외상후 혈뇨환자에서 응급 초음파검사의 의의

임경수,이강현,황성오,이진웅 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

The Ultrasonography is rapid, mobile, and noninvasive diagnostic tool in emergency center. As a result, we estimate it`s value as an advocated primary diagnostic modality in the immediate evaluation of patients with multiple trauma. We investigated 60 patients with traumatic hematuria(microscopic hematuria or gross hematuria) who visited our emergency department from 1995, July to 1996, March. To evaluate the injury of urinary systems, emergency physician examined patients with hematuria by ultrasonography, and comapared the results with those of excretory urography and computed tomography. We demonstrated 21 positive findings for abnormal fluid collection and renal parenchymal injury and bladder rupture on ultrasonography. All bladder injuries were diagnosised by ultrasonography, and all major renal injury(grade Ⅲ,Ⅳ,Ⅴ) were also diagnosised by that. The accuracy of emergency ultrasound examination in traumatic hematuria was 97.0%, and sensitivity was 95.0% with specificity of 97.4%. The ultrasonography was an accurate diagnostic adjunct in detecting renal injury and bladder injury in traumatic hematuria patients. Ultrasonography provides an excellent noninvasive diagnostic tool for the initial screening study of patients with traumatic hematuria.

한국판 섬망 평가 척도-98(K-DRS-98)의 표준화 연구

임경옥,김수영,이양현,이선우,김정란 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

Objective : This study was conducted to develop and to validate the Korean version of Delirium Rating Scale-Revised-98(K-DRS-98), which is a scale for diagnosing delirium and evaluating its severity. Method : After developing the K-DRS-98, 102 patients were rated by it among 4 diagnostic groups, such as delirium (N=25), dementia (N=27), schizophrenia (N=25) and others (N=25). To test for reliability, K-DRS-98 was independently administered by two psychiatrist. To test for validity, Korean version of Mini-Mental State Examination (MMSE-K) and Clinical Global Impression (CGI) were administered simultaneously. Statistical analysis was done with SPSS window version 12 package and statistical significance was p<0.05. Result : Intemal consistencies (Cronbach α) of two raters were 0.867 and 0.858, respectively. Inter-rater reliability (κ) was 0.893 for severity items of K-DRS-98 and κ value of diagnosis items was 0.969. In Delirium group, Pearson correlation Coefficients (r) of K-DRS-98 were -0.682 for MMSE-K and 0.667 for CGI. In comparison Delirium group with Others, ANOVA post hoc multiple comparison LSD was statistically significant (p<0.001). The cutoff score to diagnosis of delirium can be recommended 16 for seventy items and 21.5 for total score, respectively. Conclusion : The K-DRS-98 was showed good reliability and validity for the assessment of delirium. The K-DRS-98 is an easy and useful tool for diagnosing delirium and assessing its severity.

주택시장에의 정부개입 : Usefulness and Limit of Marxist Approach 마르크스적 접근의 유용성과 한계

임경수 聖潔敎神學大學校 社會科學硏究所 1998 社會科學硏究 Vol.5 No.1

AbstractThe objective of this study is to review on the government intervention to the housing market with reference to Marxism in housing theories, and to obtain implications for Korea housing policy. In order to improve the Korea housing policy, Korea government needs to empower for improvement of housing condition of the urban poor. Furthermore, Korea government needs to establish the code for housing right as a human basic right and social right. Finally, Korea government needs to enlarge social housing for the non-ownership in the urban poor.

속성 퇴비화에 관한 연구

임채규,박경수,김홍섭,노영복 조선대학교 기초과학연구소 1988 自然科學硏究 Vol.11 No.1

This experiment was conducted to fine out the rapid composting method and the effects microorganism agent. The results were summarilized as follows; 1. Each temperatures of every composts highest rised at the 5 days during the experiment composting. 2. Composting temperature of the more 60℃ was killed the harmful lavar and pathogenic microorganisms. 3. The lowest C/N ratio was No.2, among the each treatments. 4. C/N ratio of the each treatments were same results of the general compost C/N ratio. 5. The synthesized of these results were recognized the effects of microorganism agent and the each treatments were showed the more rapid composting then general compost.

