지난 2년간의 학회지 "신경정신의학" 심사 평가보고

김찬형,김세주,김도관,김성곤,박원명,송동호,박용천,이영문,오강섭,정영철,이상열,김주한,이동영,이헌정,함병주,김율리,김문두,김정진,이강욱,천근아,김재진,홍진표,홍승철 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

안정처리 되지 않은 지반 상에 건설되는 농로의 안정성 평가

문홍득,박순철 진주산업대학교 산업과학기술연구소 2007 산업과학기술연구소보 Vol.- No.14

Recently, many road construction is being performed in country side to wide the existing small agricultural road. In this case, the road is designed without the exact site investigation because of financial reason of regional government. So in some case, the road is designed on soft soils and has many problems in the process of construction. Especially agricultural road which needs to wide the existing small road overlying on the untreated soft soil is planned without the site investigation. In this case, the enlarged road will have the problems such as excess settlement or shear failure of road. In the process of designing and constructing structures on soft soils, we need to consider whether the soil properties can be economically improved. In this study, a case study was performed for the stability analysis of agricultural road overlying on the untreated soft soil. Soil tests were performed to investigate soft soil properties and plate bearing test was performed to find the bearing capacity of subbase and subgrade. Numerical analysis was also performed to evaluate the stability of new planning road overlying on the untreated soft soil using commercial soft ware which is used to analyze the consolidation settlement. We found that the new planning road overlying on the untreated soft soil has consolidation settlement in excess of the allowable settlement criteria. After evaluating the several methods available for the improvement of the engineering properties of soft clays of this site, the replacement method as safe and economical method was selected and analysed. We conclude that in case of designing new road to wide the existing small agricultural road, site investigation should be necessary and then road have to be designed rationally in according to the site soil conditions.

FNN을 이용한 직류 전동기의 온-라인 위치제어기 설계

홍철호,김문수,김정도 三陟大學校 2000 論文集 Vol.33 No.1

In this paper we propose a structure of controller using a fuzzy-neural network(FNN) which includes both advantages of the fuzzy logic and the neural networks. The basic idea of the FNN is to realize the fuzzy rule-base and the process of reasoning by neural network and to make the corresponding parameters be expressed by the connection weights of neural the performance and applicability of the proposed structure of controller.

CO_2 초임계 유체/전도성 에멀젼용액을 이용한 구리판에 대한 니켈 나노도금에 관한 연구

홍교민,홍성철,김문선,정재관 한국공업화학회 2002 응용화학 Vol.6 No.2

In this study, experiments of a nickel elecroplating were performed by a conductive emulsion solution of CO_2/electrolyte/surfactant/entrainer in the supercritical nanoplating system to investigate the effect of the resistivity on plating properties. Resistivity values decreased 60, 35, and 22 Ω at 20, 30, and 50 wt% electrolyte, respectively, and over 60 wt%, the resistivity value was kept constant at 20 Ω. Surface properties of nickel film electroplated by the emulsion solution with 60 wt% electrolyte at 8 MPa was better than that at atmospheric pressure.

노인외상환자의 예후 인자

문철규,전정민,최성혁,문준동,이성우,홍윤식 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: It has been documented that certain prognostic factors may affect the outcomes of the old aged victims by trauma. Considering that trauma is the sixth most common cause of death in people over the age of 65 years and there is a rapid growth of elderly population, it is paramount to understand the prognostic factors when dealing with geriatric trauma patients. Hypothesis and Goals: It can be hypothesized that the prognostic factors should be determined independently between populations being consisted of different races, countries, socio-economic states, cultures, or so on. Thus, the study was designed to evaluate the factors affecting the outcomes of elderly Korean trauma patients. Methods: One hundred forty six patients aged over 65 years were retrospectively reviewed, who visited the Emergency Center of Korea University from January, 1997 to June, 1998. Of 146 patients, 7 were excluded due to discharge against advice or transfer to the other hospitals. Parameters analyzed were age, sex, mechanism of injuries, body region injured, Injury Severity Score (ISS), previous medical illness, hospital morbidity, duration of hospital stay, and cost. Each patient was classified into improved or not-improved group depending on the outcomes, and young-old or old-old group depending on the age. The factors affecting the hospital stay in improved patients were analyzed in the parameters of previous medical illness, hospital morbidity, multiple injuries, ISS, and age. All statistical tests were conducted with two-tailed levels of 0.05. Results: Of 139 patients, the mean age was 74±7.1 years, mean ISS 9.3±7.26, mean hospital stay 27±27.1 days. Most commonly injured body region was the extremities due to fall from a level surface. Rate of previous illness showed 0.94 medical diseases per person and were aggravated after trauma in 39 patients (60.9%). Hospital morbidity rate was 0.46 incidents per person. There were no differences in age and duration of hospital stay between the improved and the not-improved group. Substantial differences were noted in affected body region, incidence of previous illness, and hospital morbidity between the groups (p=NS). Not-improved group had higher ISS(p<0.05). ISS, previous illness and hospital morbidity affected the duration of hospital stay in the improved group. Hospital stay was 40±25.1 days in patients with ISS over 6 while 6±8.6 days in those with ISS 5(p<0.05). Hospital stay in the improved was 26±26.9 days while 31±24.8 days in the improved old-old group (p=NS). Hospital stay in the young-old minor trauma (ISS5) patients with previous illness and hospital morbidity was 26±10.1 days while 4±7.3 days in those without previous illness and hospital morbidity (p<0.05). Conclusion: Previous medical illness and hospital morbidity, not age, are predictive of outcomes of geriatric trauma patients with respect to hospital stay. As most of the hospital morbidity was a trauma-induced aggravation of previous medical illness and hospital morbidity contributing poor outcomes can be potentially avoidable, routine aggressive care for the geriatric trauma patients with previous medical illnesses is needed.

