재제조와 중소기업형 환경보고서 가이드라인에 관한 연구

임익성,장무경 남서울대학교 2010 남서울대학교 논문집 Vol.16 No.1-1

환경에 대한 관심이 점점 높아지면서 국제표준화기구에서 제정한 환경경영에 관한 국제규격인 ISO14001을 인증을 받는 기업들이 증가하고 있다. 본 연구에서는 우리나라 환경경영보고서의 현 주소를 파악한 후 대기업과 중소기업의 환경경영보고서 가이드라인의 차이점을 살펴보았다. 우리나라 중소기업의 환경경영보고서는 기업의 실정을 감안하여 대기업과 달리 약화되어 차별화되어 있다. 환경경영에 기여할 수 있는 커다란 축의 하나는 재제조 및 재활용 이기 때문에 이것들에 대한 개념 및 현 주소를 살펴보았다. 본 연구의 목적은 환경경영가이드라인의 현 상태를 정리해서 현재 전세계적으로 추진되고 있는 그린혁명과 연계하여 환경경영에 기여할 수 있는 방향을 찾는것이며, 또한 향 후 우리나라 기업의 환경경영을 정량적으로 평가 및 기여할 수 있는 그린비율의 새로운 측도 방향을 제시하였다. Key Words : Envrionmental Report Guideline, Green Ratio, ISO14001, Remanufacturing

Dispatcher(전화 상담원)의 보조에 의한 심폐소생술

안무업,김영식,이부수,황성오,임경수 大韓應急醫學會 1992 대한응급의학회지 Vol.3 No.1

Background: Dispatcher-assisted telephone instruction in cardiopulmonary resuscitation(CPR) has been proposed to increase rates of bystander CPR in cases of out-of-hospital cardiac arrest. In Korea, bystanders do not know how they resuscitate the victims and EMS(Emergency Medical System) is incomplete. Study Objectives: This study was undertaken to tested the efficacy of dispatcher assisted telephone CPR using a recording mannikin(Anne Resusci) in a highstress, simulated cardiac arrest scenario. Study Subjects: We assesed in a group of volunteers, without prior CPR lectured and training(GroupⅠ, n=20), without prior CPR training but received lecture previously(Group Ⅱ, n=20) who received telephone instruction were compared with that of previously recevied lecture and tranined(Group Ⅲ, n=20) who received same massage. Performances of above groups were also compared with a group(Group Ⅳ, n=20) composed of previously received lecture and trained volunteers who did not receive the massage. Results: Members of groups Ⅰ,Ⅱ, and Ⅲ delivered similar average ventilation volumes, approximately 1L/cycle. In contrast, group Ⅳ delivered somewhat less, about 700ml/cycle(p<0.05). Group Ⅰ performed ventilation better than group Ⅳ but there was no significant intergroup differences in the performing effective chest compressions. The global performance of group Ⅲ, the group with prior CPR lecture, trained and telephone instruction, was superior to that achieved by other groups(p<0.05). We conclude that dispatcher-assisted telephone CPR can offer a safe and cost-effective means to increase the rate of bystander CPR and also improves the quality of CPR performed by persons with prior CPR training.

세 건의 재해사고를 통한 우리 나라의 재해대책 분석

안무업,황성오,임경수,강성준 대한응급의학회 1993 대한응급의학회지 Vol.4 No.2

Disaster is a any community or regional events that disrupts community functions and activities and cause concern for the lives, health, and property of the citizens of that community. Successful management of disaster requires adequate planning and practice drills. Emergency medical service must play an important role in disaster management because any disaster produces various types of patients who need emergent care. We tried to analyse korean disaster planning in review of three recent disasters including aircraft crash, ship submergence, and road traffic accident. The result of disaster survey shows that there are many defects in Korean disaster plan at the stage of notification, propagation, rescue, stabilization and withdrwal and emergency medical service system is not being involved in disaster management because korean disaster plan is a civil-defence model. We conclude that current korean disaster plan is inadequate for management of disaster and it should be reinforced.

