사망진단서(사체검안서) 상의 선행사인으로부터 사망통계의 원사인이 선정되는 비율 : 3개 대학병원에서 교부된 사망진단서를 중심으로

박우성,박석건,정철원,김우철,탁우택,김부연,서순원,김광환,서진숙,부유경 한국의료QA학회 2004 한국의료질향상학회지 Vol.11 No.1

Background : To exatnine the problems intolved in writing practice of death certificates, we cotnpated the determination of underlying cause of death for wital statistics using recorded underlying cause of death in issued death statistics. Methods : We collected 688 rnortality certificates issue in year of 2,000 from 3 university hospitals. And we also collected vital statistics from ministry of statistics. The causes of death were coded by experienced medical record wpecialists. And causes of death determined at ministry of statistics for national vita statistics were mapped to causes of death recorded at each death certificates. The rate that underlying causes of death for vital statistics were derived from underlying causes of death recorded at issued death certificaties sere analysed. Results : 64.5% of underlying cause of death for could be derived from underlying cause of death recorded at issued death certificates, 8.6% derived from intermediate cause of death, and 3.9% derived from direct cause of death. In 23% of cases, underlying cause of death could not be derived using issued death certificates. The rate that underlying cause of death for vital statistics could be derived from underlying cause of death recorded at death certificates was different between 3 university hospitals. Ane the rate was also different between death certificates and postmortem certificates. We classified the causes of death using 21 major categories. The rate was different between diseases or conditions tha caused death too. Conclusion : When we examined the correctness of death certificate writing practice using abpve methods, cortectness of writing could not be told as satisfactory. There was difference in correctness of writing between hospotals, between death certificates and postmortem certificates, and between diseases and conditions that caused death. With this results, we suggested some strategy to improve the correctness of death certificate writing practice.

냉기 치료에 따른 둔근에서의 피부 및 근육내 온도 변화

정우성,김미정,박시복,이상건,김영호,양길태,장윤희 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.2

2단 평행구조 로보트 프로그램 개발

박근우,이민기 國立 昌原大學校 産業技術硏究所 1996 産技硏論文集 Vol.10 No.-

This paper introduces the development of program for the double parallel robot which is applied to a machining work. The robot system consists of a robot, PC (personal computer), DMC (DSP Motion Controller), and machining tools. We analyze the motions of robot by an inverse kinematics +and drive the motions by DC Servo motors. In order to actuate the motor, we use the motion functions of the DMC, which is implemented in "C" language. Without adding a teaching box, we teach the robot with keyboard itself. Furthermore, we develope a 3-D graphics simulator to investigate the feasibility for application program in off-line.

나리屬 식물의 촉성 재배에 있어 엽초 제거가 생육에 미치는 영향

정우윤,최상태,박인환,김성태,박현근 慶北大學校 農業科學技術硏究所 2003 慶北大農學誌 Vol.21 No.-

The study aimed to identify leaf sheath through the investigation a characteristic of leaf by planting depth and leaf sheath function through the investigation of effect of leaf sheath removals on growth and flowering in forcing of Lilium cultivars. The number of leaf sheath of 'Jolanda', 'Dream Land', 'Casablanca' were 6, 5, 11 in 0㎝ planting depth and 6, 5, 14 in 6㎝ planting depth. The number of leaf sheath in 'Jolanda' and 'Dream Land' were little different in according to planting depth. The other hand, the number of leaf sheath in 'Casablanca' were increased 3 when it were planted in 6㎝ planting depth. As leaf sheath were removed, plant height and stem root growth were decreased in 'Le Reve' and 'Casablanca'. Whereas the growth of basal root and flower number varied among of Lillium and stem diameter, the days of flowering and flower size were little different.

