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Delayed BioGlue surgical adhesive-induced thoracic myelopathy following spinal meningioma surgery: a case report 脊髓脑膜瘤术后迟发性生物胶手术粘接剂引起的胸椎脊髓病1例报告
Q4 Medicine Pub Date : 2023-10-23 DOI: 10.51638/jksgn.2023.00108
Do-Hyung Kim, Jin-Deok Joo, Jong Kook Rhim, You Nam Chung, Jisoon Huh
After spinal intradural surgery, various types of surgical adhesives are used to ensure watertight dural closure. Among them, BioGlue (CryoLife, USA) is commonly used as a surgical adhesive after surgery for intradural pathology. However, this adhesive can gradually expand by absorbing surrounding fluid, resulting in delayed spinal cord compression and neurological symptoms/signs. In this study, we describe a case of thoracic myelopathy caused by a compressive mass formed after applying BioGlue on the spinal dura at the laminectomy site after spinal meningioma surgery. Keywords: Bio-glue; Meningioma; Spinal cord diseases; Thoracic vertebrae; Neoplasms
脊髓硬膜内手术后,使用各种类型的手术粘接剂来确保硬膜的水密闭合。其中,bioglu (crylife, USA)是硬膜内病理手术后常用的手术粘接剂。然而,这种粘接剂会通过吸收周围的液体而逐渐膨胀,导致脊髓受压延迟和神经症状/体征。在本研究中,我们描述了一例胸椎脊髓病的病例,在脊髓脑膜瘤手术后,在椎板切除术部位的硬脊膜上应用生物胶后形成压缩团块。关键词:Bio-glue;脑膜瘤;脊髓疾病;胸椎;肿瘤
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引用次数: 0
Essential tremor in geriatric patients 老年特发性震颤患者
Q4 Medicine Pub Date : 2023-10-18 DOI: 10.51638/jksgn.2023.00038
Moo Seong Kim, Se Young Pyo, In Cheol Seo
deficiencies
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引用次数: 0
A Study on Reasonable Plans for Improving the Calculation Method of Reconstruction Levy 改进重建征费计算方法的合理方案研究
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.37407/kres.2023.41.3.5
Jeong Kyu Kim, Jae Hong Hwang, Myeong Hun Lee
The purpose of this study is to examine how excessive the reconstruction levy is in the reconstruction maintenance project, what the cause of such excessive charge is calculated, and to study the solution. The development levy and reconstruction levy of the development levy system, which became the basis of the reconstruction levy system, are very similar in purpose, nature, and calculation method, but the difference in actual burden is excessive, raising concerns about equity and balance. In this regard, this study examines the contents of unreasonable charges through literature analysis and case analysis of reconstruction project areas in Seoul and Gyeonggi-do, where reconstruction charges are scheduled to be imposed recently, and proposes solutions from various aspects. The reconstruction levy is generally high regardless of regional factors, such as Seocho, Gangnam, and non-Gangnam areas, complex size, and apartment price level. It needs to be rationally improved. In order to reasonably calculate the reconstruction levy, various measures were proposed to ensure objectivity and fairness by matching the calculation standards and market price reflection rate of the housing price at the start and end of the reconstruction, and by calculating through a specialized institution. In the current real estate market, which is suffering from serious side effects due to the lack of supply of newly built apartments, we hope to achieve the goals of stabilizing real estate prices, sound development of the national economy, and social integration through institutional improvements.
