복부둔상에 의한 간 손상의 임상적 고찰

홍순찬,최상경,박순태,하우송,이진석,권수인,이영준,정은정,조현언,정광근,임병찬 대한외상학회 2000 大韓外傷學會誌 Vol.13 No.2

Because of the merit of nonoperative management of blunt hepatic trauma, which is the avoidance of operative morbidity, the use of nonoperative management has been extended. However the indications for such treatment have not been sufficiently determined. To suggest possible criteria for nonoperative management, we reviewed 95 cases with blunt hepatic injuries which were confirmed by abdominal exploration or abdominal CT in Gyeong Sang National University Hospital from January 1992 to October 2000. Of the 95 patients, 38 patients were treated with operation and 57 patients treated with nonoperative management. We analyzed the patients for age, sex, cause of injury, injured organ, injury grade, transfusion amount, and shock on admission, complications and mortality. The results are as follows; 1) The peak incidence of age was in the 3rd decade (20%), and the male-to-female ratio was 3:1. 2) The most frequent injury mechanism was traffic accidents (40, 42%). 3) The most frequently used diagnostic modality was abdominal CT (95 cases) in the nonoperative and the operative group. 4) On the liver injury scale of the American Association for the Surgery of Trauma (AAST), 13 were grade I, 18 were grade II, 10 were grade III, 13 were grade IV, and 3 were grade V in the nonoperative group ; 1 were grade I, 6 were grade II, 18 were grade III, 8 were grade IV, 4 were grade V, and 1 were grade VI in the operative group. 5) Between the nonoperative and the operative groups, there were significant differences in the systolic blood pressure in the first 8 and 24 hours, transfusion amount, and GOT/GPT level (p$lt;0.05). 6) In comparison of complication, there were 3 cases of heaptic abscess,1 case of intrahepatic hematoma, 1 case of bile leakage, 1 case of rebleeding in operative group (15.7%). There were 2 cases of intrahepatic abscess, 2 cases of intrahepatic hematoma, 4 cases of biloma, 1 case of subcapsular hematoma in nonoperative group (15.7%). In mortality cases, 6patients died in operative group. Among them, 5patiens died from DIC (disseminated intravascular coagulation) and multiorgan failure, 1patient died from ARDS (adult respiratory distress syndrome) in operative group and 2patients died from hypovolemic shock in nonoperative group. In conclusion, i) nonoperative management may be considered as a first choice in children and adults with blunt abdominal trauma and stable vital signs. ii) Patients with hemodynamically stable hepatic injury 8 hrs after resuscitation, even with an AAST OIS grade 4 injury, may be candidates for nonoperative management.

복합레진의 조건등색에 관한 연구 : D_(65), A, C, FCW and TL84

박기정,황윤찬,김선호,오원만,황인남 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.2

There were problems in selecting exact colors of composite resins currently used in clinic by examining with naked eyes. This study was done to present a criterion in selection of the most proper light sources and materials by measuring metamerism index of the light curing composite resins with spectrocolorimeter. Metamerism is present when two objects appear to be the same color in one illuminant but different in another. This is due to the fact that they have different spectral curves that fail to match under the second illuminant. In this study, five light polymerized composite resins; Esthet-X, Filteck Z250, Filteck A110, Charisma, Vitalescence which are currently used in clinic were chosen based on Vita shade. Five samples were made for shade of each product with Teflon mold(diameter: 15mm, thickness: 2mm). Compressed resins with glass slab were light polymerized with a visible light curing unit(Optilux 500, 13mm tip diameter, Demetron, USA) for 60 seconds. Polymerized samples were removed and those were grinded to 2.0mm in thickness with sand papers(#600 & #1000). Samples were carefully prepared without fingerprints and impurities in grinding procedure and kept in distilled water for a week at room temperature. Metamerism index of each samples on a Barium sulfate plate(L^(*)=96.54, a^(*)=0.19, b^(*)=0.01) prepared for sample fixation were measured with spectrocolorimeter(Miniscan XE plus. Model 4000s. Hunter Lab, USA) by applying standard light source D65, C, Fcw, TL84' and A. Standardization was done with Reference standard(X=80.8, Y=85.7, Z=90.8) and Light trap. Samples were kept in distilled water at room temperature in all procedures. The results are as follows. 1. Different resins using same Vita shade showed recognizable color difference(ΔE^(*)>2). 2. All composites had Ml below accepted value 0.5 between standard illuminant(D65, C, & A) and below 1.5 under fluorescent condition (Fcw & TL84). 3. Ml value between D65 and A showed higher value than Ml value between other source of light(p<0.01). 4. All resins except Z25O showed Ml value that A3 is higher than Al between D65 and A(p<0.05).

