급성 골수성 백혈병 환자에서 발생한 침습성 아스페르길루스중에 대한 수술적치료 1 예

배영환;어원식;어상민;김승만 김태영;박수영;서영경;정은주;안효정 인제대학교 2011 仁濟醫學 Vol.32 No.-

Invasive pulmonary aspergillosis is known to have a poor prognosis and major cause of morbidity and motality in patients with hematologic disease. Without adequate therapy, invasive pulmonary aspergillosis will almost always progress to fatal pneumonia. Early administration of antifungal agents in patient with invasive pulmonary aspergillosis is most important. And surgical resection of aspergillous-infected tissue may be useful in patients with lesions that are contiguous with great vessel and lesions causing hemoptysis. We reported a rare case of surgical resection as curative treatment for invasive pulmonary aspergillosis patient in 58-year-old man who had the history of acute myeloid leukemia.

장기간 항갑상선제 투여 후 임의 중단 뒤 재복용시 발생한 무과립구증 1 예

김승만;김태영;박수영;배영환;서영경 정은주;김태균;권민정;박정현;이순희 인제대학교 2011 仁濟醫學 Vol.32 No.-

Agranulocytosis, one of the major side effects of antithyroid a gents, probably occurs in less than 0.25% of cases treated with antithyroid agents. It usually occurs within the first several weeks or months after the initiation of therapy, when drug dosage is higher. Most reported cases of agranulocytosis have occurred during the first 3 months of therapy. We describe here a rare case that did not experience the side effect for 6 years of antithyroid agent treatment but presented with agranulocytosis in one month after re-exposure. It suggests that the major side effect such as agranulocytosis can occur in patients who had undergone prior uneventful antithyroid drug therapy.

남성화를 보이는 여성에서 발견된 난소의 Steroid Cell Tumor 1예

조인호,정대훈,박영미,서영진,손영실,정철회,강영미,정수전,김영남,이경복,성문수,김기태 인제대학교 2006 仁濟醫學 Vol.27 No.-

Steroid cell tumor is a rare ovarian sex cord-stromal tumor which accounts for 0.1% of all ovarian tumors. Until now, only 4 cases have been reported in domestic literatures. Steroid cell tumor often secrets testosterone and presents virilization in adult women or precocious puberty in children. Treatment is often performed by surgical removal, adjuvant chemotherapy and radiation, but completely accepted treatment was not existed. We experienced a case of steroid cell tumor, which was manifested by typical virilization in a 43-year old patient, who was previously performed hysterectomy and unilateral oophorectomy. So, we present with a brief review of the literatures.

회양구침혈(回陽九鍼穴)에 관(關)한 연구(硏究)

이봉효 ( Bong Hyo Lee ),임성철 ( Sung Chul Lim ),이경민 ( Kyung Min Lee ),김재수 ( Jae Su Kim ),정태영 ( Tae Young Jung ) 대한경락경혈학회 2009 Korean Journal of Acupuncture Vol.26 No.3

Objectives: Although Hwe Yang Gu Chim Hyul is important for acupuncture treatment in emergency and has been widely used, but there is few study about that, except some comments in ancient literatures. So in this study, the author reviewed the Hwe Yang Gu Chim Hyul, investigating the composition and the function, and found the meaning with analysis based on meridian. Methods: 1. The author reviewed several ancient literatures related with the Hwe Yang Gu Chim Hyul. 2. The author investigated the composition of Hwe Yang Gu Chim Hyul, and the location, acupuncture treatment, specificity, disease of each acupoint. 3. Following the investigation, the author found the meaning, the mechanism of function, and the clinical usefulness, based on analysis with meridian. Results: 1. Hwe Yang Gu Chim Hyul had been referred in 『Chim Gu Chwei Young』for the first time. 2. Hwe Yang Gu Chim Hyul is composed of 9 acupoints, i.e. 1 acupoint of Governor Vessel, 1 acupoint of Conception Vessel, 2 acupoints of Yang Myoung meridian, 1 acupoint of So Yang meridian, 1 acupoint of Tae Eum meridian, 2 acupoints of So Eum meridian, 1 acupoint of Gwel Eum meridian. 3. It has not been controversial since the comment of 『Chim Gu Chwei Young』, and it became the origin. Conclusions: 1. Hwe Yang Gu Chim Hyul can be used for an emergency resulted from chronic disease based on heart failure and accumulation of food.

