고신대학교 광고제작물의 효율성 증대를 위한 연구

이영수 고신대학교 자연과학연구소 2008 고신대학교 자연과학연구소 논문집 Vol.16 No.-

자유 경쟁 체제에 ‘대학’도 예외일 수 없다. ‘대학’도 광고를 해야 하는 때가 온 것이다. 고신대학 교도 신문, 잡지, 라디오, TV( 협찬) 뿐만 아니라 옥외광고까지 집행하는 현실에 이르렀다. 부산역에 집행한 고신대학교 옥외광고물을 중심으로, 광고 제작의 기본이 되는 필수 요소들을 분 석하고 그 대안을 마련해 보고자 한다. 통일 된 이미지를 제시하고 있는지, 명확한 메시지를 전달하 고 있는지, 전략적 접근은 제대로 되었는지에 대해 알아보았다. 분석 후 문제점을 지적하고, 매체적 특성을 고려하여 부산역 옥외광고의 효과를 높이기 위한 비주얼 엄팩트 위주의 광고시안 몇 가지를 마련하였다. 결론적으로, 광고 제작은 마구잡이식이 아닌 정상적인 과정을 거쳐야 한다는 점과 전문성이 배재 되어서는 안 된다는 점, 그리고 보다 효율적인 광고 집행을 위한 시스템이 학내에 구축되어야 한다 는 점 등을 제시하였다.

기독교대학교의 유형과 상황

조성국 고신대학교 고신신학연구회 2005 고신신학 Vol.- No.7

Comtemplation on the ideal and real Christian university model comes from both the Christian philosophical(theological) reflection on the aim and function of the university and the historical contextual reflection of the Christian community. These reflections get into shape a theory in keeping accord with a specific Christian worldview. The typical Christian worldviews are (1) gratia contra neturam, (2) gratia supra naturam, (3) gratia juxta naturam, (4) gratia instar naturae, (5) gratia in anturam. A specific worldview gives birth to a type of Christian universities. Christian university models in the humanistic Western context, except the last, have progressed in the same order of the models in history, and the order has been true in Korean society, which has followed the process of the Westernization, that is, modernization and democracy. Noweadays Korean Christian universities suffer from crucial identity crisis because of student application decline, financial problem as well as worldview conflict. The model of the Christian university in consonance with the Reformed worldview is "gratia in naturam". However, the successful administration of the Christian university depends on the extent of the church support in student supply, financial fund as well as prayer. Therefore Christian universities should take the university size and the church support limitation into consideration. 기독교대학교의 유형탐색은 기독교교육철학(신학)적 반성 못지않게 특정 역사적 상황에 대한 기독교공동체의 반성에서 나왔다. 기독교철학(신학)적 반성과 상황적 반성은 역사 안에서 다양한 유형의 기독교세계관을 반영하였다. 기독교세계관의 주된 유형은 (1) "자연에 대립하는 은총", (2) "자연 위에 있는 은총", (3) "자연과 병행하는 은총", (4) "자연과 유사한 은총", (5) "자연을 관통하는 은총" 유형이다. 한 공동체의 내면에 작동하는 기독교세계관은 현실적 상황에서 그 유형을 따른 기독교대학교를 낳았다. 마지막 유형을 제외하고 이 모든 유형들은 상황이었던 서양역사의 발전과정에서 거의 순서대로 진행되었고, 그 유형의 진행순서는 서양의 영향으로 근대화와 민주화를 이루어온 우리나라에도 그대로 적용되고 있다. 인본주의와 경제중심주의가 더 강력하게 작동하는 21세기 상황에서 기독교 공동체가 취해야 할 기독교대학교 유형은 성경적 세계관에 일치하는 "자연을 관통하는 은총" 유형이어야 한다. 기독교공동체가 그 유형에 따라 기독교대학교를 구현하고 발전시켜가야 할 적극적인 소명과 과제를 갖지만 성공할 수 있는 기독교대학경영은 기독교공동체의 지원정도를 고려하면서, 또 그 지원정도를 확대하면서, 그 정도에 맞게 대학교의 규모를 조정하는 일이다. 그리고 그 기독교공동체는 교회여야 한다.

