오존노출이 실험적으로 유발된 알레르기성 비염에 미치는 영향

전우진,변상내,김용민,김병국,나기상,박찬일 대한이비인후과학회 2000 대한이비인후과학회지 두경부외과학 Vol.43 No.11

광범위 외측 접근법으로 수술한 종골 골절의 술 후 조기 합병증

변영수,조영호,박준우,이진석,김지환 대한골절학회 2004 대한골절학회지 Vol.17 No.4

목적 : 광범위 외측 접근법으로 수술한 종골 골절에서 술 후 조기 합병증들을 분석하고 창상 합병증에 대한 위험 요인들을 알아보았다. 대상 및 방법 : 1990년 7월부터 2003년 2월까지 광범위 외측 접근법으로 수술한 종골 골절 104명, 116예를 대상으로 하였다. 환자들의 병록지에서 술 후 조기에 발생한 합병증들을 조사하여 분석하였으며, 창상 합병증의 위험을 증가시키는 요인들을 알아보기 위해 예견되는 변수들에 대하여 통계학적 분석을 하였다. 결과 : 감염이 14예 (12.0%)에서 발생하였으며, 10예 (8.6%)는 표재 감염이었고 4예 (3.4%)는 삼부 감염으로 수술적 치료가 필요하였다. 피부 괴사가 8예 (6.9%)에서 발생하였으며, 6예 (5.2%)는 수술창 변역부의 피부 괴사였고 2예 (1.7%)는 피판 괴사로 수술적 치료가 필요하였다. 비복신경 손상이 7예 (6.0%)에서 발생하였으나 부가적인 치료 없이 회복되었다. 통계학적 분석 결과 개방성 골절 군(p=0.003)과 수술시간이 90분 이상 연장된 군 (p=0.049)에서 창상 합병증의 발생률이 유의하게 높았다. 결론 : 광범위 외측 접근법으로 수술한 종골 골절에서 술 후 조기 합병증의 발생률이 높으므로 개방성 골절에서는 개방창을 철저하게 치료하고, 술 전 계획과 계획된 술기를 통하여 수술 시간을 90분 이내로 단축하고, 비복신경의 해부학적 위치를 고려하여 절개함으로 술 후 조기 합병증의 발생률을 감소시킬 수 있을 것으로 사료된다. Purpose : To analyze early postoperative complications of calcaneal fractures operated by a lateral extensile approach and to identify risk factors for would complications. Materials and Methods : From July 1990 to February 2003, 116 calcaneal fractures in 104 patients were treated by open reduction and internal fixation through a lateral extensile approach. The patient's records were reviewed for early postoperative complications. Statistical analysis was performed to determine significant relationships between predicted variables and the development of would complications. Results: Fourteen fractures (12.0%) developed infection. Ten of them were superficial infection and four were deep infection that required surgical treatment. Eight fractures (6.9%) developed skin necrosis. Six of them were marginal skin necrosis and two were flap necrosis that required surgical treatment. Seven fractures (6.0%) developed sural nerve injury, but their symptoms were improved without additional treatment. Open fracture (p=0.003) and prolonged operating time (p=0.049) increased significantly the rate of wound complications. Conclusion: The rate of early postoperative complications of calcaneal fractures operated by a lateral extensile approach is high. These complications can be reduced by meticulous treatment of an open wound, reduced operating time within 90minutes through preoperative planning and skillful technique, and correct incision to avoid damage of the sural nerve.

하중스펙트럼을 이용한 강철도교의 피로해석에 관한 연구

변근주,오진우,김영진 연세대학교 산업기술연구소 1986 논문집 Vol.18 No.1

The objective of this study is to propose the effective stress ranges on steel railroad bridges using the load spectra for actual trains, and to develope a method for prediction of remaining life. The traffic on railroad from Suwon to Cheonan is modeled using 19 cases of loading and probability density curves of stress ranges are derived. Although the three-parameter Erlang curve provide a slightly closer fit, the two-parameter Rayleigh curve is selected for use in this study because it is simpler and provides an adequate fit. Finally. the effective stress ranges are computed using the Rayleigh distribution. These results can be used in predicting the remaining life of steel railroad bridge with S-N curves.