미다졸람의 비강 내 추가투여가 소아의 경구 진정요법에 미치는 영향

장수영,김지연,박기태 大韓小兒齒科學會 2012 大韓小兒齒科學會誌 Vol.39 No.1

Effect of supplementary intranasal midazolam on oral sedation of children The purpose of this study was to compare the cardiopulmonary parameters of two sedation regimens during dental treatment: (1) Oral chloral hydrate(CH) and hydroxyzine(HZ) with nitrous oxide-oxygen(N2O/O2) inhalation( CH-HZ group); (2) Oral chloral hydrate(CH) and hydroxyzine(HZ) with nitrous oxide-oxygen(N2O/O2) inhalation and supplementary intranasal(IN) midazolam administration(MIDA group). Among the patients of OO hospital who received dental treatment under sedation over the past 5 years, 44 patients were selected for each group of CH-HZ and MIDA according to their age, gender and weight. Following parameters that were recorded every 5 minutes were compared: 1) Heart rate(HR) 2) O2 saturation 3) End tidal carbon dioxide concentration(EtCO2) 4) Respiratory rate(RR) 33 patients of Group MIDA who have complete data of 15 minutes before and after supplementary IN midazolam administration were selected. And measurements 15 minutes before and after midazolam administration in same patient were evaluated. The results were as follows: 1. Heart rate was significantly higher in MIDA group than in CH-HZ group, but it was within normal range. 2. Comparing HR, O2 saturation, EtCO2, RR between before and after of supplementary IN midazolam administration in the same patient, the differences were not statistically significant. 이 연구는 소아환자의 경구 진정요법 시 미다졸람의 비강 내 추가 투여가 심폐기능에 미치는 영향을 알아보기 위한 것으로 5 년간 삼성서울병원 소아치과에서 chloral hydrate와 hydroxyzine을 경구투여하고 N2O/O2 inhalation을 추가로 사용한 진정요법으로 치료 받은 환자 중 미다졸람을 추가투여 받은 실험군(MIDA군)과, 미다졸람을 추가 투여하지 않은 대조군 (CH-HZ군)을 각각 44명씩 선정하여 서로 비교하였다. 진정요법 중 5분마다 측정된 1) Heart rate(HR) 2) O2 saturation 3) End tidal carbon dioxide concentration (EtCO2), 4) Respiratory rate(RR)의 평균값을 비교하였다. 또한 동일 환자에서의 미다졸람 투여 전 후의 심폐기능지표의 변화 양상을 평가하기 위해 MIDA군 중에서 미다졸람 투여 전 후 15분 이상의 기록이 존재하는 33명을 선정하여 미다졸람 투여 전 후 15분 시점의 측정값을 각각 비교하였다. 결과는 다음과 같다. 1. Heart rate는 미다졸람을 추가 투여한 군에서 유의하게 높았으며 나머지 심폐기능 지표의 측정값들은 차이가 없었다. 두 군의 측정값들은 모두 정상범위 안에 있었다. 2. 동일 환자에서 미다졸람 투여 전 후 15분의 측정값을 비교한 결과 두 시점간에 측정된 값들은 유의한 차이가 없었다.

뇌성마비 환아의 발달 평가와 유발 전위, 뇌파,뇌 자기 공명 영상의 비교연구

서정수,김태민,채진목,김영경,김봉옥 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.4

성남시 지역주민의 정신질환에 대한 태도 연구

고영,신수경,황태연,이충순,박연수,김인숙,황은숙,정원재 용인정신의학연구소 1999 용인정신의학보 Vol.6 No.1

광중합형 복합레진 제조시의 압축강도에 관한 실험적 연구

배태성,추용호,채민수 大韓齒科器材學會 1995 대한치과재료학회지 Vol.22 No.2

This study was performed to elaluate the effect of matrix resins and fillers on the compressive strength of light-activated composite resins. Four different types of composites were made by mixing the inorganic fillers of armorphous spherical silica and crushed quartz with resins of BisGMA/TEGDMA and UTeMA/TEGDMA. The specimens of 3mm in diameter and 6mm in length were prepared. Compressive test was subjected to a crosshead speed of 0.5mm/min and fracture surfaces were examined by SEM. The results obtained were summarized as follows; 1. Compressive strength of the UTeMA-based composite resin with spherical filler was superior to the other composite resins(p<0.01). 2. Compressive strength of the BisGMA-based composite resins with significantly decreased after immersion in water for 7 days(p<0.05). 3. UTeMA-based composite resins showed the aspect of decrease in compressive strength after cold storage at 5℃.

