하라다병 환자에서 섬모체맥락막 삼출로 인해 발생한 양안의 급성 근시와 전방각 폐쇄 1예

김지훈,임재석,이지웅,이지은,엄부섭,Ji Hun Kim,MD,Jae Seok Lim,MD,Ji Woong Lee,MD,Ji Eun Lee,MD,PhD,Boo Sup Oum,MD,PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.8

Purpose: To report a case of bilateral acute myopia and angle-closure with ciliochoroidal detachment in Vogt-Koyanagi-Harada (VKH) syndrome. Case summary: A 43-year-old Korean woman diagnosed with VKH syndrome underwent intravenous methylprednisolone steroid pulse treatment. After oral medication was given for 2 days, the anterior chambers became shallow in both eyes. Intraocular pressure (IOP) increased to 25 mm Hg in the right eye and 23 mm Hg in the left eye. Subretinal fluid increased and visual acuity decreased with myopic shift in both eyes. IOP did not decrease despite maximum tolerated medical therapy. Ultrasound biomicroscopy (UBM) revealed that ciliochoroidal effusion caused forward displacement of the lens-iris diaphragm, which resulted in anterior chamber shallowing and angle closure in both eyes. The patient was treated with cycloplegic eyedrops and intravenous steroid pulse therapy. After intravenous steroid pulse treatment was given for 2 days, the anterior chambers became deep in both eyes. IOP reduced to 13 mm Hg and 14 mm Hg in the right and left eye respectively. Visual acuity increased with normalization of myopic shift. UBM revealed that the ciliochoroidal effusion had resolved in both eyes. J Korean Ophthalmol Soc 2012;53(8):1194-1199

근위부 위절제술 후 재건 술식에 따른 경과 관찰

김지훈,육정환,김병식,오성태,Kim, Ji-Hoon,Yook, Jeong-Hwan,Kim, Byung-Sik,Oh, Sung-Tae 대한위암학회 2006 대한위암학회지 Vol.6 No.1

목적: 근위부 위절제술 후 식도-위 문합술을 시행받은 환자에서 문합부 협착, 역류성 식도염 등이 드물지 않게 발생한다. 저자들 역시 이러한 합병증을 경험하였고 이를 극복하기 위한 방법으로 공장간치술을 시행하였으며 식도-위 문합술과 공장간치술 간의 경과 관찰을 통해 보다 나은 재건 술식을 찾고자 하였다. 대상 및 방법: 1998년 6월부터 2002년 12월까지 울산의대 서울아산병원 외과에서 상부위암 혹은 위상부의 위장관기질종양으로 진단받고 근위부 위절제술을 시행한 환자를 대상으로 재건 술식에 따른 수술시간, 수술 후 증상, 체중변화, 추적관찰 시 시행한 내시경 소견 등을 비교하였다. 결과: 대상 환자 총 33명의 평균연령은 59세였고, 남녀 비는 3 : 1이었다. 식도-위 문합술을 시행한 환자는 25명, 공장간치술을 시행한 환자는 8명이었다. 통과장애, 속쓰림, 신트림, 구토 등의 증상을 관찰하였으며 식도-위 문합술 환자에서 통과장애 12예, 구토 3예, 속쓰림 4예, 신트림 4예가 관찰되었으며, 공장간치술 환자에서는 통과장애 12예, 구토 3예가 있었고, 속쓰림과 신트림은 관찰되지 않았다. 수술 후 체중변화는 1개월 후 수술 전 체중의 90%까지 감소한 경우가 식도-위 문합술 환자에서 7예, 공장간치술 환자에서 없었다. 수술 후 추적 내시경 검사 결과 역류성 식도염이 관찰된 경우는 식도-위 문합술 환자에서 9예, 공장간치술 환자에서 0예였다. 문합부위 협착으로 인해 풍선 확장술이 필요하였던 경우가 식도-위 문합술 환자에서 4예, 공장간치술 환자에서 1예가 있었다. 결론: 상부 위절제 시 재건방법으로 역류성 식도염 및 여러 소화기 증상을 예방하기 위해 공장간치술이 식도-위문합술의 대안이 될 수 있다고 생각한다. 하지만 통계적 유의성을 가지기 위해 더 많은 대상군이 포함되어야 할 것이다. Purpose: A proximal gastrectomy is performed for gastric cancer in the upper part of the stomach to preserve the function of the stomach after surgery. An esophagogastrostomy is one of the common reconstruction methods for a proximal gastrectomy, but this method results in a high incidence of reflux esophagitis. This study was undertaken to compare subjective and functional results between esophagogastrostomy and jejunal interposition reconstructions. Materials and Methods: From June 1998 to December 2002, proximal gastrectomies were performed in 33 patients with tumors in the upper third of the stomach; 8 had reconstruction using jejunal interposition between the esophagus and the remnant stomach (JI group) while 25 had reconstruction using esophagogastrostomy (EG group). The postroperative courses of the patients were reviewed in terms of symptoms, weight changes, and endoscopic findings. Results: The mean age of the patients was 59 years; 26 were men and 7 were women. There were no significant differences in general complications, operating times, or histologic features between the two groups. Fifty-two percent (52%) of the EG group complained of dysphagia, and 16% them experienced heartburn and acid belching. Twelve percent (12%) of the JI group complained of dysphagia, but heartburn and acid belching did not occur. Incidences of reflux esphagitis (36%) and balloon dilatation for anastomotic stricture (16%) were more common in the EG group than in the JI group (0% and 12%). Conclusion: To prevent or minimize complications, such as reflux esophagitis and postoperative symptoms, a proximal gastrectomy with a jejunal interposition is an alternative method as an organ-preserving surgical strategy to improve quality of life for patients. (J Korean Gastric Cancer Assoc 2006;6:1-5)

