악성 연부조직 종양의 광범위 절제 후 전외측 대퇴부 유리 피판을 이용한 재건술

박종혁,이형석,김정렬,Park, Jong-Hyuk,Lee, Hyung-Seok,Kim, Jung-Ryul 대한근골격종양학회 2008 대한골관절종양학회지 Vol.14 No.2

서론: 악성 연부 조직의 광범위 절제술 후 발생한 연부 조직 결손에 대해 전외측 대퇴부 유리 피판 이식술로 재건술을 시행한 7예에 대해서 치료 결과 및 그 유용성에 대해 알아 보고자 한다. 대상 및 방법: 2003년 1월부터 2007년 6월까지 연부조직 악성 종양으로 광범위 절제술 후 전외측 대퇴부 유리 피판을 이용한 재건술을 시행 받은 7예를 대상으로 하였다. 연구 방법은 임상 기록의 검토를 통해 후향적으로 시행하였으며, 종양의 종류, 크기, 종양의 절제연, 종양 절제 후 연부 조직 결손의 크기, 피판의 성공여부, 수술 시간, 합병증 등을 조사하였다. 결과: 악성 연부 조직 종양은 활막 육종이 3예, 악성 섬유성 조직구종이 2예, 평활근 육종이 1예, 섬유육종이 1예였다. 종양의 크기는 $3{\times}5\;cm$부터 $7{\times}8\;cm$로 다양하였고, 모든 예에서 광범위 절제연을 얻을 수 있었다. 종양 절제 후 피부 연부 조직 결손의 크기는 $6{\times}8\;cm$부터 $15{\times}10\;cm$였고, 평균 수술 시간은 3.6시간이었다. 모든 예에서 이식된 피판은 생존하였다. 결론: 악성 연부 조직의 수술적 치료에 있어 전외측 대퇴부 유리 피판술은 종양의 광범위한 절제술 후에도 적절한 크기와 길이의 혈관경을 확보할 수 있으며, 공여부의 합병증을 최소화하며, 미용적으로 우수하여 종양 절제 후 연부조직의 재건에 유용한 술식으로 사료된다. Purpose: To present our experience with soft tissue reconstruction using anterolateral thigh free flap after resection of soft tissue sarcoma. Materials and Methods: Between January of 2003 and June of 2007, we treated 7 patients with soft tissue reconstruction using anterolateral thigh free flap after wide resection for soft tissue sarcoma. We retrospectively analyzed type and size of tumors, resection margin, size of defect after resection, time of operation, flap survival and complication. Results: The type of sarcoma was 3 synovial sarcoma, 2 malignant fibrous histiocytoma, 1 leimyosarcoma and 1 fibrosarcoma. The size of tumor varied from $3{\times}5\;cm$ to $7{\times}8\;cm$. The resection margins of tumors were negative in all cases. The size of soft tissue defect after resection varied from $6{\times}8\;cm$ to $15{\times}10\;cm$. The mean time of operation was 3.6 hours. All flaps were survived. Conclusion: Anterolateral thigh free flap appear to be ideal for reconstruction after wide resection of soft tissue sarcoma.

Ubi-Home에서의 지능적 멀티미디어 스트리밍을 지원하는 DRM 설계 및 구현

박종혁,이상진,홍인화,안태원,이덕규,Park Jong-Hyuk,Lee Sang-Jin,Hong In-Hwa,Ahn Tae-Won,Lee Deok-Gyu 한국통신학회 2006 韓國通信學會論文誌 Vol.31 No.3C

본 논문에서는 Ubi-Home에서의 지능적 멀티미디어 스트리밍을 지원하는 콘텐츠 보호 및 관리 시스템(UHSMS-DRM: Ubi-Home Smart Multimedia Streaming-Digital Right Management)을 설계 및 구현하였다. 제안 시스템은 Ubi-Home에서 디지털 콘텐츠의 저작권 보호 및 관리를 위한 유연한 유통 플랫폼을 제공하며, PC, STB, PDA, Portable device 등 다양한 디바이스의 인증을 통해 정당한 사용자에게 Multimedia Steaming Service를 제공한다. 그리고, 도메인 인증개념을 적용하여 Ubi-Home의 모든 디바이스에 대한 라이센스 관리의 효율성을 높인다. 또한, Ubi-Home에서 intelligent Service를 위해 사용자의 위치를 인지하기 위한 알고리즘을 제안 및 적용한다. In this paper, we design and implement the UHSNS-DRM(Ubi-Home Smart Multimedia Streaming-Digital Right Management) in Ubi-Home. The proposed system support flexible distribution platform for digital content copyright protection and management in Ubi-Home. This system also can provide multimedia streaming service to authorized users who are using PC, STB, PDA, and Portable Device, etc. Furthermore, we adopt concept of domain authentication and it help to improve the efficiency of license management for all devices in Ubi-Home. We design user's location recognition algorithm in order to provide intelligent services. Of course, this algorithm is applied for the proposed system. Start after striking space key 2 times.

