지난 2년간의 학회지 "신경정신의학" 심사 평가보고

김찬형,김세주,김도관,김성곤,박원명,송동호,박용천,이영문,오강섭,정영철,이상열,김주한,이동영,이헌정,함병주,김율리,김문두,김정진,이강욱,천근아,김재진,홍진표,홍승철 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

혈관질환 정보관리 시스템

김동익,김덕경,허세호,이병붕,김용신,김은숙,문지영,도영수,신성욱,김동수,김만태,진재욱,김용신 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

As medical technology progresses rapidly, there is a rise in the average age along with the Korean dietary lifestyle becoming more westernized, which leads to an increase in the number of vascular disease patients in Korea. Thus, we need to manage the medical information of a disease systematically in order to diagnose and treat constructively. However, since there has been no standardized method of man agement to date, a great deal of information could not be properly utilized nor studied. Therefore, the departments of Cardiology, Radiology and Neurology of Samsung Seoul Hospital recently got together to develop an information management system called the Vascular Data System. This program was developed to be run on win98 O/S, upper Pentium Ⅲ, and upper 128 MB Memory, and its source code is Dephi 4.0. It was configured for the user to set the configurations as well as do a variety of search and analysis. If this program were to be updated continuously, it may be used extensively as well as in various parts of clinical research activities.

질소산화물의 급성 노출로 인한 폐 손상 1례

김정호,김대환,손병철,이창희,김정원,문덕환,이채언,김주인 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

Objectives : Lung injuries due to exposure to nitrogen oxides can occur in various process in industry. We experienced a case of chemical pneumonitis induced by accidental inhalation of nitrogen oxides emitted from the bath in an acid dipping operation. Case : Dyspnea, cough and blood-tinged sputum production, cyanosis, and tachypnea occurred after exposure to oxides of nitrogen. There were bilateral diffuse ground glass opacities in simple chest radiography and high resolutional computed tomography, hypoxemia in arterial blood gas analysis, mixed ventilation defect and reduced diffusion capacity in spirometry. As an oxygen and supportive therapy, after hospitalization, was given, the patient recovered completely from the lung injury on the 8th day after admission. There was no evidence of delayed onset of bronchiolitis obliterance or pulmonary edema in a follow-up for about 6 months. Conclusions : Acid dip operation require more efficient hooding and exhausting system for the prevention of lung injuries caused by inhalation of nitrogen oxides. Also health education for worker need.

THERRESTRIAL IMPACT CRATERING CHRONOLOGY: A PRELIMINARY ANALYSIS

Moon, Hong-Kyu,Mi, Byung-Hee,Fletcher, Andre-B.,Kim, Bong-Gyu The Korean Space Science Society 2001 Journal of Astronomy and Space Sciences Vol.18 No.3

We have recently compiled a database of the properties of 192 impact craters, which supercedes previous compilations. Using our database, the impact structures found in North America, Europe and Australia have been examined; these cratonic areas have been relatively stable for considerably long geological periods, and thus have been best preserved. It is confirmed that there is a close correlation between the geological epoch boundaries, the epochs of mass extinctions, antral the "timing" of impacts. In addition, the terrestrial cumulative flux of objects >20km is found to be $1.77{\times}10^{-15}km^{-2}yr^{-1}$, over the last 120 Myr, which is much smaller than the published values in McEwen et al. (1997) and Shoemaker (1998) ($5.6{\pm}2.8{\times}10^{-15}km^{-2}yr^{-1}$. For terrestrial impact structures with D> 50 km, the apparent cumulative flux over the last 2450 Myr is ~50 times smaller than the corresponding value for the Moon. If we assume that the Earth and the Moon suffered the same level of bombardment over this time, this would mean that the actual flux of impacting bodies, capable of making craters with D)50 km, was ~ 50 times larger than the apparent flux estimated from the currently known terrestrial records.

