소뇌출혈후 신경인성방광으로 배뇨장애를 주소로 한 환자 치험 1例

안정조,최영,조현경,임승민,김민상,오병렬,유병찬,설인찬 대전대학교 한방병원 2002 惠和醫學 Vol.11 No.1

In patients with Cerebral vascular accident, Voiding Dysfunction is very usual, but if with no improvement for a long time, it can cause many complexed-problems as urinarytract injury, infection or inflamation and patients suffering from pain, inconvenience and anxiety. In this case 58-year-old female with Voiding Dysfunction with Neurogenic Bladder after Cerebellum Hemorrhage, for 6 monts there was no interval change on symptom, We prescribed appropeiate herbal medication, and perform acupuncture and moxa. 5 days later after admission in Taejeon Oriental Hospital, The patien was able to have self-voiding and gradually improved. So we report it for the better treatment.

Gullian Barre Syndrome 患者 1例에 대한 症例報告

임승민,안정조,최영,조현경,김민상,유병찬,오병렬,김윤식,설인찬 대전대학교 한방병원 2002 惠和醫學 Vol.11 No.1

Gullian Barre Syndrome is an acute symmetric polyradiculoneuropathy that typically presents as a progressive flaccid paralysis. The pathology is believed to be caused by both cellular and humoral immune processes The possibility of death is 3-5% and About 20% of patients require mechanical ventilaton. Recently We have experienced a patient who had suspected Gullian Barre Syndrome for 60days, his condition weakness and pain was impoved through the herb and acupucture Therefore I reported it for the treatment.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

일부지역에서 구급차운전자의 구급차 안전운전 운행행태에 관한 연구

조진만,이병주 한국응급구조학회 1997 한국응급구조학회지 Vol.1 No.1

This is the first Korea study to evaluate the effects od the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic information for the description of various factors to reduce the ambulance traffic accidents. The major insturment of this study were Krean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudes: driving courtesy, emotion, traffic law, speed, vehicle conditions, the use of drugs, high-risk behaviors, and human factors. To take the analysis of data, the total of 350 divers were investigated ambulance divers and others in Taejon City and others(6 City) from 1996. 1 July to 1996 31. July. The data were analyzed by the descriptive statistics and the logistic regression - path analysis - with SPSS and SAS package program. The result are as follows : 1. There was desirable attitude group(16.2%) and undesirable attitude group(17.6%) on safety ambulance driving. 2. It have suggested that risk factors of ambulance traffic accidents much affected with emotion and speed control on safety ambulance driving 〈Y(Accident) = -2.64 + 0.57 X₁(Emotion Control) + 0.30 X₂ (Seed control) + E〉 and motor traffic acident much affected with emotion control and high-risk behavior on safety driving 〈Y(Accident) = -1.11 + X₁(Emotion Control) + 0.29 X₂ (High-risk Behavior) + E〉 4. The primary emphassis of ambulance drivers was make us realized that improthatnt factors on safety ambulance driving were 1)making way for emergent ambulance, 2)driver's career, 3)the ability of emergency medical technics, and the knowledge or understanding of ambulance way difficult(or easy) of accdess. 5. Almost 96.6% of respondents have agreed to necessity of emergency medical technics for ambulance drivers. 6. Almost 94.6% of respondents have consented to necessity of emergency medical technicians for ambulance driving. 7. It have suggested that the proportion of traffic accident proprtion by desitable attitude group(16.7%) was much less than that of undesirable attitude group(30.8%) on safety ambulance driving(P<0.05)/ Ps) Accidents are unplanned, unforesen incidents which can Bead to harmful or unfortunate outcomes, Collisons are not accidents, since the basic cause of the majority of collisons invovles high-risk human behavior. Although there are many factors which contribute to accident causation, four basic factors seem to predominate in most traffic related situations. These four factors include: the human factor, the vehicle factor, the environmental factors and destination factor(Peto G. et at. 1995).

나트륨 화재 유형별 연소현상 해석

조병렬 충주대 산업과학기술연구소 1999 産業科學論文集 Vol.7 No.2

Liquid metal reactor(LMR) of the most promising energy source in the 21st century, uses liquid sodium in stead of water as a coolant, which is one of saliant features comparing with conventional PWRs. Therefore the acquisition of liquid sodium handling technology should be preceded for the LMR development and the present study on the sodium coolant safety is an essential task in the LMR research and development. As for sodium handling and safety, the technologies for protection from sodium fire should be acquired. For that reason, the characteristics of liquid sodium fire occurring when the hot sodium make a contact with the air are understood. The objective of this study is to study on the analysis of phenomena of the combustion for the type of sodium fires. The variables of experiment were the temperature, pressure and aerosol size etc. A pool fire was experimented after filling the pan with undispersed liquid sodium inside a closed test vessel. The pressure and temperature inside test vessel were measured, and the characteristics of pool fire due to the intial concentration of oxygen was analysed. For a spray fire experiment, liquid sodium was injection into the upper part of the test vessel in a dispersed state through a spray nozzle. The pressure and temperature of gas inside the test vessel was measured, and the characteristics of the spray fire due to the temperature of injected sodium was analysed.

