산후에 발병한 특발성 부갑상선 기능저하증 I 예

김정인,김상용,신병철,김경남,서영욱,이범주,김진화,배학연 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

Hypoparathyroidism is usually the result of an inadvertent surgical removal of all the parathyroid glands, In some instances, not all the tissues are removed, but the remainder undergoes vascular supply compromise secondary to the fibrotic changes in the neck after surgery, Previously, the surgery for hyperthyroidism was the most frequent cause of acquired hypoparathyroidism. Idiopathic hypoparathyroidism is a relatively rare disease that is characterized by hypocalcemia and hyperphosphatemia due to a parathyroid hormone deficiency of an unknown cause, It usually develops at a young age, and shows various clinical symptoms and signs accompanied with hypocalcemia. In addition, it is rarely associated with polyglandular autoimmune syndrome during the follow-up. Hypocalcemia and idiopathic hypoparathyroidism associated with labor and lactation are rarely reported condition previously. We here describe a case of a woman in whom the symptomatic severe hypocalcemia appeared after her delivery. We reviewed all the previously reported cases and suggest a possible physiological explanation for the association between pregnancy, lactation, and the appearance of symptomatic hypocalcemia.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

Robert Frost의 노동의 시학

김신범 한국현대영미어문학회 2000 The Journal of KACELLS Vol.5 No.-

The purpose of this study is to examine Robert Frost's poetics of labor, derived from extreme human situations. While not a particularly innovative approach, viewing art in its relation with life is nevertheless a crucial method of Robert Frost scholarship. Frost was concerned with the universal and enduring emotions, that highlight contemporary life in the 20th century. In other words, like many other contemporary poets, Frost did not think that man can live fantastically or romantically amid the harsh realities of the world. Therefore, his poetry is focused on the methods for accepting and overcoming these tragic problems. In Frost's own words, the purpose for writing poetry is "a momentary stay against confusion." Therefore, the main theme of his poetry was the wisdom of coping with the human existential situation-chaos or confusion. Frost has shown that man is not doomed to frustration and failure. The fact that he exploits terrifying aspects of human life for his poetic materials seems to suggest that he accepted the vision of doom in life. New England was an archetype for his poetic world. In other words, New Englanders served as models for his poetry writing. Frost himself once said about metaphor, "Poetry begins in trivial metaphors, pretty metaphors, "grace" metaphors, and goes on to the profoundest thinking that we have. Poetry provides the one permissible way of saying one thing and meaning another." In sum, Frost's composition of poetry is focused his metaphors. Therefore, Frost in his poetry begins with a realistic description of a scene or matter and develops into an interpretation of its meaning. Throughout his creative career, Frost exhibited painstaking and consistent efforts to overcome these tragic human existential conditions. In the face of chaos and the uncertainty of life, endurance and acceptance are sometimes essential; however, for the sake of survival, man should fight against the tragic conditions with effort, wisdom, courage, and a profound meditation on life. Accordingly this study examines the metaphor of labor among some disorderly and chaotic aspects of life. Frost believed that laboring and writing is the same in the light of the purpose. And the crux of his poetics is made up the thought. In conclusion, as Frost states in "The Lesson for Today," "I had a lover's quarrel in the world." He proposed courage and wisdom in enduring the calamities of life, and love born of genuine human relationships. In this respect, he is a great poet who strove to achieve man's self-recognition through the various conflicts and chaotic facets of life and to show unity through acceptance and conquest. This lover's quarrel is Frost's poetic subject, and throughout his poetry there are evidences of this view of man's existence in the natural world.

Robert Frost시에 나타난 집의 이미지

김신범,김광선 명지대학교 인문과학연구소 2000 인문과학연구논총 Vol.22 No.-

The thesis is to study on image of home in the poetry of Robert Frost based on the extreme situation of the human being. Frost was concemed with the universal and enduring emotions that run through the contemporary's life in 20th century and all of life and with barriers or problems between man and nature, man and God, man and man. Therefore his poetry is focused on the methods for accepting and overcoming these problems. The purpose of writing of poems, Frost thought is "a momentary stay against confusion" Thus, the main theme in his poetry was the wisdom of coping with the human existential situation-chaos of confusion. Frost regarded this world as a sample for the whole, including his religious belief. On the assumption that all artists need the sample, he attempts to see and understand a piece for the whole. Frost picked the region, New England out of many ones for his various poetic materials and tried to communicate his understandings and truman life displayed in the nature of New England realistically. New England was the archetype of his poetic world. In other words, dwellers in the region were the model of his writing of poems. Because Frost himself once said, "If I must be classified as a poet, I might be called a synecdochist; for I prefer the synecdoche in poetry." In the final analysis, Frost has shown the painstaking and consistent effort to tide over this tragic human existential conditions through his all of life. Faced with the chaos of life, endurance and acceptance are essential sometimes, but for survival man should fight against the tragic elements and conditions with wisdom, courage, meditation about life and effort. Accordingly the study examines the absence of the space among some absurd aspects of life. For these considerations, chapter I deals with the absence of meaningful spaces in life revealed the archetypes of the human absurd elements. The meaning of the space is the external house, the most original cradle and the internal house sharing a love with a family, relatives and strangers. And these absence of meaningful spaces triggered the destruction of each individual identity and falling to pieces of human relations. Chapter Ⅱ treats the acceptance from these absent situations and the conquest pursuing life itself on earth. In conclusion, as Frost speaks in "The Lesson for Today," "I had a lover's quarrel in the world." he presented courage and wisdom to endure life, love through genuine human relationship. In this respect, he is a great poet who tries to come out man's self-recognition through the various conflicts and human absurd components and show unity through acceptance and conquest in his poetry. This lover's quarrel is Frost's poetic subject, and throughout his poetry there are evidences of this view of man's existence in the natural world.

