최씨 훅을 이용한 복강경 버찌씨 수술

김영혜 ( Young Hye Kim ),박준선 ( Jun Seon Park ),최상준 ( Sang Joon Choi ),송창훈 ( Chang Hoon Song ),한세준 ( Sei Jun Han ),정혁 ( Hyuk Jung ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.6

목적: 버찌씨 수술은 복압성 요실금 수술에 효과적인 수술로 여겨져 왔다. 요실금의 원인이 내인성 요도 괄약근의 결손소견 없이 요도의 과운동성으로 인한 경우 버찌씨 수술이 일반적으로 추천되어진다. 본 연구에서는 복강경 버찌씨 수술에서 최씨 훅의 유용성에 대해 알아보고자 하였다. 연구방법: 2000년 10월부터 2005년 3월까지 본원에서 복강경 버찌씨 수술을 시행받은 47명의 환자를 대상으로 하였다. 27명은 고전적 복강경 버찌씨 수술을 시행하였고 20명은 내골반 근막을 Cooper 인대를 부착하는데 유용한 본원에서 고안한 최씨 훅을 이용하여 복강경 버찌씨 수술을 시행하였다. 결과: 고전적 복강경 버찌씨 수술을 시행한 군과 최씨 훅을 이용한 복강경 버찌씨 수술을 시행한 군의 평균 나이, 분만력, 폐경률, BMI는 두 군간에 통계학적으로 유의한 차이를 보이지 않았다 (p>0.05). 수술 시간은 고전적 복강경 버찌씨 수술은 90.52±15.32분, 최씨 훅을 이용한 복강경 버찌씨 수술은 38.50±10.14분으로 최씨 훅을 이용한 경우 수술시간이 통계적으로 유의하게 짧았다 (p<0.05). 두 군간에 재발률 및 합병증 발생은 통계적 유의성을 보이지 않았다 (p>0.05). 결론: 본 연구에서 본원에서 고안한 최씨 훅을 이용하여 복강경 버찌씨 수술을 시행한 결과 수술 시간을 단축시킬 수 있었으며 수술 효과는 기존 방법과 동일하게 관찰되었다. 이에 최씨 훅은 복강경 버찌씨 수술에서 사용할 때 집도자의 봉합 과정을 단순화시켜 수술 시간을 단축시키므로 복강경 버찌씨 수술에 용이한 기구이다. Objective: Burch operation has been effective method for the treatment of stress incontinence. Burch operation is a well-accepted procedure for treating stress urinary incontinence secondary to urethral hypermobility without intrinsic sphincter deficiency and is the reference standard with which other procedures are compared. This study is to evaluate the effectiveness of the Choi`s hook in laparoscopic Burch operation. Methods: This study included 47 patients who had undergone laparoscopic Burch operation from October 2000 through March 2005. Of these 47 patients, 27 patients underwent traditional laparoscopic Burch operation (Group 1) and 20 patients underwent laparoscopic Burch operation with Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament (Group 2). Results: The mean age of patients of Group 1 was 55.6±9.37 years of age and that of Group 2 was 56.0±5.93 years of age. There is no difference in the mean age of patients (P>0.05). The mean operating time was 90.5±15.32 minutes for Group 1 and 38.5±10.14 minute for Group 2. The mean operating time was shorter in Group 2 than Group 1 (P<0.05). There was no difference in recurrence rate and complication rate between Group 1 and Group 2 (P>0.05). Conclusion: We performed laparoscopic Burch operation with the Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament. When we compared traditional laparoscopic Burch operation with laparoscopic Burch operation with Choi`s Hook, we could shorten the operation time using the Choi`s Hook.