췌장암 환자에서 알코올 내장신경 신경파괴블럭 후 발생한 간염

이상은,최석환,김영환,임세훈,이정한,이근무,정순호,최영균,김영재,신치만 인제대학교 2008 仁濟醫學 Vol.29 No.-

Splanchnic neurolytic block(SNB) with alcohol improves the management of pancreatic cancer pain. Adverse effects of alcohol SNB which include regional pain, hypotension, diarrhea, and acute alcohol intoxication are common, but acute hepatitis caused by alcohol neurolytic block is rare. A 63-year-old patient with pancreatic head cancer and liver metastasis had complete pain relief after both retrocrural tansdiscal SNB with 100% alcohol 10 ml. But, 1 day later, liver function test showed a high elevation in the aspartate aminotransferase (AST, 2182 IU/L) and alanine aminotransferase (ALT, 1807 IU/L). The patient had slight jaundice, general weakness, chilling, nausea and vomiting after SNB. Both AST and ALT decreased to 46 and 119 IU/L within 10 days with only supportive therapy. But, 19 days later, the patient died due to pneumonia. Our case illustrates the importance of clinical surveillance especially in patient with hepatic disease after alcohol SNB.

BRS 생체정보 분석방법(分析方法)의 정확도(正確度) 확인 연구

유상구,임무열,오상문,유경배,신연호,박병운,이완희 한국정신과학학회 1998 韓國精神科學學會誌 Vol.2 No.2

BRS는 인간의 잠재능력을 적극적으로 계발 · 활용하여 임의의 시료에 대한 미지 (未知)의 생체정보 (Bio-Information)를 편리하게 분석할 수 있는 효과적이고 경제적인 분석장비이다. 그러나 BRS와 관련된 분석방법 자체의 정확도에 대한 연구는 충분하게 이루어지지 않고 있다. 그래서 BRS 분석방법의 정확도를 과학적으로 확인해보기 위해서 본 연구를 진행했다 실험결과, BRS에 의한 생체정보 분석방법 의 정확도는 측정자의 숙련정도에 따라 다르지만 고급 측정자의 경우에는 95% 이상의 높은 확률로 표준시료의 생체정보를 정확하게 분석할 수 있으며, 측정자의 분석능력이 떨어지는 경우에는 여러 명의 측 정자를 대상으로 비교검토(Cross-Check) 방식으로 실험을 보완하면 90% 이상의 정확도를 확보할 수 있었다. BRS is a sort of analysis-instrument which help to estimate some Bio-Information for a sample conveniently and effectively But, for lack of the study to verify the confidence-degree of the Bio-Information analysis method related to BRS, the availability of the method is not known clearly yet, It was the reason that made authors perform this study And It was possible to arrive at the following two conclusions I though the confidence-degree of the Bio-Information analysis method ny BRS was different according to the degree of the expertness of a person using the instrument in the case of the very skillful expert, the confidence-degree for the standard sample used in this study was reached to 95% up 2 In the general case, to improve of the confidence-degree of the Bio-Information analysis method by BRS, the cross-check method by the several measuring person can be introduced.

Paraquat 중독환자의 초기검사로서 sodium dithionite를 이용한 소변내 paraquat검출의 임상적 의의

윤갑준,임경수,이진웅,김영식,이부수,박덕우,김선만,이강현,황성오,안무업 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Background : Mortality from paraquat intoxication depends upon plasma paraquat concentration. To know the severity of paraquat intoxication is important for directing therapeutic modality and predicting prognosis. Sodium dithionite test for urinary paraquat provides an easy and simple method to determine the severity of paraquat intoxication in emergency department. purpose : To determine whether the result urinary paraquat test by sodium dithionite can predict outcome in patients with paraquat intoxication in emergency department. Subjects : 48 patients(male 31, female 17, mean age 37 years) who had exposure to paraquat and presented within 24 hours after exposure. Result : Thirty five patients were positive in paraquat urine test and thirteen patients were negative. Clinical manifestations were more severe in positive patients than in negatives. Complication was much more in positives than in negatives. 28 of 35 patients(80%) in positives and 2 of 13 patients(15%) in negatives died. Conclusion : Positive test for urinary paraquat is associated with high mortality and morbidity from paraquat intoxication, and qualitative test for urinary paraquat by sodium dithionite is an useful method to determine the severity of paraquat intoxication in emergency department.

