급성하벽심근경색에서 전흉부유도 ST절 하강의 의의

정병천,배호상,곽동훈,김영태,배용학,황종현,임현주,류재근,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1997 慶北醫大誌 Vol.38 No.2

목적 : 급성하벽심근경색증 환자에서 심전도상 흔히 동반되는 전흉부유도 ST절 하강의 의의를 알아보았다. 방법 : 심근경색후 24시간에서 48시간에 얻은 심전도를 기준으로 52명의 급성하벽심근경색증 환자를 전흉부유도에서 ST절의 하강이 있는 군과 없는 군으로 나누었으며 심도자, 관상동맥조영술, 심초음파도 및 방사성 핵종을 이용한 좌심구혈율 측정 등을 시행하였다. 결과 : 1) 좌심실확장기말압은 전흉부유도에서 ST절의 하강이 있는 경우에서 16.9±5.33mmHg로 없는 경우의 11.0±4.02mmHg보다 유의하게 높았다(p<0.05). 그러나 운동량 및 좌심구혈을은 흥부 유도상 ST절의 하강이 있는 경우 7.6±3.0 METs 및 53.9±9.1%로 없는 경우의 9.1±2.7 METs 및 54.6±9.5%보다 낮았으나 통계적 유의성은 없었다(p=0.180, p=0.823). 2) 관상동맥조영술상 전흉부 ST절의 하강이 동반된 군에서는 유의한 좌전하행지나 좌회선지의 협착이 있는 경우가 60.9% 및 57.9%로 ST절의 하강이 없는 군에서의 34.5% 및 7.7%와 비교해 좌관상동맥에 협착이 동반된 경우가 많았다(p=0.050, p=0.001). 3) 관상동맥조영술상 세 혈관질환의 빈도는 흉부유도상 ST절의 하강을 보인 23예에서 10예로 ST절 하강이 없었던 29예중 2예에 비하여 유의하게 많았고(P=0.007), 단 혈관질환의 빈도는 ST절의 하강을 보인 군에서 23예중 5예로 ST절 하강이 없었던 29예중 17예에 비하여 유의하게 적었다(P=0.002). 두 혈관질환의 경우에는 각각 8예와 10예로 양군간에 유의한 차이가 없었다. 4) 흉부유도상 ST절 하강의 빈도는 단 혈관질환 22예 중 5예에서, 두 혈관질환 18예중 8예, 세 혈관질환 12예 중 10예에서 관찰되어 협착이 있는 관상동맥의 수가 많을수록 ST절의 하강이 나타나는 빈도가 많음을 보였다(p=0.00308). 그러나 흉부유도상 나타난 ST절의 하강을 모두 합하여 구한 ST절 하강의 합은 협착이 있는 관상동맥의 수와 통계적인 유의성이 없었다. 5) 심초음파도상 좌심실 하벽의 벽운동은 ST절 하강을 보인 군에서는 akinesia가 83.3%, hypokinesia가 11.1%, 정상 벽운동이 5.6%로, ST절 하강이 없었던 군에서의 dyskinesia가 3.6%, akinesia가 39.3%, hypokinesia가 25.0%, 정상 벽운동이 32.1%와 비교하여 ST절의 하강이 있는 군에서 유의하게 벽운동의 장애가 빈번함을 보였다(p=0.03891). 그러나 좌심실전벽, 측벽 및 중격부위에서는 유의한 벽운동의 차이가 없었다. 결론 : 급성하벽심근경색증 환자의 전흉부유도에서 ST절의 하강이 동반되는 경우 다혈관 질환의 가능성이 높으며 좌심실확장기말압이 상승되었고 운동능력은 감소되어 있었다. 또한 심초음파도상 좌심실하벽의 벽운동장애도 심하였다. 따라서 전흉부 ST절의 하강을 동반한 급성하벽심근경색증 환자는 전흉부유도에 ST절 하강이 없는 경우보다 예후가 불량할 것으로 생각되며, 보다 적극적인 치료가 필요할 것으로 생각된다. The purpose of this study was to determine the significance of precordial ST segment depression appearing during acute inferior myocardial infarction and to assess the correlation of that with angiographic finding. 52 patients were allocated into two groups based on the existence of precordial ST segment depression : 23 patients with ST segment depression and 29 patients without ST segment depression. The extent of coronary artery disease as well as the prevalence of significant stenosis (≥70%) in left anterior descending artery were more frequent in patients showing precordial ST segment depression than in patients not showing them (p=0.050) and the result were similar in cases of left circumplex artery (p=0.001). On echocrdiographic examination of left ventricular (LV) wall motion, it showed more severely decreased inferior LV wall motion in patients showing precordial ST segment depression than in patients not showing them (p=0.03891) even though the other segment of LV wall motion didn't show the statistical difference between both groups. The other cardiac parameters such as LVEDP, exercise amount (METs) and ejection fraction were tend to showing bad profile in patients with precordial ST segment depression. From the above results, we could deduce that patients with precordial ST segment depression have relatively large infarction or concomitant left coronary artery disease, so they need more caution and intensive theraphy.

