완전 고환성 여성화 증후군 1례

이원주,김택훈,권경익,김종인,조남규,박세출 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.2

저자들은 외형상 여성으로써 원발성 무월경과 양측 외음부 종양 촉지를 주소로 입원한 complete testicular feminization syncrome 1례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다 The 46, XY individual with complete testicular feminization syndrome is a phenotypic female who is usually somewhat tall, has excellent breast development and presents to the gynecologist because of primary amenorrhea and an inguinal mass. In complete testicular feminization syndrome, axillary and pubic hair are sparse or absent and some degree of virilization such as clitorial hypertrophy, partial labioscrotal fusion and hirsutism doesn't occur at puberty. We report a case of complete testicular feminization syndrome with the brief review of literatures.

장기입원환자 관리 방해요인

이경석,윤석만,권희,이호,김혜경,조미자,한규남,김명성 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background: Recently the health insurance review agency tried to cut off the cost of unnecessary hospital stay. It is important to reduce the prolonged occupation of the hospital beds. However, there are some obstacles of the management for the prolonged bed occupation. We report our experiences and the problems of bed-control. Methods: To increase the rate of effective bed-usage, a task force was made. This team was consisted of 4 dctors, 2 nurses and 2 personnel of the administrative department. From December 20th 2001 to May 17th 2002, the task force analysed the rate, number and causes of the prolonged (more than 60 days, regardless of the disease entities) bed occupation. We announced and explained the necessity of bed-control and actively pressed to reduce the prolonged bed occupation. Results: The number of the prolonged bed occupation was 71 at the beginning of the management. It was reduced to 46 at best, then turned back to 65 at the end. It seems to be impossible to reduce the prolonged bed occupation until there are sufficient numbers of long-term care facilities. Aggressive bed control makes the sick patients to move every two or three months, it is never desirable. Conclusion: We cannot expect any Quality Improvements without improvement of the wrong system. Prior to the management for the prolonged bed occupation, it is necessary to build a sufficient number of long-term care facilities.

영병에 關한 文獻的 考察

南泰宣,李光揆,李南九 대한동의병리학회 1996 동의생리병리학회지 Vol.10 No.1

영병은 頸部의 結候兩側에 腫瘍이 발생되는 질병을 總稱하는 것으로 包括的인 면으로 볼 때 西洋醫學적으로 볼 때 甲狀腺腫大와 같은 것으로 본다. 이러한 병에 對하여 이미 오래전부터 地理적 環境과의 相關關係를 言及하였을 뿐만 아니라 좀더 나아가서는 情志失調도 이병을 일으키는 主要原因이 된다고 보았다. 現代醫學에 있어서는 甲狀腺腫大는 갑상선기능항진증에서 볼수 있는 것으로 보아 영병과 갑상선기능항진증과의 密接한 關係가 있음을 暗示해 주고 있다. 이와같이 古典적인 病名과 現代적인 症狀과의 比較分析을 위해 文獻考察方法도 韓醫學發展에 寄與할것으로 思慮된다. Goiter means all diseases causing tumor on the both sides of Adam's apple, and in the western medicine it is similar to tumefaction in thyroid gland. In the past the correlation between geographical features of deficiency of the kidney Yin as an important cause. In the present medicine, they suggest there should be close relation between goiter and hyperthyroidism. Therefore the comparative literature study on the ancient names of disease and present symptoms will contribute to the development of the Korean oriental medicine. The results of this study are summarized as follows: 1. In the past, the stagnation of qi and phlegm due to soil and water-borne diseases, and damage on being the response of the mind to the environmental stimuli was considered as the greatest causes of goiter, whereas in the present they give attention to goiter's symptoms caused by deficiency of Yin and think of deficiency of the kidney yin as important cause. 2. The ancient medicine books described the symptoms centering on the outer signs having tumefaction of diffuse on the neck, however modern oriental medicine writes symtoms of the whole body caused hyperactivity of yang due to yin deficiency inqi goiter addition to the outer symtoms and they are very similar to hyperthyroidism. 3. For the treatment, according to the treatment for the differentiation of symptoms and signs, they mainly use smoothing the liver and regulating the circulation of qi for the stagnation of qi; promoting blood circulation to remove blood stasis for the blood stasis; resolving sputum and softening hard masses for the lumps of phlegm; removing heat phlegm for the stagnation of phlegm fire, however in recent books we can find many ways for the nourishing Yin and prescription.

