뇌기저부 수막종의 임상분석 및 수술성적

김영욱,정신,김재성,이정길,김태선,김재휴,김수한,강삼석,이제혁,Kim, Young Wook,Jung, Shin,Kim, Jae Sung,Lee, Jung Kil,Kim, Tae Sun,Kim, Jae Hyoo,Kim, Soo Han,Kang, Sam Suk,Lee, Je Hyuk 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.11

저자들은 10년동안 수술을 시행받았던 212례의 수막종 환자중 뇌기저부에 위치한 61례에 대한 임상 분석을 시행한 결과 다음과 같은 결과를 얻었다. 1) 본 연구기간중 뇌기저부 수막종 환자는 61례로 전체의 29%를 차지하였으며, 평균 추적기간은 약 52개월이었다. 2) 성비는 여성이 남성보다 약 2배 많았으며, 평균연령은 52세였다. 3) 위치별로는 후두개와가 가장 많았으며, 전체적으로는 접형골연부, 천막부 및 소뇌교각부가 대부분을 차지하였다. 4) 호발증상 및 징후로는 두통, 뇌신경마비 및 소뇌징후 순으로 나타났다. 5) 종양제거정도는 심슨등급 I, II로 전적출한 경우가 82%이었으며, 심슨등급 III로 아전적출한 경우가 18%이었다. 6) 병리조직결과는 양성이 85%로 대부분을 차지하였으며, 비정형성과 악성은 각각 10%, 5%를 차지하였다. 7) 술후 보조적 치료는 악성, 부분적출 및 재발한 경우에 사용하였다. 8) 술후 합병증으로는 뇌척수액누출, 뇌신경마비 및 간질 발작 순이었다. 9) 술후 사망한 경우는 수술후 사망한 1례와 종양 재발에 의한 사망 2례이었다. 10) 재발은 약 15%로 심슨등급 III와 악성인 경우에 높았으며, 재발 위치는 천막부, 접형골연 및 소뇌교각부 순이었다. 결론적으로 뇌기저부 수막종의 수술은 종양 주변부의 중요한 구조물이 위치함에 따라 낮은 사망률 및 합병증 발생률을 가지고 수술적 적출이 어렵지만, 술전 방사선학적 소견의 정확한 이해와 적절한 접근법의 선택, 뇌기저부 재건술이 술후 합병증의 감소 및 종양적출을 위해 필수라고 생각한다. Objectives : Traditionally intracranial meningiomas are regarded as benign and curable tumors. About half of all intracranial meningiomas locate in the skull base region. However, surgical removal of these tumors may be challenging and require special considerations. Here general aspects of skull base meningiomas including clinical presentation, surgical approaches, complications and their recurrence rate are discussed based on our experiences. Methods : A retrospective analysis of 61 consecutive patients with skull base meningioma among 210 patients of meningioma between 1989 and 1998 were done. Results : There were 41 women and 20 men ranging from 13 to 74 years(mean 52 years). These tumors were divided into seven categories according to location : olfactory groove(n=9), sphenoid ridge(n=16), cavernous sinus(n =2), tuberculum sellae(n=8), tentorium(n=13), cerebellopontine angle(n=12), and foramen magnum meningiomas (n=1). Surgical approaches were selected on the basis of the tumor attachment, size and extension on preoperative radiologic findings. Total removal(Simpson grade I and II) was achieved in 50 cases(82%), and subtotal removal (Simpson grade III) in 11 patients(18%). According to WHO classification, there were 52 of cases of benign meningioma( 86%), 6 atypical cases(10%), and 3 malignant cases(5%). The most common postoperative complications were CSF leakage(23.0%) and cranial nerve injury(8.2%). Three patient died related with tumor(one was due to surgical complication and the other two due to recurrence) but three patients died from other systemic causes. Mean follow-up period was 51.7 months after surgery. Recurrence occurred in six patients(10.9%) ; three with tentorial meningioma, two with sphenoid ridge, and one in cerebellopontine angle. Conclusion : With advances in neuroradiology and microsurgical techniques, the surgical outcome of miningiomas has been markedly improved with acceptable morbidity and mortality rates. Overall, our surgical results of skull base meningiomas is comparable to other reports. Therefore, with the appropriate operative strategy and techniques, these tumors can be completely removed and good surgical results can be expected.

