http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
서진혁,서승석,김도훈,박병윤,박찬호,김옥걸 대한슬관절학회 2017 대한슬관절학회지 Vol.29 No.4
Purpose: We compared adductor canal block (ACB) alone and a combination of ACB and sciatic nerve block (SNB) to control early postoperative pain after total knee arthroplasty. Materials and Methods: One hundred patients received continuous ACB alone (group A), and another 100 patients received continuous ACB and single popliteal SNB (group B). Pain was evaluated at rest and 45° knee flexion using the numeric rating scale (NRS). The number of times the patient pressed the intravenous patient-controlled analgesia (PCA) button, total PCA volume infused, and the total dosage of additional analgesics were evaluated. We also investigated complications associated with each pain control technique. Results: The NRS score on postoperative day 1 was significantly lower in group B than in group A. The number of times patients pressed the PCA button on postoperative day 1 and the total infused volume were significantly lower in group B than in group A. Thirty-five (35%) patients in group B developed foot drop immediately after surgery; but they all fully recovered on postoperative day 1. Conclusions: SNB can be effective for management of early postoperative pain that persists even after ACB. Further research is needed to determine the proper dosage and technique for reducing the incidence of foot drop.
서진혁,우영하,정주선,김도훈,김옥걸,이상욱,박찬호 대한정형외과학회 2019 대한정형외과학회지 Vol.54 No.5
Purpose: This study evaluated the efficacy of blood mixed cement for osteoporotic vertebral compression fractures in reducing the complications of percutaneous vertebroplasty using conventional cement. Materials and Methods: This study was performed retrospectively in 80 patients, from January 2016 to January 2017. Porous cement was formed by mixing 2, 4, and 6 ml of blood with 20 g of cement used previously. A tube with a diameter and length of 2.8 mm and 215 mm, respectively, was used and the polymerization temperature, setting time, and optimal passing-time were measured and compared with those using only conventional cement. Radiologically, the results were evaluated and compared. Results: The polymerization temperature was 70.3°C, 55.3°C, 52.7°C, and 45.5°C in the conventional cement (R), 2 ml (B2), 4 ml (B4), and 6 ml (B6), respectively, and the corresponding setting time decreased from 960 seconds (R) to 558 seconds (B2), 533 seconds (B4), and 500 seconds (B6). The optimal passing-time was 45 seconds (B2), 60 seconds (B4), and 78 seconds (B6) at 73 seconds (R), respectively and as the amount of blood increased, it was similar to the cement passing-time. The radiological results showed that the height restoration rates and the vertebral subsidence rates similar among the groups. Two cases of adjacent vertebral compression fractures in the R group and one in the B2 and B4 groups were encountered, and the leakage rate of the cement was approximately two times higher than that in the conventional cement group. Conclusion: In conventional percutaneous vertebroplasty, the procedure of using autologous blood with cement decreased the polymerization temperature, reduced the setting time, and the incidence of cement leakage was low. These properties may contribute to more favorable mechanical properties that can reduce the complications compared to conventional cements alone. 목적: 골다공증성 척추 압박골절을 가진 환자에서 혈액을 혼합한 시멘트를 사용함으로써 기존 시멘트를 이용하여 경피적 척추 성형술을 시행했을 경우 나타나는 합병증을 줄이는 데 적합한지 알아보고자 한다. 대상 및 방법: 2016년 1월부터 2017년 1월까지 80명을 대상으로 후향적으로 진행되었다. 각 군에서 기존에 사용하던 시멘트 20 g에 혈액을 각각 2, 4, 6 ml를 섞어서 다공성 시멘트를 생성하였다. 지름 2.8 mm, 길이 215 mm의 튜브를 이용하였고 중합온도, 응결시간, 적절한 통과시간을 측정하여 기존의 시멘트만 사용하던 것과 비교하였다. 방사선적으로 컴퓨터 단층촬영 및 X-ray를 통하여 결과를 평가하여 비교하였다. 결과: 중합온도는 기존의 시멘트(R), 2 ml (B2), 4 ml (B4), 6 ml (B6) 군에서 각각 70.3°C, 55.3°C, 52.7°C, 45.5°C였으며, 응결시간은 960초(R)에서 558초(B2), 533초(B4), 500초(B6)로 감소하는 양상을 보였다. 통과시간은 각각 73초(R)에서 45초(B2), 60초(B4), 78초(B6)를 보였으며, 혈액의 양이 증가할수록 기존의 시멘트 통과시간과 유사하였다. 방사선적 결과 분석에서 추체 재건율과 추체 재함몰률은 4군 간에 유의한 차이가 없었다. 인접 추체 골절은 R군에서 2건, B2, B4 군에서 1건씩 나타났으며, 시멘트 누출률은 기존 시멘트 군에서 약 2배 높게 측정되었다. 결론: 기존의 경피적 척추 성형술 시 본인 자가 혈액을 시멘트와 혼합하여 사용하는 술식은 중합온도의 감소, 응결시간의 단축을 보이며 시멘트 누출 발생률이 적었다. 이러한 물성은 기존의 시멘트만 사용하는 경우보다 합병증을 줄일 수 있는 더 적합한 기계적 특성에 도움일 될 것으로 판단된다.
