牙山湖에서 大湖湖 沿岸의 淡水湖 連結에 의한 效率的인 水資源 利用方案

구본수,최한규,이성홍 江原大學校 産業技術硏究所 1998 産業技術硏究 Vol.18 No.-

The Asan Bay area Korea is situated in an unbalance or water supply and demand relating to the Ansung, Sapkyo, Dangjin and Youmwha rivers and their estuary reservoirs. The multi-reservoir operation was studied by the Hierarchical Operation Model for Multi-reservoir System(HOMMS) assuming that these four estuary reservoirs were linked to each other in order. The result of this study shows that storage capacity deficiency in 2011 was estimated as 8 MCM in the Sapkyo and 31 MCMin Dae Ho estuary reservoir, respectively. In case of linking four reservoirs, the water deficiency will not occurs in all the reservoirs even if additional agricultural water of 78 MCM/yr was supplied. Total additional water demand for agricultural, municipal and industrial uses was estimated as 321.9 MCM /yr while additional supply by linking the reservoirs was estimated as 160.4 MCM/yr, 50% of additional demand. The remaining 161.5 MCM/yr would be supplied transferring other watershed.

병원전 응급처치의 시행정도와 정확도

이승한,최옥경,정구영 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

The Emergency Medical Technitian(EMT) is the main personnel of Emergency Medical Service Systems, requiring a whole set of special rescue skills and the knowledges for emergent patients in prehospital area. The most important aspects of the EMT system is the medical direction, which is education, protocol, and quality assurance especially in implementing phase. The EMT system just has been started in Korea with legislative effort of Emergency Medical Act since 1994. There has been no data about the frequencies of prehospital emergency care and it`s medical evaluation. Therefore, we investigated the volume of the prehospital emergency care performed by 119 rescue personnel, and assessed the accuracy of cardiopulmonary resuscitation(CPR) skills. We also analyzed which personal factors influence the accuracy of CPR skills by using the multiple regression test in SAS program. One hundred sixty four(64.5%) of the 259 rescuer graduated highschool, and 66.4% had less than 4 years career as a rescuer. Sixty one percentage has less than four times of CPR training. The interval from the last CPR training was less than 6 months in 59.1%, and less then 1 year in 71.4%. While over 75% of 119 rescuers had the experiences of primary emergency cares, about 50% had of CPR and of vital sign check. The accuracy of chest compression were 48.3%, 50.2%, and 52.2% in the rate, depth, and the site, but the accuracy of ventilation, and the ratio of inspiration and expiration. The accuracy of CPR was influenced only by times of CPR training(p=0.0083), not by the education level, the professional career, nor interval after the last training. From the above results, we could have conclusion that EMT training program should be focused to the initial patient assessment, and CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the proper interval of the training might be less than 3 months in early phase.

마이크로스트립 대역통과필터의 設計

具然健,金斗根,李漢明 弘益大學校 1983 弘大論叢 Vol.15 No.2

A procedure for designing a band-pass filter of quarter-wavelength microstrip resonator with interdigital array is presented. After the design curve is determined experimentally by the resonance phenomena of several pairs of resonators, the microstrip interdigital filter for center frequency of 700 MHz and fractional bandwidth of 20% is designed. It is obtained that the fractional bandwidth is 19.43%, centered at 695 MHz. An experimental results show that the computed values almost agree with measured values except for the ripple which is negligible.

