중증 외상 환자의 골반골절에서 경피적 혈관 색전술과 Young과 Burgess 분류의 상관관계

차용한 ( Yong Han Cha ),설영훈 ( Young Hoon Sul ),김하용 ( Ha Yong Kim ),최원식 ( Won Sik Choy ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3

Purpose: Immediate identification of vascular injury requiring embolization in patients with pelvic bone fracture isn’t an easy task. There have been many trials finding indicators of embolization for patients with pelvic bone fracture. Although Young and Burgess classification is useful in decision making of treatment, it is reported to have little value as indicator of embolization in major trauma patients. The aim of this study is to find out Young and burgess classification on predicting vessel injury by analzyng pelvic radiograph taken from major trauma patients with pelvic bone fracture. Methods: Among major trauma patients with injury severity scores (ISS) higher than 15 who visited our emergency room from January 2011 to June 2014, 200 patients were found with pelvic bone fracture in trauma series and thus pelvic CT angiography was taken. Setting aside patients with exclusion criteria, 153 patients were enrolled in this study for analysis of Young and Burgess classification. Results: The most common mechanism of injury was lateral compression in both groups. There was no statistical significant difference in Young and Burgess classification (p=0.397). The obturator artery was the most commonly injured artery in both groups. Six patients had more than one site of bleeding. Conclusion: Prediction of transcatheter angiographic embolization using Young and Burgess classification in severe trauma patients is difficult and requires additional studies. [ J Trauma Inj 2015; 28: 144-148 ]

항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

신이식에서 이식신의 생존분석

오선미,김종학,황평주,구영선,강민규,나기량,김종섭,김성숙,이강욱,신영태,설종구,배진선,손기섭 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

To investigate the prognostic factors for the survival of transplanted kidney in patients with end-stage renal failure, 59 cases of renal transplantation from September 1986 to Feburary 1997 in Chungnam National University Hospital were analyzed retrospectively. The results were as follows: 1)The mean age of recipients was 33.8 years and that of doners was 38.9 years. The male to female ratio of recipients was 2.5:1, and that of donors was 1.03:1 2) Living related donore(LRD) were 79.6% and living non-related donors were 20.3%. The HLA-identical donors(ID) in LRD were 18.7% and HLA-haploidentical donors(HID) were 61.0%. In living non-related donors(LNRD), mean matched HLA-AB antigens were 1.56 and mean matched HLA-DR antigens were 0.56. 3) The average 5-year patient survival fate was 94%, and average 5-year graft survival rate was 70%. The 5-year graft survival fate of HLA-ID was 100%, and those HLA-HID and LNR were 70% and 36% respectively. 4) Total 33 episodes of acute rejection were found in 45.8% of transplanted patients. The number of acute rejection episode did not show significant difference between LRD and LNRD(P > 0.05). There was no significant difference in MLC between two groups(p > 0.05). 5) In comparison between the 18 patients who lost their graft function in 5 years and 17 patients who are maintaining graft function for more than 5 years, MLC was significantly lower in patients with functioning graft than of patients with non-functioning graft (p < 0.05). The number of rejection episode was also lower in patients with functioning graft than that of the patients with non-functioning graft(p < 0.05). However, there were no significant difference in recepient and donor age and history of pre-transplantation donor specific transfusion between two groups. With the results above, we can speculate that adequate donor selection according to good matched HLA typing and low MLC is very important for graft survival in renal transplantation. Prevention and treatment of acute rejection in renal transplantation is also na important factor for graft survival.

경추 후종인대 골화증의 수술적 치료

김영수,진동규,조용은,진병호,윤영설,박정필,윤도흠 대한신경외과학회 1997 Journal of Korean neurosurgical society Vol.26 No.9

骨盤腔內 巨大 橫紋筋肉腫 1 例

金瑩洙,河泰原,朴滿洙,姜瞬求,李重禾,尹栗老,薛鍾求 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

Rhabdomyosarcoma, which is a very rare and highly malignant disease in urologic field, has three categories-pleomorphic, alveolar, embryonal, and may arise from any part of the body that contains embryonal mesenchyme, whether striated muscle tissue is present or not. The common site in the genitourinary tract are prostate, bladder, and vagina. Herein we experienced a rhabdomyosarcoma of the pelvic cavity and reviewed literature briefly.

腎細胞癌에 있어서, α-2b Interferon과 Vinblastine 倂用療法 : 第 1 報 Phase Ⅰ Study

薛鍾求,金瑩洙 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

Results of treatment of patients with advanced or metastatic renal cell carcinoma are most unsatisfactory. Hormonal treatment with progesterones and/or androgens has proved to be ineffective, and the tumor is considered to be almost completely resistant to signle-agent and combination chemotherapy with the possible exception of vinblastine, for which modest activity has been reported. In recent years, encouraging results were reported with combination of recombinant α-interferon with vinblastine, so we reviewed the effect of recombinant α-2b interferon and vinblastine combination therapy in renal cell carcinoma in the Department of Urology, Chungnam National University Hospital. The results are as follows; 1. Renal cell carcinoma was most prevalent in 6th decades male(male to female ratio was 1.5:1), and bilateral cases were 2(3.4%). 2. Treatment modalities were radical nephrectomy(24 cases), recombinant α-2b interferon and vinblastine combination therapy(21 cases), hormone therapy(4 cases), chemotherapy(4 cases), palliative selective renal arterial embolization(4 cases), and postoperative radiation therapy(2 cases). 3. The most frequent metastatic site of renal cell carcinoma was lung. 4. In the recombinant α-2b interferon and vinblastine combination therapy(21 cases), death cases were in 9 patients, whose distribution according to stage, grade and tumor cell type were 3 cases in lower stage(10 cases) and 6 cases in high stage(11 cases), 3 cases in lower grade(10 cases) and 6 cases in high grade(11 cases), and 4 cases in clear cell type(11 cases), 3 cases in granular cell type(6 cases) and 2 cases in sarcomatoid cell type(2 cases). 5. 5 years survival rate was slightly higher in the group of recombinant α-2b interferon and vinblastine treated patient group than in not treated patient group(50%) (p>0.1).

