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      • SCOPUSKCI등재

        척추 마취에서 소용량 Bupivacaine-Fentanyl 과 상용용량 Bupivacaine 의 비교

        조영훈,이상곤,민병우,이지향,반종석 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

        Comparison of Small Dose Bupivacaine-Fentanyl with Conventional Dose Bupivacaine during Spinal Anesthesia Young-Hoon Cho, M.D., Ji-Hyang Lee, M.D., Sang-Gon Lee, M.D. Jong-Suk Ban, M.D., and Byung-Woo Min, M.D. Department of Anesthesiology, Daegu Fatima Hospital, Daegu, Korea Background: Although spinal anesthesia has a lot of advantages, it has some disadvantages or undesirable effects. Hypotension and unnecessarily long neural blockade are included among them. Although using small dose local anesthetics fairly solves these problems, it is insufficient to provide reliable surgical anesthesia by itself. Therefore the authors investigated whether such an opioid as fentanyl and small dose local anesthetic used together during spinal anesthesia can prevent hypotension and unnecessarily long neural blockade and provide reliable surgical anesthesia simultaneously. Methods: Thirty patients undergoing knee or below knee surgery were randomized into two groups. Group 1 received bupivacaine 5 mg combined with fentanyl 20 ㎍, and group 2 receive 10 mg bupivacaine. Hypotension was recorded and was treated with intravenous ephedrine. Sensory blockade, intraoperative analgesia, motor blockade and side effects were assessed. Results: NO significant differences were observed in values for assessing hypotension, sensory block-ade or intraoperative analgesia between the two groups. Also no significant differences were observed in intensity of the motor blockade and side effects between the two groups. However the duration of the motor blockade of group 1 was longer significantly than that of group 2. Conclusions: Small dose bupivacaine and fentanyl administered together intrathecally reduced duration of motor blockade and didn't augment of side effects and provided reliable anesthesia for surgery of knee or below knee simultaneously. (Korean J Anesthesiol 2001; 41: 423~427)

      • 서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1997)

        김재홍,문득곤,김정수,김용준,임동진,박상훈,김희성,이민수,송기훈,김갑형,김형석,성소영,이인섭,김석우,황지환,조창근,김경문,부태성 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

        Background : In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. Objective & Methods : For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results : In 1997. 99 strains of N. gonorrhoeae were isolated, among which 45(45.5%) were PPNG. Conclusion : The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 45.5% in 1997.

      • SCOPUSKCI등재

        화학적 요부 교감신경절 차단에서 한 분절 차단과 두 분절 차단의 비교

        김종일,이규종,이상곤,민병우,반종석,문철준 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

        Chemical Lumbar Sympathetic Block: Comparison of One- Versus Two-needle Techniques Chul-Jun Mun, M.D., Kyu-Jong Lee, M.D., Sang-Gon Lee, M.D., Jong-Il Kim, M.D.^* Jong-Suk Ban, M.D., and Byung-Woo Min, M.D. Department of Anesthesiology, Fatima Hospital, Daegu, Korea ^*Kim Jong Il Pain Clinic, Daegu, Korea Background: It was frequently noticed in the course of performing a two-needle sympathectomy, that satisfactory spread of contrast solution could be produced by injection through only one of the needles. This led to a closer examination of the merits of single-needle technique. Methods: Forty patients were randomized into two groups. Patients in the single-needle group (n = 20) were injected at the second or third lumbar sympathetic ganglia, while patients in the two-needle group (n = 20) were injected at the second and thired lumbar sympathetic ganglia. Lumbar sympathetic blocks were performed using 3 ml of alcohol and the spread of injectate was verified with C-arm fluoroscopy. The indicators of a successful sympathetic block are increasing skin temperature, decreasing pain, and anhidrosis in the distal extremity. Results: The duration of anhidrosis was 12.2 ?? 2.6 months (mean ?? SD) in the single-needle group versus 13.6 ?? 3.6 months (mean << SD) in the two-needle group. Conclusions: As these results were not significantly different from those obtained in patients having considered to be effective for a neurolytic ;i,bar sympathectomy. (korean J Anesthesiol 2001; 41: 439~443)

