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중독 환자에서 고아밀라아제혈증의 발생률, 관련 요인 및 임상적 영향
서민구 ( Min Gu Seo ),오상훈 ( Sang Hoon Oh ),임지용 ( Jee Yong Lim ),김한준 ( Han Joon Kim ),최세민 ( Se Min Choi ) 대한임상독성학회 2016 대한임상독성학회지 Vol.14 No.2
Purpose: This study was conducted to investigate the incidence, associated factors and clinical impact of hyperamylasemia in self-poisoning patients. Methods: This study was based on a toxicology case registry of patients treated from 2009 to 2013 at a tertiary care university hospital. We retrospectively investigated the demographics, clinical variables, laboratory variables and intoxicants. Hyperamylasemia was defined as an elevation in serum amylase level to above the upper normal limit within 24 hours after admission. We analyzed the predisposing factors and clinical outcomes of patients in the hyperamylasemia group. Results: Hyperamylasemia was identified in 49 (13.3%) of the 369 patients. Using multivariate logistic regression, the odds ratios for HA were 3.384 (95% confidence interval, 1.142-8.013, p=0.014), 3.261 (95% confidence interval, 1.163-9.143, p=0.025) and 0.351 (95% confidence interval, 0.154-0.802, p=0.013) for pesticides, multi-drug use and sedatives, respectively. In the hyperamylasemia group, the peak amylase levels during 72 hours were correlated with the peak lipase levels (r=0.469, p=0.002) and peak aspartate aminotransferase levels (r=0.352, p=0.013). Finally, none of these patients had confirmed acute pancreatitis. Conclusion: Hyperamylasemia occurred rarely in these self-poisoning patients, and pesticide and multi-drug use were independent predictors of hyperamylasemia. Peak amylase levels were correlated with the peak lipase and aspartate aminotransferase levels.
공동주택 장기수선계획 시스템 개발을 위한 분석ㆍ설계단계에 관한 기초적 연구
서민구,정영한,박태근 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1
Extension of building life cycle and reduction of maintenance and management relevant expenses are the top issues in the current construction market. The fields of maintenance and management are newly highlighted for the limited land and domestic economic crisis known as the 2nd IMF. We studied on the long-term maintenance plan of apartment buildings in order to analyze the defective management system of existing apartment building and secure the development-oriented management system in this study. Purposes of this study are to prevent the unwanted loss of manpower and capital resulted from the careless storage of repair and management records, extend the building life cycle and resolve the conflict caused by the uncomfortable relation with the occupants. This study is focused on presenting the potential to develop the process required for the basic analysis and development of system as the beginning stage in the process of developing the long-term maintenance plan.