비소세포폐암에서 동시화학방사선요법을 받는 중 생긴 기관폐루1례

강건희,조성우,김성록,유영진,이효락 인제대학교 2008 仁濟醫學 Vol.29 No.-

최근 근치적 절제가 불가능한 국소진행성 비소세포 폐암에서 화학요법을 방사선요법과 동시에 투여하는 치료방법에 대한 연구가 활발이 이루어지고 있으며 이러한 치료과정 중 생긴 여러 부작용에 대한 연구도 이루어지고 있지만 아직까지 기관폐루가 생겼다고 보고는 없다. 따라서 치료과정 중 기관폐루가 의심되는 소견이 있을 경우 이에 대한 조기 진단과 치료를 통하여 부작용에 따른 사망률을 최소화하여야 하겠다. The incidence of lung cancer is increasing steadily and various methods have been attempted to enhance the cure rate of locally advanced non small cell lung cancer, which is hardly removable surgically, but the results are not satisfactory yet. Recently, research is being made actively on the simultaneous application of chemotherapy and radiotherapy for locally advanced non small cell lung cancer that cannot be radically resected and the we experienced a case of patient diagnosed with bronchopulmonary fistula during the treatment process, and therefore report it here.

형태학적 변인에 의한 경기력과 훈련성과의 분석

강상조 한국체육대학교 체육과학연구소 2000 韓國體育大學校附屬 體育科學硏究所論文集 Vol.19 No.1

훈련을 통하여 선수들의 특정 신체부위에 특징적인 변화가 나타난다면 이 변화를 바탕으로 한 훈련평가는 선수의 신체적 최적상태를 파악하는 자료로 활용될 수 있고, 또한 훈련내용 및 훈련강도를 결정하는데 중요한 정보가 되기 때문에 지도자에게 중요한 훈련자료가 된다. 따라서 이 연구의 목적은 인체측정 변인과 신체구성 변인이 훈련성과를 평가하는 지표로서 적절한지 여부를 검증하는 것이다. 이를 위하여 남자대학 선수를 중심으로 태권도, 배드민턴, 수영과 핸드볼 종목 65명 (태권도 23명, 배드민턴 14명, 수영 8명, 핸드볼 20명)을 피험자로 선정하였다. 인체계측에 사용된 변인은 국제인체측정학회에서 제안한 표준인체측정 변인과 인체측정표준화요강에 제안된 측정변인으로 선정하였다. 이 변인들은 신장과 체중, 11부위의 피하지방 두께, 11부위의 둘레, 6부위의 너비, 6부위의 길이 등 전체 34개 변인이다. 모든 측정은 인체측정과 관련하여 최소한 50명 이상을 측정한 경험을 가진 6명의 측정요원에 의해 ISAK에서 제안한 표준인체측정 절차와 인체측정표준화요강에 제안된 절차에 의해 실시되었다. 인체측정으로 수집된 자료는 컴퓨터에 입력하여 변량분석을 통하여 집단별 평균치 차이를 검증하였다. 그 결과는 다음과 같은 결론을 얻었다. 훈련성과를 평가하기 위한 지표로서 인체측정변인과 신체구성변인 사용의 적절성은 증명되었다. 체지방과 관련된 변인은 모든 종목에서 훈련성과를 평가하기 위한 단기지표로 활용할 수 있다. 즉 체지방은 1-2주의 훈련기간에도 훈련강도에 따라 의미 있게 변하기 때문에 단기 훈련성과를 평가하기 위한 중요지표이다. 그리고 근질량과 관련된 변인은 훈련성과를 평가하는 장기지표로 활용할 수 있다. 이는 훈련기간 및 강도에 따라 체지방 변인은 비교적 크게 변하는데 반하여 근질량 관련 변인은 그 변화 폭이 작기 때문이다. 이와 관련된 후속연구는 우수선수의 선발 및 훈련성과를 파악하는데 필요한 기초자료를 제공하고, 선수들의 신체적 최적상태를 규명하여 선수들을 위한 훈련내용의 선정 및 훈련강도의 결정에 필요한 정보를 제공할 수 있을 것으로 판단된다 The present study was attempted to compare the morphological characteristics between elite and non-elite athletic players and to evaluate the possibility of employing anthropometric variables as estimates of training effects and indicators of morphologica prerequisites in selected sport events. The four sport events such as, Taekwondo, Badmindon, Swimming, and Handball were selected from the different types of athletic events. The subjects(N=65)were selected from the athletes who had participated in winter physical fitness training program from the four athletic events selected. The anthropometric parameters such as height, weight, 11 skinfold thickness, 11 circumferences, 6 length, and 6 breadth variables were measured on the basis of anthropometric proforma developed by ISAK. The ANOVA was used to examine the mean differences of anthropometric measures between elite and non-elite athletic player groups by each athletic events and between pre and post training program. The results indicated that the % of body fat of elite athlete group had a significantly(p〈.05) lower than that of the non-elite athlete group and that the muscle mass of elite athlete group had a significantly (p〈.05) higher than that of the non-elite athlete group, regardless of different types of athletic events. It was revealed that % of body fat was changed significantly in accordance with different training intensity even one or two weeks of training are offered. It was suggested that the variables related to body fat could be utilized as short-term indicator for evaluating training effect regardless of different types of athletic events and that the variables related to muscle mass could be utilized as long-term indicator for evaluating the training effect.

