• Journal of Korean Neurosurgical Society
• /
• 제38권2호
• /
• pp.89-95
• /
• 2005

Objective : The purpose of this study is to analyze aneurysm morphology and define limitations and feasibility in endovascular Gugliemi detachable coil[GDC] embolization for anterior communicating artery [ACoA] aneurysms. Methods : From January 2000 through October 2003, 123patients were treated with endovascular coil embolization for ACoA aneurysms. There were 75women and 48men, with a mean age of 63years. All ruptured aneurysms were treated within 15days of rupture. Aneurysm morphology was classified according to neck size and projection of aneurysm dome as follows-A : neck of aneurysm <4mm & anterior projection, B : neck of aneurysm [4mm & anterior projection, C : neck of aneurysm<4mm & posterior [superior] projection, D : neck of aneurysm [4mm & posterior [superior] projection, E : neck of aneurysm<4mm & inferior projection, and F : neck of aneurysm [4mm & inferior projection. Endovascular procedures were categorized as either "successful" or "unsuccessful". Clinical follow-up was estimated at discharge and at 6months, post treatment results were classified according to Glasgow Outcome Scale[GOS]. Results : Successful embolization for ACoA was performed in 86patients of 123patients [69.9%]. Complete or near complete aneurysm occlusion was observed in 102patients [82.9%]; a neck remnant was observed in 6patients [4.9%]; partial embolization was done in 3patients [2.4%]; and embolization was attempted in 12patients [9.8%]. Among 55patients with follow-up angiographic results, 18patients [32.7%] were defined as recanalization of the aneurysm sac. Morphological analysis demonstrated that anterior projecting aneurysms and morphological classifications [morphological classifications worsens [A - D] chances of successful coil occlusion significantly decrease] were major factors in successful embolization, and, inferiorly projecting and wide neck [${\ge}4mm$] aneurysms are highly related to recanalization of aneurysms. Conclusion : Endovascular coil embolization of ACoA aneurysms shows good outcome in our study. Nevertheless, there is a limitation in the endovascular approach to ACoA, even though advanced modern techniques evolve rapidly. Compensatory surgical approach with the endovascular approach is required for successful treatment of ACoA aneurysms.

• Journal of Acupuncture Research
• /
• 제31권4호
• /
• pp.109-119
• /
• 2014

Objectives : The aim of this study is to observe clinical characteristics and treatment outcomes of inpatients admitted to a Korean medicine hospital for shoulder pain based on magnetic resonance imaging(MRI) findings. Methods : 28 patients with MRI data were included. Data on MRI findings, duration of pain, and treatment effects were collected. To measure treatment outcomes, verbal numerical rating scale(VNRS), range of motion(ROM), and a clinical condition grading system were used. Results : 1. The patient population was 75.0 % female and 39.3 %(n=11) belonged to the 51~60-year-old age group. In the under 40 population, 1 or less MRI findings were found. 2. As for the type of disorder, 82.1 % of the patients were diagnosed with 'Supraspinatus lesion', 39.3 % with 'subacromial-subdeltoid(SA-SA) bursitis', and 28.6 % with 'Adhesive capsulitis' 3. Numerous correlations could be made between duration of pain and MRI findings. 'rotator cuff full thickness tear' was more prevalent in acute shoulder pain patients, and 'Adhesive capsulitis' in chronic patients. 4. VNRS and ROM at the time of discharge had significantly improved as compared to VNRS and ROM at the time of admission. 5. As for correlation between MRI findings and clinical condition grade, patients diagnosed with 'rotator cuff partial tear' reported to be in 'good' condition or better whereas those with 'rotator cuff full thickness tear' reported to be in 'fair' condition or worse. Conclusions : Patients admitted to a Korean Medicine hospital for shoulder pain had varying degrees of severity as shown on MRI. Almost all lesions responded well to Korean medicine treatment.

