구급차를 이용한 응급 환자의 중증도 분류

박인철,이경룡,이한식 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Authors performed a prospective study of patients who visited to ED of Severance Hospital via ambulance during the period of six months from April, 1, 1995 to September, 30, 1995. Our study assessed the adequate patient transfer via EMS system and to suggest more advanced guideline for patient transfer. The results were as follows: 1) Among the total 16,794 patients, 2,250 visited via ambulance ranged from age of 1 to 89 years old with an average 43yrs. 2) Among 2,250 patients, 1,122(50%) visited via 119 system, 546(24%) via 129 EMS system, and 582(26%) via other hospital ambulances 3) 270(12%) patients were classified into urgent, 894(405) into emergent, and 1,086(48.4%) into non-emergent. 4) For the patients via 119 system, 102(9.1%) patients were classified urgent and 630(56.1%) non-emergent, via 129 EMS system, 78(14.3%) urgent and 228(41.8%) non-emergent, and via other hospital ambulances, 90(15.5%) urgent and 228(39.2%) non-emergent. These results show that patients who visited level Ⅲ emergency care center via ambulances were classified into non-emergent about 50%. We conclude that if more effective classifying system which used by EMT for emergency patients is applyed, non-emergent patients can be transferred to more low grade emergency center, and the overcrowding of level Ⅲ emergency center can be improved.

관절경을 이용한 전방 십자인대 재건술: : Two Tunnel Method와 One Tunnel Method의 비교 Comparison of Two Tunnel Method with One Tunnel Method

김경순,신규철,김동헌 건국대학교 의과학연구소 1995 건국의과학학술지 Vol.5 No.-

저자들은 1988년 3월부터 1994년 9월까지 진구성 방전십자인대 손상에 대하여 관절경하에서 슬개골-건-골을 이용하여 재건술을 시행한 환자중 1년이상 추시가 가능했던 30례의 환자를 대상으로 결과를 분석하여 다음과 같은 결과를 얻었다. 1) 남자가 많았고 30대가 가장 많았다. 2) 가장 많은 손상 원인은 교통사고였으며 17명의 환자에서 동반손상이 있었다. 3) 수상후 수술까지의 기간은 평균 9개월이었고 3개월부터 18개월까지 고른 분포를 보였다. 4) 가장 많은 동반손상은 내측부 인대 파열이었고 다음은 내측부 반월판 손상이었다. 5) 환자의 임상적 평가는 Lysholm knee scoring scale을 사용하였다. Two tunnel군에서는 최종 평가시 79%에서 양호 이상의 소견을 보였고, One tunnel 군에서는 81%에서 양호 이상의 소견을 보였다. 6) 10명의 환자에서 추시관절경을 시행하였으며 관절경 소견상 이식거늬의 생착과정을 확인할 수 있었다. 저자들은 관절경하에서 슬개골-건-골을 이용한 선방 십자인대 재건술을 시행하여 양호한 결과를 얻었고 향후 장기 추시가 필요할 것으로 사료되며 두 가지 수술 방법에 따른 뚜렷한 차이는 없었다. 또한 추시 관절경 검사는 이식건의 성숙 과정을 관찰하고 환자의 재활치료에 방침을 정하기 위해 필요하리라고 사료된다. Recent Arthroscopic ACL reconstruction methods have been developed as a technical solution to achieve proper positioning of the graft. In this study, ACL tear were treated with BTB autograft using either arthroscopic two tunnel method or one tunnel method. We analyzed the 30 cases who had taken the reconstruction surgery of ACL from March 1988 to September 1994. The results were as follows. In the two tunnel group, 79%(15 patients) were estimated as exellent or good result and 81%(9 patients) in the One tunnel group. Follow-up arthroscopy was perfomed to observe the maturation process of the graft in 10 cases. There was no clinical differences between two groups.

복숭아나무 경지삽목 시기와 Mulching 재료가 포장 활착에 미치는 영향

林敬鎬,金月洙,林根喆,金光秀 전남대학교 농업과학기술연구소 2000 農業科學技術硏究 Vol.35 No.-

This experiment was studied to examine the effect of cutting time, mulching materials and soil water contents on field establishment of hardwood cutting of 'Sunaga Wase' peach. The most adequate time for hardwood cutting was found to be from early February to middle February, transplanting on mid to late March showed higher field establishment. Therefore the sooner cutting, the better field establishment. Black and clear-black-stripe polyethylene film showed higher field establishment because mulching materials at transplanting time play a important role to control the changes of soil temperature and moisture contents affecting field establishment.

