지표를 활용한 육군시설 유지관리인력 산정모델

손창성(Son Chang-Sung),손보식(Son Bo-Sik),김경래(Kim Gyung-Lae),이현수(Lee Hyun-Soo) 대한건축학회 2004 大韓建築學會論文集 : 構造系 Vol.20 No.5

So far, the corps of engineer battalion is in charge of facility management servics for about 30 battalions subordinated to the infantry division. He operates an irregular organization for construction of new facilities and maintenance of the existing facilities. In 1990, the Ministry of National Defense established a plan for modernizing and improving military facilities. According to the plan, military facilities have been reinforces and increased. However, the facility management manpower has not been increased, although they have retained up-to-data facilities, equipments necessary manpower. Despite new requirements on manpower, even the criteria to estimate facility management manpower in the Army does not exist. Therefore, this study p개poses a reasonable manpower estimating model for the military facility management using the macroscopic and microscopic indices.

선천성 거대결장 환아에서 Gastrografin을 이용한 바륨-매복의 치험 1례

왕서재,김형석,이기형,이정화,손창성,독고영창,홍윤식,Wang, Ruey Tsai,Kim, Hyung-Seok,Lee, Kee-Hyong,Lee, Jung-Hwa,Son, Chang-Sung,TockGo, Young-Chang,Hong, Yoon-Sik 대한소아소화기영양학회 1999 Pediatric gastroenterology, hepatology & nutrition Vol.2 No.2

저자들은 선천성거대결장 환아에서 인공항문복원술을 위해 시행한 바륨관장의 부작용으로 발생된 1개월간의 바륨매복을 gastrografin관장으로 성공적으로 제거하였기에 이에 관한 문헌고찰과 더불어 보고하는 바이다. Ileus caused by impaction of hardened residual barium stagnated in the colon, a rare complication of barium-enema examination, constitutes a particularly serious problem when it occurs in congenital megacolon patients. The administration of gastrografin in such case has proven efficacy in dissolution of impacted barium refratory to routine means of evacuation. We experienced a case of barium-impaction occurred in 6-months old male who had congenital megacolon. Gastrografin enema was a safe and simple method used in the management of this case.

소아 만성 신부전증의 전국적인 조사연구

김교순,전정식,이익준,고대균,이경일,윤희상,구자훈,고철우,조병수,김준식,손창성,유기환,안영호,Kim, KyoSun,Jeon, Jeong-Sik,Lee, Ik-Jun,Go, Dae-Gyun,Lee, Gyeong-Il,Yun, Hui-Sang,Gu, Ja-Hun,Go, Cheol-U,Jo, Byeong-Su,Kim, Jun-Sik,Son, Chang-Seong 대한소아신장학회 2000 Childhood kidney diseases Vol.4 No.2

