중증 외상 환자의 골반골절에서 경피적 혈관 색전술과 Young과 Burgess 분류의 상관관계

차용한 ( Yong Han Cha ),설영훈 ( Young Hoon Sul ),김하용 ( Ha Yong Kim ),최원식 ( Won Sik Choy ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3

Purpose: Immediate identification of vascular injury requiring embolization in patients with pelvic bone fracture isn’t an easy task. There have been many trials finding indicators of embolization for patients with pelvic bone fracture. Although Young and Burgess classification is useful in decision making of treatment, it is reported to have little value as indicator of embolization in major trauma patients. The aim of this study is to find out Young and burgess classification on predicting vessel injury by analzyng pelvic radiograph taken from major trauma patients with pelvic bone fracture. Methods: Among major trauma patients with injury severity scores (ISS) higher than 15 who visited our emergency room from January 2011 to June 2014, 200 patients were found with pelvic bone fracture in trauma series and thus pelvic CT angiography was taken. Setting aside patients with exclusion criteria, 153 patients were enrolled in this study for analysis of Young and Burgess classification. Results: The most common mechanism of injury was lateral compression in both groups. There was no statistical significant difference in Young and Burgess classification (p=0.397). The obturator artery was the most commonly injured artery in both groups. Six patients had more than one site of bleeding. Conclusion: Prediction of transcatheter angiographic embolization using Young and Burgess classification in severe trauma patients is difficult and requires additional studies. [ J Trauma Inj 2015; 28: 144-148 ]

콩 단백 성분 및 연령이 암컷 흰쥐의 혈장 지질 농도와 인지질 지방산 패턴에 미치는 영향

정은정(Eun-Jung Chung),김수연(Soo-Yeon Kim),김지영(Ji-Young Kim),안지영(Ji-Young Ahn),박정화(Jung-Wha Park),차명화(Myung-Hwa Cha),이양자(Yang-Cha Lee Kim) 한국식품영양과학회 2003 한국식품영양과학회지 Vol.32 No.2

