골반 내 후복막에서 기원한 유상피 혈관내피종양에 의한 저혈당 1예

김지량,전윤경,박기태,강양호,손석만,김인주,김용기,최경운,이광재 대한내분비학회 2007 Endocrinology and metabolism Vol.22 No.6

Hypoglycemia caused by a non-islet cell tumor (NICT) is a rare condition. The mechanism of NICT-induced hypoglycemia is still unclear, but insulin-like growth factor-II (IGF-II) has been thought to play a major role in its development. NICT is usually of mesenchymal or epithelial cell origin, but reports on NICT of an endothelial cell origin, which causes hypoglycemia, have yet to surface. Here, we report on a case of a 63-year-old female patient who was diagnosed with epithelioid hemangioendothelioma-induced hypoglycemia. Epithelioid hemangioendothelioma is a borderline malignant vascular tumor that is of endothelial cell origin and usually occurs in soft tissue, skin, lung, and liver. It was observed that serum insulin, C-peptide, and IGF-I were reduced, but the IGF-II level was elevated in hypoglycemia. The PET-CT showed no abnormal glucose metabolism in the tumor. Dextrose fluid was administered to the patient to control hypoglycemia until the operation. For treatment and diagnosis, surgical resection of the tumor and total hysterectomy were performed. The specimen was noted to have epithelioid hemangioendothelioma. Hypoglycemia-related symptoms disappeared after surgical resection was performed. (J Kor Endocr Soc 22:440~445, 2007) 유상피 혈관내피종이 골반 내 후복막에서 발생하는 경우는 드물며, 이 종양에서 분비한 IGF-II에 의해 저혈당을 동반한 증례는 보고된 적이 없다. 저자들은 저혈당을 동반한 골반 내의 유상피 혈관내피종이 IGF-II를 분비하고 이것의 인슐린양 작용으로 저혈당이 유발되었을 것으로 생각되는 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Relationship Between Unmet Dental Care Needs and Mental Health: Using Data From the 7th Korea National Health and Nutrition Examination Survey

김지량,김재현 한국보건사회연구원 2022 保健社會硏究 Vol.42 No.1

This study utilizes the data from the 7th Korea National Health and Nutrition Examination Survey (data from 2016-2017) to understand the relationship between unmet dental care needs and mental health to suggest policies to reduce proportions of unmet dental care needs, stress, and suicide rates. The analysis was conducted using data from 9,294 respondents from a total of 16,277 respondents. Unmet dental care needs were surveyed using a self-reported questionnaire on requiring, but failing to receive, dental care; the data were analyzed using a chi-square test and multiple logistic regression analysis of the survey. Individuals who had unmet dental care needs had 1.56 times higher perceived stress (OR: 1.56, CI: 1.282-1.893, p<0.001) and 2.11 times higher risk of suicidal ideation (OR: 2.11, CI: 1.296-3.431, p=0.003) compared to those who did not have unmet dental care needs. Because it was implemented through secondary data analysis, it was not possible to add correction variables other than those presented in the raw data. There was a close relationship between unmet dental care needs and mental health. Therefore, to reduce perceived stress and risk of suicidal ideation, policy measures that reduce unmet dental care needs are necessary.

The Association Between Vitamins A, E and Periodontal Disease: Using the 7th National Health and Nutrition Survey Data (2016-2018)

김지량,김재현,장종화 융합연구학회 2022 융합연구학회지 Vol.6 No.3

This study aimed to examine and understand the association between the periodontal disease and content of vitamins A and E in the blood components by sex. Of the 16,489 participants of the 7th KNHANES (2016-2018) examination, the data of the final 4,478 people who underwent the oral examination were used. The data were collected through the self-administered interview questionnaire and examination, and the demographic characteristics, general blood tests, and the community periodontal index (CPI index) were measured, while the periodontal disease was determined to be CPITN 2 or higher. The association between vitamins A and E and the periodontal disease was analyzed by the multiple sample chi-square test and the multiple logistic regression analysis. The prevalence of the periodontal disease among the subjects turned out to be 27.5%. The association between gender vitamins and the periodontal disease analyzed by controlling the sociodemographic characteristics and blood components was 2.42 times lower (OR: 2.42, CI: 1.20-4.87) as the vitamin A content increased by 1st quantile among the men, and as for women, as the vitamin E content increased by 1st quantile, it decreased by 1.02 times (OR: 1.02, CI: 1.00-1.04). In conclusion, it was suggested that an adequate intake of vitamin A for men and vitamin E for women can help promote and maintain the periodontal health.

