소아 야뇨증에 대한 임상적 고찰

김승수,곽병곤,김영대,김우경,김영균,이종국 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Objectives: The aim of this study was to describe the clinical characteristics of enuretic children and to evaluate the efficacy of treatments. Methods: Our study subjects enrolled were 52 children with nocturnal enuresis, who visited outpatient clinic of pediatrics in Seoul Paik Hospital and Ilsan Paik Hospital, during the period from October 1998 to August 2004. The data of gender, age, family history, symptom, clinical type of enuresis and drug therapy were collected and analyzed retrospectively. Results: The male : female ratio was 2.25 : 1. The mean age at diagnosis was 6.8 years with an age range from 4.3 years to 12.5 years. Fourty five cases(86.5%) were diagnosed as primary enuresis and 7 cases(13.5%) were diagnosed as secondary enuresis. A family history of enuresis was noted in 5 cases(9.6%) including 4 cases with parental enuresis history. The accompanying urinary symptoms were urgency(11.5%), frequency (7.7%), and dysuria(2.0%). Conclusion: We found frequent occurrences of enuresis in boys and primary type and an occasional association with a family history of enuresis. The two main treatment modalities were behavior control with an alarm system and drug therapy with imipramine, desmopressin, or oxybutynin. We recommend continuous drug medications to control nocturnal enuresis along with encouragement.

전문대학 간호과 통합교과과정 개발에 관한 연구

김영희,김정수,김정애,방숙명,배경진,이애경,장은정,정안순,주미경,최나영 경복대학 1998 京福論叢 Vol.2 No.-

교과과정의 조직은 체계적이고 뜻이 있는 순서로 학생들을 가르치기 위해 지식을 어떻게 조직화할 것인지와, 과목들 사이에서 공통된 내용은 통합시켜 중첩되는 일이 없도록 조정할 필요가 있다. 이에 현재 본 대학 간호과에서 운영되었던 97학년도의 17개 전공과목들의 교과과정의 내용을 비교, 분석하여 중복을 줄이며 순차적 지식의 습득을 도모하는 새로운 통합교과과정의 틀을 개발, 제시함으로써 보다 나은 전문직 간호교육이 이루어지도록 하고자 하였다. Most curricula are considered how to teach the student in systematic and meaningful orders. And it is necessary to coordinate the duplicate contents in major subjects in nursing. So this study was designed to set up a new comprehensive curriculum through comparing and ananlyzing each seventeen major subjects in Nursing Department of Kyung-Bok College. Therefore, the purpose of this study is to present the new comprehensive curricula for promoting the efficiency and effectiveness in diploma degree course of nursing education.

용접공들의 면역능에 관한 연구

이수일,조봉수,김영욱,고광욱,조원근,김영실,강수용,황인경,조병만,김돈균 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.1

The authors examined human immunity indicators such as CD4, CD8, Natural Killer(NK) cell, IgG, IgA, and IgM, and heavy metals such as Pb, Cr, Cd to evaluate the health hazard of welders. We selected total 126 male subjects, 60 welders who had more than 5 year working history as an exposure group, and 66 office workers and medical college students as a control group. This immunity evaluation approach is the first newly designed study that has never been tried in past studies on welder's heath evaluation. And the results were as follows. 1. Total lymphocyte count of peripheral blood was significantly higher in welder group, 2,615±650 ea/㎕ compared with 2,368±681 ea/㎕ in control group(p>0.05). 2. The proportion of CD4, CD8, NK cell in welder group was 37.5±9.4%, 24.0±8.8%, and 21.0±9.5%, respectively, and 35.5±6.5%, 25.0±6.9%, and 19.6±8.8% in control group. CD4 and NK cell were slightly higher, and CD8 was slightly lower in welder group. but there was no statistical significance between two groups(p≥0.05). 3. IgG, IgA, and IgM in welder group were 15.9㎎/㎗, 2.7㎎/㎗ and 1.5㎎/㎗, respectively, and 15.6㎎/㎗, 2.9㎎/㎗ and 1.7㎎/㎗ in control group. There was no statistical significance between two groups(p≥0.05). 4. Blood lead, cadmium and chromium concentrations were 4.2±1.8㎍/㎗, 0.4±0.38㎍/㎗, 1.2±0.6㎍/㎗ in welder group and 3.2±1.7㎍/㎗, 0.44±0.29㎍/㎗, 1.1±0.6㎍/㎗ in control group, respectively, and these value were within normal ranges.

