급성신부전을 동반한 알콜성 횡문근융해증 2례

김영민,오동렬,이원재,김형국,황두영,이환,최경호,정시경,김세경,김영옥 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

Rhabdomyolysis is a biochemical and clinical syndrome caused by lysis of skeletal muscle cell and release of muscle cell contents into the circulation. In addition to traumatic cause, various nontraumatic causes have been reported. Rhabdomyolysis has frequently been associated with seamy aspects of life and society: alcoholic abuse, drug addiction, sadistic drill exercise, war events and attempted suicide. The abuse of alcohol causes many hazards in many organs. One of these is acute alcoholic myopathy that may present as a fulminent syndrome of muscle pain and tenderness associated with rhabdomyolysis and acute renal failure. Because the prognosis of adequately treated rhabdomyolysis is excellent, early recognition and prompt management are essential in emergency situation. We experienced two typical cases of alcohol-induced rhabdomyolysis with acute renal failure and report these cases with literature review.

재발 또는 불응성 비호즈킨 림프종 환자에서 CDME 구제항암화학요법 후 고용량 항암화학요법 및 자가말초혈액 조혈모세포이식의 효과

김세형,한강원,배상병,김찬규,이남수,이규택,박성규,원종호,홍대식,박희숙 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background and objectives : The long-term survival in patients with non-Hodgkin's lymphoma (NHL) after conventional dose chemotherapy is about 35% and the rest of the patients tend to have relapse. So, in relapsed or refractory NHL, we compared the outcome of patients undergoing high-dose chemotherapy with autologous peripheral blood stem cell transplantation(APBSCT) with only salvage chemotherapy of cisplatin, dexamethasone, mitoxantrone, and etoposide(CDME). Materials and methods : From June 1993 to December 1999, 25 patients with relapsed or resistant NHL were treated with CDME regimen as salvage chemotherapy. Twelve patients were received four cycles of CDME chemotherapy, and 13 patients were received high-dose chemotherapy with APBSCT following two cycles of CDME chemotherapy. Results : The median follow-up duration was 12.8 months(range:4-68). The overall response rate was 41.7% (complete response rate 25%, partial response rate 16.7%) in 12 patients with CDME only. Thirteen patients who were treated with high-dose chemotherapy with APBSCT achieved 61.5% complete response rate and 15.4% partial response rate, with an overall response rate of 76.9%. The estimated 3-year progression-free survival rate was significantly higher among patients who received high-dose therapy than patients who received CDME only(41.5% vs 20.0%, p<0.05). And, 3-year overall survival rate was significantly higher among patients who received high-dose therapy(51.3% vs 25.0%, p <0.05). Conclusions : In relapsed or refractory NHL, CDME chemotherapy is an effective salvage chemotherapy and allow peripheral blood stem cell collection. Also, high-dose chemotherapy with APBSCT following CDME is superior to CDME salvage chemotherapy only.

차세대 무선 통신 시스템을 위한 안테나 신기술

김형락,권세웅,황광선,윤영중 延世大學校 電波通信共同硏究所 2002 電波通信論文誌 Vol.6 No.1

차세대 통신 시스템에서 공통적으로 요구하는 소형화, 광대역화, 집적화추세에 따라 RF소자는 광대역화, 소형화, 집적화를 향해 발전하고 있으며 안테나 기술도 현재 추세에 발맞추어 소형화, 능동집적화, 광대역화를 통하여 개발 방향을 모색하고 있다. 본고에서는 현재 추세인 소형 안테나, 능동 안테나와 더불어 최근 관심이 집중되고 있는 임펄스 통신에 이용될 수 있는 초광대역 안테나 기술에 대해 소개한다. The technical trends of the next generation wireless communication are miniaturization, broad-band operation, and integration. Thus, in accordance with this trend, RF devices and components are being developed in such way, and same with the antenna. In this paper, technology of small antenna, active antenna, and ultra wideband antenna, which can be applied to impulse communication system, are introduced.

