utilization of the operating room got down to 90%, at least 3 more operating room would be needed.

용매의 선택에 따른 전도성 Polyaniline의 자기적 성질변화

오응주,서정선,노태호,류광선,정상국,송승기 명지대학교 자연과학연구소 1994 자연과학논문집 Vol.11 No.-

Polyaniline(emeraldine base:EB)를 pH에 따라 HCI로 1차 doping을 한후ESR을 사용하여 자기적 성질을 조사했다.또한 emeraldine base를 camphorsulfonic acid(HCSA), dodecylbenzene sulfonic acid(HDBSA)등의 산으로 1차 doping 시키고 이것을 m-cresol, acetic acid, 및 formic acid에 녹여 2차 doping을 한 후 SQUID 를 이용하여 자기적 성질을 측정하였다. Doping에 사용된 HCI용액의pH가 감소함에 따라 ESR 신호의 강도가 증가하였으며, 이로부터 doping에 따라 상자성을 나타나게 하는 화학종이 가타다는 것을아타내고 있다.m-cresol내에서 HCSA 및 HDBSA로 각각 doping된 EB-CSA/m-cresol 과 EB-DBSA/m-cresol 시료 무두 상자성을 나타내었고, 온도가 증가함에 따라 자하율값이 감소하는 경향을 나타내었다.χ?값은 2.18x10?과 7.87x10?emu/mol2-rings unit 보이며 두 스핀에 대한 Fermi 에너지 level(E?)에서의 상태밀도를 나타내는 N(E?)는 0.67과 0.24 상태(eV/2-rings unit?)로 나타났다.Camphorsulfonic ascid(HCSA)로 doping 된 EB를 m-cresol, acetic acid 및 chloroform 등 다른 용매에서 처리시 관찰된 자화율의 변화를 온도에 의존하지 않는 χ?값과 온도에 의존하는 χ? 값으로 구분하여 curie spin의 온도의존성을 규명하였다. Dependency of magnetic properties of polyaniline(emeraldine base:EB)on the pH of HCI used in doping was inverstigated by electron spin resonance spectroscopy. Emeraldine base doped with functionalized acid (primary dopant) such as camphorsulfonic acid (HCSA), dodecylbenzene sulfonic acid(HDBSA) was processed in various solvents (m-cresol, acetic acid, formic acid etc.)into homogeneous solution and free standing film and its magnetic properties were measured by SQUID. The intensity of ESR signal was increased with decrese in pH of HCL solution and paramagnetic behavior of doped polyaniline due to the formation of polaron upon doping could be confoirmed from these results. The same g value of 2.004±0.001 measured for all of the samples means that the chemical species which show paramagnetism are sasme. Polyanilines doped with HCSA and HDBSA in m-cresol showed paramagnetism and decrease in susceptibility with increase in temperature. χ? value was appered 2.18x10? and 7.87x10? emu/mol2-rings unit and N(E?) which is density of states at Fermi energy level for two spins was 0.67 and 0.24 state eV? 2rings unit? respectively. The changes in susceptibility of polyanilines doped with HCSA in m-cresol, acetic acid, formic acid etc. were divided into temperature independent χ? term and temperature dependent χ? term and temperature dependency of curie spin concentration was examined.