발달성 고관절 이형성증의 도수 정복술 후 비구 재형성 및 절골술의 역할

학위논문 (석사)-- 서울대학교 대학원 의과대학 의학과, 2017. 8. 조태준.Introduction: The purposes of this study were to evaluate acetabular remodeling after closed reduction of developmental dysplasia of the hip (DDH) and to delineate the role of osteotomy. Materials and Methods: Eighty-four hips with DDH treated with closed reduction and followed until the patient was 8 years of age or older were included in this study. The mean age at closed reduction was 14.0 months (range, 3 to 30 months) and that at the latest follow-up visit was 12.7 years (range, 8.0 to 24.7 years). Osteotomy was performed in 26 hips (31%) during the follow-up period, at an average age of 2.8 years (range, 2.0 to 5.8 years). The acetabular index (AI) and center-edge angle (CEA) were measured, and osteonecrosis was graded. The treatment outcome was evaluated as satisfactory (Severin grade I or II) or unsatisfactory (III or IV). We retrospectively analyzed the associations among radiographic parameters, performance of osteotomy, grade of osteonecrosis, and Final outcome. Results: A satisfactory outcome was observed in 67 (80%) of the 84 hips. An osteotomy was not performed in 30 of 34 hips with an AI of 14° at the age of 3 years, and 28 (93%) of these 30 hips showed a satisfactory outcome. Of the 33 hips with an AI of ≥32° and a CEA of ≤14° at the age of 3 years, the 20 that had undergone an osteotomy showed a higher proportion of satisfactory outcomes than the 13 hips that had not (p = 0.01). Three of the 4 hips that showed an unsatisfactory outcome following an osteotomy had an AI of ≥34° at 1 year post-osteotomy. Grade-II, III, or IV osteonecrosis, according to the Bucholz-Ogden classification, developed in 10 of the 84 hips, and these 10 hips had a higher proportion of unsatisfactory outcomes than did those that developed no or grade-I osteonecrosis (p = 0.004). Conclusion: Hips with DDH showing poor acetabular remodeling after closed reduction may benefit from osteotomy. The AI and CEA at the age of 3 years can serve as one of the guidelines for osteotomy. Continued surveillance for acetabular remodeling is required even after osteotomy.Introduction 1 Materials and Methods 3 Results 9 Discussion 19 References 25 Abstract in Korean 32Maste

서울시 산학연 협력사업 지원체계 구축방안(The implementation of Seoul's industries-universities-institutions cooperative research program)

노트 : 이 보고서의 내용은 연구진의 견해로서 서울특별시의 정책과는 다를 수도 있습니다

서울 바이오산업 육성 방안(The promotion strategy of Seoul biotechnology industry)

노트 : 이 보고서의 내용은 연구진의 견해로서 서울특별시의 정책과는 다를 수도 있습니다

The Effects of β3-adrenergic receptor gene polymorphisms on metabolism regulatory hormone and body composition

학위논문(박사)--서울대학교 대학원 :체육교육과,2002.Docto

Personal identification by DNA typing in Korean : evaluation of mutation in parentage testing

학위논문(박사)--서울대학교 대학원 :의학과 법의학전공,1998.Docto

에어로빅스 트레이닝이 지질대사에 미치는 영향

학위논문(석사)--서울대학교 대학원 :체육교육과,1995.Maste

A Study on Determinants of a Surgery Hospital after Cancer Diagnosis at a Medium-Sized General Hospital in the Metropolitan Area

이 연구는 암 진단을 받은 중소규모 종합병원에서 암 수술을 결정하는 데 영향을 미치는 요인을 파악하기 위해 진행하였다. 연구대상은 수도권 소재의 400병상 규모 종합병원에서 2013년 11월에서 2019년 10월 사이에 암으로 진단된 1,530건이다. 연구대상자의 환자 특성, 암종류 및 진료경험 특성과 진단받은 병원에서 암 수술 결정에 영향을 미치는 요인을 파악하기 위해 다중로지스틱회귀분석을 시행하였다. 암으로 진단된 1,530건 중 연구대상병원에서 수술한 건은 353건(23.1%)이며, 암 수술을 결정하는 데 영향을 미치는 요인으로는 연령 증가(OR=1.01), 건강보험환자에 비해 의료급여환자(OR=1.81), 위암 환자에 비해 대장암 환자(OR=2.38), 방광·신장암 환자(OR=1.79), 검진에 비해 증상 없이 우연히 발견된 환자(OR=1.87)가 연구대상병원에서 수술 가능성이 높았다. 유방암 환자는 위암 환자에 비해 연구대상병원에서 수술 가능성이 낮았다(OR=0.33). 이러한 관련 요인들은 환자의 의료기관 접근성과 관련된 요인들로서 고령이면서 사회경제적 수준이 낮고, 암검진의 기회가 적은 환자의 경우 중소규모 종합병원을 선택할 가능성이 높다는 점을 시사한다. 그러므로 중소규모 종합병원에서도 암환자를 치료하기 위한 역량을 강화하는 것이 중요하다. This study aimed to identify factors affecting decisions on cancer surgery in a medium-sized general hospital where patients were diagnosed with cancer. The subjects of this study were 1,530 cancer diagnosis cases between November 2013 and October 2019 at a 400-bed general hospital located in the metropolitan area. Multiple logistic regression analysis was performed to identify the patient characteristics, cancer type, treatment experience characteristics of the subjects of this study, and factors affecting their decision to have cancer surgery at the hospital where the diagnosis was made. Of the 1,530 cases diagnosed as cancer, 353 cases (23.1%) were operated at the hospital subject to this study. As factors that influenced the decision on cancer surgery, the probability of obtaining cancer surgery at the study subject hospital was higher in the case of older age (OR=1.01), patients receiving Medical Aid than patients subscribed to National Health Insurance (OR=1.81), colorectal cancer patients than stomach cancer patients (OR=2.38), bladder and kidney cancer patients (OR=1.79), and patients whose diagnosis was incidentally found than patients whose cancer was found by screening (OR=1.87). In addition, breast cancer patients were less likely to have surgery at the study subject hospital than gastric cancer patients (OR=0.33). As factors related to patient access to medical institutions, these relevant factors suggest that elderly patients with a low socioeconomic level and low opportunities for cancer screening are more likely to select a medium-sized general hospital. Thus, it is crucial to enhance the competency of medium-sized general hospitals as well to treat cancer patients.open석

Microelectronic system 신뢰도 예측에 관한 연구

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