화학적 요부 교감신경절 차단에서 한 분절 차단과 두 분절 차단의 비교

김종일,이규종,이상곤,민병우,반종석,문철준 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

Chemical Lumbar Sympathetic Block: Comparison of One- Versus Two-needle Techniques Chul-Jun Mun, M.D., Kyu-Jong Lee, M.D., Sang-Gon Lee, M.D., Jong-Il Kim, M.D.^* Jong-Suk Ban, M.D., and Byung-Woo Min, M.D. Department of Anesthesiology, Fatima Hospital, Daegu, Korea ^*Kim Jong Il Pain Clinic, Daegu, Korea Background: It was frequently noticed in the course of performing a two-needle sympathectomy, that satisfactory spread of contrast solution could be produced by injection through only one of the needles. This led to a closer examination of the merits of single-needle technique. Methods: Forty patients were randomized into two groups. Patients in the single-needle group (n = 20) were injected at the second or third lumbar sympathetic ganglia, while patients in the two-needle group (n = 20) were injected at the second and thired lumbar sympathetic ganglia. Lumbar sympathetic blocks were performed using 3 ml of alcohol and the spread of injectate was verified with C-arm fluoroscopy. The indicators of a successful sympathetic block are increasing skin temperature, decreasing pain, and anhidrosis in the distal extremity. Results: The duration of anhidrosis was 12.2 ?? 2.6 months (mean ?? SD) in the single-needle group versus 13.6 ?? 3.6 months (mean << SD) in the two-needle group. Conclusions: As these results were not significantly different from those obtained in patients having considered to be effective for a neurolytic ;i,bar sympathectomy. (korean J Anesthesiol 2001; 41: 439~443)

老齡者의 建康을 위한 生活習慣 實態調査

申東敏,長鳳愚,李揆文,金賢俊,金昌範,崔宗洙,崔鍾晥,李鍾珏,金圭碩,趙庚旭,金鍾聲,朴鍾振 平生體育硏究所 論文集 1987 平生體育硏究所 論文集 Vol.2 No.-

With a view to examining the habit and method in which old people maintain and improve their health, we consulted 551 men and 444 women who were over 65 years old, and concluded as follows: 1. Habit of eating It's been revealed that most of the old people keep a regular eating hour, control the quantity of meal or eat a little food, and prefer vegetables to meat. 2. Mental health Old people feel the necessity for mental health and most of them (about 80%) keep good mental health without becoming pessimistic. Their chief concenrs have turned out to be about their sons and daughters and their own health and finance. 3. Managing Good Health It has been revelaed that old people do not possess any special kind of secret to keep good health but taking plenty of rest, regular meal, and proper exercise, and many of them (about 60%) have been shown to eat invigorant food that they can easily get around their living area. 4. Physical Functions It has been revealed that many old people are conscious of some symptoms about their parts of body and about to percent of them suffers from neuralgia. Some measures like medical aid especially for old people need to be taken as soon as possible. As we have found that the health-keeping method of old people consists plenty of rest, proper exercise, and appropriate nutrition, we can conclude that the recreatonal and culture facilities and programs for keeping old people in good health should be developed. It is also necessary to study food that contribute to their health and develop ways to get rid of the stresses to which they are exposed in their daily life. Presides, it is natural that government found an administrative department to deal with these matters effectively.

한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.

GIS를 이용한 伐採制限地 選定에 관한 硏究

禹鍾春,崔朝龍,元賢圭 강원대학교 삼림과학연구소 2000 Journal of Forest Science Vol.16 No.-

본 연구는 GIS를 이용하여 산림경영을 위한 의사결정을 지원할 수 있는 방안을 연구하였다. 그리고 임목의 벌채로 인한 수질오염문제, 토사유출문제를 해결하기 위하여 우선 입목을 벌채를 실시할 경우, 벌채 금지구역을 선정하였다. 강원대학교 연습림 지역에 대한 벌채계획 수립 시, 벌채로 인한 여러 가지 위험요소들이 발생하므로 벌채제한지의 선정은 매우 중요한 일이다. 따라서 본 연구에서는 이용된 GIS 분석방법으로는 Arc/Info 7.1의 기능 중에 하나인 버퍼링(Buffering)기능과 중첩기능(Overlay)를 이용하여 분석을 실시하였다. 연구결과, 전체 249.82ha에서 52.64ha가 벌채제한지로 나타났고, 수종별로 살펴보면 활엽수가 13.21ha, 잣나무 26.44ha, 낙엽송 12.38ha, 소나무 0.61ha이었다. 잣나무가 26.44ha로 가장 많은 지역에서 벌채제한지로 나타났다. This paper studies the methods to support decision making for forest management Using GIS. Specially, most important is selecting restrict area to timber harvest suitable on scheduling its harvest in experimental forest of kangwon national university. Because timber harvesting causes water pollution, land sliding and soil erosion, it is necessary to restrict area to be harvest. The study is analyzed with Buffering modules and overlay modules which are an function of Arcinfo 7.1. As a result, restricted area is 52.64ha in total area. Of which Hardwood stand 13.21ha, pinus Pinus koraiensis stand 26.44ha, Larix leptolepis stand 12.38ha and Pinus rigida stand 0.61ha. Key words : timber harvesting, harvesting restriction, GIS

