이개 재건술 후 늑연골 공여부의 분석

백승준,임재호,백룡민,오갑성,백세민 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.5

The harvesting of costal cartilage for the total ear reconstruction elicits various functional and aesthetic problems such as pneumothorax, atelectasis, pain, scar and chest contour deformities. Although the costal cartilage has been the most popular autogenous tissue for the total ear reconstruction, the studies about problems of donor site after harvesting the costal cartilage were relatively rare. From March 1989 to October 1996, 153 cases of total ear reconstruction by the costal cartilage framework insertion were done in our hospital and 61 cases whose follow up were done over 6 months were analysed for donor site scar, contour deformity and rate of satisfaction. The optimal age of microtia reconstruction was considered as over the age of 8, because of the growth of the ear and the volume of costal cartilage. Through a small incision, 3 ~ 4 cm, on the contralateral chest, the 6th, 7th and 8th costal cartilage were harvested with the outer layer of perichondrium for survival of the costal cartilage framework, the inner layer of perichondrium was remained for the growth of costal cartilage. There were 4 cases of uneventful pleural perforation, and remained no problems on the patients. The state of chest donor site were analyzed on 61 patients by use of medical records, medical photos and interview with the patients. Mean length and width of chest scar were 5.2 cm and 2.3 mm 79% of patients classified as excellent or acceptable. Chest contour deformity was observed on 39% and 85% of patients were satisfied with the result of donor site.

유화처리 바이오디젤이 도포된 콘크리트의 침투깊이 판정

백철 ( Baek Cheol ),김태우 ( Kim Tae-woo ),이재진 ( Lee Jae-jin ),이동윤 ( Lee Dong-yun ),한민철 ( Han Min-cheol ),한천구 ( Han Cheon-goo ) 한국건축시공학회 2017 한국건축시공학회 학술발표대회 논문집 Vol.17 No.2

This study is to provide a evaluation method for the penetration depth of emulsified refined bio diesel(ERBD)applied to a surface of the concrete by using water absorption capability of the concrete. The concrete applied with ERBD was immersed at water for 1 min., 5min., and 10 min. and then was checked the brightness with elapse of time. Test results indicated that there was clear difference between ERBD part and non ERBD part in concrete specimen after measuring the brightness until 120min.

Comparisons of obstetrical outcomes among vaginal, intramuscular progesterone treatment and conservative management for the prevention of preterm birth in twin pregnancies with a short cervix

( Young Li Kim ),( Young Jae Lee ),( Hee Young Cho ),( Eun Ah Kim ),( Min Jung Baek ),( Young Ran Kim ),( Sukho Kang ),( Ji Yeon Lee ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-

목적: To determine the differences in pregnancy outcomes among cases treated by vaginal progesterone, intramuscular(IM) progesterone and conservative management in twin pregnancies with a short cervix. 방법: This is a retrospective study of 273 twin pregnancies complicated by a short cervix(<2.5cm) who delivered from 2007 to 2016 in CHA Bundang Medical Center. Women who received cervical cerclage were excluded. Treatment groups included 1) group I; conservative management group without progesterone treatment(n=174), 2) group II; vaginal progesterone suppository group(n=30), 3) group III; IM progesterone injection group(n=69). Primary outcomes were spontaneous birth at <28, 32, 34, or 36 weeks of gestational age(GA). The secondary outcomes included hospitalized for tocolytics or antenatal corticosteroids, small for gestational age and low APGAR score(<7) at 5 min. 결과: Preterm birth before 36 weeks of GA was different among 3 groups(29.3%[51/174] vs.20.0%[6/30] vs.43.5%[30/69], p=0.034). Low APGAR score(<7) at 5min was significantly different among 3 groups(7.8%[27/348] vs.5.0%[3/60] vs.15.2%[21/138], p=0.018). After multivariate analysis, preterm birth(<36 weeks) occurred more frequently in group III than group I(aOR 6.90 95%CI:1.06-45.04, p=0.044). However, there was no significant difference between group II and III. Meanwhile, there were more cases with low APGAR score(<7) at 5 min in group III than group I(aOR 6.58 95%CI:1.43-30.21, p=0.015) and group II(aOR 17.04 95%CI:1.56-185.74, p=0.020) after multivariate analysis. 결론: In twin pregnancies complicated by short cervical length, IM progesterone group showed significantly greater occurrence of preterm birth before 36 weeks of GA in comparison with vaginal progesterone group and conservative management group.

