휴대용 부분방전 진단장비를 활용한 주변압기 부분방전진단 사례연구

김해중(Hae-Jung Kim),조성제(Sung-Je Cho),이재호(Jae-Ho Lee),서지영(Ji-Young Seo) 대한전기학회 2021 대한전기학회 학술대회 논문집 Vol.2021 No.7

변형된 용수철 금속판을 이용한 불안정 원위 쇄골 골절의 치료

이상명 ( Sang Myung Lee ),박일중 ( Il Jung Park ),김형민 ( Hyung Min Kim ),박재철 ( Jae Chul Park ),조성길 ( Sung Gil Cho ),김윤정 ( Yoon Chung Kim ),이승구 ( Seung Koo Rhee ) 대한골절학회 2010 대한골절학회지 Vol.23 No.1

목적: 불안정 원위 쇄골 골절은 원위 골절편이 작아 고정이 힘들며 현재 다양한 방법이 사용되고 있지만 강한 고정력을 가지며 통증이 적은 방법은 거의 없는 실정이다. 이에 저자들은 변형된 용수철 금속판을 이용하여 불안정 원위 쇄골 골절을 치료하여 그 결과를 보고하고자 한다. 대상 및 방법: 변형된 용수철 금속판은 1/3 관형 금속판의 구멍 원위부를 절단한 후 날카로운 말단이 되도록 쇠줄로 갈고 구부려 C자형의 모양이 되도록 고안하였다. 2007년 5월부터 2009년 6월까지 총 6명의 환자에서 변형된 용수철 금속판을 이용한 내 고정술을 시행하였고, 술 후 6주간 팔걸이를 하면서 조기 견관절 운동을 시행하였다. 결과: 6예의 환자 모두에서 골유합을 얻었으며 견관절 주위 통증과 기능에 대해 Constant score 96점의 좋은 결과를 보였다. 술 후 7주에 모든 환자는 경미한 견관절 외전 제한 외에는 일상생활에 제한이 없었고 술 후 6개월 후 금속판을 제거하였으며 합병증은 없었다. 결론: 변형된 용수철 금속판은 원위 쇄골의 불안정 골절 시 고정력이 강하여 조기 관절 운동을 시행할 수 있고, 견봉-쇄골 관절 및 견봉하 공간, 회전근개 등에 손상을 주지 않아 유용한 방법이라 생각된다. Purpose: Unstable distal clavicle fractures should be treated surgically but may be difficult in firm fixation because of small distal fragment. Although a variety of fixation methods have been currently used, none of the methods seem to be firm fixation and little pain. We present a new technique using a spring plate which was modified from one third tubular plate and report the early results. Materials and Methods: Modified spring plate was made from one third tubular plate and the distal hole of the plate was cutting and sharpened by rasp. The sharp edge was bent just like an animal claw (C shape). Between May 2007 and June 2009, a total of six patients with distal clavicle fracture were treated using modified spring plate. A sling was applied in the immediate post operative period for six weeks and exercises were started immediately. Results: Union was achieved in all cases with excellent results without complication (mean Constant score, 96). All patients had returned to ordinary daily activities but mild limitation of abduction (150˚) by seven weeks after surgery. After six months, the plate was removed. Conclusion: The modified spring plate has provided stable fixation for unstable distal clavicle fixation without disturbance to the acromioclavicular joint, subacromial space, or rotator cuff.

근치적 자궁절제술을 시행받은 자궁경부암 환자의 임상적 고찰

정성운(Seong Un Jeong),조성중(Sung Joong Cho),김장환(Jang Hwan Kim),이남우(Nam Woo Lee),김경진(Kyung Jin Kim),박미혜(Mi Hae Park),황인택(In Tak Hwang),정지학(Ji Hak Jung) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8

