두경부암 환자의 방사선 치료시 자체 제작한 고정용구 (Shoulder Retractor)에 대한 유용성 평가

김태준,진선식,김동현,김동욱,정원규,김경태,Kim, Tae Jun,Jin, Sun Sik,Kim, Dong Hyun,Kim, Dong Wook,Chung, Weon Kuu,Kim, Kyoung Tae 대한방사선치료학회 2014 대한방사선치료학회지 Vol.26 No.1

목 적 : 본 연구에서는 두경부 암 환자의 방사선 치료 시 Neck node lower region까지 Target이 위치한 환자의 경우 기존의 상품화 된 두 가지 고정용구와 자체개발한 Shoulder Retractor의 유용성을 비교 평가하고자 한다. 대상 및 방법 : 본원에서 치료한 두경부암 환자 6명을 대상으로 사용한 고정용구의 종류에 따라 각각 2명씩 분류하여 좌, 우 Shoulder 위치변화와 Set up의 정확성을 OBI를 이용한 2D/2D 영상정합 위치보정 후 좌표 분석을 통해 비교하여 유용성을 확인해 보았다. 결 과 : 고정용구 종류에 따른 영상정합 위치보정 값(OBI A-P상 좌, 우 Shoulder 위치변화값)에 대한 평균값과 표준편차는 A그룹에서는 RT.Shoulder $1.07mm{\pm}3.99mm$, LT.Shoulder $-4.35mm{\pm}2.09mm$이고, B그룹에서는 RT.Shoulder $-0.37{\pm}5.91mm$, LT.Shoulder $1.26{\pm}5.28mm$, C그룹에서는 RT.Shoulder $-0.63{\pm}2.44mm$, LT.Shoulder $0.25mm{\pm}1.61mm$으로 나타났다. SET UP의 영상유도좌표 분석에서는 평균 및 표준편차 값이 A그룹에서 Vrt $-2.06{\pm}2.68mm$, Lat $-1.11{\pm}8.15mm$, Lng $0.34{\pm}3.78mm$, Rot $0.51{\pm}0.77^{\circ}$이고, B그룹에서 Vrt은 $-1.18{\pm}1.82mm$, Lat $-0.94{\pm}2.13mm$, Lng $-0.67{\pm}1.98mm$, Rot $0.91{\pm}1.04^{\circ}$이고, C그룹에서 Vrt은 $0.12{\pm}2.18mm$, Lat에서 $-0.79{\pm}1.62mm$, Lng에서 $-0.79{\pm}2.64mm$, Rot $0{\pm}0.49^{\circ}$으로 나타났다. 결 론 : 자체개발한 고정용구는 좌,우 Shoulder의 위치변화에 대한 재현성을 유지시킴에 있어 유용함을 알수있었고, 환자 변위요소(환자가 잡은 줄을 놓치는 현상과 발 끝의 위치와 모양에 따라 잡은줄이 한쪽으로 치우치는 현상)와 환자의 체중 변화로 인한 환자 자세의 고정문제를 줄임으로써 Set up의 오차를 줄이고 환자의 재현성을 유지시키는데 도움이 될 것으로 사료된다. Purpose : We compared the set-up accuracy and right-left Shoulder position variation of the manufactured device and other commercial shoulder-retractors in the head and neck radiation treatment. Materials and Methods : Six patients consist of three groups which were used three different Shoulder retractors. We measured position corrections of left and right Shoulder and the couch after the image guidance by using on board imager (OBI) for six head and neck patients who has the extended target to the neck node lower region. Results : The position variation correction of left (right) Shoulder after image guidance were $1.07{\pm}3.99mm$ ($-4.35{\pm}2.09mm$), $-0.37{\pm}5.91mm$ ($1.26{\pm}5.28mm$), $-0.63{\pm}2.44mm$ ($0.25{\pm}1.61mm$) for group A, B and C. The vertical, lateral, longitudinal position and angular corrections of the couch after image guidance were $-2.06{\pm}2.68$, $-1.11{\pm}8.15$, $0.34{\pm}3.78mm$, and $0.51{\pm}0.77$ degree for group A, $-1.18{\pm}1.82$, $-0.94{\pm}2.13$, $-0.67{\pm}1.98mm$, and $0.91{\pm}1.04$ degree for group B and $0.12{\pm}2.18$, $-0.79{\pm}2.64$, $0.79{\pm}2.64$, and $0.00{\pm}0.49$ degree for group C. Conclusion : In this preliminary study, we found the positioning accuracy of the manufactured Shoulder retractor is comparable to other commercial Shoulder retractors. We expect that the reproducibility and accuracy of the patient set-up could be improved by using the home made Shoulder retractor in the head and neck radiation treatment.

