도시지역 보건사업에서 컴퓨터의 활용방안에 관한 연구

염용태,이명숙,조병희,송동빈 고려대학교 의과대학 1990 고려대 의대 잡지 Vol.27 No.2

Nacessity of new communication media in information society is repidly increasing in many fields of Korea. It includes the field of primary helath care in the courses of collecting informations on demographic feature, social characteristics and health behavior of peoples. In light of above reasons, the authors attempted to utilize personal computers for the primary health services to promote health of unban people as a pilot study in Guro-6- Dong, Seoul. Five nurses working in Guro-6-Dong Health Subcenter completed family health records of 3,930 households among the total of 4,270. A total of 3,904 family health records among 3,930 were computerized and sorted out in categories of population characteristics, population dymanics, characteristics of householders, housing, family planning, maternal and child health(M.C.H), health status of residents and of others. Names of risky category in M.C.H, and family planning were listed and the lists were handed to the nurses concerned in order to practice proper cares in time. Sorted data were compared with ones of City of Seoul, average of other cities, and ones of nationwide. With the results of above practice, in terms of utilization of computer in uban primary health sevices, the following strategy was proposed. In order to provide proper health services the unban people demanded, efficient devices of information collection, processing and interpretation systems on health were urgently needed in every dong unit(health subcenter) of health centers. Recommended was personal computer network as a new communication media. Additional advantages of the devices were continuity and efficiency in services, and utilization in evaluation of health services and analysis of cost -effectiveness.

초음속 배기노즐의 공력음향과 유동특성

이동훈,임정빈 서울産業大學校 2000 논문집 Vol.51 No.2

This paper describes the experimental results for the flow characteristics and the aeroacoustics of a perforated tube attached at the exit plane of a circular convergent nozzle. The experimental results for the near and far field sound, the visualization of jet structures and the static pressure distributions in the jet passing through a perforated tube are presented and discussed in comparison with those for a simple tube. The perforated tube has a good performance to suppress the shock-associated noise as well as the turbulent mixing noise. This noise suppression is due to the modification and the elimination of shock waves in a jet plume that depend upon the porosity of a perforated tube. The pressure relief caused by the high-speed jets through holes on the tube results in the transformation of normal shock waves into weak shock waves like Mach wave.

Chiari Ⅳ 기형:1예 보고

이경주,박동우,이승로,함창곡,주경빈 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2

The Chiari IV malformation is a very rare condition which is characterized by severe cerebellar hypoplasia or aplasia. Morphologic findings include aplastic or severely hypoplastic cerebellum, small brainstem and relatively large cerebrospinal fluid space in the posterior cranial fossa. We recently experienced Chiari IV malformation and report radiologic findings of the case.

지방척수수막류 14례의 임상 분석 : Clinical Analysis of 14 Cases

이정호,신규만,김명현,송준혁,박향권,김성학,박동빈 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.6

Lipomyelomeningocele is the most common malformation leading to spinal cord tethering. Nonetheless, these lesion continues to pose a challenge in patient management. The purpose of this study was to identify the clinical feature, candidate for surgical repair, and outcome of lipomyelomeningocele in young children and adults. We studied the magnetic resonance images and/or lumbar myelo-CT of lipomyelomeningocele performed between January 1987 and September 1995 at our institutions and reviewed the pertinent medical records and radiologic studies to determine clinical feature, surgical candidate, and outcomes of these patients. Of the 14 cases(11 female and 3 males) studied, the most common factor that caused these patients to seek help was the cosmetic effect of the mass on their back, followed by urinary incontinence, and weakness of lower extremities. The patients' age ranged from 2 months to 21 years(mean, 5.0 years). All the patients underwent immediate surgical management that consisted of removal of lipoma, untethering of the cord, and complete dural sac repair. Follow up for these patients ranged from 6 to 82 months(median, 54 mo). None of the patients that underwent surgical correction before the emergence of neurological deficit had ever developed neurological deficits at the end of the follow up. However a few of the patients, despite presented with neurological deficits or urinary incontinence at the time of surgery, improved significantly. In conclusion, early detection and prophylactic surgery is imperative to prevent permanent neurological deficits and urinary dysfunction.

위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동

이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.

Coproporphyrin 簡易 定量法의 改善에 關한 硏究

李昌和,宋東彬,車喆煥 고려대학교 의과대학 1984 고려대 의대 잡지 Vol.21 No.1

Rimington (1971) developed a satisfactory method for quantitative determination of urinary coproporphyrin (CP), which is essentially needed for diagnosis of lead poisoning in suspected persons. But it is found to be unsuitable for a mass screening because it is Iaborious and complex in its procedures. Soulsby (1974) modified the method into a simple and convenient one by reducing the steps in extraction procedure. In spite of its simplicity and usefulness for screening purpose, aythor experienced that CP determination by the method was inconsistent and erroneous. Thus, it was not satisfactory and acceptable if accurate determination of CP is needed as in screening test for lead poisoning. The present study was performed to find a simple and accurate method that is applicable for the quantitative determination and mass screening by modifying Soulsby’s method. The results were as follows: 1. The amount of CP extracted with diethylether was shown to be highly dependent on urine pH, when extraction was performed one time instead of three times. The optimal pH was 5.4 where 98% of CP was recovered with one time extraction. 2. When the diethylether layer was washed with distilled water, it was possible to avoid interference in UV-spectrophotometry caused by contaminated organic materials. 3. With modification as above, average recovery rate of CP from urine was 99.5% with a coefficient of variance 2.1% on vaiidity test. 4. The results suggested that Soulsby’s method can be improved to a method with both simplicity and accuracy by simple modifications, i.e., one time extraction with adjusting the urine pH to 5.4 and washing the diethylether later containing CP with distilled water.

