• Archives of Reconstructive Microsurgery
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• 제17권1호
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• pp.51-54
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• 2008

We experienced a case of 49-year-old male patient with amputated two fingers preserved in Soju (Korean traditional liquor, a kind of alcoholic beverages). The amputation level of the two fingers was at the distal interphalangeal joint. The Soju was not an adequate physiologic solution for preserving the amputated tissues. Even though arterial anastomosis was successful, there was no venous drainage visible in the operative field. On the first day after the initial operation, we succeeded in the anastomosis of one vein in one of the two amputated fingers. This was 12 hours after arterial anastomosis was carried out. But no venous dranage was visible in the other finger. In spite of a salvage procedure sustained with external bleeding for 7 days, this replanted fingertip eventually fell into necrosis.

• 대한골관절종양학회지
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• 제13권2호
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• pp.152-156
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• 2007

Giant cell tumor of bone is relatively common neoplasm usually involving epiphysis of long bone. And rarely it involves the diaphysis or metaphysis without epiphyseal extension. We report on an 18-year-old girl with giant cell tumor of ulnar diaphysis. She was treated with wide excision and reconstuction with nonvascularized autogenous fibular graft. We harvested fibular fragment preserving fibular continuity to reduce donor site morbidity. Surgical outcome and functional result was excellent.

• 한국정보처리학회:학술대회논문집
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• 한국정보처리학회 2004년도 추계학술발표논문집(상)
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• pp.473-476
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• 2004

본 논문에서는 프라이버시를 침해 하지 않는 데이터 마이닝에 대해 다룬다. 방대한 데이터에서 유용한 정보를 추출하는 데이터 마이닝분야에서 데이터로부터 프라이버시 보존의 중요성이 부각되고 있다. 그래서 프라이버시의 침해를 막기 위한 방법으로 실제 데이터를 사용하지 않고 잡음이 들어간 데이터를 사용한다. 그리고 프라이버시를 침해하지 않기 위해 잡음이 들어간 데이터로부터 데이터의 확률 밀도 함수(PDF)만을 복원한다. 이렇게 복원된 확률 밀도 함수만을 이용하여 데이터 마이닝기술, 예를 들면 분류화에 곧바로 적용함으로써 프라이버시를 보존하는 것이다. 하지만 분류화에 사용되는 데이터의 1차원적인 확률 밀도 함수만 가지고는 군집화에 사용하기가 부적절하다. 따라서 본 논문에서는 군집화를 하기 위해 잡음이 들어간 데이터로부터 결합 확률 밀도 함수(Joint PDF)를 복원하고, 복원된 결합 확률 밀도 함수만 가지고 군집화를 할 수 있는 방법을 다룬다.

• Radiation Oncology Journal
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• 제33권4호
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• pp.294-300
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• 2015

Purpose: To evaluate survival rates and prognostic factors related to treatment outcomes after bladder preserving therapy including transurethral resection of bladder tumor, radiotherapy (RT) with or without concurrent chemotherapy in bladder cancer with a curative intent. Materials and Methods: We retrospectively studied 50 bladder cancer patients treated with bladder-preserving therapy at Keimyung University Dongsan Medical Center from January 1999 to December 2010. Age ranged from 46 to 89 years (median, 71.5 years). Bladder cancer was the American Joint Committee on Cancer (AJCC) stage II, III, and IV in 9, 27, and 14 patients, respectively. Thirty patients were treated with concurrent chemoradiotherapy (CCRT) and 20 patients with RT alone. Nine patients received chemotherapy prior to CCRT or RT alone. Radiation was delivered with a four-field box technique (median, 63 Gy; range, 48.6 to 70.2 Gy). The follow-up periods ranged from 2 to 169 months (median, 34 months). Results: Thirty patients (60%) showed complete response and 13 (26%) a partial response. All patients could have their own bladder preserved. Five-year overall survival (OS) rate was 37.2%, and the 5-year disease-free survival (DFS) rate was 30.2%. In multivariate analysis, tumor grade and CCRT were statistically significant in OS. Conclusion: Tumor grade was a significant prognostic factor related to OS. CCRT is also considered to improve survival outcomes. Further multi-institutional studies are needed to elucidate the impact of RT in bladder cancer.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권4호
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• pp.1721-1737
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• 2020

