http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
응급의료센터를 내원한 소아 환자 중 신경계 질환의 경향 분석
박승완(Seung Wan Park)ㆍ채수안(Soo Ahn Chae)ㆍ이재희(Jae Hee Lee)ㆍ이정주(Jung Ju Lee)ㆍ윤신원(Shin Won Yoon)ㆍ임인석(In Seok Lim)ㆍ최응상(Eung Sang Choi)ㆍ유병훈(Byoung Hoon Yoo) 대한소아신경학회 2010 대한소아신경학회지 Vol.18 No.1
목 적:소아 응급 환자, 특히 발작이나 의식의 변화 또는 소실을 주소로 내원하는 환자들을 조기에진단하고, 적절하게 응급 조치를 한다면 심각한 합병증과 후유증 또는 사망을 예방할 수 있다. 지금까지 국내에서 응급의료센터에 내원한 신경계 질환 환자들에 대한 검증은 거의 없는 실정이나 외국에서는이미 여러 나라에서 조사가 이루어졌다. 신경계 질 환은 나라마다, 지역마다 다른 분포를 보이므로 우리나라의 자료를 분석하는 일은 의미가 있다고 하겠다.방 법: 2005년 1월 1일부터 2008년 12월 31일까지 중앙대학교병원 응급의료센터에 내원하여소아청소년과 진료를 받은 18세 미만의 환자 총18,922명 중 신경계 질환으로 최종 진단된 환자1,058명(5.6%)을 대상으로 하였다. 각 례에 대해응급 의무 기록지와 입원 병록지를 참고하였고, 이를 근거로 연령별 질환군, 계절별 질환군을 분석하였으며, 주증상별 최종 진단명을 후향적으로 조사하였다.결 과:남녀비는 1.5:1이었고, 연령별 분포상 2세부터 5세 미만이 가장 많았고 평균 연령은 3세였 다. 연령에 따른 흔한 질병은, 영유아기에는 열성경련이, 학령기에는 뇌수막염이, 청소년기에는 간질과두통이 가장 흔하였다. 계절별 분포는 2005년부터2007년까지는 계절별 차이가 크지 않았으나, 2008년에는 여름철에 내원한 환자수가 가장 많았다. 여름에는 뇌수막염이 다른 계절에 비해 월등히 많았으나, 다른 질환은 계절별 차이가 크지 않았다. 주증상 별 분포는 발작, 열, 두통, 구토의 순으로 많았으며,최종 진단명별 분포로는 열성경련(51%), 간질(21%), 뇌수막염(18%) 순으로 많았다. 최종 진료 형태별 분포로는 입원(70.0%), 귀가(27.9%), 자의퇴원(1.5%), 전원(0.6%) 순이었다. 신경계 질환의입원율은 전체 환자의 입원율(22.8%)이나 다른 계통 질환의 입원율 보다 높았다.결 론 : 신경계 질환 환자의 수는 매년 증가하고있으며, 다른 계통 질환에 비해 입원율이 높은 특성을 가지고 있다. 이는 보호자들의 불안과 신경계 질 환의 중증도와 관련이 있으므로 신경계 증상을 보이는 환자들을 조기에 진단하고 적극적으로 치료하는것 뿐만 아니라, 보호자들에게 충분한 설명을 하고안심을 시키는 것도 중요할 것으로 생각된다. Purpose : Pediatric emergencies with seizure and decreased mental status or loss of consciouseness may cause severe complications without early proper management. Distribution of neurological disorders may differ according to various demographics, it would be valuable to evaluate recent data in Korea. Methods : Patients who had neurological problems and below 18 years old were defined as case. 1,058(5.6%) cases who visited the emergency department of Chung-Ang University Hospital from January 2005 to December 2008 were analyzed. The patients were also divided into four age groups: age 1 year or younger, preschool children(2-5 years), middle childhood group(6-10 years), and adolescent group(11-18 years). Results : The male to female ratio was 1.5:1. Most children were between 2 to 5 years old(mean age=3 years). Febrile convulsion is the most common neurological disorders among infant and preschooler, meningitis is the most common among middle childhood, epilepsy and headache is the most common among adolescent. Main initial presentations were seizure followed by fever, headache and vomiting. Febrile convulsion was the most common neurological disorders followed by epilepsy and meningitis. Final dispositions of patients were admission, discharge, against medical device, and transfer to other hospital. Admission rate of patients with neurological disorders was higher than those of total patients. Conclusion : Neurological disorders are increasing in pediatric emergencies and have highest admission rate, mostly because of the parent's anxiety and severity of disease itself. Therefore, not only detect and treat neurological disorder in early stage, but also reassuring parent is important.
위 소매 절제 및 밴드 성형술 후 발생한 위 협착을 복강경하 하부 위 절제로 치료한 경험
박승완(Seung Wan Park),김용진(Yong Jin Kim) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
Banded gastroplasty to reduce food intake in patients who are morbidly obese is being increasingly applied in Korea due to its simplicity and low risk. However, the long term results of this procedure are not yet established, and the complications from the band itself are reported to be as high as twenty percent. One of the most disabling complications of banded gastroplasty is persistent vomiting, and this is associated with gastric stenosis. We attempted to relieve this discomfort by performing laparoscopic assisted distal gastrectomy and gastrojejunostomy, and we observed good results.
박승완,정재동 대구대학교 산업기술연구소 2008 産業技術硏究 Vol.19 No.-
The objective of this study is to investigate the degree of surface-glossing of cement mortar with kinds of compounds, contents and forms. According to the test results, degree of surface-glossing of cement mortar using High-effectiveness water-reducing agent is higher that no add High-effectiveness water-reducing agent. In mixing proportions, cement mortar made by mix proportion of 1:1(cement : sand) has the highest degree of surface-glossing. In case of surface-with the kind of the form made of acryl has the best performance among the form kinds tested in this experiment. Also, surface glossing-glossing get worse with the elapse of age.
진동 파ㆍ분쇄기를 이용한 고품질 순환골재 생산기술의 개발에 관한 연구
박승완,조현대,김성수,김성수 대구대학교 산업기술연구소 2009 産業技術硏究 Vol.20 No.1
Skyscrapers and mass housings which built in the time of high economic growth since economic development are renovated as deterioration. And amounts of construction wastes are increasing constantly by demanding new constructions to supply mass housing as well. Hereupon, but construction wastes are being recycled more than 80%, recycle is not enough by the problems on quality of aggregates or user's miss understanding. Due to absent from a core technology, vibrate crusher, or other technology in middle treatment process, people are using inefficient equipments. This caused energy waste, producing efficiency decrease, a falling off in quality and production cost rising etc. Therefore, a purpose on this project is to reduce in a social, environmental and technical charge, and improve a producing technology of high quality cycle aggregates with economical efficiency, productivity and environmental effect from middle treatment process.