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        소아의 상완골 원위부 과간 골절

        이우석,정환용,김우식,김용찬,전택수,김남현,김규태 대한골절학회 2004 대한골절학회지 Vol.17 No.4

        상완골 원위부 과간 골절은 소아에서는 매우 드물게 발생되는 골절로 대부분 주관절의 굴곡상태로 주관절 후방부에 직접적인 충격에 의해 발생하는 것으로 보고되고 있다. 전위가 없거나 경미한 경우 도수적 정복술 혹은 도수적 정복술 후 경피적 핀고정술을 시행하며, 전위가 심한 골절이거나 도수적 정복술이 불가능한 경우 관혈적 정복술 후 핀고정술을 시행하는 것으로 알려져 있다. 저자들은 전위된 상완골 원위부 과간 골절 환아 2예에서 각각 도수적 정복술과 관혈적 정복술 후 K 강선 고정술을 시행하여 만족한 결과를 얻었기에 보고하는 바이다. Intercondylar fractures of the distal humerus are very rare in children. The pattern of the fracture would suggest that the mechanism of injury involves a fall directly on the flexed elbow. Most agree that the undisplaced fracture can be managed conservatively. With increasing displacement and comminution, the opinions tend to differ. We suggest that closed reduction with percutaneous K wire pinning and open reduction with percutaneous K wire pinning offer a satisfactory methods by which to treat displaced intercondylar fracture in children.

      • 성인에서 발병한 지역사회폐렴의 원인으로서 호흡기 바이러스의 역할

        김지희,곽영호,나병국,이주연,신구철,정혜선,홍정연,오명돈,정희진,김민자,배현주,김양리,신완식,강재명,우준희,어수택,이환종 대한감염학회 2001 감염 Vol.33 No.1

        Purposes : To investigate the viral etiology of community-acquired pneumonia in Korean adults, we have detected respiratory viruses (Respiatory syncytial virus, adenovirus, influenza virus and parainfluenza virus) in the way of prospective, multi-center study. Methods : From July 1997 to April 2000, nasal aspirates or sputum were obtained from adults patients with community pneumonia admitted to the participating hospitals and transferred immediately to the central laboratory at the Seoul National University Children's Hospital. The specimens were divided into three parts. One part was used for indirect immunofluorescent test for respiratory viruses, the other part for the culture of RSV and adenovirus in HEp-2 cell monolayer. The other part was used for the culture of influenza virus and parainfluenza virus in MDCK or LLC-MK2 cell monolayers. Results : Of 317 samples, 32 (10.1%) specimens were positive for viral agent by indirect IF staining or culture, including one dual-infected specimen (adenovirus and parainfluenza virus). Influenza virus was most commonly detected (16 specimens). Parainfluenza virus, adenovirus and RSV were detected in 10, 4 and 3 patients, respectively. All isolated influenza viruses were type A (H3N2 in 9 patients, HIN1 in 2 and unspecified in 5), and 8 out of 10 parainfluenza virus isolates were type 3. Conclusion : Similar to previous reports from other countries, a significant portion of community-acquired pneumonia in Korean adult is caused by respiratory viruses. (Korean J Infect Dis 33:8~14, 2001)

      • Rifampicin에 의한 Clostridium difficile-associated disease 1예

        김양기,이영목,어수택 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

        Clostridium difficile-associated disease (CDAD) is a common cause of antibiotics-associated diarrhea. Rifampicin is one of the first line agents in treatment of tuberculosis and a large number of patients are exposed to its potential adverse effects. We report a case that diarrhea due to CDAD after receiving antituberculous medication, and which was probably caused by rifampicin. A 76-year-old female was admitted with general weakness and fever of 6 days duration. The patient was diagnosed as active pulmonary tuberculosis following sputum AFB smear. She was started on isoniazid, rifampicin, ethambutol and pyrazinamide as antituberculous medication. She complained watery diarrhea at sixth days after antituberculous medication, and was positive result for C.difficile toxin. She was diagnosed as CDAD, and treated with oral metronidazole and continuous antituberculous medication without rifampicin. Diarrhea did not recur after antituberculous medication without refampicin continued. In patients with persistent diarrhea receiving anti-tuberculosis treatment, rifampicin associated CDAD should always be kept in mind.

