• 제목/요약/키워드: Case history

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중풍발병과 중풍발병 위험요인들간의 관계에 대한 환자.대조군 연구 - 가족력과 병력을 중심으로 - (Case-Control Study on the Relationships between Stroke and Stroke Risk Factors in Korea - Focused on Family History and Past History -)

  • 장문원;고미미;안정조;류호룡;김윤식;설인찬;조현경
    • 동의생리병리학회지
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    • 제26권2호
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    • pp.234-240
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    • 2012
  • The purpose of this case-control study is to investigate the relationship between storke and stroke risk factors, such as family history and past history. The case-control study over clinical data registered from Daejeon Oriental Medical Hospital in the period of November 2006 to July 2010. Study subjects consisted of 108 patients with acute stroke within 1 month as the case group (Cases) and 108 people who visited hospital for health care as the genreral control group (Controls). The participants had been interviewed by residents to find out their family history and past history. Their blood was taken to check the blood lipid level and liver function. 1. The people whose family history included cerebrovascular accident had more probability of stroke than the people who did not have cerebral vascular accident as their family history. 2. The people who suffered from hypertension had more probability of stroke than the people who did not suffer from hypertension. 3. The people who suffered from diabetes mellitus had more probability of stroke than the people who did not suffer from diabetes mellitus. Based on this study, the people who had cerebral vascular accident as their family history should thoroughly treat their blood pressure and blood sugar level to prevent the cerebral vascular accident.

캠축에서의 피로파괴해석 (Analysis on Fatigue Fracture at Cam Shaft)

  • 조재웅;한문식
    • 한국기계가공학회지
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    • 제7권4호
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    • pp.102-108
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    • 2008
  • This study investigates the fatigue life and the damage possibility of cam shaft by the fatigue tool of Ansys. Among nonconstant fatigue loads, the case of 'SAE Bracket History' which is severest at the variation of load tends to be most unstable. The maximum relative damage in case of 'SAE Bracket History' is occurred near the average stress '0' and this case can be shown to have the possibility to take more damage than other cases. The case of 'Sample History' which becomes a little slow at the variation of load tends to be most stable. But there is most damaged possibility of 5% as 7 times at the range of mean stress from 0Pa to -104MPa and amplitude stress from 0MPa to 104MPa than the case of 'SAE Bracket History' or 'SAE Transmission'.

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자동차의 쇽업쇼바 마운트에 대한 구조 및 피로해석 (Structural and Fatigue Analysis on Shock Absorber Mount of Automobile)

  • 한문식;조재웅
    • 한국기계가공학회지
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    • 제11권1호
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    • pp.125-133
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    • 2012
  • This study aims at structural analysis with fatigue on the shock absorber mount of automobile. Two kinds of mount as original model 1 and reinforced model 2 are applied. Among the cases of nonuniform fatigue loads at both models, 'SAE bracket history' with the severest change of load becomes most unstable but 'Sample history' becomes most stable. In case of 'SAE bracket history' or 'SAE transmission', the maximum fatigue life at model 2 is 5 to 6 times as much as model 1 and the minimum damage at model 2 is decreased 5 to 6 times as much as model 1. In case of 'Sample history' as slow fatigue loading history, the minimum damage at model 2 becomes same as model 1 but the maximum fatigue life at model 2 is decreased more than 17 times as much as model 1. In case of 'Sample History' with the average stress of -$10^4MPa$ to $10^4MPa$ and the amplitude stress of 0MPa to $10^4MPa$, the possibility of maximum damage becomes 3%. This stress state can be shown with 5 times more than the damage possibility of 'SAE bracket history' or 'SAE transmission'. Safe and durable design of shock absorber can be effectively improved by using this study result on mount frame.

시호사물탕(柴胡四物湯)의 임상 사례에 대한 연구 - 『경보신편(輕寶新篇)』의 의안(醫案)을 중심으로 - (A Study on the Clinical Case of Shihosamul-tang (柴胡四物湯, Bupleurum Four Substances Decoction) - Focusing on case records (醫案) of KyungBoSinPyun (輕寶新篇, New Treatise of Light Treasure) -)

