순환기 내과로 자문의뢰된 환자의 임상상

황진용,최지용,손상균,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.4

목적 : 순환기내과 영역은 많은 과로부터 자문의뢰를 받는 영역으로 알려져 있다. 특히 최근 우리나라의 순환기질환의 유형이 변화되고 입원환자가 고령화되면서 동반된 심질환의 유병율도 증가하고있다. 이에 저자들은 타과로 입원하여 순환기내과로 자문의뢰되는 환자의 임상상과 3차병원인 경북대학교병원에서의 순환기내과자문의 유용성 등을 평가하여 향후 순환기질병에 대한 협의진료에 도움을 주고자 본 연구를 시행하였다. 방법 : 1995년 3월부터 순환기내과로 공식자문의뢰된 첫 100명을 대상으로 전향적으로 연령, 의뢰이유, 최종진단명, 수술과의 관련성 여부, 순환기내과의 최종조치, 타과의 순응도 등을 조사하였다. 결과 : 1) 자문을 의뢰한 환자는 평균 58±16(15-89, 중앙치 61)세였고 60세이상의 환자가 57%로 고령의 환자가 많았다. 2) 내과계열 25%, 외과계열 75%로 외과계열의 자문이 많았고 일반외과가 26%로 가장 많았고 내과의 다른 분과가 12%, 신경외과 12%, 정형외과 11%, 흉부외과 11%, 신경과 11% 등의 순이었다. 외과계열중 수술을 시행한 경우는 58례로 이중 응급수술이 13례였다. 술전 위험도 평가를 위한 자문이 38례에서 있었는데 순환기적인 문제로 수술을 받지 못한 경우는 2례(1례는 허혈성 심질환, 1례는 심낭질환)이었다. 이때 응급수술을 제외한 입원일과 술전 자문일파의 간격은 평균 3±7일(입원일-42일)이고 술전 자문일과 수술일과의 간격은 평균 6±4일(1-16일)이었다. 3) 타과의 의뢰이유는 심전도 이상이 36례, 높게 측정된 혈압이 20례, 순환기질환의 과거력 17례, 환자의 증상 때문인 경우가 10례였고 심전도의 이상중에는 부정맥이 18례, 이상 Q파 6례, ST절 이상이 5례, 각차단이 3례의 순이었다. 순환기과거력 중에는 허혈성 심질환이 6례, 현재 혈압은 정상이나 고혈압의 과거력이 있는 경우가 4례 순이었고 환자의 증상은 흉통 6례, 호흡곤란이 3례, 기절이 1례였다. 4) 자문후 최종진단이 가능했던 91례를 진단별(총 97 진단명)로 나누어 보면 고혈압이 28례, 부정맥이 16례, 허혈성 심질환이 14례, 판막질환이 11례, 순환기질환이 아닌경우가 19래였다. 이들중 추적진료가 필요하다고 응답한 경우가 57례였으나 순환기내과 외래에 1번이상 추적진료한 경우는 32례(56%)로 환자의 순응도는 낮았다. 결론 : 순환기내과의 자문의뢰는 고령자에게 많았고 수술과 관련된 경우가 많았으며 심전도의 이상이 의뢰이유로 가장 많았으며 진단별로는 고혈압과 부정맥이 가장 많았다. 그리고 순환기적인문제로 수술을 받지 못한 경우는 드물었고 자문후 지속적인 추적진료를 위해 환자의 교육이 필요하겠다. Objective : Clinical characteristics of the patients with cardiovascular diseases in the general hospital have been changed and prevalance of co-existing cardiovascular disease in the patients who were admitted for non-cardiac diseases has been increased remarkably as the proportion of elderly patients increased rapidly in Korea. We evaluated clinical features of the patients consulted for cardiological evaluation and effectiveness of the consultation in the setting of tertiary general hospital, Kyungpook University Hospital. Method : One hundred patients were studied between January 1995 and January 1996. They were evaluated for the reason of consultation, final diagnosis, final recommendation from cardiologists and its impact on the management of the patients, and compliance of the consulting departments. Results : 1) The ages ranged between 15 and 89 (mean 58±16, median 61) years, 57 patients were male and 43 female. Fifty seven patients were older than 60 years. 2) Consultations from surgical parts were 75 patients. Consultation from general surgery was most frequent (26%), followed by other divisions of internal medicine (12%), neurosurgery (12%) and orthopedic surgery (11%), chest surgery (11%), neurology (11%), obstetrics and gynecology (8%), urology (4%), ophthalmology (2%), dermatology (2%), ENT (1%). Among 75 patients from surgical parts, operation was done on 58 patients, including 13 emergency cases. Preoperative cardiac risk evaluation was the reason of consultation in thirty eight patients, of which operation could not be done in only 2 patients (one had severe ischemic heart disease, the other large pericardial disease). Interval between consultation day and operation day was 6±4 days (1-6 days). 3) Reasons for cardiac consultation were electrocardiographic (ECG) abnormalities in 36 patients, high blood pressure in 20 patients, previous cardiovascular diseases in 17 patients, symptoms of the patients in 10 patients. Among EGG abnormalities, arrhythmias was the reason in 18 patients, abnormal Q waves in 6 patients, ST-T segment abnormalities in 5 patients, bundle branch block in 3 patients. Among previous cardiovascular disease, presence of ischemic heart disease was the reason in 6 patients, previous hypertension in 4 patients. Chest pain was the reason of the consultation in 6 patients, dyspnea in 3 patients, syncope in 1 patient. 4) Definite diagnoses could be made in 91 patients with 96 diagnoses which were hypertension and its complications in 28, arrhythmia with underlying disease in 16, ischemic heart disease in 14. valvular heart disease in 11, non-cardiovascular disease in 19. Cardiological follow up was recommended in 57 patients. However, 25 patients (44%) were lost to follow-up. Conclusion : Cardiological consultation was frequent in the elderly patients. Most frequent reason for consultation was EGG abnormalities. Hypertension or arrhythmia was most common final diagnosis. Inoperability due to cardiovascular problems were rare.

