영국 High-Tech 건축에 나타난 Louis I. Kahn의 공간 개념에 관한 연구

정진수,정금희 영남대학교 공업기술연구소 1999 工業技術硏究所論文集 Vol.27 No.2

This study, as the purpose of the space analysis being done in the British High-Tech Architecture today, is to identify the space concept of Louis I. Kahn from the basis and to study its effect and the potential possibility of development. On the basis of recognition of the order of space, Kahn tried the separation of space -sered space and servant space- with the realization of the nature of material that emptiness of stones material different to solid stones in the past is possible due to the physical characteristic of modern material. The separation and expression of space suggested by Kahn arise as a major design method of modern architecture, especially in High-Tech Architecture. Now Kahn's theory is widely adopted by High-Tech Architecture aiming at developing the new composition method in order to achieve the ideal of flexible space with equal environment. In other words, searching for the integration of space, High-Tech Architecture attempts to define the space of the main space of a building -served space- and the attendant space -servant space- explicitly and secure the individuality of each space through separation of plane and division of mass.

Succinylcholine-Induced Fasciculation is Prevented by Mivacurium-Precurarization

Kum Hee Chung,Jeong Wan Kang,Jong Yeon Lee Korean Society of Critical Care Medicine 1999 Acute and Critical Care Vol.14 No.1

BACKGOUND: Succinylcholine (SCC) injection may be associated with adverse effects including elevated serum potassium (K ) and creatinine phosphokinase (CPK) level, and postoperative myalgia. Many studies have been made to prevent these adverse effects such as pretreatment with non-depolarizing muscle relaxants. The effects of the pretreatment with vecuronium or mivacurium, a new non-depolarizing neuromuscular blocker, on SCC-induced fasciculation, serum K and CPK level was investigated in this study. METHODS: ASA physical status I or II, 40 patients were allocated randomly into 4 groups. Group I as a control group received SCC 1 mg/kg only, while the other groups were pretreated with vecuronium 0.02 mg/kg (0.4 x ED95) (group II), mivacurium 0.02 mg/kg (0.25 x ED95) (group III) and 0.03 mg/kg (0.4 x ED95) (group IV) before the SCC 1.5 mg/kg injection, respectively. Serum K concentration was measured just before anesthetic induction and 5 minute after SCC injection, and serum CPK was estimated before induction and at 24~36 hours postoperatively. And the fasciculation after SCC injection was graded by Cullen's suggestion. RESULTS: Serum K concentration was increased in group I and decreased in pretreated groups, but the difference was not significant within each group and between the groups. Serum CPK level was increased in group I, II and IV but these changes were also insignificant between all groups. The grade of SCC-induced fasciculation was attenuated in group II and IV (p

Comparison of Fentanyl and Sufentanil Intravenous Patient-controlled Analgesia after Laparoscopic Surgery: A Retrospective Study

( Kum Hee Chung ),( Seunghoon Lee ),( Hayeon Kwak ) 경희대학교 경희의료원 2020 慶熙醫學 Vol.35 No.1

Purpose: Postoperative pain affects patient recovery and can cause negative consequences. Fentanyl is widely used for postoperative pain management, but its side effects include nausea, vomiting, bradycardia, hypotension and itching. Sufentanil, which is 5 to 10 times more potent than fentanyl, has a fast onset and short duration of action. We compared the analgesic and side effects of fentanyl and sufentanil used in intravenous patient-controlled analgesia (IV PCA) after surgery in gynecological patients undergoing laparoscopic surgery. Methods: A retrospective study was conducted on patients who underwent laparoscopic hysterectomy or laparoscopic myomectomy between January-April 2012 and January-April 2016. Depending on the opioid used for IV PCA, 21 patients with fentanyl 1000 mcg, 20 patients with sufentanil 150 mcg, and 26 patients with sufentanil 200 mcg were included in this study. The pain scores and side effects in each group were evaluated immediately after the surgery and at 1, 24, and 48 hours after surgery. Results: There was no significant difference in pain scores among the three groups and there was no significant difference in the incidence of bradycardia, hypotension and pruritus. Incidences of nausea and vomiting were significantly lower in patients with sufentanil 150 mcg. Conclusion: In patients undergoing laparoscopic surgery, using sufentanil for IV PCA may reduce side effects while achieving analgesic effects similar to those achieved with fentanyl.

