경북지역 학교급식에서의 쓰레기 관리에 관한 연구

정상렬,이혜상 대한지역사회영양학회 2001 대한지역사회영양학회지 Vol.6 No.5

The main purposes of this study were to survey and assess the current situation surrounding solid waste generation in school foodservices, to identify and evaluate the measures(reduction and recycling programs) taken by the foodservices for waste disposal, and to suggest appropriate reform measures to improve the current status, especially in terms of environmental preservation. Questionnaires on solid waste management practices were mailed to 206 school foodservice dietitians in the Kyungbuk region : a 64.0%(N = 130) response rate was obtained. While there are food waste and packaging waste generated from the foodservice operations, about a third(34.1%) of the foodservice operations were responsible for the disposal of both the food wastes and packaging wastes. About 90% of school foodservice managers were responsible for managing solid wastes. The primary recycling methods of leftovers generated from the school food service operations were livestock feed(76.0%). About 60.0% of school foodservice managers conducted the food waste reduction program. The performance by the foodservice managers in reducing the food waste was not satisfactory in several fields, such as developing environmentally friendly menus or abiding by the standard recipe, etc. In addition, the government assistance system was not properly working in the food service management. In conclusion, we should focus on increasing the performance in reducing the food waste by the foodservice managers, strengthening and facilitating the government assistance system for the food waste management and to develop education methods and education materials for food waste management.

폐좌엽 부분절제술 후 발생한 급성 위염전 1예

정상렬,하태인,문성수,이은아,이수형,채병도,최영식,임학 고신대학교의과대학 2006 고신대학교 의과대학 학술지 Vol.21 No.2

본 증례는 폐좌엽부분절제술 후 발생한 횡격막 이완증이 있는 환자에서 기인한 장간막층형 급성 위 엽전 1예를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다. Gastric volvulus is an abnormal rotation of the stomach around its axis. The acute form is a surgical emergency, which does not tolerate any therapeutic delay. It may rapidly progress to infarction and necrosis of the stomach. Eventration of the diaphragm is defined as the abnormal elevation of the diaphragm. Pneumonectomy patients have decreased physiologic reserve, and thus they are more susceptible to morbidity and mortality from postoperative complications. We report a successful management of 74-year-old woman with acute gastric volvulus in association with diaphragmatic eventration after left pulmonary lobectomy.

촣 7,920 Joules의 전기적 쇽을 시행한 급성 심근경색 환자의 임상 경과 1예

하태인,정상렬,문성수,이수형,이은아,최영식 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Primary ventricular fibrillation during the early phases of acute myocardial infarction is thought to be the result of microreentry mechanisms in the infarct zone. In ventricular fibrillation, defibrillation is the most effective treatment to terminate reentrant arrhythmia. It has been known that repeated delivery of high energy DC shocks cause some myocardial damage, and the severity of myocardial damage is proportional to the delivered energy. Defibrillation interval and total delivered energy have also been known to be associated with the severity of injury. But few reports on a quantitative study in conjunction with the amount of delivered energy were documented. We experienced a case of a patient with acute myocardial infarction successfully managed by electrical shock of 7,920 joules for 5 hours. So, we report this case with the review of related literature.

총 7,920 Joules의 전기적 쇽을 시행한 급성 심근경색 환자의 임상 경과 1예

하태인,정상렬,문성수,이수형,이은아,최영식 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

Primary ventricular fibrillation during the early phases of acute myocardial infarction is thought to be the result of microreentry mechanisms in the infarct zone. In ventricular fibrillation, defibrillation is the most effective treatment to terminate reentrant arrhythmia. It has been known that repeated delivery of high energy DC shocks cause some myocardial damage, and the severity of myocardial damage is proportional to the delivered energy. Defibrillation interval and total delivered energy have also been known to be associated with the severity of injury. But few reports on a quantitative study in conjunction with the amount of delivered energy were documented. We experienced a case of a patient with acute myocardial infarction successfully managed by electrical shock of 7,920 joules for 5 hours. So, we report this case with the review of related literature.

후천성면역결핍증 환자에서 기회감염으로 병발한 크립토콕쿠스 수막염 1예

김종한,하태인,정상렬,최영식 고신대학교(의대) 고신대학교 의과대학 학술지 2005 고신대학교 의과대학 학술지 Vol.20 No.1

Cryptococcal meningitis is the most common life-threatening fungal infection of central nervous system in patients with AIDS, occurring about 6 to 10 percent of all patients in the United States. Untreated cryptococcal meningitis is uniformly fatal. We report a case of cryptococcal meningitis in patients with AIDS, successfully treated with amphotericin B.

후천성면역결핍증 환자에서 기회감염으로 병발한 크립토콕쿠스 수막염 1예

김종한,하태인,정상렬,최영식 고신대학교 의학부 2005 高神大學校 醫學部 論文集 Vol.20 No.1

저자들은 발열과 두통을 주소로 내원한 후천성면역결핍증 환자에서 크립토콕쿠스 수막염을 1예 를 경험하였기에 보고하는 바이다. Cryptococcal meningitis is the most common life-threatening fungal infection of central nervous system in patients with AIDS, occurring about 6 to 10 percent of all patients in the United States. Untreated cryptococcal meningitis is uniformly fatal. We report a case of cryptococcal meningitis in patients with AIDS, successfully treated with amphotericin B.

