PC를 이용한 소아과 퇴원환자 관리시스템

하태선,이태수,차은종,박범수,한헌석,채수일 충북대학교 의과대학 충북대학교 의학연구소 1993 忠北醫大學術誌 Vol.3 No.1

본원 소아과 입원환자의 퇴원요약 기록을 전산관리하는 시스템을 개발하였다. 소아과 환자관리에 적합하도록 퇴원요약지를 설계하였고 개인용 컴퓨터를 사용하여 관리하도록 구성하였다. 주 기억장치 4MB와 보조기억 장치 120MB HDD을 장착한 PC-386DX 시스템을 기반으로 개발하였고 소프트웨어로는 FoxPro v2.0을 사용하였다. pull-down menu 방식과 window방식을 적용하여 비전문가라 할지라도 손쉽게 사용할수 있도록 하였고 정보입력 및 수정시 사용자 편의를 최대한 반영하고자 하였다. "AND"와 "OR"연산자를 사용하여 다양한 검색이 가능하였다. 본 시스템은 현재 본원 소아과에서 실무에 적용하고 있으며 향후 통계분석과 임상연구에 크게 활용할 수 있으리라 생각된다. A PC-based system was developded to manage discharge summary records of pediatric patients. It is based on a PC-386DX system equipped with 4MB memory and 120MB HDD, and its software was written in FOXPRO V2.0. Any users unfamiliar with computer can make an easy access to the data through pull-down menu and windows system. Logical operators of "AND" and/or "OR" enabled a flexible and various search conditions. The present system is being under clinical use in the Department of Pediatrics, and warrants future applications to statistical analysis as well as clinical research projects.

n-CdS_(0.46)Se_(0.54)/p-Cu_92-x)S_(0.46)Se_(0.54) 이종접합 태양전지의 제작과 그 특성에 관한 연구

유상하,최승평,이상열,홍광준,서상석,김혜숙,전승룡,윤은희,문종대,신영진,정태수,신현길,김택성,유기수 全北大學校 基礎科學硏究所 1994 基礎科學 Vol.16 No.-

승화방법에 의해 CdS_0.46Se_0.54 단결정을 성장하여 결정구조를 조사하고, Van der Pauw 방법으로 Hall effect를 측정하여 carrier density의 온도 의존성과 mobility의 온도 의존성을 조사하였다. 성장된 CdS_0.46Se_0.54 단결정을 치환반응하여 n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 이종접합 태양전지를 제작하였다. Spectral response, 전류-전압특성 및 전력변환 효율을 조사하여 그 결과로부터 개방전압은 0.48V, 단락 전류 밀도는 21mA/㎠, fill factor와 전력변환효율은 각각 0.75와 9.5%를 얻었다. CdS_0.46Se_0.54 single crystal was grown by a sublimation method. The crystal structure and the temperature dependence of carrier density and mobility of CdS_0.46Se_0.54 single crystal were studied. Heterojunction solar cells on n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 were fabricated by the substitution reaction. The spectral response, the J-U characteristics and the conversion efficiency of the n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 heterojunction solar cells were studied. The open-cricuit voltage, short-circuit density, fill factor and conversion efficiency of n-CdS_0.46Se_0.54/p-Cu_2-xS_0.46Se_0.54 heterojunction solar cells under 80mW/㎠ illumination were found to be 0.48V, 21mA/㎠, 0.75 and 9.5%, respectively.

임신과 동반된 난소섬유난포막종 1례

류은석,김윤숙,전섭,김종수,최승도,선우재근,배동한,양승화 순천향의학연구소 2005 Journal of Soonchunhyang Medical Science Vol.11 No.1

Fibrothecoma are mesenchymal tumors deriving from the ovarian stroma and consisting of theca-like elements and fibrous tissues. The reported incidence is between 0.4 and 8.0% of all ovarian tumors and this side variability can be attributed to the difficulty in differentiation fibrothecoma from ovarian fibroma or hyperplastic stroma nodules. We experienced a rare case of ovarian fibrothecoma in woman at 38 weeks gestation with previous repeat cesarean section diagnosed after tertiary cesarean delivery and bilateral tubal ligation with a brief review of literature.

