• Journal of Korean Neurosurgical Society
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• 제60권1호
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• pp.30-39
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• 2017

Objective : To compare the clinical outcomes and biomechanical effects of total disc replacement (TDR) and posterior cervical foraminotomy (PCF) and to propose relative inclusion criteria. Methods : Thirty-five patients who underwent surgery between 2006 and 2008 were included. All patients had single-level disease and only radiculopathy. The overall sagittal balance and angle and height of a functional segmental unit (FSU; upper and lower vertebral body of the operative lesion) were assessed by preoperative and follow-up radiographs. C2-7 range of motion (ROM), FSU, and the adjacent segment were also checked. Results : The clinical outcome of TDR (group A) was tended to be superior to that of PCF (group B) without statistical significance. In the group A, preoperative and postoperative upper adjacent segment level motion values were $8.6{\pm}2.3$ and $8.4{\pm}2.0$, and lower level motion values were $8.4{\pm}2.2$ and $8.3{\pm}1.9$. Preoperative and postoperative FSU heights were $37.0{\pm}2.1$ and $37.1{\pm}1.8$. In the group B, upper level adjacent segment motion values were $8.1{\pm}2.6$ and $8.2{\pm}2.8$, and lower level motion values were $6.5{\pm}3.3$ and $6.3{\pm}3.1$. FSU heights were $37.1{\pm}2.0$ and $36.2{\pm}1.8$. The postoperative FSU motion and height changes were significant (p<0.05). The patient's satisfaction rates for surgery were 88.2% in group A and 88.8% in group B. Conclusion : TDR and PCF have favorable outcomes in patients with unilateral soft disc herniation. However, patients have different biomechanical backgrounds, so the patient's biomechanical characteristics and economic status should be understood and treated using the optimal procedure.

• 대한토목학회논문집
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• 제41권5호
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• pp.591-599
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• 2021

현재 국내 철도시설 운영기관은 노후 시설물 판단을 위한 명확한 정의와 시설물 보수/개량 우선순위 산정 방법이 정립되지 않아 성능중심 유지관리계획 수립에 어려움을 겪고 있다. 따라서, 본 연구는 선행연구에서 노후 시설물을 어떻게 정의하였는지 고찰하고, 국내 노후 철도시설물 관리제도와 미국 연방대중교통청(FTA)의 교통시설물 자산관리체계 비교분석을 통해 벤치마킹 포인트를 도출하였다. 노후 시설물 판단은 경과연수와 성능수준을 같이 고려해야 하며, 경과연수와 성능등급 간 관계를 통계적으로 분석하여 보수/개량 우선순위를 산정해야 한다. 또한, FTA와 같은 데이터 기반 철도시설 관리를 위해서는 표준 철도시설물 분류체계를 기반으로 시설물 분류 하위 수준에서 내용연수, 성능평가 결과, 유지관리비용 데이터베이스를 구축하는 것이 필요하다. 향후 데이터가 충분히 축적되면 성능중심 노후 철도시설 관리를 위한 효율적 예산집행계획 수립에 기여할 것으로 기대된다.

• 한국임상약학회지
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• 제22권3호
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• pp.268-273
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• 2012

The definition of anaphylaxis is 'a serious, life-threatening generalized or systemic hypersensitivity reaction' and is considered as the life threatening adverse drug reaction. We experienced a case of cefotetan induced anaphylaxis with negative pre-skin test, used for surgical prophylaxis. A 82-year-old female was scheduled for total knee replacement therapy. She had no previous history of allergy and her skin test results were also negative. On her right knee surgery, she underwent cefotetan therapy as a surgical prophylaxis for a week with no problems identified. Next left knee surgery, she also received the prophylaxis of intravenous cefotetan. However, a few minutes later, anaphylactic reaction developed with vomiting, severe hypotension, bronchospasm, and dyspnea. After immediate intensive care treatment, she recovered without significant complications. Though commonly used laboratory data in case reports, such as the specific IgE, tryptase, histamine, or allergic skin prick test were limited, we successfully confirmed anaphylaxis based on clinical criteria for diagnosing anaphylaxis based on WAO 2011 guideline with through concurrent patient°Øs medical history review and the process of identifying the causes.

