2005년도 소아 서혜부 탈장치료 경향

김성민,김대연,김상윤,김성철,김우기,김재억,김재천,박귀원,서정민,송영택,오정탁,이남혁,이두선,전용순,정상영,정을삼,최금자,최순옥,한석주,허영수,홍정,최승훈,Kim, Seong-Min,Kim, Dae-Yeon,Kim, Sang-Yoon,Kim, Seong-Chul,Kim, Woo-Ki,Kim, Jae-Eok,Kim, Jae-Chun,Park, Kwi-Won 대한소아외과학회 2006 소아외과 Vol.12 No.2

Inguinal hernia is the most common disease treated by the pediatric surgeon. There are several controversial aspects of management 1)the optimal timing of surgical repair, especially for preterm babies, 2)contralateral groin exploration during repair of a clinically unilateral hernia, 3)use of laparoscope in contralateral groin exploration, 4)timing of surgical repair of cord hydrocele, 5)perioperative pain control, 6)perioperative management of anemia. In this survey, we attempted to determine the approach of members of KAPS to these aspects of hernia treatment. A questionnaire by e-mail or FAX was sent to all members. The content of the questionnaire were adapted from the "American Academy of Pediatrics (AAP) Section on Surgery hernia survey revisited (J Pediatr Surg 40, 1009-1014, 2005)". For full-term male baby, most surgeons (85.7 %) perform an elective operation as soon as diagnosis was made. For reducible hernia found in ex-preterm infants already discharged from the neonatal intensive care unit (NICU), 76.2 % of surgeons performed an elective repair under general anesthesia (85.8 %). 42.9 % of the surgeons performed the repair just before discharge. For same-day surgery for the ex-premature baby, the opinion was evenly divided. For an inguinal hernia with a contralateral undescended testis in a preterm baby, 61.9 % of surgeons choose to 'wait and see' until 12 month of age. The most important consideration in deciding the timing of surgery of inguinal hernia in preterm baby was the existence of bronchopulmonary dysplasia (82.4 %), episode of apnea/bradycardia on home monitoring (70.6 %). Most surgeons do not explore the contralateral groin during unilateral hernia repair. Laparoscope has not been tried. Most surgeons do not give perioperative analgesics or blood transfusion.

구조응력을 이용한 하중 전달형 십자 양면 비대칭 필렛 용접 시험편의 피로강도 평가

김성민,김영남,이승현,김명현,Kim, Seong-Min,Kim, Young-Nam,Lee, Seung-Hyun,Kim, Myung-Hyun 대한용접접합학회 2012 대한용접·접합학회지 Vol.30 No.6

Fatigue tests and analyses were carried out to investigate fatigue strength and crack initiation point of load-carrying asymmetric double bevel cruciform welded joints. Mesh-insensitive structural stress approach was adopted to estimate high precise fatigue life and crack initiation point. Two different case material and weld shape were considered in this study. Results of fatigue tests and analyses were compared and discussed in consideration of applicability of structural stress approach as the reliable fatigue assessment method of cruciform welded joints.

잔존 총배설강 기형 수술 후 발생한 요도-질 누공에 대한 전방 시상 경직장적 접근 술식 (Anterior Sagittal Transrectal Approach, ASTRA) 1 례보고

김성민,김창우,김병규,오정탁,한석주,Kim, Seong-Min,Kim, Chang-Woo,Kim, Byoung-Kyu,Oh, Jung-Tak,Han, Seok-Joo 대한소아외과학회 2007 소아외과 Vol.13 No.1

The authors applied anterior sagittal transrectal apporach (ASTRA) for the repair of urethrovaginal fistula which developed after total repair of persistent cloaca. The patient had been diagnosed to have persistent cloaca, double uterus and double vagina, and received PSARP, excision of right-side uterus and vagina, and left vaginal switch operation at 22 months old. After operation, the patient admitted several times due to frequent urinary tract infection and ectopic stone formation in bladder and neovagina. Urethro-neovaginal fistula was confirmed by cystoscopy and corrected with ASTRA. Postoperative voiding cystourethrogram showed no fistula tract. ASTRA showed improved surgical field, minimized ureterocystic damage, and preserved perirectal nerve due to limited incision of rectum.

상장간막동맥 증후군의 복강경 수술 및 3차원재건 복부 전산화단층촬영 영상을 이용한 추적관찰 -1예보고-

김성민,김성훈,권인규,김명준,형우진,최승훈,Kim, Seong-Min,Kim, Sung-Hoon,Kwon, In-Kyou,Kim, Myoung-Joon,Hyoung, Woo-Jin,Choi, Seung-Hoon 대한소아외과학회 2005 소아외과 Vol.11 No.2

Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3Dreconstructive CT scan, the angle between SMA and aorta was $37^{\circ}$. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to $38-39^{\circ}$ on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

Synthesis and Application of the Novel Azomethine Metal Complexes for the Organic Electroluminescent Devices

김성민,김진순,신동명,김영관,하윤경,Kim, Seong Min,Kim, Jin Sun,Sin, Dong Myeong,Kim, Yeong Gwan,Ha, Yun Gyeong Korean Chemical Society 2001 Bulletin of the Korean Chemical Society Vol.22 No.7

