대구 상인동 가스참사로 본 지역 응급의료체계에 대한 고찰

이삼범,도호석,도병수,이창현,심민철,권굉보 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Disaster may be defined as a sudden calamitous event associated with great damage or destruction. A more common definition, among emergency-preparedness planners, is a medical occurrence that overwhelms medical care systems and facilities. Most regional disaster plans are formulated to respond to disasters of moderate size. At 07:50 A.M. on 28 April 1995, gas explosion was happened at Sangin-Dong where was going to be under construction of subway in Taegu, Korea. 102 victims had died and 178 victims had moderate or minor injuries. Problems in the organization at the scene, triage, field management, transport to the hospital, and the communication contributed to the confusion in the management of victims. An analysis of this disaster allows several lessons to be learn about perimeter control, command functions, crowd control, and transportation priorities. It will benefit disaster planners in other communities.

응급의학과에서의 인공호흡기 처치

이삼범,도호석,도병수,이창현,심민철,권굉보 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

Study Objectives : To investigate and resolve the problems related with ventilator management in ED(emergency department). At present the ventilator is essential equipment of ED on university hospital and emergency center in Korea. Design : Retrospective consecutive case series. Setting : University teaching hospital Type of participants : All patients admitted and recieved ventilator management in ED of yeungnam university hospital from Jan. 1994 to jul. 1995. Methods and interventions : Charts of all patients were reviewed to determine the frequency, the types and causes of respiratory failure, the death rate, the mean duration of admission, the complications, and CPR(cardiopulmonary resuscitation) related with ventilator management in ED. We also identified the problems related with ventilator management by ED physicians and nurses through the answers to seven questions that suggested by us about ventilator management in ED. Measurements and main result : There were 34,751 admissions through ED during the study period. Of these 160 patients managed with ventilator in ED. The frequency of ventilator management in ED is increased at 1995(0.73%) that compared with 1994(0.32%). Non-trauma(113 cases) and hypoxic respiratory failure(83 cases) patients are more common than trauma(37 cases) and ventilatory failure Total CPR rate related with ventilator management are 25.3%. The mean duration of admission are 12.56±20.28 days, and the death rates are 45.3%. The incidence of complications occurred during ventilator management in ED are 37 cases. About seven questions suggested by us to 30 ED staffs(ED physician, nurses and paramedics), most frequent answer is the difficulty of keeping ventilator in ED because other department rent ventilator from ED and lost a part of ventilator. Conclusion : As the use of ventilator in ED is increased the emergency physician should be well trained for the indications, complications, setting mode and general problems of machine occurred during ventilator management in ED patients.

Al-Si合金의 閃光法에 의한 熱擴散係數測定에 關한 硏究

許甫寧,裵源泰,徐弘三,李寬洙,朴種一 慶尙大學校 1984 論文集 Vol.23 No.2

本 硏究를 通하여 얻은 結果는 다음과 같다. 1. Al-Si 合金에서 Si量이 增加할수록 熱擴散係數는 감소하나, 共晶組成(Al-12%Si) 部近에서는 亞共晶, 過共晶組成에 비하여 약간 增加하였다. 비열과 비중등의 조건이 一定하다면 熱擴散係數는 pure Al 이 8.47, 亞共晶(6%)組成이 3.24, 共晶組成(12%)이 3.99, 過共晶組成(18%Si)이 3.01(×10-5m2/sec)이다. 2. Cu, P, Na로 개량처리 하였을 때 共晶組成이내에서는 Cu의 경우에 열확산계수가 가장 적었으나, 과공정조성에서는 Cu의 경우가 가장 높았다. After pure Al, Al-6% Si(hypoeutectic composition), Al-12% Si(eutectic comp.) and Al-18% Si(hypereutectic comp.) among Al-Si alloys were treated refinement with addition of Cu(0.5%), P(0.5%) or Na(0.5%), their thermal diffusivities were measured by flash method. And then their microstructures and thermal diffusivities were investigated. The results obtained are as follows. 1. According as sillicon contents in Al-Si alloys increase, the thermal diffusivities decreases, but it increases slightly at eutectic composition(Al-12% Si alloy), if its density and heat capacity are constant, the thermal diffusivities are 8.47(pure Al), 3.24(6% Si), 3.99(12% Si) and 3.01(18% Si) (X10-5m/sec) respectively. 2. When the refinement treated with Cu, P, and Na, the effects of thermal diffusivities of alloys with Cu treated is the lowest under eutectic composition, but its effects is the best at hypereutectc composition.

