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      • 쌍태임신에 관한 임상적 고찰

        박광웅,박성관 인제대학교 1980 仁濟醫學 Vol.1 No.2

        산과 영역에서 쌍태임신은 고위험임신으로서 조산, 높은 주산기 이환율 및 사망율과 모체에 여러 종류의 합병증을 초래하므로 산과적으로 쌍태 임신은 중요하여 지난 3년간의 쌍태 임산부 및 쌍태아에 대해 임상적 견지에서 조사하여 봤다. The thirty-nine twin deliveries at the Paik Hospital for 3 years front Jan. 1, 1977 to Dec. 31, 1979 were studied retrospectively. Twin delivers carries a considerable fetal & neonatal risk but the maternal mortality is not increased. 1.The frequency of twin delivery was one in 126 births. 2.The mean age was 28. The youngest was 20 years of age. The oldest was 35 years of age. 3.Primiparas were 22/39, 56.4% and multiparas were 17/39, 43.6%. 4.The mean durations of twin pregnancy was 38.9 weeks. 5.The diagnostic accuracy with physical examination & radiological examination before delivery of the twins was 92.3%. 6.The mean numbers of the antenatal care of twin pregnant woman was over 5. 7.The presentation; Head-Head 17/39, 43.6% Head-Breech 15/39, 38.4%. Breech-Breech 6/39, 25.4%. 8.The common maternal complication were anemia (69.23%). Toxemia (43.6%) post-partum Hemorrhage (38.5%). 9.The maternal morbiditiesy of postpartum women were hemorrhoids (12/39, 30.7%). G-I trouble (5/39, 12.8%) & wound abscess (5/39, 12.8%). 10.The methods of twin delivery were C/S (11/39, 28.2%) & vaginal deviveries (28/39, 71.8%). 11.The spontaneous vaginal delivery of placenta after twin birth was 25/28, 89.2% & manual delivery of placenta at vaginal twin birth was 3/28, 7.7%. 12.The mean duration of labor at vaginal delivery was 10 hour 30min 13.The mean interval of first & second birth at vaginal delivery was 5∼10min. 14.The mean birth weight of twin delivery was 2,408Gm. 15.The APGAR score at 1min. over 7 was shown in 32/38, 78.9% of the first twin & 23/38, 89.9% of the second twin. 16.There were both males 18/39, 46.15% & both females 13/39, 33.3% & opposite sex 8/39, 20.5%. 17.The placenta with monochorionic & diamnionic membrane were seen abou thalf of twin. 18.Fetal risk was defined in term of the increased rates of prematurity, stillbirth, & congenital anomalies (craniodidymus twin, cleftlip & palate, & fetal transfusion syndrom). 19. The perinatal mortality in the twin was 9/77, 11.7%.

      • KCI등재후보

        무기체계 획득시 최적 의사결정을 위한 지식기반 대안분석모델(KAAM) 연구

        박광웅,이강영,김치한,최상영,Park, Kwang-Woong,Lee, Kang-Yeong,Kim, Chi-Han,Choi, Sang-Young 한국국방경영분석학회 2007 한국국방경영분석학회지 Vol.33 No.1

        본 연구의 목적은 비교항목들의 척도가 서로 상이하고 측정치를 산정하기 곤란한 대안들의 의사결정시 대안 비교를 과학적으로 할 수 있는 지식기반 대안분석모델(KAAM)을 제안하는 것이다. KAAM은 기존의 방법인 Saaty, Delphi/Shang, Consensus, SAW 기법을 근간으로 하는 하이브리드 방식으로 구성되고 엑셀기반으로 구현하였다. 또한, 무기체계 획득사업의 사전분석 단계에서 최적 획득방안을 선정하는 실증적 사례를 적용함으로서 KAAM의 유용성을 확인하였다. In the early stage of weapon system acquisition process, acquisition policy is necessarily established to acquire weapon system in a faster, better, cheaper way. Several alternatives, such as "buy", "domestic research and development", and "technical corporative production", can be considered for the best acquisition policy making. However, the comparison factors for those alternatives have different metrics and values. Therefore, the aim of this paper is to suggest KAAM(Knowledge-based Alternatives Analysis Model) as a scientific method to compare the alternatives having such different metrics and values and giving a weighted and normalized single measurement for the easy comparison. KAAM is a hybrid model incorporating Satty technique, Delphi/Shang method, Consensus method, and SAW method. KAAM is implemented on Microsoft Excel environment and provided tabular form user interface. Finally, an illustrative example is shown using KAAM.

