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      • 교액성 폐쇄공탈장 1예

        조태웅,민영돈,김경종,정권율,강성인,류소연,임성철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

        Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, extra-thin or debilitated women. Because of the anatomic character of the obturator foramen and the nonspecific symptoms in the presence of the hernia, the risk of strangulation of the herniated bowel is high, which leads to high morbidity and mortality rate. The authors experienced an unusual case of left obturator hernia with strangulation of the small bowel in an 80-year old female. The hernia was diagnosed by abdomino-pelvic computed tomography (CT) scan. Through the lower midline transperitoneal approach, resecting the strangulated small bowel, the hernia sac was ligated and the obturator foramen was repaired using adjacent broad ligament. We report these findings with a brief review of the literature.

      • 빈발재발성 미세변화 신증후군환아에서 발생한 다발성 뇌경색증

        조성옥,한헌석,차상훈,이경희,박범수,하태선,채수안 충북대학교 의과대학 충북대학교 의학연구소 1995 忠北醫大學術誌 Vol.5 No.2

        신증후군에서는 동맥 및 정맥의 혈전에 의한 혈전색전증의 위험이 높다. 이는 혈 중 응고인자 Ⅰ, Ⅱ, Ⅶ, Ⅷ, Ⅹ등의 증가와 뇨소실로 인한 antithrombin Ⅲ의 감소, 섬유소 용해계의 변화, 혈소판 응집력의 증가에 기인하며 그 외 스테로이드 투여, 이뇨제 투여, 저체액 상태도 관여한다고 생각하나 이런 과응고현상에 대한 정확한 병태생리는 규명되고 있지 않다. 저자들은 내원 21개원 전 처음 신증후군 증상을 보였고 신장 조직 검사상 미세변화 신증후군으로 진단을 받고 스테로이드와 면역 억제제를 사용하였으나 6개월에 3-4회의 재발을 보이던 중 내원 1달 전 보호자 자의로 모든 약물 복용을 중단한 채로 지내다가 고열과 반혼수 상태를 보여 내원한 7세 남아에서 다발성 뇌경객증을 발견하였기에 문헌 고찰과 함께 보고하는 바이다. The risk of thromboembolism by arterial or venous thrombosis is high in the nephrotic syndrome. This may be due to the increased serum concentrations of the factor Ⅰ, Ⅱ, Ⅶ, Ⅷ, Ⅹ etc, decrease of antithrombin Ⅲ due to urinary loss, the change of thrombolytic system, increase in the platelet aggregation capacity, the use of steroid, diuretics, and hypovolemic state. But, the pathophysiology of this hypercoagulable state has not been clear. A 7-year- old boy had been diagnosed as having frequently relapsing minimal change nephrotic syndrome, 21 months ago. In spite of the administration of prednisolone and cytoxan, he had presented recurrent proteinuria in the frequency of 3-4 times per 6 months. From 1 month prior to visiting emergency room, his parents discontinued his medications, therefore, he showed fever and semicomatous mental status. In brain MRI study, multiple cerebral infarcts were noted. So, the authors report a case of multiple cerebral infarcts in a patient with frequently relapsing minimal change nephrotic syndrome with a brief review of related literature.