요통과 하지방사통에 대한 경막외 스테로이드 주입후 발생한 치명적 합병증 - 증례보고 -

김태준,김충현,정진환,백광흠,김재민,오석전,Kim, Tae Joon,Kim, Choong Hyun,Cheong, Jin Hwan,Bak, Koang Hum,Kim, Jae Min,Oh, Suck Jun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.3

Epidural steroid injection(ESI) has been a commonly applied conservative therapy for the management of chronic low back pain and sciatica. However, there are many reports concerning various local, systemic and neurological complications related to ESI. We report two cases with fatal complications after ESI for low back pain and sciatica. In both patients, ventriculitis and meningitis were causative factors to be fatal. Aseptic procedures and careful post-procedure assessment are essential to avoid serious complications following ESI.

불규칙한 격자 위에서의 확산속도 지배반응에 대한 몬테 카를로 모의실험 연구

김태준,김형희,김효준,Kim, Taejun,Kim, Hyeonghee,Kim, Hyojoon 대한화학회 2012 대한화학회지 Vol.56 No.6

미세혈관 감압술중 뇌간청각유발전위 감시장치의 유용성

김태준,고용,김영수,오성훈,김광명,오석전,Kim, Tae Joon,Ko, Yong,Kim, Young Soo,Oh, Seong Hoon,Kim, Kwang Myung,Kim, Nam Kyu,Oh, Suck Jun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.5

Objective : Surgery for the microvascular decompression is mostly concerned with injury to the cranial nerves or brain stem by cerebellar retraction. Intraopeartive brain stem auditory evoked potentials(BAEPs) has been continuously monitored on surgery to evaluate the extent of injury, recovery of the nerves and prognosis. Methods : Of the 161 cases of CP angle surgery from Feb. 1996 to Apr. 1998, 103 cases were monitored during operation. Thirty five patients who had undergone similar surgery were selected and evaluated ; 23 patients were monitored and 12 were not during surgery. If monitor showed more than 0.5 mSec delay of latency, surgeon was given a warning not to retract brain any more. If more than 1mSec delay, surgeon was informed to stop surgery and wait for the returning of evoked potentials. The level of amplitudes and delay of latencies during the initial stage of operation, opening the dura, insertion of teflon patches, and closing the dura and recovery were then compared. Resuls : Twenty patients were male and 15 were female. Their average age was 50.26 years. Mean amplitude during the initial stage of operation was $0.60{\pm}0.25mV$, at opening the dura $0.56{\pm}0.26$, after teflon patches insertion $0.49{\pm}0.20$, and after closure of dura $0.47{\pm}0.28mV$. Mean latency during the early stage of operation was $6.08{\pm}0.67mSec$, at opening of dura $6.38{\pm}0.55$, insertion of teflon $6.97{\pm}0.59$, and closing the dura $6.17{\pm}0.54$. There was statistical significance in the difference of amplitudes between each procedures, and in the difference of latencies. For the complete recovery of amplitude and latency, it usually took average 5.65 minutes(0-20 min). In monitored group, only one patient required more than 20 minutes to recover and suffered from hearing disturbance after surgery. Others were recovered within 10 minutes without complications. However, 4 out of 12 patients who were not monitored showed hearing disturbance, and 1 patient had temporary facial palsy and dizziness(p=0.000). Conclusion : The results indicate that continuous intraoperative monitoring of BAEPs during CP angle surgery is seen mandatory procedure to prevent operative complications.

