답차운동부하검사법에 의한 관상동맥질환의 심전도학적 연구

배형준,김주옥 서울保健大學 1996 論文集 Vol.16 No.1

We examined adult patient l,000cases be questionable as coronary artery disease by treadmill exercise test, and the following results were obtained. 1. Total positive rate was 10.1%, and it was significantly differ between male and female(p<.05), and it was significantly differ as increase of age(p<.00l). 2. The stop reasons of treadmill exercise test were significantly differ between male and female, because of chest pain of female higher than male (p<.00l), and it was significantly differ as increase of age(p<.05), and it was significantly differ between positive and negative groups, because of most frequent stop reaseons were chest pain in the positive group and dyspnea in the negative group(p<.001). 3. Average maximum workload level of male was significantly higher than female(p<.001), and it was significantly decresed as increase of age(p<.001), and it was significantly differ between the total positive groups(81±2.7METS) and negative groups(9.3±2.4METS). And performance degree of maximum workload level in the positive group was most frequent as stage 3(42.6%). 4. Average maximum heart rate was not significantly differ between sexual groups in the positive group, but it was significantly differ between sexual groups in the negative groups(p<.001), and it was significantly decrease-as increase of age(p<.001), and it was differ between the total positive groups(158.5±23.0bpm) and negative groups(162.7±20.5bpm)(p<.0.1). 5. The reaching level of target maximum heart rate was not significantly differ as between sexual groups, as between age groups in the positive groups, but it was significantly differ in the negative groups, and it was not significantly differ between the total positive groups (93.2±l1.6%) and negative groups (94.2.±l0.l%). 6. Decreased cases of systolic blood pressure were 28cases in the toal positive groups, and most decreased as stage 2, and most frequently decreased level was lower than l0mmHg. 7. Decreased cases of ST segment were 93cases in the total positive groups, most frequently decreased level was higher than 1 mm under the baseline.

심실성 조기박동의 심전도학적 연구

배형준 서울保健大學 1995 論文集 Vol.15 No.1

A study on the ventricular premature beats was made on 123 cases diagnosed by surface electrocardiographic examination. The results were as follows : 1. Ventricular premature beats were observed in 123 cases of the 5,456 adult patients and the incidence of ventricular premature beats was 2.3%. 2. The ratio of male to female was 44.7% to 55.3%. The most frequent age group was 5th decade, and the incidence of ventricular premature beats rose suddenly over the 5th decade. 3. Atrial fibrillation was one of the most frequent arrhythmias associated with ventricular premature beats, being 24 cases(19.5%) Second most associating arrhythmias was bundle branch block with or without fascicular block, being 9 cases(7.3%). 4. Ventricular premature beats with interpolated beat were 8 cases(6.5%), with retrograde-P wave were 18 cases(14.6%), and end-diastolic ventricular premature beats were 8 cases(14.6 %). 5. 66 cases(53.7%) were classified as having ventricular premature beats originated in the right ventricle, 52 cases(42.3%) were originated in the left ventricle, and 5 cases(4.1%) had septal ventricular premature beats. 6. Ventricular bigeminy were 10 cases(8.1%), ventricular trigeminy were 4 cases(3.3%), and ventricular Quadrigeminy was 1 case(0.8%).

병원내 생리기능 검사실의 적정 업무환경에 관한 연구

배형준,윤기은,김승곤,나동진,문희주,김태전,박정오 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

