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.

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.

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.

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.

FTTH 광송수신모듈의 기술 동향

김성민,임충환,권창순,추안구,Kim, Seong-Min,Im, Chang-Hwan,Gwon, Chang-Sun,Chu, An-Gu 한국통신학회 2007 정보와 통신 Vol.24 No.8

본고에서는FTTH의 최근 기술현황과 장비에 사용되는 GE-PON ONU와 OLT 광(光)송수신모듈의 기술에 대하여 알아본다.

TPMS 양방향 통신을 위한 유효 데이터 판정기법

김성민,황석승,Kim, Seong-Min,Hwang, Suk-Seung 한국전자통신학회 2012 한국전자통신학회 논문지 Vol.7 No.3

TPMS(Tire Pressure Monitoring System)는 차량에서 사용되는 무선통신기기의 일종으로 운전자가 타이어의 상태를 보다 효율적으로 파악하고 관리하기위한 안전보조 시스템으로 정의할 수 있다. TPMS는 무선통신을 사용하므로 데이터 송/수신 시 각종 잡음이나 간섭에 의한 통신장애가 발생하게 된다. 운전자의 안전과 직결되는 타이어 사고를 사전에 예방하고 무선통신으로 인한 데이터 전송 시 보다 정확한 데이터 신뢰성 확보를 위해 본 논문에서는 신호처리수신부에서 수신신호의 SINR(signal-to-interference and noise ratio, 신호 대 간섭 및 잡음 비)을 측정하여 데이터 신뢰도를 판정하는 신뢰도 판정기법을 제안한다. 또한, 이를 수행하기 위한 효과적인 데이터 신뢰성 판정 알고리즘 구조를 제안한다. 본 논문에서 제안된 데이터 신뢰성 판정기법은 TPMS 뿐만 아니라 센서를 이용한 양방향통신 시스템에서 폭넓게 사용될 수 있을 것으로 판단되다. 컴퓨터 시뮬레이션을 통해 95%, 97%, 99%의 데이터 신뢰도를 만족하는 임계 SINR 값을 확인한다. TPMS(Tire Pressure Monitoring System) using the wireless communication technique is defined as the safety aid system to efficiently realize and manage the condition of tires in the vehicle. The wireless communication system of TPMS should suffers from various noise and interferences such as signals of each tire sensor or outside electrical equipments. In order to retain the data reliability of TPMS, we propose an assessment method of the data reliability based on signal-to-interference and noise ratio (SINR) of the received signal. The proposed technique can be widely applied to wireless duplex communication systems based on various sensors. We verify critical SINR values to satisfy data reliabilities of 95%, 97%, and 99% through computer simulation.

소아의 췌장의 고형성 가유두상 종양

김성민,오정탁,한석주,최승훈,Kim, Seong-Min,Oh, Jung-Tak,Han, Seok-Joo,Choi, Seung-Hoon 대한소아외과학회 2006 소아외과 Vol.12 No.2

Solid pseudopapillary tumor (SPT) of the pancreas occurs most frequently in the second or third decades of life, and is prevalent in females. Unlike other pancreatic malignancy, SPT usually has a low malignancy potential. This study reviews our clinical experience and surgical treatment of pancreatic SPT. Admission records and follow-up data were analyzed retrospectively for the period between January 1996 and January 2003. Five patients with a pancreatic mass were operated upon and SPT was confirmed by pathology in each case. The male to female ratio was 1: 4. The median age was 13.8 years. Findings were vague upper abdominal pain (n=5, 100 %) and an abdominal palpable mass (n=3, 60 %). The median tumor diameter was 6.8cm and the locations were 2 in the pancreatic head (40 %) and 3 in the pancreatic tail (60 %). Extra-pancreatic invasion or distant metastasis was not found at the initial operation in all five cases. A pyloruspreserving pancreaticoduodenectomy (n=1) and a mass enucleation (n=1) were performed in two patients of pancreatic head tumors. For three cases of tumors in pancreatic tail, distal pancreatectomy (n=2) and combined distal pancreatectomy and splenectomy (n=1) were performed. The median follow-up period was 60 months(12-117month). During the follow-up period, there was no local recurrence, nor distant metastasis. Postoperative adjuvant chemotherapy or radiotherapy was not carried out. All five children were alive during the follow up period without any evidence of disease relapse. SPT of the pancreas in childhood has good prognosis and surgical resection of the tumor is usually curative.

