두경부암 환자의 방사선 치료시 자체 제작한 고정용구 (Shoulder Retractor)에 대한 유용성 평가

김태준,진선식,김동현,김동욱,정원규,김경태,Kim, Tae Jun,Jin, Sun Sik,Kim, Dong Hyun,Kim, Dong Wook,Chung, Weon Kuu,Kim, Kyoung Tae 대한방사선치료학회 2014 대한방사선치료학회지 Vol.26 No.1

목 적 : 본 연구에서는 두경부 암 환자의 방사선 치료 시 Neck node lower region까지 Target이 위치한 환자의 경우 기존의 상품화 된 두 가지 고정용구와 자체개발한 Shoulder Retractor의 유용성을 비교 평가하고자 한다. 대상 및 방법 : 본원에서 치료한 두경부암 환자 6명을 대상으로 사용한 고정용구의 종류에 따라 각각 2명씩 분류하여 좌, 우 Shoulder 위치변화와 Set up의 정확성을 OBI를 이용한 2D/2D 영상정합 위치보정 후 좌표 분석을 통해 비교하여 유용성을 확인해 보았다. 결 과 : 고정용구 종류에 따른 영상정합 위치보정 값(OBI A-P상 좌, 우 Shoulder 위치변화값)에 대한 평균값과 표준편차는 A그룹에서는 RT.Shoulder $1.07mm{\pm}3.99mm$, LT.Shoulder $-4.35mm{\pm}2.09mm$이고, B그룹에서는 RT.Shoulder $-0.37{\pm}5.91mm$, LT.Shoulder $1.26{\pm}5.28mm$, C그룹에서는 RT.Shoulder $-0.63{\pm}2.44mm$, LT.Shoulder $0.25mm{\pm}1.61mm$으로 나타났다. SET UP의 영상유도좌표 분석에서는 평균 및 표준편차 값이 A그룹에서 Vrt $-2.06{\pm}2.68mm$, Lat $-1.11{\pm}8.15mm$, Lng $0.34{\pm}3.78mm$, Rot $0.51{\pm}0.77^{\circ}$이고, B그룹에서 Vrt은 $-1.18{\pm}1.82mm$, Lat $-0.94{\pm}2.13mm$, Lng $-0.67{\pm}1.98mm$, Rot $0.91{\pm}1.04^{\circ}$이고, C그룹에서 Vrt은 $0.12{\pm}2.18mm$, Lat에서 $-0.79{\pm}1.62mm$, Lng에서 $-0.79{\pm}2.64mm$, Rot $0{\pm}0.49^{\circ}$으로 나타났다. 결 론 : 자체개발한 고정용구는 좌,우 Shoulder의 위치변화에 대한 재현성을 유지시킴에 있어 유용함을 알수있었고, 환자 변위요소(환자가 잡은 줄을 놓치는 현상과 발 끝의 위치와 모양에 따라 잡은줄이 한쪽으로 치우치는 현상)와 환자의 체중 변화로 인한 환자 자세의 고정문제를 줄임으로써 Set up의 오차를 줄이고 환자의 재현성을 유지시키는데 도움이 될 것으로 사료된다. Purpose : We compared the set-up accuracy and right-left Shoulder position variation of the manufactured device and other commercial shoulder-retractors in the head and neck radiation treatment. Materials and Methods : Six patients consist of three groups which were used three different Shoulder retractors. We measured position corrections of left and right Shoulder and the couch after the image guidance by using on board imager (OBI) for six head and neck patients who has the extended target to the neck node lower region. Results : The position variation correction of left (right) Shoulder after image guidance were $1.07{\pm}3.99mm$ ($-4.35{\pm}2.09mm$), $-0.37{\pm}5.91mm$ ($1.26{\pm}5.28mm$), $-0.63{\pm}2.44mm$ ($0.25{\pm}1.61mm$) for group A, B and C. The vertical, lateral, longitudinal position and angular corrections of the couch after image guidance were $-2.06{\pm}2.68$, $-1.11{\pm}8.15$, $0.34{\pm}3.78mm$, and $0.51{\pm}0.77$ degree for group A, $-1.18{\pm}1.82$, $-0.94{\pm}2.13$, $-0.67{\pm}1.98mm$, and $0.91{\pm}1.04$ degree for group B and $0.12{\pm}2.18$, $-0.79{\pm}2.64$, $0.79{\pm}2.64$, and $0.00{\pm}0.49$ degree for group C. Conclusion : In this preliminary study, we found the positioning accuracy of the manufactured Shoulder retractor is comparable to other commercial Shoulder retractors. We expect that the reproducibility and accuracy of the patient set-up could be improved by using the home made Shoulder retractor in the head and neck radiation treatment.