시상출혈 환자의 지연 순목반사

박종무,김호진,윤창호,이용석,노재규,이광우 대한신경과학회 1999 대한신경과학회지 Vol.17 No.5

풍화에 따른 퇴적암의 강도 변화

배우석,이봉직,오세욱,이종규 한국산업안전학회 2003 한국안전학회지 Vol.18 No.1

The failure of rock slopes were influenced by weathering, which causes change in the shear strength. The weathering is also directly related to slaking and swelling characteristics. In the paper, the core of diameter 10㎝ was obtained by digging on rock slope of Kong-ju in Korea and the EDX (Energy Dispersive X-ray spectrometer) analysis was carried out to verified element of chief rock-forming minerals. Uniaxial compression tests, slaking tests, and point load test are performed to study engineering characteristics of conglomerate and red shale. As a results of slaking test, slaking index of conglomerate indicate range of 85.11-99.58 and shale indicate 58.37-99.23.Therefore, it is recognized that the resistance of shale to weathering decreases in shallow depth and it greatly influences the strength of rock. The result of uniaxial compression test and point load test show that the strength of sedimentary such as conglomerate and red shale has an influence on both weathering and saturation.

Auto_LISP을 이용한 기어설계 프로그램 개발에 관한 연구

이경원,반재삼,김종석,조규종 한국공작기계학회 2002 한국생산제조학회지 Vol.11 No.2

After investigating repeatedly result obtained through gear stress analysis, we make a determination of an optimal gear shape. But its design process was not only complex but also difficult to get a precise profile curve from operating by hand. In this study, rotating shape of gear profile curves was generated automatically with standard spur gear, equivalent helical gear, shifted gear & pinion by using developed program which is using Auto_LISP language in Auto-CAD. This program which can design rapidly gear shapes will successfully support gear designing and manufacturing for Small & Medium companies.

Carcinoembryonic Antigen (CEA) 陽性 胃腺癌細胞에 對한 免疫組織化學的 및 免疫細胞化學的 硏究

鄭琮吉,鄭相愚,曺圭赫 全南大醫大 1984 전남의대학술지 Vol.21 No.3

MRAC를 이용한 2 자유도 구륜 이동로보트의 경로추적

문종우,김원규,박종국 경희대학교 자연과학종합연구원 1997 자연과학논문집 Vol.3 No.-

본 논문은 2 자유도 구륜 이동로보트의 기구학 모델과 기준모델 적응제어기 설계를 다루었다. 구륜 속도와 본체 속도를 계산하기 위하여 정기구학(forward kinematics)과 역기구학(inverse kinematics)를 유도하였으며, 제어변수의 수와 제어입력의 수가 동일하게 되도록 제어변수를 극좌표로 변환하였다. 구륜 이동로보트의 경로추적을 위한 제어기를 제안하였으며, 제어기 매개변수는 기준모델 적응제어(reference-model adaptive control, MRAC)에 기초한 적응법칙(adaptation law)에 의해 매 단계마다 갱신된다. 설계된 적응제어기를 분석하고, 제어 시스템의 안정성과 수렴성을 증명한다. 제어시스템의 유효성을 입증하기위해 모의실험을 수행하고, 그 결과를 제시한다. This paper presents the kinematic model and the design of a model-reference adaptive controller for wheeled-mobile robots(WMRs) with 2 d.0.f. We derive the forward kinematics and the inverse kinematics to calculate the wheel-velocity and body-velocity. The controlled variables are represented in the polar coordinate so that the number of the controlled variable can be reduced to the same number as the control input. A controller is proposed for path tracking, and then controller parameters are modified by adaptation law based on reference-model adaptive control(MRAC) each step. The adaptive controller is analyzed, and its stability and convergence are proved. Simulation is conducted to prove efficiency of the control system and the results are showed.

