靑少年의 環境倫理觀 確立에 關한 硏究

宣晋圭 창원대학교 1998 環境硏究論文集 Vol.7 No.-

활성탄소의 원료특성이 EDLC의 충방전 거동에 미치는 영향

선진규,이철태,조영구,조병원,노광철,윤경석 한국공업화학회 2001 한국공업화학회 연구논문 초록집 Vol.2001 No.-

전기이중층 캐패시터(EDLC)는 전지와 비교하여 1회 충전당 충전용량은 적지만 순간 충ㆍ방전 특성이 우수하고, 10만회의 충ㆍ방전에도 기본적인 특성의 열화가 적고, 충ㆍ방전시 과전압이 없어 회로가 단순하여 안정적이다. 또한 전극 활물질로 탄소를 사용하는 까닭에 환경오염이 없는 매우 우수한 전기화학적 에너지 저장장치로서 지난 수년간 많은 연구자들의 관심의 대상이 되고 있다. EDLC에서 가장 핵심이 되는 물질은 분극성 전극물질이다. 분극성 전극물질은 전하가 전극에서 최소의 전압강 하분포를 이루도록 전기전도성이 크고 비표면적이 높으며, 일정전위 하에서 산화 또는 환원반응이 발생하지 않는 즉, 전기화학적으로 안정하여야 한다. 그 중에서도 활성탄소의 경우 활성탄소의 출발원료, 활성화공정, 후처리 등에 따라 활성탄소의 물리적 특성 즉, 비표면적, 기공분포, 기공표면특성 등이 매우 다르게 나타나며 이는 EDLC의 전극특성에 직접적으로 영향을 미치게 된다. 따라서 본 연구에서는 활성탄소의 출발원료를 petroleum cokes와 pitch cokes로 선정하여 KOH활성화법을 이용해서 활성화하였으며, 이들의 원료물질의 특성에 따른 활성탄소의 특성을 비교하였다. 또 한 각각 제조된 활성탄소를 이용하여 이들의 물성에 따라 EDLC의 충ㆍ방전 거동에 미치는 영향을 조사하였다.

새 천년 淨土信行의 布敎方向

선진규,김재일 한국정토학회 1999 정토학연구 Vol.2 No.-

전기이중층캐패시터에서 마이크로파에 의해 개질된 활성탄소적극의 전기화학적 특성

선진규 ( Jin Kyu Sun ),엄의흠 ( Eui Heum Um ),이철태 ( Chul Tae Lee ) 한국공업화학회 2010 공업화학 Vol.21 No.1

골반장기 탈출증과 동반된 자궁내번증

선진규 ( Jin Gyu Sun ),문종필 ( Jong Pil Moon ),전준공 ( Jun Kong Cheon ),구진영 ( Jin Young Gu ),김병선 ( Byoung Seon Kim ),배유영 ( You Young Bae ),기광수 ( Kwang Soo Kee ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.2

Non-puerperal uterine inversion is a rare clinical problem with only 150 cases reported. It usually results from a tumor implanted on fundus of the uterus. Uterine inversion associated with pelvic organ prolapse (POP) is extremely rare with only 1 case reported. A 74-year-old multiparous menopausal women was admitted to our hospital with the following condition: purulent vaginal discharge, voiding difficulty, lower abdominal discomfort, vaginal bleeding, protruding vaginal mass and POP. She was diagnosed as a POP with uterine inversion. After a posterior hysterotomy, vaginal hysterectomy, bilateral salpingoophorectomy and colpocleisis was performed and the pathological examination revealed a pyometra. We report a rare case of uterine inversion associated with POP and pyometra with a brief review of literature.

Tension-free Vaginal Tape 술식과 질식자궁적출술 동시수술의 단기 결과

양이철,노준화,선진규 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.8

Purpose : To evaluate the short term result of the tension-free vaginal tape(TVT) procedure in conjunction with vaginal hysterectomy in patients with concurrent stress incontinence and gynecological diseases. Materials and Methods: All patients(32 women) underwent the TVT procedure in conjunction with vaginal hysterectomy between June 2001 and April 2003. Preoperative histories, subjective questionnaires of the degree of incontinence, physical examinations, one hour pad tests and full urodynamic testing were evaluated. The postoperative clinical outcomes, patient satisfaction and complications were checked after 3-months. Results: Thirty-two women who met the study criteria were identified. The mean follow-up time, parity, age, operating time and length of hospital stay were 9.2 months, ranging from 3 to 18 months, 2.6, ranging from 1 to 5, 52.5 years, ranging from 40 to 68, 73 minutes, ranging from 55 to 122 minutes and 4.3 days, ranging from 3 to 9 days, respectively. From the questionnaires, 22 patients were found to be mildly incontinent, 7 moderately incontinent and 3 severely incontinent. All patients were cured of gynecological disease. All cases of mild, 5 of moderate and 2 of severe incontinence were cured. The three remaining patients improved. Twenty-eight patients were satisfied after the operation and 1 had intraoperative bladder perforation. Conclusions: The TVT procedure in conjunction with a vaginal hysterectomy for stress incontinence with other gynecologic disease is considered safe and efficacious, although a longer follow-up will be necessary to determine the long term effect. (Korean J Urol 2004;45:800-804)

