혼수상태의 외상환자에서 초음파를 이용한 흉부 및 복부손상의 진단

임경수,이강현,이진웅,이부수,황성오,유수영,강성준 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The need for rapid diagnosis and treatment of life-threatening thoracic and intra-abdominal injury result in controversy over the appropriate triage of unconscious blunt trauma patients. To aid in early decisions for these patients, a prospective analysis of 98 patients with glasgow coma scale(GCS) scores≤8 was undertaken. Although intra-thoracic and intra-abdominal injuries were frequently identified based on systolic blood ressure, the use of clinical signs alone resulted in more missed injuries than did using the emergency ultrasonography. In normotensive patients(n=34), intra-thoracic injuries was identified in one patient(2.9%), and intra-abdominal injuries were in 7 patients(20.6%). In shock(systolic blood pressure<90mmHg) Pa-tients(n=64), thoracic injuries and intra-abdominal injuries were diagnosed in 8(12.5%) and 27 patients(42.3%), thoracic and abdominal combined injuries were identified in 11 patients(17.2%). The sensitivity, specificity, and accuracy of emergency ultrasonography were 96.3%, 91.7%, 94.9%. This study suggests that all unconscious trauma patients undergo immediate emergency ultrasonography to prevent missing life-threatening injuries.

노인 뇌경색 환자(70세 이상)의 임상적 특징에 관한 연구

임재환,박형국,성기범,신현길 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

Stroke is one of the most important diseases in the elderly, but studies on the elderly stroke(age ≥70 years) are rare. The authors evaluated clinical characteristics of ischemic stroke in the elderly and compared them with those in the young(age ≤69). The conclusion obtained are as follows. 1. The strokes with multiple risk factors and combined diseases were more common in the elderly than in the young. 2. Middle cerebral artery territory was most frequently involved in the two groups, but vertebrobasilar territory was more frequently involved in the elderly than in the young. 3. The incidence of recurrent stroke and pathogenesis did not differ significantly between the two groups. 4. Among the complications, urogenital diseases were more common in the elderly than in the young.

기념엽서 디자인의 발상과 전개에 관한 연구 : 산학협동 프로젝트 "2002월드컵 기념엽서 디자인 개발사례"를 중심으로 A Case of Development of the Industrial Educational Cooperation Project of Postcards Design for 2002Worldcup

임현성,김민 한국기초조형학회 2003 기초조형학연구 Vol.4 No.1

현재까지 제작되어진 문화홍보 수단으로서 한국을 알리기 위한 대부분의 기념엽서들을 살펴보면 아름다운 한국의 이미지를 부각시키고자 하는 부분에만 중점을 두어 디자인 개발이 이루어 진 것을 알 수 있다. 그러나 월드컵이라는 국제적 스 포츠 이벤트는 이러한 한국의 외형적인 측면만을 강조한 디자인 개발 뿐 만이 아니라 내재된 독특한 문화를 세계인들에게 공감시키고 기억시키는 점에 있어서 그개발이 이루어져야 하며, 이벤트의 특성에 맞는 놀이와 재미를 충족시키는 면에 있어서도 다양한 연구가 필요하다. 본 논문은 2001년 8월 초부터 10월 말까지의 국민대학교 테크노디자인 전문대학원 시각디자인 전공의 산학 프로젝트로 진행되었던 '2002월드컵 기념엽서 디자인 개발 사례'를 통해 월드컵이라는 세계적 스포츠 이벤트와 더불어 한국의 문화를 홍보할 수 있는 재미있는 발상과 그에 따른 다양한 전개방향을 모색해 보고자 한다. Most of Korean commemoration postcards are only designed to emphasize the beautiful image of Korea. However the design development for Worldcup commemoration postcards have to place emphasis on not only externals but also intrinsic value of Korean culture. That is for arousing world people's sympathy and making Korean culture remain in their memory. Also, various studies are needed to satisfy public appetite for entertainment and excitement specialized for Worldcup as an international sports event. This paper looks out various ways of development and interesting ideas for public information of Korea with the Worldcup, the international sports event, through the cases of 2002 Worldcup commemoration postcard design development which was the educational-industrial Cooperation project of the Graduate School of Techno Design of Kookmin University from August 2001 to October

심정지환자에서 epinephrine투여시 혈중 catecholamine의 변화

임경수,황성오,이부수,이강현,이진웅,임종천,김영식,김선만,김 현 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Background : Cardiac arrest is a potent stimulus for the release of endogenous catecholamine and high plasma catecholamine concentration has been reported during cardiopulmonary resuscitation(CPR). Few data were present about the clinical effect of high plasma catecholamine and endogenous catecholamine response to exogenous epinephrine administration during CPR. Purpose : This study was designed to evaluate endogenous catecholamine response to cardiac arrest and exogenously administered epinephrine during CPR. Method : In 21 cardiac arrest victims, blood sample for epinephrine and norepinephrine was drawn before and 1 minute after each epinephrine administration during CPR. 1mg of epinephrine was administered immediately after intravenous access and 3 minute interval during CPR. Plasma catecholamines were quantitated by high-performance liquid chromatography. Result : Baseline plasma epinephrine concentraqtion was higher in patients with cardiac arrest than normal controls (985±1627 vs 194±173 pg/ml, p<0.05). Baseline plasma norepinephrine concentration was also elevated in patients with cardiac arrest than normal controls, although statistically insignificnat(1965±4915 vs 360±250 pg/ml). Plasma epinephrine concentration in cardiac arrest patients was significantly elevated after exogenous administration of epinephrine, but its response was blunted after the third does of epinephrine. Plasma norepinephrine concentration in cardiac arrest patients was also elevated, but its response was observed only after the first epinephrine administration. Plasma epinephrine concentration was persistently higher in patients with return of spontaneous circulation (ROSC) than patients without ROSC. there was no significant difference of plasma norepinephrine concentration whether spontaneous circulation was restored or not. Endogenous epinephrine response to exogenous epinephrine was not observed in patients having prolonged arrest time over 20 minutes. Conclusion : Results of this study suggests that significant amount of catecholamine is released by exogenous epinephrine administration in spite of high plasma catecholamine concentration, and degree of endogenous catecholamine response influences resuscitation outcome.

