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${\ll}$교주부인양방(校注婦人良方)${\gg}$에 수재된 의무기록 의안(醫案)에 관한 연구
오창영,김나영,박영수,김병회,조호근,김중오,김동일,Oh, Chang-Young,Kim, Ra-Young,Park, Young-Soo,Kim, Byoung-Hoe,Joh, Ho-Geun,Kim, Joong-Oh,Kim, Dong-Il 대한한방부인과학회 2006 大韓韓方婦人科學會誌 Vol.19 No.2
Background : Medical records are documents in files which consist of all diagnostic studies and medical treatments patients had received while they were hospitalized or treated as outpatients. A doctor or medical team can use medical records as a data for diagnosis, treatment, and education. In traditional eastern asian medicine, medical reports have different forms and contents. The most important thing in medical reports of traditional eastern asian medicine was how to express practitioner's medical ideas. So it has a weak point, for example, it has poor information about patient and clinical process, which make some trouble to understand it. Methods and Results : We studied medical records in Gyojubuin-yangbang, a commentary book of Chen-zi-ming's Obstetrics and Gynecology textbook done by Xue-ji in Ming dynasty, China. This book consists of 10 parts; treatment of menstruation disorders and leukorrhea, general gynecology, treatment of infertility, education for fetus, diagnosis of fetus and gravida, treatment of general and obstetrical disease in gravida, care for delivery, postpartum care and treatment, and treatment of mass and inflammation. It has 546 medical records about women's disease that commonly believed as Xue-ji's case reports. They are all review articles and made during about 23 years from A.D 1523 to 1546. Most patients of Xue-ji's case reports were common people, this fact is different from that of case reports in Chen-zi-ming's Obstetrics and Gynecology textbook. Conclusion : Xue-ji was a very famous Ob&Gy doctor who was from Suzhou Jingsu province in China. He was born in A.D 1468, died in A.D 1588. He emphasize emotional factors in pathology and to tonify spleen and kidney. We think Xue-ji's medical records are good references for us to treat psychosomatic Ob&Gy disease and chronic women's disease.
박주영 ( Park Juyoung ),김병회 ( Kim Byung-hoe ) 한국구조물진단유지관리공학회 2017 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.21 No.1
We designed and implemented automatic pavement damage detector using an image processing algorithm on driving condition. The experimental results show that the detector is able to successfully monitor and detect pavement damages.
이상호(Sang Ho Lee),유태현(Tae Hyun Yoo),김병회(Byung Hoe Kim),김광기(Kwang Gi Kim) 대한내과학회 2002 대한내과학회지 Vol.62 No.4
목적 : 열사병은 고체온증과 의식장애가 특징적인 임상적 증후군으로 다발성 장기손상을 동반하는 치명적 질환으로 알려져 있다. 국내의 기후 여건상 열사병은 운동유발성이 대부분을 차지할 것으로 사료되어 운동유발 열사병의 임상 특성 및 경과를 알아보고자 본 연구를 시행하였다. 방법 : 2000년 4월부터 2001년 10월까지 국군수도병원 내과에 입원한 운동유발 열사병 환자 15예를 대상으로 임상 특성, 검사 소견 및 치료 성적을 분석하였다. 결과 : 1) 대다수 환자들이 비교적 고온 다습한 기후에 시행된 행군 또는 훈련 중에 발병하였으며 특히 11예 (73.3%)가 열적응력이 취약한 훈련병이었다. 2) 전례에서 이학적 검사상 심한 고체온증과 의식장애를 보였으며 내원시 총 7명이 (46.7%) 심혈관계 허탈 (쇽) 징후를 보였다. 3) 검사상 심한 근육효소와 혈중 마이오글로빈, 간효소의 증가, 백혈구증다증, 혈소판감소, 요질소 상승, 대사성산증과 특징적인 심전도의 이상소견이 관찰되었다. 4) 발병 초기 급성신부전, 대사성산증, 횡문근융해증 등이 빈번하였음에도 불구하고 혈중 칼륨치는 전례에서 정상 또는 저칼륨혈증 (50%) 상태이었다. 5)열사병은 중추신경장애 외에 횡문근융해증 (93.3%)과 급성신부전 (73.3%), 파종성혈관내 응고 (46.7%), 심근 허혈 (28.6%) 등 다발성 장기부전을 유발하였다. 6) 총 3예 (20%)가 사망하고 생존환자의 3예 (25%)에서 신경학적 장애, 특히 소뇌기능장애가 지속되었다. 결론 : 운동유발 열사병은 높은 사망률과 이환율을 가지는 치명적 질환으로 고온 다습한 기후에서의 운동 또는 훈련시, 실신하는 모든 사람에서 열사병은 일차적으로 의심하여 조기진단 및 적극적인 치료를 실시해야 한다. Background : Heat stroke is a life-threatening emergency and manifested principally by hyperthermia and central nervous system dysfunction. Exertional heat stroke seems to be more predominant type in Korea, considering its temperate climate. We undertook this study to evaluate the clinical characteristics and courses of exertional heat stroke. Methods : Serial clinical and laboratory data were collected and analyzed in 15 patients with exertional heat stroke from April 2000 to October 2001. Results : Most episodes occurred after heavy exercise during periods of high ambient temperature and humidity. Especially 11 patients (73.3%) were unacclimatized recruits in basic training. Victims showed a characteristic clinical feature such as high core body temperature (>40℃), altered mental status and frequent shock (7 cases). Common abnormal laboratory findings were: elevated serum CPK, LDH, AST and myoglobin, elevated ALT, leukocytosis, thrombocytopenia, metabolic acidosis and typical electrocardiographic abnormalities. All patients presented with normal or hypokalemic state (50%), although they were complicated with renal failure, rhabdomyolysis and metabolic acidosis. Heat stoke induced multiple organ failure such as rhabdomyolysis (93.3%), acute renal failure (73.3%), disseminated intravascular coagulation (46.7%), myocardial ischemia (28.6%) in addition to central nervous system dysfunction. Three patients (20%) died and 3 patients among survivors suffered from persisting CNS dysfunction, especially cerebellar dysfunction. Conclusion : Heat stroke is a fatal emergency with high mortality and morbidity. Heat stroke should be suspected in any person who collapses during physical activity, especially on a hot and humid day and the prompt initiation of appropriate treatment is demanded.(Korean J Med 62:379-389, 2002)