정상면역을 가진 성인에서 발생한 식도 방선균증

김현수 ( Hyun Soo Kim ),천종운 ( Jong Woon Cheon ),김민수 ( Min Su Kim ),정창길 ( Chang Kil Jung ),김경록 ( Kyung Rok Kim ),최재원 ( Jae Won Choi ),강동우 ( Dong Woo Kang ),김선영 ( Sun Young Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2

Hyun Soo Kim, Jong Woon Cheon, Min Su Kim, Chang Kil Jung, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang and Sun Young Kim1 Departments of Internal Medicine and Pathology1, DongKang Medical Center, Ulsan, Korea Actinomycosis is a chronic suppurative disease and caused by Actinomycosis species, principally Actinomyces israelii, which are part of the normal inhabitant on the mucous membrane of the oropharynx, gastrointestinal tract, and urogenital tract. It usually affects cervicofacial, thoracic and abdominal tissue. Cervicofacial type has the highest percentage of occurrence with 50%. Actinomycosis frequently occurs following dental extraction, jaw surgery, chronic infection or poor oral hygiene. It may also be considered as an opportunistic infection in immunocompromised patients such as malignancy, human immunodeficiency virus infection, diabetes mellitus, steroid usage or alcoholism. But, actinomycosis rarely occurs in adults with normal immunity and rare in the esophagus. We report an unusual case of esophageal actinomycosis which was developed in a patient with normal immunity and improved by therapy with intravenous penicillin G followed oral amoxicillin, and we also reviewed the associated literature.

임호(林湖) 박수검(朴守儉)의 생애와 저술 양상

김종수 ( Kim Jong-soo ) 한국유교학회 2012 유교사상문화연구 Vol.50 No.-

향리인 제천의 만지곡에서 출생한 임호 박수검은 17세기 중후반을 전후로 한 관료이면서 사상가였다. 고려 왕족의 후손인 박수검은 효성과 학문을 중시한 전래의 가풍 속에서, 일찍부터 독서에 눈을 뜨기 시작했다. 이어지는 수학기 동안에 박수검은 순차적으로 조석윤ㆍ이영선ㆍ이준남ㆍ송시열 등의 문하에서 학업을 연마하는 행운을 누렸고, 자연히 임호는 원근을 막론하고 조기에 문명을 떨칠 정도의 실력을 배양하게 되었다. 그런데 박수검은 비교적 이른 시기에 과거 공부에 착수하였으나, 실제 그 가문과 급제한 나이는 뒤늦은 44세 때였다. 이후 박수검은 내직과 외직을 두루 거치는 사환기에 접어들게 되었으나, 남인과 뚜렷한 대립각을 곤두세웠던 그의 서인 노론적 당색으로 인해 잦은 환로의 부침을 경험하기에 이른다. 특히 박수검은 기사환국 직후에 고향 제천으로 낙향, 몇 년간에 걸쳐서 이른바 의림경영에 돌입하기도 했다. 그런 와중에서도 박수검은 경학과 역사학, 역학 과 장자철학 둥을 아우르는 일련의 저술을 추진해 나감으로써, 학자 본연의 자세를 망각하지 않았다. 박수검이 남긴 저서 목록인 『진사통고』ㆍ『중용석의』ㆍ『장자소요제물론이편주해』ㆍ『참동계교정』ㆍ『절위여편』과 문집인 『산일여편』등은 관직 생활을 하는 와중에서 저술된 결실로서, 임호의 치열한 학자적 탐구 노력을 반증해 준다. 특히 박수검은 一理 혹은 理原을 철학적 화두로 설정한 가운데, 자신의 전 저서들 속에 이 물음을 투영시켜 두었음이 주목된다. 이같은 정황은 박수검의 사상적 착지점이 근본 정주학자였다는 사실을 뚜렷이 확인시켜 주고 있다. Park Soo-geom was born in a country village, Jecheon (堤川). He was the posterity of Goryeo royal family and experienced the invasion of Ching (丙子胡亂) in person. Park Soo-geom studied until the age of 40 under the scnolars who succeed the tradition of Giho school neo-Confucianism (畿湖性理學) such as Jo Seok-yoon (趙錫尹), Yi Yeong-seon (李榮先) and Song Si-yeol (宋時烈). Accordingly, the academic school and political position of Park Soo-geom were defined as Seoin (西人) Norongye(老論系). Park Soo-geom passed examination for government officer (科擧) when he was 44 years old; however, his career as a government officer was not successful. He had frequent conflicts with Namin (南人) and he ended up resigning government position and returned to home village. Meanwhile, Park Soo-geom authored Jinsatonggo (震史通考), Jungyongseokeui (中庸釋義), Chamdonggyegyojeong (參同契矯正) and Jeolweeyeopyeon (絶韋餘編). He also published annotation (註解書) on Zhuangzi (莊子). Like this, the academic world of Park Soo-geom was quite extensive accommodating historical studies, jingxue (經學), yixue (易學) and Zhuangzi (莊子) philosophy. These books share the characteristic of exploring me topic or chengzhuxue (程朱學) represented by yili (一理).

