안와 근염

신기철 ( Ki Chul Shin ),한창완 ( Chang Wan Han ),임용성 ( Yong Seong Lim ),송영욱 ( Yeong Wook Song ) 대한류마티스학회 1998 대한류마티스학회지 Vol.5 No.2

Orbtial myositis is an idiopathic, nonspecific inflammation of primarily one or more extraocular muscles and is considered as a subgroup of orbital pseudotumor. It can be distinguished as acute, subacute or chronic form. Acute orbital myositis is a single episode of orbital pain without fever lasting less than 6 weeks, whereas subacute or chronic form is a persistent episode lasting more than 2 months or with recurrence. The diagnosis is made by CT scan, ultrasonography or MRI, which is characterized by enlargement of extraocular muscle bellies and tendons. Although spontaneous resolution may be anticipated within 3 to 6 weeks, good treatment response is shown with corticosteroids. We recently experienced a case of orbital myositis in a 50 year-old female. She had bilateral orbital swelling 1 year prior to admission. Orbital swelling was relieved gradually but relapsed to show limitations of extraocular muscle movement. In orbit CT scan, there was diffuse thickening of eyeball muscle and swelling of facial subcutis. She was treated with methylprednisolone with marked clinical improvement after 4 days. After 1 month period of corticosteroid treatment, she had residual limitation of upward eyeball movement. We present this case with literature reviews.

영조(英祖) 대 관상감(觀象監) 제조(提調)와 그들의 활동

신기철 ( Shin Ki-chul ) 한국과학사학회 2021 한국과학사학회지 Vol.43 No.3

Gwansanggam Jejo (觀象監提調) and Yeongsa (領事) were in charge of the operation of Gwansanggam (The office for Observation of Natural Phenomenon). During the reign of King Yeongjo, a tenure of Gwansanggam Jejo was shorter than that of King Sukjong’s mandate, and their appointment applied with Ssanggeohodaae (雙擧互對), method in which different party members were appointed to the positions of the two Jejo. However, during the reign of King Yeongjo, many Jejo were from the former Yeongsa and Jejo families. And the proportion of Jejo from the such family was higher than that of King Sukjong's reign. This situation is due to the implementation of Tangpyongchaek (蕩平策) allowed families, not mainstream forces, to participate in politics. During the reign of King Yeongjo, Gwansanggam Jejo was faithful to his role in maintaining and inheriting the existing regulations. At the same time, each of them played their role by revising various regulations in line with Almanac changes and changing the Gwansanggam organization and operating system accordingly. As a result, during the reign of King Yeongjo, Gwansanggam was able to implement a stable organizational system centered on astronomy.

강직성 척추염의 임상상과 진단

신기철 ( Ki Chul Shin ) 대한내과학회 2013 대한내과학회지 Vol.85 No.3

강직성 척추염은 척추관절염 질환군 중 가장 근간이 되는 질환으로, 주된 관절 증상은 염증성 요통이지만 기계적 요통과 때로는 구분이 어렵거나 같이 동반될 수 있다. 염증성 요통은 조조경직이 있고 운동을 하면 증상이 호전되며 새벽에 악화되는 경향이 있다. 척추 외에도 어깨, 고관절 침범이 가능하며 말초관절염은 주로 하지 관절에 발생한다. 부착부염은 건, 인대, 근막 등이 뼈에 붙는 부위에 생기는 염증으로 발뒤꿈치, 발바닥, 무릎, 가슴 등 통증을 호소할 때 의심해 보아야 한다. 강직성 척추염을 진단하고 추적관찰하는 데 쓰이는 기본적인 영상검사는 단순 X-선 검사이다. 조기에 천장관절염을 진단하는 데 MRI 가 도움이 될 수 있으며 골스캔은 검사 해석에 주의를 요한다. 그 동안 강직성 척추염의 분류기준으로 염증성 요통과 관절운동 장애, 단순 X-선 검사 소견으로 이루어진 modified New York criteria를 주로 사용해왔지만 이제는 조기 진단 및 치료의 필요성이 대두되면서 축성 ‘척추관절염’ 질환명을 중심으로 한 진단 툴이 정립될 것으로 보인다. Ankylosing spondylitis (AS) is the main disease entity within spondyloarthritides. AS patients can present with both articular and extra-articular manifestations. Especially, inflammatory back pain has been recognized as the main symptom of AS, however it should be noted that mechanical back pain could also ensue in advanced cases. Peripheral arthritis mostly involves in lower extremities in the form of asymmetric oligoarthritis. Enthesitis could develop in the heel, iliac crest, anterior tibial tuberosity, or anterior chest wall. As for imaging, plain radiographs are used to assess the presence or degree of sacroiliac joint and spinal involvement. Magnetic resonance imaging (MRI) is useful in detecting non-radiographic sacroiliitis, for its ability to delineate bone marrow edema. In this regard, MRI has recently been incorporated as a modality to help diagnose axial spondyloarthritis (2010 ASAS classification). Early diagnosis of AS should be based on the combination of clinical, laboratory, and imaging findings, not on solely structural changes. (Korean J Med 2013;85:240-244)

