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      • 전방 십자인대의 파열시의 자기공명영상:직접소견의 중요성

        신현준,이창희,최영칠,전혜정,박정희,김동헌 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

        It is Important to know the normal size, shape, and signal intensity of anterior cruciate ligament in the evaluation of knee injury Many studies have reported findings of tear or rupture as well as normal anatomy of these structure, especially with MR images. To our knowledge, there are few studies about normal structures of anterior cruciate ligament in MR images. The purpose of this study is to compare normal finding with tear of anterior cruciate ligament on MRI. Twenty-three cases with rupture of anterior cruciate ligament were evaluated on MRI, measuring the length, thickness, width of anterior cruciate ligament, and angles of anterior and posterior cruciate ligaments. Mean length, thickness, and width of anterior cruciate ligament in patients with rupture were 37.7±4.8mm, 9.0±1.2mm, 8.0±0.8mm, and mean angles of anterior cruciate ligament, and posterior cruciate ligament were 48.1±9.6˚, 118.8±13.1˚. Curvature ratio of posterior cruciate ligament was 0.25±0.09. The results showed significant differences between normal persons and patients with complete or partial rupture, and the mean angle and curvature ratio of posterior cruciate ligament which are known to related with indirect sign in tear of anterior cruciate ligament showed significant differences between ours and that of western countries. These results will be useful in the evaluation of patient wish rupture of anterior cruciate ligament, especially on MRI.

      • Urapidil, Labetalol의 투여가 기관내 삽관시 심혈관계에 미치는 영향

        신용섭,윤석화,손수창,이원형,이정은,황원재,김만수,김영주,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

        We have examined the comparative efficacy of small doses of intravenous urapidil and labetalol in blunting hemodynamic response to endotracheal intubation and surgical incision in 30 patients without cardiovascular diseases. After intravenous urapidil 0.2 mg/kg or labetalol 0.2 mg/kg anesthesia was induced with thiopental 5mg/kg. Endotracheal intubation was facilitated by vecuronium 0.15 mg/kg with priming principle and anesthesia was maintained with enflurane and nitrous oxide in oxygen. Systolic, diastolic and mean arterial pressure and heart rate were measured before administration of the drugs, 5 minute after administration, just prior to endotracheal intubation and 1, 3, 5, 10 minute after intubatin. Also the peak blood pressures and heart rate within 10 minutes after surgical incision were measured. Endotracheal intubation and surgical stimulation were associated with significant increases in blood pressures and heart rate in both urapidil and labetalol group. Comparison of the changes in systolic, diastolic, and mean artrial pressures and heart rate between urapidil and labetalol group showed no significant difference except peak systolic pressure after surgical incision. It is concluded that the pressor response to endotracheal intubation and surgical stimulation are not influenced significantly by urapidil 0.2 mg/kg or labetalol 0.2 mg/kg. However, urapidil and labetalol preloading may be similarly effective in the blunting of the increases in blood pressures with larger doses of the durgs during anesthetic induction.

      • 잔류자계를 이용한 속도검출용 자계센서

        신사현,장용해,백형래,조금배 조선대학교 전자정보통신연구소 2001 電子情報通信硏究所論文誌 Vol.4 No.2

        In this paper, describe the magnetic sensor detecting the speed of wire or thin pipe, which move irregularly, using Hysteresis phenomenon. After magnetic field is placed to a metallic object, this magnetic sensor converts residual magnetism into velocity, This magnetic sensor is composed of transmission part that causes magnetism, reception part that detects magnetism, and control part that convert magnetic field intensity into velocity.

      • 간외담관 폐쇄에서의 초음파소견 : 담관벽 경계소실의 중요성 Significance of Decreased Echotexture of Bile Duct Wall-Interface

        신현준,손은주,이창희,최영칠,전혜정,박정희,이태의 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

        Ultrasound is very useful in evaluation of obstructive jaundice. We retrospectively evaluated the useful findings of ultrasonography in differentiating benign extrahepatic duct obstruction from malignant diseases. Among the 36 patients, 25 patients were benign extrahepatic obstruction and 11 patients were malignant obstruction. The shapes of extrahepatic dilatation were classified into fustiform, meniscus, and abrupt cut off by bowel gas. The diameter, length, and bile duct wall-interface were compared between benign and malignant groups and serum bilirubin and alkaline phosphatase were also compared between two groups retrospectively. The results were as follows. The most common form of extrahepatic dilatation was meniscus(10 of 26 patients, 38%) in benign obstruction, and fusiform(8 of 11 patients, 73%) in malignant obstruction. No significant difference was noted in diameter, length, serum bilirubin, and alkaline phosphatase between benign and malignant groups. Only one case showed decreased bile duct wall-interface in benign obstruction, but loss or decrease of bile duct wall-interface were 8 patients in malignant obstruction. The combined findings of fusiform dilatation and loss of bile duct wall-interface in ultrasonography will be helpful in differential diagnosis of malignant extrahepatic bile obstruction from benign conditions.

