가압식 압축형 지반앵커의 인발저항력 증대효과

김태섭(Kim Tae Seob),심보경(Sim Bo Kyoung),이규상(Lee Kou Sang),이인모(Lee In Mo) 대한토목학회 2009 대한토목학회 학술대회 Vol.2009 No.10

압축형 지반앵커의 군효과 특성

김태섭(Kim Tae Seob),심보경(Sim Bo Kyoung),이규상(Lee Kou Sang),이인모(Lee In Mo) 대한토목학회 2009 대한토목학회 학술대회 Vol.2009 No.10

자켓 팩 앵커의 적용사례

김태섭(Tae-Seob Kim),조윤주(Yoon-Ju Cho) 한국토목섬유학회 2012 한국토목섬유학회 학술발표회 Vol.2012 No.4

Jacket Pack Anchor(JP Anchor) is applied the irregular layer that general ground anchor is difficult to be applied such as soft layer(standard penetration N value of less than 20) or gravel layer that grout lost. It makes sure of the pullout resistance required in these layers by the certain grout bulb formation and expansion effect. Thereby, Jacket Pack Anchor that is a new concept makes possible the construction improving and the cost saving in the excavation site. From the field test results, it was observed that the pullout resistance of Jacket Pack Anchor is about 84% greater than that of general ground anchor, and plastic deformation of Jacket Pack Anchor compared to that of general ground anchor is about 35% at the same load cycle. Especially, it was showed that the increase of resistance over 200% and plastic deformation is about 17% in gravel layer. This method has been applied mainly in the soft reclaimed soil and marine deposit areas of Inchon and Pusan etc. or in the loose layer of urban waste landfill. From the result of these cases, its usefulness has been proved because of ground displacement and building damage with little during the excavation work. Therefore, we propose strongly to try Jacket Pack Anchor in the past difficult layer from this paper. Also, we are hoping to take the full advantage of ground anchor that is secure enough workspace to minimize disturbance of excavation or underground structure can improve work efficiency, using Jacket Pack Anchor in the excavation site.

반나절 비강충전이 비골 골절 수술결과에 미치는 영향

한동길,김태섭,Han, Dong Gil,Kim, Tae Seob 대한두개안면성형외과학회 2012 Archives of Craniofacial Surgery Vol.13 No.2

Purpose: Closed reduction and nasal packings for 3-7 days is usual procedures in managing nasal bone fracture. Most patients experience several discomfort owing to lack of nasal breathing. There are many reports concerning how to reduce patient's discomforts or complications. But it is obvious that the duration of nasal packing is 3-7 days. The aim of this study is evaluate the effect of half day nasal packing in results of nasal bone fracture. Methods: The study was performed on 97 nasal bone fracture patients who had simple nasal bone fractures from January to June 2012. The incidence, cause, patient's discomfort and satisfaction with half day nasal packing are analyzed according to patient's medical records and questionnaire at each nasal packing removal, postoperative 4 weeks. Results: Young male patients, especially the teenagers and the twenties were the common age group, and physical violence was most common cause of injury. A total of 78 out of 97 patients were male. In 92 cases, closed reduction were applied. Approximately, 87% of the patients were satisfied with the outcomes. Conclusion: Half day nasal packing is considered as an effective method to minimize patient's discomfort owing to prolonged absence of nasal breathing with maintenance of stability.

비골 골절 형태의 입체적 분석에 있어 3D 영상과 비교한 단순방사선영상 및 2D CT 영상의 정확도

한동길,김태섭,박대환,심정수,이용직,Han, Dong Gil,Kim, Tae Seob,Park, David Dae Hwan,Shim, Jeong Su,Lee, Yong Jig 대한두개안면성형외과학회 2012 Archives of Craniofacial Surgery Vol.13 No.2

