응급의료 헬리콥터를 이용한 환자이송에 대한 고찰

송형곤,김병철,송근정,정연권,신백효 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

Background: The first EMS helicopter was introduced to Korea in 1996 and from Dec. 1. 1997, it was used for transporting emergent patients. Authors, here upon, report the transporting experiences. Methods: From Dec. 1, 1996 to Dec. 31, 1997, Samsung Medical Center's EMS helicopter was used for air evacuation of critically ill patients. The patients data prospectively analyzed. Result: A total of 65 patients were transported. Male to female ratio was 1.95:1. The mean transport time was 64.1 min(10 - 160 min). Majority of the evacuated patients was surgical patients (General Surgery : 16, Orthopedic surgery : 10, Neurosurgery : 6, Internal medicine : 13, Pediatrics : 3, and others : 3). Twenty-one of the 65 patients transported were admitted to ICU and 31 did not require ICU care. During the air evacuation, one physician and one nurse trained for air evacuation attended the patients. No medical problems or deaths developed during the air evacuation period. Conclusion: The first EMS helicopter was introduced to Korea in 1996. From Dec. 1, 1996 to Dec. 31, 1997, Samsung Medical Center's EMS helicopter was used for air evacuation of critically ill patients. The patients data reported.

制州火山灰土에서 燐酸施肥量 差異가 制州 在來 大豆의 生育과 收量形疾에 미치는 影響

宋昌吉,趙南棋,姜炯式 濟州大學校 亞熱帶農業硏究所 1994 亞熱帶農業硏究 Vol.11 No.-

本 試驗은 濟州火山灰土에서 大豆 (濟州在卒 검정콩)를 栽培하는 경우 適正 燐酸 施肥量을 究明하기 위하여 遂行되었으며 그 結果를 要約하면 다음과 같다. 1. 燐酸 施用量이 增加함에 따라 莖長, 莖直徑은 점차 增加하는 傾向을 나타내고 있으나 그 增加幅은 점차 줄어들고 있다. 2. 分枝數, 株當莢數와 乾物量은 施用量이 12㎏/10a에서 가장 높게 나타나고 있으나 未莢數에서는 處理間에 有意性이 나타나지 않았다. 3. 主莖節數와 百粒重은 9㎏/10a 施用區에서 다소 높은 數値를 보이고 있으나 12㎏/10a施用區와는 별로 差異가 認定되지 않았으며 5%에서 有意하였다. 4. 種實收量은 燐酸 施肥量이 12㎏/10a까지는 增加하는 傾向을 보였으나 그 이상 施用에서는 오히려 줄어드는 趨勢를 보여주었다. 5. 種實收量은 草長, 莖直徑, 分枝數, 株當莢數, 乾物量, 百粒重과 高度의 正의 相關을 보여주었고, 乾物量은 分枝數, 株當莢數는 高度의 正의 相關을 나타내었으며, 株當莢數는 草長, 莖直徑, 分枝數와 高度의 正의 相關을 나타내었다. This experiment was carried out estmate the proper amount of phosphorus fertilizer required to increase yield in growing cheju native black soybean in the volcanic ash soils of the cheju island. The results are summarized as follows: 1. The greater amount of phosphorus fertilizer, the higher plant height and stem diameter. 2. No. of branches, No of pods per plant and dry stem weight were greatest in 12㎏/10a of phosphorus fertilizer but No. of non pods per plant was not affected by level of phosphorus fertilizer. 3. No. of nodes of main stem and weight of 100 seeds were greatest in 9㎏/10a of phosphorus fertilizer but the difference shorted 4. Seed yield was greatest in 12kg/10a of phosphorus fertilizer. 5. Yield charaters which had a great influance on seed yield were plant height, stem diamter, No. of branches, dry stem weight, weight 100 seeds, and No. of pods per plant was positively correlated with plant height, stem diameter, and No. of branches, seed yield.

