고관절 반 치환술의 대퇴 골절 예방을 위한 강선 고정의 효과

유정한 ( Jeong Han Yoo ),박용욱 ( Yong Wook Park ),박진수 ( Jin Soo Park ),노규철 ( Kyu Cheol Rowe ),정국진 ( Kuk Jin Chung ),김홍균 ( Hong Kyun Kim ),김형년 ( Hyong Nyun Kim ),임희준 ( Hee Joon Lim ),이철 ( Cheol Lee ),황지효 ( 대한고관절학회 2009 Hip and Pelvis Vol.21 No.2

목적: 무시멘트형 양극성 반 인공 관절 치환술에 있어서 수술 도중 발생하는 대퇴 골절 예방을 위한 예방적 강선 고정술의 효과를 분석하고자 한다. 대상 및 방법: 2004년 1월부터 2008년 8월까지 무시멘트형 양극 인공 관절 치환술을 받은 65세 이상의 환자 48명(1군)을 대상으로 하여 강선을 사용하지 않은 48명의 환자(2군)와 비교하였다. 평균 나이는 75.4세(1), 73.6세(2)이었고 평균 추시 기간은 19.1개월(1), 18.3개월(2)이었다. 수술 도중 골절 발생율 외에 수술 시간, 수술 도중 예상 출혈량, 입원 기간, 방사선학적 안정성을 측정하였고 임상적 평가를 위한 대퇴 통증과 Jensen의 기능 점수와 Parker와 Palmer의 활동 점수를 비교하였다. 결과: 1군에서는 수술 도중 골절이 발생하지 않았으며 2군에서 4예(8.3%)가 발생하였다(p=0.041). 수술 시간은 각각 172분(1), 162분(2) 예상 출혈량은 866 cc(1), 855 cc(2), 입원기간 36일(1), 35일(2)이었다. 방사선학적으로 침강은 1.59 mm(1), 1.67 mm(2)이었으며 임상적으로 대퇴 통증이 1예(1), 2예(2) 관찰되었다. 임상적으로 Jensen의 기능 점수는 평균 2점(1) 2.2점(2), Parke와 Palmer의 활동 점수는 평균 5.2점(1), 5.3점 (2)이었다. 결론: 무시멘트형 인공 관절 치환술에 있어서 예방적 강선 고정술은 골절률을 의의있게 감소시켰다. Purpose: The purpose of this study was to assess the effect of a prophylactic cable fixation for prevention of femoral fractures in cementless bipolar hemiarthoplasties. Materials and Methods: Forty-eight cementless bipolar hemiarthroplasties with prophylactic cable fixations on the femur were performed in patients>65 years of age between January 2004 and August 2008 (group 1). The control group which did not undergo prophylactic cable fixation included 48 cases (group 2). The mean age was 75.4 years (group 1) and 73.6 years (group 2). The patients were followed up for an average of 19.1 (group 1) and 18.3 months (group 2). The intra-operative fracture rates were compared. Additionally, operative time, estimated blood loss (EBL), and length of hospital stay were compared. Radiologic assessment for stem stability was performed. Clinical assessment was evaluated by the thigh pain and Jensen`s functional score, and Parker & Palmer`s mobility score. Results: There was no fractures in the cabled group (1), and 4 fractures (8.3%) in the control group (2; p=0.041). The mean operative time was 172 minutes (1) and 162 minutes (2), the EBL was 866 cc (1) and 855 cc (2), and the duration of admission was 36 (1) and 35 days (2), respectively. Radiologically, subsidence was 1.59 mm (1) and 1.67 mm (2). Clinically, one (1) and two (2) thigh pains were recorded and the functional score of Jensen was 2 (1) and 2.2 points (2), and the mobility score of Parker and Palmer was 5.2 (1) and 5.3 points (2), respectively. Conclusion: Prophylactic cable fixation is effective for reducing intra-operative femoral fractures.