주폐자충 폐렴으로 발현된 Felty 증후군 1예

김성호,남대근,문재현,김지홍,김보석,안진광,문태건,안병재,김성일 全南大醫大 2001 전남의대학술지 Vol.37 No.3

수입 외국산 모발세정용 화장품의 중금속 농도에 관한 연구

문정아,문덕환,박명희,안진홍,김종은,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Objective : For the purpose of preparing the fundamental data and preventing the health impairment due yo heavy metals in hair cleaner. Methods and Material : The author determined the concentration of heavy metals(Fb, fn, Cr, Ni and Cu) in hair cleaner with flameless atomic absorption spectrophotometer. Results : The results were as follows : 1. The mean concentration of heavy metals in total hair cleaner were 0.046㎍/g for Pt, 0.O67㎍/g for Mn, 0.069㎍/g for Cr, 0.046㎍/g for Ni, and 0.022㎍/g for Cu, respectively. 2. There was not statistically significant difference to mean concentrations of each heavy metal in hair cleaner by producing nation. 3. The highest mean concentration of each heavy metal in hair cleaner by type of use were 0.140㎍/g for Mn in sensitive hair cleaner(p<0.05), 0.053㎍/g for Cu in others products(p<0.01). 4. The mean concentration of heavy metals in hair cleaner by type of hair cleaner were high at 0.O54㎍/g for Pb in shampoo products(p<0.O5), 0.120㎍/g for Cr and 0.06㎍/g for Cu in combination products(p<0.01). 5. The mean concentration of heavy metals in hair cleaner by acidity were high at 0.056㎍/g for Pb, 0.124㎍/g for Cr, and 0.032㎍/g for Cu in alkali products (p<0.05). 6. Correlation coefficient of heavy metal concentration in hair cleaner were 0.175 for Pb and Cr, 0.165 for Pb and Mn, 0.824 for Cr, and Mn, 0.189 for Cr, and Ni, 0.406 for Cr, and Cu, 0.197 for Mn and Ni, and 0.375 for Mn and Cu(p<0.05). 7. Exposure amount of heavy metals per when we used lOg of hair cleaner (onetime using amount) were 0.46㎍ for Pb, 0.67㎍ for Mn, 0.69㎍ for Cr, 0.46㎍ for Ni, and 0.22㎍ for Cu, respectively. Conclusion : As above results, there was very low level concentration of heavy metal in hair cleaner but we are using the hair cleaner everyday, therefore we can exposed to heavy metals as cronic exposure so the author suggest to prepare the program of preventing the health impairment due to heavy metals.

간세포암과 감별이 어려웠던 악성중피종 치험 1예

김선문,허원석,채경훈,강윤세,정재훈,김연수,박기오,문희석,이엄석,김석현,성재규,이병석,이헌영,신경숙,조준식,송인상,강대영 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Malignant peritoneal mesothelioma is a rare neoplasm that arises from the mesothelium of a serosal cavity and is a rapidly fatal disease with a median survival of 4 to 12 months for untreated cases. Recently, we experienced a case with malignant peritoneal mesothelioma who was suspected hepatocelluar carcioma by abdominal CT scan and was confirmed by biopsy including immunohistochemical stain(calretinin) after surgery. We performed tumor excisions and wedge resection of the liver(segment Ⅷ)and inserted Tencoff catheter in abdominal cavity at 25th day of post-operation. We treated with intraperitoneal paclitaxel(25mg/m^(2)/day for 5 days) six courses monthly. She was well tolerable and is still living without any evidence of recurrence for 14th month of post-operation.

이승만의 권력 장악 과정-우익의 주도권 과정을 중심으로-

김병문 ( Byung-moon Kim ) 대한정치학회 2018 大韓政治學會報 Vol.26 No.4

이 연구는 단독정부 수립을 위한 권력투쟁 과정에서 우익세력 내에서 이승만의 주도권장악 과정을 살펴보았다. 우익에서의 주도권 장악에는 여러 변수가 작용하였으나 이중 이승만의 지방순회와 도미를 통한 외교활동을 주요 변수로 삼아 설명하였다. 1946년 4월 이후부터 단행한 지방순회는 이승만으로 하여금 독립촉성국민회의에서 주도권을 장악하는 계기가 되었다. 이승만의 지방순회로 인해 우익세력은 조직화 되고 결국은 이승만의 정치적 기반과 영향력 강화에 도움을 주게 되었다. 실제로 지방순회 이후 독립촉성국민회의 내에서 이승만은 김구의 임시정부계열보다 우위를 선점 할 수 있었고 자신을 지지하는 세력으로 독립촉성국민회의 임원을 구성 할 수 있었다. 이승만은 우익 내부의 주도권 장악과 자신의 구상을 실현하기 위해서는 미국의 지원이 필수적이었는데, 이 시기 미군정은 표면적으로는 김규식을 대표로하는 중간파를 지원하고 있었다. 이러한 불리한 상황을 극복하고 그 자신이 정국의 주도권을 장악하기 위해 이승만은 단독정부론을 내세우게 되었다. 이승만은 단독정부안을 본격적으로 선전할 기회를 마련하고 미국의 대한정책을 전환시켜서 미군정 당국과의 관계를 새롭게 조절할 필요에 의해 도미를 통한 외교활동을 하였다. 미국에서의 도미외교 활동이 구체적인 성과를 내지는 못했지만 이승만은 국내에서 예상외의 효과를 거두게 되었다. 1947 년 3월 12일 대소 봉쇄정책을 선언하는 트루먼 독트린 이후 미국의 한반도정책은 급변하는 모양새를 보였다. 제한된 구조적 틀 속에서 목표를 가지고 단독정부를 수립하려는 이승만이 일정한 역할을 할 수 있었던 배경에는 이승만이 우익세력에서의 주도권을 확보하여 이를 활용할 수 있었기 때문이었다. This study examined the process of dominating Rhee's leadership in the right wing forces in the process of power struggle for establishing a sovereign government. In the right wing, there were many variables in the dominance of the initiative, but the explanation was based on the local tour of Rhee Seung-man and diplomatic activities through the US visiting. The provincial tour that took place since April 1946 became the moment when Rhee took control of the initiative in Dokchoc Kukminwhi. Due to the local tour of Rhee Seung-man, the right wing forces were organized and eventually helped to reinforce Rhee's political base and influence. In fact, within the Dokchoc Kukminwhi, after the provincial tour, Rhee was able to prevail over the Provisional government family of Kim-ku and he was able to organize Dokchoc Kukminwhi as an advocate. Rhee Seung-man was required to support the US in order to realize the leadership of the right and to realize his own initiative. At that time, the US military government supported the middle wave represented by Kim Gyu-sik. In order to overcome these disadvantages and take control of the initiative of the state itself, Rhee established independent single government. Rhee made diplomatic activities through US visiting by preparing an opportunity to promote independent single government in earnest and to change the policy of the US and to regulate the relationship with the US military authorities. Although the US diplomatic activities in the United States did not produce concrete results, Rhee had unexpected effects in Korea. After the Truman Doctrine, which declared the March 12, 1947 policy of containment, the US policy on the Korean Peninsula was changing rapidly. In the background of the limited role of Rhee Seungman in establishing a sovereign government with a goal in a limited structural frame, Rhee was able to take the initiative in the right wing and utilize it.

