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비침습적 검사를 이용한 수술후 하지 심부 정맥 혈전증의 감시
김영욱,정한준,윤봉호,김신윤,이상국,변경환,김태헌 경북대학교 병원 1997 경북대학교병원의학연구소논문집 Vol.1 No.1
Deep vein thrombosis is recognized as a common complication in surgical patients in western countries especially in patients with high risk factors. The purposes of this study were to detect leg DVTs in early postoperative period by non-invasive surveillance and to analyze the risk factors of DVT. One hundred seventy one patients who underwent major operations(67 curative resection of colorectal cancer, 64 total hip replacement, 38 femur operation for fracture, and 2 colon resections for benign colon disease) were included for the prospective surveillance of leg DVT within 2 weeks after the operations. For the surveillance of leg DVT, strain gauge plethysmography(SPG) and Duplex scanning of both legs were completed for all patients except 10 patients. These 10 patients were examined in only one leg. The patients with past history of leg DVT or under prophylactic anticoagulant therapy were excluded from this study. To determine the risk factors related with leg DVT formation, age and sex of the patients, indication of surgery or surgical procedures, duration of operation, position during the operation, duration of postoperative immobilization, and preoperative serum level of antithrombin III (AT- III) were analyzed using Chi-square test. After performing SPG of 342 legs, 38 legs, showed abnormal on venous outflow/venous capacitance discriminant line chart, and 13 legs of 12 patients showed the finding(s) suggesting DVT on duplex scanning. Among the patients with abnormal duplex findings, 7 limbs(53.8%) were symptomatic, but the remaining 6 legs were silent. In 6 (15.8%) patients of 36 femur operations, 3(4.7%) of 64 total hip replacements and 3(4.5%) of 67 curative resections of colorectal cancer developed DVT by duplex scanning in the iliac(5), femoral-popliteal(6), and isolated calf(2) veins. After analyzing the risk factors, we could not find any statistically significant(p<0.05) factor related with leg DVT.
金武泳,尹信重 全北大學校附設 스포츠科學硏究所 1985 논문집 Vol.- No.3
The purpose of this study is to research the efficient frequency of circuit training on the focus of consuming time and physical fitness factors by an experimental study. 40 nonathlete male students in middle school were randomly selected as subjects. Divided into four groups―control group (10)=GroupⅠ, 1 Time/week group (10)=GroupⅡ, 3 Times/week group (10)=GroupⅢ, 5 Times/week group (10)=GroupⅣ―they had been trained for eight weeks on the basis of prescribed training program. The results through the statistical analysis of the consuming time and physical fitness development after the training was finished are as follows. 1. In flexibility of trunk and neck and power of upper arm, each group had little effect of circuit training. And there was no significant difference between groups respectively. 2. In athletic power of the legs and speed, 1 time/week group showed the most effect. And there was no significant difference of the two factors between group respectively. 3. In muscular strength, agility, and coordination, 3 Times/week group showed the most effect. And there was no significant difference of muscular strength except for between 1 Time week group and 3 Times/week group. 1 Time/week group an 5 Times/week group; no significant difference of coordination between groups respectively. 4. In consuming time, muscular endurance, and cardiovascular fitness, 5 Times/week group showed the most efect. There was no significant difference of consuming time and cardiovascular fitness only between 3 Times/seek group and 5 Times/week group;no significant difference of muscular endurance except for between 1 Time/week group and 5 Times/week group. 5. As there was no significant difference between 3 Times/week group and 5 Times week group in physical fithess, this study came to the conclusion that 3 Time week's circuit training sufficed for physical fitness factors development.
男女 中學生들의 傳統 飮食에 대한 意識과 嗜好度 調査硏究 : 서울과 전주를 중심으로
김윤신,한용봉 한국 가정과 교육 학회 1994 한국가정과교육학회지 Vol.6 No.2
The purpose of this study is to investigate understanding and preferance in 28 kinds of traditional korean food of middle school boys and girls. The data for this study were collected in a survey conducted from 25th August to 8th September in 1993 in Seoul and Jeonju. Questionnaires were completed by 409 students: The results are as follow. The students have preception(75.8%) and favor(82%) about traditional korean food, And they do not take very often without ceremonial and traditional-holyday, because the cooking method and process are sophiscate and difficult(76.5%). However, they want that korean traditional food should success, keep and develope the cooking apparatus and simplifing cooking method.
