중증 화상 환자에서 영양지원

박지영,목혜숙,신현선,노순예,김애심,백금선,김도헌,허준,전욱 대한화상학회 2003 대한화상학회지 Vol.6 No.2

수술환자의 수술장 내 대기시간 단축방안

박말영,임은성,박지영,노지현,추은영,유재연 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

문제: 환자가 수술장내에서 수술을 기다리면서 느끼는 불안감을 최소화할수있도록해야하지만수술실의 효율성 및 의료진 편의성 위주로 운영되고 있어 수술실 내 대기시간이 연장되고 있다. 목적: 수술장내 대기시간을 단축시키기 위해 수술환자의 이동경로에 따른 지연요인과 문제점을파악하고 개선하여 환자가 수술을기다리면서 느끼는 불안감을 최소화하고자 한다. 의료기관: 부산시에 소재한 481병상의 종합병원 수술실 질 향상 활동: 수술환자의 대기시간 지연요인과 문제점을 파악하고 개선을 통해 질 향상을 도모하였다. 개선효과: 대기시간 수행율에서 수술장 도착까지의 수행율이 개선전 95%에서 개선후98%로, 수술방입실까지의 수행율이 개선전 88%에서 개선후 94%로, 마취시작 까지의 수행율이 개선전 93%에서 개선후 96%로 수행율이높아졌다.

열대 지역에서 통일형 초다수성 벼 품종의 생육 및 수량성 비교

이지윤,준현,성환,손영보,송유천,한상익,박동수,권영업,이철원,이종희 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.2

香氣療法에 사용되는 精油의 本草學的 接近

박지현,김종대,강석봉 동서의학사 2001 동서의학 Vol.26 No.3

溫山工團 海松林의 衰退分析

朴芝賢,金鍾甲 경상대학교 농업생명과학연구원 2002 농업생명과학연구 Vol.36 No.1

울산ㆍ온산공업단지 주변의 해송림을 대상으로 해송의 잎과 토양에 대한 각종 중금속 및 잎속의 수용성 유황함량 등의 오염물질 분석을 통해 주변의 해송림의 활력도를 파악하여 대기오염에 의한 해송임분의 피해 상태를 분석한 결과는 다음과 같다. 산림토양 pH는 경기화학 주변 해송림이 4.01로 가장 낮게 나타났으며 고려화학 주변 해송림을 제외한 모든 조사지역에서 강산성을 나타내었다. 산림토양 내 중금속함량에서, Zn은 6.20~526.42 ppm, Al은 671.69~2,168.41 ppm, Fe은 59.14~171.97 ppm, Cu는 1.87~159.74 ppm, Cd은 0.02~0.68 ppm, Pb은 3.18~48.63 ppm으로 나타났으며, 일반적으로 고려화학 및 경기화학 주변에서 대체적으로 높게 나타났다. 해송 잎속 수용성유황함량은 공단지역이 0.12-0.24 ppm로 나타났으며, 공단외 지역인 진하리에서는 0.08-0.10 ppm로 나타났다. 특히 경기화학 및 여천동지역은 0.16-0.23 ppm로 높게 나타났다. 잎의 연령별함량 분석에서는 3년생>2년생>1년생의 순으로 잎의 연령이 높을수록 증가하였다. 해송 잎속 중금속 함량에서, Zn은 63.57~1,105ppm, Al은 245.9~1,073ppm, Fe은 158.1~1,322ppm, Cu은 34.74~883.5ppm, Cd은 0.09~2.38ppm, Pb은 1.16~67.99ppm으로 나타났다. 잎의 연령별 중금속함량은 3년생>2년생>1년생으로 잎의 연령이 높을수록 중금속함량이 증가되었고, 특히 경기화학 주변의 해송 잎속 중금속함량이 다른 조사지역보다 높게 나타났다. 산림토양과 해송 잎속 오염물질 간이 상관분석에서 토양속의 Cu, Pb과 잎속 Cu, Pb간에는 정의 상관을 나타내어 밀접한 관계가 있음을 알 수 있다. This study carried out to understand the degree of vigour of Pinus thunbergii forest growing around Ulsan and Onsan industrial complex. It was analyzed the pollutants on leaves and soil of P. thunbergii forest. The pH of soil in P. thunbergii forest around Kyunggi chemical co. was the lowest as 4.1 and severe acidity in all survey areas besides Korea Chemical Co. In the content of heavy metals in soil of survey areas, each content of Zn, Al, Fe, Cu, Cd, and Pb showed as 6.20~526.42 ppm, 671.69~2,168.41 ppm, 59.14~171.97 ppm, 1.87~159.74 ppm, 0.02~068 ppm and 3.18~48.63 ppm, respectively, and were relatively high at the forest soil of Kyunggi Chemical Co. and Korea Chemical Co. The content of soluble sulfur in leaves by leaf age showed to 0.12~0.24ppm at each industrial complex besides Jinhari(0.08~0.10 ppm) of non-industrial area, and increased in order of 3-year-old needles, 2-year-old needles and teh current needles. Especially soluble sulfur content in leaves around Kyunggi Chemical Co. and Yochondong complex showed high as 0.16~0.23 ppm. In the content of heavy metals in P. thunbergii leaves at survey areas, the content of Zn, Al, Fe, Cu, Cd, and Pb showed to 63.57~1,105ppm, 245.9~1,073ppm, 158.1~1,322ppm, 34.7~883.5ppm, 0.09~2.38ppm and 1.16~67.99ppm, respectively and increased in order of 3-year-old needles, 2-year-old needles and the current needles. The heavy metal content of P. thunbergii leaves around Kyunggi Chemical Co. was especially higher than other survey areas. In the relationship of heavy metals in forest soils and leaves, there were positive correlations at Pb content and Cu content in soil and P. thunbergii leaves.