고전압과 폴리에틸렌 분말의 표면 개질이 열융착시킨 PET 부직포 매트의 물성에 미치는 영향

김지훈,김영호,유기옥,Kim, Ji Hoon,Kim, Young Ho,Ryu, Ki Ok 한국섬유공학회 2014 한국섬유공학회지 Vol.51 No.6

An eco-friendly process for the fabrication of melt-fixed PET non-woven mats was developed to improve upon conventional production methods for floor or car mats by treating PET non-woven fabrics with polymer solutions of organic solvents. Thermoplastic powders with low melting points were dosed and distributed into PET non-woven fabrics with the application of high voltage, and then melt-fixed at an elevated temperature. Both unmodified polyethylene (PE) and poly(methacrylic acid) (PMA)-grafted PE (PE-g-PMA) with a grafted yield of 15.7% were used as base thermoplastic powders. Varying the amount of PE (modified or unmodified) powder, as well as the applied voltage, affected the mechanical properties of the melt-fixed mats. These effects were investigated by mechanical testing. Results showed that the tensile breaking stress of the melt-fixed mats increased, while the strain at break decreased, with increases in the amounts of PE or PE-g-PMA powder and the applied voltage. However, the mechanical properties of the mats were further enhanced when PE-g-PMA powder was used compared to unmodified PE powder. The application of high voltages during the powder treatment caused the hydrophilic polar groups in PE-g-PMA to distribute the grafted powder more evenly throughout the PET fabric. The resulting greater evenness in the distribution of PE-g-PMA made the grafted powder more effective in enhancing the mechanical properties of the melt-fixed mats more than the unmodified PE powder.

Al 합금의 응고 (2)

김지훈,예병준 ( Ji Hun Kim,Byung Joon Ye ) 한국주조공학회 1998 한국주조공학회지 Vol.18 No.4

블록단위 단독주택의 주민공동시설이 가격에 미치는 영향에 관한 연구: 수도권 82개 단지를 중심으로

김지훈,조항훈,Kim, Ji-Hun,Jo, Hang-Hun 한국토지주택공사 토지주택연구원 2020 LHI journal of land, housing, and urban affairs Vol.11 No.3

This study fulfills an empirical analysis how the physical factors affect the formation of housing price with the block unit. Block unit houses are a type of housing that pursues comfort and convenience in that the characteristics of individual houses and apartment houses are mixed. Existing studies have focused only on the physical characteristics of various planning elements such as block-type residential complexes. Nevertheless, it is not known whether the physical characteristics of block-type residential complexes reflect the preferences of actual consumers. In addition, there are no sufficient studies on how to evaluate them from the market side. In this study, block-level detached housing sites the target complexes with 10 or more households built between 2002 and 2019. The target areas for analysis are 163 complexes in Paju, Namyangju, Goyang, Suwon, Yongin, Ansan, Gimpo, Incheon, Seongnam, Hwaseong and Gwangju, Gyeonggi-do. The physical elements that make up the unit housing were classified through factor analysis. Finally, regression analysis was conducted to establish the basis determining the price-forming factors. As a result of the analysis, the factors that influenced the price were the site area and the number of community facilities. The variable with negative influence was the distance from Seoul. Based on the results of this study, it can be said that the influence on price formation in various areas was confirmed by presenting the relationship between the facility composition and price of a detached house.

