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      • 급성 충수염으로 진단된 예측 불가 염증성 맹장 종물에 대한 외과적 고찰

        민경진,백무준,채만규,김성용,이문수,김창호,김재준,송옥평 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1

        Purpose: An unexpected inflammatory cecal mass of uncertain etiology was encountered during surgery for presumed appendicitis. In this case, the surgeon couldn't exclude differential diagnosis which were severe appendicitis involving the cecal region, diverticular disease, other inflammatory bowel diseases, and neoplasm. Therefore, this finding leads to a therapeutic dilemma for the surgeon, when making surgical decisions during the operation. The aim of this study was to resolve this dilemma, a retrospective review was undertaken in this study. Methods: A retrospective study was performed to review the management of this problem at Soonchunhyang University Chunan Hospital for eight and half years from July 1991 to December 1999. A review of the emergency operation records identified 50 patients who had undergone ileocecal resection or right hemicolectomy for an inflammatory ileocecal mass of uncertain etiology when operated on for probable appendicitis. Results: Altogether, 39 patients underwent ileocecal resection, and 11 patients underwent right hemicolectomy. The final pathologic diagnosis was appendiceal abscess in 32 patients (63%), cecal diverticulitis in 7 patients (14%), neoplasm in 6 patients (12%), appendiceal phlegmon in 3 patients (6%), ileal tuberculosis in 1 patient (2%) and Anisakiasis in another patient (2%). The neoplasm of the 6 neoplasm patients was ascending colon cancer for 4 patients and cecal cancer for 2 patients. There was no mortality in this group. Conclusion: Although most inflammatory cecal masses are caused by benign disease, all cases in which the intraoperative diagnosis is unclear, any pathologic diagnosis including neoplasm cannot be ruled out. So this suggest ileocecal resection or right hemicolectomy to remove a possible underlying malignancy, and to decrease morbidity and mortality.

      • SCOPUSKCI등재
      • 농촌병원과 도시 종합병원 외래환자의 수진행동에 관한 비교연구

        민현옥,이종숙 中央醫學社 1993 中央醫學 Vol.58 No.11

        In order to know the sick role behavior of outpatients who visiting the Hospitals in City and Rural, this questionnaire survey was conducted from Dec, 1990 to Feb, 1991 in the five selected hospitals; 3 general hospitals in Taejeon City al d 2 general hospitals in Chungnam provincial for 876 outpatients. The major findings of this survey were as follows: 1. A total of 49.3 % of the study population were male and female were 50.7 % and average age were 40.14 years old. 2. The average time spent on diagnosis and treatment in hospitals was 138.6 minutes, the spent times were longer in hospitals in city than one in Rural area. 3. The average time spent on diagnosis and treatments by departments was 168.7 min. in internal medicine, 136.1 min. in orthopedic surgery, 104.4 min. in obstetrics and gynecology, 86.8 min. in general surgery, 81.4 min. in pediatrics. 4. The previous medical facility from which patients were transport were 37.2 % in clinic, 16.4 % in hospital, 4.2 % in health center and subcenter and 38.8 % in no transfarted medical facility. 5. The Routes of hospital choice were 30.9 % in patients' own first choice, 35.8 in transferred from other facility on patients' own decision, 26.5 % in recommended by other medical facility. 6. The reasons of hospital choice were 32.1 % in previous experience and familiarity, 26.6 % in bad treatments in previous hospitals, 28.0 % in good facility and equipment. 7. The dissatisfaction against currently treating hospital were 58.9 % in long waiting time, 16.4 % in insufficient explanation of disease, 16.5 % in unkindness, 13.4 % in diagnosis time is too short, 26.6 % in no dissatisfaction. 8. The attitude on medical care delivery system were 34.8 % in acceptable, 23.4 % in not acceptable, 36.5 % in don't know.

      • 수두백신의 역가시험법 표준화를 위한 연구

        민경일,백선영,신진호,김재옥,류승렬,민복순,김병국,김도근,김훈,이석호,박순희 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

