산-염기 평형 장애 진단 전문가 시스템의 설계 및 구현

김기태,유석희,황수철 중앙대학교 기술과학연구소 1989 기술과학연구소 논문집 Vol.19 No.-

In this study, we designed and implemented a diagnostic system model to process the diagnosing problem of acid-base balance disorder by means of OPS5 and LISP which are a tool and a language, respectively for developing Al systems. The implemented knowledge base system consists of three kind of the knowldege : one analytic knowledge of blood test, two diagnostic knowledges obtained by etiologies and symptoms. The knowledge representation and the inference mechanism for diagnosis were implemented by OPS5, and all input / output was processed by a menu-driven method in support of the window functions of LISP.

폐쇄성 황달로 내원한 담관내 증식을 동반한 간세포암 1예

김승범,김태년,이호찬,박재현,은종렬,장병익,이헌주,윤성수,배영경 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

The incidence of hepatocellular carcinoma presenting as obstructive jaundice is 0.7 -9% The mechanisms of obstructive jaundice include bile duct invasion by tumor, tumor thrombi, blood clots, direct bile duct compression by tumor, and intraductal tumor growth. We report a rare case of hepatocellular carcinoma with intraductal growth A 46-year-o1d woman was admitted due to colicky right upper abdominal pain and jaundice for 4 days Computed tomography showed dilatation of the left intrahepatic duct, and endoscopic retrograde cholangiography showed a filhng defect in the left main intrahepatic duct. We performed a left lobectomy with a Roux-en-Y hepaticojejunostomy. The tumor was diagnosed as a hepatocellular carcinoma with intraductal growth.

원통의 2단 인장드로잉 성형에 관한 연구

김영수,정태훈,後藤學 한국공작기계학회 2003 한국공작기계학회 추계학술대회논문집 Vol.2003 No.-

It is clearly demonstrated that deeper cups could be formed by single and double stretch-drawings from smaller circular blanks due to such wall-thinning action than in the usual deep-drawing of larger blanks. From this fact, it is emphasized that the deep-drawability of a sheet metal is not evaluated simply by the conventional L.D.R (limiting drawing ratio), but the depth of the drawn cup should also be taken into account. Many experimental data about various metals and thicknesses given in this paper offer a valuable information in this process for more general use which recommends to replace the conventional deep-drawing process by the stretch-drawing process both for single and double operations. In the single stretch-drawing, it is also confirmed that a deeper cup can be produced by raising the blank-holding force at later stage of operation.

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

저염 우렁쉥이 젓갈의 가공 및 갈변방지

김영아,강수태,강군중,오광수 경상대학교 농업생명과학연구원 2003 농업생명과학연구 Vol.37 No.4

These studies were carried out to develop the low salt-fermented sea foods from ascidian. In present papers, we examined optimum processing conditions and quality improvement of the low salt-fermented ascidian. The optimum processing conditions of low salt-fermented ascidian was as followed. After deshelling and slicing a ascidian muscle in 5 mm width, and dipping in a 10% salt and 1% sodium erythorbate solution for 20 min. We dewatered it, and dipped it in 0.1% sodium bisulfite solution for 1 min, then added an anchovy sauce and rice gruel(1:1) mixture and finally fermented it at 5℃ for 15 days. The moisture and salinity contents of the low salt-fermented ascidian were 75.0~75.4% and 8.0 ~8.5%, respectively. During fermention at 5℃ for 20 days, amino-N contents of the low salt-fermented ascidian increased, and texture were softened gradually. The viable cell counts were 4.2~4.5×10^(4) CFU/g, and tended to decrease in the first stage during fermentation. The ratio of saturated fatty acids tended to increase in the early stage of fermentation, while that of polyunsaturated fatty acids decreased slightly during fermentation. In the results of chemical experiments and sensory evaluation, dipping treatment in 1% sodium erythorbate solution and 0.1% sodium bisulfite solution showed a good color and prevention of browning in the low salt-fermented ascidian, and also adding anchovy sauce and rice gruel mixture improved the taste of it.

치아종 제거후 시행한 자가치아이식술

김종운,김수관,김수흥,정태영 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.3

We report a case in which a right mandibular incisor was impacted beneath an odontoma in the anterior mandible. An odontoma at the symphyseal region was removed under general anesthesia, and bone was grafted. Tooth #41, which was beneath the lesion, was extracted and transplanted to its original site. It was splinted with resin for 2 weeks and was checked at intervals during that time. After 4 months, it was filled endodontically with calcium hydroxide.

