D. H. Lawrence의 神秘主義的 特質硏究 : D. H. Lawrence의 신비주의적 특질연구

김병열 부산대학교 인문대학 영어영문학과 1981 영어영문학연구 Vol.1 No.-

Clinical Experiences of Multiple Organ Failure after Surgery for Acquired Cardiovascular Disease

김병열 대한흉부심장혈관외과학회 1990 Journal of Chest Surgery (J Chest Surg) Vol.23 No.2

A serious problem after cardiovascular surgery known as Multiple Organ Failure[MOF] whereby several vital organs successively demonstrate dysfunction in spite of intensive postoperative treatment has recently arisen. We have made a retrospective study of the clinical records of 137 patients who underwent cardiovascular surgery during past two years [1987-1988]. Fourteen patients [10%] developed multi-organ failure postoperatively with the results of seven death [50%]. In fatal group, preoperative poor cardiac function [Cardiac Index<2.0L/min/m2] was considered important prognostic factor and infection 5 disseminated intravascular coagulation complicating gastrointestinal bleeding were the leading cause of death. In conclusion, evaluation of multiple factors concerning multi-organ failure demonstrates preoperative poor functional preservation of vital organs is the main factor. So early diagnosis k management for each of the failing organs & prevention of infection are mandatory of the treatment of these critically ill patients.

결핵에 대한 폐절제술의 임상적 고찰

김병열 대한흉부심장혈관외과학회 1983 Journal of Chest Surgery (J Chest Surg) Vol.16 No.3

Pulmonary tuberculosis is still one of unsolved problems in Korea due to increased number of far-advanced and drug-resistant patients, who have poor pulmonary function. We have analyzed 1332 operated Gases during the period of 1958-1981. Annual incidence of the disease decreased from 110 [1960] to 21 [1980]. The ratio between male and female was 7:3 and the age of peak incidence was in the 3rd and 4th decades. Recently, patients below the age of 20 years were slightly decreased, but above 50 years were slightly increased. The patients consisted of far-advanced case in 60% and moderately-advanced in 39% in 1980, as compared with 40% and 59% correspondingly in 1965. Preoperative sputum positively decreased from 91% [1958-1963] to 43.8% [ 1974-1981 ]. Medically treated patients for more than 3 years increased from 16% [1958-1963] to 51% [1974-1981]. From the view of surgical indication, totally destroyed hung increased from 27% [1958-1963] to 4396 [1974-1981 ]. Therefore, pneumonectomy occupied 53.8% of total surgical management recently. Mode of surgical treatment showed that thoracoplasty [33%], resection [57%] in 1958-1963 and thoracoplasty [2%], resection [98%] in 1974-1981. As Semb`s thoracoplasty was the first choice of treatment until 1960, thereafter resection became the choice. Postoperative mortality increased from 1.6-2.096 to 396 recently as well as morbidity. It was mainly due to increased number of poor pulmonary function and postoperative spread of disease. On the basis of our experience, far-advanced and drug-resistant patients increased in number recently, whose pulmonary function was poor. So postoperative mortality and morbidity increased. Proper surgical intervention should be considered before the appearance of resistance for all chemotherapeutic drugs.

