뇌동맥류 환자의 임상분석

강삼석,박중욱,류재광,신동철,김봉환 全南大醫大 1983 전남의대학술지 Vol.20 No.1

Helicobacter pylori 와 대장의 신생물과의 연관성

안중욱,류재현,김광호,박응범 대한대장항문학회 2001 Annals of Coloproctolgy Vol.17 No.3

활동적 생활도시 조성을 위한 부산 일부지역 보행환경 개선전략

고광욱,송성은 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Background : To spread the emerging concept 'active living city' as a process of healthy cities initiatives, there were need to collect the opinions of community leaders through various methods especially in the context of ecological perspective. So several kinds of studies needs to be done through various channels. Although there had been not those kind of approach, as a founding member of Alliance For Healthy Citeis in Western Pacific Regional Office of World Health Organization. innovative active living approaches were tried in part of Busan City. Method : Literature and case reviews, windshield survey and community opinion collecting have been done through various channels. Case reviews about domestic practical articles have been done. Fora were organized to present the concepts and to hear the real voice of community. Community opinion collecting using modified Kyonggi-Do Pedestrian Environment Survey Instruments was done to various citizen group(total 877) during 2005.09.1~12. 20Windshield survey have been done in major area of the District and some prominent point was photographed. Result : Through explorative literature and cases reviews, the concepts of active living and active living city were established. 9 model case were presented as separated booklet. Through community fora, practical and specific opinion and suggestion were received. Windshield survey and taking picture provided useful advocation material. According to the pedestrian environment survey, walking time for transport was somewhat desirable. But comprehensive pedestrian environment especially children safety was major concern. Specific negative event was experienced by citizen. Illegal car parking, deficiency of resting area, garbage was major area for improvement. Conclusion : More specified public officer survey needed to concrete policy making according to the active living city concept through Healthy Cities approach. Practical suggestion from community needs to transformed into specific policy. Increasing walking time through the improvements of walking environment may be good strategy for active healthy city making. Sustained advocation is needed using the results of this study.

남해주민들의 운동행동변화단계에 따른 변화과정, 의사결정균형 및 자기효능감

천광훈,고광욱,김윤지,신용현 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Background: The purpose of this study was to examine the differences of the process of change, decisional balance. self-efficacy and perception of subjective health according to the stages of exercise behaviors suggested by transtheoretical medals among Namhae resident. For systemic continuos health promotion initiatives of public health center, basic information about exercise behaviors in need. Method: The stage of change, decision balance, self efficacy and other health-related information was surveyed from systematic sample of Namhae population. Result: The result of process of change was precontemplation (32.4%), contemplation (18.8%), preparation (18.8%), action (11.0%), and Maintenance (23.6%). Conclusion: There are corroborative evidence about the need for interpersonal organizational intervention to exercise behaviors of Namhae population and social alternative for the exercise behavior.

철결핍성 빈혈과 동반된 심부뇌정맥 혈전증

정필욱,홍석찬,이광호,정진상 대한신경과학회 1999 대한신경과학회지 Vol.17 No.5

Cobb syndrome 1례

박정욱,박지현,나정호,김영인,이광수,김범생 대한신경과학회 1996 대한신경과학회지 Vol.14 No.4

악성 갑상선 우연종의 임상상 및 초음파 소견의 진단적 가치

강한욱,김광원,이병완,강보현,김형훈,김범진,정재훈,민용기,이명식,이문규 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.5

