http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
병원 밖 심정지 환자에서 저체온 치료 중 시행한 뇌파 양상과 예후의 연관성
이건탁,정가영,이태림,차원철,신태건,조익준,송근정,정연권,심민섭 대한응급의학회 2014 大韓應急醫學會誌 Vol.25 No.1
Purpose: Prediction of neurologic outcome in survivorsafter cardiac arrest is difficult. In particular, since therapeutichypothermia has emerged as the standard treatment forpost cardiac arrest syndrome, the prediction has been moredifficult. Methods for prediction of neurologic prognosisinclude the general neurologic examination, SSEPs, EEG,serum biomarkers, and so on. Among these, EEG was recommendedfor detection of non-convulsive seizure sinceearly phase of post cardiac arrest syndrome. However, therelationship between EEG finding and neurologic outcomeis not yet clear. Methods: We conducted a retrospective observationalstudy using a prospectively collected hypothermia database. We collected EEG findings during hypothermia andother data from January 2010 to December 2012. The EEGfindings were classified according to five patterns asextremely low voltage, continuous slow wave, burst suppression,status epilepticus, and other. We analyzed therelationship between EEG pattern and one-month CPCscore after cardiac arrest. Results: During the study period, 121 patients wereenrolled in the hypothermia database. Among thesepatients, 84 patients underwent EEG during hypothermiaand were enrolled. The EEG patterns of enrolled patientswere 20 extremely low voltage, 39 generalized slow wave,15 burst suppression, 8 status epilepticus, and 2 alphacoma. None of the periodic, status eplilepticus, and alphacoma pattern patients showed a good neurologic outcome(CPC 1 or 2). Two of 20 extremely low voltage and 28 of 39continuous slow wave pattern patients recovered to goodneurologic outcome. Conclusion: Burst suppression and status epilepticus EEGpattern during hypothermia treatment showed an associationwith poor neurologic outcome.
이건탁,이동주,윤용식,박홍철,오재명 한국공작기계학회 2003 한국공작기계학회 춘계학술대회논문집 Vol.2003 No.-
Theodolite measurement system is non-contacted 3-dimensional measurement system. The system accuracy is 0.5 mm or better for distance 0 ~ 100m. And the system is used for a product of middle and large scale. This study is performed for the measurement uncertainty of the system. We could know that the main uncertainty factors are temperature, illumination and skill. And, we perform the study for the effect according to the height difference of scale bar. And, we calculated the measurement uncertainty with those factors.
이건탁 ( Lee Keon-tak ) 경희대학교 법학연구소 2017 KHU 글로벌 기업법무 리뷰 Vol.10 No.2
자진신고자 감면제도(리니언시제도)란 카르텔에 참여한 사업자가 그 카르텔을 공정거래위원회의 조사가 개시되기 전에 자진 신고하거나 조사가 개시된 후에 그 조사에 협조하는 경우 시정조치나 과징금 등 제재의 수준을 낮추어 주거나 면제해주는 제도를 말한다. 리니언시제도는 담합행위 적발 가능성을 높일 수 있는 가장 효율적인 제도이지만 책임주의 원칙에 어긋나는 등의 이유로 국민의 법감정에 부합하지 않는다는 문제가 있다. 본고에서는 현행 리니언시제도에 존재하는 문제점 5가지에 대해 살펴보았다. 먼저 정의와 형평성 측면에서 담합주도자가 1순위 자진신고자에 해당하는 경우 과징금을 면제받는 점과 조사개시 전 자진신고를 한 자와 조사개시 후 자진신고를 한 자의 감면혜택이 사실상 차이가 없다는 점을 다루었다. 또한 효율성 측면에서 반복위반 사업자의 담합행위에 리니언시제도 적용을 배제함으로써 제도 활용의 유인책이 부족하다는 점, 언론에 신고자의 정보가 보도되며 리니언시제도 운용에 투명성이 문제되는 점, 마지막으로 3순위 이하 사업자를 감면대상에서 제외함에 따라 3순위 이하 사업자들의 정보 활용이 부족하다는 점이다. 이러한 문제점들을 개선하기 위해 제도를 구체화하는 등의 입법론적인 해결을 검토해보았다. 리니언시제도는 담합행위 적발에 필수 불가결한 제도이기에 제도의 보완을 통해 최적의 균형을 찾아가야 하며 제도에 대한 국민들의 신뢰를 확보해나가는 것이 필요할 것이다. A leniency program is a system of partial or total exemption from penalty to a cartel member which reports its cartel membership to a competition authority and cooperates with its investigation. The leniency program is the most effective system to increase the possibility of detection of the breach, but it has a problem that it does not conform to the people's judgment. In this article, I examined problems in the current leniency program. In terms of justice and equity, there are problems that the collusion leader was exempted from fines if he was the first self-reporter, and there is no difference who reports before the investigation with reporting after the investigation. In order to solve these problems, I examined legislative solutions. Since the system is an indispensable system for the detection of breach, it is necessary to find the optimal balance through complementing the system.
신문섭,이동주,유대성,이건탁 국립7개대학공동논문집간행위원회 2005 공업기술연구 Vol.5 No.-
The purpose of this study is to find the method which minimizes the anti-function of development in the coastal region of Saemangeum area. Therefore, the construction of submerged breakwater could minimizes and compensate the negative impacts on the marine environment and ecosystem caused by the Saemangeum reclamation. The construction of submerged breakwater is the possibility of mitigation of mitigation in the fisheries ground. This study investigated experimentally hydraulic characteristics by change of the crest width, submergence and porosity.
송민석,강은진,김태림,박종은,이건탁,윤희,황성연,차원철,신태건,심민섭,조익준,최진호 대한응급의학회 2022 대한응급의학회지 Vol.32 No.6
Objective: Elevated levels of cardiac troponin in chronic kidney disease (CKD) patients admitted to the emergency department (ED) is not well understood and is often ignored. This study aimed to investigate the impact of cardiac troponin I (TnI) levels on the clinical outcome of patients visiting the ED with or without CKD. Methods: In this retrospective single-center cohort study, we enrolled patients visiting the ED without a diagnosis of coronary artery disease (CAD). Elevated cardiac TnI was defined as being ≥99th percentile of the normal population (Siemens ADVIA Centaur TnI-Ultra≥0.040 ng/mL). The clinical outcomes of patients with CKD stage≤2 and CKD stage ≥3 were compared. The primary endpoint was the 180-day all-cause death, including cardiovascular and non-cardiovascular deaths. Results: Among a total of 30,472 patients (median age, 61 years; male sex, 54.3%), elevated TnI was found in 4,377 patients (14.4%). There were 3,634 deaths (11.9%) including 584 cardiovascular (1.9%) and 3,050 non-cardiovascular deaths (10.0%). The risk of all-cause death increased in patients with elevated TnI in both CKD stage≤2 (hazard ratio [HR], 2.1; 95% confidence interval [CI], 1.9-2.3) and CKD stage≥3 (HR, 1.5; 95% CI, 1.4-1.7), and so did the risks of cardiovascular and non-cardiovascular death (HR, 1.2-4.7) (P<0.05, all). The association of elevated TnI with death risk was consistent in multivariate analyses and in most clinical subgroup analyses. Conclusion: Elevated TnI was associated with higher 180-day mortality irrespective of renal function among patients visiting the ED without documented CAD. CKD patients visiting the ED with elevated TnI may warrant additional evaluation or careful follow-up even without the presence of CAD.