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갑상선 절제 수술 후 Guardix-SG<SUP>Ⱂ</SUP>의 유착방지 효과
박재현,정종주,강상욱,남기현,장항석,정웅윤,박정수,Jae Hyun Park,M.D.,Jong Ju Jeong,M.D.,Sang Wook Kang,M.D.,Kee Hyun Nam,M.D.,Hang Seok Chang,M.D.,Woong Youn Chung,M.D. and Cheong Soo Park,M.D. 대한갑상선-내분비외과학회 2009 The Koreran journal of Endocrine Surgery Vol.9 No.3
Purpose: Postoperative adhesion of the surgical field seems to be troublesome not only to the patients, but also to the surgeons. Guardix-SG<SUP>Ⱂ</SUP> is a poloxamer/alginate mixture that reduced the incidence of postoperative adhesions when it is added to the abdominal surgery in animal models and also in clinical trials. This study was a randomized, prospective, double-blinded study to evaluate the antiadhesive efficacy and safety of Guardix-SG<SUP>Ⱂ</SUP> after total thyroidectomy. Methods: A total of 89 patients who underwent total thyroidectomy between July 2008 and February 2009 in Severance Hospital and Gang-Nam Severance Hospital were randomized to either the Guardix-SG<SUP>Ⱂ</SUP> treatment group (n=45) or the non-treatmentcontrol group (n=44). The patients were asked about their clinical symptoms (hypesthesia or paresthesia on the operative site (SN) and swallowing discomfort (SW)) by using a questionnaire, and the swallowing function was evaluated using Marshmallow Esophagography by one physician. The clinical symptoms and Marshmallow Esophagography were scored according to the results of assessment. The most severe state was scored as 0 and normal was scored as 3. Results: The scores of the clinical symptoms (SN and SW) were 2.67 and 2.49 in the treatment group, and 2.09 and 1.80 in the control group, respectively, at the postoperative 6th week (P=0.001, <0.001). The scores of the Marshmallow Esophagography were 2.93 in the treatment group and 2.73 in the control group (P=0.033). Abnormal findings were seen in 2 patients (4.4%) in the treatment group and in 10 patients (22.7%) in the control group (P=0.014). Conclusion: Guardix-SG<SUP>Ⱂ</SUP> seems to be effective in preventing adhesion after thyroidectomy. Further studies involving a larger number of subjects will be needed to make an application guideline. (Korean J Endocrine Surg 2009;9: 127-132)
박재현,우보명,김우룡,안현철,조현서,추갑철,김춘식,최형태,Park, Jae-Hyeon,Woo, Bo-Myeong,Kim, Oue-Ryong,Ahn, Hyun-Chul,Cho, Hyun-Seo,Choo, Gab-Chul,Kim, Choon-Sig,Choi, Hyung-Tae 한국환경복원기술학회 2001 한국환경복원기술학회지 Vol.4 No.3
This study was conducted to investigate physicochemical property changes from July 1998 to August 2001 in Mt. Bukhansan National Park. Four water sampling points were selected to measure the quality of stream water in the northeastern part of the Mt. Bukhansan National Park. The results were summarized as follows; In spring, the average pH of stream water was below the first class of the river water quality standard, while it was normal level in summer. The average electrical conductivity was about 2.3~3.3 times higher in downstream water than in upstream water during spring and summer. The contents of anions($Cl^-$, $NO{_3}^-$, $SO{_4}^{2-}$) were about 1.1~7.4 and 0.4~11.4 times higher in downstream than in upstream water, respectively. These results indicate that water quality was poorer in downstream than in upstream water. We suggest that stream water in the Mt. Bukhansan National Park should be protected from impacts of snow melting mineral particles in spring season and human impacts like wastewater of point source in summer season.