정신분열병 환자 자녀에서의 위스콘신 카드분류 검사

김철권,변원탄,장우석,장정희,조진석,김명정 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.5

연구목적 : 위스콘신 카드분류 검사가 정신분열병의 취약지표를 측정하는 도구로 이용될 수 있는지를 알아보기 위한 것이다. 방 법 : 중고등학교 재학생인 정신분열병 환자의 자녀 28명과 부모중 한 명이 알코올 의존증으로 정신과적 치료를 받고 있는 환자의 자녀 18명, 그리고 정신과학적으로 건강한 부모의 자녀 41명을 대상으로 위스콘신 카드분류 검사를 시행하여 세 군간에 그 결과를 서로 비교하였다. 결 과 : 위스콘신 카드분류 검사에서 세 군간에 총 시행 횟수, 총 정답반응 퍼센트, 총 오답반응 퍼센트, 보속반응 퍼센트, 보속 오답반응 퍼센트, 비보속 오답반응 퍼센트, 개념수준 반응 퍼센트, 완성한 범주 수, 첫 범주를 완성하기까지의 시행 횟수, 한 분류범주를 지속하지 못한 횟수, 그리고 학습 효율성 등과 같은 모든 변인에서 유의한 차이가 없었다. 정상 대조군의 하위 10%에 해당되는 총 정답반응 퍼센트 점수를 절단점으로 삼아 세 군에서 그보다 낮은 점수를 얻은 피검자들의 숫자를 확인한 결과 세 군간에 유의한 차이를 발견할 수 없었다. 결 론 : 본 연구 결과는 위스콘신 카드분류 검사에 의해 정신분열병의 유전적 취약지표를 찾아낼 수 없다는 가능성을 강하게 시사한다. In order to evaluate whether Wisconsin Card Sorting Test(WCST) could be used to detect the vulnerability markers of schizophrenia, three groups such as offsprings of schizophrenic patients(n=28), offsprings of alcoholic patients(n=18), and offsprings of psychiatrically normal persons(n=41) were examined for their concept formation and abstract thinking by means of WCST. The results were as follows ; 1) No significant differences were noted in all variables of the WCST such as number of total administered trials, total correct response %, total error response %, perseverative response %, perseverative error response %, nonperseverative error response %, conceptual level response %, number of completed category, number of trials to complete lst category, number of failure to maintain a set, and learning to learn among three groups. 2) There was no difference in the number of cases with extreme low WCST total correct % of lower 10% of the normal controls among three groups. These results suggest that WCST could be an ineffective instrument for using to detect the vulnerability markers of schizophrenia.

구순구개열환자에서 자기늑골을 이용한 일차성 골이식

김종렬,정기돈,진성준,조영철,변준호,손우성 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.5

Alveolar bone grafting is an essential component of successful surgical rehabilitation in many common cleft deformities. Primary alveolar bone grafting is defined as alveolar bone grafting which takes place before eruption of the primary dentition or before 1 years of age. The major objective in primary alveolar bone grafting is to prevent significant maxillary segmental collapse and arch disturbances. If severe, this can make secondary rehabilitation difficult, costly, and protracted. Such early stabilization may eliminate or, at least, decrease the amount of orthodontic arch expansion required during the transitional dentition period. Furthermore, early obliteration of alveolus fistulae improves speech and dental hygiene. It is critical that abutting maxillary segmental alignment be achieved(generally when the patient is 8 to 10 months of age) before grafting. Otherwise, the amount of dissection necessary to develop mucosal flaps for bone graft coverage will be more extensive, thus risking increased scar formation with potential adverse effects on growth. We report a preliminary result of 4 cases of primary alveolar bone graft using rib bone, performed by limited dissection and onlay graft technique at 8 to 10 months of age. They showed satisfactory clinical results especially in terms of growth up to now.

