요추부 유합수술 후 가동인접분절의 후기변화

김홍태,강도원,유찬훈,정재호,장세앙 대한척추외과학회 1996 대한척추외과학회지 Vol.3 No.1

The spinal fusion in a lumbar region may influence biomechanically in the remained mobile segment to take over the lost motions Therefore the stress concentration on the adjacent segments may accelerate the degenerative changes, and then various late changes could occur. The aim of this study was to evaluate the late changes occuring in the adjacent segments to lumbar fusions. A retrospective review of radiographs and medical records was undertaken for 67 consecutive patients who had undergone various fusions in the lumbar region for various pathologic conditions. Included in this study were the patients who had performed active daily livings without any significant pain or disability after fusion and followed for a minimum of five years(up to 18 years with a mean of 8.3 years). The results of this study were as follows : The instability, disc narrowing, spinal stenosis, vertebral slipping, or isthmic defect were found in the adjacent segments to fusions in the patients who were followed longer, in L4-5 segment and above segment of fusion, and in the adjacent segments where a degenerative changes existed before surgery and where the angular motion increased considerably in a few years after fusion. The symptoms of these patients were responded well with conservative theraphy and no patient needed any surgical theraphy during these follow-up periods.

첫 경련이 간질 중첩증으로 발현된 소아의 특성

박석우(Seok Woo Park),장지연(Ji Yeon Chang),권영세(Young Se Kwon),홍영진(Young Jin Hong),손병관(Byong Kwan Son) 대한소아신경학회 2003 대한소아신경학회지 Vol.11 No.2

목 적 : 간질 중첩증은 신속한 치료를 요하는 신경학적 응급 질환으로 때로는 심각한 신경학적 후유증이 발생할 수 있으므로 원인 질환과 예후에 영향을 미치는 인자들에 대해 정확한 이해가 필요하다. 이에 저자들은 첫 경련이 간질 중첩증으로 발현된 소아의 원인, 임상 양상, 치료, 예후 및 신경학적 후유증의 발생 빈도의 연관 관계를 알아보고자 이 연구를 시행하였다. 방 법 : 1996년 7월부터 2002년 6월까지 인하대학교병원 소아과 및 응급실에서 첫 발작이 간질 중첩증으로 진단받은 1개월에서 5세 사이의 환아 25명을 대상으로 나이에 따른 분포, 원인 질환, 경련 형태, 지속 시간, 사용 약물, 뇌파 및 MRI의 소견, 예후를 기록지를 통하여 후향적으로 분석하였다. 결 과 : 1) 대상 환아의 남녀의 비는 2.1:1이었고 대상 환자 25명 중 남아 17명(68%), 여아 8명(32%)이었으며 연령은 20±1.6개월로 대부분 3세 이상(80%)에서 발생하였다. 2) 경련 형태는 전신 강직-간대형이 60%, 전신 강직형 16%, 부분 간대형이 16%, 부분 발작형이 8%이었다. 3) 원인 질환과 예후는 증후성인 경우가 64%였으며 특발성인 경우가 36%였다. 증후성의 경우 발열이 40%, 중추 신경계 감염이 20%, 허혈성 손상이 4%이었으며 원인 질환이 있는 경우와 그렇지 않은 경우와의 통계학적 유의성은 없었다. 4) 경련의 지속시간은 30분-1시간이 17례(68%), 1-2시간이 4례(16%), 2시간 이상이 4례(16%) 이었다. 지속 시간이 짧을수록 예후가 좋은 경향을 보였다. 5) 사용 약물은 phenobarbital, phenytoin, midazolam, valium, valproic acid이었다. 약물 한 가지로 조절된 경우 13례(52%), 두 가지로 조절된 경우 11례(44%), 세 가지로 조절 된 경우 2례(4%)이었으며 세 군간의 예후를 비교해 보았을 때 한 가지로 조절된 군이 다른 군 보다 예후가 좋은 경향으로 나타났다. 6) 뇌파는 20례에서 시행하였는데 정상 7례(35%)이었고, 13례(65%)는 비정상이었다. 비정상은 전기적인 지속경련을 보인 경우 6례(30%), 배경파 이상을 보인 경우 6례(30%), 국소적인 간질파를 보인 경우 1례(5%)이었다. MRI는 19례에서 시행하였는데 정상 소견 10례(53%), 이상 소견 9례(47%)이었다. 7) 원인이 발열인 경우에서의 예후는 정상을 보인 경우가 6례, HHE를 보인 경우가 2례, 복합 부분 발작을 보인 경우가 1례, 정신 지체를 동반한 뇌성 마비가 1례였다. 결 론 : 첫 경련이 간질 중첩증으로 발현된 소아는 대부분 3세 이하였다. 경련 시간이 1시간 이내, 한 가지 항경련제로 경련이 조절되는 경우는 예후가 좋았고, 경련 시간이 1시간 이상이거나, 여러 가지 항경련제를 사용하거나, 원인 질환이 있는 경우는 예후가 나빴다. Purpose : Status epilepticus(SE) is a pediatric and neurologic emergency associated with significant morbidity and mortality. Prompt recognition and management are needed for successful outcomes. We evaluated, clinical manifestations, treatment and prognosis of the patients whose first seizure attacks were presented as SE. Methods : According to the department of pediatrics and the emergency room in Inha University Medical Center, there were a total of 25 children between 1 month and 5 years old who were diagnosed as status epilepticus from July 1996 to June 2002. Also, their medical records were reviewed and analyzed interms of age distribution, accompaning diseases, the types and duration of convulsion, medications, EEG and MRI findings and prognosis. Results : Twenty-five cases were studied. The mean age at the time of the diagnosis was 20±1.6 months and 80% of the patients were less than 3 years old. The most common type of the status epilepticus was generalized tonic clonic seizure comprising 15 cases(60%). 64% of the patients were symptomatic: fever(40%), CNS infection(20%), ischemic injury(4%) while 36% were idiopathic. Seizure attacks were terminated within an hour in seventeen patients(68%) and they controlled by one antiepileptic drug in thirteen patients(52%). Of the 20 EEGs, abnormal findings were shown in 13 cases(65%); namely, electrical seizure(30%), abnormal background(30%), and focal epileptiform discharge(5%). Of the 19 brain MRIs, abnormal findings were shown in 9 cases(47%). Conclusion : The children whose first seizure attack were presented as SE were less than 3 years old. The prognosis is good in that most of the seizure attacks were terminated within an hour and controlled by one epileptic drug. However those seizure attacks with longer duration, multiple antiepileptic druge and underlying causeare had poor prognosis.