運動技能檢査의 難易度 推定 및 同等化

姜相兆,李美英 韓國體育大學校附屬 體育科學硏究所 1996 韓國體育大學校附屬 體育科學硏究所論文集 Vol.15 No.1

The purpose of this study was to estimate the item difficulty and the ability parameters of the volleyball toss and basketball shoot skill tests by Rasch item response theory model, to test the goodness-of-fit satistics of data for model, and to equate the volleyball toss and basketball shoot skill tests for the college exaninees. The two skill tests were administered to 1303 college entrance examinees(963 males and 339 females). Item difficulties and examinees's abilities were estimated for each skill test separately by using the many-faceted Rasch model. The equipercentile equating model of single group design was used for equating It was found that goodness-of-fit indexes were ranged from 0.3 to 0.7 and model fit data well both tests. The volleyball toss skill test was slightly easier than the basketball shoot skill test and both skill tests were easier fir males than for females in terms of item difficulty. Item difficulties of the tests were ranged from -2.647 to -2.910. The item difficulties of both tests showed similar trend between males and females. In conclusion, the Rasch Poisson counts model can be applied in an appropriate manner to estimate the item difficulty and examinees' parameter of volleyball toss and basketball shoot skill tests. The equipercentile equating provided a useful means to equate two different skill tests.

중독한 추체로 증상을 보인 cyclosporine에 의한 뇌증 1예

강정현,곽승근,신현영,김성은,이정호,이정찬,곽상혁,윤환중,조덕연,김삼용,김제,송창준 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.1

The use of cyclosporine(CsA), a potent immunosuppressive agent, is associated with numerous side effects. Neurotoxicity was earlier less well known, but with growing experience central nervous system side effects are now reported up to 40% of patients. Among various CsA-induced neurotoxicities, tremor is most common and posterior leukoencephalopathy is well characterized. An encephalopathy presenting with pyramidal weakness, however, seems to be rare and poorly documented. We report here a case of encephalopathy presenting with multiple generalized seizures followed by fluctuating quadriparesis developed a few days after starting CsA and resolved spontaneously after withdrawal of the drug . A 48-year-old woman with aplastic anemia was placed upon immmunosuppressive treatment consisting of antithymocyte globulin(ATG), CsA, and methylprednisolone. Two days after starting the therapy, she developed a generalized seizure. The next day she developed 2 more episodes of seizure and the therapy was stopped. Computed tomogram of the brain was normal. Six days after starting therapy, she developed mild motor weakness and paresthesia of both lower extremities, which progressed to a definite quariparesis confining her to a bed in 3 days. Magnetic resonance imaging(MRI) of the brain revealed asymmetric, bilateral high-signal abnormalites in the subcortical white matter of fronto-temporal areas. After reaching to a maximum with some fluactuation(14 days after starting the therapy) the motor weakness started to be resolved. She was discharged with a almost complete resolution of the weakness 45 days after starting the therapy. Five months later she did well and brain MRI was negative.