종업원의 주식보상시스템이 기업성과에 미치는 영향

박종혁,Park, Jong-Hyuk 대한경영정보학회 2009 경영과 정보연구 Vol.28 No.1

주식보상시스템의 도입으로 기업은 최소의 비용으로 유능한 인재를 확보함으로써 기업의 경쟁력을 강화할 수 있고, 특히 첨단산업과 같은 성장산업에서 고급인력을 양성하고 기술력을 확보함으로써 기업의 대내외적인 경쟁력을 확보할 수 있게 된다. 또한 종업원의 동기를 부여함으로써 임직원의 잠재적인 주주화를 통해 주인의식고취 및 책임경영을 실현 시킨다. 본 연구는 주식보상시스템의 도입에 따른 회계변수평가모형이 기업가치를 평가하는데 유용한지를 검증하였으며 현행 기업회계기준에 의해 작성된 주식매입선택권이기업 지식자산의 형태로 자산화되었을 경우 기업가치 평가를 검증하였다. 연구 결과 회계변수들은 기업가치를 평가하는데 유용한 측정치들이었으나 스톡옵션 부여와 관련된 주식매입선택권의 경우 현행 기업회계기준 방법에 의하였을 경우에는 주식매입선택권과 주식보상비용 모두 유의하지 않은 것으로 나타났다. 추가적으로 자산화 된 주식매입선택권의 경우 유의한 양(+)의 값으로서 기업 가치를 평가하는데 유의한 결과임을 지적하였다. 이는 투자자들이 기업 가치를 평가하는데 있어서 주식매입선택권을 현행 기업회계기준의 방법으로 처리하는 것보다 자산화 시킨 후 스톡옵션의 효익 지속기간 동안 상각하는 것이 기업가치를 평가하는데 더 유용한 방법이라는 점을 가지고 있다는 것을 나타낸다. In this study, I compare the ability of alternative accounting method for employee stock option to reflect firm value using the Ohlson's(1995) valuation model for 200 firms. The each methods, I compare are employee stock option expense recognition based on the K-GAAP disclosures, and asset recognition at the grant date based on the SFAS No. 123 Exposure Draft: Accounting for stock-based compensation. The model include: (1) a model that uses reported earnings, equity book value, and compensation expense based on the K-GAAP disclosures; (2) a model that uses pro-forma earnings, equity book value and adds a measure of the unrecognized asset arising form granting of employee stock options. Finding form estimating equations that the K-GAAP method for calculating compensation has no explanatory power, and the SFAS No.123 Draft Exposure method for arising asset and fair value compensation better captures than market's perception of the economic impact of stock options on firm values. However, the correlation of employee stock option compensation expense is positive. These results suggest that incentive benefits derived from employee stock option plans outweigh the cost associated with plan. In addition, I couldn't find evidence that company in KOSDAQ that have high growth potential benefit more from employee stock option plan compared to lager, more mature firm in SEC.

장애인의 국민건강보험 건강검진 수검에 영향을 미치는 요인

박종혁,이진석,이진용,홍지영,김소영,김성옥,조병희,김용익,신영수,김윤,Park, Jong-Hyock,Lee, Jin-Seok,Lee, Jin-Yong,Hong, Ji-Young,Kim, So-Young,Kim, Seong-Ok,Cho, Byong-Hee,Kim, Yong-Ik,Shin, Young-Soo,Kim, Yoon 대한예방의학회 2006 예방의학회지 Vol.39 No.6

