터어키안 저부 재건술시 실리콘 판의 유용성

김승범,김재민,이형중,백광흠,김충현,오석전,이승환,Kim, Sung Bum,Kim, Jae Min,Yi, Hyeong Joong,Bak, Koang Hum,Kim, Choong Hyun,Oh, Suck Jun,Lee, Seoung Hwan 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.9

Objectives : At the closure of the transsphenoidal approach(TSA), the proper sellar floor reconstruction plays an important role in preventing postoperative complications. The septal cartilage, perpendicular plate of nasal septum, and the sphenoid sinus bone are usually used to repair the sellar floor as a bone splint. The authors evaluate the usefulness of a silicone plate as a substitute for bone splint to close a defect of the sellar floor. Materials and Methods : A silicone plate was used to repair the sellar floor in 7 patients with sellar lesions which included four pituitary adenomas, two Rathke's cleft cysts and one metastatic tumor. Among seven cases, five cases underwent a standard TSAs and two received a extended TSAs. The trajectories of the approach were sublabial in four cases and endonasal routes in three cases. The silicone plate for implantation was cut to a size of slightly larger than that of bone window and inserted with a three-pronged fork, and then adjusted precisely. Results : In six patients, there were no complications which related to sellar floor reconstruction. A postoperative cerebrospinal fluid(CSF) rhinorrhea was observed in one patient with pituitary macroadenoma. Conclusions : From the authors' experience, the advantages of the silicone plate are its simplicity of molding to fit any size of sellar floor defects, and easy detection of previously created bone window at reoperation.

IPA를 활용한 전기공사 건설사업관리 역량 평가 및 개선방안 연구

김승범,변정윤,김주형,김재준,Kim, Seungbeum,Byun, Jeongyoon,Kim, Juhyung,Kim, Jaejun 한국건설관리학회 2014 한국건설관리학회 논문집 Vol.15 No.3

최근 건설 프로젝트 규모의 대형화, 복잡화로 인해 관리기술의 난이도가 상승하고 있으며, 이에 따른 리스크도 함께 증가하고 있어 프로젝트 관리기술 향상에 대한 필요성이 증가하고 있다. 이 같은 문제점을 해결하기 위하여 건설공사에서 우선적으로 건설사업관리(Construction Management)제도를 도입하였으나 국내 건설 산업의 경우 업역별 분리발주가 이루어지고 있어 프로젝트 전반에 걸쳐 건설사업관리제도의 기능이 제대로 작동되지 않고 있는 실정이다. 이 같은 부분적 사업관리제도의 운영은 향후 스마트그리드, 인텔리전트 빌딩 등과 같은 융 복합화 사업에 있어 많은 제약을 받을 수 있다. 국내 건설 프로젝트 관리기술의 향상을 위해서는 현 사업관리제도의 이질성을 극복할 수 있는 업역별 사업관리기술 역량을 확보하고, 협업 능력 저해 요소를 발견하여 이를 해결해야 한다. 이에 본 연구에서는 IPA모델을 활용하여 건설 전기공사의 사업관리제도 업무역량 차이를 분석하고, 프로젝트의 효율적인 운영을 위한 전기공사 사업관리제도 도입 방안을 모색하고자 한다. Since recent construction projects become larger and complicated, the level of difficulty of management skill is rising, and the risk is increasing accordingly so the necessity of improving management skill of projects is increasing. In order to solve this problem, Construction Management system was preferentially introduced in construction projects but in case of domestic construction industry, separate contracts by business boundary are being made so the actual state is that the function of the Construction Management system is not properly operated over the overall projects. The partial operation of Construction Management system like this may impose many restrictions on converged and combined projects such as smart grid and intelligent buildings etc. in the future. For improvement of management skill of domestic construction projects, the competence of project management skill by work areas that can overcome heterogeneity of the current project management skill shall be secured, and any factor that impedes cooperation ability shall be found and that shall be solved. Therefore, the difference of work competency of project management system of construction and electrical construction is to be analyzed by utilizing IPA model in this study, and a plan to introduce the project management system of electrical construction for efficient operation of projects is to be looked into.