농업기술혁신의 경제성 평가와 관리체계

박종섭,안인찬 충북대학교 연초연구소 2004 煙草硏究 Vol.19 No.-

This study originated from an issue that technological innovation is an important factor in modern agriculture and it should be controlled systematically by government and farms. The objective of this study is to find out the methods of economic evaluation and management system of technological innovation in agriculture. Technological progress in agriculture improves the agricultural production function. For any given amount of inputs, we get more output than we did in the past farming. Modern theories of endogenous growth attempt to explain the rate of technological progress, which the Solow model takes as exogenous. These models try to explain the decisions that determine the creation of knowledge through research and development. The growth of agricultural income per farm is determined by the rate of technological progress. Because technological innovation in modernized agriculture is very important factors increasing the revenue and reducing the production cost. The difference between production functions is due to a difference of technique in how the inputs are used in producing the output. A farmer will not adapt a change in technology unless he expects that the adaption will lead to a reduction in per unit costs at the output at which he expects to operate. Since most innovations involve additional expenditures, total costs are likely to be increased at lower levels of output as a result of technological changes. Nevertheless, in order to increase the agricultural production and the levels of living it is necessary to develope and adapt technological improvements in agriculture. The major problem in agricultural technological innovation is to evaluate the economic value of new technology adapted by farmers in agricultural accounting system and to prepare the technological management system to develope better technology. Farms should reflect the economic value of technological changes through financial analysis in agricultural accounting system. Because an essential activity in financial management of agriculture is the development of a timely technological information system that provides a means for the decision maker as a farm operator to measure, evaluate, control, and improve the financial performance of the farm business. The government should develope the education of the skilled technical hands, R&D investment, the accumulation and risk management of agricultural technological information, and the development and spread of agricultural technology. We can expect the principal role of local agricultural college in technological management system of agriculture by the decentralization of agricultural extension function.

유류비축기지 설계를 위한 대심도 경사공에서의 수압파쇄 초기응력 해석

최성웅,신희순,박찬,신중호,배정식,이형원,박종인,전한석,Choi, Sung-Oong,Shin, Hee-Soon,Park, Chan,Syun, Joong-Ho,Bae, Jeong-Sik,Lee, Hyeong-Won,Park, Jong-In,Jeon, Han-Seok 한국지반공학회 1999 한국지반공학회논문집 Vol.15 No.4

유류비축용 지하저장공동의 설계를 위하여 수압파쇄시험에 의한 현지암반내 초기응력 해석이 수행되었다. 부지 내 2개의 경사 시추공에 대해 수행된 금번 시험은 국내 기술진에 의한 지하비축기지 적용의 첫 사례이다. 또한, 경사공 해석기법을 처음으로 도입하여 수직공 해석기법에 의한 결과와 비교, 해석기법의 타당성을 검증함으로써 향후 수압파쇄시험의 적용범위 확대를 기대할 수 있었다. 특히 인근 지역이라도 지형적 또는 지질학적 특성에 따라 초기응력의 크기는 달라질 수 있음을 보여주었으며, 동일 시추공 내에서라도 구조선 등과 같은 뚜렷한 불연속면이 있을 경우초기응력의 방향이 심도에 따라 변화될 수 있음을 보여주었다. Hydraulic fracturing tests were performed in two inclined boreholes for the design of underground oil storages in Korea. Extensions of their application limits were expected through a precise comparison between the interpretation techniques for the vertical and the inclined boreholes. Especially, it was verified that the magnitude of in-situ stress can be varied even in the same rock mass with a variety of geographic/geotechnical characteristics. It was also demonstrated that its orientation can be changed even in the same borehole with the existence of explicit discontinuities.