四君子湯 抽出液이 筋小胞體의 ATPase 活性에 미치는 影響에 關한 硏究

李起男,林圭庠 圓光大學校 醫科學硏究所 1985 圓光醫科學 Vol.1 No.2

The present experiment was investigated on the effects of SaGunJaTang extract(SGJex) on the sarcoplasmic reticulum ATPase activity. The result demonstrated that the ATPase activity of sarcoplasmic reticulum was activated in the presence of SaGunJa extract, the activation effect of the extract was analyzed with time course, Lineweaver -Burk plot, and Arrhenius plot. The activation mechanism of SGJex on the enzyme was proposed by increasing the affinity between active site of the enzyme and ATP prolecules, and the energy of activation was decreased in the presence of SaGunJa extract. The results were obtained as follows : 1. The sarcoplasmic reticulum ATPase was free from the mitochondrial contamination in the present experiment, the optimum pH was 6.8 and the optimum concentrations of Ca^++, Mg^++ and SaGunJa extract were 0.1mM 4mM and 1% respectively. 2. The Km value of the enzyme was 7.81, however the Km values effected by SaGunJa extracts of 0.1% and 1% were decreased to 5.44 and 3.85 respectively. 3. The energy of activation of the control was 16.2 ㎉/mole, and the values were decreased to 15.4 ㎉/mole and 14.88 ㎉/mole in the presence of 0.1% and 1% SGJex respectively.

난포기 및 황체기에 있어서 돼지 난관 협부 평활근의 neurotransmitter들의 수축효과에 대한 estradiol-17β및 progesterone의 영향

이민기,노규진,심철수,남윤정,김주현,최상용 慶尙大學校 1991 論文集 Vol.30 No.2

The effects of estradiol-17β or progesterone on the contractility of neurotransmitters on pig oviductal isthmic smooth muscle were investigated. The motility of the isolated smooth muscle was recorded by using physiological recording system. The results were summarized as follows : 1. The contractility induced by histamine or prostaglandin F2α was depressed by the pretreatment of estradiol-17β but was not by the preteatment of progesterone in follicular or luteal stage. 2. The contractility induced by acetylcholine was depressed un follicular stage but excited in luteal stage by the pretreatment of estradiol-17β or progesterone. 3. The contractility induced by norepinephrine was depressed by the pretreatment of progesterone in follicular stage but was excited by the pretreatment estradiol-17β in luteal stage.

TiAIN 코팅공구를 사용한 Ti-6Al-4V 티타늄합급의 절삭특성에 관한 연구

이승철,박종남,조규재 한국공작기계학회 2004 한국공작기계학회 추계학술대회논문집 Vol.2004 No.-

The Titanium has many superior characteristics Which are specific strength, heat resistance, corrosion resistance, organism compatibility, non-magnetic and etc. and their quantity are abundant.this study performed turning operation of Ti-6AI-4V alloy using the TiAIN Coate Tool which treated PVD (Physical Vapor Deposition). Experimental works are also executed to measure cutting force, chip figuration and surface roughness for different cutting conditions. As a result of study. Tool wear was serious at over 100m/min of cutting speed and cutting condition was excellent at 1.0㎜ of cutting depth.

