척수압박으로 발현된 급성 골수성 백혈병에 동반된 과립구성 육종 1 례

윤상준,김영곤,김희종,박유환,정춘해,김양수,김태균,박영진,전호종 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

저자들은 척수압박으로 하지마비를 보인 환자에서 수술 후에 급성 백혈병에 동반된 과립구성 육종으로 진단된 환자 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Granulocytic sarcoma(GS) is an uncommon tumor composed of immature cells of the granulocytic series. Most case of GS occur in the course of acute leukemia and the blast crisis of chronic leukemia, Rarely, however, it may present before leukemia becomes clinically apparent. It may also occur in patients with myeloproliferative disoders. GS has been reported that it occurs in 3% to 9% of patients with acute myelogenous leukemia(AML) and the incidence of GS is reported to be higher in patients with t(8;21). GS occurs relatively commonly in africa and has been reported to affect 10-25% of black children presenting with AML. This is very rare case of granulocytic sarcoma with AML(FAB M5) presented with spinal cord compression which was supported by decompression laminectomy.

Information Technology의 기존 관광산업에 대한 영향 및 향후 Trend에 대한 전망 : 사이버여행사 수익모델을 중심으로 Profit Model of Cyber Travel Agency

조현준,나윤중,임형순,엄서호 한국문화관광학회 2001 문화관광연구 Vol.3 No.1

IT has an influence on the travel agency as chance and threat. The purpose of this study is to find what profit model of cyber travel agency. Ernst&Young's five business profit models that are based on target audience and transaction focus is selected to evaluated existing model of cyber travel agency. Those are off-line facilitator, gateway, context provider, commerce destination, online exchange. The result of this study show that there is no specific profit model in domestic cyber and on-offline travel agencies. Just Portal cyber travel agencies abroad have a few profit model. They have online exchange model, which are various target audience and abound provide contents.

수혈혈액 신청에 있어서 신중성을 기하기 위한 조사 : 순천향 천안병원의 혈액반환양 및 반환사유분석을 중심으로 Focusing on the Amount of Returned Blood and Causes of Return in Soonchunhyang Chunan Hospital

김휘준,김일호,길윤경 순천향대학교 1994 논문집 Vol.17 No.4

Careful blood requesting is very important to minimize wastage of precious blood. Excessive blood request causes increased return of unused blood and unnecessary loss in the process of return to blood bank. The standards of the American Association of Blood Banks(AABB) require that blood must be maintained continuously between 1 and 10℃ and most transfusion services have adopted a 30 minutes limit on the time that blood can be out of a monitored refrigerator. Many units of blood were discarded because they had been out of blood bank refrigerator for over 30 minutes. We investigated returned and discarded units of blood and causes of them in our hospital for 6 months. The results were obtained as follows 1. Among the total 14223 units issued, 367 units(2.6%) of blood were returned. The returned rate of each blood component: Whole blood(4%), platelet concentrate(3.4%), packed red cell(3.0%), fresh frozen plasma(0.96%). 2. The department of services that accounted for greatest return of blood units was chest surgery(7.2%) and the next order was OB and GYN surgery(3.9%), and neurosurgery(3.3%). 3. The most common causes of returned units of blood was improvement of patient's condition(51.8%) and the next order was expire(21.3), voluntary discharge(18.1%), transfer(3.3%), transfusion reaction(2.5%), fear for AIDS(1.6%) and refusal for therapy(1.4%). 4. When the units of blood were returned on account of the improvement of patient's condition, the range of Hb was 9.1-18.0/dl in the patients of surgery group and 9.1-14.0/dl in internal medicine respectively. Above results suggest that excessive blood request causes increased return of unused blood and unnecessary loss of blood units and that clinicians should request blood out of consideration for various situation including Hb level and patient's condition to minimize wastage of precious blood.

