• Journal of Chest Surgery
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• 제53권6호
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• pp.346-352
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• 2020

Background: We aimed to assess the clinical outcomes of patients who underwent surgical repair of Kommerell diverticulum (KD) with individualized surgical methods. Methods: A retrospective analysis was performed of adult patients (aged ≥17 years) who underwent surgery to treat KD between June 2008 and October 2019. Results: Nine patients (median age, 45 years; range, 19-67 years; 7 men) underwent surgical repair. The indications for surgical therapy were acute aortic dissection in 2 patients, the presence of compressive symptoms due to dilated KD in 4 patients, and aneurysm growth in 3 patients. Various surgical techniques were used: (1) resection of the diverticulum stump and revascularization of the aberrant subclavian artery (n=3), (2) one-stage total-arch replacement including the diverticulum segment (n=3), and (3) hybrid repair (n=3). Early mortality occurred in 1 case of hybrid repair. Transient paraparesis occurred in a patient who underwent total arch repair as part of complicated acute aortic dissection. During follow-up (median duration, 30 months; range, 7-130 months), no late death or associated aortic complications were documented. All survivors were free from symptoms and had no abnormal findings on follow-up computed tomography. Conclusion: With a customized surgical approach and appropriate consideration of patient-specific anatomy and associated comorbidities, KD can be repaired with favorable outcomes.

• 정보관리학회지
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• 제34권4호
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• pp.127-152
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• 2017

다양한 분야에 걸쳐 생산성과 경쟁력 강화를 위한 IT활용 방안 중 하나인 RFID 기술은 바코드 시스템을 대체하고 시스템 이용에 보다 편리함을 가져올 기술로 주목받고 있다. RFID시스템은 이미 도서관을 비롯한 일부 기록관에도 적용되어 있으며, 한층 효과적인 기록관리 시스템 개발에 진보를 가져올 것으로 기대 받고 있다. 그러나 아직 시스템은 도입 초기단계에 놓여있고, 사소한 문제점과 불안전한 요소를 포함하고 있어 기록관 도입에 어려움을 겪고 있으며 시스템의 구체적인 문제를 파악한 연구는 이루어지지 않고 있다. 본 연구에선 이러한 점에 착안하여 RFID기반 기록관리체계를 운영하고 있는 기록관의 실무 담당자들을 대상으로 인터뷰 및 설문조사를 실시하였다. 이를 바탕으로 현재 기록관에서 운영 중인 RFID기반 기록관리체계의 운영 현황을 파악하고, RFID기반 기록관리체계의 문제점을 도출하여 이를 통해 효율적 운영방법에 있어 개선방안을 제시해보고자 한다.

• Journal of Korean Neurosurgical Society
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• 제29권1호
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• pp.44-50
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• 2000

Objective : A few anecdotal cases of mesenchyme-derived tumors which grow into a cranial cavity have been reported that disclosed a dismal prognosis, due to their critical location, aggressive biological behavior, and high rate of surgical morbidity. The aim of this study is to search clinical factors related to these tumors. Methods : Eight patients who underwent surgical removal of intracranial mesenchymal tumors between January 1993 and December 1997 were studied retrospectively. The tumors included are three chordomas, two chondrosarcomas, two rhabdomyosarcomas, and one hemangiopericytoma. Authors compared clinical features, treatment, and results of our cases with reported cases. The mean follow-up period was 20.5 months. Results : All cases showed nonspecific, location-related clinical findings and arose from sphenopetroclival region. Single stage operation was performed in 4 cases, and skull base approaches in 3 cases. Adjuvant therapies were done in 2 cases. Recurrence was seen in 3 cases(37.5%), and 3 patients died. Interdisciplinary approach with otologic surgeon was done in 2 cases. Conclusion : Recent advancement of refined tactics has made these tumors amenable and provides prolongation of progression-free survival. These are modified skull base approaches, multi-modality treatment options, and inter-disciplinary team approaches. Good results may be expected for these mesenchymal tumors by aggressive resection and adjuvant therapies according to their biological nature.