치아회분과 석고혼합제재 매식과 자가골 동시 이식후 치유과정에 관한 실험적 연구

김영균,김흥중,이상호,여환호,임성철,설인택,정재헌 大韓顎顔面成形再建外科學會 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.1

The purpose of this study was to evaluate the efficacy of adding autogenous bone to the toothash-plaster mixture in the healing process of bone. Full-thickness round osseous defects with the diameter of 20mm were made at the calvarial bone of adult dogs (n=19) bilaterally, which were thought to be critical size defect. The right defects were repaired with the toothash-plaster mixture plus autogenous bone (compressed volume 0.3cc) and the left defects with only toothash-plaster mixture. At 2-, 4-, 8-, 12- and 20- week after implantation, dogs were sacrificed and evaluated the osseous healing of bony defects clinically, radiographically, and microscopically. The results were as follows : 1. At the clinical observation, the wound healed very well without any problem except severe swelling in the early period after operation. Slight depression was recognized at the both sides when the portions of cranial defect were palpated. 2. There were statistically significant differences between toothash-plaster mixture groups and autogenous bone added groups at the same period, and among the groups in the bone density of the digital radiograms (P<0.001).There was a tendency that bone density was increasing with time. 3. In light microscopic examination, new bone formation was more active in the autogenous bone added groups than toothash-plaster mixture groups at the early period after mplantation but there is little difference at 20-week after implantation. 4. In fluorescent microscopic examination, the fluorescent band could be observed at the area of active bone formation and the band was more distinct in the autogenous bone added groups then toothash-plaster mixture groups. 5. In transmitted electron microscopic examination, organelles such as rER, Golgi complex and secretory granule and osteoblast were observed. In summary higher volume ratio of autogenous bone is needed to improve the bone healing in that there is little difference between toothash-plaster mixture group and autogenous bone added group at the 20-week after implantation in spite of new bone formation was more active in the autogenous bone added groups than toothash-plaster mixture groups at the early period after operation.

PDA 밸브에 의한 연소실내의 연소특성에 관한 연구

김대열,한영출,조재명,김양술,주신혁,박병완 한국공작기계학회 2003 한국공작기계학회 추계학술대회논문집 Vol.2003 No.-

An experimental study presents characteristics of combustion in a combustion chamber by port deactivation valve for economy and emissions standards. In order to use combustion properties data, it is necessary to build some data base, which use cylinder pressure sensor, etc. Port deactivation valve has been developed to satisfy requirement of achieving sufficient swirl generation to improve the combustion. A feasibility and necessity of combustion pressure based cylinder spark timing control has been examined. So, this was obtained the Coefficient of Variation(COV) and the mass-burned(MFB). The characteristics of pressure ratio fraction is similar to that of mass-burned fraction. Using the results of the test, the effects of the combustion chamber can be improved combustion stability by port deactivation.

MgB₄O7 熱螢光體의 특성과 低에너지 X線의 線量測定

김영국,손인호,설정식,채건식,노경석 慶南大學校 附設 基礎科學硏究所 1997 硏究論文集 Vol.11 No.-

To develope the thermoluminescent radiation sensors and low energy X-ray of dosimetry. The TL phosphors of MgB₄O7 are prepared and their physical characteristics are investigated. MgB₄O7 : Tb. Tm. Dy. La. Ho. and Nd phosphors have been prepared by sintering around 580℃ for 2 hours followed by flowing Ar gas. Ar gas. Activation energy and kinetic order of main peak of glow curve were studied by two methods peak shape method and initial rise method. By these methods, the estimated activation energies were 0.76±0.02eV(Tb doped). 0.94±0.03(Tm doped). 0.72±0.02 (Dy doped). respectively. The activation energy frequency factor and kinetic order of thermoluminescent process for each TL phosphors are measured by analyzing the glow curve by initial rise. peak shape. different heating rate. isothermal decay method. And The emission spectra of TL phosphors are also measured. The TL phosphors prepared in this work may be utilized to radiation sensor elements becaue of their high sensitivity to low energy X-ray.

PID-FGS(Fuzzy Gain Scheduling)를 결합한 병렬제어기 설계

김승철,박종오,정영호,설재훈,임영도 東亞大學校 附設 情報通信硏究所 1999 情報通信硏究所論文誌 Vol.7 No.1

본 논문에서는 PID-FGS(Fuzzy Gain Scheduling) 제어기를 사용한 병렬제어기를 구상한다. PID 제어기는 산업현장에서 널리 쓰이는 제어기로서, 지금까지도 널리 사용되고 있다. 그러나 PID 제어기는 적응성이 없기 때문에 초기에 적절한 파라메터의 설정이 중요하다. 그에 반해 FGS는 초기에 많은 오차를 수반하지만, 시뮬레이션 동한 초기오차를 수정한다. 따라서 본 논문에서는 이러한 각 제어기의 장점을 취합하여 병력제어기를 구성하는 것이다. 그리고 본 논문에서 사용한 제어기의 성능을 평가하기 위하여 PID, FGS, PID-FGS 제어기의 각각의 시뮬레이션 결과를 살펴본다.