발육지연 태아의 주산기예후에 대한 태아 생물리학적 계수검사와 제대동맥 혈류속도파형 분석의 유용성에 대한 고찰

임헌정,기광수,김대화,선진규,김재익,양정형 대한산부인과학회 1996 Obstetrics & Gynecology Science Vol.39 No.12

In a prospective study of 89 women who delivered Small-for-Gestational-Age fetuses with singleton pregnancies after 30 weeks` gestation, fetal biophysical assessment and umbilical artery resistance index wer performed within 72 hours before delivery. Patients with abnormal fetal biophysical profile and umbilical artery RI had a significantly higher rate of preterm delivery , cesarean section for fetal distress , low Apgar score , significant neonatal norbidity , perinatal death , and admission to Neonatal-Intensive-Care-Unit than patients with normal tests. It was 87.6% vs. 84.3% that over all efficiency of tests to predict adverse perinatal outcome. Multiple logistic regression analysis indicated that abnormal umbilical artery RI and fetal biophysical profile were significant independant predictors for the development of adverse perinatal outcome beyond the risk of preterm baby(odds ratio=119 , p=0.0000; odds ratio=34 , p=0.0001). In this study , we can suggest that umbilical artery RI & fetal biophysical profile are useful independant predictors of adverse perinatal outcome with similar efficacy in Small-for-Gestational -Age fetuses.