숙종(肅宗) 대 관상감 제조의 역할과 활동

신기철 ( Shin Ki-chul ) 한국과학사학회 2021 한국과학사학회지 Vol.43 No.1

It is said that Gwansanggam Jejo (觀象監提調) was in charge of running Gwansanggam (The Office for Observation of Natural Phenomenon) together with Yeongsa (領事). However, no research has been conducted on whether they were the practical managers of Gwansanggam. During the King Sukjong period, Gwansanggam Jejos were close to the ruling powers. Most of them were from Gyeonghwasajok (京華士族) and related to the family that produced people who served as Yeongsa and Gwansanggam Jejos, and some of them were related to the royal family. Based on their understanding of practical science, Gwansanggam Jejos managed business reports on astronomical observations and eclipses and supported the creation of astronomical instruments, almanacs and calendars. In geography, they participated in the practice of gansim (看審), bongsim (奉審) and repairing taebong (胎峯). In this way, they took on the role of practical managers for various astronomical and geographical tasks. In addition, they were in charge of gwageo (科擧), chwijae (取才), popyeom (褒貶), various personnel, awards, punishments, and coordination with other government offices. It is clear that they were active as managers in the process of playing this role. In conclusion, during the King Sukjong period, Gwansanggam Jejos acted as practical managers with the ability and qualities to understand Gwansanggam's work.

생산성논집 : 신제품 개발을 위한 기업의 내부활동 및 고객사와 거래관계가 신제품 성과에 미치는 영향에 관한 실증연구

신기철 ( Ki Chul Shin ) 한국생산성학회 2014 生産性論集 Vol.28 No.3

The objective of this study is to empirically study the determinants of new product performance that influence on the performance of new product. The factors are the process of new product development, the company``s internal activities, cooperation among departments and external relationships with clients. In addition, Relationships with customer is included as the moderating variables between the performance of new products and primary factors. The performance was measured by the number of new product development cases and the degree to which a sales objective had been achieved. This empirical study could be summarized in two consequences. First of all, the variables that affected new product performance is the new product development process and the level of technology. Secondly, cooperation within the organization, characteristic of transactions and mutual trust with customers, which were significant in previous studies, did not have a direct effect on new product performance. As a result, a fact that the three factors have a effect indirectly on new product performance was investigated. As the moderating regression analysis(MRA) results, the characteristic of transactions with clients was investigated as adjusting variable that affects between the new product development process and the sales performance of new product. The differentiation of this paper is to verify determinants of new product performance including the factors that was consisted of a previous research. Most of the previous studies about causal relationship between the determinants of new product performance and the performance of a new product were conducted independently at different situations, according to purpose of investigation. A few variables that have a meaningful impact on performance in previous thesis did not have a effect partially on new product performance in this study. Like this, the reason that this research resulted different consequences from former research is to analyze comprehensively an object of study and survey data in multi regression, covering relationships between determinants of new product performance and performance of anew product.