      • 綠膿菌의 粗製外毒素에 關한 硏究

        朴光雄,趙陽子,徐仁銖 한양대학교 의과대학 1984 한양의대 학술지 Vol.4 No.1

        In recent years the exotoxin of Pseudomonas aeruginosa infection have been observed as an important invasive factors of the toxic substances. So I prepared and isolated the exotoxin from the cultural filtrates of Pseudomonas aeruginosa PA-103 strain, and observed the biologic activity for crude exotoxin. Strain PA-103 was grown in a dialyzed medium of trypticase soy broth enriched with 1% glycerol and 1 M monosodium glutamate and then immediately after centrifugation, Zine acetate was added to the supernatant fluid. The mixture was left for a few hour and then centrifuged to collect the precipitate, which was dissolved in sodium citrate, and then obtained the crude PA-103 strain exotoxin. When mice lethal toxicity of pseudomonas aeruginosa PA-103 strains was inoculated into the peritoneal cavitty, LD? was 10? The supernatant fluid (18 hours) of this strain was showed the 40% low lethal rate on undiluted concentration but LD? of crude exotoxin was 44.54 ㎍. Immunization of rabbit with crude exotoxin resulted in the development of antitoxic serumm. This antitoxic serum was showed distinctly gel diffusion pattern with Ouchterlony method but precipitate values was low as 1 : 16. Skin responses of rabbit with the crude exotoxin was showed the reddish induration and necrosis etc. 1 Minimum Red Dose (MRD) was below 0.125 ㎍. Crude exotoxin of antitoxic neutralization in the skin responses of neutralization test in vitro neutralized the LD? as 1 : 16, and in vivo skin neutralization responses was slightly below than this.

      • 선천성흉복부 증복기형을 동반한 쌍태1예

        장종상,박광웅,이홍균,권순욱 인제대학교 1980 仁濟醫學 Vol.1 No.2

        태아의 중복기형은 대부분의 산과의사들이 전혀 경험을 하지 못할 수도 있을 정도로 대단히 희귀한 것으로 분만전에 정확한 진단을 얻지 못하는 경우가 많다. 임상적으로 흉위부분이 제일 많이 연결되는 것으로 보고되었으며 중복기형의 연결된 부위에 따라서 분만방법 치료 및 예후가 다양하고 중요하다고 하겠다. 대부분 일란성 중복기형으로 동성이며 70% 이상이 여성으로 보고되었다. 백병원 산부인과에서 26세의 초산부가 임신 10개월에 제왕절개술로 분만한 선천성 흉복부중복 기형으로 극히 희귀란 1례를 경험하였기에 문헌적 고찰과 아울러 보고하는 바이다. A case of conjoined twin (craniodidymus twin) was delevered abdominally after antepartum diagnosis at Paik Hospital, Inje Medical College. This report represents a case of conjoined twin of craniodidymus and reviews of the literatures pertaining to the obstetrical management.