Ti-6Al-4V합금의 열처리가 피로균열진전특성에 미치는 영향

이종형,강용구,황은하,최성대 金烏工科大學校 産業技術開發硏究院 1999 産業技術開發硏究 Vol.15 No.-

The fatigue crack growth test under constant amplitude loading was carried out to assess the effect of heat treatment on the fatigue crack growth of a forged Ti-6Al-4V alloy. Prepared with different heat treatment i.e.annealed at 850˚C(AN), 1100˚C(β-AN) and solution treated and aged(STA). Emphasis was placed on the effect of microstructure on fatigue behaviour, in particular, fatigue crack growth and crack closure and crack deflection and roughness of fatigue fracture surface. Fractographic observation was performed using a scanning electron microscope(SEM) for fatigue fracture surface.

C.V.D. 방법에 의한 Cd_0.78Zn_0.22 S박막 성장과 광전기적 특성연구

유상하,이상렬,홍광준,서상석,김혜숙,전승룡,윤은희,문종대 조선대학교 기초과학연구소 1993 自然科學硏究 Vol.16 No.1

We had grown Cd_0.78Zn_0.22S polycrystal thin films on slide substrate using chemical vapour deposition(CVD) method. We measured X-ray diffraction patterns in order to study Cd_0.78Zn_0.22S polycrystal structure. We studied its band gap using transmission curves and photocurrent and also analyzed photoluminescence using configurational coordinate model. We measured Hall effect·on this sample by Van der Pauw method and studied on carrier density and mobility depending on temperature.

