KAL기 추락에 의한 대량재해의 개인식별

강신몽,이원태,고영창,최상규,김윤희,이홍석,서재관,윤중진,이혜경,최득린,김종열,윤창육,변명식,이장홍 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

Individual identification is an important part in medicolegal field especially in mass disaster. At July, 27, 1989, KAL KE-803 was crashed on landing at Tripoli International Airport, Liba. The plane was caught in fire and sixty eight Koreans were sacrified. The majority of victims were severely charred and injured. The authors examed all dead bodies and successfully identified all the cases through visual, anthropological, odontological, radiological and pathological methods including fingerprint and blood typing.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

자동화학검사용 인화시약의 평가

이성규,공선영,송선미,이수연,김종원 대한임상검사정도관리협회 1992 臨床檢査와 精度管理 Vol.22 No.2

흰쥐의 장기에서 납과 카드뮴의 감소에 미치는 두충 추출물의 효과

이인규,김종규 대한보건협회 2000 대한보건연구 Vol.26 No.1

This study was performed to investigate the possible effects of Korean Eucommia ulmoides Oliv(EuO) extract on the reduction of lead(Pb) and cadmium(Cd) accumulation in organs of rats. Seventy 4-week old male Spraue-Dawley rats were used for this experiment. They were divided into the following 10 groups and fed for 4 weeks: The control group; two groups treated with only Pb, one with 100 ppm and one with 200 ppm; two groups treated with only Cd, one with 50 ppm and one with 100 ppm; a group treated with only EuO(3% extract); four groups treated with a combination of both EuO and one of each level of Pb(100 ppm and 200 ppm) and Cd(50 ppm and 100 ppm). The EuO and the heavy metals were orally administered in drinking water. The water intake of the Pb-EuO and the Cd-EuO combination groups showed significantly lower than those of control group, the EuO alone group, and the Pb alone and the Cd alone groups(p<0.05). The EuO alone group showed higher body weight compared to the Pb and Cd treated groups at the termination(p<0.05). The levels of Pb and Cd in the liver, kidney, heart, lung, stomach and spleen of the rats exposed to Pb alone and Cd alone were reduced by the combined treatment of EuO. The significant differences of Pb levels were observed among the lungs of the EuO alone group, the Pb alone groups, and the Pb-Euo combined groups(p<0.05). There were significant differences in the Cd levels in the lung and the stomach among the three groups; the EuO alone group, the Cd alone groups, and the Cd-Euo groups(p<0.05). The highest levels of Pb and Cd were found in the kidney, and they were reduced by more than 50% by the addition of EuO. These results indicate that the 3% extract of E. ulmoides Oliv could be helpful for the reduction of Pb and Cd accumulation in the organs of rats, and suggest that it may be effective in excreting the heavy metals. We need to check what levels of E. ulmoides Oliv are practical for human beings to consume and what level will cause other negative results.

水트리로 劣化된 케이블의 絶緣性能向上에 關한 硏究

李盛圭,金鍾錫,朴在雄 大田産業大學校 1999 한밭대학교 논문집 Vol.16 No.1

된장이 고지방 및 고콜레스테롤 식이를 급여한 흰쥐의 지질 대사에 미치는 영향

이인규,김종규 대한보건협회 2002 대한보건연구 Vol.28 No.3

OBJECTIVE: This study was performed to investigate the effects of dietary supplementation of Korean traditional soybean paste(doen-jang) on the changes of serum biochemical components and histopathological changes of organs in rats fed a high fat and/or a high cholesterol diet. DESIGN: This was a single open-group prospective clinical intervention. METHODS: A total of one-hundred and twenty eight 3-weeks old male Sprague-Dawley rats were divided into 16 groups by a randomized blocking method. The rats consumed one of the experimental diets, the control diet, a high fat diet(40% of the total calories), a high cholesterol diet(1% of the total weight), and a high fat and high cholesterol diet for 13 consecutive weeks. Each of these diet groups were divided into 4 groups one with no soybean paste added, one with just 0.5% soybean paste added, one with 1% soybean paste added, and one with 5% soybean paste added. These levels were taken from the data of the National Nutrition Survey of Korea from 1994 to 1998. From this data, we know that Koreans on an average eat less than 0.5% soybean paste per person, per day. A Korean traditional soybean paste was used for this study. All of the preparation methods for the soybean paste followed the recommendations of Korea Food Research Institute. After ripening 6 months it was incorporated into the diet. Blood specimens were obtained at the baseline and after 13 weeks of dietary intervention. At the end of the study the organs(liver, heart, and kidney) were excised, and pieces of the organs were taken for histopathological examinatoin. Fool intake, body weight, food efficiency ratio, relative organ weights, and fecal lipid levels were determined at the end of the experiment. RESULTS: The feeding of a high fat and/or a high cholesterol diet resulted in many deleterious effects including increased food intake, increased weight gain, increased organ weights, increased fecal lipid levels,increased serum triglyceride, total lipid, free-cholesterol, easter-cholesterol, total cholesterol, low-density lipoprotein(LDL) cholesterol level, and atherogenic index, and increased lipase, aspartate aminotransferase(AST), alanino aminotransferase(ALT), cholinesterase(ChEase), and lactate dehydrogenase(LDHase) activities, and decreased high-density lipoprotein(HDL) cholesterol level, and most significantly severe fatty changes, in the livers, compared with the control and soybean paste control groups. The feeding of 0.5% soybean paste reduced the adverse effects of the high fat and/or the high cholesterol diet on the food efficiency ratio, weight gain, relative organ weights, fecal lipid levels, and improved serum lipid component levels. Significant decreases(p<0.05) in triglyceride, total lipid, total cholesterol, and LDL-cholesterol were seen. A significant increase was found in the level of HDL-cholesterol(p<0.05). A decrease was observed in atherogenic index. Also it recovered the levels of lipase, AST, ALT, ChEase, and LDHase activities. No significant changes in levels of serum free-cholesterol and easter-cholesterol were observed. It was helpful to reduce the severs histopathological lesions of livers. Although changes in these findings were observed in all of the groups with soybean paste, the most profound inhibitory changes were evident at the 5% level of soybean paste in the results of histological study of livers. In each group, adding soybean paste reduced the adverse effects of a high fat and/or a high cholesterol diet in ratio to the amount of soybean paste added to the diet. CONCLUSIONS: Dietary supplementation of 0.5% soybean paste resulted in reductions in several risk factors for lipid metabolism in rats, fed a high fat and/or a high cholesterol diet especially improved serum lipid component levels and the histopathological lesions of the livers. The feeding of 1% and 5% soybean paste showed even more reduction of risk factors. These results suggest that Korean soybean paste has a protective effect on a high fat and/or a high cholesterol diet. Long-term, placebo-controlled clinical trials are needed to evaluate the effect of soybean paste on the lipid metabolism in the human population.

