일본 중기방 계획에 따른 반향-병기 국산화는 왜 필요한가

조건현,Jo, Geon-Hyeon 한국방위산업진흥회 1990 國防과 技術 Vol.- No.133

흉부외상

조건현,이홍균 대한의학협회 1990 대한의학협회지 Vol.33 No.6

급성 화농성 심낭염 14례 보

조건현,이홍균,Jo, Geon-Hyeon,Lee, Hong-Gyun 대한흉부심장혈관외과학회 1984 Journal of Chest Surgery (J Chest Surg) Vol.17 No.2

Acute purulent pericarditis, though not common in incidence after introduction of antibiotics, is still potentially life treating isease. Since 1971, we have experienced 14 cases of acute purulent pericarditis with successful treatment. Among these 14 cases, 9 cases were male and they had high occurrence on their third to fifth decades in age distribution. Isolation of causative organisms were obtained in 11 cases through the bacterial culture of infectious source which was mainly pericardial effusion or blood, and the most frequently recovered organism was the staphylococcus aureus. Pre-existing inflammatory disease preceding to pericarditis, named as antecedent disease, were proved in 12 cases, and among which contiguous extension from the intrathoracic infection such as pneumonia or empyema accounted for the majority of antecedent disease. Pericardiocentesis with administration of antibiotics were tried in all cases, but result in recovery in 1 patient only. Remaining 13 cases had persistent picture of pericarditis and necessitated surgical drainage procedure. Ten of these 13 cases were underwent the open pericardial window using a mode of anterior approach in 4 and subxiphoid approach in 6 cases respectively. Two cases of subxiphoid group were reoperated by the anterior interphrenic pericardiectomy, due to insufficient drain of too thick effusion. In remaining 3 cases, anterior interphrenic pericardiectomy was performed initially because of purulent effusion already changed into fibrinopurulent peel with thickened pericardium. Through the experience of this series, we recommended that pericardiectomy should not be reluctant in purulent pericarditis as a initial surgical procedure for advantage of complete removal of infected space and avoidance of late constrictive pericarditis.

초도비행 안전점검과 시스템 안전

조건현 대한기계학회 1994 大韓機械學會誌 Vol.34 No.1

오늘날과 같이 시스템의 복잡화에 따른 고가의 시스템 구입비, 크기 및 중량의 허용한계 등과 같은 여러 제한요인 때문에 고도의 신뢰성 있는 무기체계 개발을 위해서는 무기체계 개발과정의 전 순기 동안에 시스템 안전(system safety)분야의 적용이 불가피하게 되었다. 시스템 안전에 관한 연구는 매년 증가하는 사고로부터 발생하는 엄청난 손실을 줄여보자는 필요하에 1960년 경부터 미국의 군대에서 시작되었다. 1969년 7월 미국 군사표준서MIL-STD-882(시스템 및 관련 부시스템에 대한 시스템 안전 프로그램 요구조건)가 제정된 이후 요즈음 미군의 방산물자 조달 및 획득시 시스템 안전분야 적용이 의무화되어있다. 시스템 안전분야는 개발중인 시스템의 설계, 개발, 운용과 관련된 여러 분야, 즉 품질보증, 인간공학, 시스템공학, 형상관리분야 등과 상호 밀접하게 연관되어 있으므로 이 분야에 대한 상호 이해와 끊임없는 정보교환이 요청되고 있다. 시스템 구성분야별, 무기체계 개발단계별로 조직적으로 분석된 시스템 안전결과를 토대로 프로 젝트 관리자(PM)는 개발중인 무기체계 시스템에 내재된 시스템 위험을 어느 수준까지 수용할 수 있을 것인가에 대한 현명한 판단을 내릴 수가 있게 되는데 항공기개발 프로그램의 경우 시스템 안전의 궁극적인 목표는 성공적인 초도 비행이라고 할 수 있다.

폐결핵에 병발한 폐 Aspergillosis의 1치험례

조건현,이홍균,Jo, Kuen Hyon,Lee, Hong Kyun 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2

Pulmonary aspergillosis is a rather uncommon disease as a saprophytic infection, mostly producing significant repeated hemoptysis and frequently combined with chronic debilitating disease or cavitary lung disease such as pulmonary tuberculosis, lung abscess and bronchiectasis. Evaluation of the characteristic symptom, X-ray finding composing intracavitary fungus ball with crescent air patch and immunologic test constitute essential part of diagnosis. Surgical resection is a successful treatment combined with administration of anti-fungal agent to eradicate completely. We present one case of surgically removed pulmonary aspergillosis showing fungus ball, superimposed on underlying pulmonary tuberculosis, with review of the related literatures.