연구배경: 최근 갑상선 초음파 검사의 빈번한 시행으로 갑상선 우연종의 발견이 증가하고 있다. 이러한 갑상선 우연종은 임상적으로 어떻게 접근하고 치료를 해야 하는지 적지 않은 문제가 되고 있다. 본 연구에서는 직경 1.5㎝ 이하의 갑상선 우연종의 유병률, 입상적 특징 및 초음파 특성, 그리고 가장 효율적인 진단적 접근에 대해 알아 봤다. 방법: 1999년 1월부터 2000년 12월까지 삼성서울병원 내과 및 일반외과로 갑상선 결절을 주소로 내원한 1457명을 대상으로 후향적 연구를 시행하였다. 우연히 발견된 직경 1.5㎝ 이하의 갑상선 결절을 가지는 환자들에서 갑상선 결절의 촉지 유무, 갑상선 기능검사, 항갑상선 항체, 갑상선 초음파 및 미세침 흡인세포검사, 99m^Tc 갑상선 스켄, 수술 조직검사 및 병기를 검토하였다. 결과: 분석한 갑상선 결절 1475예 중 갑상선 우연종의 유병률은 13.4%(198예)였다. 갑상선 우연종에서 악성률은 28.8%(57예)으로 나왔다. 양성 및 악성 갑상선 우연종에서 나이, 성별, 갑상선 기능검사, 결절 크기에는 의미 있는 차이는 없었다. 갑상선 스켄은 갑상선 우연종의 감별에 적합하지 않았다. 갑상선 결절의 초음파 지표 점수만이 양성 및 악석 갑상선 우연종의 감별에서 초음파 지표 점수의 민감도는 88.9%, 특이도는 74.4%, 양성 예측률은 92.4%로 나왔고 진단적 정환도는 85.5%였다. 갑상선암으로 수술을 받은 50명중 stage 1은 34명, stage 2는 6명, stage 3은 10명으로 대부분의 악성 갑상선 우연종은 낮은 TNM 병기로 나타났으나, 상당수에서는 국소 침범의 소견을 보였다. TNM 병기의 3기 환자 전부는 45세 이상이였고, 주로 갑상선암의 피막 침범에 의한 것이었다. 임파절 전이는 6명의 환자에서 나왔다. 결론: 악성 갑상선 우연종은 비교적 흔히 접할 수 있는 질환이며 양성 우연종과는 임상적으로 구별이 안 된다. 악성 갑상선 우연종은 발견 당시 대부분 낮은 병기이나, 갑상선의 피막 침범 및 임파절 전이가 상당수에서 발견되었다. 갑상선 우연종의 초음파 소견은 향후의 진단 방향을 제시하는 중요한 길잡이가 될 수 있다. 초음파 지표 점수 2점 이상의 갑상선 우연종에서만 초음파 유도 미세침 흡입검사를 권장한다. Background: High-resolution ultrasonography has made the detection of asymptomatic small thyroid possible. Recent increases in the detection of incidentalomas have created a clinical dilemma on how to properly manage such incidental nodules. We investigated the prevalence, clinical and ultrasonographic characteristics, and optimal diagnostic approach toward incidentally detected benign and malignant thyroid nodules of less than 1.5㎝ in size. Methods: A retrospective review was undertaken on the 1,475 patients who had visited Samsung Medical Center, Seoul Korea between January 1999 and December 2000. The review consisted of a physical examination of the thyroid gland, thyroid function test, antithyroid antibodies, thyroid ultrasonography, fine-needle aspiration biopsy, pathology and TNA staging of the incidentally detected thyroid nodules of less than 1.5㎝ in size. Results: The prevalence of thyroid incidentalomas was 13.4% and the malignancy rate within them was 28.8%. There were no significant differences in age, sex, thyroid function test and size between the benign and malignant incidentalomas. Ultrasonographic characteristics showed meaningful diagnostic value for the detection of malignancy in incidentalomas. Most malignant incidentalomas were of a low stage. Conclusion: Occult thyroid cancers are fairly common finding. There are no clinical difference between benign and malignant thyroid nodules less than 1.5㎝; however, ultrasonographic findings can be used to decision of optimal management strategies (J Kor Soc Endocrinol 17:649∼656, 2002).

배전 자동화 시스템을 위한 관계 데이타베이스 설계

김상욱,김진호,김광호,이헌길 강원대학교 정보통신연구소 1998 정보통신논문지 Vol.2 No.-

This paper discusses the database design process for the automatic distribution system. Database design is a complex process for specifying the structure of information. In this paper, we first collect and analyze the requriements for the automatic distribution system. Next, we perform conceptual database design reflecting these requirements by using the E-R model. Finally, we perform logical database design reflecting the result of the previous step by using the relational model. Our results would be helpful in developing efficient automatic distribution systems.

남해주민들의 음주 관련 건강 특성

고광욱,조은주,송성은 고신대학교의과대학 2006 고신대학교 의과대학 학술지 Vol.21 No.2

Background : For systematic continuous health promotion initiatives of public health center, basic information about alcohol-drinking behaviour is needed. Method : The stage of change, decisional balance, temptation scale and other health-related information was surveyed from systematic sample of Namhae population Result : The highly tempted area of alcohol drinking were peer pressure including 'When others people encourage me to have a drink', 'When I am with others who are drinking a lot', and 'When others people encourage me to have a drink.. About the Decisional Balance of alcohol drinking, relaxation effects of tension, media of conversation, joyfull relationship were highly evaluated. Conclusion : There are corroborative evidence about the need for interpersonal and organizational intervention to alcohol drinking of Namhae population and for the social alternatives for the alcohol drinking.

IgA 신병증의 임상 및 병리학적 고찰

이강욱,최영환,신영태,노흥규,서광선 충남대학교 의과대학 지역사회의학연구소 1986 충남의대잡지 Vol.13 No.1

Twenty eight cases of primary IgA nephropathy were diagnosed and studied in the Department of Internal Medicine, Chungnam National University Hospital over a period of 49 months from June 1981 to July 1985. The results were summerized as follows: 1. These cases represented 45.2% of patients with primary glomerular diseases undergoing renal biopsy and immunofluorescent studies during the same period. 2. There were 20 males and 8 females. They were 15 to 54 years old and the average age was 29.1. 3. The main symptoms were loin pain, gross hematuria, myalgia, fatigability and generalized edema in 18, 15, 12, 12, and 4 cases, respectively. Upper respiratory tract infection symptoms were presented in 50% of the cases of all patient just before and during the course of disease. 4. Proteinuria was observed in 27 cases and hematuria was seen in 23 cases, Among hematuria, the gross hematuria was observed in 15 cases. Hypoalbuminemia and hypercholesterolemia was presented in 4 cases with generalized edema. Serum BUN and creatinine were elevated in 3 cases with marked decreased Creatinine Clearence in 3 cases (Ccr<50ml/min). 5. The light microscopic findings showed mainly mesangial proliferative glomerulonephritis and focal and segmental glomerular sclerosis in 11 and 7 cases, respectively. Immunofluorescent microscopic findings disclosed diffuse mesangial deposit of IgA in all cases. IgG, igM, C3 and fibrinogen deposits were observed in mesangium in 5, 4, 20, and 7 cases, respectively.