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      • KCI등재

        복어중독에 의한 가사 상태에서 소생한 1예

        송승찬,신진호,강석우,박경남,최호순,박근태,문희식,기춘석,이성희,윤병철,노우균,조균석,이민호 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.3

        Tetrodotoxin is a neurotoxin produced by about 90 species of puffer fish and causes paralysis of central nervous system and peripheral nerves by blocking the movement of all monovalent cation. Ingestion of tetrodotoxin produces clinical manifestations such as paresthesias(within 10-45 min), vomiting, lightheadedness, salivation, muscle twitching, dysphagia, difficulty in speaking, convulsion and death that expressed by cardiopulmonary arrest with loss of brain stem reflex sometimes. Tetrodotoxin prevents or delays ischemia induced neuronal death by way of following 3 mechanisms. Firstly, it reduces the energy demand of the brain tissues. Secondly, it delays or even prevents anoxic depolarization. Finally, it deminishes ischemia induced cell swelling and cerebral edema. We report a case of puffer fish poisoning which presented with cardiopulmonary arrest and loss of brain stem reflex, but completely recovered by aggressive cardiopulmonary resuscitation.

      • SCOPUSKCI등재

        사례보고 : 하수오 복용 후 발생한 재발성 독성 간염 1예

        배상훈 ( Sang Hoon Bae ),김동현 ( Dong Hyun Kim ),배영석 ( Young Seok Bae ),이광재 ( Kwang Jae Lee ),김동완 ( Dong Wan Kim ),윤정빈 ( Jeoung Bin Yoon ),홍준호 ( Joon Ho Hong ),김상현 ( Sang Hyun Kim ) 대한간학회 2010 Clinical and Molecular Hepatology(대한간학회지) Vol.16 No.2

        Toxic hepatitis has been reported as a major cause of acute hepatitis, but its potential induction by herbal remedies and/or health foods is usually neglected. We experienced a case of toxic hepatitis associated with Polygoni multiflori, a Chinese herb commonly known as Ho-Shou-Wu. A 54-year-old woman consumed Ho-Shou-Wu for 1 month, after which she experienced fatigue and overall weakness. A diagnosis of toxic hepatitis was made based on her clinical history, the findings for viral markers and other laboratory data, and ultrasonography. Her condition improved considerably after she stopped taking Ho-Shou-Wu. However, she resumed taking Ho-Shou-Wu immediately after discharge from hospital, which aggravated her symptoms and liver function. She was immediately readmitted and stopped taking Ho-Shou-Wu. Her relapse into hepatitis immediate after resuming consumption of the herb is strongly indicative of the validity of Koch`s postulate in this case.

      • KCI등재

        하악골 골절 환자에 있어 수술후 합병증으로 발생한 골수염의 치험례

        윤규호,전인성,신용길,박준호,허남오,방석준 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.4

        The term osteomyelitis literally means inflammation of bone marrow. It is described as an inflammatory condition of bone primarily engaging the medullary Following circulatory collapse and ischemia, the involved portions of the bone become necrotic. Cellulitis and osteomyelitis are the most frequent complications of fractures of the mandible and maxilla, because there is an abscessed tooth in the line of fracture. Since most fractures are compound fractures, infection may develop because of contact with oral secretions or outside air. The treatment of chronic osteomyelitis is still under debate. Some authors rely on antibiotics alone, while others advocate combination with surgery. But when infection occurs, establish proper drainage and administer antibiotics. Author treated a case of infected mandibular fracture with mandibular osteotomy, sequestrectomy, iliac bone graft and hyperbaric oxygen therapy, who had suffered suppurative osteomyelitis and mandibular nonunion following the open reduction of the mandibular fracture.

