한방병원(韓方病院)에 내원(來院)한 근위숙성(筋萎縮性) 측색경화증(側索硬化症)(ALS)환자(患者)의 임상적(臨床的) 관찰(觀察) - 한방병원(韓方病院)에 입원(入院)한 환자(患者) 17명(名)을 대상(對象)으로 -

전영완,문상관,고창남,조기호,김영석,배형섭,이경섭,Jun, Yung-Wan,Moon, Sang-Kwan,Ko, Chang-Nam,Cho, Ki-Ho,Kim, Young-Suk,Bae, Hyung-Sup,Lee, Kyung-Sup 대한한방내과학회 1997 大韓韓方內科學會誌 Vol.18 No.2

The subjects of this clinical study are 17 patients with ALS(Amyotrophic Lateral Sclerosis), who were diagnosed in other or our hospital from January 1987 to Nomember 1997. The age of onset, clinical signs, type of ALS, methods of treatment and outcomes, etc. were studied and analyzed. The data are summarized as follows ; 1) The mean age was $52.4{\pm}11.5$ years old, and the ratio of male to female was 2.4:1. There is increasing frequency with rising age. 2) Pseudopolyneuritic type(67%) is the most in male patients, bulbar type(60%) is the most in female patients, and totaly Pseudopolyneuritic type(54%) is the most. 3) In the period of hospitalization after onset, 1 year(11 cases, 64.8%) is the most frequent, and 2 year(2 cases, 11.7%), 1 month(2 cases, 11.7%), 4 years(1 case, 5.9%) and 6 months(1 case, 5.9%) in orders. 4) In the duration of admission, 10 days(8 cases, 47.2%) is the most frequent, and 30 days(4 cases 23.5%), 2 months(2 cases, 11.7%), 20 days(2 cases, 11.7%) and 3 months(1 case, 5.9%) in orders. 5) In the signs of patients, muscle weakness(17 cases, 100%), bulbar signs(14 cases, 82.4%), increased reflex of deep tendon(10 case, 58.8%), muscle atrophy (7 cases, 41.2%) and fasciculations(7 cases, 41.2%) were in orders. 6) In the methods of treatment, herb-medication(17 cases, 100%), acupuncture therapy(16 cases, 94.1%), physical therapy(7 cases, 41.2%), moxibustion therapy(5 cases, 29.4%), cupping therapy(4 case, 23.5%) and moxa-pack(1 case 5.9%) were administered in orders. 7) As to the outcome of treatment, 8(47.1%) were no changed, 4(23.5%) improved, 4(23.5%) aggravated, 1(5.9%) expired in orders.

전기장법에 의해 제조된 에폭시/Organoclay 복합재료의 나노화에 미치는 결합제의 영향

강근배(Geun-Bae Kang),김효철(Hyo-Chul Kim),김영석(Yung-Suk Kim),김현(Hyun Kim),한진희(Jin-Hee Han),최성조(Sung-Jo Choe),이재영(Jae-Young Lee),박재준(Jae-Jun Park) 대한전기학회 2010 대한전기학회 학술대회 논문집 Vol.2010 No.11

國産라켓·가트의 改質에 關한 硏究

金泳錫 崇田大學校 1978 論文集 Vol.8 No.1

This study has been conducted to research the coating conditions and the effects of coating treatment in gut manufacturing process. The results of this study may be summarized as follows. 1) Coating gut is superior to uncoating one in tensile strength and elongation, elasticrecovery and abrasion resistance. 2) In condition of coating treatment, suitable coating speed is 20cm/sec. and suitable coating temperature is 210℃∼220℃.

硬式 라켓·가트의 國內開發에 관한 硏究

陰理鉉,金泳錫 崇田大學校 1977 論文集 Vol.7 No.1

This study has been conducted to develop superior racket gut of hard tennis. The results of this study may be summarized as follows: 1) The superior solvent to adhesive nylon filaments is phenol, and the suitable solution for racket gut of hard tennis is phenol 85%, methanol 15%. 2) The suitable twisting number is 2.30 per inch at 1st twisting and 2nd twisting. in case center filament; diameter..........0.82mm filament number...mono filament outer filament; diameter..........0.16mm filament number...18 filaments at 1st twisting 24 filaments at 2nd twisting 3) In waxing process, paraffin waxing is superior to improve the characteristics of tensile strength and elongation, elasticity and abrasion resistance for racket gut of hard tennis, and the suitable solution is paraffin 50%, petroleum 50%. 4) In curing process, it is effective to treat for 5 to 6 minutes at 160℃ or for 8 minutes at 140℃ to improve above characteristics for racket gut of hard tennis.

지속적 경막외 몰핀에 의한 암성 동통 치료 경험

김완식,김교상,박동호,윤주식,김흥대,김명숙,김영석,김미연 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.2

Epidural injection of 2.0 mg morphine with distilled water or 0.9 % normal saline 10 ml were given to a bladder cancer patient with severe chronic intraetable pain which radiated from low ahdomen to gluteal and low leg region. The patient had absolute pain relief which began 2~3 minutes to onset, with 3~5 minutes of peak of action and was effective for 20~25 hours (mean 24 hours) without complications or continuous care as an ambulatory patient. It is suggested thst the morphine reached the subarachinoid space through the membrane and produced its effect by direct action on the specific opiate receptors in the substantia gelatinosa of the posterior horn of the spinal cord.