측모두부방사선사진과 측면얼굴사진 중첩 시 적합도에 관한 연구

박지영,이기헌,황현식,이종석 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.3

The purpose of this study was to compare the geometric displacement between the lateral cephalometric radiograph and photograph. For the present study, 52 subjects with Angle Class I occlusion and no severe skeletal discrepancy were selected. The Head Posture Aligner and the standardized camera set up were adopted to obtain photographs and radiographs in a standardized manner. Six metal markers were placed on the subject's right side face representing Glabella (G), Zygoma (Zy), Philtrum (Ph), Soft tissue Gonion (Go'), Soft tissue Pogonion (Pog'), Soft tissue Menton (Me') before taking the lateral cephalometric radiograph and photograph. The 14 linear, 28 angular, and 5 area differences were measured after superimposition of the radiograph and photograph using nose and upper lip as a reference on the Image Analyzer. The paired t-test and the percentage of differences were used to compare the geometric displacement of metal markers between the lateral cephalometric radiograph and photograph. Through the statistical analysis, the following results were obtained. 1. When the linear measurements were compared between the lateral photograph and radiograph, the measurements related to Zy and Go' except Zy-Me' and Go'-Ph showed significant differences on both images. 2. On the angular comparison, the overall measurements except Me'-Ph-Pog', Ph-Pog'-Me', Ph-Me'-Pog', G-Me'-Ph, Me'-G-Ph. Ph-Go'-Pog', Go'-Zy-Me' and G-Go'-Me' showed significant differences on both images and especially the measurements related to Zy showed greater difference. 3. In area measurements, the overall measurements except G-Zy-Go' showed enlargement of the radiograph. 4. On the superimposition of the radiograph and photograph, the measurements related to the profile tended to be well matched. However, Zy on the lateral radiograph tended to be displaced downward and backward more than Zy on the photograph. Furthermore Go' on the lateral radiograph tended to be displaced upward and backward more than Go' on the photograph. The results suggested that the precise superimposition between the lateral cephalometric radiograph and photograph was not feasible due to differences in enlargement.