성인들의 사회인구학적 특성에 따른 체육활동 욕구에 관한 연구

최종삼,문준혁,박경호 龍仁大學校 體育科學硏究所 2001 體育科學硏究論叢 Vol.11 No.1

To investigate adults' desire for sport activities in accordance with their socio-demographic features, we selected a population of (a total of 600 persons) adult males and females who engage in physical activities at physical facility in Yongin, Gyeonggi Among them, those who were finally surveyed were 552 persons, and as a result of analyzing the collected data, we drew the following conclusion. First, for adults' desire for physical activities according to sex, all the seven factors showed statistical differences, and adult male, compared to adult female, showed higher desire for the subordinate factors of physical activities, such as achievement, ecstasy, pursuit, social motivation, healthy physical strength, purification, and adventure. Secondly, adults' desire for physical activities according to age showed statistically significant difference in all the seven factors. Those over 20 old years showed higher desire for physical molding, pursuit of joy and adventure, achievement, and healthy physical strength, those over 30 showed a high average as a whole, and those over 40 showed higher desire in the factors including healthy physical strength, physical molding, and pursuit of ecstasy. Thirdly, for adults' desire for physical activities in accordance with their education level, it showed statistically significant difference in terms of achievement, pursuit of ecstasy, social motivation, motivation, healthy physical strength, pursuit of adventure, and physical molding. Those with diploma less than the high-school showed high desire for physical activities in terms of healthy physical strength, social motivation, pursuit of joy, and physical molding, and those with diploma over the high-school and university showed high desire for physical activities, except for purification. Fourthly, adults' desire for physical activities in accordance with life standard showed statistically significant difference in such factors as achievement, pursuit of ecstasy, social motivation, healthy physical strength, purification, and physical molding. Upper class showed high desire for physical activities in all the seven factors; middle class showed low desire for physical activities in social motivation and purification; and lower class showed high desire for physical activities in healthy physical strength, pursuit of ecstasy and adventure, and purification.

장애인 엘리트체육의 실태 분석

최승권,이인경,문준혁,임찬규,한동기,김권일 한국특수체육학회 2005 한국특수체육학회지 Vol.13 No.1

The purposes of this study are to analyze actual status of elite sports for athletes with disabilities through investigating factors such as athletes constitutions, levels of game performance, and administrative and supporting organizations, which are critical bases for establishing the policy of elite sports for athletes with disabilities. The contents and scopes are as followings. First, analyzing composition of elite athletes with disabilities and current status of sports associations/federations. Second, analyzing the levels of game performance of elite sports for athletes with disabilities(Far East and South Pacific Games for the disabled, and Paralympics). Third, analyzing the support system such as administrative organization and support for athletes, leadership training, and financial support. Forth, analyzing survey on attitude and needs for elite sports of athletes with disabilities. Literature reviews, site visits, and survey were used to analyze the current status of elite sports for athletes with disabilities in Korea. The following outcomes were driven. First, this study revealed fewer numbers of sports federations, unbalanced composition of athletes in events, sex, and ages, and aging compared to international events and games. Second, this study revealed low performance level in team sports overall, and international competitive abilities but shooting, weight lifting, and archery were shown to be low. Third, this study revealed the weak establishment of administrative and financial supporting system.

세계화와 지식기반사회에서의 경제교육 내용 구성 방안

최병모,이준혁 한국경제교육학회 2004 경제교육연구 Vol.11 No.1

학교 경제교육 방향 탐색을 위한 델파이 조사 연구

최병모,김정호,이준혁 한국경제교육학회 2005 경제교육연구 Vol.12 No.1

두부외상환자에서의 예후인자

최성혁,문준동,김수진,문철규,이성우,홍윤식 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2

Background: Predicting outcome after head trauma is of great interest for clinicians, especially in the early stage. It may provide a basis for therapeutic strategies and may be helpful to select different approaches. But, reliable outcome prediction from head trauma is still unresolved. The purpose of this study is to determine which clinical parameters can be used effectively after an event of head trauma. Methods: In our study we studied head trauma patients who came to the Emergency department of Korea University Medical School Anam Hospital from the 1st of June 1998 to 31th of January 2000, looked into medical records, and studied the records in a retrospective manner. The head trauma patients were divied into two group, a) favourable outcome-related and b) unfavourable outcome-related. The two groups were then subdivided according to their sex, age, the mechanism of their injury, the time they came in, alcohol drinking, loss of consciousness, vomiting, pupil change, previous medical illness, associated injuries and were seperately compared and analyzed. And the factors affecting Glasgow Outcome Scale(GOS) were analyzed in the parameters of Injury Severity Score(ISS), Revised Trauma Score(RTS), Glasgow Coma Scale(GCS), motor score of GCS(mGCS), Marshall Computed Tomographic Classification(MCTC). Statistically, t-test and Mann-Whistney rank sum test using Jandel-sigma were used in the study and then were assessed in Chi-square analysis methods. The statistical significance was determined at a level of p less than 0.05. Results: The total of the head trauma patients, added up to 129 people, 99:males and 30:females. Among this sum, 99 patients showed a favourable outcome and 30 patients showed an unfavourable outcome at discharge. The causes of injury included: automobile accident in 42 cases; fallss in 26; assaults in 6; and accidental-slipping injury etc in 55 cases. 12 patients had bilateral unreactive pupils on admission, 2 had unilateral reactive pupils, and 113 had bilateral reactive pupils. Compared to the favourable outcome-related head trauma group, the unfavourable outcome-relared head trauma group had more history of loss of consciousness, unreactive pupils and tended to have previous medical illness. There were no difference in alcohol related, vomiting and associated injuries between two groups(favourable outcome-related head trauma group: unfavourable outcome-related head trauma group). Substantial difference were observed in GCS, mGCS, ISS, RTS, MCTC between two groups. Patients with unfavourable outcome had a significantly higher ISS, lower RTS, lower mGCS. After MCTC, patients with mass lesion had unfavourable outcome than patients with diffuse injury. Conclusion: Age, history of loss of consciousness, previous medical illness and unreactive pupil change are predictives of outcomes of head trauma patients with respect to Glasgow outcome scale. The lower GCS, lower RTS, lower mGCS, higher ISS, mass lesion based on CT scan provide poorer prognostic outcome in patients with head trauma. Use of prognostic factors thorough complete history taking and physical examination would provide useful prognostic information and facilitate improved therapeutic decision-malting in head-injuried patients.