      • 임상재료에서 분리된 녹농균의 혈청형과 약제 감수성과의 관계

        조양자,박광웅 대한미생물학회 1982 大韓微生物學會誌 Vol.17 No.1

        The correlation hetween the serotypes an8 sea.sitivity distribution of Pseudomonas aeruginosa was studied w ith stoek itrains of departmeat, straias isolated from various clinical sources and strains of haspital environment of the yast two years. Two hundred and fi'fty seven strains wete typable and 38 strains were untypable out of 295 clinical sorces. Serotype B was aaoat prevalent (27.6%) followed by serotype G (24.9%), serotype E (23.3%) and serotype A (7.8%) ameng 257 typable strains. However, no serotype j,L and M were observed. Serotypie B,G,B aad A were isolated from pus, sputum, wound, burn site and urine. Seratypes E were most frequeatly isolated from hasal diecbarge aod serotypes K were isolated from pus. There were no apparent differences in sensitivity disttibution of streptomycin, carbenicillin and ampicillin between tbe clinical and The environmevtal origin. However, the strains of environmental origin were found to be relatively more susceptable to tetracycline, gentamicin and fradio- mycin than the strains of clinical sources in bigh concentration. Tbe strains of clinical sources of serotype B,G,E anl A showed different resistant patterns to all aotimicrobial agents except for carbenicillin. Serotype E showed the highest percentage resistance followed by serotype G.B and A.

      • KCI등재후보

        미래 네트워크중심전쟁에 부합하는 네트워크화 군수지원시스템 구축 방향

        최상영,강성진,박광웅,Choi, S.Y.,Kang, S.J.,Park, K.W. 한국국방경영분석학회 2006 한국국방경영분석학회지 Vol.32 No.2

        본 연구의 목적은 미래 네트워크중심전쟁에 부합하는 새로운 국방 군수지원체계의 구축방향을 제안하는 것이다. 이를 위하여 네트워크중심전쟁의 새로운 개념으로 미 국방부에서 연구하고 있는 SARL과 미래 군수정보체계에서 기술적인 혁신을 견인하는 정보 기술의 최근 발전을 결부하여 고찰하였다. 또한, 한국군에서 현재 사용되고 있는 군수 정보체계의 문제점을 분석하였다. 마지막으로 총 군수비용을 감소시키고 군수지원 속도를 향상하며 전투지원의 효율성을 향상시킬 수 있는 네트워크중심전쟁에서의 새로운 군수정보체계의 구축방향을 제시하였다. The aim of this study is to suggest the direction of implementing the new defense logistics systems for the network centric warfare in the future. For this purpose, we reviewed SARL(Sense and Response Logistics) which receives great attention from the U.S. Department of Defence as the future logistic concept of network centric warfare, coupled with recent development in information technologies which give technical revolution in the future logistics information system. Also, we analyzed problems underlying logistics information system currently used in the Korean Armed Forces. Finally, we suggested the direction of implementing the new logistics information system for the network centric warfare, expecting to reduce total logistics cost, speed up logistics velocity, and enhance the efficiency of the combat support.

      • KCI등재
      • KCI등재

        대부하 정밀 표적지향 안정화 시스템의 비선형 제어기법 연구

        이대옥,강태하,김학성,박광웅 한국군사과학기술학회 2001 한국군사과학기술학회지 Vol.4 No.2

        In this paper, the nonlinear control of high precision pointing stabilization system using feedback-linearization design methodology based on system parameter identification is discussed. Modern nonlinear servomechanism theory is adapted to cope with the hard nonlinearities inherent in the turret system. The mathematical models of electrical turret driving system to develop a high performance control algorithm are derived, and the parameter estimation algorithm identifying the unknown system parameters such as vicious and coulomb frictions, stiffness and inertia is developed. Through computer simulation and experiments, it is shown that pointing and tracking accuracy and stabilization against the wideband stochastic disturbance induced by vehicle running on the bump course are improved. Therefore, it is considered the proposed nonlinear control technique is effective in counteracting the nonlinearities and disturbances.

      • KCI등재

        복강임신 1례

        강준호(JH Kang),서동수(DS Suh),박광웅(KW Park),문홍용(HY Moon) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.6

        본 예는 복강내에서 태아가 35주까지 지속되어 태아는 5일만에 사망하였으나 산모는 건강을 유지한 복강임신 1예를 치험하였기에 이에 보고하며 아울러 문헌 고찰을 하였다. Abdominal pregnancy is very rare among the ectopic pregnancy, further more the case carried to fullterm is extremely rare but extremely hazardous complication of pregnancy. There was one case of abdominal pregnancy in the 35 weeks which seemed to be secondary. We have reviewed abdominal pregnancy and presented the surgical findings, and clinical courses.

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