극소 및 극대 곡면 발견의 역사

김영욱,김소영,김지연,Kim, Young-Wook,Kim, So-Young,Kim, Ji-Yean 한국수학사학회 2008 Journal for history of mathematics Vol.21 No.1

극소곡면은 고전미분기하학의 꽃이며 현대에 이르기까지 기하학의 중심을 이루고 있다. 이러한 극소곡면 이론에서 가장 어려운 부분이라고 할 수 있는 극소곡면의 발견 과정을 역사적으로 조명하여 보고 이를 통하여 극소곡면 이론을 소개한다. 한편 최근에 들어 연구가 시작된 로렌츠-민코프스키 공간의 극대곡면의 예를 소개하고 극소곡면 발견 과정과 비교 연구한다. Theory of minimal surfaces has always been in the center of differential geometry. The most difficult part in minimal surfaces is how to find meaningful examples. In this paper we survey the history of search for minimal surfaces. We also introduce examples of recently emerging maximal surfaces in the Lorentz-Minkowski space and compare the processes in the search for the minimal and the maximal surfaces.

정위적 뇌생검의 임상분석

김영욱,김재휴,서승권,이정길,김태선,정신,김수한,강삼석,이제혁,Kim, Young Wook,Kim, Jae Hyoo,Seo, Seung Kweon,Lee, Jung Kil,Kim, Tae Sun,Jung, Shin,Kim, Soo Han,Kang, Sam Suk,Lee, Je Hyuk 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.1

Objective : This study was undertaken to evaluate the benefits and risks of the stereotactic biopsy in brain lesions. We assessed the diagnostic accuracy and morbidity rate associated with the stereotactic biopsy. Methods : The authors present a review of 47 patients, who underwent stereotactic biopsy using Cosman-Roberts-Wells(CRW) stereotactic apparatus during last six years. Results : Target locations were supratentorial in 36 cases, infratentorial in 9 and multiple in 2. According to pathological diagnosis, the largest group was neoplasm(29) followed by infection(9), infarction(2), cyst(2), and non-specific(5). Definitive diagnosis could be made in 42 of 47 cases(89.4%). When the mass lesion had been suspected as neoplastic condition, the diagnostic rate was 96.7%(29/30). It was being much higher than that of non-neoplastic lesion, 76.5%(13/17). The treatment modality was changed in 15 cases(32%) because the result of stereotactic biopsy was different from clinical diagnosis. Subsequent craniotomy after stereotactic biopsy was then performed in 6 cases, and the pathological diagnoses were precisely coincident in all of these cases. There were two complications(4.3%) : One intratumoral hemorrhage in glioblastoma and a transient hemiparesis in benign astrocytoma. There was no mortality in this series. Conclusion : The precise histological verification is crucial to determine the adequate treatment modality in intracranial lesions. Stereotactic biopsy is a safe and accurate diagnostic procedure for intracranial lesions with a low complication rate.

Helicobacter pylori 감염의 유병률과 관련요인에 관한 연구

김영욱,이수일,조병만,고광욱,김영실,강수용,차애리,김돈균,Kim, Yeung-Wook,Lee, Su-Ill,Cho, Byung-Mann,Koh, Kwang-Wook,Kim, Young-Sil,Kang, Su-Yong,Cha, Oae-Ri,Kim, Don-Kyoun 대한예방의학회 1996 Journal of Preventive Medicine and Public Health Vol.29 No.3

