무증상 갑상선기능저하증 환자에서 Thyroxine 치료에 따른 혈청 지질 및 아포지단백의 변화

조보연,신찬수,김원배,고창순,김성연,박혜영,박건상,이홍규,박형규,김숙경 대한내분비학회 1996 Endocrinology and metabolism Vol.11 No.1

Background: Subclinical hypothyroidism(SCH) is a common biochemical abnormality which can be found in routine screening tests of thyroid function. We are increasingly faced with the question of whether its an indication for thyroxine replacement therapy. The effect of thyroxine replacement on lipid profile in SCH has aroused a great interest because of an association of overt hypothyroidism(OVH) with hyperlipidemia and increased risk of coronary artery disease. Method: We prospectively evaluated the changes in lipids and apoproteins before and after thyroxine replacement therapy in 23 patients with SCH and in 37 patients with OVH. We measured serum total cholesterol and triglyceride using autoanalyzer, high density lipoprotein(HDL) chole-sterol by dextran sulfate method, Apo A1 and Apo B by immunonephelometric assay. Results: Thyroxine replacement therapy significantly decreased total cholesterol, low density lipoprotein(LDL) cholesterol and apo B levels, but did not affect the level of triglyceride, HDL cholesterol or apo AI in patients with OVH. In SCH, thyroxine replacement therapy with the doses to normalize serum TSH concentrations also decreased significantly the level of cholesterol and LDL cholesterol albeit apo B levels did not change. Moreover, in most of patients with OVH (11 of 12) and in all of patients with SCH(5 of 5) who had had hyperchlesterolemia before treatment, thyroxine replament normalized their cholesterol and LDL cholesterol levels. Conclusion: In regard to the beneficial changes in blood lipid levels, patients with SCH should be treated, especially in cases who have other risk factors for the development of atherosclerosis. If thyroxine replacement only will reduce the incidence of coronary artery disease in SCH remains to be elucidated by long-term prospective studies(J Kor Soc Endocrinol 11:41-51, 1996).

現代의 革命的 마르크스主義 이데올로기에 對한 硏究

高忠錫,韓昌榮,高性俊 제주대학교 1983 논문집 Vol.15 No.2

When we approach national unification, we have to start discussing on the Communist Ideology of the North Korea. In a totalitarian society like north Korea, political ideology has become the backbone of the entire social system. It determines the direction of political development, the uniform rule that regulates the whole political activities, the pace setter that covers all aspects of social life of the entire people, and the solemn religion that provides with moral criteria of evaluating everyone's mental activities. Political ideology is a historical product. It reflects prevailing ideals of the people living in an era, If a group of people share common frustration in a particular social system, they begin to envisage a dream of an ideal society where such frustration is presumed not to exist. In such circumstances, when someone provides logical nexus linking the current unsatisfactory state and the desirable logical nexus linking the current unsatisfactory state and the desirable future utopia, and suggest also an action program for the social changes necessary to get to the ideal state, we call it a birth of an ideology, we can say then that a political ideology is the will of the people to resist against the contemporary political or social system. There fore it is inevitable that a political ideology directly reflects both the static and dynamic system-state of a society in a particular era. How we prescribe the characteristics of Modern Marxian Revolutionary Ideologies? They are transformed based on the traditional Marxism Leninism according to specific circumstances. For example, Euro-communism, the thought of Kim Il-song, Marxist dependence theory are what we call Modern Marxian Revolutionary Ideologies. Nowaday in Communist Societies, the dream of classless society is not pratical. Rather, as Milovan Djilas said, new class came in view. Poland in the past two year and a half has taught the world a lesson that is both stark and undeniable: as a means of organizing an economy and providing for the well-being of a citizenry, Comnlunism is a failure. These mean that Marx's theory, in soviet practice, is collapsed. Euro-communism is drifted about recently. Marxist dependence theory has lost support because of radical and unrealistic points. The Thought of Kim Il-Song is no other than a tool for indoctrination of the people to accept Kim's one-man dictatorship. What we learn above is that modern Marxian revolutionary ideologies are only false-consciousness.

