산후에 발병한 특발성 부갑상선 기능저하증 I 예

김정인,김상용,신병철,김경남,서영욱,이범주,김진화,배학연 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

Hypoparathyroidism is usually the result of an inadvertent surgical removal of all the parathyroid glands, In some instances, not all the tissues are removed, but the remainder undergoes vascular supply compromise secondary to the fibrotic changes in the neck after surgery, Previously, the surgery for hyperthyroidism was the most frequent cause of acquired hypoparathyroidism. Idiopathic hypoparathyroidism is a relatively rare disease that is characterized by hypocalcemia and hyperphosphatemia due to a parathyroid hormone deficiency of an unknown cause, It usually develops at a young age, and shows various clinical symptoms and signs accompanied with hypocalcemia. In addition, it is rarely associated with polyglandular autoimmune syndrome during the follow-up. Hypocalcemia and idiopathic hypoparathyroidism associated with labor and lactation are rarely reported condition previously. We here describe a case of a woman in whom the symptomatic severe hypocalcemia appeared after her delivery. We reviewed all the previously reported cases and suggest a possible physiological explanation for the association between pregnancy, lactation, and the appearance of symptomatic hypocalcemia.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

요추간판탈출증에서 현미경 수술과 경피적 자동수핵제거술에 대한 비교연구

신원한,장재칠,주교성,김범태,최순관,변박장 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.1

A retrospective study of operative results were carried out in a series of 164 patients who were performed microdiscectomy and 57 patients performed automated percutaneous lumbar discectomy (APLD) for herniated lumbar discs between January 1, 1990 and June 30, 1996 at the Department of Neurosurgery, Soonchunhyang University Hospital. The operative results were analysed, and the correlation between preoperative clinicoradiological factors and postoperative clinical results were statistically assessed. The major results were as follows : 1. Of 164 microdiscectomy cases, 102 were males and 62 were females, mean age was 42.4 years and incidence was the highest in the 5th decade, and of 57 APLD cases, 43 were male and 14 female, mean age was 32.2 years and incidence was the highest in the 3rd decade. 2. The preoperative symptoms and signs were lumbago(98.2%), radiating pain(96.3%), positive straight leg raising test(77.4%), motor weakness(27.4%), claudication(13.4%) & voiding difficulty(2.4%) in microdiscectomy cases, and lumbago(98.2%), radiating pain(98.2%), positive straight leg raising test(70.2%) & motor weakness(17.5%) in APLD cases. 3. Number of operated levels were performed 226 in microdiscectomy and 74 in APLD. The most commonly operated levels of two groups were L4-5 level. 4. Operative results 1) The overall success rates by Prolo's scale were 87.1% in microdiscectomy and 80.7% in APLD, respectively. 2) In younger age group (below 30 years) and in non-compensatory group, success rates were significantly higher in microdiscectomy. 3) As to protrusion and degeneration on MRI, clinical results of moderate protrusion and degeneration of discs in microdiscectomy were statistically significant, and those of mild protrusion and degeneration of discs in APLD were also statistically significant. 4) The most common cause of failure was inappropriate removal of disc material in microdiscectomy and sequestered discs in APLD. According to the above results, there were no differance in overall success rates between microdiscectomy and APLD. But clinical results seem to be influenced by the age, existence of compensation, and by the degree of protrusion and degeneration of discs as prognostic factors. If the selection of operative procedure between microdiscectomy and APLD for herniated lumbar disc is carefully done with clinical and radiologic findings of patients, good outcome might be achieved.

체육수업 내용에 대한 여중생들의 인식 : the focus a junior high school process of class

김지일,신범철 한국스포츠리서치 2005 한국 스포츠 리서치 Vol.16 No.2

The purpose of the study was to examine the recognition about physical education class, physical education evaluation, and teacher at a girl's middle school. In study 455 middle school students completed the questionnaire. The questions that appeared on the questionnaire were composed of 21 items from the three parts. Part 1 contained 14 questions regarding the physical education class recognition. Part 2 contained 3 questions regarding the physical education class evaluation. Part 3 contained 4 questions regarding the physical education teacher. Results showed that : The first, recognition about physical education class of a girl's middle school students is different from grade and area. The second, recognition about physical education class evaluation of a girl's middle school students is different from grade and area. The third, recognition about physical education teacher of a girl's middle school students is different from grade and area.

