원위 경골 간부 골절에서 최소 침습적 경피적 금속판 고정술과 관혈적 금속판 고정술의 비교

유성호 ( Seong Ho Yoo ),안성준 ( Seong Jun Ahn ),송무호 ( Moo Ho Song ),김부환 ( Bu Hwan Kim ),이민수 ( Min Soo Lee ),박종하 ( Jong Ha Park ) 대한골절학회 2006 대한골절학회지 Vol.19 No.1

목적: 경골 원위부 골절의 치료에 있어 최소 침습적금속판 고정술과 관혈적 고정술에 대한 비교를 통한 효율성에 대한 연구고찰을 하고자 한다. 대상 및 방법: 2001년 6월부터 2004년 6월까지 경골 원위부 골절에 대하여 수술을 시행한 최소 1년 이상의 추시가 가능하였던 30예 중 최소 침습적 금속판 고정술을 시행한 15예를 A군, 관혈적 금속판 고정술을 시행한 15예를 B군으로 나누어 수술시간, 술 후 재활, 술 후 운동범위, 동통에 대하여 McLennan과 Ungersma의 기준을 이용한 임상평가, 술 후 염증반응에 대한 C-반응성 단백 및 술 후 합병증을 후향적으로 비교 분석하였다. 결과: A군과 B군의 수술시간은 각각 63분 (45∼105)/129분 (80∼120), 능동적 관절 운동가능시기는 8.3일 (6∼14)/15.8일 (13∼21), McLennan과 Ungersma의 기준에 의한 임상평가는 두 군 모두에서 대부분 양호 이상의 결과를 보였으나, B군에서는 보통 1예가 있었다. 술 후 3일, 7일째 각각 시행한 CRP는 A군에서는 4.0 mg% (범위: 0.9∼7.2)/0.5 mg% (0.1∼1.5), B군에서는 7.97 mg% (2.8∼14.6)/1.0 mg% (0.3∼1.6)로 A군에서 조직손상이 적고 회복이 빨랐다. 술 후 합병증으로는 A군에서는 표재성 감염 1예와 5도 이상의 족관절 외반변형 1예가 있었고, B군에서는 표재성 감염 1예, 감염성 불유합 1예와 10도 미만의 족관절 배굴장애를 보이는 경우가 2예 있었다. 결론: 경골 원위부 골절의 수술적 치료에서 최소 침습적 금속판 고정술이 관혈적 고정술에 비해 조직의 염증반응과 합병증이 적고 수술시간 및 술 후 재활 등에서 보다 효율적인 술식으로 사료된다. Purpose: To evaluate the efficacy of the surgical treatment through the comparison of MIPPO vs open plate fixation in the treatment of the distal tibia fracture retrospectively. Materials and Methods: 30 patients with distal tibia fracture from Jun. 2001 to Jun. 2004 were divided into two groups depending on the surgical method. Minimum follow up was 12 months. Group A consisted of 15 patients treated with MIPPO, Group B was 15 patients treated with open plate fixation. The clinical outcomes were evaluated retrospectively from operation time, rehabilitation, ROM, interval change of postoperative CRP to assess postoperative inflammatory reaction, postoperative complications and clinical result with the use of McLennan and Ungersma criteria. Results: There were no significant differences in clinical result by McLennan and Ungersma criteria in both groups. The postoperative 3 days and 7 days CRP were 4.0 mg% (0.9∼7.2)/0.5 mg% (0.1∼1.5) in group A and 7.97 mg% (2.8∼14.6)/1.0 mg% (0.3∼1.6) in group B, shows more minimal tissue injury and early recovery in group A. Operation time in group A was shorter than group B. Normal recovery of ROM was quicker in Group A. In complications, group A showed one superficial infection and one angular deformity and group B showed one superficial infection, one infected nonunion and two ankle stiffness. Conclusion: There were no significant differences in clinical result and bony union. MIPPO technique is superior to group B in view of the minimal tissue injury, complications, operation time and postoperative rehabilitation.