• 한국통신학회논문지
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• 제27권3C호
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• pp.256-262
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• 2002

본 논문에서는 sign estimation technique (3)을 기초로 한 radix-4 모듈라 곱셈 알고리즘을 제안한다. Sign estimation technique은 carry와 sum의 형태로 표현되는 수에서 부호를 알아내는 것이다. 이 방법은 5비트 carry look-ahead adder로 구현이 가능하다. RSA와 같은 암호화 시스템에서는 모듈라 곱셈이 하드웨어의 성능을 좌우한다. 제안한 알고리즘은 modulus가 n 비트인 경우, 모듈라 곱셈 수행시 일반적인 알고리즘의 약 반 클럭 (n/2+3) 사이클만 필요하다. 그래서 매우 큰수의 modulus 사용하는 RSA 암호시스템에서 모듈라 멱승 연산에 매우 효율적이다. 또한 모듈라 곱셈의 하드웨어 성능을 향상하기 위해, CSA (Carry Save Adder)의 맨 마지막 출력에 사용되는 CPA (Carry Propagation Adder) 대신 고속 덧셈기(7)를 사용하였다. 모듈라 멱승 계산이 n 클럭이 소요되는 RL binary 방법을 적용하여 1024 비트 데이터를 RSA 암호화하는데 n(n/2+3) 클럭 사이클만 소요된다.

• Journal of Korean Neurosurgical Society
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• 제50권3호
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• pp.224-230
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• 2011

Objective : This study aimed to show the possibility of neural canal enlargement and restoration of bony fragments through laminectomy and minimal facetectomy without pediculectomy or an anterior approach, and also to prove the adequacy of posterior stabilization of vertebral deformities after thoracolumbar bursting fracture. Methods : From January 2003 to June 2009, we experienced 45 patients with thoracolumbar burst fractures. All patients enrolled were presented with either a neural canal compromise of more than 40% with a Benzel-Larson Grade of VI, or more than 30% compromise with less than a Benzel-Larson Grade of V. Most important characteristic of our surgical procedure was repositioning retropulsed bone fragments using custom-designed instruments via laminectomy and minimal facetectomy without removing the fractured bone fragments. Beneath the dural sac, these custom-designed instruments could push the retropulsed bone fragments within the neural canal after the decompression and bone fragment repositioning. Results : The mean kyphotic deformities measured preoperatively and at follow-up within 12 months were 17.7 degrees (${\pm}6.4$ degrees) and 9.6 degrees (${\pm}5.2$ degrees), respectively. The mean midsagittal diameter improved from 8.8 mm (${\pm}2.8$ mm) before surgery to 14.2 mm (${\pm}1.6$ mm) at follow-up. The mean traumatic vertebral body height before surgery was 41.3% (${\pm}12.6%$). At follow-up assessment within 12 months, this score showed a statistically significant increase to 68.3% (${\pm}12.8%$). Neurological improvement occurred in all patients. Conclusion : Though controversy exists in the treatment of severe thoracolumbar burst fracture, we achieved effective radiological and clinical results in the cases of burst fractures causing severe canal compromise and spinal deformity by using this novel custom-designed instruments, via posterior approach alone.

• 한국전자파학회논문지
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• 제27권5호
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• pp.424-429
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• 2016

본 논문은 인공전송선로 중 하나인 LUC(Low-pass filter Unit Cell)을 이용한 이중모드 링-공진기 대역통과 여파기를 제안한다. 기존의 링 공진기 대역통과 여파기는 한 파장 링 공진기를 기반으로 설계하므로 소형화에 어려움이 있고, 정수배 파장의 고조파로 인한 원치 않는 동작의 문제점이 있다. 저역통과 특성을 지닌 인공전송선로 중 하나인 LUC를 이용하여 링-공진기를 구성함으로써 소형화와 고조파 저지 특성을 구현하였다. 링-공진기와 입력 및 출력 단의 인터디지탈 결합선로 인버터를 이용하여 2단 대역통과 여파기를 설계 및 제작하였다. 제작된 여파기는 이중모드, UWB 전 대역저지, 날카로운 스커트 특성을 나타냈으며, 기존의 링-공진기 대역통과 여파기의 링 면적을 약 60 % 감소시켰다.