종격동내에 발생한 Cystic Hygroma: 1 치험례

조건현,이홍균,Jo, Keun-Hyon,Lee, Hong-Gyun 대한흉부심장혈관외과학회 1977 Journal of Chest Surgery (J Chest Surg) Vol.10 No.1

Cystic hygroma is a benign tumor of lymphatic origin encountering most frequently in young children, and composed of softly fluctuated mono or multilocular cystic masses which developed from embryonic outpouching of the venous system. The majority of these tumors are found at the anterolateral neck region particularly posterior .triangle, and occasionaly axilla, mesentery and spleen etc. In the mediastinum, the incidence of hygroma is very rare and also of mediastinal neoplasms. Recently, we have experienced 2 cases of mediastinal cystic hygroma connected up lateral neck and to anterior chest wall respectively, which were surgically removed successfully and confirmed histopathologically. Authors present the cases and discussion with a brief review of the relevant literatures.

싱가폴 방위의 현주소와 향후 계획(2)

조건현,Jo, Geon-Hyeon 한국방위산업진흥회 1990 國防과 技術 Vol.- No.137

1965년 싱가폴이 독립되었을때 싱가폴을 방어하기 위한 군대는 사실상 전혀없는 상태였다. 오늘날의 세계 추세와 같이 싱가폴도 자국을 보호하기 위해 급속히 군을 성장시켰다. 현재 싱가폴군은 자국의 영토를 보전할수 있는 현대화된 3군 체제를 유지하고 있다. 또한 싱가폴군은 외국 및 국내 방산업체 등을 통해 제작한 광범위한 무기체계로 장비되어 있다. 25년간 군을 운영해본 결과 싱가폴군은 그들의 임무를 충족하고 있고, 이러한 임무의 필요성과 조화되어 발전을 거듭하고 있다.

승모판막 수술 환자에서 발생한 부정맥의 치료

조건현 대한흉부심장혈관외과학회 1992 Journal of Chest Surgery (J Chest Surg) Vol.25 No.6

This is a clinical review of the results from electric cardioversion and pharmacological therapy used in our hospital for reverting cardiac arrythmia in patients with mitral valve surgery between Jan. 1990 and Jun. 1991. Of 62 evaluated patients, 16 patients had regular sinus rhythm and the other 46 had arrhythmias [42; atrial fibrillation 1; atrial flutter 1; premature ventricular contraction] preoperatively. In 2 of patients with sinus rhythm, atrial fibrillation newly developed after surgery and was converted into sinus rhythm soon by intravenous administration of digoxin. Remaining 14 patient resumed sinus rhythm spontaneously. In patients with preoperative arrythmia, 3 patients reverted into sinus rhythm from atrial fibrillation by electric cardioversion at operative field, 1 patient by lidocain and mexiletine, 4 patients by combined use of digoxin and verapamil, 4 patients by 2 times of oral quinidine and 9 patient by long term use of oral amiodarone. Throughout this consecutive trials of anti-arrhythmic drugs and electric cardioversion, Conversion into normal sinus rhythm occurred in 48% of patients with arrhythmia developed after mitral valve surgery.

유리 족배부 피판을 이용한 경부 식도 재건술;1례 보고

조건현 대한흉부심장혈관외과학회 1992 Journal of Chest Surgery (J Chest Surg) Vol.25 No.11

Reconstructive surgical procedures for hypopharyngeal and cervical esophageal defects have still a lot of technical defficulties and varieties to be performed as a optimal treatment according to the clinical situation patient faced. We have experienced a case of successful reconstruction of cervical esophageal defect, which was resulted from graft failure of free jejunal transfer in 43 year old male with eso-phagocutaneous fistula, using free fasciocutaneous dorsalis pedis flap. This article describes the review of our case and literature relevant the reconstructive maneuvers of cervical esophageal defects.

폐암환자의 Dinitrochlorobenzene (DNCB) 접촉성 감작에 대한 고찰

조건현,이홍균,Jo, Keon-Hyon,Lee, Hong-Kyun 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.1

Clinical evaluation of contact sensitization to 2, 4-dinitro-chlorobenzene [DNCB] was performed in 2 groups: group A [30 patients with non-malignant disease] and group B [30 patients with bronchogenic carcinoma]. Initial sensitization was elicited out by applying 2, 000 ug of DNCB to skin surface of the both group A and B. Subsequently a relatively weak challenge dose, 200 ug of DNCB, was applied 14 days later, showing the satisfactory results of sensitization with minimizing non-specific irritative inflammatory skin response. Delayed cutaneous hypersensitivity reactions shown by spontaneous flare phenomena appeared at the challenge site, and they were assessed 48 hours later. The reaction were graded from +1 to +4 according to the degree of flare or vesicular reaction. The results were as follows: 1. 28 cases [93%] of group A, however, only 18 cases [67%] of group B exhibited delayed cutaneous hypersensitivity reaction to DNCB contact sensitization [P<0.02]. 2. Of group A, the delayed cutaneous hypersensitivity reactions above +2 of DNCB score were 25 cases [83%], meanwhile 11 cases [37%] in group B [P<0.001]. 3. Undifferentiated carcinomas showed highest incidence of anergy to DNCB contact sensitization in the all histologic types of group B. 4. In group B, 8 [42%] of 19 cases who react to DNCB were resectable, whereas only 2 [18 %] of 11 cases who failed to react to DNCB were resectable for curative cancer surgery. These study suggests that cellular immune reaction of group B was depressed remarkably comparing with that of group A.