성인의 급성 심장사에서 정상 심장례의 분석

강신몽,이원태,이한영,서중석,최영식,권일훈,정낙은 大韓法醫學會 2000 대한법의학회지 Vol.24 No.2

The authors analysed 53 cases of sudden cardiac death(SCD) without prominent structural abnormalies of heart out of witnessed 300 cases. Thirty four cases were associated with sleep and 19 with activity or rest. Twenty one cases were classified as having normal hearts, and the rest as structurally mild abnormal ones. Male was predominant, and almost of the victims were suffered in their twenties or thirties. All cases collapsed instantaneously or in very short time with various and not specific terminal symptoms. Inducing or trigger factors are not clarified in almost of the cases. Mechanisms or causes of death could not be defined clearly. We concluded that careful heart examination with detailed clinical history under the appropriate postmortem investigation system is only effective approach for the true mechanism and cause of death.

한국에 있어서의 알레르기성 호흡기질환의 기인성 진균 : A Clinical Study on the Offending Fungal Allergen of Allergic Respiratiory Diseases in Korea

姜?榮,李重根 中央醫學社 1977 中央醫學 Vol.33 No.6

The offending fungal allergens in six hundred twelve cases of korean patients (male 344 cases, female 268 cases) with allergic respiratory diseases such as bronchial asthma and allergic rhinitis were analyzed by the intradermal skirt test with diagnostic standard allergen extracts. The incidence of positive skin test in allergic respiratory diseases were 67.6 % : 66.7% in bronchial asthma, 67.8% in allergic rhinitis and 89. 5% in combined. Cases. In allergic respiratory diseases, the incidence of positive skin tests against one species of fungus was 50.5%, 42.5% against 2^-3 species, 5.8% against 4?6 species, and 1.2%' against 7?9 species respectively. In allergic respiratory diseases, the incidence of the positive skin reactions to fungal extracts were: 27.1% against Candida albicans, 19. 3% against Trichophyton species, 8.7% against Rhizopus nigricans and 7.5% against Fusarium species.

24주간 추적하는 임상 연구에서 한국인 남자 알코올 의존 환자의 비재발률

강철중,김성곤,남궁기,조동환,이병욱,최인근,최용성,박성봉,제영묘,김현경,김성연 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.1

Objetives : In order to provide useful data tbr the further clinical studies with Korean alcohol-dependent patients, enrollment and non-relapse rates were investigated while alcohol-dependent patients wcre followed up for 24 weeks. Methods : The subjects of this study were alcohol-dependent male patients who, for the first time, visited a hospital among 3 groups of hospitals, University Hospital, General Hospital or Mental Hospital, or those who needed to be followed up after discharge from those hospitals. After assigning 12 subjects to each hospital, we investigated enrollment and non-relapse rates while cognitive-behavioral therapy and pharmacotherapy were provided. Results : 1) Forty-eight patients were enrolled and the rate of enrollment was 36.4%. The enrollment rate in the University Hospital group was 52.1%, in the General Hospital group 50.0%. and in the Mental Hospital group 10.4%. 2) In 48 patients, non-relapse rate was 27.1% at 12 week and 18.8% at 24 weeks after starting follow-up. It was 24.4% and 20.0% at 12 and 24 weeks, repectively, in the University Hospital group while the General Hospital group showed 33.3% and 16.7%, respectively, and the Mental Hospital Group showed 20.0% at both 12 and 24 weeks. Conclusion : These results provide important data for further clinical studies of Korean alcohol-dependent patients.

西上面一帶의 나방相에 대하여

康昌暎,朴重錫 慶尙大學校 기초과학연구소 1987 基礎科學硏究所報 Vol.3 No.-

Seasonal changes of the moth fauna in relation to time, air temperature and relative humidity were investigated in So˘sang-myo˘n, Hamyang-gun, Kyo˘ngsangnam-do, Korea from March 4, to October 15, 1963. This study was based on an examination of 1,533 individuals. 1. The collected and identified moths were 201 species, 154 genera, 16 families and Autographaamurica Staudinger turned out to be hftherto unreported in Korea. The dominant species was Jankowskia fuscaria Leech and the dominant family was Noctuidae. 2. Appearance pattern was classified to 6 types according to the collecting frequency, and the collecting numbers of individuals were most abundant in August and through summer. 3. The moths appeard most abundantly from 21 to 23 o,clock through the year, aod at 22 and 21 o,clock in summer and autumn, respectively. 4. The collected numbers of individuals were most at 20℃-26℃. 5. the collected numbers of individuals were none below 50% of the relative humidity, increaseed from 70%, and most at 90%.

