발열이 있는 호중구 감소증 환자에서의 위험도 예측인자

정중식,권운용,김규석,임용수,이중의,서길준,윤여규 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Background: Most febrile neutropenic patients are treated in an aggressive manner. However, identification of low-risk patients may enable clinicians to administer risk-based treatment. The object of this study is to certify the factors associated with increased risk at the time of visiting the emergency department. Methods: This is a retrospective study. We reviewed the medical records of 101 febrile neutropenic patients who had visited the emergency department of Seoul National University Hospital from January 1998 to August 1999. We assumed 22 risk prediction factors that could be assessed at admission to the emergency department and 5 factors that could be assessed during treatment course. To find independent risk-prediction factors, we analyzed these factors respectively by using multiple regression analysis. Results: Tachycardia(aOR=136.5), altered mentality(aOR=28.8), decreased renal function(aOR=20.1), and significant comorbidity(aOR=17,2) are the independent factors associated with higher mortality. Altered mentality(aOR=31.6) and decreased renal function(CCr < 75㎖/min, aOR=5.4) are those associated with a higher incidence of septic shock. Independent factors associated with persistent(more than 3 days) fever are the early(within 10 days) onset of fever after last chemotherapy(aOR=8.8) and the existence of new pulmonary infiltrates on a simple chest X-ray(aOR=4.3). Conclusion: The stability of vital signs, the change of mentality, the renal function, the existence of significant comorbidity, the existence of new pulmonary infiltrates, and the rate of neutropenia are clinically useful risk-prediction factors in febrile neutropenia at the time of visiting the emergency department.

두경부에 발생한 방선균증 3예

홍석중,주준범,김용재,이봉재 대한이비인후과학회 2000 대한이비인후과학회지 두경부외과학 Vol.43 No.11

나사산이 있는 관이음의 효과적인 해석모델의 개발

임중연,이호용,고광일 東國大學校 1996 東國論叢 Vol.35 No.-

This paper is concerned with and efficient model for the structural analysis of threaded connections which is used to assemble the tubular connections such as pipes. Advanced mechanics has been used to develop the model which yields acceptably accurate solutions for stresses when compared to other methods such as experimental or finite element analysis procedures. Beam-on-elastic-foundation equations are used to compute stresses due to assembly of the connection while bolt-nut equation and Lame' equation are used for axial loads and pressures. Numerical results show that our model is computationally efficient and valid in terms of stress distribution for make-up. The current model can provide the quick and inexpensive analysis tools to the production engineer with reasonable accuracy.

벼 천개 내부와 외부에서 대기 안정도가 난류구조에 미치는 영향

이중용 서울대학교 농업개발연구소 2000 농업생명과학연구 Vol.4 No.-

chemical application, one of the most important crop management processes happened to cause spray drift, that would threaten farmers in field as well as dwellers in rural region. Spray drift was affected by micro-meteorological parameters. A study to evaluate short distance drift characteristics of a boom sprayer in paddy fields has been undergoing. This study is the first step of the research. Main purpose of this study to evaluate the effect of atmospheric stability on turbulence structure above and within a rice canopy. As atmospheric stability increased turbulence intensity decreased, kurtosis and skewness became closer to those of normal distribution. Effect of atmospheric stability was detectable above and within a rice canopy but it was not clear at the canopy height.

부산지역 일부 종합병원의 컴퓨터 단말기 작업을 하는 여성 원무업무종사자들에 있어서 누적외상성장애에 대한 조사

전만중,유병철,고광욱,이용환 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

registration system were organized, computerized, and simplified. Especially the workers for the hospital registration desk were almost used computer all the working time. Therefore we assessed cumulative trauma disorder of registration desk workers related to computer use of general hospital. Methods: 62 women computer users who worked for registration desk of general hospitals in Busan were assessed from March to August, 2007. The workers were checked general characteristics(age, educational level, and marital status), work related characteristics, and symptoms by self-administered questionnaires. Results: Significantly decreased prevalences for cumulative trauma disorder were observed for subjects who had more educational level, the prevalence of cumulative trauma disorder was 69.2% among high school graduates, 38.2% among junior college graduates, and 20.0% among college graduates. Significantly increased prevalences for cumulative trauma disorder were observed for subjects who had more duration of computer use, the prevalence of cumulative trauma disorder was 56.5% for those who had used computer for more than 8 hours, 32.1% for those who had used computer for 4-7 hours, and 27.3% for those who had used computer for less than 3 hours. And Significantly increased prevalences for cumulative trauma disorder were observed for subjects who had more maximun daily computer use time without break, the prevalence of cumulative trauma disorder was 66.7% for those who had used computer for more than 7 hours, 38.1% for those who had used computer for 3-6 hours, and 21.7% for those who had used computer for less than 2 hours. Multiple logistic regression showed that subjects who had more maximum daily computer use time without break was more likely to report patient. Conclusion: Therefore these findings suggest that preventive interventions on hospital registration desk worker related to computer use were needed