아급성기 대량 재해 지역에서의 의료 지원 : '99 대만 지진 의료 지원을 중심으로

송형곤,강보승,송근정,정연권 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Background: There was a powerful earthquaken(Richter Scale 7.6) In Tiawan, on Sep.21, 1999. We supported the organized medic긴 services in that area during 5 days. Methods: We made the protocol and analyzed the results prospectively. Results: We took care of a total of 708 patients from sep. 23 to sep. 27. Traumatized patients related to the earthquake were 245(34.6%), and most of them had minor injuries. Two hundred thirty-nine(239, 33.8%) patients visited us for medical disease related to living in a group. There were 29(4.1%) patients who complained of neuropsychiatric problems due to the post-earthquaken stress. Because the condition of the patients was so bad, 18(2.5%) were transferred to receive more medical services. Conclusion: In disaster area, organized medical services have two different roles, especially in the subacute stage. One is responsibility for real emergency medical care, and the other is medical care of non-emergency patients.

일부 의료서비스업 VDT작업자의 상지 근골격계 증상의 정도와 관련된 요인

김형렬,원종욱,송재석,김현수,김치년,노재훈 大韓産業醫學會 2003 대한직업환경의학회지 Vol.15 No.2

목적: 본 연구는 상지 근골격계 질환의 유병율이 높은 집단으로 알려진 VDT작업자를 대상으로 이들의 근골격계 통증을 정량화하고, 정량화된 통증점수를 종속변수로 하여, 이와 관련성을 갖는 작업요인, 사회심리적 요인을 파악하고자 하였다. 방법: 서울지역에 위치한 1500병상 규모의 대학병원에 근무하고 단말기 작업을 주로 수행한다고 알려진 부서에 대해 병원내 안전관리과와 협의를 거쳐 163명을 연구대상으로 선정하였다. 이중 138명이 설문에 참가하였고, 이들을 최종 연구대상으로 하였다. 설문지를 가지고 연구변수를 측정하여, 나이, 근무연수, 가사노동의 정도 등의 인구학적 변수와 직무스트레스 및 사회적지지, 근골격계 증상, 통증의 양상 등을 조사하였다. 분석방법은 일반적 특성 및 작업특성, 통증의 양상을 성별에 따라 파악하였고, 통증점수의 타당성을 검정하기 위해, 통증점수의 구성요소와 통증점수를 시각적 상사척도와 상관성 검정을 시행하였다. 통증점수를 종속변수로 하고 직무요구도, 직무재량도, 동료의지지, 상사의지지, 여러작업환경특성, 인구학적 특징 등을 독립변수로 하여 다중회귀분석을 시행하였다. 결과: 첫째 통증의 정량화를 위해 사용한 통증평정지수는 시각적 상사척도와의 상관관계가 높은 것으로 나타나, 어느 정도의 타당성을 지닌 방법으로 해석할 수 있었다. 둘째, 이 통증 점수를 종속변수로 하여, 관련요인 분석한 다중회귀분석에서 직무요구도가 높을수록 통증의 정도가 높고(p<0.01), 여성일수록 남성에 비해 높은 통증점수를 보였다(p<0.01). 결론: 근골격계 질환의 높은 유병율을 보이는 집단의 경우, 이들의 증상 유무만을 가지고 관련요인을 분석하는 방법을 사용하기 어렵다. 따라서 이런 경우, 통증을 정량화하여, 다양한 관련요인을 찾으려는 노력이 필요하며, 본 연구에서 사용한 통증평정지수는 타당성을 지닌 정량화 방법이라고 여겨진다. 또한 본 연구에서는 직무요구도가 높을수록, 여성일수록 높은 통증점수를 보였다. Objectives: This study was designed to quantify symptoms in the upper extremities and to identify the pain related factors among hospital workers using video display terminals. Methods: The subject-group consisted of 138 employees working at a hospital using video display terminals. A structured questionnaire was used to estimate the participants' general characteristics, and job contents. Job stress was measured using Karaseks JCQ(Job Content Questionnaire). Pain in the upper extremities was identified according to the NIOSH symptoms survey criteria. Quantification was measured using Kim Chul's method. Pearson's Correlation analysis was used to identify validity in quantification. VAS(visual analog scale) was used to compare with this method. Multiple regression analyses elucidated the relationship between quantified pain and various work factors, such as job stress. Data were analysed with SAS 6.12 program. Results: First, in quantification using Kim Chul's method, the correlation between modified PRS(pain rating score) and VAS was extremely high by 0.60(P<0.01), indicating the high validity of PRS. Second, the groups of high job demand, high job control, and females were related to an increased pain level. Conclusions: These results suggest that the self pain assessment method, PRS, is valuable and useful in analyzing occupational musculoskeletal symptoms. High demand, job control and gender may influence the levels of pain. Prospective studies about musculoskeletal disorder are required.

