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      • KCI등재

        하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

        김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

        We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

      • KCI등재

        Case Report : Autosomal Translocation Patient Who Experienced Premature Menopause: A Case Report

        ( Tae-hee Kim ),( Yesol Kim ),( Do-won Jeong ),( Eun-gyeong Lee ),( Dong-su Jeon ),( Jun-mo Kim3 ) 대한폐경학회 2015 대한폐경학회지 Vol.21 No.2

        Premature ovarian failure (POF) is a condition in which the ovarian functions of hormone production and oocyte development become impaired before the typical age for menopause. POF and early menopause are present in a broad spectrum of gonad dysgenesis, from a complete cessation of ovarian function to an intermittent follicle maturation failure. Actually POF has been identified as a genetic entity (especially chromosome X), but data on genetic factors of premature menopause are limited. Until now, several cases revealed that inactivation of X chromosomes has an effect on ages of premature menopause and females with balanced or unbalanced X-autosome translocations can have several reproductive problems. On the other hand, there have been a few data that was caused by autosome-autosome translocation can lead. Therefore we report a relevant case of POF with translocation between chromosomes 1 and 4. She had her first menstrual period at the age of 12, and after 7 years she stopped menstruation. Chromosomal analysis showed 46, XX, t (1;4) (p22.3;q31.3). While evaluating this rare case, we could review various causes (especially genetic factors) of POF. To remind clinicians about this disease, we report a case of POF caused by autosomeautosome translocation with a literature review. (J Menopausal Med 2015;21:112-114)

      • 즉흥사고를 이용한 글쓰기 전략 개발 연구

        김재수,임성규,김재봉,정경미 광주교육대학교 초등교육연구소 2001 初等敎育硏究 Vol.15 No.2

        The purpose of this study was to develop an writing strategy with brainstorming. Concrete instructional contents for the dvelopment of writing strategy with brainstorming and the continuous application of the strategy to the whole writing's processes were developed here. And its method of application to elementary school and university were also described. The modern writing theory which reflects the importance of thinking had emphasis on the diversification of thinking ability. From this point of view, brainstorming which is adopted to a way of enhancing thinking ability was applied to students' writings. Brainstorming aims to pull out the unique idea from the consciousness of students and this study tried to develop continuous model of writing strategy through brainstorming. The advantage of continuous model could be in teaching the students interactively for whole writing processes. This study showed that brainstorming could be applied to the whole writing process, idea production - idea construction - paragraph writing, and described the results of its application at the order of method - application - consideration of instruction.

      • 웹 온톨로지를 이용한 공급자와 판매자의 데이터 통합 모델

        김영근,김수경,안기홍 한밭대학교 정보통신전문대학원 2005 정보통신전문대학원 논문집 Vol.3 No.1

        정보통신의 발전은 경제 구조에 많은 변화를 가져왔으며, 향후에도 많은 변화를 예고하고 있다. 가장 대표적인 것은 경제 흐름의 근간이라 할 수 있는 유통의 변화이다. 이것은 통신망 위에 구축되는 가상의 공간에서 이루어지는 유통을 지칭하는 것으로, 빠른 속도로 발전하고 있다. 이러한 빠른 발전에도 상품데이터베이스를 구성하는 것에는 매우 불합리한 비효율성이 존재한다. 상품데이터베이스 구성의 가장 큰 비효율은 싸이트들이 개별의 데이터베이스를 구성한다는 것이다. 이런 문제를 해결하기 위해 시멘틱웹의 RDF(Resource Description Framework)언어를 이용하여 웹 온톨로지를 구성하여 공급자와 판매자간 상품 데이터를 공유하게 된다면, 전자상거래에서 상품데이터베이스 구성의 비효율성을 제거 할 수 있다. 따라서 본 논문에서는 RDF의 소개와 RDF 웹 온톨로지 편집기를 제작하고, 구성된 RDF를 참조하여 간단한 쇼핑몰을 구성하여 온톨로지를 통한 데이터의 효율적 상호운영성(Interoperability)을 증명하여, 현재 제안되고 있는 상품 카탈로그 분야의 발전에 기여하고자 한다. IT development has brought about many changes in an economic structure, and will bring about many changes in the future. The most representative thing is the change of distribution which is a basis of the economic flow. It means a distribution an a virtual space built through communication network. It has rapidly developed. However, building the product database by each site for numberless products is very unreasonable simple repeating process. To solve this problem, if the product data is shared between a supplier and seller through the web ontology by using the Semantic Web RDF (Resource Description Framework) language, an efficiency of e-commerce will be created. Accordingly, the study is intended to prove an efficient interoperability of data through ontology by introducing the RDF, fabricating the RDF web ontology editor, and building a simple shopping mall through organized RDF, and to contribute to a development of currently-proposed product catalog field.

