충남대학교병원 마취발전의 경향에 관한 분석 : 1967년부터 - 1996년까지 from 1967 to 1996

최세진,김상수,정규돈,윤석화,신용섭,손수창,이원형,김혜자,이정은 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

To evaluate the specificity and historical trends of the anesthesia in Chungnam National University Hospital, anesthetic experiences of 83,572 in total performed at Chungnam National University Hospital from January 1967 to December 1996 were analyzed statistically and clinically according to age, sex, surgical department, physical status, elective and emergency surgery, premedicants, IV anesthetics, anesthetic methods, inhalational anesthetics, muscle relaxants. The results were as follows : 1. The number of cases has been steadily increased year by year. 2. The ratio of male to female was 52.8% : 47.2%. 3. According to the age, There were 44,905 cases (54%) in the group of 13-45 years. 4. According to the ASA classification of physical status, most of the cases were belonged to the class 1 & 2 (72.5%). 5. The ratio of elective to emergency was 79.4% to 20.6%. 6. Recently, glycopyrrolate has been used increasingly. 7. Thiopental sodium has been mainly used for intravenous induction agent. 8. General anesthesia has been used mainly. 9. Enflurane is the most common inhalational anesthetic agent. but Isoflurane has been used increasingly. 10. Most of muscle relaxants are Pancuronium & Vecuronium(84.5%).

대두유 첨가 냉동저장 녹두전분겔의 품질특성

최은정, 오명숙 가톨릭대학교 생활과학연구소 2011 생활과학연구논집 Vol.31 No.1

다발성 골수종

최은숙,고광준 大韓口腔顎顔面 放射線學會 1993 Imaging Science in Dentistry Vol.23 No.2

This is a report of multiple myeloma occurred in the left mandibular body and skull. 66-year-old patient was referred to our hospital with a complaint of painful swelling on the left mandibular body area. The author diagnosed it as a multiple myeloma by the clinical examination, radiographic findings, laboratory findings and the histopathological findings. The purpose of this report is to aid in the diagnosis of multiple myeloma and to aid to differentiate it from malignant tumours. The characteristic features are as follows: 1. In clinical examination, painful swelling was observed in left mandibular body area. 2. In radiographic findings, radiograms showed relatively ill-defined radiolucency without sclerotic border in left mandibular body area. And also represented multiple punched-out radiolucency in the skull and pathologic fracture of vertebral body on lumbar 3 level. 3. In histopathologic findings, infiltration of abnormal plasma cells was observed. 4. In laboratory findings, decreasing of albumin/globulin ratio, hypercalcemia, renal impairment was observed, but we could not find the Bence-Jones protein in urin.

정맥내 주사로 인한 정맥염 발생의 다기관 공동 역학 조사 : 서울, 경기도 6개 종합병원을 대상으로:Focused on 6 hospitals in Seoul or Gyonggi-do, Korea

최정실,박은숙,진혜영,정선영,박미라,김정은,김금순 대한병원감염관리학회 2003 의료관련감염관리 Vol.8 No.2

상악골에 발생된 연골형성형 측피질골육종

최선영,고광준,최은숙 大韓口腔顎顔面 放射線學會 1998 Imaging Science in Dentistry Vol.28 No.2

39-year-old female had been treated for the exophytic mass on buccal aspect of the left maxillary posterior area 2 years and 8 months ago. Tentative diagnosis was obtained as fibrous dysplasia on clinical and radiographic examinations and histopathologic findings revealed as osteochondroma after bone trimming at that time. She revisited for the treatment of recurred lesions. We reviewed this case with clinical, radiologic and histopathologic standpoints retrospectively, and came to a conclusion that the tumor primarily occurred was juxtacortical osteogenic sarcoma and recurred due to inadequate treatment and then expanded over intramedullary. This case shows that the diagnosis of osteosarcoma should take account of the patient history, clinical, radiographic and histopathologic findings and it requires attentive follow up check. Retrospectively reviewed results were as follows ; At first visit, oral examination revealed a bony hard swelling on the buccal aspect of the left maxillary posterior area. Radiographically, a dense radiopaque mass was noted on the site. The lesion showed hot uptake of? Tc-MDP. Histopathologic diagnosis was done as osteochondroma, but it was considered as osteogenic sarcoma when compared with the recurrent lesion. When she revisited for the treatment of multiple bony swelling on the left maxilla, radiograms showed typical features of malignancy such as widening of periodontal ligament space and sunray appearace, and coincided with benign characters as follows ; relatively well circumscribed lesion and expansion and displacement of the adjacent structures. Finally, histopathologic findings of the lesion was well differentiated chondroblastic osteogenic sarcoma.