The purpose of this study was to suggest guideline for optimal work environment of physiological laboratory in hospital. Therefore this study was carried out to analyze the actual condition of laboratory system, major equipments and persons. The period of survey was from September to November 1997 and the objects were 123 laboratory. The major results of this study were as follows. 1. The optimal areas of general ECG room, exercise ECG room and echocardiology room were all 9-18㎡, that of Holter ECG room was 3-12㎡. The optimal areas of neurosystem laboratory were all 9-12㎡, those of respiratory system laboratory were all 9-18㎡. 2. The optimal number of persons laboratory of hospital 500 beds and less were 2∼3, those of 501∼700 beds were 3∼4.701∼1.000 beds were 4∼5 and over 1.001 beds were 7∼8 persons in circulatory system laboratory. The optimal number of persons laboratory of hospital 500 beds less than were 1∼2, those of 501∼700 beds were 3∼4, 701∼1.000 beds were 6∼7 and over 1.001 beds were over 8 persons in neurosystem laboratory. The optimal number of persons laboratory of hospital 500 beds and less 1. those 501∼1.000 beds were 1∼2 and over 1.001 beds were 2∼3 persons in repiratory system laboratory. 3. The optimal number of equipments of general ECG were 2∼3 in the 500∼1.000 beds hospital. there were 3∼4 units in the 1,001 beds. The optimal number of equipment EEG were both 1∼2 in the hospital 500 beds and less and 501∼700 beds. those were 4∼5 units in hospital over 701 beds. The optimal number of equipments of spirograph were both 1∼2 in the hospital 500 and less and 501∼1.000 beds. those were 2∼3 units in the over 1.001 beds. 4. In view of speciality and legal problem of physiofunctional test. we sugget that non-licensee were so quickly change place licensee in the interests of optimal work environment. 5. We suggest that to upgrade qualitative level of domestic equipment and to the more amplify utilization with respect to domestic equipment for the purpose of reducing loss of foreign money.

방실차단 및 심실내전도장애에 관한 통계적 고찰

배형준 대한임상병리사협회 1994 대한임상병리사회지 Vol.26 No.1

A statistical study was done on atrioventricular block and intraventricular conduction disturbance in 127 cases taken on 1,761 patients subjected to electrocardiographic examination. The results were as follows 1. Total incidence of conduction disturbance was 7.21%, atrioventricular block was 2.67% and intraventricular block was 4.54% of total patients. Among of these, first degree atrioventricular block was 2.44% which was the most common occurred one, and complete right bundle branch block(2.33%), incomplete right bundle branch block (1.13%), left anterior hemiblock(0.74%), third degree atrioventricular block and left bundle branch block(each 0.17%), bifascicular block(0.11%), second degree atrioventricular block and left posterior hemiblock(erach 0.06%) in the order of frequency. 2. The ratio of male to female was 1.2:1 for atrioventricular block and 1.4:1 for intraventricular block. Atrioventricular block and intraventricular block were both common in over fifth decade. 3. The abnormal ECG findings wjth first degree atrioventricular block were sinus bradycardia(27.3%), left ventricular hypertrophy(21.2%), atrial enlargement(12.2%). In third degree atrioventricular block, the majority(50.0%) showed atrioventricular junctional escape rhythm. In complete right bundle branch block, there were 22.8% of atrial fibrillation and 14.3% of myocardial infarction. In incomplete right bundle branch block, there were 29.4% of both atrial enlargement and atrial fibrillation. In left anterior hemi-block. there was 21.5% of sinus bradycardia.

산화질소 억제가 혈압, 심박동수 및 체중에 미치는 영향

배형준 임상병리검사과학회 1999 임상병리검사과학회지 Vol.31 No.2

This study examined the physiological and histological changes in Sprague-Dawley rats with induced hypertension by chronic treatment of NG-nitro-L-arginine methyl ester(L-NAME), nitric oxide synthesis inhibitor. Systolic blood pressure of L-NAME treatement experimental group was significantly higher compared with untreated control group by 28.5%(44.2mmHg)(p<0.001). Changing rates on systolic blood pressure of L-NAME treated groups according to during L-NAME treatment period were significantly higher than control groups by 16.1% in 2weeks, 15.1% in 4weeks(p<0.05), 29.1% in 6weeks(p<0.01) and 28.5%(p<0.001). However, heart rate and body weight did all not significant differ between L-NAME treated group and control group, between L-NAME posttreated rats and pretreated rats. Systolic blood pressure had each low correlation with heart rate and body weight. In conclusion, chronic inhibition of nitric oxide by L-NAME treatment had significant effect on systolic blood pressure, but not affect on heart rate and body weight. Thus, this study suggested that nitric oxide had important role to control for blood pressure and to modulation for function of organs associated with blood pressure.