최근 10년간 고신대학교 복음병원 일반외과에서 치험한 대장 및 직장암의 추세 변화

이승현,안병권,백승언 고신대학교(의대) 고신대학교 의과대학 학술지 2002 고신대학교 의과대학 학술지 Vol.17 No.1

Background : In western countries, colorectal cancers are one of the most common malignant tumors. In Korea, colorectal cancers are the fourth common malignancy following gastric cancer, hapatoma, and lung cancer. It's incidence and importance has been rising over the past 10 years. We reviewed colorectal cancer patients to study the changing pattern in the last decade. Methods : We reviewed 1453 patients with primary colorectal cancers who were operated at Gospel Hospital, School of Medicine, Kosin University between 1991 and 2000, retrospectively. The colorectal patients were divided into two groups. First group was the patients who were operated in the first half of the decade, between 1991 to 1995. The second group was the patients who were operated in the second half of the decade, between 1996 to 2000. We compared the two groups according to sex, age, location, tumor size, preoperative serum carcinoembryonic antigen (CEA), and stages of the patients. Results : We operated the 1453 colorectal cancer patients in the last decade. Males were accounted for 734 of the cases, and females were accounted for 719 of the cases (sex ratio was 1:1). The Peak age incidence was 7th decade (30.4%). Of the tumor location, colon cancer cases totalled 598 (48.7%), rectal cancer cases totalled 630 (51.3%). Of the rectal cancer operation, the number of the low anterior resection were 337 (67.0%), the abdominoperineal resection were 166 (33.0%). The incidence of stage 1,2,3 and 4 were 10.9%, 35.4%, 36.2% and 16.3%, respectively. In comparison of the 2 group, the number of the patients who were operated in the first half of the decade were 519, in the second half of the decade were 934 (1:1.8). The sex ratio was 1:1 and peak age incidence was 6th decade in the first half of the decade. In the second half of the decade, sex ration was 1:1 and peak age incidence was 7th decade. The number of colon cancers were 194 (49.7%), rectal cancers were 196 (50.3%) in the first half of the decade. In the second half of the decade, the number of the colon cancer were 404 (48.2%), rectal cancers were 434 (51.8%). Of the rectal cancer operation comparing low anterior resection and abdominoperineal resection, the incidence of the lower anterior resection was 56.8% (83/146) in the first half of the decade, 71.1% (254/357) in the second half of the decade. In the preoperative serum CEA level, 177 cases (37.2%) were more than 5ng/ml in the first half of the decade, 254 cases (43.5%) in the second half of the decade. The incidence of stage 1,2,3 and 4 were 8.8%, 34.2%, 36.2% and 19.8% in the first half of the decade, 12.3%, 36.1%, 36.1% and 14.2% in the second half of the decade. Conclusion : During the second half of the decade, there was a significant increase of the incidence of the total number, the older patients, the higher CEA level in colorectal cancers. And the incidence of low anterior resection was increased in rectal cancer operations. The incidence of stage 1,2 was slightly increased in the second half of the decade, but not significant. There was no difference of the distributions according to age, sex, tumor location, size.