  • 구민석;차웅석;김남일
    • 한국의사학회지
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    • 제30권1호
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    • pp.51-59
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    • 2017
  • Shihosamul-tang (柴胡四物湯, Bupleurum Four Substances Decoction) is a very effective and widely utilized prescription in Korean medicine. However, there has not been a clinical example written in the classical literature of Korean medicine that deals with Shihosamul-tang and the delicate and changeable clinical use of Shihosamul-tang remains unknown. This study tries, for the first time, to show the clinical practice of Shihosamul-tang through review of KyungBoSinPyun (輕寶新篇). KyungBoSinPyun is a medical book containing 143 case records in the tradition of the East Asian practice of describing clinical encounters and the therapies employed. This study examines eight examples of case records within KyungBoSinPyun highlighting use of Shihosamul-tang. The purpose is to understand how Shihosamul-tang is applied in clinical practice compared to the description of Shihosamul-tang in Donguibogam (東醫寶鑑). Different descriptions about the symptoms and transformation methods of the prescription have been found in the eight examples of Shihosamul-tang case records contained in KyungBoSinPyun. This paper concludes that the difference between clinical practice and a typical description in medical books should be overcome by medical virtuosity and the potential for change for each clinical case, which is gained when seeing beyond the text of medical books.

생산 영향인자를 고려한 셰일가스 저류층의 이력검증 및 생산성 평가 연구 (A Study on the History Matching and Assessment of Production Performance in a Shale Gas Reservoir Considering Influenced Parameter for Productivity)

  • 박경식;이정환
    • 한국가스학회지
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    • 제24권4호
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    • pp.62-72
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    • 2020
  • 본 연구에서는 캐나다 혼리버(Horn-River) 분지를 대상으로 셰일가스 저류층의 신뢰성 있는 생산성 평가와 미래 생산량 예측을 위한 효율적인 이력검증(history matching) 방법을 제안하였다. 이를 위해 셰일가스 저류층의 물성인자가 생산성에 미치는 영향을 분석하기 위한 민감도 분석을 수행하였으며, 그 결과를 바탕으로 저류층 물성인자를 4가지 case로 분류하여 이력검증의 목적함수로 활용하였다. 이력검증 이후 추가 취득된 약 3년간의 생산 자료를 포함하여 맹검시험(blind test)을 수행한 결과, Case 1(모든 물성인자)은 7.67%, Case 2(생산 영향인자)는 7.13%, Case 3(제어 가능 물성인자)는 17.54%, Case 4(제어 불가능 물성인자)는 10.04%의 생산량 오차율이 나타났다. 이는 이력검증을 수행한 초기 4년간의 생산 자료의 경우에는 모든 물성인자를 고려한 생산예측이 효과적이나, 향후 생산량 예측을 함에 있어 Case 2와 같이 생산성에 대해 민감도가 높은 물성인자를 고려할 때 가장 높은 신뢰도가 나타남을 의미한다. 가장 높은 신뢰도를 갖는 Case 2 모델을 이용해서 예측한 셰일가스 저류층 생산정의 긍극가채매장량은 2030년 12월 기준 약 17.24 Bcf이며, 원시부존량 대비 회수율은 약 32.2%이다.

Early Diagnosis Behavior in Turkish Women with and without a Family History of Cervical Cancer

  • Gunaydin, Cansu;Gencturk, Nuran
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.401-406
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    • 2015
  • Background: This study was planned as comparative and descriptive in order to measure and evaluate the knowledge and attitudes regarding early diagnosis of women with and without a family history of cervical cancer. Materials and Methods: The study sample consisted of the relatives of female patients (N=253) who were admitted to Istanbul University of Medicine. Women with a family history of cervical cancer formed the case group, while those without family history of cervical cancer constituted the control group. Two distinct data collection tools, a questionnaire and the Miller Behavioral Style Scale (MBSS), were used in order to obtain data for evaluation with SPSS for Windows 20.0 statistics package program. Results: It was found that 61.0% of the case group with family history of cervical cancer and 19.0% of the control group without family history of cervical cancer were using early diagnostic methods. Thus the presence of an individual with cervical cancer in the family affected the attitudes towards early diagnosis. It was further found that the level of knowledge on cervical cancer and PAP smear test was higher in the case group, which was more sensitive with regard to being informed about cervical cancer as compared to general society. However, the average MBSS scores were not significantly different compared to the control group. Conclusions: It was noted that, women participating this study knowledgeable, but this did not necessarily transform into better behavior.