Surgical Clues of Distal Anterior Cerebral Artery(DACA) Aneurysms

김승범,이형중,김재민,백광흠,김충현,오석전,Kim, Sung Bum,Yi, Hyeong Joong,Kim, Jae Min,Bak, Koang Hum,Kim, Choong Hyun,Oh, Suck Jun The Korean Neurosurgical Society 2000 Journal of Korean neurosurgical society Vol.29 No.12

목 적 : 원위부 전대뇌 동맥에 발생하는 동맥류는 모동맥의 확보가 힘들고 재출혈 및 수술중 조기출혈의 빈도가 높으며, 익숙치 않은 수술적 접근법이 필요하다든지 하는 몇 가지 독특한 문제점이 있다. 따라서 전대뇌 반구간열 주변의 해부학적 구조물과 박리 시작점에 대한 수술전 지식을 요한다. 저자들은 박리 시작점에 대한 일관된 외부표식자를 이용하여 전두 기저부 대뇌반구간열 접근법 수술을 시행하였고 이를 심부 구조물들에 대한 접근 지표로 삼고자 하였다. 대상 및 방법 : 1995년 11월부터 1999년 6월까지 동맥류경을 결찰한 총 131명의 뇌동맥류파열 환자 중에서 원위부 전대뇌 동맥류 9명에 대하여 혈관조영술, 의무기록지, 수술소견을 통해 임상적, 수술소견을 조사하였다. 결 과 : 원위부 전대뇌동맥류의 빈도는 6.3%였고, 6례에서 뇌량 연변 동맥이 기시하는 뇌량 주위 동맥에서 발생하였고, 3례에서는 전두극동맥이 기시하는 뇌량 주위 동맥에서 발생하였다. 동반된 다른 혈관기형 및 다른 동맥류는 각각 3예에서 발견되었다. 술전 환자 상태는 일반적으로 불량했다. 조기수술은 7예에서 실시되었으며, 전두 기저부 대뇌반구간열 접근법으로 동맥류 결찰을 시행한 경우도 7예였다. 술후 심한 혈관연축과 흡인성 폐렴으로 인한 사망이 각각 1례씩이었으며 그 이외에는 신경학적 소견은 정상이었다. 결 론 : 원위부 전대뇌 동맥류의 조기수술시에 전두 기저부 대뇌반구간열 접근법이 유용하였다. 이 방법으로 뇌견인을 최소화할 수 있었으며 동맥류의 조기파열을 방지할 수 있었다. 저자들은 대뇌반구 간열의 박리 시작점으로 첫번째 교정맥(전두극 정맥)이 상시상 정맥동으로 유출되는 지점을 기준으로 하여 뇌량 및 뇌량 주변부 원위부 전대뇌동맥류에 접근할 수 있었다. Objects : Surgical management of the distal anterior cerebral artery(DACA) aneurysms presents several unique problems to surgeons, such as difficulty in early identification of parent arteries, high incidence of rebleeding and premature rupture, and requirement of unfamiliar approach other than conventional frontotemporal craniotomy. Therefore, preoperative anatomical knowledge of anterior interhemispheric fissure and entry point of dissection is prerequisite. Authors utilized a frontobasal approach for DACA aneurysms by using consistent external landmark for guidance to the deep structure. Materials and Methods : From Nov. 1995 to Jun. 1999, a surgical clipping of DACA aneurysms was carried out in 9 patients among a total 131 patients with intracranial aneurysms. In each case, the clinical and aneurysmal features were carefully reviewed through the angiograms, medical records, and intraoperative findings. Results : The incidence of DACA aneurysms was 6.9% from our series. All cases were arisen from juxtacallosal por-tion ; 6 cases from pericallosal-callosomarginal(PC-CM) junction and 3 from pericallosal-frontopolar(PC-FP) junction. Associated vascular anomalies were noted in 3 cases and multiple aneurysms in 3 cases, respectively. The preoperative clinical grades were generally poor. An early surgery was performed in 7 cases and frontobasal interhemispheric approaches in 7 cases. Postoperatively, two patients died of complications ; one delayed ischemic vasospasm and one aspiration pneumonia but remaining patients recovered well. Conclusion : The frontobasal interhemispheric approach was useful for DACA aneurysms in early surgery. Division of superior sagittal sinus(SSS) enabled a minimal retraction of brain on both sides, and prevention of intraoperative rupture was possible. Authors suggest the frontopolar(first frontal bridging) vein as a constant external landmark for approaching the genu of the corpus callosum and juxtacallosal DACA aneurysms.

