병사의 현역병건강보험 이용행태와 이에 영향을 미치는 요인 분석

하범만 ( Beom-man Ha ),박지훈 ( Ji-hoon Park ) 국군의무사령부 2011 대한군진의학학술지 Vol.42 No.1

Objective: The purpose of this study was to investigate enlisted man's health utilization behavior of national health insurance system and it's factors influencing. Methods : Questionnaire was made through literature review, and pilot study. 1,077 enlisted men who utilized civilian medical facility responded to the survey. Data was collected by self-administered questionnaire between Aug. and Sep. 2010, and analysis by SPSS WIN 14.0. employing chi-square, multiple logistic analysis. Results: The rank which enlisted men's first visit to civilian medical facility was a private, and mean number of civilian medical facility visit was 1.73. Most common facilities they used are medical(78.8%), dental(17.5%), and oriental medicine(3.7%). 64.3% of facility they used was near his home. 40.9% of respondents said they selected facility for near the home. 37.3% of respondents said the reason utilizing civilian medical facility was civilian medical facility is superior to military medical facility. 51.4% of respondents didn't satisfy the explanation for this system. Their parents(55.3%) was most influenced on enlisted men's choice of facility. The factors influencing enlisted man's health utilization behavior of national health insurance system were non-combat branch of the service(OR=1.96), having private insurance(OR=1.90), not recognize the burden of medical cost(OR=1.21). Conclusion: In conclusion above results were helpful to develop the policy witch decreasing the costs of health insurance.

편측 협응훈련에 의한 운동신경망의 재조직 및 교차훈련의 효과

박지원,김종만,서정환,김연희 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.3

We report the reorganization of motor network resulted from intensive unilateral coordination training and the effect of cross education on the untrained side in patient with traumatic brain injury using functional magnetic resonance imaging (fMRI). A 22 year-old male patient who had suffered from diffuse axonal injury for 58 months showed coordination deficit in the left hand at initial examination. Intensive motor training including complex finger movements and coordination activities using a metronome was introduced to the patient 4 hours per day for a week. FMRI was performed on a 3T ISOL Forte scanner. All functional images were analyzed using SPM-99 software. Hand function was improved after training not only in the trained lefr hand, but also in the untrained right hand. There was no activation in the right primary motor area (M1) during left hand movement before training whereas robust activation of left M1 was demonstrated by the right hand movement. Profuse activation of bilateral prefrontal lobes was seen during both hand movements before training. After training of left hand, right M1 became prominently activated during the left hand motion. The activation of bilateral prefrontal lobes disappeared after training not only for the left hand movement but also for the right, which clearly demonstrated the effect of cross education. This case report demonstrated the learning-dependent reorganization of the M1 and the effect of cross education.

거제지역 당뇨병 및 고혈압 환자의 복합질병 위험요인

박필숙,정기만,김종현,백지현,박미연 한국식생활문화학회 2003 韓國食生活文化學會誌 Vol.18 No.2

The purpose of this study is to compare the correlation of clinical characteristics and patterns of disease. Subjects of the study were the adults(207) living in Geoje City, the diabetes mellitus and the hypertension patients(166) and the normal people(41). In the diabetes mellitus group and the hypertension group, blood pressure, blood glucose, total cholestero LDL-cholesterol and atherogenic index(AI) were significantly high. As the obesity index was getting higher, the blood pressure of the diabetes mellitus group was high, and the HDL-cholesterol of the hypertension group was low, but AI of it was significantly high. The AI was significantly high as serum lipid index were getting higher in both groups. The rate of the prevalence was very high in the diabetes mellitus group(74.3%) and the hypertension group(73.7%). The pattern in the diabetes mellitus group was in order of the hypertension, the hyperlipidemia, and the obesity but, in the hypertension group was the hyperlipidemia, and the obesity. The obesity index and serum lipid index of complex patient group were higher than single patient group.

Case Report : Hepatoid Carcinoma of the Pancreas Combined with Neuroendocrine Carcinoma

( Ji Ye Jung ),( Yoon Jae Kim ),( Hee Man Kim ),( Hong Jeoung Kim ),( Seung Woo Park ),( Si Young Song ),( Jae Bock Chung ),( Chang Moo Kang ),( Joo Yeon Pyo ),( Woo Ick Yang ),( Seung Min Bang ) The Editorial Office of Gut and Liver 2010 Gut and Liver Vol.4 No.1

Hepatoid carcinoma is a primary extrahepatic carcinoma whose morphology, immunohistochemistry, and behavior are similar to those of hepatocellular carcinoma. The most common sites of extrahepatic carcinoma are the stomach and ovary, but nine cases of hepatocellular differentiation of the pancreas have been reported in the literature. We report another case of hepatoid carcinoma of the pancreas that was associated with the development of a pancreatic endocrine carcinoma in a 46-year-old man. Serum alpha-fetoprotein (AFP) was elevated to 262.49 IU/mL and radiological examinations revealed a mass measuring 7.5 cm in diameter in the head of the pancreas. He underwent a conventional Whipple operation, and light microscopy showed adenocarcinoma that was immunopositive for AFP, hepatocyte antigen, cytokeratin, chromogranin, synaptophysin, and alpha-1 antichymotrypsin. Although hepatoid differentiation was not shown unequivocally histologically, other immunohistochemistry findings supported the diagnosis of hepatoid carcinoma combined with neuroendocrine carcinoma. The patient was healthy and had no evidence of recurrence at 4 months after the surgery. This report describes why hepatoid carcinoma should be considered as a differential diagnosis of a pancreatic mass, especially when serum AFP is elevated. (Gut Liver 2010;4:98-102)

