증후성 단일 소심부뇌경색의 임상적 및 방사선학적 양상

신원철,이태규,노용우,오재욱,장대일,정경천 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

자발성 뇌지주막하 출혈 환자에서 최초 뇌실 크기의 임상적 의의

신일영,윤일규,윤석만,도재원,이경석,배학근,최순관,변박장 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1

The purpose of this study is to invesetigate the clinical significance of initial enlargement of ventricle in the patients who had aneurysmal SAH. Of the total 821 patients with aneursmal SAH who were registerd in SAH data bank system between 1989-1999, 307 patients who had been already measured in the size of ventricle at the time of admission, were studied retrospectively. The size of ventricle was calculated by bifrontal index. Normal size of ventricle was defined as 30% or less, mild enlargement was defined as 31 to 39%, and moderate enlargement of vertricle was defined as more than 39% in bifrontal index. The sizes of ventricle using bifrontal index were analysed according to the age, sex, blood pressure, consciousness at admission, medical history of hypertension, location of ruptured aneurysm, Fisher's grade on CT(computerized tomography) scan at the time of admission, cerebral vasospasm, intraventricular hemorrhage (IVH), performance of external ventricular drainage (EVD), and prognosis at discherge. Chi-square test and ANONA were used in the statistical evaluation. The results were as follows : 1) Of the 307 patients, 235(76.5%) had a mild to moderate enlargement of ventricle at the time of admission (more than 30% in bifrontal index). 2) The size of ventricle was enlarged according to the increase of age (p<0.05). 3) In the patients who had ruptured aneurysm on anterior cerebral artery, the size of ventricle significantly increased and showed a higher incidence in mild enlargement compared with moderate enlargement of ventricle (p<0.05). 4) The size of ventricle increased in th patients who had IVH and the EVD was more frequently performed in th patients who had the enlarged ventricle associated with IVH (p<0.05). 5) In the patients who had high Fisher's grade, the size of ventricle had a tendency to increase, but there was no statistical significance. 6) In the patients who had poor prognosis, the size of ventricle had a tendency to increase, but there was no statistical significance. Conclusively, the initial size of ventricle was enlarged in th aged patients, ruptured aneurysm on anterior communicating artery, high FIsher's grade, patients associated with IVH. Considering those factors, prediction for the enlargement of ventricle size may help to treat the patients suffering aneurysmal SAH.

연령증가에 따른 혈압요소들의 좌심실비대 및 관동맥질환과의 관련성

박재석,박창규,박미영,박재형,김용현,나진오,신성희,서순용,홍순준,박성미,임홍의,김응주,서홍석,오동주,노영무 대한순환기학회 2004 Korean Circulation Journal Vol.34 No.2