Homocysteine과 혈중(血中) 지질농도(脂質濃度)와의 상관성(相關性) 연구(硏究)
박재현,황우준,조남근,김성철,고영철,Park, Jae-Hyun,Hwang, Woo-Jun,Cho, Nam-Geun,Kim, Sung-Chul,Ko, Young-Chul 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.3
Object : This study was carried out to investigate the correlation between homocysteine and serum lipids which are known risk factors of stroke. Methods : The subjects were a total of 60 patients divided into a control group (n =30) and a sample group (n =30). The control group was normal homocysteine level without clinical symptoms, and the sample group was high homocysteine level with headache, dizziness, hypertension and so on. clinical symptoms, Each group was measured and compared for serum homocysteine, total cholesterol, triglyceride(TG), low density lipoprotein(LDL), and high density lipoprotein(HDL). Results : Total cholesterol, TG, and LDL were significantly increased and HDL was significantly decreased in the sample group. which was a high homocysteine level group compared with the control group, which was a normal homocysteine level group. Conclusion : In these results. it was suggested that increase of homocysteine leads to increase of serum total cholesterol, TG, LDL, but causes decrease of HDL. It seemed that risk of stroke is more at high homocysteine level than normal.
박재현,김정훈,안성철,이주형,정문경,곽기석,Park,Jae-Hyun,Kim,Jeong-Hun,An,Seong-Chul,Lee,Ju-Hyung,Chung,Moon-Kyung,Kwak,Ki-Seok 한국방재학회 2008 한국방재학회논문집 Vol.8 No.2
홍수 시 세굴로 인한 교량 기초의 파괴는 국내외적으로 교량 붕괴의 첫 번째 원인이다. 본 연구에서는 수도권 지역의 실제 국도교량에 대하여 세굴 위험도 평가 및 등급화를 수행하였다. 30개소 교량을 선정하여 지반 시추조사를 포함한 현장조사, 설계 홍수량에 대한 교량세굴 해석, 그에 따른 교량기초의 지지력 평가 및 위험도 분석을 하였고, 이를 바탕으로 교량세굴 위험도를 등급화 하였다. 위험도 평가 결과 직접확대기초 교량 26개소 중 9개소 교량이 장래 세굴 위험 가능성이 있는 것으로 나타났고, 나머지 17개소 교량은 안정한 수준으로 나타났다 말뚝기초 교량 4개소 중 3개소의 교량이 유의할 만한 수준으로 지지력이 감소하는 것으로 평가되었다. Foundation failure due to bridge scour during floods is the leading cause of bridge failure. Performed were the evaluation of bridge scour vulnerability and prioritization on real bridges registered in the National Highway Bridge Inventory of the capital region. The case studies for 30 national highway bridges consist of site investigation including boring test, bridge scour analysis fur the design flood, bearing capacity evaluation of the bridge foundation before and after scour, comprehensive evaluation of bridge scour vulnerability, and prioritization. Nine of 26 spread (feting bridges showed the potential future vulnerability to scour with significant decrease in the bearing capacity of foundations due to scour and the remaining 17 spread footing bridges were expected to maintain their stability to resist the effects of scour. Three of 4 pile foundation bridges exhibited considerable decrease in the bearing capacity of foundation after scour.
박재현,이주형,정문경,곽기석,Park. Jae-Hyun,Lee. Ju-Hyung,Chung. Moon-Kyung,Kwak. Ki-Seok 한국방재학회 2008 한국방재학회 학술발표대회논문집 Vol.2008 No.1
Scour vulnerability evaluation for shallow foundations was performed to assure bridge safety against scour in the national capital region. The case studies for 26 shallow foundations consisted of site investigation including boring test, bridge scour analysis for the design flood, bearing capacity evaluation of the bridge foundation before and after scour, and comprehensive evaluation of bridge scour vulnerability. Bridge scour vulnerability was determined based on the interdisciplinary concept considering predicted scour depth for the design floods and bearing capacity of foundation as well as dimensions of foundation. Nine of 26 shallow foundations showed the potential future vulnerability to scour with significant decrease in the bearing capacity of foundations due to scour and the remaining 17 were expected to maintain their stability against scour.
백운산 지역에서 계류수의 이화학적 성질에 미치는 양어장의 영향(II)
박재현,우보명,김우룡,안현철,Park, Jae-Hyeon,Woo, Bo-Myeong,Kim, Oue-Ryong,Ahn, Hyun-Chul 한국환경복원기술학회 2001 한국환경복원기술학회지 Vol.4 No.1
Quantifications of fish farm influences on stream water quality may provide basic informations on watershed management to reduce environmental impact due to fish farm development and to conserve stream water quality in forested watershed area. In this research stream water qualities around Mt. Paekun area were monitored seasonally and the following results were obtained. Due to the increase of pH in effluent water from the fish farm it was believed that alkalization of stream water can be accelerated by large scale development of fish farms in the forested watershed area. Negative effects on stream water quality were observed by indications of increase in electrical conductivity and temperature of effluent water from the fish farm. Decreases in physicochemical indices such as the amount of dissolved oxygen, percentage of dissolved oxygen, total amount of cation, total amount of anion and total amount of ion in effluent water from the fish farm were also negative aspects in downstream ecology. It is recommended that water purification system as well as eco-friendly fish farm design should be incorporated to large scale fish farm development plan in forested watershed area.
