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이상주,이영모,이한규,최대은,박기현,이강욱,신영태 충남대학교 의학연구소 2001 충남의대잡지 Vol.28 No.2
Autosomal dominant polycystic kidney disease(ADPKD) is one of most common hereditary disorder. It is potentially fatal and the major mobilities are hypertension and renal failure. To elucidate clinical characteristics and outcomes of ADPKD, 67 ADPKD patients were analyzed retrospectively. The male to female ratio was 48 years for males and 42 years for females. The factors leading to the dignosis of ADPKD were flank or abdominal pain (46%), palpable abdominal mass (24%), incidental findings (18%), gross hematuria and headache. Urinalysis result showed hematuria (31%), proteinuria (19%), pyuria (18%). Among renal complications hypertension (67%) was the most common. Other complications were urolithiasis (16%) upper urinary tract infection (9%), cyst infection (7%). Azotemia was observed in 24% of cases. Echocardiography showed left ventricular hypertrophy in 24% and valvular regurgitation in 18% of cases, but there was no mital valve prolapse. Cerebrovascular events occurred in 6 cases (2 cases of intervertebral hemorrhage and 4 cases of cerebral infarction). Hipatic cyst were observed in 64% of cases. Eighteen cases culminated in end stage renal failure (ESRF) at an of 47. According to this study, the most common complications of ADPKD was hypertension (67%), ESRF (27%), and cerebrovascular event (9%). Hypertension was more frequently observed in increased creatinine group than normal.
혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement
임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1
Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.
이종흔,정태영,김중수,이효재,민병무,정동균 대한구강생물학회 1980 International Journal of Oral Biology Vol.4 No.1
These studies were performed in an effort to elucidate the relation between dental fluorosis and several minerals which are contained in drinking water in the regions of the high fluorosis index. The water samples were collected from several regions around the Mankyung River in Chonrabukdo where high fluorosis index was observed in the pupils and from the control regions where dental fluorosis were not reported. The contents were analyzed by means of spectrophotometry for phosphorus, fluoride ion activity for fluoride, and atomic absorption spectrophotometry for calcium, magnesium and manganese. The calcium concentrations of drinking waters collected from the regions where high degree of dental fluorosis was appeared were lower than those of control regions. The phosphorus concentrations in the regions of high fluorosis index were very high, and the fluoride concentrations were remarkably greater than those of control regions. There was regional change in the magnesium concentrations of drinking water collected from the regions of the high dental fluorosis and control regions. But manganese concentrations showed markedly high regional variation.
상부요로계감염 환자에서 Gallium-67 Citrate 스캔 및 Tc-99m Dimercaptosuccinic Acid(DMSA)스캔의 임상적 의의
이강욱,강민규,장윤경,양종오,이상주,박기현,소영,신영태 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.2
It is often not certain whether the focal defect of renal cortex of Tc-99m Dimercaptosuccinic acid(DMSA) renal scan in patients with acute pyelonephritis means the cortical scar by previous inflammation or recent active inflammatory lesion. Gallium-67 citrate(Ga-67) also has been known to be accumulated at the active inflammatory lesion. In order to evaluate the usefulness of the Ga67 and Tc-99m DMSA renal scan in patients with acute pyelonephritis, we reviewed the results of both study and clinical findings. Nintecn patients with typical clinical findings of acute pyelonephritis and admitted to our institute from Jan. 1998 to Nov. 1998 were included in this study. Tc-99m DMSA and Ga-67 scan were performed mean 3.3 and 7.3 days after admission. Eleven of 19 patients (57.9%) showed abnormally increased focal renal uptake on the Gallium-67 citrate scan and 14 of 19 patients(73.7%) had a cortical defect on the kidneys in Tc-99m DMSA scan. Seven(36.8%) patients had an abnormality in both study. Seven(36.8%) patients had an abnormality only in Tc-99m DMSA scan and 4 (21.1%) patients had an abnormality only in Ga-67 scan. Of 7 patients who had an abnormality on both scan, 5 patients had. an abnormality at same region in both scan and 2 patients had an abnormality at the different sites on the kidneys. With the above results, we speculate that Ga-67 scan and Tc-99m DMSA scan play a complementary role in the patients with upper urinary tract infection.
아파트단지의 가로망체계 및 교통시설물 설치기준에 관한 연구
이영무,김태희 홍익대학교 1996 弘大論叢 Vol.28 No.-
The aim of this paper is to establish several meaningful criteria for the design of road and traffic facilities in high-rises apartment complex. After examine the present conditions of the case study areas in Seoul situation problems were identified regarding to vehicle and pedestrian circulation facilities. The problems were wrong location of main entrence, alignment, road width and vehicle/pedestrian separation. The possible solutions were suggested to ease the situation, namely correct location of main entrance, proper alignment and establishing the pedestrian only road. The results of this research can be utilized to enhance the quality of living environment, especially the high-rises apartments which is becoming the major form of habitation.
괴사후성과 비괴사후성 간경변증에서 원인별 주석교질 (^99mTc-tin colloid) 간스캔의 차이
이헌영,허승식,이강욱,정현용,김삼용,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2
The differences of the liver scintigraphic features between postnecrotic and nonpostnecrotic liver cirrhosis were studied for 69 patients. Degrees of mottling and splenomegaly were no different between two groups but shrinked form was more frequent finding in postnecrotic type(23:10), and normal shape & enlarged left lobe with shrinked right lobe were relatively dominant in non-postnecrotic group(15:6, 10:2). Grade of extrahepatic uptake of ^99mTc-tin colloid was significantly higher in Child-Pugh B & C group than A group(p<0.05), but there was no difference between postnecrotic and non-postnecrotic groups. These will be important results on the dicision for the presence of cirrhosis according to the variable causes.
손상평가도를 이용한 용접구조물의 균열형 결함에 대한 사용적합성 평가
李精錫,朱章福,張宰溢,金禹植,고영대,權東一 대한금속재료학회 2002 대한금속·재료학회지 Vol.40 No.10
Flaws nucleated during operation of structures such as nuclear power plants, petroleum facilities and gas equipment raise many safety problems, and thus the integrity assessment of crack-like flaws in structures has been very important. Since large-scale structures include weldments with complex micro-structures and inhomogeneous material properties, it is essential to consider both metallurgical and mechanical factors. In this study, a methodology for integrity assessment in welded structures was developed based on API 5L X65 grade natural gas pipeline (an approximately 2400 ㎞ pipeline in Korea). A failure assessment diagram(FAD), which includes all failure modes from linear elastic fracture to plastic collapse, was used for integrity and fitness-for-service(FFS) assessment of the pipeline. Since tensile properties and fracture toughness of base metal, weld metal and heat affected zone(HAZ) are required for the FAD, tensile tests and fracture toughness tests were performed on each region. In particular, the evaluation of representative properties of HAZ make it possible to assess FFS accurately by using the HAZ-based FAD when crack-like flaws exist in HAZ. This HAZ-based FAD is different from current codes, which assess integrity by the material properties of weld metal or base metal even when flaws exist in HAZ.