혈중 및 호기 일산화탄소를 이용한 일산화탄소 헤모글로빈 농도간의 관련성 연구

김형수,박태혁,손지언,정갑열,김정만,김준연 동아대학교 2001 大學院論文集 Vol.26 No.-

This study was conducted to find a correlation between blood COHb and calculated COHb with expiratory air and related variables such as occupational and smoking factors. Author selected 69 healthy workers in 8 workplaces suspected CO exposure. Basic informations were collected by self-reported questionnaire and medical history taking. Author measured Indirect COHb concentration with expiratory air using Micro II-Smokerlyzer and blood COHb concentration using Oxymeter. The results of the study were summarized as follows : 1. In the smoker, mean blood COHb and calculated COHb with expiratory air were 2.21±0.98% and 2.27±0.97 %, and there was not a statistically significant difference. In the non-smoker, mean blood COHb and calculated COHb with expiratory air were 0.42±0.43 % and 0,65±0.30 %, and there was also not a statistically significant difference. 2. There were positive correlations between blood COHb and calculated COHb with expiratory air in both the smoker (r=0.91, p=0.0001) and non-smoker (r=0.73, p=0.0001). 3. In the smoker, the factors affected COHb were total smoking index (Pack × years) and passed time after the last smoking. 4. In the nonsmoker, the parking and driving groups had higher COHb concentration than others (p<0.05). In conclusion, there was no significant difference between indirect COHb concentration with expiratory air using Smokerlyzer and blood COHb concentration and there was a highly significant correlation between indirect and blood COHb concentrations. Therefore indirect COHb concentration with expiratory air is a useful screening method for CO exposure. Author suggest the resection of smoking during at least 90 minutes before measuring COHb concentration in order to exclude smoking effects.

중독한 추체로 증상을 보인 cyclosporine에 의한 뇌증 1예

강정현,곽승근,신현영,김성은,이정호,이정찬,곽상혁,윤환중,조덕연,김삼용,김제,송창준 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.1

The use of cyclosporine(CsA), a potent immunosuppressive agent, is associated with numerous side effects. Neurotoxicity was earlier less well known, but with growing experience central nervous system side effects are now reported up to 40% of patients. Among various CsA-induced neurotoxicities, tremor is most common and posterior leukoencephalopathy is well characterized. An encephalopathy presenting with pyramidal weakness, however, seems to be rare and poorly documented. We report here a case of encephalopathy presenting with multiple generalized seizures followed by fluctuating quadriparesis developed a few days after starting CsA and resolved spontaneously after withdrawal of the drug . A 48-year-old woman with aplastic anemia was placed upon immmunosuppressive treatment consisting of antithymocyte globulin(ATG), CsA, and methylprednisolone. Two days after starting the therapy, she developed a generalized seizure. The next day she developed 2 more episodes of seizure and the therapy was stopped. Computed tomogram of the brain was normal. Six days after starting therapy, she developed mild motor weakness and paresthesia of both lower extremities, which progressed to a definite quariparesis confining her to a bed in 3 days. Magnetic resonance imaging(MRI) of the brain revealed asymmetric, bilateral high-signal abnormalites in the subcortical white matter of fronto-temporal areas. After reaching to a maximum with some fluactuation(14 days after starting the therapy) the motor weakness started to be resolved. She was discharged with a almost complete resolution of the weakness 45 days after starting the therapy. Five months later she did well and brain MRI was negative.

수입각증후군에 의한 급성 복증 1례

정은욱,지삼룡,이영태,박지훈,김동기,제인수,채두근,박성재,박은택,이연재,이상혁,설상영,정정명 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.

