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1996년도 제35차 대한소화기학회 추계학술대회 / 일반연제 : 위장관 ; 대장암의 선별법으로서 분변내 잠혈검사의 비교 - 대장암의 조기진단 방법에 관한 연구 제1보 -
박준용,이오영,한동수,손주현,윤병철,최호순,함준수,이민호,기춘석,박경남,박일규 ( J . Y . Park,O . Y . Lee,D . S . Han,J . H . Sohn,B . C . Yoon,H . S . Choi,J . S . Hahm,M . H . Lee,C . S . Kee,K . N . Park,I . K . Park ) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1
복수를 (腹水) 동반한 간경화증에서 (肝鏡化症) 복수내 (腹水內) Albumin 의 전신혈류로 (全身血流) 환류에 (還流) 관한 연구
기춘석(Chun Suk Ki),박경남(K N Park),함준수(J S Hahm),황흥곤(H K Hwang),이종숙(J C Rhee),조석신(S S Cho) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.1
N/A Ascitic ultrafiltration and intraperitoneal reinfusion therapy for intractable ascites in liver cirrhosis removes ascites fluid rapidly and increases urine output, which is thought as a result of increased effective blood volume by inducing gradual backflow of concentrated ascitic albumin into circulation. To demonstrate a net transfer of ascitic albumin to blood by this therapy in cirrhotic intractable ascitic patient, I-181 labeld human serum albumin was administered intraperitoneally after ascitic ultrafiltration, and thereafter blood samples were chawn serially and radioactivity in these sample were measured. The blood levels of I-131-HSA increased gradually over 48 hours with the peak rate of blood uptake achieved at 6 hour and the peak levels is thought to be achieved at 72 hour considering the rate of uptake. At 48 hour, 6.47% of the isotope administered had appeared in the blood when corrections are made for transfer of labeled albumin into ascites and other extracellular space and degradation of labeled albumin, At 72 hour the precentage of ascitic albumin returned to blood appears to be at least 10% By this studies we can provides the therapeutic basis for ascitic ultrafiltration intraperitoneal reinfusion therapy in intractable ascites.
식도정맥류 (食道靜脈瘤) 근절에 (根絶) 대한 내시경적 (內視鏡的) 경화요법과 (硬化療法) Propranolol 의 병합요법 (倂合療法)
이민호 ( M H Lee ),박경남 ( K N Park ),이동후 ( D H Lee ),기춘석 ( Chun Suk Ki ),정효철 ( H C Jung ),함준수 ( J S Hahm ),정태준 ( T J Chung ) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.1
N/A Esophageal Variceal bleeding due to portal hypertension is very emergency state and difficult for management. In spite of many kinds of treatment in esophageal variceal bleeding such as medical and surgical method, but can't be expected of good results especially in Childs B & C groups. Crafoord and Frenckner introduced Endoscopic Injection Sclerotherapy in esophageal varical bleeding since 1939, its good effect are reported in many institute recently. Lebrec and Fleishman reported that propranolol is significantly decreased portal venous pressure in 1980. In order to prevent for rebleeding of esophageal varices and eradication of esophageal varices, we tried that combined therapy of endoscopic injection sclerotherapy and propranolol for over 6 months in 7 patients of Esophageal varices bleeding. Endoscopic Injection Sclertherapy is performed every week for 6 months and propranolol is 80-120 mg/day over 6 months per oral route. So, we have possibility that above combined therapy prevents rebleeding & eradicates esophageal varices.
김은수(E. S. Kim),박경남(K. N. Park) 한국재활복지공학회 2021 재활복지공학회논문지 Vol.15 No.3
본 논문의 목적은 다리의 근육 손실로 보행이 어려운 사람이나 하체 마비 등으로 다리를 움직일 수 없어 재활이 필요한 사람들에게 재활 지원을 위한 보조장치를 개발하고자 한다. 이 논문은 모터와 함께 무릎 관절의 움직임을 돕기 위해 다리에 외골격을 추가하고 무릎 관절은 허벅지 근육의 수축과 이완을 통해 작동한다. 대퇴직근과 대퇴 이두근에 EMG (ElectroMyoGraphy) 센서를 부착하여 근육의 수축과 이완을 인지하고 그에 따라 모터를 작동시켜 보행을 보조하는데 사용한다. 움직임 자체가 불가능한 경우 키패드를 사용하여 일련의 저장된 움직임을 수행하여 다리 재활에 도움을 주도록 하였다. 그 결과 보행이 어려운 사람들에게 안정감을 더해주고 안전사고를 예방하며, 재활운동을 도와 일상생활로 복귀할 수 없는 사람들을 도울 수 있는 가능성이 있음을 확인하였다. The purpose of this paper is to develop rehabilitation assistance to those who have difficulty walking due to muscle loss in their legs or who need rehabilitation due to inability to move their legs, such as paralysis of the lower body. This paper adds exoskeleton to the leg to assist the movement of the knee joint with the motor. The knee joint operates through contraction and relaxation of thigh muscles. This is used to attach an EMG(ElectroMyoGraphy) sensor to the rectus femoris muscle and muscle biceps femoris to recognize muscle contraction and relaxation, and to assist walking by operating the motor accordingly. If movement itself is impossible, use a keypad to perform a series of stored movements to help with leg rehabilitation. As a result, we confirmed the possibility that it adds stability to those who have difficulty walking, preventing safety accidents, and helping those who are unable to move back to their daily life by helping with rehabilitation exercises.