이진 위상 홀로그램과 광학적 간섭계를 이용한 디지털 워터마킹

김병열,서동환,조규보,신창목,김수중,김철수 한국광학회 2003 한국광학회지 Vol.14 No.4

본 논문에서는 이진 위상 홀로그램과 간섭계를 이용하여 디지털 데이터의 저작권을 보호할 수 있는 새로운 워터마킹 방법을 제안하였다. 먼저, SA알고리듬을 이용하여 숨겨질 마크영상의 이진 위상 홀로그램을 설계하였다. 이를 원 영상에 선형중첩 시킴으로써 워터마킹된 영상을 얻었다. 워터마킹된 영상에서 마크영상을 추출하기 위한 복호화 과정은 경로차가 같도록 구성된 마흐-젠더 간섭계를 이용하여 워터마킹된 영상의 위상변조 성분과 위상변조된 원 영상과의 간섭세기론 역푸리에 변환 함으로써 얻었다. 제안된 방법은 임의의 절단된 영상에 대해서 강인함을 컴퓨터 모의실험을 통해 확인하였으며, 위상 변조 특성이 있는 LCD를 사용하여 광학적으로 구현하였다. We propose a new optical watermarking method, which can protect the copyright of digital data, using a binary phase hologram and a Mach-Zehnder interferometer. Using a simulated annealing algorithm, the binary phase hologram of the mark image to be hidden is designed. We obtained a watermarked image by linearly superposing the hologram, which is the watermark, in the original image. The extraction processing of the mark image from the watermarked image is achieved by placing the phase-modulated watermarked image on a LCD in one path and the phase-modulated original image on another LCD in the other path in the Mach-Zehnder interferometer. The mark image was obtained by inverse Fourier transforming the phase modulated interference intensity. We confirmed that the proposed method is robust for the cropped images through computer simulation, and we implemented it optically using LCDs which are phase modulation devices.

급속여과지의 유량조절 소고

김병열,Kim, Byeong-Yeol 한국상하수도협회 1978 水道 Vol.15 No.-

孝의 現代的 意味設定에 關한 小攷

金炳烈 서울 敎育大學校 1978 論文集 Vol.11 No.-

SOFA협정(協定)의 형사재판권(刑事裁判權)에 관한 소고(小考)

김병열 국방대학교 안보문제연구소 1993 국방연구 Vol.36 No.1

충무시 국제관광도시를 향한 발돋움

김병열 대한지방행정공제회 1992 地方行政 Vol.41 No.459

N/A

선천성 대동맥판막 협착증 치험 1례

김병열 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.4

The incidence of congenital aortic valvular stenosis has been known rare, and approximately 3-6% of congenital heart diseases. Recently, we experienced 1 case of congenital aortic valvular stenosis, and which was corrected surgically under extracorporeal circulation successfully. A 11 years old male pt. was admitted to N.M.C. because of dyspnea, dizziness, chest pain and episode of syncope. An auscultation, harsh systolic murmur [Gr. IV/VI] was noted at aortic area and also palpable strong thrill. ECG showed LVH c strain pattern and suspicious LVH finding in simple chest P-A film. In Lt. cardiac catheterization, abrupt pressure change [110mmHg] between LV & Aorta was noted across the aortic valve. And aortic insufficiency was absent, well visualized both coronary arteries and suspicious bicuspid aortic valve in aortography. Valve form was bicuspid, large one was noncoronary cusp and another cusp was Rt. & Lt. coronary cusp which was interpositioned rudimentary commissure. Central aortic orifice was about 5ram in diameter. Valvulotomy was done along the fusioned commissure between noncoronary cusp and Rt. & Lt.coronary cusp, and then short incision was added between Rt. coronary cusp & Lt. coronary cusp. Immediate postoperative course smooth but unknown cardiac arrest was noted in POD second day. Complete recovery was done without sequelae by resuscitation. After operation, clinical symptoms were subsided but systolic murmur [Gr. II/VI] was audible at aortic area, diastolic murmur was absent. ECG showed still remained LVH but much decreased R wave voltage in Lt. precordial leads. Simple chest P-A showed no interval changes compared to preop film. Control Lt. heart catheterization revealed still remained pressure gradient [40ramrig] between LV & Aorta. But much decreased pressure gradient compared to preop pressure gradient [110mmHg].

관상동맥 협착증의 외과적 치험 -30례의 임상적 결과-

김병열 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.11

Thirty patients with ischemic heart disease underwent coronary artery bypass grafting [CABG from 1985 through 1994. There were 16 males and 14 females whose age ranged from 41 to 72 years old. Preoperative diagnoses were unstable angina in 13 of patients, stable angina in 8, postmyocardial infarction state in 7, and state of failed percutaneous transluminal coronary angioplasty [ PTCA in 2. The patterns of disease were single vessel involvement [ 17cases , double vessel involvement [ 7 cases , triple vessel involvement [ 3 cases , Lt main lesion including Lt. ostial lesion [ 3 cases . Saphenous vein grafts were used in 27/30 patients [ 90% , and internal mammary artery grafts were used in 6/30 patients [ 20% . The hospital mortality was 13.3% and all survivors were asymptomatic and improved over their preoperative status.