      • KCI등재

        양극성 장애에서 표피성장인자의 유전적 다형성에 대한 연합연구

        김수경,이규영,주은정,강웅구,안용민,김용식 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.6

        Objectives : Epidermal growth factor (EGF) is a neurotrophic factor which regulates the intracellular signaling molecules. These molecules are also affected by mood stabilizers such as lithium and valproate. In addition, epidermal growth factor enhances neuronal survival, maturation and differentiation especially in midbrain dopaminergic neurons of which dysfimction may play a role in pathophysiology of bipolar disorders. Bipolar disorder has some genetic commonalities with schizophrenia, and several association studies of EGF have been done with schizophrenia. In this study, we tried to investigate the geneticassociation between EGF A61G polymorphism and bipolar disorder. Methods : Total of 189 patients and 347 nonnal control were included. All patients satisfied the diagnostic criteria of DSM-IV for bipolar disorder type I (BPDI, N= 146) and bipolar disorder type II (BPDII, N=43). Genomic DNA was extracted from the peripheral blood, and genotyping was performed by TaqMan™ method. Genotype and allele frequency of EGF A61G polymorphism between the patients and the control were compared by contingency chi-square test or the Fisher's exact test. Results : No association was found between EGF A61G polymorphism and susceptibility of BPDI, BPDII and bipolar disorder (all patients). Female patients with BPDII showed overexpression of AG genotype compared to that ofcontrol group (p=0.03). However, this association was not significant after correction of multiple testing. Conclusion : In conclusion, EGF A61G polymorphism has no association with susceptibility of bipolar disorder. However, the disease modifying role of EGF gene polymorphism for bipolar disorder remains to be elucidated in respect to factors such as gender difference or diagnostic subtype.

      • KCI등재후보

        간호사의 셀프리더십과 간호업무성과간의 관계

        서문경애,장성옥,조경희,김인아,이수정 대한간호학회 간호행정학회 2006 간호행정학회지 Vol.12 No.1

        Purpose: This study was undertaken in order to suggest self-leadership as a way to promote organization efficiency of nursing organization. So the relation between self-leadership and outcome of nursing practice inorganization was studied. Method: The subjects of study were nurses as a population who were working for the 2 of university hospitals which have over 500 beds in Kyong Ki Province as well as who have been working for over 6 months. The data was collected by questionnaires from 215 nurses and analyzed using descriptive statistics, perason correlation coefficient, t-test and ANOVA on SAS Program. Results: Self-leadership of nurse got 3.51 grade out of 5 as a mean point. Each of the segments got 3.74 in self-compensation, 3.57 in self-expectation, 3.53 in goal-setting, 3.45 in rehearsal, 3.37 in self-criticism and 3.30 in constructive thinking in order. Independent performance of nursing practice at each items of outcome of nursing practice showed the highest correlations with the self-expectation among self-leadership segments. Constructive thinking, self-compensation, rehearsal, goal-setting were related like this in order, but self-criticism was related just a little. Dependent nursing practice has the highest correlation with the self-expectation, goal-setting, rehearsal, constructive thinking, self-compensation were similar as aboves in order, but self-criticism didn't show any similar correlations. Relationship practice has the highest correlation with the self-expectation, and goal-setting, constructive thinking, self-compensation, rehearsal were similar, while self-criticism did not show any correlations. Conclusion: In conclusion the result was obtained that self-leadership is much correlated with outcome of nursing practice. Therefore, as a way to promote efficiency of nursing organization, the constant study about self-leadership with the various aspects is needed focusing on self-management and inner motivation as a new leadership paradigm.

