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        급성 충수돌기염 선별도구로써 반복 측정된 Alvarado Score의 유용성

        전종한,김건배,이신호,오제혁 대한응급의학회 2010 大韓應急醫學會誌 Vol.21 No.6

        Purpose: Acute appendicitis is one of the more challenging disease entities to diagnose. Early and correct diagnosis is necessary to decrease morbidity and mortality. The diagnosis of acute appendicitis does not depend on a single modality because it is often difficult and the symptoms of appendicitis can change with time. The Alvarado score is a sensitive and specific tool for diagnosis of appendicitis. But the effectiveness of a single Alvarado score for diagnosis of acute appendicitis can be less meaningful due to diagnostic difficulties. The purpose of this study was to evaluate the usefulness of repeatedly checked Alvarado scores in acute abdomen patients as a diagnostic tool for acute appendicitis. Methods: A total of 196 patents who visited our ER with acute abdominal pain between March 2008 and February 2009 were enrolled. Emergency physicians checked the initial Alvarado score and re-checked that score after 3 hours of observation. We prospectively compared the results between (a) the initial and the 3 hours Alvarado scores and (b) the final pathology. Results: We measured diagnostic for the initial Alvarado score and the 3 hours Alvarado score groups. The sensitivities of the two groups for detecting appendcitis were 85.1%and 92.0%, respectively; specificities were 81.6% and 89.0%; positive predictive values were 78.7% and 87.0%;negative predictive values were 87.3% and 93.3%; accuracy scores were 83.2% and 90.3%. All diagnostic values of the 3 hours Alvarado score group were superior to those of the initial Alvarado score group. Conclusion: Repeatedly checked Alvarado scores provides a superior diagnostic accuracy to the initial Alvarado score alone. Thus, we can say that repeatedly checked 3hours Alvarado scores are more useful for diagnosing acute appendicitis than an initial, one-time checking of the Alvarado score. This new scoring system will be particularly useful to physicians who are working in health care facilities where computerized tomography or ultra-sonography is not available.

      • KCI등재

        Spatial Consciousness Represented in Provincial Maps from the Late Joseon Period

        전종한 한국학중앙연구원 한국학중앙연구원 2008 Korea Journal Vol.48 No.1

        This study is premised on the understanding that the purpose, perspective, and manner of representing land surfaces on a map may differ depending on who makes the map. The paper explores the characteristics of spatial percep- tion as well as overall aspects of the spatial consciousness revealed in old provincial maps from the late Joseon period, with reference to the Haedongjido(Atlas of Korea) in the mid-eighteenth century and the 1872 Maps. In the late Joseon period, local magistrates were the ones who usually hadcontrol over map production. They employed a painter well versed in the region or an experienced local official to draw the map for the purpose of effective gov- ernance and administration. Thus, old provincial maps from the late Joseon can be viewed as a visual representation of the power holders view of space. This paper also identifies the geometric elements of space that are exhibit-ed in provincial maps and categorized them broadly into three: place, path- way, and area. Places of power or ritual were identified as major elements of place; road networks, fortress gates, or mountain passes as elements of path- way; and core, semi-core, and periphery as elements of area. Finally, the paper examines the overall aspects of the map producers spa-tial consciousness. It was concluded that a map producers consciousness of space can be characterized by the power holder-centered view of space, moun- tain-and-stream-centered understanding of nature, and geomantic perception of topography.

      • KCI등재

        난연 연질 폴리우레탄 발도체의 난연성과 연소시 발생되는 유독성 할로겐 기체 검출에 관한 연구

        전종한 한국산업안전학회 1991 한국안전학회지 Vol.6 No.1

        Flammability, and released toxic halogen gases during combustion about two kinds of flame-retardant flexible foam(F.R. flexible PU foam) were investigated. One of the above was F.R. flexible PU foam with the containment of halogen and the other was manufactured with pure flexible PU foam in aqueous solution of alumina trihydrate(ATH) and drifed 4 hours at 100℃. Flammability by L.O.I. and UL94 HF-1 of the two materials were similarly shown. And combustion gases were analyzed with GC-Mass. HCI, CI₂ and HF were detected at both halogen being contained F.R. flexible PU foam and ATH doing one. The reason, to find halogen gases from burning ATH-containing F,R. flexible PU foam which wasn't used for any halogenated F.R., could be considered as by using trichlorofluoromethane with blowing agent to make PU foam. The relative quanity of relesed halogen gases of F.R. flexible PU foam with the containment of halogen had been indicated tree times HCI and CI₂, two times HF than ATH containing, respectively.

