이중혈류유발 심폐소생술이 심정지를 유발한 개의 단기 생존율에 미치는 영향

황성오,조준휘,강구현,김성환,문중범,이강현,이승환,윤정한,최경훈,홍은석 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

Background and Objectives: We previously reported that, compared with standard cardiopulmonary resuscitation(S-CPR), better hemodynamic effects could be achieved by simultaneous sterno-thoracic cardiopulmonary resuscitation(SST-CPR) in which we compressed the sternum and constricted the thorax circumferentially during the systolic period by using a device. This study was designed to assess whether SST-CPR, compared with S-CPR, improve the survival rate of dogs with cardiac arrest. Subjects and methods: Twenty-five mongrel dogs(19∼31㎏) were enrolled in this study. After four minutes of ventricular fibrillation induced by an AC current, animals were randomized to resuscitate with either S-CPR(n=13) or SST-CPR(n=12). Epinephrine(1 ㎎) was injected into the right atrium every three minutes after the beginning of CPR. Defibrillation was attempted after 6 minutes of CPR. Standard advanced cardiac life support was started if defibrillation was not successful. Results: SST-CPR resulted in significantly(p<0.001) higher systolic arterial pressure(91±47 vs 47±24 ㎜ Hg), diastolic pressure(43±24 vs 17±10 ㎜ Hg), coronary perfusion pressure(35±25 vs 13±9㎜ Hg), and end tidal CO2 tension(9±4 vs 3±2 ㎜ Hg). Two of 13 animals(15 %) resuscitated with S-CPR and six of 12 animals(50%) resuscitated with SST-CPR survived until 12 hours after cardiac arrest(p<0.05). Donclusion: SST-CPR, compared with S-CPR, improves the short-term survival rate in canine cardiac arrest.

초등 교과교육학의 성격과 내용구조 연구

유한구(Han Ku Ryu),장성모(Sung Mo Chang),송광용(Kwang Yong Song),조주연(Joo Yun Cho),이학주(Hak Ju Lee) 한국초등교육학회 1997 초등교육연구 Vol.11 No.1

이 연구는 교과교육과 교과교육학의관계, 그리고 교과교육학과 교육학의 관계등을 분석하고, 그 결과를 토대로 하여 초등학교 교과교육과 교육대학 교과교육학 교육의 실제를 정확히 이해하고 그 발전 방향을 탐색하기 위한 것이다. 일반적으로, 교과교육학은 교육학에서 제시하고 있는 교육과정의 구성및 교육방법상의 일반 원리를 교과교육이라는 특수한 사태에 적용하는 과정에 관심을 두는 이론으로 간주되고 있다. 이 관점에 의하면, 교과교육학은 교육학의 일반적 원리에 따라 교과교육이라는 특수한 맥락에 처방을 내리기 위한 것으로 파악된다. 이 관점을 교과와 그것을 가르치는 교사의 삶을 사실상 별개의 것으로 분리하는 것이며, 그와 동일한 이유에서 교과교육학과 교과교육학자의 삶 또한 별개의 것임을 전제하는 것이다. 그러나 교과교육과 교과교육학, 그리고 교과교육학과 교육학의 관계는 이론에서 실제로 나아가는 앞의 방향과는 정반대 방향에서도 이해될 수 있다. 이 관점에 의하면, 교과교육학은 교과교육 실제에 처방을 내리기 위한 것이 아니라 그 실제를 기술하고 정당화하기 위한 것으로 파악된다. 교과교육과 교과교육학의 관련이 이렇게 파악될 때, 교과 교육학은 교사나 교과교육학자에게 자신이 지금 하는 일이 자신의 삶과 결코 무관한 것이 아니라는 믿음을 심어 주게 되며, 나아가 그들 자신이 참여하고 있는 초등학교나 교육대학의 교육실제를 기술하거나 정당화하려고 할 때 반드시 필요한 개념적 도구를 제공해 줄 수 있게 된다. 바로 여기에 교과교육학에 관한 종래의 접근과는 구분되는 새로운 접근방식이 요구되는 이유가 있다. The purpose of this study is threefold: The first is to analyse the relations between subject education and subject pedagogy, and between subject pedagogy and general pedagogy. The second is, based on the analysis result, to have the precise understanding of teaching various subjects in the elementary school, and of teaching subject pedagogy in the university of education. The third is to search for the desirable direction of developing the elementary education and the teacher education. Subject pedagogy is usually defined as a theory which is interested in the process of applying pedagogical principles regarding curriculum organization and teaching methods to specific teaching situations, that is, subject education situations. However, this definition has a limitation, because it assumes that a subject and the teacher's life who teaches the subject are separated from each other, and that subject pedagogy and the scholar who studies subject pedagogy are also separated. The relationship between subject teaching and subject pedagogy, and between subject pedagogy and general pedagogy can be understood with quite different viewpoint. This new viewpoint, which is the major discussion matter of this study, assumes that subject pedagogy is never separated from the life of subject teacher/subject pedagogist. This viewpoint will reveal the theoretical features of subject pedagogy better, and give us new meaning on the life of teachers/subject pedagogists. The subject pedagogy in the correct sense should provide teachers/pedagogists with the conceptual instrument based on the new viewpoint. This conceptual instrument will make teachers/pedagogists be able to describe, explain, and validate their own educational practice-such as the content structure of each subject-in the elementary school or the university of education.