      • Fe-Co-Si-B계 비정질합금의 자기적성질

        김택수,김종오 忠南大學校 産業技術硏究所 1989 산업기술연구논문집 Vol.4 No.2

        In order to investigate the magnetization mechanism of a amorphous metallic materials and to develop a new soft magnetic materials, the magnetic and electrical properties of amorphous (Fe Cox) Si B alloys have been studied systematically The specimen was prepared by single-roll method. The saturation magnetization was measured by a vibrating sample magnetometer from 300°K to 810°K in vacuum of 2×10torr. The saturation magnetostriction constant was measured by small-angle magnetization rotation method. The coercive force and AC power loss were measured by a AC B-H loop tracer. The electrical resistivity was measured by four-probe technique form 300°K to 1200°K in vacuum of 2×10 torr. The magnetic domain was observed by Bitter technique. The results are as follows. 1) The possible range of amorphous forming composition is 0.2 X 0.9 for the (Fe Co) Si B alloys. 2) According to the results of investigation the composition-dependence of the saturation magnetization, coercive force, magnetic domain, electrical resistivity and crystallization temperature, amorphous (Fe Co) Si B alloys showed best soft magnetic characteristics between x=0.7 and x=0.9

      • 개스크로마토그래피 패턴과 官能檢査 成績을 利用한 韓國 在來式 간장 香氣으 主成分 分析

        金鍾奎,金洙澤 慶尙大學校 1984 論文集 Vol.23 No.2

        韓國 在來式 간장의 香氣에 대한 44개의 PEAK들 中에 含有되어 있는 香氣의 有效因子를 찾아내고자 主成分 分析 및 단계별 重回歸 分析을 한 結果는 다음과 같다. 간장 香氣의 有意的으로 영향을 미치는 有效因子로써의 중요 PC들은 8,20,9,4,38,15,28,3,7,36 및 33번이었고 이들의 性質에 크게 관계하는 GC peak는 전부 空明이 되었으나 앞으로 各 GC peak의 構成 物質들의 構造가 더 자세히 밝혀지면 이 PC들의 자세한 性質과 간장 香氣의 특징이 解明되리라 보며 그러나 前報1)에서 밝혀진 주요 peak인 10번 peak는 8번 PC에 positive로, 12번 peak는 4번 및 20번 PC에 negative로 밀접한 相關을 나타내었다. 또 官能檢査値의 총 變動에 대한 33.87%에 해당하는 부분은 4번, 8번, 20번 PC에 의하여 영향을 받았다고 추정할 수 있었다. 여기서 밝혀진 重要 PC의 性質을 좌우할 중요 GC peak는 앞으로 간장香을 위한 微生物 育種等에 지표로 利用 可能하리라 본다. The relationship between percent transf ormed GC data and sensory score of the Korean ordinary soy sauce flavor were analyzed by principal component analysis and multiple regression analysis. Peak 10 showed the closest correlation to the 8th principal (PC) in the positive factor loading. And peak 12 showed the closest correlation to the 4th PC and the 20th PC in the negative factor loading. The 4th, the 8th and the 20th PC can explain 33.87% of the variation among total variation contained in the sensory score.

      • 원발성 폐암 환자의 생존율에 관한 보고

        김현태,이상무,어수택,박춘식,정성환,허승재,남충희,강창희,김용훈 순천향대학교 1994 논문집 Vol.17 No.4

        We analysed 404 patients with primary lung carcinoma who were treated at Soonchunhyang University Hospital from July, 1985 to september, 1993 in order to investigate the survival rate and epidemiolgical properties of primary lung cancer. They were 330 males and 74 females. The most prevalent decade was seventh. In terms of cell type, the squamous cell was 225 patients (55%), and adenocarcinoma, small cell, mixed type was 21%, 19%, 4%, respectively. Among non-small cell lung carcinoma, stage Ⅲa was the most prevalent one(92%). In case of small cell carcinoma, the limited stage was 64%. The 12-, 24-, 36- month survival rate of total patients was 57%, 31%, 22%, respectivley and median sruvival time was 15 months. The 36-month survival rate tended to be longer in non-small cell lung carcinoma than that of small cell lung cancer, but there was no difference between two groups, statistically. In non-small cell carcinoma, The 36-month survival rate and meidan survival time were longer in the stage Ⅰ and Ⅱ than those of Ⅲa, Ⅲb, Ⅳ (80% versus 38%, 22%, 0%, p<0.05). According to involvement of lymph node, the 36-month survival rate was longer in NO and N1 than those of N2, N3 (61.9%, 48.7% versus 17.7%, 17.3%, p<0.05). In small cell carcinoma, The 36-month survival rate and median survival rate were higher and longer in limited stage than those of extensive stage(16.1% and 13 month vs 10% and 8 month, p<0.05). In conclusion, we report here the incidence of primary lung carcinoma and the survival rate of paients with primary lung carcinoma who were treated in Soonchunhyang University Hospital.

