인천 지역 소아에서 기도 내 이물 흡인의 임상적 고찰

김선 ( Sun Kim ),오경진 ( Kyung Jin Oh ),김정희 ( Jeong Hee Kim ),선용한 ( Young Han Sun ),임대현 ( Dae Hyun Lim ) 대한천식알레르기학회(구 대한알레르기학회) 2018 Allergy Asthma & Respiratory Disease Vol.6 No.6

Purpose: Foreign body aspiration in children is emergent and can cause serious complications. This study aims to show the clinical characteristics of foreign body aspiration and to analyze the clinical cases of delayed diagnosis to predict and prevent complications. Methods: We retrospectively reviewed the medical records of 63 children (48 in Inha University Hospital and 15 in Gachon University Gil Medical Center) who were diagnosed with foreign body aspiration through bronchoscopy from 1996 to 2017 in Incheon City, and analyzed clinical characteristics. Patients were divided into 3 groups: those were diagnosed within 24 hours, delayed after 24 hours, or delayed more than 7 days according to time elapse from the time of foreign body aspiration, and clinical characteristics of each group were compared. Results: Aspiration occurred in 58.7% at 1 year and 15.9% at 2 years. Cough (65.1%) and coarse breathing sound (41.3%) were most common, and radiologic findings were commonly presented as emphysema on the affected side (41.3%). Nuts were most common (42.9%), and there was no difference in the frequency between the right and left main bronchi. The documented history of foreign body aspiration was more frequently found in the early diagnosed group; however, sputum, fever, and complications were more frequent in the delayed diagnosed group. Conclusion: If a patient with respiratory disease has persistent fever or sputum, foreign body aspiration should be suspected. (Allergy Asthma Respir Dis 2018;6:303-309)

한국형 인공심장 (AnyHeart)의 인체적용의 해부학적 적합성 평가

김태식(Tae Sik Kim),선 경(Kyung Sun),손호성(Ho Sung Son),김 현(Hyun Kim),박선화(Sun Hwa Park),김광택(Kwang Taek Kim),민병구(Byoung Goo Min),김형묵(Hyoung Mook Kim) 대한해부학회 2003 Anatomy & Cell Biology Vol.36 No.4

체내 이식형 의료장치들은 개발과정에서 임상적용전 사체실험(preclinical cadaver fitting test)을 실시하게 된다. 이를 통해 기계장치의 크기와 모양 및 구조 등이 인체 해부구조에 적합한지를 평가하고, 체내 이식에 적합한 최적의 위치를 결정하며, 임상에 적용가능한 수술술기를 완성할 수 있다. 저자들은 고려대학교 해부연구위원회의 승인을 받은 총 12구의 사체를 이용하여 자체 개발한 한국형 인공심장(AnyHeart)의 인체적용의 해부학적 적합성을 평가하였다. 관찰목표는 서로 다른 가슴안 접근법(복장뼈정중절개술, 오른쪽 개흉술, 왼쪽 개흉술, 복장뼈횡절개술)에서 인공심장의 적절한 이식 위치, 유입로와 유출로의 확보 및 도관의 삽입 위치 등이었다. 연구 결과 한국형 인공심장의 인체적용의 해부학적 적합성은 뛰어났으며, 특히 새로운 수술기법인 오른쪽 개흉술을 통한 인공심장 이식술을 가능하게 하였다. 본 연구를 통해 향후 본격적인 임상 시도의 토대를 마련하였고, 체내 이식형 의료장치의 개발과정에서 해부학적 적합성 평가의 중요성을 확인하였다. Preclinical cadaver fitting study is paramount in the development of various implantable medical devices. It helps to evaluate the fitness of the size, shape, structure of the devices in the human anatomy, to locate the most optimal site for implantation, and to develope the clinically available surgical techniques. The purpose of this study was to observe the anatomical feasibility of Korean artificial heart (AnyHeart) in 12 human cadavers after obtaining the permission from the Korea University Anatomical Research Committee. The observation was focused on proper position of the artificial heart in various thoracic incisions (median sternotomy, right thoracotomy, left thoracotomy, transsternal incision), localization of inflow as well and outflow tract, cannulation sites, and so on. Results showed that Korean artificial heart had excellent anatomical feasibility in the human body and that a novel surgical technique of right thoracotomy approach was proved to be clinically applicable. Conclusively, the above results will provide the rationales of clinical trial and demonstrate the significance of human cadaver study in development of implantable medical devices.

일 도시 중독 공존 실태와 상호 연관성

김세래(Se-Rae Kim),이창현(Chang-Hyun Lee),이준영(Jun-Young Lee),임수정(Su-Jeong Lim),허 선(Sun Huh),김수룡(Suryong Kim),이상규(Sang-Kyu Lee) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.2

Objective : This study aimed at identifying the co-occurrence and associations among five different types of addiction in Korean adults. Methods : Screening tests assessing severity of each type of addiction were administered. Chi-square tests, association analysis, and latent profile analysis were used to investigate statistical associations among variables. Results : The results revealed that males had higher rates of alcohol, nicotine, and gambling addiction, whereas females had higher rates of a smartphone addiction. There was a significant co-occurrence of several different types of addiction, and these relationships were considerably stronger in some subgroups than in others. The findings demonstrated a higher rate of co-occurrence of substance and behavioral addictions among males than among females. Individuals aged 20-29 years showed a very high rate of co-occurrence of five different types of addictions. Additionally, this study showed the close association between alcohol, nicotine, and gambling addictions. The most closely related pairs of addictions were internet and smartphone addiction. Conclusion : This study demonstrated a significant co-occurrence be tween substance and behavioral addictions. The study found a considerably stronger relationship in males and individuals aged 20-29 years than in others. The findings will contribute to the development of targeted early therapeutic interventions and prevention strategies.