요고가와 吸蟲 및 肝吸蟲의 疫學的 調査 : 耽津江流域을 中心으로

최신철,문재규,정요한 조선의대 1984 The Medical Journal of Chosun University Vol.9 No.1

인삼첨가 Long Life면의 조직감과 관능적 특성

정재홍,심창주,신영,권효진,이규희,오만진 한국식품영양학회 1999 韓國食品營養學會誌 Vol.12 No.5

인삼이 밀가루의 아밀로그래프에 의한 호화 성질과 파리노그래프에 의한 반죽 성질에 미치는 영향을 조사하였다. 인삼첨가 LL면의 조직감과 관능적 특성에 미치는 영향을 분석하기 위하여 밀가루에 대하여 인삼을 5.0∼10% 첨가하여 LL면을 제조한 뒤 면의 조직 특성 분석 및 조리시험을 하고 관능검사를 하였다. 인삼을 첨가하면 아밀로그래프의 호화개시 온도를 3.1℃ 지연시켰으며, 최고 점도를 40B.U 감소시켰다. 파리노그래프의 흡수율은 1.2% 증가하였으며, 반죽의 안정도는 인삼의 첨가로 2.0분 길게 측정되었다. Hunter L값은 인삼 첨가량이 증가할수록 낮아졌으며, Hunter a, b값은 반대로 측정되었다. 인삼첨가 LL면의 층밀림 압출력은 첨가량의 증가에 따라 높아져 10.0%의 첨가는 대조구 18.65(㎏f)보다 2.3(㎏f) 높은 23.95(㎏f)로 측정되었으며, 경도도 대조구보다 5.4(㎏f) 높게 측정되었다. 인삼첨가 LL면의 무게 증가는 인삼의 첨가량이 증가할 때 다소 높게 나타났으나. 부피 증가는 오히려 높게 나타나 조직이 다소 치밀한 것으로 나타났다 용출량은 인삼량의 증가에 따라 약간 감소하였다. 미생물은 인삼의 첨가량이 증가할수록 줄어들어서 장기 저장이 가능하였다. 관능 검사 결과는 인삼첨가 LL면이 4.2 및 4.0으로 비교적 좋은 점수를 얻었다. 이같이 LL면 제조시 인삼 첨가량은 7.0%의 수준이 효과가 컸다. The influence of ginseng on the paste or gelatinization properties by amylograph and mixing properties by farinograph of wheat flour, and on quality properties, color, cooking quality, textural and sensory properties, and reducing microbial population of LL (Long Life) noodles was studied. The contents of ginseng used were from 5% to 10% based on flour weight. The viscosity property of wheat flour with ginseng was increased the initial pasting temperature but the amylograph peak viscosity were decreased in vice versa. The farinograph absorption, stability and breakdown were increased by ginseng. The whiteness of LL noodles manufactured with ginseng was lower than that of control. The shear extrusion force and hardness of LL noodles manufactured with ginseng were shown much higher value than those of control. At cooking quality examination of LL noodles manufactured with ginseng, weight of cooked LL noodles was decreased but volume was appeared in vice versa. Extraction amounts of LL noodles manufactured with ginseng during cooking were much smaller than those of control. Total counts of microorganism of LL noodles manufactured with ginseng were decreased during storage at 30℃. Sensory properties of cooked LL noodles which was manufactured with ginseng showed quite acceptable. Based on the cooking and sensory evaluation test, addition of 7.0% ginseng to wheat flour may be suitable for processing LL noodles.

數學敎科에서 프리젠테이션을 活用한 授業方法이 學習態度에 미치는 影響

이규재,신향근 順天大學校 師範大學 附屬 科學敎育硏究所 1998 科學과 敎育 Vol.6 No.-

It is thought that the pleasant and interesting class would change students' learning attitude positively and increase learning effects. So we are trying to introduce the application of computers to the class to be used in various ways and to be effective in arousing the learning motivation of students. The purpose of this research is to look for the teaching method which can cause students' interest in learning and help students to have an affirmative attitude toward their learning. After carrying out both the presentation program using computer and the traditional, explanatory class alternately, we conducted a comparative analysis on the students' learning attitudes and examined the students' responses on the 'presentation' class. The result of the research was that the 'presentation' class was more affirmative in arousing the motivation of the students than the traditional, explanatory teaching method. We also came to the conclusion that the 'presentation' class was more affirmative in establishing a positive learning attitude than the traditional, explanatory class.

경수손상 환자에서 연령에 따른 재활 치료의 효과

임재영,신형익,김규리,김동아,김지영,나인수,이은선 대한노인병학회 2002 대한노인병학회지 Vol.6 No.3

KAL기 추락에 의한 대량재해의 개인식별

강신몽,이원태,고영창,최상규,김윤희,이홍석,서재관,윤중진,이혜경,최득린,김종열,윤창육,변명식,이장홍 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

Individual identification is an important part in medicolegal field especially in mass disaster. At July, 27, 1989, KAL KE-803 was crashed on landing at Tripoli International Airport, Liba. The plane was caught in fire and sixty eight Koreans were sacrified. The majority of victims were severely charred and injured. The authors examed all dead bodies and successfully identified all the cases through visual, anthropological, odontological, radiological and pathological methods including fingerprint and blood typing.

양측성 알도스테론 분비 선종 1 예

김동규,김규태,이상조,신형식,김학양,유재영,배수동,임성희,김병태,김종혁,송숙희 대한내과학회 1991 대한내과학회지 Vol.41 No.5

Primary aldosteronism is a condition in which chronic aldosterone excess exists independently or semiindependently of the renin-angiotensin system, resulting in hypertension and hypokalemia. The most common cause of primary aldosteronism is unilateral aldosterone-producing adrenal cortical adenoma. The indiopathic aldosteronism showing bilateral adrenocortical hyperplasia accounts for the bulk of the remaining cases. Only rare cases of primary aldosteronism are known to be due to multiple aldosterone-producing adrenocortical adenoma. We report a case of primary aldosteronism due to bilateral adenomas, which was diagnosed preoperatively by abdomen CT and then confirmed by operation and pathological findings.