• 한국전산구조공학회논문집
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• 제18권3호
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• pp.219-226
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• 2005

본 연구에서는 휠체어의 경량화를 위해 기존의 강관으로 제작된 휠체어를 피로파괴 및 손상에 강하고 방진 특성이 우수하며 유지 및 보수가 용이한 복합재료 중공빔으로 구성된 복합재료 휠체어로 대체하기 위하여 복합재료 중공빔 이론과 유전자 알고리즘을 적용하여 최적화된 등가 강성을 가지는 복합재료 중공빔의 최적의 단면 치수를 제시하였다. 제시한 최적의 단면치수를 가지는 복합재료 중공빔으로 구성된 휠체어 전체 구조에 Tsai-Wu 파손이론을 이용해 과하중이 가해지는 경우에 대하여 구조해석을 수행한 결과, 휠체어의 파손 유무를 나타내는 Makimum Tsai-Wu Failure Criteria Index가 파손이 발생하는 1.00보다 현저히 낮은 $0.192\times10^{-3}$을 나타내고 있음을 알 수 있었다. 또한 기존의 강관을 동일한 강성을 가지는 복합재료 증공빔으로 대체하였을 경우 중공빔 중량을 최대 45%감소하는 효과를 얻을 수 있음을 확인할 수 있었다.

• Journal of Chest Surgery
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• 제20권2호
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• pp.289-299
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• 1987

A total of 1,239 patients had cardiac valve replacement using 1,514 substitute valves at Seoul National University Hospital from 1968 to 1986. Of the total substitute vales, 84.9% were the glutaraldehyde-treated xenograft valves. Six hundred ninety-four patients who had 820 bioprosthetic tissue valves were studied for their clinical characteristics. They were a total and consecutive cases to the end of the study. Four hundred sixty-four patients had the lonescu-Shiley pericardial valves: MVR 291, AVR 66 and MVR+AVR 107; 163 had the Hancock porcine valves; 46 had the Angell-Shiley porcine valves; and 21 had the Carpentier-Edwards porcine valves. Five hundred forty patients underwent single valve replacement: MVR 460, AVR 76 and TVR 4; 154 had multiple valve replacement: MVR+AVR 141, MVR+TVR 12 and one triple valve replacement. Additional surgery was necessary in 22.3% of the cases. Operative mortality rate within 30 days of surgery was 6.77% for the total patients: 5.2% and 4.2% with MVR, 13.6% and 12.5% with AVR, and 7.5% and 7.4% with MVR+AVR using the lonescu and the Hancock valves respectively. A linealized annual late mortality rate was 2.56%/patient-year. Six hundred forty-three operative survivors were followed up for a total of 1482.7 patient-years [a mean 27.7 months], and the follow-up rate was 67.7%. The Idealized complication rates were: 2.02% emboli/patient-year, 0.94% bleeding/patient-year, 1.21% endocarditis/patient-year, and 3.84% overall valve failure/patient-year. A linealized rate of primary tissue failure was 0.87%/patient-year. Actuarial survival rates including the operative mortality were: 87.8*2.6%, 82.3*4.9% and 82.2*4.7% with MVR, AVR and MVR+AVR using the lonescu valves at 4 years after surgery respectively; and they were 88.0*4.1% with MVR at 8 years, 82.3*4.9% with AVR at 4 years and 84.9*7.0% with MVR+AVR at 6 years after surgery using the Hancock valves respectively. Probabilities of freedom from thromboembolism were 89.8*6.3% with MVR using the lonescu valves at postoperative 5 years and 89.2*3.8% with MVR using the Hancock valves at postoperative 7 years, and 93.3*3.9% with AVR using the lonescu valves at postoperative 5 years. None had embolic complication after AVR using the Hancock valves. Probabilities of freedom from valve failure [according to the Stanford criteria] were 81.0*7.1% with MVR using the lonescu valves at postoperative 4 years and 57.4*12.5% with MVR using the Hancock valves at postoperative 9 years. These clinical results prove the excellent antithrombogenicity of the glutaraldehyde-treated xenograft substitute valves and confirm the previously speculated rate of tissue failure. At the present situation, it may be concluded that there is a room for the further development of more durable bioprosthetic valves.

