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      • KCI등재

        3차 군병원 응급실에 내원한 국군 병사들의 파상풍 항체의 정성적 조사

        김정권 ( Chung Kwon Kim ),신종환 ( Jong Hwan Shin ) 대한외상학회 2007 大韓外傷學會誌 Vol.20 No.2

        Purpose: In the Korean armed forces, vaccination against tetanus is done when personnel join the military service, but we do not know how many military personnel are vaccinated and how many soldiers have protection against tetanus. We performed a qualitative analysis of the tetanus antibody in Korean military personnel by using the TQS (Tetanus Quick Stick) Methods: This study used a prospective collection method for military personnel visiting to the emergency department of a tertiary armed forces hospital from July 2005 to January 2007. We performed an analysis by using the TQS and asked whether the personnel had been inoculated during military service. Results: The number of enrolled military personnel was 474. Among them, 412 had been vaccinated against tetanus after entering the military service. The positive rate of TQS was 91.3% (373 patients) after vaccination for tetanus. Conclusion: Many military personnel were inoculated with tetanus toxoid during military service and have protective antibodies for tetanus. According as TQS should be used for military personnel who visit the emergency department of an armed forces hospital. Also, anti-tetanus immunoglobulin should not normally be used a positive TQS for tetanus prophylaxis. (J Korean Soc Traumatol 2007;20:65-71)

      • KCI등재

        흉부 외상에서 폐좌상(Pulmonary contusion)과 외상성 폐낭종 (Traumatic Lung cyst)을 동반한 환자의 임상경과 및 예후 예측 인자

        김용환 ( Yong Hwan Kim ),현성열 ( Sung Youl Hyun ),김진주 ( Jin Joo Kim ),김정권 ( Chung Kwon Kim ),임용수 ( Yong Su Lim ),양혁준 ( Hyuk Jun Yang ),이미진 ( Mi Jin Lee ) 대한외상학회 2008 大韓外傷學會誌 Vol.21 No.2

        Purpose: A traumatic lung cyst (TLC) is a rare complication and is usually detected with a pulmonary contusion. This study attempted to identify the prognostic factors and the clinical characteristics for pulmonary contusion with TLCs. Methods: We retrospectively reviewed the medical records and chest CT findings of 71 TLC patients who visited our hospital from January 2006 to December 2007. Patients were assessed for any clinical characteristics. We evaluated significant differences between the survival and the death groups for patients with a traumatic lung cyst. Results: The male-to-female ratio of patients with TLCs was 54:17, and the mean age of the patients was 37.70±19.78 years with 36.6% of the patients being under 30 years forage. The cause of blunt thoracic trauma was mainly pedestrian traffic accidents (26.8%) and falls (25.4%). Associated conditions included pulmonary contusion in 68 patients (95.7%), hemopneumothorax in 63 patients (88.7%), and rib fracture in 52 patitents (73.2%). There was no consistent relationship between the number of TLCs and the pulmonary contusion score. The overall mortality rate of TLC patients was 26.8%. Death correlated with a need for ventilatory assistance, mean arterial pressure, worst mean arterial pressure in 24 hours, initial pH and base excess, worst pH and base excess in 24 hours, refractory shock, initial GCS score, and pulmonary contusion score. Conclusion: The presence of the aforementioned predictors indicate serious injury, which is the main determinant of the outcome for thoracic injuries with TLCs. (J Korean Soc Traumatol 2008;21:100-107)

      • KCI등재후보

        결핵 및 비결핵성 뇌막염 환자에서 Lysozyme 활성도

        박태선(Tae Sun Park),김정권(Jeong Kwon Kim),이충섭(Chung Seob Lee),이용철(Yong Chul Lee),이양근(Yang Keun Rhee) 대한내과학회 1989 대한내과학회지 Vol.37 No.3

        N/A Lysozyme activities were measured in sera and cerebrospinal fluid (CSF) of 8 patients with tuberculous meningitis and 12 patients with non-tuberculous meningitis to differentiate tuberculous meningitis from non-tuberculous meningitis patients admitted to Chonbuk National University Hospital from March 1986 to August 1987. Sera and CSF were analysed for their lysozyme activities by the Freehool method in the Worthington Enzyme Manual. The results obtained were as follows: 1) Serum and CSF lysozyme activities in the control group were 66.8±10.3㎍/min/ml and 0.7±0.9㎍/min/ ml respectively. 2) Serum lysozyme activities in patients with tuberculous meningitis and viral meningitis were 114.46±16.5 ㎍/min/ml and 79.9±18.5 ㎍/min/ml respectively. 3) CSF lysozyme activities in patients with tuberculous meningitis and viral meningitis were 132.5 ㎍/min/ ml and 35.8±12.2 ㎍/min/ml respectively and there was a significant difference between the two groups (p<0.001). 4) Serum lysozyme activities in patients with pulmonary tuberculosis with meningitis and pulmonary tuberculosis without meningitis were 114.76±16.5 ㎍/min/ml and 133.38±55.3 ㎍/min/ml respectively. There was no significant difference between the two groups (p<0.05). CSF lysozyme activities in patients with tuberculous meningitis and tuberculosis without meningitis were 131.5±58.5㎍/min/ml and 3.29±5.8 ㎍/min/ml respectively and this was statistically significant (p<0.001). 5) Lysozyme activities in patients with tuberculous meningitis treated with glucocorticoid returned to the control level in CSF, but not in serum. The above results suggest that determination of CSF lysozyme activities is useful in differential diagnosis between tuberculous meningitis and non-tuberculous meningitis, except for pyogenic meningitis, and is useful in monitoring the clinical course of tuberculous meningitis.

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