Different Impact of Diabetes Mellitus on In-Hospital and 1-Year Mortality in Patients with Acute Myocardial Infarction Who Underwent Successful Percutaneous Coronary Intervention: Results from the Korean Acute Myocardial Infarction Registry

Park, Keun-Ho,Ahn, Youngkeun,Jeong, Myung Ho,Chae, Shung Chull,Hur, Seung Ho,Kim, Young Jo,Seong, In Whan,Chae, Jei Keon,Hong, Taek Jong,Cho, Myeong Chan,Bae, Jang Ho,Rha, Seung Woon,Jang, Yang Soo The Korean Association of Internal Medicine 2012 The Korean Journal of Internal Medicine Vol.27 No.2

<P><B>Background/Aims</B></P><P>The aim of this study was to evaluate the impact of diabetes mellitus (DM) on in-hospital and 1-year mortality in patients who suffered acute myocardial infarction (AMI) and underwent successful percutaneous coronary intervention (PCI).</P><P><B>Methods</B></P><P>Among 5,074 consecutive patients from the Korea AMI Registry with successful revascularization between November 2005 and June 2007, 1,412 patients had a history of DM.</P><P><B>Results</B></P><P>The DM group had a higher mean age prevalence of history of hypertension, dyslipidemia, ischemic heart disease, high Killip class, and diagnoses as non-ST elevation MI than the non-DM group. Left ventricular ejection fraction (LVEF) and creatinine clearance were lower in the DM group, which also had a significantly higher incidence of in-hospital and 1-year mortality of hospital survivors (4.6% vs. 2.8%, <I>p</I> = 0.002; 5.0% vs. 2.5%, <I>p</I> < 0.001). A multivariate analysis revealed that independent predictors of in-hospital mortality were Killip class IV or III at admission, use of angiotensin converting enzyme inhibitors or angiotensin-II receptor blockers, LVEF, creatinine clearance, and a diagnosis of ST-elevated MI but not DM. However, a multivariate Cox regression analysis showed that DM was an independent predictor of 1-year mortality (hazard ratio, 1.504; 95% confidence interval, 1.032 to 2.191).</P><P><B>Conclusions</B></P><P>DM has a higher association with 1-year mortality than in-hospital mortality in patients with AMI who underwent successful PCI. Therefore, even when patients with AMI and DM undergo successful PCI, they may require further intensive treatment and continuous attention.</P>

진주종성중이염의 합병증에 대한 임상적 고찰

박찬일,주인하 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Otitis media with choloesteatomas is a clinically important disease entity because it causes destruction of surrounding bone and induces not only hearing loss but hazardous complications such as labyrinthitis, facial plasy and meningeal involvement. A clinical analysis was performed in 188 cases of otitis media with cholesteatoma that had been undergone tympanomastoidectomy at Dempartment of Otolaryngology, Chungnam National University Hospital from Jan. 1989 to Oct. 1993. Mixed type hearing loss was more common in adults than in children. The preoperative complications were rioted in 13.3%, one of children and 24 of adults ; labyrinthitis in 6.9%, deaf in 5.3%, subperiosteal abscess, facial nerve paralysis and exradural abscess in 1.6% each. Destruction of stapes superstructure was observed in 46.8%, 37.5% in children and 47.5% in adults. The pattern of extension of cholesteatoma into the temporal bone had no significant difference between in children and in adults. Labyrinthine fistula was rioted in 9.0%, one in children and 16 in adults.

하지 절단자 보행의 운동역학적 분석

임규찬,박윤서,배성제,정철수,신인식,김복영 師範大學 體育硏究所 1994 서울大學校 體育硏究所論集 Vol.15 No.2

This study was conducted to investigate the biomechanical characteristics of the gait pattern in an amputee for the purpose of improving the proper gait posture and designing the prosthetic. The subjects were six males amputees and one normal person. The ground reaction force was measured using AMTI force platform. The conclusions were as follows; 1. In case of amputee group, the ground reaction force was revealed in specific figure according to position in which they used the prosthetic, whereas in case of normal person the ground reaction force was revealed in the figure of two humps in regard of vertical axis. 2. In case of amputee group, the ground reaction force in time between fight foot contact and left foot contact was deviated from a figure of rectangle, whereas in case of normal person the ground reaction force was revealed in the figure of rectangle. 3. In case of amputee group, the ground reaction force referred to both feet angle point of view was revealed in irregular figure, whereas in case of normal person the ground reaction force was revealed about 47。

Experimental Study on Axial Stratification Process and Its Effects (I) - Stratification in Engine -