임호박수검(林湖朴守儉)의 트라우머와 장자철학(莊子哲學) -치유담론으로서의 『장자』에 대한 역사적 사례-

김종수 ( Jong Soo Kim ) 영산대학교 동양문화연구원 2013 동양문화연구 Vol.15 No.-

17세기 중.후반을 주요 활동기로 삼았던 임호 박수검은 제천에 연고를 둔 노론계의 관인.유자였다. 수학기 적부터 자자한 문명을 떨쳤던 박수검은 20세 때에 진사초시에 합격하는 영예를 안았다. 그러나 이후 약20여 년간에 이르는 온갖 집안의 불행사들로 인하여 박수검의 과거 합격은 무한정 지연되어 가고만 있었다. 마침내 박수검은 뒤늦은 나이인 44세때에 과거에 급제하였으나, 이미 그의 영혼은 심각한 트라우머에 시달리고 있었다. 때문에 주로 한직과 외직을 전전했던 박수검의 관직생활은 단순한 생계유지의 수단 그 이상의 의미를 발휘하지 못했다. 대신에 박수검은 웅장한 경세에의 포부가 좌절된 데 따른 트라우머로 인하여 늘상 방황하는 모습을 연출하고 있었다. 박수검은 그런 자신을 ?『장자』? 속의 중증 장애인인 지리소로 비유하곤 하였다.그런 점에서 수학기 적에 만난 세 번째 스승인 무하옹 이준남은 박수검이 닮아야 할 동일시 모델로 다가섰고, 또한 텍스트 ?『장자』?를 매개.인도케해준 중요한 인물이었다. 박수검이 구축한 장자철학은 <장자소요유제물론이편주해서>로 대변되는 텍스트 ?『장자』?에 대한 해석과 시료로서 ?『장자』?를원용한 두 국면을 형성하고 있다. 전자가 정주학적 세계 구도인 음양.오행론과 역학적 사유가 묘하게 결부된 주해 방식을 선보여 주었다면, 후자의경우 자신의 트라우머를 드러내고 해소.치유하기 위한 의식적 노력과 결부되어 있다. 또한 두 국면 모두 『주역』의 복괘에 내함된 생의[陽]가 투사되어 있는바, 이는 트라우머의 치유를 위한 박수검 나름의 치열한 노력이반영된 결과였다. 그러나 박수검은 끝끝내 자신 안에 각인된 트라우머를 치유.승화시키는 단계로까지는 진입하지를 못했다. 박수검의 경우 ?『장자』?혹은 장자철학이란 자아 성찰과 세계 확장이라는 새로운 두 계기를 제공해주었으나, 궁극적인 치유담론으로 기능하지는 못한 것 같다. Imho(林湖) Park Soo-geom(朴守儉) could not pass an examination to become a government officer because of various misfortunes which continued for more than 20 years on him. He at last passed a government examination for government officer at the late age of 44 years old; however, his soul was already suffering serious trauma. Therefore, the government officer position of Park Soo-geom was just a way to make ends meet. Park Soo-geom always wandered because of the serious trauma caused by the frustration coming from the failure to realize the big aspiration he had held as a government officer. He frequently compared himself to Jiriso(支離疏), who is a seriously disabled person appearing in the book, Zhuangzi(莊子). The philosophy of Zhuangzi philosophy established by Park Soo-geom can be seen in his two writings quoting the book Zhuangzi as the material for his poetry and his preface on the two annotations on Soyoyoo (逍遙遊) and Jemullon(齊物論) in the book Zhuangzi(莊子逍遙遊齊物論二篇註解序). However, Park Soo-geom could not reach the stage of healing and sublimation of his internal trauma with deep source until the end. Consequently, the philosophy of Zhuangzi established by Park Soo-geom provided him with two opportunities of self-introspection and world-expansion; however, it seems it could not function as an ultimate discourse on healing

