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      • KCI등재후보

        하악골에 발생한 골막 골육종

        김태우,김승범,권혁찬,문선재,윤정훈,김형준,차인호,육종인,김진 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1

        Periosteal osteosarcoma is a distinct entity of malignant bone tumor with characteristic clinical, morphological, and histological features within the group of juxtacortical osteosarcoma. Periosteal osteosarcoma is predominantly located in the tubular long bones, and extremely rarely involving the jaws. A case of periosteal osteosarcoma of the right mandible is presented. A 27-year-old woman complained of the gingival swelling and bleeding tendency of the right posterior mandible. Clinical examination revealed a reddish brown strawberry-like swelling on the affected mucosa, which measured 1.5㎝×1.5㎝. The tumor was located on the lingual cortex of the mandible and extended into the surrounding soft tissues. Microscopically, the tumor consisted exclusively of atypical chondroblastic cells with a small osteoblastic area. A minimal bone marrow involvement was noted and the adjacent cortex was free of tumor. These findings suggested that the tumor originated from the periosteal cambium layer, which lies between the periosteal fibrous layer and the cortex of mandible.

      • Rifampicin에 의한 것으로 추정되는 위막성 대장염1예

        김수현,이은우,정종혁,문승현,김동한,양혁승,오영상,김호동,김도현,박혁,박정환,박경옥,이영직 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

        Pseudomembranous colitis, caused by altering the normal colonic flora and allowing the multiplication of Clostridium difficile, is an deleterious adverse effect of antibiotics. But it is rarely reported by rifampicin. Rifampicin is one of the first line drug in the treatment of tuberculosis and many patients are exposed to its potential adverse effects. We experienced a patient that had abdominal discomfort and hematochezia due to pseudomembranous colitis after receiving antituberculous medication, and which was probably caused by rifampicin. A 82 years old man was admitted with abdominal discomfort and hematochezia for one week. On the past history he had been diagnosed as endobronchial tuberculosis about 4 months ago. Colonoscopy revealed multiple discrete whitish mucosal lesion on rectosigmoid colon, and histologic findings were consistent with pseudomembranous colitis. The antituberculous agents were discontinued and vancomycin was administered. The patient's symptoms were resolved within several days. There was no recurrence after reinstitution of the antituberculous agents excluding rifampicin. We report here on a case of pseudomembranous colitis probably due to rifampicin.

      • 코일로 치료한 다발성 폐동정맥 기형 1예

        김영훈,장재현,권세훈,장재혁,윤성호,이승일 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

        A 29 year old female patient came with grade NYHA Fc IV dyspnea of 1 month. No abnormality was heard during auscultation. Arterial blood gas analysis done due to shortness of breath showed a decreased PO_(2) of 64.6 mmHg. Computerized tomography(CT) was checked due to multiple nodules seen in both lower lung fields of the chest X-ray. CT revealed multiple pulmonary arteriovenous malformations in both the mid and lower lung fields. Dyspnea was uncorrected by the application of oxygen. Coil embolization showed improvement of PO2 and dyspnea. The CT follow up at 9 months after the procedure showed no progression of the arteriovenous malformation without any additional symptoms nor dyspnea.

      • 麗水시 交通 隘路區間 交叉路의 信號體系 改善에 關한 硏究

        김승혁,조길환 여수대학교 1997 論文集 Vol.11 No.2

        The survey of traffic amount for the analysis of the traffic problems was done throughout Yosu's main principal streets and cross roads. Traffic amount was counted during peak time. The traffic amount was analyzed with HCM's service level analysis. The result tells that the traffics in Dongmoonro street, influx and efflux point of Hanjae Tunnel, and the street in front of Beach Hotel are very disorder. The traffics on Jungangro street, Mipyengro street, Kwangmuro street are quite delayed. As the result, most of street will be much confused unless there will be no construction of new road or improvement of traffic control applications. Also, the service level of the cross road is used by TRANSYT-7F model, so we analyzed the density of each cross road and a time lag by HCM method. I used these models to assume the maximum service of each crossing road.

      • 지방중소도시 환경개선을 위한 Super Graphic에 관한 연구 : 아파트를 중심으로 Focus On Apartments

        김기준,신승혁 경복대학 2001 京福論叢 Vol.5 No.-

        도시공간에 있어 수퍼그래픽은 시민의 정서적 안정과 도시 미관을 개선한다는 입장에서 제작되기 시작했고 지금에 와서는 도시 환경디자인의 빼놓을 수 없는 분야가 되었다. 도시환경을 개선한다는 일차적 목적 이외에도 지역주민의 상징과 공동체 의식을 높여주고 때에 따라서는 랜드마크나 광고선전 매체로 활용되며 도시환경의 시각요소로서 수퍼그래픽은 도시민들에게 친근감있게 부합 할 수 있어야 하며 주거환경과 지역적 특성을 살려 대중적인 의미로 전달 활용되어야 한다. 그러므로 도시 아파트 수퍼그래픽을 체계적으로 연구 조사하여 현대 사회를 살아가는 인간의 생활환경에 맞게 개선할 수 있는 방안을 모색하고자 한다. 이에 지방중소도시 아파트의 수퍼그래픽을 중심으로 문제점을 제기하고 유형과 특성을 분석하여 특색있는 만드는데 도움이 되고자 한다. In urban spaces, Super Graphic has been produced focusing on improving civil emotional stability and urban beauty, and now is an indispensable field of urban environmental design. This has to improve not only urban environment but also regional resident symbol and community consciousness, be used for a landmark or advertising media on occasions, be familiar with urban citizens as a visual element of urban environment, and be used for a popular meaning considering residential environment and regional characteristics. Therefore this study focuses on systematically researching and investigating the Super Graphic that can harmonize with modem human living environment. And this is for the purpose of presenting a problems based on the Super Graphic of regional small and medium cities and analyzing their types and features to construct characteristic environment.