방사선치료 조사영역 내에 발생한 설암 환자에서 입체조형방사선치료 경험 : 증례보고

조문준,장지영,김기환,김병국,송창준,김준상,김재성 충남대학교 암연구소 2003 암연구소 업적집 Vol.3 No.-

Objectives : We report an interim result of conformal radiotherapy in a patient with early stage cancer at the base of the tongue, which developed in a previously irradiated area. Materials and Methods : A 64-year-old male patient was diagnosed with T4NOMO supraglottic cancer. He received 72Gy of radiation therapy from 21 November 1988 to 24 February 1989. He had local failure and underwent a salvage total laryngectomy on 28 August 1989. Subsequently, he did well. In early 1999, he suffered from throat pain. He had a 2.5cm ulcerative mass at the base of his tongue, in the area that had been irradiated previously. Biopsy showed squamous cell carcinoma. After workup, he was diagnosed with base of tongue cancer with T2NOMO. Surgery was not feasible because the morbidity was not acceptable. Since it was difficult to re-irradiate the area with a curable dose using conventional 2D radiation therapy with an acceptable morbidity, we decided to try conformal radiotherapy. We used 7 static beam ports with field sizes from 7×6.4 to 8×8㎠, using 6 and 10MV photons. The fractionation regimen was 1.8Gy, 5 times per week. He received 64.8Gy in 36 fractions from 9 April 1999 to 1 June 1999. Results : In the 21 months since radiotherapy, the patient has not experienced any acute or chronic complications, such as xerostomia. He experienced relief of pain shortly after the start of radiotherapy, showed a complete response, and is still doing well. Conclusion : Conformal radiotherapy can be used to treat cancer that develops within a previously irradiated field, with curative intent.

방사선치료 조사영역 내에 발생한 설암 환자에서 입체조형방사선치료 경험 : 증례보고

조문준,장지영,김기환,김병국,송창준,김준상,김재성 충남대학교 암공동연구소 2003 암공동연구소 업적집 Vol.3 No.

Objectives : We report an interim result of conformal radiotherapy in a patient with early stage cancer at the base of the tongue, which developed in a previously irradiated area. Materials and Methods : A 64-year-old male patient was diagnosed with T4NOMO supraglottic cancer. He received 72Gy of radiation therapy from 21 November 1988 to 24 February 1989. He had local failure and underwent a salvage total laryngectomy on 28 August 1989. Subsequently, he did well. In early 1999, he suffered from throat pain. He had a 2.5cm ulcerative mass at the base of his tongue, in the area that had been irradiated previously. Biopsy showed squamous cell carcinoma. After workup, he was diagnosed with base of tongue cancer with T2NOMO. Surgery was not feasible because the morbidity was not acceptable. Since it was difficult to re-irradiate the area with a curable dose using conventional 2D radiation therapy with an acceptable morbidity, we decided to try conformal radiotherapy. We used 7 static beam ports with field sizes from 7×6.4 to 8×8㎠, using 6 and 10MV photons. The fractionation regimen was 1.8Gy, 5 times per week. He received 64.8Gy in 36 fractions from 9 April 1999 to 1 June 1999. Results : In the 21 months since radiotherapy, the patient has not experienced any acute or chronic complications, such as xerostomia. He experienced relief of pain shortly after the start of radiotherapy, showed a complete response, and is still doing well. Conclusion : Conformal radiotherapy can be used to treat cancer that develops within a previously irradiated field, with curative intent.