일산화탄소 중독환자에서 고압산소치료 적응증에 관한 비교평가

유수진,박재황 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Study objective: To comparative study the results between hyperbaric oxygen therapy and non-hyperbaric oxygen therapy in the these patients, because controversy exists regarding hyperbaric therapy in the drowsy patient with carbon monoxide intoxication. Design: Tetrospective study Setting: The WonKwang university hospital emergency department during january first 1991 through June 31th 1995 Method and result: According to history and carboxyhemoglobin level, we experienced 105 patients of carbon monoxide intoxication admitted to emergency department. Patients intoxicated by other gases and death patients before admission was excluded. According to the indication of the hyperbaric oxygen therapy on carbon monoxide intoxication, 15 patients among 16 patients with coma, semicoma, and stuporous mental state was done. Patient with drowsy mental state was 23 patients, 6 of these patients was done hyperbaric oxygen therapy and remainder was not. Charts of patients with carbon monoxide intoxication including patients with drowsy mental state was reviewed to determine the result between hyperbaric oxygen therapy and non-hyperbaric oxygen therapy. According to clinical features, we found sex ratio(1:1.6), mean age(35.1±19.4years), age range from 1 to 85 years old, 41cases(39%) in 1991, 66cases(62.9%) in alert mental state and 23cases(21.9%) in drowsy mental state The exposure time and time until alert mental status by mental status were 9.5±0.67hours, 18.8±28.3hours in coma mental status. The early laboratory findings were leukocytosis in 39cases(37.1%), increased hematocrit in 20cases(19.1%), increased GOT in 14cases(13.3%), increased GPT in 12cases(11.4%), increased creatinine in 10 cases(9.5%), glucosuria in 17cases(16.2%) and normal arterial blood gas analysis findings except acidemia in drowsy and coma mental status, and most common abnormal findings were seen in stuporous mental status. The exposure time and time until alert mental status by carboxyhemoglobin concentration were no significant statistical result, and time until alert mental status between drowsy and stuporous mental status with hyperbaric oxygen therapy were 3.9±3.04hours. In patients with drowsy mental status, the patients with hyperbaric oxygen therapy that was 3.9±3.04hours in time until alert mental status, 1cases(17%) in carboxyhemoglobin concentration(≥20%), 5cases(83%) in carboxyhemoglobin concentration(< 20%), 1.432.11days in admission period, and patients without hyperbaric oxygen therapy were 9.9±6.04hous in the time until alert mental status. Arterial blood gas analysis between patients with and without hyperbaric oxygen therapy in drowsy mental status were normal findings except acidemia before hyperbaric oxygen therapy. The comparison between hyperbaric oxygen therapy and non-hyperbaric oxygen therapy in patients with drowsy mental status were significant statistical result in time until alert mental status. Conclusion: Although hyperbaric oxygen therapy was done according to the indication in carbon monoxide poisoning, theirs result imply that hyperbaric oxygen therapy is more important than the pure oxygen therapy in patients with drowsy mental status.

십이지장 궤양 환자와 만성 위염 환자의 염증 분포의 차이 및 H. pylori 집락도와 염증도의 상관관계

유광하,진춘조,박형석,이재동,김예리,윤성욱,이수인,윤호상 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-

An inflammatory difference between the gastric antrum, body and fundus was studied in 39 H.pylroi positive duodenal ulcer and 29 H. pylori chronic gastritis patients. Also we studied correlation of H. pylori colony count and inflammatory severity. Patients with newly diagnosed duodenal ulcer and chronic gastritis were endoscoped and two biopsy secimens each taken from the antrum, body and fundus. Although intestinal metaplasia in antrum and inflammatory activity in fundus were more severe in chronic gastritis patients. another inflammatory difference was equally likely to be found between two groups. There was no definite histological inflammatory difference between duodenal ulcer and chronic gastritis patients. A positive correlation was found between the number of H. pylori and the severity of inflammation.

