황사현상시 대기중 충부유분전(TSP)와 TSP중의 중금속 및 무기성 이온 조사 연구

손종렬,정호철,양광수,이용성 高麗大學校 倂設 保健大學 保健科學硏究所 1998 保健科學論集 Vol.24 No.1

The study was performed to investigate the influence of dust transportation from China contient to Korea by Yellow Sand phenomena and evaluate the aerosol during the period of Yellow Sand phenomena in Seoul, from Apr. to Oct. 1998. The TSP(Total Suspended Particulates) was collected by High Volume Air Sampler. The concentration of heavy metals in TSP were analysed by AAS and the inorganic ion of TSP were analysed by IC. The results were as follows: 1. The average concentration of TSP were 249.18㎍/㎥ at sampling point during the Yellow Sand phenomena were twice higher than that in Non-Yellow Sand which was 121.98㎍/㎥. 2. The average concentration of heavy metals in TSP during Yellow Sand phenomena and Non-Yellow Sand were Zn>Al>Fe>Pb>Mn>Cr>Ni>Cu>Cd. 3. In comparion with the ordinary time, the average concentration of anionic ions in TSP during Yellow Sand phenomena were Cl^(-)>S0₄^(2)>NO₃^(-)>F^(-)>P0₄>Br^(-), those of Non-Yellow Sand were Cl^(-)>NO₃^(-)>SO₄^(-2)>F^(-)>PO₄^>Br^(-), and that of cationic ions in TSP during Yellow Sand phenomena were Na^(+)>K^(+)>NH₄^(+).

인공 슬관절 전치환술에서 음압 배액법의 효과

손승원,이경재,김철용 대한슬관절학회 2003 대한슬관절학회지 Vol.15 No.1

목적 : 본 연구의 목적은 슬관절 전치환술 후 음압 배액법을 사용한 군과 사용하지 않은 군을 비교함으로서 관절 치환술 후 보편적으로 사용되고 있는 음압 배액법의 장단점 및 그 필요성에 대해 알아보고자 함에 있다. 대상 및 방법: 1998년 1월부터 2000년 12월까지 본원에서 골시멘트를 사용하여 동시에 양측 슬관절 전치환술을 시행 받은 환자 중 음압 배액법을 사용한 50예를 Ⅰ군으로, 사용하지 않은 50예를 Ⅱ군으로 하여 외래 및 입원 기록지, 수술 기록지 등을 역행적으로 분서하였다. 술전 및 술후 대퇴 둘레의 길이, 반상출혈의 정도, 술후 발생한 창상 감염의 빈도, 수혈량, 술전 및 술후 슬관절 점수 및 슬관절 운동범위를 비교하였다. 결과 : 대퇴 둘레의 길이는 Ⅰ군에서 술전 평균 42.9 ㎝, 술 후 평균 46.1 ㎝이었고 Ⅱ군에서 술전 평균 43.7 ㎝, 술후 평균 47.6 ㎝ 이었으며, 술후 반상출혈은 Ⅰ군에서 22%, Ⅱ군에서 58%의 빈도로 발생하였다. 두 군 모두에서 술후 창상 감염은 발생하지 않았으며, 술후 3일째까지의 수혈양은 Ⅰ군에서 평균 1.94(0-4)unit, Ⅱ군에서 평균 1.86(0-4)unit였다. 술전 및 술후에 측정한 슬관절 점수는 두 군 모두에서 술후 6주째 만족할 만한 증가를 보였으며 슬관절 운동 범위의 회복 역시 두 군에서 비슷한 경과를 보였다. 결론 : 본 연구에서 인공 슬관절 전치환술 후 음압 배액법을 시행한 군에서 술후 창상의 경과나 임상적 및 재활적 측면에서 음압 배액법을 시행하지 않은 군과 유의할 만한 차이가 없는 것으로 나타나 인공 슬관절 전치환술 후 음압 배액법은 선택적으로 사용되어져야할 것으로 사료된다. Purpose: To assess the clinical comparison of closed suction drainage group and non drainage group after simultaneous bilateral total knee arthroplasty. Methods & Materials : We analyzed the thigh circumference, ecchymosis, wound infection, transfusion amount, knee score and range of motion in 100 cases(50 patients) done with PFC of PFC-sigma model between 1998 and 2000. Fifty cases of them(group Ⅰ) were inserted hemo vac and the others(group Ⅱ) were not inserted hamo vac. Result : The average thigh circumference in group Ⅰ was 42.9 ㎝(preoperative), and 46.1 ㎝(postoperative), in group Ⅱ was 43.7 ㎝(preoperative). The knee that had no drains had a higher incidence of ecchymosis. However, the final result of knee score and range of motion of knee joint were not affected significantly by nonuse of closed suction draining. There were no infection sign in both groups. Conclusion : The clinical comparison of closed suction drainage group and non drainage group after simultaneous bilateral total knee arthroplasty was not significantly different in wound healing, clinical and rehabilitation course. The use of suction drainage must be carefully selected after primary total knee arthroplasty.