자가 두개골 이식을 이용한 단중족골증의 치료

손윤호,박재우,변진석,백봉수 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.1

Brachymetatarsia frequently affects the fourth toe, and is more common in females, The etiology is obscure but the premature closure of epiphysis results in early union and cessation of metatarsal growth. The abnormally short metatarsus is both clinically and radiographically evident with an associated shortened and contracted toe. The deformity is usually asymptomatic but produces a serious cosmetic and psychological problems. For the corrction fo brachymetatarsia, many different surgical alternatives have been presented. We adopted the modified Jinnaka's method : interposing the autogeneous cranial bone graft within the metatarsophalangeal joint of the metatarsophalangeal joint for reducing the tension dorsally on the digit. Postoperatively the short leg splont was removed two weeks after the operation. During the next four weeks, the walking cast was applied and weight bearing was begun. During recent 4 years, 9 brachymetatarsia developed in the 4th toe in 5 patients were treated with this technique and good postoperative results were achieved in cosmetic and functinal aspects. This method has following merits. 1. The cranial bone is less absorbable than the rib or iliac crest. 2. The lengthening of the dorsal skin is easily obtained by means of Z-plasty over the dorsal skin of the metatarsophalangeal joint. 3. By interposing a bone graft within the metatarsophalangeal joint, bone lengthening of two centimenters or more could be achieved and the patients could walk without fracture of the grafted bone except one toe, in which pseudojoint is formed with normal gait.

Three Newly Recorded Species of the Genus Olethreutes (Lepidoptera, Tortricidae) from North Korea

Bong-Kyu Byun,Bong-Woo Lee,Ha Yong Choi,Seung Jin Roh 한국응용곤충학회 2012 한국응용곤충학회 학술대회논문집 Vol.2012 No.10

In North Korea, the Tortricidae has been poorly studied until Byun et al. (1998) reviewed 350 species from Korea, including 63 species of Tortricinae and 40 species of Olethreutinae. Then Razowski (1999) presented a checklist of 358 species of Tortricidae from Korea, including 176 species of the North Korean Tortricidae with mostly based on the avaialble materials in Poland and previous literatures. Later, a serial studies on the family Tortricdae of North Korea with the material deposited in the Hungarian Natural History Museum provided several additional data for the North Korean tortricid fauna (Byun 2009; Byun 2011a; Byun 2011b; Byun 2011c; Byun et al. 2007) During the course of the study on the Tortricidae of North Korea deposited in Hungarian Natural History Museum, the author found three species of Olethreutes for the first time from North Korea. Of them, Olethreutes aviana Falkovitsh is also newly reported to the Korean peninsula. The aim of the present study is to report the three species of Olethreutes as new to North Korean fauna. In the present study, three species of the genus Olethreutes: O. aviana Falkovitsh, O. obovata (Walsingham), and O. orthocosma (Meyrick), based on the material deposited in the Hungarian Natural History Museum, are reported for the first time from North Korea. Among them, O. aviana Falkovitsh is recorded as new to the Korean peninsula. Photographs of the adults and genitalia of the species are presented.

Fibular Fixation in Same-Level Distal Third Tibiofibular Fractures: Is Fibular Fracture Regarded as a Secondary Importance?

Jin Woo Lee,Seong-Eun Byun,Young-Woo Kim,Young-Soo Byun,Yong-Cheol Yoon,Hoon-Sang Sohn 대한정형외과학회 2023 Clinics in Orthopedic Surgery Vol.15 No.5