경피적 전기 신경 자극 전후에 시행한 H-반사 측정치 변화값의 검사자간 변이

노종래,정호중,하호성 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Background : This study was designed to research the inter-examiner variability of H-reflex changes by the transcutaneous electrical nerve stimulation (TENS乂 Materials and Methods : The H-reflexes were recorded in a healthy subjects by a standardized method of Braddom and Johnson, Electromyelogram was performed on a healhty man by 30 examiners. A healthy man were stimulated by TENS for 20 min. The onset latency,amplitude, and H/M ratio of H-reflex were measured before,and immediately, after TENS. Statistical analysis was done with paired t-test and student t,test of SPSS for windows (version 11.0). Result : Onset latency of H-wave and M-wave was significantly delayed immediately after TENS (p<0.05) but H-amplitude, M-amplitude and H/M ratio was not significantly changed (p>0,05). Onset latency of H-wave showed no inter-examiner bias (p>0.05),but H-amplitude, M-amplitude and M-latency showed inter-examiner bias on repeated test (p<0.05). Conclusion : In the H-reflex measurements, only H-latency showed no inter-examiner bias. These results suggest that H-latency can be used as a experimental value,but not H-amplitude,M-amplitude and M-latency. And H- reflex measurements should optimally be performed by a skilled examiner to minimize the degree of variability associated with different examiner,

우심방을 침범한 정맥내 평활근종증 -초저체온 완전순환정자하에 1차 근치적 절제술

조성래 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Intravenous leiomyomatosis is a rare disease entity of benign smooth muscle invading into the lumen of veins. A case of intravenous leiomyoma with extension into the right atrium is described. A 54-year-old woman with intermittent (Uzziness and sycope was admitted in our hospital. She had a history of a hysterectomy with left oophorectomy for uterine leiomyoma 2years before. The tumor was detected in the inferior vena cava extending into right atrium on echocardiography,chest and abdominal computed tomography. The tumor was successfully removed one-stage with deep hypothermic circulatory arrest under cardiopulmonary bypass through simultaneous sternotomy and laparotomy.

Diffuse Large B-cell Lymphomas의 예후인자로서의 혈청 B2-microglobulin

어완규,신성훈 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Background: This study was undertaken to see whether serum 公 2-microglobulin (B2M) could be used as a prognostic factor or not in patients with previously untreated diffuse large B-cell lymphoma (DLBCL). Methods: One hundred and forty-six consecutive patients with previously untreated DLBCL were participated in this study between 1995 and 2004. Serum B2M was measured by a radioimmunoassay in pretreatment serum samples of patients with DLBCL. Patients were then treated with CHOP or equivalent regimens with or without radiotherapy. Results: Serum B2M was available in 127 out of 146 patients enrolled. The median age was 54 years (15-80). Serum B2M levels greater than 2.5 mg/L were found in 27/127 (21.3%) patients. Higher serum levels were associated with old age,high serum LDH,poor performance status, increased number of extranodal site(s),advanced stage, constitutional symptom, bone marrow involvement,and high International Prognostic Index (P=0.001,0.000, 0.000, 0.024, 0.000, 0.010, 0.040, and 0.000, respectively). The complete response rate was 40.7% vs. 68.0% for patients with serum B2M levels greater than 2.5 mg/L vs. control (P=0.010). The median overall survival was 11 months vs, 74 months for patients with serum B2M levels greater than 2.5 mg/L vs. control (P-0.0000). Conclusions: Serum B2M level was a good predictor of complete response and overall survival in patients with previously untreated DLBCL and could be used as a prognostic factor.

Furosemide 과용에 의한 Pseudo-Bartter씨 증후군

박종우 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

The term ’Bartter syndrome' denotes a group of renal disease which share a common denominator of hypokalemia and metabolic alkalosis. Another group of illnesses, the "Pseudo-Bartter syndrome、may produce a hypokalemic metabolic alkalosis without primary renal disease. I experienced a case of Pseudo-Bartter syndrome in a 21 -years old woman took 72() mg of furosemide for edema control. She complained of numbness of both upper limbs on arrival at Emergency Room. There were hypokalemia and metabolic alkalosis. After K,Ca,and Mg replacement,her symptom was relieved. But hypoklemia was still remained at discharge.