만성 재발성 소아 흉통의 원인 질환과 임상양상

최은정,이은아,이창우,최두영,오연균,김종덕,윤향석 대한소아과학회 2004 小兒科 Vol.47 No.6

안면골 외상환자의 전산화단층상을 이용한 삼차원재구성상의 비교 연구

최은숙,고광준 大韓口腔顎顔面 放射線學會 1994 Imaging Science in Dentistry Vol.24 No.2

The purpose of this study was to clarify the spatial relationship in presurgical examination and to aid surgical planning and postoperative evaluation of patients with facial bone injury. For this study, three-dimensional images of facial bone fracture were reconstructed by computed image analysis system and three-dimensional reconstructive program integrated in computed tomography. The obtained results were as follows: 1. Serial conventional computed tomograms were value in accurately depicting the facial bone injuries and three-dimensional reconstructive images demonstrated an overall look. 2. The degree of deterioration of spatial resolution was proportional to the thickness of the slice. 3. Facial bone fractures were the most distinctly demonstrated on inferoanterior views of three-dimensional reconstructive images. 4. Although three-dimensional reconstructive images made diagnosis of fracture lines, it was difficult to identify maxillary fractures. 5. The diagnosis of zygomatic fractures could be made equally well with computed image analysis system and three-dimensional reconstructive program integrated in computed tomography. 6. The diagnosis of mandibular fractures could be made equally well with computed image analysis system and three-dimensional reconstructive program integrated in computed tomography.

Skin entrance dose for digital and film radiography in Korean dental schools

Cho, Eun-Sang,Choi, Kun-Ho,Kim, Min-Gyu,Lim, Hoi-Jeong,Yoon, Suk-Ja,,Kang, Byung-Cheol 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

Purpose : This study was aimed to compare skin entrance dose of digital radiography with that of film radiography and to show the dose reduction achievement with digital systems at 11 dental schools in Korea. Materials and Methods : Forty six intraoral radiographic systems in 11 dental schools were included in this study. Digital sensors were used in 33 systems and film was used in 13 systems. Researchers and the volunteer visited 11 dental schools in Korea. Researchers asked the radiologic technician (s) at each school to set the exposure parameters and aiming the x-ray tube for the periapical view of the mandibular molar of the volunteer. The skin entrance doses were measured at the same exposure parameters and distance by the technician for each system with a dosimeter (Multi-O-Meter : Unfors instruments, Billdal, Sweden). Results : The median dose was 491.2 μGy for digital radiography and 1,205.0 μGy for film radiography. The skin entrance dose digital radiography was significantly lower than that of film radiography (p<0.05). Conclusion : Fifty-nine percent skin entrance dose reduction with digital periapical radiography was achieved over the film radiography in Korean dental schools.

공간구조와 보행량을 고려한 도시조명계획 방법론에 관한 연구

오은숙,김영욱,최안섭 대한건축학회 2003 대한건축학회논문집 Vol.19 No.10

As interests on illumination recently arise all over the world in the point of urban environmental view, people widely use illumination for urban environment as environmental art and making economical profits. In domestic, illumination widely takes part in improving the quality of night urban environment and attracting tourists. However, not like above intentions, since urban plan does not include urban illumination plan as a part and promotes it separately, we had to take the burden of economical loss and environmental quality deterioration. Consequently, this study analyzes space syntax and space using pattern objectively, and applied the Space Syntax Theory, which is used worldly for checking problems in planning, designing of existing cities, and buildings, in order to study the relationship with space characteristic factor and special factors in illumination plan, and then design illumination intensity estimation model through space syntax characteristic factors. Based on above results, this study suggests the methodology of illumination intensity plan using Space Syntax Theory for changes in space syntax or illumination plan for new cities in the future.

