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이성준,Kyu Sun Lee,Jin Soo Lee,최문희,이성은,홍지만 대한신경집중치료학회 2019 대한신경집중치료학회지 Vol.12 No.1
Background: Acute ischemic stroke patients with malignant infarct cores were primarily treated with neurocritical care based on reperfusion and hypothermia. We evaluated the predictors for malignant progression and functional outcomes. Methods: From January 2010 to March 2015 ischemic stroke patients with large vessel occlusion of the anterior circulation with infarct volume >82 mL on baseline diffusion weighted image (DWI) within 6 hours from onset, with National Institutes of Health Stroke Scale ≥15 were included. All patients were managed with intent for reperfusion and neurocritical care. Malignant progression was defined as clinical signs of progressive herniation. Predictive factors for malignant progression and outcomes of decompressive hemicraniectomy (DHC) were evaluated. Results: In total, 49 patients were included in the study. Among them, 33 (67.3%) could be managed with neurocritical care and malignant progression was observed in the remainder. Decompressive surgery was performed in nine patients (18.4%). Factors predictive of malignant progression were initial DWI volumes (odds ratio [OR], 1.01; 95% confidence interval [CI], 1.00 to 1.02; P=0.046) and parenchymal hematoma (OR, 6.77; 95% CI, 1.50 to 30.53; P=0.013) on computed tomography taken at Day 1. Infarct volume of >210 mL predicted malignant progression with 56.3% sensitivity and 90.9% specificity. Among the malignant progressors, 77.7% resulted in grave outcomes even with DHC, while all patients who declined surgery died. Conclusion: Acute ischemic stroke patients with malignant cores between 82 to 209 mL can be primarily treated with neurocritical care based on reperfusion and hypothermia with feasible results. In patients undergoing surgical decompression due to malignant progression, the functional outcomes were not satisfactory.
양명병(陽明病) 인진호탕(茵蔯蒿湯)으로 호전된 유두 습진 1례
이성준,이자복,Lee, Sung-Jun,Lee, Ja-Bok 대한상한금궤의학회 2014 대한상한금궤의학회지 Vol.6 No.1
Objective : This study aims to explain the effect of Injinho-tang on Eczema which a Yangmyung-byeong patient has. Methods : This is a case report on a female patient who has been suffering from Eczema. According to Diagnostic system based on Shanghanlun provisions, Injinho-tang was provided for six months. Results : After a series of Injinho-tang treatments, the patient's symptoms and result improved. Conclusions : This case study showed an effectiveness of using Injinho-tang according to Diagnostic system based on Shanghanlun provisions on Eczema.
상한론에 근거하여 오수유탕을 이용하여 호전된 건선 치험 1례
이성준,서희애,이숭인,Lee, Sung-Jun,Seo, Hee-ae,Lee, Soong-In 대한한의학방제학회 2016 大韓韓醫學方劑學會誌 Vol.24 No.1
Objective The object of this case report is to evaluate the possibility of utilizing Osuyu-tang as a new therapy of psoriasis.Method Diagnosis and Psoriasis' progress was evaluated based on the patient's chart and picture. Diagnosis based on Sanghanlun was organized by graph. The severity of psoriasis' progress was evaluated by Psoriasis Area Severity Index(PASI) and visually analyzed through picture.Results On PASI and picture, we could confirm psoriasis’s area was decreased from hairline to middle of forehead and redness, thickness, scale of psoriasis also got better.Conclusion Osuyu-tang is efficient to patient of this case report as a treatment.
이성준,정상섬,김수일,Lee, Seong-Jun,Jeong, Sang-Seom,Kim, Su-Il 한국지반공학회 1997 지반 : 한국지반공학회지 Vol.13 No.5
본 연구에서는 항타말뚝과 비교한 현장타설말뚝의 극한지지력을 하중전이함수를 적용하여 예측하였으며 이를 토대로 항타말뚝과 비교한 현장타설말뚝의 지지력을 현장재하시험 결과와 비교, 분석하였다. 비교, 분석은 하중전이함수들 중 응력 연화를 고려한 방법, 쌍곡선 함수법 및 탄소성 방법을 대표하는 Vijayvergiya의 방법, Castelli의 방법 및 2중 직선법을 적용하여 지반 종류에 따라 현장타설말뚝의 하중-변위관계를 산정하였다. 본 연구 결과 동일한 지반에 설치된 항타말뚝과 현장타설말뚝의 극한지지력은 총 주면마찰력의 차이로 인하여 항타말뚝이 더 큰 것으로 나타났으며 이러한 차이는 점토질 지반에서 보다는 모래질 지반에서 더 크게 나타났다. 같은 지지력을 발현하기 위해 필요한 말뚝 두부에서의 변위량은 항타말뚝보다는 현장타설말뚝에서 더 크게 나타났으며 현장타설말뚝이 극한지지력을 발현하기 위해 필요한 변위량과 이와 같은 크기의 지지력을 발현하는데 필요한 항타말뚝의 변위량과의 차이는 모래질 지반에서 가장 크게 나타났다. 현장타설말뚝과 항타말뚝의 말뚝직경과 길이의 비(LID)의 변화에 따른 극한지지력의 차이는 점토질 지반의 경우 일정한 것으로 나타났으나 모래질 지반에서는 LID의 비가 증가할수록 극한지지력의 차이가 증가하는 것으로 나타났다. In this study an iterative procedure for the analysis of drilled shafts was proposed on the basis of the load transfer mechanism. Special attention was given to the estimation of bearing capacity of drilled shafts which was compared with driven piles, and then with the results of pile load test. The load displacement at the pile head was calculated by load than sfer curves (t -z curves, q-z curves) by using Vljayvergiya, Castelli and hi -linear models. Bab ed on the analytical results, it is found that the behavior of drilled shafts is different from that of driven piles the smaller the skin friction mobilized at the pile-boil interface, the smaller the development of the bearing capacity. Hence the greater pile head movement is required to mobilize the same mainitride of bearing capacity. This trend is more noticeable in sand than in clay. It is also found that as the length-todiameter ratios increase, the dirtference of ultimate bearing capacity between drilled shafts and driven piles is becoming lass ger in sand, but it is minor in clay.