강박장애 환자에서 Sertraline 치료반응의 예측인자에 관한 연구

유은정,우행원,김영철,연규월,김종원,임원정 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

연구목적: 1980년 중반부터 강박장애의 치료로 SSRIs가 널리 쓰이고 있으나 치료반응의 예측인자에 대한 연구는 미비한 실정이다. 본 연구에서는 sertraline 투여후 호전군과 비호전군의 인구학적 특성, 발병연령, 이환기간, 과거의 강방장애에 대한 투약경력, 정신과 질환의 가족력, 증상의 심각도, 임상양상 등의 변수들을 관찰하여 sertraline 치료반응과의 상관관계를 살펴보았으며 치료방응을 예측 할 수 있는 인자를 알아보았다. 방법: 연구 대상은 이대부속 동대문병원 정신과에 입원 또는 외래치료를 받은 환자들 중 정신과 진단 편람제 4판 진단 기준에 의거하여 강박장애로 진단 받은 31명(남자 10명, 여자 21명)이었다. 연구 방법은 sertraline을 하루 50mg씩 투약하면서 Y-BOCS, NIMHOCS, CGI로 강박증상의 변화를 평가하였고, HAM-A로 불안정도의 변화를 측정하여 투약 전 점수와 비교하였다. 결과: 1) Y-BOCS 점수 40%이상 감소와 함께 CGI 점수 2점 이상 감소를 보인 호전군은 대상환자 31명중 17명(54.8%)이었고, 비호전군은 14명이었다. 호전군이 비호전군에 비해 늦은 나이에 발병하는 경향을보였고(p<0.1), 이환기간이 짧았으며(p<0.05), 과거의 강박장애에 대한 투약경력은 적었다(p<0.05), 정신과 질환의 가족력은 두 집단간에 차이가 없었다. 2) 호전군에서 투약 전 Y-BOCS의 강박행동 점수가 유의하게 낮았으며(p<0.05), 기타 다른 평가척도에서는 두 집단간에 유의한 차이가 없었다. 3) 평균 Y-BOCS 점수는 투약 전에 비해 sertraline 투약 12주째 43.5%가 감소하였다. 투약 전과 비교하여 투약 2주째부터 불안을 평가하는 HAM-A 점수가 유의하게 감소하였고, 투약 4주째부터 Y-BOCS, NIMHOCS, CGI 점수가 유의하게 감소되기 시작하여 12주까지 지속되었다.(p<0.01). 4) 호전군에서 오염에 대한 강박사고와 씻음의 강박행동의 유의하게 많았으며(p<0.05), 셈의 강박행동은 없었다(p<0.05), 병적 의심은 비호전군에서 많은 경향을 보였다(p<0.1). 결론: 이상의 결과를 종합하면, 질병의 이환기간이 짧으며 과거의 강박장애에 대한 투약경력이 적고 투약 전강박행동이 심하지 않으며, 주된 임상양상이 오염에 대한 강박사고와 씻음의 강박행동인 경우 sertra-line에 좋은 치료반응을 보이지만, 셈의 강박행동이 있는 경우에는 치료반응이 좋지 않다고 예측할 수 있다. Objectives: The pharmacologic treatment of obsessive-compulsive disorder(OCD) with serotonergic antidepressant agents is well established in clinical psychiatry on the basis of serotonin hypothesis. Studies on predictive factors of treatment reponse to OCD are relatively scarce. The author compared the demographic factors, age of onset, length of illness, family history of mental illness, previous drug history for OCD, severity and type of symptoms between the drug reponders and non-responders to find out the predicitive factors that may be related to treatment response. Methods: The subjects were 31, both inpatients and outpatients who met the diagnostic criteria for OCD by DSM-IV and scored 20 or higher on the Yale-Brown Obsessive-Com-pulsive Scale(Y-BOCS) completed 12-week trial of sertraline. Y-BOCS, National Institute of Mental Health Obsessive-Compulsive Scale(NIMHOCS), Clinical Global Impression Scale(CGI) were scored to measure the changes of obsessive-compulsive symptoms, and Hamilto Anxiety Scale(HAM-A) was measured at each visit. Results: 1) The responders, defined as achieving at least a 40% decrease in the Y-BOCS total score and more than a 2 point decrease in CGI score, were 17(54.8%), and non-responders were 14(45.2%). Responders tended to show later onset(p<0.1), and shorter duration of illness(p<0.05), and less previous drug therapy for OCD(p<0.05) than non-responders. There were no significant differences in family history of mental illness between the two groups. 2) The basline Y-BOCS compulsive score was significantly lower in responders(p<0.05), although there was no significant difference in the basline severity of other measures. 3) The obsession of contamination and washing behaviors were more frequent, but compulsive counting was not shown, in responders(p<0.05). The pathological doubt tended to be more common in nonresponders(p<0.1). Conclusions: In summary, the patients with shorter duration of illness, less prior drug ther-apy for OCD, and less severe compulsive behaviors, and the obsession of contamination and washing behaviors are expected to be better outcome with sertraline, whereas compulsive counting are the predictor of poor response.

"No man's land"에서의 수지 굴근건 손상시 일차 건봉합술의 임상적 고찰

이종문,박승하,김우경,정전은 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.1

In past years repair of acute flexor tendon injuries in zone Ⅱ developed a poor reputation because of the high frequency of adhesion. More recently with the development of new techniques, especially early controlled mobilization and microscope, the result have improved and direct repair has again come into favor. In this study, 94 digits with complete laceration of the flexor tendon in zone Ⅱ were treated by primary repair and early controlled mobilization. Using the Strickland formula of total active motion of the interphalangeal joints, 64 digits(68%) were rated "excellent" ; 14 digits(15%) were rated "Good" ; 12 digit(13%) were rated "Fair" ; 4 digits(4%) were rated "Poor"

경부에 발생한 침습성 지장종의 치험례

조은영,하종운,김영빈,정윤심 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

Lipomas make up 4∼5% of all benign tumors in the body and are most often located on shoulders and backs. Neck lipomas are often developed in the subcutaneous tissues of the posterior neck, Most lipomas have slow growth rate and the recurrence is very rare after surgical excision because of well-defined border. But lipoma originated from muscles(intramuscular and intermuscular lipoma), so called infiltrating lipoma, has ill-defined border and little or no evidence of encapsulation. Histologically the feature of infiltrating lipoma is distinctive. There is a consistent infiltration with dissociation of the surrounding muscle fibers. The overall recurrence rate is less than 5%, but rises to 62.5% when deep infiltrating lipomas are considered separately. Thus infiltrating lipoma is best excised with a margin of normal muscle to avoid recurrence. Its location in the head and neck is uncommon. 18 cases of infiltrating lipoma in the head and neck has been reported to date. Here we report a case of infiltrating lipoma that arises in the head and neck muscle with a review of the literature on the subject.

