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김인구 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2
This study is a review and analysis of 94 cases of the inguinal hernia treated at the department of general surgery, Chungnam National University Hospital from October, 1985 to September, 1987. The result were as follows: 1) Male was predominated over female by the ratio of 5 : 1. All of the inguinal hernia were indirect type. 2) The location of inguinal hernia; 41 cases(43.6%) were found in the right and left respectively and 12 cases(12. 8%) bilaterally. 3) Among 94 cases, 14 cases(14.9%) had a previous history of incarceration. Incarceration has occured only in male. The incidence of incarceration was higher in the patients whose ages are under 2 yrs(64.3%) than over 2 yrs(35.7%). 4) The incidence of combined congenital anomalies was 18. 1% and congenital anomalies were hydrocele, undescended testis, congenital heart disease, umbilical hernia and paraesophageal hiatal hernia. 5) Contralateral side operation after ipsilateral operation was performed in 4 cases(4.9%.) from 1 month to 2 yrs after initial operation. 6) The recurrence rate was 1.1%, (1/94 cases).
김인구,김석원 한국물리학회 2009 새물리 Vol.58 No.4
In order to the measure the through-plane thermal diffusivity of polymer adhesive epoxy, which is frequently and widely used in industries, we constructed a modified AC calorimeter. The thermal diffusivities obtained for epoxy bonding layers between stainless-steel plates were 0.062~0.071×10-2 cm2/s. The reasons for these values being smaller than the reference value of 0.128×10-2cm2/s are the changing of the array of molecules when the epoxy becomes a films and the contact thermal resistance from the interfaces between the stainless and the epoxy layers. 산업 전반에 많이 사용되는 고분자 접착제인 에폭시의 면에 수직한 방향의 열 확산도를 측정하기 위하여 기존의 교류열량계를 변형하여 측정장치를 제작하였다. 스테인레스 스틸 304 층들 사이에 에폭시 접착막을 만들고 접착막의 면에 수직인(두께) 방향의 열확산도를 측정해 본 결과 0.062~0.071×10-2cm2/s를 얻었다. 문헌에서 제시된 덩치시료의 열확산도 0.128×10-2cm2/s보다 작은 값을 가지는 것은 고분자 접착제가 필름의 형태일 때는 분자의 배열이 달라지며 또한 시편 경계 면에서의 구조적인 접촉 열 저항에 기인하는 것으로 판단되었다.
김인구,박상록 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2
Neonatal surgery is a more specialized field in pediatric surgery and to a large extent the surgery of congenital malformations. Authors reviewed the neonatal surgical diseases and tried to find problems in the management of these patients at the department of general surgery, Chungnam National University Hospital from Aug. 1983 to Oct. 1984. 12 nonatal surgical disease were collected among 129 pediatric surgical patients which were 3 jejunal atresias, 2 gastroschisis, 2 ompholocele, 1 Hirschsprung's disease, 1 anorectal anomaly and 3 congenital hypertrophic pyloric stenosis. Mortality developed in 3 patients all of whom needed a long term parenteral hyperalimentatiion Two of 3 fatal cases were premature neonates.
김인구 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2
The differential diagnosis of intestinal disorders in children depends almost entirely on the age of the patient. With regard to intestinal obstruction in children, certainly the age of the patient is the most important point in differential diagnosis. In the newborn, the differential diagnosis of intestinal obstruction includes duodenal atresia or stenosis; malrotation; meconium ileus; jejunal, ileal or colonic atresia; Hirschsprung's disease; and imperforate anus. The most common causes of intestinal obstucton in infancy after the neonatal period are intussusception, congenital hypertrophic pyloric stenosis, incarcerated inguinal hernia and malrotation. Children of all ages are susceptible to intestial obstruction from appendicitis, inguinal hernias and postoperative adhesions as well as congenital bands from embryologic remnants, such as Meckel's diverticulum. Auther reviewed the petients of intestinal obtruction in children from Jan. 1981 to Aug. 1985. to understand the distribution of diseases, in Chungnam National University Hospital. 91 cases of intestinal obstruction were collected. The result are as follows; 1. In the newborn, jejunal atresia (6 cases,) and imperforate anus (5 cases) are the most common causes of intestinal obstruction among 13 patients. 2. The most common causes of intestinal obstruction in infancy are intussusception (29 cases), congenital hypertrophic pyloric stenosis (15 cases), and incarcerated inguinal hernia (3 cases) in 54 patients. 3. In older crildren, postoperative adhesion (14 cases), and intestinal obstruction due to bezoar (4 cases) are the most frequent causes of intestinal obstruction in 24 patients. 4. The patients of Hirschsprung's disease ane imperforate anus are not so well managed during the neonatal period. Namely, sometimes diagnosis was not decided in the newborn period and sometimes patients were refered to doctor late by their parents owing to ignorence about the diseases.
김인구,강민규 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2
Congenital hypertrophic pyloric stenosis is a frequent neonatal disease which is caused by marked hypertrophy of muscular layer in pylorus. Main clinical manifestations are non-bile stained projectile vomiting, visible peristaltic wave and olive-like mass, and it induces severe dehydration and metabolic derangement. Proper preoperative management is required for dehydration and metabolic derangement and Fredet-Ramstedt Pyloromyotomy is widely used as a definitive surgical treatment. The authors studied on 31 cases of congenital hypertrophic pyloric stenosis, treated at the Department of General surgery, Chungnam National University Hospital from July 1985 to June 1988. The results were as follows: 1) The congenital hypertrophic pyloric stenosis was 31 cases which was 4.9% in incidence in total 638 admission to the department of pediatric surgry during the same period. 2) The most prevalent age group was between 5th week and 6th week and the ratio of male to female was 9:1. 3) Among 31 cases, breast-fed infants were 10 cases(29.1%), milk-fed 19 cases (58.3%), and mixed-fed 2 cases(6.5%). 4) The body weight percentile at admission was lower than 25 percentile in 31 cases and the body weight at admission was lower than birth weight in 6 cases(19.4%). 5) In 29.2%, clinical manifestations were noted between 2nd week and 3rd week. 6) Non-bile stained projectile vomiting was noted in 30 cases(96.8%). 7) The most frequent physical findings were pyloric mass(77.4%), visible peristaltic wave (48.4%)and jaundice(19.4%) in order of freguency. 8) At the time of admission, the accompanied jaundice was noted in 6 cases(19.4%) and most of them was breast-fed infants. 9) The higher the value of CO_2, content, the more severe hypochloremia and hypokalemia were noted. 10) The longer duration of symptoms, the more hypochloremic, hypokalemic metabolic alkalosis was noted. 11) In 6 cases(10.4%), associated anomalies were noted. 12) All 31 cases were surgically treated with Fredet-Ramstedt pyloromyotomy and morta lity was nil.