원판브레이크에서의 피로파괴연구 (Study on Fatigue Fracture at Disk Brake)

  • 조재웅;한문식
    • 한국공작기계학회논문집
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    • 제18권2호
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    • pp.201-206
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    • 2009
  • This study investigates fatigue life and possibility damaged at disk brake of automobile by the simulation of fatigue analysis. Among nonconstant fatigue loads, the case of 'SAE Bracket History' which is the severest at the variation of load tends to be most unstable. The case of 'Sample History' which becomes slower at the variation of load tends to be most stable. The value of maximum relative damage in case of 'SAE Bracket History' is occurred near the average stress '0' and this case can be shown to have the possibility to affect more damage than another case. As the result of this study is applied to automobile parts with non constant loads, durability can be improved during drive by preventing any damage.

콜럼부스의 대서양 항해 -항해의 경과와 역사적 의의를 중심으로- (A Case Study focused on Columbus's Sailing - A Study on the European Expansion in the later Middle Age -)

  • 김성준
    • 한국항해학회지
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    • 제21권1호
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    • pp.33-55
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    • 1997
  • The European expansion in the later middle age, as Adam Smith stated, influenced greatly on development of the world history. In the various events of the European expansion the discovery of the New World by Christopher Columbus is very important because the effect of the discovery of the New World have still continued to the present. I have interested to find out the reason why the western civilization has seized on the hegemony of the world over other civilizations. As many scholars pointed out, the most distinguished difference between the western civilization and other civilizations is that the western civilization was maritime-oriented, while other civilization were continental-oriented. So I set up the maritime histoy on the theme of my study in order to ruminate upon meaning of the se-power that is one of the motivating forces to drive histoy. Maritime history is not simply about that is maritime affairs, but a branch of history that inquires into inter-relations between maritime affairs and inland affairs. Maritime history constitutes of history of naval war, history of shipping and history of marine development. As above reasons, I have interested the European expansion in the later middle age that maritime activity was the most vigorous in the history. This is a case study to compose maritime history.

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복부비만과 허혈성 뇌졸중 (Abdominal Obesity as a Risk Factor of Ischemic Stroke in Case-control study)

  • 임희선;고성규
    • 한방비만학회지
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    • 제2권1호
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    • pp.25-36
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    • 2002
  • Objective: The purposes of this study are to know the relations of abdominal obesity and ischemic stroke and to know what index could represent the abdominal obesity appropriately. Methods. We have done case-control study and recruited 97 ischemic stroke patients and 117 controls. Case is matched by control by individual matching. All participants had questionnaire, interview and then were examined waist-hip ratio, waist circumference and body mass index. Results : WC, WHR and Hypertension history had differences in two groups, case and control groups. But BMI and other factors weren't significant. According to Quartile of Waist Circumference, the two groups had the differences in hypertension history, diabetes history, smoking status, WHR, BMI, and weight and in the Quartile of Waist-Hip Ratio Quartile, past history of hypertension and diabetes, WC, BMI and weight had the significances. Sex, Age Adjusted and Multivariate Odds Ratio (95% Confidence Interval) of WC Quartile are 2.083, 1.628, 4.491 and 4.418, 4.964, 12.306, and in WHR, the Ors are 2.252, 5.743, 15.776 and 2.632, 8.918, 23.596. Conclusions: We knew from these results that abdominal obesity is very important risk factor of ischemic stroke and WHR more than WC is a good indicator of abdominal obesity, so we should reduce the WHR to prevent of ischemic stroke.

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형상이 다른 브레이크 패드의 구조 및 피로해석을 통한 내구성 연구 (Durability Study through Structural and Fatigue Analyses of Brake Pads with Different Configurations)

  • 한문식;조재웅
    • 한국자동차공학회논문집
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    • 제22권6호
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    • pp.128-133
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    • 2014
  • In this study, Two kinds of pad models with different configurations as the part of brake system are investigated by structural and fatigue analyses. As the maximum equivalent stress of model 2 becomes higher to the extent of 60% than that of model 1, model 2 can endure more load than model 1. In cases of two kinds of models, the maximum fatigue life at 'Sample history' becomes longer 60 times than 'SAE bracket history' and this life in case of 'SAE transmission' becomes longer 3.5 times than the case of 'SAE bracket history'. Maximum fatigue damages in cases of 'SAE bracket history', 'SAE transmission' and 'Sample history' at model 1 become higher than model 2. Model 2 is thought to have more fatigue durability than model 1. These study results can be effectively utilized with the design of brake pad by anticipating and investigating prevention and durability against its fatigue damage.