2005년도 소아 서혜부 탈장치료 경향

김성민,김대연,김상윤,김성철,김우기,김재억,김재천,박귀원,서정민,송영택,오정탁,이남혁,이두선,전용순,정상영,정을삼,최금자,최순옥,한석주,허영수,홍정,최승훈,Kim, Seong-Min,Kim, Dae-Yeon,Kim, Sang-Yoon,Kim, Seong-Chul,Kim, Woo-Ki,Kim, Jae-Eok,Kim, Jae-Chun,Park, Kwi-Won 대한소아외과학회 2006 소아외과 Vol.12 No.2

Inguinal hernia is the most common disease treated by the pediatric surgeon. There are several controversial aspects of management 1)the optimal timing of surgical repair, especially for preterm babies, 2)contralateral groin exploration during repair of a clinically unilateral hernia, 3)use of laparoscope in contralateral groin exploration, 4)timing of surgical repair of cord hydrocele, 5)perioperative pain control, 6)perioperative management of anemia. In this survey, we attempted to determine the approach of members of KAPS to these aspects of hernia treatment. A questionnaire by e-mail or FAX was sent to all members. The content of the questionnaire were adapted from the "American Academy of Pediatrics (AAP) Section on Surgery hernia survey revisited (J Pediatr Surg 40, 1009-1014, 2005)". For full-term male baby, most surgeons (85.7 %) perform an elective operation as soon as diagnosis was made. For reducible hernia found in ex-preterm infants already discharged from the neonatal intensive care unit (NICU), 76.2 % of surgeons performed an elective repair under general anesthesia (85.8 %). 42.9 % of the surgeons performed the repair just before discharge. For same-day surgery for the ex-premature baby, the opinion was evenly divided. For an inguinal hernia with a contralateral undescended testis in a preterm baby, 61.9 % of surgeons choose to 'wait and see' until 12 month of age. The most important consideration in deciding the timing of surgery of inguinal hernia in preterm baby was the existence of bronchopulmonary dysplasia (82.4 %), episode of apnea/bradycardia on home monitoring (70.6 %). Most surgeons do not explore the contralateral groin during unilateral hernia repair. Laparoscope has not been tried. Most surgeons do not give perioperative analgesics or blood transfusion.

구조응력을 이용한 하중 전달형 십자 양면 비대칭 필렛 용접 시험편의 피로강도 평가

김성민,김영남,이승현,김명현,Kim, Seong-Min,Kim, Young-Nam,Lee, Seung-Hyun,Kim, Myung-Hyun 대한용접접합학회 2012 대한용접·접합학회지 Vol.30 No.6

Fatigue tests and analyses were carried out to investigate fatigue strength and crack initiation point of load-carrying asymmetric double bevel cruciform welded joints. Mesh-insensitive structural stress approach was adopted to estimate high precise fatigue life and crack initiation point. Two different case material and weld shape were considered in this study. Results of fatigue tests and analyses were compared and discussed in consideration of applicability of structural stress approach as the reliable fatigue assessment method of cruciform welded joints.

상장간막동맥 증후군의 복강경 수술 및 3차원재건 복부 전산화단층촬영 영상을 이용한 추적관찰 -1예보고-

김성민,김성훈,권인규,김명준,형우진,최승훈,Kim, Seong-Min,Kim, Sung-Hoon,Kwon, In-Kyou,Kim, Myoung-Joon,Hyoung, Woo-Jin,Choi, Seung-Hoon 대한소아외과학회 2005 소아외과 Vol.11 No.2

Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3Dreconstructive CT scan, the angle between SMA and aorta was $37^{\circ}$. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to $38-39^{\circ}$ on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

Synthesis and Application of the Novel Azomethine Metal Complexes for the Organic Electroluminescent Devices

김성민,김진순,신동명,김영관,하윤경,Kim, Seong Min,Kim, Jin Sun,Sin, Dong Myeong,Kim, Yeong Gwan,Ha, Yun Gyeong Korean Chemical Society 2001 Bulletin of the Korean Chemical Society Vol.22 No.7

New azomethine metal complexes were synthesized systematically and characterized. Beryllium, magnesium, or zinc ions were used as a central metal cation and aromatic azomethines (L1-L4) were employed as a chelating anionic ligand. Emission peaks o f the complexes in both solution and solid states were observed mostly at the region of 400-500 nm in the luminescence spectra, where blue light was emitted. Three of them (BeL1 (Ⅰ), ZnL2 (Ⅱ), and ZnL3 (Ⅲ)) were sublimable and thus were applied to the organic light-emitting devices (OLED) as an emitting layer, respectively. The device including the emitting layer of Ⅰ exhibited white emission with the broad luminescence spectral range. The device with the emitting layer of Ⅱ showed blue luminescence with the maximum emission peak at 460 nm. Their ionization potentials, electron affinities, and electrochemical band gaps were investigated with cyclic voltammetry. The electrochemical gaps of 2.98 for I, 2.70 for Ⅱ, and 2.63 eV for Ⅲ were found to be consistent with their respective optical band gaps of 3.01, 2.95 and 2.61 eV within an experimental error. The structure of OLED manufactured in this study reveals that these complexes can work as electron transporting materials as well.