      • 고양이의 Toxoplasma 抗體價 測定 및 腸內 奇生蟲 感染에 關한 硏究

        辛大煥,金明海,李英河,羅榮彦 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2

        In order to confirm the intestinal helminthes, protozoa and Toxoplasma antibody titers from 41 cats, author performed the autopsy, stool examination, and Sabin & Feldman dye Test. 1. Total infection rates were 68.3%, and double infection rates were 29.3%. From 41 cats, 8 species were identified to Isospora felis(2.4%), Toxocara cati(7.3%), Ancylostoma sp(2.4%), Taenia taeniaeformis(51.2%), Diphyllobothrium mansoni(19.5%), Hymenolepis nana(2.4), Clonorchis sinensis (7.3,%), and metagonmus yokogawai(4.9%). 2. Habored region of each parasites was mainly small intestine, especially duodenum, and only Clonorchis sinensis was harbored in liver and bile duct. 3. Egg occurrence rate was 33.3% (T. taeniaeforis), 66.7(C. sinensis), and 100%(D. mansoni, M. yokogawai, I. felis). 4. Sabin & Feldman dye test titer was positive reaction in 14 cases corresponding to 34.190, and 27 cases were considered as negative.

      • 원발성 폐암의 CT상 병기 결정:새로 재정된 TNM 체계와의 비교

        신현준,최영칠,전혜정,박정희,김요한,이원진 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-

        Accurate staging of lung cancer is essential for defining operability, selecting treatment regimens, predicting survival, and reporting comparable end results. Revisions in stage grouping of the TNM subsets in the International System for Staging Lung Cancer have been adopted by the American Joint Committee on Cancer and the Union Internationale le Cancer at 1996. We compared the previous TNM systems with revised stage grouping rules, and tried to applicate the new size-criteria for metastatic lymph nodes in mediastinum. Twenty-two patients were undergone CT stagings by using three different systems of previous, revised, and modified TNM subsets. Ten patients showed different TNM stage by the revised stage grouping rules and seven patients were altered in lymph node stage by the new size-criteria. Recognition of revised stage grouping rules is very important for treatment plan and predicting the correct prognosis.

      • 국소 폐병변에서의 역동적 조용증강 CT의 유용성

        신현준,최영철,전혜정,박정희,김요한 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-

        The blood supply and metabolism of malignant nodules are qualitatively and quantitatively different from those of most benign nodules. We evaluated the efficacy of dynamic CT for differentiation of benign malignant lesions. Thirty-six patients with malignant nodule(n=20), tuberculoma(n=7), and pneumonic consolidation(n=9) were evaluated by thin section dynamic CT. CT numbers of lesion and aorta were measured before enhancement, and 1 minute, and 3 minutes after enhancement. Malignant lesions(maximum, 31.1±10.7 HU) enhanced significantly more than tuberculoma(maximum, 13.5±12.9 HU), but mass/aorta ratios were not so significantly different between malignant lesions(maximum, 0.61±0.27), tuberculoma(maximum, 0.36±0.15), and pneumonic consolidation(maximum,0.49±0.14). Dynamic CT is very useful for differentiation of malignant lesions from tuberculoma.

      • KCI등재

        노인의 외로움과 건강행위 및 자아존중감의 관계

        박영주,정혜경,안옥희,신행우 노인간호학회 2004 노인간호학회지 Vol.6 No.1

        Purpose : This study was done to examine the relationship of health behavior, loneliness and self-esteem in elderly people. The results will contribute to the promotion of quality of life for elderly people. Method : The participants, 135 people over 60 years of age, were interviewed during January and February 2004. A questionnaire was used to collect the data. The measurement tools were the Loneliness scale developed by Kim (1997), the Self-esteem scale developed by Rosenberg and translated by Jeon (1974), the Health behavior assessment developed by Choi and Kim (1997). The data were analyzed using descriptive statistics, t-test, Pearson's correlation coefficients ANOVA, and multiple regression analysis. Result : The results of this study are as follows : Family type had a statistically significant correlation with health behavior, loneliness, and self-esteem in elderly people. Monthly income had a statistically significant correlation with health behavior in elderly people. Perceived health status had a statistically significant correlation with health behavior, loneliness and self-esteem in elderly people. There was a significant correlation between loneliness and self-esteem (r=-.531, p<.001), loneliness and health behavior (r=-.623, p<.001), and health behavior and self-esteem (r= .500, p<.001). Stepwise multiple regression analysis revealed that the predicting factors of health behavior were loneliness (38.8%) and self-esteem (4%). Conclusion : In conclusion, there exists a close correlation between loneliness, self-esteem, and health behavior. Especially, loneliness influences not only self-esteem but also health behavior in elderly people. The mediation of loneliness is a necessity for the improvement of physical and psychological health behavior.

      • CT flouroscopy를 이용한 중재적 시술의 유용성

        전혜정,박정희,서보경,박상우,신현준,최영철,한혜승,이창희 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-

        Conventional CT-guided needle localization has been reported many times, but a few reports of interventional procedures by using multidetector CT scan with CT-fluoroscopy have been described. We presented 36 cases of CT-fluoroscopy guided interventional procedures focusing on the puncture technique. Two cases of small pneumothorax and one case of pulmonary hemorrhage out of 2lcases after lung biopsy, were not needed any treatments We can easily and accurately access to the lesion by using CT-fluoroscopy and unique our marker system.

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