간세포암의 고주파 열치료 후 천자침 경로를 통한 전이 1례

조영완,박석주,진한영,김준영,이재익,강명주,박정하,윤정희,박성재,지삼룡,이연재,이상혁,설상영 인제대학교 2006 仁濟醫學 Vol.27 No.-

Radiofrequency ablation(RFA), as a form of minimally invasive therapy for hepatocellular carcinoma, has become an important treatment modality. Because of limitation of surgery, RFA has become standard therapy for hepatocellular carcinoma in some situations. But there are some complications of RFA such as bleeding, infection, hematoma, adjacent organ thermal damage including intestinal perforation, needle track seeding, and so on. There are few reports in the literature that systematically evaluate the incidence of needle tract seeding and its associated risk factors. And only 2 cases of needle tract seeding of hepatocellular carcinoma after RFA were reported in Korea. We report a case of needle tract seeding of hepatocellular carcinoma after RFA.

觀光호텔 洋式堂 메뉴의 價格決定에 關한 硏究 : 특급호텔 中心으로 Analysis on Seoul Deluxe Hotel

朴正俊 대구산업정보대학 1992 논문집 Vol.6 No.-

Hotel management is given much more weigh Food & Beverage sale than Room sales, and under such a situation, the success or failure of F & B business is determined by the service of employees, food quality, and management of menu. This study aims to systemize the theories comcerning of menu plamning and pricing methods in French restaurant of hotel. Therefore, the results of this study is just as following ; 1. In the menu planning, it is required that rational menu management, good location, and good facilities management. 2. In the menu pricing, it is considered that customers' needs, sales cost, and competition of hotel. 3. In the menu pricing, it is required that customers' oriented Menu development, and profit. Also I hope that this method may be helped a little for the sake of reasonable menu management.

視覺情報와 팔動作의 變化가 Ballet Chaine 동작의 正確性에 미치는 影響

朴俊東,馬貞順 東亞大學校 附設 스포츠科學硏究所 1993 스포츠科學硏究論文集 Vol.11 No.-

The purpose of this study was the effects on the movement accuracy of distance and direction with the changes of visual feedbacks and arm actions. The six ballet-majored subjects were classified into High group and Low group by their dance career. All data were expressed as mean, standard errors and t-values, and the .05 level was initially established in significance. The conclusions were summarized as follows; 1. Movement time was not significant in all conditions, but very similar significant level in condition 1 between High group and Low group(P<.05). 2. Movement distance was only significant in condition 2(P<.05), but not significant in the other conditions between High group and Low group. In fact, the movement distances of High group were more longer than Low group in all conditions. 3. Distance error was significant in condition 2 and 3(P<.05), and very significant in condition 4, but not significant in condition 1 between High group and Low group. Distance errors in High group were positive(+) errors, but negative(-) errors in Low group in all conditions. 4. Direction error was significant in condition 3(P<.05), and not significant in the other conditions, but very similar significant level in condition 2 and 4(P<.05) between High group and Low group. The general tendency of direction errors was appeared to negative directive(-) in condition 1 and 3(vision condition), but positive direction(+) in condition 2 and 4(Non-vision conditions) in both group. 5. It was concluded that the significant factor determining the movement accuracy of distance and direction in Ballet Chaine was not their arm action but their visual feedback condition. And the visual feedback condition was not effected on movement time of Chaine.

사람의 비후성 반흔에서 면역조직화학기법에 의한 형질전환인자 알파와 표피성장인자 발현의 차이에 관한 면역조직화학적 연구

박영란,김현곤,김종중,문정석,송준섭,설경수,정윤영 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.2