잔존 총배설강 기형 수술 후 발생한 요도-질 누공에 대한 전방 시상 경직장적 접근 술식 (Anterior Sagittal Transrectal Approach, ASTRA) 1 례보고

김성민,김창우,김병규,오정탁,한석주,Kim, Seong-Min,Kim, Chang-Woo,Kim, Byoung-Kyu,Oh, Jung-Tak,Han, Seok-Joo 대한소아외과학회 2007 소아외과 Vol.13 No.1

The authors applied anterior sagittal transrectal apporach (ASTRA) for the repair of urethrovaginal fistula which developed after total repair of persistent cloaca. The patient had been diagnosed to have persistent cloaca, double uterus and double vagina, and received PSARP, excision of right-side uterus and vagina, and left vaginal switch operation at 22 months old. After operation, the patient admitted several times due to frequent urinary tract infection and ectopic stone formation in bladder and neovagina. Urethro-neovaginal fistula was confirmed by cystoscopy and corrected with ASTRA. Postoperative voiding cystourethrogram showed no fistula tract. ASTRA showed improved surgical field, minimized ureterocystic damage, and preserved perirectal nerve due to limited incision of rectum.

경쟁입찰방식을 이용한 최초공모주의 발행가격결정에 관한 연구

김성민,Kim, Seong-Min 한국재무관리학회 1998 財務管理論叢 Vol.4 No.1

기존의 최초공모주 발행제도하에서는 일반투자자의 공모주식수요에 대한 의사가 공모가 결정과정에 반영될 수 있는 기회가 없음으로 인해 최초공모주의 심각한 저가발행 현상이 나타나고 있다. 이에 대한 문제점을 보완 개선하기 위하여 본 연구는 기업공개시 주식매각의 한 방안으로 경쟁입찰방식을 제시하였으며, 우리 나라 실정에 맞는 입찰모형의 설정을 위한 제반요인들을 조사 분석하였다. 또한, 경쟁입찰방식을 통한 최초공모주 발행의 장점과 경쟁입찰방식과 관련하여 예상되는 경제적 제 문제들을 공개입찰을 통한 장외등록기업 사레와 공기업민영화 사례를 통해 간접적으로 유추 검토하였다. 경쟁입찰방식하에서는 발행기업의 진실된 가치와 시장투자자들의 최초공모주에 대한 수요의사가 입찰과정을 통해 최적공모가격 결정에 적절히 반영되어 기존의 발행방식과 비교해 저평가율도 낮아질 것으로 기대되며, 심각한 문제가 없을 것이라는 판단하에 본 논문은 경쟁입찰방식을 통한 최초공모주발행이 기존의 발행방식에 대한 하나의 경제적 대안으로 선호될 수 있음을 보여 주었다.

기관 식도루가 없는 식도폐쇄증 환자의 치료경험

김성민,최승훈,김성훈,권인규,한석주,오정탁,Kim, Seong-Min,Choi, Seung-Hoon,Kim, Sung-Hoon,Kwon, In-Kyu,Han, Seok-Joo,Oh, Jung-Tak 대한소아외과학회 2005 소아외과 Vol.11 No.2

Esophageal atresia without tracheoesophageal fistula accounts for 7-11 % of all types of esophageal atresia and is very difficult to treat. In our hospital from 1990 to 2005, we operated upon 40 patients with esophageal atresia, and 6 had pure atresia. The preoperative characteristics, operative findings and post operative course of the six patients with pure atresia were analysed. Immediate gastrostomy was performed in all 6 patients. One patient had simultaneous cervical esophagostomy. Esophageal reconstruction procedures were transhiatal gastric pull up in 3 patients, esophagocologastrostomy utilizing left colon in 1, and transthoracic esophagoseophagostomy with esophageal bougination in 2. Postoperative complications were pneumonia, anastomosis leakage, and gastroesophageal reflux symptom. Conservative management was effective in all patients. A larger series of cases would be required to demonstrate the most effective treatment for this particular anomalous condition. 1990년 1월부터 2005년 5월까지 연세대학교 의과대학 세브란스 병원 소아외과에서 기관식도루가 없는 식도폐쇄증으로 진단받고 수술을 시행받은 6예의 환자의 수술전후 임상상을 검토하였다. 이들의 빈도는 같은 기간동안 수술받은 식도폐쇄증 환자의 약 15 %였으며, 이들 6예 모두에서 단계적인 수술로 상부식도와 하부식도를 연결하는 수술을 성공적으로 시행하였으며(위전위법 3명, 대장전위법 1명, 자가식도 단단문합 2명), 수술 후 추적관찰시 양호한 소견을 보였다. 식도의 부우지 확장을 수차례 시행한 후 식도단단문합이 가능한 환자는 이 방법이 가장 좋을 것으로 생각되며, 자가식도의 1차적인 단단문합이 성공하기 위한 수술전식도 부우지확장의 적절한 횟수와 정도에 대한 연구가 되어야 할 것이다. 타 장기를 이용한 식도재건술 후에 발생할 수 있는 수술직후의 폐렴, 문합부 누출이나 식도 협착, 위식도 역류증상 등에 대하여서도 그 빈도를 줄일 수 있는 수술방법에 대한 지속적인 연구가 필요할 것으로 생각된다.

