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Kang, Sung Il,Oh, Heung-Kwon,Yoo, Jae Suk,Ahn, Soyeon,Kim, Min Hyun,Kim, Myung Jo,Son, Il Tae,Kim, Duck-Woo,Kang, Sung-Bum,Park, Young Soo,Yoon, Chang Jin,Shin, Rumi,Heo, Seung Chul,Lee, In Taek,Youk, Elsevier 2018 Surgical oncology Vol.27 No.2
<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Colonic self-expanding metallic stenting (SEMS) is widely used for the treatment of malignant colonic obstruction as a bridge to elective surgery. However, the effects of colonic stenting on long-term oncologic outcomes are debatable. This study aimed to compare the long-term oncologic outcomes of preoperative SEMS insertion with those of immediate surgery in patients with obstructing left-sided colorectal cancer.</P> <P><B>Methods</B></P> <P>A cohort of consecutive patients who underwent radical surgery for obstructing left-sided colorectal cancer between 2004 and 2011 in five tertiary referral hospitals were analyzed. Long-term survivals were analyzed and adjusted using the inverse probability of treatment weighting method, based on propensity scores, to reduce selection bias.</P> <P><B>Results</B></P> <P>One hundred and nine patients underwent immediate surgery, and 226 underwent stent insertion before surgery. Disease-free survival did not differ significantly in both the unadjusted population (hazard ratio [HR] 1.063, 95% confidence interval [CI] 0.730–1.548; Log-rank, p = 0.746) and the adjusted population (HR 0.122, 95% CI 0.920–1.987; Log-rank, p = 0.122). Overall survival also did not differ significantly in both the unadjusted population (HR 0.871, 95% CI 0.568–1.334; Log-rank, p = 0.526) and the adjusted population (HR 1.023, 95% CI 0.665–1.572; Log-rank, p = 0.916). Defunctioning stoma formation was less in the SEMS insertion group than immediate surgery group (adjusted, 14.6% vs. 41.3%, p < 0.001).</P> <P><B>Conclusion</B></P> <P>The ‘bridge to surgery’ strategy using metallic stents was oncologically comparable to immediate surgery in patients with malignant left-sided colorectal obstruction.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Disease-free survival rate was comparable, SEMS insertion vs. immediate surgery. </LI> <LI> Overall survival rate was comparable between the two groups. </LI> <LI> Defunctioning stoma formation was less in the SEMS insertion group. </LI> <LI> The ‘bridge to surgery’ strategy using stent insertion was oncologically acceptable. </LI> </UL> </P>
시스템엔지니어링 전산관리도구를 활용한 우주발사체 기술완성도(TRL) 관리
장준혁,권병찬,임창영,조동현,유일상,Jang, Jun Youk,Kwon, Byung Chan,Lim, Chang Young,Cho, Dong Hyun,Yoo, Il Sang 한국시스템엔지니어링학회 2020 시스템엔지니어링학술지 Vol.16 No.1
The KSLV-II project with high difficulties technically requires thorough technical management during long-term life cycle more than 10 years for launching into space. The TRL is a quantitative indicator developed by NASA widely used all over the world to measure technology maturity of a system development objectively and consistently. The TRL is also used to make sure technology level and to establish a future direction in the KSLV-II project. The TRL has advantage enable to identify a technology level through quantitative indicators. However, it takes a lot of efforts such as trials and errors, time and cost to apply it to the project considering the project environments, and stakeholder needs. These include not only to establish TRL management plan from ideal, conceptual and abstractive standards/guidelines such as NASA's, but also to construct TRL management environment enable to apply and manage harmoniously. In the KSLV-II project, it is required to figure out current technology level and technology development trend in the future, to access conveniently, to share related data in real time, and to update periodically for the comprehensive TRL management. From the reason above, the TRL management environment was built by using the systems engineering tool already has been used for other system management data such as requirements in the project. It also could be accomplished a practical management basis of systems engineering from the traceability among system management data including TRL. In this paper, case study results are introduced to manage the TRL for the space launch vehicle using the systems engineering tool in the KSLV-II project.