Background and Objectives: Transforming growth factor-α (TGF-α) and epidermal growth factor (EGF) are polypeptides which interact with the epidermal growth factor receptor (EGFR) to produce their biological effects. The aim of the present investigation was to elucidate the immunolocalization of TGF-α and EGF in normal human skin, hypertrophic scar with skin graft on soft tissue defect, and postburn hypertrophic scar without graft. Methods: The data presented in this paper focused attention on differences of expression between two kinds of hypertrophic scars in relation to skin graft using immunohistochemistry. Formalin-fixed and paraffin-embedded tissues from 3 normal skin tissues, 3 hypertrophic scars after skin graft and 8 postburn hypertrophic scars without graft were immunolabelled with antibodies directed against TGF-α and EGF. Results: In normal epidermis of skin, strong TGF-α immunoreactivity (IR) was observed in all epidermal layers except the stratum (S.) basale, whereas EGF was immunopositive in a few cells over all epidermal layers. The staining for TGF-α was found in cell membrane, and EGF was seen either diffuse cytoplasmic or peripheral part of cells in normal epidermis. In hypertrophic scar after six months postoperation, TGF-α IR was observed in the upper part of S. spinosum and S. corneum, whereas EGF was diffusely expressed in the S. spinosum, also its intensity was slightly increased compared to normal skin. In hypertrophic scar without skin graft, very strong expression of EGF was detected in the S. spinosum and S. corneum, and intensity of EGF was increased when compared to normal skin and postoperative hypertrophic scar. EGF and TGF-α coexisted in the cells of S. spinosum in normal skin as well as hypertrophic scars. Double-labeled cells were increased in postburn hypertrophic scar compared to normal skin and postoperative hypertrophic scar. In addition, intensity of EGF and TGF-α double IR was the strongest in postburn hypertrophic scar. Conclusion: These results indicate that EGF may have a more complex regulatory role not only in the early stages of wound healing but also in hypertrophic scar.

당뇨병성 다발성 신경병증에 대한 Thioctic acid의 유효성 및 안정성에 관한 연구

박철영,김영설,오승준,우정택,김성운,양인명,김진우,최영길 대한당뇨병학회 2001 임상당뇨병 Vol.2 No.1

연구배경: 당뇨병성 신경병증은 당뇨병 환자에서 흔히 나타나는 합병증으로서 임상 증상은 가볍거나 없을 수도 있지만 많은 경우에 통증, 작열감, 이감각증이나 무감각증 등의 증상을 동반하지만, 이에 대한 명확한 기전이나 뚜렷한 치료방법이 없었다. 최근에 신경세포내 산화성 스트레스의 증가로 신경세포의 손상이 발생된다는 기전이 주목을 받으면서, 당뇨병성 신경병증 환자에게 항산화제인 thiotic acid를 사용하여 좋은 효과를 관찰한 논문들이 발표되었다. 이에 저자들은 한국의 당뇨병성 다발성 신경병증 환자에서 thiotic acid를 경구 투여 후에 신경병증에 의한 효과 및 안정성을 평가하였다. 방법: 모든 대상 환자에게 Thioctic acid 600㎎ 을 1일 1회 아침 식전 30분에 8주간 투여하여 당뇨병성 다발성 신경병증에 대한 TSS의 개선여부에 대한 임상적 유효성 및 이상반응, 내약성, 실험실적 지표의 변화를 통한 안정성을 관찰하였다. 결과: 치료시작 전에 관찰한 환자가 호소하는 증상은 통증이 가장 많았으며 무감각, 작열감, 이상감각 순의 빈도를 보였다. 통증, 작열감, 이감각증, 무감각증의 평균 TSS는 1차 방문시 5.8± 1.8, 2차방문시는 4.4±1.7, 3차 방문시는 3.1±1.1로 사용기판에 따라 통계학적으로 유의한 증상의 호전이 있었다. 또한 TSS의 개선 뿐만 아니라 통증, 작열감, 이감각증 및 무감각증 각각의 증상도 치료전과 치료 4주 후 및 치료 8주 후를 비교했을 때 통계학적으로 유의한 증상의 호전이 있었다. TSS가 1차 방문 시와 비교했을 때 3차 방문시에 30% 이상 개선되었을 때(1차 방문시에 TSS 4인 환자는 2점 이상 개선되었을때) 임상적으로 의미가 있는 반응으로 간주하고 계산한 반응률은 71.3%였다. 결론: 당뇨병성 다발성 신경병중 환자에 대해 항 산화제인 thioctic acid 600㎎ 경구 투여요법은 당뇨병성 신경병증의 증상완화에 유용하며, 안전한 것으로 사료된다. Background: The study was peformed to evaluate the efficacy and safety of oral treatment with the antioxidant α-lipoic acid (Thioctcid??) in diabetic patients with peripheral polyneuropathy. Methods: Thioctacid?? 600㎎ was orally administered once a day for 8 weeks in 61 diabetic patients with peripheral polyneuropathy. Neuropathic symptom(pain, burning, paresthesia, and numbness) were scored before, and of 4 and 8 weeks after treatment. In addition, neuropathy by the physician and patients at the end of treatment. The primary endpoint was the response role after 8 weeks treatment, defined as an improvement in the total symptom score of at least more than 30%. Results: Efficacy was evaluated among forty-four patients who had completely the study according to the protocol and safety was evaluated among all of 61 patients who had taken the study medication. The response rate after 8 weeks was 77.3%. The total symptom score was significantly decreased of 4-week, and further decreased of 8-week. All the individual scores for neuropathic symptom were also significantly reduced of 4-week and further decreased at 8-week. Conclusion: These finding indicate that oral treatment with thioctacid?? at a dose of 600㎎/day for 8 weeks will improve peripheral polyneuropathy in diabetic patients, without causing any serious adverse events.