• Journal of Gastric Cancer
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• 제11권1호
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• pp.1-6
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• 2011

Gastric cancer is the most common malignancy and the incidence is steadily increasing in Korea. The principal treatment modality for gastric cancer is surgical extirpation of tumor along with draining lymph nodes. Gastrectomy with D2 lymph node dissection has been well established as a standard of surgery and improved the survival of gastric cancer patients. Recently, technological advances are drastically reshaping the landscape of surgical treatment of gastric cancer. One of the most notable trends is that minimal access surgery becomes dominating the treatment of early stage diseases. For advanced diseases, the standard access surgery is considered a reference treatment. Although there is a pilot study underway to evaluate the feasibility of the application of minimal access surgery to advanced gastric cancer (AGC), the evidence for oncological safety is not yet provided sufficiently. Based on the recent randomized controlled trials, the extent of surgery for AGC has re-defined as para-aortic lymph node dissection dose not add any survival benefit while increasing surgery-related morbidities. In addition, it is now accepted as a standard operation omitting unnecessary procedures such as splenectomy and/or distal pancreatectomy for prophylactic lymph node dissection. Conceptual and technical innovation has contributed to decreasing morbidity and mortality without impairing oncological safety. All these recent advances in the field of gastric cancer surgery would be concluded in maximizing therapeutic index for gastric cancer while improving quality of life.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제28권3호
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• pp.375-394
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• 2014

본 연구는 수와 연산, 문자와 식 영역을 중심으로 조선산학의 수학적 표현의 변천과정을 고찰하였다. 고찰 결과, 서양 수학의 표현 방식을 도입하기 이전에 각 영역별로 조선산학의 고유한 표현과 과도기적 표현이 존재하였음을 확인하였다. 이에 대한 근거로 세 가지를 제시하였다. 첫째, 조선산학은 한자 표기의 승법적 기수법과 산대 표기의 위치적 기수법을 병행하였으나, 한자를 사용한 위치적 기수법이라는 과도기적 표현을 거쳐 인도 아라비아 숫자를 사용한 위치적 기수법의 단계로 진행하였다. 둘째, 한자를 축약하여 연산을 표현하거나 산대 조작과정을 산대로 표기하는 방식에서 서양 산술의 연산 표현을 수용하는 단계로 진행한 과정에서 전통적인 연산 표현 방식과 유럽 필산의 표현 방식을 절충한 표현이 등장하였다. 셋째, 조선산학에서 문자와 식은 산대로 계수들을 표현하는 천원술과 방정술로 표현되었지만, 좀 더 형식화된 생략적 대수의 단계를 거쳐 서양수학의 기호적 대수의 표현방식을 수용하였다.

• 대한기계학회논문집
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• 제12권3호
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• pp.520-527
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• 1988

본 연구에서는 액체용 이젝터의 성능을 결정하는 여러가지 제약인자중 특히 레이놀즈수 변화에 따른 구동노즐의 면적비 및 목부길이가 액체용 이제터성능에 미치 는 영향을 체계적인 실험을 통하여 연구함으로써 기 개발된 CAD용 전산프로그램의 타 당성을 보다 세밀히 검토하고 이에 보완을 가하는데 연구의 목적이 있다.

• Archives of Plastic Surgery
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• 제40권4호
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• pp.348-352
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• 2013

Background Temporalis muscle transfer produces prompt surgical results with a one-stage operation in facial palsy patients. The orthodromic method is surgically simple, and the vector of muscle action is similar to the temporalis muscle action direction. This article describes transferring temporalis muscle insertion to reconstruct incomplete facial nerve palsy patients. Methods Between August 2009 and November 2011, 6 unilateral incomplete facial nerve palsy patients underwent surgery for orthodromic temporalis muscle transfer. A preauricular incision was performed to expose the mandibular coronoid process. Using a saw, the coronoid process was transected. Three strips of the fascia lata were anchored to the muscle of the nasolabial fold through subcutaneous tunneling. The tension of the strips was adjusted by observing the shape of the nasolabial fold. When optimal tension was achieved, the temporalis muscle was sutured to the strips. The surgical results were assessed by comparing pre- and postoperative photographs. Three independent observers evaluated the photographs. Results The symmetry of the mouth corner was improved in the resting state, and movement of the oral commissure was enhanced in facial animation after surgery. Conclusions The orthodromic transfer of temporalis muscle technique can produce prompt results by applying the natural temporalis muscle vector. This technique preserves residual facial nerve function in incomplete facial nerve palsy patients and produces satisfying cosmetic outcomes without malar muscle bulging, which often occurs in the turn-over technique.