      • 효과적인 영어독서를 위한 창의적인 독서기술에 관한 연구

        윤석화,강현호 원광대학교 대학원 2007 論文集 Vol.39 No.-

        The purpose of this dissertation is to find out the effects of a fast reading program by presenting various prior theories and teaching and learning reading skills such as skimming, scanning, guessing, reading faster, etc. It's expected that such a study gives will help students develop abilities in reading for pleasure, reading comprehension skills, thinking skills and reading faster. Reading for pleasure is the easiest way to become a reader in English. It's also the most important way to improve one's reading abilities. Chapter Ⅰ discusses the necessity, purpose and scope of the present dissertation. Chapter Ⅱ deals with the work method that is composed of the subject and time period of the study and hypothesis. The first hypothesis will be a significant difference in the scores of reading comprehension ability between the experimental class and the control class. The second hypothesis, will be a significant difference in the scores of words per minute between the experimental class and the control class. To verify these hypotheses, the subjects were 124 male students in two classes of the second grade of J High School located in Kunsan City in Jeonbuk. The experimental class consisted of 62 students, and the control class consisted of 62 students. The period of the experiment was 12 weeks, from March, 2006 to August 2006. The instruction methods for speed reading training were, 1) The position of slash 2) Pre-reading activities 3) Chunking 4) Scanning 5) Skimming, and 6) Pattern of Organization. The results were analyzed by SPSS (Statistical Packages for Social Sciences). Chapter Ⅲ. The results of the study can be summarized as follows ; the scores of reading comprehension in the experimental class gradually increased in comparison with the control class. There was a significant difference in the reading comprehension test between the experimental class and the control class. Chapter Ⅳ. Through the results of this study, it would seem that speed reading training enhances students' reading comprehension ability. It's expected that such a study will give some abilities to students in the areas of reading for pleasure, reading comprehension skill, thinking skills and reading faster. Reading for pleasure is the easiest way to become a reader in English. It's also the most important way to improve one's reading abilities. Ongoing immersion in extensive reading is essential for practicing and applying reading skills and for developing all areas of language skill. I think that this dissertation is results can be applied to classroom teaching and will add to students' motivation for improving their reading rate and reading faster.

      • KCI등재

        소화관내 이물에 대한 고찰

        윤한덕,류진호,박주경,허탁,조석주,김성근,민용일 大韓應急醫學會 1997 대한응급의학회지 Vol.8 No.1

        We analyzed records at Chonnam university hospital from Sep. 1. 1993 to Aug. 31. 1996 to assess clinical significance of the foreign body in the gastrointestinal tract. There were 133 episodes consisting of 79 pediatric and 54 adult patients as possible to review. In the pediatric patients, the coin was the most common cause of foreign body ingestion, while adult patients were usually caused by bones and meat. We removed foreign bodies in the oral cavity and oropharynx in 12 cases using direct laryngopharyngoscpy and forcep. Endoscopy was performed successfully in 47 of 51 patients in which was attempted; there were two complications composed of an aspiration pneumonia and a mediastinitis due to esophageal perforation. There were spontaneous passage of foreign bodies in 48 cases. We observed complications in 6 cases in which 4 cases needed operations due to complications. Foreign bodies which pass into the stomach can be observed for development of complications, as 94% of foreign bodies which reach the stomach spontaneously pass. Only 4 patients required interventions, which was done without mortality.

      • 장기입원환자 관리 방해요인

        이경석,윤석만,권희,이호,김혜경,조미자,한규남,김명성 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

        Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control. Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation. Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable. Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.

      • KCI등재

        Pastry 마가린 함량과 적층 수에 따른 puff pastry 제조 특성

        한장호,김석영,윤여창,이시경 한국응용생명화학회 2003 Applied Biological Chemistry (Appl Biol Chem) Vol.46 No.4