XLPE 절연체의 등가 및 가변온도 가속열화실험을 통한 기계적 특성 비교 분석

김태준,황재상,정성훈,김태영,Taejoon, Kim,Jae-Sang, Hwang,Sung Hoon, Jung,Tae Young, Kim 한국전력공사 2022 KEPCO Journal on electric power and energy Vol.8 No.2

Recently, as the number of years of operation has increased for more than 30 years, interest in evaluating the remaining life of major power facilities such as transformers and ultra-high voltage cables is increasing. In particular, the risk of failure is increasing because the underground transmission XLPE cable has been built since 1980 and has been operating in excess of 30 years of design life or close proximity. Therefore, it is necessary to develop an algorithm to evaluate the residual life of the XLPE cable considering the load to determine the risk of failure. Since load data is large amount of data, it is necessary to make the variable load information equivalent to the time unit first in order to calculate the remaining life of the system quickly. In overseas literature, transformers are reported to be standardized for variable load equivalent conversion formulas, but they have not been reported for ultra-high voltage cables. Therefore, in this paper, whether the equivalent conversion formula of a transformer can be applied to XLPE cables was reviewed through accelerated degradation tests under equivalent and variable temperature conditions, and considerations were studied when evaluating the remaining operating life of XLPE cables based on the experimental results.

눈꺼풀에 발생한 피지낭종 1예

김태준,김남주,박효진,정호경,곽상인,Tai Jun Kim,Namju Kim,Hyo Jin Park,Ho-Kyung Choung,Sang In Khwarg 대한안과학회 2012 대한안과학회지 Vol.53 No.7

Purpose: To report a case of eyelid steatocystoma. Case summary: A 65-year-old woman presented with a mass around the punctum in the right lower eyelid margin, which developed several years earlier. The mass was a light yellowish cystic nodule and there were no other ocular abnormalities. Under local anesthesia, the mass was completely excised. Histopathologic examination showed a cyst surrounded by stratified squamous epithelium and a sebaceous duct which entered the hair follicle, compatible with the diagnosis of steatocystoma. Conclusions: Steatocystoma should be considered as a differential diagnosis of a solitary cystic eyelid tumor. J Korean Ophthalmol Soc 2012;53(7):1027-1029

다중 충돌의 영향을 고려한 쇼트피닝의 유한요소해석

김태준,김낙수,박순철,정원욱,Kim, Tae-Joon,Kim, Nak-Soo,Park, Soon-Cheol,Jeong, Won-Wook 대한기계학회 2002 大韓機械學會論文集A Vol.26 No.12

Multiple impact models to examine the effect of stress interference are proposed and investigated. The single shot model analysis, which used various shot ball conditions, was carried out to compare with multiple impacts analysis. Then the multiple impact analysis were performed to predict the effect of the shot ball distances. The results showed that the stress interference in the multiple impact model significantly reduced the maximum value of the compressive residual stresses. The residual stress profiles were strongly effected by the shot ball distances. The multiple impact model can simulate a realistic shot peening process rather than a single shot model does. It is concluded that the proposed model predicts the real process more accurately.

GEP 모형을 이용한 교각주위 국부세굴 예측

김태준,최병웅,최성욱,Kim, Taejoon,Choi, Byungwoong,Choi, Sung-Uk 대한토목학회 2014 대한토목학회논문집 Vol.34 No.6

