응급의료센터로 내원한 헬기 후송 환자의 현황 및 분석

박진,조남수,조수형 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Our hospital is only emergency medical center that possess the landing zone of helicopter in chon-nam, Korea. An analysis of the present condition of helicopter-transport patient, was performed in order to pursuit and extend the availability of air transport in the future. The result were as follows; 1) The investigated in the present condition by yearly: 2 cases in 1991, 5 cases in 1992, 4 cases in 1993, 9 cases in 1994, 5 cases in 1995. 2) In the proportion of male to female, showed a ratio of three to one [male;72%(18), female;28%(7)] and showed third decade(7 cases), fifth decade(6 cases), sixth decade(4 cases) in comparison of age. 3) The geographical distribution of occurrence showed island areas(64%), inland areas(36%), and 6 cases of inland areas occurred of mountainous region. 4) One cause of events was traumatic causes(52%), which included traffic accident(5 cases) & fall down(4 cases). The other cause was disease(48%). 5) The expended time of helicopter from start to arrive at accident spot within Chon-nam area is from ten minutes to forty-five minutes, as mean expended time is thirty minutes. 6) The expended time from occurrence of patient to admitted hospital was from minimum twenty-five minutes to maximum eight hours and forty minutes, as expended time is one hundred and eighty-six minutes. 7) After arrived at landing zone, via emergency department to admitted patient; 12 cases, performed emergency operation; 4 cases, D.O.A. state; 2 cases, hopeless discharge; 2 cases, transfer to other hospital; 4 cases. Up to now, the present condition of helicopter-transport system was looked upon as petty affairs, and determination of transport was swayed by geographic element rather than severity of injury. And so, it is considered that epochal turning point is necessary for development of helicopter-transport system.

소아복부둔상시 저혈량성 쇽과 연관된 복부전산화 단층촬영술의 유용성

박광철,조수형,조남수,박진,변주남 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: We reviewed retrospectively the clinical features and contrast material-enhanced computed tomography(CT) after blunt abdominal trauma demonstrated a characteristic hypoperfusion complex. Our purpose were to evaluate the hypothesis that children with this "hypoperfusion complex" CT finding were associated with a tenuous hemodynamic state, severe injury and a poor outcome. Methods: Between January 1996 and December 1999, 39 consecutive children who sustained blunt trauma and were suspected clinically of having intraabdominal injury underwent CT. Demographic data, blood pressure, indication for CT, pediatric trauma score(PTS) and Glasgow coma score(GCS) were recorded at the time of the initial examination. Results: Three of the 39 children(8%) demonstrated a characteristic finding at CT which was described as the hypoperfusion complex. The "hypoperfusion complex" was present in the 3 of the 39 traumatized children(8%), but was the main radiographic finding in the 3 of the 14 children with a severe pediatric trauma score(PTS<8) and in the 3 of the 6 children with a Glasgow coma score(GCS<8) who were examined with CT. Conclusion: The CT findings in all children with the hypoperfusion complex by definition included marked, diffuse dilatation of the intestine with fluid; abnormally intense contrast enhancement of the bowel wall, mesentery, kidney and/or pancreas; decreased caliber of the abdominal aorta and inferior vena cava(IVC); and moderate to large peritoneal fluid collection. This "hypoperfusion complex" is a relatively rarely observed in injured children but appears to be associated with severe injury and a poor outcome. The pediatric trauma score provides a useful profile of injury severity in children. Prompt diagnosis of hypovolemic shock is important so that supportive therapy can be instituted to prevent further metabolic abnormalities and their potential cardiotoxic effects. In summary, the intense multiorgan enhancement pattern seen in the hypoperfusion complex indicates tenuous hemodynamic stability and is associated with a poor outcom.

인도네시아 지진해일에 대한 의료지원보고

조수형,김선표,최웅지,김성중,조남수,이준영,문성표 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

An unprecedented magnitude of disaster, Tsunami, washed away Southeast Asia, on December 26, 2004. and more than 200,000 peoples were killed by the disaster. Staffs of our hospital visited Indonesia for voluntary medical supports from January 12, to January 21, 2005. We summarize here our 10 days' experiences in Indonesia.

