단일공법 복강경하 질식자궁절제술 110예의 고찰 및 다공법과의 비교

박병준 ( Byung Joon Park ),김용욱 ( Yong Wook Kim ),노덕영 ( Duck Yeong Ro ),김태응 ( Tae Eung Kim ),류기성 ( Ki Sung Ryu ),김장흡 ( Jang Heup Kim ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.7

목적: 통상적인 복강경기구만을 사용한 단일공법 복강경하 질식자궁절제술을 다공법 복강경하 질식자궁절제술과 비교하여 안전성 및 유용성을 평가하고자 하였다. 연구 방법: 2007년 4월부터 2009년 11월까지 인천성모병원에서 자궁근종 또는 자궁샘근증의 질환으로 단일공법 복강경하 질식 자궁절제술을 시행받은 환자 110명과 다공법 복강경하 질식자궁절제술을 시행받은 환자 110명, 총 220명의 환자를 대상으로 하였다. 우리는 모든 수술에서 통상적으로 사용되는 구부러지지 않는 일직선의 복강경기구를 사용하였다. 또한 단일공법 및 다공법 복강경하 질식자궁절제술 둘 다에서 수술자 (Kim, YW)의 이름을 따서 명명한 새로운 질단부 봉합 방법인 김씨 질구개 현수법 (Kim`s Vaginal Vault Suspension Method)을 사용하였다. 결과: 환자 나이, 수술 시간, 자궁의 무게, 혈색소 수치의 변화, 수혈 빈도, 수술 후 발열에서 두 군 간에 유의한 차이를 보이지 않았다. 환자들의 평균 나이는 46.7±7.0세(단일공법)와 45.5±6.3세(다공법)이었다. 평균 수술 시간은 87.2±21.0분(단일공법)과 83.3±20.3분(다공법), 평균 자궁의 무게는 261.4±139.7 g(단일공법)과 257.8±132.9 g(다공법), 평균 혈색소 수치의 변화는 1.1±0.7 g/dL(단일공법)와 1.2±0.6 g/dL(다공법)이었다. 두 군 모두에서 수술 중 장 또는 요로의 손상은 없었다. 두 군 모두에서 각각 한 건의 개복수술로의 전환이 있었다. 단일공법을 시행한 군에서 입원 기간이 유의하게 짧았다(2.6±0.6일 [단일공법], 3.3±0.7일 [다공법], P<0.05). 결론: 통상적으로 사용하는 구부러지지 않는 일직선의 복강경기구를 이용한 단일공법 복강경하 질식자궁절제술은 다공법 복강경하 질식자궁절제술에 대한 안전하고 유용한 대체 수술이 될 수 있다. Objective: To evaluate the safety and feasibility of single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH) using conventional laparoscopic instruments compared to multi-port access laparoscopically assisted vaginal hysterectomy (MPA-LAVH). Methods: We reviewed the medical records of 220 patients with uterine leiomyoma or adenomyosis who underwent 110 SPA-LAVH and 110 MPA-LAVH in Incheon St. Mary`s Hospital between April 2007 and November 2009. We performed SPA-LAVH with conventional rigid straight laparoscopic instruments in all cases. We also performed a new vaginal cuff closure method, Kim`s Vaginal Vault Suspension Method, named after the operator (Kim, YW) in both SPA-LAVH and MPA-LAVH. Results: There was no significant difference in patients` age, operating time, uterine weight, hemoglobin change, frequency of blood transfusion, and incidence of postoperative fever between the two groups. The patients` mean age was 46.1±7.0 years (SPA-LAVH) and 45.5±6.3 years (MPA-LAVH). The mean operating time was 87.2±21.0 minutes (SPA-LAVH) and 83.3±20.3 minutes (MPA-LAVH). The mean uterine weight was 261.4±139.7 g (SPA-LAVH) and 257.8±132.9 g (MPA-LAVH). The mean hemoglobin change was 1.1±0.7 g/dL (SPA-LAVH) and 1.2±0.6 g/dL (MPA-LAVH). Neither bowel injury nor urinary tract injury occurred during the operation in the two groups. One of the SPA-LAVH and one of the MPA-LAVH cases were converted to abdominal total hysterectomy. The mean hospital stay time was shorter with SPA-LAVH (2.6±0.6 days [SPA-LAVH] and 3.3±0.7 days [MPA-LAVH], P<0.05). Conclusion: SPA-LAVH using conventional rigid straight laparoscopic instruments can be offered as a safe and feasible alternative to MPA-LAVH.

