Cemented Te로부터 고순도 Te 금속의 제조

이철경,이강인,유효신,양동효,하윤철,정구진,손헌준,Lee, Churl-Kyoung,Rhee, Kang-In,Yu, Hyo-Shin,Yang, Dong-Hyo,Ha, Yoon-Cheol,Jung, Gu-Jin,Sohn, Hun-Joon 한국자원리싸이클링학회 1999 資源 리싸이클링 Vol.8 No.5

정형외과 의사가 시행한 초음파 유도 액와 상완 신경총 차단술

김철우(Cheol-U Kim),이철형(Chul-Hyung Lee),윤자영(Ja-Yeong Yoon),이승구(Seung-Koo Rhee) 대한정형외과학회 2018 대한정형외과학회지 Vol.53 No.6

목적: 본 연구는 상지 수술에서 정형외과 의사가 시행한 초음파 유도 액와 상완 신경총 차단술의 유용성 및 합병증을 조사하기 위해 시행하였다. 대상 및 방법: 2017년 3월부터 2017년 5월까지 총 103건에서 초음파 유도 액와 상완 신경총 차단술을 시행하였다. 초음파 및 프로브는 Siemens Acuson X300의 VF13-5 transducer를 사용했다. 수술 부위가 차단한 신경의 해부학적 감각 분포 범위에 포함되는 경우 대상에 포함하였으며, 다발성 손상으로 2시간 이상의 수술 시간이 예상되는 경우와 상완부의 수술은 제외했다. 술기는 lidocaine HCl 2% 20 ml, ropivacaine 0.75% 20 ml, 0.9% normal saline 10 ml로 조성된 50 ml의 혼합액으로, 2명의 정형외과 의사에 의해 동일한 방법으로 시행되었으며, 술기의 성공률(수술 시 마취 유도 상태 여부), 마취 유도 시간(천자침 제거 후 근력과 감각이 모두 소실될 때까지의 시간), 가능한 상지 수술 범위, 수술 후 무통 지속 시간(완전 마취 유도와 수술 후 수술 부위 통증 발생까지의 시간) 및 합병증을 조사하였다. 결과: 술기를 시행한 2명의 의사 간 결과값의 차이는 없었다. 초음파 유도 액와 상완 신경총 차단술에 소요된 needling time은 평균 5.5분(2.5-13.2분), 완전 마취 유도에 걸린 시간은 평균 18.4분(5-40분)이었으며 103명의 환자 중 100명에서 마취가 성공하여 97.1%의 성공률을 보였다. 무통 지속 시간은 평균 402.8분(141-540분)이었다. 마취 후 1예에서 어지러움, 4예에서 구역, 구토 증상을 보였고, 2예에서 입 주변이 얼얼한 증상을 보였으나 7예 모두 당일 완전히 호전되었으며, 총 103예 중 3예에서는 마취 실패로 수술실에서 2예에서 국소 마취제를 추가 투여하였고, 1예에서 전신 마취로 전환하여 수술을 하였다(3예/103예, 2.9%). 결론: 일부 주관절을 포함한 상지 수술에서 정형외과 의사가 시행한 초음파 유도 액와 상완 신경총 차단술은 빠르고 쉽게 마취를 가능하게 하여 수술 대기 시간을 줄일 수 있으며 높은 마취 성공률을 얻을 수 있게 하고 용량 선택적 마취가 가능하게 하는 안전한 술기로 판단된다. Purpose: The purpose of this study was to assess the effectiveness and complications of an ultrasound-guided axillary brachial plexus block performed by orthopedic surgeons. Materials and Methods: From March to May 2017, an ultrasound-guided axillary brachial plexus block was performed on a total of 103 cases of surgery. A VF13-5 transducer from Siemens Acuson X300 was used. The surgical site was included in the range of the anatomic sensory distribution of the blocked nerve, except for the case where an operation time of more than 2 hours was expected due to multiple injuries and the operation of the upper arm. The procedure was performed by 2 orthopedic surgeons in the same method using 50 ml of solution (20 ml of lidocaine HCl in 2%, 20 ml of ropivacaine in 0.75%, 10 ml of normal saline in 0.9%). The success rate of anesthesia induction during surgery, anesthetic induction time, anatomical range of operation, duration of postoperative analgesia and complications were investigated. Results: The results from the 2 practices were similar. The anesthesia was successful in 100 out of 103 patients (97.1%). In these patients, the average needling time was 5.5 minutes (2.5–13.2 minutes), the average induction time to complete anesthesia was 18.4 minutes (5–40 minutes), and the average duration of postoperative analgesia was 402.8 minutes (141–540 minutes). The post-anesthesia immediate complications were dizziness in 1 case, nausea and vomiting in 4 cases, and peri-oral numbness in 2 cases, but surgery was performed without problems. All these 7 cases with complications recovered on the same day. A total of 3 cases failed with anesthesia, and they were treated by an injection with local anesthesia in the operation room in 2 cases and switched to general anesthesia in 1 case. Conclusion: An ultrasound-guided axillary brachial plexus block, which was performed by orthopedic surgeons allows anesthesia in a brief period and the high success rates of anesthesia for certain surgeries of the elbow and surgeries on forearm, wrist and hand. Therefore, it can reduce the waiting time to the operating room. This technique is a relatively safe procedure and dose selective anesthesia is possible.

