외경 0.25mm 의 동맥문합에 있어서 항혈전제의 효과

전대우,강진성,한기환 啓明大學校 醫科大學 1988 계명의대학술지 Vol.7 No.2

In 1960, Jacobson and Suarez reported a 100 per cent patency rate following the anastomoses of vessels which were 1.6 to 3.2 mm in diameter. This report speeded modern-day microvascular surgery up for the last 20 years. High patency rate is reported in microvascular anastomosis of the 1.0mm diameter, and microvascular surgery is widely used in clinical practice. Improvement in methosds of microanastomoses and development of the microvascular instruments, including the operating microscope along with the microsutures make the microvascular anastomoses of vessels that are less than 0.5mm in diameter opssible. The key problem microvascular surgery is the formation of thrombus which is mainly composed of platelets, causing occlusion of the anastomotic site. So much efforts have been made in developing effective anticoagulants. Currently used systemic anticoagulants are heparin, aspirin and persantin. Aspirin inhibits collagen-induced platelet aggregation and the primary action of persanin is to inhibit platelet aggregation to ADP, collagen, and epinephrine, is widely used as effective anticoagulant for patients of atherosclerosis, hemodialysis, and subarachnoid hemorrhage. An animal study was carried out to investigate the opssibility of tichlopidine-HCI to be used as a choice of anticoagulant in microvascular surgery. One hundred and twenty rats were divided into 3 groups. Group A was the control group. Aspirin and Persantin were given orally in group B. Ticlopidine-HCI was given orally in group C. A superficial epigastric artery as small as 0.25mm in hage devised autogenous fascia and silicone rubber tube method to splint the suture line and reduce the bleeding casued by anticoagulants. Fewer sutures were required, saving time and effort in microvascular repair. The results were as follows: 1. At 20 minutes after anastomoses, the patency rates were 100% in all groups. 2. At 3 days after anastomoses, the patency rates were 75% in the control group(A), 75% in the aspirin-persanting group(B), and 80% in the ticlopidine group(C). 3. At 3 weeks after anastomoses, the patency rates were 70% in the group A, 75% in the group B, and 80% in the group C. It is concluded that the ticlopidine-HCI may be used in the microvascular anastomoses of very small arteries as the anticoagulant of choice.

액취증 수술중 한선절제술에 대한 장기추적조사

강진성,전종완,한기환,이동훈 大韓成形外科學會 1987 Archives of Plastic Surgery Vol.14 No.4

We have no doubt the fundamental way solving osmidrosis is surgical excision, and various operative technique have been introduced. Resection of the sweat glandular layer in the axillae is attactive because of certain advantages. Sensation and sweating begins to return between 6 weeks and 3 years postoperatively. For this reason, several previous reports on the resection procedure of sweat glands were inadequate because the period of follow up were too short. A follow up study using the questionnaire was done from 36 to 60 months postoperatively in the 24 cases of the patients and the following results were obtained: 1) There was no more foul odor from axillae. 2) Although there was a remarkable decrease in axillary sweating, moisture was preserved because sebaceous and eccrine glands were partially retained. 3) Axillary hairs were scanty, compared to the preoperative condition. 4) The operative scar was invisible 5) There was no motion limitation of the axillae. 6) All the patients were satisfied with the results of the operation. We can recommend the superiority of this resection procedure of sweat glands above other surgical technique with the above results.

반달형 베플을 갖는 이중벽튜브 중기발생기의 특성 평가

위명환,김성오,전원대,어재혁,김진환 한국공업화학회 2004 응용화학 Vol.8 No.2

The DWTSG concept is proposed as a advanced steam generator of liquid metal reactor to avoid sodium-water reaction incidents in the SG. The optimization of steam generator from economic viewpoint is to minimize the total cost of heat transfer area and pumping power. The baffles are primarily used in shell and tube steam generator for inducing cross flow over tube bundles, and as a results, improving heat transfer performance. In this paper a computer based design method, which covers segmentally baffled steam generator is developed for preliminary DWTSG design. And parametric sensitivity studies are done to determine required heat transfer area to meet the specified heat capacity by calculating minimum or allowable shell-side pressure loss.