      • 개스크로마토그래피 패턴과 官能檢査 成績을 利用한 韓國 在來式 간장 香氣으 主成分 分析

        金洙澤,金鍾奎 慶尙大學校 1984 論文集 Vol.23 No.2

        韓國 在來式 된장香에 對한 GC 자료와 官能檢査成績 사이의 관계를 규명하여 54개의 peak中에 含有된 香氣成分의 有 因子를 찾아내고자 重成分 分析 및 단계별 重回歸分析을 한 結果는 다음과 같다. 된장향기에 有意的으로 영향을 미치는 有 因子로써의 重要 PC들은 35,25,36,41,28,43,6 및 47번이었고 이들의 性質에 크게 관여하는 GC peak는 전부 空明이 되었으나 각 GC peak의 構成性質들의 構造가 앞으로 더 자세히 밝혀져야 PC들의 性質과 된장 香氣의 특징이 解明되리라 본다. 그러나 前報1)에서 밝혀진 주요 peak인 29번 peak는 28번 PC에서 positive로 31번 PC에서 negative로 밀접한 상관을 나타내었다. 35번 PC에서는 GC peak 40번과 31번이 각각 positive 및 negative한 方向으로 밀접한 相關을 보였으며 36번 PC에서는 peak 3번이 positive로 peak 6번이 negative로 밀접한 상관이 있었다. 그리고 官能檢査値의 總變動에 대한 17.26%에 해당하는 부분은 28번 35번 및 36번 PC에 의하여 영향을 받았다고 추정할 수 ��었다. 여기서 空明된 重要 PC들의 性質을 좌우할 중요 GC peak는 앞으로 된장 香을 생성할 微生物育種의 지표로 利用可能하리라 본다. The relationship between percent transformed GC data and sensory score of the Korean ordinary soybean paste flavor were analyzed by principal component analysis and multiple regression analysis. Peak 29 and peak 31 show the closest correlation to the 28th PC and the 35th PC in the positive and negative factor loading, respectively. And peak 3 and peak 6 show the closest correlation to the 36th PC in the positive and negative factor loading, respectively. The 28th, the 35th and the 36th PC can explain 14.39% of the variation among total variation contained in the sensory score.

      • 대칭형분포 중심의 분포무관 신뢰구간에 대한 연구

        김수택 慶尙大學校 기초과학연구소 1988 基礎科學硏究所報 Vol.4 No.-

        Noether에 의하면 그가 제안한 신뢰구간(2·4)의 기대길이를 최소로 하는 g의 값이 표본크기가 충분히 클때 주어진 유의수준 α에 관계없이 크기순으로 나열된 표본의 33%에 해당되는 수가 된다. 그러나 Noether는 g의 값을 근사시켜 얻었기 때문에 소표본 일때는 적용하기가 곤란함을 모의실험을 통해 알수있다. 그리고 Noether에 의해 얻어진 g값을 사용한 신뢰구간은 주어진 유의주순 α에 관계없이 얻어지므로 얻어진 신뢰구간에 대한 신뢰계수를 다시 계산해야 하지만 주어진 유의수준 α에 의해 g의 범위를 제한해 얻은 g 값을 사용한 신뢰구간이 주어진 α에 상응함을 표(4-3)을 통해 알 수있다. 이러한 관점에서 소표본일때 주어진 α에 상응하는 Noether의 신뢰구간(2·4)을 얻고자 g의 값을 선택할 때 모의실험을 통해 얻은 g값(표4-4)이 Noether에 의해 제안된g값을 사용하는 것 보다 더 효과적으로 보인다 A non - parametric distribution-free confidence interval can be derived from the test statistic of the sign test of the wilcoxon signed rank sum test. In general, the confidence interval based on the wilcoxon signed rank sum test(W-interval). But the s-interval requires considerably less computational effort. And W-interval is much more influenced by outliers than the s-interval. Confiedence, interval based on the sign-test that is more colse to the w-interval and less affected by outliers has been studied by noether(1973). But Noether's interval is applied When sample size is lange and this interval obtained is not related to a given level of significance. So that, we consider by simulation the Noether's interval when sample size is small and level of significance is given.

      • 우리나라 상차림의 영양적 평가

        김영순,이정희,오순덕,김수현,이정민,남택수,박태식,천유정 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.1

        This study was carried out to investigate the current nutritional problems owing to the increased consumption of westernized food in Korea and also was conducted to compare the nutritional characteristics of Korean traditional meal with those of the Western diet in similar serving size. The results obtained from nutritional evaluation are as follows: 1. The percentage of calories represented by carbohydrate: lipid: protein was 65:15:20 respectively for Korean traditional meal (Table setting of 3 Chop) therefore these ratios meet the dietary recommended allowances for Koreans. 2. Nutrient values of Korean traditional 3-Chop were shown to be better balanced than those of Western diet when the nutrients of the two types of diet were estimated by similar serving sizes and calories. 3. Compared to the Korean traditional meal, most fast foods were nutritionally imbalanced especially in that most of them showed higher amounts of fats. These results show that Korean traditional meals supply ideal nutrient intakes in contrasts to the westernized diet, therefore much work remains in developing a variety of menus and standard recipes for Korean traditional meals according to the changes in diet trends as well as emphasing the importance of Korean traditional meals as part of an ideal, well-banlanced diet.

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