자세변화에 대한 뇌성마비아동(경직성 양마비)의 손 기능 차이 비교와 제변수와의 상관관계의 연구

정민예,구애련,권혁철 한국전문물리치료학회 1996 한국전문물리치료학회지 Vol.3 No.3

EDM 가공 공정에서 세장비 극대화를 위한 미세구멍의 최적가공 조건 결정

정종혁,이현욱,권원태 한국공작기계학회 2009 한국공작기계학회 춘계학술대회논문집 Vol.2009 No.-

Demand of micro holes has been increased fast, especially in the area of inkjet nozzle, micro turbine and optical parts. However, the micro hole with 40㎛ exit diameter and aspect ratio of 10 has yet to be reported. In this study, an endeavor was made to manufacture the micro hole under over 40㎛ exit diameter at stainless steel plate with 40㎛ thickness. To accomplish the goal, the relationship between machining parameters and machined result was identified. It was found that the entrance clearance was proportional to the discharge power, when discharge energy was kept constant and resistance had to be as high as possible at the given condition to minimize the machining time. 40㎛ average diameter of the micro hole with over 10 aspect ratio was achieved under the condition of 60V, 680pF, 500Ω, 1.5㎛ and 1500rpm.

신호분리를 위한 Diplexer에 관한 연구

성정현,김성균,김상혁,김호섭,박준석,안달 호서대학교 반도체제조장비국산화연구센터 2000 학술대회 자료집 Vol.2000 No.1

본 논문에서는 신호의 분리와 합성이 가능한 Diplexer를 제작하였다. 저역 통과 여파기와 고역 통과 여파기의 특성을 정합하여 Diplexer로 구현함으로써 신호의 분리와 합성이 가능하다는 것을 시뮬레이션을 통해 확인하였다. 또한 신호의 분리와 합성의 가능성을 입증하기 위해 실제 마이크로스트립구조의 Diplexer를 제작, 측정한 결과 각각의 통과 대역폭 내에서 0.4dB, 0.8dB이내의 삽입손실과 -20dB의 반사손실이 됨을 실험결과를 통해 알수 있었고 또한, 인덕터의 구현 방법을 마이크로스트립으로 하여 주파수 특성과 재현성을 높였다.

비만의 성공적인 관리

권혁중,조성일 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Obesity is a common health problem in worldwide, and effective management is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Basic management of overweight and obese patients requires a comprehensive approach involving diet and nutrition, regular physical activity, and behavioral change, with an emphasis on long-term weight management rather than short-term extreme weight reduction. Modification of lifestyle behaviors that contribute to obesity (e.g., inappropriate diet and inactivity) is the cornerstone of management and the best management for long-term weight loss. Behavior modification involves using such techniques as self-monitoring, stimulus control, cognitive restructuring, stress management and social support to systematically alter obesity-related behaviors. Physicians and other health professionals have an important role in promoting preventive measures and encouraging positive lifestyle behaviors, as well as identifying and treating obesity-related comorbidities. Health professionals also have a role in counseling patients about safe and effective weight loss and weight maintenance programs.

그라인더(grinder) 사용에 의한 Hand-Arm Vibration Syndrome(HAVS)의 6예

임상혁,김록호,양길승,양정인,김상섭,전형준,박시복 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.3