실내환경중의 산소발생기 사용에 대한 인식도 평가

손종렬,조윤수,이규현,황상용 대한위생학회 2003 대한환경위생공학회지 Vol.18 No.4

Recently, Indoor air quality(IAQ) in workplace, residential environments and office has been concern of people, scientists and related the public. The oxygen in air was very important and essential element in every aspect of life. This study was performed on a questionnaire survey of 400 people about their awareness of indoor air quality, oxygen generators and measured of oxygen concentration in indoor environment. The results obtained were as follows; As respondents are having their 90% of daytime indoors a day, and 80% of them can feel indoor air pollutions degrees directly by particle matters. The control of most important problems of IAQ was the poor ventilation. We know that 22% of the respondents was recognized the oxgen generator. And for the installation of indoor pollution control equipment, 20% of all respondents installed oxygen generators because almost respondents was not satified the trust of ability purified indoor air pollutants. In the experimental results, it was found that the oxygen concentration of sampling sites were in the range of 20~23.5%. Therefore, it was recommended that the government related IAQ was suggested the guideline and control of oxygen generators. Finally, it appeared that the oxygen generators using indoor environment can be applied to new technology for cleaning of indoor air.

아파트 실내에서 시간 경과에 따른 포름알데히드의 농도 조사

변상훈,김영환,손종렬,문경환 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.1

Our communities have been exposed to polluted air. Polluted air could cause the serious injury such as respirational impediment, disease and so on, and the air pollution could be most serious problem in our life. Unfortunately, we didn't have consider these problems seriously, and we had make no solutions for these problems. The new apartment was shown higher concentrations for formaldehyde than the old apartment, that indicated the new apartment environment was more polluted.

太谿穴의 臨床 活用에 대한 文獻考察

구성태,송문영,강정묵,김용명,박보라,이은석,홍정아,김경식,손인철 한국전통의학연구소 2003 한국전통의학지 Vol.13 No.1

Literally, the mean of Tae-gye is highest brook. And on the basis of the acupuncture theory, Tae-gye point is the Soo earth point and source point of the Kidney Channel as well. In addition, Tae-gye point is one of the Yang-Returning Nine points. We were trying to study bibliographically on the Tae-gye point because Tae-gye point can be used very broadly across the symptoms in the theoretical aspect described above. As a results, we found out that according to the classical books of acupuncture, Tae-gye point is entering point of the Meridian Water as a source point and can be used at both Kidney-Sufficient Syndrom and Kidney-Deficient Syndrom. And Tae-gye can be applied to the disease of kidney or bladder that is urogenital symtoms, Also, Tae-gye is an useful option of tooth-ache, asthma, indigestion, constipation, edema etc whose cause is related with decrease of Kidney ki.