응급센터로 내원한 복부자상 환자의 임상적 고찰

유수진,박재황 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Study objective : To refer the management of patients with stab wound to abdomen, because controversy still exists regarding management of patients whenever exploratory laparotomy or selective management. Design : Retrospective study Setting : The WonKwang university hospital emergency department during January lst 1989 through December 31th 1994 Participants : 62 patients was admitted after abdominal stab wound Method and intervention : Charts of all patients with abdominal stab wound was reviewed to determine the result between operative management and non-operative management according to surgical indication, paracentesis, peritoneal lavage or abdominal computerized tomographic scan. Patients was discharged from emergency department or transferred to other hospital was excluded. Measurement : There were 62 patients admission to general surgery after abdominal stab wound. Sixty-one patients were alive and one patient were died. The patients grouped as operative management(A group) and non-operative management(B group). A group was 50 patients(80.6%) according to surgical indication, paracentesis, local wound exploration, or abdominal C-T scan.,B group was 12 patients(19.4%). According to clinical features, we found sex ratio(M : F, 4 : 1), 13cases in 1990, spring in 22cases(35.6%), time of injury from 20hour to next 4hour in 35cases(56.5%), no jab in 18cases(29%), knife in 47 cases(75.8%), epigastrium in 16cases(26%), interval from injury to admission within 30minute in 22cases(35.5%), homicide in 49cases(79.1%). The surgical indication were peritoneal irritation(70.9%), next, in order of incidence, loss of bowel sound(53.3%), shock(32.2%), evisceration(19.4%), and free air(1.6%). In the operative group(A group), we found positive paracentesis in 10cases(83%), positive abdominal C-T finding in 5cases(45.5%), positive peritoneal lavage in 2cases(100%), but in the non-operative group(B group), negative abdominal C-T finding in 2cases(100%) and negative peritoneal lavage in 6cases(100%). The organ which most common injured was small bowel(11cases, 22%) and colon(9cases, 18%). The negative exploration was 15cases(30%) in A group, delayed operation was none. The surgical complication was 12% in A group and no in B group. The average hospital stay were 9.7days in A group and 3.8days in B group. Conclusion : The negative operation ratio was high in operative group. These results imply that must be selective management by physical finding and use of diagnostic method including local wound exploration, diagnostic peritoneal lavage, paracentesis, abdominal sonography and abdominal C-T scan because of higher negative operative ratio.

공공용지 취득에 따른 손실보상제도의 개선방안에 관한 연구

유진호,권경수,김용수 中央大學校 建設環境硏究所 2002 環境科學硏究 Vol.13 No.1

본 연구의 목적은 다음과 같다. (1) 공공용지 취득에 따른 민원제기 및 패소사건 현황에 대한 원인을 조사ㆍ분석하여 문제점 도출하고, (2) 우리나라와 외국의 관련 제도에 대하여 주요 내용을 비교ㆍ조사한다. (3) 상기에서 도출된 문제점과 외국의 관련 제도를 바탕으로 손실보상제도의 개선방안을 제시한다. 이를 위해 건설교통부(토지수용위원회)의 보고서 및 통계 자료를 바탕으로 연구가 수행되었으며, 그 결과를 요약하면 다음과 같다. (1) 2000년도에 접수된 민원의 종류는 보상금액(80.7%), 현실이용 상황판단 잘못(3.4%) 등의 순으로 조사되었으며 정부가 패소한 주된 요인은 상황판단 미흡(42건), 대상지 선정 타당성 결여(15건)등으로 조사되었다. 현행 손실보상제도의 문제점은 공익사업의 범위에 관한 법률적 사항과 이원적인 법체계로 인한 보상업무의 지연 및 비효율성을 들 수 있다. 그리고 보상관련 업무를 수행하는 토지수용위원회 및 보상심의위원회의 전문성 부족을 지적할 수 있다. (2) 공익사업의 범위에 관하여 외국의 경우는 공익사업의 범위를 명확히 제시하여 공공사업의 원활한 수행을 가능하도록 하고 있으며 보상법제의 경우 일본과 프랑스는 단일화된 보상법제를 가지고 있다. 손실보상 관련 위원회의 겨우 외국에서는 위원의 임기를 3년 이상으로 규정하고 있으며, 위원회를 수명으로 구성할 수 있도록 하고 있다. 따라서 우리나라도 위원의 임기를 명확히 하고 현재의 9명에서 다수로 증원시켜 업무의 전문성을 높여야 할 것이다. (3) 공공용지 취득에 따른 손실보상제도의 개선 방안은 다음과 같다.: 1) 개별법의 사업인정 의제 및 사업인정 실효기간 연장 규정은 점진적으로 폐지되어야 하고, 2) 현재의 이원적인 법률 체제는 토지수용법을 중심으로 이해하기 쉽도록 재구성해야 하며, 3) 중앙토지위원회의 위원수를 외국의 경우에서와 같이 다수로 증원하여 전문성을 제고하는 것이 바람직하다. The purpose of this study is as follows : (1)to analyze causes about grievances and last law cases (2)to compare legal systems of other countries (3)to suggest improved compensation system for acquisition. For this study, the reports that was issued from the ministry of construction and transportation were analyzed. The results of this study are as follows: (1) In the year 2000, accepted grievances are segmented as compensation money area(80.7%), circumstantial misjudge area(3.4%) and so on. The lost law cases of the government are segmented lack of circumstantial judgement(42) feasibility(15), etc. Therefore, the major problems related to the system of compensation are summarized as scope of public projects, current compensation system, committees related to compensations. (2) The suggestions to improve the compensation system include that : 1)the extension of project validation periods in individual acts should be abolished because of the problem of prolonged project accreditation. 2)the current dual law system should be restructured, and 3)it would be desirable to increase Central Land Tribunal members like other countries.