        수두(chicltenpo즈) 및 대상포진(shingles)의 예방을 위해 사용되는 수두 생 바이러스 백근은 현재 국내 -외 제조사들이 정상사람 2배체 폐 태아 세포 주들을 이용하여 바이러스를 배양 · 증식시켜 생산하고 있으나, 품질관리를 쒸한 역가 시험에는 t·fRC튼 띤 LB딘EL 세포 주외에 제조사가 설정한 세포 주를 이용하고 있으며, 역파신험 방법인 fH Ui'rFO Plaque 3SSaIT에도 조사별로 다소 차이가 있는 시헌법을 사용하고 있다. 그러므로 일반적으로 세포 주간우 감수성 차이, 계대력(passa딩e level)간의 차이,varicelta-zoster virus(4'2V) diluent medium 등에 의한 차이에 의해 역가시힘 결과에 많은 차이를 나타낼 수 있다. 이에 본 연구에서는 역가 시험 결과꼭 편차를 촉소화 할 수 있는 시헌방법을 극힙하고자 Ok퍼 백신 주와 세로 주간 및 기타 요인에 따른 차이를 비교 분석하고 이를 표준확하여 일관겅있는 국가 및 제조사의 품질관리예 활용하고 나아가 수두 생 바이러스 백신 역가시헌 국가 표준품 거달에 활용하고자 하는데 목적이 운.다. 수두 생 바이러스 빅신의 역가 시험에 영향을 띠칠 수 꿀.는 모민으로 우선 바이러스 흡착에 사용되는 1#Z)·'diluent medium이 가장 큰 오인으로 확인되.고. 현개까기 최종적으로 if4 sucrose, 10% FBS, 0.1% sodiun) rrlonog)utamate in PBS(-), fIH 7.2가 가당 두수글 L'z).「 린luent medium 조성으로 확인되었단. 또한 '·:~l포 주별로 다소의 차이는 잇.으나 최대 바이러스 흡착시간은 90분으론:÷잰착인 되었다. 다른 negati)Fe effect를 보일 수 있는 요인으로 항생물질 및 항츤 제인 fuugiBone이 곡이러스의 역가에 영향을 미치는 것으로 확인되었다 따라서 이러한 항생물 띤 항균제를 standard solid agarose overla?·(5.tO) 시헌방법에는 사용하지 않는 것이 역가 시험의 편차를 줄일 수 있는 요인이라 판단된다. 최적의 조건하데서 Oka 수두 백신 주의 j 종의 세포 쭈에 대한 역가시험 수행 결과 각 세포 주의 감수성의 차이는 크지 않았으나, 반복시헌에 대한 표준편차는 다소 차이를 나타났다. Until now in Korea, the international and domestic vaccine maufacturers produce and sale live attenuated daricella vaccines, used to prevent chickenpox and shinglees, which are propagated in and done the potency test with various originated human diploid embryonic lung cells. Also manufacturers perform in vitro plaque assay with a little different methods to their quality control tests. Therefore, in general, there is slight or big difference among in vitro plaque assay results because of the difference in susceptibility of various originated human diploid embryonic lung cells and in assay methods. The purpose of this study is to confirm what factors occurring deviation to establish the standardized method which minimize deviation intracellularly and intercellularly. Eventually the standadized method will be used in consistent national and manufacturer's quality control and moreover intra and inter laboratory's validation assay of national standard for live varicella vaccine candidate. We confirmed VZV diluent medium was the biggest factor influencing in vitor plaque assay and the excellent composition of VZV diluent medium was final 5% sucrose, 10% FBS, 0.1% sodium monoglutamate in PBS(-), pH 7.2. We confirmed 90 minutes was maximum and optimum VZV adsorption time, but a little different among cells Also we recommended not use antibiotics and antimycotic, fungizone in standard solid agarose overlay assay in varicella potency test. Eventually 5 different originated human diploid embryonic lung cells showed little difference in susceptibility to Oka vaccine strain, but showed a lot of difference in reproducibility.

      • 상징적 공간 탐사 기법을 이용한 상향적 및 하향적 주의 효과 측정

        옥애니,김민식 한국뇌학회 2001 한국뇌학회지 Vol.1 No.1

        상징적 공간 탐사과제를 이용하여 시각적 주의의 상향적 및 하향적 요소를 3개의 실험을 통하여 측정하였다. 실험 1에서는 탐사자극 이전에 돌발자극을 제시하여 주의가 상향적으로 유도되도록 조작하였으며, 실험 2에서는 1차 탐색과제로 단순 색으로 정의된 표적자극과 방해자극을 제시하여 주의의 상향적 효과와 하향적 효과 모두를 측정하였으며, 실험 3에서는 탐색과제에서 탐색자극의 상향적 정보 차이를 최소화한 채 하향적 효과를 주로 측정하였다. 실험결과, 상향적 및 하향적 주의효과가 상징적 공간 탐사 기법을 통하여 측정 가능함이 나타났으며, 기존의 연구 결과와 유사한 방식으로 이 두 기제의 시간적 및 공간적 작용 방식에 각기 차이가 있음을 보였다. 이러한 결과는 공간적 주의가 아날로그적 공간 표상 뿐 아니라 상징적인 공간 표상과 같은 다양한 공간 표상 수준에서 작동할 가능성을 시사해 준다. Three experiments were performed to examine bottom-up and top-down attentional effects, using a symbolic spatial probe task. Experiment 1 measured bottom-up factors. Probe responses were faster when the arrow pointed to an abrupt onset location than to blank locations, indicating that symbolic spatial representation is affected by the bottom-up activation of an abrupt onset stimulus. In experiment 2, both top-down and bottom-up attentional effects were measured. Probe results showed that the target location received more attention with both SOA conditions (133msec and 317msec). In experiment 3, we measured top-down control of attention, and found again the benefit of the target location, but only with the long-SOA condition (317msec). The symbolic spatial task in the current study could measure the bottom-up and top-down mechanisms of visual attention that develop differently over time and space. Moreover, these results suggest that spatial attention operates on many different spatial representations such as a symbolic spatial representation as well as an analogical spatial representation.