인체측정변인에 의한 펜싱 종목의 경기력 판별분석

신범철,유종만,최태석,박재현,김혜진 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.14 No.4

The purpose of this study was to analyze on the morphological characteristics of elite fencing players. In this study, 32 male fencing players completed the measurement of 39 anthropometric variables. To assess of the differences between elite fencing player and non-elite fencing players' morphological characteristics, discriminant test and morphological analysis were used. The results of this study were follows. There were no statistical differences in all the morphological characteristics between elite player and non-elite players in length variables except length variables. In conclusion, elite and non-elite players of fencing become most discriminant by length variables.

체육수업 내용에 대한 여중생들의 인식 : the focus a junior high school process of class

김지일,신범철 한국스포츠리서치 2005 한국 스포츠 리서치 Vol.16 No.2

The purpose of the study was to examine the recognition about physical education class, physical education evaluation, and teacher at a girl's middle school. In study 455 middle school students completed the questionnaire. The questions that appeared on the questionnaire were composed of 21 items from the three parts. Part 1 contained 14 questions regarding the physical education class recognition. Part 2 contained 3 questions regarding the physical education class evaluation. Part 3 contained 4 questions regarding the physical education teacher. Results showed that : The first, recognition about physical education class of a girl's middle school students is different from grade and area. The second, recognition about physical education class evaluation of a girl's middle school students is different from grade and area. The third, recognition about physical education teacher of a girl's middle school students is different from grade and area.

유지 투석중인 만성 신부전환자에서 허혈성 심질환의진단 지표로서의 심장트로닌-I의 유용성

신병철,강대웅,정지용,류봉관,서영욱,김정인,김범윤,김현리,정종훈 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

Background : Coronary disease is highly prevalent in patient with end stage renal disease (ESRD) and account for much of their observed morbidity and mortality. Troponin-I consistently maintains a high sensitivity and specificity and is most sensitive marker for ischemic heart disease (IHD). Method : We examed 49 hernodialyzed patients (22 male, 27 female) without evidence of acute coronary syndrome (ACS) for 6 months. Biochemical markers were measured in serial predialysis blood samples. For analysis, we used two cardio-specific assays for troponin-T (cTnT) as well as for troponin-I (cTnI) and compared the results with CK-MB (reference value ≤ 4.0 ng/mL) concentration. Results : Myocardial ischemia was observed in 47% (23/49) of patients. cTnT level above 0.1 ng/mL. and cTnI level above 0.5 ng/mL, were observed in 22% (11/49) and 20% (10/49) of patients respectively. cTnI revealed significantly higher positive rate in patients with myocardial ischemia than the patients without myocardial ischemia (43 % vs 30%) (p<0.05). cTnT and CK-MB revealed no difference in positive rate between the patients with and without myocardial ischemia (cTnT : 30% vs 15% and CK-MB : 30% vs 19%). The sensitivity and specificity of cTnI to myocardial ischemia were higher than those of cTnT and CK-MB (sensitivity 43% vs 30% and 30%. specificity 100% vs 85% and 81%). Conclusion: Both cTnT and cTnI are useful in ruling out myocardial injury in chronic renal failure patients. But. cTnI is a more sensitivity and excellent specificity of ischemic heart disease than cTnT and CK-MB in hemodialyzed patients. In patients with ischemic heart disease, the presences of DM and advanced age were higher than those in patients without ischemic heart disease (p<0.05). Among the baseline characteristics old age, elevated LDH and diabeties were significant more frequent in the patients with elevation of cardiac troponin-I (p>0.5 ng/mL) than those with cardiac troponin-I (p<0.5 ng/mL), p=0.038, p=0.049, and p=0.045, respectively. Our results suggest that these cTnI is the potential diagnostic marker for the prediction of IHD in ESRD patients.