韓國動亂 이후의 한국 改新敎建築 禮拜空間 平面特性에 관한 硏究

임광성,박현철,김남응 대한건축학회 2004 대한건축학회논문집 Vol.20 No.2

The purpose of this study is to understand the variation characters of the Protestant worship space after the Korean war which classified by evaluation of its period, type, denomination, and scale. The results are summarized as follows: (1) Postwar Korean Protestant worship space can be classified as 8 different shapes-rectangular, square, cross, trapezoid, circular, fan-type, elliptical, and irregular shape. (2) A rectangular type was traditional plan until 1968 before Je-Am church plan was introduced with a circular shape to furtherance diversification of the space plan. (3) The Presbyterian church dominated in adoption of a rectangular shape and the Methodist for a square type. This is an evident to make assumption that the Methodist is less conservative and open-minded to new forms. (4) Frequently as well, square, fan-type, and circular form is adopted in a small scale church. This phenomenon was not intended to shorten the distance between altar and nave, but rather related to exuviate from conventional form, pursuit symbolism, and imitation of an aptitude of a large scale church. (5) Application of the multi-media facilities and popularizations are the transformation factors of the worship ceremonies-provoke a conversion of a new church planning concept in the future.

성견에서 Super EBA, Ketac Silver, MTA와 Emdogain을 이용한 치근분지부 천공치유에 관한 연구

임성삼,손호현,백승호 大韓齒科保存學會 2000 Restorative Dentistry & Endodontics Vol.25 No.2

광산 폐석의 알칼리 반응성에 대한 광물.암석학적 연구

임한욱,최성범,백환조,김덕현 강원대학교 석재복합신소재제품연구센터 1997 석재연 논문집 Vol.2 No.-

석회암을 이용한 골재의 알칼리 반응성을 측정하기 위하여 한국공업규격의 표준시험 방법에 의한 팽창성을 측정하였다. 기존의 연구결과에 의하면 특히 백운석을 포함하는 석회암의 경우 골재-알칼리 반응이 상당한 것으로 알려지고 있으나, 본 연구에 사용된 석회암 시료의 경우는 알칼리 반응성이 매우 작은 것으로 나타났다. 또한, 역학적 특성의 결과도 매우 양호하며 골재로서의 활용성이 충분한 것으로 판단된다. An experimental program was undertaken to investigate the alkali-aggregate reaction of limestone aggregates, following the standard testing method for potential alkali reactivity of carbonate rocks for concrete aggregates. It is generally known tat dolomitic limestones may exhibit high potential of alkali-aggregate reaction. However, the limestone samples employed in this study showed negligible effect of the alkali reaction, even with substantial dolomite content. It is also concluded that the mechanical properties of the limestone aggregates are adaptable for concrete aggregates

농흉과 종격동염이 합병된 viridans streptococcus에 의한 인후농양 1예

임상현,유진홍,권순석,김연식,신완식,강문원,정명희 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.2

최근 저자들은 viridans streptococcus에 의한 인후농약으로 인하여 발생한 종격동염 및 농흉을 보인 47세 여자 환자를 적절한 배농과 항생제로 치료한 국내 최초의 1예를 치험하였기에 문헌 고찰과 함께 보고하는 바이다. Since the antibiotic era, retropharyngeal abscess became a rare disease entity nowadays. But it may often progress to lethal complications involving vital structure if diagnosis or treatment is delayed. We experienced a case of empyema and mediastinitis complicating retropharyngeal abscess caused by viridans streptococcus in a 47-year-old female patient with diabetes mellitus. She was successfully treated with appropriate antibiotic therapy combined with percutaneous abscess drainage. To our knowledge, such a complication of retropharyngeal abscess has not been reported in Korea yet and we present this unusual case herein followed by a review of the related literature.

한국과 중국 법의학감정제도에 관한 고찰 : 중국의 제도 검토를 통한 한국의 제도 개선안을 중심으로

현용배,임성철 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and objectives : The warrant system is originated from concept of the due process of law guaranteed by the Constitution and the warrant is a fundamental model to guarantee all human rights. However, in the aspects of legal autopsy it has some drawbacks because of overemphasis of the formalities prescribed by law. Sometimes it hampers to find the substantial truth. Thus, the authors want to find some solutions. Materials and methods : The authors review the medical examination system for legal autopsy in Korea and China, compare them each other, and try to find some suggestions. Results : There are big differences of warrant system for legal autopsy between Korean and Chinese. Moreover there is some merits in Chinese system. Conclusion : The authors propose some alternative methods to replace the Korean warrant system for legal autopsy.

우관상동맥 개구부 완전 폐쇄가 동반된 대동맥 판상부 협착증 1례

임상현,김종진,김희열,진승원,전희경,노태호,채장성,김재형,홍순조,최규보,윤정섭,김치경 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4