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단일 기관에서 10년간 시행한 갑상선 미세유두암의 내시경 갑상선 절제술의 경험
김영은(Yeoung-Eun Kim),곽하나(Ha-Na Kwak),김준호(Jun Ho Kim),최윤정(Yoon Jung Choi),윤지섭(Ji-Sup Yun),손병호(Byung Ho Son),박용래(Yong-Lai Park) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.5
Purpose: Endoscopic thyroid surgery has been widely used because of the cosmetic advantage and the development of laparoscopic instruments. We have performed endoscopic thyroidectomy by breast approach and gasless transaxillary approach on papillary thyroid microcarcinomas. In this study, we describe these two types of endoscopic procedures with the technique of the method and surgical outcomes. Methods: From Oct. 1999 to Oct. 2009, each procedure was performed in 162 patients divided into two groups. Breast approach group was in 91 patients and gasless transaxillary approach group was in 71 patients. We compared the results of mean ages, sex ratio, extent of operation, mean hospital stay, operating time, pathologic characteristics and postoperative complications between the breast approach group and gasless transaxillary approach group. Results: Ninety-one cases treated using breast approach, and seventy-one cases treated using gasless transaxillary approach. The operation time was 197.4±60.7 minutes (95∼350) in breast approach group, and 100.1±19.8 minutes (65∼140) in gasless transaxillary approach group. Post operative complications are; 2 cases of transient hoarseness, 8 cases of hypocalcemia (including 2 cases of permanent hypocalcemia), 2 cases of chest wall discomfort in breast approach group, and 1 case of transient hoarseness, 2 cases of transient hypocalcemia, 1 case of postoperative bleeding in gasless axillary approach group. Conclusion: Endoscopic thyroidectomy is a safe and technically feasible alternative to conventional thyroidectomy in patients with benign and highly selected malignant disease. We expect it can increase the extent of surgery.
다단 섬유막 여과시스템의 포기조 메디아량에 따른 방류수 수질변화
양기해 ( Ki-hae Yang ),송재준 ( Jae-jun Song ),김영은 ( Yeong-eun Kim ),김명란 ( Myeong-ran Kim ),김용우 ( Yong-woo Kim ),김용완 ( Yong-wan Kim ) 한국환경기술학회 2015 한국환경기술학회지 Vol.16 No.3
본 논문은 다단 섬유막 여과 폐수처리 시스템의 포기조 메디아량에 따른 방류수 수질 변화에 관한 실 플랜트 운영결과를 요약한 것이다. 방류수 기준으로 포기조에 메디아 볼 40개 주입 시, 평균처리효율은 BOD 82%, COD 94%, SS 57.3%로 포기조에 메디아볼 80개 주입 시의 BOD 88.5%, COD 94.8%, SS 72.6%보다 낮은 수질을 보였다. 또한 역세척 주기는 40개일 때 4일인 반면, 80개일 때 5일로서, 80개일 때가 보다 길었으며, 포기조 메디아 주입량이 많을수록 다단 섬유막 여과시스템의 처리효율이 좋아진다고 판단된다. This paper is about the control of effluent water quality through the actual plant operation of multi stage fabric membrane filtration system depend on quantity of media in aeration tank. Effluent concentration of BOD, COD, SS is 82%, 94%, 57.3% when aeration tank has 40 media balls. And aeration tank has 80 media balls effluent concentration of BOD, COD, SS is 88.5%, 94.8%, 72.6%. It shows that when aeration tank has 80 media balls the treatment effect higher than when aeration tank has 40 media balls. And backwashing term is 4 days when 40 media balls has, but when 80 media balls has backwashing term is 5 days. This shows that multi stage fabric membrane filtration system treatment efficiency is become higher when they have more media balls in aeration tank.