농양진단을 위한 IgG-188Re 표지화합물 제조

오옥두,임상무,최태현 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1997 Journal of biomedical laboratory sciences Vol.3 No.2

농양진단을 위한 방사성표지화합물의 제조에 관한 기초실험을 수행하였다. IgG를 2-mercaptoethanol로 환원하여 분자당 1.5개의 -SH가 유도된 IgG를 얻을 수 있었다. 이것을 188Re과 표지 반응시켜 99%의 높은 표지반응수율로 IgG-188Re을 얻었으며, 여기에 인 혈청을 안정제로 가해줌으로써 1시간까지 약 90%의 방사화학적 순도를 유지할 수 있었다. 포도상구균으로 유발한 농양이식 백서에서 IgG-188Re의 생체분포실험을 통해 농양의 진단이 가능한 것으로 확인하였다. 이상의 결과를 적용하면 여러 가지 단클론 항체의 188Re표지화합물 제조에 적용할 수 있을 것으로 기대되었다. IgG-188Re conjugate was prepared for the diagnosis of abscess. The IgG molecules reduced by 2-mercaptoethanol contained 1.5 free sulfhydryl groups per IgG molecule. The reduced IgG molecule was labelled with 188Re through chelate to 99% of labelling yield. The radiochemical purity of IgG-188 Re conjugate was maintained at 90% in the presence of human serum for 1 hour. The IgG-188Re was intravenously administered into staphylococcal abscess-bearing rats and their biodistribution was monitored at 4 and 24 hours post injection. The IgG-188Re conjugate was moderately localized in the abscess tissue. This result implies that the IgG-188Re conjugate can be a tool for abscess diagnosis. This technique can be applied for the preparation of various monoclonal antibody labelled with 188Re.

환자가 작성한 어지럼설문지의 임상 적용시 주의할 점

임지숙,박정호,박지윤,박선아,이태경,이종대,성기범,안무영 순천향대학교 의학연구소 2009 Journal of Soonchunhyang Medical Science Vol.14 No.3

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지역병원에서 다발성 손상환자 후송시에 문제점

김영식,안무업,임경수,황성오,조남천,강성준 대한응급의학회 1992 대한응급의학회지 Vol.3 No.2

A prospective review of 53 multiple injured patients(ISS≥16) initially treated at local community hospitals and subsequently transported more than 50km to referral emergency center was completed. All injury mechanisms were blunt, and among them traffic accidents occupied the 54.7%. Revised Trauma Score ranged from 0 to 12 (mean, 10.4) and Injury Severity Score ranged from 16 to 50 (mean, 24.3). No prior notification of patient transfer to the referring facility were received in 52(98.1%) cases, and absent or very incomplete record were evident in 44 (83.0%) cases. The quality of care during initial stabilization and transport was evaluated by ATLS guideline for airway management, cervical immobilization, breathing support, treatment of shock, fracture immobiliaztion, neurologic evaluation, secondary assessment, life-threatening deficiencies were identified in 10(18.9%) patients and serious deficiencies in 32(60.4%). Most frequent departures from these standards involved failure to place a nasogastric tube before transport(58.5%), inadequate breathing support(30.2%), inadequate cervical immobilization(24.5%) and inadequate shock treatment(17.0%). This study demonstrates the need for education of emergency physicians about priorities in trauma management and ATLS courses. Furthermore guidelines for transport and interhospital communication must be established in rural area.

안면부 종창을 동반한 Henoch-Scho¨nlein 자반증 1례

이재휘,서무규,임문환,박성기,김태우,이창연 동국대학교 경주대학 1991 東國論集 Vol.10 No.-

We experienced a case of Henoch-Scho‥nlein purpura with are manifestation of facial swelling in a 7-year-old boy.