성인 구강검진과 미충족 치과의료와의 관련성

김지량,김재현,장종화 한국치위생학회 2020 한국치위생학회지 Vol.20 No.5

Objectives: Oral diseases can be prevented, and early treatment through dental checkups is important. This study was investigated the relationship between dental checkups and unmet dental care needs in Korean adults. Methods: From the data of the 7th Korean national health and nutrition survey (2016-2017), the final 9,300 of the 16,277 participants selected as the method for extracting stratified colonies by complex sample design. A structured questionnaire interview was used, and chi-square test and multiple logistic regression analysis were performed. Results: The relationship between dental checkups and unmet dental care needs for the last one year was analyzed by controlling demographic characteristics, variables related to health conditions, and “use of dental clinics for the last year.” The unmet dental care needs were 7.57 times higher (CI: 6.49- 8.83) for non-users of dental clinics for 1 year, and 1.32 times (CI: 1.13-1.54) for dental checkups for 1 year compared to non-dental checkups patients. Conclusions: As described above, there was a close relationship between adult dental checkups and unmet dental care needs. Therefore, it is suggested that it is necessary to expand educational publicity and prepare policy strategies such as visiting dental checkups to improve the adult dental checkups.

현대패션에 나타난 문자문양 연구

김지량,최현숙 동덕여자대학교 디자인연구소 2008 디자인포럼21 Vol.11 No.-

복식은 시대적 이념의 표현물로서 그 시대의 사회, 경제, 정치, 기술의 일면을 반영한다. 특히 19세기 후반이후 오뜨꾸뛰르의 탄생과 함께 패션은 더욱 독창적이고 개성적인 면모를 보여 왔으며, 이를 위해 다양한 이미지가 접목된 독특한 패턴과 색채의 응용이 현저해 졌다. 현대 패션은 다각적 표현방법과 형태로 현대인의 라이프스타일을 형성하고 있어 인간 생활의 기본적인 요소일 뿐만 아니라 나아가 하나의 독립적인 감상의 대상이 되는 종합예술이라고까지 인식되게 되었다. 그 일환으로 패션과 여타 예술 장르와의 결합이 꾸준히 시도되어 왔는데, 그중에서도 본 연구는 패션에 나타난 문자 문양에 주목하여 고찰하고자 한다. 현대 패션 디자인에 있어서 다양한 디자인 요소 중 가장 시각적 관심의 초점이 되는 요소 중 하나로 문양을 들 수 있다. 그 가운데서도 문자모양은 문자 자체가 가지는 의사전달기능을 가장 중요한 특징으로 가지면서 동시에 조형적 특성에 따라 복식에 다양한 미적 가치를 부여한다. 이에 본 연구는 현대 패션에서 문자문양이 어떻게 표현되고 활용되고 있는지 분석함으로써, 패션디자인에서 의미전달과 조형성의 기능을 수행하는 특수한 문양인 문자문양의 이해에 근거한 창의적 디자인 활용 방안을 찾아보는데 그 목적을 두었다. 연구방법으로는 문자문양의 특성을 규명하기 위한 방법으로 문자문양의 특성을 분석하고자 단행본과 선행연구를 통한 문헌연구를 시행하였으며, 국내외의 패션 정보지, 패션 관련 문헌과 퍼스트뷰 코리아(www.firstviewkorea.com) 의 인터넷 사이트를 참고로 하여 국내외 컬렉션에서의 문자문양의 활용 및 기능, 미적가치 등을 분석하였다. 연구의 결과 현대 패션 스타일에서 나타난 문자 문양은 언어적 기능은 약화되고 조형미가 강조되면서 하나의 문양으로 장식되어 복식을 두드러지게 보이는 역할을 하는 경향을 보였다. 현대 패션에서 보이는 문자문양의 미적가치는 해학미, 상징성, 관능성, 전위미로 나타났다. Fashion reflects one side of society, economy, politics and technique of the times, as a representation of the times' ideology. Especially, the fashion has shown more creative and individual aspect as Haute Couture was born in the late 19th century, so the application of unique pattern and color to contact various images has been increased. Because the modern fashion forms modem persons' lifestyle with various expressions and forms, it has been recognized as a synthetic art being not only a basic factor but also an independently appreciated object. Accordingly, the combination between the fashion and the other arts has continuously been attempted, so this Study tries to focus on the character pattern shown in the fashion. The pattern can be recognized as the most visually interested focus of the various design factors in the modem fashion design. The character one of the patterns has the most important feature as a thought delivery function and, at the same time, shows the various aesthetic values to the fashion according to the formative peculiarity. So, analyzing on how the character pattern in the modem fashion is used, this Study purposes to seek a method to use the creative design on the basement of understanding the character pattern, the special pattern having the function of both thought delivery and art formation. As for the research method, this Study performed a documentary research through separate volumes and precedent studies in order to analyze the peculiarity of the character pattern as a method to verify that of the character pattern, and analyzed the usage, function and aesthetic value of the character pattern in the domestic and foreign collections in reference to domestic and foreign fashion magazines, fashion related documents and the Internet site of Firstviewkorea (www.firstviewkorea.com). In result, the character pattern expressed in the modem fashion style became weak in a language function and strong in a formative beauty, showing a trend to make the fashion obvious by being decorated with one pattern. The aesthetic value of the character pattern shown in the modem fashion was recognized as the beauty of humor, symbol, sense and avant-garde.

