Bentall씨 수술치험 2예

이신영,손동섭,김창호,Lee, Sin-Yeong,Son, Dong-Seop,Kim, Chang-Ho 대한흉부심장혈관외과학회 1986 Journal of Chest Surgery (J Chest Surg) Vol.19 No.2

We have experienced two cases of ascending aorta aneurysm with aortic regurgitation in Marfan`s syndrome. There were abnormal findings in cardiovascular system associated with abnormalities of skeletal systems. They had total replacement of the ascending aorta and aortic valve with Bjork-Shiley`s aortic valve composite graft and reimplantation of coronary ostia on the graft. Their postoperative courses were uneventful and discharged with good clinical results for follow up.

10 kg 이하의 활로4징증 환자에서 완전교정술에 관한 임상적 고찰

이신영,김창호,Lee, Sin-Yeong,Kim, Chang-Ho 대한흉부심장혈관외과학회 1991 Journal of Chest Surgery (J Chest Surg) Vol.24 No.6

The surgical management of symptomatic tetralogy of Fallot in infants is debatable. From November 1986 to August 1990, 21 infants under 10 kg of the body weight with tetralogy of Fallot underwent primary repair. Mean body weight was 8.6$\pm$1.40kg. All the patient were clubbing and there were cyanotic except for 1 patient. Transannular patch was laid down in 8 patients. Right ventricular outflow patch was used with Goretex but pericardial patch was utilized in 3 patients at the initial period of operation. Incidence of the complications following total correction of tetralogy of Fallot was more frequent in the patients placed with transannular patch compared to the patients with right ventricular outflow tract patch. Two deaths occurred in the 21 patients, Hospital mortality was 9.4%, but there were no operative deaths in the patients who transannular patch was laid down. Causes of deaths were low cardiac output.

신경회로망을 이용한 엔드밀 가공의 비절삭력계수 모델링

이신영,이장무,Lee, Sin-Young,Lee, Jang-Moo 대한기계학회 1999 大韓機械學會論文集A Vol.23 No.6

In a high precision vertical machining center, the estimation of cutting forces is important for many reasons such as prediction of chatter vibration, surface roughness and so on, and cutting forces are difficult to predict because they are very complex and time variant. In order to predict the cutting forces of end-milling process for various cutting conditions, a mathematical model is important and this model is based on chip load, cutting geometry, and the relationship between cutting forces and chip loads. Specific cutting force coefficients of the model have been obtained as interpolation function types by averaging farces of cutting tests. In this paper, the coefficients are obtained by neural network and the results of the conventional method and those of the proposed method are compared. The results show that the neural network method gives more correct values than the function type and that in teaming stage as the omitted numbers of experimental data increases the average errors increase.

PVA-Al(III) 착물 첨가 $UO_2$소결체와 AlOOH 첨가 $UO_2$소결체의 소결 특성 비교

이신영,유호식,이승재,김형수,배기광,Lee, Sin-Yeong,Yu, Ho-Sik,Lee, Seung-Jae,Kim, Hyeong-Su,Bae, Gi-Gwang 한국재료학회 2000 한국재료학회지 Vol.10 No.1

$UO_2$분말에 PVA-Al(III) 착물과 AlOOH를 각각 0.03~1.0wt%를 첨가하여 소결체를 제조한 후 소결체 특성을 비교하였다. PVA-Al(III) 착물과 AlOOH는 $1000^{\circ}C$의 소소분위기에서 열분해하는 경우 생성상은 $\theta-Al_2O_3$이었다. 순수 $UO_2$분말에 비해 AlOOH가 첨가된 혼합 분말의 곁보기 밀도는 더 높았고, PVA-Al(III) 착물이 첨가된 혼합 분말은 더 낮은 겉보기 밀도를 보였다. AlOOH가 첨가된 소결체의 경우 약 $800^{\circ}C$ 부근에서 치밀화가 시작되었지만, PVA-Al(III) 착물이 첨가된 소결체의 경우에는 약 $900^{\circ}C$에서 치밀화가 시작되었다. 기공 크기 분포는 AlOOH가 첨가된 $UO_2$소결체의 경우에 monomodal 형태로, 그리고 PVA-Al(III) 착물의 첨가된 소결체의 경우에는 bimodal 형태로 나타났다. 결정립 크기는 1wt% 첨가시 AlOOH가 첨가된 $UO_2$소결체의 경우에 약 $13\mu\textrm{m}$이었지만, PVA-Al(III) 착물의 첨가된 소결체의 경우에는 약 $\36mu\textrm{m}$까지 성장하는 현저한 효과를 확인하였다. The sintering characteristics of PVA-Al(III) complex added $UO_2$ pellet and AlOOH added $UO_2$pellet were compared. The major phase of PVA-Al(III) complex and AlOOH decomposed at $1000^{\circ}C$ in $H_2$atmosphere was $\theta-Al_2O_3$. Compared with the apparent density of pure $UO_2$, that of AlOOH added $UO_2$ powder was higher but that of PVA-Al(III) complex was lower. the densification of AlOOH added $UO_2$ pellet was initiated at about $800^{\circ}C$, the densification of PVA-Al(III) complex added $UO_2$ pellet was initiated at about $900^{\circ}C$ respectively. In a view of pore size distribution, the PVA-Al(III) complex added $UO_2$ pellet appeared as monomodal type, whereas the AlOOH added $UO_2$ pellet appeared as bimodal type. The grain size of AlOOH added $UO_2$ pellet was about $13\mu\textrm{m}$ but the grain size of PVA-Al(III) complex added $UO_2$ pellet was increased up to about $36\mu\textrm{m}$.

