한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

벼 상온 저장 시기별 쌀 품질 변화

권석주,송영은,권영립,이덕렬,조승현,최동철 원광대학교 2005 論文集 Vol.35 No.-

Increasing concern about a rice quality, it is considered postharvest technology as well as cultivation management as an important factor. Therefore it is necessary to find optimal drying, storage method that did not affected a rice quality. In order to find the optimum storage period of rice, the rice quality was investigated during storage period. The temperature and humidity of storage bin were greatly changed but those of rice were a little do. The germination rate was slowly decreased as the storage period is long. The content of moisture was affected by a room temperature, it was increased at stored rice in rainy season(10-Jul~20-Jul). As storage period is long, the content of amylose, fatty acidity were a just Little changed but did not showed a constant tendency to it. The content of protein was increased and mechanic palatability value was decreased during storage period. The chromaticity of milled rice showed a range of lightness(L); 75.15~71.75, redness(a); 0.21~0.91, yellowness(b); 16.78~19.28 during storage period.

직장암 절제 수술 후에 발생하는 문합부 누출의 위험 인자

이승현,안병권,배승언 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Background: Anastomotic leakages are one of the most serious complications after rectal cancer resection. The aim of this study was to identify the relevant risk factors of anastomotic leakage after low anterior resection for rectal cancer. Methods: We reviewed retrospectively the medical records of 251 patients, who underwent low anterior resection for rectal cancers between January, 2001 and December, 2004. All patients underwent a tumor-specific mesorectal excision. We excluded the patients underwent emergent surgery, protective stoma formation and used pelvic drainage. Results: The mean distance of the tumor from the anal verge was 8.0 cm (3-16 cm). Lower anterior resection was performed in 214 patients and ultra-low anterior resection in 37 patients. Fifteen patients had preoperativechemoradiation for rectal cancer. The anastomotic leakage was identified in 10 patients (4.0%). Seven patients with anastomotic leakage underwent corrective surgery.Other postoperative complications included 5 rectovaginal fistula (2.0%) and 4 intra-abdominal abscess (1.6%). The incidences of anastomotic leakage were significantly different according to preoperative chemoradiation (13.3% vs. 3.4%, p=0.05) and rectal obstruction (33.3% vs. 3.3%, p=0.00). Conclusions: In patients with history of preoperative chemoradiation and rectal obstruction, the careful management for anastomotic leakage is necessary

상심실성 빈맥환자에서 관상정맥동의 형태비교

현대우,김윤년,박소영,한성욱,허승호,김기식,김권배 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.4

벼 담수산파 재배시 파종량·질소분시·물관리 방법의 차이가 생육 및 수량성에 미치는 영향

권영립,권석주,조승현,최동철 원광대학교 2005 論文集 Vol.35 No.-

This study was carried out to investigate in connection with seeding rate according to the fertilizer application method and water management in direct seeding on flooded paddy surface. The total nitrogen and chlorophyll contents was decreased as increasing amount of seeding. The total nitrogen and chlorophyll contents were high in the strong drainage methods than the custom water management. LAI and dry mater recording where the seeding amount will increase to the fertilizer application method it increases consequently were low tendency from the site which omits the omitted the top dressing at tillering stage. The number of panicles per square metre was increased according to amount of seeding, but the number of spikelets per panicle was decreased. When omitted the top dressing at tillering stage and increasing the amount of seeding, the rice yield was high and amount of seeding was 89 kg per hectare. The results indicate that increasing of seeding rate and omission of fertilizer application with strong drainage at tillering stage was to reduce field lodging degree, to economy of water culture and to save labor for fertilization.