치과기공실의 작업공정별 소음에 관한 연구

조수열,남상룡 효성여자대학교 부설 한국환경위생연구소 1992 환경위생연구 Vol.2 No.1

본 연구는 치과기공실의 작업부서별, 1인작업시의 소음도를 조사하여 기본자료로 하고 복합공정시의 소음을 측정하여 70 dB이상의 소음 노출시간을 조사함으로서 전체 치과기공실의소음도를 추정하고, 치과기공실의 소음이 치과기공사에게 정신적, 정서적 , 생리적으로 어떠한영향을 미치는가를 설문조사하여 소음에 노출되어 있는 치과기공소의 환경위생 관리와 건강장해를 예방하기 위한 기초자료를 얻고자하는데 그 목적이 있으며 그 결과는 다음과 같다. 1. 작업부서변 1인 공정시 소음도는 각 작업부서별 모두 연마작업시 높은 수치를 나타냈으며, 그 정도는 70 dB이상이다. 2. 작업부서별 복합공정시 공정별 소음도는 1인 작업공정시보다 전체적으로 소음발생이증가하였는데, 소음도의 차이는 연마시보다 조용한 작업공정 시가 최소한 10 dB이상으로더 큰 차이가 나타났다. 3. 작업부서별 소음 노출시간은 80 dB이상에서는 복합공청시 도재기공부서(150분), 국부의치(120분), 관교의치기공(100분), 총의치기공(80분) 순으로 나타났다. 4. 작업실의 시간대변 소음정도는 연마작업시는 대부븐이 80 dB이상이고 Wax작업시는대부분이 75 dB이하로 나타났다. 5. 설문조사에서 치과기공사의 심리적 상태는 기공실 소음으로 인하석 거의 매일 짜증난다(14%), 가끔씩 짜증난다(29%)로 나타났고 정서적 불안감도 화가 잘 난다(19%)로나타났다. 6. 소음이 치과기공사의 신체에 미치는 영향은 기공일을 하는 동안 위장병에 대해서는위산과다 39%, 위궤방 11%, 위염 5%, 십이지궤양 3% 순으로 나타났고, 심장이 약한것 같다가 32%로 나타났다. 7. 소음이 치과기공사의 청력에 미치는 영향은 약해진다가 39%, 보통이다 33%, 정상이다14%로 나타났다. 치과기공실에서 발생되는 소음에 의해 치과기공사들이 심리적, 신체적으로 큰 영향을 받는것으로 나타났으므로 치과기공실의 작업환경관리에 대해 보다 많은 관심이 요구되며, 소음의발생을 줄일 수 있는 지속적인 연구가 요망된다. Degree of noise by personal dental laboratory working process anddegree of noise by complex dental laboratory working process were measuredseparately. The time of exposure to noise greater than 70 dB estimated on thebasis of afore-medntioned information. Questionarire were employed to investi-gate the mental, emotional and physiological effects of noise on dental techni-cians. The purpose of this study was to provide basic information on keepingdental technicians who are exposed to noise pollution in good working conditionand good health. Results obtained are as follows ; 1. Polishing process in each working part showed high degree of noisegreater than 70 dB in terms of degree of noise by personal working. 2. Degee of noise by complex working process in each workong part wasgreater than that of personal working process. 3. Time of exposure to noise complex working process the part of porcelain150 min., partial denture 120 min., crown and bridge 100 min., full denture80 min. 4. Degree of noise by time in dental laboratory was 80 dB in general forpolishing process and below 75 dB for waxing process. 5. Effects of noise on mental and emotional state of dental technicians she-wed that they felt irritated every day(14% ), irritated once in a while(39% ) andeasily get med(19% ). 6. Effects of noise on heart and stomach were hyper-gastric acid(38% ) ,gastric ulcer(11% ), gastritis(5% ), deuodenal ulcer(3% ) and weak hert function(32% ). 7. Effects of noise on the hearting ability were weak(39% ), moderate(33% )and normal(14% ). Data presented in this study demonstrated that noise in the dental laboratoryexerts profound effect on detal technicians mentally, physiologically and emotio-nally. In light of the above results, therefore, it appears advisable to devote subs-tantial interests on the management of working condition and put further(conti-nuing) effeorts in the ivestigation for reducing noise problem.

질소 시비에 따른 청예무의 수량성 및 조성분 분석

조남기,오태수,조은일 제주대학교 환경연구소 2000 환경연구논문집 : 제주대 Vol.8 No.-

In order to determine the influence of nitrogen fertilizer on agronomic characters, and forage and quality, Danjimu, Sannariyeolmu and Seouldaehyungmu were cultured on the volcanic ash soil at the Experimental Farm of Cheju University under seven nitrogen rates (0, 50, 100,150, 200, 250, 300 ㎏/㏊) from April 17 to June 20, 1999. Days to flowering was delayed from 47 to 54 days after seeding a s the nitrogen rate increased. Days to flowering of Seouldaehyungmu was very fast(44days) while Danjimu was slow(54days). The plant height increased by increasing of nitrogen rate, the longest was observed at 250 kg/ha treatment (92.7cm) and 300 kg/ha treatment(93cm), but there was no significance. Plant height of Seouldaegyungmu was the tallest(91.5cm) of all, while that of Danjimu was the shortest(79.8cm ). Total fresh yield was very high at 250kg/ha treatment(94.2MT) and at 300kg/ha treatrnent(96.2MT). but there was no significance, on the other hand, was the shortest in the case of non-treatment(46.MT).