        Puff pastry의 제조 공정에서 pastry 마가린 함량과 적층 수의 변화가 제품의 수분 함량, 굽기 손실, 부피, vapor action 등에 미치는 영향을 조사하였다. Pastry 마가린 함량이 90%로 동일하고 적층 수가 27결일 경우 10.8±0.6%의 수분 함량을 나타냈으며, 1024결일 경우 16.7±0.3%로 적층 수가 증가할수록 제품의 수분함량은 증가 하는 경향을 보였다. 적층 수를 256결로 동일하게 하고, pastry 마가린 함량이 50%일 경우는 17.3±0.5%로 나타났으며, 130%에서는 7.5±0.2%로 pastry 마가린 함량이 증가할수록 제품의 수분 함량은 감소하였다. Pastry 마가린 함량을 70%로 동일하게 했을 때 굽기 손실의 변화는 27결일 경우 25.0±0.7%로 나타났으며, 1024결일경우엔 18.8±0.6^로 나타나 적층 수가 증가할수록 제품의 굽기 손실은 감소하는 경향을 보였다. 적층 수를 27결로 동일하게 한 경우에서는 pastry 마가린 함량이 90%일 때 25.4±0.4%의 굽기 손실이 발생하였으며, 110%에서 26.9±0.4%로 굽기 손실이 가장 높게 나타났다. Pastry 마가린 함량이 130%이고 적층수가 81결일 때에 21.87±0.79㎖/g로 최대의 부피를 나타내었다. 또한 vapor action의 크기는 9.15㎜가 pastry 마가린 함량 110%, 적층 수 256결에서 8.25±0.50개로 가장 많이 나타났다. This study was carried out to investigate the effect of pastry margarine content and number of layers on moisture content, baking loss. specific loaf volume and the vapor action in the manufacturing process of puff pastry. As the number of layers of the puff pastry increased the moisture content of the products slightly increased. And the moisture contents of the products decreased, as the pastry margarine contents of the puff pastry increased in the same number of layers. The baking loss of the products tended to decrease as the number of layers increased. On the other hand, as the pastry margarine contents of the puff pastry increased, the baking loss of the product increased. When the pastry margarine content in puff pastries became 130%, 81 layers provided the maximum specific loaf volumes 21.62±0.79 ㎖/g of puff pastries. When 110% of margarine and 256 layers were applied for preparation of puff pastry, the number of vapor action was 8.25±0.50 with the vapor action size of 9-15 ㎜.

      • 지양호의 오염원 및 수질 조사

        하호성,서정윤,진종석,이근석 경상대학교 환경보전연구소 1994 環境保全硏究所報 Vol.2 No.1

        The upper area of the Chinyang Lake was devided into four segments, the Gyeongho River, the Yangcheon River, the Deokcheon River and the vicinity of the Chinyang Lake. The water pollution sources and the water quality of four segments were investigated and evaluated. This region was composed of a Dong in a city and 141 Ries in 6 Guns except for Yurunggun and Namwongun. Population density is low in all area except for Hamyang Up and Sancheong Up. Population is 84.903(58%) in the vicinity of the Gyeongho River, 26,093(18%) in the Yangcheon River, 23,039(16%) in the Deokcheon River and 11,468(8%) in the Chinyang Lake. Total occurance of BOD in the upper area of the Chinyang Lake was 45,493 ㎏/day, whose 66% was generated from domestic animals, 17% from the land and 26% from human wastes, respectively. The occurance of BOD in the views of segments analysis showed that 57.1% originated from the vicinity of the Gyeongho River, 28.4% from that of the Yangcheon River, 9.8% from that of the Deokcheon River and 4.8% from that of the Chinyang Lake. The most amount of BOD was discharged to the Gyeongho River, the second to the Deokcheon River and the least to the Chinyang Lake. Total occurance of SS in the upper area of the Chinyang Lake was 137,445 ㎏/day. The most amount of SS was discharged to the Gyeongho River, the second to the Yangcheon River, and the least to the Chinyang Lake. The waste of domestic animal produced the 66% of BOD and the 92% of SS in their total occurance and the 31% of BOD and the 76% of SS in their total discharge. It is concluded that the waste of domestic animal is the important pollution sources, which greatly impact the water quality of the Chinyang Lake. Total nitrogen and phosphorous content in the water of the upstream of the Chinyang Lake were very high. The water quality of the Yangcheon and the Deokcheon River was classified as 4 grade by high pH and numbers of coliform group especially. The high nitrogen content in the upstream of the Gyeongho and the Yangcheon River implies that much nitrogen is originated from the farm land. It is found that the Chinyang Lake is in the process of the eutrophication.

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