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      • 췌십이지장절제술 후 결과에 영향을 미치는 인자

        정희석,정귀애,장정환,김권천,민영돈,김성환 조선대학교 2003 The Medical Journal of Chosun University Vol.28 No.1

        `Background : Pancreatoduodenectomy is a widely used technique in the treatment of periampullary, duodenal and cephalic pancreatic disease. Although many improvements have been made in operative technique and posmiddleerative care, pancreatoduodenectomy remains a technically difficult procedure attended by relatively high morbidity and mortality rates. Materials and methods : The hospital records of 51 patients who underwent pancreatoduodenectomy at the Chosun University Hospital between 1994 and 2001 were reviewed. Clinical data and the following morbidity and mortality were recorded The risk factors were analyzed by a Chi-square test. Results : Fifth decade was the most prevalent ages (43.1%) The mean age was 59 years (ranging from 29 to 78) and the male to female ratio was 26 to 1. The periampullary cancer was the most reason to operation (86%) and injury due to trauma, adenocarcinoma of stomach, colon cancer, chronic pancreatitis in order Posmiddleerative complications were developed in seventeen patients and anastomotic leakage was the most common complication Death within a month after operation was 3 (5.8%) and the one of the cause of death was leakage in two patients, the other cause was intraadbominal bleeding in one patients. The cardiovascular disease, pulomnary problem, diabetes, level of bilirubin were checked preoperatively and showed no statistical difference in the posmiddleerative morbidity. The other factors such as amount of bleeding, operation time were not influencing posmiddleerative complications. The occurrence of leakage in eight cases of drainage tuve inserted into the pancreaticojejunostomy site was not different from no tuve insertion statistically Conclusion: old age of the patients, diabetes mellitus and massive intraoperative hemorrhage are the risk factors influencing the results after pancreatoduodenectomy. Morbidity and mortality after pancreatoduodenctomy can be devreased if a prudent selection of paients is made and the operation is performed by accomplushed surgeon.

      • KCI우수등재
      • 다중음성치료기법(SK-MVTT)이 성대결절 환자의 음성개선에 미치는 효과 : 액센트 기법과의 비교 연구 Comparison with Accent Method

        김성태,정옥란 한국음성과학회 2004 음성과학 Vol.11 No.4

        Vocal nodule is one of the representative chronic diseases of vocal folds, and it can be cured by voice therapy. However, the existing therapeutic methods about vocal nodule are in great demand. The purpose of this study was to evaluate the effect of therapeutic methods between Accent method and SK-MVTT (Seong-Tae Kim's multiple voice therapy technique), which was designed by the author. We identified 40 females, who diagnosed having vocal nodules, aged from 21 to 52 years (mean age: 40 years). Twenty females were treated by the SK-MVTT and the other 20 females the Accent method. All subjects received 12 sessions of treatment, and were evaluated after finishing the 6th and the 12th session. The results showed that the SK-MVTT produced a better results compared to the Accent method. The SK-MVTT was better especially at the initial stage of voice therapy compared to the Accent method. In this study, we can suggest that SK-MVTT may be useful in improving the voice qualities of vocal nodule patients. However, more data should be collected and evaluated before it can widely be used in other clinics.

      • 웃음을 이용한 다중음성치료기법(SKMVTT<SUP>®</SUP>)이 성대용종 환자의 음성개선에 미치는 효과

        김성태(Seong-Tae Kim),정옥란(Ok-Ran Jeong),안철민(Cheol Min Ahn) 한국음성학회 2008 음성과학 Vol.15 No.2

        Vocal polyp is one of the representative chronic diseases of vocal folds, and it can be cured by voice therapy and/or laryngeal microsurgery. However, the existing therapeutic methods about vocal polyp are in great demand. The purpose of this study was to evaluate the effect of vocal improvement between laryngeal microsurgery and SKMVTT<SUP>®</SUP>(Seong-Tae Kim's Multiple Voice Therapy Technique), which was designed by the author. We identified 37 patients, who were diagnosed with unilateral vocal polyp, aged from 21 to 62 years(mean age: 46 years). 21 patients were treated by the SKMVTT<SUP>®</SUP> and the other 16 patients were only treated by the laryngeal microsurgery. All patients who were treated by the SKMVTT<SUP>®</SUP>, received 12 sessions of treatment, and were evaluated before therapy and after finishing the 12th session. The patients who were treated by laryngeal microsurgery, were evaluated prior to and at least 8 weeks after surgery. The results showed that the SKMVTT<SUP>®</SUP> produced better results compared to the laryngeal microsurgery alone. The SKMVTT<SUP>®</SUP> produced better results, especially, at the initial stage of voice therapy compared with those of laryngeal microsurgery. In this study, we can suggest that SKMVTT<SUP>®</SUP> may be useful in improving the voice qualities of vocal polyp patients. However, more data should be collected and evaluated to be widely used in other clinics.