Helicobacter pylori 감염은 만성 위염과 소화성 궤양의 원인인자로 작용하며 위암과도 강한 상관관계가 있는 것으로 증명되어 기존의 위 십이지장 질환의 치료와 관리에 많은 변화를 가져오고 있다. 저자들은 Helicobacter pylori 감염의 유병률을 측정하고 유병상태와 관련되는 요인을 조사할 목적으로 부산광역시와 경상남도에 거주하는 소아 몇 청년 552명을 대상으로 1996년 4월부터 6월에 걸쳐 본 연구를 시행했다. 연구 대상자들의 혈청에 존재하는 Helicobacter pylori Ig G 항체는 Enzyme Linked Immunosorbent Assay(ELISA) 방법으로 측정했으며 설문조사를 통해 기본적인 인구학적 특성, 유병상태와 관련되는 요인에 관한 정보를 얻었다. 연구 대상자들의 총 Helicobacter pylori 감염률은 25.7%였고 $1\sim3$세군에서의 5.8%에서 $20\sim29$세군의 44.4%까지 연령이 증가함에 따라 유병률도 비례해 증가하는 양상을 보였다($\chi^2$ for trend=57.9, p<0.0001). 특히 학동기 전 연령인 $4\sim6$세 군에서 초등학교 1, 2, 3학년 연령인 $7\sim9$세 군간에 유병률의 급격한 상승이 관찰되어 이 시기에 Helicobacter pylori 감염이 본격적으로 발생하는 것으로 추측된다. 다변량 로지스틱 회귀 모델에서 연령, 가족수 및 거주하는 주택의 형태가 유병상태와 유의한 상관관계를 보였으며 각각의 교차비(95% 신뢰구간)는 연령 $1\sim9$세를 기준으로 $10\sim19$세 $3.6(2.0\sim6.4)$, $20\sim29$세 $7.3(4.1\sim13.1)$ 였고, 가족수 $1\sim3$명을 기준으로 $4\sim5$명 $2.1(1.3\sim5.4)$, 6명 이상 $2.7(1.3\sim5.4)$였으며 주택의 형태는 아파트 거주를 기준으로 일반주택 및 연립주택 $1.9(1.1\sim3.5)$ 이었다. Helicobacter pylori is now recognized as causative agent of chronic gastritis and peptic ulcer, and strongly associated with development of gastric carcinoma. With development of sensitive and specific serologic tests to identify individuals infected with Helicobacter pylori, the epidemiologic study of this diseases has been investigated. But it's transmission route is not established, yet. The purpose of this study is to measure the prevalence of Helicobacter pylori infection in healthy children and young adults and to evaluate related factors for Helicobacter pylori infection in Korea. The seroprevalence of Ig G antibodies to Helicobacter pylori was determined using a Enzyme Linked Immunosorbent Assay and we obtained the information, such as demographic characteristics, monthly household income, numbers of family members in the house, numbers of persons using same room, type of house, and type of drinking water through the questionnaire survey. The observed overall seropositivity rate was 25.7%. The rate is increased progressively from 5.8% in the age group $1\sim3$ years to 44.4% in the age group $20\sim29$years($\chi^2$ for trend, p<0.001). Especially, the rate increased steeply from 6.5% in the age group $4\sim6$ years to 20.8% in the age group $7\sim9$ years, and this suggested that elementary school age was the major acquisition time of Helicobacter pylori infection. In multivariate logistic regression model, age, numbers of family members in the house, and type of house was statistically significant variables for Helicobacter pylori infection. Each odds ratio(93% CI) were as follows; base to age group $1\sim9$ years, age group $10\sim19$ years $3.6(2.0\sim6.4)$, age group $20\sim29$ years $7.3(4.1\sim13.1)$ and base to group of $1\sim3$ family members, group of $4\sim5$ family members $2.1(1.1\sim4.0)$, group of 6 or more family members $2.7(1.3\sim5.4)$ and base to apartment, single and multihouse $1.9(1.1\sim3.5)$. Sex, monthly household income, numbers of persons using same room, and type of drinking water was not statistically significant for Helicobacter pylori infection.

TiS$i_2$ 박막의 열안정성에 미치는 막 스트레스의 영향

김영욱,김영욱,고종우,이내인,김일권,박순오,안성태,이문용,이종길,Kim, Yeong-Uk,Kim, Yeong-Uk,Go, Jong-U,Lee, Nae-In,Kim, Il-Gwon,Park, Sun-O,An, Seong-Tae,Lee, Mun-Yong,Lee, Jong-Gil 한국재료학회 1993 한국재료학회지 Vol.3 No.1