共産主義體制의 內在的 危機要因에 關한 硏究 : 蘇聯 및 東歐를 中心으로

高性俊,韓昌榮,金恒元 제주대학교 1983 논문집 Vol.16 No.2

This year is 100th since Marx died. There have been so many reports that the 100th anniversary of Marx's death was being marked in unforgettable ways. If Marx were to come back, what does he discover? Maybe he discovers that things aren't what he has expected. What is the significance of polish crisis in early 1980s? It has taught the world a lesson that is both stark and undeniable: as a means of organizing an economy and providing for the well-being of a citizenry, Communism is a failure. It is related to the dark future of communism. The causes of polish crisis are two: one is the fall of social status and the consciousness of frustration. The other is the continuous failure of Economic policy and the bankrupty of national Economic life. If we interpretate the two causes on the thread of connection in communist system, the former implies the "equality" idea of communism is falseconsciousness. The latter means the practical limit of communist economic system. Nowaday in Communist Societies, the dream of classless society is not practical. Rather as Millovan Djilas said, new class came in view. He sees the party as the incumbent institution of class rule: The new ownership is not the same as the political government, but is created and aided by that government. The use, enjoyment, and distribution of property is the privilege of the party and the party's top men. We call them Nomenklatura. The alienation of the worker from his work is at least as great today at the plants in communist countries as it was in the Manchester textile mills that Engels studied in the mid-l9th century. The command economy, too is slowing down if not breaking down. No communist country has met the proclaimed goals of its Five-Year plan: The desired results that the economies were organized to achieve have simply failed to materialize. And the projections for the next ten years are even gloomier. So U.S.S.R and Eastern Europe try to reform the economic policy, But those reforms challenge the very essence of the system, which is totalitarianism. It is the dilemma of the communist countries hold. What is the result of Soviet Communist System? The result is a tension and a paradox. On the one hand, inefficiency, stagnation and alienation are theinevitable accompaniments of the centralization, elitism and repression that are necessary to carry out the first order of businss: the preservation of power. On the other hand, the political system is well designed to be impervious to the consequences of the economic failure and social demoralization that are built into it.

피로와 의료이용, 업무상 사고 및 질병결근

장세진,고상백,강동묵,김성아,정진주,이철갑,강명근,현숙정,조정진,차봉석,박종구 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemo-graphics, job-related factors, health-related behaviors, personality trait, self=perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence. Results: In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar worker's adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22-1.66) and highest quartile (OR:1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers. Conclusion: This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.

한국인 직무 스트레스 측정도구의 개발 및 표준화

장세진,고상백,강동묵,김성아,강명근,이철갑,정진주,조정진,손미아,채창호,김정원,김정일,김형수,노상철,박재범,우종민,김수영,김정연,하미나,박정선,이경용,김형렬,공정옥,김인아,김정수,박준호,현숙정,손동국 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Background and Purposes: Over the past three decades, numerous studies performed in Korea have reported that job stress is a determinant risk factor for chronic diseases and work disability. Every society has its own culture and occupational climate particular to their organizations, and hence experiences different occupational stress. An occupational stress measurement tool therefore needs to be developed to estimate it objectively. The purpose of this study is to develop and standardize the Korean Occupational Stress Scale (KOSS) which is considered to be unique and specific occupational stressors in Korean employees. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project: 2002-2004). A total of 12,631 employees from a nationwide sample proportional to the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were administered. The KOSS was developed for 2 years (2002-2004). In the first year, we collected 255 items from the most popular job stress measurement tools such as JCQ, ERI, NIOSH and OSI, and 44 items derived from the a qualitative study (depth interview). Forty-three items of KOSS, in the second year, were retained for use in the final version of the KOSS by using Delphi and factor analysis. Items were scored using conventional 1-2-3-4 Likert scores for the response categories. Results: We developed eight subscales by using factor analysis and validation process: physical environment (3 items), job demand (8 items), insufficient job control (5 items), interpersonal conflict (4 items), job insecurity (6 items), organizational system (7 items), lack of reward (6 items), and occupational climate (4 items). Together they explained 50.0% of total variance. Internal consistency alpha scores were ranged from 0.51 to 0.82. Twenty-four items of the short form of the KOSS (KOSS-SF) were also developed to estimate job stress in the work setting. Because the levels of the subscales of occupational stress were gender dependent, gender-specific standard norms for both the 43-item full version and the 24-item short form using a quartile for the subscales of KOSS were presented. Conclusion: The results of this study suggest that KOSS might be an appropriate measurement scale to estimate occupational stress of Korean employees. Further and more detailed study needs to be conducted to improve the validity of this scale.