부비강미분화암종 3예

김용대,곽동석,이형중,신재흔,배창훈,송시연 영남대학교 의과대학 2004 Yeungnam University Journal of Medicine Vol.21 No.1

Sinonasal Undifferentiated Carcinoma (SNUC) is a very rare, highly aggressive malignant tumor of the nasal cavity and paranasal sinuses. SNUC tends to present with advanced-stage disease, often with intracranial invasion. It requires an aggressive multimodality therapy that includes surgical resection. A cure rate of less than 20% is generally reported in the literature, with most patients dying within 1 year of onset of the disease. Three patients diagnosed as SNUC were treated at the Yeungnam University Medical Center between the years 2000 and 2003 were analyzed retrospectively. All patients presented with the disease very advanced. The three cases were given chemotherapy or chemotherapy with radiotherapy. Two patients died of the disease, surviving only 6 and 11 months following treatment, respectively. We did a follow-up on just the one remaining case with incomplete controlled disease for 27 months. The overall prognosis of SNUC is very poor. We consider that more intensive multimodality therapies are recommended for all patients with SNUC.

컴퓨터비젼을 이용한 알루미늄 캔재 이어링률 자동 측정 시스템 개발

이용중,김형조,이양범 한국공작기계학회 2003 한국공작기계학회 춘계학술대회논문집 Vol.2003 No.-

The main purpose of this paper is the development of the system which measures the earing rate of aluminum CAN with the CCD camera. In order to optimize imput image, the image object was segregated and the position of the image grasped. In the pre-processing the edges were detected by the Robert mask after improving the definition of image by the histogram equalization. The height of four each ear and angles which occur due to the characteristics of the aluminum CAN are measured manually with the digital vernier calipers in the industrial ground and in the case of the velocity, these require 30 seconds at least by three times measurement per height of one direction of the aluminum. But it took 0.02 seconds when this system was applied. Therefore this system is proven the satisfactory efficiency and reliability as compared to the control result of in industrial ground.

알루미늄 合金 熔接部의 疲勞龜裂成長擧動에 關한 破壞力學的 硏究

차용훈,김덕중 한국공작기계학회 1996 한국생산제조학회지 Vol.5 No.3

the objective of this study is to investigate the influence of welding residual stresses on the fatigue crack growth behavior of cracks located transverse to the weld bead. For this purpose G.T.A. (Gas Tungsten Arc) welding was performed on the A1 alloy 1100-O plate and the same initial crack is made on HAZ(Heat Affected Zone), weld metal and base metal respectively. Specimens were used CT(Compact Tension) specimens. Initial welding residual stresses were measured by using strain gage sectioning method. All specimens were tested under constant amplitude load with stress ratio R=01, It is possible to predict fatigue crack growth behaviors and the fatigue life, using numerical analysis together with distribution of initial residual stress and the values of C and m obtained from da/dN-ΔK

기계심장판막 치환수술을 받은 류마티스성 심장질환에 병발된 뇌경색증 1예 보고

이상용,서중석 大韓法醫學會 2000 대한법의학회지 Vol.24 No.1

Chronic rheumatic heart disease is the most important consequence of rheumatic fever and characterized principally by deforming fibrotic valvular disease(particularly mitral stenosis), which can produce permanent dysfunction and severe, sometimes fatal, cardiac dysfunction decades later. So the operation should be carried out in symptomatic patients with moderate to severe mitral or aortic stenosis or regurgitation Postoperative mortality rate is low. But some postoperative complications including thromboembolism and prosthetic valve endocarditis are associated with high mortality. We report a autopsy case diagnosed as cerebral infarction due to thromboembolic complication of rheumatic heart disease patient with mechanical mitral and aortic prostheses. To our knowledge, this is the initial autopsy presentation of cerebral infarction due to thromboembolic complication of mechanical prosthetic valve in the patient with rheumatic heart disease in Korea.

두개강내 추골동맥의 박리성 동맥류 : 2부검례 보고

이상용,조갑래,서중석 大韓法醫學會 2000 대한법의학회지 Vol.24 No.1

Two autopsied cases of dissecting aneurysms of intracranial vertebral artery are reported and the appropriate literature is reviewed to investigate the pathological characteristics and pathogenesis. The location and pathological features of the aneurysms are similar in the two cases. The aneurysms in both cases are confined to the intracranial vertebral artery and massive subarachnoid hemorrhage in basal cistern develop caused by the rupture of the arterial wall. And the aneurysms show mainly subadventitial dissection and display intimal thickening, disruption of internal elastic lamina, and degeneration of the media. Based on their pathological investigation of these two cases and a review of reported cases, the authors propose that weakness of internal elastic lamina may be responsible for initiating dissection in susceptible individuals and hypertention is one of contributing factors that result in weakness of internal elastic lamina.