      • SCOPUSKCI등재

        Ropivacaine 을 이용한 경막의 마취시 Clonidine 병용의 효과

        김종일,조영훈,이상곤,민병우,이지향,반종석 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4

        Effects of Clonidine Added to Ropivacaine in Epidural Anesthesia Young-Hoon Cho, M.D., Ji-Hyang Lee, M.D., Sang-Gon Lee, M.D., Jong-Il Kim, M.D.^*, Jong-Suk Ban, M.D., and Byung-Woo Min, M.D. Department of Anesthesiology, Daegu Fatima Hospital, Daegu, Korea ^*Kim Jong Il Pain clinic, Daegu, Korea Background: Clonidine has been regarded as an adequate supplementary anesthetic during epidural anesthesia and has been used with local anesthetics such as bupivacaine or lidocaine to support the effects of these anesthetics. The authors would examine whether clonidine is an adequate supplementary anesthetic when it is used with ropivacaine during epidural ane-sthesia. Methods: Thirty-two healthy patients undergoing a hip or lower limb surgery were diveded into two groups. In group 1, 0.5% ropivacaine 15 ml was administered. In group 2, 0.5% ropivacaine 15 ml combined with clonidine 150 ㎍ was administered. Onset, duration and maximal height of sensory block were assessed. Sedation score, blood pressure and heart rate were measured. Results: Duration of sensory block of group 2 was significantly longer than that of group 1. Sedation score of group 2 was significantly higher than that of group 1. Blood pressure of group 2 was sig-nificantly lower thatn that of group 1 at 50 min, 70 min and 90 min after epidural injection. No significant differences were observed in onset of sensory block and heart rate between the two groups. Conclusions: The addition of clonidine to ropivacaine during epidural anesthesia prolonged duration of sensory block and produced useful sedation. It caused relatively stable hemodynamic changes. These results suggest that clonidine is an adequate supplementary anesthetic when it is used with ropivacaine during epidural anesthesia. (Korean J Anesthesiol 2001; 41: 428~433)

      • SCIESCOPUSKCI등재
      • IGFET형 반도체 압력센서의 개발

        이재곤,박상준,김영일,최시영 경북대학교 센서기술연구소 1991 센서技術學術大會論文集 Vol.2 No.1

        The insulated gate field effect transistor which is senstive to pressure has been fabricated. It consists of two pt-region of the source and the drain in the n-type silicon substrate, and the gate area. The gate electrode is the evaporated aluminium film on the micro-diaphragm resembling a pillbox which covers the drain, source, and gate oxide. The space between the gate oxide and the diaphragm is an air-gap. When the pressure is applied on the diaphragm, the diaphragm deflects and changes the gate capacitiance. As a result, the conductivity between source and drain is modulated. The fabrication processes utilized the conventional integrated circuit fabrication methods. The diaphragm is the SiNx film which is deposited by the PECVD (plasma enhanced chemical vapor deposition). The diaphragm has 200μm X 200μm of area and 3 μm of thickness. The characteristics of the sensor with pressure was non-linear. The threshold voltage was linearly increased with the increasing pressure. The pressure sensitivity of threshold voltage was 2.0 mV/mmHg.

