18–30세 사이에 발생하는 뇌경색의 특징, 다기관 레지스트리 연구

장윤경,송태진,김용재,허지회,이경열,김영은,장민욱,조수진,강석윤 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.3

Objectives: Although there have been several reports that described characteristics for young age stroke, information regarding very young age (18–30 years old) has been limited. We aimed to analyze demographic factors, stroke subtype, and 3-month outcome in acute ischemic stroke patient who have relatively very young age in multicenter stroke registry. Methods: We evaluated all 122 (7.1%) consecutive acute ischemic stroke (within 7 days after symptom onset) patients aged 18 to 30 from 17,144 patients who registered in multicenter prospective stroke registry, 1997 to 2012. Etiology was classified by Trial of Org 10172 in Acute Stroke Treatment criteria. Stroke severity was defined as National Institutes of Health Stroke Scale (NIHSS) and stroke outcome was defined by modified Rankin scale (mRS) at 3 months after index stroke. Results: The mean age of all included patients was 25.1±3.7 years and 76 patients (62.2%) were male. The median NIHSS at admission was 4. Considering stroke subtype, 37 patients (30.3%) had stroke of other determined etiology (SOD), 37 (30.3%) had undetermined negative evaluation (UN) and 31 (25.4%) had cardioembolism (CE) were frequently noted. After adjusting age, sex and variables which had P<0.1 in univariable analysis (NIHSS and stroke subtype), CE stroke subtype (odds ratio, 4.68; 95% confidence interval, 1.42–15.48; P=0.011) were significantly associated with poor functional outcome (mRS≥3). Conclusion: In very young age ischemic stroke patients, SOD and UN stroke subtype were most common and CE stroke subtype was independently associated with poor discharge outcome.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

엠보싱 알루미늄 판재의 기계적특성과 스프링백 평가 (제1보)

김영석(Kim, Young-Suk),조준행(Cho, Jun-Haeng),Van-Cuong Do,신동우(Do, Van-Cuong) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.2

엠보싱된 알루미늄 판재는 표면적이 증가하여 방열효과가 뛰어나고 가공경화에 의해 굽힘강성이 증가하여 자동차 열차단기에 널리 사용된다. 하지만 판재의 특성상 주름발생률이 높아 프레스 성형에 많은 제약이 따른다. 본 연구에서는 3차원 구조 알루미늄 판재의 프레스 성형성 평가를 위한 기초연구로 3차원 구조 엠보싱 콘 형상 판재의 기계적특성을 평가 하고 굽힘실험을 통해 프레스 가공 후 발생하는 스프링백을 정량적으로 평가하였다. 엠보싱 판재는 패턴의 방향에 따라 인장특성이 상이하다. 특히 평행 엠보싱 시편의 경우 항복응력이 감소하며 대각 엠보싱 시편의 경우 항복응력이 증가하게 되고 영률의 감소가 크게 나타난다. 그 결과 굽힘 성형가공 후에 스프링 백에 영향을 미친다. Embossed aluminum sheets were been used in heat insulation purpose for automative exhaust parts because of increasing their surface areas and stiffness reinforcement. However, there are many restrictions because of high rate of wrinkle occurrence on press working. We have performed the tensile and bending tests for embossed sheets to clarity its mechanical properties and springback characteristics. Embossed aluminum sheets showed a different flow stress after plastic yielding due to flattening the embossed cone shape. Above all, yield stress of parallel embossed specimen decreases while its diagonal one increases and the decrease of young’s modulus in the embossed sheets contributes to the increase of springback amount.

가토안의 Cathepsin D의 정제 및 분자량 측정

趙瑛淑,石貴德 대구효성 가톨릭대학교 1994 연구논문집 Vol.48 No.1

Cathepsin D was purified from rabbit eyes homogeneously. The homogeneity of the preparation was determined by SDS-polyacrylamide gel electrophoresis and densitometer trace. The isolation scheme involved an homogenization, acid treatment, ammonium sulfate fraction, and sephadex G-200 chromatography. The end product represent about a 61. 3-fold purification, and a 26.1% recovery. The apparent molecular weight was estimated to be 63,000 by electrophoresis in polyacrylamid gel containing sodium dodecyl sulfate according to the method of Weber and Osborn.

Thermocouple을 이용한 Buchanan Plugger 표면의 온도상승 분석

조진숙,황윤찬,김선호,황인남,최보영,정영진,정우남,오원만 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.4

This study was performed to confirm the actual temperature rise on the surface of Buchanan plugger by evaluating the temperature rise on the surface of it, the peak temperature of pluggers of various size using thermocouple. The heat carrier system 'System B Heatsource' (Model 1005, Analytic Technologies, USA) and the Buchanan pluggers of F, FM, M and ML sizes are used for this study. The temperature was set to 200 which Dr. Buchanan's "Continuous wave of condensation" technique recommended on digital display and the power level on it was set to 10. The touch mode was used. Five thermocouples were placed in direct contact with the surface of each size of Buchanan's pluggers at 1 ㎜ increments from the tip to the 4 ㎜ length of shank. Each thermocouple was secured with cyanoacrylate adhesive and orthodontic resin block. The two wire leads of each thermocouple were connected to the appropriate channels of Data Logger. This was configured to simultaneously record input from the five thermocouples. The heat control spring was touched for 1, 2, 3, 4 and 5 seconds, and the temperature rise on the surface of the pluggers were measured at 1 sec intervals for more than 5 seconds with an accuracy of 0.01. Ten trials was determined for each plugger. The average of temperature rise and standard deviation was calculated for each size of plugger. The data were statistically analyzed by one-way ANOVA to determine their significance. The results as follows. 1. The position at which the temperature peaked was approximately at 1∼2㎜ far from the tip of Buchanan plugger (p<0.01). 2. The peak temperature was 215.25±2.28℃ in F plugger, 185.94±2.19℃ in FM plugger, 169.51±9.12℃ in M plugger, and 160.79±1.27℃ in ML plugger and the peak temperature was highest in F type and followed by, in descending order, FM type, M type. ML type showed the lowest peak temperature (p<0.01). This results suggest that the actual temperature on the surface of the pluggers does not correlate well with the temperature set on digital display. Heat concentrates around the tip. The larger plugger reveals lower temperature rise relatively.