울산 액화가스 저장용 지하공동의 조사, 설계 및 시공에 관하여

박성록(Sung-Rok Park),강성국(Sung-Kuk Kang),김치환(Chee-Whan Kim),선용(Yong Sun) 한국암반공학회 1991 터널과지하공간 Vol.1 No.1

치과 대학 환경 만족 측정도구의 타당성 검증

김 선(Sun Kim),김혜숙(Hye Sook Kim) 한국의학교육학회 2003 Korean journal of medical education Vol.15 No.3

Purpose: The purpose of this study is to develop and verify an instrument to measure the satisfaction rate of dental school environment. In order to develop such tool a pretest and precedent study of records was carried along with the student group discussion. This was to enhance the application of the measurement to in practise. Methods: The sub scales was developed to measure the satisfaction rate of the dental school environment and the item goodness of the tool was verified through reliability and factor analysis. Results: The instrument develop had measurement validity and when applied in practise it proved to be an instrument that can measure the dental school environment specifically and distinctively. Conclusion: The information given by the analysis of dental school environment in sub scales can be in practical use as the substantial evidence to diagnose the feature of relevant field, understand its problem and take a proper reform measure.

21세기의 의학 전문직업성 - 어떻게 가르칠 것인가? -

김 선(Sun Kim),허예라(Yera Hur) 한국의학교육학회 2003 Korean journal of medical education Vol.15 No.3

인턴을 위한 통합교육과정의 운영 경험

김 선(Sun Kim),황 건(Kun Hwang),강민희(Min Hee Kang),오형남(Hyung Nam Oh) 한국의학교육학회 2003 Korean journal of medical education Vol.15 No.1

Purpose: The aim of this study is to improve the integrative course for internship by evaluating and analyzing the questionnaire results. Methods: After the 10 times of integrative course implemented in 2002, the questionnaires were asked to the 43 interns working in university hospital(27 interns replied) located in Inchon. The item of the questionnaires were relevance of the integrative course, pertinence of the subject matters, usefulness of the integrative course, subjects to be added to the integrative course, subjects that must included in the next integrative course, subject most helpful, subjects least helpful, and suggestions to the integrative course. Results: The ratio of the positive answer to the numbers of the lecture times, relevance of the subject matters and usefulness of the integrative course were high. The subject most helpful and must included in the next integrative course was Usage of antibiotics from Department of Infection. The subjects least helpful were Basic urologic procedure and Professionalism of the young physicians . This results suggests that whether the course or subject matter is related to the real clinical setting or not is important. Almost all interns want not being interrupted during the lecture time. Conclusion: Because almost all interns are tended to evaluate positively, the integrative course for the internship seems to be successful. The course should be organized to help the clinical experience of interns.

대학원 의학과 수업평가 - Flanders의 언어상호작용 분석을 중심으로

김 선(Sun Kim),박동민(Dong-Min Park),허예라(Yera Hur) 한국의학교육학회 2003 Korean journal of medical education Vol.15 No.3

Purpose: The aim of this study is to analyze the interaction system between instructor and learners and strive for class improvement based on the evaluation. Methods: Flanders Interaction Analysis System classifies instructor and learner s speaking into ten items. Observer analyzed every verbal interaction in class and filled out classified table recording the number of adequate category every three seconds. Results: In this study, observed class spent 94.3% of time on teaching and learning activities. So it could be said that the class used time effectively without any waste. The instructor showed indirect teaching method and as a result, the students showed more initiative statements than simply answering questions. The major pattern was question → answering questions, and incidental pattern was lecture → initiative statement → silence or disorder → initiative statement → lecture. Conclusion: In medical education, small group lesson is one of the popular teaching methods where Flanders interaction can be analyzed effectively. Using such evaluation, we can promote better teaching and learning.

국내외 의학교육 학회지를 통해 본 의학교육 연구의 동향

김 선(Sun Kim) 한국의학교육학회 2004 Korean journal of medical education Vol.16 No.2

의과대학 교수의 교육 책무성에 관한 연구

김 선(Sun Kim),이무상(Moo-Sang Lee),정명현(Myung-Hyun Chung),오희철(Hee Choul Ohrr) 한국의학교육학회 2002 Korean journal of medical education Vol.14 No.2

Purpose: A college or university faculty can be regarded as an educator, researcher, and service provider. The purpose of this study is to evaluate the accountability of medical school professors focusing on the educational duties and to propose the solution and strategy for accountability evaluation of medical school faculty. Methods: The study used questionnaires which was developed in five big categories asking basic information of the faculty, educational activities, subject of the accountability evaluation, and the primary disturbing factor in accomplishing the educational accountability. The questionnaires were asked to 61 faculty members in Yonsei University College of Medicine. Results: The accountability importance of the medical school faculty was research (37.13%), teaching (31.80%), practice medicine (21.97%) and service (9.10%). Much weight was given for research (40.00%) and education (19.42%). The faculty concentrated mostly on delivering learning objectives as their educational activities. The biggest problem affecting the faculty from concentrating on educational accountability was the over workload. Insufficient incentives and lack of interest in education came next. The faculty also showed dissatisfaction with the obscurity of accountability assessment in operation, uniformity of the measurement and the absence of objective assessment standard. Conclusion: Medical schools need to create an environment in support of the faculty to focus on the educational activities. And when evaluating their accountability, the assessment standards need to be systematized and differentiated according to their specialities.