Human apparent age estimation has become a popular research topic and attracted great attention in recent years due to its wide applications, such as personal security and law enforcement. To achieve the goal of age estimation, a large number of methods have been pro-posed, where the models derived through the cumulative attribute coding achieve promised performance by preserving the neighbor-similarity of ages. However, these methods afore-mentioned ignore the geometric structure of extracted facial features. Indeed, the geometric structure of data greatly affects the accuracy of prediction. To this end, we propose an age estimation algorithm through joint feature selection and manifold learning paradigms, so-called Feature-selected and Geometry-preserved Least Square Regression (FGLSR). Based on this, our proposed method, compared with the others, not only preserves the geometry structures within facial representations, but also selects the discriminative features. Moreover, a deep learning extension based FGLSR is proposed later, namely Feature selected and Geometry preserved Neural Network (FGNN). Finally, related experiments are conducted on Morph2 and FG-Net datasets for FGLSR and on Morph2 datasets for FGNN. Experimental results testify our method achieve the best performances.

• 정보보호학회논문지
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• 제31권3호
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• pp.291-307
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• 2021

그동안 COVID-19의 확산을 막고 사회를 정상화하려는 노력이 있었고, 감염 확산 탐지를 위해선 접촉자 추적기술이 필수적이다. 하지만, 정부에 의한 접촉 추적 과정에서 공개된 감염자의 개인 정보 침해에 대한 우려가 제기되고 있고, 이에 Google과 Apple은 개인 정보 보호와 보안을 고려하여 정부와 보건 기관의 COVID-19 확산 방지에 대한 노력을 도울 수 있도록 블루투스 기술을 사용한 접촉 추적 기술을 발표했다. 그러나 더 나은 접촉 추적기술을 제시하기 위해서는 체계적으로 보안 위협 및 취약점 도출하는 과정이 필요하다. 본 논문에서는 STRIDE, LINDDUN 위협 모델링을 통해 COVID-19 접촉 추적 기술에 대한 보안성을 분석하고, 이것을 기반으로 Zero-knowledge Succinctness Non-interactive Arguments of Knowledges(zkSNARKs)와 Public Key Infrastructure(PKI)를 이용해 실질적인 데이터 무결성과 개인 정보 보호 보장 방식을 제안한다.

• 대한골관절종양학회지
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• 제9권2호
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• pp.200-205
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• 2003

목적: 근위 비골에 발생한 거대 세포종 환자 5명에 대한 임상 양상, 치료 방법 및 결과를 보고하고자 한다. 대상 및 방법: 1997년 1월부터 2001년 7월까지 근위 비골에 발생한 거대 세포종으로 수술적 치료를 하였던 환자 중 1년 이상 추시관찰(평균 2.2년: 1.1~5년)이 가능하였던 5예를 대상으로 하였다. 모든 예에서 수술 전 단순 방사선 검사, 자기 공명 영상 검사, 핵의학 검사를 시행하였다. 모든 예에서 비골 신경을 보존하면서 일괄 절제술 및 대퇴 이두근을 이용한 외측 측부 인대 재건술을 시행하였다. 수술 후 단순 방사선 검사 및 진찰 소견으로 국소 재발의 유무를 판단하였으며 내반 스트레스 검사로 슬관절 외측 불안정을 측정하였다. 결과: 환자의 평균 연령은 23세(21~29세)였으며 남자 1예, 여자 4예였다. 모든 환자에서 병변부의 동통이 주증상이었으며 2예에서는 종물이 촉지되었다. 모든 예에서 수술 전 자기 공 명 영상 검사상 T1 강조영상에서 병변내의 저 신호 강도와 T2 강조영상에서 고 신호 강도를 보였고, Technetium-99 m을 이용한 골주사 검사상 비정상적으로 증가된 골섭취 소견이 관찰되었다. 1예에서 수술 후 일시적 비골 신경 마비를 보인 경우를 제외하고 나머지 예에서 비골 신경 마비 및 종양의 국소 재발은 보이지 않았다. 최종 추시 관찰시 5예중 1예에서 다소의 외측 불안성이 있었으나 기능상 문제가 없었으며 나머지 4예에서는 내반 스트레스 검사상 안정성을 보였다. 결론: 근위 비골에 발생한 거대 세포종은 비골 신경을 보존하면서 일괄 절제술 및 대퇴 이두근을 이용한 외측 측부 인대 재건술을 시행하여 좋은 결과를 보였다.

