한국인 사체에서의 정상 종골의 실측: 예비보고

김정한,곽희철,김전교,정양환,Kim, Jung-Han,Gwak, Heui-Chul,Kim, Jeon-Gyo,Jung, Yang Hwan 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.1

Purpose: The purpose of this report is to evaluate the measured values of normal Korean calcaneus by conduct of a cadaveric study. Materials and Methods: A total of 42 calcanei were obtained from Korean cadavers. A digital goniometer was used for measurement of B$\ddot{o}$hler's angle, Gissane angle, posterior facet articular inclination angle, and Fowler-Philip angle of calcaneus. A vernier caliper was used for measurement of the maximal antero-posterior length, maximal transverse width, and maximal height of calcaneus. Results: The average B$\ddot{o}$hler's angle, Gissane angle, posterior facet articular inclination angle, and Fowler-Philip angle was $32.3^{\circ}{\pm}5.0^{\circ}$, $114.4^{\circ}{\pm}8.2^{\circ}$, $61.2^{\circ}{\pm}4.4^{\circ}$, and $60.3^{\circ}{\pm}7.6^{\circ}$. The average maximal antero-posterior length, maximal transverse width, and maximal height of calcaneus was $74.2{\pm}3.0mm$, $43.0{\pm}4.0mm$, and $42.5{\pm}3.0mm$. Conclusion: The measured values of normal Korean calcaneus were lower than the values reported in the international literature. Therefore, development of appropriate instruments reflecting the anatomical characteristics of Koreans will be needed.

Isoguanosine과 Berberine 1 : 1 혼합물의 항암효과

김정한,이상준,한영복,문정조,김종배,Kim, Jung-Han,Lee, Sang-Jun,Han, Young-Bok,Moon, Jung-Jo,Kim, Jong-Bae 대한약학회 1994 약학회지 Vol.38 No.2

Isoguanosine and berberine 1:1 mixture[l:[1(mole:mole)] has been prepared and evaluated by measuring antitumor effects against various tumor cell lines in culture and in mice. We reported that the synergistic effect of isoguanosine and berberine mixture has been revealed compared with each of isoguanosine and berberine increased by $3{\sim}8$ times than that of each components in various tumor cell lines in vitro. The most effective dose of isoguanosine and berberine mixture was 60 mg/kg/day in mice bearing S-180 solid tumor, the %(1-T/C) values were 70%. Against the P-388 leukemia, isoguanosine-berberine mixture was the most effective at the dose of 60 mg/kg/day, the %T/C values were 163%.

시퀀셜 로테이션 분배기 구조를 이용한 X-band 마이크로스트립 4×4 광대역 원형 편파 배열 안테나

김정한,김중관,김용진,이홍민,Kim, Jung-Han,Kim, Joong-Kwan,Kim, Yong-Jin,Lee, Hong-Min 한국전자파학회 2007 한국전자파학회논문지 Vol.18 No.2

본 논문은 X-band에서 동작하는 마이크로스트립 원형 편파 $4{\times}4$ 배열 안테나의 설계와 제작에 대해 다룬다. 단일 안테나는 정사각형 패치를 사용하고 비대칭 십자 개구 결합 급전 구조를 사용하여 RHCP(Right Handed Crcularly Polarization)로 동작하도록 하였다. 기존의 배열 안테나의 소자간의 간격을 0.8 ${\lambda}_0$에서 0.45 ${\lambda}_0$로 간격을 줄여 실장 면적을 감소시켰다. 급전 선로는 시퀀셜 로테이션 분배기로 $2{\times}2$ 배열 안테나를 설계하여 양호한 이득과 축비 대역폭을 나타내었다 ${\lambda}/4$ Transformer와 T-junction 전력 분배기로 $4{\times}4$ 배열 안테나로 확장하였다. 시뮬레이션으로 확인한 결과 최대 방사 이득은 15.09 dBi로 나타났으며, 축비 대역폭은 3 dB 기준 $9.05{\sim}10.4$ GHz(13.5%)의 양호한 특성을 보였다. 제작된 $4{\times}4$배열 안테나는 10 GHz에서 측정 결과 임피던스 대역폭($VSWR{\leq}2$)은 $8.45{\sim}11.84$ GHz(33.9%)로 나타났으며, 최대방사 이득은 11.10 dBi를 얻었다. 또한 측정된 축비 대역폭은 $9.42{\sim}10.47$ GHz(10.5%)를 얻었다. In this paper, the circularly polarized $4{\times}4$ array antenna is proposed for the X-band. A single antenna consists of square patch and unequal cross-aperture coupled feeding. The RHCP(Right Handed Circularly Polarization) is generated by unequal cross-aperture coupled feeding. By reducing space among elements of way antenna from 0.8 ${\lambda}_0$ to 0.45 ${\lambda}_0$, the mounting area of array antenna is miniaturized. The $2{\times}2$ array antenna is designed using sequential rotation feeding network. The good level of gain, axial ratio, and impedance bandwidth are achieved. The $4{\times}4$ array antenna is extended by ${\lambda}/4$ transformer and T-junction power divider. The simulated maximum radiation gain is 15.09 dBi at 10 GHz. The simulated 3 dB Axial Ratio bandwidth is from 9.05 to 10.4 GHz(13.5%). Also the measured impedance bandwidth($VSWR{\leq}2$) of manufactured $4{\times}4$ array antenna is from 8.45 to 11.84 GHz(33.9%). The measured maximum radiation gain is 11.10 dBi at 10 GHz. The measured 3 dB Axial Ratio bandwidth is from 9.42 to 10.47 GHz(10.5%).