물리현상의 난해성으로 인해 수학적인 관계식이 제시되기 어려운 경우 인공지능 기술에 근거한 다양한 기법이 적용되어 왔다. 수리학 분야의 대표적인 예로 교각주위 국부세굴 문제를 들 수 있다. 본 연구에서는 유전자 알고리즘의 진화된 방법인 GEP 기법을 이용하여 교각주위 국부세굴을 예측하는 방법을 제시하였다. 64개의 실험 자료를 이용하여 GEP 모형을 학습시켜 회귀식을 구축하였으며, 33개의 실험 자료를 이용하여 구축된 모형의 검증을 실시하였다. 평형세굴심 예측을 위하여 차원을 갖는 일반 변수와 표준화된 변수로 GEP 모형을 구축하여 예측 결과를 비교하였는데, 차원을 갖는 변수에 의한 GEP 모형이 세굴심을 더 잘 예측하는 것으로 나타났다. 구축된 GEP 모형을 두 가지 현장 실측자료에 적용하였다. 적용 결과, 실험 자료에 적용한 경우에 비해 예측의 정확도가 낮아지는 것을 확인하였다. 또한, 현장 실측자료를 이용하여 학습시킨 경우 실험 자료를 이용하는 경우 보다 예측 능력이 많이 향상되는 것으로 나타났다. GEP 모형의 적용성을 위해 ANN 모형과의 비교를 수행하였으며, 본 연구에서 사용된 GEP 모형이 교각주위 국부세굴 예측에 대하여 실내 및 현장 모두 ANN 모형보다 우수한 것으로 나타났다. Artificial Intelligence-based techniques have been applied to problems where mathematical relations can not be presented due to complicatedness of the physical process. A representative example in hydraulics is the local scour around bridge piers. This study presents a GEP model for predicting the local scour around bridge piers. The model is trained by 64 laboratory data to build the regression equation, and the constructed model is verified against 33 laboratory data. Comparisons between the models with dimensional and normalized variables reveals that the GEP model with dimensional variables predicts better. The proposed model is now applied to two field datasets. It is found that the MAPE of the scour depths predicted by the GEP model increases compared with the predictions of local scours in laboratory scale. In addition, the model performance increases significantly when the model is trained by the field dataset rather than the laboratory dataset. The findings suggest that apart from the ANN model, GEP model is a sound and reliable model for predicting local scour depth.

체증해제 통보에 방식에 의한 IEEE 802.17 레질런트 패킷 링의 성능개선 연구

김태준,Kim Tae-joon 한국통신학회 2005 韓國通信學會論文誌 Vol.30 No.9b

근거리망의 이더넷 기술과 도시망에 적합한 링 토폴로지를 결합하여 성능이 뛰어나고 고장에 강하며 근거리망과의 호환성을 유지하는 RPR(Resilient Packet Ring)이 도시망의 핵심기술로 뜨오르고 있다. IEEE 802.11에서 RPR에 대한 표준화가 완성중인데, 공평한 대역폭의 사용을 보장하기 위해 설계된 RPR의 공정성 제어기법이 비대칭 과부하 트래픽 환경에서 성능저하를 초래하는 문제점을 안고 있다. 본 논문에서는 이러한 성능저하 문제를 해결하기 위해 체증해제 통보 기반의 공정성 제어방식을 제안하고 이의 성능을 분석한다. 제안된 방식에서는 체증 발생노드가 자신의 체증해제 여부를 판단하여 상단노드로 통보하면 상단노드는 하단노드의 체증을 해소하기 위해 제한하였던 자신의 트래픽 전송속도를 즉시 원래의 속도로 복구한다. 제안된 방식은 종래의 공정성 제어방식과 호환성을 가지며 체증해제 임계값의 선택에 의해 성능저하의 정도를 임의대로 조정할 수 있다. The IEEE 802.17 Resilient Packet Ring Working Group develops standards to support the development and deployment of Resilient Packet Ring networks in Local, Metropolitan, and Wide Area Networks for resilient and efficient transfer of data Packets at rates scalable to many gigabits Per second. It was known that the fairness algorithm of the IEEE 802.17 Resilient Packet Ring suffers from throughput degradation under an unbalanced overload. This Paper proposes a congestion release advertisement method to improve this throughput degradation and discusses its performance. Under the proposed method, a congested node decides whether its congestion is released or not. If released, it advertises the congestion release to upstream nodes, and then upstream nodes transmit their traffic without uy regulation. The proposed method is compatible with the legacy fairness algorithm.

출판저널 칼럼

김태준,Kim, Tae-Jun 대한출판문화협회 1990 출판저널 Vol.69 No.-