• 드라이브 ㆍ 컨트롤
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• 제16권3호
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• pp.23-32
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• 2019

This study proposed a fault tolerant control algorithm for electro-hydraulic brake systems where permanent magnet synchronous motor (PMSM) drive is adopted to boost the braking pressure. To cope with motor position sensor faults in the PMSM drive, a braking pressure controller based on an open-loop speed control method for the PMSM was proposed. The magnitude of the current vector was determined from the target braking pressure, and motor rotational speed was derived from the pressure control error to build up the braking pressure. The position offset of the pump piston resulting from a leak in the hydraulic system is also compensated for using the open-loop speed control by moving the piston backward until it is blocked at the end of stroke position. The performance and stability of the proposed controller were experimentally verified. According to the results, the control algorithm can be utilized as an effective means of degraded control for electro-hydraulic brake systems in the case that a motor position sensor fault occurs.

• Journal of Korean Neurosurgical Society
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• 제65권6호
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• pp.841-845
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• 2022

Objective : Chiari III malformations are extremely rare hindbrain malformations that are associated with a high early mortality rate, or severe neurologic deficits in the survivors. The treatment is early operative closure and cerebrospinal fluid diversion (CSF) shunting. Methods : We operated on 15 patients by repair and excision between July 2014 till June 2020 and retrospective data collection was done. Only one patient doesn't need ventriculoperitoneal (VP) shunt and the other 14 patients need a VP shunt. We described stepwise dissection and untethering of the cerebellum from the bony edge to regrowth and herniation of cerebellum again into this potential space and simple dural closure or repair with graft was done. Results : We started with VP in eight patients (53%) and the other seven patients (46.7%) started with excision and then six patients need VP shunt later on because four patients developed CSF leak and two patients developed increased high intracranial tension. Only four patients (26.7%) needed a blood transfusion. Conclusion : There are variations in the outcome and not all cases of Chiari malformation III will die and severe developmental delay is not a must. Proper management and repair carry a good prognosis.

• Clinical Endoscopy
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• 제55권1호
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• pp.141-145
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• 2022

A 44-year-old woman underwent sleeve gastrectomy, which was complicated by a leak. She was treated with two sessions of endoscopic internal drainage using plastic double-pigtail stents. Her clinical evolution was favorable, but four months after the initial stent placement, she became symptomatic, and a gastrobronchial fistula with the proximal end of the stents invading the diaphragm was diagnosed. She was treated with antibiotics, plastic stents were removed, and a partially covered metallic esophageal stent was placed. Eleven weeks later, the esophageal stent was removed with no evidence of fistula. Inappropriate stent size, position, stenting duration, and persistence of low-grade inflammation could explain the patient's symptoms and provide a mechanism for gradual muscle rupture and fistula formation. Although endoscopic internal drainage is usually safe and effective for the management of post-laparoscopic sleeve gastrectomy leaks, close clinical and radiological follow-up is mandatory.

• 한국화재소방학회논문지
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• 제30권4호
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• pp.103-110
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• 2016

가스계소화설비의 수요는 매해 증가하고 있으나, 늘어나는 수요에 대비한 시스템의 안전성 및 신뢰성등 소화성능에 필요한 안전대책이 미흡하여 사회적인 문제가 되고 있는 실정이다. 본 연구에서는 이러한 문제점을 해결하기 위하여 가스 소화시스템의 사고발생 원인 중에서 가장 심각한 문제인 소화약제 저장용기에서 발생하는 압력누기는 화재진압의 성패를 좌우하는 중요한 요소로 시급한 대책이 요구되는 문제점로 판단하여 연구를 하였다. 새로 개발한 압력누기감시장치는 화재진압에 중요한 요소인 소화농도와 관련이 있는 저장용기의 약제확보상태와 압력 및 누기, 방출상태 등을 감시하는 장치로 $CO_2$와 HFC-23 시스템에 적용할 수 있도록 개발하였다. 즉, 압력누기감시장치를 가스소화설비에 적용하였을 때 발생할 수 있는 구조적 안전성 분석을 위하여 유체-구조연계해석을 통하여 안전성능을 검증하였다. 해석에 사용한 프로그램으로 전산유체해석은 Mentor Graphics사의 FloEFD 프로그램을 사용하였고, 구조해석 프로그램은 Dassault systems사의 ABAQUS를 사용하였다. 수치해석결과 $CO_2$용의 구조에서는 소성변형이 발생하지 않아 안전성을 확인하였으나 HFC-23용 감시장치에는 소성변형 및 이탈문제가 발생하여 설계수정과 3차례의 수치해석 조건을 수정하여 얻은 데이터를 기본으로 압력누기감시장치의 구조적인 안전성을 확인하였다.