원인 불명의 실신 환자의 진단에 있어서 Head - up tilt Test 의 유용성과 혈관미주신경성 실신 환자의 임상적 특징

윤호중(Ho Joong Youn),정욱성(Wook Sung Chung),백상홍(Sang Hong Baek),김철민(Chul Min Kim),박인수(In Soo Park),김재형(Jae Hyung Kim),최규보(Kyu Bo Choi),홍순조(Soon Jo Hong) 대한내과학회 1994 대한내과학회지 Vol.47 No.2

N/A Background: Syncope, defined as a transient loss of consciousness, is a frequently encountered symptom, but despite thorough clinical and invasive diagnostic investigation, the cause of syncope remains unexplained. In recent years, head-up tilt test has been of increasing interest as a diagnostic aids in patients with unexplained syncope. We studied to define the usefulness of various diagnostic test in the evaluation of patients with recurrent syncope, to assess the usefulness of head-up tilt test in the working of syncope of unknown origin and to evaluate the clinical characteristics of subgroups of patients with syncope induced by head-up tilt test. Methods: Between June, 1991 and November, 1992 at St. Mary`s hospital, 21 patients with history of syncope and 24 control subjects without history of syncope underwent 60° head-up tild test for 60 min. Results: 1) The definite cause for recurrent syncope were diagnosed in 10 of patients (47,6%) after clinical and invasive tests. 2) During head-up tilt test, vasovagal responses were provoked in 5 of 21 patients (23.8%) with recurrent syncope and 1 of 24 patients (4.2%) without syncope (p<0,05). 3) The head-up tilt test induced symptomatic bradycardia or hypotension in 3 of 10 patients (30%.) with negative electrophysiologic results. 4) During tilt induced vasovagal response, a) mean heart rate decreased to 42±24 beat/min from supine control of 70±12 beat/min (p<0. 05), b) mean systolic blood pressure decreased to 95±12 mmHg from supine control of 120±S mmHg (p<0,05), c) mean diastolic blood pressure decreased to 60±21mmHg from supine control of 72±13 mmHg (p<0.05), d) the time interval to onset of vasovagal response was 22±12 min. Conclusions: 1) In a large proportion of patients with recurrent syncope, the diagnosis remains unexplained despite a neurologic and cardiologic investigation including an electrophysiologic study. 2) Vasovagal responses are frequent cause in patients with recurrent unexplained syncope. 3) The head-up tilt test may be a simple, safe and highly yielding provocative test in the investigation of syncope of unknown origin.

부비동 악성 종양의 임상적 분석

백병준,유명상,신재민,김효진,박훈,김장묵,오천환 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.2

Background and Objectives : Paranasal sinus cancer is rare when compared with cancers of other sites. Because paranasal sinus is anatomically located adjacent to the orbit and skull base, it is difficult to remove the tumor completely with tumor free margin in advanced paranasal sinus cancer. This report was conducted to investigate clinical characteristics, histologic type and treatment outcome of paranasal sinus cancer. Material and Methods : Twenty-six cases with paranasal sinus cancer diagnosed at the Department of otolaryngology-Head and Neck Surgery, Soonchunhyang Cheonan Hospital from January 1991 to September 2000 were studied by chart review, telephone interview and letters retrospectively. Results : The male to female ratio was 4.2 : 1. Most patients were 6th and 7th decade. The maxillary sinus was the most commonly affected site(61.5%), followed by the ethmoid sinus(34.6%). The most common histologic type of malignancy was squamous cell carcinoma(57.6%), followed by adenocarcinoma(19.2%). Most patients presented with T_(3)/T_(4) or locally advanced disease, N_(0)(91.3%), and M_(0)(100%) Sixtynine pertcent of this study group underwent sugery as part of a mutimodality curative treatment plan or alone as curative treatment. Eighteen patients(69.2%) developed recurrent disease at a median time of 278 days after initial treatment. Kaplan-Meier analysis revealed the 5-year disease specific survival was 34.6%. Conclusion : Most patients with paranasal sinus cancer presented with locally advanced disease. Adanced T stage was highly predictive of poor prognosis. Recurrence rate was high and mostly occured within the second year after treatment.

