혼수상태의 외상환자에서 초음파를 이용한 흉부 및 복부손상의 진단

임경수,이강현,이진웅,이부수,황성오,유수영,강성준 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The need for rapid diagnosis and treatment of life-threatening thoracic and intra-abdominal injury result in controversy over the appropriate triage of unconscious blunt trauma patients. To aid in early decisions for these patients, a prospective analysis of 98 patients with glasgow coma scale(GCS) scores≤8 was undertaken. Although intra-thoracic and intra-abdominal injuries were frequently identified based on systolic blood ressure, the use of clinical signs alone resulted in more missed injuries than did using the emergency ultrasonography. In normotensive patients(n=34), intra-thoracic injuries was identified in one patient(2.9%), and intra-abdominal injuries were in 7 patients(20.6%). In shock(systolic blood pressure<90mmHg) Pa-tients(n=64), thoracic injuries and intra-abdominal injuries were diagnosed in 8(12.5%) and 27 patients(42.3%), thoracic and abdominal combined injuries were identified in 11 patients(17.2%). The sensitivity, specificity, and accuracy of emergency ultrasonography were 96.3%, 91.7%, 94.9%. This study suggests that all unconscious trauma patients undergo immediate emergency ultrasonography to prevent missing life-threatening injuries.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

Computer Interface를 위한 Micro-program에 관한 고찰

姜聲洙 진주산업대학교 1989 論文集 Vol.27 No.-

The input-output subsystem of a computer provides an efficient mode of communication between the central system and the outside environment. Programs and data must be entered into computer memory for processing and results obtained from computation must be recorded or displayed for the user. Input-Output(I/O) interface provides a method for transferring binary information between internal storage, such as memory and CPU register, and external I/O devices. Peripherals connected on-line to a computer need special communication links for interfacing them with the contral processor. The purpose of the communication link is to resolve the differences that exist between the central computer and each peripheral. Microprogramming has many economic advantages. Although hard-wired logic is a more economical way of implementing very simple systems, as the complexity of the system increases, the cost of the control logic increases at a fairly rapid rate. In microprogrammed implementations, the cost of the simplest system in somewhat higher, but adding new features only requires additional control memory. In general, replacing most of the control logic with a ROM affords substantial hardware savings because of the high-density packaging of ROM arrays.

수 종의 도재 수복물에 부착된 세라믹 브라켓의 전단접착강도와 파절양상에 열순환이 미치는 영향

강상욱,손우성,박수병,김성식 대한치과교정학회 2009 대한치과교정학회지 Vol.39 No.4

본 연구는 도재 수복물에 부착된 단결정 세라믹 브라켓의 전단접착강도와 파절양상에 열순환과 도재 수복물의 종류가 어떤 영향을 미치는지 알아보기 위해 시행되었다. 도재전장관에 사용되는 재료들 중 Ceramco 3, Empress II, Zi-ceram/Vintage ZR 세 가지를 선택하여 각 20개씩 총 60개의 시편을 원반형태(두께 2 mm, 직경 12 mm)로 제작하였다. 동일한 접착 술식으로 세라믹 브라켓을 부착한 후 열순환을 시행한 실험군과 시행하지 않은 대조군, 두 군으로 나누어 전단접착강도와 파절양상을 평가하였다. 열순환을 하지 않은 대조군의 전단접착강도는 Ceramco 3는 7.06 ± 1.76 MPa, Empress II는 7.55 ± 2.38 MPa 그리고 Zi-ceram/Vintage ZR은 7.19 ± 1.38 MPa로 추천되는 전단접착강도(6 - 8 MPa)에 적합한 강도를 보였으나 열순환을 시행한 실험군은 전단접착강도가 유의하게 감소하였으며(p < 0.05) 열순환 후의 전단접착강도는 Ceramco 3는 4.88 ± 1.00 MPa, Empress II는 5.46 ± 1.35 MPa 그리고 Zi-ceram/ Vintage ZR은 4.84 ± 1.01 MPa로 임상적으로 추천되는 것보다 다소 낮은 값을 보였다. 도재의 종류에 따른 전단접착강도에는 유의한 차이가 없었다. 파절양상은 대조군에서는 모두 브라켓 기저부와 접착제 사이에서 파절이 일어났으며, 실험군에서는 2개의 시편(Ceramco 3과 Zi-ceram/Vintage ZR군에서 각 1개)만이 접착제내 파절을 보였으며 28개의 시편은 브라켓 기저부와 접착제 사이에서 파절이 일어났다. 이상의 연구 결과에서 보았을 때 도재 수복물의 종류에 따른 차이는 없었으나 열순환에 의해 전단접착강도가 약화되므로 실제 임상에서 고려되어야 할 것이다. Objective: The purpose of this study was to investigate the effect of thermocycling and type of porcelain restoration on shear bond strength (SBS) and mode of failure of monocrystalline ceramic brackets. Methods: A total of 60 porcelain discs were made and divided into three equal groups as follows: Ceramco 3, IPS Empress II, Zi-ceram/Vintage ZR. ceramic brackets were bonded to the prepared porcelain surfaces in the same manner. Each group was divided randomly into two subgroups: thermocycled group and non-thermocycled group (control). All samples were tested in shear mode on an universal testing machine. Results: SBS of the non-thermocycled group was clinically acceptable (Ceramco 3: 7.06 ± 1.76 MPa, IPS Empress II: 7.55 ± 2.38 MPa, Zi-ceram/ Vintage ZR: 7.19 ± 1.38 MPa). But, SBS of the thermocycled group was significantly reduced (Ceramco 3: 4.88 ± 1.00 MPa, IPS Empress II: 5.46 ± 1.35 MPa, Zi-ceram/Vintage ZR: 4.84 ± 1.01 MPa, p < 0.05). There was no difference between the shear bond strength by type of porcelain restoration. All bonding failure occurred between bracket base and adhesive, except for 2 samples. Conclusions: The results of this study suggest that the type of porcelain restoration did not affect SBS, but thermocycling weakened SBS. Therefore, the effect of thermocycling should be considered when using ceramic brackets in practice.