혈중 지질농도는 식이단백질 종류보다는 연령의 영향을 많이 받아, young군보다 old군의 총 콜레스테롤, TG, HDL-콜레스테롤, LDL+VLDL-콜레스테롤 및 AI 모두 높았다. 한편 콩 단백질군에서 HDL-콜레스테롤 수준이 증가하고, LDL+VLDL-콜레스테롤와 AI는 감소하여, 심혈관질환에 대한 콩 단백질의 유익한 효과를 확인할 수 있었다. 식이단백질에 의해 유의한 영향을 받은 혈장 인지질의 지방산조성중 22:0, 18:1ω9, ∑MUFA 조성은 카제인군에서 콩 단백질군 보다 높았으며, 반대로 ∑SFA 조성은 카제인군에서 낮았다. 연령에 의해 혈장 인지질 지방산 조성에 있어 유의한 차이를 보인 지방산 중 22:0, 18:1ω9, 22:1, 18:3ω3 및 22:4ω6는 young군에서 높은 반면에, 22:6ω3, ∑ω3, 18:2ω6, 20:4ω6, ∑ω6 및 ∑PUFA의 조성비율은 old군에서 높게 나타났다. 이와 같이 식이 단백질의 종류보다 연령의 영향력이 더 많이 나타난 것은 혈중 콜레스테롤 수준이 식이 단백질보다는 연령의 영향을 더 크게 받았기 때문으로 생각된다. 혈장 인지질 지방산의 대사지표 중 Δ7-desaturation index(16:0⇒16:1ω7)와 Δ9-desaturation index(18:0⇒18:1ω9)가 식이 단백질의 영향을 받아 카제인군에 비해 콩 단백질군에서 유의하게 낮았다. Δ7- 및 Δ9-desaturation index만이 식이 단백질의 영향을 받은 것은 식이 단백질보다 desaturase 활성에 더 큰 영향력을 미치는 콜레스테롤이 식이에 첨가되었기 때문이라 생각된다. Δ-4 desaturation index (22:4ω6⇒22:5ω6)는 young군에 비해 old군에서 높았으며, elongation index(20:4 ω6⇒22:4ω6)는 old군에서 낮았다. 대부분의 elongation과 desaturation 단계는 연령에 따라 유의한 차이를 보이지 못하였으나, ω3계 지방산의 전체적인 elongation-desaturation 단계를 나타내는 ∑products-fatty acid(ω3)/α-LNA(ω3) 비율이 old군에서 young군보다 유의하게 높아, 연령에 따른 PUFA 대사의 변화가 관찰되었다. 이상에서와 같이, 콩 단백질의 섭취로 흰쥐 혈장 인지질의 ∑MUFA 조성은 낮고 ∑SFA 조성은 높아 다른 지질 강화성분의 섭취와 유사한 결과를 나타내었다. 혈중 콜레스테롤 수준이 높은 old군에서 체내 막조직의 유동성을 유지하기 위해 PUFA의 합성 특히 ω3계 지방산의 elongation-desaturation이 증가하여 총 PUFA 조성이 young군보다 높았다. 연구결과로 이소플라본을 포함한 콩 단백질의 혈중 지질저하 기전에 대해 체계적인 설명은할 수 없지만, 콩 단백질이 혈장 지방산의 조성을 변화시킴으로써 간접적으로 심혈관계 질환에 대해 유익한 효과를 미침을 알 수 있었다. 한편, 이러한 혈관의 건강과 관련된 콩의 유익한 효과는 이소플라본과 같은 콩의 특정 성분의 단독효과라기보다는 콩 단백질과의 복합효과에 의한 것이라는 주장은 매우 설득력 있다고 생각된다. Effects of soy protein concentrate (SPC) containing isoflavone and casein diets on plasma phospholipid (PLs)-fatty acid patterns were investigated in 7- & 40- wk old female rats. Diets containing 16% SPC (soy/young: SY, soy/old: SO) and casein (casein/young: CY, casein/ old: CO) supplemented with 0.5% cholesterol were fed for 4 wks. Fatty acid compositions of plasma PLs were determined by TLC and GLC. Compared to the dietary protein effects, age effects on serum lipids were more profound. The levels of total cholesterol (Chol.), triglyceride, HDL-Chol., (LDL+VLDL)-Chol. and atherogenic index (AI) were higher in older groups (OC & OS) than younger groups (YC & YS). Soy groups had higher HDL-Chol. level and lower (LDL+VLDL)-Chol. and AI, compared with casein groups. The compositions of C22:0, C18:1ω9 and sum of MUFA in plasma PLs were significantly higher in casein group (CY & CO) than soy group (SY & SO), but those of sum of SFA were higher in soy group. The compositions of C22:0, C18:1ω9, C22:1, C18:3ω3 and C22:4ω6 were higher and those of C22:6ω3, sum ofω3, C18:2ω6 C20:4ω6, sum ofω6 and sum of PUFA were lower in plasma PLs of younger rats. The average P/S and ω3/ω6 ratio in older group was higher. The Δ-7 desaturation index (16:0⇒16:1ω7) and Δ-9 desaturation index (18:0⇒18 : 1ω9) were lower in soy group than casein group, while Δ-6 and Δ-5 desaturation index were not affected by dietary protein. The Δ-4 desaturation index (22:4ω6⇒22:5ω6) were higher and, elongation index (20:4ω6⇒22:4ω6) were lower in older group. The ratio of the products of ω3 fatty acid series/precursor of ω3 fatty acid series (C18:3) was significantly higher in older group, which in- dicated that age affected the plasma PUFA metabolism. On the other hand, older rats had higher serum cholesterol level compared with younger rats. Taken together, these changes in fatty acid composition might cause minimal changes in the membrane fluidity induced by the increase serum cholesterol level.

An introduction to the recently excavated Chunggang Medical Records and research on their medical value

Kim, Nam-Il,Yun, Seng-Yick,Hong, Sae-Young,Ahn, Sang-Woo,Cha, Wung-Seok Kyung Hee Oriental Medicine Research Center 2007 Oriental pharmacy and experimental medicine Vol.7 No.2

This study is a report on recently discovered medical records based on traditional medicine in the 1900s. First, the contents of the records and their significance are described in detail. Next, a simple example of the research follows, in order to explain the medical and historical significance the records contain and to answer the question of how this historical document can contribute to future medical and historical studies. The documents dealt with in this study, the Chunggang Medical Records, are medical records compiled by a Korean doctor of oriental medicine by the name of Younghun Kim who practiced in the center of Seoul for a period of over 60 years. The records, which eventually amounted to over 1,500 books, were made known to the academic world when the descendents recently donated them to Kyunghee University. The reason these medical records attract so much attention from academic circles, even though they are the work of one individual, is that they contain abundant information on general public medical health at the time, in addition to the fact that Kim Younghun was a well known figure among Oriental Medicine doctors in Korea. The medical records start in 1915 and continue until Kim Younhun's death in 1974, though they have some damaged or missing parts. Kim's medical records are a gold mine not only for scholars studying the medical history of the early 1900s, but also for doctors trying to emulate the techniques embedded in a great predecessor's medical practice.

