• Journal of Korean Neurosurgical Society
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• 제44권1호
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• pp.52-56
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• 2008

Objective : The purpose of this study was to introduce our surgical experiences of scoliosis and to evaluate the effectiveness of anterior correction and fusion in adolescent idiopathic scoliosis (AIS). Methods : Between August 2004 and August 2007, four patients with AIS were treated with anterior segmental fusion and fixation at our hospital. Mean follow-up period was 9 (6-12) months. The average age was 14.0 (13-15) years. According to Lenke classification, three patients showed Lenke 1 curve and one patient with Lenke 5 curve. Single rod instrumentation was performed in one patient, dual rod instrumentation in one patient and combined rod instrumentation in two patients. Coronal Cobb measurements were performed on all curves in thoracic, thoracolumbar and, lumbar spine and the angle of hump was measured by a scoliometer pre- and postoperatively. Results : The average operative time was 394 minutes (255-525) with an average intraoperative blood loss of 1,225 ml (1,000-1,700). The mean period of hospital stay was 19.3 days and there was no complication related to the surgery. The mean Cobb angle was reduced from $43.3^{\circ}$ to $14.8^{\circ}$ (65.8% correction) postoperatively and the rib hump corrected less than $5^{\circ}$. All patients and their parents were satisfied with the deformity correction. Conclusion : Anterior spinal correction and fusion of AIS with Lenke 1 and 5 curve showed excellent deformity correction without any complications. In particular, we recommend anterior dual rod instrumentation because of mechanical stability, better control of kyphosis, and a higher fusion rate.

• 산학경영연구
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• 제16권
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• pp.145-168
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• 2003

본 논문은 KOSPI 200 주가지수선물시장을 대상으로 1996년 5월 3일이후, 2000년 12월 14일까지 1,262일간의 근월물 월별 Data를 이용하여 시장도입초기의 실제가격의 이론가격에 대한 저평가 여부를 파악해보고, 이러한 실제가격과 이론가격간의 괴리로 인한 차익거래 기회의 존재를 거래비용을 고려하여 확인해 본 후, KOSPI 200 주가지수선물에서의 이론가격과 실제가격과의 괴리와 KOSPI 200 현물지수의 변동성과의 관계를 거래비용을 고려하여 파악해 보았다. 연구결과, KOSPI 200 주가지수선물은 이론가격에 비해 지속적으로 저평가 되어 있었다. 또한 개인 투자자의 입장에서 차익거래기회의 존재를 확인한 결과, 이론가격과 실제가격은 지속적인 괴리현상으로 인해 매도 매수 차익거래기회가 존재하였고, 거래비용을 고려한 경우에도 차익거래기회가 존재하였다. 또한 선물시장에서 괴리가 발생한 날과 그렇지 않은 날로 구분하여, KOSPI 200 현물지수의 변동성을 검증해 본 결과 괴리가 발생한 날의 변동성이 보다 더 크다는 결론을 얻었다.

• 한국항해항만학회지
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• 제28권5호
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• pp.365-372
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• 2004

LNG 운반선은 항해중 외부로부터 다량의 열 침입으로 인해 많은 BOG가 발생하며 통상 이는 선박엔진의 연료로 사용된다. 화주의 입장에서 이러한 BOG의 발생과 소비는 화물의 손실을 의미하며, 따라서 선주와 화주 사이에는 BOR에 대해 만선항해를 기준으로 0.15%/day 이하가 되도록 운송계약을 체결한다. LNG 운반선의 항해사관 입장에서는 자신이 승무하고 있는 선박의 BOR에 대한 정확한 지식을 바탕으로 선박을 운항할 필요가 있으나 실제로는 막연한 경험에 의존하고 있는 실정이다. 따라서 본 연구에서는 신체온도분포 및 외부로부터의 침입열량에 관한 정밀 열설계 기술을 토대로 본선의 해기사들이 보다 간편하게 BO를 예측할 수 있는 간단한 모델을 제시하였다. 그리고 개발된 모델을 사용하여 연구대상 선박의 설제 기상조건을 토대로 만선 및 공선항해에 대하여 각각 BOR을 계산하였으며 이를 실측자료와 비교, 검토하였다. 본 연구에서 제시된 BOG 예측방법은 현재 운항중인 LNGC에서 BOG를 관리하는 유용한 도구로 사용될 것으로 기대된다.