심전도검사에 의한 심방세동의 통계적 고찰

배형준 서울保健大學 1994 論文集 Vol.14 No.1

A statistical study was done on atrial fibrillation in 2,414 adult patients subjected to electrocardiographic examinations at S University Hospital from Jan 1994 to Apr 1994. The results were as follows: 1) Atrial fibrillation were observed in 159 cases of the 2,414 adult patients and the incidence of atrial fibrillation was 6.59%. 2) Sex distribution showed no significant difference and the majority of patients(65.3%) were observed over fifth decade. 3) The average rates of ventricular response to atrial fibrillation were varible with normal range(61~100BPM) in 74.2%, tachycardia(over 101BPM) in 15.7%, bradycardia(less 60BPM) in 10.1%. 4)Total cases of associated electrocardiographic finding of atrial fibrillation were 107 cases: left ventricular hypertrophy(22.4%), ventricular premature beat(14.9%), myocardial ischemia(11.2%), right ventricular hypertrophy(10.3%), complete right bundle branch block(9.4%), aberrant conduction(8.4%), myocardial infarction(6.6%), incomplete right bundle branch block(5.6%), atrial flutter-fibrillation(3.7%), atrioventricular junctional escape rhythm(2.8%), complete atrioventricular block and left anterior hemiblock(each 1.9%), biventricular hypertrophy(0.9%) in the order of frequency.

植物凝集素 Sophola japonica와 赤血球에 의한 사람 尿의 型分類에 關한 硏究

尹馨培,黃迪駿 고려대학교 의과대학 1991 고려대 의대 잡지 Vol.28 No.1

In order to classify the type of the urine by using of the inhibition effect of Sophola japonica which acts as pan-phytagglutinin, to human red blood cells. Compared the relationship between the type of urine classified in this study and the types of other specimens which are already proven by other methods. There are two types of human urine : one with sub-stances that inhibit the agglutination of Sophola Japonica extract to human red blood cells and the other without those substances. Among 300 human urine specimens involved In the present study, 12% (36 specimens )were shown to have those inhibition substances in their urine. The types of urine classified in this study showed no relationship with those classified by the Agastache rugosa extract. Neither the known type of saliva nor the type of experimented by the Sophola japonica extract had any relationship with the type of urine determined in this study. No significant relationship could be found between the various type of blood and Serum types such as ABO, MN, H, Cl, IPO, NPO, ICO, NCO and the urine type.

前腕部 經穴 取穴에서 骨度分寸法과 一夫法의 比較 硏究

박히준,채윤병,차웅석,박종배,이혜정,이향숙,인창식,고형균,김수영,최일환,김강식,문정배,배기태,유경환,육근영,정병주,손인철,임사비나 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2004 東西醫學硏究所 論文集 Vol.2004 No.-

Background : The cun measurement System, an essential and convenient method in locating acupoints, has been widely used in the practice of acupuncture. However, traditional cun measurement has been criticized for its lack of reliability. Objectives : The purposes of this study are to determine if one cun measured by the directional methods have a consistency with that of proportional methods and to investigate which factors are related with these differences, especially in forearm. Methods : The distance between the elbow crease and the wrist crease of forearm was compared to a reference value of one cun obtained by the directional method. In this method, one cun is one third of the distance between index finger and Small finger of a subject, measured at proximal interphalangeal joint. In addition, to investigate the factors influencing the differences between these two methods, we measured the height and body weight and calculated body mass index (BMI). Finally we analyzed the factors correlated with these lengths by linear regression test. Results : The results showed that one cun obtained by the directional methods were significantly different from one cun by the proportional methods in forearm. It was demonstrated that the length acquired with the directional method was more correlated with body weight and body mass index, while the length obtained by the proportional method was more correlated with the height.