폐경 전후 여성의 식이섭취가 골 밀도에 미치는 여향

홍성철,김문두,김성엽 제주대학교 생명과학연구소 2003 제주생명과학연구 Vol.6 No.1

Objective : To evaluate degree of bone mineral density and prevalence rate of osteoporosis according to age and to search the preventive strategy for osteoporosis, the factors that affect on bone density were studied in pre- and postmenopausal women in korea. Methods : The subjects were 961 premenopausal and 1,167 postmenopausal women who have examined in health promotion center of Yeungnam University Hospital in Daegu city from January, 1999 to January, 2001. The diet pattern of subjectives was analysed through interview with questionnaire. Results : The bone mineral density was statistically higher in women who have taken more calorie, protein, fat, or carbohydrate than recommended amount compared with women who have taken less calorie, protein, fat, or carbohydrate, than recommended amount in pre- and postmenopausal. In the effects of mineral and vitamin intake on bone mineral density, the higher intake of vitamin B12 and niacin increased bone mineral density statistically significantly in postmenopausal women, the women who have taken calcium more than 500 mg/day were revealed increased bone mineral density compared with less intake women in pre- and postmenopausal, and the women who have taken vitamin C more than 100 mg/day were revealed increased bone mineral density compared with less intake women in pre- and postmenopausal. Conclusion : These results suggested that to prevent osteoporosis, the systemized program including balanced diet for promoting anti-osteoporotic factors have to be developed and apply from the thirties whom have maximal bone mineral density.

olanzapin과 Risperidone의 급성 및 만성 투여기가 흰쥐 전전두피질의 Dopamine 농도에 미치는 영향

문선근,정영철,은홍배,황익근,박태원 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.1

항정신병약물들이 전전두피질의 세포외 dopamine 농도에 미치는 영향은 이 약물들의 음성 증상에 대한 효과와 관련이 있는 것으로 보고 되고 있다. 따라서 본 연구에서는 최근 국내에서 많이 사용되고 있는 olanzapine과 risperidone을 흰쥐에 급성 및 만성 투여를 한 후, 이들 약물들이 전전두피질의 세포외 dopamine 농도에 미치는 영향을 알아보고자 하였다. 샘플은 생체 내 뇌 미세투석법(in vivo brain microdialysis)을 이용하여 얻었고 샘플내 dopamine의 농도는 전기화학적 검출법(electrochemical detection : ECD)을 사용하는 고압액체크로마토그라피(high pressure liquid chromatography : HPLC)로 측정하였다. 그 결과는 다음과 같다. 1) Olanzapine과 risperidone의 급성 투여는 전전두피질 부취의 세포외 dopamine 농도를 증가시켰으며 증가의 정도는 용량 의존적이었다. 2) Olanzapine과 risperidone의 급성 투여에 의해 전전두피질 부위에 나타난 세포외 dopamine 농도의 최고치는 두 약물간에 유의한 차이가 없었다. 3) Olanzapine과 risperidone의 만성 투여는 전전두피질 부위의 세포외 dopamine 농도를 증가시켰으나 그 증가의 정도가 급성 투여에 비해 모두 감소하는 내성 현상이 보였다. 4) Olanzapine과 risperidone의 만성 투여에 의해 전전두피질 부위에 나타나는 세포외 dopamine 농도의 최고치는 olanzapine과 risperidone에 비해 유의하게 높았다. 이상의 결과들은 Olanzapine과 risperidone의 음성 증상에 대한 임상적 효과가 이들 약물이 전전두피질의 세포외 dopamine 농도를 증가시키는 효과와 관견이 있음을 제시한다. Object : It is reported that the effect of antipsychotics on the extracellular dopamine levels in the prefrontal cortex is related to the their effect on the negative symptoms. Therefore, we investigated the acute and chronic effects of olanzapine and risperidone on the extracellular dopamine concentrations in the prefrontal cortex of rat. Samples were obtained using in vivo brain microdialysis. Method : Dopamine levels in the samples were measured by high pressure liquid chromatography with electrochemical detection. Results : 1) Both the acute treatment of olanzapine and risperidone increased the extracellular dopamine concentrations in the prefrontal cortex, dose-dependently. 2) There was a no significant difference in the maximal change of the extracellular dopamine concentrations in the prefrontal cortex induced by the acute treatment of olanzapine and risperidone. 3) Both the chronic treatment of olanzapine and risperidone also increased the extracellular dopamine concentrations in the prefrontal cortex, but they showed the tolerance effect that the degree of increase was smaller than that of the acute treatment. 4) As for the maximal changes of the extracellular dopamine concentrations in the prefrontal cortex induced by the chronic treatment of planzapine and risperidone, the effect of the former was greater than that of the latter. Conclusion : These results suggest that the effects of olanzapine and risperdone on the negative symptoms are related to the increased extracellular dopamine concentrations in the prefrontal cortex induced by these drugs.