패션 컬렉션 메이크업에 나타난 하위문화스타일메이크업 특성

김지량,최현숙 한국패션디자인학회 2012 한국패션디자인학회지 Vol.12 No.1

최근의 패션문화는 다양화·개성화 되고 있는 현대문화의 흐름을 반영하여 패션 디자인 요소들의 다양한 조합을 통해 스타일의 이미지 역시 복잡하고 다양화 되었고 그 미적 범주도 더욱 확장되고 있다. 특히, 메이크업은 의복에 비해 단시간 내에 변화와 변형이 가능하여 이미지 형성에 이어 매우 중요한 세부영역이라고 볼 수 있다. 기존 연구들에서 패션컬렉션에서의 하위문화스타일은 다양한 모습들이 혼합된 형태로 표현되어 왔으며, 하위문화스타일의 전폭적 힘이 상당함을 밝혀주고 있다. 하위문화스타일이 주류문화와 혼합되면서 메이크업에서도 그 형태나 표현 방식이 혼재 되어 나타남을 보여주는 분석이 부족하며 이미지의 정립이 모호한 실정이다. 본 연구는 기존 연구에서 확립된 하위문화스타일 특성들이 1930년대 주트(zoot)스타일 이후 실제 메이크업에 있어서 어떻게 나타났는지 먼저 고찰 하고, 하위문화 메이크업들이 21세기(2000년대 이후) 패션컬렉션메이크업에서는 어떠한 방식으로 표현되고 있는지 연구하였다. 패션 문화 연구에서 특정 스타일이 시대를 관통하며 재등장 하고, 재등장하면서 동시에 새로운 형태로 재해석 되어 보이는 현상을 확인하는데 목적을 둔다. 이를 통해 패션문화 및 이의 세부적 분야인 메이크업에 있어서 과거와 현재, 미래를 아울러 조망할 수 있는 관점을 가질 수 있도록 하는데 연구의 의의가 있다. 하위문화는 디자이너의 창의적인 표현의 부분의 바탕으로서 그 스타일 표현에서의 메이크업이 현재의 패션 컬렉션에서 작용하는 형태가 다양하게 적용되므로 이를 고찰해 봄으로써 새로운 패션 트렌드 형성의 한 부분에 작용할 수 있다.

