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갑상선암 환자에서 진행성 대장 선종 혹은 대장암 발생의 상관관계
김다민 ( Da Min Kim ),김정하 ( Jung Ha Kim ),박준영 ( Jun Young Park ),전병우 ( Byung Woo Jun ),송림화 ( Lim Hwa Song ),정현애 ( Hyun Ae Jung ),김영호 ( Young Ho Kim ) 대한장연구학회 2011 Intestinal Research Vol.9 No.3
Background/Aims: Colorectal cancer and thyroid cancer are common diseases with relatively higher survival rates compared with other cancers. The number of patients identified with colorectal cancer or thyroid cancer who develop multiple primary malignancy during long-term follow-up is increasing with advances in diagnostic techniques and treatment modalities. However, the association between colorectal cancer and thyroid cancer is uncertain, and few data have been reported in Korea. This study examined the association between thyroid cancer and colorectal neoplasm. Methods: We retrospectively investigated 363 patients who underwent a colonoscopy, among patients diagnosed with thyroid cancer between January 2004 and December 2008 at Samsung Medical Center. The control group was comprised of 2,494 patients who underwent screening colonoscopy for the first time within the study period at the center for health promotion at Samsung Medical Center between March 2004 and December 2005. Results: The detection rates in patients with thyroid cancer were 4.7% (17/363) for advanced adenomas and 2.8% (10/363) for colorectal cancer. In the control group, it was 3.2% (79/2,494) for advanced adenomas and 0.3% (7/2,494) for colorectal cancer. A multivariate analysis revealed that the presence of thyroid cancer had an odds ratio of 1.893 (95% confidence interval, 0.868-4.128, P=0.109) in favor of finding at least one advanced colorectal neoplasm. Conclusions: The results indicate that thyroid cancer is not associated with advanced colorectal neoplasm. Survivors of thyroid and colorectal cancer live longer and hence are at risk for second primary cancers. Therefore, further studies that prospectively evaluate the association between thyroid cancer and colorectal advanced neoplasm are needed. (Intest Res 2011;9:206-210)
김다민(Damin Kim),이우균(Woo-Kyun Lee) 대한공간정보학회 2015 한국지형공간정보학회 학술대회 Vol.2015 No.9
기후변화가 진행됨에 따라 산림은 육상생태계의 탄소순환에서 매우 중요한 역할을 수행하고 있다. 이에 본 연구에서는 미래 한반도의 산림면적 변화를 가정한 후, 과정기반모델과 RCP 기후변화 시나리오를 활용하여 기후변화에 따른 한반도의 미래 탄소수지를 추정하였다. 그 결과 기후변화에 따른 온도의 변화는 탄소수지에 경쟁 영향(competing influence)을 미치는 것으로 나타났다. 현재에 비해 2020년대와 2050년대 한반도 생태계의 생산성과 호흡량은 전체적으로 증가하였으며, 결과적으로 순일차생산량(NPP)과 순생태계생산량(NEP)이 증가하였다. 또한 산림황폐화가 진행되고 있는 북한에 조림을 통해 증가한 산림면적을 반영하여 모델을 재구동한 결과, 2050년대에 한반도 전체 탄소흡수능력은 조림 이전에 비해 증가하는 것으로 나타났다. 이러한 모델링을 통해 추정된 결과는 미래 기후변화에 대응하여 적응과 보존을 위한 척도로서 이용될 수 있으며, 한반도가 산림관리를 통해 국제적 탄소수지 평형에 기여하는 바를 정량화할 수 있다.