Kant의 市民社會論 : 政治的 權威의 哲學的 基礎

李漢九 동국대학교 철학회 1985 哲學思想 Vol.6-7 No.-

소아 대퇴골 간부 골절에 대한 조기 고수상 석고 고정술

이한용,유기원,정진영,손문익,김창기,강용구 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 소아 대퇴골 간부 골절의 여러 가지 치료 방법 중 조기 고수상 석고 고정술의 유용성을 알아보고자 시행하였다. 대상 및 방법 : 대퇴골 간부 골절로 1997년 1월부터 2000년 12월까지 보존적 방법으로 치료를 시행받았던 10세 미만의 소아 중 심각한 동반 손상이 없고, 추시 기간이 최소 12개월이었던 환아를 대상으로 하였다. 총 27명, 27예 이었으며, 조기 고수상 석고 고정군(조기군)이 12예, 견인 후 고수상 석고 고정군(견인군)이 15예 이었다. 두 군에 대하여 각각 수상 시 연령, 성별, 수상 기전 등의 기본 자료를 분석하였으며, 재원 기간, 견인 및 고수상 석고 고정 기간, 재원 기간 동안의 방사선 촬영횟수, 고수상 석고 고정 직후와 최종 추시 소견에서의 각 변형 및 하지 부동 등의 임상적 및 방사선학적 자료와 입원 기간 중의 총 진료비를 비교 분석하였다. 결 과 : 평균 연력은 조기군은 4.2세, 견인군은 5.3세 이었으며, 전체 연구 대상 중 남아가 24예로 88%를 차자하였고, 수상 기전은 교통사고가 20예(71%)로 가장 많았다. 재원 기간은 조기군이 평균 7.8일 이었으며, 견인군은 25.8일로 나타나 유의한 차이를 보였다. 수상 일로부터 석고 제거가지의 기간 즉 침상 안정기간은 각각 44.2일과 65.1일 이었다. 재원 기간 중 방사선 촬영 횟수는 조기군은 수상 직후 및 고정 후 각각 1회의 방사선 촬영을 하였으며, 견인군은 견인 및 정복의 정도를 파악하기 위하여 평균 6.9회의 방사선 검사를 시행하였다. 두 군 모두 최종 추시 때의 관절 운동 각도는 정상 범위에 속하였고, 고수상 석고 고정 직후와 최종 추시 소견 상 각 변형은 허용 범위 내에 있었으며, 하지 부동이 각 군에서 3예 씩 발생하였다. 총 입원 진료비는 견인군이 재원 기간의 증가로 인하여 약 2.4배의 비용이 더 필요하였다. 결 론 : 소아 대퇴골 간부 골절에 대한 조기 고수상 석고 고정술은 견인 후 고수상 석고 고정술과 비교하여 임상적 및 방사선학적 결과에서 유의한 차이가 없었으며, 재원 기간의 단축과 고정 기간의 감소를 통한 의료비 절감 및 환자 순응도를 높일 수 있었고, 방사선 촬영 횟수 감소로 소아 생식기에 대한 위험을 줄일 수 있었으므로 유용한 치료 방법이라고 판단되었다. Purpose : To evaluate an efficacy of immediate closed reduction and hip spica casting in pediatric patients with femoral shaft fractures. Materials and Methods : 27 cases of 27 pediatric patients who had seen treated conservatively for the femoral shaft fractures under 10 years of age were retrospectively reviewed. The cases with serious associated injuries were excluded. The hospital stay, duration of traction and hip spica cast, frequencies of plain radiographs, clinical and radiological outcomes at the final follow-up, and financial aspects were evaluated comparatively between the groups of immediate hip spica casting(12 cases) and traction-casting(15 cases). Results : The patients treated with immediate hip spica casting had a mean hospital stay of 7.8 days, compared with a mean of 25.8 days for those treated with traction and casting. The mean duration of immobilization were 44.2 days in the group of immediate hip spica casting, and 65.1 days in the group of traction and casting. The radiologic examinations were performed 2 times and 6.9 times respectively. The clinical and radiological outcomes at the final follow-up were good in both groups. Insignificant leg length discrepancies were seen in 3 cases each group. The total charges of traction and casting was 2.4 times higher than that of immediate hip spica casting. Conclusion : The immediate hip spica casting seems to be an effective method of treatment in femoral shaft fractures without serious associated injuries under 10 years of age because there are several advantages such as satisfactory result, shortened hospitalization and immobilization, reduction of total charges, and lowered the risk of radiologic exposures.