• Journal of Trauma and Injury
• /
• 제20권2호
• /
• pp.138-143
• /
• 2007

Purpose: $S100{\beta}$, a marker of traumatic brain injury (TBI), has been increasingly focused upon during recent years. $S100{\beta}$, is easily measured not only in cerebrospinal fluid (CSF) but also in serum. After TBI, serum S 10019, has been found to be increased at an early stage. The purpose of this study was to evaluate the clinical correlations between serum $S100{\beta}$, and neurologic outcome, and severity in traumatic brain injury. Methods: From August 2006 to October 2006, we made a protocol and studied prospectively 42 patients who visited the emergency room with TBI. Venous blood samples for $S100{\beta}$, protein were taken within six hours after TBI and vital signs, as well as the Glasgow Coma Scale (GCS), were recorded. The final diagnosis and the severity were evaluated using the Abbreviated Injury Score (AIS), and the prognosis of the patients was evaluated using the Glasgow Outcome Score (GOS). Results: Thirty-eight patients showed a favorable prognosis (discharge, recovery, transfer), and four showed an unfavorable prognosis. Serum $S100{\beta}$, was higher in patients with an unfavorable prognosis than in patients with a favorable prognosis, and a significant difference existed between the two groups ($0.74{\pm}1.50\;{\mu}g/L$ vs $7.62{\pm}6.53\;{\mu}g/L$ P=0.002). A negative correlation existed between serum $S100{\beta}$, and the Revised Traumatic Score (R2=-0.34, P=0.03), and a positive correlation existed between serum $S100{\beta}$, and the Injury Severity Score (R2=0.33, P=0.03). Furthermore, the correlation between serum $S100{\beta}$, and the initial GCS and the GCS 24 hours after admission to the ER were negative (R2=-0.62, P<0.001; R2=-0.47, P=0.005). Regarding the GOS, the mean serum concentration of $S100{\beta}$, was $7.62\;{\ss}{\partial}/L$ (SD=${\pm}6.53$) in the expired patients, $1.15\;{\mu}g/L$ in the mildly disable patient, and $0.727\;{\mu}g/L$ (SD=${\pm}0.73$) in the recovered patients. These differences are statistically significant (p<0.001). Conclusion: In traumatic brain injury, a higher level of serum concentration of $S100{\beta}$, has a poor prognosis for neurologic outcome.

• 한국수자원학회논문집
• /
• 제40권12호
• /
• pp.957-968
• /
• 2007

수자원의 정량적인 계획과 관리를 위해서는 정확하고 신뢰성 높은 유량 자료가 필수적이다. 이에 따라 최근에 초음파유량계와 유속지수법 등의 실시간 유량 측정 방법이 도입되고 있다. 이러한 방법들은 단면의 일부분에서 측정한 유속을 이용하여 전체 단면의 유량을 산정하고 있으므로 하천 단면의 2차원적 유속분포에 대한 합리적이고 이론적인 기초가 필요하다. 본 연구에서는 Chiu(1987, 1988)가 제안한 2차원 유속분포식을 자연하천에 적용하고 ADCP 실측 자료를 이용하여 비교 분석함으로써 적용성을 분석하였다. 이를 위해 실측 자료로부터 최대유속과 평균유속을 계산한 후 매개변수 M을 산정하였다. 등유속선 형상 매개변수는 최소자승합 기준의 목적함수를 이용하여 추정하였다. 최적화된 매개변수를 적용하여 도출된 엔트로피 유속분포를 실측 유속분포와 비교한 결과, 대체로 잘 일치하는 것으로 나타났다. 상관도가 높게 나타나는 14개의 실측 자료를 이용하여 매개변수 h, $\beta_i$의 특성을 분석한 후 미측정 단면에 적용할 수 있도록 그 값을 추정하였다. 추정된 매개변수를 검증을 위한 자료에 적용한 결과 역시 실측 자료를 대체로 잘 재현하는 것으로 나타났다. 유량의 경우 최대 7% 의 오차로 실측 자료와 대체로 비슷하게 산정하였다. Chiu의 유속분포식에 관여하는 매개변수를 적절히 추정한다면 자연하천의 유속분포를 잘 모의할 수 있을 것으로 판단된다.

