國民學校兒童의 健康基準確立을 爲한 血液의 生化學的 및 血液學的 成分에 對한 調査硏究

金相仁,趙漢翊,朴明姬,金昇元,尹鍾求 대한의학협회 1979 대한의학협회지 Vol.22 No.8

자해로 인한 구강내 손상의 치과적조절 : 증례 보고

이상익,김영재,이상훈,김종철,한세현,장기택 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.2

자해 행위(self-injurious behavior)란 자살 의도 없이 자신의 신체 일부를 무의식적 혹은 고의로 손상시키는 것으로 정의한다. 이는 머리 및 몸 때리기, 피부 절단 혹은 손가락 깨물기 등의 형태로 나타나며, 눈, 성기 및 구강 내 자해 행위(self-inflicted oral mutilation)를 포함한다 자해 행위는 일반적으로 정신지체, 혼수상태, 정신과적 문제, 약물의 독성 혹은 성격장애를 지닌 환자에게서 일어날 수 있다 소아 환자에서 자해 행위는 보통 입술, 협점막 및 혀 깨물기 둥이 보고되고 있으며, 이러한 구강 내 자해 행위를 방지하기 위해 치과적 조절 방법들이 소개되고 있다. 본 증례에서는 구강 내 자해 소견을 보인 두 명의 소아 환자들에 대해, 각각 변형된 activator 형태의 가철성 장치, 후방으로 연장된 tongue-rake 장치 및 mouth guard 둥을 사용하여 양호한 치유과정을 보였기에 보고하는 바이다. Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, coma, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents two self-inflicted oral mutilation patients who were all treated successfully with appliances such as modified activator without wire for retention, modified tongue-rake appliance and mouth guard.

高等學校 生物의 遺傳工學 槪念 導入을 위한 實驗 Model

박상익,윤의수,김종균 공주대학교 사범대학 과학교육연구소 1995 과학교육연구 Vol.26 No.1

제 4차 교육과정 이후 제 5차 교육과정으로 개편되면서 생물 교과서에 유전 공학 개념 및 응용면이 더욱 강조 되었고, 제 6차 교육과정에서는 더욱 심화된 내용이 소개될 것으로 본다. 특히 일본의 고교 생물에서는 유저너 공학에 관한 내용을 학생들이 실험 할 수 있게 수록되어 있다. 그리고 앞으로의 자연과학은 유전공학 분야에서도 눈부신 발전을 가져올 것으로 기대되면 이에 맞추어 고등학교에서 유전공학 개념의 이해를 위한 유전자의 삽입, 형질 전환, 조직 배양 등의 실험을 실시하는 것은 학생들에게 많은 흥미와 관심을 갖게 하며 탐구력 신장에도 도움을 줄 것으로 생각한다. 본 연구는 제 5차 교육과정에 따른 고등학교 생물 교과서에 소개된 유전공학 내용을 분석한 결과 및 잎 절편체가 모상근으로 형질전환되는 기초 실험의 결과를 토대로 다음과 같은 결론을 내리고 탐구적 생물교육 자료로 삼고자 한다. 1.Agrobacterium tumefacieus, Agrobacterium rhizogenes을 이용한 모상근 발생에 관한 기초 실험의 특징은 형질전환체를 가시적인 뿌리로 얻을 수 있어 관찰이 용이하다. 2.형질 전환이 되었음을 GUS 활성 검사에 의해 쉽게 증명할 수 있어 유전공학 개념 도입을 위한 실험으로 고등학교에 도입하는 데 어려움이 없을 것으로 본다. 3.실험에 이용한 균은 감염 부위에 모상근을 형성하는 이외는 다른 병증을 나타내지 않기 때문에 대외적인 문제 없이 학교의 실험실에서도 취급할 수 있다. 4.유전 공학 실험에 필요로하는 화합물은 일선 학교에 대부분이 준비되어 있으며 kanamycin, Claforan은 미량 필요한데 쉽게 적은 비용으로 구입할 수 있다. 5.실험 기구는 간이 배양실만 고안 사용하면, 고등학교에 준비되어 있는 기구를 이용하여 해결이 가능하다. 유전 공학에 관한 실험을 하는데 실험실의 환경 조건이나 다인수 학급에서 어려움이 있더라도, 학생들에게 실험을 통해 유전 공학 개념을 형성시키는 기회를 갖게하는 것은 매우 중요하다. 이렇게 하여 자연과학에 대한 흥미와 관심을 높여가는 것은 우리나라의 기초과학 발전에 도움이 될 것으로 본다. The concept of biotechnology and its practical application is much more emphasized in the fifth curriculum than in the fourths and further intensified contents are supposed to be introduced in the sixth. Especially highschool biology in Japan, the contents on the biotechnology are recorded for the students to experiment and the future natural science is expected to develop brilliantly in a field of biotechnology. Therefore, students' experiments on gene insertion, transformation, tissue culture and so on, for their understanding of biotechnology concepts, are thought to stimulate their curiosity and extend their spirit of inquiry. This study is meant as an teaching aid, and reaches the following conclusions on the basis of the results of the biotechnology contents introduced in the fifth highschool biology texts and those of basic experiments on the transformation from explant to hairy root. The characteristic of basic experiments on hairy root growth used by Agrobacteriurm tumefacieus, Agrobacterium rhizogenes is that the observation is easy, since the transformational object is a visible root. The experiments are likely to be introduced without difficulty for highschool biotechnology concepts, since the transformation is easily proved by the GUS activation test. The germs used in experiments don't cause other diseases except forming hairy roots in infected parts, so they can be treated in school laboratories without outside interferance. Almost all schools are equipped with the complex materials needed for biotechnology experiments and kanamycin and claforan, just a little quantity of which is needed, can be purchased at a low price. The instruments can be replaced with the preequipped ones in school, only the temporary growthchamber needs to be devised. Though there are difficulties in biotechnology experiments because of unsufficient condition in laboratories or classes made up of a large number of students, it is very important for the students to have opportunities to form biotechnology concepts through experiments. To promote curiosity and interest in natural science in this way can be helpful in national basic science development.

