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      • KCI등재후보
      • 혈우병 환자의 임상 양상에 관한 단일기관 연구

        허지혜,김형욱,김영대,이영호,김남수,설인준,김상우 인제대학교 2006 仁濟醫學 Vol.27 No.-

        Objective : We analyzed and investigated clinical manifestations, laboratory tests, and inhibitor development of hemophilia that had not been thoroughly studied. Methods : We retrospectively reviewed 96 patients with hemophilia who were registered in the Hanyang University hospital from Jan, 1984 to Dec, 2003, Results : The total patients, whose median age at onset was 46.0 months, in clude 84 cases of type A (87.5%) and 12 cases of type B (12.5%). The most common chief complaint was a traumatic hemorrhage. The family histories of hemophilia were revealed in 41 cases (42.7%). The median activated partial thromboplastin time (aPTT) was 66.7 seconds. The number of severe cases was 39 (40.6%). Inhibitors were present in 13 cases (13.5%) and seven cases (53.8%) were high responders. aPTT and factor levels showed reverse correlation (r=-0.467). aPTT is more prolonged in group without family history than the group with family history (P=0.037). Conclusion : In this study, the diagnosis of hemophilia are made at the lower age and the serological positivity of the HCV is decreased. Activated partial thromboplastin time and factor levels shows reverse correlation. Activated partial thromboplastin time is more prolonged in group without family history compared with group with family history. The frequencies of family history are lower than those of other developed countries, because of concealing the family history of hemophilia. The prevalence of the development of inhibitors increased compared with those of previous studies in Korea, but was lower than those of other countries. Further studies would be necessary to decrease the inhibitor development.

      • 떫은감 탄닌성분이 초산발효에 미치는 영향

        서지형,김영지,김주남 영남이공대학 산업기술연구소 2002 産業技術硏究 Vol.14 No.-

        To improve the quality of persimmon vinegars, this study was investigated effects of persimmon tannin on acetic acid fermentation. During fermentation sugar contents didn't changed in all groups. Total acidity of 0.15 % tannin group was very low, only 2.5 %. Browning reaction during acetic acid fermentation increased continuously. Especially the color values and turbidity of 0.15 % tannin group were different from other groups. The contents of total phenolic materials and tannin decreased during acetic acid fermentation.

      • KCI등재후보

        5인 미만 사업장의 산업안전 규제 순응 실태

        이관형,이경용,손두익,서남규,서광국,오지영 한국안전학회 2003 한국안전학회지 Vol.18 No.4

        This study is planned to investigate the compliance of small sized enterprises of under 5 employees directed by Industrial Safety and Health Act. Occupational safety regulation can be required for employer and employee to comply because that all members of workplace should be involved to protect worker's health. When all members of workplace comply with safety regulation, effectiveness of regulation will be realized as expectation. The study subject is composed of three groups as 501 employers, 501 employees of small sized enterprises of under 5 employees and 107 safety inspectors sampled by stratified random sampling for comparison. Data for analysis is collected from each sample using interview with structured questionnaires. Compliance is measured by 5 point scale composed by 8 sub items such as general perception, understanding, clearness, necessity, relevancy, implementation, penalty, and general compliance of the regulation. Among sub items of employer's compliance, the level of perception of regulation, necessity of regulation, relevancy of penalty are differentiated among three groups. The level of all 8 items of employee's compliance also differentiated among three groups. These results show that strategies for ensuring the same level of compliance among three groups will be needed through education, training and evaluation of regulation and feedback.

      • 인도네시아 지진해일에 대한 의료지원보고

        조수형,김선표,최웅지,김성중,조남수,이준영,문성표 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

        An unprecedented magnitude of disaster, Tsunami, washed away Southeast Asia, on December 26, 2004. and more than 200,000 peoples were killed by the disaster. Staffs of our hospital visited Indonesia for voluntary medical supports from January 12, to January 21, 2005. We summarize here our 10 days' experiences in Indonesia.

      • KCI등재후보

        모기업 협력업체 산업안전보건관리에 대한 인식

        이경용,이관형,오지영,서남규,손두익,갈원모,신문진 한국안전학회 2003 한국안전학회지 Vol.18 No.4

        This study is planned to investigate the attitude toward the safety and health management of contractor comparry. Under the contract based production system, all of activities including safety and health management in the contractor company are depended upon the contract. How to make contract influence the worker's health of contractor company. Work's health of contractor company can be protected by efforts of company of contract-out and contractor company, especially their safety managers. The modelling of the effective safety and health management system for contractor company should consider the need of safety manager of each company and employer of contractor company. Data is collected from safety managers of 3 contract out companies as electronic and electrical manufacturing industry and 55 safety managers, 57 employers of their contractor companies using self administered survey with structured questionnaire. The most of all respondents want to support from the contract out companies. The most important items supported from contract out company is the information based on the safety information network between each company. Safety manager and employer of contactor company also itemized safety education and training in the supporting system from contract out company. These results can be generalized to survey on the other industries.