Objectives : As the disabled have higher prevalence rates and earlier onsets of chronic diseases than the non-disabled, their participation in mass screening is important for the early detection and intervention of chronic diseases. Nevertheless, in Korea, the disabled have lower participation rates in mass screening services than the non-disabled. The purpose of the study was to find determinants for the participation in the National Health Insurance (NHI) mass screening program among the disabled. Methods : In this study, the NHI mass screening data of 423,076 disabled people, which were identified using the National Disability Registry (2003), were analyzed. Of the factors affecting the participation rates in mass screenings, the following variables were included for the analysis: socioeconomic stati, such as sex, age, category of health insurance program, region and income, disability characteristics, such as disability type, and severity. A multiple logistic regression analysis was used to evaluate the association between the participation rates, disability characteristics variables and demographic variables. Results : The participation rate in mass screening of the disabled was 41.3%, but was lower in females, an age of more than 70 years, self-employed and for those with an average monthly insurance premium over 133,500 Won and in metropolitan legions. The participation rate was 1.31 times lower in females than males (95% CI=1.29-1.33); 3.50 times lower in the elderly (more than 70 years) than the younger (95% CI=3.33-3.67); 1.43 times lower in those who live in metropolitan areas (95% CI=1.40-1.46); 2.59 times lower for those in a health Insurance program for the self-employed than for employees (95% CI=2.56-2.63), 1.19 times lower for the higher income (more than 133,500) than the lower income group (4,400-22,000) for the average monthly insurance premium (95% CI=1.15-1.23): 2.04 times lower for those with brain palsy and stroke disabilities than with auditory impairments (95% CI: 1.97-2.11) and 3.27 times for those with severe compared to mild disabilities (95% CI=3.15-3.40). Conclusions : The disabled with high severity, and locomotive and communication disabilities have lower participation rates in mass screening services in Korea.

전방십자인대 재건술 후 스포츠 활동 복귀

박종혁,이준모,배현경,임종한,이주홍,Park, Jong-Hyuk,Lee, Jun-Mo,Bae, Hyun-Kyung,Im, Jong-Han,Lee, Ju-Hong 대한정형외과스포츠의학회 2009 대한정형외과스포츠의학회지 Vol.8 No.2

목적: 전방 십자 인대 재건술을 시행한 환자에서 수상 전 스포츠 활동으로의 복귀 정도와 관여 인자를 알아보았다. 대상 및 방법: 2003년 9월부터 단일 다발 전방십자인대 재건술을 시행받은 109명의 환자 중 스포츠 손상으로 2년 이상 추시 가능한 43예를 대상으로 수상 전 스포츠 활동으로의 복귀 여부를 조사하였다. 평균 나이는 26세(17~45세)였고, 추시 기간은 평균 31.2 개월(24~53개월)이었다. 수술 전과 최종 추시에서의 임상적 결과는 Lysholm 점수, Tegner 활동 수준 척도, 객관적 및 주관적 International Knee Documentation Committee questionnaires (IKDC 평가표), KT-1000 관절계를 이용하여 평가하였다. 결과: 임상적 결과는 술 전에 비해 최종 추시에서 모두 유의하게 호전되었다(P<0.001). 43예 중 25예(58%)는 수상 전 운동으로 복귀하였으나 18예(42%)는 복귀에 실패하였다. 복귀에 실패한 환자에서 11예(61%)는 재부상에 대한 두려움, 나머지 7예(39%)는 불안정과 통증을 이유로 복귀하지 못하였다. ANOVA test상 세 환자 군의 Lysholm 점수, 주관적 IKDC 평가표, 및 KT-1000 검사에서 통계적으로 유의하였다(P<0.001). 그러나 수상 전 스포츠 활동으로 복귀한 군과 재부상에 대한 두려움 때문에 복귀하지 못한 두 군에서는 Lysholm점수와 KT-1000 검사 상 유의한 차이가 없음에도 불구하고 Tegner 활동 수준, 주관적 IKDC 평가표에서 유의한 차이를 보였다(P<0.001). 결론: 스포츠 손상으로 전방십자인대 재건술을 받은 환자들 중 약 25%에서 재손상에 대한 두려움으로 인해 수상 전 스포츠 활동으로 복귀하지 못했다. 전방십자인대 재건술의 성공적인 결과를 위해서는 재건술 술기 향상과 체계적인 재활 방법이 여전히 요구되지만 심리적인 요인에 대한 고려 역시 필요할 것으로 생각된다. Purpose: The purpose of this study was to determine how many of our patients who had had anterior cruciate ligament (ACL) reconstruction returned to their previous levels of sports and to identify why not doing so. Material and Methods: We evaluated 43 knees with a minimum of two years follow-up among whom undergoing 109 ACL reconstruction from September 2003. The mean age of patients was 26 years (17 to 45 years) Clinical results was evaluated according to the Lysholm Knee scores, Tegner activity score, subjective IKDC questionnaires, objective IKDC evaluation form and KT-1000 arthrometer. Results: The overall clinical results demonstrated significant improvement at the final follow-up comparing to preoperative data (P<0.05). Among 43 patients, 25 patients (58%) returned to their previous level of sports and 18 patients (42%) did not. Of whom, 11 patients (61%) were not able to return to sports due to fear to re-injury and 7 patients (39%) suffered from instability and pain. The differences in the Lysholm Scores, KT-1000 arthrometer and subjective IKDC in the 3 groups of patients by ANOVA test were found to be statistically significant (P<0.001). Although there is no difference in objective IKDC and KT-1000 arthrometer, the difference was observed in Tegner activities, subjective IKDC obtained by those who returned to sport and those who had fear to reinjury (P<0.001). Conclusion: This study showed that a quater of patients could not return to their previous level of sport after ACL reconstruction because of fear to reinjury. We thought that not only improving the technique of ACL reconstruction and systemic rehabilitation but also considering psychological factor of patients could allow more patients to return to the previous level of sports.