Thiamine결핍 유도후 쥐 전뇌의 성상교세포 Glial Fibrillary Acidic Protein(GFAP) 면역화학 활성도에 대한 변화

김승현,김희태,김주한,김명호,황세진,김명권,백태경 대한신경과학회 1999 대한신경과학회지 Vol.17 No.1

여성 노인의 신체활동이 건강관련 자아존중감과 자기효능감에 미치는 영향

현승권,배진희 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.6

The purpose of study was to investigate physical activity on the health-related Self-efficacy and Self-esteem and to identify a possible relationship positive psychological variables. Subjects were consisted of 276 female old women over 60 years old living in J-gu in Seoul. The measurement tools used in this study were korean version self-efficacy scale and self-esteem scale to test the old women belief, value attitude, confidence on life satisfaction. The results indicated that the positive psychological constructs of the elderly were differences according to age. The old women aged 65-69yrs had higher self-efficacy and self-esteem than the old women over 70yrs(*p<.05). Further, the results revealed that there was a significant difference in the positive psychological constructs of the elderly according to physical activity. The old women participating in a regular physical activity reported higher self-esteem in physical activity(*p<.05 ). The study has implications that the further study related in this field should consider other demographic factors, the advanced methodical techniques. Moreover there should be required the more in depth and broader research in this area.

직장암에서 수술 전 방사선-화학요법 후 발생한 후기 합병증

이승현,이철민,안병권,백승언 고신대학교 의과대학 2011 고신대학교 의과대학 학술지 Vol.26 No.1

OBJECTIVES: To compare the late complications after operations for rectal cancers with and without preoperative chemoradiation. METHODS: From January 2003 to December 2005, 55 patients underwent operation after preoperative chemoradiation for adenocarcinoma of the rectum. All of them received the full scheduled dose of radiation with concurrent chemotherapy. The interval between preoperative chemoradiation and surgery was 4-6 weeks. 47 patients who had tumors below 8 cm from the anal verge were enrolled into the study group (CRT group). During same period, we selected 153 patients who had adenocarcinoma of the rectum below 8cm from the anal verge, underwent surgery alone without postoperative radiotherapy non-CRT group). We compared the early and the late postoperative complications between the CRT group and the non-CRT group. RESULTS: Of the late complications, the incidence of anastomotic stricture was significantly higher in the CRT group (P = 0.018). The incidence of anal stricture was higher in the CRT group (P = 0.164). In the CRT group, 3 cases (17.6%) had failed to preserve the anal function due to moderate or severe anal stricture. Of the 3 cases, protective ileostomy was persistent in 2 cases, colostomy was performed in one case. Otherwise, the late complications of the CRT group were intestinal obstruction in 2 cases (4.3%), lymph edema in 2 cases (4.3%). CONCLUSION: In CRT group, failure of anal function preservation due to anastomotic stricture or anal stricture was more common and serious than non-CRT group. We emphasize the need for careful management for postoperative anal stricture after preoperative chemoradiation.

고등학생의 여가활동 참여와 사회성 발달에 관한 연구

현승권,고천호 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

The purpose of this study was to investigate the relationships between participation in leisure activities and social development, that is, participation in leisure activities related to personal characters and the relationships between participation in leisure activities and social development. TO accomplish the purpose of this study, research models and hypotheses were established based on previous studies and theories. Gender and grade as personal characters, participation in leisure activities as a independent variable and social development as a dependent variable were selected. Total of 570 student who go to High school in kyeon GI-do, moon-san 2004 were selected as subjects with random sampling. The questionnaire used in this study was based on the material which was made by Chung bung-Mo(1971) and was standardized by Han Tae-Ryoung(1998) Frequency analysis, cross analysis, ANOVA and t-test were used in this study and each hypothesis was tested at the significance level of .05. On the basis of the results analyzed, the Conclusion were drawn as follows ; First, there was a difference of participation in leisure activities depending on gender of High school students, but no difference was found depending on grades Second, there was a significant difference of social development in emotional stability, dominance and self-regulation according to types of participation in leisure activities of High school students. Third, No significant difference of social development was found in both frequency and period according to an extent of participation in leisure activities of High school students. Fourth, there was a difference in only activities depending on existence of a leader and there was significant difference in activity and sociability depending on existence of a colleague.