Prevalence and Risk Factors of Gastric and Colorectal Cancer after Cholecystectomy

김승범,김경옥,Tae Nyeum Kim 대한의학회 2020 Journal of Korean medical science Vol.35 No.42

Background: Previous studies on the relationship between gastrointestinal (GI) cancer and cholecystectomy remain inconclusive. We aimed to evaluate this relationship, albeit particularly between cholecystectomy and gastric cancer or colorectal cancer (CRC), and the risk factors of cancer among individuals who have undergone cholecystectomy in Korea. Methods: In total, 4,222 patients who underwent laparoscopic or open cholecystectomy at our institution between January 2006 and December 2013 were included. Patients who underwent cholecystectomy for gallbladder cancer or were undergoing surgery for GI, hepatic, or pancreatobiliary cancers were excluded, as were those who developed stomach cancer or CRC within a year of their cholecystectomy. The included patients were followed until July 20, 2020. The standardized incidence ratio (SIR) was used to calculate the relative risk of GI cancer in cholecystectomy patients. Results: The median patient age (n = 3,588) at the time of cholecystectomy was 54.0 (range, 19–95) years, and the male-to-female ratio was 1:1.04. The median follow-up period after cholecystectomy was 15.0 (range, 0–146) months. We found a 108% greater risk of CRC (SIR, 2.08; 95% confidence interval [CI], 1.28–3.17) and 154% increased risk of CRC in females (SIR, 2.54; 95% CI, 1.16–4.84). Based on multivariate analysis, an age of > 60 years was a significant risk factor for GI cancer in cholecystectomy patients. Conclusion: Cholecystectomy may increase risk of CRC, especially in females. Age was considered a risk factor of GI cancers in patients with history of cholecystectomy.

소양호 저질토층의 탈질화작용과 환경요인의 분석

김승범,안태영,하영칠 ( Seung Beom Kim,Tae Young Ahn,Yung Chil Hah ) 한국하천호수학회 1991 생태와 환경 Vol.24 No.4

The denitrifying capacity and various environmental factors were investigated in Lake Soyang from May to October, 1989, and analyzed in statistical manners. Nitrate was added to sediment samples to a initial concentration of 1 mM, and the N_2O production was measured with gas chromatograph at in situ temperature by acetylene blockage method. The N_2O production rates were 0.32∼13.8μM N_2O-N ·g-dw^-1 day^-1, 5.8μM N_2O-N ·g-dw^-1 day^-1 in average, and reached highest values in July and August. The denitrifying capacity showed strong correlation with temperature (0.55) and nitrite(0.42), but not with nitrate concentration, nor with the population size of denitrifiers.

벤치마킹과 주류산업

김승범,Kim, Seung-Beom 한국주류산업협회 1994 주류산업 Vol.14 No.3

상부구조물과 금원주를 레진시멘트로 접착시킨 임프란트 보철물의 파절에 대한 연구

김승범,배정식,Kim, Seung-Beom,Bae, Jeong-Sik 대한치과보철학회 1996 대한치과보철학회지 Vol.34 No.3

This study was performed to determine the failure strength and pattern of implant prosthesis luted with resin cement between gold cylinder and superstructure, and to evaluate the bonding strength of resin cement. To evaluate failure strength and pattern, the groups were divided into 2. Group 1 : Casted gold cylinder Group 2 : Luted with resin cement between gold cylinder ans superstructure. To evaluate effects of the bonding strength of the implant prosthesis luted with resin cement according to storage condition, the groups were divided into 3 : Group A : Stored in waste at $37^{\circ}C$ for 24 hours. Group B : 1000 cycles thermocycled between $5^{\circ}C\;and\;55^{\circ}C$ in water. Group C : Stored in water at $37^{\circ}C$ for 30 days. The results were as follows. 1. Failure was found at gold screw in all specimens of group 1 & 2. 2. The bond strength in group 1 and 2 was 189.86 and 188.14kgf. There was no statistically significant difference between group 1 and 2(P>0.05). 3. The bond strength of group A, B and C was 53.28, 45,86 and 39.29Kgf. There result suggest the advantage of an improved fit of superstructure to the abutment and a simple procedure. But there was a measurable decrease of the bond strength according to storage condition. So, Further research is necessary to evaluate of the implant prosthesis luted with resin cement between gold cylinder and superstructure.