Trichophyton mentagrophytes 에 의한 Majocchi 육아종으로 사료되는 1예

김지은,최성욱,김명남,노병인,송계용 대한의진균학회 2003 대한의진균학회지 Vol.8 No.4

捻轉法이 竝行된 鍼刺戟 및 電鍼刺戟이 鎭痛效果에 미치는 影響

金志勳,盧植,閔炳一,朴東錫 경희대학교 1998 慶熙醫學 Vol.14 No.3-4

韓國産 脣形(꿀풀)科 植物에 關한 本草學的 硏究

盧炳圭,金裕鎭,金台睍,宋昊埈,辛民敎 한국전통의학연구소 1999 한국전통의학지 Vol.9 No.1

A Herbalogical Study in the Plants of Labiatae in Korea. For the purpose of developing Korean Herbgalogy with the plants of Labiatae which grow wild and is planted in korea, the these and writings on herbalogy, from literature of successive generations, have been throughly investigative and the results obtained were as follows: 1. There were totaled to 27 genera and 86 species in Korea and among them medical plants are 24 genera, 59 species, some 68% in total but, the number of species may be added because of the similar plants. 2. According to the oriental names which can be used for medical purpose, the medical plants belonging to the Labiatae family were classified as Herba 29, Radix 4, Fructus 3, Folium 2, Lignum 2, Semen 1 and Flos 1. 3. According to sum of 86 species in Labiatae family, they were classified into Scutellaria genera 10, Salvia genera 6, Ajuga genera 5, Clinopodium genera 5, Elsholtzia genera 5 and Mosla 5. Thus it was noticed that Scutellaria genera was the main kind, some 12% in total. 4. According to the number of species of the original plants about each chinese materia medicals, they were classified into HERBA AGASTACHIS 5 and HERBA AJUGAE, HERBA SCUTELLARIAE, HERBA LYCOPI 3 each. 5. According to nature and flavour of medical plants, they were classified into warmth, heat: 20 each, cold, cool: 16 each, balance 4 and unidentified 2. Thus it was noticed that warmth and heat is the main in nature and flavour medicinal plants. 6. According to the Properties and Principal curative action, they were classified into drugs for clearing up heat and toxin 8, drugs for clearing up heat and dispelling pathogenic heat from blood, drugs for clearing up heat and heatstroke 3 each, drugs for activating the blood and removing blood stasis, drugs which is sudorific and pungent in nature and flavour for dispelling wind and cold in the treatment of exterior symptom complex 4 each. Thus it was noticed that drugs for clearing up heat was the main kind. 7. Comparing to whole medical plants 42 kinds, toxic drugs include minor toxin were 3 kinds, 7% of the whole. Thus toxic drugs were rare. From this result, it was revealed that the plants for medical purpose in Labiatae was 68% of the whole, in which HERBA was mostly abundunt and toxic plants was so rare that it will be used for clinical treatment more easily. It is considered that many experiements and clinical approches must be continued to use Labiatae plants widely.

MRAC를 이용한 로보트 매니퓰레이터의 制御性能 向上에 관한 硏究 : Model Reference Adaptive Controller

김병수,김규로,선양래 慶熙大學校 大學院 1995 高凰論集 Vol.16 No.-

This paper is study on trajectory property of 6 DOF robot manipulator. This paper used to adaptive control and p-d(proportional-derivated) control for control methods, Simulation robot is stanford 6-dof robot manipulatr of stanford university. Main results obtained through this paper are summarized as followings. At each links, adaptive control has more excellant control than p-d control. At 1-st link, adaptive control and p-d control has a little error at 3.0 second. At 2 nd link, adaptive control and p-d control has a little error than other links without 3-rd link, At 3-rd link, two control methods has a superiority control results than other links with two control methods. At 5-st link, p-d control error is a most great than other links. Therefore, the adaptive control applications for 6-dof robot manipulator has a very excellant capability than applying classical p-d control.

코르크참나무 수피(코르크)의 물리적 성질에 관한 연구

김병로 충북대학교 농업과학기술연구소 1991 農業科學硏究 Vol.9 No.2

The anatomical, physical and mechanical properties of the bark of Quercus suber L. were examined for comparing with those of Quercus variabilis Blume. The results obtained are as follows ; 1)The cork tissue consists of cork cells(92.9%), lenticels(4.6%), sclereids(0.6%) and darkbrown zone(1.8%). 2)The average ring widths and the percentage of late cork were 2.06mm and 10.6%, respectively. 3)Density in oven-dry and in air-dry of the cork were 0.18g/cm3 and 0.19g/cm3, respectively. 4)The amounts of water absorption for 24 hours, in the tangential, cross and radial sections were 1.00×10-2, 0.53×10-3 and 0.49×10-2(g/cm2), respectively. 5)E.M.C. for the cork(7.1%) was found about 5% lower than that for woods. 6)Total shrinkage and swelling of the cork were slightly smaller in the radial direction than in the tangential and longitudial directions, but shrinkage and swelling could be considered isotropic practically. 7)The modulus of elasticity on compression in radial direction(484kgf/cm2) was approximately twice of those in tangential(316kgf/cm2) and longitudial direction(282kgf/cm2). 8)When compressed 0.1, the cork recovered almost to its original dimension in all three directions, immediately after being unloaded. However, when 0.5 compressed, cork recovered by about 80% immediately after being unloaded and after 24 hours had recovered by approximately another 5%.