모형항공기 엔진 개발

임경호,전창수,김영진 한국 항공대학교 항공산업기술연구소 1999 航空宇宙産業技術硏究所 硏究誌 Vol.9 No.-

모형항공기 엔진을 개발을 위해 우선 엔진 크기의 기초설계변수 선정은 기존 제품들에 대한 자료를 분석하여 구하였다. 엔진블럭의 외형이 블록 온도분포에 미치는 영향을 살펴본 결과, 블록의 단면적이 동일하다는 조건하에서, 원형보다는 직사각형에 가가운 형상이 조금 좋은 것으로 나타났다. 엔진 블록 휜의 기하학적 변수로 흰 가격/깊이는 0.3, 흰 두께/깊이는 1.5 정도로 설계되는 것이 블록의 온도 분포 측면에서 바람직한 것으로 판단된다. 간단한 pony-브레이크 동력계로 회전수와 로드셀에 가해지는 힘을 측정하여 엔진 축동력을 근사하게 평가할 수 있음을 확인하였고, 고회전수에서의 측정을 위해서는 보다 정밀한 측정장비가 요구될 것으로 판단된다. A preliminary design study on development of model aircraft engine were initiated. For new model engine, the database was collected which were based on various existing engine models as a function of performance parameters and engine geometries. From these data, basic engine design geometric parameters were determined. For fixing the shape of engine block, circular block and rectangular block with rounded corners were compared in view of temperature distributions in engine block under same flow/thermal conditions. As a result, the difference seems to be very minor, but a little bit better temperature distribution was developed in case of rectangular one. To improve cooling effect due to cooling fins on engine block, the effects of fin geometries on cooling were investigated using commercial CFD software. Better cooling would be anticipated with fins which has fin clearance to depth ratio of 0.3 and fin thickness to depth ratio of 1.5. Simple pony-brake dynamometer system developed for the prediction of small engine performance, measuring the force and rpm with load-cell and stroboscope.

혼수상태의 외상환자에서 초음파를 이용한 흉부 및 복부손상의 진단

임경수,이강현,이진웅,이부수,황성오,유수영,강성준 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The need for rapid diagnosis and treatment of life-threatening thoracic and intra-abdominal injury result in controversy over the appropriate triage of unconscious blunt trauma patients. To aid in early decisions for these patients, a prospective analysis of 98 patients with glasgow coma scale(GCS) scores≤8 was undertaken. Although intra-thoracic and intra-abdominal injuries were frequently identified based on systolic blood ressure, the use of clinical signs alone resulted in more missed injuries than did using the emergency ultrasonography. In normotensive patients(n=34), intra-thoracic injuries was identified in one patient(2.9%), and intra-abdominal injuries were in 7 patients(20.6%). In shock(systolic blood pressure<90mmHg) Pa-tients(n=64), thoracic injuries and intra-abdominal injuries were diagnosed in 8(12.5%) and 27 patients(42.3%), thoracic and abdominal combined injuries were identified in 11 patients(17.2%). The sensitivity, specificity, and accuracy of emergency ultrasonography were 96.3%, 91.7%, 94.9%. This study suggests that all unconscious trauma patients undergo immediate emergency ultrasonography to prevent missing life-threatening injuries.

친환경적 경제복지지표의 의의와 개발방향

임경수,김성균 聖潔大學校 社會科學硏究所 1996 社會科學硏究 Vol.3 No.1

다발성 외상환자에서 필수적 단순 방사선검사의 의의

임경수,황성오,임종천,이부수,이강현,이진웅 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

In the guidelines of Advanced Trauma Life Support(ATLS), essential plane roentgenograms (chest AP vIew, cervical spine lateral view and pelvis AP view) are recommanded when primary survey and resuscitation phase are finished in care of multiple injured patients. A prospective study was carried on 376 multiple trauma patients who admitted to Wonju Christian Hospital from July, 1995 to October. We analyzed clinical significance of essential X-ray in multiple trauma patients, and classified the patients by their status of mentality. The one is alert group when their Glasgow Coma Scale(GCS) is over 13 point, the other is disoriented mentality group when their GCS are below 12 point. The alert group was redivided by presence of clnical symptoms and/or signs, and clinical significances of essential X-ray were analyzed. Among the 376 patients, 330 patients are alert group that their GCS score is over 13 point and 46 patients are disoriented group who's GCS were below 12 point. The detection rate of abnormality in essential X-ray is higher in disoriented group than alert group(cervical-spine lateral view : 13.5% vs 3.0% cheat AP view : 0.4%, pelvis AP view : 0%). This study suggests that their are no needs of taking essential X-ray in patients who is alert in mental state and have no clinical symptoms and/or signs.

Salmonellosis에 대한 細菌學的硏究

林賢植,朴京洙,朴悅 조선의대 1983 The Medical Journal of Chosun University Vol.8 No.1

군포시의 도시개발 방향

임경수 聖潔大學校 社會科學硏究所 1997 社會科學硏究 Vol.4 No.1

Abstracts The objective of this paper is to search effective alternatives and directions of urban development of Gunpo city. To accomplish this purpose, both theoretical and empirical researches are carried out. On the theoretical level, the literatures on urbanization are reviewed considering the capital region in Korea. On the empirical level, the urban situation and problems of Gunpo city explained and analyzed by utilizing the statistical data in recently years. The findings of this paper are as follows: First, Gunpo should be better to create its own new independent and constructive urbanity through self-reliance efforts; Second, Gunpo has experienced intra-regional disparities between old town (Gugunpo) and new town (Sanbon) area. Therefore Gunpo has to effort to harmonize and release such disparities through more investment to old town; Third, Gunpo needs to rearrange or redevelop the Danggung industrial complex that has grown up irregularly; Forth, Sanbon new town needs continuous urbon management. Especially, urban infrastructure, large-scale shopping moll, electronic rail, social welfare facilities, and education facilities and so on are major objectives of urban management and maintenance.