성인에서 Haemophilus influenzae 감염증의 임상양상과 미생물학적 특성

이종섭,황병연,정희진,김우주,박승철,이도현,이창규,신종희,황규잠,이영희 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.2

목적 : H. influenzae는 성인에서 흔히 호흡기 감염을 일으키는 균주로, 최근 ampicillin 내성 β-lactamase 생성 균주들이 지속적인 증가를 보이고 있어, 이에 국내 성인에서 H. influenzae에 의한 감염의 임상양상과 분리된 균주들의 미생물학적 특성을 조사하고자 하였다. 방법 : 1998년 3월부터 1999년 9월까지 고려대 구로병원에 내원한 환자중에서 H. influenzae가 분리된 68명을 대상으로 임상양상을 조사하고 항균제 감수성 검사를 시행하였다. 분리된 33주에 대해서 혈청형, 생물형, 세포외막 단백분석을 시행하였고, β-lactamase 생성여부에 따른 감염 환자군간 임상상 및 예후의 차이를 비교하였다. 결과 : 환자의 평균연령은 68세였고, 지역사회 획득감염이 전체의 85%를 차지하였다. 폐렴과 기관지염과 같은 하기도 감염이 전체환자의 75%를 차지하였고 분리 검체 역시 객담이 84%로 가장 많았다. 환자의 71%가 기저질환을 가지고 있었으며, 그 중에 만성 폐쇄성 폐질환, 심혈관 질환, 악성종양, 당뇨병이 대부분이었다. 혈청형으로는 nontypeable 형이 68%로 가장 많았고 b형은 한 예도 없었다. β-lactamase 생성율은 63.2%였고, β-lactamase 양성균주의 항균제 내성율이 음성균주에 비하여 높았으나 β-lactamase 생성 여부에 관계없이 cefotaxime, azithromycin, ciprofloxacin에 대하여 100%의 감수성을 나타내었고 cefaclor, cefuroxime에 대해서는 10% 이하의 낮은 내성율을 보여 이들 항균제들이 치료에 효과적일 것으로 사료된다. 세포외막 단백분석에서는 C형과 D형이 전체의 64%로 가장 많았으며, 혈청형과의 유의한 연관성은 보이지 않았다. 결론 : 성인에서 H. influenzae는 주로 만성 기저질환자에서 급성 호흡기감염 또는 만성 폐쇄성 폐질환의 급성 악화를 유발한다. 기존의 보고에 비해 β-lactamase 양성율이 증가하였고, 이에 따른 항균제 내성율도 증가하여 항균제의 선택에 유의하여야 할 것으로 생각된다. 세포외막 단백분석상 특정한 유형의 균주에 의해 감염이 집중적으로 발생하고 있어 향후 역학 조사의 도구로 이용할 수 있겠다. Purpose : H. influenzae is one of the common causative microorganisms of respiratory tract infections in adults. Recently. β-lactamase producing, ampicillin-resistant H. infiuenzae has become worldwide problem as well as in Korea. We studied to investigate the clinical features and microbiologic characteristics of H. infiuenzae infections in adults. Materials & Methods : From March 1998 to September 1999, 68 patients were enrolled in this study. Clinical features of H. infiuenzae infections were investigated, 68 isolates were subjected to the β-lactamase test, and 33 isolates were used for serotyping. biotyping, antibiotic susceptibility and outer membrane protein (OMP) analysis. Results : Mean age of study patients was 68 years-old and the acquisition rate in community was 85%. Pneumonia and bronchitis were the most common type of infection such as 80%, sputum was the most common clinical specimen for H. mQuenzae isolation. 70% of patients had chronic underlying diseases. Non-typeable strains were 68% and β-lactamase producing rate was 63%. There was no difference in the clinical features and prognosis of H. influenzae infection between the β-lactamase positivie and -negative groups. The susceptibility of cefotaxime, azithromycin, and ciprofloxacin was 100% and that of cefaclor, cefuroxime was under 10% in spite of β-lactamase positivity. In OMP analysis, C and D types were dominant (64%). Conclusion : H. influenzae caused acute respiratory infections in adults with chronic underlying disorders. This study shows higher β-lactamase producing rate and antibiotic-resistance rate than that were reported previously. OMP analysis shows that two major types of strains cause clinical infections intensively.