합금철 분진의 재활용을 위한 기초 연구

신강호,송영준,김윤채 三陟大學校 1998 論文集 Vol.31 No.1

This study was performed to obtain the basic data for recycling of the dust in ferroalloy manufacture. The chemical composition, composition material, particle size and shapes of the bulk dust, sizing dust and magnetic separating dust were investigated. As the result, the dust from High Carbon Ferromanganese Manufacturing Process is not sufficient as source material of Mn, the dust from Bag Filter of AOD Process is a good source material of Mn, and the dust from Cooler of AOD Process can be a good source material of Mn through Sizing or Magnetic Separation.

망간 용해액의 정제를 위한 기초 연구

신강호,송영준,김윤채 三陟大學校 1998 論文集 Vol.31 No.1

This study was performed to obtain basic data for refining manganese nitrate solution which used as starting material for manufacturing Mn₃O₄, raw material of Mn-Zn soft ferrite. 1. Among the various kinds of manganese oxide, MnO is most appropriate for making manganese nitrate solution, for the MnO is easily dissolve in nitric acid and which reaction is exothermic. 2. The most appropriate condition for reduction roasting which reducing Mn₃O₄to MnO is temperature of 700~800℃, roasting time of 30~60min, carbon 5~10 wt.%. 3. The appropriate pH of solution and reaction time for removing iron and silicon from manganese nitrate solution by controlling the pH of solution are pH4~6, 1~2hour, respectively. 4. The appropriate condition for removing calcium and magnesium from manganese nitrate solution by precipitating in the form of oxalate are pH of 1~4, (NH₄)₂C₂O₄adding amount of 0.1M or less and as long reaction time as possible.

연하장애를 보이는 뇌졸중환자에서 경관 유동식 종류에 따른 혈액학적 지표 변화 연구

오준호,신성헌,이윤정,강윤주,김용균 관동대학교 의과학연구소 2006 關東醫大學術誌 Vol.10 No.1

양극성 장애의 우세삽화와 임상양상 간의 연관성 : 예비연구

서호준,우영섭,채정호,전태연,김광수,박원명 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.5

Objective : This study was performed to fmd clinical implications ofdistinctive pattems in bipolar patients with predominance of depressive episodes or manic episodes and to find possibilities to predict predominant episodes in bipolar disorder. Methods : The recmitment period was between 2002 and 2004, among inpatients who had received psychiatric treatment for bipolar disorder. The data about the number and the polarity of the past episodes were collected through medical records, and Sub-jects were divided into depressive or manic episode predominant groups. The two groups were compared regarding Sociodemo-graphic and clinical variables. Results : 74 patients met the inclusion criteria during the study period. 21 subjects were classified as depressive episode Pre-dominant group (depressive episode group), and 53 subjects as manic episode predominant group (manic episode group). There were no differences in sociodemographic data, the number of total episodes and hypomanic episodes, and onset age. However, 90.5% (n=19) subjects of depressive episode group showed depressive episode as first episode, and 88.7% (n=47) of manicepisode group experienced manic episode as first episode (χ²=42.13, df=1, P<0.00l). Psychotic symptomswere significantly more prominent in the manic episode group (χ²=6.85, df=1, P=0.009), and the number ofsubjects who had suicide attempt experience was higher in the depressive episode group (χ²=7.39, df=1, P=0.007). In the comparison of highest GAF scores during the past year, significant difference was found between the two group (p=0.046), as the mean scores of depressive epi-sode group was 68.337±7.47 and manic episode groupwas 71.51±5.42. Conclusion : The results ofthis study show that there are differences in clinical features according to predominant episodes in bipolar disorder. The type of onset episode appears to be related to predominant episode in this study, and it would be a valid Pa-rameter with therapeutic implication in bipolar patients.