저열량 제철 부생가스의 순산소 연소 버너 개발

조한창(Han Chang Cho),홍정구(Jeong Ku Hong),오혁진(Hyuk Jin Oh),조길원(Kil Won Cho) 한국연소학회 2010 KOSCOSYMPOSIUM논문집 Vol.- No.40

A study was carried out in a bench-scale test furnace to develop the oxyfuel burner with low calorific by-product gas below 700㎉/N㎥. To do this, a bench scale test furnace is improved and the test burners of 300M㎈/h are designed. Oxygen in the burner is discharged through a nozzle in the center of the burner and gas is supplied with its concentric tube. The nozzle rim of oxygen plays a important role to stabilize and hold the flame. From the tests, it is confirmed that using oxygen burner, low calorific by-product gases below 700㎉/N㎥ can be used with stable flame and NOx is emitted below 30ppm at 11% oxygen concentration in exhaust gases.

건강검진 수진 여성에서 초음파검사를 이용한 갑상선결절의 유병률

임창훈,오한진,정호연,한기옥,장학철,윤현구,한인권,한병희,이경상,조병제 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.2

Background: Thyroid nodules are commonly found in clinical practice, and the recent development of thyroid ultrasonography has allowed for the detection of small nodules previously undetectable by routine palpations. Since previous studies on thyroid ultrasonography have been focused on patients with known thyroid disorders, we aimed to determine the prevalence of thyroid nodules in a female population. Methods: We studied women in the age range 30 to 70 years visiting the health promotion center at Samsung Cheil Hospital for routine health check-ups. After excluding patients with previous thyroid disorders, 1300 women where selected to undergo thyroid ultrasonography for the detection of the presence of thyroid nodules. If nodules were found, their size and numbers were recorded, and these data correlated with the patients age. Results: Of the 1300 subjects, thyroid nodules were detected in 490 (37.7%) with their prevalence (p=0.009), and that of multinodularity of thyroid nodules (p=0.001), increasing with the increasing age of the patients (Age 30 to 39: 30.8%, 40 to 49: 37.0%, 50 to 59: 41.5% and 60 to 69: 65.2%). Among these study subjects, nodules larger than 15 mm in size were detected in 29 and after performing fine needle aspirations on 18 nodules, 17 were found to be benign, with 1 papillary carcinoma, which required a total thyroidectomy. Conclusion: The prevalence of thyroid nodules in our female study population was 37.7%, with their prevalence, and that of multinodularity of thyroid nodules, increasing with increased age

Investigation of Boiling Heat Transfer Characteristics of Two-Phase Closed Thermosyphons with Various Internal Grooves

Ku-Il Han,Dong-Hyun cho,Jong-Un Park 대한기계학회 2003 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.17 No.11

The boiling heat transfer characteristics of two-phase closed thermosyphons with internal grooves are studied experimentally and a simple mathematical model is developed to predict the performance of such thermosyphons. The study focuses on the boiling heat transfer charac­teristics of a two-phase closed thermosyphon with copper tube having 50, 60, 70, 80, 90 internal grooves. A two-phase closed thermosyphon with plain copper tube having the same inner and outer diameter as those of grooved tube is also tested for comparison. Methanol is used as working fluid. The effects of the number of grooves, the operating temperature, the heat flux are investigated experimentally. From these experimental results, a simple mathematical model is developed. In the present model, boiling of liquid pool in the evaporator is considered<br/> for the heat transfer mechanism of the thermosyphon. And also the effects of the number of grooves, the operating temperature, the heat flux are brought into consideration. A good agreement between the boiling heat transfer coefficient of the thermosyphon estimated from experimental results and the predictions from the present mathematical model is obtained. The experimental results show that the number of grooves and the amount of the working fluid are very important factors for the operation of thermosyphons. The two-phase closed thermosyphon with copper tubes having 60 internal grooves shows the best boiling heat transfer performance.