일개 소방서 소방관들의 외상후 스트레스 증상 및 관련요인

권순찬,송재철,이수진,김인아,고재우,류현철,김석현,김대호,정승아 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.3

목적: 본 연구에서는 일부지역 남자 소방관의 외상후 스트레스 증상과 관련요인을 분석하고 PTSD 고위험군의 빈도를 추정하고자 하였다. 방법: 서울 지역 한 소방서의 남자 소방대원 260명에게 설문지를 배포하였다. 그 중 한 가지 이상의 외상성 사건의 경험이 있고 IES-R-K 설문에 응답한 153명 중 우울증으로 의심되는 7명을 제외한 146명을 분석대상으로 하였다. 설문지는 일반적 특성과 작업관련 특성, IES-R-K 22문항,‘소방관과 응급구조사의 사건 스트레스인자’25개 문항을 포함하였다. 결과: 연구대상의 평균연령은 38.8(±6.8)세였으며 평균 근속기간은 12.0(±6.4)년이었다. 기혼이 118명 (80.8%)이었다. 근무형태별로는 상시주간이 20명(13.7%),격일근무가 126명(86.3%)이었다. 직능별로는 화재진압 46명(31.5%),구조 15명(10.3%),구급 26명(17.8%),운전 40명(27.4%),내근 19명(13.0%)이었다. IES-R-K 점수의 평균은 11. 3(±13.1)점이었으며 기혼자가 미혼자보다(p=0.005),24시간 격일근무자가 상시 주간근무자보다(p=0.032) 높았다. IES-R-K 점수 24/25점을 절단점으로 PTSD 고위험군의 빈도는 13.7% (20명)이었다. 외상성 사건 25개 중 경험한 종류수는 직능별로 구급과 구조에서 많았다.(p=0.000). PTSD 고위험군을 종속변수로 하고 나이와 교육수준을 보정한 다중로지스틱회귀분석에서 각각의 보정 비차비(95% CI)는 기혼 1.98(0.42∼9.30),근속년수 20년 이상 3.53(1.01∼12.38),24시간 격일근무 3. 31 (O.42∼26. 23),소방장 1.67(0.46∼6.09),외상성 사건을 경험한 종류수 2.18(0.79∼6.04)였다. 결론: 이 연구에서 서울지역의 일개 소방서에 근무하는 남자 소방관의 PTSD 고위험군의 빈도는 13.7%로 추정되어 일반인구집단의 PTSD 유병률에 비해 높은 것으로 나타났다. 외상성 사건에 무방비로 노출되어 있는 소방관들의 PTSD 위험군을 조기에 선별할 수 있는 간편한 자기기입식 설문지인 IES-R-K는 소방관의 PTSD를 조기에 개입하여 관리하는 효율적인 도구로 활용될 수 있을 것이다. 소방관들의 정신건강을 관리하고 개입이 필요한 정신질환을 조기에 발견하며 관리할 수 있는 체계적인 예방 및 관리 프로그램의 도입이 필수적이다. Objectives: To investigate the factors related with posttraumatic symptoms and to estimate the prevalence of posttraumatic disorder of urban male firefighters. Methods: From a study sample comprising 260 male firefighters from one fire station, the responses. from 146 who had experienced one or more traumatic events, responded to the 'Impact of Event Scale-Revised Korean version' (IES-R-K) and didn't show any evidence of depression were analyzed. We surveyed the firefighters using a self-administered questionnaire including general characteristics, job-related characteristics, IES-R-K, and a 'Firefighters and paramedics' incident stressor'. Results: The mean value of IES-R-K in this study was 11.3 and it was higher in the married firefighters than in the unmarried firefighters (p=0.005) and in the 24-hr shift workers than in the ordinary day shift workers (p=0.032). The frequency of posttraumatic stress disorder (PTSD) of the firefighters in this study using IES-R-K was 13.7%, with a cutoff point of 24/25. The overall number of experiences of 25 traumatic events was larger in emergency medical personnel and rescue workers than in other work functions (p=O.OOO). Conclusions: The prevalence of PTSD symptoms in firefighters was estimated to 13.7% using IES-R-K and was higher than the prevalence of PTSD in the general population. A program to manage the mental health and provide early detection for mental illness for firefighters is needed.