本研究的目的是探讨在重建维修工程中,重建征费有多超量,超量收费的计算原因是什么,并研究解决方法。成为重建课税制度基础的开发课税制度中的开发课税和重建课税在目的、性质、计算方法等方面非常相似,但实际负担的差别过大,令人担心公平性和平衡性。为此,本研究通过文献分析和对近期即将征收重建费的首尔和京畿道重建地区的案例分析,对不合理收费的内容进行了分析,并从多个方面提出了解决方案。一般来说,无论瑞草、江南、非江南等地区、小区规模、公寓价格高低,重建税都很高。它需要理性地改进。为了合理计算重建征费,通过匹配重建开始和结束时房价的计算标准和市场价格反映率,并通过专门机构进行计算,提出了各种确保客观性和公平性的措施。在新建公寓供应不足、副作用严重的房地产市场,我们希望通过完善制度,达到稳定房地产价格、促进国民经济健康发展、促进社会融合的目的。
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引用次数: 0
Accuracy and safety of deep brain stimulation assisted by a neurosurgical robot attachable to the operating table 附在手术台上的神经外科机器人辅助的深部脑刺激的准确性和安全性
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.52662/jksfn.2023.00052
Subin Cheon, Inje Jo, Jinyoung Youn, Jin Whan Cho, Kyung Rae Cho, Jung-Il Lee
Objective: Neurosurgical robots have recently been introduced to assist in guiding trajectories to achieve accurate targeting. This study investigated the accuracy of robot-assisted deep brain stimulation (DBS) compared with conventional DBS using the Leksell arc system.Methods: Between October 2020 and September 2021, 29 patients underwent DBS using the Leksell arc system, while from October 2021 to August 2022, 20 patients underwent DBS using a neurosurgical robot system (KYMERO; Koh Young Technology). Radial errors, total operative time (surgery time, preparation time), and clinical outcomes were compared between both groups through a retrospective analysis. Results: Radial errors were significantly smaller in robot-assisted DBS (1.63±0.39 mm vs. 1.01±0.39 mm, p<0.01). Furthermore, the error of the second implantation was smaller than in the Leksell DBS group (0.216 vs. 0.005 mm, p<0.001). The total operative time of DBS with Leksell frame was 3.47 hours (range, 2.38-5.85 hours) and the surgery time was 2.21 hours (range, 1.08-4.67 hours), while the total operative time in the robot group was 3.92 hours (range, 2.75-5.85 hours) and the surgical time was 2.60 hours (range, 1.02-4.67 hours) (p=0.055, p=0.258, respectively). The clinical outcome did not show a significant difference according to the surgical method.Conclusion: DBS with a robot-assisted system enables the accurate and consistent insertion of DBS electrodes with a lower error rate than the conventional method.
目的:神经外科机器人最近被引入,以协助指导轨迹,以实现准确的目标。本研究探讨了机器人辅助深部脑刺激(DBS)与使用Leksell弧系统的常规DBS的准确性。方法:在2020年10月至2021年9月期间,29名患者使用Leksell arc系统接受了DBS,而在2021年10月至2022年8月期间,20名患者使用神经外科机器人系统(KYMERO;高扬科技)。通过回顾性分析比较两组患者桡骨误差、总手术时间(手术时间、准备时间)及临床结果。结果:机器人辅助DBS的径向误差明显较小(1.63±0.39 mm vs 1.01±0.39 mm, p<0.01)。此外,第二次植入的误差小于Leksell DBS组(0.216 vs. 0.005 mm, p<0.001)。Leksell框架DBS的总手术时间为3.47小时(范围,2.38 ~ 5.85小时),手术时间为2.21小时(范围,1.08 ~ 4.67小时),机器人组的总手术时间为3.92小时(范围,2.75 ~ 5.85小时),手术时间为2.60小时(范围,1.02 ~ 4.67小时)(p=0.055, p=0.258)。不同手术方式的临床结果无明显差异。结论:机器人辅助的DBS系统能使DBS电极的插入准确一致,错误率低于常规方法。
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引用次数: 0
Development of Real Estate Brokerage Services Using Chatbot 利用聊天机器人开发房地产经纪服务
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.37407/kres.2023.41.3.97
Jin Kim
Chatbot is a program that, uses artificial intelligence technology to communicate with users through natural language processing. The chatbot provides, an interactive interface and may provide an appropriate response to a user's question or request. This can facilitate communication between users and businesses, and reduce, manpower and costs. First, the convenience of real estate brokerage services can be improved by utilizing artificial intelligence technology of chatbots. Second, a more professional real estate brokerage service can be provided by combining chatbots and real estate experts. Third, by using, artificial intelligence technology of chatbots, customers' preferences can be identified and customized services tailored to them can be provided. Recently, real estate brokerage services, using chatbot have, been rapidly developing. Among the various development measures, improving real estate brokerage services using artificial intelligence technology of chatbot is one of the most likely measures. Therefore, the real estate brokerage industry needs to actively introduce chatbot technology to provide more, advanced services. For this reason, the purpose of this paper is to promote the, safety of real estate brokerage services using chatbot and the community of users so that real estate brokerage services can be further developed.