Robert Frost시에 나타난 집의 이미지

김신범,김광선 명지대학교 인문과학연구소 2000 인문과학연구논총 Vol.22 No.-

The thesis is to study on image of home in the poetry of Robert Frost based on the extreme situation of the human being. Frost was concemed with the universal and enduring emotions that run through the contemporary's life in 20th century and all of life and with barriers or problems between man and nature, man and God, man and man. Therefore his poetry is focused on the methods for accepting and overcoming these problems. The purpose of writing of poems, Frost thought is "a momentary stay against confusion" Thus, the main theme in his poetry was the wisdom of coping with the human existential situation-chaos of confusion. Frost regarded this world as a sample for the whole, including his religious belief. On the assumption that all artists need the sample, he attempts to see and understand a piece for the whole. Frost picked the region, New England out of many ones for his various poetic materials and tried to communicate his understandings and truman life displayed in the nature of New England realistically. New England was the archetype of his poetic world. In other words, dwellers in the region were the model of his writing of poems. Because Frost himself once said, "If I must be classified as a poet, I might be called a synecdochist; for I prefer the synecdoche in poetry." In the final analysis, Frost has shown the painstaking and consistent effort to tide over this tragic human existential conditions through his all of life. Faced with the chaos of life, endurance and acceptance are essential sometimes, but for survival man should fight against the tragic elements and conditions with wisdom, courage, meditation about life and effort. Accordingly the study examines the absence of the space among some absurd aspects of life. For these considerations, chapter I deals with the absence of meaningful spaces in life revealed the archetypes of the human absurd elements. The meaning of the space is the external house, the most original cradle and the internal house sharing a love with a family, relatives and strangers. And these absence of meaningful spaces triggered the destruction of each individual identity and falling to pieces of human relations. Chapter Ⅱ treats the acceptance from these absent situations and the conquest pursuing life itself on earth. In conclusion, as Frost speaks in "The Lesson for Today," "I had a lover's quarrel in the world." he presented courage and wisdom to endure life, love through genuine human relationship. In this respect, he is a great poet who tries to come out man's self-recognition through the various conflicts and human absurd components and show unity through acceptance and conquest in his poetry. This lover's quarrel is Frost's poetic subject, and throughout his poetry there are evidences of this view of man's existence in the natural world.

고령자의 건강관련체력과 정신건강의 관계

신범철,박재현,김혜진 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

The purpose of this study was to investigate the relationships between health-related fitness and mental health in older adult. For this purpose, 295 older adult men and women above 65 years old, who giving health examination were participated as subjects. Variables on the health-related fitness was measured by muscular power, muscular endurance, endurance, flexibility, and obesity ratio. And the questionnaire of mental health consisted of four aspects; Self-rating Anxiety Scale: SAS, Self-rating Depression Scale: SDS, Self-esteem Scale: SES, and Life Satisfaction Index-Well Being: LSI-W. Each scale's validity and reliability reported high significance level, The statistics employed in this study were Descriptive Statistics, Residual Analysis, Multiple Regression. The results That were derived from these processed were as follows; 1. There is the relationship significantly between health related physical fitness and anxiety in older adults. 2. There is the relationship significantly between health related physical fitness and depression in older adults. But there is no significant statistical evidence on relationship between health related physical fitness and self-esteem or life satisfaction in older adults.