학교스키수업 사고시 교원의 법적 책임과 대응에 관한 고찰

김현덕,신현규,백재화 한국학교체육학회 2004 한국학교 체육학회지 Vol.14 No.1

학교스키수업 사고에 대한 대책은 기본적으로 피해자의 구제라는 측면에서 생각해 볼 수 있으며 대부분의 피해자는 학생이지만 본 연구에서의 초점은 학교스키수업 사고 발생시 교원은 사고책임자로서 사고에 대한 법적 책임을 질 수 있는데 그 책임에 대한 피해를 최소화하고 효과적인 학교스키수업을 할 수 있도록 학교스키 수업시 사고에 대한 대처와 구제로서 교원의 법적 책임과 대응 문제를 살펴보고자 하였다. 그래서 학교스키수업 사고시 교원의 법적 책임을 형사, 민사, 행정책임으로 구분하여 그 대응책을 고찰한 결과 다음과 같다. 첫째, 학교스키수업에서 사망이나 중상과 같은 중대사고가 교원의 과실에 의해서 발생한 경우에 있어서 형법 제26장의 과실치사상의 죄에 적용되어 교원은 위험예견의무와 위험회피의무의 태만으로서의 주의의무위반에 의해 형법 제268조 업무상 과실·중과실 치사상죄로서 금고 5년 이하, 벌금 2천만원 이하의 형사책임을 받게 된다. 그러나 학교스키수업시 중대사고로 인한 형사사건으로 기소된 교원은 교원과 학생간의 스키수업에 대한 형법상 허용된 위험의 법리가 적용되는 신뢰의 원칙과 스포츠의 특수성으로서 위험수인설, 자기과실설, 그리고 불가항력설을 근거로 법적 대응을 할 수 있다고 사료된다. 둘째, 학교스키수업 사고시 교원의 민사책임, 즉 민법상 손해배상의 의무를 발생시키는 원인으로서 위법행위는 채무불이행과 불법행위가 있는데 적용 민법으로는 지도·감독의 과실에 적용되며 법조항은 불법행위에 의한 책임(민법 제750조)과 책임무능력자의 감독자 책임(민법 제755조) 그리고 피용자의 선임 및 사무, 감독의 과실(민법 제756조)을 들 수 있다 그러나 학교스키수업중 사고가 발생하였더라도 교원들의 민사책임에 대한 법적 구제로는 국공립학교의 경우에는 국가배상법과 사립학교 교원의 경우에는 민법 제756조에 의한 사용자책임으로 구제받을 수 있고, 그 외에 스키장의 채무불이행책임과 공작물책임, 그리고 교원지위향상을위한특별법에 의해 민법상 손해배상책임을 구제 받을 수 있다. 셋째, 형사사건으로 기소되면 국·공립학교의 교원은 공무원법에 의해 직위해제되고 행정상책임으로서 징계처분이 내려진다. 사립학교의 교원 또한 사립학교법상의 직무위반으로서 직위해제 및 징계 등의 조치를 받을 수 있다. 즉, 학교스키수업 사고시 형사나 민사책임을 발생시킨 교원은 파면, 해임, 정직, 감봉, 견책, 그리고 직위해제 등의 행정책임을 지게 된다. 그러나 부당하고 불공정한 행정책임시에는 최소소송, 무효 등 확인소송, 그리고 부작위 위법 확인소송 등의 상소를 하여 행정책임에 대하여 구제를 받을 수 있다. 그러므로 학교스키수업시 교원은 이러한 법적책임을 질 수 있기 때문에 형사책임을 지는 위법적인 과실이나 민사책임을 지는 지도·감독의 과실을 범하지 않도록 각별히 주의를 기울여야 한다. This study was to consider about criminal, civil , and administrative liability and confrontation of the teaching staff on accident case of snow skiing instruction of school and university. Therefore, We could find out conclusion following; First, the teaching staff on accident case of snow skiing instruction of school and university be assume criminal liability of professional negligence by criminal law article 268. Therefore, the teaching staff on occasion of snow skiing instruction of school and university be act according to reason and rationality on any case, and they could be cope with criminal liability as basis of principle of trust about skiing instruction between teacher and student because skiing equal dangerous activity on criminal law, and speciall caracteristics of sports. Second, the teaching staff on accident case of snow skiing instruction of school and university be assume civil liability of fault of guidance and inspector by civil law article 750·755·756. Therefore, legal relief of the teaching staff about compensation for damage of civil liability on accident case of snow skiing instruction of school and university is national reparation law, employer responsibility by civil law article 756, liability of default on financial obligations and structure, and special law for rise in position of teacher. Third, the occurring teaching staff that criminal liability or civil liability on accident case of snow skiing instruction of school and university be assume administrative liability of dismissal, release from office, suspension from office, pay cut, reprimand, and revocation of position etc. In Conclusion, the teaching staff on occasion of snow skiing instruction of school and university cannot act acording to illegal professional negligence assumed criminal liability and fault of guidance and inspector assumed civil liability.