요골 두 아탈구와 동반된 상완골 내 상과 골절 : 1예 보고 A Case Report

이한용,유기원,정진영,송주현,고해석,강용구,손문익 대한골절학회 2003 대한골절학회지 Vol.16 No.2

주관절 손산 중 상완골 내 상과 골절은 단독으로 혹은 주관절 탈구와 동반되어 발생하는 것이 일반적이다. 저자들은 15세 남자 환자의 좌측 요골 두 아탈구가 동반된 상완골 내 상과 골절을 경험하였다. 도수 정복을 시도하였으나 요골 두 아탈구의 정복을 얻을 수 없어 관혈적 정복술로 치료하엿다. 6개월추시 결과 후휴증이 없는 정상적인 관절 상태를 확인할 수 있었다. 연령, 원인 , 손상 기전으로 분석해 보면 이 동반 손상은 발생하기 매우 어렵고, 문헌 탐색 결과 현재까지 동일한 증례를 찾아볼 수 없었으므로 보고하는 바이다. It has been known that fracture of medial epicondylar apophysis of distal humerus may be isolated of associated with elbow deslocations. We have experienced a case which medial epicondylar fracture of the distal humerus was associated with subluxation of the radial head. Initially, we had tried reduction of subluxated radial head by closed method, but failed. Finally open reduction gad been performed. At 6 month after open reduction, clinical and radiological result were excellent. As it is difficult for those associated injuries to occur simultaneously and the similar cases never have been reported yet, we would like to present this case with a review of the literature.

한국인에게 적절한 기관삽관 위치

이승한,최옥경,정구영,정성필 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Endotracheal intubation is one of the important procedures in ED and various fields. Endobronchial intubation can lead to hypoxemia secondary to tension pneumothorax of intubated side and atelectasis of contralateral side. The placement of tube beyond the vocal cords may results in inadvertent extubation, larygeal spasm and aspiration pneumonia. The conformation methods of endotracheal intubation are auscultation of the chest, observation of a vapor trail, oximetry and capnography, and radiologic evaluation. Owen and associates recommended that oral intubation tubes at the upper incisor teeth at the 23cm in men and the 21cm in women of average adult size would have led to proper placement. We studied that whether the proper depth of endotracheal tube in American is appropriate to Korean. We studied adult patients admitted to ED (of both hospitals during March in 1995. Endotracheal tubes in men were positioned at the 23cm and women had positioned at the 21cm at the upper incisor teeth. The distance of the tip of the endotracheal tube to the tracheal carina on the postintubation chest X-ray then determined. Correct placement of intubation was defined with the tip of the tube≥3cm above the carina and below the level of the larynx. Fifty adult patients were enrolled in the study ; 29 men (58%) and 31 women (42%). Mean height and weight were 170±5.2cm, 68±9kg in men and 158±6.5cm, 56±10kg in women. Reasons for intubation were ; respiratory failure(38%), trauma(16%), increased intracramial pressare(16%), drug intoxication(12%), shock(8%), cardiac arrest(7%)and others(3%). The mean distance from the tip to carina on chest X-ray was 4.13±1.5cm in men and 3.45±2.1cm in women. Proper position was 27/29(93%) in men, 14/21(67%) in women or 41/50(82%). this means the placement of endotracheal tube of our patients was positioned deeper than prion study group(97.6%).(p<.05) We recommend that the 22cm tube mark for men and 20cm tube mard for women at upper incisor teeth would have led to proper placement in Korean adult patient.

담배 박각시나방 Manduca sexta의 계획된 세포죽음동안의 Proteasome의 변화

이구봉,우기민,조만희,이상한,장예진,김창세 순천향의학연구소 2000 Journal of Soonchunhyang Medical Science Vol.6 No.2