小兒 急性絲述體腎炎에 있어서 血淸 免疫글로불린에 關한 硏究

文松洙,韓圭炯,明槿哲,文炅來,羅昌洙 조선의대 1984 The Medical Journal of Chosun University Vol.9 No.1

Silage用 玉蜀黍 新品種의 生育特性및 生産性 比較 硏究

崔亨松,李成哲 又石大學校 1989 論文集 Vol.11 No.-

This field experiment was conducted to investigate the growth characteristic and yield of introduced Maize for silage at the experimental field of Suwon, Eyjongbu, and Chung nam, from April, 1988 to 1989. The results obtained are as follows: 1. In the Chung nam, Verieties of 3282, 3144W, EXP771 and 3233 were better than that of Suwon 19 on the disease resistance and dry matter yield. 3. In the Eyjongbu, verieties of 3252, EXP 771 and 3144W showed good response to the disease resistance and dry matter yield. 4. Based on the results of the three experiemental field, 3144W and EXP 771 varieties could be recommended as a source of good vericties for disease resistance and dry matter yield.

高山地帶의 草地改良에 適合한 牧草의 品種 選定에 관한 硏究

崔亨松,李成哲 又石大學校 1989 論文集 Vol.11 No.-

This experiment was carried to determine the selection of pasture species for the pasture improvement from experimental field of Tae Kwalyong from 1984 to 1988. The experiment was arranged as a randomized block design and is concerned with the characteristics of growth, dry matter yield, and proximate analysis on the pasture species. The results obtained after three-year experiment are summarized as follows: 1. Productivity of Timothy, red top and reed canarygrass showed good response to the experimental field of Mt. Jung Dong. 2. Level of maturity from sowing to heading showed good response to the species of Tiller, Odenwa¨lder, Landsberger, Streaker and Venture. 3. Winter hardiness showed good response to the species of Climax, Kahu, Hokuo, Tiller, Odenwa¨lder, WWT94, Streaker, Listra, Palaton and Venture. 4. In the last harvest, Cover ratio showed good response to the species of Landsberger, Tiller, WWT94, Hokuo, Odenwa¨lder, Streaker and Listra. 5. Annual dry matter yield showed good response to the species of Hokuo, Odenwa¨lder, Tiller Rasaut, Kahu, Timfor, Streaker, Listra, Palaton and Venture. 6. Crude protein and crude fiber of Venture reed canarygrass were 26.12% and 26.13%, respectively. And quality of Venture reed canarygrass was better than that of Timothy.

공업화부재의 생산/운반/양중관리를 위한 정보가시화 시스템 개발에 관한 연구

임형철,송영석,김창덕,송성진 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

Recently, The construction field in the urban area is short of working space and securing processing place because it is surrounded by adjacent buildings and nearby roads and have difficulties in rising labor costs. The insufficient space causes problems of interference and conflicts in transporting materials and working at the site. Therefore, Construction Manager find many alternative method and select industrialized method. The objective of this paper is to develop and give a method of information visualization system for manufacturing, delivering and lifting these materials in construction project stakeholders, using tools visualizing informations. The tools supports to stakeholders so many informations in material manufacturing, delivering, lifting in construction site. That is, order information, manufacture information in factory, sending information, carrying information, unloading and lifting in Site, and so on. Case studies are performed to evaluate the feasibility and applicability of the proposed method.