전자 서베잉을 이용한 서베이드 금관과 국소의치 프레임워크 디자인

홍용신,박은진,김성균,곽재영,허성주,박지만 大韓齒科保存學會 2011 Restorative Dentistry & Endodontics Vol.36 No.6

구강 스캐너와 CAD/CAM 기술로 인해 컴퓨터로 제작하는 방식이 활발히 보급된 고정식 보철 증례와는 달리, 의치를 디지털 방식으로 제작하는 데에는 아직 한계가 많다. 촉각을 느낄 수 있는 입력 장비와 전자 서베잉의 개념, 그리고 쾌속 조형법의 적용으로 인해 국소의치를 디지털로 제작할 수 있는 솔루션이 최근 소개되고 있다. 본 증례보고에서는 이러한 국소의치의 디지털 솔루션을 이용하여 총 다섯 명의 환자에서 서베이드 금관 및 국소의치를 제작하였다. 인상 과정상의 문제로 모형과 실제 치아 사이의 형태적 차이가 있었던 경우를 제외하고는 국소의치의 적합도는 우수했으며, 장착 후 안정성과 착탈 시의 유지력 또한 임상에서 적용하는 데에 문제가 없었다. There are still many limitations on fabricating dentures using digital method while computerized production of fixed prostheses utilizing intraoral scanner and CAD/CAM technology has propagated rapidly. Recently the digital solution of fabricating removable partial denture by applying haptic input device, electronic surveying, and rapid prototyping was introduced. In this case presentation, five patients were treated with surveyed crown and removable partial dentures by this digital solution. Fit of dentures was excellent except for one case which showed morphological difference between the actual teeth and that of master cast by the erroneous impression process. There also was not any problem of stability and retention after adaptation in the clinical setting.

저수준 하드웨어에서 구동 가능한 3D아케이드 게임

이용운, 김수균, 안성옥 배재대학교 공학연구소 2011 공학논문집 Vol.13 No.1

Arcade games created after the game, and I still getting a lot of attention in the games category. Arcade games with cute graphics, is characterized by providing things to do. In this paper, these characteristics utilizing 3D arcade game is aimed at making. In particular, the game engine without the use of the whole process by making DirectX libraries by using only low-level PC that can be used in the benefits and advantages are efficient in terms of memory.

살충제 Carbofuran의 수중광분해

김균,김용화 한국환경농학회 2002 한국환경농학회지 Vol.21 No.3

살충제 carbofuran의 수중 광분해 실험을 미국 EPA 및 OECD 방법으로 수행하였다. carbofuran은 자연광을 흡수하지 않는 화합물이지만, 야외에서 증류수로 수행한 광분해시험결과 반감기가 9.7일, SUNTEST에서 3.4일, SUNTEST의 UV하에서 1시간으로 신속한 광분해가 일어남을 확인하였다. 특히 논물에서는 SUNTEST에서의 반감기가 14시간으로 증류수보다 약 6배 가속화되었으며, 살균한 논물보다는 비살균 논물에서의 광분해가 다소 빠르게 일어났다. 이와 같은 결과로 볼때 carbofuran의 경우 수도작 상황에서 seneitizer 등에 의한 간접 광분해의 가능성이 있음을 확인하였다. Photodegradation rates of carbofuran in aqueous solution were measured under various test conditions mainly following the guidelines of U.S. EPA and OECD. Half-lives of carbofuran in distilled water were 9.7 days, 3.3 days, and 1 hr under natural sunlight, SUNTEST with UV filter, and SUNTEST without UV filter, respectively. Waters from a paddy field accelerated the decomposition by factor of 6. It was confirmed that the use of SUNTEST could shorten the test period of photodegradation.