사북-고한지역이 탄광폐석에 대한 암석학적 특성 연구

백환조,임길재,서백수,민경원,정연태 강원대학교 석재복합신소재제품연구센터 1996 석재연 논문집 Vol.1 No.-

사북 및 고한 지역에 분포하는 동원탄좌와 삼척탄좌에 적치되어 있는 석탄폐석은 대부분 사암과 흑색 셰일로서, 사북광업소의 경우 약 730만 m³, 정암광업소에는 약 830만 m³의 폐석이 적치되어 있다. 동원탄좌 사북광업소의 석탄폐석중 사암은 대부분 평균 입자의 크기가 0.15∼0.9㎜에 해당하는 등립질 조직을 보이는 이질석영사암으로서, 입자의 모양과 원마도에 따른 분류로는 low sphericity의 subrounded grain에 해당된다. 또한 흑색 셰일은 평균 광물 입자의 크기가 0.05㎜ 이하이고 비교적 물결 모양의 충리를 나타내고 있다. 삼척탄좌 정암광업소의 사암은 대부분 평균 입자의 크기가 0.15∼0.3mm의 범위에 해당하는 등립질의 이질석영사암으로서 대체로 low sphericity의 subrounded grain에 해당되며, 흑색 셰일은 평균 장경이 약 0.03∼0.06㎜에 달하고, 충리가 비교적 잘 발달되어 있다. 주성분 원소들의 화학분석 결과에 따르면 동원탄좌 사북광업소의 사암은 삼척탄좌 정암광업소의 사암에 비해 상대적으로 SiO₂의 평균함량이 약간 더 높은 값을 보이고 있는데, 특히 동원탄좌 사북광업소의 일부 사암(D-4 및 D-5)은 치밀한 조직의 석영으로 구성되어 있고, 소량의 점토광물만이 기질을 이루고 있어 건설재료로서 그 활용가치가 높다고 판단된다. 또한 삼척탄좌의 사암(S-3 및 S-4)은 동원탄좌의 사암보다 상대적으로 낮은 SiO₂ 함량과 높은 Al₂O₃, Fe₂O₃*, K₂O 및 L.O.I. 함량을 보이는데, 이는 기질을 이루는 점토광물의 양이 상대적으로 많음을 반영한다. 삼척탄전의 석탄폐석에 대한 암석학적 및 지구화학적인 특징에 의하면 사암의 경우는 대체로 건설재료로서 활용이 가능하나, 흑색 셰일의 경우는 비교적 탄질물이 많이 함유되어 있어 직접적인 건설재료로의 이용은 비효율적일 것으로 생각된다. The coal mine waste rocks piled in he Sabuk and Gohan district consist mainly of sandstones and black shales, and the estimated volumes of the waste rocks are about 7,300,000m³ and about 8,300,000m³ at the Sabuk mine, Dongwon Coal Co. and the Jeongam mine, Samchok Coal Co., respectively. Sandstones in the waste pile yard of the Sabuk mine are mainly equigranular argillaceous arenites composed of low spherical and subrounded grains of 0.15∼0.9㎜ in size. Black shales show generally wavy lamination and their average grain sizes are less than 0.05㎜. Sandstones in the waste pile yard of the Jeongam mine are also mainly equigranular argillaceous arenite of low spherical, subrounded and 0.15∼0.3㎜ sized grains, and black shales exhibit well developed laminar structure with grains of 0.03∼0.06㎜ in size. Sandstones at the Sabuk mine have higher SiO₂ contents than those at the Jeongam mine, and especially some sandstones (D-4 and D-5) have extremely high SiO₂ contents, reflecting their compact textured quartz grains with small amounts of argillaceous matrix. Compared with those at the Sabuk mine, Sandstones at the Jeongam mine display lower SiO₂ contents but higher abundances of Al₂O₃, Fe₂O₃, K₂O, and L.O.I., reflecting relatively lower amounts of clay minerals. According to their petrological and geochemical properties, sandstones rather than black shales in the Sabuk and Gohan district could be potentially utilized as raw materials for construction and especially for polymer-concrete, which is now under design for mass production in this area.

보디빌딩 선수들의 시합 전·후 신체조성과 체력 및 혈관탄성도 변화와 영양섭취 실태연구

곽재준,박재성,하수민,백영호 釜山大學校 附設 體育科學硏究所 2013 體育科學硏究所 論文集 Vol.30 No.-

The purpose of this study were to investigate a study of body composition, physical fitness, change of vascular compliance and nutrient intake status a before and after bodybuilders match. In this study, participants were 6 bodybuilders. The analyzed data brought about the following results by using paired t-test with SPSS 20.0. The results of the research were as follows. In to body weight and BMI were significantly increased but sit and reach were significantly decreased after match. There was non significantly difference in vascular compliance. Calories, lipids, carbohydrates, fiber and ash had significantly increased after match than before match. Calcium, iron, sodium, potassium, vitamin A, retinol, vitamin B1, vitamin B6, niacin, vitamin C, vitamin E had significantly increased after match than before match. Therefore, Bodybuilders need correct regular diet habit and exercise prescription after match. 본 연구는 B광역시 남자 보디빌딩 선수 6명을 대상으로 신체조성, 체력, 혈관탄성도 및 영양소 섭취상태를 시합 전·후를 분석하는데 목적이 있다. 자료처리는 SPSS 20.0 프로그램을 이용하여 paired t-test를 실시하였고, 연구결과에서 다음과 같은 결론을 얻었다. 시합전에 비해 시합후에 체중과 BMI는 유의하게 증가하였고, 유연성은 유의하게 감소하였고, 혈관탄성도는 유의한 변화가 없었다. 그리고 열량, 지질, 당질, 식이섬유 및 회분은 시합 전 보다 시합 후 유의하게 증가하였다. 또한, 칼슘, 철분, 나트륨, 칼륨, 비타민 A, 레티놀, 비타민 B1, 비타민 B6, 나이아신, 비타민 C, 비타민 E는 시합 전 보다 시합 후 유의하게 증가하였다. 이상을 종합하여 볼 때, 시합 전보다 시합 후에 영양소의 섭취증가로 인해 체중이 증가하는 것을 알 수 있으며, 이상의 연구 결과에서 시합전, 후의 식습관, 맞춤형 운동처방 및 체계적인 컨디셔닝 관리가 요구된다.