대동맥판 폐쇄부전이 동반된 심실중격결손에서 대동맥판성형술

이신영,김창호,Lee, Sin-Yeong,Kim, Chang-Ho 대한흉부심장혈관외과학회 1993 Journal of Chest Surgery (J Chest Surg) Vol.26 No.4

Aortic valve insufficiency with ventricular septal defect is usually treatment by plication of prolased cusps. We have performed the aortic valvuloplasty by the Trusler`s method in 14 patients of ventricular septal defect associated with aortic insufficiency. The reoperations were performed in the 4 cases[29%] due to recurrent aortic insufficiency after aotic valvuloplasty. Two patients underwent aoritc valvular replacements for the tears of repaired aortic cusps after primary aortic valvuloplasty for aortic insufficiency. The other two patients had aortic valvuloplasties again. Death occured in one case of aortic valvular replacements. The cause of death was low cardiac output syndrome soon after aortic valvular replacement for recurrent aortic insufficiency .

특이 과거력이 없는 소아에서 발생한 Parvimonas micra 뇌농양 1예

이신영,노태훈,정현주,Lee, Shin Young,Roh, Tae Hoon,Jung, Hyun Joo 대한소아감염학회 2020 Pediatric Infection and Vaccine Vol.27 No.2

Parvimonas micra is a non-spore-forming anaerobic gram-positive coccus and a known commensal of the skin, gums, vagina, and gastrointestinal tract. It is rarely associated with severe infections, which typically follow invasive procedures such as dental treatment. We describe a case of a brain abscess caused by P. micra in an immunocompetent 11-year-old boy without periodontal disease. He presented with a 7-day history of headaches and vomiting, and complained of diplopia that began on the day of presentation. He did not have any recent dental treatment or specific past medical history. A brain abscess in the left frontoparietal lobe was noted on brain magnetic resonance imaging. P. micra was cultured from brain abscess aspirate. He was successfully treated with surgical drainage and combined antibiotic therapy with ceftriaxone and metronidazole for 6 weeks.

Korean Americans’ Beliefs about Colorectal Cancer Screening

이신영,Eunice E. Lee 한국간호과학회 2013 Asian Nursing Research Vol.7 No.2

Purpose: The purpose of this study was to assess Korean Americans’ (KAs) health and cultural beliefs about colorectal cancer (CRC) and their CRC screening utilization in order to understand how health and cultural beliefs play a role in CRC screening utilization and why KAs have a low rate of CRC screening. Methods: Face-to-face, individual interviews with 26 Korean immigrants aged 50 and older were conducted in Korean. A semi-structured interview guide with open-ended questions was used to explore participants’ health and cultural beliefs about CRC and CRC screening. Recorded audio interviews were transcribed verbatim in Korean and coded using thematic analysis. Results: The themes that emerged from analyzing the individual interview data were: (a) valuing their families before themselves; (b) seeing a doctor only if they have symptoms; (c) believing that they would not get CRC; (d) balancing the will to stay healthy and fatalism; and (e) refusing health information. Conclusion: Results show the critical need for in-depth understanding of unique health and cultural beliefs about CRC screening in KAs. These beliefs could be useful for future intervention strategies to change health and cultural beliefs in order to increase CRC screening participation in KAs. Purpose: The purpose of this study was to assess Korean Americans’ (KAs) health and cultural beliefs about colorectal cancer (CRC) and their CRC screening utilization in order to understand how health and cultural beliefs play a role in CRC screening utilization and why KAs have a low rate of CRC screening. Methods: Face-to-face, individual interviews with 26 Korean immigrants aged 50 and older were conducted in Korean. A semi-structured interview guide with open-ended questions was used to explore participants’ health and cultural beliefs about CRC and CRC screening. Recorded audio interviews were transcribed verbatim in Korean and coded using thematic analysis. Results: The themes that emerged from analyzing the individual interview data were: (a) valuing their families before themselves; (b) seeing a doctor only if they have symptoms; (c) believing that they would not get CRC; (d) balancing the will to stay healthy and fatalism; and (e) refusing health information. Conclusion: Results show the critical need for in-depth understanding of unique health and cultural beliefs about CRC screening in KAs. These beliefs could be useful for future intervention strategies to change health and cultural beliefs in order to increase CRC screening participation in KAs.

