프로스포츠 명장 감독들의 관상학적 측면에서 바라본 리더쉽 분석

전연수(Jeon, Yeon-Su),김공(Kim, Kong) 한국체육과학회 2018 한국체육과학회지 Vol.27 No.1

Targeting at the coaches, Kim Eung Ryong in baseball, Kim Ho In in football, Sin Chi Yong in volleyball, Choi In Seon in basketball, considered to be prosports master coaches, this paper examined leadership by physiognomic analysis and leaded to the conclusion as followings. First, the coach Kim Eung Ryong in baseball holding Chinese character mok(木) type has a style of generous scholar-typed leader. He has adventurous personality, lofty ideals, and pride. He doesn`t compromise with other persons, with the personality of head, and has audacity and determination. He plans almost of all affairs, designs projects very well, and pushes ahead with subjects. Second, the coach Kim Ho in football holding Chinese character geum (金) type lays an emphasis on principle. With belief and strong insistence, he rarely compromises or gives way, when he meets persons. He is diligent and sincere. He always pursues stability with prudent leadership. Third, the coach Sin Chi Yong in volleyball holding Chinese character su (水) type is generous and adapts himself to situations. He always researches, develops something with strong patience and endurance. He doesn"t reveal his mind easily, so nobody can grasp his intension. He is rationalistic and conspicuous in wisdom and adaptation. He, with the personality of freedom, is abundant in creativity. Fourth, the coach Choi In Seon in basketball holding Chinese character hwa (火) type is bright, active, passionate, and adventurous. So, he can succeed from an early period. In addition he, holding excellent artistic sense, is affirmative and holds strong exploratory feelings and adventurous feelings. He, with spirit of sacrifice, is polite and active in most cases. He want to lead many situations.

Changes in Osteopontin Expression in the Rat Lumbar Spinal Cord Following the Avulsion of Lumbar Nerve Roots

전연수(Yeon-Su Jeon),김인범(In-Beom Kim),이은진(Eun-Jin Lee),문세호(Se-Ho Moon),임용걸(Yong-Gul Lim),천명훈(Myung-Hoon Chun) 대한해부학회 2004 Anatomy & Cell Biology Vol.37 No.1

이 연구는 흰쥐의 허리신경뿌리 찢김손상 후 허리척수에서 osteopontin (OPN)의 발현을 in situ hybridization 조직화학법, 면역세포화학법 및 western blot 분석법으로 조사하였다. 정상 동물에서 OPN을 발현하는 세포는 앞쪽뿔에 위치한 운동신경원과 사이신경원이었다. 찢김 손상 후 1일부터, OPN 발현세포 수는 앞뿔과 중간부위에서 증가하였고, 3일에는 비교적 강한 OPN이 손상 받은 쪽의 회색질 전 부위에 걸쳐 증가하였다. 7일에는 OPN 발현 양상이 3일의 것과 유사하였으나, 앞뿔과 중간부위에서 OPN 발현 세포수는 최고치를 나타내었다. 이들 발현세포는 신경세포였다. 찢김 손상후 14일에는 뒤뿔에 위치한 OPN 발현 세포는 거의 소실하였고, 발현 양상이 1일의 것과 유사하였다. 28일에는 OPN 발현 세포가 정상에서 보다 더 감소하였다. 이 결과로 찢김 손상 후 허리 척수에서 증가 발현된 OPN은 신경원의 손상과정에 중요한 역할을 할 것으로 생각된다. This study investigated the expression of osteopontin (OPN) in rat lumbar spinal cords after lumbar nerve root avulsion, using in situ hybridization histochemistry, immunocytochemistry and western blot analysis. Cells expressing OPN were motoneurons and interneurons in the ventral horn, but no signals were observed in neurons in the dorsal horn of the normal lumbar spinal cord. From day 1 after avulsion injury, OPN mRNA-labeled neurons increased in the ventral horn and the intermediate zone. By day 3, relatively strong OPN mRNA signals were found throughout the gray matter of the injured side of the spinal cord with OPN mRNA-labeled cells scattered in the superficial dorsal horn. By day 7, the labeling patterns for OPN mRNA were similar to those on day 3, but the numbers of OPN mRNA-labeled cells in the ventral horn and the intermediate zone peaked. At this point, these labeled cells were also more densely packed and the intensity of signals was stronger. Interestingly, these labeled cells were neurons, but not glial cells such as astrocytes or microglia. This OPN mRNA-labeled cell profile in the dorsal horn had nearly disappeared by day 14 after avulsion injury, and the labeling pattern became similar to that on day 1. By day 28, after avulsion injury, the numbers of OPN mRNA-labeled cells decreased further below control values. These results suggest that increased expression of OPN in the rat lumbar spinal cord after avulsion injury might play an important role in the pathogenesis of damaged neurons.