      • 천주사목조여래좌상의 유래와 보존처리

        박방룡,김경수 한국고고미술연구소 2011 고고학지 Vol.17 No.-

        This paper explored how the seated wooden Buddha statue in Cheonjusa Temple was placed there before its relocation to the Lee Royal Family Museum (now the Deoksugung Art Museum) and examined its recent treatment for conservation by the National fyiuseum of Korea. Records about the relocation of the Buddha statue from Cheonjusa Temple in Gasansanseong Fortress in Chilgok, Gyeongbuk Province to the Lee Royal Family Museum have not been discovered. The reason why the statue was first placed in Jeongsusa Temple in Danseong-myeon, Uiseong-gun, Gyeongbuk Province remains unknown, so there is no choice but to take it as fact that the statue was taken from Cheonjusa Temple before being sold by a Japanese person to the Yi Royal Family Museum, but the whereabouts of the two statues guarding the one in the center or whether it was placed in the main hall of Cheonjusa Temple also remains unknown. Depending on the circumstances, the statue is likely to have been kept in a place other than the main hall or left unattended, whereupon the Japanese found it by chance. The photo of the statue included in a catalog about the collection of the Lee Royal Family Museum shows that eight or nine pieces of curled hair on the forehead and the end of the ring fingers of both hands are broken, meaning that ordinarily it would not have been placed in the main hall of a temple. It is also unbelievable that a Buddha statue kept in the main hall of a temple would ever have been sold as long as that temple existed. Cheonjusa Temple was closed long ago and thus it is meaningless to attach a name to the statue. Moreover, Cheonjusa Temple was not the place where the status was originally placed. As this is the case, it is proper to call it the "Uiseong Jeongsusa Statue" or the "Seated Wooden Buddha Statue of Jeongsusa in Uiseong." The conservation work took about three months, with the focus on recovering its original condition. Photos of it taken during the colonial period helped make it possible to finish the work of recovery more easily, which led us to reflect on the importance of keeping records of historic relics. When the yukgye (a piece of flesh on the top of Buddha's head) and the curled hairs on the forehead were recovered, a spacing layer was formed. Korean traditional glue was used as an adhesive. Removable material was used to enhance reversibility in consideration of the possibility of reprocessing. With the conservation treatment carried out on this occasion, the preservation stability of the statue was heightened and the statue was made presentable for display. 이 글은 흔히 말하는 ‘천주사목조여래좌상’이 이왕가박물관으로 옮겨오기 이전의 최초봉안지 등에 대하여 그 유래를 검토하고 아울러 근년에 이르러 국립중앙박물관에서 보존처리한 과정에 대해 살펴 본 것이다. 이제까지 이 불상이 경북 칠곡 천주사에서 이왕가박물관으로 이전할 당시의 기록이 확인되지 않고 있어서 자세한 전말을 알 수 없었다. 따라서 이 불상이 경북 의성군 단밀면에 있었던 정수사(淨水寺)에 최초 봉안되었음이 간과되어 학계에서는 칠곡 천수사에 봉안되었던 것만으로 알려져 왔다. 물론 일본인이 이왕가박물관으로 매도할 당시 경북 칠곡 가산산성(架山山城) 안에 위치하였던 천수사에서 모셔온 것은 사실로 받아들여야 하겠지만, 좌우보처보살상의 행방, 천주사 불전에 봉안되었던 것인지의 여부 등에 대해서는 전혀 알 수 없는 실정이다. 아마도 이 불상은 여러 가지 정황으로 보아 천주사 불전에 모셨던 것이라기보다 불전이 아닌 공간에 임시로 모셨거나 방치되었던 것을 일본인에 의해 발견되어 입수하였을 가능성이 큰 것으로 보았다. 「이왕가박물관소장품사진첩」의 사진을 보면 전두부(前頭部)의 나발(螺髮) 8개 정도와 우수(右手) 약지 끝 마디가 결손 되어 예배대상으로 부족한 측면이 있다. 일반적으로 사찰이 존속되는 한 본전 내에 모시는 본존불상을 매도한다는 것은 있을 수 없는 일이기 때문이다. 또한 이 불상의 명칭문제에 있어서 ‘천주사’라는 기록상의 사찰은 폐사(廢寺)되었으므로 ‘천주사불상’이라는 이름은 의미가 없으며 최초봉안처가 아니다. 따라서 최초로 조성하여 봉안하였던 ‘의성 정수사 불상’ 즉 ‘의성 정수사목조여래좌상’이라고 부르는 것이 합당하다고 하겠다. 파손된 불상은 순수처리 기간만 약 3개월에 걸쳐 보존처리를 완료할 수 있었다. 처리 중 가장 중점을 둔 부분은 원래 상태를 회복하는 것과 복원된 부분을 다시 되돌릴 수 있도록 하는 가역성이었다. 다행히 처리 중 일제강점기에 촬영된 사진을 입수할 수 있어 원래 상태를 회복하는 것이 가능하였고 기록 자료의 중요함을 다시 한 번 생각하는 계기가 되었다. 육계와 나발 복원 시 본체와 이격층을 형성하고 접착제로 전통 재료인 아교를 선택하고 합성수지이기는 하지만 제거가 가능한 재료를 사용하여 가역성을 높여 재처리가 가능하도록 하였다. 이번 처리로 불상의 보존 안정성을 높이고 전시 가능한 상태가 되었다.