위암의 연령에 따른 차이

김영재(Young Jae Kim),이영철(Young Chul Rhee),이만길(man Kill Lee),차호(Ho Cha),정영채(Young Chae Jung) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

N/A Comparative analytic review on clinical, endoscopic and histopathological findings was done in 13 cases of young age (under 29), 446 cases of mid age (30~69) and 39 cases of old age (above 70) stomach cancer who were visited Department of Internal Medicine of Masan Koryo General Hospital from March 1981 to July 1985. The following results were obtained: The peak of age incidence was the 5th decade amounting to 36.8%. The ratio between male and female was 2.6:1. The main chief complaint of each group was epigastric pain and it was followed by epigastric fullness. The most patient had the duration of symptom from 3 months to 6 months. For old-age group, mid-age group, major site of lesion in the antrum, meanwhile body for young-age group. The most frequent type of gastric cancer was type III in each group by Borrmanns classification. For each group, adenocarcinoma was major cases in the view of histopathological findings, and incidence of well differentiated type adenocarcinoma were lower in young-age group than others.

Real-World National Colonoscopy Volume in Korea: A Nationwide Population-Based Study over 12 Years

Jae Myung Cha,Min Seob Kwak,Hyun-Soo Kim,Su Young Kim,Sohee Park,Geun U Park,Jung Kuk Lee,Soo Jin Kim,Hun Hee Lee,Joo Sung Kim,Won Ho Kim,Big Data Research Group of the Korean Society of Gastroenterol 거트앤리버 소화기연관학회협의회 2020 Gut and Liver Vol.14 No.3

Background/Aims: Little is known about the national colonoscopy volume in Asian countries. This study aimed to assess the national colonoscopy volume in Korea over a 12-year period on the basis of a nationwide population-based database. Methods: We conducted a population-based study for colonoscopy claims (14,511,158 colonoscopies performed on 13,219,781 patients) on the basis of the Korean National Health Insurance Service database from 2002 to 2013. The 12-year national colonoscopy burden was analyzed according to patient age, patient sex, and healthcare facility type. Results: The overall volume of colonoscopy increased 8-fold over the 12-year period. The annual colonoscopic polypectomy rate significantly increased in all patient sex and age groups over the 12-years period (all p<0.001). The yearly colonoscopic polypectomy rate for men was significantly increased compared with that for women (2.3% vs 1.7%, p<0.001) and for the screening-age group compared with that for the young-age group (2.0% vs 1.6%, p<0.001). The yearly colonoscopic polypectomy rate relative to the total colonoscopy volume significantly increased in primary, secondary, and tertiary facilities by 2.4%, 1.9%, and 1.4% during the 12-year period (all p<0.001). In addition, the annual colonoscopy volume covered by high-volume facilities significantly increased by 1.8% in primary healthcare facilities over the 12-year period (p<0.001). Conclusions: Healthcare resources should be prioritized to allow adequate colonoscopic capacity, especially for men, individuals in the screening-age group, and at primary healthcare facilities. Cost-effective strategies to improve the quality of colonoscopy may focus on primary healthcare facilities and high-volume facilities in Korea.

An introduction to the recently excavated Chunggang Medical Records andresearch on their medical value

Wung-Seok Cha,Nam-Il Kim,Seng-Yick Yun,Sae-Young Hong,Sang-Woo Ahn 경희대학교 융합한의과학연구소 2007 Oriental Pharmacy and Experimental Medicine Vol.7 No.2