보드 레벨 플립칩의 4점 굽힘 시험 시 파단 특성 연구

이용성,정종설,이재헌,신기훈,정성균 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

In general, circuit board assemblies experience various mechanical loadings during assembly and in actual use. The repeated cyclic bending can cause electrical failures due to circuit board cracks, solder interconnects cracks, and the component cracks. In this paper, we report on the failure characteristics of board level flip chips under the repeated cyclic bending. We first describe a new 4-point bending tester, which is developed according to JEDEC standard No.. 22B113. The performance of the tester is then estimated through actual experiments . Test results reveal that the cracks first occur on the outer balls around 20,000 cycles and gradually propagate to the inner balls where cracks are found around 70,000 cycles.

활성탄, 실리카겔, 알루미나 및 활성백토에 의한 궐연 연기중의 몇 가지 불포화 지방산의 흡착

姜益均,김용권 慶熙大學校 1987 論文集 Vol.16 No.-

A number of unsaturated fatty acids from cigarette smoke were adsorbed by some adsorbents installed in filter parts of cigarettes samples. Per cent adsorption of the fatty acids increased lineary with the increase in cumulative pore volume regardless of the sorts of adsorbents. A new quotient which relates to the relative pore volume around the maximum pore radius of adsorbents has been proposed. Above mentioned linear relationship appeared to be much more enhanced in regards to the quotient, though there was one exceptional case with activated clay.

구내신연장치를 이용한 치조골증대술 후 임프란트 매식 : 치험 5예 REPORT OF 5 CASES

이용욱,박충열,송종운,박홍주,김영운,오희균,유선열 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.2

Successful alveolar ridge augmentation by distraction osteogenesis method has been reported previously. There are several types of devices for alveolar ridge augmentation. In this paper, a new intraoral distraction device was used on the severe atrophic mandible in order to distract an alveolar ridge vertically in 5 patients. Mean amount of distracted alveolar ridge was 7.4㎜ (5∼9.5㎜). Dental implants were placed in the distracted alveolar bone and good osseointegration was obtained in all patients. Mean follow up period is 2years 6months (7months∼4years 9months). No complications, such as infection or resorption was observed in all patients. Alveolar ridge augmentation by gradual distraction seems to be a safe, simple and reliable procedure.

발열체를 가진 2중 수평채널에서의 전열특성에 관한 연구

김동균,박용진,배석태,김시범 동아대학교 생산기술연구소 2000 生産技術硏究所硏究論文集 Vol.5 No.1

In this study was performed on the characteristics of heat transfer analysis by numerical method in a double horizontal channel with internal heat sources, up and down side walls are adiabatic condition. Pseudo PCB(Printed Circuit Board) with cooling hole its located around heat source. This channel have two heat sources that its condition is uniform heat flux maintenance 5W, upper channel and lower channel inlet velocity 0.2m/sec and outlet open condition. Parameter is cooling hole's location on the plate(PCB) and increasing heat flux(10W,15W) for one case.

Candida sp. Y-2 효모의 Sugar류, Alcohol류 및 Glycol류에 대한 자화능

윤용균 인제대학교 1985 仁濟論叢 Vol.1 No.2

The ability of Candida sp. Y-2 to utilize various sugars, alcohols and glycols as sole carbon sources was examined. The growing cells could utilize various alcohols such as ethanol, glycerol and mannitol. The batch cultures of Candida sp. Y-2 were carried out with alcohols, sugars and glycols. From the data cultivated in 90 ml of culture medium, about 5.4 g/l of cell dry weight from ethanol, 1.7g/l from glycerol, or 0.9g/l from mannitol as alcohols was obtained. From the cultivation in sugars, the yeast cell production was about 3.3g/l from glucose, 2.5g/l from dextrin and 2.3g/l from maltose respectively. As glycols, about 0.19g/l of dried cells from propylene glycol, 0.14g/l from ethylene glycol and 0.11g/l from diethylene glycol were also obtained.

公州地域 野外地質實習資料 開發 및 指導方案에 關한 硏究

禹榮均,朴鍾浩,曺龍鉉 공주대학교 사범대학 과학교육연구소 1994 과학교육연구 Vol.25 No.1

According to anaiyses of earth science curricula and textbooks for elemantary, middle and high school(Table 1∼8), it is clear that the effective learnings about the important factors in geologic part such as minerals, rocks, weathering, erosion, transportation, deposition, geologic structure, strata, fossils, geologic survey and ore deposits, can be obtained through the field work investigation. In the Kongju area, various types of igneous, sedimentary and matanmorphic rocks are distributed, so there are plenty of the various field geologic practical materials. Therefore Kongju area is the suitable place for the developments of field geologic practical courses(Figure 1). In our present school circumstance, it is difficult that the field geologic time is especially shared. Therefore it is desirable that the field geologic practical work is concurrently acted in the chance of the annual school functions such as picnic and camping. So the field geologic practical courses developed here are the adequate place for picnics and campings.