르포 - UAE 바라카 원전

김승범,Kim, Seung-Beom 한국원자력산업회의 2018 원자력산업 Vol.38 No.1

$BCl_3/Cl_2/Ar$ 고밀도 플라즈마에 의한 $(Ba, Sr)TiO_3$ 박막의 식각 메커니즘 연구

김승범,김창일,Kim, Seung-Bum,Kim, Chang-Il 대한전자공학회 2000 電子工學會論文誌-SD (Semiconductor and devices) Vol.37 No.11

(Ba,Sr)$TiO_3$ 박막은 ULSI-DRAM 즉 1-4 Gbit급 DRAM용 셀(cell) 커패시터의 새로운 유전물질로 각광받고 있다. 본 연구에서는 ICP 장비에서 $BCl_3/Cl_2/Ar$ 플라즈마로 (Ba,Sr)$TiO_3$ 박막을 식각하였다. 이때 RF power/dc bias voltage는 600W/-250V, 반응로의 압력은 10mTorr 이었다. $Cl_2/(Cl_2+Ar)$은 0.2로 고정하였고, $BCl_3$ 가스를 첨가하면서 (Ba,Sr)$TiO_3$ 박막을 식각하였다. $BCl_3$ 가스를 10% 첨가하였을 때, $480{\AA}/min$으로 (Ba,Sr)$TiO_3$ 박막은 가장 높은 식각 속도를 나타내었다. $Cl_2/Ar$가스에 $BCl_3$의 첨가 비에 따른 Cl, BCl 및 B의 라디칼 밀도를 optical emission spectroscopy(OES)에 의해 구하였다. $BCl_3$를 10% 첨가하였을 때 Cl의 라디칼 밀도가 가장 높았다. (Ba,Sr)$TiO_3$ 박막의 표면반응을 규명하기 위하여 XPS 분석을 수행한 결과 이온 bombardment 식각이 Ba-O 결합을 파괴하고 Ba와 Cl의 결합형태인 $BaCl_2$을 제거하기 위하여 필요하다. Sr과 Cl의 결합의 양은 많지 않고, Sr은 주로 물리적인 스퍼터링에 의하여 제거된다. Ti와 Cl은 화학적으로 반응하여 $TiCl_4$ 결합형태로 용이하게 제거된다. 식각후 단면사진을 SEM을 통해 본 결과 식각단면이 약 65~70$^{\circ}$ 정도였다. (Ba,Sr)$TiO_3$ thin films have attracted great interest as new dielectric materials of capacitors for ultra-large-scale integrated dynamic random access memories (ULSI-DRAMs) such as 1 Gbit or 4 Gbit. In this study, inductively coupled $BCl_3/Cl_2/Ar$ plasmas was used to etch (Ba,Sr)$TiO_3$ thin films. RF power/dc bias voltage=600 W/-250 V and chamber pressure was 10 mTorr. The $Cl_2/(Cl_2+Ar)$ was fixed at 0.2 the (Ba,Sr)$TiO_3$ thin films were etched adding $BCl_3$. The highest (Ba,Sr)$TiO_3$ etch rate is $480{\AA}/min$ at 10 % $BCl_3$ to $Cl_2/Ar$. The change of Cl, B radical density measured by optical emission spectroscopy(OES) as a function of $BCl_3$ percentage in $Cl_2/Ar$. The highest Cl radical density was shown at the addition of 10% $BCl_3$ to $Cl_2/Ar$. To study on the surface reaction of (Ba, Sr)$TiO_3$ thin films was investigated by XPS analysis. Ion bombardment etching is necessary to break Ba-O bond and to remove $BaCl_2$. There is a little chemical reaction between Sr and Cl, but Sr is removed by physical sputtering. There is a chemical reaction between Ti and Cl, and $TiCl_4$ is removed with ease. The cross-sectional of (Ba,Sr)$TiO_3$ thin film was investigated by scanning electron microscopy (SEM), the etch slope is about 65~70$^{\circ}$.

브롬화메틸 중독 환자에서의 자기공명영상 소견: 증례 보고

김승범 ( Seung Bum Kim ),서승영 ( Seung Young Seo ),김강 ( Kang Kim ),정래영 ( Lae Young Jung ),소민석 ( Min Seok So ),김선희 ( Sun Hee Kim ),전소연 ( So Yeon Jeon ),류완희 ( Wan Hee Yoo ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1

Methyl bromide is a chemical agent with neurotoxicity, and exposure to methyl bromide produces encephalopathy and peripheral neuropathy. I report here on MRI findings of a case of 27-year-old man with methyl bromide intoxication. MRI demonstrated bilateral and symmetrical lesions in inferior olives, cerebellar dentate nuclei, dorsal pons, dorsal midbrain, periaqueductal gray matter, and splenium of corpus callosum. On follow-up MRI, the lesions had nearly disappeared except faint hyperintense signals on inferior olives, periaqueductal gray matter, and splenium of corpus callosum.