중재판정부 구성에 관한 비교 연구 : 외국의 중재규칙을 중심으로 Focus on the Foreign Arbitration Rules

최혁준 韓國仲裁學會 2006 중재연구 Vol.16 No.1

This study has the purpose to investigate other countries'arbitrator systems to compare with the current KCAB's system and to find their merits and demerits so that we can make up for the demerits of KCAB's arbitrator system and to make the most use of its merits. The most important factor of arbitral procedure is the arbitrator. If we compare clauses related with the arbitrator to KCAB's arbitration rules, expand the merits of it and apply the merits of other arbitrating organs, KCAB's arbitration can avoid criticism which it has got so far while it was handling the international cases. Also, we may need to grow up the role of the executive office in the range of respecting the self-government of the concerned party for the rapid proceeding of arbitral procedure. According to the foreign countries' international arbitration rules, they go with the process that they firstly give the concurrence period to the concerned parties,especially related with the arbitral procedure such as selection of arbitrator or filling the vacancy of the arbitrator, and as for the concerned party who dosen't fulfill within that period, the arbitrating organ or the other one corresponding to the pertinent arbitrating organ in case of the ad-hoc arbitration rules fulfill instead.

청각장애 특수학교 체육과 교육과정의 변천

최승권, 문준혁 용인대학교 체육과학연구소 2000 體育科學硏究論叢 Vol.10 No.1

Special education in Korea has been initiated by the education for the students with hearing impairments and the curriculum of the school for the students with hearing impairments was established in 1967. The fourth times of curriculum modification have been occurred since the fear of the first curriculum for the students with hearing impairments . The curriculum for the special school which prepared from 1998 to 2000 will be a treat influence as the education mainly for the student with disabilities which were adjusted toward the level of the students, therefore, the purpose of this study was to analyze the curriculum in the aspect of mainly focused on the class of Physical Education(PE) in the Korea special school. The curriculum of Physical Education for the students with hearing impairments was considered in just the part of the disabilities only modified from the curriculum for the public school. When the 1st curriculum was out in the field of the special education in Korea, the physical education class was regarded as an important class, however, the structure and time allocation of PE was reduced as same to the Public school. Now, in the field of special education, the PE class seemed not to be taught in the special school area. For the efficient education toward teaching the students with hearing impairments, the appropriate curriculum which will consider the conditions of each disabilities will be necessary to normalize the PE in the special school and the inservice teachers' training will be another matter to start.

壓縮코일스프링의 設計自動化

권혁홍,최선준 韓國工作機械學會 2000 한국생산제조학회지 Vol.9 No.6

Springs for vehicle suspension control the vibration of a car and influence on the ridability, safety, and life of a car. In the paper, the computer aided design program has been developed, which design the leaf spring shape from the given spec-ifications using basic theory and the expert's knowledge, and the design results arc checked by the analysis theory in order to increase the accuracy, and feed back to the design input. For the purpose of easy use, this program consists of pull-down menu and interactive input mode. To prove the effec-tiveness of this program, two springs, of which one is symmetric, other asymmetric, arc designed and analyzed, and the outputs are compared to the experiments. Considering the tolerance of the given specifications, the results are good.

DSP Processor(TMS320C32)를 이용한 화자인증 보안시스템의 구현

함영준,권혁재,최수영,정익주 江原大學校 産業技術硏究所 2001 産業技術硏究 Vol.21 No.B

The speech includes various kinds of information : language information, speaker's information, affectivity, hygienic condition, utterance environment etc. when a person communicates with others. All technologies to utilize in real life processing this speech are called the speech technology. The speech technology contains speaker's information that among them and it includes a speech which is known as a speaker recognition. DTW(Dynamic Time Warping) is the speaker recognition technology that seeks the pattern of standard speech signal and the similarity degree in an inputted speech signal using dynamic programming. In this study, using TMS320C32 DSP processor, we are to embody this DTW and to construct a security system.