역위 매복된 상악 중절치의 외과적 재위치 후 치근 발육 정지

송제선,최병재,최형준,김성오,손흥규,이제호 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.1

상악 중절치의 매복은 소아 환자의 심미적 사회적 기능적 문제를 일으킬 수 있어 적절한 치료를 통해 바로잡아 주어야 한다. 상악 중절치 매복의 치료로 외과적 노출 후 교정적 견인이 어려울 경우 발치하기에 앞서 외과적 재위치(surgical repositioning) 혹은 치조 내 자가치아이식(intra-alveolar autotransplantation)을 고려해 볼 수 있다. 본 증례는 5세 9개월 된 남아의 역위 매복된 상악 우측 중절치를 치근 발육 초기인 Nolla's stage 6.5에 부분 맹출된 위치로 외과적 재위치를 시행하여 자발적 맹출을 기대하였으나 21개월 간의 추적 검사 결과 치관 발육 및 맹출이 정지된 증례이다. 그 원인으로서 수술 시 치배를 발거하고 치조와를 적합하는 과정에서 Hertwig's epithelial root sheath(HERS)가 손상 받았기 때문으로 생각된다. 매복 치아의 외과적 재위치 시에는 본 증례와 같이 합병증 발생 가능성이 있으므로 신중한 적응증의 선택, 치근 발달 정도를 고려한 적절한 치료 시기의 결정, 최소한의 손상을 주는 외과적 술식 등의 노력이 필요할 것이다. Impaction of the maxillary central incisor may cause social, esthetic, and functional problems in children. There are various means of treatment for the inverted maxillary central incisor, such as extraction, surgical opening followed by orthodontic traction, surgical repositioning or intra-alveolar autotransplantation prior to extraction. In this case, we surgically repositioned the inverted maxillary central incisor to normal semi-erupted position in a 5-year-old boy. The developmental stage of the inverted tooth was Nolla’ s 6.5, which indicates formation of less than one third of the root. After surgical reposition, we did follow-up for 21 months, expecting spontaneous growth. Unfortunately, poor prognosis was noted : further root was not observed. Such failure seems to originate from possible injury on Hertwig’ s epithelial root sheath by surgical trauma. We performed surgical repositioning to retain the tooth instead of extraction. However, arrest of root development occurred, which is one of the critical complications. In order to increase the success rate of the surgical reposition procedure, minimal surgical trauma is required as well as selection of adequate indication and decision of proper time of treatment considering the stage of root development.

有機色素分子와 陰이온 界面活性劑 사이의 相互作用에 關한 吸收分光學的 硏究

송기동,김일두,박성규,김준태,김성현 조선대학교 기초과학연구소 1990 自然科學硏究 Vol.13 No.1

The metachromatic behavior of methylene blue (MB) ia aqueous solution and in the presense of sodium dodecyl sulfate (SDS) have been studied by the absorption spectroscopic method. The results are as follows. The association force of the MB molecules in aqueous solution seems to be complex of three factors, i.e., London's dispersion force, the hydrophobic interaction and the interaction between permanent dipoles it has been measured of critical micelle concentration (CMC) in aqueous solution of SDS and that of MB-SDS to be 8.0mM and 7.9mM respectively. This indifference between CMC values of the pure SDS and MB-SDS system would mean the formation of dye-rich induced micelles(drim). The spectral changes of MB-SDS system with the addition of the inorganic salts have been observed. The addition of the salt into the solution causes the redistribution of MB molecules in the complex(D_n^+ S_m^-). It would be resulted from the decrease of the stacking effect between the bound MB molecules. The spectral changes observed in the MB-SDS system with the increase of the S/D values are analyzed and the behavior of the meta band is explainsd in terms of the stacking theory and micelle formation theory