Ti-6Al-4Fe-xSi 합금의 크리프 특성과 석출거동

김은하,윤종원 東義大學校産業技術開發硏究所 2003 産業技術硏究誌 Vol.17 No.-

Ti-6Al-4V의 대체재로 Ti-6Al-4Fe-xSi (x=0, 0.1, 0.25, 0.5, 0.75 wt%) 합금의 크리프 특성과 크리프 시험 후의 석출거동을 비교 실험하였다. 500℃, 350MPa의 크리프 시험을 수행한 결과, 500℃, 350MPa의 250시간까지의 크리프시험에서는 0.25wt%Si, 0.5wt%Si, 0.75wt%Si합금은 파단이 일어나지 않았고, 최소크리프속도 역시 0.25wt%Si에서는 감소하다가 0.25wt%Si이상에서 크리프속도의 변화가 거의 없어 500℃에서는 0.25wt%Si의 첨가가 안정적임을 알 수가 있다. Ti-6Al-4Fe-xSi합금의 미세구조는-0.5wt%Si에서는 0.2㎛이하의 미세한 티타늄 실리사이드가 α, β상에 분포되어 있으며, 0.75wt%Si의 경우에는 약 1㎛크기의 조대한 티타늄 실리사이드가 α, β상에 분포되어 있다. 크리프 시험 후의 미세조직은 500℃에서 250시간 노출되어 있으면서 β상에 고용되어있던 Fe가 TiFe 금속간 화합물 형태로 석출된 것이 관찰되었다.

직업성질환의 감시체계 구축

임종한,홍윤철,하은희 가톨릭대학교 산업의학센터 2000 韓國의 産業醫學 Vol.39 No.2

Surveillance programs in the workplace can be used to monitor trends of illness, injury, or exposure to workplace hazards. In such activity, surveillance data are developed to assess variations in rates between (1) different industrial groups (2) different geographic areas, and/or (3) different time periods. In this way, surveillance of health or exposure trends can be used to evaluate the efficacy of programs designed to control occupational hazards. Medical screening programs have been existed for the identification of cases of occupational diseases such as pneumoconiosis, noise-induced hearing loss in Korea. However, the occurrence of some types of occupational illnesses and injuries has been seriously underestimated in Korea. The typical examples of underestimated occupational illness and injury are occupational asthma, occupational skin diseases, occupational musculoskeletal diseases, and occupational cancer. This underdiagnosis and underreporting of occupational illnesses and injuries subsequently contribute to difficulties in performing effective control of occupational hazards and implementing intervention programs to protect workers. To overcome this problem, a variety of occupational disease surveillance systems are being constructed for the identification of cases of occupational illness and injury and the monitoring of trends. In Inchon, Taejon, and Yochon, regional occupational surveillance system is being built for preventing occupational hazards and for enforcing occupational disease prevention programs in local level. Nation-wide occupational surveillance system is also being built with specific target disease such as occupational contact dermatitis, occupational asthma, or occupational musculoskeletal disorder. All of these systems have same difficulties in maintaining professional staff that could respond to the incoming reports. They have insufficient sources in collecting valid data. These programs should not be conducted as separate activities, but rather integrated into a comprehensive program as a national surveillance system designed to control workplace hazards and protect worker health in the national level. Further efforts are needed to develop available surveillance resources such as medical providers' reports, hospital medical records, medical examination data of employees, and biological monitoring data, worker's compensation data. Appropriate preventive intervention will also be needed to control workplace hazards and protect worker health using surveillance data.