◇ 4분과 : 국유림경영계획 실행평가 제도 개선방안에 관한 연구
김다민 ( Da Min Kim ),임철희 ( Chul Hee Lim ),이우균 ( Woo Kyun Lee ),송철호 ( Chol Ho Song ) 한국임학회 2015 한국산림과학회지 Vol.104 No.4
기후변화에 따른 사회적 요구는 국유림이 탄소흡수와 산림자원조성 측면에서 주도적인 역할로 자리매김하게 하였으며, 이에 국유림을 관리하는 국유림경영계획과 국유림경영계획 실행평가의 운영이 효과적인지 점검할 필요가 있다. 효과적인 계획수립과 경영은 올바른 평가방법을 바탕으로 확보될 수 있기에 본 연구는 국유림경영계획 실행평가 제도 개선방안을 제시하였다. 이를 위하여 타 분야의 평가 제도와 비교분석, 국유림업무 담당자 및 전문가와 면담 분석, 11개소 경영계획구의 국유림경영계획 최종평가서 분석을 실시하였다. 분석 결과 ① 계획수립과 평가결과간 연계성을 강화하기 위해 각 평가별 목적과 시기 수정, ② 사업수행과정을 반영하기 위해 사업별 가중치 할당, ③계획변경내역과 사유 기재를 통한 정성적 평가 진행, ④ 이러한 개선방안은 궁극적으로 국유림경영정보시스템과 연동되어야 함을 제시하였다. 미래 산림변화를 예측하고 지속가능한 산림경영을 이룩하는 것은 사업수행과정 전반에 대한 신뢰성 있는 평가에서 시작되며, 따라서 본 연구는 실행평가 고도화 방안을 제안했음에 그 의의가 있다. National forests have been assumed to do a leading role in carbon sequestration and creating forest resources since society demanded it due to climate change. Therefore, it is needed to check whether a national forest management plan and its evaluation are implemented effectively. As an effective planning and management is to be ensured on the basis of proper evaluation system, this research suggests to improve the evaluation system by analyzing it theoretically. Improvements for national forest management plan and its evaluation are as follows: ① adjusting evaluation goal and time; ② giving weighting to each work when planning; ③ writing details of change in planning and its grounds; ④ using the national forest management information systems to integrate these evaluation methods and result. Since to predict future changes in forests and achieve sustainable forest management begins at the reliable evaluation for overall process of the implemented project, the significance of this study is in proposing the improvement of evaluation system for national forest.
초등학교 여자 축구선수들에게 탄력밴드를 이용한 엉덩관절 벌림 운동과 발목관절 테이핑 적용이 정적 균형에 미치는 영향
류우정 ( Woo Jung Ryu ),김다민 ( Da Min Kim ),김은성 ( Eung Sung Kim ),김창주 ( Chang Ju Kim ),김지혜(책임저자) ( Ji Hye Kim ) 대한신경치료학회 2015 신경치료 Vol.19 No.2
Purpose The purpose of this study is the improvement of the hip abductor muscle strength through exercise using theraband and Comparative analysis of the effects of a static balance taping of the ankle joint to prevent the injury of the players to school girl soccer players. Methods In this study, since its implementation four weeks the hip joint abductor muscle strengthening exercise to target the eight women``s football player of the elementary school, by applying the ankle taping, in order to investigate before, the difference after the static balance ability ,using the corresponding sample t- test (Paired t-test). Results When compare the front and the rear of Strengthening exercise of abductor, Static balance ability of the objects of study has significant difference after Strengthening exercise(p<0.05). Right after this experiment, there was significant difference of Static balance ability after applying tape if the joint in comparison under control(p<0.05).Otherwise difference was not exist average static balance of objects of study in comparison whether applying taping of the ankle joint after exercising hip abductor muscle strengthening effects average static balance(p> 0.05). Conclusion the taping application of hip muscle strengthening exercises and static balance of ankle in this study was proven to help improve the static balance.
저위전방절제술 후에 발생한 특발성 후복막강 섬유증과 모자 용종증
송림화 ( Lim Hwa Song ),전병우 ( Byung Woo Jhun ),박지현 ( Ji Hyeon Park ),김다민 ( Da Min Kim ),장동경 ( Dong Kyung Chang ),김영호 ( Young Ho Kim ),김재준 ( Jae Jun Kim ),김진용 ( Jin Yong Kim ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.5
An optimal treatment for cap polyposis has not been established. Several treatment approaches, including anti-inflammatory agents, antibiotics, immunomodulators, and endoscopic therapy have been described. Surgical resection of the affected colon and rectum may be indicated for patients with persistent disease. Repeat surgery is indicated in cases of recurrence after surgery. However, symptomatic polyposis may still recur, and spontaneous resolution of cap polyposis is possible. We report a case of recurrent cap polyposis complicated with retroperitoneal fibrosis after inadequate low anterior resection with a positive resection margin. Surgical approaches for the treatment of cap polyposis should be carefully considered before treatment. (Korean J Gastroenterol 2011;58:275-279)