통일 독일의 문화적 통합노력과 <베르린 민중무대> : Berliner Volksbu¨hne

송전,오성균 한국독어독문학회 2002 獨逸文學 Vol.83 No.1

Es gibt noch immer ungelo¨ste gesellschaftliche Konflikte zwischen ehemaligen Bewohnern Ost- und Westdeutschlands, d.h. Wende und Wiedervereinigungsprobleme sind weiterhin nicht abschließend gelo¨st. Neben Bemu¨hungen auf politischer und wirtschaftlicher Ebene sind vor allem auch Anstrengungen auf kultureller Ebene erforderlich, um langfristig eine Einheit zu schaffen. Kultur kann hierbei als eine Art interkulturelle Be und Verarbeitung der gesellschaftspolitischen Geschehenisse gesehen werden. In diesem Zusammenhang lohnt sich ein Blikc auf die deutsche Hauptstadt Berlin, die wegen ihrer geographischen Lage, besonders an den Folgen der beinahe 50 ja¨hrigen Teilung als auch den Problemen der Wiedervereinigung zu leiden hat und hatte. Die neue Berliner Theaterwelt ist gepra¨gt von einer grossen Vielfalt und vielen neuen Impulsen. Mit Problemen der politischen Wende bescha¨ftigt sie sich dabei insbesondere die 「Berliner Volksbu¨hne」. Die 「Berliner Volksbu¨hne」 hat entstehungsgeschichtlich einen engen Zusammenhang mit der Freine Volksbu¨hnenbewegung, die im Jahre 1890 unter dem Slogan "Dem Volk die Kunst", den wichtigen und entscheidenden Anstoß gab, die bis dahin rein bu¨rgerlich ausgerichtete deutsche Theaterwelt au vera¨ndem. Das Theater wurde nach der Wende, aufgrund einer Entscheidung des Berliner Senats, in die Ha¨nde junger ostdeutscher Theaterleute gegeben. Darin scheint die kulturpolitischen Absicht zu stecken, dass sich durch ihre Arbeit die Stimmungen und Meinungen der Einwohner der ehemaligen DDR mit Hilfe des Theaters ausdru¨cken. Das Theater kann dabei die unterschiedlichen Denk- und Verhaltensweisen der ehemaligen DDR-Bu¨rger thematisieren und schauspielerisch verarbeiten. Die heutige Methoden der Avantgarde und einem sozial engagierten Theater. Dier in Ostberlin geborene Frank Castorf geho¨rt derzeit zu den kraftvollsten, aufsehenerregenden und gepriesenen Regisseuren des vereinten Deutschlands und ist seit 1992 Intendant der Berliner Volksbu¨hne. Seit Beginn seiner Arbeit an der Berliner Volksbu¨hne inszenierte er mehr als 20 Stu¨ckte. In seinem "Mobil-Theater"(eine Art des Regie-Theaters), in dem er seine eigene Weltanschauung sowie seine Eindru¨cke u¨ber die Situation nach der Wende zeigt, hat er sich u¨berwiegend mit der deutschen Vergangenheit und Gegenwart auseinandergesetzt. Er hat diese Eindru¨ck in seinen Inszenierungen, trauer-komisch und satirisch gestaltet und dadurch eine Mo¨glichkeit gefunden, das Leben und die Gesellschaft der ehemaligen DDR zu reflektieren. Castorfs Grundgedanke und seine Regiekonzeption werden z. B. in seiner Inszenierung "Hauptimanns Weber" besonders deutlich, die in dieser Arberit zusammenfassend analysiert wird. Es la¨sst sich also abschließend festhalten, dass es im wiedervereinigten Deutschland auf kultureller Ebene politisch unterstu¨tzte Ansa¨tze gibt, den noch bestehenden gesellschaftlichen Konflikt zwichen den Bewohnern der beiden ehemaligen Teilen Deutschlands zu thematisieren, sowie auf- und zu verarbeiten.

고출력 레이저를 이용한 인코넬 600 합금의 용접 특성 연구

송성욱,유영태,신호준 한국공작기계학회 2004 한국공작기계학회 춘계학술대회논문집 Vol.2004 No.-

The laser welding process is one of the most advanced manufacuring technologies owing to its high speed and deep penetration. Welding characteristics of Inconel 600 Alloy using a continuous wave Nd:YAG laser are experimentally investigated. The major process parameters studied in the present laser welding experiment were position of focus, laser power, travel speed. The gap and offset maintained as small as possible. Optical microscope were used to investigate the microstructures of the welded zone. The follow conclusions can be drawn the laser power and travel speed have a pronounced effect the fusion zone size and shape.

설계수업과정에서 재무타당분석프로그램 도입의 시도

송영석,장성준 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(계획계)

The purpose of this research is to find out appropriate usage of financial feasibility study program in the design studio for junior students. It is a kind of pre-design training before the start of design for collective housing. A commercialized computer program was used for the study. The students are expected to grasp the reality an architectural project should be prepared for kick-off. They are going to find the gap between the reality and idea, and will be encouraged to fill the gap by their own effort to achieve attractive design. The research centered on considering problems and possible solutions in applying using the present feasibility-study program in the pre-design courses and is expected to apply to deepen design studio.