실험차량과 실동하중에 의한 교량의 충격계수에 관한 연구

조명선,정태주,박영석 명지대학교 대학원 1997 대학원논문집 Vol.1 No.-

Impact factor by traveling vehicles on the bridge is one of the important factors that should be considered in the design phase. It is known that the impact factor depends on the dynamic characteristics of brides and the dynamic properties of traveling vehicles. The dynamic responses of test vehicle and normal traffic load are measured for the 14 bridges with different types, span lengths, and natural frequencies. We computed the impact factors using by Korean's bridge design specifications and compared with those specified in other countrys. The result is that 78% of estimated impact factors exceed the Korean's specification regulation. Therefore, we consider that the impact factor specified in the Korean standard bridge design code should be revised in the near future.

복합열화환경하에서의 중성화 및 염화물이온 확산특성이 철근부식에 미치는 영향에 관한 실험적 연구

조봉석,장재봉,김재환,김용로,권영진,김무한 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

It is recognized that reinforcement corrosion is the main distress behind the present concern regarding concrete durability. In this study, to confirm corrosion of reinforced concrete due to permeability of carbonation and chloride ion affected by thickness of cover, kinds of surface coating, measured electric potential, ratio of corrosion area, weight reduction, corrosion velocity of steel bar under environment of complex deterioration. The results showed that an increase in age also decreases Carbonation velocity coefficients and increases Chloride ion diffusion coefficients. As well, an increase in age also increases corrosion of reinforcement due to permeability of carbonation and chloride ion. Corrosion of reinforcement by thickness of cover is superior to 10mm thick than 20mm thick. It showed that an increase in thickness of cover prevent steel bar from deteriorating due to permeability of carbonation and chloride ion. The results of this study showed that corrosion velocity was affected by thickness of cover, kinds of surface coating. data on the development of corrosion velocity made with none, organic B, organic A, inorganic B. and inorganic A is shown.

Goldman's Algorithm을 이용한 비외상성 흉통 환자의 분석

조석진,유진현,김찬웅,어은경,정구영 대한응급의학회 1999 대한응급의학회지 Vol.10 No.4

Back ground : It is important to evaluate the patient presenting with non-traumatic chest pain in emergency department, and it is also difficult to classify appropriately. The purpose of this study is to predict probability of acute myocardial infarction(AMI) and assess the group for low probability of AMI that is target for observation-unit of chest pain in emergency department. Methods : A prospective, clinical study was performed from March 1998 to August 1998 at the department of emergency medicine, Ewha Womans University Mokdong hospital. We classified high-probability group and low-probability group of AMI according to Goldman's algorithm and then compared with the final diagnosis. Results : The study included 218 patients. 84 patients(39%) was the high-probability group and 134 patients(61%) was the low-probability group of AMI. As compared with final diagnosis, AMI was 47 patients(56%) among the high-probability group and 1 patient(0.7%) among the low-probability group. We observed sensitivity of 98%, specificity of 78% in predicting AMI. Conclusion : The classification according to Goldman's algorithm may be useful predictor of AMI and improve triage for emergency department patients with chest pain. It is also helpful for management of observation-unit of chest pain in emergency department.

脚筋力 및 몇몇 體力要因과 全身反應과의 相關關係에 關한 硏究

趙泳奭 全北大學校 師範大學 1980 사대논문집 Vol.6 No.-

The 47 students of sophomore in Jeonbug National University are selected as the subject of this study. This is aimed at presenting the factors to affect the whole body reaction time and making some data for reference in order to develop the reaction time. By means of while body reaction measuring device, the reaction time was measured, and from the measurements of leg strength, back strength, sargent jump. strength of abdominal muscle, the correlation was searched. The results of this study are as follows ; 1. The highest degree of correlation in all of the athletes, non-athlete, and girl students are shown between the whole body reaction time and the strength of abdominal muscle. 2. Leg strength, back strength, sargent jump are in little correlation with whole body reaction time. 3. The difference in whole body reaction time between athletes and non-athletes is not remarkable.

병원 통합물류시스템(SCM)이 물류 업무성과에 미치는 영향

조문숙,염영희 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.3

Purpose: The purpose of this study was to examine the causal relationships among quality of hospital SCM (system quality, information quality, service quality), perceived usefulness, user satisfaction and logistics performance by hospital staff. Methods: A survey using a structured questionnaire was conducted with 276 hospital staff. Analysis of the data was with both SPSS Win 18.0 for descriptive statistics and AMOS 8.0 for the structural equation model. Results: The hypothetical model yielded Chi-square=8.121 (p=.087), df=4, χ2/df=2.030. GFI=.989, AGFI=.942, RMSEA=.066, NFI=.995, CFI=.997 TLI=.990 and showed good fit indices. Three dimensions of quality of SCM had significant direct effects on perceived usefulness. System and service of quality of SCM had significant direct effects on user satisfaction. Perceived usefulness had significant direct effects on user satisfaction. User satisfaction had significant direct effects on logistics performance. Conclusion: These results suggest that logistics performance can be enhanced by user satisfaction, user satisfaction can be enhanced by perceived usefulness, and perceived usefulness can be enhanced by quality of hospital SCM. Further study with various hospitals and various variables is necessary.