낙석방지울타리 망의 변위량 및 성능검증을 위한 실물낙석시험
서진혁(JinHyuk Seo),황영철(Youngcheol Hwang) 한국지반환경공학회 2020 한국지반환경공학회논문집 Vol.21 No.12
낙석방지울타리의 지지능력은 철망, 지주, 와이어로프의 성능을 합친 것으로 정의되며, 기존에 시공되고 있는 낙석방지울타리는 도로안전시설 설치 및 관리지침 중 낙석방지시설 편에는 48~61kJ의 에너지를 흡수할 수 있는 지주, 와이어로프, 철망의 규격이 제시되어 있다. 그러나 흡수에너지에 대한 각 요소들의 상관관계가 명확하게 제시되어 있지 않아 불확실하다(Ministry of Land, 2008). 본 논문에서는 수직 낙하시험을 이용하여 낙석방지울타리의 성능평가 시험을 수행하던 중 복잡한 꼬임으로 이루어져 체결조건 등이 중요한 낙석방지망이 흡수하는 에너지를 확인하기 위해 실물낙석시험을 수행하였다. 시험결과를 이용하여 낙석방지망의 변위량 산정요소인 의 적절성을 판단하고 국외 성능평가 기준을 이용하여 낙석방지망의 흡수가능에너지를 평가하였다. 변위량의 경우 명시되어 있는 1/4보다 1/2로 사용하는 것이 적합하다고 판단되며, 낙석방지망은 30kJ 정도의 에너지를 흡수한다는 결과를 도출하였다. Over 60% of South Korea’s land consists of mountainous topography, and recently, due to earthquakes, localized heavy rains and road development, the risks of rockfalls are getting higher. As of now, rockfall prevention facilities are being constructed in 70% of Korean roads cut slope and rockfall protections account for about 20% of them. Rockfall protection’s supporting capacity is defined by combining performance of wire mesh, pillars and wire ropes. For the existing constructed rockfall protection, standards of pillars that can absorb 48~61 kJ amount of energy, wire ropes and wire mesh are presented in Guidelines for the installation and management of traffic safety facilities, Rockfall prevention facilities by Ministry of Land, Transport and Maritime Affairs (2008). However, each factor’s correlation of absorption energy is not presented so it is uncertain. This study will conduct vertical drop test and identify adequacy of rockfall protection net of displacement quantity calculation factor which is delta and evaluate rockfall protection net’s absorbable energy through standards of overseas performance evaluation criteria.
ISO 5167-4에 따른 벤투리 설계, 제작 및 유량측정 연구
서진혁(Jinhyeuk Seo),임우태(Wootae Lim) 대한기계학회 2015 대한기계학회 춘추학술대회 Vol.2015 No.11
Venturi meter is one of the representative flowmeters due to relatively small pressure losses. It has been widely used in fluid engineering applications such as heavy industries and energy plants. This study is aimed to design and fabricate a venturi tube based on the ISO 5167-4 and thus provides a discharge coefficient through an accurate in-situ calibration with the primary method by measuring mass flow rate with the loadcell. Flow rate measured by the venturi flowmeter can be also validated with the values of corresponding in-line reference flowmeters; an electromagnetic flowmeter and Coriolis flowmeter. Additionally, the test uncertainty of flow rate measurement can be revealed to allowable reliability based on ASME PTC 19.1.