모든 진핵세포의 주요 단백질 분해요소인 proteasome은 변성되거나 상해된 불필요한 단백질을 제거할 뿐만 아니라, 세포주기를 비롯한 다양한 대사과정들의 주요 효소들을 필요 시 적절히 분해함으로써 항상성을 유지시키는 필수적인 효소로 잘 알려져 있다. 또한 proteasome은 특정 포유동물 조직의 계획된 세포죽음(programmed cell death 또는 apoptosis)와 밀접하게 관련되어 있다고 보고된 바, 본 연구에서는 담배 박각시나방(Manduca sexta)의 변태과정에서 일어나는 마디간 근육(intersegmental muscle)의 급격한 파괴과정동안의 proteasome의 변화양상을 발현 및 단백질 분해활성을 중점으로 조사하였다. 정상근육과 파괴직전의 근육으로부터 proteasome을 분석한 결과 단백질 분해활성이 최소한 6배 이상 증가하였으며, proteasome의 주요 구성성분들의 발현 변화를 각각의 항체(antibody)를 이용하여 조사한 결과 세포죽음 직전에 급격히 증가함을 보였다. 이러한 구성성분들의 발현증가가 proteasome 복합체 형성을 통해 활성의 증가를 일으키는지 조사한 결과, 세포내에서 실질적으로 단백질 분해활성을 담당한다고 여겨지는 26S proteasome(2,000 kDa)의 위치에서 커다란 활성의 변화와 구성성분의 증가를 볼 수 있었다. 따라서, 담배 박각시나방의 계획된 세포죽음 현상은 특정 호르몬의 신호에 의해 proteasome의 발현이 급격히 증가하여 26S proteasome의 복합체 형태로 세포 내 대부분의 단백질들을 분해함으로써 30시간이내 근육조직을 완전히 소멸시키는 것을 알 수 있었다. 한편, proteasome을 구성하는 특정 구성성분의 과다 발현이 세포의 단백질 분해현상에 어떠한 영향을 미치는 지 조사하기 위하여 쥐의 fibroblast cell에 26S proteasome의 ATPase 구성성분인 m56 유전자를 삽입한 후 세포의 추출물로부터 proteasome의 양과 활성의 변화를 관찰하였다. Proteasome을 초원심분리로 추출하여 관찰한 결과, 담배 박각시나방의 경우와는 달리 유전자 삽입 세포는 모든 실험에서 정상 세포와 전혀 차이를 보이지 않았다. 이 결과로부터 세포의 생명 유지에 필수적이고 매우 다양한 기능을 가진 proteasome은 40여개의 구성성분들의 발현이 매우 정교하게 조절되고 있으며, 특정 세포죽음 자극(apoptotic signal)이 왔을 때 일련의 구성 성분들의 발현과 26S proteasome 복합체 형성이 증가함으로써 그 기능을 수행하는 것을 알 수 있으며, 보다 자세한 연구는 비정상적 단백질 분해나 세포죽음을 동반하는 여러 질환들의 원인과 현상을 규명할 수 있으며, 또한 그 활성을 조절함으로써 궁극적인 치료의 방향도 제시 가능할 것으로 기대된다.

이상적인 응급의료기관의 분포기준

정구영,이승한 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Emergency medical service systems(EMSS) has just been started in Korea with legislative effort of Emergency Medical Act since 1991. But there are many defects in the systems as well as in the quality of care. One of the main reasons of these defects is that the hospitals have never been regionalized and have been categorized ineffectively. Therefore we estimated the involving area for each emergency facility, which can make possible to design the regionalization. We also investigated the facilities, personnels and the equipments of the emergency depart-ments(EDs) of 5 hospitals in a million population area. One was emergency center of tertiary 500 bed-sized hospital, two EDs in 140 bed-sized hospitals and two EDs in 80 bed-sized hospitals. There were no significant differences between 140 and 80 bed-sized hospitals in equipments and personnels, but all of those were far beyond the legal standard. Number of ED patients were also similar. Seventy to eighty percentage of the patients visited to emergency center from 5km-radius area and to EDs from 2km -radius area. The distribution patterns of patients were almost same for EDs of 140 and 80 bed-sized hospitals. Therefore, on e emergency center might be enough for one million population and one ED for 200,000, in regard to population density. In conclusion, one million population area can be regionalized as an EMSS, which may have one emergency center and five general EDs. ED should be designated not according to hospital size, but its own capacity to handle the emergent patients.

骨髓纖維化症으로 移行된 骨髓異形成症候群

이동순,황유성,조한익,김노경,김병국 大韓血液學會 1985 大韓血液學會誌 Vol.20 No.2