聊天机器人是一种利用人工智能技术通过自然语言处理与用户进行交流的程序。聊天机器人提供一个交互界面,并可能对用户的问题或请求提供适当的响应。这样可以方便用户和企业之间的沟通,减少人力和成本。 首先,利用聊天机器人的人工智能技术,可以提高房地产经纪服务的便利性。其次,通过聊天机器人和房地产专家的结合,可以提供更专业的房地产经纪服务。第三,通过使用聊天机器人的人工智能技术,可以识别客户的偏好,并为他们提供量身定制的服务。 最近,利用聊天机器人的房地产经纪服务得到了迅速发展。在各种发展措施中,利用聊天机器人的人工智能技术改善房地产经纪服务是最有可能的措施之一。因此,房地产经纪行业需要积极引入聊天机器人技术,提供更多、更先进的服务。 因此,本文的目的是利用聊天机器人和用户社区来促进房地产经纪服务的安全性,从而使房地产经纪服务得到进一步发展。
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引用次数: 0
A case report of deleterious SGCE myoclonus: dystonia successfully treated with pallidal deep brain stimulation 苍白质深部脑刺激成功治疗恶性SGCE肌阵挛:肌张力障碍1例
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.52662/jksfn.2023.00045
Hyuk Jang, Ryoong Huh, Il Jang
SGCE (epsilon (ε)-sarcoglycan gene) myoclonus-dystonia (SGCE M-D) is a pleiotropic neuropsychiatric disorder with an autosomal dominant mode of inheritance, variable severity, and incomplete penetrance. There have been few reports of patients with SGCE M-D who have been successfully treated with deep brain stimulation (DBS). This case report presents a missense mutation (c.289>T) inherited in a Northeastern Asian family affected by SGCE M-D. The individuals with the condition exhibited clinical manifestations of generalized myoclonus accompanied by sustained cervical dystonia. A 38-year-old woman had a history of generalized dystonia myoclonus with paroxysmal jerks for the past 10 years. The symptoms gradually worsened over the years, affecting her entire body and interfering with most of her daily activities. Genetic testing identified a single base deletion in exon 3 of the SGCE gene, which was considered the genotype underlying her phenotypic symptoms. After failed attempts with oral medications as an outpatient, she underwent DBS targeting the globus pallidus internus (GPI). Her symptoms significantly improved after the activation of the stimulator. Our case supports the beneficial effect of GPI-targeted DBS in patients who are unresponsive to oral medications and have a genetically confirmed M-D phenotype.
SGCE (ε)-肌聚糖基因)肌阵挛-肌张力障碍(SGCE M-D)是一种多效性神经精神疾病,具有常染色体显性遗传模式、不同的严重程度和不完全外显性。很少有SGCE M-D患者通过深部脑刺激(DBS)成功治疗的报道。本病例报告提出了一个受SGCE M-D影响的东北亚家庭遗传的错义突变(c.289>T)。患者的临床表现为全身性肌阵挛并伴有持续的宫颈肌张力障碍。一位38岁的女性,在过去的10年里,有全身性肌张力障碍和阵发性抽搐的病史。多年来,症状逐渐恶化,影响了她的整个身体,并干扰了她的大部分日常活动。基因检测发现SGCE基因外显子3有一个单碱基缺失,这被认为是其表型症状的基因型。在门诊尝试口服药物治疗失败后,她接受了针对内苍白球(GPI)的DBS治疗。刺激器激活后,她的症状明显好转。我们的病例支持gpi靶向DBS对口服药物无反应且具有遗传证实的M-D表型的患者的有益作用。
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引用次数: 0
Microvascular decompression for hemifacial spasm: results from 23 years at a single institution 微血管减压治疗面肌痉挛:来自同一机构23年的结果
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.52662/jksfn.2023.00073
Ha-Young Choi, Eun-Jeong Koh
Objective: Hemifacial spasm (HFS) is characterized by unilateral tonic and/or clonic contractions of the facial muscles. The most frequent cause of HFS is neurovascular focal compression of the root exit zone of the facial nerve. Microvascular decompression (MVD) works well, with effects that last almost permanently. We analyzed the surgical outcomes and complications from the last 23 years at our institution. Methods: This study analyzed 244 patients who underwent MVD between June 1998 and July 2021. All patients were followed up for more than 24 months. The preoperative image workups were brain magnetic resonance imaging, magnetic resonance angiography, and constructive interference in steady state (from 2009 onwards). Starting in July 2012, intraoperative monitoring was performed. Surgery was performed through the retrosigmoid approach by a single neurosurgeon. Results: Out of 244 patients, 160 were female and 84 were male. The average age was 53.8 years (range, 19–78 years). In total, 226 patients (92.6%) completely recovered from HFS, two patients (0.8%) underwent reoperation, and complications occurred in 16 patients (6.6%). In 61 patients with preoperative facial palsy on the affected side, palsy improved in 56 patients (91.8%) and 12 patients (19.7%) had thick arachnoid membranes.Conclusion: MVD has a durable effect on the improvement of HFS and may also improve HFS and concomitant palsy if preoperative facial palsy is present. Therefore, it is thought to be a treatment method that can be actively recommended to patients.