임상검사 측정의 정확도 관리용 요 표준시료의 제조와 중금속 성분의 분석

박창준,조경행,서정기 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.2

Urine certified reference material(CRM) has been developed to help clinical labolatories control analytical accuracy. Two levels of freeze-dried urine were prepared. The low level CRM was made from normal urine and the abnormal level CRM was prepared by spiking th normal urine with As, Cd, Cr, Cu, Hg, Ni and Pb. Urine reference materials were analyzed by graphite furnace atomic absorption spectrometry(GFAAS) and inductively coupled plasma mass spectrometry(ICP-MS). Analyte elements were separated from matrix elements by using ion exchange resin and hydride generation. Isotope dilution method was employed to enhance analytical accuracy. Round robin test results are also presented which were carried out with 5 clinical laboratories.

경남지역 건강검진자에서의 혈청지질에 관한 연구

정준훈,박현모,류재오,조동자,표미순,오은경 한국건강관리협회 2000 건협 Report Vol.3 No.-

교육부의 주기별 대학평가 정책과 관리자 관점에서의 시사점

박준훈, 정기만 한국교통대학교 2020 한국교통대학교 논문집 Vol.55 No.-

As an institution of higher education, universities play an important role in the future development of a country in education and research. Universities have long been called ivory towers, but today there is a controversy over whether to respond appropriately to the supply of educational services compared to social expectations and demand. On the other hand, as it has been subject to evaluation by various institutions, universities are investing a lot of manpower and time to prepare for evaluation prior to carrying out their essential functions of education, research, and volunteer activities. One of the most important evaluations is the evaluation system being conducted by the government. The government is also exposed to an unavoidable environment. Representatively, the rapid environmental change surrounding the university due to the possibility of devastation of higher education institutions due to the rapid decline of the school-age population increases the difficulty of policy establishment and execution by the policy authorities, and it can be said to be a more confusing situation from the university standpoint. However, regardless of any difficulties, universities will have to perform their own functions. For this, necessary resources must be secured, and an efficient operation system and performance management system must be established. The government's university evaluation seems to be focusing on this area. This study first attempts to grasp the characteristics of the Ministry of Education's university evaluation system three times until recently. From the standpoint of the manager in charge of the management of the university, I would like to find a way for the university to fulfill its original function and to be free from evaluation.