      • KCI등재후보

        수도권 지역의 연령에 따른 전통 떡류의 이용현황

        신민자,김옥선,정재홍 동아시아식생활학회 2004 동아시아식생활학회지 Vol.14 No.6

        The purpose of this study was to investigate the consumption patterns of the Korean traditional rice cakes by general public. Self-administered questionnaires were collected from 511 residents in the Metropolitan area. Data were analysed by t-test, ANOVA and Chi-square. The result of the study can be summarized as follows: Generally, the rice cake was recognized as a "good food" in all age groups. The reasons why they prefer the rice cakes were "It tastes good" and "It has been eaten from the past." The time when they use the rice cake was mostly the holidays and events(or festivities). The female had more experiences than the male in making it. Songpyeon took the first place for them to have experiences to make. The consumption frequencies of rice cake were the more in females than in males. The higher the age, the more frequently they consumed. Injeolmi was the one which was purchased the most frequently. The place that they usually buy from was the rice cake shop around their house. The most important factor considering when they buy it was the taste. The reason why the frequency the rice cakes made for their direct consumption at home is gradually decreasing was "It is troublesome to make", and "It is complicated to make.

      • 秋剛 金東旻의 生涯 및 藝術世界

        조원민,엄옥자,이정분 釜山大學校 附設 體育科學硏究所 1997 體育科學硏究所 論文集 Vol.12 No.-

        Dong Min Kim with a pen name of Chukang was born as a first son of the great lanlord Yang-san in 1910. He majored in law at the Myung-chi university in Japan but had great interests and the special affection toward Korean folk dance of Kutgery dance, Buddhist dance, Sanjo dance, Drum, Ajaeng, etc. He also learned the technique of the Korean drum from the late Tae-Heung Kang who was a master in Kayagum. He opened the research institute of Korean folk dance for the first time in Pusan in 1945 and taught our classical dance at elementary, middle and high school. This resulted in the initiative of dance institute which was not Kyeonbon in pursuit of the truly genuine art. He cultivated many disciples with talent, who have been working as famous professors in the universities. Most of disciples have been leading the circles of dance in Pusan as elder presidents in dancing institutes. Therefore Chukang brought a vital power in a stagnated circles of dance and in the cultuural barren area of Pusan. With his special affection was greatly elevated the cultural level of Pusan. He raised the many dancers in Pusan and is a live witness in the modern history of dance in Pusan at the same time.

      • 한국 창작춤의 기호학적 접근 : 김삼진의 <저녁의 게임>을 중심으로

        엄옥자,민성희 釜山大學校 附設 體育科學硏究所 2001 體育科學硏究所 論文集 Vol.17 No.-

        This study is to analyze the dance work 〈an Evening Game〉 of Kim Sam-jin through the semiotic methodology. The semiotics is a field of scholarship that analyzes and comprehends each text by regarding it as a scheme of sign. Here, applying the semiotic methodology as mentioned above to the analysis of dance works means that an objective and scientific methodology is to be introduced in the dance analysis. Therefore, this semiotic methodology overcomes a limit of impressionistic dance analysis that is often used before. This analysis shows both denotative and connotative meaning through a paradigmatic classification of formal factors in the dance works When the dance work 〈An Evening Game: performed by Sam-jin, Kim〉is analyzed by using binary oppositions, we can figure out the fact that the work contains paradigmatic oppositions mostly with the secondary meaning: the reality and the desire. In this dance work has the main actress a hard time in the differences between the reality and the desire. Thus, the work presents the troubles and limits which a woman can not come over and exceed in the world of her own self-consciousness. Namely, the third meaning,'myth' in this dance work is the feminism, which is a main context that is sustaining the binary opposition between the reality and the desire. Consequently, the semiotic methodology extracts overall structure of a dance work by analysing its contents through the classification of formal factors. This semiotic analysis gives us enough possibility to comprehend dance works in detail and with width.

      • GDI 엔진의 흡기계 정상상태 유동 특성에 관한 연구

        李珉湖,尹俊圭,車京玉 明知大學校 産業技術硏究所 2004 産業技術硏究所論文集 Vol.23 No.-

        Lean burn gasoline engine, classified into port injection and direct injection, is recognized as a promising way to meet better fuel economy. Especially, gasoline direct injection engine is becoming increasingly popular due to their potential for improved fuel economy and emissions. Also, GDI engine has the advantages of higher power output, higher thermal efficiency, higher EGR tolerance due to the operation characteristics of increased volumetric efficiency, compression ratio and ultra-lean combustion scheme. However, GDI engine has many difficulties to be solved, such as complexity of injection control mode(fuel injection timing, injection rate), fuel injection pressure, spark timing, unburned hydrocarbon and restricted power. This study aims to develope fundamental key techniques for the lean burn in GDI engine. The techniques in this study include intake port design (SCV) and test method. Experimental is applied to investigate the effects of swirl control valves to improve the engine performance and emission, efficiency in GDI engine.

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