다발성 늑골골절 치험 100례

이남수,정현기,손광현,Lee, Nam-Soo,Jeong, Hyun-Ki,Sohn, Kwang-Hyun 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.4

During the period of 4 years from August 1, 1975 to August 1, 1979, authors have experienced 100 cases of multiple rib fractures by nonpenetrating injury at Department of Thoracic Surgery, Paik Foundation Hospital in Seoul, Korea. 1. The ratio of male to female patients with multiple rib fracture was 2.6:1 with male predominance and 84% of the total cases were between 20 and 50 years of age. 2. The most common cause of multiple rib fracture was traffic accident and falls accounted for the next largest group. 3. The most common site of rib fracture was 4th rib to 7th rib level on both hemithorax [52%]. 4. Associated injuries were cerebral contusion in 26%, clavicular fracture in 22%, long bone fracture in 22%, pelvic bone fracture in 10%, and scapular fracture in 8%. 5. Early complications and/or result of the multiple rib fractures were lung contusion in 23 cases, subcutaneous emphysema in 21 cases, hemothorax in 21 cases, hemopneumothorax in 6 cases, and flail chest in 12 cases. 6. The flail chests were managed by strapping the chest with adhesive plaster, external traction of flail segment with towel clip, ventilatory assistance for marginal clinical indications, and in cases of complicated with intrathoracic hemorrhage, wire fixation of flail segment through open thoraco-tomy. 7. The principles of therapy for hemothorax and/or pneumothorax were rapid reexpansion of the lungs by thoracentesis [11%] and closed thoracostomy [22%], but open thoracotomy had to be done on 3 cases because of massive bleeding or intrapleural hematoma and diaphragmatic rupture. 8. The over all mortality was 4% [4 among 100 cases] and the cause of all deaths was head injury.

각종 가축 설근부의 조직학적 구조에 대한 비교 연구

이남수,이재현,Lee, Nam-soo,Lee, Jae-hyun 대한수의학회 1986 大韓獸醫學會誌 Vol.26 No.2

In order to know the comparative histological structure of the tongue of some domestic and laboratory animals, the root of the tongue has been investigated by light microscopy. The filiform papillae were mainly distributed in the root of the tongue of most animals and many foliate papillae were also found in the dog and rabbit. On the other hand, only filiform papillae were found in the fowl. The very well-developed mucosa was found in the cattle and in the dog, fowl, rat and mouse was fair. The lamina propria was well developed in the cattle, dog and pig, The muscle layer was well developed in the cattle. The adipose tissue which distributed between the muscle fibers was mainly found in the dog. The lingual glands were well developed in the pig, fowl and rabbit. The properties of these glands were shown strung acid mucopolysaccharide in the dog and pig, weak acid mucopolysaccharide in the fowl, rabbit and rat and neutral or acid mucopolysaccharide in the mouse. The species differences on the histological structure of the tongue were also ascertained by light microscopical observations.

자연기흉(自然氣胸)에 대(對)한 Quinacrine HCl의 효과(效果)(^®Atabrine)

이남수,김학제,송요준,김형묵,Lee, N.S.,Kim, H.J.,Song, Y.J.,Kim, H.M. 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.1

Clinical observations were made on a total 104 cases of spontaneous pneumothorax during the period of 5 years from MAR. 1971 to MAR. 1976 at the Dept. of Chest Surgery, Korea University Medical College. The ratio of male to female cases was 7.4 : 1 in male predominance, and age distribution was 73% of the total cases within the 15-40 age range. There were 56 patients (53.8%) of right sided pneumothorax and 44 patients (42.3%) of left sided pneumothorax, 8 patients presented bilateral spontaneous pneumothorax. The etiologic factors were tuberculous origin in 42.3%, rupture of bullae or blebs in 15.4%, acute pulmonary infection in 3.8%, pulmonary paragonimiasis in 2.9%, cysticercosis 1%, Marfan's syndrome in 1.9%, unknown causes in 32.7%. In all 104 cases, closed chest tube thoracostomy were performed for reexpansion of collapsed lung. In 50 cases of 104 cases, intrapleural instillation of Quinacrine HCl (Atabrine, Winthrop Laboratories, New York, N.Y.) thru the chest tube was used to control of recurrent pneumothorax, and compared observation with 54 cases control group of closed chest tube thoracostomy only. In both groups, 1) cure rates were 63% in control group and 88% in Atabrine group. 2) average duration of inserted chest tube were 5.6 days in control group and 5.7 days in Atabrine group.