TiAIN 코팅공구를 사용한 Ti-6Al-4V 티타늄합급의 절삭특성에 관한 연구

이승철,박종남,조규재 한국공작기계학회 2004 한국공작기계학회 추계학술대회논문집 Vol.2004 No.-

The Titanium has many superior characteristics Which are specific strength, heat resistance, corrosion resistance, organism compatibility, non-magnetic and etc. and their quantity are abundant.this study performed turning operation of Ti-6AI-4V alloy using the TiAIN Coate Tool which treated PVD (Physical Vapor Deposition). Experimental works are also executed to measure cutting force, chip figuration and surface roughness for different cutting conditions. As a result of study. Tool wear was serious at over 100m/min of cutting speed and cutting condition was excellent at 1.0㎜ of cutting depth.

荒嶺山(釜山) 山麓 植物의 開花期 調査

이종남,홍채규,문성기 慶星大學校 1992 論文集 Vol.13 No.3

1. The recorded plants in this survey were 72 families, 168 genera, 249 kinds. 2. The number of species of plants flowered monthly were most in May as 119 kinds and least in January as 3 kinds(Yucca tricreana, Camellia japonica, Senecio vulagalis). According to the seasons the number of species of flowered plants were 255 kinds in Spring, 247 kinds in Summer, 144 kinds in Autumn, 34 kinds in Winter. 3. In comparision with the results of another previous studies the flowering period was early two months in herbaceous plants, one month in woody plants. 4. Through four seasons Senecio vulgaris and Sonchus loeraceus were flowering, three seasons 8 kinds(Trifolium repens, etc.), not continuosly for two seasons 8 kinds(Tradescantia reflexa, etc.). 5. In the character of habitat pattern, native species were 136 kinds, ornamental species 76 kinds, cultured species for food 26 kinds, naturalized species 11 kinds. 6. Native species of 41 kinds which are not recorded in the previous studies(Jung, 1991) are added to this paper newly.

기관지 방선균증의 임상 1례

이은영,장태원,정만홍,옥철호,이규원,손창배,이지숙,신은경,서정아,백종현,김영옥 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Actinomycosis is a chronic suppurative infection, whitch infiltrates mucosa-associated tissues. Thoracic, pelvic and cervicofacial infections of actinomyces are not uncommon, but endobronchial actinomycosis is rarely reported. We report a case of a 29 year old man who presented with a recurrent pneumonia and chronic cough. Fiberoptic bronchoscopy revealed occlusion of the right. lower medio-basal segment bronchus with exophytic endobronchial mass. The diagnosis was confirmed histologically by demonstration of sulfur granules in the bronchoscopic biopsy of the mass. Intravenous administration of amoxacillin and clindamycin followed by oral amoxacillin and clindamycin therapy resulted in complete recovery.

까나리 염장품 추출물 저장 중의 품질 변화

이혜정,공용우,김종규 동아시아식생활학회 2004 동아시아식생활학회지 Vol.14 No.3

The quality changes of the extracts of salt-fermented Ammodytes personatus during the storage were examined at 1 month interval during 3 months fermentation period. To prepare the extracts of Ammodytes personnatus, 17%, 20% and 25% salt were added respectively and then stored for 3 months at room temperature and then extracted with hot water. During the storage, moisture and lipid contents of the samples decreased, but the crude protein contents increased gradually. On the other hand, ash content and pH showed little changes during the fermentation storage. After 6 months fermentation, the extracts of salt-fermented Ammodytes personatus were rich in free amino acids, such as glutamic acid, alanine, lysine, leucine, isoleucine, valine and aspartic acid in the order. As the fermentation progressed, the fish odor, turbidity, salty taste, savory flavor and overall preferences were similar to those of Ammodytes personatus sauce in the market. The total cell numbers were 450∼570 cfu/mL at 0 day, but there were none revealed during the fermentation.