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      • KCI등재

        KAL기 추락에 의한 대량재해의 개인식별

        강신몽,이원태,고영창,최상규,김윤희,이홍석,서재관,윤중진,이혜경,최득린,김종열,윤창육,변명식,이장홍 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

        Individual identification is an important part in medicolegal field especially in mass disaster. At July, 27, 1989, KAL KE-803 was crashed on landing at Tripoli International Airport, Liba. The plane was caught in fire and sixty eight Koreans were sacrified. The majority of victims were severely charred and injured. The authors examed all dead bodies and successfully identified all the cases through visual, anthropological, odontological, radiological and pathological methods including fingerprint and blood typing.

      • KCI등재후보

        위절제술 환자의 표준진료지침 개발 및 적용 효과

        김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

        Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

      • KCI등재

        개량된 초임계수 산화법에 의한 염소계 유기물 (PCB, 4-DCBz)의 완전분해반응

        이상환,박기철,박윤열,양종규,김정성,富安博 한국환경과학회 2005 한국환경과학회지 Vol.14 No.5

        For the destruction of toxic chlorinated organic compounds, this study proposes improved supercritical water oxidation method (multistep oxidation) using sodium nitrate as an oxidizer. This method solves the problems involved in the existing supercritical water oxidation method. Multistep oxidation means that NaNO₃ is oxidized to N₂ via NaNO₂ and NO. Toxic and hard to destroy organic substances like para-dichlorobenzen(4-DCBz), polychlorinate biphenyl(PCB) ware oxidized to non toxic substances in a condition, in which rapid pressure and temperature rise is restrained as much as possible. 4-dichlorobenzene(4-DCBz) and Polychlorinate biphenyl(PCB) in condition(450℃, p_(w)=0.25g/cm³, 30min) Was discomposed perfectly.

      • KCI등재후보

        완전 고환성 여성화 증후군 1례

        이원주,김택훈,권경익,김종인,조남규,박세출 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.2

        저자들은 외형상 여성으로써 원발성 무월경과 양측 외음부 종양 촉지를 주소로 입원한 complete testicular feminization syncrome 1례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다 The 46, XY individual with complete testicular feminization syndrome is a phenotypic female who is usually somewhat tall, has excellent breast development and presents to the gynecologist because of primary amenorrhea and an inguinal mass. In complete testicular feminization syndrome, axillary and pubic hair are sparse or absent and some degree of virilization such as clitorial hypertrophy, partial labioscrotal fusion and hirsutism doesn't occur at puberty. We report a case of complete testicular feminization syndrome with the brief review of literatures.

      • KCI등재

        흰쥐의 장기에서 납과 카드뮴의 감소에 미치는 두충 추출물의 효과

        이인규,김종규 대한보건협회 2000 대한보건연구 Vol.26 No.1

        This study was performed to investigate the possible effects of Korean Eucommia ulmoides Oliv(EuO) extract on the reduction of lead(Pb) and cadmium(Cd) accumulation in organs of rats. Seventy 4-week old male Spraue-Dawley rats were used for this experiment. They were divided into the following 10 groups and fed for 4 weeks: The control group; two groups treated with only Pb, one with 100 ppm and one with 200 ppm; two groups treated with only Cd, one with 50 ppm and one with 100 ppm; a group treated with only EuO(3% extract); four groups treated with a combination of both EuO and one of each level of Pb(100 ppm and 200 ppm) and Cd(50 ppm and 100 ppm). The EuO and the heavy metals were orally administered in drinking water. The water intake of the Pb-EuO and the Cd-EuO combination groups showed significantly lower than those of control group, the EuO alone group, and the Pb alone and the Cd alone groups(p<0.05). The EuO alone group showed higher body weight compared to the Pb and Cd treated groups at the termination(p<0.05). The levels of Pb and Cd in the liver, kidney, heart, lung, stomach and spleen of the rats exposed to Pb alone and Cd alone were reduced by the combined treatment of EuO. The significant differences of Pb levels were observed among the lungs of the EuO alone group, the Pb alone groups, and the Pb-Euo combined groups(p<0.05). There were significant differences in the Cd levels in the lung and the stomach among the three groups; the EuO alone group, the Cd alone groups, and the Cd-Euo groups(p<0.05). The highest levels of Pb and Cd were found in the kidney, and they were reduced by more than 50% by the addition of EuO. These results indicate that the 3% extract of E. ulmoides Oliv could be helpful for the reduction of Pb and Cd accumulation in the organs of rats, and suggest that it may be effective in excreting the heavy metals. We need to check what levels of E. ulmoides Oliv are practical for human beings to consume and what level will cause other negative results.

      • TiAIN 코팅공구를 사용한 Ti-6Al-4V 티타늄합급의 절삭특성에 관한 연구

        이승철,박종남,조규재 한국공작기계학회 2004 한국공작기계학회 추계학술대회논문집 Vol.2004 No.-

        The Titanium has many superior characteristics Which are specific strength, heat resistance, corrosion resistance, organism compatibility, non-magnetic and etc. and their quantity are abundant.this study performed turning operation of Ti-6AI-4V alloy using the TiAIN Coate Tool which treated PVD (Physical Vapor Deposition). Experimental works are also executed to measure cutting force, chip figuration and surface roughness for different cutting conditions. As a result of study. Tool wear was serious at over 100m/min of cutting speed and cutting condition was excellent at 1.0㎜ of cutting depth.

      • Equisetum arvense L.이 고혈당 쥐의 혈중 포도당 농도에 미치는 영향

        이현자,김석환,손기호,강우규,최종원 慶星大學校 環境問題硏究所 1992 環境硏報 Vol.2 No.1

        The effect of methanol extract of Equisetum arvense L.(EM) on blood glucose level in streptozotocin-induced diabetic rat and acute toxicity of EM were investigated. Male Sprague-Dawley rats(200∼250g), with free access to commercial rat chow and water, were divided into four groups: Group 1 served as control; Group 2 received STZ only: Group 3 received EM only; Group 4 received pretreatment with EM followed by STZ administration. EM did not affect the normal blood glucose level and LD50 was about 6,250㎎/㎏. EM pretreatment in STZ-induced diabetic rats slightly inhibited Weight loss and water consumption. EM pretreatment in STZ-induced diabetic rats slightly inhibited the rise of serum glucose concentration. Serum transaminase(AST, ALT) and sorbitol dehydrogenase(SDH) were slightly increased by STZ induced changes in the serum glucose level.

      • KCI등재후보

        까나리 염장품 추출물 저장 중의 품질 변화

        이혜정,공용우,김종규 동아시아식생활학회 2004 동아시아식생활학회지 Vol.14 No.3

        The quality changes of the extracts of salt-fermented Ammodytes personatus during the storage were examined at 1 month interval during 3 months fermentation period. To prepare the extracts of Ammodytes personnatus, 17%, 20% and 25% salt were added respectively and then stored for 3 months at room temperature and then extracted with hot water. During the storage, moisture and lipid contents of the samples decreased, but the crude protein contents increased gradually. On the other hand, ash content and pH showed little changes during the fermentation storage. After 6 months fermentation, the extracts of salt-fermented Ammodytes personatus were rich in free amino acids, such as glutamic acid, alanine, lysine, leucine, isoleucine, valine and aspartic acid in the order. As the fermentation progressed, the fish odor, turbidity, salty taste, savory flavor and overall preferences were similar to those of Ammodytes personatus sauce in the market. The total cell numbers were 450∼570 cfu/mL at 0 day, but there were none revealed during the fermentation.

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