인쇄회로기판의 전과정평가

박필주,이보삼,이건모 한국전과정평가학회 2000 한국전과정평가학회지 Vol.2 No.1

C전자에서 제조되는 인쇄회로기간에 대하여 원료채취부터 제품생산까지의 cradle to gate 전과정평가를 수행하였다. 대상제품은 유리섬유 및 에폭시 수지를 이용하여 HDD용으로 제조되는 4층 도체패턴의 PCB이다. 데이터는 현장 데이터를 적용하였으며, 현장 데이터 취득이 어려운 경우 데이터베이스를 사용하였다. 영향평가는 분류화, 특성화, 정규화 및 가중치부여 단계로 수행되었으며, 고려된 영향범주는 ARD, GW, OD, POC, Acid, Eut, ET 및 HT이다. 불확실한 데이터 값의 변화가 전체 결과값에 미치는 변화정도를 알아보기 위하여 민감도 분석을 수행하였다. LCA 수행 결과 PCB 제조공정은 OD 범주를 제외한 모든 영향범주에서 가장 큰 영향을 미치는 것으로 나타났다. 이는 PCB 제조시 사용된 저녁에서 기인한 값이다. PCB 제조시 사용되는 화학약품은 질량기준 사용량은 많지만, 환경에 미치는 영향은 적은 것으로 나타났다. 사용된 데이터에 따른 민감도 분석 결과 PCB 제조공정의 전력사용량은 GW 및 POC 범주에 매우 민감하게 나타났으며, 할당방법에 의한 분석 결과 전 영향범주에서 25% 이내의 차이를 나타냈다. Life Cycle Assessment on Printed Circuit Board produced in C Electronics Co. was carried out. The system boundary encompasses raw material acquisition to the manufacturing of PCB(or cradle to gate). The product is FR4 PCB used for a component o HDD. FR is a mixture of glass fiber and epoxy resin. Generally site specific data were applied. However, database were used when it is hard to get site specific data. Impact assessment was carried out consecutively as classification, characterization, normalization and weighting. Considered Impact categories are ARD, GW, OD, POC, Acid, Eut, ET, HT. Sensitivity analysis is accomplished to find out how the variation of unreliable data affects the result of LCA. The PCB manufacturing was identified as the most contributing activity to all impact categories except OD. This is mainly due to the electricity consumed in the manufacturing phase. Even though the large amount of chemicals are used for PCB manufacturing in mass, environment impact of those chemicals is much less than they were consumed. he sensitivity of data method shows that the amount of electricity consumed in the PCB manufacturing is considerably sensitive to POC and GW. The sensitivity results of allocation method in th PCB manufacturing on the LCA indicate approximately 25% difference in all impact categories.

디지털 측방두부규격방사선사진과 MDCT의 3차원 재구성 영상을 이용한 합성측방두부규격방사선사진의 계측치 비교 및 머리 위치가 미치는 효과

김미자,최보람,허경회,이원진,허민석,이삼선,최순철 대한구강악안면방사선학회 2009 Imaging Science in Dentistry Vol.39 No.3

Purpose : To investigate the reproducibilities and compare the measurements in digital and MDCT-synthesized cephalometric radiograph, and to investigate the effect of head position on the measurement during imaging with MDCT. Materials and Methods : Twenty-two dry skulls (combined with mandible) were used in this study. Conventional digital cephalometric radiograph was taken in standard position, and MDCT was taken in standard position and two rotated position (10°left rotation and 10°right tilting). MDCT data were imported in OnDemand?? and lateral cephalometric radiograph were synthesized from 3D virtual models. Two types of rotated MDCT data were synthesized with default mode and with corrected mode using both ear rods. For all six images, sixteen angular and eleven linear measurements were made in V-Ceph?? three times. Reproducibility of measurements was assessed using repeated measures ANOVA and ICC. Linear and angular measurements were compared between digital and five MDCTsynthesized images by Student t-test. Results : All measurements in six types of cephalometric radiograph were not statistically different under ICC examination. Measurements were not different between digital and MDCT-synthesized images (P> .05). Measurements in MDCT-synthesized image in 10°left rotation or 10°right tilting position showed possibility of difference from digital image in some measurements, and possibility of improvement via realignment of head position using both ear rods. Conclusion : MDCT-synthesized cephalometric radiograph can substitute conventional cephalometric radiograph. The error on head position during imaging with MDCT have possibility that can produce measurement errors with MDCT-synthesized image, and these position error can be corrected by realignment of the head position using both ear rods. (Korean J Oral Maxillofac Radiol 2009; 39 : 133-47)