얇은 정사각형 용기 내의 스핀-업 유동에 관한 수치해석적 연구
박재현,서용권,Park, Jae-Hyun,Suh, Yong-Kweon 대한기계학회 2002 大韓機械學會論文集B Vol.26 No.7
Spin-up is a transient flow phenomenon occurring in a container when it starts to rotate from rest or its rotational speed increases from a low to high value. However, most studies on this subject have been for two-dimensional approximation. In this study, spin-up flows in a shallow rectangular container are analysed by using three-dimensional computation. We compared our results with those obtained by others using basically two-dimensional computation. Effect of two parameters, Reynolds number and liquid depth on the flow evolution is studied. We found that 2-D result is not accurate enough, and the vertical velocity distribution should be assumed of a fourth-order polynomial function for a better comparison.
폴리머를 이용한 CIS(CMOS Image Sensor) 디바이스용 웨이퍼 레벨 접합의 warpage와 신뢰성
박재현,구영모,김은경,김구성,Park, Jae-Hyun,Koo, Young-Mo,Kim, Eun-Kyung,Kim, Gu-Sung 한국마이크로전자및패키징학회 2009 마이크로전자 및 패키징학회지 Vol.16 No.1
본 논문에서는 웨이퍼 레벨 기술을 이용한 CIS용 폴리머 접합 기술을 연구하고 접합 후의 warpage 분석과 개별 패키지의 신뢰성 테스트를 수행하였다. 균일한 접합 높이를 유지하기 위하여 glass 웨이퍼 상에 dam을 형성하고 접합용 폴리머 층을 patterning하여 Si과 glass 웨이퍼의 접합 테스트를 수행하였다. Si 웨이퍼의 접합온도, 접합 압력 그리고 접합 층이 낮을수록 warpage 결과가 감소하였으며 접합시간과 승온 시간이 짧을수록 warpage 결과가 증가하는 것을 확인하였다. 접합 된 웨이퍼를 dicing 하여 각 개별 칩 단위로 TC, HTC, Humidity soak의 신뢰성 테스트를 수행하였으며 warpage 결과가 패키지의 신뢰성 결과에 미치는 영향은 미비한 것으로 확인되었다. In this paper, the polymer adhesive bonding technology using wafer-level technology was investigated and warpage results were analyzed. Si and glass wafer was bonded after adhesive polymer layer and dam pattern for uniform state was patterned on glass wafer. In this study, warpage result decreased as the low of bonding temperature of Si wafer, bonding pressure and height of adhesive bonding layer. The availability of adhesive polymer bonding was confirmed by TC, HTC, Humidity soak test after dicing. The result is that defect has not found without reference to warpage.
박재현,Park, Jae-Hyun 대한한방내과학회 1998 大韓韓方內科學會誌 Vol.19 No.2
This study was performed on the bases of clinical consideration about patient who has malaria. The symptoms of malaria are periodic alternating of chills and fever on everyone, two or three days. The patients feel a chill at the first time of malaria, and have a fever, headache and sweating at the next time. The long cycle of malarial fever such as every 2 or 3 days means that it takes a turn for the worse. In this study, oriental medicine was taken based on the oriental medicine principle such as Dalwonum(達原飮), Sosihotang(小柴胡湯) and Bojungikgitang(補中益氣湯), and the patients take a turn for the better. In the process of treatment if there is no fever in the expected date of the malarial fever, it is sure to have fever in the next expected date. It is favorable that patients lose the chills first and the fever lately in the process of treatment, and we can explain that supporting healthy energy to eliminate evil(扶正祛邪). The long cycle of malarial fever such as every 4, 6 or 9 days means that it is just before the recovery.