• 농촌계획
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• 제30권2호
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• pp.51-68
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• 2024

Since 1949, the UK has implemented a national land planning strategy to sustain rural areas, emphasizing the concept of 'Natural Beauty.' This involves designating "Areas of Outstanding Natural Beauty (AONB)" as a political approach to conserving rural landscapes and fostering a societal consensus on environmental conservation. AONB adopts an integrated and systematic approach to achieve harmony between the environment and human activities. This study investigates the implications of the AONB rural landscape management approach through case studies of the Cotswolds Conservation Board and Cannock Chase Joint Committee. It examines the legislative designation and supporting processes of AONB, analyzing the governance system to clarify the roles of authorities in policy decision-making. AONB's system revolves around joint committees or conservation boards of local authorities responsible for establishing, implementing, and monitoring management plans. The planning process involves a harmonious management plan system reflecting regional demands, including regular forums. AONB serves as a powerful tool for local residents to engage in the development of their region through stewardship. The study suggests that understanding the AONB model could provide a foundation for developing rural landscape conservation and spatial management plans tailored to Korea's context in the future.

• 한국간담췌외과학회지
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• 제27권3호
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• pp.251-257
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• 2023

Backgrounds/Aims: This is a retrospective analysis of whether the 8th edition American Joint Committee on Cancer (AJCC) was a significant improvement over the 7th AJCC distal extrahepatic cholangiocarcinoma classification. Methods: In total, 111 patients who underwent curative resection of mid-distal bile duct cancer from 2002 to 2019 were included. Cases were re-classified into 7th and 8th AJCC as well as clinicopathological univariate and multivariate, and Kaplan-Meier survival curve and log rank were calculated using R software. Results: In patient characteristics, pancreaticoduodenectomy/pylorus preserving pancreaticoduodenectomy had better survival than segmental resection. Only lymphovascular invasion was found to be significant (hazard ratio 2.01, p = 0.039) among all clinicopathological variables. The 8th edition AJCC Kaplan Meier survival curve showed an inability to properly segregate stage I and IIA, while there was a large difference in survival probability between IIA and IIB. Conclusions: The 8th distal AJCC classification did resolve the anatomical issue with the T stage, as T1 and T3 showed improvement over the 7th AJCC, and the N stage division of the N1 and N2 category was found to be justified, with poorer survival in N2 than N1. Meanwhile, in TMN staging, the 8th AJCC was able differentiate between early stage (I and IIA) and late stage (IIB and III) to better explain the patient prognosis.

• Clinics in Shoulder and Elbow
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• 제27권3호
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• pp.309-315
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• 2024

Background: Radiocapitellar arthritis can cause pain, loss of motion, and impaired elbow function. Current surgical treatment options are limited. We have developed an original and simple surgical technique to address this, called arthroscopic matched osteoplasty of the radial head (AMOR). In AMOR, the radial head is partially resected and recontoured to match the capitellum and decompress the degenerate radiocapitellar articulation while preserving the ulnohumeral articulation where the cartilage is usually well preserved. Methods: Indications and the surgical technique of the AMOR procedure are described. A retrospective observational service evaluation study was conducted from electronic patient records. Collected clinical outcomes included range of motion, pain level, subjective functional score, and general satisfaction with the results of the procedure. The radiographic outcome was radiocapitellar joint space. Results: Between 2017 and 2021, eight consecutive patients underwent AMOR as part of an arthroscopic osteocapsular arthroplasty procedure. Radiographically, the mean radiocapitellar joint space improved from an average of 1.7 mm to 4.6 mm. Clinically, the mean pain score decreased from 8/10 to 3/10. Six of the eight patients (75%) were satisfied with their results. In two cases, initial improvement following surgery lasted less than 1 year, and one of these patients underwent total elbow arthroplasty for painful ulnohumeral osteoarthritis. There were no complications of surgery recorded. Conclusions: AMOR is a safe treatment option for painful radiocapitellar osteoarthritis and can be incorporated as an "add-on" procedure by surgeons performing elbow osteocapsular arthroplasty in cases with a positive grip and grind test and radiographic evidence of radiocapitellar OA. Level of evidence: IV.