반복적 경두부 자기자극이 운동학습과 뇌 운동영역 활성화에 미치는 영향 : 예비연구

박지원,김종만,김연희 한국전문물리치료학회 2003 한국전문물리치료학회지 Vol.10 No.3

수종의 섬유보강재가 복합레진의 파절강도에 미치는 영향

박지만,조용범,홍찬의 대한치과보존학회 2000 Restorative Dentistry & Endodontics Vol.25 No.3

The effect of fiber reinforcing materials on the fracture strength of composite resin was evaluated. Each ten composite resin bars reinforced by glassfiber [Fiber-Splint MLR(polydentia SA. Switzerland)], polyethylene fiber [Ribbond R Ribbond Inc., U.S.A)] and polyaramid fiber [Kevlar R(DuPont U.S.A.)]were loaded under the 3-point compression technique. Another ten pure composite resin bars without reinforcement were used as a control group. Then mean fracture strength and standard deviation were calculated and a ANOVA and Scheffe test were used in statistics. The results were as follows: 1.Kevlar group showed the highest fracture strength as 175.5MPa (p〈0.05). Fiber-splint ML group showed the lowest fracture strength as 112.7MPa. 2.The mean value of fracture strength in Ribbond group was 136.4MPa, and that of ulcerated control group was 143.6MPa. No difference was found between the two groups. 3.Ribbond and Kevlar reinforcement groups showed a catastrophic failure, where complete separation of pieces occurs to a unaspirated fracture pattern. The use of Kevlar reinforcement fibers with composite resin showed significant increase in the average load failure and the presence of the fibers did prevent the catastrophic crack propagation present in the unreinforced samples. The use of Ribbond reinforcement fibers with composite resin showed no significant increase in the average load failure. However, the presence of the fibers did prevent the catastrophic crack propagation. Because high strength of glassfiber are rapidly degraded on exposure to moisture and humidity. The use of Fiber-splint ML reinforcement fibers with composite resin showed significant decrease in the average load failure and displayed catastrophic fractures.

나트륨-물 반응 사고 중/후반기 거동특성 연구

정지영,어재혁,정경채,김병호,김종만,김태준,박남국 한국공업화학회 2003 응용화학 Vol.7 No.1

Generally, the analysis of a sodium-water reaction (SWR) is classified by two major events. One is the very initial stage of peak pressure and shock wave propagation caused by the reaction itself, and the other is the bulk motion including the mass transfer phase in the quasi-steady state of the reaction period during several second or minute orders after leak initiation. The system dynamic response during a sodium-water reaction event shows very different characteristics between the initial stage and the long-term period. In order to investigate the later phase of a SWR event. the code SELPSTA (Sodium-water reaction Event Later Phase System Transient Analyzer) has been developed and the desing and construction of the test facility has been made.

자두 추출물을 이용한 미용비누 제조 및 여드름 환자에 대한 효과

한만덕 ; 윤옥현 ; 박동철 ; 박지원 김천대학교 2003 김천대학교 논문집 Vol.24 No.-

In this study, authors investigated the bathroom soap development using plum(Prunus salicina Lindl. cv. Soldam) extracts and studied the effects and safety of a plum soap on acne patients. For obtaining antibacterial material from dried plum, the serial extraction using organic solvent was carried out and gained of 0.2% hexane, 0.2% chloroform, 0.23% ethyl acetate, 9.8% butanol and 2.1% water extracts. The main bioactive contents of the soap were consisted of 0.006% plum extract, 0.1% glycyrrhiza extract, and 0.15% tocopheryl acetate. A clinical study of soap containg 0.006% plum extracts was carried out on three groups of people: a treatment and 2 control groups on acne patients. Efficacy and safety were assessed at baseline and at one month later. The group applving the soạp with plum extract felt better than the one applying the 2 control group. Some patients developed mild and transient local side effects. The plum soap didn't change at 40℃ and was 130 hardness. In conclusion, cleansing three times a day with a facial soap consisting 0.006% ethyl acetate extract of plum was found to be effective and safe for patients suffering from acne vulgaris

토양 미생물인 Streptomyces tubercidicus에서 분리한 GTPcyclohydrolase Ⅰ 저해제

한지만,김시욱,이인화,박열,정혜광,윤성명,유진철 조선대학교 약학연구소 1998 藥學硏究誌 Vol.19 No.1

GTP cyclohydrolase I (EC 3.5.4.16) catalyzes the conversion of GTP to D-erythro-7,8-dihydroneopterin triphosphates and formic acid. and thus performs the first committing step in the biosynthesis of the pteridine moiety of folk acid in microorganisms and of tetrahydrobiopterin in higher animals. GTP cyclohydrolase I isolated from Streptomyces tubercidicus was inhibited by DL-6-methyl-5,6,7,8-tetrahydropterin and xanthopterin, and was not inhibited by tetrahydrofolic acid, pterin, pterin-6-carboxylic acid, biopterin, neopterin, ribofravin. These results suggest that bacterial GTP cyclohydrolase I may be regulated by its metaboilic end product.

아므르불가사리 (Asterias amurensis)의 배우자를 이용한 남해해역 연안해수의 생물학적 수질평가

유춘만,박지인,조기안,주현수,박종천,나명석 한국환경과학회 1999 한국환경과학회지 Vol.8 No.1

This study was carried out to evaluate off-shore water quality and to draw marine pollution map to Southern sea in Korea by bioassay using gametes and early development system of Asterias amurensis. From the bioassay, it was determined that the water qualites of Southern sea maintained the grade Ⅱ, because development of A. amurensis were moderately inhibited. However, Sunchon, Kwangyang, and Jinhae Bay belonged to grade Ⅲ, because development of A. amurensis were strongly inhibited. This could be due to the inflows of several river systems and poor water circulation. The water quality at Yosu island was the grade I, because A. amurensis were not inhibited in its early development.