Purpose: The nasal bone fracture is known as the most common facial fracture, with the postoperative results and the patient's satisfaction known to be lower than other facial fractures. The patient's satisfaction is firstly related to the accurate comprehension of the spatial relationship in the fractured nasal bone and secondly to the accurate reduction based on accurate comprehension. The aim of this study is to evaluate the objective usefulness of the three-dimensional (3D) imaging. Methods: The survey was conducted on 10 randomly selected cases of nasal bone fractures among the 46 cases with 3D computed tomography (CT) during the past one year. It was requested upon 4 plastic residents and 4 plastic surgeons to draw 3D aspect of fractured nasal bone directly on the printed photos of cadaver nasal bone, based on simple X-ray and two-dimensional (2D) CT. They were compared with the real fractured nasal bone aspects based on the 3D image and marked the difference in the 10-point scale of 0 to 10. Results: The average score of the 4 residents was 1.62 and that of the 4 surgeons was 4.47 out of 10 by simple X-ray. The average score of the 4 residents was 5.67 and that of the 4 surgeons was 7.25 out of 10 by 2D CT. Conclusion: It was surmised that the precise analysis and accurate comprehension of the spatial relationship of the fractured nasal bone using the 3D image, as based on the 2D CT images, can produce more favorable satisfaction levels in the patients.

안면부에 발생한 기저세포암 137례의 임상적 고찰

이봉무,심정수,김태섭,한동길,박대환,Lee, Bong Moo,Shim, Jeong Su,Kim, Tae Seob,Han, Dong Gil,Park, Dae Hwan 대한두개안면성형외과학회 2013 Archives of Craniofacial Surgery Vol.14 No.2

Background: Basal cell carcinoma (BCC) is the most common skin cancer. About 74% cases of basal cell cancer occur on the head and neck. Basal cell carcinoma on the face may have a higher degree of subclinical spread than tumors arising elsewhere. And incompletely excised BCCs become more aggressive when they recur. So the surgical removal and reconstruction of BCC located on the face are important to make perfect curing and cosmetic results. Methods: A retrospective study was done with 128 patients (137 cancers) who were treated with BCC on the face since 1987 to 2011. General data of these cases such as the primary site of cancer, age and sex of the patients, operative methods, and recurrence rate were reviewed. Results: The ratio of men to women was 1:1.4. And 86.9% of the patients with BCC were older than the age of 50 years with the mean age of 65.8 years. The distribution of facial basal cell carcinoma was on the nose, eyelids, cheek, and nasolabial fold. Surgical methods for treatment were local flap, full thickness skin graft, primary closure, and split thickness skin graft. Specifically, local flap consists of V-Y advancement flap, cheek advancement flap, limberg flap, forehead flap, nasolabial flap, rotation flap, transposition flap, bilobed flap, and island flap. Six cases recurred and all of them were treated with reoperation. Conclusion: The authors reviewed facial basal cell carcinoma cases in our hospital. This study might be helpful to choose appropriate operation method to manage BCC on face in Korea.

종합병원 인터넷 홈페이지의 컨텐츠 및 운영 현황과 향후 개선 방향

이해종 ( Hae Jong Lee ),김태섭 ( Tae Seob Kim ) 한국병원경영학회 1999 병원경영학회지 Vol.4 No.2

The purpose of this research is to suggest how to develop the internet homepage of the general hospital. The research was operated with 72 general hospitals which were titled `general hospital` by subject in internet web search engine. The contents of general hospital homepage was studied by internet screen. On the other hand, It was surveyed for homepage operation by mail questionnaire. The contents was mainly composed with ① introduction of hospital ② medical examination and the treatment-related information ③ the information & communication ④ the general medicare service, specialist & employee service. In order to operate homepage effectively, inquiry system, reservation system, consulting, information search, phone number, etc, web database shall be established inside of hospital homepage which will link compatible with computer database in hospital. Human resources employment & purchasing order system used by a enterprise shall be in consideration of adopting, since it has various merits in light of hospital management.

고체침지렌즈 기반 근접장 표면 기록을 위한 고체침지렌즈 광학 헤드의 조립 및 평가에 대한 연구

민철기 ( Cheol Ki Min ),김태섭 ( Tae Seob Kim ),윤용중 ( Yong Joong Yoon ),박노철 ( No Cheol Park ),박영필 ( Young Pil Park ) 정보저장시스템학회 2008 정보저장시스템학회논문집 Vol.4 No.1

층 밀리 간섭계를 이용한 고체침지렌즈의 광학적 성능 평가

이진의 ( Jin Eui Lee ),김완진 ( Wan Chin Kim ),최현 ( Hyun Choi ),김태섭 ( Tae Seob Kim ),윤용중 ( Yong Joong Yoon ),박노철 ( No Cheol Park ),박영필 ( Young Pil Park ) 정보저장시스템학회 2006 정보저장시스템학회논문집 Vol.2 No.4