      • 누두흉 환자에서 Nuss 금속막대 제거 전 · 후 폐 역학 변화

        강규식,백남순,김천숙,안기량,권진형,김지은,유시현 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

        Nuss operation is one of the surgical procedure for pectus excavatum and it's method is the insertion of convex steel bar under the sternum through small bilateral thoracic incision. As the patients is growing, the thorax can be compressed gradually by steel bar. So Nuss bar needs to be removed two years after Nuss operation. This study was undertaken to assess the effect on the repiratory mechanics before and after the removal of the Nuss bar. Twenty patients with previous Nuss operation were allocated for the removal of Nuss bar. Lung mechanics (dynamic lung compliance, static lung compliance, and airway resistance), hemodynamic change (heart rate, systolic pressure, and diastolic pressure), and pulmonary gas exchange (arterial oxygen tension, arterial carbon dioxide tension, pulse oximeter saturation, and end tidal carbon dioxide tension) were measured before and after removal of Nuss bar. Respiratory mechanics (dynamic and static lung compliance, inspiratory airway resistance), pulmonary gas exchange and hemodynamic parameter were unchanged before and after the removal of Nuss bar. We concluded that lung mechanics were not changed before and after the removal of Nuss bar in the patients with pectus excavatum and the 95% patients were satisfied with operation.

      • 관절가동범위 제한과 통증을 호소하는 Whiplash Injury 환자에 대한 봉독약침요법과 MET 및 평형침법 복합치료 치험 1례

        김정록(Jeong Rock Kim),박소현(So Hyun Park),김성아(Sung A Kim),이운형(Un Hyung Lee),이윤지(Yoon Ji Lee),이승훈(Jae Dong Lee),이재동(Seung Hoon Lee),남동우(Dong Woo Nam) 대한스포츠한의학회 2022 대한스포츠한의학회지 Vol.22 No.1

        Objectives The aim of this case report is to suggest the effects of Bee-venom pharmacopuncture, acupoint of Pyung-Hyung acupuncture and MET treatment on improving the cervical pain and ROM restriction, Satisfaction of treatment in a 60-year-old male patient after whiplash injury. Methods Patient was treated with Complex Traditional Korean Medical Care of bee venom pharmacopuncture, Kyung-Tong(頸痛) acupoint of Pyung-Hyung Acupuncture(平衡鍼法) and MET treatment. Parmacopuncture was performed on pain site. MET treatment was performed on upper trapezius muscle, levator scapulae and sternocleidomastoid muscle. Patient’s symptom was evaluated by Range of motion(ROM), NRS(Numeric Rating Scale), Neck Disability Index(NDI) to check improvement in cervicalgia. Patient’s satisfaction was measured by five-point Likert scale. The treatment was executed once per everyday between March 7-13, 2022. Results After seven session of bee-venom pharmacopuncture, Pyung-Hyung acupuncture and MET method, patient’s ROM, NRS , NDI were improved. Conclusions The results show that Integrative Korean Medicine of pharmacopuncture, Pyung-Hyung Acupuncture and MET treatment can be an effective way to relieve cervicalgia with whiplash injury,

      • KCI등재
      • KCI등재후보

        Primary malignant melanoma of the lacrimal sac: A case report

        Ji Hyung Nam,Seung Min Kim,Jae Hyeuk Choi,Yong Kuk Lee,Jin Ho Baek,Tae Jung Jang,박건욱 대한내과학회 2006 The Korean Journal of Internal Medicine Vol.21 No.4

        Malignant melanoma of the lacrimal sac is very rare and primary malignant melanoma is extremely rare. It is usually diagnosed at an advanced stage after excision or biopsy of a tumor. We treated a patient with tearing and bloody discharge from the left eye. We performed a dacryocystectomy with the suspicion of a chronic dacryocystitis. However, the pathological findings and the immunohistochemical studies showed a malignant melanoma of the lacrimal sac. The patient underwent postoperative irradiation therapy. Follow up two months after surgery revealed no evidence of recurrence. Early diagnosis is very important for prognosis in patients with malignant melanoma of the lacrimal sac. Because this tumor often presents with symptoms similar to dacryocystitis and may masquerade as a chronic dacryocystitis, it can be difficult to make an early diagnosis.

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