      • 보존적 치료로 회복된 망경색에 의한 급성복증 1예

        김정념,이숭환,김정식,김진호,배윤오,박성규,윤상정,한현영,이헌영 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

        Omental infarction, the end result of impaired perfusion to the greater omentum, is a rare benign self-limiting clinical entity. The main clinical symptom is non-specific localized abdominal pain with a moderately raised white blood cell and erythrocyte sedimentation rate. These findings often mimic an abdominal surgical emergency. This condition is often misdiagnosed as acute appendicitis or cholecystitis. The characteristic feature of CT scan and ultrasonography provide non-invasive diagnosis in most patients with omental infarction. We report a case of patient whose CT scan showed the characteristic finding of omental infarction. The patient was improved spontaneously only with conservative care.

      • KCI등재후보

        지역문제 해결을 위한 국내 리빙랩 사례 분석

        성지은(Seong, Ji Eun),한규영(Han, Kyu Young),정서화(Jeong, Seo Hwa) 한국과학기술학회 2016 과학기술학연구 Vol.16 No.2

        최근 국내에서도 사회 주체(주민, 사용자 등) 주도형 혁신모델이자 지역·현장기반형 혁신의 장으로서 리빙랩이 도입·적용되고 있다. 본 연구는 지역사회문제 해결을 위한 실험으로 ‘리빙랩’을 명시하고 추진된 북촌 리빙랩, 성대골 리빙랩, 건너유 프로젝트 3개 사례를 분석하였다. 각 사례의 지역문제, 문제해결 목표, 참여주체 및 주체별 역할, 리빙랩 추진체계, 의의를 분석하고 리빙랩의 유형·특성을 도출했으며, 향후 발전 방안을 모색하였다. 분석 결과 각 사례는 기술 활용 방식과 사용되는 기술의 특성은 차이가 있으나 과학기술·ICT와 지역문제 해결을 연계하고자 했으며 지역주민이 문제 발굴부터 기술 실험 및 확산·적용까지 리빙랩 전반에서 주도적인 역할을 수행하였다. 또한 공통적으로 중간지원조직의 역할이 리빙랩 운영에 중요한 요인으로 작용하였다. 각 사례는 서로 다른 리빙랩 유형을 보이고 있는데, 북촌 IoT 리빙랩은 정부/지자체가 리빙랩 활동기반 조성 또는 행위자 활동을 지원하고 프로젝트 형태로 운영된 반면, 성대골 에너지전환 리빙랩과 건너유 프로젝트는 시민사회 스스로 지역문제를 해결하기 위해 문제를 정의하고 기술을 탐색하는 형태로 진행되었다. Living Lab is being introduced and applied as an innovation model driven by social entities (residents, users, etc.) and as an innovation place based on local and field. This study analyzed three living lab cases of Bukchon IoT living lab, Seong-Daegol energy transition living lab, and Daejeon Geonneoyu project, which were designated as "Living Lab" to solve local problems. We analyzed the local problem, the problem solving goal, the role of each participant and the subject, the living lab promotion system, the significance in each case. In addition, the types and characteristics of living labs were elucidated and future development plans were discussed. The result is as follow. First, each case has a tendency to link science technology and ICT with local problem solving though there is a difference between the technologies used. Second, local residents played a leading role in the whole living lab process from problem identification to technical experimentation, diffusion and application. Third, the role of the intermediaries commonly played an important role in the operation of the living lab. Last but not least, each case has different types of living lab. Bukchon IoT living lab being operated as a project by the government / municipality to create a living lab activity-base or to support actors’ activities. On the other hand, the Seong-Daegol energy transition living lab and Daejeon Geonneoyu project were conducted by the civil society itself to define problems and explore technologies in order to solve local problems.

      • 7두의 개에서 배설성 요로조영술을 통한 신장 기능 평가

        최윤정,이기자,최형준,이용진,박성준,송근호,정성목,최호정,이영원 忠南大學校 獸醫科大學 動物醫科學硏究所 2005 動物醫科學硏究誌 Vol.13 No.-

        Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. It is an inexpensive and easy way to visualize of anatomic and functional status of the kidney and has been used as a primary imaging modality for the evaluation of urinary tract abnormalities. We describe urological signs of 7 dogs who examined with excretory urography and ultrasonography. Six cases were referred to veterinary medical teaching hospital. Chungnam national university (VMTH, CNU) to evaluate renal function after the treatment for renal failure and one case was referred showing hematuria. In case 1, 2 and 4, blood test and urinalysis was normal and the results of excretory urography presented that renal function were normal range. In case 3, the results of urinalysis, ultrasonography, and excretory urography except blood test presented abnormal kidney and hydronephrosis was diagnosed. In case 5 and 6, blood test, urinalysis, ultrasonography and excretory urography indicated renal failure. In case 7, blood test, urinalysis and ultrasonography presented partially abnormal signs, however, the results of excretory urography was normal range.