Ohm, In-Yong,Park, Chan-Jun The Korean Society of Mechanical Engineers 2002 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.16 No.11

This paper is the first of several companion papers, which investigate axial stratification process and its effects in an Sl engine. The axial stratification is very sophisticate phenomenon, which results from combination of fuel injection, port and in-cylinder flow and mixing. Because of the inherent unsteady condition in the reciprocating engine, it Is impossible to understand the mechanism through the analytical method. In this paper, the ports were characterized by swir and tumble number in steady flow bench test. After this, lean misfire limit of the engines, which had different port characteristic, were investigated as a function of swirl ratio and injection timing for confirming the existence of stratification. In addition, gas fuel was used for verifying whether this phenomenon depends on bulk air motion of cylinder or on evaporation of fuel. High-speed gas sampling and analysis was also performed to estimate stratification charging effect. The results show that the AFR at the spark plug and LML are very closely related and the AFR is the results of bulk air motion.

Different Impact of Diabetes Mellitus on In-hospital and 1-Year Mortality in Patients with Acute Myocardial Infarction Who Underwent Successful Percutaneous Coronary Intervention: Results from the Korean Acute Myocardial Infarction Registry

( Keun Ho Park ),( Young Keun Ahn ),( Myung Ho Jeong ),( Shung Chull Chae ),( Seung Ho Hur ),( Young Jo Kim ),( In Whan Seong ),( Jei Keon Chae ),( Taek Jong Hong ),( Myeong Chan Cho ),( Jang Ho Bae ) 대한내과학회 2012 The Korean Journal of Internal Medicine Vol.27 No.2

Background/Aims: The aim of this study was to evaluate the impact of diabetes mellitus (DM) on in-hospital and 1-year mortality in patients who suffered acute myocardial infarction (AMI) and underwent successful percutaneous coronary intervention (PCI). Methods: Among 5,074 consecutive patients from the Korea AMI Registry with successful revascularization between November 2005 and June 2007, 1,412 patients had a history of DM. Results: The DM group had a higher mean age prevalence of history of hypertension, dyslipidemia, ischemic heart disease, high Killip class, and diagnoses as non-ST elevation MI than the non-DM group. Left ventricular ejection fraction (LVEF) and creatinine clearance were lower in the DM group, which also had a significantly higher incidence of in-hospital and 1-year mortality of hospital survivors (4.6% vs. 2.8%, p = 0.002; 5.0% vs. 2.5%, p < 0.001). A multivariate analysis revealed that independent predictors of in-hospital mortality were Killip class IV or III at admission, use of angiotensin converting enzyme inhibitors or angiotensin-II receptor blockers, LVEF, creatinine clearance, and a diagnosis of ST-elevated MI but not DM. However, a multivariate Cox regression analysis showed that DM was an independent predictor of 1-year mortality (hazard ratio, 1.504; 95% confidence interval, 1.032 to 2.191). Conclusions: DM has a higher association with 1-year mortality than in-hospital mortality in patients with AMI who underwent successful PCI. Therefore, even when patients with AMI and DM undergo successful PCI, they may require further intensive treatment and continuous attention.

Modeling of asymmetric degradation based on a?non-uniform electric field and temperature in amorphous In–Ga–Zn–O thin film transistors

Kim, Jong In,Jeong, Chan-Yong,Kwon, Hyuck-In,Jung, Keum Dong,Park, Mun Soo,Kim, Ki Hwan,Seo, Mi Seon,Lee, Jong-Ho Institute of Physics 2017 Semiconductor science and technology Vol.32 No.3

<P>We propose a new local degradation model based on a non-uniform increase in donor-like traps (DLTs) determined by distributions of an electric field and?measured device temperature in amorphous In–Ga–Zn–O (a-IGZO) thin film transistors (TFTs). A systematic investigation of the degradation model reveals that vertical field-dependent DLTs are essential for modeling of measured asymmetric electrical characteristics between the?source and drain after positive gate and drain bias stressing. An increased temperature due to self-heating is found to play a role in intensifying the asymmetric degradation. From the individual simulation of measured transfer curves at different stress times, the?model parameters and an asymmetry index as a function of stress time are extracted. It is expected that this novel methodology will?provide new insight into asymmetric degradation and?be utilized to predict the influence of electric field and heat on?degradation under various bias-stress conditions in a-IGZO TFTs.</P>