      • KCI등재

        유치열과 영구치열의 구개 각부의 관계에 대한 연구

        이용훈,백병주,양연미,이용희,김상훈,김재곤 大韓小兒齒科學會 2004 大韓小兒齒科學會誌 Vol.31 No.4

        본 연구는 유치열과 영구치열에서 구개의 길이, 폭, 깊이 및 치열궁의 형태 등을 조사하여 남녀간의 차이와 유치열과 영구치열간의 변화양상을 파악하는 것이다. 유치열기 아동 100명과 영구치열기 성인 100명 총 200명을 대상으로 하여 상악 석고 모형을 채득하고 3차원 laser scanner(SD Scanner, DS4060, LDI, U.S.A.)를 통한 석고 모델의 측정을 통해 cloud data, polygonization, section curve and loft surface, fit and horizontal plane (Surfacer 10.0, Imageware, U.S.A.)을 기초로 하여 구개의 폭, 길이, 높이 및 치열궁의 형태 등을 계측하였다. 통계학적 분석을 위해 t-tests가 사용되었다. 이에 다음과 같은 결론을 얻었다. 1. 구개의 계측항목에서 유치열 전방부 구개높이를 제외한 나머지 항목에서 남자가 여자보다 크게 나왔으며, 유치열은 전구개폭(p<0.05)과 후구개폭(p<0.01), 영구치열은 구개폭(p<0.05)과 전구개길이(p<0.01), 중구개, 후구개길이(p<0.05)에서 남녀간에 유의한 차이가 있었다. 2. 남녀의 구개지수에서 유치열에서는 구개장고지수(p<0.05)와 구개장폭지수(p<0.01)가 남녀간에 통계학적으로 유의한 차이가 있었다. 영구치열의 구개지수에서는 남녀간에 유의한 차이가 없었다. 3. 유치열과 영구치열의 계측항목 비교에서 후방부 구개폭이 가장 많이 증가하였으며, 다음으로 후방부 구개높이, 전방부 구개폭, 전방부 구개길이 순이었다. 전방부 구개높이와 후방부 구개길이는 오히려 감소하였다. 4. 유치열과 영구치열의 구개지수 비교에서 구개장고지수와 구개장폭지수, 후구개폭고지수는 영구치열에서 증가하였고, 나머지 지수는 감소하였다. The purpose of this study was to clarify the palatal arch length, width and height in the primary and permanent dentition. Samples were consisted of normal occlusions both in the primary dentition(50 males and 50 females) and in the permanent dentition(50 males and 50 females). With their upper plaster casts were used and through 3-dimensional laser scanning(3D Scanner, DS4060, LDI, U.S.A.), cloud data, polygonization, section curve and loft surface, fit and horizontal plane were based to measure the palatal arch length, width and height(Surfacer 10.0, Imageware, U.S.A.). T-tests were applied for the statistical analyze of the data. The results were as follows : 1. In the measurement values, the values of the male were higher than those of the female except primary anterior palatal height. There were not only statistically significant differences in anterior palatal width(p<0.05) and posterior palatal width(p<0.01) in primary dentition but palatal width(p<0.05), anterior palatal length(p<0.01), middle and posterior palatal length(p<0.05) in permanent dentition between male and female. 2. In the indices of palate, there were statistically significant differences in height-length index(p<0.05) and width-length index(p<0.01) between male and female in primary dentition. In permanent dentition, there was statistically difference between male and female. 3. In the measurement values, posterior palatal width was increased most greatly. Posterior palatal height, anterior palatal width and anterior palatal length were followed by descending order. On the other hand, anterior palatal height and posterior palatal length were decreased. 4. In the indices of palate, the height-length index, the width-length index and posterior height-width index were increased, but the others were decreased.

      • 자바 카드와 VOP 기반의 응용 프로그램 구현

        이상곤,강희현,정진욱 東西大學校 2000 동서논문집 Vol.6 No.-

        In this paper, how to implement applications with the java card and VOP is described. We implement elliptic curve cryptography system on the jcard. It's not main issue that why elliptic curve cryptography system, important thing is how to use java card. Java card technology provides a secure, vendor-independent, ubiquitous Java platform for smart cards and other memory constrained devices. The purpose of this paper is the guide to developing applications with Java Card technology.

      • 테크노파크의 조성과 수요지향적 접근 : A Case Study of Kyongbuk Technopark 경북테크노파크를 사례로

        이성근,김상곤 嶺南大學校 附設 社會科學硏究所 1998 社會科學硏究 Vol.18 No.1

        <요약문>테크노파크는 대학 또는 공공연구기관의 연구기능과 입주기업간의 유기적인 협력을 통한 기술창업 및 첨단산업발전을 촉진시키기 위하여 연구개발시설, 창업보육시설, 교육·훈련시설, 지원서비스시설과 부가적으로 생산시설을 한 지역에 집적시킨 것으로 정의된다.본 연구는 테크노파크 조성을 수요지향적 접근과 공급지향적 접근으로 분류하여 그 특징을 비교하고, 수요지향적 접근의 필요성을 논의하였다. 아울러 테크노파크의 입지여건이 우수한 경산지역을 사례로 선정하여, 성공적인 테크노파크의 조성 및 운영을 위한 지역기업체의 기술개발활동과 테크노파크의 개발모형 및 입주사항에 대한 수요를 파악하고, 이러한 수요를 충족시킬 수 있는 경북테크노파크의 정책적 방향을 제시하였다.테크노파크의 조성에 있어 지역의 대학은 연구중심이 되어 지역기업체의 기술개발수요를 충족시키고, 중앙정부 및 지방자치단체는 조성과정에서 막대한 투자비가 소요되는 정보통신망 등 인프라스트럭처의 구축에 적극적으로 지원하는 등 역할분담이 되어야 함을 제시하였다. 무엇보다도 테크노파크 조성에 있어서는 지역대학, 지방자치단체, 지역기업등 지역을 구성하고 있는 모든 주체들이 상호간 수평적 연계를 통하여 스스로의 선택과 결정으로써 계획에서부터 사업추진의 전 단계에 걸쳐 참여적 내발적 접근이 중요하다고 본다.학문분류기호 : C2403(지역경제)

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