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기저핵부위에 국한된 외상성 뇌실질 출혈에 대한 임상적 고찰
김선환,송시헌,염진영,김성호,김윤 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.6
In this report, the authors analyzed retrospectively 20 cases of pure traumatic basal ganglia hemorrhage(TBGH) which were diagnosed and treated in our hospital between January 1990 and Jun 1995. The TBGH incidence constitutes 1.4% of all head trauma. It occures were commonly among the younger male patient groups. The main causes of trauma was motor vehicle accidents. The overall mortality rate was 15%. Low initial GCS score, fixed pupillary reflex, pathologic reflex, poor motor response and large hematoma size were all poor prognostic factors, resulting a high mortality or passimistic outcome.
김선환,송시헌,염진영,김관대,김윤 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.2
The author analyzed retrospectively 94 cases of spontaneous intraventricular hemorrhage(IVH) which were treated with external ventricular drainage(EVD) at the Department of Neurosurgery. Chungnam National University Hospital from January 1990 to June 1994. In all cases, infusion of urokinase was attempted for effective drainage. The peak age group of IVH patients were those in their sixth decade, but in primary IVH, younger patients were more frequently affected. The order of causes of primary IVH are hypertension, arteriovenous malformation. Moyamoya disease and cerebral aneurysm, however, secondary IVH are mostly associated with hypertension and aneurysm. The overall mortality rate was 38%. A low initial Glasgow coma scale(under 5)(p<0.001), a high Graeb score(over 10)(p=0.001), fourth ventricular ventricular hemorrhagic dilation(p=0.001), secondary IVH(p=0.009), unilateral or bilateral pupil fixation at the preoperative stage(p<0.001) and long duration of EVD(p=0.045) are all poor prognostic factors associated with higher mortality.
朴範鎭,宋七永,金宣我,李寅世,李承雨,전양,李旭 忠南大學校 環境問題硏究所 1996 環境硏究 Vol.14 No.-
Growth analysis of Quercus mongolica and Juglans manshurica was carried out in Chungju experimental forest, Chungnam National University. Quercus mongolica stand is natural and Juglans manshurica stand is plantation. Average age is 67 and 25 years, respectively. Average tree of each species was selected and after diameter measuring disks were taken at 30㎝ from the ground. The number of annual rings were counted and ratio of root collar diameter(RCD) was calculated. Tree hight was estimated with the equation of root collar diameter and T-test was followed. Individual tree volume of each ages was computed with Smalian's equation and growth ratio of individual tree volume was calculated. Equation form of growth ratio was ??=(??-??)/?? × 100; ?? is growth ratio in %, ?? is RCD, Hight and volume in measuring in cm, m, ㎥, di is RCD, Hight and volume after n(=5) years from the time measured in cm, m, ㎥ and estimate equation of hight was H-??; H is tree hight in m, a is a constant, b is an exponent. Values of measurement and estimate was compared with T-test resulted with no significant difference at P≤0.05. Stand stock was 130.88㎥/ha in Quercus mongolica and 66.05㎥/ha in Juglans manshurica. Annual growth ratio of components were as follows in beginning five years; increment ratio of RCD was 118.45%, growth ratio of tree hight was 56.57%, growth ratio of tree volume was 3649.99% in Quercus mongolica, respectively and in Juglans manshurica, increment ratio of RCD was 189.41%, growth ratio of tree hight was 98.24%, growth ratio of tree volume was 8506.85% respectively. In recent five years, annual growth ratio of components were as follows; increment ratio of RCD was 2.88%, growth ratio of hight was 1.96%, growth ratio of tree volume was 8.52% in Quercus mongolica, respectively and in Juglans manshurica, increment ratio of RCD was 3.39%, growth ratio of hight was 2.49%, growth ratio of tree volume was 10.53% respectively. From the result of growth analysis, Annual growth ratio in beginning and recent five years were shown higher in plantation of Juglans manshurica than in Quercus mongolica in all part of RCD, hight and individual tree volume. We knew that the increment of individual tree volume depended upon the ratio of beginning growth. Therefore, the success of effective forest management relied upon if it could improve beginning growth and how long could it be continued to maintain the ratio of beginning growth.