우측개흉(右側開胸)으로 수술치료(手術治療)한 식도중간부위(食道中間部位)의 악성종양(惡性腫揚) -일례(一例) 보고(報告)-

이남수,Lee, Nam-Soo 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.2

One mid-esophageal carcinoma underwent esophagogastrectomy using an exclusive right thoracic approach entailing mobilization of the stomach through the esophageal hiatus. 62 year old male farmer was admitted with chief complaints of dysphagia and weight loss of 5 Kg. for 6 months, and regurgitation after soft meal for one week prior to this admission. Preoperative esophagogram revealed stricture with fungating mass at the level of the carina, which was diagnosed as squamous cell carcinoma at the time of esophagoscopic biopsy about 33 cm from incisor. Bronchoscopy revealed no invasive lesion or carinal fixation, and laboratory examinations were excellent for operative intervention. An exclusive right thoracic approach through right 5th rib bed was made for radical esophagectomy, mobilization of the stomach through the esophageal hiatus and primary esophagectomy. Postoperative recovery was uneventful except increased bronchial secretion due to senile emphysema, and follow up for 5 months after esophagectomy revealed good functioning esophagus with mild epigastric fullness after meal. Exclusive right thoracic approach for radical esophagectomy seems to be the procedure of choice in selected cases.

늑골에 발생한 원발성 양성 종양[3 치험예]

이남수,백인기,손광현,Lee, Nam-Soo,Baek, In-Gi,Sohn, Kwang-Hyun 대한흉부심장혈관외과학회 1981 Journal of Chest Surgery (J Chest Surg) Vol.14 No.4

From Aug. 1975 to Aug. 1981,3 patients with primary benign rib tumors have been treated at the department of thoracic surgery, Paik Hospital, Seoul, Korea. Of these, one was aneurysmal bone cyst and two were fibrous dysplasia. Complete excision of the benign tumor including rib resection was performed in all patients and resulted in long term cure.

횡격막직상부 식도계실 3례

이남수,신창섭,손광현,Lee, Nam-Soo,Sin, Chang-Seop,Sohn, Kwang-Hyun 대한흉부심장혈관외과학회 1980 Journal of Chest Surgery (J Chest Surg) Vol.13 No.3

The first case was a 20 year old female who has been suffered from epigastric pain, and anorexia for 2 years. A thumb tip sized pulsion diverticulum 4cm above the esophagocardial junction was elicited by esophagogram and on exploration. A diverticulectomy with long esophagocardiomyotomy was performed. The second case was a 30 year old house wife who has had postprandial epigastric pain for 2 months accompained with frequent vomiting. Fiberscopy and esophagogram showed epiphrenic diverticulum of the esophagus. Same operative procedures were carried out and obtained a good result as first case. The third case was a 55 year old house wife who was admitted to this Chest Surgery Department because of regurgitation and intermittent vomiting for approximately 3 months. Esophagogram showed a large epiphrenic diverticulum of the esophagus. On exploration, a tennis ball sized pulsion diverticulum was found on the anterolateral wall of the esophagus. A partial esophagectomy including the diverticulum and esophagoesophagostomy was performed. The specimenshowed some erosive changes of the mucosal surface of the diverticulum and also the esophagus suggestive of diverticulitis and esophagitis. She has been satisfactory result until 4 months postoperatively, when she developed regurgitation and epigastric pain. Esophagogram showed stenosis of the operative site. Readmission and esophageal dilatations were done and improved without any problem. Epiphrenic or supradiaphragmatic diverticulum of the esophagus is a rare condition. Pathophysiologically, the conditions accompanied the spasm of the esophagus, many authors prefered the procedures of a diverticulectomy plus long esophagocardiomyotomy rather than simple diverticulectomy or esophagectomy and esophagoesophagostomy. Here we report the cases and reviewed the literatures.

고속버스 운전직 근로자들의 직무스트레스와 이상지질혈증의 관계

이남수(Nam Soo Lee),이경재(Kyung-Jae Lee),김주자(Joo Ja Kim),이진우(Jin Woo Lee) 대한직업환경의학회 2010 대한직업환경의학회지 Vol.22 No.3

공동주택 설비 소음에 대한 거주자 만족도 연구

이남수(Lee, Nam-Su),송민정(Song, Min-Jeong),강민우(Kang, Min-Woo),오양기(Oh, Yang-Ki) 한국건축친환경설비학회 2015 한국건축친환경설비학회 논문집 Vol.9 No.1

From the economic development in the 1970s, many of the population has been gathered in the urban areas which caused the massive supply of apartment houses. Facility noise is one of the major problems in living in those apartment houses, for their nature of shared walls and floors. In this study, complaints of residents in regard the facility noise were investigated Surveys on the types and the places of occurrence of the noise, impacts on the annoyance according to the time of day were performed. The degree of residents’ complaint and annoyance level may be mitigated with the result and analysis of this study.

