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김재욱(JU Kim),문병준(BJ Moon),이선경(SK Lee),김광희(KH Kim),곽소명(SM Kwak) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.5
만 20세의 초임여성으로서 미세 처녀막 1예를 경험하였기에 간략한 문헌고찰과 아울러 증례 를 보고하였다. The malformation of the hymen is relatively rare anomaly. We experienced a case of microperforate hymen, regarded as congenital origin, associated with normal pregnancy in 20 years old woman and are now presenting it with a brief review of literature.
임신 및 산욕기와 산후 심부전증환자에서의 Cardiothoracic Ratio의 변화
김재욱(JU Kim),정순오(SO Chung) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.11
1971년 1월 1일부터 동년 12월 31일까지 만 1년간 연세대학교 의과대학 세브란스병원 산부 인과 외래에서 산전진찰을 받은 465예와 본병원에 입원하여 분만을 한 환자 중 산후 1일, 3 일, 6주된 산모 각각 30예씩 90예와 산후 심부전증이 있는 20예의 cardiothoracic ratio를 측 정 관찰하여 다음과 같은 결론을 얻었다. 1) 임신시에는 임신주수가 증가함에 따라 Y=0.002X+0.421의 regression line이 성립되며, 이 는 자궁저고(height of fundus)의 증가와 거의 비례하여 증가함을 볼 수 있었으며 산후에는 자궁크기의 감소로 인하여 횡경막의 하강으로 cardiothoracic ratio는 점차 줄어들어 산후 1 일째는 임신만삭때와 거의 비슷하였고 3일째는 임신 32주때와, 산후 6주째는 임신 18주때와 거의 비슷한 치를 보였다. 2) 산후 심부전증이 있었던 20예에서의 평균 cardiothoracic ratio는 0.61로서 정상보다는 상 당히 높은 치를 보였다. 3) 정상 임신부에서의 cardiothoracic ratio에 추가해서 임신중독증이나 다태임신 같은 산과 적 합병증이 있는 경우와 초산부 경산부에서의 cardiothoracic ratio의 비교 및 연령별로 본 cardiothoracic ratio의 변화에 대하여 앞으로 더 연구하려고 하는 바이다. The patients were randomly selected in the Department of Obstetrics and Gynecology. Yonsei University College of medicine for studies on cardiothoracic ratio changes during prenatal and postpartum status from January 1st, 1971 to December 31, 1971. The chest X-ray (P-A) were taken in the 465 prenatal cases, 60 cases on the first and 3rd day postpartum and 30 cases at 6 weeks postpartum plus 20 cases of postpartum cardiac failure cases. The results are as follows : 1) As the diaphragm is progressively elevated during pregnancy, Y=0.002X+0.421 of the regression line were noted, which is in proportion to the height of the fundus. After delivery the hight of diaphragm progressively decreased and the cardiothoracic ratio also decreased. Also the cardiothoracic ratio of the PPD#1, 3 and 6 weeks was similar to the ratio at term, 32 weeks gestation and 18 weeks gestation respectively. 2) In the 20 cases of postpartum heart failure the cardiothoracic ratio was 0.61 which is much more than the normal value. 3) In addition to the cardiothoracic ratio of normal pregnancy, the ratio of the complicated pregnancies, such as pre-eclampsia and multiple pregnancy should be studied further.
김재욱(Jaeuk U. Kim),김성훈(Sung Hun Kim),이유정(Yu Jung Lee),전영주(Young Ju Jeon),강재환(Jaehwan Kang),김종열(Jong Yeol Kim) 대한전기학회 2009 정보 및 제어 심포지엄 논문집 Vol.2009 No.10
Pulse diagnosis is one of the most important diagnosis method in Oriental medicine. To make the pulse diagnosis more objective and standardize, it is essential to reinterpret the pulse images in the literature in terms of the physical quantities such as the strength, width, length, and depth of the pulse waveform, as well as to develop a high fidelity pulse measuring instrument. As a way towards such quantification, in this work, we introduce an effective method of extracting the characteristic features of the measured pulse wave. As an application of so-obtained features of the pulse wave, we outline the procedure of calculating the coefficient of the floating/sinking pulse, which is effective in quantifying the floating pulse and sinking pulse in a unified scale. In addition, we apply the algorithm of calculating the floating/sinking pulse to the database of pulse waves at Chon, Gwan, and Cheok in the left wrist, which were collected from 213 healthy male subjects in their 20s. As a result, we found that statistically the pulse image at Gwan tends to be relatively floating and the pulse image at Cheok tends to be relatively sinking.
김재욱 ( Kim Jae Wook ),김상효 ( Kim Sang-hyo ),이윤희 ( Lee Youn Hee ),오주 ( Oh Ju ) 한국구조물진단유지관리공학회 2010 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.14 No.1
In this paper, comparison study were perfoimed between the ordinary rubber bearing and the lead rubber bearing(L.R.B.) to find out the seismic response and economical efficiency of the L.R.B. as damper. In order to apply the L.R.B. as damper, actual experiments were carried out on the assumption that the vertical stiffness of the L.R.B. is set to ‘zero’. As results, it can be concluded that applying the L.R.B as damper is one of the good alternatives in seismic retrofitting of bridge with economical efficiency and high level of applicability.
