• Journal of Trauma and Injury
• /
• 제26권3호
• /
• pp.233-237
• /
• 2013

Delayed traumatic intracerebral hemorrhage (DT-ICH) is a rare event in head trauma patients. However, it develops unexpectedly and results in very severe brain damage. Thus, close monitoring of the neurologic status is needed for every trauma patient. Sometimes, however, neurologic monitoring cannot be done because of sedation, especially in cases of abdominal surgery. In this case report, we describe the case of a 37-yr-old, male patients who had hemoperitoneum because of spleen and renal injury. At the initial operation, massive bleeding was found, so gauze-packing surgery was done first. After the first operation, we sedated the patient for about two days, after which the packed gauze was removed, and the abdominal wound was closed. Immediately after the second operation, we found pupil dilation. Emergent CT was performed. The CT revealed DT-ICH with severe brain edema and midline shifting. However, the patient condition deteriorated progressively despite emergency operation, he expired 2 days after hematoma evacuation.

• 대한장애인치과학회지
• /
• 제6권2호
• /
• pp.94-98
• /
• 2010

저자는 Axenfeld-Rieger 증후군을 가지는 5세 8개월 연환에 대한 구강 및 두개 안면에 대한 임상적, 방사선학적 관찰을 통해 다음과 같은 지견을 얻었다. 1. 본 증례의 환아는 Axenfeld-Rieger 증후군의 전형적인 안과적, 구강적, 전신적 특징인 녹내장, 동공이상, 제탈장, 지연된 골령, 다수 치아 및 치배 결손, 상악 저성장 등을 보였다. 2. 이에 대한 주기적인 관찰과 적절한 시기의 치료개입이 중요하다. 3. 치과의사에 의한 조기진단이 녹내장 등에 의한 시력상실을 방지하기 위해 중요하다.

• Journal of Korean Neurosurgical Society
• /
• 제61권2호
• /
• pp.267-276
• /
• 2018

Objective : The beneficial effect of hypothermia after hemicraniectomy in malignant middle cerebral artery (MCA) infarction has been controversial. We aim to investigate the safety and clinical efficacy of hypothermia after hemicraniectomy in malignant MCA infarction. Methods : From October 2012 to February 2016, 20 patients underwent hypothermia (Blanketrol III, Cincinnati Sub-Zero, Cincinnati, OH, USA) at $34^{\circ}C$ after hemicraniectomy in malignant MCA infarction (hypothermia group). The indication of hypothermia included acute cerebral infarction >2/3 of MCA territory and a Glasgow coma scale (GCS) score <11 with a midline shift >10 mm or transtentorial herniation sign (a fixed and dilated pupil). We retrospectively collected 27 patients, as the control group, who had undergone hemicraniectomy alone and simultaneously met the inclusion criteria of hypothermia between January 2010 and September 2012, before hypothermia was implemented as a treatment strategy in Dong-A University Hospital. We compared the mortality rate between the two groups and investigated hypothermia-related complications, such as postoperative bleeding, pneumonia, sepsis and arrhythmia. Results : The age, preoperative infarct volume, GCS score, National institutes of Health Stroke Scale score, and degree of midline shift were not significantly different between the two groups. Of the 20 patients in the hypothermia group, 11 patients were induced with hypothermia immediately after hemicraniectomy and hypothermia was initiated in 9 patients after the decision of hypothermia during postoperative care. The duration of hypothermia was $4{\pm}2days$ (range, 1 to 7 days). The side effects of hypothermia included two patients with arrhythmia, one with sepsis, one with pneumonia, and one with hypotension. Three cases of hypothermia were discontinued due to these side effects (one sepsis, one hypotension, and one bradycardia). The mortality rate of the hypothermia group was 15.0% and that of the control group was 40.7% (p=0.056). On the basis of the logistic regression analysis, hypothermia was considered to contribute to the decrease in mortality rate (odds ratio, 6.21; 95% confidence interval, 1.04 to 37.05; p=0.045). Conclusion : This study suggests that hypothermia after hemicraniectomy is a viable option when the progression of patients with malignant MCA infarction indicate poor prognosis.