• 대한한방소아과학회지
• /
• 제13권2호
• /
• pp.187-224
• /
• 1999

Background: In recent years, pediatric chronic sinusitis patients who don't respond with antibiotics are increasing, but there are a few reports on the herbal medicine therapy treating pediatric chronic sinusitis, so this report was studied. Objective: To demonstrate the effect of herbal medicine therapy in the chronic sinusitis before and after treatment using computed tomograpy (CT) and plain radiograpy. Materials and methods: Ninty patients (45 mail and 45 femail) treated in our hospital between February 1998 and August 1999 were studied. Ages ranged from 3 to 13 years (mean age :6.5 years). Sixty two patients had a underlyiing family history (allergy or sinusitis of parents or brothers), In the past history, 68 patients had asthma, allergy of milk, atopic dermatitis, bronchiollitis and irritable bowel syndrom. Illness period was from 10 days to 96 months (mean period:12.4 month). Duration of treatment were from 25 days to 200days (mean:96 days). To ascertain the efficacy of treatment, CT in the 42 and plain radiopgrapy in the 48 patients were checked out. In the CT, three images were obtained 2cm interval on the coronal and axial plan. CT findings of the chronic sinusitis were analyzed for mucoperiostal thickening before and after treatment using 4 grades;(normal, mild, moderate, severe). Normal was defined as below 3mm thickening of mucoperiosteum; mild was 3-5mm thickening; moderate was 5mm-1cm thickening; severe was above 1cm thickening. Plain radiograpy using Water's view provided maxillary sinus, anterior ethmoid sinus, frontal sinus. Normal was defined as simillar to density between sinus and oronasal cavity; mild was defined as generally increased density with no significant mucoperiosteal thickning; moderate was partial mucosal thickening without bony hypertropy; severe was total haziness with mucoperiosteal thickening. Gamihyunggyeyungyo-tang was administered mainly. Gamigwaghyangjeungki-san, Gamizwakwi-eum and Gamihyangso-san were administered for through oral route additional symptoms Results: Of the 90 patients, 84 patients showed complete recovery (93%), 4 patients showed no significant interval change(4%) and 2 patients were aggrevated (2%). Sixty patients were severe(67%) and 26 patients were moderate (29%), 4 patients were mild(4%) The duration of treatment was varied with patient conditions (91 days in average); severe were 101.7 days, moderate were 70 days and mild were 63 days. Fifty three patients with maxillary and ethmoid sinusitis were 114 days, 35 patients with maxillary sinusitis only were 71.5 days. Fifty eight patients with both maxillary sinusitis were 94.6 days, 26 patients with either maxillary sinusitis were 65 days. The symtoms of chronic sinusitis were nasal obstruction(75%), cough(69%), purulunt or mucosal discharge(62%), lymphoid follicle(54%), postnasal dripping(49%), headache(23%) and nose bleeding(22%). Conclusion: We know that herbal medicine therapy is the effective treatment of pediatric chronic sinusitis using plain radiograpy and CT. The duration of treatment may be significant assosiation with the location and degree of chronic sinusitis.

• 한국임상수의학회지
• /
• 제27권5호
• /
• pp.622-625
• /
• 2010

고양이의 귀에서 발생하는 염증성 용종은 중이 또는 귀이두관에서 유래하여 인두 또는 외이도관으로 파급되는 비종양성, 염증성 성장을 말한다. 두 마리의 2세령 암컷 고양이(Russian blue)가 이도 삼출물, 외이의 가피 형성, 머리 또는 귀를 흔드는 증상을 약 2-3주간 나타내었다. 이도에서 외과적으로 적출한 두 개의 종괴를 검사하였다. 병리조직학적으로 이 종괴들은 증식된 섬모상피 또는 비각화중층편평상피로 피복되어 있으며, 부분적인 미란 또는 궤양이 형성되어 있었다. 종괴는 증식된 결합조직과 광범위한 단핵세포 침윤으로 구성되어 있었다. 면역조직화학 염색을 실시한 결과 약 90%의 단핵세포들은 CD3 양성인 T 림프구로 증명되었다. 종괴에 대한 중합효소연쇄반응을 실시하였으나 바이러스 병원체는 모두 음성으로 확인되었다. 따라서 임상 소견 및 병리학적 소견을 토대로 두 종괴는 고양이의 중이에서 유래한 염증성 용종으로 확진되었다.

• 한국인터넷방송통신학회논문지
• /
• 제15권3호
• /
• pp.169-173
• /
• 2015

이 논문은 사용한지 13년 지난 운전 중 22 kV 케이블시스템을, 7년 동안 절연저항을 측정하여 그 결과를 연구한 논문이다. 우리는 발전소에서 설치 운전 중인 고전압 케이블이 시간에 따라 성능이 악화되는 현상의 추세를 결정하는 수명지수를 파악하였다. 위한 논문이다. 케이블 시스템은 시간에 따라 절연 저항이 감소한다. 초기 케이블 시스템은 아레니우스 열화 곡선을 따른다. 초기에는 수명 지수 n값이 9로 설계하였고, 이후 n값을 상향하여 16으로 결정하였다. 이유는 고전압에서 케이블이 동작할 경우, n값이 클 때 파괴특성이 높지 않고, n값이 낮은 값에서 파괴특성이 높았기 때문이다. 그러나 전압열화에 의하여 와이블 프롯을 따른 v-t 특성에 의하여 n값은 10~11의 값을 갖는 것을 확인하였다. 과거 케이블 설계 시 정한 n=9의 이론적 근거와 n=16 으로 높아진 원인을 파악함으로써 누설 전류 및 절연 저항의 선형적인 변화를 확인하였다. 단기적으로는 운전 중 케이블 시스템의 진단 평가에 활용되며, 장기적으로는 발전소 부하에서 동작 중인케이블 시스템의 설치 및 운영에 있어서 원가를 절감하기 위한 노력에 기여하고자 한다.