Helicobacter Pylori 감염의 유병률과 위험요인에 관한 연구

이후락,김영욱,김돈균 대한보건협회 1999 대한보건연구 Vol.25 No.1

H. pylori 감염은 만성위염과 소화성 궤양의 원인인지로 작용하며 위암발생과도 밀접한 관련성이 있는 것으로 증명되어 기존의 위·십이지장 질환의 치료와 관리에 많은 변화를 가져오고 있다. 저자는 H. pylori 감염의 유병률을 추정하고 감염과 관련되는 위험요인을 조사할 목적으로 부산광역시와 경상남도에 거주하는 소아, 청소년 및 성인 1,466명을 대상으로 1996년 4월부터 8월에 걸쳐 본 연구를 시행했다. 연구대상자들의 혈청에 존재하는 H. pylori IgG 항체는 Enzyme Linked immunosorbent Assay(ELISA) 방법으로 측정했으며 설문조사를 통해 기본적인 인구학적 특성, H. pylori 감염과 관련되는 요인에 관한 정보를 얻었다. 연구대상자들의 총 H. pylori 감염률은 33.1%였고 이를 1996년 한국표준인구로 환산한 연령보정 표준화 유병률은 51.5%로 우리나라 사람의 반 이상이 H. pylori에 감염되어 있는 것으로 추정된다. 성별 연령보전 표준화 유병률은 남자49.8%, 여자 53.7%로 여성이 남성보다 약간 높았다. 연령군별 H. pylori 감염률은 1∼9세군의 10.0%에서 60세 이상군의 76.1%까지 연령이 증가함에 따라 유병률도 비례해 증가하는 양상을 보였다(x2 for trend=460, p<0.0001). 특히, 1∼3세 연령군에서 학동기전 연령인 4∼6세군간에 유병률의 차이가 없으나 초등학교 1, 2, 3 학년 연령인 7~9세군 간에 갑작스런 유병률의 상승이 관찰되어 이 시기부터 H. pylori 감염이 본격적으로 시작되는 것으로 추측된다. 소아 및 청소년의 경우, 다변량 로짓 희귀 모델에서 연령과 가족수가 H. pylori 감염과 유의한 상관관계를 보였으며 특히, 연령은 1∼3세에 비해 16∼19세 군의 교차비(95% 신뢰구간)가 7.1(1.9-26.3)로 H. pylori 감염의 가장 강력한 예측인자인 것으로 나타났다. 가족수 1∼3명을 기준으로 4∼5명의 교차비는 2.0(1.0-4.0), 6명 이상의 교차비는 2.8(1.3-6.0)이었다. 성인의 경우 소아 및 청소년에서와 마찬가지로 연령과 가족수가 H. pylori 감염의 유의한 위험요인 이었다. Helicobacter pylori is now recognized as a causative agent of chronic gastritis and peptic ulcer, and strongly associated with the development of gastric carcinoma, by the sensitive and specific serologic ests to indentify the individuals infected with Helicobacter pylori, the epidemiologic features of this diseases have been investigated. But its transmission route is not established, yet. The purposes of this study is to estimate the prevalence of Helicobacter pylori infection in health children and adults and to evaluate the risk factors for Helicobacter pylori infection in Korea. The observed overall seropositivity rate, as determined by detecting IgG antibodies to Helicobacter pylori by using ELISA. was 33.1% and the age adjusted standardized prevalence rate was 51.5%. Also, age adjusted sex-specific standardized prevalence rates were 49.8% in male and 53.7% in female. The prevalence rate was increased progressively from 10.0% in the age group 1~9 years to 76.1% in the age group above 60 years(x2 for trend=460, p<0.001). Especially, the rate increased abruptly from 6.3% in the age group 4~6 years to 13.8% in the age group 7~9 years, and this suggested that elementary school age would be the beginning time of Helicobacter pylori infection in good earnest. In case of age group 1~19 years, age and the numbers of family member in the house were statistically significant risk factors for Helicobacter pylori infection in multivariate logistic regression model. Especially, adjusted odds ratio(95% CI) for Helicobacter pylori infection in the age group 16~19 years referent to age group 1~3 years was 7.1(1.9-26.3), so age was the strongest predictive factor for Helicobacter pylori infection. In case of age group more than 20 years, age and number of family members were statistically significant risk factors for Helicobacter pylori infection in multivarite logistic regression model.