대학생들의 운동참여제약 척도 개발

김철원,김성찬,이세형,양명환 濟州大學敎 體育科學硏究所 1995 체육과학연구 Vol.1 No.-

The purpose of this study was to develop the Exercise Involvement Constraints Scale for college students in Korea. The subjects of this study were 232 college students who were involved in physical activity classes(tennis and table tennis)at the Cheju National University. The Questionnaire consisted of a list of 44 reasons for not participating in exercise. Items were selected by reviewing related literature and on the bases of two pilot studies. First, 12-factors were extracted by the principle-components factor analysis from the correlation matrix of the subscales. Eliminations were made to those items that failed to load at least 40 on their intended factor, or emerged with a strong cross-loading(.30 or above)on a nonintended factor. From this modification, 31 items were appiled to further analysis. Second, using 31-items, exploratory factor analysis with normal varimax rotation were repeated in order to provide a more complete picture of factor structure. The results of the factor analysis reveals 8 factors that in total explain 63.7% of the variance among the subscale items. These factors were motivation, sport facilities, exercise skill, time, activity barriers, fatigue from exercise, involvment change, and lack of will power. In order to a more valid instrument, using the statistical methods of stepwise multiple regression analysis, elimination were made to three items from motivation subscale. Thus, final scale consisted of 8 subscale with 28 items. Finally, subscale and scale reliability was examied using Cronbach's coefficients alpha. Alpha reliabilites ranged from .67 to .88. As a result of these analysis, it was conclude that the Exercise Involvement Constraints Scale(EICS) was a valid and reliable instrument to measure reasons for did not participating to exercise and physical activity.

광중합기의 광도와 시간에 따른 글래스 아이오노머의 치수내 온도변화

김희량,이형일,이광원,이세준 대한치과보존학회 2001 Restorative Dentistry & Endodontics Vol.26 No.5

When cavity floor is near the pulp, polymerization of light-activated restorations results in temperature increase. this temperature increase cause by both the exothermic reaction process and the energy absorbed during irradiation. Therefore instating base is reqired. Most frequently used insulating base is glass ionmer. The purpose of this study was to evaluate intrapulpal temperature changes of glass ionomer according to various curing intensity and curing time. Caries and restoration-free mandibular molars extracted within three months were prepared Class I cavity of 3×6mm with high speed handpiece. 1mm depth of dentin was evaluated with micrometer in mesial and distal pulp horns. Pulp chambers were filled with 37.0±0.1℃ water to CEJ. Chromium-alumina thermocouple was placed in pulp horn for evaluating of temperature changes. Glass ionomer material was placed in 2mm. total curing time was 40s ; continuous 40s, intermittent 20s, intermittent 10s. Glass ionomer material was cured with 300mW/㎠, 550mW/㎠ light curing unit. The results were as follows : 1.Temperature in pulp increased as curing unit power is increased. 2.Temperature in pulp more increased continuous emission than intermittent emission. Key words : Sealing ability, Retrograde filling material

WEB DB를 기반으로 한 정보화 모델의 구축에 관한 연구

김용원,조세형 建陽大學校 1999 建陽論叢 Vol.- No.7

The Internet and World Wide Web(WWW) has resulted in the integration environment of distributed computing resouces, especially databases. WWW, a hypermedia system for browsing and retrieving Internet resources, uses gateway technology to integrate distributed databases on platform-indepedent architecture. The infomatization based on Web DB gives us the possibility of sharing global information through WEB, integrating and presenting various data using Agent. In this paper, we present the construction strategies and the application directions of information systems based on Web DB through the model.

곰쓸개 복용 후 발생한 육안적 혈뇨와 신유두부 괴사증 1예

김우진,한민석,김수항,박인형,박진석,선제형,홍세인,박옥영,신정현,이숭,신병철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

Renal papillary necrosis occurs most commonly in association with urinary tract infection, diabetes mellitus, sickle cell disease, vascular disease, and analgesic nephropathy. Clinical presentation may be related to symptoms of pyelonephritis such as flank pain, renal colic, hematuria, Proteinuria, recurrent fever. The necrotic tissue may be sloughed off, and the diagnosis can sometimes be made by finding piece of renal medullary tissue in the urine. Pyelography may demonstrate cavities and sinuses in the resion of papillae. Anuria & oliguria can lead to the acute renal failure, and especially prognosis and progress may be affect influenced by urinary infection. We report a case of renal papillary necrosis with ingestion of bear gallbladder. On pyelography, Persistent contrast is diagnostic clue of renal papillary necrosis. This case is not be related to urinary tract infection, but occurred acute renal failure. Expectant treatment was gone.

이성분 양이온성 계면활성제 혼합용액의 임계미셀농도에 대한 연구 1. CTAB와 다른 양이온성 계면활성제 CTB 및 DTAB 혼합용액

김진형,오세웅,고정수 木浦大學校基礎科學硏究所 1999 基礎科學硏究誌 Vol.17 No.-

The critical micelle concentration (??) in a micellar state of the mixed surfactant systems of cetyltrimethylammonium bromide (CTAB) with cetylpyridinium bromide(CPB) and dodecyltrimethylammonium bromide (DTAB) were determined at 25℃ as a function of the overall mole fraction of CTAB by the use of surface tension method. CMC values of pure CTAB, CPB, and DTAB were 9.95×10-4 M, ?? M, and ?? M, respectively. Interaction parameterβ value of CPB-CTAB mixture was evaluated as -1.3. In case of DTAB-CTAB mixture, constancy in β value was not obtained over all composition of the mixture.