流體로 채워진 圓筒 Channel內 捧 集合體의 振動解析

鄭炅勳,李聖哲 全北大學校 1993 論文集 Vol.36 No.-

Free vibration of the tube bundle in a channel filled with stationary liquid is investigated. Added mass coefficients which are based on velocity potential theory are calculated and used to computing the natural frequencies and mode shapes of tube bundle in liquid. The natural frequencies of the tube bundle are obtained as a function of the spacing between tubes and verified by an experiment. The experimental results show good agreement with the computer predictions. As the spacing between the tubes is small, namely gap to diameter(G/D) becomes small, coupled natural frequencies are widely distributed. A wide spacing tube bundle goes the results of single tube in an infinite liquid.

韓國産 擔子菌類의 抗菌成分에 관한 硏究 (II) : 10種의 擔子菌에 대한 抗菌成分 檢索 A Screening Test for the Antibiotic Activities of Ten Basidiomycetous Fungi

鄭敬壽,申明哲,柳柄泰,金炳珏 충남대학교 약학대학 의약품개발연구소 1986 藥學論文集 Vol.2 No.-

The ether, methanol, and physiological saline extracts of the dried carpophores of ten basidiomycetous fungi, which were collected in the conifer woods of Chungnam National University at Taechon and Keyryoung Mountain Area in Chungcheungnamdo, were subjected to an antibiotic activity test by disc-plate method. Among them, the methanol extracts of Inocybe trechispora, Lactarius velumis, and Laccaria laccata and the ether extracts of I.trechispora showed antibiotic activities against Sarcina lutea; and the methanol extracts of I. trechispora and L. velumis and physiological saline extract of Coriolus versicolor showed antibiotic activities against Staphylococcus aureus; and the methanol extract of L. velumis showed antibiotic activity against Escherichia coli. None of the extracts, however, showed any activity against Serratia marcescens and Proteusvulgaris.

오렌지 껍질로부터 분리된 프라보노이드의 화학요법 감작효과

최철익,변익건,차윤정,김선필,민영돈,유진철,송재경 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives : The overexpression of P-glycoprotein (Pgp) or multidrug resistanceassociated protein (MRP) confers multidrug resistance (MDR) to cancer cells. MDR cells could be sensitized to anticancer drugs when treated concomitantly with a chemosensitizer. In this study, orange peel have been screened for the development of chemosensitizers reversing MDR. Materials and methods : Expression of Pgp in AML-2/WT and AML-2/D100 were determined using western blot analysis and RT-PCR. Candidates for chemosensitizers were isolated, purified from orange peel using sephadex LH-20 column chromatography and silica-gel column chromatography, whose structure was determined using ^1H-NMR, ^13C-NMR, ^1H-^1H-COSY, 13C-NMR, EI-Mass, IR. Chemosensitizing effect of NP-28 on AML-2/DX100 over expressing Pgp and MRP was determined by the MTT assay. Membrane toxicity was evaluated by the RBC hemolysis test. Antioxidant effects were examined by using a fluorescence probe (2’-7’-dichlorofluorescein diacetate). Results : A potent candidate, NP-28, has a flavonoid nucleus with some methoxy moiety. NP-28 is believed to have high therapeutic index, being non-transportable inhibitor and possibly, of inhibiting other efflux pumps such as MRP and antioxidant effects. NP-28 is also unlikely to be a substrate of Pgp. NP-28 did not increase Pgp levels. Conclusion : NP-28 has a Chemosensitizing effect to reverse Pgp-mediated MDR by increasing the intracellular accumulation of drugs. Furthermore, they do not increase expression of Pgp, which can allow a long term use without the concern about Pgp activation. NP-28 is anticipated as an ideal second-generation flavonoid chemosensitizer and/or possibly other therapeutic agents by further investigation.