      • KCI등재

        알코올중독 환자의 예후 예측에 관한 연구(Ⅱ) : 가족력 및 DRD₂와의 관계를 중심으로

        성상경,차성조,이규항,이정균 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

        알코올중독 환자의 예후인자를 알아보기 위해 나이와 성별을 통제하여 음주군과 단주군 남자환자 각각 30명을 대상으로 비교 연구하였다. 양군간의 인구통계학적 특성, 음주력, 가족력, 자아강도 등의 차이 및 도파민 D2수용체 유전자 분포를 비교하였으며, 질병경과, 가족력 및 도파민 D2수용체 유전자와의 관련성을 알아보았다. 그 결과는 다음과 같다. 1) 단주군은 음주군에 비해 기혼율이 높았으며, 높은 경제상태, 높은 학력 등이 중요한 요소였으나 직업의 종류 및 종교에 있어서는 차이가 없었다. 2) 단주군은 음주군에 비해 과거 음주력상 최대 단주기간이 길었으나 평균 음주량이 더 많았다. 또한 음주군은 단주군에 비해 사회경제적 스트레스 및 정신적 불안정이 주된 음주 이유인 경우가 많았으나 음주기간, 음주양상, 음주시기, 음주시작 연령, 술의 종류에 있어서는 차이가 없었다. 3) 알코올중독의 가족력에 따른 비교에서 단주군과 음주군 사이에 유의한 차이는 없었다. 4) 단주군은 음주군에 비해 자아강도의 평균점수가 더 높았다. 5) 도파민 D2수용체 유전자의 A1 대립유전자 비교에서 단주군에서 A1 대립유전자의 이환율은 70%, 음주군에서는 60%였다. A1 대립유전자의 빈도는 각각 0.38과 0.42로 양군간에 차이는 없었다. 6) 알코올중독 가족력에 따른 도파민 D2 수용체 유전자분포 비교에서 가족력이 있는 군에 A1 대립유전자의 이환율은 70%, 빈도는 0.43이었고, 가족력이 없는 군에서는 이환율이 61%, 빈도는 0.38로 양군간에 유의한 차이는 없었다. 가족력이 있는 경우에 음주시작의 연령이 더 낮았으며 문제음주도 보다 일찍 나타났다. 그러나 평균 음주기간은 가족력이 없는 경우에 더 길었으며, 평균 음주량, 최고 단주기간 및 NAST 비교에서는 차이가 없었다. 결론적으로 알코올중독 환자의 긍정적 예후인자로 기혼, 높은 학력 및 경제상태, 과거 음주력상 보다 긴 단주 기간 및 강한 자아강도를 들 수 있었다. 반면에 직업, 종교, 알코올중독 가족력 유무, 음주기간, 음주양상, 음주시작 연령, 술의 종류 및 도파민 D2수용체 유전자 A1 대립유전자 분포 등에서는 알코올중독의 예후의 의미 있는 상관관계가 없었다. Objectives : The purpose of the study was to identify the prognosis-predicting indicators is alcoholics by the correlation between prognosis and demographic characteristics, ego strength, family history and distribution of dopamine D2 receptor gene A1 allele. Methods : The subjects were composed of 60 alcoholics including 30 psychiatric inpatients(drinking group) and 30 alcoholics abstinent for 6 months or more after discharge(abstinent group). They were investigated with interview, questionnaire, blood sample and review of their charts. Results : The results were as follows ; 1) The abstinent group had higher rate of married state, higher economic status and longer education years than the drinking group. There were no differences in occupation and religion between the two groups. 2) There were no differences between the abstinent group and drinking group according to alcoholic family history. 3) The abstinent group had higher mean score in ego strength scale than the drinking group. 4) In comparision of dopamine D2 receptor gene A1 allele, the prevalence of A1 allele was seventy percent and the frequency was 0.38 in the abstinent group. The prevalence of A1 allele was sixty percent and the frequency was 0.42 in the drinking group. Both groups were not significantly different in A1 allele prevalence and frequency. 5) In comparision of dopamine D2 receptor gene A1 allele according to alcoholic family history, the prevalence of A1 allele was seventy percent and the frequency was 0.43 in the family history positive group. The prevalence of A1 allele was sixty-one percent and the frequency was 0.38 in the family history negative group. Both groups were not significantly different in A1 allele prevalence and frequency. Conclusions : With the above results, the authors think that successful prognostic indicators of alcoholics are married state, higher economic status, longer education years, longer abstinenence period in past history, and strong ego strength. But family history and distribution of dopamine D2 receptor A1 allele were not significantly related to the prognositc indicators of alcoholics.

      • 아접선력을 받는 보의 동적안정성에 미치는 고유치 감도해석

        류봉조,최상경 한밭대학교 산업과학기술연구소 2001 논문집 Vol.5 No.-

        This paper deals with the eigenvalue sensitivity of a finite element formulation on vibration and dynamic stability of an elastically restrained cantilevered beam under subtangential forces. Governing equations are derived by energy expressions using extended Hamilton's principle. In order to more quickly and efficiently obtain the critical subtangential force for a given system, a technique which utilizes the eigenvalue sensitivity with respect to the system parameter is introduced. More accurate results are obtained for both variations in the spring position, spring stiffness, as well as the subtangential parameter.

