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박희권,장영진,이경천,모근석,조영례,이언 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.1
Background : Stereotactic thalamotomy and pallidotomy for Parkinson's disease or essential tremor have been performed under local anesthesia. But some neurosurgeons have been reluctant to utilize this technique because of patient discomfort and neurological complications. So we used the propofol that provides excellent sedation and rapid and smooth recovery of mental abilities with minimal side effects. Methods : After the patients were placed into the Leksell's stereotactic frame, anesthesia was induced by continuous infusion of propofol at the rate of 150 mcg/kg/min and then maintained at the rate of 50 mcg/kg/min. We investigated the hemodynamic changes, ABGA, total dose of propofol, time to loss of consciousness, recovery time from the end of infusion to eyes opening and side effects. Results : The blood pressure decreased significantly at infusion start 15 min and 30 min (p<0.05) and heart rate decreased significantly at infusion start 30 min (p<0.05). The PaCO2 increased significantly at infusion sta 15 min and 30 min (p<0.05). Total dose of propofol was 202.4 59.8 mg, time to loss of consciousness was 13.0 4.4 min, recovery time was 9.0 4.7 min and side effects were pain on infusion (2 cases) and postoperative nausea (1 case). Conclusions : Stereotactic thalamotomy and pallidotomy for Parkinson's disease or essential tremor were performed by infusion of propofol with minimal side effects and no neurological complications. (Korean J Anesthesiol 1998; 35: 64∼69)
박희권,윤대석,최종무 한국정보과학회 2007 정보과학회논문지 : 시스템 및 이론 Vol.34 No.12
논문에서는 64비트 다중-코어 컴퓨팅 환경에서 효과적인 메모리 테스트를 위한 가상화 커널을 제안한다. 이때 효과적이라는 용어는 커널이 존재하는 메모리 공간을 포함한 모든 물리 메모리 공간에 대한 테스트를 시스템 리부팅 없이 수행할 수 있음을 의미한다. 이를 위해 가상화 커널은 4가지 기법을 제공한다. 첫째, 커널과 응용이 물리 메모리를 직접 접근 할 수 있게 하여 원하는 메모리 위치에 다양한 메모리 테스트 패턴을 쓰고 읽는 것이 가능하게 한다. 둘째, 두 개 이상의 커널 이미지가 다른 메모리 위치에서 수행 가능하도록 한다. 셋째, 커널이 사용하는 메모리 공간을 다른 커널로부터 격리한다. 넷째, 커널 하이버네이션을 이용하여 커널 간에 문맥 교환을 제공한다. 제안된 가상화 커널은 인텔사의 Xeon 시스템 상에서 리눅스 커널 2.6.18을 수정하여 구현되었다. 실험에 사용된 Xeon 시스템은 2개의 Dual-core CPU와 2GB 메모리를 탑재하고 있다. 실험 결과 설계된 가상화 커널이 메모리 테스트에 효과적으로 사용될 수 있음을 검증할 수 있었다. this paper, we propose an effective memory test environment, called a virtualized kernel, for 64bit multi-core computing environments. The term of effectiveness means that we can test all of the physical memory space, even the memory space occupied by the kernel itself, without rebooting. To obtain this capability, our virtualized kernel provides four mechanisms. The first is direct accessing to physical memory both in kernel and user mode, which allows applying various test patterns to any place of physical memory. The second is making kernel virtualized so that we can run two or more kernel image at the different location of physical memory. The third is isolating memory space used by different instances of virtualized kernel. The final is kernel hibernation, which enables the context switch between kernels. We have implemented the proposed virtualized kernel by modifying the latest Linux kernel 2.6.18 running on Intel Xeon system that has two 64bit dual-core CPUs with hyper-threading technology and 2GB main memory. Experimental results have shown that the two instances of virtualized kernel run at the different location of physical memory and the kernel hibernation works well as we have designed. As the results, the every place of physical memory can be tested without rebooting.
Endovascular Management of Great Vessel Injury Following Lumbar Microdiscectomy
박희권,최우진,고영초,박상우 대한척추신경외과학회 2013 Neurospine Vol.10 No.4
Great vessel injury is a rare but well-known complication of lumbar disc surgery, which may result in acute or fatal outcomes of delayed diagnosis. Thus, early detection and proper management is vital. The authors report a case of retroperitoneal hemorrhage with arteriovenous fistula and pseudoaneurysm after lumbar microdiscectomy. The patient was successfully managed by endovascular intervention using a stent graft. Endovascular repair is a minimally invasive and efficient treatment modality with considerably low morbidity and mortality.