고분자 전해질 연료전지 및 수전해용 촉매층의 이오노머 바인더

박종혁,마하무다아크테르,김범석,정다혜,이민영,신지윤,박진수,Park, Jong-Hyeok,Akter, Mahamuda,Kim, Beom-Seok,Jeong, Dahye,Lee, Minyoung,Shin, Jiyun,Park, Jin-Soo 한국전기화학회 2022 한국전기화학회지 Vol.25 No.4

Polymer electrolyte fuel cells and water electrolysis are attracting attention in terms of high energy density and high purity hydrogen production. The catalyst layer for the polymer electrolyte fuel cell and water electrolysis is a porous electrode composed of a precious metal-based electrocatalyst and an ionomer binder. Among them, the ionomer binder plays an important role in the formation of a three-dimensional network for ion conduction in the catalyst layer and the formation of pores for the movement of materials required or generated for the electrode reaction. In terms of the use of commercial perfluorinated ionomers, the content of the ionomer, the physical properties of the ionomer, and the type of the dispersing solvent system greatly determine the performance and durability of the catalyst layer. Until now, many studies have been reported on the method of using an ionomer for the catalyst layer for polymer electrolyte fuel cells. This review summarizes the research results on the use of ionomer binders in the fuel cell aspect reported so far, and aims to provide useful information for the research on the ionomer binder for the catalyst layer, which is one of the key elements of polymer electrolyte water electrolysis to accelerate the hydrogen economy era.

변형을 동반한 족근 관절 관절염에 대한 관절 고정술 후 결과

박종혁,문승진,이주홍,Park, Jong-Hyuk,Moon, Seung-Jin,Lee, Ju-Hong 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.1

중등도 이상의 변형을 가진 족근 관절 관절염에 대해 관혈적 관절 고정술은 양호한 결과를 보였으며 경비골 도달법에 의한 관절 고정술이 이상적인 족근 관절의 고정 위치를 얻는데 보다 용이하였다. Purpose: We reviewed the results of ankle arthritis with advanced deformity treated with open arthrodesis. Materials and Methods: Seventeen patients who had painful ankle arthritis with advanced deformity underwent open arthrodesis using chevron osteotomy or transfibular approach and were followed for an average of 4.2 years (range, 1.5 to 9.7 years). The average age was 51.4 years and the most common cause was traumatic arthritis (13 patients). Postoperative outcome was evaluated using Mazur's grading system for ankle function. we also checked time to union, patient satisfaction, complications, position of arthrodesis and degenerative changes of adjacent joints. Results: Clinical score was improved to 76.4 points from 46.7 points. Average time to union was 4.3 months and the rate of satisfaction was 88%. Complications included 1 nonunion, 2 malunion, 1 superficial infection and 1 combined delayed union and malunion. There were 14 cases within $5^{\circ}$ valgus in frontal plane and 13 cases within neutral to $5^{\circ}$ dorsiflexion in sagittal plane. 3 cases in chevron osteotomy revealed valgus and plantarflexed position over $5^{\circ}$. Degenerative changes of adjacent joints was seen in 2 patients. Conclusion: Open arthrodesis for ankle arthritis with advanced deformity shows favorable clinical outcome. Transfibular approach shows more consistent results than chevron soteotomy for desired position of arthrodesis.

활성이온식각법에 의한 Y-Ba-Cu-O고온초전도 박막의 미세선 제작

박종혁,한택상,김영환,최상삼,Park, Jong-Hyeok,Han, Taek-Sang,Kim, Yeong-Hwan,Choe, Sang-Sam 한국재료학회 1993 한국재료학회지 Vol.3 No.2