• Archives of Plastic Surgery
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• 제37권1호
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• pp.46-51
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• 2010

Purpose: The loss of web space is caused by congenital syndactyly or acquired burn injury, trauma or surgery. Numerous surgical procedures have been described for restoration of the web space. Local flaps are usually preferred because of the easiness to perform and tolerable postoperative outcome. Among the various local flaps, the authors introduce V-M plasty for correction of web space contracture and syndactyly. Method: From March 2007 to Jun 2008, 4 patients underwent V-M plasty for correction of web space contracture and syndactyly. V-M plasty consists of 3 distinct triangular flaps. One triangular flap is designed next to the web region on the dorsal site of the hand, whereas the remaining 2 triangular flaps are placed on the volar site. The dorsal triangular flap is then placed between the volar adjacent triangular flaps. At the end of the operation, the involved fingers or toes are positioned in abduction to avoid kinking of the triangular flaps. Result: All the patients gained web functions with good esthetic appearance without any recurrence or complications. Mean follow-up was 8 months. Conclusion: V-M plasty is a safe, easy and rapid procedure to design and apply by using local tissues without the needs for a skin graft or risk of linear scarring and recurrence. The authors advise this versatile technique both in primary and recurrent cases of web space contracture and syndactyly.

• Clinics in Shoulder and Elbow
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• 제14권1호
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• pp.134-139
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• 2011

목적: 광범위한 Hill-Sachs 병변을 동반한 전방 견관절 불안정성에 대한 관절경 하 Remplissage 술기를 고찰하고 저자들의 경험을 소개하고자 한다. 대상 및 방법: 골관절염이 없고, 견관절 주위의 골절이 없으며, 10회 이상의 재발성 탈구를 경험하였던 환자들 중에, 30~40% 이상의 광범위한 Hill-Sachs 병변 및 관절와 골 결손이 20% 미만인 경우를 대상으로 관절경 하 Bankart 병변 복원술과 함께 Remplissage 술기를 시행하였다. 결과 및 결론: 광범위한 Hill-Sachs 병변이 동반된 전방 견관절 불안정성에 대한 Remplissage 술기는 견관절의 안정성 및 임상적, 기능적으로 양호한 결과를 보여줄 수 있을 것으로 생각된다.

• 대한유전성대사질환학회지
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• 제6권1호
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• pp.96-107
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• 2006

Citrin deficiency resulting from mutations of SLC25A13is associated with two major clinical phenotypes; neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and adult-onset type 2 citrullinemia (CTLN2). In Korea, 7 cases of citrin deficiency have been diagnosed based on biochemical and molecular findings. Four NICCD cases were identified by newborn screening using MS/MS or presenting symptoms like cholestatic jaundice. They are all males, presenting with conjugated hyperbilirubinemia, elevated liver enzymes, hypoalbuminemia, mild hyperammonemia, elevated citrullin, methionine and threonine. All of them have been spontaneously recovered from hepatic manifestation by the age of 6-8 months. Mutation analysis has been performed using their genomic & cDNAs obtained from skin fibroblasts. They turned out to be compound heterozygotes carrying each of 851del4, IVS11+1G>A, and IVS13+1G>A. Three CTLN2 patients were identified. Two adult male patients presented with a sudden loss of consciousness, seizure, vomiting, hyperammonemia and citrullinemia in their twenties. They carried an IVS13+1G>A, 851del4, and IVS11+1G>A mutant alleles. The other CTLN2 patient was 52 year old female patient, manifesting lethargy, altered consciousness, irritability and hyperammonemia. Similar clinical symptoms had recurred at the delivery of first and second babies in her past medical history. She was managed by hemodialysis and survived with neurological sequellae. Also, we screened the presence of 9 common mutations in 500 Korean newborns using dried blood spot of filter papers. Only a allele carried 854del4 mutation. In conclusion, the entire picture of citrin deficiency in Korea including incidence, genotype, clinical features and natural courses, is still vague at the present time.

• Journal of Chest Surgery
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• 제16권4호
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• pp.498-505
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• 1983

It has been over 20 years since successful operations of Cardiac valves at the Department of Thoracic and Cardiovascular surgery, college of medicine, Yonsei University. About six hundreds of patients with severely symptomatic valvular heart disease have had valve operations with complete loss or sharp decrease in their cardiac symptoms since 1956. As the number of cardiac patient increases, reoperation on valves assumes greater importance. To define the group of patients undergoing reoperations on valves and the factors influencing their survival, we have reviewed our experiences of the reoperation on valves at the Yonsei University, Severance Hospital. This is a report of 29 cases which was undergone secondary or more surgery for valvular heart disease from 1966 to 1983. The primary operations includes 159 cases of open heart surgery from 1966 to 1975 and 476 cases from 1976 to march, 1983. The secondary operations are classified into groups of secondary valvuloplasty or valvotomy [8 cases], prosthetic valve replacement following valvuloplasty or valvotomy [14 cases] and prosthetic valve rereplacement [2 case] for such as calcification, degeneration and perforation of the cusps and paravalvular leakage, of the bioprosthetic valves. The leading indication for reoperation of mitral valve was restenosis or stenoinsufficiency, The indications of aortic valve replacement was active bacterial endocarditis, medically uncontrollable prosthetic endocarditis or paravalvular leakage. Overall death rate of the reoperation was 17.4% [5 death among the 29 patients] and the leading causes of death were myocardial failure, arrhythmia, cerebral embolism, acute renal failure due to low output syndrome. And it was followed by sepsis associated with active prosthetic endocarditis. The death rate of reoperation was 4.3% in the elective cases except urgent cases and the death rate of overall cardiac valve except reoperation cases was 4.1% in the last two years. Although the general mortality of reoperation was high, both mortality rates were comparable except emergency cases due to urgent preoperative patient’s condition.