치과용 금합금의 표면처리에 따른 교정용 브라켓의 전단결합강도 변화

민지현,황현식,이기헌,박병주 전남대학교 치과대학 2000 전남치대논문집 Vol.12 No.1

A bracket bonding to the dental gold alloy shows a lower bond strength than the natural teeth, and this can be a possible source of subsequent bond failure. This study aims to evaluate the effect of various gold alloy surface treatment techniques on shear bond strength between the orthodontic adhesives and the gold alloy and to find ways of increasing the bond strength. Two hundred and forty specimens made of the dental gold alloy were divided into twelve groups based on the combination of surface treatment methods(non-surface treatment, sandblasted, sandblasted plus tin-plated, and sandblasted plus intermediate adhesive) and adhesive systems(Ortho-one, Panavia 21, Superbond C&B). The specimens with brackets bonded were placed in distilled water at 37℃ for 24 hours and shear bond strength was measured by a universal testing machine. The results were as follows: 1. All surface-treated groups showed a significantly higher shear bond strength than non-surface-treated groups. 2. The sandblasted plus tin-plated group showed a significantly higher shear bond strength than the sandblasted group only when Panavia 21 was involved. 3. The sandblasted plus intermediate adhesive group showed a significantly higher shear bond strength than sandblasted group regardless of the type of adhesive used. 4. Of the three resin adhesive types, the Superbond C&B showed the highest bond strength, followed by Panavia 21 and Ortho-one. These findings suggest that a combination of sandblasting and intermediate resin treatment is desirable in order to enhance bracket bond strength regardless of adhesive types.

골수염으로 발현된 재발성 콕시디오이데스 진균증 1예

백지현,박은영,정윤숙,홍재원,채윤태,진성준,최희경,신소연,한상훈,진범식,김창오,최준용,송영구,조남훈,김준명 대한감염학회 2009 감염과 화학요법 Vol.41 No.4

Coccidioidomycosis is a fungal infection that results from inhaling the airborne arthroconidia of the Coccidioides species. It is an endemic disease in the southwest part of North America and rarely diagnosed in Korea. As tourism to endemic areas and the number of immunocompromised patients have been increasing, the incidence of this infection has increased in non-endemic areas. Treatment is usually successful with antifungal agents; however, recurrence is common. It is difficult to decide when to discontinue the antifungal treatment especially in non-endemic areas where doctors are not familiar with the disease. We report a case of recurrent coccidioidomycosis manifesting as osteomyelitis after the treatment of the patient for disseminated coccidioidal infection. The complement fixation test was a useful tool for the assessment of patient response and to evaluate suspected recurrence.

제주 지역의 B형 간염 바이러스 유전자형

조지현,박도심,김태현,염주진,김학철,문주현,양재식 대한간학회 2004 Clinical and Molecular Hepatology(대한간학회지) Vol.10 No.1