상악 및 하악의 전방 분절 절골술을 이용한 안면 프로파일 성형술의 임상적 고찰

백세민,오갑성,윤은성,백롱민,임재호 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.5

Mid and lower facial convexity is more common in Oriental people than in Caucasian and it is thought to be caused by a more anterior position of dental and skeletal structures rather than soft tissue structures, a more procumbent dentition, and a more acute interincisial angle. To improve their lower facial profile, we performed maxillary and mandibular anterior segmental osteotomies in 96 patients, by way of using palatal mucoperiosteal flap for vascular circulation of the antrior segment and plates and screws for rigid fixation. We also used wafer splint which had been made through model surgery which dental cast and tracing of cephaloghram had been needed. We could get the accurate diagnosis and know how much and which direction the anterior segment should move to get the satisfactory result or improved lower facial profile and corrected occlusal relationship with the teeth. No major complications occurred throughout the followup period except three of over0recessed lip and two of septal deviation, otherwise most of the patients were satisfied with the result.

HYDROXYAPATITE를 이용한 전두부 성형술

백롱민,박재현,김진환,백세민,오갑성,정연철 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.5

The shape and contour of the upper third of the face is provided basically by the frontal bone. A relatively thin soft tissue coverage, which consists of the skin and frontalis muscle, readily shows subtle changes on the underlying frontal bone. The forehead represents the fortune of one's youth from the viewpoint of physignomy, and a broad forehead with minimal supraorbital bossing and round curvature is preferrd in the Orient. The forehead with a deficient, flat contour or asymmetry could be indicated for augmentation. The exact site and amount of augmentation are dicided preoperatively using clinical assessment, medical photographs, and cephalometric analysis. Hydroxyapatite(Pyrost), because of its nonresorbability, seems to have advantages over other alloplastic materials for forehead augmentation. From March 1989 to February 1992 forehead augmentation has been performed in 60 patients. Through a coronal incision, the dissection was carried over the periosteum to the supraorbital ridge and the lateral orbital rim. The subperiosteal pocket was made through a small incision, and was packed with Pyrost. When indicated, facial rhytidectomy, or reduction malar plasty was performed simultaneously. The result had been satisfactory and long lasting. There had been no implant shifting, infection, or bony erosion when examed from 1 year to 4 years after surgery.

석·골재용 암석의 풍화에 따른 특성 변화

민경원,서백수,진호일,임길재 강원대학교 부설 석재복합신소재 제품연구센터 2000 석재연 논문집 Vol.5 No.-

화강암의 조직을 고려하여 4개지역에서 6개 석ㆍ골재 석산을 대상으로 신선한 화강암과 풍화된 화강암을 Ⅰ ~ Ⅵ단계까지 체계적으로 채취된 화강암을 대상으로 풍화에 따른 화강암의 물리적ㆍ화학적 특성 변화에 대한 고찰(민경원 등, 1998)에 추가하여, 풍화에 의한 slake 내구성과 색도의 변화를 측정하고 토의하였다. slake 내구성 시험에서는 일반적으로 Ⅰ~Ⅲ 단계의 화강암이 시험 주기가 증가할수록 선형적이 질량감소를 보이고 Ⅳ~Ⅵ 단계에서는 곡선 모양의 감소 경향을 보여주면 세립질의 화강암이 상대적으로 높은 내구성을 가진다. 풍화에 따라 암석의 백색도는 감소하고 황색도는 증가하며, 표준화된 백색도-황생도 지수는 풍화단게를 지시해 줄 수 있는 유용한 지시자로 제안되었다. Fresh and weathered granitic rocks of grades Ⅰ to Ⅵ were sampled systematically from six stone and aggregate quarries in four chosen areas in consideration of their textures. In addition to the observed variations. of physical and chemical properties of granitic rocks in terms of weathering grades(Min et al., 1998), slake durability and color index variations were measured and discussed in this article. In the slake durability test, generally with increasing test cycles the granitic rocks of grades Ⅰ to Ⅲ show linear losses of weight but those of Grades Ⅳ to Ⅴ show curvilinear trends, and the fine-grained weathered granitic rocks have comparatively higher durability. As weathering proceeds, whiteness of rocks decreases and yellowness increases. A normalized whiteness-yellowness index is suggested as a weathering index to be one of useful indicators of weathering grades.