전신성 홍반성 루푸스와 연관된 악성림프종 3예

신기철 ( Ki Chul Shin ),이윤종 ( Yun Jong Lee ),최영주 ( Young Ju Choi ),강성욱 ( Seong Wook Kang ),이은봉 ( Eun Bong Lee ),방영주 ( Yung Jue Bang ),송영욱 ( Yeong Wook Song ) 대한류마티스학회 1999 대한류마티스학회지 Vol.6 No.4

The coexistence of autoimmune and lymphoproliferative disorders has rarely been reported. We report 3 cases of malignant lymphoma associated with systemic lupus erythematosus(SLE). In one case, Hodgkin`s disease and SLE occurred simultaneously. In the other 2 cases, non-Hodgkin`s lymphoma occurred prior to and after development of lupus, respectively. The clinical courses of the patients are described with review of the literature.

Sump 증후군의 내시경적 치료에 대한 임상 경과

신기철 ( Ki Chul Shin ),이재현 ( Jae Hyun Lee ),장효식 ( Hyo Shik Chang ),송승호 ( Seung Ho Song ),남승우 ( Seung Woo Nam ),노임환 ( Im Hwan Roe ) 대한소화기학회 2003 대한소화기학회지 Vol.41 No.3

Background/Aims: Endoscopic management has been the first choice of treatment for sump syndrome. This study was performed to analyze the outcome of endoscopic treatment for sump syndrome. Methods: We retrospectively reviewed 21 cases of sump syndrome diagnosed by ERCP from April 1994 to July 2000. Results: The symptoms of 21 cases with sump syndrome were cholangitis in 61.9% (13 cases), abdominal pain in 28.6% (6 cases), and indigestion in 9.5% (2 cases). The mean clinical latency of sump syndrome was 5 years 8 months (22 months to 15 years) after surgery. Cholangiogram showed 12 cases of food debris, 7 cases of stones or stone debris, 2 cases of food debris with stones. All cases were treated successfully with antibiotics and endoscopic foreign body removals. The recurrence rate after the endoscopic therapy was 4 cases (19%), which were also treated repeatedly by endoscopic interventions. Conclusions: Sump syndrome can be successfully treated endoscopically, and the repeated endoscopic treatment can be a highly recommendable choice even for patients with recurrent sump syndrome. (Korean J Gastroenterol 2003;41:219-223)

21 Helicobacter pylori에 대한 버섯의 생장억제 효과

신기철 ( Ki Chul Shin ),노임환 ( Im Hwan Roe ),남승우 ( Seong Woo Nam ),신지현 ( Ji Hyun Shin ) 대한소화기학회 2002 대한소화기학회 추계학술대회 Vol.2002 No.-

Special Lecture : Periodontal Plastic Surgery Combined with Prosthetic and/or Implant Dentistry

신기철 ( Ki Chul Shin ) 대한치주과학회 2004 대한치주과학회 학술대회자료집 Vol.2004 No.2

중소기업 정책자금 지원사업의 비용-편익분석(Cost-Benefit Analysis)에 관한 연구

신기철 ( Ki Chul Shin ) 한국생산성학회 2013 生産性論集 Vol.27 No.2

The policy loan of the Small and Medium Enterprises is differentiated from private financial institutions in that it supports the SMEs in the area of market failure. Despite this differentiation, there is an tendency to find its efficiency and economic feasibility of the policy loan of the SMEs. The purpose of this study is to examine the economic feasibility of the policy loan of SMEs using a cost-benefit analysis of the financial programs for SMEs. The result of the analysis, which is expressed with benefit-cost ratio(BCR), is that the efficiency of the entire industry is 24.94 in 2008 and 19.66 in 2009. In addition to, the benefit-cost ratio(BCR) of manufacturing(13.57 in 2009) and non-manufacturing(22.23 in 2009) are also each high. In summary, the economic feasibility of the financial programs for SMEs is proved.