目的:面肌痉挛(HFS)以单侧面肌强直性和/或阵挛性收缩为特征。最常见的原因是面神经根出口区神经血管局灶性压迫。微血管减压(MVD)效果很好,效果几乎是永久性的。我们分析了我院过去23年的手术结果和并发症。方法:本研究分析了1998年6月至2021年7月期间接受MVD治疗的244例患者。所有患者均随访24个月以上。术前影像学检查为脑磁共振成像、磁共振血管造影和稳态建设性干涉(2009年起)。2012年7月开始术中监测。手术由一名神经外科医生通过乙状窦后入路进行。结果:244例患者中,女性160例,男性84例。平均年龄53.8岁(范围19 ~ 78岁)。HFS完全康复226例(92.6%),再次手术2例(0.8%),发生并发症16例(6.6%)。61例患侧面瘫患者术前面瘫改善56例(91.8%),蛛网膜增厚12例(19.7%)。结论:MVD对HFS的改善有持久的作用,并可改善术前面瘫患者的HFS和伴发性麻痹。因此,它被认为是一种可以积极推荐给患者的治疗方法。
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引用次数: 0
Determinants of Housing Price by Region of Seoul 首尔各地区房价的决定因素
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.37407/kres.2023.41.3.173
U-hui Lee, Hae Jung Chun
This study conducted empirical analysis using the hedonic price model to examine regional differences in the determinants of housing prices among the representative examples of decoupling phenomena in inter-regional housing price movements, namely, “Gangnam 3-gu”, “Nodogang”, and “Mayongseong”, from 2017 to 2022. In the analysis results, the Gangnam 3-gu emerged as the region with the highest housing prices. It was observed that the longer the elapsed years, the more the anticipation of reconstruction was reflected in housing prices for older apartments. Additionally, a strong preference for convenient living facilities and an excellent educational environment was evident, indicating a dual focus on residential convenience and investment purposes. On the other hand, the Nodogang region had the lowest housing prices. The elapsed years were found to be significant only beyond a certain generational threshold. Preference for living convenience facilities showed contrasting results compared to the Gangnam 3-gu. Furthermore, the importance of proximity to subway stations was highlighted, indicating anticipation for reconstruction alongside the significance of convenient public transportation in this region. The Mayongseong region fell into the category of higher housing prices. It consisted relatively of newly constructed apartments, and the preference leaned more towards a pleasant residential environment rather than anticipation for reconstruction. This area exhibited a lower connectivity to subway stations, and there was a preference for a close proximity to local markets. In terms of pursuing residential convenience, it displayed similarities to the Gangnam 3-gu.