가출청소년의 분노감소를 위한 REBT 미술치료 사례연구

강은숙,최은영,공마리아 대구대학교 특수교육재활과학연구소 2008 再活科學硏究 Vol.26 No.2

본 연구는 가출청소년에게 REBT에 근거한 미술치료를 실시하여 가출청소년의 분노 경감에 효과가 있다는 것을 검증하였다. D시에 있는 가출청소년 쉼터에서 의뢰된 3명의 가출소녀에게 2007년 3월 1일부터 4월 19일까지 약 6주 동안 1주일에 2회기씩 미술치료를 실시하였다. 연구의 효과를 측정하기 위해 비합리적 신념 검사(Irrational Belief Test)를 사전 사후에 검사하여 점수를 보았고, 척도의 내용의 변화를 비교하였으며, 미술치료 회기별로 사고의 변화의 질적 분석을 하였다. 그리고 분노 경감의 효과를 측정하기 위해 분노행동인 이차적 분노사고적 언어 사용 빈도를 관찰하여 빈도 변화를 도표화하여 비교 제시 하였다. 미술치료 프로그램의 단계는 친밀감 형성과 목표 정하기, REBT이론 설명단계, 비합리적인 신념에 대한 논박 단계, 사고 탐색 단계, 문제해결 단계, 종결로 구성하여 진행하였다. 본 연구 결과는 REBT에 근거한 미술치료가 가출청소년의 분노로 인한 비합리적인 신념들을 합리적인 신념으로 바꾸는 교육과 연습을 미술 작업과 함께 함으로써 분노의 수준이 낮아지는 효과가 있음을 확인하였다. 가출청소년을 대상으로 하는 미술치료는 1회성 실시가 아니라 지속적인 프로그램 실행이 필요하고 대상에 대한 관심과 애정으로 접근하는 것이 중요하다. The purpose of this study was to investigate the effect of art therapy based on REBT that affects the anger alleviation of runaway homeless youths. The study was conducted on three girls from runaway and homeless shelter in D city, and the art therapy program was carried out weekly 2 sessions for 6 weeks from March 1 to April 19, 2007. The change of the grade was examined between the pre/post Irrational Belief Test, the changes of items in each scale were compared and the change of thought was analysed in each session to evaluate the effectiveness of the research. And for evaluation of the effectiveness of anger alleviation, the changes of frequency were presented and compared as graphs after observing secondary anger thought-verbal, which is an anger behavior. The art therapy program was composed of following steps: rapport, establishing goal, explaining REBT theory, investigation track dysfunctional schema, problem solving and a close. The conclusion of this study ascertained the fact that the art therapy based on REBT resulted in positive changes on the level of anger by applying the education and practice which change the irrational belief caused by runaway and homeless youths' anger to rational belief. It is suggested that art therapy for runaway and homeless youths has to be carried out not as an one-off performance but as a continuing program with concern and affection to them. 본 연구는 가출청소년에게 REBT에 근거한 미술치료를 실시하여 가출청소년의 분노 경감에 효과가 있다는 것을 검증하였다. D시에 있는 가출청소년 쉼터에서 의뢰된 3명의 가출소녀에게 2007년 3월 1일부터 4월 19일까지 약 6주 동안 1주일에 2회기씩 미술치료를 실시하였다. 연구의 효과를 측정하기 위해 비합리적 신념 검사(Irrational Belief Test)를 사전 사후에 검사하여 점수를 보았고, 척도의 내용의 변화를 비교하였으며, 미술치료 회기별로 사고의 변화의 질적 분석을 하였다. 그리고 분노 경감의 효과를 측정하기 위해 분노행동인 이차적 분노사고적 언어 사용 빈도를 관찰하여 빈도 변화를 도표화하여 비교 제시 하였다. 미술치료 프로그램의 단계는 친밀감 형성과 목표 정하기, REBT이론 설명단계, 비합리적인 신념에 대한 논박 단계, 사고 탐색 단계, 문제해결 단계, 종결로 구성하여 진행하였다. 본 연구 결과는 REBT에 근거한 미술치료가 가출청소년의 분노로 인한 비합리적인 신념들을 합리적인 신념으로 바꾸는 교육과 연습을 미술 작업과 함께 함으로써 분노의 수준이 낮아지는 효과가 있음을 확인하였다. 가출청소년을 대상으로 하는 미술치료는 1회성 실시가 아니라 지속적인 프로그램 실행이 필요하고 대상에 대한 관심과 애정으로 접근하는 것이 중요하다. The purpose of this study was to investigate the effect of art therapy based on REBT that affects the anger alleviation of runaway homeless youths. The study was conducted on three girls from runaway and homeless shelter in D city, and the art therapy program was carried out weekly 2 sessions for 6 weeks from March 1 to April 19, 2007. The change of the grade was examined between the pre/post Irrational Belief Test, the changes of items in each scale were compared and the change of thought was analysed in each session to evaluate the effectiveness of the research. And for evaluation of the effectiveness of anger alleviation, the changes of frequency were presented and compared as graphs after observing secondary anger thought-verbal, which is an anger behavior. The art therapy program was composed of following steps: rapport, establishing goal, explaining REBT theory, investigation track dysfunctional schema, problem solving and a close. The conclusion of this study ascertained the fact that the art therapy based on REBT resulted in positive changes on the level of anger by applying the education and practice which change the irrational belief caused by runaway and homeless youths' anger to rational belief. It is suggested that art therapy for runaway and homeless youths has to be carried out not as an one-off performance but as a continuing program with concern and affection to them.