• Applied Microscopy
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• 제33권1호
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• pp.1-16
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• 2003

급성호흡곤란증후군 (acute respiratory distress syndrome)을 포함한 급성폐손상의 기전을 산화성스트레스와 연관하여 알아보기 위하여 본 연구를 시행하였다. N-nitroso-N-methylurethane (NNNMU)은 실험동물에 있어서 사람에서 보이는 ARDS와 유사한 병리학적인 소견을 보이므로 ARDS의 모델로 사용된다. 본 연구에서는 흰쥐에서 NNNMU로 급성폐손상을 유도한 뒤 이를 Lung weight/Body weight ratio, 폐포세척액(BAL)내의 단백함량을 측정하여 확인하고, 동시에 호중구의 침윤에 의한 산소기형성, 이에 따른 산화성스트레스를 확인하기 위하여 BAL 내의 호중구수의 산정 및 폐장의 MPO 활성도를 측정하였다. 동시에 광학현미경, 전자현미경 및 세포화학적 전자현미경법을 이용하여 호중구에 의한 급성폐손상, 호중구의 침윤 및 미세구조의 변화 및 산소기의 생성을 확인하였다. 대조군에 비하여 NNNMU를 투여한 흰쥐에서는 BAL 내의 단백질이 증가하고 BAL 내의 호중구의 증가, 폐장의 MPO 활성도의 증가로 호중구의 침윤이 증가함을 관찰하였다. 광학현미경상 호중구의 침윤, 폐포내 호중구의 유입 및 vascular cuffing 등이 관찰되었다. 전자현미경 소견상 제2형 폐포세포는 산화성 스트레스의 전형적 소견을 보이고 조직의 손상은 호중구에 의한 손상으로 생각되었으며 세포화학적 전자현미경법으로 산소기의 생성이 증가됨을 확인하였다. 이러한 결과들을 종합할 때 NNNMU에 의한 급성폐손상은 호중구의 산소기 생성에 의한 산화성스트레스에 의한 것으로 생각되었다.

• 한국가스학회지
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• 제20권5호
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• pp.89-95
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• 2016

가스 배관을 공동구 내에 수용하는 것은 단순 매설하는 것보다 부식의 위험이 적고, 외부인의 출입이나 굴착공사 등으로부터 오는 물리적 손상을 예방할 수 있다는 점에서 편의성이 크다. 그러나 밀폐된 공간이라는 특성상 개방된 공간에서의 폭발보다 폭발 과압에 의한 피해가 크다. 그럼에도 공동구에 대한 연구는 화재 사고에 국한되어 진행되었고, 폭발로 인한 위험성에 관한 연구가 부족한 실정이다. 본 연구는 지하 공동구 내부의 가스배관으로부터 누출된 메탄가스가 원인모를 점화원에 의해 폭발을 일으켰을 경우를 가정하여 피해결과 관점에서 공동구 내부의 폭발이 상부 시설물에 미치는 영향을 살펴보았다. 안전설비의 작동상태에 따른 2가지의 시나리오를 선정하여 CFD tool인 FLACS를 사용하여 영향성 평가를 진행한 결과 대부분의 건축물을 전파 시킬 수 있을 정도의 폭발 과압이 예측되었다. 이 결과를 활용하여서 사고 발생 빈도를 감소시켜 안전성을 확보할 수 있는 추가 대책을 제시하였다.

• Journal of Korean Neurosurgical Society
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• 제50권6호
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• pp.503-506
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• 2011

Objective : The aim of this study was to assess the safety and efficacy of radiation-sterilized allografts of iliac bone and fascia lata from cadaver specimens to repair skull base defects after transsphenoidal surgery. Methods : Between May 2009 and January 2010, 31 consecutive patients underwent endonasal transsphenoidal surgery and all patients received sellar reconstruction using allografts following tumor removal. The allografts were obtained from the local tissue bank and harvested from cadaver donors. The specimens used in our approach were tensor fascia lata and the flat area of iliac bone. For preparation, allografts were treated with gamma irradiation after routine screening by culture, and then stored at $-70^{\circ}C$. Results : The mean follow-up period after surgery was 12.6 months (range, 7.4-16 months). Overall, postoperative cerebrospinal fluid (CSF) leaks occurred in three patients (9.7%) and postoperative meningitis in one patient (3.2%). There was no definitive evidence of wound infection at the routine postoperative follow-up examination or during re-do surgery in three patients. Postoperative meningitis in one patient was improved with the use of antibiotics and prolonged CSF diversion. Conclusion : We suggest that allograft materials can be a feasible alternative to autologous tissue grafts for sellar reconstruction following transsphenoidal surgery under selected circumstances such as no or little intraoperative CSF leaks.