DEDEKIND環에 있어서의 素元分解의 一意性에 關하여

曺秉燁 朝鮮大學校 師範大學 1970 師大論文集 Vol.1 No.-

Noether환 R이 정규이고 또한 그 계수가 1이면 Dedekind환이라 한다. Dedekind환 R내의 임의의 영이 아닌 ideal A의소 ideal의 적으로의 인수분해가 일의적으로 가능하다는 정리는 널리 알려진 사실이다. 이 정리와 관련하여 Dedekind환 R내의 단항 deal을 소ideal의 적으로 분해할 때 그 일의성이 성립된다는 것을 증명코저한다.

걷기운동중 발목중량부하가 에너지대사과정에 미치는 영향

조병훈,김병로,정성림 창원대학교 체육과학연구소 2004 경남 체육연구 Vol.9 No.1

본 연구는 발목 중량부하 걷기운동시 적정 부하량을 알아보기 위하여 C대학교 체육학과 남자 대학생 7명을 대상으로 체중의 0%, 3%, 6%, 9% 중량부하 한 후 총 20분간 운동하면서 매 4분간 심박수, 산소섭취량, 이산화탄소량, 에너지 소비량을 분석한 결과 다음과 같은 결론을 얻었다. 1. 발목 중량부하 걷기운동시 심박수는 중량부하별로 통계적으로 유의한 차이가 없는 것으로 나타났으나 처치시점별로는 통계적으로 유의한 차이가 나타났다. 2. 발목 중량부하 걷기운동시 산소섭취량은 각 중량부하별로 통계적으로 유의한 차이가 나타났으며, 처치시점별로도 통계적으로 유의한 차이가 나타났다. 3. 발목 중량부하 걷기운동시 이산화탄소량은 중량부하별로 통계적으로 유의한 차이가 나타났으며, 처치시점별로도 통계적으로 유의한 차이가 나타났다. 4. 발목 중량부하 걷기운동시 심박수는 중량부하별로 통계적으로 유의한 차이가 나타났으며, 처치시점별로도 통계적으로 유의한 차이가 나타났다. 결론적으로, 중량부하 걷기운동시 발목부위의 적정 부하량은 체중의 약 6%~9%이며 운동시간은 약 8분 이상이 타당하다고 생각되나 이에 대한 반복적인 연구가 앞으로 더 필요할 것으로 생각된다.

煉炭灰를 利用한 土壤의 改良과 中和에 關한 硏究

曺在興,曺秉旭 朝鮮大學校 工科大學 1974 論文集 Vol.3 No.-

This study is carried out to find out how to neutralize and fertilize the acidified soil of this country by using briquette ash. In order to increase the alkali content in briquette ash, certain amount of shell-lime is added in the process of the manufacture of briquette. After examining the PH variation of the briquette ash and the charge in physical property and PH of the soil to which briquette ash is added, the practicability is considered in view of the calorific value and combustion temperature of the skell-lime added briquette. 1. The result obtained is that the PH of briquette ash is three or four times as high as that of Korean typical soil. 2. The result obtained is that the most favorable ratio of shell-lime in the briquette is 3 percent, considering the heat and combustion temperature when the briquette burns. 3. When briquette ash is added, the available water content increases by 36% (10.7%∼46.7%) and the bulk density of the soil decreases considerably.

유동매체에 따른 최소 유동화 속도

趙炳烈 충주대 산업과학기술연구소 2000 産業科學論文集 Vol.8 No.-

The minimum fluidizing velocity in a gas - solid fluidized bed has been analysed by using statistical method to interpret fluidized bed behavior. The experiments were carried out in a fluidizied bed of 6.7 cm - ID, and the experimental variables were three groups(Group A, Group B, Group C) of the fluidizing solid particles distinguished themselves in the fluidization by the Geldart's classification etc. The minimum fluidizing velocity is one of the most important properties in fuidization. The minimum fluidizing velocity can be measured from the average which is time invariant property among the pressure fluctuation data. As a result, the hysteresis along the increase and decrease in the gas velocity has been observed in the uniform sized Group B, but neither in Gaussian and Rosin-Rammler distribution nor in the uniform sized Group A and Group C. And also, it has been found that the standard deviation, which is a square root of second moment of the pressure fluctuations can be effectively used to predict minimum fluidizing velocity and to show the distinguishable patterns of the fluidized phenomena.

잡음제거에 적합한 유전적 연산자 및 미세국부조정에 대한 연구

조영창,윤정오,최병진 경운대학교 산업기술연구소 1999 産業技術硏究論文誌 Vol.1 No.1(B)

In this paper, we introduce the genetic algorithm and propose the genetic operators, crossover and mutation, suited for gray scaled image restoration in order to find the global optima among many local optima in the solution space. And we also proposed the local fine tuning of window size and visit number for delicate searching mechanism in the vicinity of the global solution. Through the experimental results we verified the effectiveness of the proposed genetic operators on the gray scaled images over the conventional ones, as well as the improved performance of local fine tuning.