목적: 근치적 자궁절제술을 시행 받은 자궁경부암환자의 임상적 고찰을 통해 수술 후 치료 성적을 분석해 보고자 한다. 연구방법: 1983년 1월부터 1992년 12월까지 을지 대학병원에서 광범위 근치적 자궁절제술을 시행 받은 자궁경부암 환자 중 추적관찰이 가능했던 162예를 대상으로 하였다. 결과: 나이 분포는 40대와 50대, 30대순이었고 환자의 임상 병기 분포는 Ia기가 12예(7.4%), Ib기가 84예(51.9%), IIa기가 39예(24.1%) 그리고 IIb기가 27예(16.7%)였다. 조직 병리학적 형태는 편평상피세포암이 91.9%, 선암이 4.9%, 선편평암이 3.1%이고 골반 임파절 전이 빈도는 I기가 22.9%, II기가 31.8%였으며 전체 임파절 전이 빈도는 26.4%였다. 광범위 근치적 자궁절제술 후 방사선 치료의 빈도는 I기가 63.5%, II기가 75.8%였다. 재발율은 7.4%였고 가장 흔히 재발되는 부위는 질교합부였다. 우리는 또한 환자의 5년 생존율을 평가했는데 그 결과는 Ia기는 100%, Ib기는 95.2%(4예), IIa는 87.2%(5예), IIb는 77.8%(6예)였다. 결론: 연령별 환자의 분포는 40대와 50대가 30.9%로 가장 높은 발생 빈도를 보였고 임상 병기별 분포는 Ib기가 51.9%로 가장 많은 빈도를 보였으며 병리 조직학적 분포는 편평 상피 세포암이 91.9%로 대다수를 보였고 전체 임파절 전이빈도는 26.4%였으며 가장 흔한 재발부위는 질교합부였다. 5년 생존율은 Ia기가 100%, Ib기가 95.2%, IIa기가 87.2%, IIb기가 77.8%였다. Objective: The purpose of this study was to analyze the clinical study for patients with cervical cancer who had undergone radical hysterectomy. Method: The subjects of this study were one hundred and sixty two patients with cervical cancer who had undergone radical hysterectomy at Eulji Medical College Hospital, Taejon, Korea, from January 1983 to December 1992. We reviewed the medical record retrospectively and analyzed the data. Result: The distribution of patients by age was found in the order of 50 decade and 60 decade, 40 decade. Those by the clinical stages were as follows: Stage Ia, 12 cases(7.4%); Stage Ib, 84 cases(51.9%); Stage IIa, 39 cases(24.1%); Stage IIb 27 cases(16.7%). The results of histopathologic type were distributed as follows: squamous cell carcinoma was 91.9%, adenocarcinoma was 4.9% and adenosquamous cell carcinoma was 3.1%. The histologic subtypes of squamous cell carcinoma(149 cases) were as follows: Large cell non-keratinizing type was 75.9%, large cell keratinizing type was 14.8% and small cell type was 1.2%. The frequancy of lymph node metastasis was 22.9% in stage I and 31.8% in stage II. The overall incidence of lymph node metastasis was 26.4%. The frequency of external radiation therapy done after radical hysterectomy was 63.5% in stage I and 75.8% in stage II. The 5-year survival rate was as follows: The Ia was 100%; Stage Ib, 95.2%(4cases); Stage IIa, 87.2%(5cases); Stage IIb, 77.8%(6cases). The incidence of recurrence was 7.4% and recurrent sites were vaginal stump , rectum and pelvic wall. Conclusion: The highest incidence of cervix cancer in age distribution was 50 decade(30.9%) and 60 decade(30.9%). The most common clinical stage was Ib(51.9%) and most frequent pathologic type was squamous cell carcinoma(91.9%). The overall incidence of lymph node metastasis was 26.4% and The most common site of recurrence was vaginal stump. The 5-year survival rate was 100% in the stage Ia, 95.2% in the stage Ib, 87.2% in the stage IIa, 77.8% in the stage IIb.

호스피스상담을 위해 내원한 말기암 환자 배우자의 피로 및 불안, 우울 단면조사

김만(Man Kim),조성중(Sung Jung Cho),윤소정(So Jung Yun),윤정환(Jung Hwan Yoon),전혜란(Hye Ran Jeon),이지영(Ji Young Lee),최윤선(Youn Seon Choi),김선미(Seon Mee Kim) 대한임상노인의학회 2017 대한임상노인의학회지 Vol.18 No.2

Background: There are still few studies comparing the fatigue, anxiety and depression of the terminal cancer patients. Therefore, this study evaluates spouses according to age, sex, and type of primary cancer of a patient and confirms its meaning. Methods: We analyzed the effects of gender, type of primary cancer, and age on spouse s fatigue, anxiety and depression. From May 2014 to June 2016, 61 spouses who visited the hospice palliative care center of Korea University Guro Hospital for hospice consultation were enrolled. Results: The gender of the spouse was not correlated with fatigue, anxiety, and depression. In the analysis of age, as the age of the patient increased, the effect on work and life enjoyment due to spouse fatigue was small. Finally, the spousal anxiety level was significantly higher in patients with lung cancer. Conclusion: This study confirms that fatigue, anxiety, and depression degree of the spouse of terminal cancer patients are significantly correlated with the age of the patient and the type of primary cancer. We hope that the results of this study have been helpful in identifying the status of the spouse and further studies on other factors not covered in this study should be conducted.

비만의 성공적인 관리

권혁중,조성일 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Obesity is a common health problem in worldwide, and effective management is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Basic management of overweight and obese patients requires a comprehensive approach involving diet and nutrition, regular physical activity, and behavioral change, with an emphasis on long-term weight management rather than short-term extreme weight reduction. Modification of lifestyle behaviors that contribute to obesity (e.g., inappropriate diet and inactivity) is the cornerstone of management and the best management for long-term weight loss. Behavior modification involves using such techniques as self-monitoring, stimulus control, cognitive restructuring, stress management and social support to systematically alter obesity-related behaviors. Physicians and other health professionals have an important role in promoting preventive measures and encouraging positive lifestyle behaviors, as well as identifying and treating obesity-related comorbidities. Health professionals also have a role in counseling patients about safe and effective weight loss and weight maintenance programs.