播種量 差異에 따른 濟州在來 동부의 生育反應, 收量 및 粗成分 變化

趙南棋,金東賢,宋昌吉,劉哲受,高東煥 濟州大學校 亞熱帶農業硏究所 1999 亞熱帶農業硏究 Vol.16 No.-

ABSTRACT This study was accomplished to look into the response of main growth characters, yield and chemical composition of Cheju local cowpea on Cheju Island based on the difference between seeding rate. The study took place between May and September, 1998. Number, of days to flowering tended to be delayed as the seeding rate increased. Plant length was the longest at 6kg/10a treatment and the next one was at 5kg/10a treatment. The shortest came from 2kg/10a treatment, 275 cm, 271 and 220cm respectively. Number of branchs and stem diameter became weaker as the seeding rate increased. Fresh forage yields per lOa was the heaviest which weighed 6,073kg at 6kg/10a treatment and 5,840kg at 5kg/10a treatment respectively. The rest decreased gradually. Dry matter yields per lOa, crude protein yields per lOa and total digestible nutrient yields per lOa showed a similar tendency to fresh yields per lOa. The percentage of crude protein and crude fat got higher as the seeding rate increased, but the percentage of crude ash and crude fiber rather tended to decrease. Nitrogen free extract and total digestible nutrient percentages were similar to the change of crude protein percentage. SPAD reading values were the highest at 6kg/10a and 5kg/10a treatment.

태반조직의 유전자형 분석

조남수,황정호,이영애 內務部 國立科學搜査硏究所 2002 國立 科學 搜査 硏究所 年報 Vol.34 No.-

고비중 Bupivacaine과 Tetracaine에 의한 척추마취의 비교

조남수,유병식,박은주 최신의학사 1989 最新醫學 Vol.32 No.11

급성 심근 경색의 진단에 있어서 cTn-T 추적 검사의 유용성

조수형,조남수 朝鮮大學校 附設 醫學硏究所 2009 The Medical Journal of Chosun University Vol.33 No.S

Purpose: Cardiac troponin T (cTn-T) is considered a specific marker for the diagnosis of myocardiac infarction(MI) but recent studies have shown cTn-T elevation in a various condition. Our purpose was to define diagnostic importance of cTn-T in acute myocardiac infarction. Methods: cTn-T was measured from stored plasma samples in 482 subjects. Patients were grouped according to the diagnosis of MI. Group Ⅰ (n=380) had no the diagnosis of MI, Group Ⅱ (n=102) had the diagnosis of MI. All group were measured cTn-T at visiting emergency department (ED), and follow up was done after 3 hours. The gaps of cTn-T for 3 hours were compared between the two group. Results: During the study period, 482 patients had elevated cardiac troponin-T levels. 102 patients(21%) had a diagnosis of AMI, but 380 patients (79%) had non-thrombotic troponin elevation. The follow up gap of acute MI group was significant elevation (mean value: 0.392), whereas other group was no significant elevation(mean value: 0.055) in our study (p<0.001). The known risk factor of MI had significant importance in our study (p<0.05). The positive predictive value for the diagnosis of AMI was 37% (95% CI, 29-45). The PPV of follow gap of cardiac troponin-T level higher than 0.4 ng/ml in the normal creatinine level was 97% but was as low as 25% for level of below 0.05 ng/ml for elderly patients with elevated creatinine level. Conclusion: The diagnosis of AMI should be based on the clinical presentation, but elevated troponin-T is a common finding and correlated with wrong diagnosis. The diagnostic importance of cardiac troponin-T was established when the follow up gap had a significant elevation and normal renal function.

Takayasu′s 동맥염에 의한 쇄골하 동맥류(1예)

조남수,조수형,박광철 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Takayasu's arteritis is a non-specific inflammatory process that involves the aorta and its main branches, the etiology of which remains unknown. This arteritis occurs predominantly in young Asian women, although there have been many documented cases in males and non-Asians. Criteria for the diagnosis of Takayasu's arteritis were developed by The Subcommittee on Classification of Vasculitis of the American College of Rheumatology in 1990, of which a modified version is shown in Table 1. The presence of three or more of the six criteria shown demonstrated a diagnostic sensitivity of 90.5% and a specificity of 97.8%. Takayasu's arteritis is known as 'pulseless disease,' and this non-specific inflammatory arteriopathy typically produces segmental arterial narrowing and occlusion with resultant end-organ ischemic consequences, including upper extremity digital necrosis, stroke, visceral ischemia and renal failure. Previously reported sites of aneurysm formation include the thoracic and abdominal aorta, as well as the innominate, the carotid and the superior mesenteric arteries, but rarely the subclavian artery. A 26-year-old man presented with a progressively enlarging and tender pulsatile mass at the base of the left neck, intermittent Claudication of the upper limbs in association with a decreased brachial artery pulse and a bruit over the subclavian artery. Computed tomography and aortography demonstrated a 4 cm × 5 cm aneurysm of the left subclavian artery. There was no evidence of occlusive disease. An aneurysmectomy with 8 mm hemashield graft interposis was performed. Pathology revealed a chronic, active inflammatory process. Aneurysm formation is an unusual complication of Takayasu's arteritis. Emergency department physicians must carefully observed patiens with symptomatic upper extremity pain and paresthesia and must consider whether those symptoms might be due to the formation of a subclavian artery aneurysm due to Takayasu's arthritis