수부 주상골 요부의 전위골절에 대한 수술적 치료

조용만,이영기,강흥식,리건영,이천동,오상수 대한골절학회 1997 대한골절학회지 Vol.10 No.1

The authors surveyed the clinical study of 17cases of scaphoid fractures from March 1989 to September 1994 with minimal I year follow up at Department of Orthopedic Surgery, Lee-Rha general Hospital. The following conclusions were obtained through clinical survey. l. Of all l 7 cases, they were l3 males and 4 females; Among the 13 males, 10 cases were aged between 20 and 39 years. forming 56.8% of all. 2. All 17 cases were treated by open reduction. Unions were obtained at average l l.5 weeks in 7 cases treated with Herbert screw fixation and l 2 weeks in l 0 cases treated with K-wire fixation. 3. Two of ten K-wire treated cases resulted in delayed union, one of seven Herbert screw treated cases resulted in delayed union. 4. Unions were obtained at average 20 weeks in 3 cases of delayed union. We concluded that open reduction and K-wire fixation were recomanded for the compatible treatment method of displaced waist fracture of scaphoid.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

급성신부전, 막성 신병증과 간염이 합병된 제2기 매독1례

김현수,박영정,엄흥식,이활연,최상봉,김상현,박원도 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Syphilis is a systemic infectious disease infected by the spirochete Treponema pallidum. It shows variable clinical manifestations. Nephrotic syndrome from secondary syphilis is a rare complication in Korea. One letter was reported before in Korea. This report describes 64-year-old male patient with syphilis presented with feature of hepatitis, acute renal failure and nephrotic syndrome. A diagnosis of secondary syphilis was done by the serologic test for syphilis. After diagnosis of syphilis, we supposed that nephrotic syndrome and hepatitis were the complication of secondary syphilis and performed a kidney biopsy. A kidney biopsy revealed membranous nephropathy characterized by subepithelial deposits involving the glomerular basement membrane and effacement of epithelial foot-process on electron microscopy. The patient was treated with intramuscular benzathine penicillin 2.4 million units. Proteinuria, renal failure, hepatitis were resolved in 3 weeks after penicillin therapy.

오스템퍼 처리한 구상흑연주철의 드릴가공 특성과 공구수명에 관한 연구

조규재,이승수,전언찬,박흥식 동아대학교 공과대학부설 생산기술연구소 1996 生産技術硏究所硏究論文集 Vol.1 No.2

Drilling tests were carried out austempered ductile cast iron(ADI) to clarify the factors influencing the drilling chracteristics of ADI material. The machinability of material was evaluated using high speed steel drill and cobalt contained drill of 6mm diameter. The spherodal graphite cast iron materials were austenized at 900℃ for in hour and then wear was kept at 375℃ for 2 hours. Austempered ductile cast iron contains a great deal of retained austenite which contributes to an improvement of impact strength. In this paper, machinability of ADI was investigated by drilling experimentation. The results obtained are as follows: a) Flank wear increases logarithmically with the increases of cutting time. b) Relation of flank wear and cutting force can be applied to FZ = 925VB + 820 for the cutting suggested condition. c) Drilling hole number of about 2 times can be reduced more step feed than ordinary feed due to the high hardness of ADI material and hardness increasing ascribed to the martensite of retained austenite.

서울시 소음공해 현황과 이에 대한 주민의 인식정도

정인희,이효수,김동수,김흥식 한국환경과학회 1997 한국환경과학회지 Vol.6 No.6

Nine districts in Seoul were chosen randomly and a questionnaire containing 23 questions was distributed to survey the perception of noise pollution by the citizens. The results were primarily analyzed to understand the perception of Seoul citizen as a whole, and then analyzed according to 4 demographic variables -district area, age, gender and occupation -to see if there were any possible relation between nonnoise variables and noise annoyance. Actual noise level data measured by the city government were used to compare quantified noise level with the surveyed people's perception. It was found that people consider road traffic noise to be the main source of noise pollution in Seoul and that most people have experienced annoyance in everyday life. Also it was verified that the responsibility for noise control should be on both city government and the individuals, but it was generally considered that very little effort is actually put into solving noise pollution from both groups. From the survey, it could be analyzed that demographic variables do affect people in the awareness of noise pollution, and that one's sensitivity and annoyance due to noise increase as one ages. From the study, it was concluded that noise pollution is not considered currently as a hazardous problem to most Seoul citizens, however specific noise reduction policies, especially regarding road traffic noise, should be put into practice in the near future.