협동조합기본법을 활용한 청년창업의 활성화 방안

이남수(Nam Soo Lee) The Research and Information Service 2013 남부대학교 논문집 Vol.13 No.-

본 연구는 청년실업의 문제를 해결하기 위해 대학졸업생 등 청년들을 대상으로 협동조합기본법을 활용하여 창업모델 개발과 청년창업 활성화방안을 제시하고자 한다. 연구방법으로는 선행연구를 통하여 창업환경의 문제점과 협동조합기본법이 창업환경에 미치는 영향 등을 도출한다. 그리고 협동조합기본법에서 제시한 협동조합모델과 연구결과에서 제시한 모델을 비교분석하여 대학에서 선택 가능한 협동조합모델을 제시하고, 그 선택된 모델을 중심으로 대학의 역할과 청년창업의 활성화방안을 제시하였다. 선행연구에 따르면 국내창업과 관련된 여러 가지 문제점이 제시되었다 이러한 어려움을 완화하기 위해서는 우선 창업교육이 바탕이 되어야 하는더l 대학에 창업교육 및 훈련에 필요한 체계적인 내용과 교육과정의 구축과 창업교과목 설계 시 창업관련 교과목을 모듈화한 후 각 모듈마다 적합한 교과목으로 설계 운영하여 창업과정 수료 후 3-6개월 간 성공한 자영업현장에서 자영업인턴제 를 실시하는 것이 창업의 성공가능성을 제고할 수 있다. 또한, 선행띤구는 창업과 관련된 중요한 우려나라 협동조합기본법의 특정에서 상법상 기업제도 및 사회적 기업과 비교하여 설명하고, 협동조합의 유형은 정부가 제시한 유형과 학자들이 주장하는 유형을 정리요약하였다. 그리고 지역과 지방이라는 공간적 개냄의 중요성을 현황과 정부정책을 비교하여 설명하고 현재 세계의 협동조합의 변화추이에 대해 논하였다. 대학생 청년창업을 위한 모델의 적합성을 판단하기 위해서 는 창업자가 창업시 주요고려사항 7가지사항 외에 청년 창업시 고려사항 3가지를 추가로 고려하여 대학주도형 모델을 제시하였다. 본 연구 결과 대학은 협동조합기본법상 모든 모델의 설립이 가능하나 청년 창업과 취업을 지원하기 위해 대학주도형과 청년창업자주도형 일반협동조합의 설립이 필요하다. 또한, 지역사회재생, 지역경제 활성화, 지역주민들의 권익과 복리증진 취약계층에 복지의료환경 등의 분야에서 이바지하는 사회적기업의 대안모델로서 대학주도형이 중심이 되고 졸업생을 고용할 수 있는 사회적협동조합 설립이 필요하다, 이에 따라 청년창업을 활성화하기 위해 대학주도형 협 동조합설립과 협 동조합연합회의 설립 · 운영 대학주도형 협동조합의 청년취업을 위한 창업보육기관과 인턴기관으로 운영 대학주도형 창업동아리 운영을 통한 활성화 전략을 제시하였다.

자율주행차 교통안전 교육과정 개발

이남수(LEE, Nam Soo),김남윤(KIM, Nam Yoon) 대한교통학회 2018 대한교통학회 학술대회지 Vol.78 No.-

본 연구는 자율주행차 상용화에 대비하여 교통안전교육 과정개발을 목적으로 한다. 먼저 국내외 자율주행차 기술개발 정책 · 법제도 진행 상황 및 동향 조사분석, 자율주행 단계별 운전자의 역할과 운전면허제도, 자율주행차 기본안전성능과 기능안전성능을 검토하였다. 자율주행시대에도 교통사고의 존재와 운전자의 역할은 여전히 중요할 것으로 예상되고 운전자의 위험관리, 모니터링, 대처능력, 부주의 방지가 중요할 것으로 판단된다. 자율주행차 상용화도로시 교통안전교육의 필요성을 확인하였다. 자율주행차의 성능표준인 운영설계도메인(ODD)과 대상물 인지 및 반응 능력(OEDR), 폴백(Fallback)이 복잡화되어 이에 맞는 교통안전교육의 변화가 불가피할 것으로 보인다. 자율주행차의 단계와 용도가 다변화됨에 따라 제조자, 프로그래머, 탑승자, 기타 도로이용자의 교육도 필요할 것으로 보인다. 이를 위해 교육 대상별 및 자율주행 단계별 교통안전교육의 구성방향을 제시하였다. 정부기관에서는 자율자동차의 교통안전대응 능력을 향상시키기 위한 교육차원의 지원정책을 위한 기구를 통해 자율주행차 제조사를 지원하고 그 자료 수집을 통해 공통적인 기술발전에 기여하고 자율주행운전자의 운전능력을 향상시킬 수 있도록 함을 제언하였다.