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전병건,신루미,정중기,정인목,허승철 대한대장항문학회 2013 Annals of Coloproctolgy Vol.29 No.3
Purpose: Carcinoembryonic antigen (CEA) is an important prognostic marker in colorectal cancer (CRC). However, in some stages, it does not work. We performed this study to find a way in which preoperative CEA could be used as a constant prognostic marker in harmony with the TNM staging system. Methods: Preoperative CEA levels and recurrences in CRC were surveyed. The distribution of CEA levels and the recurrences in each TNM stage of CRC were analyzed. An optimal cutoff value for each TNM stage was calculated and tested for validity as a prognostic marker within the TNM staging system. Results: The conventional cutoff value of CEA (5 ng/mL) was an independent prognostic factor on the whole. However,when evaluated in subgroups, it was not a prognostic factor in stage I or stage III of N2. A subgroup analysis according to TNM stage revealed different CEA distributions and recurrence rates corresponding to different CEA ranges. The mean CEA levels were higher in advanced stages. In addition, the recurrence rates of corresponding CEA ranges were higher in advanced stages. Optimal cutoff values from the receiver operating characteristic curves were 7.4, 5.5, and 4.5 ng/mL for TNM stage I, II, and III, respectively. Those for N0, N1, and N2 stages were 5.5, 4.8, and 3.5 ng/mL, respectively. The 5-year disease-free survivals were significantly different according to these cutoff values for each TNM and N stage. The multivariate analysis confirmed the new cutoff values to be more efficient in discriminating the prognosis in the subgroups of the TNM stages. Conclusion: Individualized cutoff values of the preoperative CEA level are a more practical prognostic marker following and in harmony with the TNM staging system.
특수 콘크리트를 이용한 공원시설 관련 제품에 관한 연구
박봉우,김진아,신애란,전병건 강원대학교 석재복합신소재제품연구센터 1996 석재연 논문집 Vol.1 No.-
본 연구는 특수 콘크리트를 사용하여 공원시설 관련 제품을 생산하기 위한 기초 자료를 얻을 목적으로 수행하였다. 현재 국내에서 생산하여 사용되고 있는 공원 관련 시설물을 대상으로 소재에 대한 선호도와 소재의 특성을 우편을 통한 설문 조사를 하였다. 설문의 결과 가장 선호하는 소재는 목재, 인조목, 철금속, 비철금속, 석재 등의 순서로 나타났다. 재료 별 특성은 12개 공원 관련 시설과 7개 시멘트 콘크리트 제품을 대상으로 재료별로 10개 항목에 대한 특성을 조사하여 matrix로 나타내었다. 이렇게 조사된 결과를 토대로 하여 공원 관련 제품 생산을 위한 시험적인 모델로 특수 콘크리트를 사용한 블라드와 콘크리트 판넬의 모형을 제시하였다. The purpose of this study was to obtain basic information in order to produce of park facility products using by special concrete. This study made a survey of preference and character of the raw materials on park facility products throughout the country by mail questionnaire. As a result, the ranking of preference on raw materials were wood, imitation wood made from cement concrete, steel, and nonferrous metal. Also, the 10 characters of raw material on the 12 items of park facility products and 7 items of cement concrete products investigated and their results showed by matrix. Based on these results we suggest the pilot models of bollard and concrete panel for pedestrian using special concrete.
김정기,전병건,송윤숙,서미선,권윤혜,박지원,유승범,정승용,박규주 대한대장항문학회 2015 Annals of Coloproctolgy Vol.31 No.4
Purpose: This study prospectively investigated the effects of biofeedback therapy on objective anorectal function and subjective bowel function in patients after sphincter-saving surgery for rectal cancer. Methods: Sixteen patients who underwent an ileostomy were randomized into two groups, one receiving conservative management with the Kegel maneuver and the other receiving active biofeedback before ileostomy closure. Among them, 12 patients (mean age, 57.5 years; range, 38 to 69 years; 6 patients in each group) completed the study. Conservative management included lifestyle modifications, Kegel exercises, and medication. Patients were evaluated at baseline and at 1, 3, 6, and 12 months after ileostomy closure by using anal manometry, modified Wexner Incontinence Scores (WISs), and fecal incontinence quality of life (FI-QoL) scores. Results: Before the ileostomy closure, the groups did not differ in baseline clinical characteristics or resting manometric parameters. After 12 months of follow-up, the biofeedback group demonstrated a statistically significant improvement in the mean maximum squeezing pressure (from 146.3 to 178.9, P = 0.002). However, no beneficial effect on the WIS was noted for biofeedback compared to conservative management alone. Overall, the FI-QoL scores were increased significantly in both groups after ileostomy closure (P = 0.006), but did not differ significantly between the two groups. Conclusion: Although the biofeedback therapy group demonstrated a statistically significant improvement in the maximum squeezing pressure, significant improvements in the WISs and the FI-QoL scores over time were noted in both groups. The study was terminated early because no therapeutic benefit of biofeedback had been demonstrated.