• Journal of Korean Neurosurgical Society
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• 제48권3호
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• pp.199-206
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• 2010

Objective : Paraclinoid segment internal carotid artery (ICA) aneurysms have historically been a technical challenge for neurovascular surgeons. The development of microsurgical approach, advances in surgical techniques, and endovascular procedures have improved the outcome for paraclinoid aneurysms. However, many authors have reported high complication rates from microsurgical treatments. Therefore, the present study reviews the microsurgical complications of the extradural anterior clinoidectomy for treating paraclinoid aneurysms and investigates the prevention and management of observed complications. Methods : Between January 2004 and April 2008, 22 patients with 24 paraclinoid aneurysms underwent microsurgical direct clipping by a cerebrovascular team at a regional neurosurgical center. Microsurgery was performed via an ipsilateral pterional approach with extradural anterior clinoidectomy. We retrospectively reviewed patients' medical charts, office records, radiographic studies, and operative records. Results : In our series, the clinical outcomes after an ipsilateral pterional approach with extradural anterior clinoidectomy for paraclinoid aneurysms were excellent or good (Glasgows Outcome Scale : GOS 5 or 4) in 87.5% of cases. The microsurgical complications related directly to the extradural anterior clinoidectomy included transient cranial nerve palsy (6), cerebrospinal fluid leak (1), worsened change in vision (1), unplanned ICA occlusion (1), and epidural hematoma (1). Only one of the complications resulted in permanent morbidity (4.2%), and none resulted in death. Conclusion : Although surgical complications are still reported to occur more frequently for the treatment of paraclinoid aneurysms, the permanent morbidity and mortality resulting from a extradural anterior clinoidectomy in our series were lower than previously reported. Precise anatomical knowledge combined with several microsurgical tactics can help to achieve good outcomes with minimal complications.

• Journal of Korean Neurosurgical Society
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• 제37권1호
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• pp.20-24
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• 2005

Objective: The purpose of this study is to assess the efficacy and advantages of an endoscopic endonasal approach for the treatment of pituitary tumors. Methods: We retrospectively analyzed the records of 31 patients with pituitary tumors having endoscopic endonasal surgery between March 1999 and August 2003. Results: Among 31 patients with pituitary adenomas, 25 (81%) patients exhibited gross total removal of tumor on postoperative MRI within 3 days after surgery. Among 6 patients removed subtotally, 2 had only radiosurgery, 3 have had periodic follow-up MRIs and one patient with large extended tumor (grade IV, Stage E) had secondary transcranial removal of tumor before radiosurgery. Postoperative complications included cerebrospinal fluid leak in 2 patients, sinusitis in 1 patient, and one patient died due to unexpected intracerebral hemorrhage on 5 days after surgery. Besides considerable experiences with this approach are needed because of narrow working channel to the sella turcica, the results of our study showed following advantages of this procedure: visualization of areas not seen with the operating microscope, elimination of oronasal complications, more functional and cosmetic outcome, and shortened operative time and hospital stay. Conclusion: The authors consider that endoscopic endonasal transsphenoidal approach provides good results with minimal invasion for patients with pituitary tumors.

• Journal of Korean Neurosurgical Society
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• 제59권5호
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• pp.505-511
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• 2016

Objective : Microvascular decompression (MVD) for hemifacial spasm (HFS) involving the vertebral artery (VA) can be technically challenging. We investigated the therapeutic effects of a bioglue-coated Teflon sling technique on the VA during MVD in 42 cases. Methods : A bioglue-coated Teflon sling was crafted by the surgeon and applied to patients in whom neurovascular compression was caused by the VA. The radiologic data, intra-operative findings with detailed introduction of the procedure, and the clinical outcomes of each patient were reviewed and analyzed. Results : The 42 patients included in the analysis consisted of 22 females and 20 males, with an average follow-up duration of 76 months (range 24-132 months). Intraoperative investigation revealed that an artery other than the VA was responsible for the neurovascular compression in all cases : posterior inferior cerebellar artery (PICA) in 23 patients (54.7%) and anterior inferior cerebellar artery (AICA) in 11 patients (26.2%). All patients became symptom-free after MVD. Neither recurrence nor postoperative neurological deficit was noted during the 2-year follow-up, except in one patient who developed permanent deafness. Cerebrospinal fluid (CSF) leak occurred in three patients, and one required dural repair. Conclusion : Transposition of the VA using a bioglue-coated Teflon sling is a safe and effective surgical technique for HFS involving the VA. A future prospective study to compare clinical outcomes between groups with and without use of this novel technique is required.