서채주의의 개념과 작품분석

정금희(Kum Hee Chung) 전남대학교 예술연구소 1997 藝術論集 Vol.2 No.-

Clinical Research Article : The relationship between symphysis-fundal height and intravenous ephedrine dose in spinal anesthesia for elective cesarean section

( Sung Hee Chung ),( Hyeon Jeong Yang ),( Jong Yeon Lee ),( Kum Hee Chung ),( Duk Hee Chun ),( Byeong Kuk Kim ) 대한마취과학회 2010 Korean Journal of Anesthesiology Vol.59 No.3

Background: A decreased lumbosacral subarachnoidal space volume is a major factor in the cephalad intrathecal spread of local anesthetics in term parturients and their subarachnoidal space is decreased due to the compressive effect of huge uteri. Therefore, they show a higher level of sensory block and hypotensive episodes. The purpose of this study is to investigate whether the symphysis-fundal height (SFH) correlates with the highest sensory level and the amount of ephedrine administered under spinal anesthesia. Methods: Fifty-two uncomplicated parturients who consented to spinal anesthesia for elective cesarean section were studied. The SFH of all parturients had been measured just before the spinal anesthesia administered by one person. Hyperbaric bupivacaine with fentanyl 20 μg, was administered for spinal anesthesia. The amount of 0.5% bupivacaine was adjusted according to the patient`s height and weight. The level of sensory block and the amounts of ephedrine to treat hypotension, nausea and vomiting were assessed. Linear regression and correlation analysis were applied to analyze the data. Results: According to the results of correlation analysis, there was no significant correlation between the level of sensory block and SFH. There were statistically significant positive correlations between the amount of ephedrine administered due to hypotension and SFH. Conclusions: In term parturients choosing elective cesarean section, the SFH is not correlated with the sensory level of spinal anesthesia, but is correlated with the amount of ephedrine administered during spinal anesthesia. (Korean J Anesthesiol 2010; 59: 173-178)

입자성 유기물의 안정동위원소비를 이용한 팔당호 수계내의 유기물 기원 연구

김희중 ( Hee-joong Kim ),김민섭 ( Min-seob Kim ),윤숙희 ( Suk-hee Yoon ),임보라 ( Bo-ra Lim ),김금희 ( Kum-hee Kim ),정현미 ( Hyen-mi Chung ),최종우 ( Jong-woo Choi ) 한국환경농학회 2018 한국환경농학회 학술대회집 Vol.2018 No.-

Organic carbon and nitrogen stable isotope ratios of particulate organic matter (POM) were determined at 7 stations (6 stations in Han river and Paldang dam outflow station) from May to October 2013, in order to understand the origin of POM at the Han river. δ¹³C values of POM in 7 stations were no significant changes season, but δ¹⁵N values were enriched in around Kyeongan stream (K). POC, PN and Chl-a concentration showed a similar seasonal pattern in Kyeongan stream, with an apparent decrease from July to August. POC and PN concentration has a higher correlation with Chl-a concentration in Kyeongan stream (K). δ¹³C and δ¹⁵N values of POM has a lighter value during lower Chl-a concentration period, compared to other seasons. Our results revealed that Kyeongan stream (K) seemed to be influenced by substantial amount of organic manure or fertilizer input in 2013, compared to the previous year (2012). These results suggest that the analysis of stable isotope ratios is a simple but useful tool for the identification of organic matter origin in aquatic environments.

증례보고 : Eisenmenger씨 증후군 환자의 응급 개두술을 위한 마취 관리

정금희 ( Kum Hee Chung ),김승호 ( Seung Ho Kim ),전덕희 ( Duk Hee Chun ),이종연 ( Jong Yun Lee ),박성철 ( Seong Cheol Park ),박정현 ( Chung Hyun Park ),김민구 ( Min Goo Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.5