목적: HBV 감염이 무증상의 자연 회복부터 간경변 혹은 간세포성 간암까지 다양하게 나타나는 요인들로 숙주의 요인과 바이러스의 요인으로 구분되어 제시되는데, 바이러스 요인으로는 감염된 바이러스이 유형이나 염기 변이들이 논의된다. HBV 유형을 구분하는 데는 혈청형과 유전자형이 이용되는데 근자에는 주로 유전자형이 이용된다. 이러한 HBV의 분포는 지역적으로 다르나 지역에 따라서 다른 유형들이 혼재되어 있다. 동남아시아는 B형이지만 극동아시아는 C형으로 알려져 있으며, 대만과 오키나와에서는 B와 C형이 혼재되어 나타난다. 이러한 결과로 미루어 보아 우리 나라의 남부지역에서는 B과 C형이 혼재되어 있을 가능성이 있다. 이에 본 연구는 제주 지역에서 HBV의 유전자형을 조사하고자 하였다. 대상과 방법: 원적지가 제주도이면사, HBsAg가 양성이었던 107명(평균 연령: 46.5세)을 대상으로 하였다. 이들의 혈청으로부터 HBsAg/antiHBe를 분석하고, DNA를 추출하여 7개의 유전자형에 따라 특이성을 갖는 시발체(genotype specific primer)들을 이용하여 PCR로 증폭한 후 이를 분석하였다. 주된 유전자형의 일부와 다른 유형에서 증폭에 이용되었던 시발체를 다르게 이용하여 hemi nested PCR로 증폭한 후 염기를 분석하여 계통발생학적 분석법을 이용하였다. 결과: 1. PCR에 의한 HBV DNA 양성은 107명 중 59명(55.1%)이 양성이었다. HBeAg/anti HBe의 발현 양태에 따라 음성/음성에서 2명(66.7%), 음성/양성에서 30명(41.1%), 양성/음성에서 24명(85.7%), 양성/양성에서는 3명(100%)에서 증폭되었다. 2. Multiplex PCR에서는 58명의 유전자형이 C형, 1명에서는 B형과 C형이 동반 출현하였다. 3. Genotype specific primer를 이용하여 각각 따로 PCR을 시행한 경우에 A형에 의하여 증폭된 예가 1예, B형에 의하여 증폭된 예가 1예, C형에 의하여 증폭된 예가 59예로 A형과 B형 모두가 C형에서 증폭된 예였다. 4. 한 쌍의 시발체에 의하여 증폭되었던 A형과 B형 및 C형의 일부에서 염기를 분석한 결과 모두 C 유전자형이었다. 결론: HBsAg이 양성인 제주 지역 주민의 HBV의 유전자형은 C형일 것으로 생각된다. Background/Aims: Hepatitis B virus (HBV) was classified into 8 genotypes by a sequence divergence in the entire genome designated from A o H. HBV genotypes have distinct geographic distributions. Recently, HBV genotypes have been partially found as influencing the clinical manifestation of chronic liver disease in hosts. In Korea, the distribution of HBV genotypes remains unclear. The aim of this study was to evaluate the prevalence of the HBV genotype on Jeju Island. Methods: Hepatitis B virus genotypes were evaluated among 107 hepatitis B carriers residing on Jeju Island. We used single PCR and multiplex-PCR assay with genotype-specific primer pairs for HBV genotypes A-F for the genotyping. Results: 1. Fifty nine samples (55%) were positive for HBV DNA. The positivity was different according to the pattern of HBeAg/anti-HBe expression, as -/-; 2/3 (66.7%), -/+; 30/73 (30%), +/-; 24/28 (85.7%) and +/+; 3/3 (100%). 2. In the single primer set of genotype-specific PCR, 59 samples (100%) were detected as genotype C and 2 (3%) were also detected as genotype A and B. 3. In multiplex-PCR, 58 samples (98%) were detected as genotype C and only one (2%) as a mixed pattern of genotype B and C. 4. When the PCR products were amplified with universal sense and genotype specific anti-sense from one genotype A, one B, and 2 C, all were included in genotype C. Conclusions: These results suggest that on Juju Island, almost all HBV genotypes are C.(Korean J Hepatol 2004;10:42-50)

인터넷 캐쉬를 위한 멀티미디어 데이터의 재배치 정책

홍현옥,임은지,박성호 동의공업대학 2000 論文集 Vol.26 No.1

Through the dramatic growth of Internet, it becomes easy for people to access geographically distributed vast amounts of information. But, currently Internet is suffering from problems such as server overload, network congestion and client response time. In addition, currently the number of continuous media data such as audio and video is growing rapidly. In this paper, we propose SCU(Smallest Caching Utility) proxy caching scheme that stores a portion of continuous media stream or entire stream on the Internet. The proposed scheme reduces client latency and maximizes the amount of data served directly from cache without accessing the central server. By caching the initial fraction of stream data, service startup latency can be reduced. And, by varying the size of the fraction of stream to be cached according to variation of stream popularity, we can utilize the cache space efficiently and maximize the amounts of data served directly from cache. We use the caching utility formula of each stream for the measurement of cache replacement. The way to measure popularity of continuous media stream should be different from that of traditional data such as text and image. We propose the method of measuring popularity of stream using the amounts of data played by clients. We have performed simulations to evaluate our caching policy, Simulation results show that our caching policy outperforms other caching algorithms such as LRU, LFU and SIZE in aspects of BHR(byte hit ratio), initial latency and replacement overhead.