내시경적 밴드 결찰술로 치료한 출혈을 동반한 위 혈관이형성증 1예

김갑식,허종현,성용완,조영화,구동영,유재훈,노지훈,문원 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Gastric angiodysplasia is vascular ectasia in mucosa and submucosa of the gastric wall. It is an uncommon cause of upper gastrointesinal hemorrhage that may occur in the stomach or duodenum. There are many kinds of endoscopic treatments, such as argon plasma coagulation, electrocoagulation, heat probe, and submucosal injection of hypertonic saline mixed with epinephrine for gastric angiodysplasia. However, these treatment methods are associated with high rate of rebleeding. In order to avoid the recurrence, endoscopic band ligation has recently been used as an alternative method for endoscopic treatment of gastric angiodysplasia. We encountered a case of gastric angiodysplasia that presented with overt bleeding and anemia, and was successfully treated with endoscopic band ligation.

인프레이션의 諸理論에 관한 硏究

崔甲植 건국대학교 1976 論文集 Vol.4 No.1

의식명료한 경한 두부외상에서 CT촬영의 필요성에 대한 연구 : Is CT always Necessary?

송화식,김갑득 단국대학교 1998 論文集 Vol.33 No.-

We studied retrospectively 721 alert patients with mild head injury who visited to Emegency Medical Center of Dankuk University Hospital during a 18 months period to determined the clinical value of routine initial computerized tomography(CT) of the head and the follow-up CT scanning in alert patients with mild head injury. Variables reviewed were age of patients, symptoms of head trauma(brief loss of consciousness(LOC), amnesia, nausea and vomiting, headache), skull fracture on skull radiology, intracranial lesions, delayedintracranial lesion and operation. All 721 patients underwent CT of the head on the basis of history of symptoms and signs of head injury. Of these 721 patients, 159(22.1%) had skull fracture and 146(20.2%) with intracranial lesions, and 44(6.4%) required neurosurgical operation. Conclussively routine initial CT scanning in patients with linear or basal skull fracture, older than 60 years old or symptoms of head injury has clinical value and is warranted. Also follow-up CT scanning in necessary in patients with linear or basal skull fracture, symptoms of head injury or abnormal findings in initial CT scan.

중증뇌손상 환자의 초기 CT소견

김갑득,박준석,송화식 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

The authors have analyzed 60 patients with severe head injury who defined as post-traumatic coma for 24 hours with Clasgow Coma Scale(GCS) score of 8 or less and admitted to emergency room of Dankook university hospital from January to June 1995 to evaluate the factors affecting GCS and autcome with initial CT findings. The results are summerized as follows; 1. The status with low GCS score was observed from ① intracranial mass, especially acute subdural hematoma(SDH) ② midline shift≥3mm ③ completely compressed mesencephalic cistern 2. The mortality was high in intracranial mass, especially in acute SDH 3. The mortality for patients with miline shift≥3mm was high regardless of a mass lesion, but there was no statistical significance. As the mesencephalic cistern was partially compressed, the midline shift≥3mm did not affect the mortalith. The outcome was good in the group of midline shift≥3mm with GCS 6-8. 4. If the mesencephalic cistern were compressed, especially in complete compression, the outcome was much more likely to be poor than cistern was normal. 5. The poor outcome was obtained from the patients with low GCS score and compression, the outcome was much more likely to be poor than cistern was normal. 6. The poor outcome was obtained from the patients with low GCS score and compressed mesencephalic cistern in initial CT findings.

관개수질을 고려한 시비가 벼의 생산성과 농업환경에 미치는 영향

엄미정,박현철,김갑철,류정,최정식 한국환경농학회 2004 한국환경농학회지 Vol.23 No.1

관개수 수질을 고려한 감비가 벼의 생산성과 농업환경에 미치는 영향을 분석한 결과는 다음 과 같다. 시험에 사용된 관개수의 질소, 인, 칼륨의 평균함량은 각각 6.16, 0.26, 9.37 ㎎/L 이 었고, 유입된 영양염류가 논을 통과하면서 농도가 감소되어 유출수의 성분은 유입된 관개수 보다는 낮은 농도를 보였으며, 논 표면수와 침출수의 농도는 시비량과 시비시기에 따라 변 화하였다. 토양검정 50% 시비구에서는 질소의 공급량과 소비량간의 차이가 0.14㎏/ha으로 나타나 양분수지면에서 균형을 이룬 반면, 농가관행시비구에서는 그 차이가 95.3㎏/ha로 나 타났다. 농가관행시비구에 비해 토양검정시비구와 토양검정50% 시비구는 등숙률, 천립중, 도정특성, 등이 우수하여 완전미수량에서 큰 차이를 보이지 않았으며, 시비량이 적을수록 단 백질 함량이 또한 적어 기계적인 식미치가 높게 나타나 품질에서 우수하였다. 시비효율에서 는 토양검정50% 처리에서 시비된 성분이 수량에 기여하는 비율이 높아서 시비이용과 효율 면에서 우수한 결과를 보였다. 이상과 같이, 관개수에 포함된 영양물질을 작물의 생육에 이 용함으로서, 농업용수의 수자원 이용효율을 높이는 동시에, 비료 절감효과와 생산량 증대의 가능성을 검토할 수 있었다. Table 11.Physicochemical properities and paratability of milled rice in the different fertilization ▷표삽입◁ (원문을 참조하세요) This study was conducted to investigate the effect on agricultural environment and crop productivity by different amount of applied fertilizer in consideration of irrigation water quality. N, P and K contents of irrigation water used in this eqdment were 6.16, 0.26 and 9.37 ㎎/L, reqecthly. N, P and K Concentrations of runoff water were lower than those of inflow water during rice cultivation. N, P and K Concentrations of ponded and percolated water were changed according to the amount and time of applied fertilization. During rice cultivation in paddy soil, nitrogen balance was closed to 0 in STF 50% (50% level of sail testing fertilizaton), 0.14 ㎏/ha, but it was 95.3 ㎏/ha in CF (conventional fertilization) treatment in STF 50% and STF (sail testing fertilization) treatment, yield of perfect rice was not greatly different as compared with CF treatment, due to the superiority of ripening rate, 1,000 grains weight and milling characteristics. Mechanical paratability of rice was excellent in NF (non fertilization) treatment, STF 50% treatment showed higher in nutrient availabiilty and fertilizers use efficiency than other treatments.

