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      • SCOPUSKCI등재

        전폐절제술시 폐관류스캔을 이용한 폐기능의 예측에 대한 평가

        김길동,정경영,Kim, Gil-Dong,Jeong, Gyeong-Yeong 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.4

        Surgical resection of lung cancer or other disease is recently required in patients with severely impaired lung function resulting from chronic obstructive pulmonary disease or disease extension. So prediction of pulmonary function after lung resection is very important in thoracic surgeon. We studied the accuracy of the prediction of postoperative pulmonary function using perfusion lung scan with 99m technetium macroaggregated albumin in 22 patients who received the pneumonectomy. The linear regression line derived from correlation between predicting[X and postoperative measured[Y values of FEV1 and FVC in patients are as follows: 1 Y[ml =0.713X + 381 in FEV1 [r=0.719 ,[P<0.01 2 Y[ml =0.645X + 556 in FVC [r=0.675 ,[P<0.01 In conclusion,the perfusion lung scan is noninvasive and very accurate for predicting postpneumonectomy pulmonary function.

      • KCI등재

        Infectious bursal disease virus 국내분리주 및 백신주의 VP2 gene의 비교분석

        김길동,강정무,선중,권혁무,한태욱,Jin, Ji-Dong,Kang, Zheng-Wu,Kim, Sun-Joong,Kwon, Hyuk-Moo,Hahn, Tae-Wook 대한수의학회 2006 大韓獸醫學會誌 Vol.46 No.3

        The VP2 full gene of Korean infectious bursal disease virus(IBDV) strain, SH/92, three attenuated vaccine strains, Bur706, Bursine-2 and CEV/AC strains, were amplified by reverse transcriptase-polymerase chain reaction and sequenced and compared with published VP2 gene sequences of IBDVs. The VP2 nucleotide sequence similarity between SH/92 and three vaccine stains was 95.6~96.5% whereas the nucleic acid similarity among three vaccine strains was 97.5~98.5%. The amino acid sequence similarity of VP2 of SH/92 compared with three vaccine strains was between 94.4 and 97.6% while the amino acid similarity among three vaccine strains was between 97.4 and 98.4%. The amino acid similarity between SH/92 and classical virulent strain, 52/70 and STC strain was 96.4 and 96.5%, respectively. The serine-rich heptapeptide was conserved in CEVAC and Bursine-2 as well as SH/92 but not in Bur706. The phylogenetic tree developed from amino acid sequences showed that SH/92 was categorized with vv IBDVs(HK46, OKYM, KKI, UPM94/273, SH95) in one branch while three vaccine strains were catagorized with STC strain in the other branch.

      • SCOPUSKCI등재

        도시철도차량 인버터 재점착제어기법 연구

        김길동,한영재,박현준,이사영,Kim, Gil-Dong,Han, Young-Jae,Park, Hyun-June,Lee, Sa-young 한국철도학회 1999 한국철도학회논문집 Vol.2 No.1

        This purpose of this paper is to perform the readhesion control algorithm of the urban railway traction. A study on readhesion control algorithm is done for the adhesion system. This system has all characteristics of the voltage source converter by a process ability to regenerate power. The traction motor is controlled by IGBT inverter. The test equipment composes traction motor, torque-meter, clutch, and a tubular type of interia mass.

      • KCI등재후보

        백터제어 유도전동기를 이용한 축소형 관성 시뮬레이터

        김길동,한영재,박현준,조정민,한경희 전력전자학회 2002 전력전자학회 논문지 Vol.7 No.1

        A propulsion system apparatus for railroad vehicle is estimated it's performance because of safety and confidence. In general, flywheel type testing method is widely used in the equipment. However, mechanical inertia generated by the flywheel can not be varied (or controlled) and can not be represent actual running resistance. In this study, we have focused on the development of variable vehicle load generation. Therefore, we have proposed the method which uses variable vehicle load controlled by vector motor to get the characteristics of the real vehicle load and confirmed the results with those of computer simulations. 철도차량용 추진시스템은 안전성과 신뢰성 때문에 성능을 평가해야만 한다. 일반적으로 Flywheel Type시험방법은 시험설비로 널리 사용되고 있다. 그러나 Flywheel에 의해 생기는 기계적 관성은 변하기 어렵고 실제적인 주행저항을 표현할 수 없다. 본 연구는 다양한 차량부하의 개발에 초점을 두고 수행되었다. 그렇기 때문에 실제적인 차량부하 특성을 얻기 위해 벡터모터에 의해 제어되는 다양한 차량부하를 사용하는 방법을 제안하였고 컴퓨터 시뮬레이션을 통해 결과를 확인하였다.