추간판의 변성에 따른 수직 충격 하중시 요추 운동분절내의 압력 변화 해석
김영은(Young Eun Kim),박덕용(Duck Yong Park) 대한기계학회 2002 대한기계학회 춘추학술대회 Vol.2002 No.5
To predict changes in biomechanical parameters such as intradiscal pressure, dynamic stiffness, and the<br/> shock absorbing mechanism o the spine under different impact duration/loading rates, a three dimensional<br/> L3/L4 motion segment finite element model was modified to incorporate the poroelastic properties of the<br/> motion segment. The results were analyzed under variable impact duration for normal and degenerated discs.<br/> For short impact duration and a given maximum compressive force, relatively high cancellous pore pressure<br/> was generated as compared with a case of long impact duration, although the amount of impulse was<br/> increased. In contrast relatively constant pore pressure were generated in the nucleus. Disc degeneration<br/> increased pore pressure in the disc and decreased pore pressure in the cancellous core
가족상담사의 상담스트레스 및 대처방안과 성장에 관한 현상학 연구
최미용(Mi Yong Choi),이영주(Youn Gju Lee),김영은(Young Eun Kim),김현주(Hyun Joo Kim) 한국부부가족상담연구학회 2022 부부가족상담연구 Vol.3 No.2
본 연구는 가족상담사의 상담 스트레스 경험의 본질적 의미를 살펴보고자, 상담 경력 5년 이상인 가족상담사 6명에게 심층 면담을 실시하여, Giorgi의 현상학적 연구방법으로 분석하였다. 연구 결과는 구성요소 5개, 하위구성요소 17개, 의미 단위 89개로 도출되었다. 구성요소는 가족상담사의 상담 스트레스경험의 5개 구성요소 즉, ‘가족상담으로 구조화하는 어려움’, ‘가족상담사로서 전문적 자질에 대한 자신감 저하와 한계 경험’, ‘심신의 안정화를 위한 의식적 노력’, ‘상담 중 어려움 해결을 위한 적극적 노력’, ‘내적 성장과 관계 회복을 가져다 준 가족상담’ 등으로 범주화되었다. 그 결과 본 연구는 가족상담사의상담 스트레스 경험과 극복 과정에서 자기이해와 성장 그리고 자신의 부부, 자녀관계 및 원가족과의관계 개선의 유익을 밝힌 것에 의의가 있다. 끝으로 한계점 및 후속 연구를 위한 제언을 제시하였다. In order to examine the essential meaning of the counseling stress experience of family counselors, six family counselors with more than 5 years of counseling experience were interviewed in-depth and analyzed by Giorgi's phenomenological research method. As a result of the study, 5 components, 17 sub-components, and 89 semantic units were derived. The components are five components of the family counselor's counseling stress experience, that is, 'difficulty in structuring through family counseling', 'decreased confidence and limitations in professional qualifications as a family counselor', 'conscious efforts to stabilize the mind and body', It was categorized into 'active efforts to resolve difficulties during counseling' and 'family counseling that brought about internal growth and restoration of relationships'. As a result, this study is meaningful in that it revealed the benefits of self-understanding and growth in the counseling stress experience and overcoming process of family counselors, and the improvement of their relationship with their spouse, children, and their family of origin. Finally, limitations and suggestions for follow-up studies were presented.
호스피스 시설의 치유환경 조성을 위한 계획기법에 관한 연구
최주연(Choi Joo-Yeon),김영은(Kim Yong-Eun),강병근(Kang Byoung-Keun) 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2
Necessity of hospice and palliative care was risen according to the request of terminal patients that remove pain and keep calm life by interest about quality of life. However unlike a quantity growth of hospice facility a quality improvement isn't accomplished. The physical environmental health of human mainly depend on the quality of architectural natural environment, so it is very important to prepare healing environment on the healthcare setting.<br/> This study focused on natural environment. The purpose of this study researches the healing environment of the hospice facility and propose architectural method through the healing environment.
조재근 ( Jae Keun Cho ),김영은 ( Yong Eun Kim ),이진술 ( Jin Sul Lee ) 한국가축위생학회 1992 韓國家畜衛生學會誌 Vol.15 No.2
To estimate pollution status of livestock wastewater on four piggeries and one abattoir in Taegu area, physicochemical water analysis such as pH, suspended solid(SS), biochemical oxygen demand(BOD) and chemical oxygen demand(COD), and bacteriological examinations such as number of total viable cells and number of coliform with or without antibiotic resistance were carried out. The results obtained were as follows: The pH values of raw sewage ranged from 9.0 to 7.2 that of the effluent treated was lowed to 5.6~7.7. The SS values of raw sewage ranged from 5,275ppm to l20ppm and those of the efflunet decreased to 162- 30ppm. The BOD values of raw sewage ranged 6,200ppm to l20ppm and those of the effluent treated decreased to 111~80ppm. The COD values of raw sewage ranged from 5,725ppm to 298ppm and those of the effluent decreased to 137~76ppm. The total viable cells of raw sewage ranged from 8.5×11(11)/ml to 9.9×10(7)/ml, those of the effluent decreased to 5.6×10(6)~4.2×10(8)/ml. The total coliforms of raw sewage ranged from 5.5×10(9)/ml to 1.3×10(5)/ml, those of the effluent decreased to 3.6×10(4)/ml~9.0×10(6)/ml. The incidence of streptomycin resistant coliforms was the highest(1.8~66.7%), and followed by tetracycline (1.7~64%), kanamycin(9.3~50.1%), ampicillin(0.06~45.5%) and chloramphenicol(14.3~33.5%) to total coliforms of raw sewage. The incidence of antibiotic resistant coliforms of raw sewage in farms ranged from 3.4~66.7% and that of abattoir`s was 0.06% to 14.3%. Antibiotic resistant coliform counts of raw sewage ranged from 1.3×10(8)/ml to 3.9×10(3)/ml, those of the effluent decreased to 3.0×10(1)~2.3×10(5)/ml.