황득수,이광진,권육상,Hwang Deuk-Soo,Rhee Kwang-Jin,Kwon Youk-Sang 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.1
목적: 스포츠손상에의한비구순파열환자에서진단및치료에대해고찰해보고자하였다. 대상및방법: 1995년3월부터2000년1월까지스포츠손상후발생한고관절통으로본원에내원한환자에서비구순파열로진단된15예를대상으로하였다. 원인별로달리기5예, 격투기3예, 에어로빅3예, 수영2예, 등산1예, 자전거 1예등이었다. 남자가6명, 여자가9명이었고, 나이는 평균41세였다. 모든 환자는6개월간격으로 추시하였고, 보존적 치료를 시행한 경우최소2년 이상 투약 및 증세관찰을 하였고, 관절경적 수술을 시행한6예에서 수술 전, 수술 후 6개월과 12개월에 Harris Hip Score (이하HHS)를측정하였고, JOA pain scoring system에의해결과를평가하였다. 결과: 보존적치료를 시행한9예에서 HHS는 평균 15점 향상되었고, 그중 4예는 1단계의 통증 지수 향상이 있었는데, 이들 모두Czerny 분류상type IA였다. 관절경적수술을 시행한6예에서수술후 HHS는 32점향상되었고, 6예모두에서2단계이상의통증지수향상이관찰되었다.결론: 스포츠손상환자에서급,만성고관절통을호소하는경우비구순파열은반드시감별진단되어야하며, 이학적검사상의심이될경우자기공명관절조영술을이용한진단이유용할것으로사료된다. 확진이된경우관절경을이용한파열된비구순의변연절제술이효과적인치료방법으로생각된다. Purpose: The purpose of this study is to evaluate diagnosis and treatment of acetabular labral tears in sports injuries. Materials and Methods: From March 1995 to January 2000, We treated 15 patients with acetabular labral tear by sports injuries. There were 6 men and 9 women. Mean age was 41 years old. Running injuries are 5 cases, fighting 3, aerobic exercise 3, swimming 2, climbing 1, bicycle 1. For conservative treatment, we performed medication and observation at least for 1 year. For the patients with arthroscopic surgery, we performed Harris Hip Score (pain and function) preoperatively and postoperatively at 6, 12 months, and evaluated patient’s pain by JOA pain scoring system and postoperative subjective satisfaction. Results: The mean score of HHS improved 15 points with conservative treatments and 32 points with hip arthroscopy. In 4 cases of conservative treatment, there was 1 scale improvement of JOA pain scoring system. In arthroscopic partial labrectomy, all cases were improved to more than 2 scale. Conclusion: We considered that acetabular labral tears occurred associated with sports injuries. So it is important to be interested in enthusiastic diagnosis and appropriate treatment for hip pain caused by sports injuries, especially about acetabular labral tears.
가역 투자율 측정에 의한 1Cr-1Mo-0.25V 강의 열화도 평가
유권상,김용일,남승훈,유광민,조육,손대락 한국비파괴검사학회 2000 한국비파괴검사학회지 Vol.20 No.5
고온에서 운용 중인 설비의 안전성을 평가하기 위해서는 사용기간동안 열화된 재료의 물성을 측정하여야 한다. 실제 사용되고 있는 화력발전소 터빈의 로터에서 열화도가 다른 여러 종류의 시편을 입수하기 어렵기 때문에, 터빈 로터재로 널리 사용되고 있는 1Cr-1Mo-0.25V 강을 인공열화시켜 시편으로 사용하였다. 열화도의 비파괴적 평가를 위하여 교류 섭동 자기장을 인가하여 가역 투자율을 측정하는 자기적 방법을 사용하였다. 열화도의 증가에 따라 경도와 가역 투자율 피크 사이의 간격은 감소하였는데, 경도와 가역 투자율 피크 간격과의 선형관계를 이용하여 비파괴적으로 터빈 로터강의 열화도를 평가할 수 있는 기초를 마련하였다. The integrity of the turbine totors can be assessed by measuring reversible permeability and Vickers hardness of the aged rotors at service temperature. The measurement system of reversible permeability, which measured by applied alternating perturbing magnetic field, was constructed in order to evaluate matrial degradation, nondestructively. The test specimen was 1Cr-1Mo-0.25V steel used widely for turbine rotor material, and the specimens were prepared by the isothermal heat treatment at 630 ℃. The reversible permeability of the test materials were measured at room temperature. The peak interval of reversible permeability and Vickers hardness decreased with the increase of degradation. The degradation of test material may be determined nondestructively by the lineality of Vickers hardness and the peak interval of reversible permeability.