근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

목적 : 본 연구는 전자궁적출술 후 질탈출을 부위-특이적인 결함의 개념에 입각하여 치골경부 근막과 직장질 격막의 연결을 통한 골반내 근막의 복원과 자궁천골인대 고정술을 이용한 질탈출의 성공적인 수술적 교정의 방법과 결과를 보고하고자 한다. 연구 방법 : 1999년부터 2001년 8월까지 자궁적출술 후 질궁탈출 증상으로 문화병원 산부인과를 내원, 탈출된 질의 근막을 재건시킨 다음, 이를 자궁천골인대에 고정시킴으로써 질의 부위-특이적인 교정술을 받은 3명의 환자를 대상으로 하였다. 3명중 1명은 개복술을 하였고 2명은 내시경 수술을 하였다. 결과 : 환자의 연령 분포는 49-67세였으며, 수술시간은 평균 113분 (105-125)이었다. 세 환자 모두 수술 후 질의 상태가 해부학 및 기능적으로 정상이었으며, 9일째 특이사항 없이 퇴원하였다. 수술 후 HRT를 시행한 1명을 포함한 3명 모두 각각 24개월, 12개월, 7개월간의 추적 검사에서도 특이한 합병증이나 재발 없이 좋은 경과를 보였다. 결론 : 골반 근막 결손의 복원과 자궁천골인대 고정술은 전자궁적출술 후 질탈출의 교정에 매우 안전하고 효과적이며, 기능적인 방법으로 사료되며, 자궁천골인대를 질탈출 교정에 이용한 연구는 본 연구가 국내에서 처음이다. Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

50·60대 여성의 라이프스타일에 따른 의복구매동기와 정보원천에 관한 연구

한성지,김문숙 服飾文化學會 2002 服飾文化硏究 Vol.10 No.2

The purpose of this study were to analyze the lifestyle of women in their 50's and 60's and to provide the basis for the efficient strategy of silver market by classifying women in their 50's and 60's according to lifestyle types and investigating the effect of consumers' lifestyle and demographic characteristics on consumers' clothing buying motives and information sources. In this study, a self-administered questionnaire was distributed to women in their 50's and 60's. 226 questionnaires of 350 were used in the following analysis. The data were analyzed with the SPSS package. The results of this study were as follows. First, lifestyle were analyzed to find out the underlying factors, and then the subjects were grouped according to factor scores by the cluster analysis. Four lifestyle types were defined. They were the traditional family-oriented, the ostentatious purchase, the economical material-oriented, the active economics-oriented type. Second, a consumer's buying motives and information sources in buying clothing were significantly different depending on the consumer's lifestyle. The ostentatious purchase type attached importance to impurse buying and in diversion in clothing buying motives and display in information sources. The economics-oriented type attached importance to worn out clothing in buying motives.

다발성 외상 후 횡문근융해증 환자에서의 손상초기 급성신부전의 예측인자

문중범,이강현,황성오,이진웅,한병근,최승옥,강성준 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: Acute renal failure(ARF) is a serious complication of rhabdomyolysis after multiple trauma, and may increase morbidity and mortality. The aim of this study was to elucidate predicting factors for the development of ARF induced by rhabdomyolysis at an early stage of multiple trauma. Methods: This prospective, observational study was conducted at the emergency department of a level I trauma center. Patients with acute multiple trauma, whose plasma levels of creatine phosphokinase(CPK) were higher than 1,000 IU, were included in this study. We excluded patients with any history of myocardial infarction, stroke, underlying renal disease, and/or infectious disease. We collected clinical and laboratory data including age, heart rate, mean arterial blood pressure, injury severity score, serum myoglobin, lactic dehydrogenase, creating phosphokinase, and base excess. Collected data were compared between patients who had ARF and patients who did not have ARF. Results: Eighty-eight patients were enrolled in this study. Eighteen patients(20.5%) developed ARF. The injury severity score(ISS)(p=0.001), the base excess(p<0.001), CPK(p=0.003), and myoglobin(p<0.001) were higher in patients with ARF than in patient without ARF. Logistic regression analysis revealed that early predictors for ARF were high ISS, high base excess, high CPK, and high myoglobin. Conclusion: We could identify early predicting factors for acute renal failure induced by rhabdomyolysis, these factors included ISS, serum CPK and myoglobin, and base excess in the arterial blood gas analysis performed at the emergency department.

發振器의 注入同期範圍에 關한 硏究

文相在,朴成漢 경북대학교 공과대학 1975 工大硏究誌 Vol.4 No.-

In the analysis of locking range in an injection locked oscillator, Adler's differential equation is generally used. The equation is derived under the assumption that the amplitude of an injecting signal is very small compared to the oscillator signal. This paper has derived the general locking equation for an injection locked oscillator. With the aid of the equation, the injection locking range has been investigated. The experimental results have been nearly consistant with the theoretical results.

희귀모형에서의 Adaptive 추정치에 관하여

한상문 서울市立大學校 1987 論文集 Vol.21 No.2

이 논문에서는 Han(1985)의 위치모수 추정에 있어서 사용한 가중함수를 회귀모형에 적용하여 점근적 최적 추정치를 만들어 보았다. 실제적인 응용으로 Ruppert와 Carroll(1980)의 단구획 회귀 모수 추정방법의 확장 형태인 2 구획회귀모수 추정방법과 2구획회귀 모수 추정 방법을 Adaptive하게 사용한 추정량 HH를 사용하여 Simulation 한 결과, 표본수 40 이상인 경우 Tukey의 Biweight 추정량 정도의 효율성을 가졌고, 특히 무거운 꼬리를 가진 Cauchy 분포에서는 Biweight를 능가하는 효율성을 가졌다.