      • KCI등재

        『한국고전총간』 지리류 편찬의 방향-方志類 편찬을 중심으로-

        전종한 한국고전번역학회 2021 고전번역연구 Vol.12 No.-

        This study discussed the direction of compiling of 'geographies' classics of 『The Comprehensive Publication of Korean Classics Collections』, focusing on the 'regional geographies' or 'local geographies'(方志類). 'Regional geographies' classics are represented by Eupji(邑誌), but there are other sort of regional geographies such as those of border towns, camp towns, and settlements, and depending on the content, even a travel diary (travel diary) may be included. In the selection of the subject for the compilation of regional geographies classics, the classification of 'type of book' is essential. Although the regional geographies records objective facts of a region, it contains aspects of invisible and subjective understanding of the region, such as the author's geographical philosophy and perspective, the cognitive characteristics of the natural environment, and the orientation toward regional identity. Therefore, in selecting the subject of the compilation of regional geographies classics, we have to pay attention to things other than the richness of the contents or the completeness of format. The reason for the existence of the regional geographies is that it shows the continuation and change of a region. Therefore, in selecting the subject of the compilation of regional geographies calssics, we must keep in mind that the readers are able to examine the geographical continuity and change of each region of the country synchronously on the one hand and diachronically on the other side. On the other hand, in terms of recording geographical information of our national territory, official-eupji(官撰邑誌) has systematic consistency and comparative value between regions, but private-eupji(私撰邑誌) may be much more important in terms of the history of Korean geographical thought. Therefore, in selecting the subject of compilation of the regional geographies classics, at least in relation to the private-eupj catogory, the geographical importances and meanings contained in the preface or introductory text, main items, and the composition and development of the table of contents are reviewed to determine the value of the books. 본 연구는 方志類 편찬을 중심으로 『한국고전총간』 지리류 편찬 방향을 논하였다. 방지란 각 지방의 지리지 즉 지역지리지를 가리키는 중국식 표현이다. 방지는 읍지로 대표되지만 이 외에도 변방지, 진영지, 촌동면지 등이 있고, 내용에 따라서는 기행일기(여행기)까지도 포함될 수 있다. 방지류 편찬 대상 선별에서는 서종의 분류가 필수적이다. 방지류는 한 지역의 객관적 사실들을 기록한 것이지만, 해당 지역에 접근하는 저작자의 지리 철학과 관점, 자연환경에 대한 인지 특성, 지역 정체성에 대한 지향성 등 한 지역의 비가시적, 주관적 이해 측면을 담아낸다. 따라서 방지류 편찬 대상을 선별함에 있어서는 내용의 풍부함이나 체제적 완성도에만 집착해서는 곤란하다. 방지류의 존재 이유는 ‘한 지역의 지속과 변천’을 보여준 다는 데 있다. 방지류 편찬 대상을 선별함에 있어서는 독자들로 하여금 국토 각 지역의 지리적 지속과 변천상을 한편으로는 공시적으로, 다른 편으로는 통시적으로 살필 수 있도록 해야 한다. 한편 국토의 지리정보를 기록한 측면에서는 관찬 읍지가 체제적 일관성과 내용의 지역간 비교 가치를 지니지만, 우리나라 지리사상사 측면에서는 사찬 읍지가 훨씬 중요할 수 있다. 따라서 방지류 고전적의 편찬 대상을 선별함에 있어서는, 적어도 사찬 읍지류에 관한, 서문이나 발문 내용, 주요 항목, 목차 구성 및 전개 등에 내포된 지리학적 특징과 의미를 검토하여 지리사상사적 가치와 전통지리학에서 차지하는 학술적 의미에 가중치를 두고 선별할 필요가 있다.

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