노령의 대퇴 전자간 골절 치료에서 압박고 나사못의 안정성 및 유용성

김종오,노권재,윤여헌,고영도,유재두,정준모,방한천,정재학 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목 적: 노령의 대퇴 전자간 골절에서 압박고 나사못의 안정성에 영향을 주는 인자들간의 상관 관계와 골절 양상에 따른 술후 고관절 기능을 평가 및 분석하였다. 대상 및 방법: 압박고 나사를 이용하여 수술적 치료를 시행한 231명의 환자 중 6개월 이상 추시가 가능하였던 60세 이상 84명의 환자들을 대상으로 했다. 방사선적 계측은 압박고 나사못의 활강 길이 및 내반각, 가압 나사 위치, 정복 상태, 원위 골편의 내측 전위를 측정하였으며 술후 기능은 Clawson의 기능 평가표로 하였고 골절 양상에 따라 방사선 계측과 기능 회복과의 상관 관계를 평가하였다. 결 과: 임상 결과는 불안정 골절에서 양호가 10례, 불량이 23례, 안정 골절에서는 양호 40례, 불량이 11례로 안정 골절에서 임상 결과가 좋았고(p<0.001), 압박고 나사 활강은 10 ㎜ 이상일 때 양호가 4례, 불량이 21례, 10 ㎜ 이하에서 양호가 46례, 불량이 13례로 10 ㎜ 이상 활강시에 술후 결과가 불량했다(p<0.001). 다르 방사선적 계측 요인은 결과에 의미있는 차이를 보이지 않았다. 또한, 불안정 골절 중에서 전위 양상 골절의 경우 10㎜ 이상 활강이 12례, 10㎜ 이하 활강이 8례, 분쇄 양상 골절의 경우는 10㎜ 이상이 11례, 10㎜ 이하가 2례로 분쇄 양상의 불안정 골절에서 10㎜ 이상 활강이 의미있게 많았다 (p<0.001). 결 론: 10㎜ 이상의 지연 나사 활강은 고관절 기능 회복 약화를 유발시킬 수 있으며 불안정 골절 분쇄 양상 골절은 이런 지연 나사의 활강이 과도하게 유발될 수 있으므로 불안정 분쇄 양상 골절에서 압박고 나사의 단독 사용은 재고해 보아야 할 것이다. Purpose: To evaluate the relationship between fracture stability and functional results, and analyze the correlation between stability factors and the outcome in intertrochanteric fracture of the elderly. Materials and Methods: Of the 231 patients, 84 patients with age above 60 were able to follow up for minimum 6 months. We measured the sliding length of the lag screw, varus degree, position of lag screw, reduction status and medialization of distal fragment radiologically. The functional outcome of the treatment was evaluated with the Clawson's result classification and we evaluated the correlation between the radiological results of measurement and the functional recovery depending on the Evans fracture classification. Results: There were good results in 40 cases out of 51 stable fractures, and in 10 cases out of 33 unstable fractures (p<0.001). In case of sliding of lag screw more than 10㎜, good results were obtained in 4 cases, and poor in 21. And in case of sliding less than 10㎜, good results were obtained in 46, and poor in 13. (p<0.001).But there was no relationship between other radiologic factors and clinical results. In unstable type, there were 12 cases with lag screw sliding more than 10㎜ and 10 cases with less than 10㎜. In comminuted type, there were 11 cases with lag screw sliding more than 10㎜ and 2 cases with less than 10㎜(p<0.001). Conclusion: The sliding of lag screw more than 10㎜ may result in poor outcome. As in comminuted unstable pattern, sliding of lag screw might be excessive, the use of compression hip screw alone is not good treatment option.

롤포밍을 위한 박판 미세구조물 기초 연구

정동원,김형종,최두선,제태진,박재현 濟州大學校 海洋硏究所 2004 해양과환경연구소 연구논문집 Vol.28 No.2

Sandwich sheets consisting of two or more different material layers are widely used in various industries due to the diversity of properties they Possess, such as high electrical conductivity. high corrosion resistivity. high strength. etc. The production of sandwich sheets by a rolling process. which is a more efficient and economical approach compared to other types of Processes. has become an increasingly important subject of study. In this study, the focus of the analysis is to evaluate stress and strain of the micro structure by the roll forming.

