HIV 감염 환자에서 발생한 편평 콘딜롬 1예

이해웅,오상현,장성은,최지호,문기찬,고재경 대한피부과학회 2006 大韓皮膚科學會誌 Vol.44 No.4

저열팽창성 Fe-29Ni-17Co 코바 합금의 고온균열 발생과 고온연성에 미치는 S 및 Mn의 영향

이기안,박종혁,조봉현,남궁정,김문철 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.12

The effect of S & Mn on the hot ductility of Fe-29Ni-17Co Kovar alloy and the mechanism of high temperature cracking occurrence were investigated. It has been found that the brittle intergranular fracture at high temperature cracking is closely associated with the sulfide along grain boundary. Experimental results showed, especially when the S content was high and the Mn content was free, that small cavities could be nucleated easily on FeS particles along grain boundary and propagated fast at high temperature. The hot ductility of Kovar alloy was drastically increased with the addition of Mn and it was also increased with decreasing S content. SEM and FE-SEM analyses showed that the Mn addition in this alloy could cause ductile intergranular fracture appearance below 1150℃ by the precipitation of MnS. It was proposed from the results that the addition of Mn and optimum S content (below 30 ppm) in Kovar alloy was necessary in order to reduce the hot cracking susceptibility.

뇌 실질 출혈이 동반된 Reye 증후군 1례

이창연,오연희,임문환,유문집,박성기,김태우 동국대학교 경주대학 1991 東國論集 Vol.10 No.-

Reye syndrome is a disorder of unknown etiology in which a child recovering form a viral prodrome suddenly develops pernicious vomiting & eventually develops neurologic changes. The syndrome is defined to acute noninflammatory encephalopathy with fatty degeneration of liver and other organs. The coagulopathy or Reye syndrome is associated with proloned PT caused by the mitochondrial injury compromising synthesis of proteins and clotting factors in liver. In this case, we observed ICH on right parietal and occipital area in brain CT. Actually, bleeding in the major organ is extremely rare in Reye syndrome, this may be the first case report of CNS bleeding in Korea associated with Reye syndrome. In addition to case report, we present a brief review of the related literatures.

健康資本模型에 의한 家計 保健醫療費 支出의 時系列分析 : A Health Capital Approach 價格彈力性과 支出彈力性의 推定

李會京,孔文基 韓國計量經濟學會 1997 계량경제학보 Vol.8 No.-

본 論文은 家計 保健醫療費 支出의 결정과정을 生涯週期이론에 근거한 健康資本모형으로서 분석한다. Grossman의 모형을 일반화시킨 消費支出과 保健醫療費 支出의 동시결정모형은 不安定한 시계열 간에 장기적으로 안정적인 관계인 共積分制約이 존재함을 함의하며, 共積分回歸분석을 통해 保健醫療費 支出의 價格彈力性과 支出彈力性을 추정할 수 있다. 韓國의 도시가계 조사 자료를 이용한 실증분석결과, 家計 保健醫療費 支出은 健康資本모형에 의하여 설명될 수 있으며, 비탄력적인 價格彈力性과 支出彈力性을 얻었다. 특히 1970년대 후반부터 안정적인 값을 나타내는 彈力性값은 全國民醫療保險制度下에서의 超過需要와 誘因需要의가능성, 家計部門에 비해 상대적으로 낮은 公共部門의 역할 등에 기인하는 것으로 추정된다.

객체에 근거한 선호도 제약 중심 스케줄링 언어와 성능향상 기법

이기철,문정모,송성헌 한국경영과학회 1995 經營 科學 Vol.12 No.2

For a complex scheduling system like time table construction, its optimal solution, if exists, is hard to obtain. In this paper, the scheduling environment is reasonably confined as where objects have their own events competing for better slots on boards, and objects have their own board slot preferences and belong to one or more classes of the society which globally constrains them. Here, two phase method is suggested, where the first phase is human-like preference dirven and the second phase is for fine tuning by considering all the factors given. Designed and implemented in our system HI-SCHED are dynamic object switching, temporal-constraint-driven intelligent backtracking, case-based revisions, object-based approach, and so on. Some satisfaction degrees are also defined to measure the usefulness of our method. In addition, look-ahead dynamic object switching is considered, and additional global constraints are introduced and processed. A simple scheme is also used to verify the usefulness of the post processing scheme.

家兎血壓反應에 미치는 Adenosine Diphosphoribose의 影響

李神雄,白汶基 충남대학교 의과대학 지역사회의학연구소 1974 충남의대잡지 Vol.1 No.1

Effect of adenosine diphosphoribose(ADPR), one of metabolites of nicotinamide adenine dinucleotide, on the rabbit blood pressure was investigated. ADPR(10㎍/kg) induced transient fall of the blood pressure. Increasing the doses, hypotensive response to ADPR was also increased. This vasodepressor effect of ADPR was not affected by hexamethonium, atropine, propranolol, methysergide and promethazine pretreatment.