산업공단에서의 초기강우 유출수 오염물질 특성 및 처리

신응배,윤현식,김연권,김범수 漢陽大學校 環境工學硏究所 1998 環境科學論文集 Vol.19 No.-

강우시 발생하는 우수유출수에는 초기세척효과(first-flush-effect)로 BOD, SS를 비롯한 고농도의 다양한 오염물질이 함유되어 있으며, 방류선 수체로 유입되어 주변수체의 수질에 많은 악영향을 미치게 된다. 전세계적으로 이에 대한 많은 연구와 조사가 진행중에 있으며, EPA의 조사자료에 따르면 방류선 수체의 수질오염 문제 중 약 30%가 강우유출수로부터 기인하는 것으로 추정한바도 있다. 본 연구에서는 수도권에 인접해 위치하고 있는 S산업공단을 대상으로, 강우시 공단내에서 발생하는 우수유출수에 대해 유량변화 및 수질분석을 수행하였다. S공단은 석유·화학, 기계·금속업 등이 주종을 이루고 있고 분류식하수 배제방식을 채택하고 있어, 공단내 발생되는 우수유출수는 전량 지천으로 배출되고 있다. 시료채취는 공단을 배수구역별 5개 구역으로 구획 후, 해당 배수구역에 대하여 고정모니터링 방법을 적용하여 강우유출수의 수질을 분석·평가하였다. S산업공단에서 발생되는 우수유출수에는 BOD, COD, SS, TN, d-Fe, Zn, Cu 등의 다양한 종류의 오염물질이 검출되었다. 특히, 석유·화학산업, 식품산업, 일반폐기물 야적장 등에서는 BOD, COD, SS, TN등의 일반오염물질 항목들이, 기계·금속산업, 고철 야적장 지역에서는 중금속 항목의 오염물이 고농도로 측정되었다. During the early stages of a storm, significantly higher BOD, SS and other pollutants loadings may occur. This temporary increase is the result of the so -called "first-flush-effect". First flush runoff in the storm is a typical nonpoint source of polluting adjacent water bodies by overflowing pollutants accumulated in street surface from domestic, commerical and industrial area. The quality of storm water runoff is a major concern in the world. In the National Water Quality Inventory, 1990 Report to Congress, states estimated that ∼30% of identified case of water quality impairment are attributable to storm water discharges. (U.S. EPA 1992) In this study, "S" industrial complex located near Seoul metropolitan was investigated to evaluate characteristics of storm water runoff from industrial complex. Major industries of 'S' area were petroleum-chemical industry, metal-mechanical industry, etc. Also, storm water runoff was directly discharged to small artificial channel through storm sewer lines of separated sewer system in 'S' industrial complex. The concentration of several items such as BOD, COD, SS, TN, d-fe, Zn, Cu were founded in storm water runoff from the 'S' industrial complex catchment. Especially, petroleum-chemical industry, food industry, junkyard were exposed to high rate concentration of convention of conventional pollutants, such as BOD, COD, SS, TN, in first flush runoff samples. Higher levels of heavy metals were found at metal-mechanical industry, metal storage on site.

RSA 암호화 알고리즘의 구현에 관한 연구

신인철,이민섭,박창섭,김범식,우찬일,최춘수 단국대학교 1998 論文集 Vol.33 No.-

Recently, the information exchange through a communication network has been increased rapidly. When the sensitive information being sent or stored, the cryptographic technique can be employed in order to prevent it from being exposed or modified by the illegal third party. To implement public key encryption systems based on the integer factorization and the discrete logaritm problem, an efficient exponential arithmetic is mandatory due to large numbers involved. In this paper, the general analysis about the high­speed implementation of primality testing and exponentiations are investigated as well as implementing RSA public­key system. The public­key cryptosystem can be applied to any applications which need both the privacy and the authentication. Finally, suing the software package named MIRACL which provides the basic number theoretic routines for cryptographic software developers. we have implemented the RSA encryption and decryption with Blum­Goldwasser probabilistic algorithm under various key and message size.

고령자의 건강관련체력과 정신건강의 관계

신범철,박재현,김혜진 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

The purpose of this study was to investigate the relationships between health-related fitness and mental health in older adult. For this purpose, 295 older adult men and women above 65 years old, who giving health examination were participated as subjects. Variables on the health-related fitness was measured by muscular power, muscular endurance, endurance, flexibility, and obesity ratio. And the questionnaire of mental health consisted of four aspects; Self-rating Anxiety Scale: SAS, Self-rating Depression Scale: SDS, Self-esteem Scale: SES, and Life Satisfaction Index-Well Being: LSI-W. Each scale's validity and reliability reported high significance level, The statistics employed in this study were Descriptive Statistics, Residual Analysis, Multiple Regression. The results That were derived from these processed were as follows; 1. There is the relationship significantly between health related physical fitness and anxiety in older adults. 2. There is the relationship significantly between health related physical fitness and depression in older adults. But there is no significant statistical evidence on relationship between health related physical fitness and self-esteem or life satisfaction in older adults.