Development of Characteristics Analysis Program for Wound Rotor Synchronous Motor

Young-kyoun Kim(김영균),Seok-Keum Son(손석금),Joon-Seon Ahn(안준선),Jong-Chan Park(박종찬) 대한전기학회 2018 대한전기학회 학술대회 논문집 Vol.2018 No.-

Acupuncture and Spontaneous Regression of a Radiculopathic Cervical Herniated Disc

Kim, Sung-Ha,Park, Man-Young,Lee, Sang-Mi,Jung, Ho-Hyun,Kim, Jae-Kyoun,Lee, Jong-Deok,Kim, Dong-Woung,Yeom, Seung-Ryong,Lim, Jin-Young,Park, Min-Jung,Park, Se-Woon,Kim, Sung-Chul KOREAN PHARMACOPUNCTURE INSTITUTE 2012 Journal of pharmacopuncture Vol.15 No.2

The spontaneous regression of herniated cervical discs is not a well-established phenomenon. However, we encountered a case of a spontaneous regression of a severe radiculopathic herniated cervical disc that was treated with acupuncture, pharmacopuncture, and herb medicine. The symptoms were improved within 12 months of treatment. Magnetic resonance imaging (MRI) conducted at that time revealed marked regression of the herniated disc. This case provides an additional example of spontaneous regression of a herniated cervical disc documented by MRI following non-surgical treatment.

Analytical Study Considering Both Core Loss Resistance and Magnetic Cross Saturation of Interior Permanent Magnet Synchronous Motors

Young-Kyoun Kim 한국자기학회 2012 Journal of Magnetics Vol.17 No.4

This paper presents a method for evaluating interior permanent magnet synchronous motor (IPMSM) performance over the entire operation region. Using a d-q axis equivalent circuit model consisting of motor parameters such as the permanent magnetic flux, copper resistance, core loss resistance, and d-q axis inductance, a conventional mathematical model of an IPMSM has been developed. It is well understood that in IPMSMs, magnetic operating conditions cause cross saturation and that the iron loss resistance ? upon which core losses depend ? changes according to the motor speed; for the sake of convenience, however, d-q axis machine models usually neglect the influence of magnetic cross saturation and assume that the iron loss resistance is constant. This paper proposes an analysis method based on considering a magnetic cross saturation and estimating a core loss resistance that changes with the operating conditions and speed. The proposed method is then verified by means of a comparison between the computed and the experimental results.

Application of Response Surface Methodology to Robust Design of BLDC Motor

Young-Kyoun Kim,Jae-Ok Jo,Jung-Pyo Hong,Jin Hur 대한전기학회 2002 KIEE International Transactions on Electrical Mach Vol.12B No.2

급성 괴사성 뇌증 1례

김성기,오세욱,김영균,함세창,박용원,김상우 대한소아과학회 2001 小兒科 Vol.44 No.8

소아에서 Kikuchi 병으로 진단된 4례

김남출,김영균,이종국,김한성 인제대학교 백병원 2003 仁濟醫學 Vol.24 No.1

Kikuchi-Fujimoto disease, or histiocytic necrotizing lymphadenitis, is a benign self-limiting disease that was initially described in Japan by Kikuchi and Fujimoto. independently as a disease affecting young Asian females in 1972. Later on, this entity started to be described worldwide. The cause is unknown and it manifests as fever and cervical lymphadenopathy with or without local pain. This constellation of symptoms, in the presence of a characteristic histiocytic necrotizing lymphadenitis, provides the clinicopathologic diagnosis. Kikuchi's disease follows a benign course, but shoud be differentiated from other diseases such as malignant lymphoma, tuberculous lymphadenitis and so on. Kikuchi's disease might be associated with systemic lupus erythematosus. We report 4 cases of Kikuchi's disease that occurred in children with the review of literatures.