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김기용,조우신,빈성일,백승일 울산대학교 의과대학 1992 울산의대학술지 Vol.1 No.1
The knee joint is the largest weight bearing joint. As the fractures of Knee joint in volve the articular surface and the surrounding soft tissues, permanent disabilities such as deformities, joint stiffness, instability and post-traumatic arthritis may ensue following treatment. Many authors have recommended various methods of treatment for these fractures. Recently, however, a trend toward internal fixation has become evident and good results have been reported by several authors. This study is to present 40 cases of knee joint fractures which were treated at Asan Medical Center from May 1989 to April 19992. The results were as follows ; 1. The causes of injury were traffic accident(60%), fall down(12.5%), slip down(12.5%) and sports injury(10%). 2. There were 23cases in 22 males and 17 females in series and average was 46.8 years ranging from 19 years to 82 years. 3. In femoral condylar fractures, the most frequent type was C2(8 cases ; 42.2%) and in tibial condylar fractures, B1(7 vases ; 35.5%) by the A.O. classification. 4. 7 Cases were treated by conservative method 32 cases by operative method and 1 cases by amputation. 5. Satisfactory results were obtained 73.3% in femoral condylar fractures and 88.2% in tibial condylar fractures by operative treatment. We concluded that satisfactory results were obtained from operative treatment with procedures of anatomical reduction, rigid fixation and early joint motion.
강구조물 설계규준의 신뢰성평가와 신뢰성설계기준에 관한 연구
정철원,손용우,이증빈 圓光大學校 1996 論文集 Vol.32 No.2
There is need to balance safety, economy and serviceability in all phases of society problem. This sis especially true in structural code formulation, where a framework is established by which practicing structural engineers can be assured of designing structures that reasonably meet the above three objectives. The existing design codes, which are generally based on the structural theory and certain engineering experience, do not realistically consider the uncertainties of loads and resistances and the basic reliability concepts. The purpose of the present study is therefore to develop the realistic reliability-based design criteria to secure adequate safety and reliability. To this end, the reliability levels of our existing design code for steel structures are first evaluated and the target reliability are determined, and new code formats are evolved from these target reliabilities.
( Yong Won Park ),( Seung Hyeun Lee ),( Young Min Koh ),( Mi Ju Cheon ),( Seon Bin Yoon,),( Byung Woo Yoon ),( Yong Geon Song ),( Sae Han Kang ),( Jun Gyu Song ),( Byung Woo Jung ),( Hyeon Sik Oh ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
The direct identification of the characteristic hyphae in the tissue specimen is the mainstay of the diagnosis of pulmonary fungal infection. However, histopathology alone is not enough to make a de finite diagnosis in some cases. Here, we present a case of invasive pulmonary aspergillosis histologically mimicking mucormycosis. A 75-year-old female presented to the pulmonary department complaining of febrile sensation, cough and sputum for 2 weeks. Laboratory findings showed a moderate leukocytosis and elevated C-reactive protein. The chest x-ray and computed tomography (CT) scan showed a 4cm-sized irregular-walled cavity without air-fiuid level at the right upper lobe. The bronchoscopy revealed no endobronchial lesion and the bronchial washing was negative in bacterial cultures, tuberculosis PCR and AFB smear. A CT-guided percutaneous needle biopsy was performed and the histopathology revealed broad, non-septated and irregularly- shaped hyphae compatible with mucormycosis. The serum antigen test for aspergillus was positive while fungal culture was negative. Due to those discrepant results, we further performed fungal PCR, which demonstrated the pathogen as Aspergillus fulmigatus. We started the intravenous treatment with voriconazole for 2 weeks and orally maintained it for further 2months. Thereafter, the cavity was markedly shrinked and the patient is followed up without significant sequelae until now. Although an invasive pulmonary aspergillosis can be usually discriminated from mucormycosis by distinctively narrowed, septated and acutely-branching hyphae, this morphologic feature may be atypical, therefore confusing the diagnosis. The fungal PCR is a useful complementary method, in those cases, but it is not used in routine practice. Clinicians should keep in mind that the differential diagnosis of fungal infection should be comprehensively made with histopathology, culture and serum antigen test. Additionally, a fungal PCR should be considered as it could provide critical information when the results of other diagnostics are confiicting.
선박용 이종 알루미늄 합금 미그 용접부의 기계적 및 전기화학적 특성 평가
우용빈(Yong-Bin Woo),김성종(Seong-Jong Kim) 한국표면공학회 2009 한국표면공학회지 Vol.42 No.1
In the study, it was carried out dissimilar metal welding on materials for Al ship. The electrochemical and mechanical characteristics evaluated for specimen welded by ROBOT. The hardness of welding zone is lower than those of heat affected zone and base metal. At the result of tensile test, the specimen welded with ER5183 welding material presented excellent property compared with ER5556. The polarization trend for the base metal and welding metal showed the effects of concentration polarization due to oxygen reduction and activation polarization due to hydrogen generation. At the Tafel experiments result, the corrosion density in welded with ER5183 welding material presented the lowest value.
