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박종학 ( Jong Hak Park ),김정윤 ( Jung Youn Kim ),신준현 ( Jun Hyun Shin ),윤영훈 ( Young Hoon Yoon ),조한진 ( Han Jin Cho ),문성우 ( Sung Woo Moon ),최성혁 ( Sung Hyuk Choi ),이성우 ( Sung Woo Lee ),홍윤식 ( Yun Sik Hong ) 대한외상학회 2010 大韓外傷學會誌 Vol.23 No.1
Purpose: In Korea, most abdominal penetrating wounds are caused by stab wounds rather than gun-shot wounds. However, not many studies have been performed on stab injuries and their epidemiologic characteristics. Disagreements of opinions of obligatory surgical exploration and conservative treatment exist, and this subject is still being debated. Therefore, the authors studied the epidemiologic characteristics of abdominal stab wound patients visiting the emergency department and reviewed the proportion of patients that received nontherapeutic surgery and conservative treatment. Methods: This study included patients visiting the emergency department with abdominal stab wounds. A retrospective chart review was done on the abdominal stab wound patients. Sex, age, cause of injury, location of wound, initial vital signs, operation results, injured organs and CT & LWE results were reviewed. Results: The median age of the 121 patients was 40.9 years, of these patients, 88 were males, of which 52 (43.0%) were drunken. Of the patients that received non-therapeutic operations, only 3 patients (15.0%) were drunken, significantly lower than the therapeutic operation group. For the location of the wound, most patients were injured in the right and left upper quadrants, 27 patients each. The most common injured organ was the small bowel; 13 patients were injured in the small bowel. With abdominal CT scans and local wound explorations together, the results exhibited a sensitivity of 97%, a specificity of 44%, a positive predictive value of 56%, and a negative predictive value of 95%. Conclusion: In our study, the sensitivity was 97% when CT & LWE were performed together; thus we can conclude that CT and LWE can be used together to select the treatment method. Although in our study, the surgical indications in abdominal stab wound patients is not sufficient, our results showed a higher rate of nontherapeutic surgery compared to previous studies. Therefore, more research is needed to prevent unnecessary laparotomies in hemodynamically-stable patients without symptoms. (J Korean Soc Traumatol 2010;23:21-28)
급성 출혈성 직장 궤양의 임상적 그리고 내시경적 특징소견과 재출혈의 위험인자
박성한 ( Sung Han Park ),김태오 ( Tae Oh Kim ),이정남 ( Jung Nam Lee ),유현석 ( Hyun Seok You ),류동엽 ( Dong Yup Ryu ),이봉은 ( Bong Yun Lee ),송근암 ( Geun Am Song ) 대한장연구학회 2009 Intestinal Research Vol.7 No.1
Background/Aims: Acute hemorrhagic rectal ulcers (AHRUs) are rare and have not been thoroughly studied. This study aimed to assess the clinical and endoscopic characteristics of AHRUs and to determine the risk factors for rebleeding after the initial management. Methods: Thirty patients who underwent colonoscopy within 48 hours of the onset of hematochezia were consecutively enrolled between January 2004 and December 2007. The patients were divided into a rebleeding group and a non-rebleeding group according to presence of recurrent bleeding after initial management. We analyzed the clinical features, including the underlying disorder, the Karnofsky performance status (PS), the use of anticoagulant or antiplatelet agents, the endoscopic findings, and the methods used for hemostasis. Results: All of the patients were elderly, in a bedridden status, and all had experienced the sudden onset of massive, fresh rectal bleeding without pain. The characteristics of the lesions on colonoscopy included solitary or multiple rectal ulcers, or Dieulafoy lesions located in the distal rectum. There were no differences between the two groups based on mean age, gender, use of anticoagulant or antiplatelet agents, PS, methods of hemostasis, and clinical outcomes. The PT (INR) and endoscopic findings (Dieulafoy types), however, differed significantly between the two groups (p=0.024 and p=0.013, respectively). Conclusions: When massive hematochezia occurs in bedridden patients with severe comorbid illnesses, AHRUs should be considered in the differential diagnosis. It is advisable to be vigilant for rebleeding in patients with prolongation of the PT (INR) and Dieulafoy-type ulcers on colonoscopy. (Intest Res 2009;7:8-13)
다중채널 LED 백라이트를 위한 Capacitor-Diode 전류평형 회로
박성한(Sung-Han Park),정영진(Young-Jin Jung),홍성수(Sung-Soo Hong),한상규(Sang-Kyoo Han) 전력전자학회 2011 전력전자학술대회 논문집 Vol.2011 No.7
최근 저전력 소모와 얇은 두께, 무 수은, 다양한 색 표현력, 빠른 응답 속도 등의 다양한 장점을 가진 LED(Light Emitting Diode)를 광원으로 이용하는 LCD(Liquid Crystal Display) TV가 큰 주목을 받고 있다. 이러한 LCD TV의 화면을 균등한 휘도로 표현하기 위해 기존의 구동회로는 다 채널의 LED를 정전류로 제어하는 DC/DC 컨버터가 채널마다 각각 적용되었고, 이는 원가 상승 및 효율 저하의 원인이 되었다. 이를 해결하기 위하여 본 논문에서는 각 LED 채널에 적용되는 DC/DC 컨버터 없이 트랜스포머, 커패시터, 다이오드를 이용하여 모든 LED 채널의 정전류 제어가 가능한 저가격형 구동회로를 제안한다. 이는 전력변환 효율과 전력밀도를 획기적으로 개선할 수 있고 수동소자만을 사용하므로 높은 신뢰성을 확보할 수 있다. 본 논문에서는 제안된 회로에 대한 이론적 해석과 실험을 통해 제안 회로의 타당성을 검증한다.