목 적 : 수지증상이 있는 진동공구 작업자 8명에 대해 객관적이고 체계화된 진단방법을 이용하여 수지진동 증후군을 진단하고자 시행하였다. 방 법 : 과거병력, 가족력 등의 문진과 혈액 및 소변, 방사선 검사를 통해 다른 원인에 의한 레이노씨병을 배제하였고, 공구 측정 결과를 이용하여 작업과의 관련성을 보았으며, 냉수 침지검사와 근전도 검사를 통하여 수지진동 증후군을 진단하고자 하였다. 결 과 : 수지증상이 있는 진동공구 작업자 8명에 대해 과거병력, 가족력, 약물복용 및 과거 직업력 등 레이노씨병을 유발하는 요인에 대하여 조사하였고 특이점은 발견하지 못하였다. 다른 원인에 의한 레이노씨병을 배제하기 위해 혈액 및 소변, 방사선 검사를 하였고 8명 모두에서 특이 소견을 발견하지 못하였다. 위의 문진과 검사결과로 다른 원인에 의한 레이노씨병을 배제할 수 있었다. 해당사업장의 진동 공구 측정결과를 근거로 피검자의 공구가 ISO의 허용기준을 초과함을 알 수 있었다. 냉수 침지검사와 근전도 검사를 이용하여 피검자 8명중 6명이 말초 혈액순환 장해와 말초 신경염이 있는 것으로 진단되었다. 위의 내용을 근거로 6명은 진동에 의한 수지 진동 증후군으로 진단할 수 있었다. 결 론 : 수지증상이 있는 진동공구 작업자 8명에 대해 객관적이고 체계화된 진단방법을 이용하여 수지진동 증후군을 진단하였다. 해당 사업장의 진동 공구 작업자의 진동에 대한 검진이 필요할 것으로 생각된다. Objectives : To confirm the HAVS In workers exposed to hand-arm vibration with using the objective diagnostic methods. Methods : Several tests were used to help substantiate a clinical diagnosis of HAVS. Some other diseases were excluded by a medical interview, hematologic assessment, urinalysis, X-rays. The hand-arm vibration acceleration level of the grinder was evaluated for considering HAVS. Peripheral vascular changes were examined by a cold provocation test. An electromyography was implemented to ascertain the peripheral neural changes. Results : 8 workers with symptoms in hands & fingers, exposed to hand-arm vibration were examined. Some other diseases (primary Raynaud's disease, secondary Raynaud's disease in not occupational origin) were excluded by a medical interview, hematologic assessment, urinalysis, X-rays. The hand-arm vibration acceleration level of the grinder was 7.9 m/sec2. The recovery time of a skin temperature followed finger cooling was significantly prolonged in 6 workers with HAVS. The nerve conduction velocity was reduced in 6 workers with HAVS. Conclusions : So we report 6 cases of HAVS in grinding workers exposed to hand-arm vibration diagnosed objectively by an exclusion of some other disease, hand- arm vibration acceleration level, cold provocation test, electromyography.

보행훈련방법이 편마비 환자의 보행요소와 족저압에 미치는 영향

김은정,황보각,권혁철 대구대학교 특수교육재활과학연구소 2009 再活科學硏究 Vol.27 No.2

이 연구는 뇌졸중으로 인한 편마비 환자에게 보행훈련방법을 달리하였을 때, 일반적인 지면과 트레드밀, 불안정면을 이용한 보행훈련이 보행요소와 족저압에 미치는 영향을 알아보기 위하여 편마비 환자 30명을 지면과 트레드밀, 불안정면 보행훈련군으로 무작위 배정하고 각 치료군들은 주 5회, 8주 간의 보행훈련을 실시하였다. 실험 전과 후, 보행요소를 알아보기 위하여 보행속도, 보장, 보각과 족저압을 측정하여 수집된 자료를 분석하여 다음과 같은 결과를 얻었다. 이 연구의 결과를 종합해 보면 보행훈련방법에 따라 지면 보행훈련은 보행속도와 족저압 전족부, 트레드밀 보행훈련군은 보행속도와 보각, 족저압 중족부, 불안정면 보행훈련군은 보행속도와 보장, 보각에서 유의한 증가를 보였다. 이러한 결과는 뇌졸중으로 인한 편마비 환자에게 보행훈련방법을 달리함에 따라 많은 영향을 끼치어, 환경의 변화와 다양한 과제에 대한 적절한 반응을 만들어 낼 수 있음을 의미하며, 기능 회복의 임상적 접근에서 치료 중재의 시점과 기간, 제공되는 환경, 과제의 선택에 대한 광범위한 연구가 필요할 것으로 생각되어진다. Purpose : This study was performed for effects of gait component and plantar foot pressure on gait training way needed in gait with hemiplegic patients caused by cerebrovascular accident. Methods : Three groups of adult hemiplegia(n=30) were allocated randomly in this study : group I(TGT : treadmill gait training), group II(USGT : unstable surface gait training) and group III(SGT : surface gait training). The gait training was provided to experimental groups for 8 weeks(5 times a week). Measurements of pre and post experiment were gait velocity, step length, toe out angle, foot plantar pressure which demonstrate temporal-spatial parameter of gait component. Results : The results of this study showed that in comparison of pre and post changes of gait training, SGT group has statistically significant differences in gait velocity, metatarsal area of foot plantar pressure, TGT group has statistically significant differences in gait velocity, toe out angle, midfoot of foot plantar pressure. USGT group has statistically significant differences in gait velocity, step length, toe out angle. Conclusion : These results mean gait training resulted by gait training way provides effective gait, with stroke, and therefore proper response about environmental changes and various tasks could be made.

