후두에 발생한 점액종 1예

김윤환,오장근,신향미,문태현,김정범,김영생,Kim, Yoon-Hwan,Oh, Jang-Gun,Shin, Hyang-Mi,Moon, Tae-Hyun,Kim, Jeong-Beom,Kim, Young-Saeng 대한기관식도과학회 2009 大韓氣管食道科學會誌 Vol.15 No.2

Myxoma is a benign mesenchymal neoplasm that can occur in the head and neck. Laryngeal myxoma is extremely rare and easily confused with a laryngeal polyp. The common clinical presentation is hoarseness, dysphonia, dyspnea and dysphagia depending on their size and location. Treatment for laryngeal myxoma is complete surgical excision with surrounding normal tissue. To our knowledge, 11 laryngeal myxomas have been reported in the English literature, and all patients except only 1 case were male. We report the second female case of myxoma on a vocal cord with a review of literature.

수도권 건강도시 가입지역의 시기변화에 따른 가입 전후의 차이 및 자신의 건강상태에 미치는 영향 요인 분석

김윤환,한효상,Kim, Yun Hwan,Han, Hyosang 한국디지털정책학회 2022 디지털융복합연구 Vol.20 No.4

The purpose of this study is to analyze the difference before and after and the influencing factors health status according to the change in the timing of joined in the healthy city area, centering on the metropolitan area. The subjects of this study were divided into two areas. Using the Seoul Survey on Household Members, difference tests and multiple regression analyses were conducted to analyze differences according to timing changes and influencing factors on health status as of 2020. The difference in variables between regions 4 to 5 years and 1 year after joining the healthy city was different, and the factors affecting their health status were also different between regions 4 to 5 years after joining and regions 1 year after joining, so it is necessary to implement policies in consideration. 본 연구는 수도권 지역을 중심으로 건강도시 가입 지역의 시기변화에 따른 가입 전후 차이 및 자신의 건강상태에 영향을 미치는 영향 요인을 분석하는데 목적이 있다. 본 연구의 대상지는 2015년과 2016년에 가입한 강북구와 서초구, 2019년에 가입한 노원구, 광진구, 마포구 두 지역으로 구분해 진행하였다. 서울서베이 가구원조사를 활용하여 2020년을 기준으로 시기변화에 따른 차이 및 자신의 건강상태에 미치는 영향 요인을 분석하고자 차이검정과 다중회귀분석을 실시하였다. 건강도시 가입 전과 가입 후 4 ~ 5년이 지난 지역과 1년이 지난 지역의 변수 차이는 다르게 나타났고, 가입 후 4 ~ 5년이 지난 지역과 1년이 지난 지역의 자신의 건강상태에 영향을 미치는 요인도 차이가 나타나 시기변화에 따른 요인을 고려하여 정책을 추진할 필요성이 있다.

Comparison of the presentation of atopic dermatitis induced by trinitrochlorobenzene and house dust mite in NC/Nga mice

김윤환,Tae Hyeong Kim,Min Soo Kang,Jin-Ok Ahn,Jung Hoon Choi,Jin-Young Chung 대한수의학회 2020 Journal of Veterinary Science Vol.21 No.4

Background: Atopic dermatitis (AD) is a common chronic inflammatory skin disease. To understand AD, there have been many trials establishing AD animal models. Although various trials to establish AD animal models have been existed, even the mechanisms of AD in animal models are not enough clarified. Objectives: This study assessed AD characteristics induced in Nishiki-nezumi Cinnamon/Nagoya (Nc/Nga) mice following trinitrochlorobenzene (TNCB) treatment for different periods and house dust mite (HDM) treatment to compare each model's immunological patterns, especially with cytokine antibody array tool. Methods: In this study, we exposed Nc/Nga mice to TNCB or HDM extract to induce AD. Nc/Nga mice were divided into 4 groups: control, TNCB 2 weeks-treated, TNCB 8 weeks-treated, and HDM-treated groups. After AD induction, all mice were evaluated by serum immunoglobulin E (IgE) concentration and serum cytokine antibody assays, scoring of skin lesions, scoring of scratching frequency, and histological analysis. Results: The results showed significant differences between groups in serum IgE concentration, skin lesion scores, and scratching frequency. The analysis results for serum cytokine antibody arrays showed that in the TNCB 8 weeks- and HDM-treated groups, but not in the TNCB 2 weeks-treated group, expressions of genes related to the immune response were enriched. Among the histological results, the skin lesions in the HDM-treated group were most similar to those of AD. Conclusions: We confirmed that immunological pattern of AD mice was markedly different between HDM and TNCB treated groups. In addition, the immunological pattern was quietly different dependent on TNCB treated duration.