휴대폰 카메라용 자동초점 구동기의 충격해석

이성민,김봉석,송준호,이수훈,이혜진,이문구,송준엽,이창우 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

Recently, the robustness against daily impact is important according to portablization and downsizing of mobile electronics. Especially, almost parts of cellular phone should undergo drop test when they fall 1.5 m above ground. This test simulates the case when cellular phone slips through user's fingers while he is talking on the phone. This paper studies a drop test of auto focusing (AF) actuator for camera module in cellular phone. This component is composed of voice coil motor (VCM) as an actuator and leaf spring as a guide and suspension. The leaf spring's deformation is essential for the test because its permanent distortion disables the focusing, and then, a high quality photograph cannot be obtained. Up to now the drop test has been carried out after fabricating real AF actuator. We propose a dropt test model which simulates the drop test based on finite element analysis. This model makes us enable investigate the stress acting on the clamping and curved parts of leaf spring. Stress over Von Mises criterion lets the spring deformed permanently, and then AF actuator malfunctioned, It helps us to design and modify AF actuator without manufacturing the real product. And also, it saves the time and cost for the development of new products.

프로스타글란딘 E₁ 투영와 외과적 지연 처치가 당뇨 흰쥐의 횡복직근피판의 생존에 미치는 영향

조성필,전영준,송윤상,한기택 大韓成形外科學會 2002 Archives of Plastic Surgery Vol.29 No.6

개에 있어서 심장사상충증을 동반한 창상성 횡격막 허니아의 수술적 치료 1례

조승혁,임영환,손정민,노경완,박창식,전무형,김명철,송근호,정성목 충남대학교 형질전환복제돼지연구센터 2007 논문집 Vol. No.10

A 7-month old. castrated male Shih-tzu dog was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with history of depression. dyspnea. mild scale. tachypnea. exercise intolerance and severe leanness. On physical examination. cardiac arrhythmias was heard and heart worm ELISA test was positive. Microfilaria was found on the direct blood smear. Survey radiographs showed loss of diaphragmatic line and cardiac silhouette. displacement of lung fields and presence of gas filled intestines in the thoracic cavity. Rib fracture and pelvic fracture with callus formation were found incidentally. On the basis of physical examination and radiographic findings. it was diagnosed as traumatic diaphragmatic hernia and heart worm disease. Herniorrhaphy was performed. Postoperatively. it was treated for heart worm disease and scale. There is no evidence of recurrence of diaphragmatic hernia and heart worm disease over 1 year.

암모니아 공정에서 CO₂ 고정의 최적화

서성규,이정섭,송준석 國立麗水大學校 環境問題硏究所 2004 環境硏究論文集 Vol.6 No.-

This study was investigated the effects of various system parameters on the absorption of carbon dioxide into absorption solution. An aqueous potassium carbonate solution was used as a chemical absorbent in order to figure out the effect of chemical reaction. For this purpose, the chemical analysis of potassium carbonate solution was performed. The changes of pressure, temperature, K₂CO₃solution flow/feed gas ratio and solution concentration in the absorber and the changes of pressure and temperature in the stripper were also analyzed. The analysis result shows that K₂CO₃ concentration in potassium carbonate solution was 99.6%. The optimum pressure was found to be 27.0㎏/㎠ and the optimum temperature was to be 68℃, the optimum concentration of potassium carbonate solution was to be 26.0wt% in the absorber. The CO₂ leakage decreased with the increment of the K₂CO₃ solution flow/feed gas ratio. But the H₂ leakage in the CO₂ product increased at or above the K₂CO₃ solution flow/feed gas ratio of 1.10. This H₂ leakage induced by the loss of ammonia production. The effects of the changes of the operation condition of the CO₂ stripper to the K₂CO₃ conversion are as follows. The K₂CO₃ conversion decreased as the pressure decreased. The K₂CO₃ conversion increased as the temperature increased. However, increasing the temperature without decreasing the pressure did not bring positive effect. The optimum pressure was found to be 0.45㎏/㎠.