혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

척추 주위근의 단면적과 등척성 요추부신전 근력간의 상관 관계

권정이,이강우,김현숙,김종문,안중모 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.2

조기 발병 양극성 장애 환자의 임상적 특징 : 후향적 의무기록 조사 연구

우영섭,박민현,서호준,채정호,전태연,박원명 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

Objective : Bipolar disorder is a disease with diverse clinical profiles and outcomes. In recent years, it is suggested that if bipolar disorder occurs early in one's life, functional and symptomatic prognoses are poor. The prognoses include severe Symp-toms, frequent psychotic symptoms, comorbidity ofmental illnesses, slow improvement of the symptoms, and high suicide rate. We investigated the clinical characteristics of early onset bipolar inpatients. Method : The subjects of this study were selected from the patients who were discharged after hospitalization between January 1, 2001 and May 31, 2005 and diagnosed with bipolar disorder according to DSM-IV criteria. These patients were examined for the following data ; the type of bipolar disorder, comorbid psychiatric disorders, the age at onset of the illness, the acuteness of the disorder, and the duration of the disorder. The presence of four major clinical psychopathology, rapid cycling, Psychotic symptoms, comorbid psychiatric disorders, and suicide attempt, was also examined. The patients whose onset of the illness was before the age of 19 were classified as the early onset group and after the age of 19 were classified as the late onset group. Data on demographics, family histories, four major clinical psychopathologies and other clinical variables were compared between the early onset group and the late onset group. Results : Of the 53 patients, 19 patients belonged to the early onset group. There was higher incidence ofpsychotic Symp-toms in the early onset group than in the late onset group, and the difference was statistically significant according to the χ² - test (84.2% vs 44.1%, P=0.005). The incidence of comorbid psychiatric disorders was higher in the early onset group than in the late onset group, and the difference was also statistically significant according to the χ²-test (52.6% vs 23.5%, P=0.032).However, there was no statistically significant difFerence between the groups regarding the incidence of rapid cycling and suicide attempt. The result of logistics regression showed correlation of psychotic symptoms (0R=6.756 ; 1.655≤95% CI≤27.580) and comorbid psychiatric disorders (0R=3.611 ; 1.088≤95% CI≤11.984) with the early onset group. Conclusion : Early onset of bipolar disorder is related to the manifestation of psychotic symptoms and frequently accom-panies comorbid psychiatric disorders. The results of this study will help understand the mechanism of the onset of complexbipolar disorder and estimate the prognosis.