국내 중ㆍ고등학교 보건교과서의 구강보건 내용 분석

김지량 ( Ji-liang Kim ),박정은 ( Jung-eun Park ),장종화 ( Jong-hwa Jang ) 대한예방치과·구강보건학회 2020 大韓口腔保健學會誌 Vol.44 No.3

Objectives: This study investigated the contents and structure of chapters on oral health to determine the quality of middle and high school health textbooks. We also comparatively analyzed the learning objectives of these textbooks according to the oral health curriculum proposed by the Virginia Department of Health (VDH) and South Carolina Department of Education (SCDE). Methods: The structure and educational contents of eight health textbooks (middle school, five; high school, three) published in 2019 were analyzed methodologically. We compared the structure and contents between the middle and high school curricula. We also carried out comparisons among five publishing companies. Results: Of the eight health textbooks examined, five (middle school, four; high school, one) had chapters on oral health. In terms of structure, textbooks published by company A had the lowest percentage (0.96%) of pages on oral health. The highest percentage (1.50%) was found in a middle school textbook published by company D. We noted subject-level differences between the curriculum proposed by VDH, SCDE, and that of the published textbooks. There were more keywords pertaining to the definition and development of oral diseases than those for its prevention and management. Conclusions: It is critically important to impart oral health education to middle and high school students for self-management of oral health during adolescence, a period characterized by both rapid physical and psychological development. Therefore, we recommend that all health textbooks should include chapters on oral health. Further, in the health textbooks that already include oral health information, we propose that the revised curricula should include key learning objectives.

IoT 펌웨어 업데이트의 블록체인 적용을 위한 성능 연구 - 플랫폼을 중심으로

김지량(Ji Ryang Kim),이용준(Yong Jun Lee),강장묵(Jang Mook Kang) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.9

코로나 시대로 인한 비대면 서비스 수요의 증가로 사물인터넷 기기의 보급률이 증가했다. 사물인터넷 기기의 펌웨어 업데이트 과정은 인증자의 권한이 크고 다양한 데이터를 다루기 때문에 보안의 관점에서 매우 중요하다. 사물인터넷 기기의 펌웨어 업데이트 보안을 확보하기 위하여 블록체인의 특징을 활용할 수 있다. 본 연구에서는 IoT 펌웨어 업데이트 플랫폼을 실제로 구축하여 데이터 입력과 조회의 성능을 측정하기 위한 실험을 진행하였다. 실험 결과 조회기록은 약 1,600 TPS 이상을 기록하였고 입력 기록의 평균은 약 360 TPS 이상을 기록하였다. 실험 결과를 공공기관에서 발주되는 제안요청서의 성능 요구치와 비교한 결과 조회 성능은 성능 요구치를 충족하지만 입력 성능은 네트워크 환경 및 트렌젝션의 구조체 용량 등에 따라 서비스 요구 성능치를 충족할 수 있을 것으로 판단된다. 따라서 IoT 펌웨어 업데이트 과정에 블록체인을 적용하기 위해서는 성능 향상을 위한 네트워크 성능 및 체인코드 구조와 관련된 연구가 지속되어야 할 것으로 판단된다. Due to the increase in demand for non-face-to-face services due to the COVID-19 era, the penetration rate of IoT devices has increased. The firmware update process of IoT devices is very important from a security point of view because the certifiers authority is large and deals with various data. In order to secure the firmware update security of IoT devices, the characteristics of the blockchain could be utilized. In this study, an experiment was conducted to measure the performance of data input and inquiry by establishing an IoT firmware update platform. As a result of the experiment, the inquiry record was more than about 1,600 TPS, and the average input record was more than about 360 TPS. We compared the experimental results with the performance requirements of a proposal request ordered by public institutions, and the inquiry performance met the requirements, but the input performance meeting the service requirements depended on the network environment and the structure capacity of the transition. Therefore, in order to apply blockchain techniques to the IoT firmware update process, research related to network performance and chain code structure should be continued to improve performance.

하이퍼렛져 패브릭 프레임워크를 활용한 블록체인 IOT 펌웨어 업데이트 미들웨어에 대한 연구

김지량(JEE RHYANG KIM),김지효(Kim JiHyo),윤철희(Yoon Cheolhee),강장묵(Jang Mook KANG) 한국정보기술학회 2022 Proceedings of KIIT Conference Vol.2022 No.6

한국 클러버(Clubber)의 패션 스타일 연구

김지량(Ji Lyang Kim),최현숙(Hyon Sook Choy) 한국복식학회 2008 服飾 Vol.58 No.4