소뇌와 뇌간의 경색환자에서 자기공명 혈관 촬영술의 임상적 유용성

김형철,송홍기,이병철 대한신경과학회 1996 대한신경과학회지 Vol.14 No.1

골형성부전증 10예의 임상적 특징

이형숙,김현주,조재현,이승원,김현아,최준혁,송영준,김대중,이관우,정윤석 대한내분비학회 2003 Endocrinology and metabolism Vol.18 No.5

연구배경 및 방법: 골형성부전증은 비교적 희귀한 유전병으로 교원질 대사 장애로 인한 골의 취약성과 다발성 골절 및 척추측만증 등을 특징으로 한다. 유전방식과 표현형의 발현 정도에 따라 다양한 임상 양상을 보이며, 임상적 중증도에 따라 4가지 형태로 분류된다. 지금까지 국내 보고는 분만과정이나 태아 진찰시 골격이상으로 발견된 증례보고가 주였다. 저자들은 비교적 경미한 임상 양상을 보이는 예를 포함한 다수의 골형성부전증 환자들의 전반적인 임상적 특징에 대해 보고하는 바이다. 결과: 2001년 6월부터 2003년 2월까지 골형성부전증으로 진단받은 6 가계, 10예를 대상으로 하였다. 평균 나이는 27.3(5∼56)세였고 소아가 2예였다. 모두 상염색체 우성으로 유전되었으며, 제 I형이 4예, 제 III형이 4예, 그리고 제 IV형이 2예였다. 전 예에서 다수의 골절 경험이 있었고, 골밀도 저하와 골피질 두께 감소 소견이 관찰되었다. 전신의 평균 골밀도는 0.690(0.421∼1.039) g/cm²였다. 골형성지표로 측정된 sAlk는 소아의 경우만 증가되어 있었고, 골흡수지표로 측정된 uDPD의 평균치는 12.9(4.4∼36.3) nM/mM Cr으로 증가된 소견을 보였다. mobility score는 대부분 3,4단계에 속해 있었다. 중증형일수록 진단 시의 mobility score가 낮은 경향을 보였다. 결론: 한국인 골형성부전증 환자의 임상적 특징을 살펴본 결과 기존의 보고된 II형 외에도 I, III, IV형이 다양하게 존재함을 알 수 있었으며, 모든 예에서 상염색체 우성으로 유전됨을 확인할 수 있었다. 또한 모든 예에서 증가된 골흡수로 인한 골밀도 저하와 골절을 확인할 수 있었다. Osteogenesis Imperfecta (OI) is a relatively rare hereditary disease, which is characterized by multiple bone fractures and spine scoliosis, due to the fragility of bone, and is often associated with blue sclerae, deafness and dentinogenesis imperfecta. Four types of OI can be distinguished, according to the clinical findings. Although mutations affecting type I collagen are responsible for the disease in most patients, the mechanism by which the genetic defects cause abnormal bone development remains to be fully understood. Here, the clinical characteristics of 10 OI patient cases are reported, with a review of the literature. All the cases, including 4 type I, 4 type III and 2 type IV, inherited OI as an autosomal dominant trait. All the subjects had multiple old fractures and decreased bone densities. In this study, the biochemical marker of bone formation, serum alkaline phosphatase, was found to be increased only in the pediatric OI patients, while the biochemical marker of bone resorption, urinary deoxypyridinoline, was increased in all cases. The mobility score was found to correlate with the severity of the type on diagnosis (J Kor Soc Endocrinol 18:496∼503, 2003).