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      • 잔존 총배설강 기형 수술 후 발생한 요도-질 누공에 대한 전방 시상 경직장적 접근 술식 (Anterior Sagittal Transrectal Approach, ASTRA) 1 례보고

        김성민,김창우,김병규,오정탁,한석주,Kim, Seong-Min,Kim, Chang-Woo,Kim, Byoung-Kyu,Oh, Jung-Tak,Han, Seok-Joo 대한소아외과학회 2007 소아외과 Vol.13 No.1

        The authors applied anterior sagittal transrectal apporach (ASTRA) for the repair of urethrovaginal fistula which developed after total repair of persistent cloaca. The patient had been diagnosed to have persistent cloaca, double uterus and double vagina, and received PSARP, excision of right-side uterus and vagina, and left vaginal switch operation at 22 months old. After operation, the patient admitted several times due to frequent urinary tract infection and ectopic stone formation in bladder and neovagina. Urethro-neovaginal fistula was confirmed by cystoscopy and corrected with ASTRA. Postoperative voiding cystourethrogram showed no fistula tract. ASTRA showed improved surgical field, minimized ureterocystic damage, and preserved perirectal nerve due to limited incision of rectum.

      • SCOPUSKCI등재SCIE

        Synthesis and Application of the Novel Azomethine Metal Complexes for the Organic Electroluminescent Devices

        김성민,김진순,신동명,김영관,하윤경,Kim, Seong Min,Kim, Jin Sun,Sin, Dong Myeong,Kim, Yeong Gwan,Ha, Yun Gyeong Korean Chemical Society 2001 Bulletin of the Korean Chemical Society Vol.22 No.7

        New azomethine metal complexes were synthesized systematically and characterized. Beryllium, magnesium, or zinc ions were used as a central metal cation and aromatic azomethines (L1-L4) were employed as a chelating anionic ligand. Emission peaks o f the complexes in both solution and solid states were observed mostly at the region of 400-500 nm in the luminescence spectra, where blue light was emitted. Three of them (BeL1 (Ⅰ), ZnL2 (Ⅱ), and ZnL3 (Ⅲ)) were sublimable and thus were applied to the organic light-emitting devices (OLED) as an emitting layer, respectively. The device including the emitting layer of Ⅰ exhibited white emission with the broad luminescence spectral range. The device with the emitting layer of Ⅱ showed blue luminescence with the maximum emission peak at 460 nm. Their ionization potentials, electron affinities, and electrochemical band gaps were investigated with cyclic voltammetry. The electrochemical gaps of 2.98 for I, 2.70 for Ⅱ, and 2.63 eV for Ⅲ were found to be consistent with their respective optical band gaps of 3.01, 2.95 and 2.61 eV within an experimental error. The structure of OLED manufactured in this study reveals that these complexes can work as electron transporting materials as well.

      • 2005년도 소아 서혜부 탈장치료 경향

        김성민,김대연,김상윤,김성철,김우기,김재억,김재천,박귀원,서정민,송영택,오정탁,이남혁,이두선,전용순,정상영,정을삼,최금자,최순옥,한석주,허영수,홍정,최승훈,Kim, Seong-Min,Kim, Dae-Yeon,Kim, Sang-Yoon,Kim, Seong-Chul,Kim, Woo-Ki,Kim, Jae-Eok,Kim, Jae-Chun,Park, Kwi-Won 대한소아외과학회 2006 소아외과 Vol.12 No.2

        Inguinal hernia is the most common disease treated by the pediatric surgeon. There are several controversial aspects of management 1)the optimal timing of surgical repair, especially for preterm babies, 2)contralateral groin exploration during repair of a clinically unilateral hernia, 3)use of laparoscope in contralateral groin exploration, 4)timing of surgical repair of cord hydrocele, 5)perioperative pain control, 6)perioperative management of anemia. In this survey, we attempted to determine the approach of members of KAPS to these aspects of hernia treatment. A questionnaire by e-mail or FAX was sent to all members. The content of the questionnaire were adapted from the "American Academy of Pediatrics (AAP) Section on Surgery hernia survey revisited (J Pediatr Surg 40, 1009-1014, 2005)". For full-term male baby, most surgeons (85.7 %) perform an elective operation as soon as diagnosis was made. For reducible hernia found in ex-preterm infants already discharged from the neonatal intensive care unit (NICU), 76.2 % of surgeons performed an elective repair under general anesthesia (85.8 %). 42.9 % of the surgeons performed the repair just before discharge. For same-day surgery for the ex-premature baby, the opinion was evenly divided. For an inguinal hernia with a contralateral undescended testis in a preterm baby, 61.9 % of surgeons choose to 'wait and see' until 12 month of age. The most important consideration in deciding the timing of surgery of inguinal hernia in preterm baby was the existence of bronchopulmonary dysplasia (82.4 %), episode of apnea/bradycardia on home monitoring (70.6 %). Most surgeons do not explore the contralateral groin during unilateral hernia repair. Laparoscope has not been tried. Most surgeons do not give perioperative analgesics or blood transfusion.