Rectourethral Fistula: Systemic Review of and Experiences With Various Surgical Treatment Methods
최지혜,전병건,최상지,한언철,하헌균,오흥권,최은경,문상희,유승범,박규주 대한대장항문학회 2014 Annals of Coloproctolgy Vol.30 No.1
Purpose: A rectourethral fistula (RUF) is an uncommon complication resulting from surgery, radiation or trauma. Although various surgical procedures for the treatment of an RUF have been described, none has gained acceptance as the procedure of choice. The aim of this study was to review our experience with surgical management of RUF. Methods: The outcomes of 6 male patients (mean age, 51 years) with an RUF who were operated on by a single surgeon between May 2005 and July 2012 were assessed. Results: The causes of the RUF were iatrogenic in four cases (two after radiation therapy for rectal cancer, one after brachytherapy for prostate cancer, and one after surgery for a bladder stone) and traumatic in two cases. Fecal diversion was the initial treatment in five patients. In one patient, fecal diversion was performed simultaneously with definitive repair. Four patients underwent staged repair after a mean of 12 months. Rectal advancement flaps were done for simple, small fistula (n = 2), and flap interpositions (gracilis muscle flap, n = 2; omental flap, n = 1) were done for complex or recurrent fistulae. Urinary strictures and incontinence were observed in patients after gracilis muscle flap interposition, but they were resolved with simple treatments. The mean follow-up period was 28 months, and closure of the fistula was achieved in all five patients (100%) who underwent definitive repairs. The fistula persisted in one patient who refused further definitive surgery after receiving only a fecal diversion. Conclusion: Depending on the severity and the recurrence status of RUF, a relatively simple rectal advancement flap repair or a more complex gracilis muscle or omental flap interposition can be used to achieve closure of the fistula.
볼트이음된 대골형 파형강판의 구조거동에 대한 실험적 평가
오홍섭,이주원,전병건 한국구조물진단유지관리공학회 2011 한국구조물진단유지관리공학회 논문집 Vol.15 No.3
파형강판 구조물은 기존의 단지간 구조물에 비하여 더 큰 압축력과 활하중에 유연한 휨거동을 나타내며, 시공중에는 활하중에 의한 비대칭 토압분포가 발생하게 된다. 따라서 본 연구에서는 현재 국내에서 생산 및 시공이 이루어지고 있고 휨변형에 탁월한 대골형 파형강판의 볼트 이음부의 극한강도 및 모멘트강도 등을 검토하고자 하였다. 그리고 선행연구 결과를 바탕으로 볼트 이음부의 보강량 증가에 따른 강도 증가와 시험체의 파괴양상을 비교함으로서 대골형 파형강판 시험체의 성능을 평가하고자 하였다. Deep corrugated steel plate structure has more compressive force and flexibility in bending behavior than short span structure. Asymmetric earth pressure distribution has occurred during construction. Ultimate strength and moment in domestic area, having superior ability at bending strain has been examined in this study. Based on the result of the study preceded, performance of Deep corrugated steel plate specimen has been evaluated by comparing increase of strength according to the increase of reinforcement content in bolt connections and failure mode of specimen.
브릿지 플레이트의 이음부 보강에 따른 강도 평가에 대한 실험적 연구
오홍섭 ( Oh Hongseob ),이주원 ( Lee Juwon ),전병건 ( Jeon Beonggun ),김종국 ( Kim Jongkuk ) 한국구조물진단유지관리공학회 2009 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.13 No.2
The purpose of this research is to evaluate the strength of the connections deep corrugated strugated plate. As the result maximum impressive strength of specimen which failed by bolt bearing and local buckling of plate is 4367kN. The failure mode of the Encased-concrete deep corrugated strugated plate shows a ductile failure with 6242kN and axial displacement about 45mm at maximum loads.