만성요통환자에 있어서 근에너지기법과 치료마사지의 복합프로그램 적용 효과

주동엽,김영빈,정동혁,이중철 圓光大學校 附設 體力科學硏究所 2007 體力科學硏究 Vol.29 No.-

In order to compare and analyze major techniques employed by the college judo competitors of Korea who participated in the 43rd National Male and Female Judo Championships by Weight Class, the players in the light, middle and heavy weight classes were classified into 3 categories: (1) those who are taller than opponents(by +4 cm or more); (2) as tall as opponents(-3~+3 cm); and (3) smaller than opponents(by -4 cm or less). Scoring points and used techniques were examined from videotapes and matching records, which resulted in the following conclusions: 1. In case of light weight players who are taller than opponents, foot(34.73%) was used most frequently and effectively, followed significantly by hand(28.54%), pressing(15.35%), waist(15.31%) and pull-down(4.25%) sacrifice throw techniques(1.66%) in order(p<0.00l). Those who are as tall as opponents used foot techniques(34.88%) more effectively than hand although hand techniques(38.38%) were employed more frequently. For those who are smaller than opponents, hand techniques(35.03%) were used most frequently and effectively, followed significantly by foot(32.57%), waist(8.39%), pressing(16.12%) and pull-down sacrifice throw techniques(7.8%) sequence(p<.001). 2. In case of middle weight players who are taller than or as tall as opponents, foot(30.72%) was used most frequently and effectively, followed significantly by hand(35.42%), pressing(21.32%), waist(8.15%) pull-down sacrifice throw(0.42%) and cross lock(l.06%) in order(p<0.001). However, for those who are smaller than opponents, hand techniques were used more frequently and effectively than pressing, waist and cross lock

美國의 邊境精神과 韓國의 새마을運動精神과의 比較硏究

郭東憲,李瑛雨,李廷彬,申址湜 경북대학교 1988 새마을 硏究論叢 Vol.9 No.-

UTPS를 利用한 地下鐵 需要豫測에 關한 硏究

任聖彬,李勝煥,金東寧,鄭義溶 명지대학교 1982 明大論文集 Vol.13 No.-

This study is purported to forecast the demand on subway ridership by using Urban Transportation Planning System(UTPS) which is considered the most efficient of the various demend forecasting programs ever developed. In the study, UTPS Package is introduced, and every program included therein was test-run to analyze any possible limitations and device appropriate methods applicable to a transportation planning in Korea. Various data available in Seoul city were input and necessary caliblations were performed. These results were demonstrated by carring out to the demand forecasting for the Seoul subway lines 2, 3 and 4 and are expected useful for further applications.

강직성척추염에서의 환자교육 및 치료적 마사지의 효과

김영빈,박병근,이정윤,정동혁 圓光大學校 附設 體力科學硏究所 2002 體力科學硏究 Vol.25 No.2

Ankylosing Spondylitis is a chronic progressive inflammatory disorder of unknown etiology involving principally the axial joints of the spine, chiefly the sacro-iliac apophyseal and costovertebral articulations resulting in not only deformity but also functional disability in terms of cardiopulmonary dysfunction and activities of daily living. The purpose of this study is to find out the effects of the therapeutic massage applied to the patients with Ankylosing Spondylitis by measuring, assessing and analyzing the changes muscle pains before and after Patient Education and Therapeutic Massage. In the therapeutic massage program, such methods as effleurage, petrissage and deep transverse friction were selected as traditional massage treatments frequently used for muscles with pain and spasticity. Effleurage and petrissage were applied for 20 minutes in total before and after deep transverse friction treatment. We assessed the effects of patient education and therapeutic massage in ankylosing spondylitis. The subjects of this study were 23 patients with confirmed ankylosing spondylitis by New York criteria who had visited J Sports Massage Clinic from January, 2001 to August, 2002. We have made two sessions of patient education and therapeutic massage for 4 weeks. The major findings from this study are as follows; 1. There were significant improvements in pain, nocturnal awakenings, morning stiffness, functional status, forward flexion of trunk, and lateral flexion of trunk. 2. The treatment outcomes were poor as the disease duration increase. 3. There was significant decrease in the numerical values of VAS, VRS and MPQWL after Therapeutic massage(p<.05). 4. There was significant decrease in the intensity and unpleasantness of pains after Therapeutic massage(p<.05). 5. From the analysis into chronological changes in the intensity and unpleasantness of pains before and after Therapeutic massage with ANOVA, it became evident that the longer the period of treatment was, the higher the pains decreases drastically, while significant difference was shown in the intensity and unpleasantness of pains(p<.05). Summed up, it can be generally concluded that Patient Education and Therapeutic Massage is an effective treatment to rid the patients with Ankylosing Spondylitis of pains safely and promptly.