Ion Chromatograph에 의한 음료수중 Na^+, NH_4^+, K^+의 검출에 관한 연구

김형석,전준배,박양원 慶熙大學校 1987 論文集 Vol.16 No.-

We should drink 2-3L of the clean potable water per day to maintain our life in good condition. According to the population increase and industrialization, the water quality of the city drinking water have some problems, and the contamination of the ground water and surface water are threatening the water resources. In the analysis of the drinking water, U.S. Standard method and other several methods have been used. But recently the ion chromatography. Which could analyze anion and cation within few minutes, has developed and are using in water analysis in developed countries. Author tried to analyze monovalent cations by using single column ion chromatograph method with conductivity detector. The retention time of the Na, NH_4, and K ions are 2.62, 3.05, and 3.29 minutes under the condition of the Ion-200 Cation column(Interaction)with 10mM isonicotinic acid(pH 2.7) eluent. By using the 25ppm standard solution the relative standard deviation was within 5.0%

세포학적인 검사를 통해 자궁경부암의 조기 발견과 합리적인 병원내 산부인과의 운영 체계에 관한 고찰

김태전,배형준,김종열 서울보건대학 1996 서울보건대학 부설 병원경영연구소 논문집 Vol.2 No.1

In this study, the authers have investigated a true appreciation on the importance and the actual conditions of utilization of cytologic examination in gynecologic services with 3 step, that is, in 1 step the importance of cytologic examination in gynecologic services has been investigated from the results of 4,024 female of cytologic examination, in 2 step the actual conditions of utilization of cytologic examination have been investigated from 60 medical institutes through questionaire, and in 3 step the more detailed subjects of cytologic examination in gynecologic services have been investigated from 3 medical institutes selected randomly, such an investigations were done to make the programs of improvement in order to promote the activation of gynecologic medical services that shall be able to decrease occurrence of uterine cervical cancer, which is still the most prevalent cancer in korean female, and to make those on effective diagnosis and treatment activaton that shall be able to increase the income of medical institutes. The programs of improvement according to conclusions obtained from investigations like these were summarized as the following. 1. Program to activate positively cytologic examination It was well known that good correlation was noted between number of cytologic examination and those of histologic examination, those of gynecology procedures, and those of gynecologic surgeries. But it was a fact that a most of gynecology board certified physicians and physicians, and medical institutes have not utilized actively cytologic examination in gynecologic practice. Therefore all of married woman should be had politically cytologic examination at regular intervals in order to prevent and detect early uterine cervical cancer. 2. Program to establish exclusively responsible managed systems Managed systems that are exclusively responsible for cytologic examination should be established in order to have examination at regular intervals exactly(six months). 3. Program to utilize correctly the current medical insurance regulations about medical treatment charges The medical charges of cytologic exmination should be applied correctly to the current medical insurance regulations about medical treatment charges in order to increase the income of medical institutes. Because the medical charges of cytologic examination for the levels of medical check up and preventive medicin exception cancer or clinically suspicious cancer diagnosed by physicians is applicable to general medical treatment charges under the current medical insurance regulations. 4. Program to utilize reasonable diagnostic system in cytologic examination. Since certificated technologist screen first thing many microscopic slides for cytologic examination, lastly gynecologic board should make a final diagnosis on only abnormal slides. It is reasonable diagnostic system that can observe more microscopic slides, decrease misdiagnosis and high personnel expenses, and increase income in cytologic examination. Consequently it is necerssary to establish reasonable diagnostic system. 5. Program in order to promote the efficiency of the following examination and treatment system for patients to whom abnormal cell were detected. The following examination and treatment system that were corresponded with diagnosis, and automated and standardized system from receipt to gynecologic practice should be established to offer patients ease and trust, and also medical institutes the more income through the activation of gynecologic practice. Finally, the authers think that it is very important that cytologic examination should be included in routine gynecologic practice.