두부외상 환자에 관한 임상적 고찰

유수진,박재황 대한응급의학회 1993 대한응급의학회지 Vol.4 No.2

Retrospective clinical analysis was made on 884 cases of head trauma visited to ER of WonKwang University Hospital and was treated in the Department of Neurosurgery from 1991. 1. 1. to 1001. 12. 31. A clinical analysis of 884 cases was performed and following results were obtained. 1) The peak incidence was at the age of third decade and the sex ratio was 2.1 : 1, predominant in male. 2) The predominant month and seasonal incidence were October and Autumn. 3) Traffic accidents form the largest group(69.8%), and next are, in order of incidence, falldown(12.4%), slipdown(9.5%), human trouble(4.0%), and The kinds of vehicle were private vehicle(31.1%), motorcycle(20.6%), truck(12.9%), taxi(7.2%), bongo(9.2%), bus(4.7%), bicycle(9.2%), and cultivator(1.5%). passenger's traffic accident was more than pedestrian. 4) The regional distribujtion was Iri(53.8%), Iksan(20%), Okgu and Kunsan(10.0%) 5) The percentage of emergency treatment on scene was Iri(2.9%), Iksan(6.7%), Kimje(18%), Buan(92.3%), Kusan and Okgu(52.2%), and Seocheon(100%). 6) The mental states at arrival to Emergency Room was alert(77.7%), and heavy mental state(10.6%). 7) The interval within 30 minutes from injury to Emergency Room was 50.7% and within 3 hours was 86.2% and it was rather faster than expected. 8) The loss of consciousness after trauma was epidural hematoma 75%, and severely injured head trauma patients have negative light reflex and positive babinski's sign. 9) The brain CT was performed in 884 cases. abnormal findings were observed in 32.8%, in cluding epidural hematoma(19.6%), subdural hematoma(18.9%), and intracerebral hemorrhage(12.4%) 10) The operation were carried out in 65 cases and mental states after operation showed alert(41.5%), and heavy mental state(58.5%). 11) Skull facture were 209 cases(23%), and fracture sites were temporoparietal region(23.5%), frontal region(14.5%), and skull base(29.9%). 12) The mortality rate at discharge was 17.6%(51cases). 13) In temporal region 45.6% were found in epidural hematoma, and frontal region were found in subdural hematoma(70.9%) and intracerebral hematoma(55.5%). 14) associated injuries following head trauma were extremity fracture(35.5%), facial fracture(21.9%), rib fracture(9.9%) and spine injury(6.7%) in orders.

다세대주택의 재건축에 대한 경제성 분석 연구 : 광명시의 사례를 중심으로 Focused on case studies of Gwang-myeong city

