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      • 유아의 기관절개술에서 발관방지를 위해 고안된 기관절개 튜브

        권진형,김성운,오천환 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

        Tracheostomy in infants and children is associated with a high rate of accidental decannulation in the early postoperative period. The most common complication in infants and children, which most often results in death, is accidental decannulation. Other authors advocate suturing tracheostomy tubes in place in infants and children under general anesthesia in operating room for avoiding decannulation. The authors designed tracheostomy tube for the prevention of accidental decannulation following tracheostomy in infant, so report with review of literatures.

      • 기관내 삽관 후 발생한 기관 괴사와 협착증 : 증례보고 A case report

        권진형,구자욱,유시현 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

        Tracheal necrosis and stenosis are rare complications of prolonged endotracheal intubation. A 62 years old female was performed cerebral aneurysmal neck clipping under general anesthesia via endotracheal intubation and transferred to the 12th intensive care unit. The patient was mechanically ventilated and tracheostomy was done on the postoperative day. Necrotic tissue, pus and stenosis were found around the ballooning site of the trachea. T-tube insertion was done on the both postoperative day and the patient was discharged on the 80th postoperative day.

      • Paste법에 의한 0.1V강의 침붕처리에 관한 연구

        권동일,김강형,김진관,이성훈,윤재홍 國立 昌原大學校 産業技術硏究所 1994 産技硏論文集 Vol.8 No.-

        0.1V강의 표면경도를 향상시키기 위해서 Boronizing처리를 실시하여 Hv=1500∼2000의 높은 경도값을 나타내는 붕화물층을 얻었다. 붕화물층의 두께와 처리시간과의 사이에는 방물선관계를 나타내었으며 붕화물층 생성 겉보기 활성화에너지는 94kJ/mol이다. 또한 900˚C, 3시간 침붕처리했을 때가 가장 높은 경도분포값을 나타내었으며 그 이상 장시간 처리하면 오히려 경도가 감소하는 경향을 나타낸다. 그리고 침붕층은 20% HCl, 20% H₂SO₄용액에서는 뛰어난 내식성을 가지나, 20% HNO₃용액에 대해서는 상대적으로 내식성이 떨어졌다. 그리고 내고온산화성은 대기중 800˚C까지는 침붕처리한 시편이 우수했으나 900˚C부터는 오히려 감소했다. To improve the surface hardness of the 0.1V steel, by Boronizing Treatment, We got boride layer showing high hardness, Hv=1500∼2000. A parabola relationship was appeared between boride layer thickness and treatment time, and apparent activation energy to form the boride layer 94kJ/mol. Moreover, We obtained the most high hardness distribution value when had the boronizing treatment for 3 hours at 900˚C. On the contrary, If we did boronizing treatment above 3 hours, the hardness appeared decreasing tendency. The boride layer had a good corrosion resistance at a solution of 20% HCl and 20% H₂SO₄, but correlatively the corrosion resistance of the boride layer was declined at a solution of 20% HNO₃. And the boronized specimen had a good high temperature oxidation resistance until 800˚C in the atmosphere but the high temperature oxidation resistance go down above 900˚C.

      • KCI등재

        치성낭종으로부터 유래된 편평상피세포암종 : Report of a Case & Review of Literatures

        권혁진,현재훈,박형국,김용각 大韓顎顔面成形再建外科學會 1997 Maxillofacial Plastic Reconstructive Surgery Vol.19 No.2

        Odontogenic cysts are relatively common pathologic lesions found in the oral and perioral structures, but the case of squamous cell carcinoma arising from those cysts are very uncommon. After first reported of that case in 1889 by Herman, Schwimmer collected 56 cases of previously reported squamous cell carcinoma arising in residual odontogenic cyst during about past one century. More than 60% of cases of carcinoma developing in odontogenic cysts arising in inflammatory periapical or residual cyst, and these tumors are usually well-differentiated with relatively good prognosis, and often are diagnosed as benign lesion in radiographic or clinical examination, therefore definitive diagnosis must be made by histologic examintation. We report a case and review the literatures, in our case, 78-year old woman were clinically and radiographically diagnosed as residual odontogenic cyst. But in histologic examination after enucleation of lesion, mass of squamous cell carinoma were observed, but in other area, typical cyst wall and lining epithelium were observed. And in some area, carcinoma in situ and invading squamous cell carcinoma into the lining epithlium were also observed.