일본근대문학의 그리스도교 수용과 전개

하태후,박영준,김윤택,박승호 한국문학과종교학회 2002 문학과종교 Vol.7 No.2

The influence of Christian religion to Japanese modern literature is seen from the Meiji dynasty, But we can not help be disappointed about the influence. Until late 20th century, the Christian religion literature which was accepted as the thought of Christianity, could not escape from an immature stage. Starting with Tokoku and Toson, it was the same as the situation to the writers of socialism, the Minyusha group, the Shirakaba group and naturalism. Christian religion was not giving them the power to live ultimately. And the relation of Christian religion and the writers has succeeded to Catholicism literature R. Akutagawa → T.Fori → S. Endo, and Protestantism literature R. Akutagawa → O. Dazai → R. Shiina. In the case of R. Akutagawa, it was not in the Christian Dogma, the church as a system or believer's behavior that he thought important. He discovered that the origin of the human existence itself, and the appearance of the suffering which carries 'Worldwide pain' itself at the existence to be called Christ. As he wrote in "The Western Man", 'I began to pay attention to Jesus Christ who is not only from the people of the path, but also from modern people looking back.' His confession is connected here deeply. Dazai read The Bible and he enlarged the consciousness of sin and resisted consciousness about impurity. The motive which Dazai read The Bible, was to throw away the thought of communism. It was for him filling the blanks of spiritually up due to the guiltiness of society. In any difficult situation, Dazai touched strongly upon the one spirit of the human, K.Uchimura, who overcame life to the support of his incompatibilities. He confessed that he entered, by foot, into the world of the faith and he was fascinated more with The Bible because he did the love of reading The Bible. After this, The Bible was melted and entered his works as the manual of life and ethics. It became civilized as the ethics to resist and to criticize the period. R.Shiina entered Christianity faith finally by influence of the Dostoevsky's literature that treated the problem of God in Christian religion. According to his trace of the spirit, Shiina's works are divided into three parts. First, the time to keep himself in existence as to fight hard with the despair and the nothingness. Namely, the works of the time which is groping for God. Second, the works of the time which reaches Christian religion faith. Third, the works of his later years which is subjected to the problem on freedom of the human, with he to fight against the heart disease of paroxysm. The works and life of Shiina as a whole, we can say, was walking to pursue the freedom and the problem of God that rescues the human. The problem of the authentication which the West differs from the East in "The Sea and Poison" by S.Endo is progressed as the problem of East reception of Christian religion and as the subject to be a motherhood faith in "The Silence". Via "The Edge of the Dead Sea", it is developed as a universal Jesus who 'a companion Jesus' to orientals. As it is reached "The Warrior", it presented a typical model of Christian religion of reception to the Japanese. In "Deep River", it is passed over the range of the religion and progress for an origin problem, a reality of the human and solution for existence. Since a visit to Japanese shores by Admiral Perry, a course of reception of a non critical though of Western Europe had happened. Endo's literature reflects constructive resolutions about a traditional thought of Japan and complicated problems which have agonized the solution in Japanese modern history.

제2형 당뇨병 환자에서 우연히 발견된 기종성 방광염 1례

박보민,김윤정,이영태,노정현,권수경,김동준,고경수,이병두,임경호,이순희,박정현 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Emphysematous cystitis is an uncommon disease in which bacterias produce gas within the bladder wall and surrounding tissue. Patients with diabetes, neurogenic bladder and chronic urinary tract infection are predisposed to the disease. It is usually caused by E.coli and Klebsiella. Severity of illness ranges from an asymtomatic condition to life threatening cystitis. Succesful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. We report a case of 52-year-old woman who did not compain of symtoms of cystitis but epigastric pain, nausea, and vomitting. Emphysematous cystitis was revealed on the abdominal X-ray series incidentally. CT scans of the pelvis showed mottled gas bubble within the bladder. After treatment, the symtoms subsided and plain abdominal film showed no evidence of gas shadow in the pelvic cavity.

ImmunoDot법에 의한 전신성 류마티스 질환의 자가항체 검사

박성환,김선준,김성일,민준기,이상헌,홍연식,조철수,김호연 최신의학사 1997 最新醫學 Vol.40 No.7