부산지역 근로자들에서 Alcohol Use Disorders Identification Test와 간기능검사의 2년간 추적조사

김진하 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Background: The purpose of this study was to investigate the usefulness of health education by 2 years follow up study of Alcohol Use Disorders Identification Test and liver function test Methods: The author instructed health education of 370 blue-collar workers,and compared AUDIT score, liver function test and BMI for 2 years. We also compared normal and hazardous drinking by WHO,normal,hazardous and harmful drinking by Oh et al.(1999) and abnormal liver function test for 2 years. Results: By paired t-test,AUDIT score and liver function test were significantly improved for 2 years. By chi-square test,normal, hazardous and harmful drinking by Kim et al. was significantly improved but,normal and hazardous drinking by WHO and abnormal liver function test were not significantly improved. By multiple logistic regression analysis, improvement of liver function test was significantly affected by WHO (odds ratio-normal drinking L96). Conclusions: The hazardous and harmful drinking was found to decrease and liver function test was improved by 2 years of health education. Therefore,it will be useful for study of health education effect.

골반골절 후 발기부전의 유발원인: 역동적음경해면체내압측정술 및 음경해면체조영술의 중요성

김한석,문일,최성 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Background: Erectile dysfunction (ED) develops as common complication of the pelvic fractures, in particular those involving the pubic arch and associated with the posterior urethral injury. ED in these patients can be neurogenic or vasculogenic in origin due to damage to cavernous nerves or the internal iliac vascular system and their branches. We evaluated the causes of ED following pelvic trauma. Materials and Methods: Patients referred to our department for evaluation of ED due to pelvic fractures were reviewed retrospectively. Patients underwent nocturnal penile tumescence test (stamp test,Rigiscan),audiovisual sexual stimulation test,endocrinologic laboratory test, neurologic test, and either penile color duplex ultrasonography (CDU) or dynamic infusion cavemosometry and cavemosography (DICC). Arterial insufficiency was diagnosed when peak systolic velocity (PSV) was less than 30 cm/sec in CDU, or cavernosal artery systolic occlusion pressure (CASOP) was less than 100 mmHg or more than 30 mmHg below brachial arterial pressure in DICC1 Venous leakage was diagnosed when end diastolic velocity (EDV) was more than 5 cm/sec in CDU, or flow-to-maintain (FTM) value was greater than 3 ml/min or the pressure decay (PD) was greater than 45 mmHg/30 sec in DICC. Results: 20 patients with ED due to pelvic fractures whose mean age was 36.7 (range 20-60) were studied. 8 patients underwent CDU only, 8 patients underwent DICC only,and 4 patients underwent both studies. 9 (45%) patients were presumed to have neurogenic ED, 6 (30%) patients had mixed arteriogenic and cavernous ED,and 5 (25%) patients had cavernous ED, Conclusion: According to this study,the causes of ED after pelvic fractures were turned out to be neurogenic (45%), arterio-venogenic (30%) and venogenic (25%),orderly.

고주파 자궁근종 용해술의 임상적 유용성

전창완,이천준 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

Background: To evaluate the clinical efficacy of radiofrequency myolysis which is an uterine preserving management of myoma. Materials and Methods: 7 patients (9 myomas) who done radiofrequency myolysis between May. 2005-Oct. 2005 were enrolled this study. Preoperatively, Hemoglobin and subjective symptoms were checked and size of myoma was checked using ultrasonogram. Radiofrequency was applied to myoma for 20 to 40 minutes per one. Follow up ultrasonograms were done 7 days,1 month and 3 month after myolysis. Results: Average age of patients was 35.4(yr) and average size of myoma was 4.34 X 4.84 cm. After 3 months, reduction of tumor volume was observed 58.8%,from 27% to 85%. About subjective symptoms,65% reduction was reported after 3 months. No severe complication such as bowel injury, bladder injury, infection and pulomonary embolism was observed. Serious vaginal bleeding was observed for 1 patients and underwent hystrectomy after myolysis. Conclusion: Radiofrequency myolysis decreased the volume of myoma 58.8% in average. No severe complication were reported.