자궁경부염, 선암 및 선편평세포암에서의 Secretory Component의 출현도

이남규,배도환 중앙대학교 의과대학 의과학연구소 1984 中央醫大誌 Vol.9 No.3

To observe correlation between morphological differentiation and secretory component in the carcinoma cells, immunohistochemical study was carried out with 10 cases of chronic cervicitis, 27 cases of adenocarcinoma and 10 cases of adenosquamous cell carcinoma of the uterine cervix. The results were as follows: 1. The columnar cells of uterine endocervix showed mild to moderate reaction of secretory component especially at the squamocolummar juntion and mild reactions in the stromal glandular epithelium. Mucin was negative. 2. The adenocarcinoma showed mild to moderate reaction of secretory component in the cell surface and cytoplasm of tubular type by 4 cases and 15 cases out of 19 cases. Intensity stain reaction in the adenocarcinoma increased more than chronic cervicitis. Tumor cells of papillary type and poorly differentiated cells were negative or weakly reactive. Mucin was negative. 3. In the adenosquamous cell carcinoma were seen similar reaction in respect to the pure type of adenocarcinoma. Squamous cell component was negative. 4. Therefore, secretory component was moderate to markedly stained in the well differentiated tubular adenocarcinoma cells more than in papillary of poorly differentiated cells. Close correlation between amount of secretory component and morphological differentiation of carcinoma cells was suggested.

수직형 머시닝센타 이송시 스틱-슬립에 관한 연구

최경현,조규재,박종남,이승철 朝鮮大學校 機械技術硏究所 2004 機械技術硏究 Vol.7 No.2

볼나사 미끄럼 시스템에서 고속과 고정밀도를 이루는데 중대한 문제들은 마찰과 각 구성 요소들 사이에서의 마찰과 축 방향의 강성이 감소하여 나타난다 특히, 안내면에서의 마찰은 이송정밀도를 떨어뜨리는 좋지 않은 영향을 준다. 더욱이 스틱-슬립현상과 같은 특수한 마찰 형태는 미끄럼 시스템의 저 강성에서 일어난다. 스틱-슬립은 정밀도에 나쁜 영향을 가진다. 본 논문에서는 미끄럼 시스템의 정밀도에 있어서 스틱-슬립 마찰에 의한 운동오차에 따른 변화들을 고찰하여 이송정밀도의 해결 방안을 제시하려 하였다. In the ball screw slide system the major problems in accomplishing the high-speed and high-precision are the friction between elements and the decrease of axial stiffness. Especially the friction on the guide have a bad effect on the precision of sliding. Furthermore stick-slip occur when the low stiffness of slide system. The stick-slip have a bad influence on the precision. In this research, the affection of stick-slip friction to the precision of the slide system is studied and the possible solution of the precision is proposed.

赤潮原因種 및 毒性種에 관한 文獻的 調査 : Dinophyta(와편모조)를 중심으로

柳奎烈,文成基,李宗南,李元錫 慶星大學校 1990 論文集 Vol.11 No.3

건설현장 근로자들의 안저예방실태와 사고예방과의 개선요인 조사연구

심규범,남철현,최상복,이송권,이정희,이순자,문기내,김문환 慶山大學校 保健福祉硏究所 2003 保健福祉硏究 Vol.8 No.-

This study was conducted to examine aspects of health and safety education and demand level of safety education in construction job sites in order to provide direction of safety education development. The subjects of this study were 566 workers who were working in construction job sites located in Daegu City and Kyungbuk Province. Data were collected from June 1, 2002 to August 30, 2002. The results of this study can be summarized as follows. 1. According to safety education by experience methods, the proportion of education by lecture was highest (90.6%). The proportion of education by field practice was 13.1%. 2. Among the education methods which they thought as the most desirable method, the proportion of audio-visual education was 39.4% and the proportion of education by experience was 37.5%. Those who had more monthly income and higher education level preferred audio-visual education, while those who were younger and less educated preferred education by experience. 3. In the case of the contents of the safety education which they thought as the most important one, the proportion of enhancement of safety awareness and education of risk factors was highest (24.7%). The groups of older workers, having longer working period, and belonging to higher education level preferred these contents. 4. According to the factors which were most important to increase effectiveness of the safety education were workers' voluntary participation (27.7%), 40 to 49 years old (27.7%), and monthly income of one million, five hundred thousand won to one million, nine hundred ninety thousand won (32.0%). The proportions of lower educated workers and working as daily workers were also high. 5. The variable which most influenced the safety education was age. The safety awareness of construction job sites was the second highest influential variable. From above results, it is clear that the workers' participation in the safety education was low since most of the safety educations were formal education by lecture. Although they participated in the education, the education was also not effective because they compulsorily participated in it. Therefore, it can be concluded that effective alternative policies must be formulated.