전조가 없는 편두통과 동반되어 나타난 일과성 전기억상실증

강성진,김광수,이지현,김종국,김민정 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

Transient global amnesia(TGA) is a transient neurological syndrome presenting total memory impairment. Although the pathophysiology of TGA is not yet clear, it may be associated with migraine or ischemia. A sixty seven year-old woman complained total memory impairment that occurred during migraine attack. The cognitive function test revealed impairment of orientation and memory. Her brain MRI, EEG and SPECT didn’t show any abnormal findings. Therefore TGA may be caused by migraine induced cerebral ischemia.

퍼즐 게임 제작 사례로 본 Applet 분석

강주성, 박동원, 안성옥, 김수균 배재대학교 공학연구소 2013 공학논문집 Vol.15 No.1

Using features in the Java Applet game is played on the screen, and web production. Linked using Applet to Database, and will save the record. It also makes the stored data with Statistics screen. What is the problem with him, looking to find ways to solve. For alternative methods are discussed.

부산 제2롯데월드 건립이 영도발전에 미치는 영향분석 : 사회·경제적 기대효과에 대한 주민의식조사 및 경제성 파급효과분석 Resident Survey and Economic Analysis on Socio-economic influences

강성권,이수호 고신대학교 영도발전연구소 2001 영도연구 Vol.3 No.-

The resident survey and economic analysis on the effect of the Lotte-World at Nampo-Dong is intended for accumulating the data for the development of Youngdo-Gu. The residents think that the Lotte-World at Nampo-dong will have a great influence on the social behaviour, economy, culture, tourism, employment etc. of Youngdo-Gu. Taking advantage of the construction of the Lotte-World, restructuring of land space, maintenance of traffic systems, construction of urban inhabitant facilities will be carried forward in Youngdo-Gu. The economic effect of the Lotte-World does not seem to be large on the basis of the present industrial structure and urban infra of Youngdo-Gu. The participation of the construction corporation of Youngdo-Gu in the construction period of the Lotte-World seems to be small. But workers from Youngdo-Gu at the construction site will be able to earn their wages. After construction, the consumption of the average employee and his family at the Lotte-World will have a considerable influence on the economy of Youndo-Gu. The sales of commodities produced by the company of Youngdo-Gu will be a trifling and it will not influence the economy of Youngdo- Gu. The sightseeing expenditure to Youngdo of the visitor at the Lotte-World will be significant, and the development of marine sightseeing resources and the construction of infra will make this possible. To maximize the effect of the Lotte-World, various regional development projects such as the creation of a urban business district, preparation of a marine sightseeing complex, development of a service industry, development of a high value-added urban marine industry and the creation of a high-level marine resident complex must be pushed forward during the construction of the Lotte-World.

진성 수소화된 비정질 규소에서의 급냉효과

康聖洙 대구산업정보대학 1998 논문집 Vol.12 No.2

In this work, the rapid cooling effects were investigated for the hydrogenated amorphous silicon (a-Si : H) films prepared by decomposition of pure silane. In general, the rapid cooling of doped a-Si : H usually produced more conductive states(σ_(FC)) than slowly cooled(annealed) state(σ_(FC)). Undoped a-Si : H, however, showed even the state of σ_(FC)<σ_(SC) as well as the state of σ_(FC)>σ_(SC). The equilibrium temperature, T_(E), in which samples are reached to thermal equilibrium within few minutes linearly increased with T_(s) which is the most importtant parameter to control the hydrogen content(C_(H)) of samples. In order to interpret our data in undoped a-Si : H, we proposed a model based on the hydrogen-glass and weak bond-dangling bond conversion model which had already been proposed for doped a-Si : H.

機能强制評價法의 活用에 關한 硏究

姜聖壽 慶北工業專門大學 1978 論文集 Vol.15 No.-

It is most important how to select the priorities of cost down elements for cost reduction. Forced evaluation method of product's function is most reasonable tool selecting the priorities of cost down elements for cost reduction than any other techniques. This paper developed the contents as a view point fo V.E (Value Engineering) technique with a case of K.Co. producing water sprayer. This paper would be applied to cost reduction all of the other products.