중증 간경화증환자에 (肝硬化症患者) 동반된 난치성 (難治性) 복수의 (腹水) 초여과에 (超濾果) 의한 치료효과
기춘석(Chun Suk Ki),박경남(K N Park),이호채(H C Lee),황흥곤(H C Hwang),정병천(B C Chung),허동헌(D H Hur),박한철(H C Park) 대한소화기학회 1983 대한소화기학회지 Vol.15 No.1
N/A There had been a considerable trouble in the management of refractory acites combined with liver cirrhosis. Such refractory ascites in advanced liver cirrhosis does not respond to conventicnal therapy such as bed rest, salt restriction, massive diuretics and albumin infnsion. And there are also serious corrplications including hepatic encephalopathy, functicnal renal failure and hyponatremia with massive administration of diuretics. So peritoneovenous shunt(Leveen shunt) had been developed in order to promote effective circulatory volume with increased renal function. But relatively large and serious complications such as DIC, fever, infection, pulmonary edema and pulmonary embolism had limited its widespread use in the magement of refractory ascites. So we have experienced intraperitoneal reinfusion of ultrafiltered ascites for 20 patients with intractable ascites combined with liver cirrhosis. We had performed this procedure via ultrafilter which was usually used in hemodialysis and pump. And the following results werc acquired. 1. About 6200 cc of acites was ultrafiltered for average 4. 5 hrs. and loss of body weight was 6.7kg which was more than the amount of filtered ascites. 2, Increasing tendency in serum albumin concentration after ultrafiltration with peak concentration about 0. 5 gm/dl gain at 3rd after this procedure. There were significant increase in the amount of daily urine output but statisitically nonsignificant increase in creatinine clearance. 4, The complications of this procedure were light headache, hearing disturbance, dizziness and there was no more serious complication such as DIC, variceal rupture, pulmonary edema. There was no recurrence of reaccumulation of ascites within 3 months with one time procedure in a certain case. The repeated with average of 4-6 weeks interval had controlled such refractory ascites. In summary, above results supported that intraperitoneal reinfusion of ultrafiltered ascites have beneficial effect in the control of refractory ascites combined with far advanced liver cirrhosis. The advantages of this procedure are the followings. 1.Low cost. 2. Time saving. 3. Ambulatory control. 4 Less complication. 5. Corresponding effect to intravenous albumin infusion (4-5 bottles)
DBM을 활용한 EMR 기반의 스트로크환자의 재활프로토콜 추천 시스템
이선우(S. W. Lee),박경남(K. N. Park),김세진(S. J. Kim),원인수(I. S. Won),권장우(J. W. Kwon) 한국재활복지공학회 2017 한국재활복지공학회 학술대회논문집 Vol.2017 No.4
Most existing stroke rehabilitation training systems were determined by empirical treatment methods of doctors. Standard treatment guidelines for stroke rehabilitation have been introduced to address these problems. However, these guidelines are determined by the doctor"s objective judgment, and sometimes the doctor suggests different treatments for the same patient. In addition, there are cases where only the patient"s exercise function is presented and the individual"s risk management factor is missing during rehabilitation treatment. To solve these problems, this paper proposes a training method suitable for the patient using DBN (Deep Belief Network). In this method, a part of the patient"s EMR(Electronic Medical Records) data and a risk management factor are inputted and a method of presenting a suitable exercise to the patient is derived.
정현기(H. G. Jeong),박경남(K. N. Park),변기훈(K. H. Byun),원인수,이상민(S. M. Lee),권장우(J. W. Kwon) 한국재활복지공학회 2017 한국재활복지공학회 학술대회논문집 Vol.2017 No.4
In this paper, we propose a rehabilitation system for people with uncomfortable body parts such as arms and legs. We have developed a system to monitor EMG sensors. Then, I analyzed the muscle contraction data through it and devised a method to utilize it in the development of the medicine.