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.

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.

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.

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.

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.

자사주매입의 정보효과 - 매입한도 확대를 중심으로 -

김성민,Kim, Seong-Min 한국재무관리학회 2003 財務管理論叢 Vol.9 No.1

본 연구는 자사주매입에 대한 공시가 기업가치에 어떠한 영향을 미칠것이며 공시일 전후 주가반응이 자사주매입 한도 변경에 따라 시장에서 어떻게 반응할 것인지 그리고 아직 학계에서 다루어지지 않은 미시적인 관점에서 실제 자사주매입 비율에 영향을 미치는 요인이 무엇인지에 관해 실증분석을 실시하였다. 실증분석 결과 자사주매입 공시일 전후 유의적인 양(+)의 비정상초과수익률을 나타내었으며, 한도확대 이후 누적비정상수익률은 유의적으로 증가하였다. 목표매입비율이 클수록 유의적으로 누적비정상수익률은 증가하는 것으로 나타나고 있어 자사주 취득에 대한 저평가 가설을 지지하는 것으로 해석된다. 예기치 않은 현금흐름은 대체로 누적비정상수익률과 양(+)의 유의적인 관계를 보여 예기치 않은 현금흐름이 많은 기업일수록 자사주매입의 정보효과가 크게 나타나 Stephens & Weisbach(1998)의 결과와 일치하였다. 또한, 자사주매입 이후 1개월의 성과를 나타내는 누적비정상수익률은 실제 자사주매입 비율과 유의적인 부(-)의 관계를 보여 공시 이후 주가가 상승할수록 목표대비 실제 자사주매입액은 감소하여 경영자가 공시 이후 주가변화추이에 따라 자사주매입 수량을 조정하고 있는 것으로 파악되었다.

1.7MHz, 25W급 자기공명 무선전력 전송 시스템 구현

김성민,조인귀,문정익,Kim, Seong-Min,Cho, In-Gui,Moon, Jung-Ick 한국전기전자학회 2013 전기전자학회논문지 Vol.17 No.3

본 논문에서는 자기공명 방식을 이용한 25W급 무선전력 전송 시스템을 설계 및 구현하는 것을 제안하고 있다. 본 논문에서 제안하는 자기공명 방식 무선전력 전송 시스템은 100W급 Class-F 송신기, 1.7MHz대역의 송수신 공진기, 40W급 Full-bridge 다이오드 수신기로 구성되어 있다. 특히 제안된 시스템은 수신기에 전달되는 전력이 부하를 구동할 수 있는 적정레벨로 유지될 수 있도록 송신기와 수신기 사이의 통신을 이용한 송신전력제어 기능을 구현하여 송신기가 최적의 전력을 송신하여 불필요한 전력 낭비를 줄일 수 있도록 구현되었다. 본 논문에서 제안된 시스템 및 송신전력 제어기능을 기반으로 다양한 기기에 동일한 기능의 적용이 가능하며 상용화에 보다 근접할 수 있을 것이다. In this paper, 25W wireless power transmission(WPT) system using the coupled magnetic resonance is presented. The WPT system consists of a 100W class-F power transmitter, 1.7MHz magnetic resonators and a 40W full-bridge receiver using diodes. Especially, the transmit power control function using the 400MHz FSK communication between the transmitter and the receiver is adopted in the proposed system for the stable power transmission. Using the system and the power control function, the WPT system can be adopted in the various electronic devices and the commercialization of WPT system can be moved forward.

미동산 생태관

김성민,홍사원,Kim, Seong-Min,Hong, Sa-Won 대한건축사협회 2006 建築士 Vol.2006 No.7

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.

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.