      • 상장간막동맥 증후군의 복강경 수술 및 3차원재건 복부 전산화단층촬영 영상을 이용한 추적관찰 -1예보고-

        김성민,김성훈,권인규,김명준,형우진,최승훈,Kim, Seong-Min,Kim, Sung-Hoon,Kwon, In-Kyou,Kim, Myoung-Joon,Hyoung, Woo-Jin,Choi, Seung-Hoon 대한소아외과학회 2005 소아외과 Vol.11 No.2

        Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3Dreconstructive CT scan, the angle between SMA and aorta was $37^{\circ}$. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to $38-39^{\circ}$ on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

      • KCI등재

        구조응력을 이용한 하중 전달형 십자 양면 비대칭 필렛 용접 시험편의 피로강도 평가

        김성민,김영남,이승현,김명현,Kim, Seong-Min,Kim, Young-Nam,Lee, Seung-Hyun,Kim, Myung-Hyun 대한용접접합학회 2012 대한용접·접합학회지 Vol.30 No.6

        Fatigue tests and analyses were carried out to investigate fatigue strength and crack initiation point of load-carrying asymmetric double bevel cruciform welded joints. Mesh-insensitive structural stress approach was adopted to estimate high precise fatigue life and crack initiation point. Two different case material and weld shape were considered in this study. Results of fatigue tests and analyses were compared and discussed in consideration of applicability of structural stress approach as the reliable fatigue assessment method of cruciform welded joints.

      • 소아 급성 충수염의 진단과 치료: 10년간의 변화

        김성민,김세훈,최현호,한석주,최승훈,황의호,오정탁,Kim, Seong-Min,Kim, Se-Hoon,Choi, Hyun-Ho,Han, Seok-Joo,Choi, Seung-Hoon,Hwang, Eui-Ho,Oh, Jung-Tak 대한소아외과학회 2007 소아외과 Vol.13 No.1

        Appendicitis is the most common surgical emergency in childhood and the technologic advances of modern medicine have affected the diagnosis and treatment of appendicitis. This study is to evaluate the differences in diagnosis and treatment of appendicitis between present and 10 year ago. The authors retrospectively reviewed the medical records of patients who underwent appendectomy under the diagnosis of the acute appendicitis from July 1993 to June 1995 (Group A, n = 78) and from July 2003 to June 2005 (Group B, n = 105). There are no differences between group A and B in mean age ($8.5{\pm}3.6$ vs. $9.3{\pm}3.1$ year), duration of symptoms ($3.0{\pm}3.2$ vs. $2.6{\pm}3.8$ days), and postoperative hospital stay ($6.6{\pm}4.8$ vs. $5.8{\pm}3.6$ days). Preoperative abdominal ultrasonogram and/or computed tomogram was performed in 7 patients (9.0 %) of group A and in 51 patients (58.5 %) of group B. Thirty-six patients (34.3 %) of group B underwent laparoscopic appendectomy, but none in group A. Incidence of a histologically normal appendix decreased from 15.8 % in group A to 4.8 % in group B (p =0.018). This study suggests that utilization of abdominal ultrasonogram or computed tomogram in preoperative evaluation become more popular and surgical treatment of acute appendicitis become more minimally invasive. The rate of negative appendectomy was also reduced compared with 10 year ago.

      • SCOPUSKCI등재

        평판 가까이에 놓인 타원형 실린더 주위 유동에 관한 연구

        김성민,이상준,Kim, Seong-Min,Lee, Sang-Jun 대한기계학회 1996 大韓機械學會論文集B Vol.20 No.8

        Flow characteristics and aerodynamic forces acting on an elliptic cylinder placed in a plane boundary layer were investigated experimentally. Four cylinder models with axis ratio(major axis to minor axis, AR=A/B) of 1, 2, 3, and 4 having the same equivalent diameter were used in this experiment. The Reynolds number based on the equivalent diameter $D_e$(=20mm) was 13,000. In the case of circular cylinder, regular vortex shedding occurs for the cylinder gaps larger than G/B=0.3 and is not almost related to the boundary layer thickness. But, for the elliptic cylinders, the vortex shedding frequency is increased with increasing the gap ratio (G/B) and the axis ratio (AR) of elliptic cylinders. The maximum drag coefficient acting on a circular cylinder is mainly affected by the boundary layer thickness. But, the elliptic cylinders(AR$\geq$2), except for the smaller gap G/B<0.2, show a nearly constant drag coefficient which is much smaller than that of a circular cylinder. The base pressure on the flat plate decreases with increasing the axis ratio(AR) of the elliptic cylinder. In the case of a circular cylinder, the base pressure has the minimum value at the gap ratio G/B=0.4, but it occurs at G/D=2 for elliptic cylinders. The mean velocity of the cylinder wake is quickly recovered at a small cylinder height ratio(H/$\delta$), but the turbulent intensity is rapidly recovered at a large cylinder height ratio(H/$\delta$). The effective wake region in the plane boundary layer is shrinkaged with increasing the axis ratio(AR) of elliptic cylinder. And the drag coefficient and streamwise turbulent intensity of the elliptic cylinder with AR=4 are less than half of those for the circular cylinder(AR=1).