• 한국가스학회지
• /
• 제22권1호
• /
• pp.18-25
• /
• 2018

산업의 발전에 따라 화학물질 중 독성물질의 종류와 사용량도 함께 증가하였고 이에 따라 산업현장에서의 사고 발생 가능성과 사고 영향성도 높아질 것으로 예측된다. 특히 독성물질의 누출은 인명 및 인근 지역의 환경에 치명적인 피해를 주기 때문에 누출사고 시 대피 및 안전거리 계산은 매우 중요하다. 이에 본 연구에서는 액체성상의 독성물질의 경우 알고리즘을 새롭게 제시하였으며, 벤젠 및 아크릴로나이트릴을 선정하여 영향범위에 대하여 알아보고자 한다. 시나리오는 화학물질 안전원의 지침대로 최악의 시나리오 분석 시 10분간 전량 방출할 경우와, 즉시 방출하여 독성 액체가 방류벽을 범람할 경우로 하였으며 대안의 시나리오는 저장용기의 연결된 배관의 부분 파열로 인하여 누출공이 생긴 경우로 하였다. 각각의 시나리오에서 방류벽의 유무를 중심으로 연구를 진행하였으며 그로부터 기상 및 지형조건에 따라 ALOHA(Areal Locations of Hazardous Atmospheres) 프로그램을 사용하여 ERPG-2(Emergency Response Planning Guideline) 농도의 끝점 도달거리를 알아보았다. 그 결과 데이터를 통하여 그래프 및 회귀식으로 나타내었고, 이러한 자료는 피해범위를 예측함으로써 비상상황 발생 시 비상대책 자료로 활용될 수 있기를 기대한다.

• 대한간호
• /
• 제36권3호
• /
• pp.49-69
• /
• 1997

The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

• 한국작물학회지
• /
• 제49권3호
• /
• pp.167-171
• /
• 2004

콩나물 재배에서의 살수방법과 그에 따른 콩나물 생육형태와 수율변화를 비교해본 결과 다음과 같다. 1. 살수방식에 따른 콩나물의 생육에 큰 차이를 나타내었으며, 왕복살수형, 용기담수형, 고정살수형 중 고정살수형 방식(재배통 상부에 하부타공된 고정형 물통설치에 의해 샤워형태로 살수)은 살수시 일시에 물을 샤워형식으로 쏟아내려 재배통 내부의 품온저하($22^{\circ}$ 유지), 내부 gas 배출, 유기물 제거 등의 효과가 탁월하여 콩나물 생육에 있어 몸통길이 13.3 cm로 다른 형식(15.2 cm, 15.9 cm)에 비해 짧았으나, 몸통두께(2.19 mm), 수율(535%)은 높게 나타나, 외관이 양호하고 부패가 억제되어 선도가 가장 잘 유지되었으며, 또한, 콩나물 재배시 필요한 용수량의 경우는 1회 살수량이 250∼300 L/통(원료콩 투입량 50 kg/통 기준)가 가장 양호한 것으로 나타났다. 2. 고정살수형 방식은 내부 gas($\textrm{CO}_2$ 5% 이하)배출이 탁월하여 재배완료 후 콩나물의 색택향상 및 부분부패 방지효과 등을 나타내는 장점이 있었으며, 재배 6일차에 재배통 하부(바닥깔판으로부터 약 30 cm이내)의 $\textrm{CO}_2$ 농도는 4-6%, $\textrm{O}_2$ 농도는 13-14%이었다. 따라서 재배시 재배통내 적정 gas조건은 농도 10% 이상, $\textrm{CO}_2$ 농도 5% 이하로 유지되어야 할 것으로 판단되었다. 3. 살수방식에 따른 재배통내의 품온 변화에서도 고정살수형 방식(4일차, $20^{\circ}$)이 용기담수형 방식(4일차, $22^{\circ}$)보다 품온 억제가 양호하여 콩나물의 생육향상 및 부패 등을 방지하므로 건강한 콩나물 생산의 중요한 요인임을 알 수 있었다.되지 않은 부분에 대해서 안전성 확보를 위하여 더 자세한 연구가 필요하다..6%이었다.program should be prepared through the long-period of monitoring and experiment. System methods such as guidelines of management program through monitoring was also required due to the emphasis on public ownership among the managers of the invasive species. 보이며 가장 높은 평가를 받았으며, chlorella 향, 단맛, 신맛에 있어서도 비교적 우수한 평가를 받아 관능적으로 높은 기호도를 나타내었고 올리고당의 첨가량은 20% 첨가시 후미와 전체적인 기호도에서 가장 좋게 평가되었다.ts might or might not be for tobacco use. However, most of the cigarette companies self impose a list of ingredients to guide flavor suppliers to design flavors. Unfortunately, the number of ingredients in those lists is getting shorter every year. It is understandable that the health is not the only reason. Some cigarette companies are playing safe to protect the company from potential lawsuit, while others are just copying from their competitors. Moreover, it is obvious that it needs more assistance from casings and