Diesel-Diglyme 混合燃料가 디젤엔진의 性能에 미치는 影響

문병수,한상덕,하종석,김한덕 충북대학교 산업과학기술연구소 2002 산업과학기술연구 논문집 Vol.16 No.1

While the amount of diesel engine is increasing, the harmful exhaust emission is regarded as one of the main causes of environment pollution. In this study, by using reformulated diesel fuel mixed with the oxygenate Diglyme in various ratios, the effects of the reformulations on engine's output performance and exhaust emission have been shown. The reformulated fuel mixed with oxygenate Diglyme shows an increase in output power while CO and SMOKE were lowered by using the regular diesel fuel. By applying the mixed Diglyme fuel to diesel engine, in general, some reduction of harmful exhaust emission could be achieved without any significant change of the output efficiency of the engine.

한국 재래산양에서 Bovine Viral Diarrhea, Bovine Herpesvirus-1, Parainfluenza Type-3 바이러스에 대한 혈청학적 연구

한동운,권용국,문진산,윤소라,위성환,장환,탁동섭,이태욱,강문일 한국수의공중보건학회 2003 예방수의학회지 Vol.27 No.3

The 948 goat sera were serologically tested for ten pathogens including bovine viral diarrhea (BVD), bovine herpes virus type-1 (BHV-1) and parainfluenza virus type-3 (PI-3). By viral neutralizaion test, three pathogens including BVD virus, BHV-1, PI-3 were applied for screening each neutralizing antibody and its titration. Among 948 sera, there were 215 seropositives (22.7%) against BVD virus, 25 (2.6%) against BHV-1 virus, and 161 (17.0%) against PI-3 virus, respectively. In the seropositive cases to BVD virus, provincial prevalence of them were recorded as Gyeongnam(30.8%) for the highest one, while as Jeonbuk (15.8%) and Gyeongbuk(l6.7%) relatively for the lower ones. Among them, higher than 1:8 in antibody titration was classified as 74 cases (34.4%) which were suspected the cycle of its infection in their herds. Among the seropositives to BHV-1, it was relatively lower prevalence rate ranging from 1.7% to 6.7% that those of BVD virus and PI-3, but more importantly they were prevailing across the country. Most of the seropositive cases (42.9%) to PI-3 were classified as 1:4-1:16 in titration, but also distributed all around the country. The prevalence in goats varied according to areas (15.8 to 30.8%). Related to the provincial prevalence of three viral agents in Korean goats, it seemed that three viral pathogens would be directly or indirectly involving in various disorders as primary or secondary causative agents resulting in decreased productivity.

국가디지탈도서관 구축계획에 관한 연구

한상완,김성혁,문성빈,이란주 한국문헌정보학회 1996 한국문헌정보학회지 Vol.30 No.1

21세기 국가 정보력 제고를 위해서 세계 선진국가들은 국가디지털도서관 구축을 위한 전략과 막대한 예산을 투입하고 있다. 우리나라도 국가디지털도서관을 시급히 구축하여 다양한 멀티미디어 정보를 국민에게 제공할 수 있어야만 국가발전경쟁에서 선진국과 어깨를 나란히 할 수 있다. 따라서 이 연구에서는 우리나라의 국가디지털도서관 구축 방안을 마련하기 위해 우선 선진 외국의 디지털도서관의 구축사례를 연구한 다음 이를 바탕으로 우리나라 국가디지털도서관의 건축, 시설, 장비, 조직과 인력, 각종 사업과 기능 등을 소요예산과 함께 가능한한 구체적으로 연구 제시하였다 Many of the development countries in the world have been investing a lot of money and developing plans for a national digital library in order to secure the information power in the 21st century. In order for our country to compete with others, it is also urgent to build a National Digital Library in Korea, which can provide a variety of multimedia information for the people. In this study, based on the investigation of the several cases of the national digital libraries in the developed countries, we suggest a detailed plan for the National Digital Library which includes building, facilities, equipments, organization, staff, events, functions, and expected budget

우리 나라 都市와 農村地方의 母乳授乳 實態에 關한 調査硏究 : 全南地方을 中心으로

文松洙,具光鍊,金成宜,韓圭炯,羅昌洙 朝鮮大學校 附設 醫學硏究所 1983 The Medical Journal of Chosun University Vol.8 No.1

Human milk is the best source of nutrients for the human infant, and its nutritional and immunologic benefits are now established, In spite of these advantages, the incidence and duration of breast feeding- is decreasing in many part of the world. The purpose of the study is to collect the data on breast feeding practice in rural and urban area of Chullanamdo, Korea and to follow the trend toward breast feeding in fuutre. Between July 1981 and January 1982, 674 mothers with the children under 2 years of age have been interviewed at Out-Patient Department. The breast feeding situation at the time of interviewed was recorded. The percentage of wholly breast-fed in the age group of 0~1, 1-2, 2~3 ,3~4, 4~5, 5~6, 6-12 and 12~24 months were 61.8%, 50.0%, 51.6%, 65.2%, 50.0%, 45.7%, 23.0% and 17.3% respectively. And the percentage of partially breast-fed in the age group of 0~1, 1~2, 2~3, 3~4, 4~5, 5~6, 6~12, and 12~24 months were 29.4%, 33.3%, 25.8%, 17.4%, 34.2%, 39.1%, 8.6% and 80.0% respectively, In the incidence of wholly breast feeding, there was no correlation between deliveries in hospital and deliveries at home attended by midwives or traditional midwives. The most frequent reasons for partially breast-fed in the age group of 0~1, 1~2, 2~3, and 3~4 months were not enough breast milk.