Development and Verification of an Alcohol Craving-Induction Tool Using Virtual Reality: Craving Characteristics in Social Pressure Situation

Cho, Sangwoo,Ku, Jeonghun,Park, Jinsick,Han, Kiwan,Lee, Hyeongrae,Choi, You Kyong,Jung, Young-Chul,Namkoong, Kee,Kim, Jae-Jin,Kim, In Young,Kim, Sun I.,Shen, Dong Fan Mary Ann Liebert 2008 Cyber Psychology & Behavior Vol.11 No.3

<P>Alcoholism is a disease that affects parts of the brain that control emotion, decisions, and behavior. Therapy for people with alcoholism must address coping skills for facing high-risk situations. Therefore, it is important to develop tools to mimic such conditions. Cue exposure therapy (CET) provides high-risk situations during treatment, which raises the individual's ability to recognize that alcohol craving is being induced. Using CET, it is hard to simulate situations that induce alcohol craving. By contrast, virtual reality (VR) approaches can present realistic situations that cannot be experienced directly in CET. Therefore, we hypothesized that is possible to model social pressure situations using VR. We developed a VR system for inducing alcohol craving under social pressure situations and measured both the induced alcohol craving and head gaze of participants. A 2 x 2 experimental model (alcohol-related locality vs. social pressure) was designed. In situations without an avatar (no social pressure), more alcohol craving was induced if alcohol was present than if it was not. And more alcohol craving was induced in situations with an avatar (social pressure) than in situations without an avatar (no social pressure). The difference of angle between the direction of head gazing and the direction of alcohol or avatar was smaller in situations with an avatar alone (social pressure) than in situations with alcohol alone. In situations with both alcohol and an avatar, the angle between the direction of head gaze and the direction of the avatar was smaller than between the direction of head gaze and the direction of the alcohol. Considering the results, this VR system induces alcohol craving using an avatar that can express various social pressure situations.</P>

The Prognostic Factors That Influence Long-Term Survival in Acute Large Cerebral Infarction

Cho, Sung-Yun,Oh, Chang-Wan,Bae, Hee-Joon,Han, Moon-Ku,Park, Hyun,Bang, Jae-Seung The Korean Neurosurgical Society 2011 Journal of Korean neurosurgical society Vol.49 No.2

Objective : We retrospectively evaluated the prognostic factors that can influence long-term survival in patients who suffered acute large cerebral infarction. Methods : Between June 2003 and October 2008, a total of 178 patients were diagnosed with a large cerebral infarction, and, among them, 122 patients were alive one month after the onset of stroke. We investigated the multiple factors that might have influenced the life expectancies of these 122 patients. Results : The mean age of the patients was $70{\pm}13.4$ years and the mean survival was $41.7{\pm}2.8$ months. The mean survival of the poor functional outcome group ($mRS{\geq}4$) was $33.9{\pm}3.3$ months, whereas that of the good functional outcome group ($mRS{\leq}3$) was $58.6{\pm}2.6$ months (p value=0.000). The mean survival of the older patients (270 years) was $29.7{\pm}3.4$ months, whereas that of the younger patients (<70 years) was much better as $58.9{\pm}3.2$ months (p value=0.000). Involvement of ACA or PCA territory in MCA infarction is also a poor prognostic factor (p value=0.021). But, other factors that are also known as significant predictors of poor survival (male gender, hypertension, heart failure, atrial fibrillation, diabetes mellitus, a previous history of stroke, smoking, and dyslipidemia) did not significantly influence the mean survival time in the current study. Conclusion : Age (older versus younger than 70 years old) and functional outcome at one month could be critical prognostic factors for survival after acute large cerebral infarction. Involvement of ACA or PCA territory is also an important poor prognostic factor in patients with MCA territorial infarction.