한국인 간암의 영상적 조기진단

김윤환,Kim, Yun-Hwan 한국생명보험의학회 2000 保險醫學會誌 Vol.19 No.-

서비스 브랜드경험이 소비자-브랜드 관계의 질 및 관계강도에 미치는 영향

김윤환,Kim, Youn Hwan 대한경영정보학회 2013 경영과 정보연구 Vol.32 No.4

브랜드 경험에 관한 주요 척도의 개발이나 일부 제품에의 적용은 국내외의 연구에서 이루어 졌으나, 서비스 분야에의 적용은 아직 미진한 실정이다. 본 연구는 의류소매 서비스 분야에서 고객과 브랜드의 관계의 질과 강도에 브랜드 경험의 구성요소인 감각적, 감정적, 행동적, 지적 경험이 미치는 영향을 조사하고 있다. 연구 결과, 브랜드의 관계의 질에 미치는 브랜드 경험 하위차원들의 영향은 모두 유의하였다. 상대적으로 감각적 경험이 가장 큰 영향을 미쳤으며, 이는 본 연구에서 의류 소매매장 브랜드를 다루고 있기에 나타난 결과인 것으로 추정된다. 연구의 결과는 기존의 개별 제품 브랜드에서 적용되던 브랜드 경험효과 연구를 소매 서비스업에 확장할 수 있었다는 점에서 의의를 가지며, 향후 다양한 서비스 브랜드들의 고객경험 및 체험 관리에 대한 지표를 마련하는 데에도 도움을 줄 수 있을 것으로 기대한다. This research tries to examine the effect of brand experience in service marketing perspective for generalized application. The analysis was held with customers who recently visited in retail stores by using SPSS18K and Smart PLS 2.0. The study verified the structural equation model hypothesizing the relationship among brand experience, relationship quality, and relationship strength. According to the result of this study, four brand experience factors have positive effect on the relationship quality. In detail, the effect of sensory experience was strongest. Furthermore, the effect of relationship quality on relationship strength also significant as prior researches addressed. The research has several marketing implication on brand experience management and customer relationship management. For service firms, customers' perception of positive brand experience can generate the tangible and intangible performance in the relationship marketing perspectives.

경부 기도 전방에 발생한 유피낭종 1예

김윤환,오장근,신향미,김영생,Kim, Yoon-Hwan,Oh, Jang-Gun,Shin, Hyang-Mi,Kim, Young-Saeng 대한두경부종양학회 2009 대한두경부 종양학회지 Vol.25 No.2

Dermoid cysts are benign neoplasm that is derived from both ectoderm and mesoderm. They may be found at various sites of the body, but are extremely rare to occur in the lower neck. We present the case of a 22-year old woman with a midline cystic mass anterior to the cervical trachea. The mass was excised under local anesthesia. Histopathologically the diagnosis was confirmed as a dermoid cyst.

뇌혈관 질환자의 기능 회복과 체성감각 유발전위의 변화

김윤환,김찬규,박종항,이승엽,최원제,Kim, Yoon-Hwan,Kim, Chan-Kyu,Park, Jong-Hang,Lee, Seung-Yub,Choi, Won-Jye 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.1

This study was designed to test the effects of comprehensive rehabilitation management on functional recovery after attack of cerebrovascular disease. 16 cerebrovascular disease patients applied comprehensive rehabilitation management of physical therapy at department of physical Therapy, C medical center in Gwang-ju. The collection of the data had been executed for 4months(April 15, 2007${\sim}$July 15, 2007). For evaluating, Functional Independence measure(FIM) and Somatosensory Evoked Potential(SSEP) were used to assess functional recovery. The results of this study were as follows: 1. In the comparison of latency of median nerve SSEP before and after treatment, the lat. N20 and P25 increased, the ampl. P25/N20 was decreased. In the comparison difference data of median nerve SSEP, however there was no significant difference in the group(p>0.05). 2. In the comparison of latency of Post Tibial nerve SSEP before and after treatment, the lat. P40, P50, P60 increased, the ampl. P40 was decreased. In the comparison difference data of post tibial nerve SSEP, however there was no significant difference in the group(p>0.05). 3. In the comparison of FIM scores of Self-care, Sphincter Control, Mobility: Transfer, Locomotion before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was significant difference(p<0.05). 4. In the comparison of FIM scores of Communication, Social Cognition before and after treatment, the scores of FIM was significantly increased. In the comparison of difference of the motor part of FIM, however there was no significant difference in the group(p>0.05). Based on these results, it is concluded that the comprehensive rehabilitation management for cerebrovascular disease case was not significant difference in the SSEP, was significant difference in the motor part of FIM. Further study should be done to analyze the effect of intervention duration of treatment, optimal time to apply the treatment in more long period.