Nucleoplasmic Terminal Protein-like p87

Kim, In-Hoo,Choi, Yong-Chun 동아대학교의과대학 1992 동아의대학술지 Vol.4 No.1

G2 Arrest by lsotope [³²P]-Phosphate

Kim, In-Hoo,Lee, Hye-Jeong,Choi, Yong-Chun 동아대학교의과대학 1992 동아의대학술지 Vol.4 No.1

敎育大學 奬學金政策 硏究

全龍煥 진주교육대학교 1992 論文集 Vol.36 No.-

「에쿠우스」에 나타난 개인과 사회의 갈등

전용유 남서울대학교 인문사회과학연구센터 2003 인문사회연구 Vol.5 No.-

The purpose of this study is to survey the conflicts represented by the characters in Equss. Peter Shaffer deals with the conflicts concerned with human being's existence in his plays. The conflicts stem from modern civilization, the decay of the religion, and lack of communication among men. The gap of generation and different cultures with different languages result into the absence of the communication in homes, societies, and cultures. The characters are despotic and oppressed, religious and atheistic, self-confident and insecure, or painfully and benignly false. Shaffer depicts these conflicts in three aspects; individual vs society, human being vs God, and id vs superego. An electrifying journey into the mind of a 17-year-old stable boy who has plunged a spike into the eyes of six horses is sketched in Equss. Shaffer represents the conflicts between individual and society by the characters, Alan and Dysart in Equss. Shaffer argues that the institutions be destructive factors to individuals. Institutions such as government, army, religion are originally grouped for men's convenience but they have gradually obstructed men's creativity and other capabilities. Shaffer presents basic conflicts between two opposing forces through his characters. The opposing forces coexist in self and life and cause tensions, which are fundamentally harmonized or subordinate to each other. The conflicts between Alan and Dysart have been not solved at all. The protagonist, Dysart and the antagonist, Alan who represent the opposing forces can not become unified in reality. In Shaffer's plays, the antagoniststs are finally destroyed or killed, but Shaffer never loses his optimistic view in his plays. In spite of the ruin of the antagonists, the protagonists have realized their unhappy conditions. They have had sympathy with with the antagonists. Shaffer demonstrates a firm affirmation of love and human understanding by the conflicts among the characters in his plays.

진주교대생의 집단성격분석 : 인성검사를 중심으로 by Result of Personality Test

全龍煥 진주교육대학교 부설 진주문화권연구소 1985 진주문화 Vol.- No.6

This purpose of this study was to examine the group personality of Chin-ju Teachers College Students in order to guide the students efficiently, and to grope the efficient guidence principle. The instrument used in study the Standadization Personality Diagnosis Test (Chung, Bum-mo 1965) The main results of this study were as fallows; 1. On an average, the group personality of Chin-ju Teachers College Students were similiar to that of the normal group. 2. In comparison of group personality traits between male students and female students, female students generally showed higher range of percentile score than that of male students 3. In grade level, high grade level students showed higher range of percentile score than that of low grade students.

타데우즈 칸토르의 생체 오브제 연기양식에 관한 연구(上) : [빌로폴 빌로폴]을 중심으로

전용환 동국대학교 연극영상학부 1998 演劇學報 Vol.26 No.-

저위 쇄항의 임상적 특징 및 수술 결과 고찰

전용순 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Objectives: The majority of patients with imperforate anus are reported to have a malformation of the low variety. Despite this, much of the discussion in the literature is devoted to the repair and results of the more complex, high lesions. The purpose of this study was to review the clinical characteristics and the operative results in patients with low imperforate anus. Methods and Meterials: A retrospective review was conducted of the medical records of patients treated for imperforate anus of the low type at Inje University Pusan Paik Hospital from March, 1997 to June 1999. 11 patients were included. A follow-up telephone survey of patients' parents was conducted. Results: Twenty patients were identified who were surgically treated for imperforate anus at Inje University Pusan Paik Hospital from March 1997 to June 1999. 11 patients (55%) were diagnosed with low type. 8 patients were boys and 3 were girls. The ages at time of operation for imperforate anus ranged from less than 24 hours to 5 months. All patiens were diagnosed with anoperineal fistula. 2 patients (18%) were born with at least one associated congenital anomaly. Cardiac, genitourinary and musculoskeletal anomalies were diagnosed. One patient exibited renal hypoplasia and polydactyly, and was diagnosed as VACTERL association. Cut-back anoplasty was performed in all patients. There was no postoperative complication. Now patients' ages range from 3 years 6 months to 5 years 3 months. One patient had constipation transiently, but now no patient has constipatient and all show normal bowel function. According to the degrees of parents' satisfaction about the shape and the position of anus, no parent is worried about the shape and the position of anus. All parents consider the bowel function more importantly than the cosmetic aspect of anus. Conclusion: Low imperforate anus can be successfully treated using a cut-back anoplasty and the need according to normal bowel function and good cosmetic result can be satisfied.