유진호,이만구,김용수 中央大學校 建設環境硏究所 2002 環境科學硏究 Vol.13 No.2

본 연구는 아파트 중심의 재건축 사업의 문제점에 대하여 그 대안으로서 제시되고 있는 다세대 주택을 대상으로 경제적 타당성 분석을 목적으로 하였다. 이를 위해서 경기도 광명시의 다세대 주택 재건축 사례를 유형별로 분류하고 일반 건설회사에서 사용하는 수익성 분석방법을 통하여 경제성을 분석·비교하였다. 본 사례 연구의 결과를 요약하면 다음과 같다. 1) 단독형 다세대는 기존 용적률121%에서 198%로 증가(+77%)되었고 평당이익은 111만원으로 분석되었다. 2) 연립형 다세대는 단독형 보다 2%적은 75%의 용적률 증가가 있었으며 평당이익은 단독형 보다 58만원 많은 169만원으로 분석되었다. 3) 변화형 다세대의 경우는 용적률이 64%증가되었고 평당이익은 세 가지 유형 중 가장 많은 213만원으로 분석되었다. 상기의 세 가지 유형 중 변화형 다세대 주택 유형이 가장 경제적으로 우수한 것으로 분석되었으며, 효과적 재건축 개발방안으로서 리모델링 사업의 선택적 적용과 인센티브제의 확대 적용이 필요할 것으로 판단된다. The purpose of this study is to analyze economic feasibility in the multi-family house reconstruction. The method of this study includes cases studies for multi-family houses in gwang-myeong city. The results of this study are as follows : 1)the single multi-family house is analyzed as follows : the floor area ratio is increased at 77% and the profit of one pyong(3.3㎡) is 1,110,000 won, 2) the duplex multi-family house : the floor area ratio is increased at 75% and the profit of one pyong(3.3㎡) is 1,690,000 won and 3) the varied multi-family house : the floor area ratio is increased at 64% and the profit of one pyong(3.3㎡) is 2,130,000 won. Therefore, the varied multi-family house of the three types is analyzed to be the most economical type.

응급센터로 내원한 두부외상 환자에 관한 임상적 고찰

유수진,박재황 圓光大學校 醫科學硏究所 1994 圓光醫科學 Vol.10 No.1-2

Retrospective clinical analysis was made on 884 cases of head trauma visited to Emergency Center of Wonkwang University Hospital and was treated in the Department of Neurosurgery from 1991. 1. 1 to 1991. 12. 31. A clinical analysis of 884 cases was performed and following results were obtained. 1. The peak incidence of age was third decade and the sex ratio was 2.1 : 1, predominant in male. 2. The predominant month and seasonal incidence were in October and Autumn, respectively. 3. The cause of head trauma were traffic accidents(69.8%), and next, in order of incidence, fall down(12.4%), slip down(9.5%), and human trouble(4.0%). The kinds of traffic accidents were private vehicle(31.1%), motorcycle (20.6%), truck(12.9%), taxi(7.2%). bongo(9.2%), bus(4.7%). bicycle(9.2%). and cultivator(1.5%). pedestrian's traffic accident was common more than that of Passenger. 4. The regional distribution was Iri(53.8%). Iksan(20%), Okgu and Kunsan (10.0%) 5. The percentage of patients received emergency treatment on scene was 2.9% in Iri-city, 6.7% in Iksan, 18% in Kimje. 92.3% in Buan. 52.2% in Kunsan and Okgu, and 100% in Seocheon. 6. The mental states of patients on arrival to Emergency Center was alert (77.7%). and heavy mental state(10.6%). 7. The interval from injuries to arrival of Emergency Center was within 30 minutes in 50.7%, and was within 3 hours in 86.2%. 8. The loss of consciousness after trauma was shown in 75% of epidural hematoma patients, and severely injured head trauma patients had negative light reflex and positive babinski's sign. 9. The brain CT was performed in 884 cases. Abnormal findings were observed in 290 cases(32.8%), including epidural hematoma(57, 19.6%), subdural hematoma(55, 18.9%), and intracerebral hemorrhage(36, 12.4%). 10. The operation were carried out in 65 cases and mental states after operation showed alert(41.5%), and heavy mental stale (58.5%). 11. 209 cases(23%) had skull fracture, and fracture sites were temporo-parietal region(23.5%). frontal region(14.5%). and skull base(29.9%). 12. The mortality rate at discharge was 51cases(17.6%) among 884cases. 13. In location of hematoma, epidural hematoma was found in temporal region (45.6%), and subdural hematomain frontal region(70.9%). and intracerebral hematoma in frontal region(55.5%). 14 Associated injuries following head trauma were extremity fracture(35.5%). facial fracture(21.9%), rib fracture(9.9%) and spine injury(6.7%) in orders.