목 적 : 우리나라 소아 만성신부전 환자의 빈도와 원인, 결과, 현재까지의 치료실태 등 임상양상을 전국적으로 파악하여 소아 만성신부전증에 대한 이해를 돕고 이에 대한 앞으로의 치료방침을 세우는데 있다. 방 법 : 전국 소아과 수련병원을 대상으로 1990년 1월부터 1999년 12월까지 만 10년간 만성신부전 환자에 대한 자료를 설문지를 통해 수집하여 원인질환, 만성신부전시의 연령 및 혈청크레아티닌치, 말기신부전시의 연령 및 혈청크레아티닌치, 치료실태 등을 분석하였다. 결 과 : 최근 10년간의 소아 만성신부전 환자는 401명으로 남아 254명, 여아 147명이었으며 1년에 소아인구 백만명 당 3.68 명의 만성신부전 환자가 발생하였다. 만성신부전시의 연령은 5세 미만은 22$\%$, 5세에서 10세는 28$\%$, 10세에서 15세는 50$\%$ 이었다. 원인질환으로는 사구체신염 (36$\%$), 만성 신우신염 (21$\%$), 신이형성 및 신형성부전 (9$\%$) 순이었고 단일 신질환으로는 역류성 신병증 (16$\%$), 소상 분절성 사구체경화증 (11$\%$) 등이 흔하였다. 말기신부전에 이른 284명중 282예에서 신대체요법이 시행되었다. 일차적으로 선택된 신대체요법은 혈액투석이 42$\%$. 복막투석이 35$\%$, 신이식이 23$\%$ 이었고 말기신부전 환아 중 159명 (56$\%$)에서 신이식이 시행되었다(1차 신이식 159명, 2차 신이식 2명). 평균 신대체요법의 기간은 $3년\;1개월{\pm}2년\;8개월$이었고 신대체요법을 받은 환아의 생존률은 88.7$\%$ 이었다. 결 론 : 우리나라 소아 만성신부전의 가장 흔한 단일 신질환은 역류성 신병증으로 조기 진단 및 치료로 만성신부전으로의 진행을 예방할 수 있는 질환이었다. 소아 말기신부전 환자에서 일차적으로 선택한 신대체요법은 혈액투석, 복막투석 및 신이식이 각각 $42\%,\;35\%,\;23\%$ 이었고 궁극적으로 신이식을 시행받았던 환아는 전체환자의 56$\%$로써 투식 및 신이식이 우리나라 소아 말기신부전 환아의 주된 치료법으로 자리잡았음을 알 수 있었다. Purpose : We analyzed the demogaphic data md clinical course of Korean children with chronic renal failure (CRF) observed between 1990 and 1999. Patients and Methods : Questionnaires were mailed to all children's hospitals ail through the country. We asked for primary renal disease age and serum creatinine levels at first presentation with CRF and end-stage renal disease (ESRD), and modes of renal replacement therapy (RRT). Results : 401 children (254 boys, 147 girls) with CRF, defined as a permanent increase of serum creatinine above 1.2 mg/dl for at least 3 months or until death, were identified. This represents an incidence of 3.68 per million child population per year. Of these patients, 22$\%$ on younger than 5 years, 28$\%$ 5 to 10 years and 50$\%$ 10 to 15 year. Eight five $\%$ of the patients could be classified with a primary renal disease. The most frequent cause is glomerulonephritis (36$\%$), followed by chronic pyelonephritis (21$\%$), renal hrpo/dylplasia (9$\%$), and hereditary nephropathies (7$\%$). Reflux nephropathy (16$\%$) was the most common single cause of CRF. ESRD was reached in 70$\%$ of all patient. 99.3$\%$ of these started RRT. Hemodialysis (HD, 42$\%$), peritoneal dialysis (PD, 35$\%$) and transplantation (TP, 23$\%$) were performed as the initial mode of RRT. A total of 161 TPs were performed (159 first grafts, 2 second grafts). A total of 32 patients died. The main causes of death were dialysis related complication in HD patients and infections in PD patients. Survival rate on any form of RRT was 88.7$\%$ during the mean follow-up period of 37 months. Conclusion Major efforts should be directed toward earlier diagnosis and treatment of reflux nephropathy to prevent occurrence of Of. Dialysis and TP have now become well accepted forms of treatment in Korean children with ESRD.

Mycoplasma 폐렴의 발생 추이 - 최근 9 년간 통계 -

박희연(Hee Yeon Park),우찬욱(Chan Wook Woo),정지태(Ji Tae Choung),손창성(Chang Sung Son),독고영창(Young Chang Tockgo) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1995 소아알레르기 및 호흡기학회지 Vol.5 No.1

N/A Mycoplasma pneumonia is a major cause of respiratory infections in school-aged children & young adults. The incidence of illness varies greatly with the age of the patient k the epidemic of organism. A retrospective analysis of 494 patients with Mycoplasma pneumonia who admitted to department of Pediatrics of Korea University Hospital at Anam & Guro from January, 1985 to December, 1993, was perfomed . The results are 1) The epidemics have occurred at 3 year intervals(1987,1990,1993). 2) Male to female ratio was 1:1.106. 3) Age distribution showed the major peak in 5 to 9 years of age and the minor peak in 2 to 3 years of age. 4) Monthly distribution showed the outbreak on November , September, April, in orders. 5) On chest X-ray examination, 75.49o showed the positive findings. Above all , right lower lobe involvement was the most common. (49.4Fo)

새로운 기관지폐 이형성증 부검 1례

이진철 ( Jin Chul Lee ),고광민 ( Kwang Min Ko ),변정혜 ( Jung Hye Byeon ),유영 ( Young Yoo ),손창성 ( Chang Sung Son ),정지태 ( Ji Tae Choung ),함수연 ( Soo Youn Ham ),채양석 ( Yang Seok Chae ) 대한소아알레르기 및 호흡기학회 2008 소아알레르기 및 호흡기학회지 Vol.18 No.1

반복적인 천음과 호흡곤란을 보인 영아에서 진단된 선천성 심, 폐기형 3례

남효경 ( Hyo Kyoung Nam ),라경숙 ( Kyong Suk La ),변정혜 ( Jung Hye Byeon ),최익선 ( Ic Sun Choi ),장기영 ( Gi Young Jang ),유영 ( Young Yoo ),정지태 ( Ji Tae Choung ),손창성 ( Chang Sung Son ),함수연 ( Soo Youn Ham ) 대한소아알레르기호흡기학회 2009 소아알레르기 및 호흡기학회지 Vol.19 No.2

