http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
당뇨병 환자에서 방사성핵종 요류역학 검사를 이용한 배뇨기능의 평가
정병천 ( Jeong Byeong Cheon ),최정일 ( Choe Jeong Il ),김광원 ( Kim Gwang Won ),이재태 ( Lee Jae Tae ),이규보 ( Lee Gyu Bo ),김성국 ( Kim Seong Gug ),김보완 ( Kim Bo Wan ),이인규 ( Lee In Gyu ) 대한내과학회 1992 대한내과학회지 Vol.42 No.3
Background: Patients suffering from diabetes mellitus for long duration are known to have serious complications involving various organs. Diabetic cystopathy occurs in 43% to 87% of all diabetic patients and is closely related with development of the diabetic neuropathy Cystometry, sphincter electromyography, uroflowmetry, urethral pressure profilometry and electro physiologic test are applied in assessing diabetic cystopathy. But these methods are invasive and inadequate procedures for repetitive usage. Methods: The radionuclide urodynamic study using a gamma camera and ^(99m)Tc-DTPA) is more convenient and a non-invasive test than the above mentioned tests and it allows the measuremnt of residual urine without urinary catheterization. We have performed 93 radionuclide urodynamic examinations in 62 diabetic men and 31 healthy men for diagnosis of urinary bladder dysfunction. Results: The results obtained were as follows. 1) Urinary bladder function of the diabetic was shown to be remarkably deteriorated when compared to normal men. Voiding time (VT), 50% voiding time (50% VT), average flow rate (AFR), peak flow rate (PFR), corrected peak flow rate (C.PFR) and ejection fraction (EF) of patients developed neuropathy were significantly different when compared to healthy men, but it was well preserved in those without neuropathy. Futhermore, residual urine volume (RV) and 50% VT seemed to be the most sensitive parameters for diagnosis of urodynamic deragments of diabetes. 2) In patients with proliferative diabetic retinopathy, RV and 50% VT were higher, and AFR, C-PFR and EF were lower than those with no retinopathy. 3) 50% VT had positive correlation with diabetic duration, and AFT, PFR, C-PFR, negative correlatons. Conclusion: Urinary bladder dysfunction was noted in patients with diabetes and it was more severe in patients with neuropathy, retinopathy and a long histroy of diabetes. The radionuclide urodynamic study can be used for diagnosis of diabetic cystopathy and for gollowup evaluations after treatment.
효율적 고속도로 설계VE 수행을 위한 Hi-Value 프로세스 정립
허인,이용구,정병천,양재경,Heo, In,Lee, Yong-Gu,Jeong, Byeong-Cheon,Yang, Jae-Gyeong 한국건설관리학회 2011 한국건설관리학회 논문집 Vol.12 No.6
도로건설프로젝트에서의 VE는 도로시설물의 기능을 향상시키고 비용을 절감하기 위한 방법으로 지금까지 널리 활용되고 있다. 그러나, 실제 건설VE 실무에서는 VE Job Plan 중 일부 단계가 생략되거나 형식적으로 수행되는 문제점이 발생되어 VE 수행결과에 대한 신뢰성에 의문이 제기되고 있다. 이는 제조업과 달리 대규모이며 복합공종을 갖는 건설프로젝트의 특성을 반영하지 못하고 있기 때문이다. 건설프로젝트는 대규모 복합공종으로 구성되어 복잡하고 다양한 기능 및 요구성능이 있으며, 시설물이 갖는 기능(Function)과 요구성능(Required Performance)의 일부는 반복적으로 발생하는 특징을 가지고 있다. 이에 본 연구에서는 VE Process의 실효성을 높이기 위하여 품질모델(Quality Model)과 기능분석(Function Analysis)단계에서 이러한 특징을 반영한 개선방향을 제시하고, 수차례 실무 검증을 통하여 적용성 및 효율성을 확인하였다. 이와 더불어 고속도로 VE Job Plan은 고속도로 설계 업무절차에 부합하도록 개선하여 VE 수행효과가 극대화 되도록 제안하였으며, 또한 한국도로공사에서 시행하는 고속도로 대한 VE절차를 "Hi-Value"라 명명하고 실무활용성, 효율성을 확대하고 지속적으로 발전시켜 나아갈 계획이다.
손상균 ( Son Sang Gyun ),정병천 ( Jeong Byeong Cheon ),김광원 ( Kim Gwang Won ),이재태 ( Lee Jae Tae ),이규보 ( Lee Gyu Bo ),황기석 ( Hwang Gi Seog ) 대한내과학회 1990 대한내과학회지 Vol.38 No.6
N/A Myelodysplastic syndrome is a primary hematologic disease characterized by ineffective hematopoiesis with peripheral blood cytopenias. The authors conducted a clinicohematologic observation of 55 cases of MDS from July 1983 to June 1988. The result are as follows. The peak age incidence was in the fifth decade, and the male-to-female ratio was nearly 1:1. RA was observed most frequently. Thereafter RAEB-T, RAEB, RARS and CMML were observed, respectively. The chief complaints of the patients were exertional dyspnea and fatigability by anemia. Physical findings showed pallor (85.5%), purpura (40.0%), retinal hemorrhage (38.2%), hepatomegaly (18.2%), lymphadenopathy (14.5%), icteric sclera (12.7%) and splenomegaly (10.9%). The common infection sites were oral (38.0%), systemic (sepsis: 20:0%) and lung (14.5%). The main hematologic changes were pancytopenia (56.4%) and then anemia and thro.mbocytopenia, anemia and leukopenia, anemia and thrombocytopenia and leukocytosis, anemia only was present in 20.0%, 10.9%, 7. 5% and 5.4%, respectively. The laboratory findings showed increased serum iron (48.1%), decreased serum ferritin (43.1%), normal LAP scores (89.1%), prolonged plasm iron disappearance time (48.3%), shortened PID (6.9%), increased LDH (56.3%), increased vitamin B12 (29.5%) and decreased folic acid (4.5%). The bone marrow finding showed nearly hypercellular (38.2%) or normocellular (45.5%), along with variable morphological abnormalities, such as dyserythropoiesis, dysgranulopoiesis and dysmegakaryopoiesis. Cytogenetic studies showed abnormal chromosomal findings in five out of 13 cases. With combination therapy using androgen, pyridoxine and corticosteroid in 29 cases of RA and RARS, 31% of patients were clinically improved. And with low dose Ara-C therapy in 15 cases of RAEB, CMML and RAEBT, 26.6% of cases were improved. In the cases of RAEB and RAEB-T, nine cases of RAEB and RAEB-T converted to an other subtype of MDS or leukemia within one to six months. Nine cases expired (sepsis in five cases and CVA in four cases) during the observation period.