자궁근종에 대한 임상 및 병리학적 연구

임헌정,김동호,김홍관,선진규,박병삼 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.6

1990년 1월 1일부터 1993년 12월 31일까지 4년간 광주기독병원 산부인과에 입원하여 수술을 받고 자궁근종으로 확진된 544례를 대상으로 임상 및 병리학적 연구로 다음과 같은 결과를 얻었다. 1. 자궁근종의 발생빈도는 18.3%이었다. 2. 연령분포는 40-49세가 57.7%로 가장 많았고, 평균연령은 43.4세이었다. 3. 주소가 동통인 경우가 73.3%, 이상자궁출혈의 경우가 66.5^, 종류감이 23.9%의 순이었다. 4. 평균 혈색소치는 11.3%이었으며, 혈색소치가 10 g%미만인 경우가 10%이었다. 이중 수혈을 받은 경우는 7.7%이었다. 5. 발생부위는 체부가 96.1%, 경부가 1.8%, 광인대내가 1.7%, 체경부가 0.4%의 순이었다. 조직학적으로는 근내형이 67.8%, 혼재형이 16.2%, 장막하형 8.1%, 점막하형 7.9%의 순이었다. 6. 임신경험이 한 번도 없었던 경우가 3.5%였으며, 평균 임신횟수는 5.6회, 평균 분마뇟수는 3.1회이었다. 불임인 경우는 6.6%에서 보였으며, 이중 원발성은 3.5%, 속발성은 3.1%이었다. 7. 절제된 자궁 또는 자궁근종의 무게는 200-299 g인 경우가 26.3%로 가장 많았고, 평균무게는 197.8g이었다. 8. 자궁근종의 이차변성은 5.3%에서 보였으며, 초자양 변성이 3.9%로 가장 많았다. 9. 자궁근종과 합병된 병변은 86.6%이었고, 이중만성 자궁경부염이 49.8%로 가장 많았다. 10. 월경과다증은 56.6%에서 나타났으며, 월경과 다중과 자궁근종의 조직학적 발생부위(p$lt;0.005), 자궁선근증(p$lt;0.005) 사이에는 유의한 상관관계가 있었다. 그러나 자궁무게와 월경과다증 사이에는 유의한 상관관계가 없었다(p$gt;0.5). 11. 월경곤란증은 46.1%에서 나타났으며, 월경곤란증과 자궁근종의 조직학적 발생부위(p$lt;0.005), 자궁무게(p$lt;0.005), 자궁선근증(p$lt;0.005) 사이에는 유의한 상관관계가 있었다. 12. 수술방법은 57.7%가 복식전자궁절제술만, 42.1%에서 복식전자궁절제술 및 자궁부속기절제술을 시행하였으며, 질식자궁적출술과 자궁근핵적출술이 각각 1례씩 있었다. 13. 수술후 합병증은 31.1%에서 나타났으며, 상기도 감염이 18.4%로 가장 많았다. 수술에 따른 심각한 합병증이나 사망한 경우는 1례도 없었다. 14. 평균 입원기간은 9일이며, 10일이내의 경우가 86.4%로 대부분을 차지하였다. There were 2,975 cases of major gynecologic at Department of Obstetrics and Gynecology, Kwangju Christian Hospital from January 1990 to December 1993. Among these, 544 cases were uterine myoma, all of which were confirmed histopathologically. A clinicopathologic study on these 544 cases was carried out to understand the clinical characteristics of uterine myoma. The follwing results have been obtained. 1. The incidence of myoma among 2,975 cases of major gynecologic surgery during this period was 18.3%. 2. Myoma was observed most frequently in the age group 40 to 49 years, and the mean age was 43.4 years. 3. The most frequent chief complaint was pain which was observed in 426 cases (73.3%), the next abnormal bleeding in 362 cases (66.5%), palpable mass in 130 cases (23.9%) respectively. 4. The mean value of hemoglobin was 11.3% and the anemia (Hb$lt;10.5g%) was observed in 109 cases (20.0%). Transfusion was taken in 42 cases (7.7%). 5. The corporeal myoma was observed in 523 cases (96.1%), cervical in 10 cases (1.8%), combined in 2 cases (0.4%), and intraligamentary in 9 cases (1.7%) respectively. The intramural type was observed in 369 cases (67.8%), subserous in 44 cases (8.1%), submucous in 43 cases (7.9%), and mixed type in 88 cases (16.2%) respectively. 6. The parity was 3.1 in average. The infertility was observed in 36 cases (6.6%), in which the primary infertility was 3.5% and wecondary 3.1% respectively. 7. The mean weight of the resected uterine myoma was 197.8% g. In 51 cases (9.4%), the weight was below 100 g. 8. The secondary change in myoma was found in 29 cases (5.5%) and the most common change was hyaline degeneration (3.9%). 9. The most common associated condition was chronic cervictis seen in 271 cases (49.8%). 10. Hypermenorrhea was observed in 308 cases (56.6%) and there was significant correlation between the presence of hypermenorrhea and the type of myoma (p$lt;0.005), adenomyosis (p$lt;0.005) but no correlatio with the weight of myoma(p$gt;0.5). 11. Dysmenorrhea was observed in 251 cases (46.1%) and there was significant correlation between the presence of dysmenorrhea and the type of myoma (p$lt;0.005), the weight (p$lt;0.005), and adenomyosis(p$lt;0.005). 12. Total abdominal hysterectomy was performed in 313 cases (57.5%), total abdominal hysterectomy with unilateral adnexectomy in 189 cases (34.7%), total abdominal hysterectomy with both adnexectomy in 40 cases (7.4%), vaginal hysterectomy in 1 case(0.2%), and myomectomy in 1 case (0.2%) respectively. 13. The postoperative complications were found in 248 cases (45.6%) and the most common complication of these was the respiratory infection seen in 100 cases (18.4%). 14. The mean period of hospitalization was 9 days. It was below 10 in 470 cases (86.4%).

산전 초음파로 조기진단된 Prune - belly syndrome 1 예

강용필(Yong Pil Kang),선진규(Jin Gyu Sun),기광수(Kwang Soo Kee),정금지(Kum Ji Jung),박애별(Ae Byul Park),최윤정(Yoon Jung Choi),천예영(Yea Young Chun) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

Prune-belly syndrome is a rare compound fetal anomaly, characterized by absence or hypoplasia of abdominal wall musculature associated with urinary tract abnormalities and cryptorchidism. The prenatal ultrasound diagnosis was based on the findings of a lower abdominal cystic echo caused by abnormal dilatation of the bladder, upward compression of small intestines and decreased amniotic fluid volume. We experienced a case of Prune-belly syndrome diagnosed by ultrasound in a 12 weeks fetus following to IVF-ET pregnancy. Termination was performed at 12 weeks and autopsy confirmed the distended bladder, absence of abdominal muscles and urethra. So, we reported this case with a brief review of literature.

신간 시집 속의 시 한 편

김명인,한명희,맹숙영,선진규,김두환,김선영,나희덕,기혁,백소연,박준,정다운,주경림 한국불교사연구소 2019 문학/사학/철학 Vol.56 No.-