로피바카인 경막외 마취 시 케타민첨가 용량에 따른 마취시간의 연장

주진덕 ( Jin Deok Joo ),전연수 ( Yeon Su Jeon ),최진우 ( Jin Woo Choi ),인장혁 ( Jang Hyeok In ),김용신 ( Yong Shin Kim ),강유진 ( Yoo Jin Kang ),김대우 ( Dae Woo Kim ),임용걸 ( Yong Gul Lim ),김기현 ( Ghi Hyun Kim ) 대한통증학회 2005 The Korean Journal of Pain Vol.18 No.1

증례보고 : 설인신경통으로 오인된 삼차신경통

강유진 ( Yoo Jin Kang ),전연수 ( Yeon Su Jeon ),김용신 ( Yong Shin Kim ),이현탁 ( Hyeon Tak Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6

Trigeminal neuralgia (TGN) is a relatively well-known disorder with characteristic brief attacks of shooting pain in the facial regions. Atypical signs like constant pain and/or sensory abnormalities can develop as the disease progresses. Some cases begin with atypical signs and later develop all the hallmarks of TGN. The atypical forms of TGN can be misdiagnosed as other pain disorders. We present a patient with facial pain who demonstrated a transformation in signs of glossopharyngeal neuralgia into typical trigeminal neuralgia. A 71 year-old man was referred for sharp episodic pain in his right side of the face and neck. The pain was mainly in the neck, which was worsened especially by swallowing. The condition was initially diagnosed as a glossopharyngenl neuralgia. While controlling the pain conservatively with a sympathetic blockade, the neck pain disappeared suddenly and lower jaw pain triggered by speaking and chewing became prominent, which are the characteristic signs of trigeminal neuralgia. (Korean J Anesthesiol 2006; 51: 772~4)

임상연구 : 감시하 마취관리 동안 자가 진정 조절을 이용한 Propofol, Propofol-Fentanyl, Propofol-Ketamine 군에서 진정의 질적 효과, 부작용, 회복 양상의 비교

최진우 ( Jin Woo Choi ),주진덕 ( Jin Deok Joo ),인장혁 ( Jang Hyeok In ),김용신 ( Yong Shin Kim ),전연수 ( Yeon Su Jeon ),유건희 ( Keon Hee Ryu ),김대우 ( Dae Woo Kim ),이현탁 ( Hyen Tac Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.4

Background: Propofol has been the most widely used IV adjuvant during Monitored anesthesia care (MAC), even though it lacksanalgesic properties. This study was designed to compare sedation quality, side effects, and recovery profiles of propofol alone (group P), propofol-fentanyl (group PF) and propofol-ketamine (group PK) using PCS for breast biopsy procedures using local anesthesia. Methods: Anxiety VAS, pain VAS and digit symbol substitution test (DSST) were measured in 60 excision breast biopsy patients with local anesthesia. Vital signs, respiratory (SpO2, RR, and ETCO2) variables, BIS, and OAA/S scores were recorded. Perioperative side effects (e. g., pain on injection, excessive sedation [OAA/S < 4], hypoventilation [ventilatory frequency 8 bpm], hypotension, dizziness, unpleasant feeling, Nausea) were also noted. Results: There were no differences among the three PCS groups with respect to demographic data (Table 1). A/D ratio in PK group had a significant increase over P group. The incidence of excessive sedation and dizziness were significantly more frequent in the PK group patients (P < 0.05)(Table 1, 2). OAA/S scores were significantly decreased in the PK group during near the end of surgery, whereas BIS scores were only at the end of surgery (P < 0.05)(Fig. 1, 2). During 15 min after arrival at recovery room, significantly less patients in the PK group gave correct responses on the DSST than other groups (P < 0.05)(Fig. 2, 3). Conclusions: In contrast to past studies of ketamine as an alternative to opioid adjuncts during propofol PCS, it has no more advantage than supplemental fentanyl in terms of sedation level and side effects. (Korean J Anesthesiol 2006; 50: 428~33)