문화관광지의 서비스품질이 방문자만족과 재방문의도에 미치는 영향에 관한 연구

장경수,송호철 문화관광연구학회 2002 문화관광연구 Vol.4 No.4

This study was designed to find service quality of cultural site as tourist destination and that effects to the visitor's satisfaction and revisit intention. The data(N=329) were collected Bulgug-sa temples that is the largest buddhist temple in Korea. LISREL 8.50 was used to analysis data. The results of analysis is that service quality was affected visitor's satisfaction and revisit intention and visitor's satisfaction to affect revisit intention.

칼슘제 수관살포가 참다래의 과실 품질과 저장에 미치는 영향

임경호,나양기,임동근,마경철,조윤섭,김월수,이상현,박용서 全南大學校 農業科學技術硏究所 2001 農業科學技術硏究 Vol.36 No.-

This study were carried out to improve Kiwifruit quality and storage life. Three kinds of calcium compound were sprayed and calcium content of fruits, weight loss during fruit storage and fruit quality were investigated. Calcium contents within leaves and fruit were lower in Clef-non treatment than that of control. The calcium content in fruit pericarp of Kalk-H and CaCl2 was 0.04 to 0.05% higher than that of control. Fruit weight and soluble solids content at harvest was a little higher but acidity and fruit hardness was lowered. Fruit weight loss of Kalk-H and CaCl2 treatment was 1.39 to 1.53% lower than that of control during storage. The soluble solids of ripen fruit was 1.0 to 1.3% higher in all treatment and 0.8% higher in Kalk-H treatment in 120 of after storage. Fruit hardness of control fruit was higher at harvest but that of CaCl2 treatmented fruit was 0.39㎏/φ 5㎜ higher in 120 days of storage.

사찰관광지의 서비스품질 측정에 관한 연구

송호철,장경수 문화관광연구학회 2002 문화관광연구 Vol.4 No.1

This study was designed to develop the service quality assessment scale to evaluate tourist perception and satisfaction toward service in buddhist temple as tourist attractions. The data(N=329) were collected Haein-sa temples that is the largest buddhist temple in Korea. Using exploratory factor analysis and confirmatory factor anaysis the scale with 17 items was generated : attractiveness(4 items), interpretation(5 items), education(2 items), consumables(3 items), facilities(3 items). The fit indexes suggested that the final version of the model provided an adequate fit to the data(e.g., SRMR=.049, CFI=.903, GFI=.941, and AGFI=.918).

응급의료센터 과밀화 해소를 위한 환자 전원

이경룡,구홍두,박인철,김승환,장석준,심호식 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

To reduce the degree of overcrowding in level Ⅲ emergency care centers, authors have conducted a prospective study of patient who were transferred to level Ⅰ or Ⅲemergency center based on the non-emergent patient guideline currently used at the severance Hospital, level Ⅲ emergency center, during the period of 65 days from Jan. 1st 1995 to Mar. 6th 1995. Followings are guideline for non-emergent patient described by the Korean government low: 1) systolic blood pressure greater than 80/100 of normal. 2) respiration rate between 10 to 24 per minute. 3) pulse rate between 60 to 100 per minute. 4) body temperature between 36 to 37.5℃ by rectal. 5) relatively alert mental status. 6) patient not requiring emergency operation at the time of examination. The results were as follows: 1. Among the total 5,301 patients, 464 patients ranged from age of 1 to 82 years old were transferred to level Ⅰor Ⅱ emergency center after simple treatment. 2. Among the 464 patients, 276 patients were treated in expected hospital with medical problems in 101 (36.6%) patients, and 175 (63.4%) patients had surgical problems. 3. Among the 276 patients, 122 (44.2%) patients were admitted, 145 (52.9%) patients were discharged from the emergency room after adequate treatment. 4. Among the transferred patients, simple laceration (33.0%) were most common, acute gastroenteritis (12.0%), and simple contusion (10.5%) were followed. These results suggest that about 10% of patients visiting level Ⅲ emergency care center, can be safely transferred to nearest level Ⅰor Ⅱ emergency centers on the bases of non-emergent patient guideline described by Emergency Medical Service law. These guideline, if put into proper use, can reduce the degree of overcrowding problems in level Ⅲ emergency care center through out the country.