중질유 분해 및 탈황 폐촉매로부터 유가금속의 회수

김지훈,김희택,조욱상 ( Ji Hoon Kim,Hee Taik Kim,Wook Sang Cho ) 한국화학공학회 1995 화학공학의이론과응용 Vol.1 No.2

일방향 CFRP적층판의 모드II 동적 층간파괴인성 평가

김지훈,정태훈,이현,양인영,조규재,심재기,Kim, Ji-Hoon,Jeong, Tae-Hoon,Lee, Hyun,Yang, In-Young,Cho, Gyu-Jae,Sim, Jae-Ki 한국안전학회 2000 한국안전학회지 Vol.15 No.4

In this paper, an investigation was performed on the ModeII dynamic interlaminar fracture toughness of unidirectional CFRP laminates. The stacking sequences used in this experiment are two kinds of [$0_20$] and [$0_{10}F_20_{10}$]. In the experiments, Split Hopkinson's Bar test was applied to dynamic and notched flexure test. The Mode II fracture toughness of each unidirectional CFRP was estimated by the analyzed deflection of the specimen and J-Integral with the measured impulsive load and reactions at the supported points. As an experimental results, the specimen [$0_{10}F_20_{10}$] appears greater than that of [$0_20$] for the J-integral and displacement velocity at a measuring point within the range of experiment.

회원작품 - 경상북도립 치매 요양병원

김지훈,김원갑,Kim, Ji-Hun,Kim, Won-Gap 대한건축사협회 1999 建築士 Vol.1999 No.6

족관절의 골절-탈구에 대한 임상적 고찰

김지훈,송재광,서진수,Kim, Ji Hoon,Song, Jae Gwang,Suh, Jin Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.3

Purpose: We evaluate clinical manifestations and radiologic features of ankle fracture & dislocation, as well as the usefulness of computed tomography on posterior ankle fracture & dislocation to study factors contributing to ankle fracture & dislocation. Material and Methods: Ankle dislocation was defined as the center of talar body being translated over the cortex of tibia on AP or lateral view on simple X-ray. Surgical treatments of 30 patients from January 2007 to March 2012 were categorized according to the injury mechanism, the direction of dislocation and fracture site. Joint involvement of posterior malleoalr fracture was evaluated through simple x-ray and computed tomography. We treated surgically if posterior malleolus fracture involves more than 25% of dital tibial articular surface. Thereafter, clinical outcomes were identified through radiographs and by using the AOFAS score. Results: The mean age was 42(13-78) years old, and slip down was the most common injury mechanism (13 cases). Car accident (6 cases) and fall accident (4 cases) were the next frequently found injury mechanisms. As for the types of ankle fracture, posterior fracture and dislocation (21 cases, 43.3%) was most commonly found. Out of these 21 cases, 15 cases involved trimalleolar fracture, and 19 cases were associated with posterior malleolar fracture. Danis-weber type B and C patients were 11 cases and 10 cases respectively. Articular involvement of posterior malleolar fracture turned out to be average 27.9%(5.1%~49.1%) on simple x-ray. The rate was evaluated as average 31.7%(12.6%~55.3%) on computed tomography which was conducted 15 times, and led us to more meaningful data. Conclusion: Anterolateral fracture and dislocation often accompanied open dislocation. Posterior fracture dislocation was most commonly found. Posterior malleolus was an important factor that ensures posterior stability of the ankle joint. Computed tomograph is useful to evaluate the articular involvement of posterior malleolar fracture.

Coded Layered Space-Time Transmission with Signal Space Diversity in OFDM Systems

김지훈,이인규,Kim, Ji-Hoon,Lee, In-Kyu The Korean Institute of Communications and Informa 2007 韓國通信學會論文誌 Vol.32 No.7c

V-BLAST (Vertical Bell Labs Layered Space-Time) 시스템은 다중 안테나를 사용하는 시스템에서 각각의 레이어를 간섭 무효화 및 제거기법을 통하여 추정하기 때문에 간단한 복잡도에 비해 높은 전송률을 가능하게 한다. 본 논문에서는 신호 공간 다이버시티 기법을 적용시킨 V-BLAST 시스템을 제안하고자 한다. 신호 공간 다이버시티 기법의 큰 장점은 신호좌표를 회전시키고 인페이즈 (inphase) 와 쿼드러쳐 (quadrature) 성분을 섞어줌으로서 추가적인 대역폭이나 전송 파워의 상승 없이도 다이버시티 이득을 얻을 수 있다. 모의실험을 통해서, 본 논문에서 제안하는 시스템의 성능이 이상적인 시스템 성능에 비해 0.5dB로 근접함을 보여주고자 한다. In multiple antenna systems, vertical Bell Labs Layered Space-Time (V-BLAST) systems enable very high throughput by nulling and cancelling at each layer detection. In this paper, we propose a V-BLAST system which combines with signal space diversity technique. The benefit of the signal space diversity is that we can obtain an additional gain without extra bandwidth and power expansion by applying inphase/quadrature interleaving and the constellation rotation. Through simulation results, it is shown that the performance of the proposed system is less than 0.5dB away from the ideal upper bound.