후두결핵의 임상적 고찰

이동건,심우영,조재민,박현민,이진춘,왕수건 釜算慶南耳鼻咽喉科學會 1996 임상이비인후과 Vol.7 No.2

中風의 治法 중 潛陽法에 대한 문헌고찰

閔健祐,朴鍾赫,鄭智天 동국대학교 한의학연구소 2000 東國韓醫學硏究所論文集 Vol.9 No.-

潛陽法은 平肝治法의 일종으로 刊陽이 上亢해서 나타나는 頭目昏暈, 수족추휵, 구안괘사, 舌乾語澁, 頭痛不止, 猝然倒地 등의 症狀에 쓰는 治法이며 中風의 標實證을 다스리는 목적으로 多用되고 있다. 中風에서의 活用은 淸代에 이르러 본격화되었는데, 葉天士는 "자액식풍, 濡養營絡, 補陰潛陽"을 사용하였고, 張伯龍은 "潛鎭攝納" 하는 치료법을 사용하였다. 中風의 病理가 本虛標實하므로 항상 滋陰, 補水하는 治法과 相互補完的으로 사용되고 있다. 潛陽法이 多用된 병증은 刊胃陰虛, 風陽上擾로 인한 中經絡證과 中腑證 중에서 陽閉證이며, 脫證의 일부와 中風日久로 因한 癲癎에도 사용 되었다. 潛陽藥 중 珍珠母, 石決明, 玳瑁, 牡蠣, 見齒, 龜板, 鱉甲 등 介類의 효력이 뛰어나고, 治方으로는 鎭肝??風陽, 虎潛丸, 固本丹, 復脈湯, 天麻鉤藤飮, 羚羊角湯 등이 활용되고 있다. The methods of checking the exuberance of yang (潛陽法) are a kind of medical treatments Lvhich cure various symtoms caused by hyperactivity of liver-yang, at the same time used for treating apoplexy. Thus, I investigated the application of checking the exuberance of yang to treat stroke. The conclusions are as follows. We can find application of checking the exuberance of yang to apoplexy on Synopsis of the Gold Chamber. After Ye Gui who persisted the theory of endogenous wind, many physicians applied the method of checking the exuberance of yang and this method has usually applied with nourishing yin. The methods of checking the exuberance of yang are concretely applied as follows. 1) a portion of apoplexy involving the channels and collaterals, which is caused by deficiency of \-in and wind-fire pathogen. 2) excessive-syndrome of coma accompanied by heat syndrome. 3) epilepsy caused old apoplexy. The majority of shells for example abalone shell, hawksbill shell, oyster shell, tortoise-shell etc. are the most frequent use of herbal drug which check the exuberance of yang. The precriptions of checking the exuberance of yang are Ho-jam-hwan(虎潛丸), Ko-bon-dan(固本丹), Cheon-ma-gu-deung-eum(天麻鉤藤飮), Chin-gan-sik-pung-tang(鎭肝湜風湯) etc.

생체모사환경에서 DLC 필름의 부식마모 특성에 미치는 Si 함량의 영향에 관한 연구

김호건,김우중,김정구,박세준,이광렬 대한금속재료학회 2005 대한금속·재료학회지 Vol.43 No.3

In a method to improve resistance to wear, corrosion and mechanical properties of protective coating, DLC coatings have been extensively studied over the past several years due to their unique combination of properties. Especially, Si-DLC coatings have been attracting increasing interest of researchers since they have a great potential for solving some of the major disadvantages of pure DLC coatings. Si-incorporated diamond-like carbon (Si-DLC) coatings ranging from 0 to 2 at.% were deposited on Ti alloy substrate by means of r.f. plasma-assisted chemical vapor deposition (r.f. PACVD) technique, using mixtures of benzene (C_(6)H_(6)) and silane (SiH_(4)) as the reaction gases. Corrosion and wear behavior of DLC coatings was investigated by electrochemical techniques (potentiodynamic polarization test and electrochemical impedance spectroscopy), tribological techchnique(wear test) and surface analyses (atomic force microscopy, scanning electron microscopy and Raman spectroscopy). It was found that DLC coatings with increasing Si content could acquire improved corrosion and wear resistance in the simulated body fluid environment (0.89 wt.% NaCl of pH 7.4 at 37℃). (Received December 6, 2004)

구미산업단지 대기중 휘발성유기화합물(VOCs)의 농도특성

최우건,배상호,박덕신,정연구,김태오 한국환경과학회 2004 한국환경과학회지 Vol.13 No.3

This study focuses on the measurement of airborne Volatile Organic Compounds (VOCs) in the Kumi electronic industrial complex during the time periods of August and September, 2002 and January and February, 2003. This study was based on the US-EPA method TO-14 while the VOCs were analyzed with GC/MSD. The toluene level revealed high concentration at all measurement sites. The areal rank of average concentrations of VOCs is as follows : industry l>industry2>urban>middle>residential. Concentrations of VOCs in Kumi electronic industrial ones were generally higher than at Yeochon and Ulsan industrial complexes. Dichloromethane and trichloroethylene, which are used as a cleaner in the process of electronic industries, were observed 4 to 8 times higher than those of other areas. Among the aromatic compounds, toluene showed the highest level, while the concentrations of dichloromethane and trichloroethylene were higher than those of other halogen compounds. In Kumi, toluene, trichloroethylene, and dichloromethane were confirmed as the major compounds of VOCs by this research.