혈전 발생의 위험 인자가 없는 환자에서 급성 신우신염에 의해 유발된 신정맥 혈전증 및 폐색전증

이광수,김아름,이승연,정주홍,김미정,이진수,정문현,홍기천,조순구 대한감염학회 2009 감염과 화학요법 Vol.41 No.5

Renal vein thrombosis (RVT) is not an uncommon condition amongst patients with nephrotic syndrome or malignancy. Septic pulmonary embolism (SPE) is associated with risk factors such as intravenous drug use, pelvic thrombophlebitis, and suppurative processes in the head and neck. However, acute pyelonephritis is a rare cause of RVT and SPE. Case reports on RVT and SPE due to acute pyelonephritis are rare. In most of the earlier cases, patients had underlying conditions such as diabetes mellitus, renal carcinoma, calyceal stones, and hyperhomocysteinemia. We report a case of acute pyelonephritis complicated by RVT and SPE that occurred in a patient without any predisposing risk factors for thromboembolism. RVT and SPE were diagnosed using computed tomography and ventilation/perfusion scan. The patient recovered with antibiotics and anticoagulation therapy without any surgical interventions.

안면부 종창을 동반한 Henoch-Scho¨nlein 자반증 1례

이재휘,서무규,임문환,박성기,김태우,이창연 동국대학교 경주대학 1991 東國論集 Vol.10 No.-

We experienced a case of Henoch-Scho‥nlein purpura with are manifestation of facial swelling in a 7-year-old boy.

근위 대퇴정을 이용한 대퇴 전자부 골절의 치료

문영완,서동현,강신택,권덕주,지용남,이기병 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 근위 대퇴정을 이용한 고령 환자의 대퇴전자간 골절의 치료결과에 대해 보고하고자 한다. 대상 및 방법 : 2001년 4월부터 2002년 2월까지 대전자부에서 소전자에 이르는 횡선골절 및 소전자 주위 분쇄골절로 압박고 나사 고정이 용이하지 않은 전자간 골절, 일반적인 전자간 골절에 대해 근위 대퇴정을 사용해 치료한 80례 중 추시가 가능했던 71례를 대상으로 하였으며, 추시과정 중 골유합 시기, 대퇴경간각, 지연나사의 활강, 수술시간 및 출혈량, 술중 및 술후 합병증 수술시 주의사항을 조사하였다. 결 과 : 평균연령은 77.5세, 평균추시기간은 9개월이었다. Evans의 분류법으로 골절을 분류하여 안정성, 불안정성 골절은 30례, 41례였다. 평균 골 유합 시비는 13.8주였고, 대퇴경간각은 수술직후 131.9 ± 5.21˚, 129.9 ± 6.04˚ 였으며 평균지연나사의 활강은 4.21±4.13㎜였다. 수술시간은 평균 61분, 출혈량은 평균 0.67pint(134cc)였다. 술중 합병증으로는 정복 실패 1례, 원위고정나사 삽입시 피질골 골절 1례, drill bit 파손 1례가 있었으며, 술후 합병증으로는 대퇴 경간각 소실(5도이상) 12례, 경부골절의 발생이 2례, 지연나사의 관절내 돌출 1례였다. 결 론 : 대퇴골 전자부 골절의 치료로 근위 대퇴정은 정확한 삽입 위치, 삽입시의 조심스러운 확공, 지연나사의 연골하 골에 단단하게 고정시키는 등의 주의를 한다면 수술시간, 출혈량 감소 등의 술중 합병증을 줄이고, 견고한 내고정을 통한 조기 보행을 가능하게 하며, 좋은 골유합 등이 기대되므로, 특히 고령, 분쇄골절, 역행성 골절, 골다공증이 심한 경우에서 바람직한 수술방법으로 사료된다. Purpose : To evaluate the treatment results of geriatric intertochanteric fractures using a proximal femoral nail. Materials and Methods : From April 2001 to February 2002, 71 cases of the intertrochanteric fractures involving lesser trochanter, transverse or reverse oblique intertrochanteric fracture. We evaluated the bone union time, neck-shaft angle, lag screw sliding by follow up radiographs, operation time, blood loss and complications. Results : The average age was 77.5 years old, the mean duration of follow-up was 9 months and the mean duration of bone union was 13.8 weeks. The average neck-shaft angle on immediate postop. x-ray was 131.9 ± 5.21˚ and 129.9 ± 6.04˚ at last follow up and the average lag screw sliding was 4.21 ± 4.13㎜. The average operation time was 61 minutes and blood loss was 0.67 pints(134cc). Intraoperative complications were inadequate reduction in one case, difficulty in distal transfixing in one case and drill bit failure in one case and postoperative complications were loss of neck-shaft angle(more than 5 degree) in 12 cases, femur neck fracture in 2 cases and intraarticular cutting out of femur neck screw in one case. Conclusions : The use of the proximal femoral nail could be appropriate for the fixation of communited or reverse oblique intertrochanteric fracture in elderly, osteroporotic patients for early ambulation, preventing shortening and rotation deformity, and reducing operation time and blood loss.

測地線에 對한 小考

李起安,王文玉 全北大學校 基礎科學硏究所 1984 基礎科學 Vol.7 No.1

In this note, we shall describe about definition of geodesic on a differentiable manifold, and illustrate three geodesics using locally isometries.