요추부 후방 골유합술시 제4요추 분절동맥의 손상에 의해 발생된 후복막하 혈종의 코일 색전술 치험 1례
이방훈,염진영,최승원,김선환,고현송 대한척추신경외과학회 2004 Neurospine Vol.1 No.1
In spine sugery, iatrogenic vascular injury is unusual, and most common vascular injury is said to be a tear of the left common iliac artery. We report a case of retroperitoneal hematoma from lumbar segmental artery injury after posterior lumbar fusion and pedicle screw fixation. This 60-year-old woman presented with 6 months history of low back pain and radiating pain to the left lower leg. She complained of claudication after 10 meters walking due to spondylolisthesis and spinal stenosis at L2-L5 level. She underwent multiple total laminectomy, posterior lumbar inter-body fusion, and transpedicular screw at L2-L5. During operation there was not evidence of complications such as bleeding. She complained of abdominal pain on post-operation I day and showed tenderness on left upper quadrant. Hemoglobin was 8.4 g/dL on postoperative laboratory examination. Abdominal CT scan revealed retroperitoneal hematoma. We performed angiography for evaluation of hematoma and found extravasation of dye at segmental artery of L4 level. We embolized the bleeding artery with coil successfully. Her postoperative abdominal pain and tenderness were relieved after then and discharged without pain or neurological deficit.
두경부 마사지가 중환자실 환자의 수면과 불안에 미치는 효과
김미용,전선영,송윤희,최은진,김재희,김미성,주명순,김남선 병원간호사회 2006 임상간호연구 Vol.11 No.2
Purpose: This study was to apply head and neck massage to patients in intensive care unit and to inventigate the effect of that massage on sleep and state anxiety. Method: The subjects in this study were 27 patients who were admitted in medical intensive care unit. The study was performed from June thru September of 2005 on the One-group pretest-posttest design and the sleep, state anxiety of the subjects were measured before and after head and neck massage. For data analysis, paired t-test and Pearson correlation coefficient were utilized. Result: The first hypothesis that the subjects might have a better sleep after being exposed to head and neck massage was accepted. The second hypothesis that the subjects might feel less state anxiety afrer being exposed to head and neck massage was accepted. The third hypothesis that the sleep of the ICU patients maight be correlated to their anxiety was accepted, as there appeared correlation between their sleep and anxiety. Conclusion: Head and neck massage is identified as one of independent nursing interwentions to improve the sleep of ICU patients and ease their anxiety, and it is necessary to apply it to clinical practices.
유기질비료 시비량에 따른 오미자 묘목의 초기 생육특성에 관한 연구
이경아,박태호,박성용,김도현,오문국,김민수,안태진,이상원,김영국,안영섭,박충범,차선우,송범헌 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.1
This study was carried out to have basic and applied informations to find the optimum nitrogen fertilization level for organic cultivation and to investigate early growth characteristics of Schizandra chinensis Baillon. Different application levels of the organic fertilizer were based on the recommended rate of N fertilizer. Five different levels of the organic fertilizer were applied to S. chinensis and early growth responses such as the length of vine, the diameter of vine, the number of leaves, and the number of branches were investigated. Lengths of main and total vines were shown longer at the level of 1.0 time organic fertilizer than those at others. The vine length at early growth was the highest at the level of 1.0 time organic fertilizer among the treatments. Stem diameter was shown thicker level of 1.0 time organic fertilizer than others on August and September, whereas on October it was the thickest in the conventional cultivation. Number of leaf was increased higher at the level of 1.0 and 2.0 times organic fertilizer than that in the compared to conventional. The number of branches was appeared the lowest at the level of 1.0 time organic fertilizer at early growth, however they were increased through progressing their growth stages. They were not significantly difference among the treatments except for the level of 2.0 times organic fertilizer. Based on the research results, the growth of S. chinensis was commonly higher at the level of 1.0 time organic fertilizer compared to other treatments.