국내 5개 3차 병원의 β-lactam계 항생제 사용 실태 및 Klebsiella pneumoniae의 항생제 내성과의 상관 관계

정숙인,박경화,권기태,고관수,오원섭,정두련,백경란,염준섭,장현하,김신우,손준성,송재훈 대한감염학회 2007 감염과 화학요법 Vol.39 No.4

Background : This study was performed to evaluate the prescribing pattern of β-lactam antibiotics and the relationship between antimicrobial resistance and antimicrobial use in 5 tertiary care hospitals in Korea. Materials and Methods : Data on annual patient-days and annual consumption (defined daily dose (DDD) per 100 patient-days) of β-lactam antibiotics from 2003 to 2005 in 5 tertiary hospitals were analyzed. To determine the antimicrobial resistance in K. pneumoniae, broth microdilution test and double disk synergy were performed according to the CLSI performance standards. Spearman's correlation coeffient was used to determine the relationship between antibiotic consumption and resistance. Results : The prescription of β-lactam antibiotics in 5 tertiary hospitals markedly varied. In two hospitals, increase in consumption of β-lactam antibiotics was more than 30% during recent 3 years. The higher consumption of β-lactam antibiotics significantly correlated with the higher rate of antibiotic-resistant K. pneumoniae in 5 tertiary care hospitals. Conclusion : Continuous surveillance of antibiotic use is needed to encourage appropriate prescribing of antibiotics and to reduce antibiotic resistance. 목적 : 항생제의 오남용으로 인한 내성균의 발현 및 급속한 확산이 전세계적으로 문제시 되고 있다. 특히 병원은 항생제 내성의 중심점에 있는 것으로 여겨진다. 본 연구에서는 최근 3년간 국내 5개 3차 병원의 β-lactam계 항생제의 사용량을 조사하고, 각 병원별 항생제 사용량과 K. pneumoniae의 항생제 내성률과의 상관관계를 알아보고자 하였다. 재료 및 방법 : 국내 5개 3차 병원에서 2003년 1월부터 2005년 12월까지 병원 입원 환자를 대상으로 연도별 재원연인원수와 각 β-lactam계 항생제의 총사용량을 수집하여 DDD (defined daily dose) per 100 patient-days로 환산하여 비교하였다. 2005년 6월부터 8월까지 각 병원의 임상검체에서 동정된 K. pneumoniae를 수집하여 액체배지미량희석법으로 항생제 감수성 검사를 시행하였고 ESBL(extended-spectrum β-lactamase) 생성 여부는 double disk synergy test를 시행하였다. 항생제 사용량과 내성의 상관관계는 Spearman 상관관계 분석을 시행하였다. 결과 : 5개 병원 중 3개 병원에서는 연도별 β-lactam계 항생제 사용량이 비슷하게 유지되었으나, 2개 병원에서는 2003년에 비해 2005년에 항생제 사용량이 30% 이상 증가하였다. β-lactam계 항생제 중 제제별 비율은 각 병원마다 차이가 있었으나, 3세대 cephaosporin의 사용이 가장 많았고 2세대 ceaphlosporin, β-lactam/β-lactamase inhibitor, 1세대 cephalosporin 순이었다. 경구용 β-1actam계 항생제의 사용량(r=0.900, P<0.037)과 2세대 cephalosporin의 사용량(r=0.900, P<0.037)은 각각 K. pneumoniae의 ESBL 생성과 양의 상관관계가 있었다. Ceftazidime의 사용량은 K. pneumoniae의 ceftazidime 내성률과 양의 상관관계가 있었다(r=0.900, P<0.037). 반면 imipenem의 사용량은 piperacillin/tazobactam 내성과 음의 상관관계가 있었다(r=-0.900, P<0.037). 결론 : 최근 3개년간 항생제 사용량은 병원별로 차이가 있으나 일부 병원에서는 증가하였다. β-lactam계 항생제의 사용량은 K. pneumoniae의 항생제 내성과 상관관계가 있었다. 항생제 사용을 줄임으로써 항생제 내성을 감소시킬 수 있을 것으로 기대되며, 병원별로 항생제 사용에 대한 지속적인 감시가 필요할 것이다.