항암제 Cisplatin ( cis-diamminedichloroplatinum II ) 이 백서 신장에 미치는 영향에 관한 연구
김재욱(JU Kim),곽현모(HM Kwak),이광길(KK Lee),최인준(IJ Choi) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6
Cisplatin (cis-diamminedichloroplatinum II) is a new anticancer drug containing a heavy metal, platinum. Cisplatin shows a broad spectrum of antitumor activities in certain human cancers including gynecologic malignancies such as ovarian carcinoma. The clinical trial with cisplatin has shown moderate therapeutic benefits but also has significant toxic effects. The major toxic effects are impairment of renal function, myelosuppression, hearing loss and gastrointestinal disturbance. Of which these toxic effects, the renal toxicity is most serious dose limiting factor in clinical use. The nephrotoxicity of cisplatin has been well documented clinically, but the renal pathologic findings in patients treated with this drug have been scarce and not well demonstrated in the literature. In this study, renal toxicity is investigated in rats following a single intraperitoneal injection of cisplatin 6mg/kg, as acute experimental group and repeated treatments with cisplatin(1mg/kg twice weekly and 2mg/kg twice weekly for 11 weeks) as chronic experimental group. The results are as follows: A. Acute experimental group. 1. The mean kidney to body weight ratio is significantly greater in experimental group than controls on day 7. 2. Serum levels of BUN and creatinine rise to peak level on the 5th day and uric acid on the 7th day. On the 10th day, serum levels of creatinine and uric acid decreased to control level, but those of BUN are still greater than controls. 3. Histologic changes are characteristically confined to the corticomedullary region, straight tubules of outer zones of the medulla. Necrosis of the tubular cells is maximal on the 5th day, tubular dilatation is mostly severe on the 7th day and regeneration begins on the 10th day. B. Chronic experimental group. 1. The kidney to body weight ratio is greater than controls. 2. In rats treated with 1mg/kg of cisplatin, the mean BUN values are 6-fold greater and mean creatinine and uric acid values are 2-fold greater than controls. 3. Massive tubular dilatation in the corticomedullary region and interstitial fibrosis are noted. In conclusion, chronic use of cisplatin in cancer patients could cause irreversible renal damage.
김재욱(JU Kim),송찬호(CH Song),곽현모(HM Kwak) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.7
연세대학교 의과대학 산부인과학교실에서 1974년 11월26일부터 1976년 2월말까지 진단목적 을 위하여 복강경술을 시행했던 62명을 대상으로 하여 연구 관찰한 결과 다음과 같은 결론 을 얻었다. 1. 연령별 분포는 25세에서 34세가 62예중 39예(62.7%)로 과반수 이상을 차지하였다. 2. 적응증은 자궁외임신을 의심했던 경우가 62예중 24예(38.8%)로 수위를 차지하였다. 3. 자궁외임신을 의심했던 24예중 11예에서 자궁외 임신을 조기에 확진함으로서 파열되지 않은 상태에서 수술을 할 수 잇었다. 4. 골반동통과 골반내 종물을 의심하는 환자에서 복강경을 통해 그 원인을 규명할 수 있었 으며 내진산으로는 진찰이 곤란한 endometriosis도 발견할 수 잇었고 골반종물을 의심한 7예 중 3예에서는 불필요한 개복술을 피할 수있었다. 5. 불임증 환자에서 복강경술을 통해 난관의 폐쇄여부에서 확인함은 물론 난관의 유착여부 및 그정도를 관찰함으로서 난관성형술의 가능성 여부도 판단할 수 잇었다. 6. 무월경 환자에 있어서 골반내 장기, 즉 자궁, 난관 및 난소를 정확하게 관찰함으로서 진 단을 하는데 크게 도움이 되었다. 복강경술에 관한 외국문헌 고찰과 본 연구를 통하여 부인과적 질환을 진단하는데 복강경을 이용함으로써 좀더 정확하고 안전하게 진단할 수 있었음을 알 수 있었다. Laparoscopy has been shown to be a precise and acceptable diagnosic tool for the gynecologist. IN a series of 62 cases performed at the Department of Obsterics and Gyunecology, Yonsei University Medical Center from November 23, 1973 to January 31. 1976, the procedures have been shown to be safe and relialbe. The historical background, technique and results are reviewed. the value of the procedure in the diagnosis and the treatment of infertility in the evaluation of acute and chronic pelvic pain and in the definition of obscure pelvic mass is discussed the laparoscopy may frequency obviate exploratory laparotomy and it can also help to avoid serious or even disastrous delays in surgery.
김재욱(JU Kim),박금자(KZ Park),장상식(SS Chang),안명옥(MO Ahn),황동훈(DH Hwang) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.12
연세대학교 의과대학 부속 세브란스 병원 산부인과학교실에서 24세 경산부에서 희귀한 복합 임신 1예를 경험하였기에 간략한 문헌고찰과 아울러 증례를 보고하였다. Combined intrauterine and extrauterine pregnancy have been considered comparitively rare and uncommon condition of more than usual interest since the first description by Duverney in 1708. The diagnosis of this uncommon entity is frequency missed causing an increase in maternal morbidity and jeopardizing the mother. We present a case of combined intra-and extrauterine pregnancy with a brief review of literature available