• 한국안광학회지
• /
• 제15권4호
• /
• pp.355-360
• /
• 2010

목적: 국내에서 시판되는 안경렌즈의 성능을 분석하고 최적화 설계로 수차가 보정된 안경렌즈를 설계하였다. 방법: 굴절률 1.6의 재질을 갖는 4개 회사의 ${\pm}$5.00D의 구면 렌즈와 비구면 렌즈의 중심두께, 곡률반경, 비구면 계수를 측정하였다. Mitutoyo사의 ID-F150으로 중심두께를 측정하였고, Automation Robotics사의 FOCOVISION(SR-2)를 이용하여 곡률반경을 측정하였다. 비구면 계수는 Taylor Hobson사의 PGI 1240S로 측정하였다. 렌즈 후면부터 눈의 회선점까지의 거리 27 mm, 동공직경 4 mm, 중심시야 $30^{\circ}$에서 적은 양의 수차를 갖는 안경렌즈를 설계하였다. 측정 렌즈보다 Axial height를 짧게 함으로써 미용 상의 이점을 높였다. 설계에는 ORA사의 Code V를 이용했다. 결과: -5.00D 비구면 렌즈는 구면 렌즈보다 비점수차와 왜곡수차는 약간 크게 나타났으나 Axial height가 짧고 가장자리 두께가 감소하여 미용 상의 장점이 있다. +5.00D 비구면 렌즈는 왜곡수차의 성능이 향상되고 (-)렌즈와 마찬가지로 Axial height와 중심두께의 감소로 미용 상의 장점을 확인하였다. 최적화 과정을 통한 전면 비구면 렌즈는 비점수차와 왜곡수차가 측정 구면 렌즈보다 좋은 성능과 미용 상의 장점을 확인할 수 있다. 결론: 국내에서 시판되는 비구면 렌즈는 수차의 성능보다는 미용 상의 장점을 키우는 Axial height의 감소와 두께의 감소에 주안점을 둔전면 비구면 설계가 이뤄지고 있다. 최적화 설계이론을 통해 측정렌즈보다 향상된 수차성능과 미용 상의 이점을 모두 갖는 전면 비구면 안경렌즈의 설계를 하였다. 후면 비구면 렌즈의 설계를 통해 전면 비구면 렌즈보다 향상된 성능을 얻을 수 있음을 기대할 수 있다.

• Archives of Plastic Surgery
• /
• 제35권5호
• /
• pp.581-588
• /
• 2008

Purpose: It is generally accepted that anatomical structures of the soft tissue in Asian faces are quite different from those in Caucasian. It is presumed that these differences are due to collagen rich thick dermis and durable superficial musculo-apponeurotic system (SMAS) in Asian. We classified the aging lower eyelids and reviewed the operative procedures according to the types of aging lower eyelids in Asian. Methods: We compared preoperative and postoperative photos of 117 patients over 30 years of age, who underwent lower blepharoplasty at the Kyunghee Medical Center from January 2001 to April 2006. We classified the patients based on the degree of skin laxity, presence of nasojugal groove and malar bag, the extent of aging process. We also reviewed the operative procedures according to each type of classification. Results: We classified our patients into four types as following. Type I patients showed minimal skin-muscle excess confined to lower eyelids regardless of the facial line. For these patients, we performed only transcutaneous or transconjunctival blepharoplasty. In type II patients, nasojugal grooves were shown and skin- muscle laxity was limited to the medial side of imaginary vertical line at lateral margin of pupil. In these cases, we performed free fat graft or fat repositioning on nasojugal groove or fat removal and septal duplication confined to medial side. Type III patients displayed more advanced medial bulging and remarkable laxity over the lateral side, the same operation methods as those of type II were applied at the lateral side of the line. Type IV patients demonstrated extensive midfacial aging changes including malar bags and underwent superficial subciliary cheek lift. Conclusion: The lower eyelid aging of Asian is different from those of Caucasian. We think that our classification is useful in selection of appropriate operative procedure to address specific problems for Asian patients.

• 한국멀티미디어학회논문지
• /
• 제8권10호
• /
• pp.1293-1305
• /
• 2005

본 논문에서는 HMD(head mounted display) 하단에 눈동자의 움직임 영상을 취득할 수 있는 USB 카메라를 부착한 후, 3차원 1인칭 슈팅(first Person shooting) 게임에서 게임 캐릭터의 시선방향을 눈동자 움직임에 의해 조작하는 방법을 제안한다. 본 논문에서 제안하는 방법은 다음과 같이 세 부분으로 구성된다. 첫 번째는 입력 영상으로부터 눈동자의 중심 위치를 실시간 영상 처리 방법으로 추출하는 부분, 두 번째는 HMD 모니터상의 임의 지점을 쳐다볼 때 추출된 눈동자의 위치 정보와 모니터상의 응시 위치 사이의 기하학적인 연관관계를 결정하는 캘리브레이션 부분, 그리고 마지막은 캘리브레이션 정보를 기반으로 모니터 상의 최종적인 응시 위치를 결정하고, 이 정보에 의해 게임상의 3차원 뷰(view) 방향을 조정하는 부분으로 구성된다. 실험 결과, 본 논문의 방법에 의해 손이 불편한 사용자에게 게임을 즐길 수 있는 기회를 제공하고, 게임 캐릭터와 게임 사용자의 시선 방향을 일치시킴으로서 게임의 흥미와 몰입감을 증가시키는 결과를 얻을 수 있었다.