미세혈관 감압술중 뇌간청각유발전위 감시장치의 유용성

김태준,고용,김영수,오성훈,김광명,오석전,Kim, Tae Joon,Ko, Yong,Kim, Young Soo,Oh, Seong Hoon,Kim, Kwang Myung,Kim, Nam Kyu,Oh, Suck Jun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.5

Objective : Surgery for the microvascular decompression is mostly concerned with injury to the cranial nerves or brain stem by cerebellar retraction. Intraopeartive brain stem auditory evoked potentials(BAEPs) has been continuously monitored on surgery to evaluate the extent of injury, recovery of the nerves and prognosis. Methods : Of the 161 cases of CP angle surgery from Feb. 1996 to Apr. 1998, 103 cases were monitored during operation. Thirty five patients who had undergone similar surgery were selected and evaluated ; 23 patients were monitored and 12 were not during surgery. If monitor showed more than 0.5 mSec delay of latency, surgeon was given a warning not to retract brain any more. If more than 1mSec delay, surgeon was informed to stop surgery and wait for the returning of evoked potentials. The level of amplitudes and delay of latencies during the initial stage of operation, opening the dura, insertion of teflon patches, and closing the dura and recovery were then compared. Resuls : Twenty patients were male and 15 were female. Their average age was 50.26 years. Mean amplitude during the initial stage of operation was $0.60{\pm}0.25mV$, at opening the dura $0.56{\pm}0.26$, after teflon patches insertion $0.49{\pm}0.20$, and after closure of dura $0.47{\pm}0.28mV$. Mean latency during the early stage of operation was $6.08{\pm}0.67mSec$, at opening of dura $6.38{\pm}0.55$, insertion of teflon $6.97{\pm}0.59$, and closing the dura $6.17{\pm}0.54$. There was statistical significance in the difference of amplitudes between each procedures, and in the difference of latencies. For the complete recovery of amplitude and latency, it usually took average 5.65 minutes(0-20 min). In monitored group, only one patient required more than 20 minutes to recover and suffered from hearing disturbance after surgery. Others were recovered within 10 minutes without complications. However, 4 out of 12 patients who were not monitored showed hearing disturbance, and 1 patient had temporary facial palsy and dizziness(p=0.000). Conclusion : The results indicate that continuous intraoperative monitoring of BAEPs during CP angle surgery is seen mandatory procedure to prevent operative complications.

요통과 하지방사통에 대한 경막외 스테로이드 주입후 발생한 치명적 합병증 - 증례보고 -

김태준,김충현,정진환,백광흠,김재민,오석전,Kim, Tae Joon,Kim, Choong Hyun,Cheong, Jin Hwan,Bak, Koang Hum,Kim, Jae Min,Oh, Suck Jun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.3

Epidural steroid injection(ESI) has been a commonly applied conservative therapy for the management of chronic low back pain and sciatica. However, there are many reports concerning various local, systemic and neurological complications related to ESI. We report two cases with fatal complications after ESI for low back pain and sciatica. In both patients, ventriculitis and meningitis were causative factors to be fatal. Aseptic procedures and careful post-procedure assessment are essential to avoid serious complications following ESI.

출판저널 칼럼

김태준,Kim, Tae-Jun 대한출판문화협회 1990 출판저널 Vol.69 No.-

그 넉넉하고 풍요로운 고향의 추석 달

김태준,Kim, Tae-Jun 대한출판문화협회 1991 출판저널 Vol.91 No.-

전자산업의 새로운 도약을 위한 한해

김태준,Kim, Tae-Jun 한국전자정보통신산업진흥회 1986 電子振興 Vol.6 No.1

한방 치료로 호전된 만성 설염 치험 1례

김태준,곽병문,이유정,김희택,kim, Tae-Jun,Kwak, Byeong-mun,Lee, You-Jung,Kim, Hee-Taek 대한한방안이비인후피부과학회 2021 한방안이비인후피부과학회지 Vol.34 No.3