단결정 실리콘위에 스퍼터법으로 증착된 티타니움막을 급속가열로에서 고상반응에 의해 형성시킨 면저항 1.2 ohm/sq. 내외의 TiS$i_2$ 박막에 있어서 열안정성을 상부절연막의 유무 및 종류에 따라 조사하였다. 상부절연막은 상압 CVD로 증착한 USG(Undoped Silicate Glass, Si$i_2$) 막과 플라즈마 CVD법으로 증착한 PE-SiN(S$i_3$$N_4$)막을 사용했다. 열안정성 평가는 90$0^{\circ}C$에서 시간을 달리하여 TiS$i_2$막, PE-SiN막, USG막의 스트레스는 각각 1.3${\times}{10^{9}}$, 1.25 ${\times}{10^{10}}$, 2.26 ${\times}{10^{10}}$ dyne/c$m^2$의 인장응력을 나타내었다. 응집현상은 TiS$i_2$의 응집현상은 Nabarro-Herring 마이크로 크리프에 의한 원자의 확산관점에서 검토되었다. Abstract The effect of the film stress on the thermal stability of TiSi, films under the dielectric overcoat was investigated. TiS$i_2$ films with the sheet resistance of 1.2 ohm/sq. were produced by a solid-state reaction between sputtered Ti film and single-crystalline Si in an RTA (rapid thermal anneal) machine. Dielectric overcoats such as the USG (Undoped Silicate Glass, Si$O_2$) film and the PE-SiN(S$i_3$$N_4$) film were deposited by AP-CVD and PE-CVD, respectively, on the TiS$i_2$ film. The thermal stability of the TiSi, film was evaluated by changes in the sheet resistance, film stress and microstructure after furnace anneals at 90$0^{\circ}C$. Agglomeration of the TiSi2 film high temperatures results in the increase of sheet resistance and the decrease of tensile stress of TiSi, film. The stress level of the TiSi" PE-SiN and ~SG films at 90$0^{\circ}C$C was 1.3${\times}{10^{9}}$, 1.25 ${\times}{10^{10}}$, 2.26 ${\times}{10^{10}}$ dyne/c$m^2$ in tensile, respectively. Dielectric films deposited by CVD on TiSi, was effective on preventing agglomeration of TiSi,. The PE-SiN film mproved the thermal stability of TiSi, more effectively than the AP-CVD USG film. It is considered that agglomeration of the TiS$i_2$ film under the stress of dielectric overcoat at high temperature can be caused by a diffusional flow of atom called Nabarro-Herring microcreep.reep.

우리나라의 화재보험요율제도 해설 (I)

김영욱,Kim, Yeong-Uk 한국화재보험협회 1986 防災와 保險 Vol.29 No.-

현재 사용하고 있는 우리나라의 화재보험 요율은 그 약관이 국문증권이든 영문증권이든 간에 엄격한 의미에서의 자유요율은 없고 모두 인가요율의 형태를 취하고 있는 것이다.

알칼리토류 금속이 층간삽입된 흑연의 초전도갭 이방성

김영욱,김준성,Kim, Young-Wook,Kremer, Reinhard K.,Kim, Jun-Sung 한국초전도학회 2011 Progress in superconductivity Vol.12 No.2

We have investigated the anisotropy of the superconducting properties for $CaC_6$ and $SrC_6$ using upper critical fields ($H_{c2}$) and specific heat ($C_p$). From the upper critical fields of $CaC_6$ at different magnetic field orientations, H//c and H// ab, the anisotropy is found to be ~ 5 at low temperatures, much larger than that of $SrC_6$. These results are in contrast to the stronger anisotropy in the electronic structure for $SrC_6$ than for $CaC_6$ indicating a stronger anisotropy in the superconducting gap in $CaC_6$. The findings are confirmed by the temperature dependence of the superconducting specific heat below $T_c$ for $CaC_6$ and $SrC_6$, suggesting the important role of anisotropic electron-phonon coupling in superconducting intercalated graphites.

국내 화재보험 요율제도와 전망

김영욱,Kim, Yeong-Uk 한국화재보험협회 1984 防災와 保險 Vol.23 No.-

화재보험요율의 점진적이고도 합리적인 체계개선은 보험자와 계약자의 호혜원칙에 입각한 수준에서 견지되어야 하며 국민경제 및 산업발전에 일익을 담당하여야 한다.

보험상식 - 우리나라의 화재보험 요율제도해설 (II)

김영욱,Kim, Yeong-Uk 한국화재보험협회 1986 防災와 保險 Vol.30 No.-

보험상식 - 우리나라의 화재보험 요율제도

김영욱,Kim, Yeong-Uk 한국화재보험협회 1987 防災와 保險 Vol.32 No.-