이동로봇의 실시간 장애물인식에 관한 연구

오세봉,Nguyen Huu Cong,김준홍,조창제,한성현 한국공작기계학회 2008 한국공작기계학회 추계학술대회논문집 Vol.2008 No.-

This paper achieves a research about avoidance of obstacles avoidance based on ultrasonic sensor. The performance of the proposed obstacle avoidance robot controller in order to determine the exact dynamic systems modeling system that uncertainty is difficult for nomadic controlled robot direction angle by ultrasonic sensors throughout controlled performance tests. In additionally, this study is an in different ways than the self-driving simulator in the development of ultrasonic sensors and unmanned remote control techniques used by the self-driving robot controlled driving through an unmanned remote controlled unmanned realize the performance of factory automation.

비정형 기관지 유암종에 의한 이소성 ACTH 증후군 1례

이창훈,천남일,홍세인,정진욱,윤인석,조동혁,강호철,정동진,정민영 全南大醫大 2001 전남의대학술지 Vol.37 No.2

초임계 이산화탄소를 이용하는 친환경 공정에 의한 다공성 고분자의 제조

강세란,홍성수,이민규,이석희,천재기,주창식 한국환경과학회 2004 한국환경과학회지 Vol.13 No.3

An experimental study on the preparation of monolithic porous polymers by environmentally friend process in supercritical carbon dioxide has been carried out. Polymerization mixture composed of a cross-linking monomer, initiator and functional co-polymer was charged in the reactor with sapphire window. After the system was purged with a flow of CO₂ for 15 min, the reactor was pressurized with liquid CO₂ up to 100 bars. The reactor was isolated from and placed back to the system via quick connector for shaking until the mixture had become fully homogeneous. The reactor was then heated and pressurized to the required reaction conditions and left overnight. After cooling and CO₂ evacuation, the polymer was removed from the reactor as dry, white, continuous monoliths. The effect of experimental conditions on the physical properties of porous polymer was systematically examined, and it was found that monomer content had a major effect on the physical properties of the polymers.