중수지절 관절에서 신전건 아탈구에 대한 시상대 봉합술

이호재(Ho Jae Lee),이준구(Jun-Ku Lee),김지웅(Ji-Woong Kim),김태섭(Tae-Seob Kim),오치훈(Chi Hoon Oh),한수홍(Soo-Hong Han) 대한정형외과학회 2017 대한정형외과학회지 Vol.52 No.3

목적: 중수지절 관절의 시상대손상에서 기인한 신전건의 아탈구는 수부의 통증과 중수지관절 및 수지관절 운동범위 제한의 원인이 된다. 시상대손상의 원인 중 류마티스 관절염을 제외한 타 원인에서 기인한 경우는 비교적 흔하지 않으며, 수술적 치료에 대한 보고 또한 드물다. 이에 저자들은 보존적 치료를 유지하기 힘든 시상대 파열 환자에서 조기 수술적 치료를 시행하였고 그 임상 결과를 보고하고자 한다. 대상 및 방법: 신전건 아탈구에 대해 수술적 치료를 시행한 26명의 환자에 대한 의료정보를 후향적으로 분석하였다. 총 26명의 환자에는 23명의 남자와 3명의 여자가 포함되었으며, 평균 연령은 39.9세였다. 모든 환자에서 중지에 수상을 입었고, 탈구의 방향 또한 모두 척골측이었다. 수상 기전으로 9명의 환자는 직접 타격에 의해, 14명의 환자는 딱밤 때리기에 의해, 3명의 환자는 저항 굴곡에 의해 수상하였다. 수상 후 수술까지의 기간은 평균 27.5일이었다. 추적 관찰 기간은 평균 14.6개월이었다. 임상적 결과로 환자의 통증(visual analogue scale, VAS), 중수지관절 관절 가동범위, 총 능동 운동범위(total active motion, TAM), 중지 파지력(tip pinch power, pound) 및 신전건 아탈구의 재발 여부 등을 평가하였다. 결과: 최종 추시 시점에서의 중수수지 관절의 평균 굴곡 89.6° 및 신전 22.8°를 보였으며, TAM은 평균 248°로 건측 수지와 비교하여 통계적 차이를 보이지 않았다. 파지력 또한 3.4 kg (7.5 lb)을 보여 건측 3.3 kg (7.3 lb)에 비해 통계적 차이를 보이지 않았다. 저자들은 최종 추시 시점까지 아탈구의 재발을 경험하지 않았으며, 한 명의 환자를 제외하고(VAS 2) 모든 환자에서 통증은 없었다. 결론: 신전건 아탈구에 대한 시상대의 일차봉합술은 만족스러운 임상 결과를 보였다. 따라서 특히 보존적 치료를 시행하기 어려운 경우에 대한 일차봉합술은 효과적인 치료방법으로 생각된다. Purpose: Subluxation of the extensor tendon that result from sagittal band injury at the metacarpophalangeal (MCP) joint can lead to joint pain and limit the range of motion in fingers. Upon the injury mechanism, other causes except rheumatoid arthritis are relatively uncommon, and studies regarding the operative management are also sparse. We performed a direct repair of sagittal band and attempted to report clinical results of our experience in patients without application of conservative management. Materials and Methods: Authors retrospectively reviewed the medical records of 26 patients who underwent operative treatment for extensor tendon subluxation. There were 23 males and 3 females with the mean age of 39.9 years old. All patients had an injury on the long finger, and presenting an ulnarward extensor tendon subluxation. Nine patients were injured from the direct blow, 14 patients from the flicking finger, and 3 patients from the resisted finger flexion. The mean time interval between the injury and operation was 27.5 days. The mean duration of follow-up was 14.6 months. As clinical results, authors evaluated visual analogue scale, MCP joint range of motion, total active motion (TAM), 3rd finger tip pinch power, and recurrence of extensor tendon. Results: The mean final MCP joint flexion was 89.6° with 22.8° of extension. The mean TAM was 248° without a significant difference between opposite hands. The mean tip-pinch power was 3.4 kg (7.5 lb), which also did not have any significant difference with contralateral hand. Herein, we did not experience subluxation recurrence, and all but one was pain-free at the final outpatient clinic follow-up. Conclusion: A direct repair of the sagittal band for the extensor tendon subluxation presented a favorable clinical outcome. Therefore, we can suggest that such a method can be a treatment option for patients not undergoing conservative management.