상악동을 침범하는 역위성 유두종의 증례보고

지용화,최보람,허경회,안창현,이삼선 대한구강악안면방사선학회 2009 Imaging Science in Dentistry Vol.39 No.2

The present study reports a case of inverted papilloma of the nasal cavity and infiltrating into the maxillary sinus. Inverted papilloma is an uncommon and locally aggressive benign tumor of the sinonasal region. The patient, 51-year-old male, presented with unilateral nasal obstruction and periodic swelling on the palate without pain. Enhanced CT scan revealed a heterogeneously enhancing solid mass in the nasal cavity and infiltrating into the right maxillary sinus, as well as an incidental, secondarily infected residual cyst m the periapical area of the right maxillary canine. The sinonasal mass was revealed as an inverted papilloma on histopathologic examination.

TIRE/ROAD NOISE GENERATION MODEL에 關한 硏究

홍동표,이희보,김병삼 전북대학교 공업기술연구소 1992 工學硏究 Vol.23 No.-

A theoretical models has been prepared which describes the noise generated by tire/road interaction. The model begin with a set of thin shell equations describing the motion of the belt of a radial ply tire, as drived by Bo¨hm("mechanisms of the Belted tire", Ingeniur-Archiv, XXXV,1966). Structural quantities required for these equations are derived from material properties of the tire. The rolling shape of a tire is computed from the steady-state limit of these equations. Vibrational response of the tire is treated by the full dependent shell equations. The force input at the tire/road interface is calculated on the basis of tread geometry and distribution of contact patch pressure. Radiation of sound is calculated by a simpson integral. Using the programs, the effect on noise of various tire design variations is computed and discussed. Trends which lead to low noise design are identified.

CT 영상을 이용한 악골 골수염의 경조직 변화에 관한 연구

안창현,최보람,허경회,이원진,이삼선,최순철 대한구강악안면방사선학회 2009 Imaging Science in Dentistry Vol.39 No.3

Purpose : To assess the clinical findings and hard tissue changes of osteomyelitis of the jaws using computed tomographic (CT) image analysis. Materials and Methods : We reviewed and interpreted the CT images of 163 patients (64 males and 99 females, age range from 10 to 87 years) who visited the Seoul National University Dental Hospital from April 23, 2006 to December 31, 2008 and were diagnosed as osteomyelitis of the jaws through clinical, radiologic, and histopathologic examination. Each CT findings was investigated for frequency, correlation with age and gender. Results : Of the 163 patients, 31 (19.0%) were affected on the maxilla, 135 (82.8%) were affected on the mandible, and 3 (1.8%) were affected on the both jaws simultaneously. The mean age of the patients who were affected on the maxilla was 61.0 years and that of the patients who were affected on the mandible was 56.2 years. On the maxilla, the most frequent site of disease was the posterior area (83.9%) and on the mandible, mandibular body (83.0%), followed by angle (48.1%), ramus (38.5%), condyle (13.3%), incisal area (9.6%), and coronoid process (3.0%). Among the 31 maxillary osteomyelitis, defect in the trabecular bone was observed in 28 (90.3%), osteosclerosis 20 (64.5%), defect in the cortical bone 27 (87.1%), sequestrum 17 (54.8%), and periosteal reaction 2 (6.5%). Among the 135 mandibular osteomyelitis, defect in the trabecular bone was observed in 100 (74.1%), osteosclerosis 104 (77.0%), defect in the cortical bone 116 (85.9%), sequestrum 36 (26.7%), and periosteal reaction 67 (49.6%). Conclusion : Of our cases, the maxillary osteomyelitis was visibly observed more frequently in females than males. The incidence is the highest in seventies (28.8%) and the lowest in teens (3.1%). The osteomyelitis of the jaws was observed more frequently in males than females before the age of 50, and observed more frequently in females after the age of 50. The most noticeable point was that the sequestrum was observed more often on maxillary osteomyelitis and the periosteal reaction was observed more often on mandibular osteomyelitis. (Korean J Oral Maxillofac Radiol 2009; 39 : 163-8)

성인 천식환자에서 도메난(염산 오자그렐)의 임상적 효과와 안전성

최인선,고영일,임호,명보현,홍서나,오봉석,이삼용 최신의학사 2000 最新醫學 Vol.43 No.9-10

Changes of Physicochemical Properties and Functional Components of Citron Pomace by Drying Method

Bo Bae Lee,Seung Hee Nam,Hye Sung Cho,Byeong Sam Kim,So Mi Lee,Kyung Chul Cho 한국식품영양과학회 2018 한국식품영양과학회 학술대회발표집 Vol.2018 No.10