Smear layer 처리에 따른 미세누출에 대한 연구

이정민,박상혁,최기운 대한치과보존학회 2006 Restorative Dentistry & Endodontics Vol.31 No.5

본 연구는 도말층 제거 여부에 따른 근관 밀폐효과를 평가하기 위해 단근관 치아를 3% NaOCI 하에서 Ni-Ti file을 이용하여 crown-down 법으로 근관 형성 후 최종세정제로 NaOCI을 사용한 군과 EDTA를 사용한 군, 6개월 보관한 NaOCI-6군과 EDTA-6군으로 분류하였다. Continuous wave법으로 근관 충전 시행 후 색소 침투를 시행한 다음 해부학적 근첨에서 1.5 mm(Level l), 3.0 mm(Level 2), 4.5 mm (Level 3)에서 수평절단 하여 누출률을 측정하였다. 1. 모든 실험군에서 평균 누출률은 치근단부에서 치경부로 갈수록 감소하였다. 2. NaOCI 군의 누출률이 EDTA 군보다 level l, 2, 3에서 높게 나타났으나 level l에서만 통계학적 유의차를 보였다 (p<0.05). 3. NaOCI-6 군의 누출률이 EDTA-6 군보다 Level l, 2, 3에서 높게 나타났으나 level l에서만 통계학적 유의차를 보였다 (p<0.05). 4. NaOCI-6 군의 누출률이 NaOCI 군에 비해 Level l, 2, 3에서 증가하였으나 level l에서만 통계학적 유의차를 보였다 (p<0.05). 5. EDTA-6 군의 누출률이 EDTA 군에 비해 Level l, 2, 3에서 증가하였으나 통계학적 유의차는 없었다. 6. 주사전자현미경 관찰 결과 NaOCI 군과 NaOCI-6 군은 도말층이 제거되지 않아 상아세관내로 sealer 및 근관충전 재가 침투하지 못한 반면, EDTA 군과 EDTA-6 군에서는 도말층이 제거되고 상아세관내로의 sealer와 근관충전 재의 침투가 관찰되었다. 이상의 연구결과 EDTA를 이용하여 도말층을 제거한 경우 근관충전 즉시와 6개월 후 치근단 1/3 부위의 근단부 미세누출을 감소시킬 수 있을 것으로 사료된다. The purpose of this study was to compare the sealing ability of root canal obturation with or without the treatment of smear layer. Eighty extracted human teeth with one canal were selected. Instrumentation was performed with crown-down technique. After instrumentation, root canals of the NaOCI group and NaOC1-6 group were irrigated with 3% NaOCI. EDTA group and EDTA-6 group were irrigated with 17% EDTA. Then all teeth were obturated using continuous wave obturation technique. NaOCI group and EDTA group were immersed in methylene blue solution for 84hours. NaOCI-6 group and EDTA-6 group were immersed in methylene blue solution for 6months. The teeth were sectioned at 1.5 mm (Level 1), 3.0 mm (Level 2) and 4.5 mm (Level 3) from the root apex. The length of dye-penetrated interface and the circumferential length of canal at each level were measured using Sigma-Scan Pro 5.0. 1. The mean leakage ratio was decreased cervically. 2. NaOCI group showed higher mean leakage ratio than EDTA group at each level. But there was significant difference at level 1 only (p<0.05). 3. NaOCI-6 group showed higher mean leakage ratio than EDTA-6 group at each level. But there was significant difference at level 1 only (p<0.05). 4. NaOCI-6 group showed higher mean leakage ratio than NaOCI group at each level. But there was significant difference at level 1 only (p<0.05). 5. EDTA-6 group showed higher mean leakage ratio than EDTA group at each level. But there was no significant difference. 6. In NaOCI group and NaOCI-6 group, scanning electron micrographs of tooth sections generally covered with smear layer. In EDTA group and EDTA-6 group, tooth sections showing the penetration of sealers to opened dentinal tubules. The results suggest that removal of smear layer was effective to reduce the apical microleakage of the root canal.