      • KCI등재

        Feasibility and Early Outcomes of Intensivist-Led Critical Care after Major Trauma in the Korean ICU

        김길동,이준완,박형근 연세대학교의과대학 2013 Yonsei medical journal Vol.54 No.2

        Purpose: Substantial evidence supports the benefits of an intensivist model of critical care delivery. However, currently, this mode of critical care delivery has not been widely adopted in Korea. We hypothesized that intensivist-led critical care is feasible and would improve ICU mortality after major trauma. Materials and Methods: A trauma registry from May 2009 to April 2011 was reviewed retrospectively. We evaluated the relationship between modes of ICU care (open vs. intensivist) and in-hospital mortality following severe injury [Injury Severity Score (ISS) >15]. An intensivist-model was defined as ICU care delivered by a board-certified physician who had no other clinical responsibilities outside the ICU and who is primarily available to the critically ill or injured patients. ISS and Revised Trauma Score were used as measure of injury severity. The Trauma and Injury Severity Score methodology was used to calculate each individual patient’s probability of survival. Results: Of the 251 patients, 57 patients were treated by an intensivist [intensivist group (IG)] while 194 patients were not [non-intensivist group (NIG)]. The ISS of IG was significantly higher than that for NIG (26.5 vs. 22.3, p=0.023). The hospital mortality rate for IG was significantly lower than that for NIG (15.8% and 27.8%, p<0.001). Conclusion: The intensivist model of critical care is feasible, and there is room for improvement in the care of major trauma patients. Although trauma systems take time to mature, future studies are needed to evaluate the best model of critical care delivery for severely injured patients in Korea.

      • SCOPUSKCI등재

        폐암의 조직학적 분류, 위치 및 크기와 주위 림프절 전이의 양상에 관한 연구

        김길동 대한흉부심장혈관외과학회 1990 Journal of Chest Surgery (J Chest Surg) Vol.23 No.1

        A total of 178 patients with primary lung cancer who had undergone complete resection of the tumor in combination with complete mediastinal lymphadenectomy were reviewed at the Department of Thoracic and Cardiovascular Surgery of Yonsei Medical Center from January 1980 through July 1989. Materials; 1. There were 45 men and 33 women ranging of age from 25 to 78 years with a mean age of 55.4 years. 2. Histological types were squamous carcinoma in 115 cases [64.6%] adenocarcinoma in 42 cases [23.6 %], bronchioloalveolar carcinoma in 9 cases [5.1%], large cell carcinoma in 8 cases [4.5 %] and small cell carcinoma in 4 cases [2.2%] Results were summarized as follows: 1. The size of primary tumor was not directly proportional to the frequency of mediastinal lymph node metastasis. [P =0.0567] 2. The histologic types of the primary tumor did not related to the incidence of mediastinal lymph node metastasis. [P >0.19] 3. The chance of mediastinal lymph node metastasis in the case with lung cancer located in right middle lobe[31.8%, N=22] and left lower lobe [31.4%, N=32] were the highest and the lowest was the one located in right lower lobe, while over all incidence of mediastinal lymph node metastasis in this series was 25.4 % [N=55]. 4. The rate of mediastinal lymph node metastasis without evidence of regional and hilar lymph node metastasis was 13%. [N=23] The chance of mediastinal lymph node involvement without N1 lymph node metastasis was 16.3 % [N=17] in both upper lobes and 8.2 % [N=6] in both lower lobes. It was statistically significant that the tumors in the upper lobes had greater chance of the mediastinal lymph node metastasis without N1 than the tumors in the lower lobes. 5. In this series majority of the patients with lung cancer the mediastinal lymph node metastasis from the tumor in each pulmonary lobes usually occurs via ipsilateral tracheobronchial and paratracheal lymphatic pathway. Especially the lung cancer located in lower lobes can metastasize to subcarinal, paraesophageal and inferior pulmonary ligamental lymph node through the lymphatic pathway of inferior pulmonary ligament. It can be speculated that in some cases of this series otherwise mediastinal lymph node metastasis can also occur with direct invasion to the parietal pleura and to the mediastinal lymph node via direct subpleural lymphatic pathway .

      • KCI등재
      • KCI등재후보

        단일 전류센서를 갖는 저가의 단상 반브릿지 APF

        김길동,신정렬,이우동,박현준,희중 한국철도학회 2004 한국철도학회논문집 Vol.7 No.3

        This paper describes a low-cost single-phase active power filter, which consists of a half-bridge PWM inverter with a simple control circuit. In order to verify the performance of proposed active power filter, many computer simulations with EMTP codes and experimental works with a hardware prototype were done. Both results confirm that the proposed active power filter shows excellent performance to eliminate the harmonics generated in the single-phase non-linear load. The active power filter has advantage of low implementation cost and compact size, using a half-bridge inverter and a simple control circuit with only one current sensor. So, it can be fabricated as a plug-in type. This paper shows the necessity and a good possibility to apply such advantage to the electric railway system.

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