濕式法에 依한 γ-MnO_2 製造에 關한 硏究(第2報) : Purification of Manganes Oxides by Acid Treatment

金鳳杰,姜泰範,韓正洙 慶熙大學校 1982 論文集 Vol.11 No.-

Studies on the effect of reaction temperature, reaction time and concentration of acid on the purification of manganese oxides was conducted to manufacture γ-MnO₂ available as dry cell depolarizer by wet process. The results obtained were follows: 1.When oxidized the precipitates of OH￣/Mn^++ mole ratio 2.2 by aeration at 13℃ for 6 hours, MnO₂content obtained 89.99%, which was identified as crystalline γ-MnO₂by X-ray diffraction analysis. 2. When manganese oxides was treated at 70℃ for 2hrs with 30% H₂SO₄and 30% HNO₃, the highest content, of MnO₂was obtained as 96.90% and 96.60%, respectively, which was identified as crystalline γ-MnO₂by X-ray diffraction analysis and different thermal analysis.

실리콘 이온주입 SiO_2층의 나노결정으로 부터의 광루미네센스

김광희,오항석,장태수,권영규,이용현 한국센서학회 2002 센서학회지 Vol.11 No.3

실리콘 기판 위에 형성한 열산화막에 실리콘이온을 주입하고 열처리를 수행한 후, 광루미네센스(photoluminescence:PL) 스펙트럼을 조사하였다. 실리콘 이온도즈의 변화와 열처리 온도의 변화에 따른 PL스펙트럼을 조사하고, 이를 TEM과 XRD 데이터와 비교하여 분석한 결과, 광루미네센스 특성은 산화막내의 실리콘 나노결정으로부터 기인함을 알 수 있었다. 또 산화막을 1분 간격으로 습식 식각하면서 매 식각 시마다 PL스펙트럼을 관측하여 그 변화를 조사하였다. 이러한 실험을 통하여 산화막내에 분포하고 있는 실리콘 나노결정의 크기와 그 수가 PL피크 파장과 강도에 직접적으로 영향을 줌을 알 수 있었다. Photoluminescence(PL) properties of Si^+ -implanted SiO_2 film, which was thermally grown on c-Si substrate, is reported. We have compared room temperature photolurninescence (PL) spectra of the samples which was made in several kinds of implantation, subsequent annealing and SiO_2 film thickness. XRD data was correlated with the PL spectra. Silicon nanocrystals in SiO_2 film is considered as the origin of the photoluminescence. PL spectra was investigated after wet etching of the SiO_2 film by using BOE (Buffered Oxide Etchant) at every one minute. PL peak wavelength was varied as the etching is proceeded. These results indicate that the quantity and the distribution of dominant size of Si nanocrystals in SiO_2 film seem to have a direct effect on PL spectrum.

위암환자의 생존율에 관한 역학적 조사연구

김덕성,이태용,이영수,류기하 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

To find out the survival rates of stomach cancer patients, the author studied 288 stomach cancer patients who took operation at the Department of Surgery in Chungnam National University Hospital from January 1, 1985 to December 31, 1991. The results were as follows: 1. Of the total patients, 67.4% were male: but 32.6% were female. 2. 64.6% of patients lived in rural area and 35.4% urban;98.3% of those were married; 30.6% were farmers and 17.4% were commercial workers; 54.5% were smokers; 48.3% were alcohol drinkers. 3. By types of gastric cancer, 84.4% were progressive gastric cancer patients. Among these, type 2 patients were more than other type patients. 61.5% of those had metastasis to lymph node. 55.2% of those took operation by RSG with gastrojejunostomy; 97.6% of those knew that they had cancer; 19.1% of those had a family history that at least one of family members had cancer. 4. The gross 5 year survival rate of total patients was 47.2%. 5. The 5 year survival rate of male patients was 41.6% but that of female was 46.3%. The 5 year survival rates by residential area, chemotherapy, marital status, blood type, family history, smoking, and drinking were not significantly different. 6. The 5 year survival rate of type 2 progressive gastric cancer patients was the highest with the rate of 72.0%. Metastasis to lymph node and type of operation showed statistically significant difference in 5 year survival rates.

플라이애시를 다량 치환한 콘크리트의 탄산화 특성에 관한 실험적 연구

김우상,강태경,백민수,김성식,정상진 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

This study evaluated durability through measurement of substituted test piece's pH degree and experiments of carbonation. Comparing and evaluating cared test piece's pH degrees which we got before the carbonation and after the carbonation. After evaluating carbonation depth through carbonation, evaluating carbonation properties by fly-ash replacement ratio pH degree was decreased by cement replacement ratio of fly-ash. And in the case of substitution of the same amount of fly-ash. Fine aggregate replacement ratio was increased. When the test piece. Which had been cared in high temperature, was promoted to carbonation. Among the test piece which was replaced with fly-ash 40%, the test piece which has high rate of fine aggregate proved opposition of carbonation. Through the test, I summarized that the test piece cared in high temperature was mostly effected by compress strength the test piece cared in low temperature was mostly effected by pH degree.