Although laryngomalacia is the most common cause of congenital stridor in infancy, it is a benign, self-limited disease which usually resolves by the age of 18 months with no long-term sequelae. Nevertheless, infants who suffered from recurrent stridor and respiratory distress should be evaluated for other causes of stridor such as cardiopulmonary anomalies. We report 3 cases of infants who had recurrent stridor and respiratory distress from their early infancy. Case 1 had a double aortic arch and a tracheomalacia, case 2 had a hypoplasia of the right lung, and case 3 had a horseshoe lung as well as scimitar syndrome. Physicians should be alert for the possibility of the congenital cardiopulmonary abnormalities in infants with recurrent stridor and/or respiratory distress. [Pediatr Allergy Respir Dis(Korea) 2009; 19:183-190]

계태심 Conotruncus의 전기적 충격으로 유발되는 심기형, 혈류변동 및 조직학적 변화에 관한 실험적 연구

손창성,독고영창,최평화 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.1

Electrical shock stimulation of the conotruncal area induced a spectrum of Double outlet right ventricle (DORV) in embryonic chicks at developmental stages 24-27. The device used to apply electrical potentials to the heart was constructed using a 9 volt battery, a push-botton switch, and a 100 ohm, ten-turn potentiometer with a calibrated dial. The potentiometer was connected as a voltage divider with the outlet connected to an electrode pair. This allowed for a short voltage pulse (variable 0 to 9 volts) to be applied to a selected area of the heart through the electrodes. Two different methods were chosen to apply electrical shocks to the conotruncal area of the heart. One method utilized the application of an electrical shock between two points across the conotruncus of cardiac loop (horizontally oriented) and the second method between two points along the conotruncus of cardiac loop (vertically oriented). The range of voltages applied to the conotruncal area of the heart was from 2 to 4 volts. Soon after electrical shock, continuous wave Doppler was applied for evaluation of the flow pattern at the level of the conotruncus. Three distinct types of double outlet right ventricles were in the longitudinal(L) and horizontal(H) electrical shock groups: 1) A double outlet right ventricle (DORV) without a ventricular septal defect(VSD), which is associated with a prolapse of an aortic valve into the right ventricle (5/50 cases in L group, 3/40 cases in H group). 2) DORV with a subaortic VSD, with a variable degree of pulmonary stenosis and a hypoplastic left ventricle (20/50 cases in L gorup, 12/40 cases in H group). 3) DORV with a subpulmonary VSD and a pulmonary stenosis, with hypoplastic right ventricle (15/50 cases in L group, 5/40 cases in H group). Longitudinal stimulation induced more cardiovascular anomalies than horizontal stimulation, and histological examination revealed the complete disappearance of the myocardial fibers, myocardial degeneration, and the aggregation of protein material or glycogen in the myocardial cells. After electrical shock, continuous wave Doppler pattern at the level of the conotruncus demonstrated that increased peak velosity and low level of percent window (%).

육군 시설유지관리 인력산정 모델

손창성,손보식,김경래,이현수 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

The corps of engineer battalion is in the maintenance management service for about 30 battalions subordinated to the infantry division, but the maintenance management manpower is a small number because the criterion of the maintenance management manpower is in accordance with the battle organization. So, this study suggests the reasonable maintenance management manpower estimating model according to the area, the quantity and so on of army installation. In this case study, we investigate the present states and the actual conditions for the 3 infantry divisions and 3 corps of engineer battalions, and find out improvement method based on the interview with the persons concerned.

Erythroleukemia (di Guglielmo Syndrome)의 1例

손창성,김태식,박상희,독고영창 최신의학사 1980 最新醫學 Vol.23 No.8

急性絲毬體腎炎의 心超音響圖에 關한 硏究

孫昌星,崔平和 고려대학교 의과대학 1981 고려대 의대 잡지 Vol.18 No.1

Patients with acute glomerulonephritis often are seen with signs suggesting heart failure. Whether these signs are due to fluid overload secondary to kidney damage only, or there is associated myocardial damage has not been elucidated. 30 children with acute glomerulonephritis were studied by echocardiography during edematous phase to evaluate cardiac function in these children the period from September 1979 to April 1980. The results obtained were as follows; 1. 12 children showed increased LAD, LA/Ao ratio and LVEDd in echocardiographic findings. 2. The cases of abnormal echocardingraphic findings according to clinical manifestations and laboratory findings were 2 of 2 cases with cardiomegaly, 4 of 6 cases with oliguria, 9 of 14 cases with hypertension, 2 of 4 cases with abnormal electrocardiographic findings, respectively. Among 12 cases of increased LAD, 7 cases showed normal chest X-ray and electrocardiographic findings. 3. There was no correlation between abnormal echocardiographic, roentgenographic and electrocardiographic findings. Left ventricular function(EF and % of FS) remained normal in all children and the most consistent findings were enlargement of left atrium and increased LA/Ao ratio. This study suggests that signs of heart failure in acute glomerulonephritis are probably due to fluid overload.