제주 차귀도 연안해역 미생물 분포 및 이화학적 특성

문영건,김만철,이준백,송춘복,여인규,김종만,박근태,손홍주,최우봉,허문수 한국환경과학회 2006 한국환경과학회지 Vol.15 No.3

중증 외상환자에서 염기 결핍수치의 유용성

문준동,김수진,문철규,최성혁,전정민,이성우,홍윤식 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: This study's objective was to determine the prognostic value of the base deficit measured in the emergency department(ED) and to determine whether base deficit can provide information not provided by advanced injury scoring system. Methods: This study was a retrospective analysis of data collected for two years. Thirty-two severe trauma patients who were admitted to the Emergency Department of Korea University Hospital were included in this study. The patients were divided into two groups: the normal base deficit group(-3 mmol/L to 3 mmol/L) and the elevated base deficit group(>3 mmol/L). The base-deficit value, age, sex, head injury, organ failure rate, and survival were considered, and the also Revised Trauma Score(RTS), Acute Physiology And Chronic Health Evaluation(APACHE II), and Injury Severity Score(ISS) were measured. Result: The elevated base-deficit group showed a lower survival rate and a higher organ failure rate compared to the normal base deficit group. Logistic Regression showed a strong association between base deficit and mortality rate. Among the previous injury scoring Systems(RTS, APACHE II, ISS), base deficit had the strongest correlation with RTS. By using base deficit value and the RTS together, we obtained a higher positive predictive value than that obtained by using base deficit or RTS alone. Conclusion: The admission value of the base deficit in the ED is a useful tool in predicting the outcome in severe trauma patients, and it can be an adjunct to previous injury scoring systems. As an advanced injury scoring System is developed in the future, the base deficit may have some significant role.

백서에서 신 허혈성 손상에 미치는 칼슘 길항제의 효과

문철웅,정종훈,박천국,이승일,배학연,장경식,김만우,정춘해,홍순표,이병래,김호중 朝鮮大學校 附設 醫學硏究所 1993 The Medical Journal of Chosun University Vol.18 No.1

Renal ischemia is one of the most common causes of acute renal failure. Four factors related to the pathogenesis of acute renal failure are vasoconstriction, decreased glomerular filtration rate, tubular back leak of filtrate, and intratubular obstruction. The cellular response to renal ischemic insults include decreased content of adenosine trihosphate, lipid peroxidation induced membrane degradation, alteration in cellular pH, and calcium or phospholipase induced mitochondrial dysfunction. Much attention has been given to the role of increased cellular calcium as a pathogenetic contributor to cell injury during ischemia. Author studied the protective effects of calcium antagonists on cellular injury during renal ischemia in rat. To investigate the protective role of these agents, author measured the amount of malondialdehyde(MDA) and the enzyme activities of free radical scarvengers-superoxide dismutase(SOD), catalase and glutathione peroxidase from non-pretreated group and calcium antagonists pretreated groups in control, ischemia and reflow subgroups. The results were summerized as follows: 1) The amount of MDA in non-pretreated group was higher in the reflow compared with the control(<p<0.01). But, in all pretreated groups, there was no statistically difference in the amount of MDA. 2) The SOD activity in non-pretreated group was lower in both the ischemia and the reflow compared with the control (P<0.05). But, in both verapamil and trifluoperazine-pretreated groups, there was no statistically difference in the SOD activity. 3) Both catalase and glutathione peroxidase activities in non-pretreated group were lower in both the ischemia and the reflow compared with the control (P<0.05). But in all pretreated groups, there was no statically difference in both catalase and glutathione peroxidase activities. These results suggest that free radical mediated ischemic injury by renal artery clamp in rat can be protected by intraperitoneal pretreatment with calcium antagonists. As trifluoperazine has a protective effect in renal ischemia, the calcium activated calmodulin dependent enzyme may play a role in renal ischemic injury.