      • KCI등재

        응급의학과로 내원한 환자중 내원시 예상치 못했던 사망에 대한 고찰

        김승렬,김상은,양혁준,정호성,박철완,이 근 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

        Patients die in the emergency department frequently ; however, there has been little about the incidence and cause of Emergency Department death in the emergency medicine literature. This study was conducted retrospectively to gain insight into the patients who die suddenly and unexpectedly in the Emergency Department(ED). A total of 360 patients were pronounced dead in the ED from 1991 through 1994 in Chung Ang Gil Hospital. Of the 360 patients, 309 (86%) were brought to the ED with cardiopulmonary resuscitation in progress or as do not resuscitation(DNR) patients, leaving 51(14%) patients who met the unexpected death criteria. Of the unexpected deaths, 32(62.7%) patients presented to the ED with either abnormal vital sign (24 of 32) or some alteration in consciousness (18 of 32), or both of them (10 of 56). Medical and surgical causes of death represented 47.1% (24 patients) and 15.6% (8 patients) of the unexpected deaths respectively. Trauma represented 19 (37.3%) of the unexpected deaths, with 14 of these being the result of motor vehicle collision. The yearly incidence of unexpected ED death is presented in numbers of deaths per 10,000 ED visits. In 1991, the incidence was 3.4, and in 1992, 1993 and 1994 those were 2.7, 2.2 and 2.1 respectively.

      • Mn-nodule의 선광에 관한 연구(제1보)

        김익수,박동기,성일용,김승혁,엄제현 三陟大學校 2000 論文集 Vol.33 No.1

        For the purpose of reserching the floatability of Managanese-nodule, the test was proformed by means of Zeta potential measuring and the flotation experiment for 10Å Manganite. The flotation condition in the flotation experiment were as follow. sample : Todorokite (0.3gr) sample size : 65 mesh ~ 200 mesh condition size : 10 min flotation time : 4 min air amount : 20 ㎖/min promoter : D.A.cl, S.D.S. PH regular : Hcl, CaO From the test the flotation result were summerized as follow. 1. The isoelectric point of 10Å Manganite in the Zeta potential measuring was pH 4.3. 2. The floatability of 10Å Manganite was 80% as a function of pH5 using 10mg/ℓ of D.A.cl. 3. The recovery of 10Å Manganite was best when the floatability of 10Å Manganite was 90% as using D.A.cl 80mg/ℓat PH 2.7.

      • KCI등재후보

        근관감염세균의 분포에 관한 연구

        김승윤,최호영,박상혁,최기운 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.4

        It has been documented that periodontopathic bacteria are also implicated in endodontic infections. 16S rDNA gene-directed PCR was to examine the prevalence of periodontopathic bacteria including Actinobacillus actinomycetemcomitans (Aa), Prevotella intermedia (Pi), Prevotella nigrescens (Pn), Porphyromonas gingivalis (Pg), Porphyromanas endodontalis (Pe), and Treponema denticola (Td) in the root canals of 36 endodontically infected teeth having apical lesions with or without clinical symptoms like pain, swelling, and fistula. 1. In 36 infected root canals, most frequently detected bacterial species was Pg (61.1%), followed by Td (52.8%) and Pe (38.9%). 2. Of 36 infected root canals, Aa was detected in 6 canals (16.7%) of the teeth, all of which showed clinical symptoms. 3. Of 36 infected root canals, Pi and Pn Were found in 4 (13.9%) and 5 (33.3%), respectively. Notably, prevalence of Pn in the symptomatic teeth was 50.0%. 4. One of black-pigmented anaerobic bacteria (BPB) including Pi, Pn, Pe, and Pg was detected in all of the teeth that showed pain or especially swelling but not fistula. It was, however, found that prevalence of BPB in the asymptomatic teeth or the teeth with fistula was only 40%. 5. Pe and Pg were detected in the teeth regradless of the presence or absence of symptoms. High prevalence of BPB in the symptomatic teeth but low in the asymptomatic teeth suggested that BPB may play an important role in the pathogenesis of periapical lesions.

      • 절수에 의한 Mongolian Gerbil 장기중량변화에 관한 분석연구

        김무강,이기훈,이강이,송치원,이경열,권효정,박미선,정승혁,이행연,김명철 충남대학교 수의과대학 동물의과학연구소 2000 動物醫科學硏究誌 Vol.8 No.-

        In this study, authors measured the each organ weight of the long term water deprived Mongolian gerbil, after then we calculated the mean, standard deviation, variance coefficient of the real measured organ weight and induced the organ weight change quantity, rate of quantity, deviation between measured and theological organ weight, deviation rate, sum of deviation rate, organ weight change rate, rate of organ weight by the mathematical formula. The results obtained as follow 1. The weight of the brains, lung, and testis were abruptly decreased after water deprived until the 5th day, after then slowly decreased until the 20th day. 2. The weight of the heart was decreased gradually from the first day until the 20th day. 3. The weight of the liver was abruptly decreased until the 10th day, after then the more slowly decreased until the 20th day. 4. The weight of the thymus, spleen, kidney, and pancreas were abruptly decreased until the 15th day, after then increased slowly until 20th day but the weight of the kidney was abruptly increased from the 10th day. 5. The organ weight change rate and the rate of the each day organ weight were very diversified.

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