한의약건강증진사업의 예산편성여부에 미치는 영향 연구

김윤환,한효상,Kim, Yun Hwan,Han, Hyosang 한국디지털정책학회 2022 디지털융복합연구 Vol.20 No.4

본 연구는 전국 226개의 기초자치단체를 대상으로 2020년 기준 지역사회 통합건강증진사업 내 한의약건강증진사업 예산편성여부의 관련 요인을 파악하는데 목적이 있다. 2020년도 지역별 예산서를 활용하여 지역사회 통합건강증진사업 내 한의약건강증진사업 예산편성여부를 파악한 후 예산편성여부의 관련 요인을 분석하고자 기술통계 및 차이검정과 이분형 로지스틱 회귀분석을 실시하였다. 분석 결과 한의약난임치료지원 예산편성여부, 한의사수, 65세이상 인구수, 고령인구비율의 변수 차이는 다르게 나타났고, 한의약난임치료지원 예산편성여부, 고령인구비율, 건강도시가입여부에서 영향을 미치는 것으로 나타나 향후 한의학관련 정책 및 사업예산을 편성하는데 참고자료로 활용될 것으로 생각된다. The purpose of this study is to determine the relating factors of the Budgeting for Korean Medicine health promotion in the Integrated Community Health Promotion Program as of 2020 targeting 226 basic local governments nationwide. Descriptive statistics, Difference tests, and Binary logistic regression analysis were conducted to analyze the factors relating Budgeting for Korean Medicine health promotion in the Integrated Community Health Promotion Program in local communities using regional budgets in 2020. As a result of the analysis, the difference in the Budgeting for Korean Medicine Infertility Treatment Support, Number of Korean Medicine Doctor, Number of Population people over 65 years old, and Aging Population Percentage. And there was a influencing factors, Budgeting for Korean Medicine Infertility Treatment Support, Aging Population Percentage, Whether to join a healthy city, so expected to be used as a reference in organizing policies and business budgets related to Korean Medicine in the future.

회원작품 - 공원을 품은 집

김윤환,Kim, Yunhwan 대한건축사협회 2018 建築士 Vol.590 No.-

심호흡 운동과 흉추가동성 운동이 뇌졸중 환자의 폐기능에 미치는 영향

김윤환,Kim, Yoon-hwan 대한정형도수물리치료학회 2015 대한정형도수물리치료학회지 Vol.21 No.1

Background: To evaluate the effect of thoracic mobility exercise and deep breathing exercise applied to stroke patients on pulmonary function. Methods: The subjects were divided into two group. Twenty-five patients with stroke were randomly assigned to DB (deep breathing exercise) group (n=13) and TM (combination of deep breathing exercise and thoracic mobility exercise) group (n=12). During four weeks, DB group were carried out deep breathing exercises for 5~10 minutes twice a day and TM Group were carried out deep breathing exercises for 5~10 minutes and thoracic mobility exercise for 20~30 minutes twice a day. All tests were completed before and after experiment. The pulmonary functions were measured by PowerBreathe K5 (Hab International Ltd, England) and tape measure respectively. For each case, the experimental data were obtained in 4 items; average of inspiratory load, inspiratory flow speed, inspiratory flow volume and chest expansion. Results: The results of this study were as follows: 1. In DB group, the statistically significants were shown on average of inspiratory flow speed, inspiratory flow volume and chest expansion (p<.05). 2. In TM group, the statistically significants were shown on all items (p<.05). 3. There was a statistically significant difference on all items between DB group and TM group (p<.05). Conclusions: The above results revealed that DB and TM group can be used to improve pulmonary function in stroke patients. In comparison of DB and TM group, TM group was more improved. In conclude, thoracic mobility exercise helped improving function of vital capacity and chest expansion in stroke patients.