단순반복 작업자의 작업대 및 의자의 형태와 누적외상성질환 증상과의 관계

정현기,노영만,임현우,박정일,정춘화 대한산업의학회 2001 대한직업환경의학회지 Vol.13 No.2

목적 : 단순반복작업 생산직 근로자의 누적외상성질환에 대한 사업주의 건강관리규정 준수상태 및 근로자의 자각증상호소와 의자 및 작업대의 형태를 파악하고 크기를 측정하여 이들과 누적외상성질환 자각증상호소와의 관련요인을 알아보고 대책을 제공하고자 한다. 방법 : 서울 및 경기지역 일부 100인 미만 사업장중 전기, 전자부품 제조업체 7개를 선정하여 생산직 근로자 77명을 대상으로 누적외상성질환에 대한 사업주의 건강관리규정 준수상태와 및 근로자의 자각증상호소에 대한 설문조사를 실시하고 의자와 작업대의 크기를 측정하고 증상과의 관련요인을 알아보기 위하여 로지스틱회귀분석을 실시하였다. 결과 : 의자와 작업대가 작업자세에 영향을 준다고 인식하는 작업자는 85.7 %이였으며 단순반복작업 근로자 작업관리지침에 의한 사업주의 근로자에 대한 관심은 매우 낮았다. 누적외상성질환 자각증상 호소율은 63.6 %이였으며 자각증상 부위는 어깨 37.9%, 목 15.2 %, 등 6.1 %, 팔/팔꿈치 4.6 % 순이였다. 입사 후 초기발생시기는 평균 16.5개월이며 자각증상 호소는 작업대 두께, 작업대높이, 작업대 밑무릎공간, 등받이 높이, 좌석면 높이, 좌석면의 앞뒤길이, 좌석면의 좌우길이, 작업대끝에서 어깨까지의 거리에서 유의한 관련이 있었다. 자각증상호소의 관련요인은 등받이 높이, 좌석면의 높이, 좌석면의 앞뒤길이 이였다. 결 론 : 이상의 결과로 보아 정부는 단순반복작업 작업자의 누적외상성질환 예방을 위하여 사업주에 대 한 철저한 교육 및 관리감독을 해야한다. 사업주는 작업대 및 의자를 작업자의 신체치수와 작업내용에 맞게 높이를 조절할 수 있는 제품을 사용하고 작업전, 후에 정기적인 건강체조 및 휴식을 갖도록 하며 근로자에 대한 실질적인 보건교육이 이루어져야 한다. Objectives : The main purpose of this study was to investigate relationship between cumulative trauma disorders (CTDs) and the types of workstation and chair in workers with repetitive motion tasks. Methods : The study subjects were 77 repetitive motion tasks workers at small manufacturing industries in Seoul and Gyung-gi district area. A questionnaire was used to obtain about health practice for prevention and prevalence of CTDs by worker. The type of Workstations and chairs in workers were measured and analyzed with prevalence of CTDs by logistic regression. Results : Eighty-six percent of workers recognized that work posture was related to workstation and chair, Most employers and employees didn't follow the work practice guidelines for workers with repetitive motion tasks. The prevalence of CTDs was 64% by questionnaire. The prevalence of pain in shoulder, neck, back, and arm were 38%, 15%, 6%, and 5%, respectively, and the pain started after working an average duration of 16.5 months. The CTDs symptoms were significantly related to thickness of workstation, height of workstation, length of knee depth under workstation, height of back rest, height of seat pan, depth of sitting surface, width of sitting surface, and length from workstation surface edge to shoulder. By multiple regression analysis of each risk factor, prevalence of CTDs was highly correlated with height of back rest, height of seat pan, and depth of sitting surface. Conclusions : This study suggests that workstations should be made adjustable for height and chairs should be equipped with seat pan height control, enough sitting surface for depth and width, back rest height and angle control. The workers should use the right working postures, exorcise for health, occupational health education, and rest breaks and the manager of company should be educated for the preventing of CTDs.

등방성 매질에서의 활성상수

강창현,강동식,강정우 濟州大學校 師範大學 科學敎育硏究所 1997 科學敎育 Vol.14 No.-

The physical significance of the activity constant ζ, which is needed to describe electrodynamics of an isotropic medium, is discussed in electroconductive media and non-electroconductive media. In non-electroconductive media, where the sources of the charge density ℓ and current density J , and the conductance σ vanish, the speed of propagation and the refractive index of two circularly polarized transverse modes are different, and the physical phenomena called as the optical activity take place. Also in electroconductive media, in which energy of electromagnetic wave through the medium is damped, the phase velocity and the absorption coefficient of the electromagnetic waves depend on ζ . The skin depth and the angular frequency also depend on ζ .

非崔小 超對稱 模型에서 뉴트랄리노 質量에 關한 硏究

李峴,全禹亭 안성산업대학교 1995 論文集 Vol.27 No.-

This study is about the neutralino mass in the next-to-minimal supersymmetric standard model. In the model, there are two Higgs doublet superfields and one Higgs singlet superfield. We calculate the mass matrix of neutralino after spontaneous breaking. Then the mass matrix contains several parameters. For the reasonable set of parameters that are consistent with the present experimential deta, we calculate the neutralino mass. Finally, we expect the condition for the neutralino mass to account for the cross section.