성인의 경부 전면 중앙부위에서 발생한 기형종 1예

최월용,정효진,채종인,하태인,정상렬,이광재,채병도,최영식 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1

Teratomas are embryonal neoplasms that show characteristics of three germ cell layers(ectoderm, mesoderm, and endoderm). They are distributed in the following regions: sacrococcygeal(57%), gonadal(29%), mediastinal(7%), cervical(3%), retroperitoneal(4%), and intracranial(3%) regions. Non-gonadal treatomas present in infancy whereas gonadal are seen in adolescence. Especially, teratomas that occurred in midline neck of adult are very rare and are confused with thyroglossal duct cysts, cystic hygromas, and thyroid tumors. We report, along with the review of appropriate literature, a case of histopathologically confirmed benign teratoma in the midline neck of a 33 years old woman.

성인의 경부 전면 중앙부위에서 발생한 기형종 1예

최월용,정효진,채종인,하태인,정상렬,이광재,채병도,최영식 고신대학교(의대) 고신대학교 의과대학 학술지 2004 고신대학교 의과대학 학술지 Vol.19 No.1

Teratomas are embryonal neoplasms that show characteristics of three germ cell layers (ectoderm, mesoderm, and endoderm). They are distributed in the following regions: sacrococcygeal (57%), gonadal (29%), mediastinal (7%), cervical (3%), retroperitoneal (4%), and intracranial (3%) regions. Non-gonadal teratomas present in infancy whereas gonadal are seen in adolescence. Especially, teratomas that occurred in midline neck of adult are very rare and are confused with thyroglossal duct cysts, cystic hygromas, and thyroid tumors. We report, along with the review of appropriate literature, a case of histopathologically confirmed benign cystic teratoma in the midline neck of a 33 years old woman.

대장내시경으로 정복된 성인의 특발성 회맹장형 장중첩증 1예

김경민,김종한,하태인,정상렬,문성수,이은아,이수형,배용목,허정호,변용선 대한소화기내시경학회 2005 Clinical Endoscopy Vol.30 No.4

Intussusception frequently occurs in children as the main causes of intestinal obstruction in childhood but relatively rare in adult. A 65-year-old male visited our hospital because of abrupt onset right lower quadrant pain with tenderness for three days. He had a previous history of appendectomy and alcoholic liver cirrhosis. On physical exam, bowel sound was decreased. Abdomen ultrasonography showed a kidney like mass and abdominal computed tomography revealed the typical target lesion in the ileocecal area. Colonoscopy was performed which failed to find any lesion leading to intussusception. After the colonoscopy, the abdminal pain had disappeared, and we would not find any intussusception sign by abdominal ultrasonography. Colonocopy was done two weeks later. No pathologic lesion was found, then. We report a case of adult idiopathic ileocecal intussusception reduced by colonoscopy. 성인의 장중첩증은 매우 드물고 대부분의 원인이 악성 또는 양성 종양의 병적인 상황이나 해부학적인 이상 등과 관련이 있다. 증상은 매우 다양하며, 치료는 수술적 절제가 대부분에서 필요하고 수술 전 정복에 대해서는 논란이 많다. 저자들은 10년 전 충수돌기염으로 수술을 받았던 65세 남자가 3일 전 갑자기 발생한 우하복통을 주소로 내원하여 시행한 복부 초음파에서 발견한 우하복부의 신장 모양의 구조와 복부 컴퓨터단층촬영에서 과녁 모양의 구조를 보고 장중첩증임을 알 수 있었다. 장허혈과 악성종양이 의심되지 않아 선행질환 확인 및 정복을 위해 대장내시경을 시도하여 치료하였다. 이후 추적 대장내시경 검사 및 복부 초음파에서 장중첩증의 소견은 없었다. 저자들은 대장내시경으로 정복된 회맹부 중첩증 1예를 보고하고자 한다.

증례 : 하벽 심근경색증 후 기저하부에 발생한 좌심실류와 심실중격 파열 1예

이은아 ( Eun Ah Lee ),하태인 ( Tae In Ha ),정상렬 ( Sang Ryul Chung ),문성수 ( Sung Soo Moon ),이수형 ( Soo Hyoung Lee ),홍현진 ( Hyun Jin Hong ),김수형 ( Su Hyoung Kim ) 대한내과학회 2007 대한내과학회지 Vol.73 No.1

저자 등은 하벽 심근경색증의 합병증으로 기저하부에 발생한 좌심실류와 심실중격 파열을 동반한 1예를 경험하였기에 아직 국내에 보고된 예가 없어 문헌고찰과 함께 보고 하는 바이다. The incidence of left ventricular aneurysm following acute myocardial infarction is 5 to 10 percent. Eighty % of aneurysms involve the anteroapical wall of the left ventricle: They are four times more frequent in this wall than in the inferior or posterior wall. Anterior myocardial infarction causes aneurysm in the anteroapical wall of the left ventricle, while inferior myocardial infarction causes aneurysm in the posterobasal wall of the left ventricle. Yet the aneurysmal complications in the interventricular septum after myocardial infarction are very rare. A 74-year-old woman with inferior myocardial infarction presented with both an aneurysm of the inferobasal wall and a ventricular septal rupture, and these were detected by two-dimensional and Doppler echocardiography. The aneurysm originated from the inferobasal portion of the left ventricular wall. The short-axis view of the two-dimensional echocardiography revealed an abrupt discontinuity of the junctional area of the inferoseptum and the inferior segment, and a large aneurysm at the inferior portion of the left ventricular cavity. The communication orifice was 4 cm wide. Color Doppler echocardiography showed a left-to-right shunt flow from the aneurysm to the right ventricle. We report here on a case of an aneurysm of the inferobasal wall and a ventricular septal rupture, and these lesions were detected by two-dimensional and Doppler echocardiography.(Korean J Med 73:86-91, 2007)