      • 심판판정이 핸드볼 경기에 미치는 영향

        박천조,이후봉,백상서,김경진,안길영 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

        This study has been conducted to offer as a reference material for follow-up research by other handball related researchers in this field study about handball. Knowing that the decision of the referees play a big role in the result of the game, we hope this study pave the way for future researchers, To achieve these goals, this study was selected with professional and amateur handball players as control group. The data were analized by One-way ANOVA and Multful regression using SPSS 11.0 for windows, This study resulted as the following : These decision of the referees differed according to the sex of the handball players. Female handball players showed a more positive attitude toward the referees decisions, Also, female and male handball players all thought the referees decision affect the result of the game but in particular, female players thought the referees were stricter than to male players, Meanwhile, according to the result of the survey of the relationship between the players awareness and experience, it turns out that the quality of the game resulted from the quality of the referees, After analyzing the awareness of players, tit was found that a crucial amount of the players consciousness was affected by the attitude of the referees. In this sense, handball players tend to become overly sensitive to the referees that, handball players. The analysis also represents the players consciousness to the referees but at the same time no findings proved that there is a certain impact on the result of the game. According to the results of this surrey, the handball players showed little confidence for the referees and this affects the result of the game. However when it comes to the impact of the referees on the game, the decision of the referees have consistency in making decisions of the game, and this has no actual affect on the result of the game. The reason these results come out is because it's a characteristic of handball but further analysis and theories should be made.

      • 社會體育 經營의 組織過程에 관한 硏究

        李漢景,陸調永,李相哲 龍仁大學校 1992 용인대학교 논문집 Vol.8 No.-

        The purpose of this study was to clarify the effect of some organizational properties on the efficiency of public administration of sports for all in municipaoities in terms of contingency view, that is the study was to investigate the relation between the task environment and the organizational properties and is efficiency. Organizational properties was discussed from the degree of precision of the action program, the distribution of power, the type of communication and integration. Thought it sports for all thus had good efficiency indicated the following properties 1.The tend to have an organic or flexible action program irrespective of task environment. 2.With regard to the distributioon of power, it was indicated that the council of sports promotion sports leader in community and the section chief of sports for all adiministration exerted a strong effect on the sports services. 3.They had freguent communication with other organization in public facilities and the top to Board of Education. 4.They tried to advice and subsidize to ogranization for sports in community, consequiently thy were integrated with the authorities and the other organization concerned.

      • 계절조절법 X11과 X11-ARIMA 적용에 관한 실증적 연구

        金常照,宋東燮,張外景 상명대학교 경영연구소 1993 경영학연구 Vol.- No.1

        Time series refers to the collection of variabies we obverved as time goes on. The seasonal variation adjustment in time series means raw series minus the factor of seasonal variation such as the repetion of seasons, social and economic customs. The methods of seasonal adjustment are Act 11, X11, which was made by the Bureau of Sensus in the Minstry of commercial affairs in America, and X11-ARIMA, which was made by the Bureau of statistics in Canada. In X11, seasonal index, index of seasonal adjustment and the measurement of seasonal adjustment index for a year are produced by applying moving average many times. In X11 ARIMA raw series is expanded to the ARIMA model and applied it to X11. This study tries t o compare the differences of standard models between X11-ARIMA and X11 on the time series of our economy such as industrial production index, shipment, whole sale and consumer received index. The conclusion is that the application of X11-ARIMA is more suitable than that of X11. X11 is, however, more suitable in manufacturing, shipment index, unemployment rate. There is little difference between them in the productive index and whole sale and consumer received index. The X11 ARIMA which is now used in Canada was provided by the Bureau of Statistics of Canda so that it was fit for the economic situation of the country. Therfore, to use it efficiently in our country we should review the characteristics of the time series in our country and set up a proper critia on the basis of the review.

      • KCI등재후보
      • 자연대류를 고려한 전력용 변압기의 2차원 온도분포 해석

        민경조,김중경,한성진,주수원 東亞大學校附設 情報技術硏究所 2005 情報技術硏究所論文誌 Vol.13 No.1

        Recently, the efficiency of power transformer is improved and the size is becoming smaller. So, it is very important that temperature characteristics of the transformer should be estimated and predicted precisely. This paper deals with the temperature distribution of power transformer by simplified 2-D hybrid mesh model. The temperature distribution was obtained by CFD algorithm considering natural convection. Heat sources are calculated first by magnetic field analysis based on F.E.M. and are used as the input data for thermal field problem based on computational fluid dynamics (CFD) algorithm. The calculated temperature distribution of the simplified 2-D power transformer model shows good results in accuracy as well as in computing time.

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