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정용훈,임경준,이은영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.3
Background: A number of patients complain of lower back pain due to facet joint problems, and radiofrequency thermocoagulation (RFTC) of medial branches is known to be an effective method of relieving pain caused by the problems. However, objective outcome assessments for this modality are limited so far. Therefore, the authors investigated the effect of the RFTC on the low back pain. Methods: The object of this study was 25 patients who had facet joint syndrome and underwent RFTC. Pain relief was estimated at 2 weeks, 6 weeks, 3 months, and 6 months after the procedure using a visual analog scale (VAS), and was regarded to be successful if pain reduction exceeded 50% on the VAS at 6 weeks. Results: Seven of the 25 patients did not respond favorably to RFTC application and their pain reduction was less than 50%. Of the 18 patients who showed a successful response, 17 had a favorable result up to 3 months and 15 patients up to 6 months after the procedure. Conclusion: Our result showed that lumbar medial branch rhizotomy using RFTC, is an effective treatment modality for patients with lumbar facet joint syndrome, and showing a successful response its effect is maintained for at least 6 months after the procedure in most patients.
정용훈 대한마취통증의학회 2009 Korean Journal of Anesthesiology Vol.57 No.5
Ophthalmic surgery presents challenges for the anesthesiologists, including control of intraocular pressure, prevention and management of the oculocardiac reflex. In addition to understanding ocular anatomy and physiology, the anesthesiologists must have possess technical expertise and knowledge of ophthalmic drug's systemic effects. Patients undergoing ophthalmic surgery have extremes of age and several medical diseases, like as hypertension, diabetes mellitus, coronary heart disease, chronic renal failure, and chronic obstructive lung disease. Anesthesiologist should be knowledgeable about the content as stated above to perform safe and desirable anesthesia for ophthalmic surgery.
상장간막동맥증후군 환자의 전신마취 유도 중 발생한 흡인성 폐렴
정용훈,구길회 대한마취통증의학회 2006 Korean Journal of Anesthesiology Vol.51 No.4
Superior mesenteric artery syndrome (SMAS) is a rare clinical disease. SMAS is defined as the entrapment of the third portion of the duodenum by the aorta and the superior mesenteric artery. A 14-year-old male patient was admitted to the local hospital for an emergency appendectomy under general anesthesia. In the process of inducing general anesthesia, massive pulmonary aspiration of gastric contents and bile juice occurred by accident. After surgery, he was transferred to our hospital due to severe ARDS. The gastroduodenoscopy observations, CT, and clinical symptoms, were indicative of SMAS. Surgery was considered because medical conservative treatment of SMAS was ineffective. SMAS was confirmed on the surgical fields. We report our experience with a review of the relevant literature because this condition can be associated with serious complications during general anesthesia. (Korean J Anesthesiol 2006; 51: 512~5)
우리나라에서 비농업 부문의 물 효율성, 경제성장, 전력생산 및 CO2배출 간의 관계 분석
정용훈,이성훈 한국수자원학회 2018 한국수자원학회논문집 Vol.51 No.12
We have examined dynamic relationships among water-efficiency, economic growth, electricity generation, and CO2 emissions in Korea using various time-series analysis methods for 1990-2014. While previous studies have been limited to economic growth, CO2 emissions, and electricity generation, this study contributed to explain the relationship between existing variables and water-efficiency. We find that the four variables reach a balanced state in the long run through short-term adjustment, CO2 emissions and economic growth are responsible for water efficiency, and that CO2 emissions, economic growth and water efficiency are the causes of electricity generation. The long-term impact coefficient estimates on water-efficiency show that the increase in electricity generation and the decrease in CO2 emissions increase water-efficiency. Although economic growth has increased water-efficiency, moreover, we have identified an inverted U-shaped relationship between economic growth and water-efficiency, which suggests that economic growth above a certain level reduces the rate of increase in water-efficiency. 본 연구는 우리나라의 1990-2014년 시계열 자료를 활용하여 물 효율성, 경제성장, 전력생산 및 이산화탄소 배출 간의 장·단기 인과관계를 실증적으로 분석하였다. 기존 연구들이 경제성장, 이산화탄소 배출 및 전력 및 에너지에 국한되어 분석을 한 반면 본 연구는 기존 변수들과 더불어 물 효율성과의 관계를 설명하였다는 기여를 가지고 있다. 실증분석결과를 살펴보면, 네 변수들은 단기조정관계를 통해 장기적으로 균형상태에 도달한다는 것과 변수들 간의 인과관계에서 이산화탄소 배출과 경제성장은 물 효율성의 원인이 되고 이산화탄소 배출과 경제성장 및 물 효율성은 전력생산의 원인이 된다는 사실을 발견하였다. 또한 물 효율성에 대한 장기 영향계수 추정결과를 통해 전력생산의 증가와 경제성장 및 이산화탄소 배출의 감소는 물 효율성을 증가시키며, 일정 수준 이상의 경제성장은 물 효율성의 증가속도를 감소시킨다는 경제성장과 물 효율성의 역U자형 관계를 확인하였다.
