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술후 진통을 위해 투여한 Ketorolac이 혈액응고 기능에 미치는 영향 : 혈전탄성묘사도를 이용한 평가 A Thromboelastographic Evaluation
최인범,고성훈,김동찬,한영진,최훈,민기철 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.6
Background: Thromboelastography (TEG) has recently become popular for assessment of whole blood coagulation in the operating room. Ketorolac, a potent injectable nonsteroidal anti-inflammatory drug (NSAID), is commonly used for postoperative analgesia. NSAID inhibit plated aggregation in coagulation process. This study was designed to determine whether ketorolac used for postoperative analgesia can affect hemostatic function using a TEG. Methods: Seventy-four female patients, ASA physical status 1 or 2, scheduled for an elective gynecologic surgery were randomly allocated into one of four groups (Group 1: n=10, control without patient-controlled analgesia (PCA); Group 2: n=21, PCA with morphine 60 mg; Group 3: n=20, PCA with morphine 30 mg + ketorolac 90 mg; Group 4: n=23, PCA with ketorolac 180 mg). Blood samples were obtained for TEG analysis preoperatively and 24, 48 and 72 h after surgery. Cumulative drug dosage, visual analog pain scale, satisfaction degree and side effects were measured at 24, 48 and 72 h after surgery. Results: There were no significant differenced in TGE parameters among the four groups at each time. There were no significant differenced in visual analog pain scales and satisfaction degree among the three groups using PCA for postoperative analgesia. Among the three groups using PCA for postoperative analgesia, Group 2 experienced more side effects. Conclusions: Ketorolac does not affect hemostatic function for 3 days after surgery when administrated as a PCA drug. (Korean J Anesthesiol 2002; 43: 755~762)
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최병익,김성민,김명희 공주대학교산업개발연구소 2000 産業開發硏究 Vol.8 No.-
Food security, especially in developing countries, has been threatened by several factors. Fluctuations of food production world wide and its price are caused by unstable weather condition. Even when enough is produced, control over food-producing resources and distribution causes hunger. Population growth and limitted food production could lead to widespread famines. North Korean food shortage around 300million MT a year threatens the food security of the nation as well as that of South Korea. Several alternatives were suggested such as (1) development of high yielding technologies, (2) redistribution of control over food-producing resources in North Korea and (3) enhancement of cultivated land use in winter, etc.
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崔盛根 대구교육대학교 1965 論文集 Vol.1 No.-
Thinking of the facts that we live in an age when the skills and techniques in all fields have been improved highly with the aid of development of the scientific civilization, that the culture of a race is measured by the degree of its physical culture and sports and that the record in the sprint (10 sec. 5) which was made under the Japanese reign in 1938 has not been improved yet, the writer tried to find analytically the causes 1) why the two sprinters who appeared in the Rome Olympic Games in 1960 and the Tokyo Olympic Games in 1964 made lower recosds than they had done in the races held in their own country 2) why any new sprinter who could match the other world champions was not be raised in this country. The study is focused mainly on 1) the physical constitutions, 2) the methods of training, 3) human resources for the sprinter 4) and the administrative conditions for physical training. The writer made this study to contribitue to the improvement of the record in the shortdistanc race in Korea.
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崔七男,朴聖珪,丁梧鎭,문경국 조선대학교 기초과학연구소 1984 自然科學硏究 Vol.7 No.1
pH 6.0∼12.0 範圍에서 0.15M 타르타르 酸鹽支持溶液 속에서 Cd(Ⅱ) Polarogram을 25℃에서 二段還元波를 調査한 결과 pH8.2部分 까지는 限界電流 및 半波電位값이 一定하며 한편 같은 濃度의 窒酸鹽 支持溶液을 사용하였을 때에 比하여 一段還元波의 半波電位값은 0.03volt 陰의 電位값으로 移動하고, 限界電流 값은 21% 減少되었다. pH8.2 部分 以上부터 限界電流 값이 急激하게 增加하다가 pH8.9 以上부터는 다시 急激하게 減少하는 現象을 보여 주었다. 한편 pH8.2 以上부터는 半波電位가 pH11.0에서는 -1.37volt로 되었다. 可能한 電極反應을 假定하여, pH11.0에 이르기까지의 還元波移動의 原因을 檢討하였다. The second reduction waves of the polarogram of Cd(Ⅱ) in 0.15M sodium tartrate solution were investigated in the range of pH from 6.0 to 12.0 at 25 C. Up to pH 8.2, the limiting current and the half wave potential were found to be constant, and when compared with the nitrate solution equal to the concentration of sodium tartrate, the limiting current of the first reduction wave has been decrease 21% and the half wave potential of the first reduction wave shifted by -0.03 volt. The values of limiting current were sharply increased above pH 8.2, and maximum value was obtained at pH 9.8. The half wave potentials were gradually proceeded in negative direction with increasing pH and the half wave potential of -1.37 volt was obtained at the pH 11.0. Suggesting possible mechanisms of electrode reactions, the anomalous behavior of reduction waves of Cd(Ⅱ) in sodium tartrate solution up to pH 11.0 was discussed.
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崔斗文,李聖周 공주대학교 사범대학 과학교육연구소 1978 과학교육연구 Vol.10 No.1
This study was to make a research into about 300 Taxa of Mosses which were collected from all over Korea. The research was made into 18 Taxa in all and the gemmaes from rhizoide were not included. The rearched main taxa are as follows: Anomobryum filiforme var, concinotum (Spr,) Loeske Brothera leana (Sull,) C, Mull Brothera Sp, Brym argenteum Hedw. Dicranum flagellare Hedw Hyophila involuta (Hook,) Jaeg Oncophrus sp. Philonotis falcata Mitt Philonotis sp. Pohila camptotrachea var, bestistissimma Broth Tetraphis pellucida Hedw Trachycystis flagellaris (Sull, et Leig) Lindb
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김성환,황성오,이강현,조준휘,강구현,문중범,이승환,윤정한,최경훈,김영식 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Background: The aim of this study was to determine whether the conventional subcostal approach is suitable for emergency pericardiocentesis in patients with cardiac tamponade or impending cardiac tamponade. Methods: This study was a prospective, observational study conducted at the emergency department of a tertiary hospital, Patients who had symptomatic pericardial effusion and who needed emergency pericardiocentesis in the emergency department were included in this study. We measured the epicardium-to-pericardium distance at the subcostal, parasternal, and apical area with two-dimensional echocardiography to determine the appropriate puncture site for pericardiocentesis. An epicardium-to-pericardium distance of more than 1.0 cm was considered as the primary safety factor in determining the Puncture site for pericardiocentesis. The skin-to-pericardium distance was considered as secondary safety factor. Results: Ninety-five consecutive patients(55 males and 40 females; total mean age: 53 year old) with cardiac tamponade or impending cardiac tamponade were enrolled in this study. The puncture site for pericardiocentesis, as determined by echocardiography, was the subcostal area in 43 patients(45%), the apical area in 40 patients(42%), the left parasternal area In 11 patients(12%), and the right parastemal area in one patient(1%). Pericardiocentesis failed in 2 patients(2%) with the subcostal approach and in one patient(1%) with the apical approach. The average epicardium-to-pericardium distance was 31 ±21 mm in patients with the subcostal approach and 21±8 mm in patients with other approaches. There were no differences in the amount of pericardial fluid and in the intraperical pressure among patient groups according to puncture site. There were two procedure related complications: a puncture of the right ventricle with the subcostal approach and a ventricular tachycardia with the apical approach.
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