보건관리 대행사업장 근로자에서 건강증진에 대한 5년 사이의 지식, 태도 및 실천의 변화

임현우,김정아,안병용,박정일,구정완,이강숙 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.2

Before and after conducting the health promotion program by group occupational health service during 5 years, we surveyed knowledge, attitude and practice about general health (30 items) and occupational health(30 items) among 25 small and medium scale industry workers(before: 355 workers, after: 279 workers) for evaluation of effectiveness. The scores of knowledge for smoking, drinking, cholesterol, mental stress, management of hypertension, and risks in younger or women workers were significantly increased after conducting group occupational health service. The scores of attitude for controlling of fatty food consumption and cleaning workplace and bathing for health and that of practice for taking the periodic health examination and checking blood pressure were significantly increased but most of items in attitude and practice didn't be changed after services. According to sex, the scores of men were significantly increased in knowledge of general health, but there were not significant differences in age, job status and work duration group. In conclusion, through the group occupational health service during 5 years, only the scores of knowledge in general health were increased. It suggested that the effective program which can change workers' attitude and practice for health promotion, should be developed and conducted in small and medium scale industry workers.

공동주택 바닥충격음 적정 평가어휘 조사에 관한 연구

송민정,송혁,이태강,기노갑,박현구,김선우 대한건축학회 2004 대한건축학회논문집 Vol.20 No.5

The "Sound Classification System on Floor Impact Sound Insulation Performance" is being studied in Korea. For that study, vocabularies appropriate for evaluation and reporting are needed. In this study, adequate words for evaluating floor impact sound have been extracted by reviewing the existing vocabularies and augmenting this with the results of a questionnaire prepared especially for apartment dwellers. As a result of this study, followings are suggested. 1) The heavy impact sound sources are more highly ranked than light impact ones. And the louder sound sources are the more accumulated points. 2) Highly ranked vocabularies are different for each source. 3) Floor impact sound evaluating words such as ‘Annoying’, ‘Disagreeable’, ‘Strident’, ‘Disturbed’, and ‘Dissonant’ are highly ranked. ‘Annoying’ is the word most accurately expressing the subjects' unpleasant feeling of domestic floor impact noise. 4)‘Unpleasant’, ‘Noisy’, ‘Irritating’, ‘Annoying’ are main unpleasant factors to floor impact sounds occurring in our domestic apartment houses.

만성 요통 환자들에서 요추부 저항 운동을 포함한요통 운동의 효과

이강우,권정이,김현숙,이병섭,강재영,박원하 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.3

S.D. Rats를 이용 1, 1-Dichloro-1-fluoroethane의 아민성 흡입독성 연구

김현영,이성배,임철홍,김철우,점용현,한정희,전윤석,최수영,강대봉,이용묵 한국환경독성학회 2002 환경독성보건학회지 Vol.17 No.1

There were no specific effects for test materials on Sprague-Dawley (S.D.) rats in clinical symptoms, amounts of food intakes, weight changes, laboratory findings, and pathology after whole body l, l-Dichloro-1 -fluoroethane (used as coolant, metal cleaner and solvents) exposure(0, 1,500, 3,000, and 6,000 ppm) for 13 weeks (6 hour/day, 5 days/week). However, the loss of capillary vessels in eyeball (pupil) was observed in a female rat among 6,000 ppm group. Though there was a tendency for MCHC (Mean Corpuscular Hemoglobin Concentration) in rat to be decreased (p<0.05), it was not regarded as abnormal because the values were within normal limits. In asthma-stimulation related evaluations, there was also a tendency for inflammatory cell counts in bronchoalveolar lavages to be increased. But it had no statistical significance, and also no dependency on sex and the exposed concentration. Based on this result, the non observed effect level (NOEL) induced by 1, 1-Dichloro-l -fluoroethene inhalation was evaluated in groups with 3,000 ppm below (S .D. Rats, 13 weeks). Finally, it was concluded that the short term exposal of 1, 1-Dichloro-l-fluoroethane is not considered as a asthma stimulant by inhalation despite of some study limitations such as test animals use and short-term exposure .