This study is a report on recently discovered medical records based on traditional medicine in the 1900s. First, the contents of the records and their significance are described in detail. Next, a simple example of the research follows, in order to explain the medical and historical significance the records contain and to answer the question of how this historical document can contribute to future medical and historical studies. The documents dealt with in this study, the Chunggang Medical Records, are medical records compiled by a Korean doctor of oriental medicine by the name of Younghun Kim who practiced in the center of Seoul for a period of over 60 years. The records, which eventually amounted to over 1,500 books, were made known to the academic world when the descendents recently donated them to Kyunghee University. The reason these medical records attract so much attention from academic circles, even though they are the work of one individual, is that they contain abundant information on general public medical health at the time, in addition to the fact that Kim Younghun was a well known figure among Oriental Medicine doctors in Korea. The medical records start in 1915 and continue until Kim Younhun’s death in 1974, though they have some damaged or missing parts. Kim’s medical records are a gold mine not only for scholars studying the medical history of the early 1900s, but also for doctors trying to emulate the techniques embedded in a great predecessor’s medical practice. Key words: Chunggang Medical Records; Oriental Medicine; Kim Younghun

Students’ Perspectives on Pre-recorded Video Lectures Versus Video-Conferencing Lectures in the Untact Era

Kim,Hea-Suk,Cha,Yoonjung,Kim,Na-Young 이화여자대학교 교과교육연구소 2021 교과교육학연구 Vol.25 No.2

The purpose of this study is to examine students’ perspectives on two online learning formats: pre-recorded video lectures versus video-conferencing. There were 90 participants who took College English courses in a university in Seoul. Participants took TOEIC tests before taking the classes and were divided into two different proficiency level groups: a high-level group and a low-level group. All participants studied English via both pre-recorded video lectures and video-conferencing (Zoom) for the whole semester. Questionnaires were carried out to explore students’ perspectives on both online formats in accordance with their proficiency levels. The findings of the closed-ended questionnaires revealed that significant differences were not found between the low- and high-level groups regardless of the online learning formats. Regarding students’ perspectives about these online English formats, a statistical difference was not found between the two groups. It is worth noting that students did not show any significantly different perspectives concerning online courses regardless of their proficiency levels. As for the open-ended questionnaires, both groups noted various benefits and drawbacks of the current online learning platforms. Also, they provided constructive suggestions for these online learning formats. The results of this study have pedagogical implications for carrying out successful online courses.

The Effect Of Group Norms On The Discretionary Efforts And Performance

Kim,Cha-Gab,Kim Young-Jin 한국인적자원관리학회 2009 인적자원관리연구 Vol.16 No.4

이 연구는 한국의 은행지점에 있어서 집단규범이 재량적 노력과 성과에 미치는 영향에 대해 조사하고자 한다 이들 관계에 대한 대부분의 많은 연구는 조직 수준에서 이루어져 왔다 그러나 소집단 수준에서 집단규범과 성과 사이의 관계에 관한 증거는 거의 찾아 볼 수 없다 조직문화는 통상적으로 보통 허용되고 기대되는 행동에 대한 정당하며 사회적으로 공유된 지침으로 간주되는 행동규범으로 정의된다 행동규범은 국가, 조직, 작업집단과 같은 다양한 수준에서 존재할 수 있다 그런데 국가나 조직 내에는 다양한 집단이 존재하므로 국가와 조직수준에서 규범에 대한 합의가 있다고 가정하기는 아주 어렵다 수많은 연구에 따르면 집단의 행동규범은 일과 관련된 개인의 지식과 기술, 그리고 능력보다 성과에 커다란 영향을 미친다 집단의 행동규범은 조직에서 개인의 자발적 노력과 우수한 성과에 영향을 미치는 강력한 동기부여요인으로 간주될 수 있다 본 연구에서는 집단적 동기부여로서 집단의 행동규범이 재량적 노력과 성과에 대한 독립적인 설명력을 갖고 있는 변수로서 다루어진다 통계적 결과는 다음과 같은 재량적 노력을 촉진하는 규범, 즉 능력규범, 존경규범, 신뢰규범, 자율규범, 협동규범과 혁신규범이 한국의 은행 지점에 있어서 종업원의 재량적 노력과 재무성과에 유의미한 영향을 주고 있음을 입증하고 있다 This study attempts to investigate the effects of group norms on the discretionary efforts, and performance in Korean bank branches Much research about these relationships in literature has been done at the organizational level. But there is little evidence about the link between group norms and performance at the small group level Group behavioral norms may exist at the various levels such as national level, organizational level, work group level. It is extremely difficult to assume the consensus of norms at the national or organizational level because of the existence of diverse groups within a nation or an organization. A number of studies suggest that group behavioral norms may have a greater influence on individual's performance than the knowledge, skills, and abilities the individual brings to the work setting. Group behavioral norms can be seen as a strong motivator affecting the individual discretionary effort and superior performance in work organization. Statistical results confirm that some discretionary effort-promoting norms(competence norms, respect norms, trust norms, autonomy norms, co-operation norms and innovation norms) have a significant impact on discretionary effort of employees and financial performance in the Korean bank branches.