• Journal of Korean Biological Nursing Science
• /
• 제15권4호
• /
• pp.210-218
• /
• 2013

Purpose: The purpose of this study was to identify the characteristics and nursing activities of severe trauma patients regarding damaged body parts in Busan Regional Emergency Medical Center. Methods: A survey using a 'trauma patient information questionnaire and a list of nurse activities' was conducted with 133 patients over 15 points ISS on EMR from June 1, 2011 to May 31, 2012. The collected data were analyzed by the SPSS/WIN 12.0 program. Results: Almost all of the subjects were men, and the mean age was 48.8. The amount of road traffic accidents was 60.4%, and the mean RTS and ISS were 6.08, and 23.14 points. Nursing activities in common were airway management, assessment of LOC & GCS, and EKG monitoring. Most of head and neck trauma patients were cared for manasing using intracranial pressure: each patience had the following assessed: pupil size and light reflex, they were checked the leak of CSF, kept $30^{\circ}$ head elevation, and administered medications. Some of chest trauma patients were treated for chest tube and central venous catheter insertion. Partial abdominal trauma patients were administered analgesic and cared for using arterial pressure measurement. Part of the limbs and pelvis trauma patients were given a blood transfusion. Conclusion: Based on the results, the characteristics and nursing activities were specific according to the specific damaged body parts.

• 한국지능시스템학회:학술대회논문집
• /
• 한국퍼지및지능시스템학회 2004년도 추계학술대회 학술발표 논문집 제14권 제2호
• /
• pp.553-559
• /
• 2004

In todays security industry, personal identification is also based on biometric. Biometric identification is performed basing on the measurement and comparison of physiological and behavioral characteristics, Biometric for recognition includes voice dynamics, signature dynamics, hand geometry, fingerprint, iris, etc. Iris can serve as a kind of living passport or living password. Iris recognition system is the one of the most reliable biometrics recognition system. This is applied to client/server system such as the electronic commerce and electronic banking from stand-alone system or networks, ATMs, etc. A new algorithm using nonlinear function in recognition process is proposed in this paper. An algorithm is proposed to determine the localized iris from the iris image received from iris input camera in client. For the first step, the algorithm determines the center of pupil. For the second step, the algorithm determines the outer boundary of the iris and the pupillary boundary. The localized iris area is transform into polar coordinates. After performing three times Wavelet transformation, normalization was done using sigmoid function. The converting binary process performs normalized value of pixel from 0 to 255 to be binary value, and then the converting binary process is compare pairs of two adjacent pixels. The binary code of the iris is transmitted to the by server. the network. In the server, the comparing process compares the binary value of presented iris to the reference value in the University database. Process of recognition or rejection is dependent on the value of Hamming Distance. After matching the binary value of presented iris with the database stored in the server, the result is transmitted to the client.

• 한국화재소방학회논문지
• /
• 제26권3호
• /
• pp.14-20
• /
• 2012

이 연구는 뇌졸중 환자에게 시행되는 환자평가와 응급처치의 실태를 파악하는 연구이다. 구급대에 의해 이송된 뇌졸중환자 123명을 대상으로 하였으며, 수집된 자료는 SPSS 18.0 프로그램을 이용하여 분석하였다. 분석 결과 뇌졸중으로 진단 받은 123명의 환자 중 환자평가는 혈압 73.2 %, 맥박 73.2 %, 호흡 64.2 %, 산소포화도 79.7 %, 공동반응 88.6 %, 심전도 감시 14.6 %, 혈당측정 19.5 %의 시행률을 보였고, 시행된 응급처치로는 기도유지기 삽입 2.4 %, 손으로 조작하는 기도확보 17.1 %, 기관내삽관 2.7 %, 산소공급 35.4 %, 흡인, 정맥로 확보 및 수액투여가 시행된 환자는 아무도 없었다. 전반적으로 의식상태 평가는 적절하였으나 119구급대원에 의해 시행되는 환자평가 및 응급처치는 전반적으로 적절하지 못하였다.

• Journal of Trauma and Injury
• /
• 제33권4호
• /
• pp.207-218
• /
• 2020

The following recommendations are presented herein: All trauma patients admitted to the resuscitation room should be constantly (or periodically) monitored for parameters such as blood pressure, heart rate, respiratory rate, oxygen saturation, body temperature, electrocardiography, Glasgow Coma Scale, and pupil reflex (1C). Chest AP and pelvic AP should be performed as the standard initial trauma series for severe trauma patients (1B). In patients with severe hemodynamically unstable trauma, it is recommended to perform extended focused assessment with sonography for trauma (eFAST) as an initial examination (1B). In hemodynamically stable trauma patients, eFAST can be considered as the initial examination (2B). For the diagnosis of suspected head trauma patients, brain computed tomography (CT) should be performed as an initial examination (1B). Cervical spine CT should be performed as an initial imaging test for patients with suspected cervical spine injury (1C). It is not necessary to perform chest CT as an initial examination in all patients with suspected chest injury, but in cases of suspected vascular injury in patients with thoracic or high-energy damage due to the mechanism of injury, chest CT can be considered for patients in a hemodynamically stable condition (2B). CT of the abdomen is recommended for patients suspected of abdominal trauma with stable vital signs (1B). CT of the abdomen should be considered for suspected pelvic trauma patients with stable vital signs (2B). Whole-body CT can be considered in patients with suspicion of severe trauma with stable vital signs (2B). Magnetic resonance imaging can be considered in hemodynamically stable trauma patients with suspected spinal cord injuries (2B).