비외상성 두개내 출혈 환자에서 심근손상의 발생과 예후에 미치는 영향

강구현,황성호,이강현,조준휘,김성환,문중범,박해상,이서영,이성수,김헌주 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Objective: The aim of this study was to investigate the clinical significance of myocardial injuries in patients with nontraumatic intracranial hemorrhage by identifying the occurrence of myocardial injury and defining its correlation with subsequent cardiovascular events. Subjects and methods: One hundred twenty-four patients with nontraumatic intracraninal hemorrhage presented to the emergency department within six hours from onset of symptoms were enrolled. Brain CT, serial electrocardiography, and echocardiography were done at the emergency center. Blood samples for troponin I and creatine kinase(CK)-MB were drawn immediately and eight hours after admission, Troponin I and CK-MB were measured using a chemiluminescent immunoassay, respectively. Results: Electrocardiographic and echocardiography abnormalities were found in 65 cases(52.4%) and 21 cases(17%), respectively. Serum troponin I and creative kinase-MB were increased in 35 cases (28.2%) and in 58 cases(46.8%), respectively. Abnormal findings of echocardiography and ECG, as well as elevated levels of serum troponin I and creative kinase-MB, were associated with an increased risk of cardiovascular event and survival. Logistic regression analysis revealed that an abnormal echcocardiographic finding and elevation of serum troponin I were factors associated with the occurrence an adverse cardiovascular event and that electrocardiographic abnormalities and initial mental status were factors associated with poor prognosis. Conclusion: This study reveals that actual myocardial injury develops in a significant proportion of patients with nontraumatic intracranial hemorrhage and that the development of the myocardial injury is associated with an adverse cardiovascular event that occurs during admission.

한국인 태아 및 사산아에서 얼굴신경에 대한 형태학적 연구

강양수,김종중,김복,정상봉,문영민,설경수,정윤영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.3

It is critical that the accurate anatomy of the facial nerve IS known for uncomplicated successful facial surgery. Such an operation is hazardous because of the intimate relationship between the facial nerve and the expressional muscles. It is hoped that such basic information will be helpful to those who treat conditions involving the facial region. In order to define the detail of this relationship, many studies have been undertaken on dissected adult specimens. This study was based on Korean fetus and stillborn infant cadaveric dissections, and describes anatomical variations of the peripheral branches of the facial nerve that pose a potential danger in a number of surgical procedure on the face. The branching patterns were classified into six types: the frequencies of occurrence were: type I, 4.9%; type II, 24.4%; type III, 34.1%; type IV, 19.5%; type V, 12.2%; and type VI, 4.9%. Types II, III and IV together accounted for almost 80% of the specimens. In the discussion we compare the results of the present study with those of others and try to clarify the anatomical characteristics of the facial nerve in infants, which demand that special attention be paid to the avoidance of injuries during facial surgery.