New azomethine metal complexes were synthesized systematically and characterized. Beryllium, magnesium, or zinc ions were used as a central metal cation and aromatic azomethines (L1-L4) were employed as a chelating anionic ligand. Emission peaks o f the complexes in both solution and solid states were observed mostly at the region of 400-500 nm in the luminescence spectra, where blue light was emitted. Three of them (BeL1 (Ⅰ), ZnL2 (Ⅱ), and ZnL3 (Ⅲ)) were sublimable and thus were applied to the organic light-emitting devices (OLED) as an emitting layer, respectively. The device including the emitting layer of Ⅰ exhibited white emission with the broad luminescence spectral range. The device with the emitting layer of Ⅱ showed blue luminescence with the maximum emission peak at 460 nm. Their ionization potentials, electron affinities, and electrochemical band gaps were investigated with cyclic voltammetry. The electrochemical gaps of 2.98 for I, 2.70 for Ⅱ, and 2.63 eV for Ⅲ were found to be consistent with their respective optical band gaps of 3.01, 2.95 and 2.61 eV within an experimental error. The structure of OLED manufactured in this study reveals that these complexes can work as electron transporting materials as well.

디지털 환경에서 Humerus 검사 시 촬영인자 변화에 따른 선량 및 화질 평가

김성민,홍선숙,이관섭,하동윤,Kim, Seong Min,Hong, Seon Sook,Lee, Kwan Sup,Ha, Dong Yun 대한디지털의료영상학회 2012 대한디지털의료영상학회논문지 Vol.14 No.2

Purpose : We aim at presenting the optimum radiologic factor through the evaluation of dose variation and of image quality through the use of a grid in Humerus examination and the change of dose because of the change of radiologic factor. Materials and Methods : We divided it in 3 cases: when using a grid or not and when using IP(Image Plate) in a digital system. Also, as fixing kVp to 70kVp it changed mAs, and fixing mAs to 10 it changed kVp, we put up resolution chart and Burger rose phantom on the acrylic phantom of 7cm (the same level of Humerus) to evaluate the dose and image. We used Image J program to evaluate the quantitative resolution of the obtained image, and made the qualitative evaluation and statistical analysis of the image saved in PACS for 20 radiologic technologist with more than 10 years of experience in order of evaluate its contrast. We used SPSS10(SPSS Inc. Chicago, Illinois) for statistical analysis. Results : We observed the analytic result of resolution by the change of kVp that it was $4.539dGycm^2$ in 60kVp and $757.472dGycm^2$ in 75kVp, which increased about 64.6% of dose, while for the resolution it had the pixel value 30.7% better with 851 in 60kVp than 651 in 75kVp. Also, we analyzed the result of resolution by the change of mAs that it was $3.106dGycm^2$ in 5mAs, and $12.470dGycm^2$ in 20mAs, which increased about 400% of dose, while for the resolution DR had 678 in 5mAs, and 724 in 20mAs that increased about 6.8% of resolution. We made the qualitative evaluation of contrast by the change of kVp that DR showed the higher quality than CR, but the contrast by the change of kVp had no special different at the moment of visual evaluation, nor statistically significant difference(P>0.05). We observed the qualitative evaluation of contraste by the change of mAs that the contrast increased as DR increased mAs, and had statistically significant difference(P<0.05). On the other hand, CR had no significant difference for more than 10mAs nor statistically significant difference(P>0.05). Conclusion : In case of some patients with radiographic exposure by the repeated examination such as emergent patient or Follow up patient, they are considered to try to limit the use of a grid, to set kVp under 65kVp in fixed mode, to select less than 10mAs and to reduce the possibility of patient being bombed.

라플라스 신호원에 대한 최소평균제곱오차 홑 양자기의 지지역에 관하여

김성민,나상신,Kim, Seong-Min,Na, Sang-Sin 한국통신학회 2006 韓國通信學會論文誌 Vol.31 No.10C

이 논문은 라플라스 밀도 함수에 대한 최적 흩 양자기의 지지역의 증가는 양자점의 개수와 대수적인 관계가 있음을 보여준다. 구체적으로, 분산이 1인 라플라스 밀도함수에 대해서 양자정의 개수 N이 증가할 때 최적 양자기의 경계값에 의해 결정되는 지지역과 $\frac 3{\sqrt{2}}1n\frac N 2$의 비율이 1로 수렴함을 보여준다. 또한 극한 상한값을 유도하여 최적 지지역의 로그적 증가가 그 값을 초과하지 않음을 보였다. 이 결과들로부터 이전부터 경험적으로 연구되어 온 최적 지지역의 로그 증가를 확인 할 수 있다. This paper shows that the support growth of an optimum (minimum mean square-error) scalar quantizer for a Laplacian density is logarithmic with the number of quantization points. Specifically, it is shown that, for a unit-variance Laplacian density, the ratio of the support-determining threshold of an optimum quantizer to $\frac 3{\sqrt{2}}1n\frac N 2$ converges to 1, as the number of quantization points grows. Also derived is a limiting upper bound that says that the optimum support cannot exceed the logarithmic growth by more than a constant. These results confirm the logarithmic growth of the optimum support that has previously been derived heuristically.