SIIM 퍼지 PID 제어기를 이용한 3축 푸마 로봇의 경로 제어에 관한 연구

석홍성,채창현,고택범,김희년 금오공과대학교 산업기술개발연구원 2000 産業技術開發硏究 Vol.16 No.-

This paper describes the design of the Fuzzy PID controller using simplified indirect inference method. First, the fuzzy digital PID controller are derived from the conventional continuous time linear ones. Then the fuzzification, control-rule base, and defuzzification using SIIM in the design of the fuzzy digital controller are discussed in detail. The resulting controller is a discrete time fuzzy version of the conventional digital PID controller, which has the same linear structure, but are nonlinear functions of the input signals. The proposed controller enhances the self-tuning control capability, particularly when the process to be controlled is nonlinear. When the SIIM is applied, the fuzzy inference results can be calculated with splitting fuzzy variables into each action component and are determined as the functional form of corresponding variables. So the proposed method has the capability of the high speed inference and adapting with increasing the number of the fuzzy input variables easily. Computer simulation results have demonstrated the superior to the control performance of the conventional digital PID controller. Lastly, it is applied to the trajectory control of the PUMA robot with three-axis.

'교실붕괴'와 교육정책 : '교실붕괴' 담론 분석을 중심으로

김성열,고창규 한국교육인류학회 2000 교육인류학연구 Vol.3 No.2

지역사회를 대상으로 한 혈압검진의 결과분석

안종호,신찬수,김성연,박영배,조보연,이홍규,고창순 대한고혈압학회 1997 대한고혈압학회지 Vol.3 No.2

말단비대증 환자에서의 수술전 Octreotide 투여 효과

박경수,김현규,조보연,이홍규,고창순,민헌기,김성연,고경수,이석인,한대희,최길수,정희원,김현집 대한내분비학회 1993 Endocrinology and metabolism Vol.8 No.1

Seven patients with previously untreated acromegaly and invasive pituitary macroadenomas were treated with the long-acting somatostatin analog, octreotide (San- dostatin*, Sandoz) for 3~6 months, before transsphenoidal pituitary adenomectomy. Preoperatively, treatment with octreotide for 3 months reduced the pituitary tumor size by 55~60% in 2 patients, 20~39% in 3 patients and little in the remaining 2 patients. Six patients were treated for another 3 monts, but the size of the pituiary tumor showed no further remarkable changes. Mean basal serum GH concentration fell from 251.6(53.0~470.0) ng/ml to 80.1(9.5~308.0) ng/ml after 3~6months treatment with octreotide. Postopercentrationn of one patient whose pituitary tumor size decreased 65% fell into the normal range. Thus, preoperative administration of octreotide induced shrinkage of GH-producing pituitary rumors in some patients and might have favorable effects on the remission rate in the treated patients. (J Kor Endocrinol 8:35~41, 1993)

Changes in Clinical Characteristics and Outcome of Patients with Hepatocellular Carcinoma (HCC) in a 16-Year Cohort

( Sang Il Choi ),( Joong-won Park ),( Bo Hyun Kim ),( Ju Hee Lee ),( Seung Duk Lee ),( In Joon Lee ),( Tae Hyun Kim ),( Seong Hoon Kim ),( Young Hwan Koh ),( Hyun Beom Kim ),( Eun Kyung Hong ),( Chang 대한간학회 2017 춘·추계 학술대회 (KASL) Vol.2017 No.1

Aims: In South Korea, an endemic area of hepatitis B virus (HBV), the incidence and mortality of HCC is gradually decreasing by HBV vaccination, antiviral treatment, early tumor detection, improved treatment options, and evidence-based guidelines. This study investigated the changes over time in the baseline characteristics and clinical outcomes of HCC patients at a single center. Methods: Patients initially diagnosed with and treated for HCC at the National Cancer Center between 2000 and 2015 (n=4291) were followed-up until February 2017. Difference in patient characteristics and outcomes were compared in patients diagnosed in 2000-2004 (n=1157), 2005-2009 (n=1678), and 2010-2015 (n=1456). Results: The median age of the patient cohort was 57 years (range 13-98) years, and most were male (3502, 81.6%). HBV infection was the most common etiology (74.7%). The percentage of patients with Child class A (69.1%, 79.9%, and 87.1%, respectively) and BCLC stage 0 (4.1%, 5.2%, and 9.8%, respectively) increased significantly over time. Median overall survival also increased significantly over time, from 14.4 months (95% confidence interval [CI] 12.0-16.8 months) in 2000-2004, to 22.9 months (95% CI, 20.3-25.5 months) in 2005-2009, to 53.6 months (95% CI, 45.7- 61.5 months) in 2010-2015 (p<0.001). OS of patients with modified UICC stage IV (3.6 vs. 4.7 vs 6.1 months, p<0.001) and with HBV etiology (12.7 vs 20.4 vs 64.5 months, p<0.001) was observed in patients diagnosed in 2000-2004, 2005-2009 and 2010-2015, respectively. Conclusions: Survival of patients with HCC has improved significantly over time in a single center in South Korea. Analysis is ongoing to determine the causes of the improved outcomes.