      • KCI등재후보

        GC/NPD를 이용한 다성분 잔류농약의 동시분석

        김우성,이선화,김상엽,정동윤,김재이,이영자,이홍재,정성욱,박흥재 한국환경과학회 2003 한국환경과학회지 Vol.12 No.10

        Pesticides were extracted from samples with 70% acetone and methylene chloride in order, and then cleaned up via open-column chromatography apparatus packed with fiorisil, and finally analyzed simultaneously the organophosphorus pesticides using GC/NPD, Ultra-2 and Ultra-1 fused silica capillary columns were used to separate and identify the products. Recovery of most analytes from soybean sample, taken from pesticide residues well, was greater than(80%) for all except(6) analytes. This method can simultaneously determine multiple pesticides with a high degree of accuracy and precision.

      • KCI등재후보

        GC-ECD를 이용한 유기염소계 및 Pyrethroid계 농약 동시 분석법

        김우성,이선화,김재이,정지윤,이명자,박영채,이영자,정성욱,이봉헌,박흥재 한국환경과학회 2003 한국환경과학회지 Vol.12 No.4

        Pesticides were extracted from samples with 70% acetone and methylene chloride in order, and then cleaned up via open-column chromatography apparatus packed with florisil, and finally analyzed simultaneously the organochlorine and pyrethroid pesticides using GC(ECD). An ultra-2 fused silica capillary column was used to separate and identify the products. The resolution between the last isomeric peak of cypermethrin(59.987min) and the first isomeric peak of flucythrinate(60.043min) was not satisfactory. The last isomeric peak of fenvalerate(62.344min) and the first isomeric peak of fluvalinate(62.397min) were overlapped. Recoveries of soybean sample for the most pesticides were 73.3% to 102.4%. Detection limits were between 0.004 and 0.063 ㎍/㎎ when this method was used.

      • KCI등재

        용헌(容軒) 이원(李原)의 역사의식

        정성식 ( Jeong Seong-sik ) 한국철학사연구회 2017 한국 철학논집 Vol.0 No.55

        본 논문의 목적은 고려 말 조선 초기에 활동한 용헌 이원의 역사의식을 재조명하는 데 있다. 그는 권근의 학문적 영향으로 유교사상에 많은 관심을 가지게 되었다. 그는 유학적 정치의식과 공의적 가치관에 기반하여 나라를 근심하고 백성을 구휼하려하였다. 이러한 자세로 당시 국가운영 시스템을 정비하며 민생안정을 도모하는 데 많은 관심과 노력을 기울였다. 이원은 이성계에게 상소문을 올려서 한 시대의 본보기가 될 만한 열 가지의 준칙을 제시하였다. 이원의 유학사상은 정치현실에 있어서 ‘신의’의 문제를 중시하는 모습으로 나타났다. 여기서 정치적 신뢰성을 원론적으로 강조하며 중시한 이원의 유학적 정교이념을 확인할 수 있다. 이원은 당시 사회제도의 문제점을 지적하고 이의 시정을 위해 적극적으로 힘을 기울였다. 다양한 건의를 통한 많은 정책들은 모두 그의 유교적 정치사상을 실현하는 데에 그 최종 목적을 둔 것이었다. 이원의 역사의식은 사상적으로 유교적 정교이념들을 기반으로 하여 전개되었다. 이는 조선 초기의 국가운영 시스템 정비와 사회적 과제들을 해결해나가는 데 있어서 일정한 역할을 수행한 것으로 그 의의를 부여할 수 있다. The purpose of this thessis is to reflect the historical awareness of Yonghun Lee-Won, who was originally active in the late Koryo and he early Chosun period. With the scholarly influence of Kwon-Geun, he became very interested in Confucianism. Based on his confucian political consciousness and moral values, he sought to help the nation and relieve the public. In this posture, he focused on improving the national operating system and making efforts to stabilize the people's livelihood. Lee-Won presented the articles to Yi Seong-gye and presented 10 principles to set an example of an era. Lee-Won' Confucian ideas showed a serious aspect of the issue of faith in politics. Here he can check his Confucian politics. Lee-Won pointed out the problems of the social system at the time and actively applied for improvements. Many of the various proposals were aimed t realizing his Confucian ideology. Lee-Won' historical awareness was developed consistently based on Confucian ideology. This can be acieved by playing a certain role in solving the national operating system maintenace and social tasks of the early Chosun period.

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