천연항균제 처리에 의한 양돈배합사료의 품질보존

정재두,조성환 경상대학교 농업생명과학연구원 2003 농업생명과학연구 Vol.37 No.4

우수한 항균력을 지닌 천연항균제인 자몽종자추출물(Grapefruit seed extract GFSE)과 초피추출물(Zanthoxylum piperium DC.)을 이용하여 사료의 변패에 관여하는 미생물에 대한 항균력을 검토하였다. Paper disk 법에 의한 항균력 검사결과, 자몽종자추출물은 50ppm 이상에서 초피추출물은 200ppm 이 상에서 항균력을 보여 천연항균제로서 산업계에 적용가능성을 보여 주었다. 열 및 pH에 대한 안정성 검사결과, GFSE구와 초피추출물 처리구의 천연항균제 공히 pH 4~10 , 열 40℃~180℃의 범위내에서 항균력이 지속되는 결과를 보였다. 항균제 처리에 의한 미생물의 형태변화 조사결과 GFSE구와 초피추출물 처리구는 대조구에 비해 미생물의 세포막을 파괴하는 것을 관찰할 수 있었다. 양돈배합사료에 천연항균제를 배합처리하고 저장할 때, 자몽종자추출물로 처리한 사료구는 대조구에 비하여 조단백질 및 조지방함량 이 높은 것으로 나타났으며, 사료중 변패미생물의 총균수가 낮은 경향을 보였다. 아울러, 시험사료에 대한 시험기간별, 향미, 색도에 대한 관능검사에서 우수한 결과를 나타낸 자몽종자추출물은 양돈배합사료의 품질보존에 유효한 것으로 판단되었다. 이상의 결과를 토대로 하여, 여름철 고온다습기에 양돈배합사료에 천연항균제를 처리하여 사료의 품질유지에 유리한 결과를 예측할 수 있으며, 보충시험이 선행된다면 현장 적용도 가능할 것으로 판단되었다. Following statement is the experimental results of antibiosis to microorganisms regarded as putrefaction of feed by use grapefruit seed extract(GFSE) and sable(Zanthoxylum piperium DC.)extract which have good antibiotic properties. As a result of antibiosis test using the method of paper disk, GPSE showed antibiosis over 50 ppm and sable extract did over 200 ppm. Natural antibiotic of GFSE and sable extract showed thermal & pH stability in the range of 40℃~150℃ and pH 4~10, respectively. We could investigate that GFSE and sable extract treatment destroyed cell membranes of contaminated microorganisms in camparison with control showing no changes. While the swine feed stored in the chamber, feed treated with GFSE showed the highest content of crude protein and crude fat as well as the least contaminted colony count. As feed treated with GFSE and stored in the storage chamber also showed the best sensory evaluation results, we could estimate that GFSE, natural antimicrobial agent, should be essential to the preservation of swine feed storaged in the high temperature and humidity in summer.

만성두통환자에 대한 침치료가 심박변이도에 미치는 영향

정인태,이상훈,김수영,차남현,김건식,이두익,이재동,임사비나,이윤호,최도영 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objective : The purpose of this study was to assess the effect of acupuncture treatment for chronic headache patients using power spectrum analysis of the heart rate variability(HRV). Methods : 15 clinical experiment participants were gathered and through a questionnaire patients who experienced headache for more than 4 hours a day and more than 15 days per month were qualified as Chronic Headache patients. Treatment was applied 2 times a weeks for 8 weeks. The acupoints, GV20, HN23, ST8, HN46, TE17, GB20, LI20, LI11, LI14, ST36, and LR3 were stimulated for 20 minutes. The effects of acupuncture treatment were analyzed using power spectrum analysis of the HRV, HRV was recorded before and after acupuncture treatment. Results : HRV before and after treatment was compared after 8 weeks of acupuncture treatment. Increase in mean values of SDNN and RMSSD were observed but the increases were not statistically significants. Increase in mean values of TP, LF and HF were observed but, the increase was significant(p<0.05) only in TP. Conclusions : The results suggest that acupuncture treatment on chronic headache patients can increase the activity of autonomic nervous system. Further use of HRV for quantitative analysis of acupuncture treatment on autonomic nervous system related symptoms is suggested.