콩나물의 품종, 뿌리발생 및 재배일수에 따른 asparagine 함량 변이

정연신,박희준,Krishna Hari Dhakal,이정동,이인중,황영현 경북대학교 농업과학기술연구소 2008 慶北大農學誌 Vol.26 No.-

숙취해독에 탁월한 효과를 지니는 asparagine 함량의 콩나물 계통간 차이와 뿌리 발생량에 따른 차이 및 콩나물 재배기간에 따른 차이를 구명하여 고 asparagine을 가지는 기능성 콩나물 생산과 품종육성을 위하여 국내재래 콩나물 계통의 asparagine함량을 분석한 결과를 요약하면 다음과 같다. 1. 공시된 나물콩 174품종 및 계통의 콩나물에서의 sparagine 함량의 범위 및 평균은 0.38-1.67%, 0.99%(생체수준)로 각각 나타나 다양한 변이를 보였다. 2. 공시된 장려품종과 재래계통의 asparagine함량은 각각 1.29, 0.96% (생체수준)로 재래계통보다 장려 품종에서 높게 나타났다. 3. 백립중별 asparagine함량은 8.1~10.0g범위에서 1.02%(생체수준)로 가장 높은 경향이었으나 유의적인 차이는 인정되지 않았다. 4. 종피색별 asparagine 함량은 갈색종피종이 1.15%(생제수준)로 가장 높았으며 다른 종피종들은 비슷한 경향으로 나타났다. 5. 공시된 장려품종의 asparagine 함량의 범위는 4.08~6.24%(건물수준)로 나타났고, 다원콩(6.24%), 소백나물콩(6.21%), 소원콩(5.95%), 소명콩(5.85%) 순이 었다. 6. 콩나물의 재배일수를 10일로 한 경우 asparagine함량과 관계가 깊은 뿌리발생량이 크게 증가하였다. 7. 재배일수에 따른 asparagine함량은 5일재배와 10일재배에서 각각 0,68%, 1.21%(생제수준)로 나타나 재배 일수간 asparagine 함량에는 고도의 유의적인 차이가 인정되었다. 8. 콩나물의 하배측 부위에서 재배일수가 증가할수록 asparagine 함량도 증가하여 2일 재배시 2.91%(건물수준)이던 것이 14일 재배시에는 15.68%까지 증가하였다. The varietel difference, effect of root amounts and cultivation duration on the asparagine content of soybean sprouts, which is known to have the excellent detoxifying effect of ethanol, were investigated for developed varieties and indigenous sprout lines to establish cultivation methods of increasing the asparagine content and to develop soybean varieties having high asparagine content. Some of the research results obtained are summarized as follows; 1. Range and mean of asparagine content of 174 germplasm were 0.38~1.67% and 0.99%, respectively, on fresh weight basis. 2. Developed sprout-soybean varieties showed somewhat higher asparagine content of 1.29% than that of indigenous sprout lines of 0.96% on fresh weight basis. 3. No significant difference in asparagine content among the seed size groups was recognized though the highest asparagine content, 1.02% on fresh weight basis was observed in the seed size of 8.1~10.0g/100 seeds. 4. Among the seed coat color groups, soybean of brown seed coat color showed the highest asparagine content (1.15%) on fresh weight basis. No difference was observed among other groups of seed coat color. 5. Range of asparagine content of 174 varieties was 4.08~6.24% on dry weight basis. Soybean varieties that showed high asparagine content were Dawonkong, Sobacknamulkong, Sowonkong, and Somyungkong, with the contents of 6.24%, 6.21%, 5.95%, and 5.85%, respectively. 6. Amount of roots which have the highest asparagine content out of sprout parts was greatly increased up to 10 days of sprout cultivation. 7. Highly significant difference in asparagne content of sprout was recognized between those grown for five and ten days, with the asparagine content of 0.68% and 1.21%, respectively, on fresh weight basis. 8. Asparagine content of hypocotyle part was also highly proportional to days to cultivation; it increased from 2.91% at 2 days of cultivation to 15.68% on fresh weight basis at 14 days of cultivation.