간섭제거를 위한 TPMS 빔형성기들의 복잡도 비교

김성민,황석승,Kim, Seong-Min,Hwang, Suk-Seung 한국전자통신학회 2012 한국전자통신학회 논문지 Vol.7 No.6

타이어 파손으로 인한 사고를 사전에 방지하기 위해 개발된 TPMS(Tire Pressure Monitoring System)는 타이어에 장착된 센서부로부터 전송된 데이터를 기반으로 타이어의 이상 유무를 디스플레이 장치에 표시하고 운전자가 실시간으로 타이어의 온도, 압력 등의 정보를 수시로 파악하여 최적의 주행조건을 유지시켜주기 위한 안전보조시스템이다. 무선통신을 사용하는 TPMS는 측정된 데이터의 송수신 시 간섭이나 잡음으로 인해 데이터 전송 시 수신 오류가 발생할 수 있다. 이러한 문제점을 해결하기 위해 스위칭(Switching), MVDR(Minimum-Variance Distortionless-Response), GSC(Generalized Sidelobe Canceler) 빔형성기(Beamformer) 등과 같은 간섭제거에 효율적인 대표적인 빔형성 기술들을 사용한다. 본 논문에서는 이 세 가지 빔형성기의 복잡도를 계산하여, 복잡도 성능 비교에 대한 수학적 근거를 제시한다. 컴퓨터 시뮬레이션을 통하여 본 논문에서 고려된 세 가지 빔형성기의 복잡도 성능을 확인한다. TPMS (Tire Pressure Monitoring System) is a safety assistant system to prevent the serious accident due to the damaged tire by the abnormal tire pressure. It is designed to transmit the measured data for pressure and temperature of tires from the sensor unit installed in each tire to signal processing unit installed in a vehicle. Based on the received information, a driver monitors the condition of tires using a display device, to maintain the optimum travelling condition. Since TPMS should employ the wireless communication technique, it may suffer from various interferences from external electrical or electronics devices. In order to suppress them, the beamforming techniques such as switching, minimum-variance distortionless-response (MVDR), and generalized sidelobe canceler (GSC) have been considered for TPMS. In this paper, we calculate computational complexities of three beamformers and suggest mathematical basis to compare their performance of the complexity.

라플라스 신호원에 대한 최소평균제곱오차 홑 양자기의 지지역에 관하여

김성민,나상신,Kim, Seong-Min,Na, Sang-Sin 한국통신학회 2006 韓國通信學會論文誌 Vol.31 No.10C

이 논문은 라플라스 밀도 함수에 대한 최적 흩 양자기의 지지역의 증가는 양자점의 개수와 대수적인 관계가 있음을 보여준다. 구체적으로, 분산이 1인 라플라스 밀도함수에 대해서 양자정의 개수 N이 증가할 때 최적 양자기의 경계값에 의해 결정되는 지지역과 $\frac 3{\sqrt{2}}1n\frac N 2$의 비율이 1로 수렴함을 보여준다. 또한 극한 상한값을 유도하여 최적 지지역의 로그적 증가가 그 값을 초과하지 않음을 보였다. 이 결과들로부터 이전부터 경험적으로 연구되어 온 최적 지지역의 로그 증가를 확인 할 수 있다. This paper shows that the support growth of an optimum (minimum mean square-error) scalar quantizer for a Laplacian density is logarithmic with the number of quantization points. Specifically, it is shown that, for a unit-variance Laplacian density, the ratio of the support-determining threshold of an optimum quantizer to $\frac 3{\sqrt{2}}1n\frac N 2$ converges to 1, as the number of quantization points grows. Also derived is a limiting upper bound that says that the optimum support cannot exceed the logarithmic growth by more than a constant. These results confirm the logarithmic growth of the optimum support that has previously been derived heuristically.

더블브레이드 로프를 활용한 케이블포설 신기술

김성민,Kim, Seong-Min 대한전기협회 2009 전기저널 Vol.- No.389