本研究以2017 - 2022年“江南3区”、“老道港”和“马城城”三个具有代表性的区域间房价走势脱钩现象为研究对象,运用hedonic价格模型对房价决定因素的区域差异进行实证分析。 分析结果显示,江南3区是房价最高的地区。据观察,时间越长,旧公寓的房价反映出的重建期待越多。此外,人们对便利的生活设施和良好的教育环境有强烈的偏好,这表明人们对居住便利和投资目的的双重关注。 相反,住宅价格最低的地区是老道港地区。研究发现,过去的岁月只有在超过某一代人的阈值之后才有意义。对生活便利设施的偏好与江南3区截然不同。此外,强调了靠近地铁站的重要性,表明了对重建的期待,以及该地区便利的公共交通的重要性。 马城地区属于房价上涨地区。它由相对新建的公寓组成,人们更倾向于一个舒适的居住环境,而不是对重建的期望。该区域与地铁站的连通性较低,并且更倾向于靠近当地市场。在追求居住便利性方面,它与江南3区有相似之处。
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引用次数: 0
The Effect of Settlement District on the Price of Row houses: Focused on Jeju-do 居住区对排屋价格的影响——以济州岛为例
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.37407/kres.2023.41.3.195
Young Jun Yang
In this study, the effect of settlement district on the price and price increase rate of the row houses in Jeju-do was analyzed. In the price determinants of row houses, the larger the area of exclusive use space and the higher the living floor, the higher the price, and the lower the price over time. The total floor area of the row house complex and the number of parking spaces per household have a positive effect on the price, and the larger the remaining building-to-land ratio, the lower the price. The price of row houses in Seogwipo-si is higher than that of Jeju-si, the price of row houses in the settlement district is higher than that of non-settlement district, and there is a price difference depending on the adjacent road. In the price increase determinants of row houses, the area of exclusive use space did not affect the price increase, and the longer the construction is completed, the larger the total floor area, and the higher the number of parking per household, the higher the price increase rate. There was no difference between Jeju-si and Seogwipo-si in terms of price increase determinants, and row houses in the settlement district had a higher price increase rate than non-settlement district, and adjacent road did not affect the price increase rate. Through the results of this study, it is necessary to review the reflection of the price magnification for the settlement district when calculating individual land prices and development charges. In addition, row house consumers need to check whether it is a settlement district.
本研究以济州岛为例,分析了住区区域对排屋价格及价格涨幅的影响。 在联排住宅的价格决定因素中,专用空间面积越大,居住楼层越高,价格越高,随着时间的推移价格越低。联排住宅的总建筑面积和每户停车位数量对价格有正向影响,剩余建筑用地比越大,价格越低。西归浦市的排屋价格高于济州市,定居区排屋价格高于非定居区排屋价格,并且根据相邻道路的不同存在价格差异。 在排屋价格上涨的决定因素中,专用空间面积不影响价格上涨,而且施工完成时间越长,总建筑面积越大,每户停车数量越高,价格上涨率越高。济州市和西归浦市的价格上涨决定因素没有差异,定居区联排住宅的价格上涨率高于非定居区,相邻道路不影响价格上涨率。 通过本研究的结果,有必要回顾在计算个别土地价格和开发费用时,价格放大对聚落地区的反映。此外,排屋消费者需要查看是否为落户小区。
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引用次数: 0
An exploratory study on the application of a work-integrated learning model in university: Focusing on real estate and tourism major 工学结合学习模式在高校应用的探索性研究——以房地产与旅游专业为例
Q4 Medicine Pub Date : 2023-09-30 DOI: 10.37407/kres.2023.41.3.149
Hae Yong Jung
This study was conducted to develop a work-integrated learning model to intentionally link and integrate students' work experiences in future job sites and university curriculum, and to propose application plans focusing on real estate and tourism majors. To achieve this research purpose, theoretical and practical prior studies and domestic and foreign cases of work-integrated learning were reviewed, and based on this, a work-integrated learning model consisting of four types: a full-course integrated model, a specific area advanced model, a specific topic-oriented model, and a multi-process diversification model was proposed. Due to the nature of the major as a specific integrated learning application plan, the real estate major was presented as a specific topic-oriented model, and the tourism major was presented as a full-course integrated model. The implication of this study is that it presented a work-integrated learning model that can be implemented in universities and specific application plans centered on real estate and tourism majors. The limitation of this study is that there is no related research in Korea, so it is presented as an exploratory study, and future studies will require research on effective detailed program application and evaluation methods for each integrated learning model.
本研究旨在建立工作整合学习模式,有意地将学生在未来工作场所的工作经验与大学课程联系和整合,并提出以房地产和旅游专业为重点的应用方案。为实现这一研究目的,在回顾前人理论和实践研究以及国内外工作集成学习案例的基础上,提出了由四种类型组成的工作集成学习模式:全课程集成模式、特定领域先进模式、特定主题导向模式和多流程多元化模式。由于该专业是一个具体的综合学习应用计划,因此将房地产专业作为一个具体的主题导向模式来呈现,将旅游专业作为一个全课程整合模式来呈现。本研究的意义在于提出了一种可以在高校实施的工作整合学习模式,以及以房地产和旅游专业为中心的具体应用方案。本研究的局限性在于国内没有相关研究,因此属于探索性研究,未来的研究还需要对每种综合学习模式的有效的详细程序应用和评估方法进行研究。
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引用次数: 0
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Korean Journal of Dermatology
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