의인성 망막열공 : 발생 빈도 및 수술성적 Incidence and Surgical Results

김용백,강재훈,서병로,민욱기 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.2

We reviewed 61 consecutive eyes recently subjected to vitrectomy to determine the incidence and outcome of iatrogenic retinal tears. Iatrogenic retinal tears occurred in 14 eyes(22%). 14 eyes had 22 iatrogenic retinal tears. The incidence of iatrogenic peripheral tears was 6% and of posterior tears was 16%. Two thirds of tears occurred in the inferior quadrants. 43% of iatrogenic retinal tears occurred in patients with proliferative diabetic retinopathy. The overall anatomic success was achieved in 10 eyes(71%), 9 eyes of which were successfully treated with the initial operations. With a combination of intraocular gas tamponade, laser photocoagulation, cryopexy, or scleral bucking, 71% of iatrogenic retinal tears were successfully treated.

삼나무품종의 조직구조와 재질과의 관계

김병로 충북대학교 농업과학기술연구소 1992 農業科學硏究 Vol.10 No.1

The anatomical features of tracheids were examined for comparing the wood qualities of Sugi cultivars ( Bokasugi , hidarimakisugi). The results obtained are as follows : 1. As examining the cross section of Bokasugi in four locations(16th, 20th, 25th, 30th rings from the pith), along four directions(north, south, west east) the double thickness of tangential wall and the lumen width in radial direction were not significantly different in the latewood but in the earlywood. 1. As comparing individual rings in the same direction, there were no significant difference in the radial width of lumen in latewood but were in the earlywood. However, there was no consistent pattern which exists along four direction and location. 1. As comparing the cross sections of both Bokasugi and Hidarimakisugi in four ring along north direction, the double thickness of tangential wall of the tracheids were larger in Hidarimakisugi than in Bokasugi, but the lumen width in radial direction exhibited a tendency to be larger in Bokasugi than in Hidarimakisugi. 3. The microfibril angles of the 13th and 25th ring in the north direction were larger in Bokasugi(40˚, 34˚) than in Hidarimakisugi(29˚, 22˚).

외기요법이 체표온도 변화에 미치는 영향

노일호,김병완,정광조,曺政孝,黃相畯,吳旼錫 대전대학교 한의학연구소 2003 한의학연구소 논문집 Vol.12 No.1

This study is about the relationship between the effect of Radiating Qui Therapy on human body and the resulting subjective qui sensation. Patients were between 30 and 50 years of age. n=21 persons received DITI (n=14 patients were provided, n=9 control group) twice examination with Radiating Qui Therapy. First all patients were examined by DITI. After treatment with Radiating Qui Therapy (n=14) both the treated and the control groups were eaxmined again. Radiating Qui Therapy is provided upright position. After Radiating Qui Therapy 92% of the treated group felt a significant qui sensation and 43.5 % felt a warmth at the abdomen and over the whole body. A data of this study show Radiating Qui Therapy has s stimulating effect on human skin temperature. As disease region and Qui sensation are very closely related to each other results strongly suggest that Radiating Qui Therapy could be used as a treatment for a several disease.

U-Home 시스템 구축현황과 발전방안에 관한연구 : 브랜드 아파트를 중심으로

민병로,김영대 호남대학교 대학원 2008 호남대학교 대학원 논문집 Vol.6 No.-

Recently ubiquitous computing (Ubiquitous computing) on engineering and social scientific research results in the accumulation phase of the city informatization, and the definition of Internet-based information retrieval and electronic transactions in cyberspace is a dimension beyond individuals and take advantage of things, homes and cities, The transfer of space-based information and provide continuous control of space that will enable a comprehensive intelligence service highly qualified in the direction of failures. Environment is ubiquitous, like water or air space to a computer or network to the user place without consciousness, regardless of the environment can freely access the network says. These ubiquitous in the environment, industrial development direction for all human values and his followers part of a big focus for development and meaningful change that can it. Housing is a human form and enjoy a living thing, or any form of social and cultural features are intelligently symbolic value that will change. Here the role of design will be taken increasingly large portion of the current design is bigger than the perspective of consultation with the management will expand the concept. We will be living at the upcoming residential space in the near future, ubiquitous experience will be a significant change in paradigm. That is gradually changing in several parts already started and will be coming closer to us. The house through a network of wired and wireless consumer or the environment can have a home network to manage the environment and the already established part of our daily life, but from the experience. A space of the past is as simple and residential space in the hierarchy of human society and human life pattern is more complicated and complex features of living space with residential space, space is the changing needs of human beings and the more harm repeatedly As human as you imagine living space is going to be changed. In addition, residential space is just a convenience for individuals seeking Furthermore, the space could meet the emotional satisfaction of going to be changed. In this environment is ubiquitous, we will usher in a new utopia as our awareness. However, the ubiquitous convenience and satisfaction, an ideal environment for residential space, but we have issues of personal privacy. Environmental issues and these might be alienated from the people who care about the problem will be. The problem of e-established ethical consciousness and respect for the privacy of others is called social values that will be formed. To that end, the policy will need to build and social atmosphere. In addition, the latter problem that may occur alienated people living in the part of the ubiquitous paradigm in order to minimize this service is not just for a handful of truly ubiquitous the meaning must be prepared to hold on. In addition, it is essential that policy can be corroborated. Ubiquitous national policy has led and made enough progress in establishing policies and careful consideration should be very careful.