제주 차귀도 연안해역 미생물 분포 및 이화학적 특성

문영건,김만철,이준백,송춘복,여인규,김종만,박근태,손홍주,최우봉,허문수 한국환경과학회 2006 한국환경과학회지 Vol.15 No.3

국내 대학병원에서 정주용 Ciprofloxacin 사용의 적정성 평가

김신우,박효정,오원섭,김연숙,장현하,정숙인,정두련,이혁,염준섭,기현균,손준성,백경란,우건조,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

목적 : 국내 병원에서의 정주 ciprofloxacin 사용의 적정성을 평가하고자 하였다. 재료 및 방법 : 2003년 9월 25일부터 8개의 대학병원에서 정주 ciprofloxacin을 받았던 290명의 연속적으로 모집한 성인환자를 대상으로 약제사용 평가(DUE)를 전향적으로 수행하였다. 이 연구에 사용된 DUE 기준은 미국병원약사회의 기준을 국내 실정에 맡게 수정하여 사용하였으며 1) 사용의 정당성에 관한 항목, 2) 사용 시 준수되거나 시행되어야 할 사항에 대한 항목, 3) 부작용에 대한 항목, 4) 치료 효과에 대한 항목으로 나누어 조사하였다. 결과 : 환자의 평균 나이는 54세였다. 33예(26.9%)에서만 약제 사용의 적정성 측면에서 기준을 만족하였고 91예(73.1%)에서는 사용이 적절하지 않았다. 정주 cipro-floxacin의 부적절한 사용의 흔한 원인은 수술 전후의 예방약 사용, 비뇨기계 처치 전의 예방적 사용, 열성 질환에 대한 경험적 사용 등의 순이었다. 사용 시 준수사항 의 측면에서는 사용 전 배양검사(73.8%)와 사용 중 배양검사(68.6%)가 낮은 수행 정도를 보였으나 그 외는 비교적 높은 적정성(82.4-100%)을 보여주었다. 정주 ciprofloxacin사용의 합병증은 드물었다. 치료 효과의 면에서 치료반응은 93.3%였다. 결론 : 약제 사용의 정당성 기준에 따른 정주 cipro-floxacin의 부적절한 사용은 연구에 포함된 대학병원에서 매우 흔하였다(73.1%). 그러므로 적절한 항생제 사용에 대한 교육과 제도적 장치가 매우 필요한 것으로 판단되었다. Background : To evaluate the appropriateness of intravenous (IV) ciprofloxacin usage in university hospitals in Korea. Materials and Methods : We prospectively evaluated the appropriateness of drug usage in 290 consecutive adult patients who received IV ciprofloxacin in eight teaching hospitals during the period from September 25, 2003 to November 15, 2003. Drug use evaluation (DUE) in this study was based on the modified standard by the American Society of Hospital Pharmacy with regard to the justification of drug use, critical and process indications, complications, and outcome measures. Results : Average age of the patients was 54 years. The use of IV ciprofloxacin was appropriate only in 33 cases (26.9%). Common reasons for inappropriate use of IV ciprofloxacin include perioperative uses or prophylactic injection before urologic procedures, and empirical therapy for febrile episodes. Most of the "critical indications" and "process indications" showed high rate of appropriateness (82.4-100%). However, the rate of taking culture and sensitivity test before (73.8%) and during ciprofloxacin use (68.6%) were low. Complications with ciprofloxacin use were rare. In 93.3% of cases, ciprofloxacin treatment was clinically effective. Conclusion : Use of intravenous ciprofloxacin is frequently inappropriate in tertiary care hospitals in Korea. Implementation of education program and antibiotic control system is critical in improving the appropriateness of antimicrobial use.