      • KCI등재

        프리스트레스트 콘크리트 포장의 횡방향 긴장 설계방안

        김성민,윤동주,배종오,Kim, Seong-Min,Yoon, Dong-Joo,Bae, Jong-Oh 한국도로학회 2008 한국도로학회논문집 Vol.10 No.4

        본 연구는 프리스트레스트 콘크리트 포장(PSCP)의 횡방향 긴장 설계방안을 구축하기 위하여 수행되었다. 우선 PSCP에 횡방향 긴장을 가했을 경우에 긴장간격에 따른 슬래브의 응력분포를 분석하였다. 또한 환경하중과 차륜하중이 PSCP슬래브에 작용할 때 슬래브에 발생하는 인장응력의 분포도 분석하였다. 이러한 환경 및 차륜하중 등의 설계하중과 긴장응력을 결정하는 기준인 슬래브의 허용인장응력을 합리적으로 선정하는 방법에 대하여 논의하였으며 이러한 기준의 선정이 횡방향 긴장 설계에 미치는 영향을 분석하였다. 연구결과, 긴장간격이 커질수록 긴장응력의 손실을 가져오는 범위가 넓어지며 특히 Shoulder부분에서의 응력손실이 급격하게 증가하는 것을 알 수 있었다. 따라서 횡방향 긴장 설계는 설계하중에 대한 슬래브의 응력을 산출한 후 슬래브가 허용인장응력 이내의 응력을 받도록 평균긴장응력을 산출하여 긴장간격 및 긴장량을 결정하면 되지만, 이때 Shoulder, Wheel Pass, 중앙부 등 슬래브의 여러 다른 위치에서의 응력 또한 반드시 검토하여 적절한 긴장간격을 선정하여야 한다. This study was conducted to develop the design methodology of transverse post-tensioning for the prestressed concrete pavement (PSCP). The transverse stress distribution was analyzed when the transverse anchor spacing changed. The tensile stress distribution in the PSCP slab due to the environmental and vehicle loads was also investigated. The reasonable methods were discussed to determine the design loads including environmental and vehicle loads and the PSCP allowable tensile stress used for the basis of the selection of the stress application amount from the tensioning. The results of this study showed that as the transverse anchor spacing increased, the range of the stress loss became larger and the stress loss was significant near the shoulder. The design of the transverse post-tensioning can be performed by obtaining the stresses under the design loads and by considering the allowable tensile stress; however, the tensile stresses at different locations such as the shoulder, wheel pass, and slab interior should also be checked and kept below the allowable tensile stress.

      • KCI등재

        신설 프리캐스트 콘크리트 포장 시공방법 및 설계지침 개발

        김성민,박희범,양성철,한승환,Kim, Seong-Min,Park, Hee-Beom,Yang, Sung-Chul,Han, Seung-Hwan 한국도로학회 2008 한국도로학회논문집 Vol.10 No.2

        This study was conducted to investigate the feasibility of the expedite construction of new pavement systems using precast concrete slabs and to develop the design and construction guide based on the results of the experimental construction. Half scale concrete slabs were designed and fabricated and the optimal reinforcement design, linkages between the slabs in the longitudinal and transverse directions, and the grouting methods were investigated. The experimental construction was performed fast and easily by assembling two slabs in the longitudinal direction and the other two in the transverse direction. The slabs were leveled and the pockets and the space between the slab bottom and the underlying layer were grouted. From the experimental construction, details about the design and construction of the precast pavements were acquired. Finally, the design and construction guide for the newly constructed precast concrete pavement systems was developed. 본 연구는 프리캐스트 콘크리트 슬래브를 이용한 급속 신설 도로 포장 공법의 국내 적용성을 분석하기 위한 기초 연구를 수행하고 시험시공을 통해 선설 프리캐스트 포장의 설계 및 시공 지침을 개발하기 위하여 수행되었다. 시험시공을 위해 가로, 세로, 깊이가 각각 실제 포장 슬래브의 1/2 크기인 슬래브를 설계하여 제작하였으며 이에 적합한 철근배근, 종방향과 횡방향의 연결부, 그라우팅 방법 등에 대하여 분석을 수행하였다. 이러한 슬래브를 이용하여 종방향과 횡방향으로 두 개씩 총 4 개의 슬래브를 연결하여 평탄성을 조절한 후 포켓 부분과 슬래브 하부의 공간을 그라우팅 함으로써 시공을 신속 용이하게 수행하였다. 시험 시공을 수행하며 프리캐스트 포장의 설계 및 시공과 관련된 세부 사항을 면밀히 분석하였으며 이에 바탕을 두어 프리캐스트 슬래브를 이용하여 급속하게 신설 도로를 건설할 때의 설계 및 시공 지침을 개발하였다.

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