무증상으로 발견된 담낭-담관 누공을 동반한 Mirizzi 증후군 1예

홍진희,전태주,서지영,서동대,오태훈,신원창,최원충,신은아,김기환 인제대학교 2009 仁濟醫學 Vol.30 No.-

Mirizzi's syndrome is a rare complication of the gallstone disease, characterized by narrowing of the common bile duct (CBD) due to chronic extrinsic compression of an impacted gallstone in the cystic duct or the neck of the gallbladder. The impacted gallstone may erode into the bile duct, causing cholecystocholedochal fistula. The patients generally have history of repeated attacks of jaundice and abdominal pain. But there is no report about asymptomatic Mirizzi syndrome with cholecystocholedochal fistula which were found incidentally. So herein we present our clinical experience with a case of asymptomatic Mirizzi syndrome with cholecystocholedochal fistula in a young female.

미세혈관문합때 염산 Ticlopidine의 항혈전 효과

강진성,전종완,한기환,정재홍,김선영 大韓成形外科學會 1987 Archives of Plastic Surgery Vol.14 No.1

Recent progress in microvascular surgery has opened new clinical possibilities in tissue transplantation and replantation by direct anastomoses of vessels less than one mm in external diameter. However, a large obstacle still remains in microsurgery, that is, occlusion of the anastomosis site by thrombosis which is mainly composed of platelets. Many anticoagulants and topical vasodilatic agents such as heparin, aspirin, persantin, coumarin and magnesium sulfate have been used to solve this problem. Heparin inhibits the conversion of prothrombin to thrombin and Factos Ⅴ,Ⅸ,--, Aspirin inhibits collagen-induced platelet aggregation whereas the primary action of persantin is to inhibit ADP-induced platelet aggregation and the release reaction of platelets. Currently, ticlopidine-HCI which is known to inhibit the platelet aggregation to ADP, collagen and epinephrine, is widely in use as an effective anticoagulant for the patients of atherosclerosis, hemodialysis, and subarachoid hemorrhage. Animal study was carried out for the ticlopidine-HCI to investigate the possibility of this agent to be used as a choice of anticoagulant in microvascular surgery. One hundred and twenty rats were divided into 3 groups. Group A was the control group. Aspirin and persantin were given orally in group B. Ticlopidine-HCI was given orally in group C. A femoral artery in one inguinal region and one femoral vein in the other side were severed and then were anastomosed with 10-0 nylon. The wounds were closed with 4-0 black silk. The patency was confirmed grossly and microscopically at 20 minutes, 3 days, and 3 weeks after anastomoses. The patency rates were as follows: 1. At 20 minutes after anstomoses, patency rates of arteries and veins were 100% in all groups. 2. At 3 days after anastomoses, in the control group the patency rates of arteries and veins were 95% and 85% respectively. Group B (aspirin-persantin)were 100% and 90% each. Compared with these, the patency rates of group C (ticlopidine) were better, all of the arteries and veins were patent. 3. At 3 weeks after anastomoses, the patency rates of arteries were 90% and veins were 80% in the control group. Arteries were 95% and veins were 90% in group B, whereas arteries were 100% and veins were 95% in group. C. Therefore, it is concluded that the ticlopidine can be used in microvasular surgery as an anticoagulant of choice.

ADSL을 위한 전화선로의 특성분석 및 등화기 설계

최성환,전진화,권호열 강원대학교 정보통신연구소 1999 정보통신논문지 Vol.3 No.-

In this paper, we evaluate transmission channel characteristics of telephone cable to be used in general. First, we measured the impedances of open and short circuits in order to obtain the RLCG parameters per unit length of transmission line. And we obtained the frequency-dependent transfer function and propagation constant for transmission line using these values. The channel impulse response is derived from the inverse Fourier of transfer function. We design channel equalizer for ADSL(Asymmetrical Digital Subscriber Line) using the measured impulse response of channel. The results shows that the transfer characteristics decrease sharply according to the length of transmission line. Finally, we verify efficacy of the proposed method by means of simulation.