수입각증후군에 의한 급성 복증 1례

정은욱,지삼룡,이영태,박지훈,김동기,제인수,채두근,박성재,박은택,이연재,이상혁,설상영,정정명 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.

정상아동 4,5세를 대상으로 한 상자와 나무토막검사의 검사-재검사의 신뢰도검사 : Test-Retest Reliability for 4,5 Years Old Children

정민예,이재신,두정희 한국전문물리치료학회 1996 한국전문물리치료학회지 Vol.3 No.3

Scale Invariant Feature Transform을 이용한 눈동자 영역 추출

정재진,황의성,주동현,김두영 동아대학교 정보기술연구소 2006 情報技術硏究所論文誌 Vol.14 No.1

This paper is the eye region which is used with confirmation element of face image it uses the SIFT and it extracting method proposes. The eye region image where becomes model and it composes the keypoint descriptor which is a SIFT result of the input image which it will extract. It uses the keypoint descriptor which and creates it composes a each feature vector, and the judgement where affine transform should have existed on after two feature points which adjusts with each other, against the feature point field which confront above half as the case eye region where the with each other same affine transform will exist it judged. There is not a test result learning process, more quickly recognition method of existing methods than the possibility of getting the result which extracts the region it was.

만성두통환자에 대한 아로마침의 임상적 연구

정인태,김수영,김건식,이두익,이재동,이윤호,최도영 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-

Objective : Because the cause and etiology of chronic headache is not yet fully explained, the treatment of this symptom is not simple. This study compares the effects of aroma acupuncture and normal acupuncture applied an chronic headache patients, in order to establish a primary data for further studier of new treatments and developments of new practical acupunctures. Methods : 38 clinical experiment participants were gathered and through a questionnaire patients who experienced headache for more than 4 hours a day and more than 15 days per month were qualified as Chronic Headache patients. The qualified patients were classified in to two groups, aroma acupuncture group(Aroma AT group, n=23) and normal acupuncture group(AT group, n=15). Treatment was applied 2 times a weeks for 8 weeks. The acupoints, GV20, HN23, ST8, HN46, TE17, GB20, LI20, LI11, LI14, ST36, and LR3 were stimulated for 20 minutes in both the groups. The effects of both groups were analyzed using VAS scores and BPI(Brief Pain Inventory). Results : The VAS pain scores improved significantly in both groups. The decrease rate was larger in the Aroma AT group(p<0.05). The BPI scores for the both groups also decrease. The improvement in the Aroma AT group was larger(p<0.05). Conclusion : Aroma acupuncture applied on chronic headache patients showed effects of relieving pain, improving general activities, changing the mood, and improving sleeping behaviors. These effects were analyzed using VAS scores and BPI. The Aroma AT group showed significant changes of VAS and BPI compared to the AT group, suggesting that this new practical acupuncture is very effective when treating chronic headaches. Further researches are needed to evaluate the distinct functional mechanism of aroma acupuncture, but this study is meaningful in the sense that it will act as a fundamental study to build on.

정상인에서 양가감정과 관련되 뇌 영역 : 양전자방출단층촬영 상관 연구

정영철,석정호,전지원,박해정,이종두,김재진 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.3

Objectives : The present study investigated the brain regions that correlate with ambivalence in schizotypy, a latent personality organization that is proposed to precede and contribute to the liability of developing schizophrenia. Methods : Using ^(18)F-FDG PET scan, we investigated the brain activity of twenty one normal healthy subjects during the resting state. Questionnaires, including the Korean Version of Schizotypal Ambivalence Scale (K-SAS), were administrated after the scan in order to assess the self-rated individual differences in ambivalence. Results : The Schizotypal Ambivalence Scale (SAS) scores showed positive correlation with the metabolic rates in the left parahippocampal gyrus and the fornix. In contrast, the Ambivalence over Expression of Emotion Questionnaire (AEQ) scores showed negative correlation with the metabolic rates in the right putamen. Although scores of the two ambivalence scales Correlated positively (Pearson correlation coefficient 0.477, p<0.050), there was no substantial overlap between the neural correlates. Conclusion : This study suggests that the hippocampal complex, which dysfunction has been reported to correlate with impaired information processing in schizophrenia, may underlie schizotypal ambivalence.