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

유도 '되치기 본'의 개선 방안에 관한 연구

김의환,김도준,김규수,김관현,김종달,최종삼,조용철,박순진,윤익선,안병근,정 훈,김미정,한성철 龍仁大學校 武道硏究所 1999 武道硏究所誌 Vol.10 No.1

The purpose of this study was to reform practically a Korean Judo's Doechigi-Bon(Forms of Counterattack, judo's Gaeshi no Kata, Judo's Uradori no Kata, Judo's Gonosen no Kata) that was established in 1955 Korea, according to changing of techniques by Judo's modernization, in order to have Judo's carefulness and systematic diffusion. Reform procedure of Judo's Doechigi-Bon was 1st stage, Questionnaire survey 303 judokas, 2nd stage, Technical seminar by judo experts(12 judo professor) 4 times, 3rd stage, wording report for reform, 4rd stage, Discussion and judgement of Teaching and Judgement commission of Korean judo Association(KJA), 5th stage, Public hearing for reform in KJA, 6th stage, Report and decision of board of directors in KJA, 7th stage, public publication of Judo News(No.53) in KJA. Basic principle of reform of Judo's Doechigi-Bon were as table 1. Table 1. Basic principle of reform of Judo's Doechigi-Bon ------------------------------------------------------------------------------- Items Reformed Key Points of Judo's Doechigi-Bon ------------------------------------------------------------------------------- 1. Structure 1) Grand classification : Classified by 3 parts(1,2,3Gyo) 2)Medium classification : Te waza, Goshi waza, Ashi waza devided per each part(Gyo) 3)Sub-classification : Classified five techniques per each part(Gyo) 2. Contents 1) Selected established techniques as possible 2) Considered rationalty and overlapping of counterattack techniques 3. Decision of Conterattack techniques 1) Refered to results of Basic Questionnaire survey 2) Priority to decisions of Judo expert technical seminar -------------------------------------------------------------------------------- Reformed Korean Judo's Doechigi-Bon(Forms of Counterattack techniques-KJA, 1999) are as follows: 1. Gyo; ① Uki otoshi -> Uchi mata ② Harai goshi -> Harai goshi gaeshi ③ O soto gari -> O soto gake ④ Ko uchi gari -> Sasae tsurikomi ashi ⑤ O uchi gari -> Ko soto gari 2. Gyo; ① Ippon seoi nage -> Okuri eri jime ② Tsuri domi goshi -> Uki waza ③ Okuri ashi harai -> Okuri ashi harai ④ Ko soto gari -> Tai otoshi ⑤ Hiza guruma -> Hiza guruma 3. Gyo; ① Kata guruma -> Sumi gaeshi ② Tai otoshi -> Ko soto gari ③ Hane goshi -> Harai tsurikomi ashi ④ Uchi mata -> Tai otoshi ⑤ Tomoe nage -> O uchi gari

數種의 弗素製材에 의해 前處置 再植 齒牙의 祖織學的 反應에 關한 硏究

金鐘秀,金殷淑,金鐘好,金容琦 大韓小兒齒科學會 1997 大韓小兒齒科學會誌 Vol.24 No.2

The effect of fluoride pretreatment upon root resorption after delayed replantation was studied in beagle dogs. Upper and lower incisors were extracted and bench dried for 45minutes. 1% Stannous Fluoride solution, 2% neutral sodium fluoride gel and 1.23% acidulated phosphate fluoride gel were used for the pre-treatment of replanted root surface in the experimental groups. Replantation was done with no treatment in control group. After of an experimental periods 3 weeks, animals were sacrificed by perfusion followed by sample preparation. A histomorphometric method was applied for evaluation of tissue reactions observed in each group under light microscope. Scanning electron microscopic observation was done to find out any different surface topography between groups. The results were as follows: 1. Fluoride-treated groups showed in general the better healing patterns than untreated control group. 2. Comparisons between three experimental groups revealed the superiority of APF-treated group over the other groups in terms of tissue healing reaction by showing the highest frequency in uncomplicated healing pattern and surface resorption and the lowest in inflammatory resorption, but with no statistical significance(p>.05) 3. Scanning elecron micrographs showed the irregular distribution of resorption cavitie s and the attached bone of variable size and shape in all groups. 4. It can be conclued that the types of fluoride did not have significant impact on the early tissue reactions after delayed replantation under the condition of the present experiment.