삭골(Bone shaving)한 골의 재생에 골막이 미치는 영향

강진성,권건영,송중원,오석희,한기환 大韓成形外科學會 1989 Archives of Plastic Surgery Vol.16 No.5

Many orientals have a more prominent malar eminence and mandibular angle than westerners so their faces often look rough and unattracive. In recent years more people want to have a more attractive and beautiful face due to economic prosperity and westernization. Therefore people receiving bone shavings or osteotomies for cosmetic purposes are increasing. The effects of the periosteum on lay bone grafts were investigated but the effect of the periosteum after bone shaving or osteotomy is little known. The authors investigated the effect of the periosteum on the regeneration of bone in membranous and endochondral bone of rabbits. Bony defects each measuring about 5.0×5.0×1.5mm were made on the left and right sides of the parietal bones of 15 rabbits and femurs of 15 other rabbits respectively. The periosteum was preserved on the left and removed on the right. The following results were obtained: 1) The average thickness of the regenerated bones in groups 2 δ4 were thinner than those in groups 1 δ 3 at 4, 8 and 12 weeks postoperatively but the differences of thickness were statistically significant at onl 4weeks postoperatively(P<0.05). 2) The histological findings in groups 2 δ 4 showed lesser regeneration of the shaved bone than those in groups 1 δ 3 at 4, 8 and 12weeks postoperatively. 3) There was no significant increase in the thickness of the regenerated bone after 8 weeks postoperatively in all groups. 4) At 12 weeks postoperatively, the thickness of the regenerated bone in all groups was over 70% of the thickness of the resected bone. In summary, the authors found that it is important to perform overcorrection and resect the periosteum simultaneously in bone shaving to prevent the unwanted regeneration.

건설공사 업무프로세스재설계(BPR) 기법 연구

강인석,곽중민,박서영,이동희,김창학 경상대학교 생산기술연구소 2001 工學硏究院論文集 Vol.1 No.-

The current trend of If (Information Technology) in 21st century demands management innovation, that is Business Process Reengineering (BPR) in all the industry including construction project. The solution of its demand is proposed by IT based on Internet. And also, in order to meet this objective, from 1997 domestic construction industry is accelerating to systematize CALS (Continuous Acquisition and Life-cycle Support) which is being planned to apply by government. These efforts give much weight to build computer systems rather than to improve and redesign construction business process that is more important for system application. This research develops a model for applying the BPR to construction industry, especially construction site that is a base to build a system for CALS. And the research suggests performing method, process and modeling technique of BPR to be applicable in business process redesign of construction field. Also, focusing on the research of execution step of business in construction site will be helpful for the site worker to perform BPR in construction site.

관상동맥 풍선성형술 후 발생한 관상동맥 박리의 초기 조영술적 고찰

고영엽,강지인,장재혁,강민정,정중화,장경식,홍순표 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.1

Background and Objectives: Percutaneous coronary intervention (PCI) is widely utilized in the treatment of symptomatic coronary artery disease (CAD). Althouth it has numerous benefits, intimal tear or dissection, serious and potentially life-threatening complications of plain old balloon angioplasty (POBA) can occur. The aim of this study was to assess the implications of coronary dissections after ballon angioplasty. Methods: 78 consecutive patients (age, 62 +/- 11 years; 46 men, 32 women) identified to two groups as having with or without dissection (dissection (D) group or non-dissection (ND) grouP) underwent balloon angioplsty for CAD were studied. All patients with dissection could be managed by successful stent implantation to rescue the artery. The morbidity of ischemic complication and mortality were evaluated for 30days after PCI. Results: Coronary dissection developed 44 lesions (38%) in 31 patients out of 117 lesions in 78 patients after POBA and a good final angiographic result was obtained in all patients with dissection, Significant correlates of a development of dissection were the lesion morphology of ACC/AHA type B and C (P<0.05). There were no significant correlations of clinical pictures, whether POBA in single vessel disease or in multivessel disease, diameter stenosis before POBA, and balloon/coronary artery diameter ratio. Morphologic feature of dissection was type A in 15 (34%), type B in 13(30%), type C in 12 (27%), and type D in 4 (9%). After PCI, there was no ischemic complication or death related coronary dissection during follow-up period for 30days. Conclusions: Coronary dissection after angioplasty occurred in 44 lesions (38%) out of 117 lesions of 78 consecutive patients underwent POBA. Coronary dissection after POBA significantly correlated with the severity of lesion morphology. Coronary stenting is effective in the management of acute coronary dissections after angioplasty.

성인 원발성 초점성 사구체 경화증의 예후인자

송영수,최훈영,유태현,강신욱,이중민,정현주,이호영,한대석,최규헌 대한신장학회 2004 대한신장학회잡지 Vol.23 No.1