스캔이 가능한 치유지대주를 이용한 구치부 단일 임플란트 수복 증례

김성민,이규복,Kim, Seong-Min,Lee, Kyu-Bok 대한치과보철학회 2019 대한치과보철학회지 Vol.57 No.4

임플란트 보철 치료의 성공에 정확한 인상 채득은 매우 중요한 과정이다. 이러한 임플란트 보철의 인상을 채득하는 방법에는 임프레션 코핑과 인상재를 이용한 전통적인 방법과 구강 스캐너와 디지털 인상 코핑(scanbody)을 이용한 디지털 인상채득법이 있다. 하지만 인상용 코핑과 scanbody는 모두 구강 내 치유 지대주(healing abutment)를 제거하고 장착해야 한다. 때문에 술자는 치유 지대주와 임프레션 코핑 또는 scanbody를 여러 번 체결하고 제거하는 과정을 반복해야 한다. 뿐만 아니라 임프레션 코핑 또는 scanbody는 교합면보다 높게 솟아 있어 환자는 지속적으로 개구 상태를 유지해야 하는 불편을 주기도 한다. 이러한 기존의 방법을 극복하고자 최근에는 치유 지대주에 scanbody의 스캔 가능 부분(scannable part)을 부여하여 치유 지대주를 제거할 필요 없이 구강 내에서 직접 구강 스캐너로 스캔이 가능한 치유지대주(scannable healing abutment)가 소개되었다. 스캔이 가능한 치유지대주를 이용하여 구치부 단일 임플란트를 수복한 증례를 소개하고자 한다. Accurate impression taking for the success of implant prosthesis is a very important process. Methods of taking implant impression include the conventional method using impression coping and impression material, and the digital method using an intraoral scanner and scanbody. However, the impression coping or the scanbody must install after remove healing abutment. Because of this, the dentist must repeat the process of removing and installing the healing abutment, the impression coping or the scanbody several times. In addition, the impression coping or the scanbody rises higher than the occlusal surface, so the patient has the inconvenience of constantly maintaining the open state. Recently, a scannable healing abutment, which can be scanned by a intraoral scanner directly, without the need to remove the healing abutment by applying a scannable part of the scanbody to the healing abutment, was introduced. We present a case of single posterior implant prosthesis using a scannable healing abutment.

신설 프리캐스트 콘크리트 포장 시공방법 및 설계지침 개발

김성민,박희범,양성철,한승환,Kim, Seong-Min,Park, Hee-Beom,Yang, Sung-Chul,Han, Seung-Hwan 한국도로학회 2008 한국도로학회논문집 Vol.10 No.2

This study was conducted to investigate the feasibility of the expedite construction of new pavement systems using precast concrete slabs and to develop the design and construction guide based on the results of the experimental construction. Half scale concrete slabs were designed and fabricated and the optimal reinforcement design, linkages between the slabs in the longitudinal and transverse directions, and the grouting methods were investigated. The experimental construction was performed fast and easily by assembling two slabs in the longitudinal direction and the other two in the transverse direction. The slabs were leveled and the pockets and the space between the slab bottom and the underlying layer were grouted. From the experimental construction, details about the design and construction of the precast pavements were acquired. Finally, the design and construction guide for the newly constructed precast concrete pavement systems was developed. 본 연구는 프리캐스트 콘크리트 슬래브를 이용한 급속 신설 도로 포장 공법의 국내 적용성을 분석하기 위한 기초 연구를 수행하고 시험시공을 통해 선설 프리캐스트 포장의 설계 및 시공 지침을 개발하기 위하여 수행되었다. 시험시공을 위해 가로, 세로, 깊이가 각각 실제 포장 슬래브의 1/2 크기인 슬래브를 설계하여 제작하였으며 이에 적합한 철근배근, 종방향과 횡방향의 연결부, 그라우팅 방법 등에 대하여 분석을 수행하였다. 이러한 슬래브를 이용하여 종방향과 횡방향으로 두 개씩 총 4 개의 슬래브를 연결하여 평탄성을 조절한 후 포켓 부분과 슬래브 하부의 공간을 그라우팅 함으로써 시공을 신속 용이하게 수행하였다. 시험 시공을 수행하며 프리캐스트 포장의 설계 및 시공과 관련된 세부 사항을 면밀히 분석하였으며 이에 바탕을 두어 프리캐스트 슬래브를 이용하여 급속하게 신설 도로를 건설할 때의 설계 및 시공 지침을 개발하였다.