• Journal of Chest Surgery
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• 제29권6호
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• pp.626-631
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• 1996

The forty patients with carcirLoma of the esophagus or cardia seen at National Medical Center between November 1983 and April 1994 underwent surgical exploration. The esophagogastrectomy was carried out in 29 of 40 patients, one case through right thoracotomy, the others through left thoracotomy. Two patients underwent colon bypass surgeries due to upper esophageal cancer Transhiatal esop agectomy was performed In one case. Feeding gastrostomy or feeding jejunostomy were performed in 8 patients due to the advanced stage or malnutrition. In this report, we evaluated the long-term results in the 28 patients who underwent esophagogastrectomy for palliation through the left thoracotomy. There were 25 men(89%) and 3 women(11 %), and the mean age was 58.65$\pm$7.15 years(range, 46 to 73 years). The most frequent preoperative symptoms included dysphagia (22), weight loss (15), chest pain (6), vomiting (1), and hoarsness (1). Twenty-three patients had sqamous cell cancers of mid-and lower esophagus and five adenocarcionomas of cardia. One patient died in the hospital within 30 days of the op- eration for a hospital mortality rate of ).7%, Cause of death was sepsis due to anastomotic leakage. There were five additional complications in five patients; acute respiratory distress syndrome (1), post-op- erative bleeding (1), diaphragmatic hernia (1), acute renal failure (1) and late raft stenosis (1). The one year, 1틴o years, and three years acturial survival rate were 75.6$\pm$9.5%, 43.2$\pm$ 11.6%, 21.6: 10.5$\circledcirc$ re- spectively. The average survival was 21.8 months. The data from this study suggest that esophagogastrectomy through the left thoracotomy can achieve resonable long-term palliation for carci- noma of the esophagus. The operation can be performed with a low operative mortality and few serious postoperative complications.

• 한국방재안전학회논문집
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• 제7권1호
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• pp.9-16
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• 2014

고수압 시공 조건에서는 시설물 자체의 건설로 인하여 발생하는 주변지반의 이완 및 손상의 발생 그리고 시설물내로의 해수의 유입을 방지하기 위한 차수 및 지수설계 및 시공이 중요한 관건이다. 그라우팅 공사는 현재 지하철건설, 고속 철도건설, 각종 산악터널건설, 하천 저수지 재방 신설 및 보수공사 등에 년간 수조원 대의 시장규모를 형성하고 있지만, 설계 및 시공관리에 대한 관리기준이 정밀하지 못하여 경험적인 판단에 의존하는 부분이 너무 많아 경제적 손실도 매우 클 것이라고 쉽게 단정할 수 있다. 그라우팅 기술은 국가적 차원의 대규모 중요 건설공사 현장에서 필수적인 기술로 사용되고 있지만 기술에 대한 인식이 빈약하고 정립된 관리기준이 부재하여 신뢰성의 낙후가 심각한 실정이다. 따라서 본 연구는 고수압 조건에서 지반재해 저감을 위한 최신 그라우팅 시공관리기술에 대한 기초 연구를 제공함이 그 목적이다.

• The Journal of Asian Finance, Economics and Business
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• 제7권8호
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• pp.103-115
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• 2020

In many countries, the Government enacts tax laws in order to manage tax collection and regulate the macro-economy. According to Noor, Jamaludin, Omar, and Aziz (2013), tax non-compliance is a growing concern because of its negative effects on the state budget. The main objectives of this article are to identify the factors affecting corporate income tax non-compliance of enterprises in Ho Chi Minh City in accordance with the current situation of Vietnamese tax administration. We use several research methods, including the exploitation of information and practical experiences from both taxpayers and tax authorities; with Probit regression model on a sample of 187 enterprises that have been inspected or examined by tax authorities in Vietnam during the period from 2013 to 2017.The article identified eight factors affecting corporate income tax (CIT) non-compliance: (1) working capital/total assets; (2) revenue/total assets; (3) total debt/total assets; (4) loss in the previous year; (5) receivables/revenue; (6) the size of enterprises; (7) tax administrative penalties/tax payable; and (8) business field. In particular, the tax non-compliance was studied as a violation of Vietnamese tax laws by enterprises declaring an insufficient amount of CIT payable to the State budget.