공공 흡연장에서의 흡연 중 침 뱉기가 흡연장 주변 바닥의 미생물 오염도 변화와 미생물 확산에 미치는 영향
양성우(Sung Woo Yang),여승현(Seung Hyeon Reo),김승준(Seung Jun Kim),조정욱(Jeong Wook Jo),최용근(Yong-Keun Choi),송학진(Hak Jin Song),오경빈(Kyung Bin Oh),이주연(Ju Yeon Lee),정윤석(Yunseok Jung),김형주(Hyung Joo Kim) 대한환경공학회 2021 대한환경공학회지 Vol.43 No.11
목적 : 본 연구의 목적은 공공 흡연장에서 흡연 중 바닥에 직접 침을 뱉는 행위가 공중위생에 미치는 영향을 조사하는 것이다. 이 연구를 통하여 향후의 공중위생과 환경을 위해 흡연장에서의 세균 농도와 세균의 확산을 평가하였다. 방법 : 흡연 구역에서 침 뱉는 횟수와 침 뱉는 위치를 관찰자들이 시각적으로 측정하였다. 미생물 분석을 위해 거름종이(5 × 5 cm)를 일정한 시간 동안 흡연 구역의 바닥 표면에 부착하여 샘플을 채취하였다. 샘플을 채취한 거름종이를 이용하여 ATP bioluminescence (RLU), Colony forming unit (CFU)를 측정하였다. 흡연장에서 침 뱉는 행위를 통한 미생물의 확산을 확인하기 위해 흡연장에서 침이 존재하는 거름종이를 선정하여 형광분말(0.01 g/㎠)을 거름종이에 도포하였다. 4시간 후에 흡연장 주변의 거름종이를 수거하여 거름종이의 형광량(RFU, Relative Fluorescence Unit)을 측정하였다. 결과 및 토의 : 흡연장 바닥의 침 뱉는 행위와 그에 따른 흡연장 바닥의 미생물 활성이 명확한 관계가 있다는 결과를 보여주었다. 시료를 채취한 A 구역의 경우, 점심시간에 가장 많은 침 뱉는 횟수(102 ± 16회)가 흡연통 주변에서 관찰되었다. 이때 흡연을 하면서 침을 뱉는 흡연통 근처의 15개 구역에서 채취한 시료의 평균 RLU는 5,139 ± 1,267로 측정되었다. 또한 흡연장 주변 RLU 측정 시, 흡연통으로부터 11 m, 17 m 떨어진 곳에서 가장 낮은 값이 확인되었으며(1,329 ± 148 RLU, 1,204 ± 203 RLU), 이 장소는 흡연 및 침 뱉기가 발생하지 않은 곳으로 확인되었다. 시료를 채취한 B 구역의 경우는 저녁 시간에 가장 많은 침 뱉는 횟수(45 ± 6회)가 관찰되었다. B 구역의 흡연을 하면서 침을 뱉는 흡연통 근처 15개의 장소 RLU는 5,274 ± 1,297 RLU로 측정되었으며, 흡연통에서 11 m, 18 m 떨어진 곳에서 가장 낮은 RLU (1,181 ± 243 RLU, 1,148 ± 168 RLU)가 측정되었다. 이 구역 또한 흡연 및 침 또한 뱉지 않은 구역으로 확인되었다. 이상의 결과는 침 뱉는 행위 및 바닥의 침이 흡연장 바닥의 미생물 오염도에 영향을 준다는 것을 보여주고 있다. 형광분말 확산 분석 결과는 흡연장 표면에서 침의 존재가 흡연장으로부터 다른 지역으로 미생물의 확산을 유발할 수 있다는 것을 나타내고 있다. 결론 : 침을 뱉는 행위는 흡연장에 있는 흡연자들과 비흡연자들이 미생물에 감염될 수 있는 위험을 유발할 수 있다. 따라서 공중위생을 안전하게 유지하기 위해서는, 흡연 중 침 뱉기의 위험성에 대한 설명과 주의가 필요하다고 판단된다. Objectives : The purpose of this study was to investigate the effect of spitting behavior on microbial public health in smoking areas. Through this investigation, bacterial concentration and spread of bacteria from the smoking areas were evaluated for the prospective public health and environment. Methods : The number of spitting and the spitting location in the smoking areas were measured visually by observers. For the microbial analysis, filter papers (5 × 5 cm) as sample collectors had been attached to the surface of the smoking areas for a given time. Using the collected filter paper, ATP bioluminescence measurement (RLU), colony forming unit (CFU) were measured. For the estimation of spitting behaviors in the smoking area on the spread microorganisms, saliva containing filters were selected from the areas, and fluorescent powder (0.01 g/㎠) was added to the papers. After 4 hours, the papers around the smoking areas were collected and the fluorescence activity was measured. Results and Discussion : The results showed that there was a clear relationship between the spitting behavior and the microbial activity in the smoking areas. In the case of sampling area A, the highest number of spitting was observed at the lunch hour (102 ± 16 times), and the RLU from the sample collected near the smoking area showed about 5,139 ± 1,267 RLU. When the RLU around the smoking area was measured, the lowest values were found at distance of 11 and 17 m from the cigarette bin (1,329 ± 148 and 1,204 ± 203 RLU), and it was confirmed that smoking and spitting did not occur at this sampling points. In the case of sampling area B, the highest number of spitting (45 ± 6 times) was observed at evening hour, and the RLU from the sample collected near the smoking area showed about 5,274 ± 1,297 RLU. The lowest value was in the sampling area B shown at 11 and 18 m (1,181 ± 243 RLU and 1,148 ± 168 RLU) from the cigarette bin, and it was also confirmed that smoking and spitting did not occur at this sampling points. The results indicate that the spitting during the smoking induced the increases of the microbial contamination of the public environment. The fluorescence powder diffusion analysis indicated that the saliva on the ground surface would enhance the spread of the microorganisms from the smoking area. Conclusions : Spitting in smoking areas can pose a high risk of microbial infection for smokers and non-smokers in smoking areas. Thus extensive and systematic attention related to the smoking manner must be paid to protect our public health.