혈소판 풍부혈장의 임상적 응용

하정완,김수관,조세인,이철우,정태영,김수흥,김영균 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

Platelet-rich plasma is an autologous source of platelet-derived growth factor and transforming growth factor beta that is obtained by sequestering and concentrating platelets by gradient density centrifugation. We have used platelet-rich plasma for bone graft, especially allobone graft, at implant surgery, sinus lift procedure, and cyst enucleation. This article is retrospective study from October 1999 to November 2000. All cases were good healing and clinical success.

하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

쿠퍼씨 방법을 이용한 상악 전방부 골절단술

김소영,김수관,이상호,김수응,정태영,안태훈 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

Anterior segmental osteotomy were performed in 8 patients with Angle's II malocclusion or anterior maxillary protrusion. Cupar's method was used for operation. The period of follow up for patients were 15months by average. This study discussed the postoperative complications and soft tissue change after anterior segmental maxillary osteotomy. There are not specific major complications.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1994)

김재홍,안진균,정성재,김영태,김중환,김시영,이석종,이홍렬,서호석,김경훈,권혁진,정우권,고우석,이용석,안필수,오준규,오용섭 대한화학요법학회 1996 대한화학요법학회지 Vol.14 No.1

Background : In recent years gonorrhoea has been panendemic and remains one of the most common Sexually Transmitted Diseases in the world, especially in developing countries. Objective & Method : For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria Gonorrhoeae(PPNG), Ive have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1994, 168 strains of N. gonorrhoeae were isolated, among which 109 (64,9% ) were PPNG. Conclustion : Our results suggests that the prevalence of PPNG in Seoul is still increasing.

피나무(Tilia amurensis), 뽕잎피나무(T. taquetii), 일본피나무(T. japonica)의 형질분석을 통한 분류학적 한계

尹準九,張珍成,金輝,張桂羨,李興洙 서울大學校農業生命科學大學附屬樹木園 2003 서울大學校 樹木園 硏究報告 Vol.- No.23

본 연구는 한국산 피나무속의 3종(T.amurensis, T. insularis, T. taquetii)과 일본피나무(T.japonica)를 대상으로 6개 정량 형질(잎의 길이와 폭, 털의 밀도, 화경의 길이, 열매의 길이와 폭)을 비교 검토하였다. T.amurensis(피나무)와 T. insularis(섬피나무) T. taquetii(뽕잎피나무)는 기존에 잎의 크기와 털의 정도가 주요 형질로 알려져 있지만 본 연구결과 모두 뚜렷한 구분이 없는 연속변이를 보였다. 또한, 일본피나무와 국내 자생 피나무와 비교한 결과 기존에 알려진 화경의 길이에서 차이를 보였는데 제한된 개체를 근간으로 조사한 결과 일본피나무가 다소 긴 것을 확인하였다. 국내 자생 피나무, 섬피나무, 뽕잎피나무의 경우 독립된 종이기보다는 모두 피나무의 지역적 변이체임을 확인함과 동시에 동일종으로 처리하는 것이 타당하다고 생각한다. 그러나, 일본피나무의 경우는 좀 더 많은 개체수를 확보하여 화경의 길이에 대해 보다 자세한 조사가 이루어져야 할 것으로 생각된다. The hair density and type of leaf and bract, size of leaf and absence/presence of staminodes are important to recognize many taxa of Tilia. The systematic relationships among T. amurensis, T. insularis, T. taquetii in Korea and T. japonica in Japan were confused and were not clarified yet. Flower and fruit specimens of 121 individuals were sampled to investigate patterns of intraspecific variation and to evaluate the species delimitation among Tilia amurensis, T. taquetii, T. insularis, and T. japonica using six characters. The morphological differentiation among T. amurensis, T. insularis, and T. taquetii was not sufficient to warrant recognition of either specific or varietal status and should be treated as conspecific under T. amurensis. Based on results of limited number of specimens, the morphological discontinuity between T. amurensis and T. japonica was found only in peduncle length. Further study on this reproductive character are required to conduct any taxonomic treatment on these taxa.