Propofol-TCI 마취를 이용한 제왕절개 수술 중 Bispectral Index 의 관찰

전연수,김대우,강유진,김용신,인장혁,길호영 대한정맥마취학회 2001 정맥마취 Vol.5 No.1

Background: It has been known that the awareness during anesthesia is quite a frequent problem, especially in pregnant woman. The causes of awareness are not definitive. The purpose of this study is to find out if there is any difference between pregnant and nonpregnant woman in depth of anesthesia using the bispectral index (BIS) and effect site concentration at induction, maintenance and recovery. Methods: We allocated 20 nonpregant women who would receive abdominal surgery for 1 hour as group 1 and 20 pregnant women scheduled for cesarean section under general anesthesia as group 2. Anesthesia was induced with propofol target concentration (C_T) 6 ㎍/㎖, 3 min mode using Diprifusor_TM and maintained with propofol (C_T) 4 ㎍/㎖-N_2O 3 L/min-O_2 2 L/min. In each group, we measured induction time, induction dosage, effect site concentration for BIS_50 during induction. And average BIS, ratio of below BIS_40 or above BIS_60 were checked throughtout the maintenance. Also we measured the BIS and the effect site concentration of propofol at the time of eye opening and recovery of orientation. Results: There was no significant difference in elapsed time, propofol dosage, effect site concentration for BIS_50 during induction, nor in average BIS, ratio of below BIS_40 or above BIS_60 during maintenance between groups. At the time of eye opening and recovery of orientation, there was significant higher effect site concentration in pregnant group (P < 0.05) while BIS showed no difference. Conclusions: According to the result, there was no significant difference on BIS throughout the the recovery of anesthesia the effect site concentration was higher in pregnant woman, which means higher requirement of anesthetic drugs in pregnant woman. In conclusion, we have to consider proper use of anesthetics for prevention of awareness during anesthesia.

Morphine을 사용한 피하 자가통증조절법과 정맥 자가통증조절법의 비교

이상수,김대우,전연수 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.5

Background : Generally, for patients with cancer, chronic disease, burn injury or pediatric patients to whom oral medication is difficult or whose vessels are fragile, it is difficult to inject analgesics parenterally. To know the effect of subcutaneous infusion which would be directly used by patients themselves or their care givers, we compared subcutaneous patient-controlled analgesia (SQ PCA) with intravenous patient-controlled analgesia (IV PCA) morphine for acute postoperative pain. Methods : We undertook a study to prospective, randomized, controlled patients (n = 30) undergoing elective total hysterectomy to compare SQ PCA with IV PCA morphine for postoperative pain control. We prepared a 5 mg/ml solution of morphine for the SQ PCA group (n = 15) and a 1 mg/ml solution of morphine for the IV PCA group (n = 15). The regimen of morphine was a basal rate 20 μg/kg/h, 1 mg bolus, 10 min lockout interval, 1 hour limit of 8 mg. We evaluated the VAS score at rest and at coughing after postoperative 6, 12 18, 24, 30, 36, 42 and 48 hours, 6 hourly doses of morphine, total requirement of infused morphine for 48 hours and delivery to demand ratio. Side effects and satisfactory score were checked too. Results : The Visual analogue scale (VAS) pain score at rest and with coughing, the 6 hourly doses of morphine, the total requirement of infused morphine for 48 hours, the delivery to demand ratio, side effects and the satisfactory score were not significantly different in the two groups (P< 0.05). Conclusion : Thus SQ PCA morphine represents a clinically acceptable alternative to IV PCA in the treatment of postoperative pain control. (Korean J Anesthesiol 1999; 37: 831∼837)