위험물시설의 설치허가제도의 개선방안

이종영,이수경,김태환 한국화재소방학회 2001 한국화재소방학회논문지 Vol.15 No.3

위험물시설의 설계를 할 수 있는 민간전문인을 양성함으로써 결과적으로 위험물시설의 안전성을 확보할 수 있으므로 위험물시설의 설계자를 일정한 능력을 가진 자로 제한할 필요성이 있다. 설계검사에 관한 허가진행은 전문성을 가진 공사에 설계검토를 신청하여 위험물시설의 안전성에 대한 확인을 받으면, 이를 근거로 시ㆍ도지사는 허가신청자의 결격사유나 기타 다른 법률상의 위반사항이 없는 한 허가를 하는 방안이 적합하다. 이를 위하여 한국소방검정공사는 설계와 중간검사 및 완공검사에 관하여 전문성을 증대할 수 있고, 소방법이 추구하는 목적에 적합한 것으로 사려된다. 한국소방검정공사에 위탁하는 과제와 민법상 설립된 일정한 기술력과 시설을 가진 비영리법인에게 위탁하는 과제를 분리하여 위탁하는 것은 가능하다. 이러한 경우에는 기술력과 시설이 중요한 것이기 때문에 민법상의 비영리법인으로 제한하는 것은 문제가 있고, 상법에 의하여 설립된 영리법인에 대하여도 기술력과 시설을 갖춘 경우에 제조소 등의 완공검사를 할 수 있는 단체로 지정할 수 있다. 이러한 소방법규의 내용은 위험물시설의 안전관리의 역사적인 발전에 기인한다. 이제 위험물시설의 완공검사에 대한 방향을 정하였기 때문에 특수공법인이 수행하여야 하는 과제와 민법상 지정단체 또는 상법상 지정단체가 수행하여야 하는 업무를 조정할 필요성이 있다. 업무조정을 위해서는 그 척도가 소방법이 되어야 하고, 법률의 목적과 원칙에 합당하여야 할 것이다. 위험물시설의 안전성확보를 목적으로 소방법이 특수공법인의 설립을 할 때에는 위험물시설의 안전성확보는 단순한 행정력으로 부족하고 전문기술력을 가진 기관이 필요하다는 입법권자의 의지가 있다. 국가는 위험물시설의 안전을 전문적인 기술력과 시설에 기초하여 확보하겠다는 의지를 소방법에서 확정하고, 특수공법인을 설립한 것으로 해석하여야 한다. 그러므로 입법의 취지에 합치하게 위험물시설의 안전성을 확보하는 데에 필요한 기술력을 집중하고, 발전시킬 수 있는 특수공법인에 과제와 책임을 부여함으로써 국가에 부여된 과제는 수행된다. By rearing private experts to design hazardous facilities, Safety property is obstained. So it is necessary to limit within the designer of hazardous materials facilities who has some degree skill. After permission progress about the inspection of the design ascertain whether it is safety property. Mayor/Do governor permits within the laws and their qualification. Accordingly, Korea Fire Equipment Inspection Corporation be come specialization about the design, inspection of construction completion. A inquire purpose of Fire Service Act be considered fitness. Subject by which the Korea Fire Equipment Inspection Corporation is entrusted, subject by which the a nonprobit corporation in The Civil Law be possible to ebtrustin in separate. In this case, because of the level of one's technique and facilities are important, to limit as a nonprobit corporation in The Civil Law give rise to trouble. Consequently, established a business corporation, which the level of one's technique and facilities, in accordance with The Commercial Law can assign inspection of construction completion. The contents of the Fire Services Act is caused by the historic growth of hazardous facilities's safety management. Because we decide on a course about completed inspection of hazardous substance, it is needed that adjust the task performed by a corporation of the exert skill and the duty performed by the task that a authorized corporation on the civil law or the commercial law To adjust the duty the Fire Service Act, that is suitable to the purpose and principle, should constitute a measure of the duty. With the object of insure the safety of the hazardous substance, when the fire survice act establish a corporation of the expert skill. There is the will of lawmakers that need organization to have the power of the professional technology. The state excise the will that insure the safety of hazardous materials facilities on the basis of the professioanl technology and facilities, and construct to establish a corporation of the expert skill. Therefore as concentrate on the technology to need to insure the safety of the facilities of hazadous substance to be suitable on the purpose of laws and take responsibility and reports to a corporation of the expert skill. The task to be given to the state will be done. Keywords : Acoporation of the exert skirt, hazardous materials facilities, the inspection of the design

이트리아 첨가 붕규산염 유리로 제조한 알루미나-유리 복합체의 강도 평가

채민수,배태성,이주형,원대희,진영철 대한치과기재학회 1998 대한치과재료학회지 Vol.25 No.1

This study was performed to investigate the strength of dental alumina-glass composites. Four different brosilicacte glasses containing 1, 3, 6, 9 mol% Y₂O³ were prepared. Alumina compacts were prepared by pressing 150㎏/㎠ and sintering at 1100℃ for 2 hours. Dense composites were made by infiltrating partially sintered alumina with at 1200℃ for 6 hours. The obtained results were summarized as follows: 1. With increasing the amount of Y₂O₃ the peak of exothermic heat and softening point were shifted to the higher temperature. 2. Borosilicate glasses showed the coefficient of thermal expansion in the range of 6.36 to 6.56×10-6/℃. 3. The maximum biaxial strength of 385.7±34.4MPa was obtained with an addition of 6mol% Y₂O₃. 4. The observation of fracture surfaces showed the crack deflection and crack bridging and that appeared to be the principal strengthening mechanism in the alumina-glass composites.