만성폐쇄성폐질환의 중증도와 폐고혈압 및 폐성심으로 진행과의 상관관계

김형호,박철진,이준,장광표,하성일,이재록,하재화,권세훈,권용운,윤성호,이승일 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

Background: From many previous studies, Pulmonary hypertension is the known independent predictive factor of the mortality in COPD. Also pulmonary hypertension is the major cardiovascular complication of COPD and is associated with the progression to cor pulmonale and poor prognosis. Author want to analyze the correlation between pulmonary hypertension and the severity of COPD which are classified by forced expiratory volume in one second, and the extent of progression to corpulmonale. Methods: Retrospectively we investigated the medical records of 118 patients with COPD who had pulmonary function test and echocardiogaphy more than one times during one-year follow-up (from June, 2005 to May, 2006) at respiratory division in chosun university hospital, and then 50 patients were enrolled in this study. We classified the severity from FEVl in pulmonary function test based on the GOLD guideline, also this was comparably analyzed with RVSP, RVIDd, Visual Grading from echocardiography. Results: 16 patients out of 50 were classified as moderate severity, 25 patients were severe, and 9 patients were very severe group. RVSP was higher in more severe groups than less severe groups but when it comes to pulmonary hypertension that RVSP is over 35 mmHg, there was no valid difference lies in those groups. As FEVl decreases RVSP and RVIDd increases, and observed relationship between RVSP which was classified as below 35 mm and above 35 mm groups and visual grading which was classified as normal and dilatated groups revealed valid correlation, Conclusion: As pulmonary function decreases, progression to pulmonary hypertension and cor pulmonale increases but there was no remarkable difference of prevalence in above moderate severity groups. 연구배경 폐고혈압은 이전의 많은 연구에서 만성폐쇄성폐질환에서 독립적인 사망의 예측인자로 알려져 있다. 또한 폐고혈압은 만성폐쇄성폐질환의 주요한 심혈관계 합병증이며, 폐성심으로의 진행 및 불량한 예후와도 관련되어 있다. 이에 저자는 폐고혈압과 1초간 노력성호기량으로 분류되는 만성폐쇄성폐질환의 중증도 및 폐성심으로의 진행 정도를 비교 분석하여 이들의 상관관계를 밝혀보고자 한다. 방법 2005년 6월부터 2006년 5월까지 1년 동안 본 병원 호흡기 내과에서 폐기능검사와 심장초음파 검사를 각각 1회 이상 시행한 적이 있는 118명에 한하여 의무기록을 후향적으로 조사하여 이 중에서 50명을 대상으로 하였다. 폐기능검사 시행 결과 얻은 1초간 노력성호기량을 바탕으로 GOLD guideline에 따라 중증도를 분류하였으며 이를 심초음파 시행 결과 얻은 우심실수축기압, 확장기말 우심실내부간격, 시각등급과 비교분석하였다. 결과 대상 환자 50명중 16명은 중등증, 25명은 중증, 9명은 최고중증 그룹으로 분류되었다. 우심실수축기압은 중증도가 높은 그룹에서 낮은 그룹에 비해 더 높게 나타났으나 폐고혈압에 해당하는 우심실수축기압이 35 mmHg이상인 환자에 있어사는 각 그룹간에 유의한 차이를 보이지 않았으며, 확장기말 우심실내부간격, 시각등급 또한 중증도와 유의한 차이를 보이지 안항ㅆ다. 1초간 노력성호기량이 감소함에 따라서는 우심실수축기압, 시각등급은 증가하였으며 우심실수축기압을 35mmHg 미만과 이상인 그룹으로, 시각등급을 정상과 확장이 있는 그룹으로 분류하여 비교한 결과에서는 유의한 상관관계를 나타냈다. 결론 폐기능이 감소할수록 페고혈압 및 폐성심으로의 진행이 증가하였으나 폐기능검사에서 중등도 이상의 그룹에서 유병률의 차이는 크지 않았다.

수정 아인쉬타인 방법에 의한 만경강 유입 유사량 산정

김형산, 맹승진, 정세웅, 이승욱 忠北大學校 農業科學硏究所 2011 農業科學硏究 Vol.27 No.4

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