개흉술후 발생한 근육잔떨림을 동반한 신경병증성 통증환자에서 Gabapentin과 화학적 흉부 교감신경절 차단술의 효과 : 증례 보고

주진덕,김대우,강유진,전연수,김용신,인장혁,류영빈,임용걸 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.42 No.3

선천성 거대결장 영아에서 복강경 수술의 마취

김용신,김대우,정동석,임용걸,전연수,강유진 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.2

Many benefits are reported after laparoscopy. As experience, equipment, and techniques have improved, minimally invasive laparoscopic surgery is being applied to younger children. With the advent of this new surgical approach, specific modifications become necessary in anesthetic techniques. During laparoscopy, the pneumoperitoneum performed by peritoneal insufflation of CO2 may induce intraoperative ventilatory and hemodynamic changes that complicate anesthetic management. We present a case of laparoscopic Duhamel operation in a 10-month-old infant weighing 10 kg. After induction with thiopental sodium and vecuronium, anesthesia was maintained with enflurane and 50% nitrous oxide in oxygen. Rapid hypercarbia developed about 5 minutes after introduction of pneumoperitonium, so we gave intermittent manual hyperventilation to avoid hypercarbia untill we finished the surgery. In children, CO2 absorption may be more efficient due to the physiological properties of the immature peritoneum. The functional residual capacity (FRC) is low in children. During laparoscopy, FRC is decreased further due to a variety of factors. In spite of the changes in FRC, arterial oxygenation has not been shown to deteriorate in normal infants. In our case, the changes in end-tidal CO2 tension (PETCO2) during laparoscopy did not influence the hemodynamic change. But insufflation of CO2 induced a significant increase in PETCO2, and produced a fast reaction time of PETCO2. (Korean J Anesthesiol 1999; 37: 352∼356)

한국인에서 목표농도주입을 이용한 Propofol 과 Fentanyl 의 최적농도 병용투여 후 개안과 지남력 회복을 위한 적정 Propofol 농도

김대우,임용걸,김용신,길호영,전연수,인장혁 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.3

Background : We evaluated the optimal concentrations of eye opening and orientation after propofol fentanyl TCI by CSDT of the pharmacokinetic model using Diprifusor in adults retrospectively. Furthermore, we tried to compare those data with the cases of using propofol TCI alone that had been reported. Methods : After obtaining informed consent and IRB approval, 124 patients of ASA class I or II scheduled for elective surgery were allocated into 3 groups according to age. Three groups were group 1 (n - 40): 18―29 years, group 2 (n=42): 30―39 years, group 3 (n =42): 40―54 years. Propofol infusion was started at a propofol target concentration (CT) of 6 ㎍/ml by using Diprifusor . Anesthesia was mostly maintained with propofol CT 3.5 ㎍/ml and fentanyl CT 1.5 ㎍/ml using a Stelpump and 67% nitrous oxide in oxygen. We estimated the average concentrations of propofol at eye opening and orientation in each group with Diprifusor, and we also evaluated the correlation coefficient. Results : Total requiremef propofol in cases of propofol-fentanyl TCI were decreased by 18-26% than in propofol TCI alone. The average concentrations of propofol at eye opening and orientation after surgery were 1.2―1.4 ㎍/ml. The times to show eye opening and orientation after surgery from stopping of nitrous oxide and infusion were 10.4―14.5 min in the propofol-fentanyl group compared with 7.5―11 min using propofol TCI alone. Conclusions : We concluded that the optimal concentrations of propofol at eye opening and orientation after surgery in cases of combination with fentanyl were 1.2―1.4 ㎍/ml instead of 1.4― 1.6 ㎍/ml with using propofol alone. (Korean J Anesthesiol 2000; 38: 387~393)