경쟁입찰방식을 이용한 최초공모주의 발행가격결정에 관한 연구

김성민,Kim, Seong-Min 한국재무관리학회 1998 財務管理論叢 Vol.4 No.1

기존의 최초공모주 발행제도하에서는 일반투자자의 공모주식수요에 대한 의사가 공모가 결정과정에 반영될 수 있는 기회가 없음으로 인해 최초공모주의 심각한 저가발행 현상이 나타나고 있다. 이에 대한 문제점을 보완 개선하기 위하여 본 연구는 기업공개시 주식매각의 한 방안으로 경쟁입찰방식을 제시하였으며, 우리 나라 실정에 맞는 입찰모형의 설정을 위한 제반요인들을 조사 분석하였다. 또한, 경쟁입찰방식을 통한 최초공모주 발행의 장점과 경쟁입찰방식과 관련하여 예상되는 경제적 제 문제들을 공개입찰을 통한 장외등록기업 사레와 공기업민영화 사례를 통해 간접적으로 유추 검토하였다. 경쟁입찰방식하에서는 발행기업의 진실된 가치와 시장투자자들의 최초공모주에 대한 수요의사가 입찰과정을 통해 최적공모가격 결정에 적절히 반영되어 기존의 발행방식과 비교해 저평가율도 낮아질 것으로 기대되며, 심각한 문제가 없을 것이라는 판단하에 본 논문은 경쟁입찰방식을 통한 최초공모주발행이 기존의 발행방식에 대한 하나의 경제적 대안으로 선호될 수 있음을 보여 주었다.

미취학 아동 어머니의 양육특성과 건강 특성이 경제활동 참가에 미치는 융합적 요인 분석

김성민,송혜영,Kim, Seong Min,Song, Hye-young 한국융합학회 2021 한국융합학회논문지 Vol.12 No.9

본 연구는 제7차 여성 가족 패널 조사자료를 2차 분석하여, 직장군과 비직장군의 양육 특성과 건강 특성을 비교하기 위한 서술적 조사 연구이다. 만19세 이상 64세 이하의 여성 중에서 미취학 아동 어머니를 대상 총 697명을 대상으로 교차분석과 로지스틱 회귀분석을 실시하였다. 아이돌보미가 있는 경우, 이용하는 보육 시설개수가 많을수록, 시부모나 친정부모 돌봄을 받는 경우, 신체활동을 주 3회 미만으로 하는 경우가 경제활동을 많이 하였다. 반면, 미취학 자녀 수가 많을수록 경제활동을 안 하는 것으로 나타났다. 미취학 아동 어머니의 신체활동 확보와 일과 가정 양립을 뒷받침할 수 있는 양육 친화적 가족 및 직장문화 조성이 필요하다. This study is a second analysis of the 7th Korean Longitudinal Survey of Women and Families. And, it is a descriptive survey research for comparing parental and health characteristics of 2 groups of workers and non-workers. For this, it has used crossover analysis and logistic regression analysis with the subjects of mothers of preschoolers - of 697 females in total, aged between 19 and 64. Based on the result of the logistic regression analysis, we have discovered a few factors inducing the females to participate in more economic activities. The factors are as follows : baby sitters available, the more number of child care centers, the more helps of baby sitting from the females' parents and in-law parents and physical activities less than 3 times a week. In contrast, however, the more preschoolers they have, the less likely they are to take an active part in the economy. Against the backdrop, the government should develop social service systems to encourage various child care services and to foster 'child raising mothers-friendly' environments not only in families but in workplaces. All this is to improve the health characteristics of preschoolers' mothers in a more healthy way' and to strike a balance between work and family.

글로벌 방통융합 시대의 DMB 성공요인에 대한 고찰

김성민,변상규,Kim, Seong-Min,Byeon, Sang-Gyu 한국전자통신연구원 2008 전자통신동향분석 Vol.23 No.2

2006년 6월 독일 월드컵을 기점으로 유럽에서 DVB-H와 지상파 DMB가 상용화된 이래로 중국, 동남아시아, 아프리카 등지에서도 이동 TV 서비스를 시작하려는 노력이 진행되고 있다. 그러나 아직 한국과 일본을 제외한 국가들에서는 이렇다 할 성과를 보이지 않고 있으며 비교적 성공적으로 평가되고 있는 한국과 일본도 무료서비스 모델에 기반하고 있어 서비스사업자들은 여전히 수익원 마련에 어려움을 겪고 있다. 본 고에서는 특히 세계적 추세인 통방융합서비스의 특성을 고려하여, 국내외에서 상용화된 이동 TV 서비스 제공 현황과 국내 DMB 이용자 설문조사 결과를 분석함으로써 전세계적으로 적용 가능한 DMB 성공 요인에 대해 고찰해 보고자 한다. 본 고에서 도출된 DMB 성공 요인은 다양한 환경의 다른 국가들에서 적용 가능할 뿐만 아니라 이동 TV를 구현하는 대부분의 기술방식에 적용할 수 있는 시사점을 제시할 것으로 기대된다.