      • 중복 자궁 경부, 맹낭성 종질중격 및 동측 신장발생부전을 가진 교통성 중복자궁 1례

        김윤진,전명권,이응수,최형민 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

        The class of uterine malformation known as communicating uteri is characterized by two uterocervical cavities connected by an isthmic communication. We experienced case of communicating double uterus with double cervix, blind hemivagina and ipsilateral renal agenesis. The complaint of the patient was odorous vaginal discharge with lower abdominal pain unrelated with menstrual cycle. We confirmed these Mullerian anomalies by transvaginal ultrasound. IVP(intravenous pyelography), MRI(magnetic resonance imaging), hysterosalpingography and hysteroscopy. After vaginal septoplasty, her complaint was subsided. We report this case with brief review of literatures.

      • Effects of Oxygen Pressure on the Crystalline of ZnO Films by PLD Method

        조재형,허태봉,곽진성,권대영 부산대학교 유전체물성연구소 2005 유전체 논문집 Vol.4 No.

        We studied the effects of oxygen pressure on the ctystalline of ZnO films on sapphire(001) substrates were deposited by the pulsed laser deposition (PLD) technique and were grown at various oxygen pressure ranging from 5 mtorr to 150 mtorr to investigate the effect of ambient O2 pressure on the structural properties of the films. We found that the lattice constant along the c-axis and the crystalline of ZnO films are sensitive to the O2 pressure.

      • 육안적 혈뇨로 내원한 환자에서 발견된 방광 유전분증 : 증례보고

        김은진;성 현;홍수민;정성연;박경식;손형래;박일권;구호석;고행일 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-

        Amyloidosis is a disease resulting in deposition of amyloid in the body. The disease can be either primary or secondary. The amyloidosis of urinary bladder is more usually affected by primary amyloidosis and also very rare. The patient with primary amyloidosis of the bladder usually presents with gross hematuria. The amyloidosis resembles bladder cancer in cystoscopy. It can be confirmed by biopsy. The treatment consists of medication (e.g., steroid, antitumor agent, cholchicine, DMSO) and/or transurethral resection. The standard treatment is mephalan and prednisolone. A 49-year-old man complained of recently developed gross hematuria without abdominal pain. We examined urinary bladder cystoscope for gross hematuria. It revealed small bulging mass on trigone are a of bladder. Therefore we did bladder biopsy. Finally, it revealed bladder amyloidosis. The patient was improved by medication (mephalan 2mg and prednisolone 1 mg/kg po daily). We report an unusual case of amyloidosis involving bladder.

      • 만성폐쇄성폐질환의 중증도와 폐고혈압 및 폐성심으로 진행과의 상관관계

        김형호,박철진,이준,장광표,하성일,이재록,하재화,권세훈,권용운,윤성호,이승일 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