정보보안정책, 보안통제 및 사용자특성이 정보보안효과에 미치는 영향 : 컴퓨터 바이러스를 중심으로

김종기,전진환,임호섭 한국정보시스템학회 2006 情報시스템硏究 Vol.15 No.1

컴퓨터 바이러스 통제를 위한 보안행위의도 모형

김종기,전진환 한국정보사회진흥원 2006 정보화정책 Vol.13 No.3

사회전반에 걸쳐 정보화가 급속히 진행되면서 정보보안이 중요한 이슈로 대두되고 있다. 그 가운데 컴퓨터 바이러스는 정보시스템 사용자가 일상적으로 접하는 정보보안 문제이며, 조직 차원에서도 다루기 힘든 이슈이다. 본 연구는 컴퓨터 바이러스 통제를 위해 사용자의 보안행위의도를 형성하는 일련의 요인들을 연구모형으로 설정하였다. 특히, 보안행위 의도에 선행하는 주요요인인 위험인식에 대해서는 정보보안 위험분석 방법론에 기초하여 정보자산, 위협 및 취약성을 영향요인으로 설정하였다. 설문조사 결과에 따르면 사용자는 컴퓨터 바이러스의 위협이 강하고, 취약성이 높을수록 보안위험을 크게 인지하는 것으로 나타났다. 하지만 정보자산은 컴퓨터 바이러스의 위험을 인식하는데 영향을 미치지 않는 것으로 분석되었다. 컴퓨터 바이러스 통제에 대한 사용자의 보안태도는 위험인식, 사용자특성 및 보안정책으로부터 형성되며, 이러한 보안태도는 사용자가 적극적인 보안행위의도를 가질 수 있도록 상당한 영향을 미친다는 것을 확인하였다.

흰쥐에서 외상성 신경종예방에 대한 연구

김승한,전종완,강진성,김찬환,정재홍 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.5

Prevention of traumatic neuroma has been the subject of extensive since early in the nineteenth century. Odier described this enlargement which develops at the distal end of proximal segments of peripheral nerves after partial or complete transsection. However, there seems to be no unanimity of opinion regarding the treatments of nerve at the time of severed injury. Ligating the proximal end of such a nerve, implanting it into muscle or born, resecting it, injecting it with a sclerosing agent or capping it with a silicone cuff are commonly used at the present time. Petropoulos introduced a nitrogen mustard as a sclerosing agent to prevent the neuroma. Tupper and Booth reported funniculecomy and epincurial ligation with satisfactory result obtained in many patients. However there is no commonly acceptable method. The authers carried out animal studys to find out the better operative procedure to prevent the traumatic neuroma. The sciatic nerve of the rat was exposed under the operating microscope and resected about 1㎝ from the end of the divied portion. Eighty rats were divided into 4 groups by a technique to differentiate management of the severed proximal nerve ends, that is, a control group, a nitrogen mustard injected group, a epineurial ligation group and a combined group(epineurial ligation following the injection of nitrogen mustard). The wound was closed with 4-0 black silk. Three months later, the wound was reopened and the presence of neuroma was observed grossly and microscopically. The results were as follows : 1) The proximal portion of the severed nerve in the combined group were tapered to the end and neuromas were hardly seen grossly. 2) The diameters of minifascicle and the numbers of nerve fibers of the combined group were the smallest and fewest compared with others(p<0.05). 3) The combined group took only 2 to 3 minutes more than the others, but it was better method. The authors found the superiority of this latter method, epineurial ligation following nitrogen mustard injection in the severed end, compaired with the others.

정보보안정책이 사용자 위험인지에 미치는 영향에 관한 연구

이동호,전진환,김종기 釜山 大學校 經營 經濟 硏究所 2007 經營 經濟 硏究 Vol.26 No.1