Background: Although most studies focused on the alignment or union of the tibia in same-level distal third tibiofibular fractures, the outcome of a concomitant fibular fracture is generally regarded as being of secondary importance in the literature. This study aimed to assess the outcomes of fibular fractures in same-level distal third tibiofibular fractures. Methods: In this retrospective study, we enrolled 111 patients with same-level distal third tibiofibular fractures treated at our institute between January 2016 and August 2020. Tibial fractures were stabilized with intramedullary nailing, and the cases were divided into two groups based on whether they additionally underwent fibular fixation (group 1, 57 cases) or not (group 2, 54 cases). Clinical and radiographic outcomes were used for the evaluation of tibial and fibular alignments, union of the tibia and fibula, number of interlocking screws in the distal tibial fragment, range of motion of the ankle joint, and complications. Results: No statistically significant differences in the tibial union rate or mean tibial alignment were observed between the two groups on either the immediate postoperative or final radiographs. The fibular union rate in group 1 was significantly higher than that in group 2 (fibular nonunion, 0 vs. 15; p < 0.001). Statistically significant differences in fibular displacement were observed on immediate postoperative radiographs between patients with fibular union and those without it. At the final follow-up, the mean range of ankle motion and lower extremity functional scale scores did not differ between the two groups. Conclusions: Regardless of whether fibular fixation was performed, the overall tibial alignment with intramedullary nailing was well restored and the union rate of the tibia was comparable in the two groups. Fibular nonunion is not uncommon in unfixed fibula fractures. Displacement of the fibula as seen on immediate postoperative radiographs was related to fibular nonunion.

Clinical Characteristics in Patients with Vancomycin-Resistant Enterococci Colonization or Infection during 5 years in a Private General Hospital

Jin Kyung Kim,Cheol Hong Kim,Seung Yong Han,Hyeon Woo Byun,Woo Jung Park,Heung Jeong Woo,In Gyu Hyun,Jae Jung Lee,Kyu Man Lee Korean Society of Critical Care Medicine 2005 Acute and Critical Care Vol.20 No.1

BACKGROUND: Vancomycin-resistant enterococci (VRE) is increasing rapidly through the world and is now a major cause of nosocomial infection. The transmission dynamics and factors contributing their dissemination are complex. We conducted a study to investigate clinical characteristics in patients with VRE colonization or infection during recent 5 years. METHODS: 154 cases that had the VRE infection or colonization from January 1, 2000 to April, 2004, were reviewed. We analyzed the risk factors of VRE infection and colonization and also compared various parameters contributing their dissemination between burn and non-burn patients with VRE. RESULTS: Total 212 strains of VRE were isolated from 154 patients. Of 212 strains of VRE, Enterococcus faecium (178 strains, 83.9%) were most common and followed by E. casseliflavus (28 strains, 13.2%), E. faecalis (5 strains, 2.4%) and E. gallinaum (1 strains, 0.5%). The most common place of VRE isolation was in burn intensive care unit (ICU), 95 cases (61.7%); 27 cases (17.5%) in general wards; 17 cases (11.0%) in surgical ICU; 15 cases (9.7%) in medical ICU. Compared with patients with VRE colonization, patients with VRE infection had older age, higher APACHE II scores and high death rate significantly. Then, VRE colonization were more common in burn patients while VRE infection were more common in non-burn patients. CONCLUSIONS: The findings from this study suggest that VRE infection are not uncommon among hospitalized patients. More strict infection control, close surveillance and judicious use of antibiotics may be warranted to prevent infection and transmission of VRE.

Simple generation of orbital angular momentum modes with azimuthally deformed Cassegrain subreflector

Woo-Jin Byun,Young-Seung Lee,Bong Su Kim,Kwang Seon Kim,Min Soo Kang,Yong Heui Cho IET 2015 Electronics letters Vol.51 No.19

<P>A parabolic reflector antenna with an azimuthally deformed Cassegrain subreflector is proposed to effectively generate arbitrary orbital angular momentum (OAM) modes. The Cassegrain dual-reflector antenna was fabricated for 18 GHz and measured in the near-field range. The near-field to far-field transformed radiation phase around a full azimuth shows that the proposed antenna generates fields with the <I>l</I> = 1 OAM mode. Simulated and measured feed reflection coefficients are below -10 dB for 15.1-21.2 GHz, even though the distance between a horn feed and a deformed subreflector is 15.6 mm, thus it is expected that the proposed structure can be used for a broadband low-profile antenna.</P>