Objectives : The purpose of this study is to report the effectiveness of Korean medical treatments on chronic glossitis using Yanggyeok-sangagam based on tutakbeop(透托法), and Ikgibohyeol-tanggagam based on botakbeop(補托法) and bobeop(補法). Methods : We treated a 83-year-old female patient who had glossitis by Korean medicine and acupuncture treatment. These treatments were performed from 2020.8.4. to 2021.3.4. We have confirmed the improvement of white plaque like a pseudomembranous pattern lesion and pain. We recorded images that include change of symptoms. Results : After the treatments were done, the scores of numeric rating scale(NRS), oral assessment guide(OAG) and oral health impact profile-14(OHIP-14) were decreased. The NRS score was decreased from 7 to 1. The OAG score was decreased from 20 to 9. The OHIP-14 score was decreased from 34 to 5. Conclusions : According to the result, Korean medical treatments such as Korean medicine and acupuncture treatment, followed by the cure rules- tutakbeop(透托法), botakbeop(補托法) and bobeop(補法) can be effective for the treatment of chronic glossitis.

발전플랜트 상태기반 정비지원을 위한 원격 모니터링 시스템의 설계 및 구축

김태준(Tae-jun Kim),김신호(Shin-ho Kim),이태오(Tae-oh Lee),박성원(Sung-won Park),강병준(Byung-jun Kang),최재영(Jae-young Choi),김군회(Gun-hoe Kim),최석환(Suk-hwan Choi),박창대(Chang-dae Park),임병주(Byung-ju Lim) 한국마린엔지니어링학회 2012 한국마린엔지니어링학회 학술대회 논문집 Vol.2012 No.10

한국과 핀란드 청소년의 시민·사회적 참여 유형 비교

김태준(Kim, Tae-Jun),오민아(Oh, Min-Ah),이은경(Lee, Eun-Kyung) 한국비교교육학회 2015 比較敎育硏究 Vol.25 No.4

This research is based on the discussion about the role of education for social progress. It is designed to compare civic and citizenship education between Korean and Finnish education. The different types of Civic and Social Engagement(CSE) were classified and the relationship among CSE classifications and educational competences(cognition, attitude, behavior) were analyzed. The research utilized the ICCS 2009 data (Korea, 150 schools, 5,254 students; Finland, 176 schools, 3,307 students). Using cluster analysis on CSE, seven types of CSE were classified; conservative truster, social- innovative leader, critical egalitarian, alienated helpless, illegal resistance, lack of trust, social accommodator. In the relationship among CSE types and educational competences, overall positive and ideal types of CSE had higher scores than negative types of CSE in three deminsions of educational competences. Finnish youth had higher scores in the all of educational competences than Korean youth. Furthermore, positive type and negative type of CSE in Finland made a difference in educational competences. Therefere, the research disscused in result in terms of balancing between cognitive and non- cognitive competences in youth. OECD를 중심으로 이루어지고 있는 사회적 진보를 위한 교육의 역할에 관한 논의는 교육이 경제적인 효용성만이 아닌 지속적인 발전을 위해 기여하는 것에 초점을 두고 있다. 본 연구는 사회적 진보를 위한 다양한 영역 중 시민･사회적 참여와 관련하여 ICCS 2009 데이터ICCS 38개 참여국의 수집된 조사 자료 공개 합의에 따라, 국제교육성취도평가협의회(IEA) 홈페이지(http://www.iea.nl)에 원자료와 코드북이 실려 있음. 본 논문의 제1저자가 ICCS 국가연구조정관으로서 ICCS 2009 한국 조사를 수행하였음 (한국 5,254명, 핀란드 3,307명)를 통해 한국과 핀란드 청소년의 시민･사회적 참여 유형을 도출하고 시민･사회적 참여 유형과 교육환경 역량과의 관계를 비교 분석하였다. 군집분석을 실시하여 청소년의 시민·사회적 참여에 관한 7가지 유형을 도출하고, 유형들이 한국과 핀란드의 교육환경 역량에서 어떤 차이를 나타내는지를 분석하였다. 그 결과, 전반적으로 긍정적인 유형은 세 가지(인지적, 태도적, 행동적) 차원의 교육환경 역량에서 상대적으로 높은 점수를 나타내었다. 핀란드는 한국에 비하여 교육환경 역량에서 높은 점수를 나타내었으며, 유형들 간에 교육환경 역량의 차이가 뚜렷하게 나타났다. 이러한 두 국가들 간의 차이를 청소년의 인지적 역량과 비인지적 역량의 균형적인 발달의 관점에서 논의하였다.

성인의 학력주의 성향 해소를 위한 심리 기제

김태준(Kim Tae Jun) 한국교육심리학회 2003 敎育心理硏究 Vol.17 No.3