폴리카본산계 유동화 혼화제 개발

전용진,조석형,홍영호,한종필 호서대학교 반도체제조장비국산화연구센터 2001 반도체장비학술심포지움 Vol.2001 No.-

폴리카본산계 기능성 고분자를 합성해서 고성능 감수제 원료로 활용하여 고유동화 혼화제를 개발하고자 한다.폴리카본산계 기능성 고분자를 합성한 후, 이를 고유동, 고강도 혼화제 원료로의 제반 물성을 확인하고, 이를 현장에 적용하여 현재의 제품을 획기적으로 개선하고, 혼화제 품질의 우위성을 확보하기 위해 1)시멘트 및 골재 표면에서의 적절한 계면활성을 갖는 분자설계를 하였으며, 2)분자량의 조절 기술의개발를 개발하였다. 합성에 있어서 첫째, 시멘트 및 골재 표면에서의 적절한 계면활성을 갖는 분자설계와 둘째, Mw 5,000정도의 분자량을 갖는 감수제의 합성기술을 개발하였다.이렇게 제조된 고성능 유동화제의 화학구조 해석를 해석하고 분자량 및 분자량 분포를 측정한 다음, 시멘트 페이스트의 유동성, 점도, 슬럼프로스 등을 측정하여 고성능 유동화제의 성능인 시멘트 페이스트의 유동성을 시험하였다.그 결과 고유동성을 갖는 것과 장시간 안정한 유동성을 나타내었으며, 경과 시간에 따른 겉보기 점도변화를 측정한 결과 점도의 상승이 초기에 일어나다가 시간의 경과에 따라 점도가 감소하는 경향을 나타내었다.따라서 경과시간에 따른 유동성손실을 억제할 것으로 기대한다.

奬學의 人間資源論的 接近硏究

全龍煥 진주교육대학교 1986 論文集 Vol.30 No.1

When we classily the supervisory patterns as traditional scientific management, human relations, and neoscientific management, these days, supervisory practices in schools are based on one, or a combination, of three general supervisory theories. Traditional scientific management represents the classical autocratic philosophy of supervision in which teachers are viewed as appendages of management and such are hired to carry out prespecified dulies in accordance with the wishes of management. Human relations supervision has its origins in the democratic administration movement advocated in the 1930's and is still widely preached and practiced, and superrisor works to create a felling of satisfaction among teachers by showing interest in them as people. But, human relations supervision is still widely advocated and practiced today, though its support has diminished because of being delivered little. And, neoscientific management supervision is in large part a reaction against human relations supervision, but, it is impersonal, technical, rational control mechanisns. The three images of supervision share a lack of faith and trust in the teacher's ability and willingness to display much intermit in the welfare of the school and its educational programs, and these three images of supervision are judged inadeguate as models to meet present conditions. Se, the purpose of this study was to consider the features, and the grope the fature's views of new approach of human resources supervision that views people as having the potentiality, the desire and potential for motivation, responsibility, sucess at work and is based on the McGregor's Y theory. The features of the human resources supervision in different from that of the human relations supervision. Whereas human relations and human resources supervision are both concerned with teacher's satisfaction, human relations views satisfaction as a means to a smoother and more effective school. The human resources supervisor, by contrast, views satisfaction as a desirable and toward which to teachers win work, and it suggests that designated group leaders (teaches, chairpersons, supervisors, consultants, principals, and so on) come to conceive of their role primarly as one of providing service rather than direction to the group, and human resources supervision work to help the group accomplish its tasks, on believing the ability of group members. In this point, human resources supervision in not only humane and fitting for educational organizations with their people intensive characteristics and distinctively human undertakings but that this view is supported by a formidable body of theory and research and enjoys claims of success from practitioners in many fields. But, human resources supervision is not an elixir to be administered indiscriminately to all. It is a powerful conception of supervision that, by using a concepts of motivation and job enrichment, can markedly improve the identity, commitment, and performance of most teachers and the effectiveness of schools.