Eisenmenger`s syndrome describes the elevation of pulmonary arterial (PA) pressure to the systemic level caused by an increased pulmonary vascular resistance with reversed or bi-directional shunt through an intracardiac or aortopulmonary communication. We report a case of an emergent craniotomy for cerebellar abscess in a 21-year-old male patient with Eisenmenger syndrome secondary to Large VSD. A PA catheter was inserted via right femoral vein, but could not be advanced pass the pulmonic valve. After futile attempts to place the catheter tip in the right ventricle. Anesthesia was induced with etomidate, rocuronium, midazolam and fentanyl and maintained with only high dose fentanyl. Milinone and norepinephrine were infused continuously to decrease right to left shunt. He was transferred to the intensive care unit under intubated state and treated with antibiotics for a few days due to intermittent high fever. The operation ended without major complications and the patient was discharged 42 days later. (Korean J Anesthesiol 2009;57:666∼9)

증례보고 : 승모판 부전 환자에서 간정맥으로 이탈된 폐동맥 카테터

전덕희 ( Duk Hee Chun ),정금희 ( Kum Hee Chung ),이종연 ( Jong Yun Lee ),송지은 ( Ji Eun Song ),김준영 ( Jun Young Kim ),이정향 ( Jung Hyang Lee ),박정현 ( Chung Hyun Park ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.5

A 47-year-old woman was scheduled for mitral valvoplasty. Before induction of anesthesia, a pulmonary artery catheter (PAC) was placed via right internal jugular vein. Central venous pressure or right atrial pressure was traced until about 60 cm of PAC insertion and right ventricular pressure curve appeared without arrhythmias. We withdrew and advanced the catheter several times, but pressure tracing showed the same pattern. And we could not obtain the pulmonary artery pressure. We decided to leave the PAC in the right ventricle. No ventricular arrhythmia was detected. Postoperative chest x-ray revealed that PAC traveled through inferior vena cava and looped in the hepatic vein with the tip of the catheter in the right ventricle. Under fluoroscopic guidance, PAC was inserted to the pulmonary artery. No sign of hepatic vein obstruction was detected. (Korean J Anesthesiol 2009;57:633∼6)

Control of yam-putrefactive psychrotrophic bacteria by clove oil and the role of polygalacturonase in yam putrefaction

Hee-Young Ryu,Eun-Joo Kum,Sang-Jo Park,Bong-Ho Lee,Chung-Sig Choi,Ho-Yong Sohn 한국생명과학회 2006 한국생명과학회 심포지움 Vol.47 No.-

소아 개심술 시 체외순환에 의한 혈중 Tumor Necrosis Factor-α 농도의 변화 및 술 후 경과와의 관계

정일영,김종성,도상환,김희수,박금숙 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.42 No.1

Background : Systemic inflammatory responese after open heart surgery has an adverse effect on the postoperative course of patient, and results from the release of cytokines by leukocytes activated by cardiopulmonary bypass (CPB). TNF-α has an important role in inflammatory response-it has clinical effects such as fever, tachycardia, and hypotension, and also induces other cytokines. However studies about the change of blood concentration of TNF-α after CPB show differing results, and so have been up to now inconclusive, we have therefore endeavored to investigate the change of TNF-α level after CPB and its relationship with the postoperative course of patients. Methods : We studied 20 children undergoing open heart surgery. Serum TNF-α was detected after induction (control), 5 minutes after onset of CPB(TI), 5 minutes after release of aortic cross clamp (T2), and 30 minutes after CPB (T3) by enzyme-linked immunosorbent assay. We compared the concentration of TNF-α and the duration that patients stayed in intensive care unit (ICU) and were supported by mechanical ventilator in group Ⅰ (CPB time ≤ 60 minutes, n = 10) and group Ⅱ (CPB time > 60 minutes, n = 10). Results : TNF-α levels of S2 and S3 were significantly lower than those of S1 and S4 (P = 0.001), but no difference was detected between group Ⅰ and Ⅱ. No statistical relationship was found linking TNF-α levels with the duration in ICU, or time supported by mechanical ventilator. Three children with postoperative complications showed higher levels of TNF-α than others (P = 0.002). Conclusions : We concluded that TNF-α levels decreased during CPB, did not increased after CPB, and had no relationship to such postoperative courses as postoperative ICU time and intubation time, but there was a correlation with postoperative complications. (Korean J Anesthesiol 2002; 42: 56~63)