족근골 유합의 발생 빈도: 단일 기관 자기공명영상 분석

김정한,곽희철,이창락,김영준,김전교,이선주,이정한,박준호,Kim, Jung-Han,Gwak, Heui-Chul,Lee, Chang-Rak,Kim, Young-Jun,Kim, Jeon-Gyo,Lee, Sun-Joo,Lee, Jeong-Han,Park, Jun-Ho 대한족부족관절학회 2016 대한족부족관절학회지 Vol.20 No.3

Purpose: Tarsal coalition results from defects during the developmental stage and produes ankle pain and limitations in the range of motions. Its incidence has been reported to be 1%, but there has not been any reports with respect to Koreans. Therefore, we evaluated the prevalence of tarsal coalition in Koreans. Materials and Methods: Between 2005 and 2014, we analyzed a total of 733 cases of foot and ankle magnetic resonance imaging (MRI) in our hospital. There were 391 men and 342 women. All MRI readings were read by a radiologist in our hospital. We classified the coalitions in accordance with the histological and anatomical characteristics, and calculated the prevalence in each group. Moreover, we tried to determine the prevalence of tarsal coalitions in accordance with sex, age, and proportion of the symptomatic tarsal coalitions. Results: There were a total of 11 MRIs of tarsal coalition - 9 talocalcaneal coalitions, 1 calcaneocuboidal coalition, and 1 calcaneonavicular coalition. Nine tarsal coalitions were observed in men and 2 in women. Conclusion: Through this study, we found that the prevalence of tarsal coalition, including the asymptomatic patients, is similar to the previously known prevalence (1%). By getting more MRIs of the foot and ankle, we could better represent the prevalence of tarsal coalitions in Koreans.

집중 강우에 따른 토석류 유출의 수치계산

김정한,민선홍,강상혁,Kim, Jung-Han,Min, Sun-Hong,Kang, Sang-Hyeok 한국공간정보학회 2009 한국공간정보학회지 Vol.17 No.3

토석류에 대한 많은 수치 해석적 연구에도 불구하고 아직 일관된 연구 결과는 없는 실정이다. 따라서 본 연구에서는 강우 유출 모형을 적용하기 위해 소유역별 대상유역을 분할하고 토석류 입자와 유체를 일체화한 토석류 유출량을 산정하고자 하였다. 등고선 데이터를 이용하여 소유역 하도망과 같은 유역의 지형량을 자동적으로 도출하였으며, 준 수치고도모델(Quasi Digital Elevation Model)을 모형화함으로써 강우 유출량을 해석하였다. 계측된 토석류 자료와 강우자료를 입력하여 토석류 모형을 통합화하였으며 이를 적용한 결과 대체로 토석류 유출과 유사한 하이드로 그래프를 얻을 수 있었으며 유의한 점으로써 토석류는 30초 이내에 유출되므로 피해를 최소화하기 위해서는 사전적 대응이 중요함을 시사한다. GIS와 연계한 본 모형은 향후 토석류 유출에 따른 유역별 하천계획의 수립시 유효한 자료를 제공할 것으로 기대한다. In spite of many numerical analysis of debris flow, a little information has been found out. In this paper the watershed is divided to apply rainfall runoff and to estimate debris flow integrating flow and soil article. We use the contour data to extract spatially distributed topographical information like stream channels and networks of sub-basins. A Quasi Digital Elevation Model (Q-DEM) is developed, integrated, and adopted to estimate runoff based on marked one. As a results, it has been found out that the debris flow was close to observed flow hydrograph. Because debris flow is finished in 30 second, it is important that we have to prepare its prior countermeasure to minimize the damage of debris flow. The GIS-linked model will provide effective information to plan river works for debris flow.