• Clinical and Experimental Pediatrics
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• 제57권10호
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• pp.425-433
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• 2014

Adrenal and thyroid hormones are essential for the regulation of intrauterine homeostasis, and for the timely differentiation and maturation of fetal organs. These hormones play complex roles during fetal life, and are believed to underlie the cellular communication that coordinates maternal-fetal interactions. They serve to modulate the functional adaptation for extrauterine life during the perinatal period. The pathophysiology of systemic vasopressor-resistant hypotension is associated with low levels of circulating cortisol, a result of immaturity of hypothalamic-pituitary-adrenal axis in preterm infants under stress. Over the past few decades, studies in preterm infants have shown abnormal clinical findings that suggest adrenal or thyroid dysfunction, yet the criteria used to diagnose adrenal insufficiency in preterm infants continue to be arbitrary. In addition, although hypothyroidism is frequently observed in extremely low gestational age infants, the benefits of thyroid hormone replacement therapy remain controversial. Screening methods for congenital hypothyroidism or congenital adrenal hyperplasia in the preterm neonate are inconclusive. Thus, further understanding of fetal and perinatal adrenal and thyroid function will provide an insight into the management of adrenal and thyroid function in the preterm infant.

• Journal of Chest Surgery
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• 제14권1호
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• pp.33-39
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• 1981

In the presence of severe non-calcific mitral regurgitation, a dilated mitral annulus, absence of severe subvalvular chordal thickening, and no major loss of leaflet substance, reconstructive surgery for mitral regurgitation is a reasonable approach. Between March, 1980 to November, 1980, 5 patients underwent mitral annuloplasty using Carpentier Ring for severe mitral regurgitation. All 5 cases were of rheumatic in origin. There were no ruptured chorda tendinae or ruptured papillary muscles except slight thickening of the leaflet. There was no operative or late death. As is Carpentier`s report, in patient with severe mitral regurgitation who meet above criteria, mitral annuloplasty using Carpentier Ring is preferable to valve replacement.

• 대한가정학회지
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• 제29권2호
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• pp.121-134
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• 1991

The farm housewive's labor has not been properly evaluated, although it has traditionally shared and devoted a substantial portion of the farm household economy. The objective of this study is to estimate the money value of rural women's labor. The data were got from the result of time analysis of farm housewives in 1988. Among the four estimation methods used in this study, the mixed approach of houskeeper replacement cost with individual function cost showed the greatest value in the decision criteria of different farming region, farming size, housewive's age, family size and children number. The opportunity cost approach showed the lowest value, however, is considered as the most appropriate estimation approach in rural situation in this study. It is expected that the appropriate estimation approach should be estimate the money value of rural housewive's labor and their economic position.

• 한국콘크리트학회:학술대회논문집
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• 한국콘크리트학회 2001년도 봄 학술발표회 논문집
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• pp.81-86
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• 2001

The concrete bridge decks are in need of replacement and rehabilitation due to decreasing load carrying capacity. In this study, to propose a strengthening technique that improves usability and structural performance of the bridge deck and to propose an efficient strengthening design technique which satisfies both the strength End serviceability of the bridge deck, this paper shows the failure characteristics of the strengthened bridge decks and proposes an empirical yield criterion. Therefore, strengthening efficiency was proposed based on the experiment and yield line analysis result. The yield line theory which adopts the modified criteria of Johansen is considered to predict the ultimate strength about all strengthening material(Carbon Fiber Sheet, Carbon Fiber Rod, Grid Type Carbon Fiber).

• 전기학회논문지P
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• 제59권1호
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• pp.96-99
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• 2010

This paper presents evaluating procedure for engine generator operated over 13 years which are usually installed at the island and therefore, isolated to the main distribution line. To decide continual operation of the generator, their diagnosis results should guarantee safety running. So the determination of criteria for continual usage or replacement is essential for economical and reliable maintenance. We present all the courses of evaluating the condition which includes the processes from acquiring basic data to comprehensive determination of generators. All the test was applied to serial number 3 generator in Jodo Engine Power Plant.