      • SCOPUSKCI등재

        Occurrence and characterization of oseltamivir-resistant influenza virus in children between 2007-2008 and 2008-2009 seasons

        Kim, Seoung Geun,Hwang, Yoon Ha,Shin, Yung Hae,Kim, Sung Won,Jung, Woo Sik,Kim, Sung Mi,Oh, Jae Min,Lee, Na Young,Kim, Mun Ju,Cho, Kyung Soon,Park, Yeon Gyeong,Min, Sang Kee,Lee, Chang Kyu,Kim, Jun Su The Korean Pediatric Society 2013 Clinical and Experimental Pediatrics (CEP) Vol.56 No.4

        Purpose: There was a global increase in the prevalence of oseltamivir-resistant influenza viruses during the 2007-2008 influenza season. This study was conducted to investigate the occurrence and characteristics of oseltamivir-resistant influenza viruses during the 2007-2008 and 2008-2009 influenza seasons among patients who were treated with oseltamivir (group A) and those that did not receive oseltamivir (group B). Methods: A prospective study was conducted on 321 pediatric patients who were hospitalized because of influenza during the 2007-2008 and 2008-2009 influenza seasons. Drug resistance tests were conducted on influenza viruses isolated from 91 patients. Results: There was no significant difference between the clinical characteristics of groups A and B during both seasons. Influenza A/H1N1, isolated from both groups A and B during the 2007-2008 and 2008-2009 periods, was not resistant to zanamivir. However, phenotypic analysis of the virus revealed a high oseltamivir $IC_{50}$ range and that H275Y substitution of the neuraminidase (NA) gene and partial variation of the hemagglutinin (HA) gene did not affect its antigenicity to the HA vaccine even though group A had a shorter hospitalization duration and fewer lower respiratory tract complications than group B. In addition, there was no significant difference in the clinical manifestations between oseltamivir-susceptible and oseltamivir-resistant strains of influenza A/H1N1. Conclusion: Establishment of guidelines to efficiently treat influenza with oseltamivir, a commonly used drug for treating influenza in Korean pediatric patients, and a treatment strategy with a new therapeutic agent is required.

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