소독제가 개인용 트레이와 실리콘 인상재의 접착력에 미치는 영향에 대한 연구

김정한,정창모,전영찬,황의성,Kim, Jung-Han,Jeong, Chang-Mo,Jeon, Young-Chan,Hwang, Hic-Seong 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.2

The effects of impression tray disinfection procedures on the bond strength of impression-material adhesive to two of types resin trays were evaluated with a tensile test. Autopolyme-rizing acrylic resin was formed into 1x1x1 cm cubes. A hook was attached to each cube with autopolymerizing acrylic resin. Perforated trays were fabricated with stops to maintain an even 3 cm of impression material over the resin block. Hook on the opposite side of the perforated tray permitted attachment of the metal plate to a mechanical testing machine. Before adhesive was applied, one third of the resin specimens were immersed in a 5% sodium hypochlorite solution : one third in a 2% glutaradehyde solution, and one third were kept in the "as fabricated" condition. Three products(Perfect ups, Exafine, and Exp-ress) of polyvynil siloxane impression material-adhesive system were evaluated. The resin-impression material-metal plate couples were attached to a mechanical testing machine and tensile forces were applied at a separation rate of 10 centimeters per second. The results were as follows; 1. Both disinfectant and adhesive had effects on bond strength values, but adhesive had more effect than disinfectant(p<0.01). However, there was no interaction between dinin-fectant and adhesive(p>0.01). 2. Mean bond strength values for the Perfect materials were about 85% less than that of the Exafine or the Express materials. However, there was no stastically significant difference between the mean bond strength values of the Exafine materials and the Express materials(p>0.05). 3. The use of disinfectants produced significant reduction in bond strength values(p<0.05). But there was no stastically significant difference between the mean bond strength values of the groups treated with disinfectants(p>0.05).

족관절 골절의 치료에 있어 잠재적 관절 내 손상의 관절경적 평가

김정한,곽희철,이형주,Kim, Jung-Han,Gwak, Heui-Chul,Lee, Hyeong-Joo 대한족부족관절학회 2015 대한족부족관절학회지 Vol.19 No.4

Purpose: The purpose of this study was to analyze the frequency and patterns of intra-articular lesions detected during ankle fracture surgery using ankle arthroscopy. Materials and Methods: Thirty patients (31 ankles) who underwent open reduction and internal fixation combined with ankle arthroscopy for acute ankle fracture at Inje University Busan Paik Hospital from June 2011 to September 2013 were evaluated. The ankle fractures were classified according to the AO/OTA (AO Foundation and Orthopaedic Trauma Association) classification and the intraarticular injuries were identified by ankle arthroscopy. Osteochondral lesions of the talus were divided into nine subtypes based on their locations, and the ligament injuries were classified according to avulsion fracture and rupture. Results: Using arthroscopy, abnormality in the distal tibiofibular ligament was found in 21 cases and osteochondral lesions and defects of the talus larger than 5 mm were detected in 26 cases. Among ligament injuries, anterior inferior tibio-fibular ligament injury was found in 14 cases, posterior inferior tibio-fibular ligament injury was found in two cases, deep deltoid ligament injury was found in three cases, and deep transverse tibio-fibular ligament injury was found in five cases. The locations of the osteochondral lesions were on the antero-lateral, antero-medial, centro-medial, centro-central, centro-lateral, and postero-lateral talus in 11, one, two, one, two, and nine cases, respectively. Conclusion: With early diagnosis and treatment arthroscopy performed at the time of intra-articular fracture surgery is expected to result in a good outcome.

미세유두상 갑상선암

김정한,양정현,Jeong Han Kim,Jung-Hyun Yang 대한갑상선-내분비외과학회 2002 The Koreran journal of Endocrine Surgery Vol.2 No.1

Purpose: Papillary microcarcinoma of the thyroid gland is defined as a tumor of 1.0 cm or less in diameter according to the WHO. Long-term follow-up of patients with papillary tumors of small size has shown that the prognosis is very good in spite of their ability to metastasize to regional lymph node and distant site, but the surgical management of them are still unclear. The aim of this study is to analyze the clinical and pathologic features and to determine the adequate extent of surgery of papillary microcarcinomas. Methods: 189 patients with papillary carcinoma of 1 cm or less in diameter underwent thyroidectomy at center between 1994 to 2001. Their medical records were reviewed retrospectively. Chi-square test was used for statistical analysis. Results: 26.3% of 720 papillary carcinomas were microcarcinomas and 44.4% of patients with these tumors were presented for palpable neck mass. 73.6% of 189cases were diagnosed preoperatively as papillary carcinoma by FNAC and their mean size was 6.1 mm. Only 22 patients underwent lobectomy and the others did subtotal or total thyroidectomy with/without modified radical neck dissection. Among 5 recurred cases, 3 recurred in contralateral lobe after lobectomy and 2 in cervical lymph node after subtotal or total thyroidectomy. Smaller tumors had a lower rate of extra- thyroidal extension but the same rate of lymph node metastasis as larger tumors. Conclusion: Detection by screening ultrasonography and the proportion of microcarcinoma in papillary carcinoma are increasing and more than subtotal thyroidectomy is recommended for papillary microcarcinoma due to its multifocality and remnant recurrence. (Korean J Endocrine Surg 2002; 2:31-36)