서울 시내 일부 대학생의 성지식과 성태도에 관한 연구

김보배,노은경,박서영,박영,오승희,전영란,차현진,윤희상,김수지,이자형 이화여자대학교 간호과학대학 2004 이화간호학회지 Vol.- No.38

This study surveyed and analyzed comparatively college students-knowledge' attitude, was to cultivate the right knowledge and attitude on sex, and serve the foundational data for the suitable sex education. The purpose of the study was to identify and examine: 1) students; sexual knowledge and sexual attitude; 2) the differences between variables of gender, age, and self-perceived sexual knowledge in relation to sexual knowledge and sexual attitude; and 3) the relationship between sexual knowledge and sexual attitude. For this study the questionaires were given to 300 students from five different universities located seoul areas. the questionaires were collected Jenuary 8th to 15th in 2004. Two hundred and nigty one samples were analyzed for the study. The adapted SKAT(saxual knowledge & attitude test; Lief & Reed, 1986) was used to determine sexual knowledge and the students' sexual attitude. Collected data were analyzed statistically by means of percentage, t-test, ANOVA test, and pearson correlation analysis with SPSS 12.0 package program. The main results of this analysis are as follows: Participants consisted of male(48.1%) and female(51.9%) which were mainly between the ages of 21.25(71.8%) with an age range of 19 to 30. Knowledge of sexual disease was scored highest of 92.4%, and konwledge of the knowledge of the male and female's anatomy was the lowest at 60.9%. The respondents' level of sexual attitude was tolerant as on average 3.66(on the basis of 5) Relating to the items, the respondents' score of the sexual curiosity was 4.16, sexual behavior 3.85, self-consolation 3.81, aborthon 3.23, virgine 3.19, extramarital experiences 3.17. There were no significant differences in sexual knowledge between male and females, between younger and older students, residence, sexual experience, and how students mainly obtained their sexual knowledge. But a significant difference was also found religion in their sexual attitude(p<.005). In addition, results showed the relationship between sexual knowledge and sexual attitude(P=0.332).

A Study On The Relationships Between Organizational Identification And Discretionary Effort

Kim,Cha-Gap,Kim,Young-Jin 한국인적자원관리학회 2009 인적자원관리연구 Vol.16 No.1

본 연구는 조직동일시가 조직 구성원의 재량적 노력에 영향을 미치는지를 조사하고자 한다. 종전의 연구에서 재량적 노력은 욕구이론, 내재적 동기 내지 사회교환이론 등과 같은 개인동기부여 메카니즘에 의해 설명되어 왔다. 그러나 최근에는 재량적 노력이 사회동일시이론에 기초한 조직동일시의 측면에서 접근되고 있다. 즉 재량적 노력은 조직구성원으로서의 자부심, 조직의 가치와 목표에 대한 일체감, 그리고 내집단에 대한 우호적 시각과 같은 조직동일시에 의해 설명된다는 것이다. 조직동일시는 개인차원의 동기부여 메카니즘과는 다른 집단차원의 동기부여 메카니즘이다. 은행지점 구성원을 대상으로 한 연구결과는 은행지점에서의 재량적 노력과 같은 개인직무행동이 개인동기부여 메카니즘 이외에도 집단동기부여 메키니즘으로서의 조직동일시에 의해 큰 영향을 받는다는 점을 보여주고 있다. This study attempts to examine whether or not organizational identification is responsible for discretionary effort of organizational members. As suggested in previous researches, discretionary efforts was explained by individual motivation mechanisms such as need theory, intrinsic motivation, or social exchange theory etc. However, recently discretionary efforts has been approached by organizational identification which is based on social identity theory. That is to say, discretionary efforts are explained by organizational identification such as pride in organizational membership and identification with organizational values and goals and positive bias toward in-group. Organizational identification is group-level motivation mechanism which is different from individual-level motivation mechanisms, The results of this research clearly suggest that, in the Korean bank branches, individual work behavior such as discretionary effort is strongly affected by organizational identification as group motivation mechanisms as well as by some individual motivation mechanism.