사출성형 조건 변화에 따른 도광판의 황화현산에 관한 연구
이성준,민인기,김종선,이성희,윤경환,Lee, Sung-Jun,Min, In-Ki,Kim, Jong-Sun,Lee, Sung-Hee,Yoon, Kyung-Hwan 한국금형공학회 2015 한국금형공학회지 Vol.9 No.2
Recently, the light guide plate (LGP), a component of the BLU, becomes thinner and larger than ever. In industrial field, specialized injection molding technique is applied to mold the ultra-thin LGP such as a ultra-high speed injection molding. Usually very high melt temperature is used for low viscosity. High injection speed and melt temperature lead to yellowing of LGP. In the present paper a series of injection molding experiment was performed under various injection molding conditions. Yellow index, CIE xy, spectral transmittance of sample were measured using the UV-Visible spectrophotometer. Systematic decrease of spectral transmittance in UV-B range was found as the melt temperature was higher. Yellow index and CIE xy were became higher near the gate location in LGP. From the result of analysis of variance, the main factor to affect for yellow index was mold temperature and that for spectral transmittance(at 315 nm) was melt temperature.
이성준,허주,Lee, Sung-Jun,Heo, Joo 대한상한금궤의학회 2015 대한상한금궤의학회지 Vol.7 No.1
Objective : This study is aimed to report the outcomes of the treatment of a patient with tinnitus during 6 month. Methods : Basic patient's data was analyzed as a CARE guideline. And related symptom was measured with VAS. Results : The symptom of tinnitus reduced from 10 to 2 on VAS. And the symptom of feeling cold get lower. Conclusions : Gyejigagalgeun-tang improved the symptom of tinnitus on this study.
대양병(大陽病) 백호가인삼탕(白虎加人蔘湯)으로 호전된 건선 치험 1례
이성준,김남곤,Lee, Sung-Jun,Kim, Nam-Gon 대한상한금궤의학회 2015 대한상한금궤의학회지 Vol.7 No.1
Objective : This study reports the effect of Bekhogainsam-tang on psoriasis. Methods : This is a case report on a patient who has been suffering from psorasis. According to Diagnostic system based on Shanghanlun provisions, Bekhogainsam-tang was provided for 47 days. The severity of psoriasis was evaluated by PASI score and pictures. Results : After taking Bekhogainsam-tang for 47 days, PASI score decreased $1.4{\rightarrow}0.2$ Conclusions : This case report showed an effectiveness of using Bekhogainsam-tang according to Diagnostic system based on Shanghanlun provisions on psoriasis.
능동이완기법(active release technique)을 병행한 한방치료로 호전된 극상근건 부분 파열 호전 2례
이성준,박재현,남수현,강준혁,Lee, Sung-Joon,Park, Jae-Hyun,Nam, Su-Hyeon,Kang, Jun-Hyuk 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.1
상기 증례에서 저자는 극상근건 부분 파열 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS 평가를 통해 다음과 같은 결론을 얻었다. 1. 극상근건 부분 파열로 견통 및 견관절 ROM 제한 발생한 환자에게 한방치료 및 ART 치료를 적용하여 견관절 ROM, VAS에서 현저한 개선 보인 것을 확인할 수 있었다. 2. 비교적 증례가 많지 않고 한방적 치료 과정이 정립되어 있지 않은 극상근건 부분 파열에 한방 치료와 ART 치료를 병행하는 것이 효과가 있음 을 알 수 있었다. Objectives : The purpose of this study is to report the effect of Korean medicine treatment combined with active release technique on supraspinatus tendon partial tear. Methods : Two patients with supraspinatus tendon partial tear were treated by Korean medicine treatment in combination with active release technique. Visual analog scale(VAS), range of motion(ROM) were used to measure changes during treatment. Results : After treatment, shoulder pain and limited range of motion were improved significantly. Conclusions : Korean medicine treatment in combination with active release technique is proved to be helpful to improve the symptoms of the supraspinatus tendon partial tear patients. And, further studies will be needed.