In situ on-axis rf magnetron sputtering 방법으로 $Y_1$B$a_2$C${u_4}\;{_2O_x}$의 비화학 양론적인 타게트를 사용하여 $T_c$, $_{zero}$/-88.2K, ${\Delta}{T_c}$, <1.5K의 고온초전도 박막을 제조하고, 활성이온식각법으로 이 박막을 patterning하여 그 특성을 조사하였다. 제조된 패턴은 깨끗한 경계면을 가지고 있음이 관찰되었으며, 패턴 폭이 5${\mu}$m에서 2${\mu}$m로 좁아짐에 따라 임계온도와 임계전류밀도의 특성저하가 나타났으나, 그 저하폭이 크지 않아 소자로서 응용하기에 충분한 특성을 가지고 있음을 확인하였다. 한편 RIE방법에 의하여 미크론 이하의 선폭 제조가능성을 확인하였다. Abstract We have fabricated Y-Ba-Cu-O superconducting thin films by in-situ on-axis rf magnetron sputtering method using $Y_1$B$a_2$C${u_4}\;{_2O_x}$ nonstoichiometric target. Reactive ion etching (RIE) method was used in patterning the films. We have investigated the properties of patterned films, and compared the properties of the films before and after patterning. As the line width of the pattern decreases from 5${\mu}$m to 2${\mu}$m, a slight but not significant degradation in superconducting properties of the patterned films is observed. The bridge patterns are found to have clean edges and good electrical properties enough to be applied in device applications. From the result of this research, the possibility of submicron patterning by RlE is confirmed.

시공공정 효율화를 위한 시뮬레이션 수식모형 구축에 관한 연구

박종혁,전용배,Park, Jong-Hyuk,Jeon, Yong-Bae 한국건설관리학회 2007 건설관리 : 한국건설관리학회 학회지 Vol.8 No.1

If construction process operate composing work team by judgment manager's experience, possibility that progress of construction process becomes as inefficient is much. But, If produce optimal proposal of resources allocation, construction cost and duration through simulation at work plan step, work schedule because do quantification efficient operate do on. When plan construction process in this research, resources allocation by change of work team operation change, resources cost loss, total cost, optimal proposal of construction duration tentative plan of numerical formula model that can do simulation propose. Apply and revealed to apartment house framework which horizontal work area of process and vertical work area are composed as is each different construction process to verify proposed numerical formula model. Achieved efficiency than work team's operation results which apply numerical formula model that is presented in this research and enforce simulation is applied in actuality example construction. 건설공사의 시공공정을 관리자의 경험적 판단에 의하여 작업팀을 구성하여 운영하면, 시공공정의 진행이 비효율적으로 될 가능성이 많다. 그러나 시공계획단계에서 모의조작을 통하여 자원할당, 공사비, 공사기간의 최적 안을 산출하면 시공공정을 정량화하여 효율적인 운영을 할 수 있다. 본 연구에서는 시공공정을 계획할 때 작업팀 운영의 변화에 따른 자원할당 변동치, 자원 손실비, 총공사비, 공사기간의 최적 안을 모의조작 할 수 있는 수식모형의 시안 식을 제안하였다. 제안된 수식모형을 검증하기 위하여 시공공정의 수평작업역과 수직작업 역이 각각 상이하게 구성된 공동주택 골조공사에 적용하여 시현하였다. 본 연구에서 제시된 수식모형을 적용하여 모의 조작을 실시한 결과가 실제 사례공사에서 적용된 작업팀의 운영실적보다 효율화를 달성하였다.

소비자의 인터넷 건강정보 활용에 영향을 미치는 요인

박종혁,이진석,장혜정,김윤,Park, Jong-Hyock,Lee, Jin-Seok,Jang, Hye-Jung,Kim, Yoon 대한예방의학회 2008 예방의학회지 Vol.41 No.4

Objectives: The purpose of the study was to identify a gap between consumer characteristics and utilization of health information on the Internet. Methods: A telephone survey of nationally representative samples was conducted using structured questionnaires, and 1,000 of the 1,189 responses obtained were included in our analysis. The following variables were included in the analysis as potential predictors of health information use on the Internet: predisposing factors such as gender, age, and education status; enabling factors such as region and monthly household income; consumer need for health information; and attitude to health. Multiple logistic regression analysis was used to evaluate the association between utilization rate and the potential predictors. Results: Thirty-nine percent of consumers had obtained health information on the Internet over a one-year period. The utilization rates were higher for consumers who were young, educated, worked in the office setting, had higher incomes, wanted health information, and were able to use the Internet. The utilization rate was 5.35 times higher in the younger group (20-30 years) than in the elderly group (95% CI=2.21-12.97); 2.21 times higher for office workers than for manual workers (95% CI=1.16-4.20); 3.61 times higher for college graduates than for middle school graduates and below (95% CI=1.07-11.59); 1.99 times higher for people with monthly household incomes over 3,000,000 won than for those with monthly household incomes below 1,500,000 won (95% CI=1.01-3.92). Conclusions: There needs to be a paradigm shift, with consideration of not only Internet accessibility in the digital age, but also consumer ability and attitudes toward utilization of health information.