정용훈,김종수,이홍식,임근희 한국분말야금학회 2003 한국분말야금학회 학술대회논문집 Vol.2003 No.1
전기설()폭발(Electric Wire Explosion)법은 고밀도 전류를 금속와이어에 인가시키면 저항 발열에 의해서 금속와이어가 빠르게 가열되고, 수sec 이내에 초기체적에 비해 2~3배나 팽창한 후 폭발하는 현상을 이용하여 나노분말을 제조하는 방법으로써, 다른 제조방법에 비해 값싼 비용으로 1~50sec의 짧은 시간동안 극히 높은 온도()에 도달하기 때문에, 와이어 전체가 동시에 기화하여 원재료의 조성을 갖는 분말의 합성이 가능하며, 공급되는 에너
출동 응답 향상을 위한 적정 구급차 수량 및 배치 위치 결정 연구
정용훈,정희나,고정한 한국화재소방학회 2017 한국화재소방학회논문지 Vol.31 No.3
A sufficient number of ambulances are critical for preventing delayed vehicle dispatch for emergency patients. This studypresents effective methodologies for evaluating the effects of ambulance quantities on availability. The statistical properties ofthe emergency requests and responses were analyzed for a city in Korea. The inter-request times were modeled by statisticaldistributions. The ambulance dispatch was modeled using simulation, reflecting the shared dispatch among the city districts. The simulation results revealed that the existing ambulance quantity could successfully meet the majority of the requests, butmore vehicles were desirable for improvement. The locations of the additional vehicles were determined efficiently bysimulations with a greedy approach. The simulations with added vehicles showed a significantly better coverage of theemergency calls. This research can help design improved emergency vehicle operations, and help save lives. 응급 상황 발생 시의 구급차 부족에 따른 출동 지연 감소를 위하여, 충분한 수의 구급차가 운영되어야 한다. 본논문은 출동 지연을 최소화하기 위하여 안전센터별 적절한 119 구급차의 수량을 결정하는 효과적인 방법을 제시한다. 한 지방자치단체의 구급차 출동 요청을 분석하고, 출동 요청의 통계적 특성을 도출하였다. 119 안전센터 간의상호 지원을 포함한 구급차 출동 시스템은 컴퓨터 시뮬레이션을 활용하여 모델링하였다. 구급차 요청의 통계적 특성과 시뮬레이션을 활용한 분석 결과, 대부분의 출동 요청에 성공적으로 응답할 수 있음을 확인하였고, 출동수행률 향상을 위한 구급차 수 증가가 효과적임도 확인하였다. 또한, 구급차를 추가로 배치할 안전센터를 찾아내는 효율적인방법론도 제시하였다. 본 연구는, 적절한 구급차 수량 확보와 배치를 통하여, 응급환자 구조 서비스 개선에 활용될수 있다.