부분 무치악 환자에서 마그네슘 이온주입 임플란트의 성공률에 대한 전향적 임상연구

최수정,유정호,이규복,김진욱 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3

Purpose: This study examined the clinical success rate of Mg titanate implants (M Implant system, Shinhung, Korea), which employ a Mg coating method, by evaluating the marginal bone loss and implant stability using radiographs and Osstell, over a 1 year. Materials and methods: The locations of the implants placement were divided into 4 areas; the maxillary and mandibular premolars and molars. In the maxilla, 8 and 9 implants were inserted in the premolar and molar areas, respectively. In the mandible, 11 and 51 implants were inserted in the premolar and molar areas. Marginal bone loss and ISQ of all implants (79) were measured after insertion, mounting the prosthetic appliance, and 1, 3, 6, and 12 months after loading. The marginal bone loss was measured from the radiograph using XCP bite, which was customized, and the implant stability measured using Osstell. Fisher's exact test (α=.05) was used to compare the success rates of each region. Results: The mean marginal bone loss for the upper and lower jaws were 1.537 mm and 1.172 mm. The mobility showed a non-significant reduction or increase according with time. The success rates were accounted for 94.12% and 98.39% in the upper and lower jaws; the premolars and molars were accounted for 100% and 96.67%. The two cases of early failure resulted from failure of primary stability during implant insertion. The late failures were not observed for 1 year after adding a loading to the implants. Conclusion: The Mg titanate implant showed good primary stability and good clinical results in both healing and function. 연구 목적: 부분 무치악 환자에서 Mg titanate implant (M Implant system, Shinhung, Korea)의 보철후 1년간의 방사선사진을 이용한 변연골 흡수량과 Osstell을 이용한 임플란트 안정성 평가 결과를 분석하여 임상적인 성공률에 대해 알아보고자 한다. 연구 재료 및 방법: 38명의 환자에 79개의 임플란트를 식립하여 보철 후 1년 동안 변연골 흡수량, 임플란트의 동요도, 임플란트 식립 위치에 따른 분포 및 성공률, 보철 전후에 따른 성공률을 분석했다. 결과: 변연골의 흡수량은 보철물 장착 후 1년간의 평가에서 상악에서는 평균 1.537 mm, 하악에서는 평균 1.172 mm의 변연골 흡수가 관찰되었으며, 전체적인 상하악의 평균 변연골 흡수량은 1.255 mm로 관찰되었다. 수술 후 시간이 경과함에 따라 ISQ값은 미약하게 감소하였다가 증가하는 경향을 보였으나, 상악과 하악 모두에서 식립 당일 이후 예비 인상일, 최종 보철물의 장착일과 주기적인 평가 기간 동안 ISQ값의 큰 증가나 감소를 나타내지는 않았다. 성공률은 상악에서의 94.12%였고, 하악에서의 98.39%였다. 결론: 본 실험의 결과로 미루어 Mg titanate implant는 임상적으로 양호한 결과를 보여주었다.

현행 민간아파트 리모델링사업의 수익성에 관한 인식조사 및 문제점 분석 : 동(棟)단위 리모델링사업을 중심으로

유진호,김용수 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

The purpose of this study are to survey the profitability and analyze problems for remodeling projects of apartment buildings. The research method of this study includes case studies and a questionnaire survey from remodeling teams of construction companies. The results of this study are as follows; 1) 60% of questionnaire responsers recognizes the project profitability as negative, and the contract sum is required to increase by 13~17%. 2) price increase after remodeling is expected to 8~10%, or 10~14% by cases. 3) problems related to remodeling project are analyzed as insufficient legal support, lacks of experience, and excessive competitions.

공동주택에 있어서 하자발생현황 및 보수책임기간에 관한 연구

유진호,김준환,김용수 중앙대학교 건설산업기술연구소 2001 건설산업기술연구소 논문집 Vol.2 No.-

The purpose of this study is to suggest a practical guarantee period in apartment buildings. The study has been performed by survey and interview for apartment buildings and managers in Seoul, Kyunggi and Chonnam provinces. The results of this study are as follows: 1. Practical guarantee periods of plastering, waterproofing, and tiling work are 2.3∼3.2, 3.5∼4.3, and 3∼4 years. 2. Rational guarantee periods of joiner's work, factory work, and paper hanging work are 2.7∼3.4, 2∼3, and 2.1∼2.6 years. 3. Rational guarantee periods of lighting work, water supply work, and water disposal work are 1.8∼2.4, 1.8∼3.4, and 2.6∼3.8 years. 4. Rational guarantee periods of sanitary fixture work, and kitchen facility work are 2.7∼2.9, and 1.8∼2.4 years.