지역기반 온라인 농식품 쇼핑몰에서의 지역 및 농촌 배태성과 웹페이지 생산자 정보의 역할

장익훈(Ikhoon Jang),최영찬(Youngchan Choe),문정훈(Junghoon Moon),이철(Cheol Rhee) 한국인터넷전자상거래학회 2015 인터넷전자상거래연구 Vol.15 No.1

This study aims to investigate how economic and non-economic factors influence the customers’ trust in a shopping mall in the context of online grocery shopping. To explain the non-economic factors, we adopt the concept of “social embeddedness,” which is primarily used in the area of sociology. We regard the concept of social embeddedenss as two different type of embeddedness, which are “rural” embeddedness and “regional” embeddedness. Rural embeddedness involves a sense of being produced in a rural area, whereas regional embeddedness involves a sense related to the region or location where people reside. In addition, we attempt to determine whether the producer’s information on the webpage could mediate social embeddedness and trust in a shopping mall. Perceived product price fairness and product quality are used as factors to represent economic value.

국내 디젤철도차량의 온실가스 배출계수 개발방향 연구

이재영(Jae-Young Lee),김용기(Yong-Ki Kim),이철규(Cheul-Gyu Lee),이영호(Young-Ho Rhee),이철(Cheol Lee) 한국철도학회 2010 한국철도학회 학술발표대회논문집 Vol.2010 No.7

Since national mid-term target for GHG reduction was determined in 2009, various efforts in transportations have been prepared. Generally, the GHG emission of transportation is calculated using the emission factor published from IPCC guideline(2006). However, it is necessary to develop new emission factors considering the properties of transportation as well as fuel. In Korean railroad, main emission sources are the consumption of diesel and electricity from railcar operation. The GHG emission of electric-powered railcars can be estimated using national electric emission factor, but diesel-powered railcars show different trends. The purpose of this study was to establish the development plans of emission factors for diesel-powered railcars. As a result, the emission factors of diesel-powered railcars were classified into railcar type, engine type and life cycle, notch, load, and traffic volume. In future, several emission factors with this category will be presented quantitatively through field tests with the order of priority.

Vecuronium-Lidocaine 혼합정주가 Vecuronium의 근이완작용 발현시간에 미치는 효과

이철,이정애,박천희,안용미 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.4

Background : For the rapid sequence induction of general anesthesia, succinylcholne, a depolarizing muscle relaxant, has been used. But succinylcholine has many side effects, so various efforts using nondepolarizing muscle relaxants have been tried. We have tried and observed the effect of a curonium-lidocaine mixture administration. Methods : 120 patients who were scheduled for elective surgery were randomly assigned in 6 groups (Group I, II, III, IL, IIL, IIIL). For groups I, II and III vecuronium was administered only 0.10 mg/kg, 0.12 mg/kg, and 0.15 mg/kg, respectively. For each member of groups IL, IIL and IIIL, lidocaine 1.5 mg/kg was added to the dose of vecuronium of groupI, II and III. The vecuronium or vecuronium- lidocaine mixture was injected for 15 seconds and then thiopental sodium was injected for 15 seconds. 90 seconds after the administration of the vecuronium or vecuronium-lidocaine mixture, every patient was intubated. Intubation condition scores, TOF responses of the adductor pollicis of the thumb, arrhythmia, heart rates, systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were checked and compared. Results : Intubation condition scores were better in groups IL, IIL and IIIL in comparison with groups I, II and III. The TOF responce of the adductor pollicis of the thumb showed a statistically signifiant difference between the lidocaine groups and the nonlidiocaine groups. The time elapsed before the disappearance of TOF was less in the lidocaine groups. Changes of systolic pressure, diastolic pressure, mean arterial blood pressure and heart rate were no difference in the lidocaine groups and the nonlidocaine groups. Conculusions : The results suggest that administration of a vecuronium-lidocaine mixture administraion improves the intubation condition score during a rapid sequence induction of general anesthesia and shortens the time of the disapprearance of the TOF response. (Korean J Anesthesiol 1999; 37: 596∼602)