주의력 결핍 과잉행동 장애 아동에서의 집단 프로그램의 치료 효과

심세훈,오창근,권자영,정유숙,홍성도 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background : The authors attempted to introduce group program for improving interpersonal relationship and evaluate the effects of that program. Material and Methods : This program had been held twice a week for 8 weeks for children and parents training had been for times on the treatment and continued from 2001 to 2002. Twenty-five ADHD children in school age were selected as subjects from child psychiatric clinic of a general hospital in Seoul. Treatment outcomes were evaluated by comparing at pre- and post- treatment using the various rating scale. Result : According to the results of statistical analysis, paired t-test, the score of total self-concept including popularity was increased and family environment and parenting stress were improved significantly. These results suggest that this program is useful for its orginal goal. The parents evaluated also that children's total problem behaviors were decreased. Conclusion : These results suggest that the designed and performed group program in this study would be effective in facilitating ADHD children's emotional and interpersonal growth, and decreasing their parents stress. Finally they would have healthy interpersonal reationship.

체성감각유발전위검사를 이용한 척추기형교정수술 시의 수술중 감시

김철,이창헌,김창효,석세일,김진혁,김원중,홍기혁 大韓再活醫學會 1999 Annals of Rehabilitation Medicine Vol.23 No.3

감염성 심내막염 환자에서 증상 없이 발견된 뇌동맥류 1예

김희만,임세중,이주용,이꽃실,김준명,홍유선,이규창 대한내과학회 2003 대한내과학회지 Vol.64 No.4

30세 남자 환자로 심내막염 진단 후 발견된 무증상의 감염성 뇌동맥류로 항생제 치료 후 단계적인 수술로 심장판막 대치술과 뇌동맥류 결찰술을 시행하여 심각한 뇌신경학적 후유증이나 합병증이 발생하기 전에 성공적으로 치료한 경험을 하였기에 문헌 고찰과 함께 보고하는 바이다. Cerebral mycotic aneurysm is an uncommon complication of infective endocarditis. In spite of low incidence, mycotic aneurysm is a serious complication because of the high risk of its rupture. Therefore, early diagnosis and management of cerebral mycotic aneurysm are imperative before the rupture. We experienced a case of asymptomatic cerebral mycotic aneurysm in a 30-year old man with infective endocarditis. He was admitted for splenic and renal infarction due to systemic embolization. The echocardiography showed severe mitral regurgitation, mitral valve prolapse and vegetation on the mitral valve. Streptococcus mitis was identified from blood cultures. In the course of antibiotics therapy, brain magnetic resonance image and 4-vessel cerebral angiography were performed, which revealed multiple unruptured cerebral mycotic aneurysms. Considering the high risk of rupture we performed mitral valve replacement with bioprosthesis. On follow-up cerebral angiography after the valve replacement surgery, one of aneurysms was enlarged, and successfully treated by surgical intervention without complication. We report one case of mycotic aneurysm without neurologic symptom in an infective endocarditis patient, who was treated without serious sequelae of the aneurysm. (Korean J Med 64:477-481, 2003)

외측 미칩 갑상선에서 발생하여 다발성 전이로 발현된 유두상 갑상선암 1예

천남일,이창훈,홍세인,정진욱,윤인석,조동혁,강호철,정동진,정민영 대한내분비학회 2001 Endocrinology and metabolism Vol.16 No.4-5

PV 모듈의 손실 저항 성분을 고려한 I-V 출력 모델링에 관한 연구

홍종경(Jong-kyuong Hong),정태희(Tae-hee Jung),류세환(Se-Hwan Ryu),원창섭(Chang-sub Won),강기환(Gi-Hwan Kang),안형근(Hyungkeun Ahn),한득영(Deuk-Young Han) 대한전기학회 2008 대한전기학회 학술대회 논문집 Vol.2008 No.10

This paper, we proposed the theoretical model which includes series resistance R<SUB>s</SUB> and shunt resistance R<SUB>sh</SUB> of single-crystalline PV module and used numerical method based on physics. Series resistance R<SUB>S</SUB> was derived from approach for p-n junction diode instead of established form obtained from the simulator with irradiance changes. Electrical output characteristics for PV modules to count the effect of R<SUB>s</SUB> were then studied. Finally simulation results were compared to experimental data leading to good agreement.