한국인 여성의 자궁경부암에서 PCR을 이용한 Human papillomavirus 아형의 검출에 관한 연구
김향우,전호종,김윤신,장원재,이미숙,이미자 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2
The polymerase chain reaction (PCR) was used for detection of human papillomavirus (HPV) in paraffin-embedded tissue. Tissues stored as paraffin blocks were a potential source of DNA for retrospective clinicogenetic analysis. Sections in 6 ㎛ (three or five) thick cut from paraffin blocks of 29 uterine cervix dysplasia, 34 uterine cervix carcinoma in situ, 42 uterine cervix squamous cell carcinoma and 10 uterine cervix metaplasia samples were deparaffinized and incubated at 37℃ for 48hrs. in the lysis solution. Following organic extraction and alcohol precipitation, and extracted DNAs were identified by gel electrophoresis. These DNAs carried out PCR. After repeated cycles of specific oligonucleotideprimed extension of viral DNA with thermophilic DNA polymerase. the type of HPV present was then determined on the basis of the size of the ethidium-bromide stained band visible after agarose gel electrophoresis : for HPV 6 is 263 bp. for HPV 11 is 144 bp, for HPV 16 is 601 bp. and for HPV 18 is 360 bp. This study detected HPV DNA in four cases. which broke down to HPV 16 in two case of uterine cervix carcinoma in situ and two case of uterine cervix squamous cell carcinoma, no HPV type in the remainder. Histologically, HPV types 6, 11 are mainly detected in benign genital warts and lowgrade cervical dysplasias, squamous cell carcinoma frequently contained HPV 16, whereas, HPV 18 was present in adenocarcinoma, adenosquamous cell carcinoma and small cell carcinoma of the cervix. These results indicate that cervical cancers might be clinically influenced by the differences in sutible of the infecting HPV.
유방에서 기원된 전이성 췌장암종 1예 : A case report
김윤신,이미숙,장원재,임성철,기근홍,전호종,서재홍 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2
Pancreas is known for the unfavorable soil to the metastatic carcinoma, and pancreatic metastasis is achieved after systemic dissemination was developed. The primary tumors of metastatic pancreatic carcinoma are breast, lung, Iymphoma, malignant melanoma, leukemia, stomach. and colon. The breast carcinoma is the commonest tumor to metastasize to pancreas and both tumors are related to estrogen receptor for tumor growth. In the present case, tumor cells had small round nucleus and showed indian file infltrating pattern and lack of cohesion, which are seen in infiltrative breast carcinoma. The patient was underwent radical mastectomy due to infiltrative ductal carcinoma three years ago. And also the tumor cells showed nuclear reactivity to immunostaining for estrogen receptor In combination of the histopathologic. immunohistochemical, and her past history, we concluded that breast carcinoma was metastasized to pancreas, and we report a case of metastatic pancreatic carcinoma from breast with review of literatures.
이미숙,김윤신,이미자,김용임,임성철,전호종 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.1
Mesenteric cyst is a rare intraabodominal mass which is composed of most fibrous tissue with focal lining by flattened cells, cholestrol clefts and foam cells but lack of smooth musscle components and elements of the Iymphatic system. And, this entity is frequently misdiagnosed preoperatively as a cystic Iymphangioma. Therefore, histologic and ultrastructural evidence suggest that they are pathologically distinct. It must be distinguished from other intraabdominal and retroperitoneal cyst because outcome of surgical treatment is different. We report a case of mesenteric cyst arising in mesentery of ascending colon in a 46 year old male who had developed as a presenting symptom of periumbilical pain for 2 days before admission, with review of literatures.