부신 질환에 대한 외과적 치료의 최근 경향

김정한,Jung-Han Kim,M.D. 대한갑상선-내분비외과학회 2011 The Koreran journal of Endocrine Surgery Vol.11 No.4

Laparoscopic adrenalectomy (LA) has become the standard for the management of benign adrenal tumors since Gagner reported a successful surgery in 1992. Conventional open adrenalectomies have been replaced by LA because of significant advantages such as reduced wound pain and hospital stays, decreased transfusion requirements, and postoperative complications. In addition to the development of laparoscopic surgery, robot-assisted adrenalectomies are gaining popularity worldwide. The robotic system offers several advantages: it magnifies a surgeon's view with 3D optics, offers excellent resolution and depth perception, and the robotic wrists offer 7 degrees of freedom, allowing for precise movements. Another new technique of laparoscopic adrenal surgery is single-port surgery, which is an effort to reduce the number of trocars and their related wound complications. Although this is technically more difficult compared to conventional laparoscopic surgeries, patients are satisfied with a single-site scar and reduced pain. In this paper, the recent development of new techniques in adrenal surgery are introduced and their specific advantages and disadvantages are discussed. Also, this article reviews the clinical results of a partial adrenalectomy for small benign adrenal tumors and adrenalectomies for single adrenal metastasis from extra-adrenal malignancy. (Korean J Endocrine Surg 2011;11:229-233)

종골의 사체 실측 결과와 방사선학적 측정 결과의 비교

김정한,곽희철,이창락,정동우,노상명,Kim, Jung-Han,Gwak, Heui-Chul,Lee, Chang-Rack,Jeong, Dong-Woo,Roh, Sang-Myung 대한족부족관절학회 2015 대한족부족관절학회지 Vol.1 No.2

Purpose: We wanted to compare the results between cadaveric and radiological measurements of calcaneus. Materials and Methods: Sixty three calcaneus of 33 cadavers donated between December 2012 and December 2014 were actually measured. Computed tomography (CT) images of 244 calcaneus in 122 patients of the same age group with cadavers were radiologically measured. Maximum length, maximum width, maximum height, $B{\ddot{o}}hler$ angle, Gissane angle, Fowler-Phillip angle, and tala-articular angle were measured. Results: In cadaveric measurement, the mean maximal height, length, and width were $41.8{\pm}3.3mm$, $73.3{\pm}3.4mm$, and $40.7{\pm}2.2mm$, respectively. In radiological measurement, the mean maximal height, length, and width were $38.5{\pm}4.3mm$, $74.0{\pm}5.7mm$, and $44.7{\pm}1.4mm$, respectively. In cadaveric measurement, the mean $B\ddot{o}hler$ angle, Gissane angle, Fowler-Phillip angle, and tala-articular angle were $32.1^{\circ}{\pm}6.2^{\circ}$, $110.8^{\circ}{\pm}8.1^{\circ}$, $55.8^{\circ}{\pm}6.8^{\circ}$, and $59.7^{\circ}{\pm}4.6^{\circ}$, respectively. In radiological measurement the mean $B{\ddot{o}}hler$ angle, Gissane angle, Fowler-Phillip angle, and tala-articular angle were $32.6^{\circ}{\pm}3.8^{\circ}$, $113.7^{\circ}{\pm}5.7^{\circ}$, $62.2^{\circ}{\pm}3.9^{\circ}$, and $61.6^{\circ}{\pm}6.3^{\circ}$, respectively. The mean maximal height was significantly higher in the cadaveric measurement group (p<0.001) and the mean maximal length and width were significantly higher in the radiologic measurement group (p<0.001, p<0.001). The mean Gissane angle, Fowler-Philip angle, and $B{\ddot{o}}hler$ angle were significantly higher in the CT group (p=0.001, p<0.001, p=0.016, respectively). There was no significant difference in the mean tala-articular angle (p=0.352). Conclusion: Significant differences in length parameters were observed between the cadaveric measurement group and the radiologic measurement group. However, no significant differences in angular measurements were observed between the two groups. The authors carefully conclude that radiological measurement values may be different from actual values in the calcaneus.