순환기 내과로 자문의뢰된 환자의 임상상

황진용,최지용,손상균,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.4

목적 : 순환기내과 영역은 많은 과로부터 자문의뢰를 받는 영역으로 알려져 있다. 특히 최근 우리나라의 순환기질환의 유형이 변화되고 입원환자가 고령화되면서 동반된 심질환의 유병율도 증가하고있다. 이에 저자들은 타과로 입원하여 순환기내과로 자문의뢰되는 환자의 임상상과 3차병원인 경북대학교병원에서의 순환기내과자문의 유용성 등을 평가하여 향후 순환기질병에 대한 협의진료에 도움을 주고자 본 연구를 시행하였다. 방법 : 1995년 3월부터 순환기내과로 공식자문의뢰된 첫 100명을 대상으로 전향적으로 연령, 의뢰이유, 최종진단명, 수술과의 관련성 여부, 순환기내과의 최종조치, 타과의 순응도 등을 조사하였다. 결과 : 1) 자문을 의뢰한 환자는 평균 58±16(15-89, 중앙치 61)세였고 60세이상의 환자가 57%로 고령의 환자가 많았다. 2) 내과계열 25%, 외과계열 75%로 외과계열의 자문이 많았고 일반외과가 26%로 가장 많았고 내과의 다른 분과가 12%, 신경외과 12%, 정형외과 11%, 흉부외과 11%, 신경과 11% 등의 순이었다. 외과계열중 수술을 시행한 경우는 58례로 이중 응급수술이 13례였다. 술전 위험도 평가를 위한 자문이 38례에서 있었는데 순환기적인 문제로 수술을 받지 못한 경우는 2례(1례는 허혈성 심질환, 1례는 심낭질환)이었다. 이때 응급수술을 제외한 입원일과 술전 자문일파의 간격은 평균 3±7일(입원일-42일)이고 술전 자문일과 수술일과의 간격은 평균 6±4일(1-16일)이었다. 3) 타과의 의뢰이유는 심전도 이상이 36례, 높게 측정된 혈압이 20례, 순환기질환의 과거력 17례, 환자의 증상 때문인 경우가 10례였고 심전도의 이상중에는 부정맥이 18례, 이상 Q파 6례, ST절 이상이 5례, 각차단이 3례의 순이었다. 순환기과거력 중에는 허혈성 심질환이 6례, 현재 혈압은 정상이나 고혈압의 과거력이 있는 경우가 4례 순이었고 환자의 증상은 흉통 6례, 호흡곤란이 3례, 기절이 1례였다. 4) 자문후 최종진단이 가능했던 91례를 진단별(총 97 진단명)로 나누어 보면 고혈압이 28례, 부정맥이 16례, 허혈성 심질환이 14례, 판막질환이 11례, 순환기질환이 아닌경우가 19래였다. 이들중 추적진료가 필요하다고 응답한 경우가 57례였으나 순환기내과 외래에 1번이상 추적진료한 경우는 32례(56%)로 환자의 순응도는 낮았다. 결론 : 순환기내과의 자문의뢰는 고령자에게 많았고 수술과 관련된 경우가 많았으며 심전도의 이상이 의뢰이유로 가장 많았으며 진단별로는 고혈압과 부정맥이 가장 많았다. 그리고 순환기적인문제로 수술을 받지 못한 경우는 드물었고 자문후 지속적인 추적진료를 위해 환자의 교육이 필요하겠다. Objective : Clinical characteristics of the patients with cardiovascular diseases in the general hospital have been changed and prevalance of co-existing cardiovascular disease in the patients who were admitted for non-cardiac diseases has been increased remarkably as the proportion of elderly patients increased rapidly in Korea. We evaluated clinical features of the patients consulted for cardiological evaluation and effectiveness of the consultation in the setting of tertiary general hospital, Kyungpook University Hospital. Method : One hundred patients were studied between January 1995 and January 1996. They were evaluated for the reason of consultation, final diagnosis, final recommendation from cardiologists and its impact on the management of the patients, and compliance of the consulting departments. Results : 1) The ages ranged between 15 and 89 (mean 58±16, median 61) years, 57 patients were male and 43 female. Fifty seven patients were older than 60 years. 2) Consultations from surgical parts were 75 patients. Consultation from general surgery was most frequent (26%), followed by other divisions of internal medicine (12%), neurosurgery (12%) and orthopedic surgery (11%), chest surgery (11%), neurology (11%), obstetrics and gynecology (8%), urology (4%), ophthalmology (2%), dermatology (2%), ENT (1%). Among 75 patients from surgical parts, operation was done on 58 patients, including 13 emergency cases. Preoperative cardiac risk evaluation was the reason of consultation in thirty eight patients, of which operation could not be done in only 2 patients (one had severe ischemic heart disease, the other large pericardial disease). Interval between consultation day and operation day was 6±4 days (1-6 days). 3) Reasons for cardiac consultation were electrocardiographic (ECG) abnormalities in 36 patients, high blood pressure in 20 patients, previous cardiovascular diseases in 17 patients, symptoms of the patients in 10 patients. Among EGG abnormalities, arrhythmias was the reason in 18 patients, abnormal Q waves in 6 patients, ST-T segment abnormalities in 5 patients, bundle branch block in 3 patients. Among previous cardiovascular disease, presence of ischemic heart disease was the reason in 6 patients, previous hypertension in 4 patients. Chest pain was the reason of the consultation in 6 patients, dyspnea in 3 patients, syncope in 1 patient. 4) Definite diagnoses could be made in 91 patients with 96 diagnoses which were hypertension and its complications in 28, arrhythmia with underlying disease in 16, ischemic heart disease in 14. valvular heart disease in 11, non-cardiovascular disease in 19. Cardiological follow up was recommended in 57 patients. However, 25 patients (44%) were lost to follow-up. Conclusion : Cardiological consultation was frequent in the elderly patients. Most frequent reason for consultation was EGG abnormalities. Hypertension or arrhythmia was most common final diagnosis. Inoperability due to cardiovascular problems were rare.

플라즈마 표지소자의 제작

이상윤,라병욱,박동수,황인헌,이덕동,신영남,박성배,이동욱,박용석,박형근,손상호,권태근,채경락,정경득 慶北大學校 自然科學大學 1986 自然科學論文集 Vol.4 No.-

An Ac-type Plasma Display Panel (PDP) operating with Ne-Ar(0.1%) Penning mixture gas is fabicated. The characterics of the panel with electrodes covered with thin and thick dielectric layers are studied. The brightness of the Neon-orange light emitted by the panel measured as function of applied voltage and frequency. As an application, a graphic display system equipped with PDP showing still and moving pictures is made.