건강검진 수진자 9,137 명에 대한 위내시경적 집단 검진 소견

김상훈,김명숙,박창영,전우규,정을순,손정일,김향,이상종,김병익,최윤상,성기철,심성춘 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.2

Background: A esophagogastroduodenoscopy is now considered to be one of the essential rnethods for diagnosis of upper gastrointestinal disease. Furthermore early detection of stomach cancer by such a mass screening techique is very important to increase the survival rate. Methods: A clinical analysis was conducted on 9,137 healthy subjects who had undergone a gastrofiberscopic examination for the secondary prevention, from January 1995 to December 1996, in Kangbuk Samsung hospital. Results: 1) Number of cases with normal finding was 764 (8.4%). 2) The most prevalent disease found was chronic gastritis (82%). The number of cases with superficial gastritis was 64.7%, erosive gastritis 9.0%, atrophic gastritis 6.4% and metaplastic gastritis 1.6%. Atrophic and metaplastic gastritis were more frequent in the older age group. 3) The prevalence of peptic ulcer was 13.9% and duodenal ulcers (8.1%) was more common than gastric ulcers (5.8%, p$lt;0.05) with a male to female ratio of 3.7: 1, and 2.1: 1 respectively. 4) Of the 10 cases with stomach cancer (0.11%), 5 cases (0.055%) were found to be advanced stomach cancer and the other 5 cases (0.055%) were early gastric cancer. The macroscopic type of early gastric cancer was type IIc in 4 cases and type IIb in another case, and 4 cases were limited in mucosa but another was in submucosa. The size of 4 cases were below 1 cm and there was no lymph node metastasis. Conclusion: Medically screened subjects were found to have many abnormalities, and therefore, it is recommanded that regular check ups using an endoscopy would be needed for early detection of early gastric cancer regardless of clinical symptoms.

사후변화로서의 급성 신세뇨관괴사에 대한 병리조직학적 고찰

김윤신,정익조,김창신,김대열,이호,김종진,조남수 내무부 국립과학수사연구소 1999 國立科學搜査硏究所年報 Vol.31 No.-

Clinical evaluation of full mouth disinfection therapy

( Ik Hyun Cho ),( Ui Won Jung ),( Jeong Heon Cha ),( Joong Su Kim ),( Dae Sil Lee ),( Chang Sung Kim ),( Kyoo Sung Cho ),( Jung Kyu Chai ),( Chong Kwan Kim ),( Seong Ho Choi ) 대한치주과학회 2005 대한치주과학회 학술대회자료집 Vol.2005 No.2

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Kim, Chong Ik 한국콘텐츠학회 2019 ICCC International Digital Design Invitation Exhib Vol.2019 No.5

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Kim, Chong Ik 한국콘텐츠학회 2018 ICCC International Digital Design Invitation Exhib Vol.2018 No.7

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Kim, Chong Ik 한국콘텐츠학회 2018 ICCC International Digital Design Invitation Exhib Vol.2018 No.5

술후 통증과 아편양제제에 대한 의료인의 인식

김용익,김순임,김선종,박욱,김지은 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.2

Background : In addition to the analgesic selection and method of administration, how medical and nursing staff perceives postoperative pain and opioid analgesia is important for the effective pain control. Therefore, we have studied about these perceptions of our medical and nursing staff. Methods : Eighty five surgeons and seventy eight registered nurses working in the surgical wards within this hospital were surveyed by means of questionnaires to identify the attitudes to postoperative pain and knowledge about opioid analgesia. Results : Seventy-nine percent of doctors and 61% of nurses attempted to relieve pain as much as possible. However, 47% of the nurses felt that analgesia was under-prescribed. The reasons given to administer analgesics inadequately by the doctors and nurses were side effects such as emesis, respiratory depression, and the fear of drug addiction. Regarding respiratory depression, 47% of doctors and 60% of nurses felt it occurred after i.m. injection of opioids postoperatively. Concerning the possibility of addiction after the patients were given 50∼100 mg demerol i.m. every four hours for one week after major surgery; 37% of doctors and 83% of nurses thought that drug addiction may develop. Conclusions : Our medical and nursing staff personnel were afraid of respiratory depression as well as a fear of addiction when they administered opioids. This situation is likely to be a significant factor in under-prescribing. It may be necessary for them to have a special education program about pain relief and opioid analgesia after surgery. (Korean J Anesthesiol 1998; 35: 354∼359)