Single Oral Dose Toxicity Test of Persicae Semen Aqueous Extracts in Mice

Cho, Hun-Bum,Park, Ji-Ha,Seo, Bu-Il,Cho, Su-Yeon,Park, Kyu-Ryul,Choi, Seung-Hoon,Han, Chang-Kyun,Song, Chang-Hyun,Park, Soo-Jin,Ku, Sae-Kwang The Korea Association of Herbology 2013 대한본초학회지 Vol.28 No.3

Objectives : This study was to evaluate the single dose toxicity of Persicae Semen (PS) in ICR mice. Methods : Aqueous extracts of PS (Yield = 18.60%) were administered as an oral dose of 2,000, 1,000 and 500 mg/kg (body weight) according to the recommendation of Korea Food and Drug Administration (KFDA) guidelines (2009-116, 2009). Animals were monitored for the mortality and changes in body weight, clinical signs and gross observation during 14 days after dosing, upon necropsy; organ weight and histopathology of 12 principle organs were examined. Results : Amygdalin contents in PS aqueous extracts were detected as $32.50{\pm}5.96{\mu}g/ml$. We could not find any PS extracts treatment related mortalities, clinical signs, changes on the body and organ weights, gross and histopathological observations up to 2,000 mg/kg in both female and male mice, except for transient and slight loss of locomotion detected in female and male mice treated with 2,000 mg/kg. In addition, pharmacological immunomodulatory effects related findings were also demonstrated in 2,000mg/kg treated female and male mice as hypertrophy and hyperplasia of lymphoid cells in the submandibular lymph nodes. Conclusions : Based on the results of this experiment, the approximate lethal dose (ALD) of PS extracts after single oral treatment in female and male mice were considered above 2,000 mg/kg, respectively. It should be carefully used in clinics because the possibilities of respiratory or neurological disorders were observed when administered over 2,000 mg/kg of PS extract related to amygdalin.

임상 간호사의 간호전문직 태도와 정신건강에 관한 연구

한경순,염순교,조주연,정연강 대한간호학회 1997 Journal of Korean Academy of Nursing Vol.27 No.2

This study was made to analyse the nursing professional attitudes and mental health of clinical nurses in order to promote good mental health and positive attitudes. The 150 subjects obtained from 3 hospitals in Seoul completed a self-report questionnaire. Demographic data was collected in addition to data about nursing professional attitudes and mental health. The data was analyzed by SAS, t-test, scheffe's test, pearson's correlation and the GLM procedures. The results of the data analysis as follows : 1) Nursing professional attitudes were positive (MS=3.76) 2) Mental health was shown to be satisfactory (MS=0.65) 3) The relationship between nursing professional attitudes and mental health of the subjects were shown to be significant according to the professional education level with depression(r=-0.19, p=0.03), anxiety(r=-0.23, p=0.01) hostility(r-=-0. 19, p=0.03), phobicanxiety(r=-0.18, p=O.04), but there was a significant difference according to the pursit of social profit with anxiety(r=-0.17, p=0.03). There was a significant difference according to autonomy with somatization(r=-0.23, p=0.01), obsessive-compulsive(r=-0.22, p=0.01), depression(r=-0.20, p=0.02), anxiety(r=-0.17, p=0.05). Finally, There was a significant difference according to ethics with hostility(r=-0.17, p=0.05). 4) According to nursing professional attitudes and demographic factors there was a significant difference in the professional position(t=2.01, p=0.05), work location(f=4.99, p=0.01), length of employment(f=3.66, p=0.03). 5) The nursing professional attitudes and occupational factors showed a positive correlation with the anticipation of length of employment(t=-2,00, p=0.05). 6) According to Mental health and demographic factors there was a significant correlation with the professional position(t=-2.21, p=0.03). 7) According to mental health and occupational factors there was a significant difference correlation. Based on the study results, the following recommendation are made : 1) Nursing education curriculum should be developed for the continuous promotion of mental of professional nurses. 2) Follow up study of identification of the variables which positively influence professional nurses attitudes.

Rigorous coupled-wave analysis of antireflective surface-relief gratings

Han, Chang-Wook,Cho, Doo-Jin,Rhee, Bum-Ku Optical Society of Korea 1997 Current Optics and Photonics Vol.1 No.1

Rigorous coupled-wave analysis (RCWA) with a simplified eigenvalue problem is used to investigate the an-tireflective property of one-dimensional surface-relief gratings such as binary gratings, triangular gratings and gratings with triangle-like surface profiles. The convergence of RCWA is investigated by varying the number of layers and the number of space-harmonics used in the computation. For unpolarized light normally incident on a medium of refractive index 1.64 from vaccum, a triangle-like grating shows the reflectivity of $1.6 {\times} 10^{-4}$ in contrast to a minimum reflectivity of $3.8 {\times} 10^{-3}$ for a binary grating. We also study the dependence of reflectivity on the wavelength, and on the angle of incidence for a groove shape and depth which result in minimum reflectivity.