        Background: From many previous studies, Pulmonary hypertension is the known independent predictive factor of the mortality in COPD. Also pulmonary hypertension is the major cardiovascular complication of COPD and is associated with the progression to cor pulmonale and poor prognosis. Author want to analyze the correlation between pulmonary hypertension and the severity of COPD which are classified by forced expiratory volume in one second, and the extent of progression to corpulmonale. Methods: Retrospectively we investigated the medical records of 118 patients with COPD who had pulmonary function test and echocardiogaphy more than one times during one-year follow-up (from June, 2005 to May, 2006) at respiratory division in chosun university hospital, and then 50 patients were enrolled in this study. We classified the severity from FEVl in pulmonary function test based on the GOLD guideline, also this was comparably analyzed with RVSP, RVIDd, Visual Grading from echocardiography. Results: 16 patients out of 50 were classified as moderate severity, 25 patients were severe, and 9 patients were very severe group. RVSP was higher in more severe groups than less severe groups but when it comes to pulmonary hypertension that RVSP is over 35 mmHg, there was no valid difference lies in those groups. As FEVl decreases RVSP and RVIDd increases, and observed relationship between RVSP which was classified as below 35 mm and above 35 mm groups and visual grading which was classified as normal and dilatated groups revealed valid correlation, Conclusion: As pulmonary function decreases, progression to pulmonary hypertension and cor pulmonale increases but there was no remarkable difference of prevalence in above moderate severity groups. 연구배경 폐고혈압은 이전의 많은 연구에서 만성폐쇄성폐질환에서 독립적인 사망의 예측인자로 알려져 있다. 또한 폐고혈압은 만성폐쇄성폐질환의 주요한 심혈관계 합병증이며, 폐성심으로의 진행 및 불량한 예후와도 관련되어 있다. 이에 저자는 폐고혈압과 1초간 노력성호기량으로 분류되는 만성폐쇄성폐질환의 중증도 및 폐성심으로의 진행 정도를 비교 분석하여 이들의 상관관계를 밝혀보고자 한다. 방법 2005년 6월부터 2006년 5월까지 1년 동안 본 병원 호흡기 내과에서 폐기능검사와 심장초음파 검사를 각각 1회 이상 시행한 적이 있는 118명에 한하여 의무기록을 후향적으로 조사하여 이 중에서 50명을 대상으로 하였다. 폐기능검사 시행 결과 얻은 1초간 노력성호기량을 바탕으로 GOLD guideline에 따라 중증도를 분류하였으며 이를 심초음파 시행 결과 얻은 우심실수축기압, 확장기말 우심실내부간격, 시각등급과 비교분석하였다. 결과 대상 환자 50명중 16명은 중등증, 25명은 중증, 9명은 최고중증 그룹으로 분류되었다. 우심실수축기압은 중증도가 높은 그룹에서 낮은 그룹에 비해 더 높게 나타났으나 폐고혈압에 해당하는 우심실수축기압이 35 mmHg이상인 환자에 있어사는 각 그룹간에 유의한 차이를 보이지 않았으며, 확장기말 우심실내부간격, 시각등급 또한 중증도와 유의한 차이를 보이지 안항ㅆ다. 1초간 노력성호기량이 감소함에 따라서는 우심실수축기압, 시각등급은 증가하였으며 우심실수축기압을 35mmHg 미만과 이상인 그룹으로, 시각등급을 정상과 확장이 있는 그룹으로 분류하여 비교한 결과에서는 유의한 상관관계를 나타냈다. 결론 폐기능이 감소할수록 페고혈압 및 폐성심으로의 진행이 증가하였으나 폐기능검사에서 중등도 이상의 그룹에서 유병률의 차이는 크지 않았다.

      • 세로방향의 휜이달린 환형관 내의 유체흐름에 대한 연구

        류진형,정인권,김정식,김내현 國立金烏工科大學校附設生産技術硏究所 1993 産業技術開發硏究 Vol.9 No.-

        In this study, the pressure drop and velocity profile were measured in longitudinally finned annulus. The test specimens were a round rod of 38㎜diameter with no fin, a rod a 40㎜ with 6 fin, a rod of 40㎜ with 8 fin, and a rod of 50㎜ with 8 fin. The fin thickness was 3㎜ and the fin height was 5㎜. The specimen was installed in a tube of 76㎜ inner diameter. For the round rod with no fin, the pressure drop data were well predicted by Blasius correlation, and the velocity profile was very close to the Nikuradse's non-dimensional velocity profile. For finned rods, the pressure drop of 8 fin rods was well predicted by Blasiue correlation. However, the correlation slightly under-predicted 6 fin data. The maximum velocity points in the finned annulus were circumferentially uniform except for the fin top position. Quarmby's equation [Eq.14] predicted the maximum velocity points excellently.

      • 초임계 유체에서 용해도 파라미터에 의한 고체 용해도 예측

        洪仁權,金炯辰,林秀貞 단국대학교 1994 論文集 Vol.28 No.-

        Solubility of solids was calculated by using a Peng-Robinson EOS and Flory-Huggins theory with solubility data of solids in supercritical carbon dioxide which was studied recently. Theoretical solubility data of solids were obtained by applying Peng-Robinson EOS with k_ij data, interaction parameter which was calculated by nonlinear regression method. Experimental solubility data which were studied by many researchers were compared with solubility data which were calculated by Peng-Robinson EOS. And, it was assumed that Peng-Robinson binary interaction parameter, k_ij(k_ii = k_jj = 0, k_ij = k_ji) is independent on temperature, pressure, and component, but k_ij is dependent on temperature in high pressure nonideal fluid mixture. Interaction parameter, β_12 between solvent and solute which was calculated by using a Flory-Huggins theory is dependent on solubility parameter of solvent, δ. There's relationship that interaction parameter, β_12 and solubility parameter δ are independent on temperature. It was modeled using a Cubic Spline method.

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