고혈압성 뇌출혈의 임상분석

김갑득,박상문,송화식 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

A series of 100 cases of hypertensive intracerebral homorrhage (ICH) admitted to Dankuk University Hospital from June 1994 to Mat 1995 was reviewed to assess outcome and its influencing factors. The Site of hemorrhage gas clssified according to their anatomical site on computerized tomography. The outcome was assessed on their basis of activity of daily living at 6 months after attack. The results were as follows: 1. The age distribution was ranged from fourth decade to nineth decade, and 66% of them was in sixth decade and seventh decade. 2. Putaminal hemorrhage was frequent(49%), and then followed by thalamic(25%), subcortical(10%), cerebellar(9%), pontine(7%) hemorrhage in order 3. The outcome was very strongly associated with initial Glasgow coma scale(GCS) and compressed finding of basal cisterns in CT. The other prognostic factors were hematoma site, hematomavolume, intraventtricular extension of hemorrhage, and herniation sign. 4. The mortality rate of outcome of consevative treatment and operative treatment was 35% and 56% respectively, But there was not significant statistical difference to outcome.

불량주택지역의 주거환경 개선방향에 관한 연구

정갑식,하성태,김병호,유길준 東亞大學校 建設技術硏究所 1999 硏究論文集 Vol.23 No.1

This study is purposed that the poor environment of house search for the ways of its improvements. The investigation was done through knowing the evaluation of the users and researching on the actual conditions concerning the influence or effect on dwelling environment due to its facilities, qualitative and quantitative levels. As a result of analyzation we can see the dwellers’ evaluation for the common facility and that for the housing environments are in very close relation, and the residents have strong wishes for improvement of their housing environments.

다공성 활성탄의 표면 개질 및 이산화티탄 고정

주창식,박흥재,정갑섭 한국환경과학회 2003 한국환경과학회지 Vol.12 No.9

For the purpose of surveying any possibility of anchoring titanium dioxide on activated carbons to promote their activities as catalysts and/or adsorbents, two activated carbons were oxidized with ammonium peroxydisulfate and followed by anchoring titanium dioxide. The anchoring of titanium dioxide on the oxidized activated carbons were performed via the adsorption of tetrabutyltitanate, hydrolysis with deionized water, and calcination. The effect of oxidizing and anchoring treatment on the surface element composition, surface area, and pore texture were analyzed by XPS, BET and TPD. The oxidation of activated carbons with ammonium peroxydisulfate introduced carboxyl groups on the surface of activated carbons and these carboxyl groups promoted the anchoring of titanium oxide on the activated carbons. However, the treatments affected the surface area and the porosity of activated carbons.

응급실에 내원한 자살기도 환자에 관한 연구

김승열,송화식,김갑득,이경규 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

This study was designed to investigate clinical characteristics and outcome of patient with suicidal attempt. A retrospective analysis by chart review of 130 cases of patients with suicidal attempt who visited emergency department of Dankook University Hospital from January 1998 to December 1998. The results were as follows ; 1. The ratio of patients with suicidal attempt to total patients who visited emergency department was 0.7%. The highest suicidal attempt rates were among aged 20-39. The gender ratio is similar. 2. Suicidal attempt were more common in summer, July, Friday, evening. 3. The most common place of suicidal attempt was home. 4. Drug ingestion was the most common method of suicidal attempt. Drug used for suicidal attempt were agricultural drug including organic phosphorus and carbamate, and therapeutic drug. 5. Common motives of suicidal attempt were marriage conflict, family conflict. 6. The intensity of will to die was more strong in old aged male. 7. Suicidal attempt associated with alcohol drinking was 39.2%. 8. Common symptoms or signs of intoxication were neurological and gastrointestinal.

생활체육 참여와 학교체육시설 만족도에 관한 연구

김종성,허정식,이갑철 圓光大學校附設 生活體育硏究所 2001 生活體育硏究 Vol.11 No.-

The purpose of the study on the satisfaction of physical education facilities in the school and participation of sports for all. The subjects were physical education in the school facilities adult visitors. The experimental tool was a questionaire on facilities satisfaction. 1. The school physical education facilities on the use organ according to sex, age, jab and school career significant. 2. The school physical education facilities on the use period and duration time according to age, jab and school career significant but according to sex no significant. 3. The school physical education facilities satisfaction according to age, and jab significant but according to sex, school career no significant. 4. The school physical education facilities satisfaction according to on the use organ significant but according to the use period and duration time.