소아 미추마취의 임상적 고찰

김완식,박동호,유희구,김영석,정연탁,김미연 대한마취과학회 1979 Korean Journal of Anesthesiology Vol.12 No.2

Many studies have cited occurrences of severe and long-lasting emotional disturbances of almost every kind after surgical procedures, particularly due to the sedatives or narcotics which were administered to control the post-operative pain. In order to control this post-operative pain, pediatric caudal analgesia was performed in 15 infants and children from the age 2 months to 6 years, who were to undergo lower abdomen, perineum and lower extremity surgery. They were induced with inhalation anesthoeia, using nitrous oxide, oxygen and halothane by mask before and during the block. Following the block, infants and children were turned to supine position and the initial concentration of halothane was reduced. All cases were given 10mg/kg of 1% solution of lidocaine. On examination of the level of the analgesia, 13 out of 15 cases had spread higher level than T₁0, with effective block for surgical procedures. The identification of the sacral cornu is easy and technical failureis lees in comparison than with the umbar epidural block for infants and children. Thus we can perform this block sucessfully for infants and children without any complications or accidents. It is especially helpful in the management of postoperative cases due to the effect in control of the postoperative pain. Thus it gives satistaction to their parents, nurses and doctors. Despite no follow-up study on postoperative emotional reactions, it was considered that there were minimal occurrences of emotional and behavioral sequelae following the hospital and surgical experiences.

Ro 5-4200 의 임상적 연구

김완식,박동호,김영석,윤주식,한두호,문준일 대한마취과학회 1973 Korean Journal of Anesthesiology Vol.6 No.2

Benzodiazepine derivatives, chlordiazepoxide(Librium), diazepam(Valium), nitrazepam(Mogadon) and oxazepam(Serenid-D) are mainly used as hypnotics at present. Diazepam has been used mainly for premedication in anesthesia and as an intravenous anesthetic agent. The pharmacological actions of these drugs are tranquilizing effects for central nervous system, slight depression on the cardiovascular and respiratory system, anticonvulsant, anxiolytic and antidepressant effects. A new benzodiazepine derivative, Flunitrazepam(Ro 5-4200) has strong hypnotic action, is anticonvulsant and antidepressant in spite of slight depression of the cardiovascular and respiratory systems. Furthermore the onset and duration of this drug are shorter than the others. In our clinical study, flunitrazepam in the dosage of 0.005mg/kg was administered intravenously, as an intravenous anesthetic induction agent, for 22 surgical adult patients. In each patient, the blood pressure, pulse rate, respiratory rate, minutes volume and arterial gas study were done, before and after administration of the Ro 5-4200. The results are as follows; 1. Dosage of this flunitrazepam is not constant as other benzodiazepines. 2. The effects of flunitrazepam on the cardiovascular system showed slight depression but no effect by one hour post-operation. 3. In respiratory system, the minute volume was depressed slightly and the respiratory rate was increased but negligibly. 4. Undesirable side effects attributed to this drug were not found, except the developing of cough (one case).

집중치료실관리

김완식,박동호,윤주식,김영석,한두호,문준일 대한마취과학회 1973 Korean Journal of Anesthesiology Vol.6 No.2

Sine 1961, Dr. Safar postulated the new form of patient, so called $quot;progressive patient care$quot;, the hospital service in all countries are fashioned with intensive therapy unit. Particulary the- World Federation Society of Anesthesiologists who have discu sincerly at several International congress. we were interested from the literature and visited England, Denmark, United States. and Japan. Of course in Korea, the intensive therapy unit developed from the recovery room and is thus intimately oonnected with anesthesiologists. Here we reviewed with literature and introduced the activities af the iatensive therapy unit of Hanyang University Hospital from May 1972 to October 1973, fram the point view of the definition, building design, location, capacity, equipment, staff organization and charge of patient, several problems and regulations. Furthermore we recommended with the following new ideas for establishment in hospital of an intensive therapy. unit. a. The design should be arranged on the same floor (OR-RR-Anes.-1TU) and in central part of building. b. Several isalation rooms should be made in 1-T-U. c. One central monitoring system will serve each units. d. The 1-T-U equipment should be used with wall trolly system. e. The regulations of 1-T-U should be nated and advocated by all hospital members. f. The beds in 1-T-U should be arranged with open system.

말초신경자극의 효과

김완식,김인규,김영석,안기량 대한마취과학회 1979 Korean Journal of Anesthesiology Vol.12 No.1

In 1965, Melzack and Well proposed the gate-control theory which is based on modern neurophysiological principles. Its clinical application in western medicine remains in the area of pain control to relieve pain in certain diseases such as in tbe neck, scapula, elbow, wrist, knee, ankle joint pain, low back pain, facial palsy, headache, etc. Recent study, gradually developed in the western countries, has reported that the mechanism of action is by the method of the opiate receptor binding -sites and the release of intrinsic morphine like substances two related pentapeptides, 5HT (5-Hvdr oxyltriptamine), Na-glutamate, and by bradykinine, serotonine, histamine and prostaglandine E, etc. by peripheral nerve stimulation. It seems tliat the mechanism of stimulation involves neuropliysiological and neurohumoral inhibitory effects at the level of tLe spinal cord, brain stem (thalamus) and cortex. As yet it is not clcar, but further study will improve the understanding of pain mechanisms in developed countries in the near future. Since 1976, the pain clinic in Hanyang University Hospital has used peripheral electrical acupuncture stimulation and found it to relieve pain which had not responded to various drugs and other metbods. Here, the techinic and procedure of the treatment are described. The results for the forty-seven cases showed: marked improvement in 27 cases(57. 4%), improvement in 17 cases (36. 2%) and transient improvement in 3 cases (6. 4%).

한국에서 보고된 악성고열증 4 예 분석

김완식,유희구,김영석,황호성 대한마취과학회 1977 Korean Journal of Anesthesiology Vol.10 No.1

Four cases of malignant hyperpyrexia were reported in Korea since 197I and three of these cases expired. We discuss here the four cases of malignant hyperpyrexia with clinical features and management, and the importance of early recorgnition and aggressive treatment of malignant hyperpyrexia are stressed.