초등 사회과 3학년 지역화 교수·학습자료개발 연구

홍기대,손정선,김언식,김용조,이광성,김경운 光州敎育大學校 初等敎育硏究所 2002 初等敎育硏究 Vol.17 No.-

The purpose of this study is in developing locally-oriented teaching-learning materials to motivate students to effectively take part in activities using map and in improving the field work of social studies to plan a map learning and to give them the ability of practice. It represents the right order involved in teaching the activities using map after doing preceding learning : classroom, playground, and the environs of the school including to some learning methods such as a puzzle map, a correlative of learning. Field trip study planning and lesson-plan are designed in case of Sewage disposal plant, Duknam filtration plant, Bonchon industrial complex relating to field trip study. There are some effects expected which follow through this study. First, teachers are able to draw learner's interest in finding learning sources directly through the community where they live. Second, learners have active participation in class, motivation, drawing their interests through map learning by doing preceding study of learner-centered. Third, teachers can make use of it as useful tools to get high achievement goal with self-direct learning.

부산지역 모 공단 및 인근지역 사업체의 산업보건 실태에 관한 조사연구

이동영,손혜숙,이채언,박형종,김대환,엄상화,최성용,유병철 인제대학교 1993 仁濟醫學 Vol.14 No.4

부산지역 공단 및 인근지역 사업체의 산업보건실태를 파악하기 위하여 205개 사업체의 보건담당자를 대상으로 1990년도의 보건실태에 관한 설문조사를 하였다. 조사내용을 일반사항, 보건관리실태에 관한 사항, 작업장 유해환경 및 보호구 지급사항, 건강관련 사항 및 근무조건에 관한 사항 등으로 대별하여 분석ㆍ관찰하였다. In order to obtain the fundamental data for developing more effective and acceptable programs of public health manegement in an industrial complex, 205 health manager in the plants answered the questionaire of the status of industrial health during 1990. The questionaire consisted of general charateristics, health care status, environmental problems, health problems, and others. 72.4% of 205 plants had less than 100 workers. Fabricated metal manufacture was 32.4%. Although Footwear manufacture was 6.4%, the percentage of workers was 33.1% of total workers. The percentage(56.2) of retired women was higher than that(38.2) of men. 51.9% of total plants has recieving group health care services. 85.4% of plants was exposed to noise, 66.5% was exposed to dust. Ear plug and mask were given to prevent noise and dust in 69.2% and 68.6%, respectively. Among 22,299 workers, 618(2.8%) were diagnosed as suspected non-occupatinal disease. 85.9% of them worked on continuously and had their disease treated. The cases suspected for occupational disease was 100 workers. 82.5% of them changed their post. 45% had the compensation for their occuaptional disease. The rate of working: accidents was 2.3%.

칫솔질 교육의 치면 세균막 억제 효과

유은규,손미연,최성철,김광철,박용덕,박재홍 大韓小兒齒科學會 2012 大韓小兒齒科學會誌 Vol.39 No.1

To maintain good oral hygiene, plaque control is essential and the most common and effective method is appropriate brushing. However accurate brushing is so difficult for children that the importance of brush is getting higher. We investigated the effect of tooth brushing instruction in plaque control for 40 children who came to Kyunghee university dental hospital, department of pediatric dentistry. We examined basic information by self-assessment, evaluated plaque index, tooth & tongue cleanness, malodor index for 4 times and compared values before and after tooth brushing instruction. Plaque index decreased(p<0.01) and tooth & tongue cleanness increased(p<0.01). There were no significant differences in mal-odor index. In conclusion, tooth brushing instruction is effective in removing dental plaque and its beneficial role is highly expected in establishing children’s good oral hygiene. 좋은 구강 위생 환경을 유지하기 위하여 치태 조절은 필수적이며, 가장 보편적이고 효과적인 방법은 올바른 칫솔질이다. 그러나 아동들은 올바른 칫솔질을 시행하기 어려워 칫솔질 교육의 중요성도 높아지고 있어, 경희대학교 치과대학 소아치과에 내원한 아동 40명을 대상으로 칫솔질 교육의 치태 조절의 효과를 조사하였다. 설문조사를 통해 기본 정보를 조사하고 치면 세균막 지수와 치아 및 혀 세정도, 구취 관리도를 측정하는 조사를 총 4회에 걸쳐 시행하여 칫솔질 교육 전과 후의 차이를 비교하였다. 치면 세균막 지수는 감소하였고(p<0.01), 치아 및 혀 세정도는 증가하였다(p<0.01). 구취관리도는 상관성을 보이지 않았 다(p>0.01). 이러한 결과 칫솔질 교육은 구강 내 치면 세균막 제거에 뛰어난 효과를 보여, 아동들의 좋은 구강 위생 환경의 확립에 도움 을 줄 것으로 기대된다.