스포츠 동기 질문지의 타당화 : Ⅱ. 이론모델의 검증

강상조,한성수 한국체육대학교 체육과학연구소 2000 韓國體育大學校附屬 體育科學硏究所論文集 Vol.19 No.1

본 연구는 스포츠 동기 질문지(SMS)의 이론구조모델을 검증하기 위한 것이다. 430명의 대학과 실업팀 선수들을 대상으로 스포츠 동기의 이론모델의 가능성을 평가하기 위하여 LISREL 8.12 프로그램을 이용하여 확인적 요인분석이 시행되었다. 원래의 25문항 질문지를 이용한 이론 모델의 모든 부합도 지수들은 수용 불가능한것으로 나타났다. 따라서 연구 1이 측정모델에서 확인된 14문항을 바탕으로 3개의 대안모델이 제시되었다; 기본모델, 완전모델, 전환모델. 분석결과 Butt의 이론모델(기본모델)이 다른 두 대안모델에 비하여 가장 좋은 지수를 보이며 모델로서 인정되었다. 그러나 모든 모델이 GFI, AGFI는 권장수준 이상이나 CFI, NNFI는 수용 가능한 범위를 보이며 다소 미흡한 지수를 보였다. 기타 제안모델의 추정계수들에 대한 통계적 정보를 제공해주는 세부적인 검증에 의한 t-value, 표준화 계수값, 측정오차에 의한 평가는 Butt가 제안한 이론 모델만을 지지해주는 것으로 나타났다. The present study was designed to test the validity as a structural model of SMS, Sport Motivations Scale that aggressive motivation and conflict are most likely to lead to competitive social motivation while competence is most likely to lead to cooperative social motivation. The models were tested by SMS data collected from 430 players of university and professional teams. The LISREL 8.12 computer program was employed to conduct a confirmatory factor analysis to access the tenability of theoretical model of sport motivations. A structural model by original 25-items SMS was showed unacceptable index, therefore, suggested three-alternative models(basic model, exchange model, and full model) by 14-items that verified on study I. The test result was that Butt's theoretical model(basic model) showed the most acceptable index more than other two-models. But basic model, exchange model and full model were turned out to be above the recommended guidelines on GFI, AGFI, while to be below on CFI, NNFI. In addition, others fit measures tests by t-value by goodness of fit. Standardized beta coefficients and measurement error was revaled that they supported only Butts's model.

교액성 폐쇄공탈장 1예

조태웅,민영돈,김경종,정권율,강성인,류소연,임성철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, extra-thin or debilitated women. Because of the anatomic character of the obturator foramen and the nonspecific symptoms in the presence of the hernia, the risk of strangulation of the herniated bowel is high, which leads to high morbidity and mortality rate. The authors experienced an unusual case of left obturator hernia with strangulation of the small bowel in an 80-year old female. The hernia was diagnosed by abdomino-pelvic computed tomography (CT) scan. Through the lower midline transperitoneal approach, resecting the strangulated small bowel, the hernia sac was ligated and the obturator foramen was repaired using adjacent broad ligament. We report these findings with a brief review of the literature.

초등교사의 과학과 환경 교육에 대한 수업실태 분석 및 인식도

조태호,서승조,백남권,김성규,박강은,박원석 한국환경과학회 2002 한국환경과학회지 Vol.11 No.7

The purpose of this study was to analyze the elementary school teachers' perception toward the environment-related subjects in science education and to investigate their instructional methods in delivering the subjects in the classroom. The participants of this study were 300 elementary school teachers sampled from elementary schools in Kyung Nam Province. The findings of this study were as follows; First, more than half of the teachers surveyed showed that the environment-related units and contents in the science textbook were insufficient to the existing issues. Second, the large portion of teachers responded that the teaching materials in the textbook were insufficient to deliver the contents. Third, the largest portion of respondents replied that their preferred instructional method was a teacher-directed instruction followed by a case study approach. Fourth, in terms of the effectiveness of environmental education, both male and female teachers showed negative responses. Furthermore, male teachers were more negative than female teachers. Fifth, total means of their preference of the environment-related units was 3.13. The unit for sixth graders titled 'Environmental Pollution and Protecting Nature' showed the highest preference, whereas the unit for fifth graders titled 'Structure and Functions of Plants' showed the lowest preference. Sixth, there was no statistically significance in gender and their working areas. Seventh, there was statistically significant differences between male and female teachers in terms of teaching experience. In detail, the teachers with 5 to 9 teaching experience showed the lowest scores, while the teacher with more than 15 years teaching experience showed the highest scores in their perception of the units. Eighth, there was a significant difference between two groups in terms of their educational background. For example, two-year college graduates showed higher preference than four-year college graduates.

우심방을 침범한 거대 비호지킨씨 림프종 1예

강상범,진승원,이은경,박용현,최용호,김용주,박준철,김재형,홍순조,최규보,권종범,원용순,박건,이은희 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.4

흰쥐 경동맥 손상 모형에서 체외 방사선조사에 의한 신내막 과증식억제 : Intercellular Adhesion Molecule-1과 Vascular cell Adhesion Molecule-1의 역할 The Possible Role of Intercellular Adhesion Molecule-1 and Vascular Cell Adhesion Molecule-1

강동헌,승기배,장기육,임상현,정해억,임효영,김연실,채장성,김재형,홍순조,최규보 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.9

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.