도입 초당옥수수 교잡종의 지역 적응성 및 농업 형질의 유전력 평가

이신영,강종원,왕승현,박태춘,정종욱,소윤섭,Lee, Shin-Young,Kang, Jong-won,Wang, Seung-hyun,Park, Tai-choon,Chung, Jong-Wook,So, Yoon-Sup 한국작물학회 2021 한국작물학회지 Vol.66 No.2

본 실험은 지역 적응성 시험을 통한 도입 초당옥수수 자원의 농업 형질을 조사하고 혼합 선형 모형을 이용하여 조사 형질의 분산 구성요소를 추정하고 이를 통해 형질들의 유전력을 추정함으로써 신규 자원이 가진 육종재료로서의 가치를 평가하고, 이를 이용한 초당 옥수수 품종 육종 과정에서 선택할 수 있는 육종 및 선발 방법을 도모하고자 하였다. 1. 출웅기와 출사기를 제외한 모든 형질의 유전력은 낮게 추정되었는데 이러한 형질은 분산구성요소 중 유전분산이 낮게 추정되었다. 착수고율의 경우 품종과 지역 간의 유의한 상호작용효과로 인해 낮은 유전분산이 추정된 것으로 보인다. 2. 측정 형질의 낮은 유전력 추정치는 시험 재료가 모두 최신 상업용 품종이기 때문일 것으로 사료된다. 따라서 육종재료로서의 낮은 잠재력을 의미하는 것은 아니다. 3. 낮은 유전분산과 유의미한 상호작용 효과를 극복하고 선발 효율을 극대화 하기 위하여 교잡종의 직접적인 자가 수정을 통한 자식 계통 개발을 진행하기 보다 intermating을 통한 유전자 재조합을 먼저 유기하는 것이 바람직 할 것으로 보인다. This study evaluated newly introduced, commercial super sweet corn hybrids (Zea mays L.) for their potential as breeding materials. Agronomic traits were measured and variance components were obtained using a linear mixed model to estimate the heritability. The trials were carried out in 2018 at two locations (Haenam and Oksan in South Korea). All traits had low heritability, except for mid tasseling and silking days. These traits with low heritability mostly had low genetic variance component estimate. In case of ear height ratio, significant genotype by location appeared to be responsible for low genetic variance, which in turn led to low heritability. Low heritability estimates from the trials with commercial hybrids were perhaps because those hybrids were highly improved for commercial success. Hence, this does not necessarily point to them having poor potential as breeding materials. To overcome low heritability, significant genotype by environment interaction, and achieve high selection efficiency, intermating among hybrids is recommended to create new recombinants before inbred line development.

매독성 상행 대동맥류 수술치

이신영,강정호,지행옥,Lee, Sin-Yeong,Gang, Jeong-Ho,Ji, Haeng-Ok 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.1

The incidence of syphilitic aortic aneurysm was decreased now a day. We experienced a case of huge syphilitic ascending aortic aneurysm from just above portion of aortic annulus to about 1 cm below innominate artery without aortic insufficiency. Surgical correction was done by replacement of ascending aorta with woven Dacron graft under cardiopulmonary bypass. Postoperative course was uneventful and discharged 15 days after surgery with good condition.

동맥관개존증의 술후 심전도변화에 관한 임상적 연구

이신영,김근호,Lee, Sin-Yeong,Kim, Geun-Ho 대한흉부심장혈관외과학회 1986 Journal of Chest Surgery (J Chest Surg) Vol.19 No.1

At the Department of Thoracic and Cardiovascular Surgery, Hanyang university, from 1976 to 1984, 102 patients operated for isolated patent ductus arteriosus were studied. The correlation between the degree of left ventricular hypertrophy [LVH] and hemodynamic data, and postoperative changes of electrocardiographic findings were evaluated. The following results were obtained; [1] Of 102 patients with isolated patent ductus arteriosus, 78 patients [76.5%] were found to have LVH by EKG, preoperatively. [2] The patients with LVH had higher incidence of respiratory infection [79.4%] compared to patients without LVH. [3] Frequent physical findings in the patients with LVH were precordial bulging and P2 accentuation on auscultation. The typical continuous machinery murmur was not different in two group with or without LVH. [4] 66.1% of patients with LVH showed more than 56% of cardiothoracic ratio [CTR] on simple chest X-ray. 56.5% of patients without LVH showed less than 50% of CTR. [5] In the patients found to have LVH by EKG, the correlation between values of Svl+Rv6 and Qp/Qs in hemodynamic data was correlation coefficient 0.57 and between CTR and Qp/Qs was correlation coefficient 0.51. [6] In patent ductus arteriosus with LVH following surgery, the values of Svl+Rv6 was changed from preoperative 153.6$\pm$42.78% to 107.7$\pm$19.58% within 3 months and to 80.4$\pm$12.22%, which is within normal range of Svl+Rv6 on EKC, after 6 months.