虹彩 體質 分析에서 心腎結合組織의 虛弱 體質과 高血壓 家族歷과 관련성 硏究

金鐘牛,黃祐準,琴坰樹,李始炯,李宗淳,都金錄,趙在運,趙州掌,金鐘煜 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1

Iridology, developed more than 100 years ago, is the diagnosis of medical conditions through noting irregularities of the pigmentation in the iris The purpose of this study is to compare interrelation between CVA, hypertension family history and cardio-renal connective tissue in Iris Constitution through iris constitution examination. The subjects consist of 114 patients who were examined in Iris Constitution at Chonju Oriental Medicine Hospital attached to Wonkwang Univ. from September. 1St. 2000 to August. 31th. 2002. 1. In the distribution of Iris Constitution, among of 79cases, There are neurogenic type 13cases, abdominal connective tissue weakness constitution 31 cases, cardio-renal connective tissue weakness constitution 6 cases, cholesterol 7 cases and others 22 case in control group. 2. There are familial history of CVA and hypertention 32 cases, no familial history of CVA and hypertention1 3 cases, in 35cases of experimental group. These results imply that there is meaningfulness of interrelation between cardio-renal connective tissue weakness constitution and. CVA, hypertention.

Callus distraction method를 이용한 하악골 신장술 : 계단골절단술식의 적용

김명진,윤필영,신동준,김수경,김종원,김규식 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.2

Since callus distraction technique was applied clinically for the correction of dentofacial deformity to the patients with hemifacial dysplasia by McCarthy in 1992, many surgeons have tried to apply this method to the maxillofacial region. But this technique has some drawbacks. One of the disadvantages of this technique is extensive scar formation in the facial area, which is a sequelae of extraoral approach for supraperiosteal dissection of the periosteum overlying the mandible. Recently, we have made an effort to perform this technique through intraoral approaches to prevent scar formation on the submandibular area and modified the design of the osteotomy, that is step osteotomy technique, to increase the raw bone surface on both osteotomized segments. The rationale for the application of this step osteotomy technique is to increase the amount of regeneracted bone and the length of distraction, to avoid damage of inferior alveolar neurovascular bundle, and to increase initial stability of the splitted segments. Step osteotomy procedure can be done with fine micro-osteotomy saw through subperiosteal tunneling. Extraoral pins should be inserted before making the osteotomy. Since 1974 we have applied this technique at 8 sites In 5 patients with mandibular deficiencies: 2 cases of hemifacial microsomia, 1 case of developmental facial asymmetry and 2 cases of mandibular bony defect. Mandibular elongation have been achieved from 12 to 20mm in length. 1 out of 8 site, we experienced non-union in the case of mandibular body defect. Some skeletal relapse and growth retardation phenomenon have been observed in some cases with the longest follow-up of 48 months.

기종성 방광염을 동반한 기종성 신우신염 1예

김선두,김순제,이길도,김정수,김지훈,윤호상,송종오,문언수 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

태양열 이용 냉난방 공조시스템 중 재생기의 하계 재생 능력에 관한 연구

김보철,최광환,금종수,김경철,김종렬 동의공업대학 1998 論文集 Vol.24 No.1

The humidity control is conducted not only for industrial applications but also for domestic ones. High humidity is a factor causing discomfort, thus the importance of using a LiCl(Lithium Chloride) solution has been recognized in recent years in connection with the high quality of goods to be manufactured. as well as cleanliness in a special environment against air pollution and environmental protection. This paper will examine the solar energy regenerator as a part of an open cycle solar energy absorption system for dehumidifying and drying purposes using LiCl solution. An outdoor experiment was done to find out how much could be regenerated in summer. It was found that regeneration rate was about 10kg/day at best in August, and about 5kg/day in September.