항공기용 단순싸이클식 공기냉동기의 작동성능 모사

김범신,부준홍 한국항공대학교 1997 論文集 Vol.35 No.-

최소한 제한된 용도의 범위에서 공기압축식 냉동싸이클(ACM)의 성능을 전형적인 증기압축식 냉동싸이클의 성능과 비교될 만큼 향상시킬수 있는 가능성이 검토되었다. 몇가지 종류의 ACM중 단순식 싸이클을 연구대상으로 선택한 이유는 장치구성이 간단하고 경량이며 제조비용이 상대적으로 저렴하기 때문이다. 선정된 시스템의 성능을 모사하기 위해 수치적인 절차가 수립되었으며 각 주요 구성요소의 성능과 관련된 변수들을 고려하기 위해 수치 프로그램에 적절한 방정식들이 이용되었다. ACM의 성능계수와 냉각효과를 향상시키는 중요한 인자는 엔진에서 추가되는 블리드 공기의 온도와 압력이다. 충분히 낮은 온도와 높은 압력으로 bleed air가 ACM에 공급된다면 그 성능은 증기압축식 시스템의 성능과 비교될 수 있다. 더우기 시스템의 성능은 터빈의 팽창과정전 열교환기의 거동에 거의 비례한다. 따라서 별도의 압력용기를 이용하여 터빈으로 유입되기전 냉매공기를 냉각시킬 수 있다면 시스템의 냉각효과는 향상되리라 기대된다. An air-cycle machine(ACM) was investigated for the possibility of improving its performance to a comparable level, at least in a limited range of usage, with the conventional vapor-compression type refregeration system. A simple-cycle system was studied among several types of ACM for its brevity in structure, light weight and low manufacturing cost. A numerical procedure was established to simulate the performance of the selected system. Appropriate equations were incorporated into a computer program to account for associated performance variables in each major component: heat exchanger, fan, and turbine. The major factors for improving the coefficient of performance and the cooling effect of the ACM were identified as the temperature and the pressure of the inlet bleed air from the engine. Provided that some means are adopted to lower the temperature and to increase the pressure of the bleed air, the simple-cycle ACM may exhibit a comparable performance with the vapor compression system. In addition, the system performance showed almost proportional behavior to that of the heat exchanger prior to the turbine expansion. Use of a separate pressure tank which allows the compressed air to cool down before expantion is suggested to enhance the cooling effect.

혐기성 소화에 대한 식종원 및 암모니아 농도의 영향

김양지,김성일,신범식,안기섭,김종수 한국환경농학회 2004 한국환경농학회지 Vol.23 No.1

혐기성 소화에서 미생물에 저해/독성 물질로 알려진 암모니아의 농도와 식종원에 따른 영향 을 회분식 반응기를 이용하여 분석하였다. 식종원은 고농도의 암모니아에 장기간 적응된 축 산농가 축산폐수 집수조의 슬러지 그리고 저농도의 암모니아에 노출된 하수종말처리장 혐기 성 소화조 슬러지를 사용해서 COD 제거율과 biogas 발생량으로 측정된 혐기성 미생물의 활성에 저해영향을 주기 시작하여 3,500 ㎎-N/L에서는 더욱 심하였다. 암모니아 저해 농도 범위에서 휘발성 유기산의 농도는 50㎎/L 범위로 유지되므로 메탄생성균 뿐만 아니라 산생 겅균도 저해영향을 받는 것으로 나타났다. 축산폐수 집수조 슬러지로 식종된 경우 암모니아 농도가 TAN으로 2,500∼3,500 ㎎-N/L 범위에서도 COD 제거율과 biogas 발생량의 감소폭 은 미미하였으나, 하수종말처리장 혐기성 소화조 슬러지로 식종된 경우 암모니아 농도가 증 가할수록 COD 제거율과 biogas 발생량은 큰 폭으로 감소하였다. 결과적으로 암모니아에 장 기간 순응된 슬러지로 식종한 경우 암모니아의 저해 농도에 대하여 적응도 빨랐으며 저해영 양도 적었다. The seeding sources and concentration of ammonia on anaerobic digestion were investigated by batch culture bioreactors. The sourcces of seeding on anaerobic digestion were from swine wastewater collection pit of a hog raising farm and from anaerobic digestion sludge of a municipal sewage treatment plant. The inhibition of ammonia on anaerobic microoganisms was initiated at ammonia concentration of 1,500 ㎎NH₄-N/L and it s effect was increased by increasing ammonia concentration up to 3,500 ㎎NH₄-N/L, regardless the sources of seeding as evidenced by decreases in COD removal efficiencies and biogas yields. The inhibition occurred to not only methanogens but also acidogens since the concentration of volatile fatty acids was maintained at 50 ㎎/L. The COD removal efficiency and biogas yield were maintained constantly while increasing ammonia concentration up to 3,500 ㎎NH₄-N/L when swine wastewater collection pit was used as a seeding; however, those were decreased while increase ammonia concentration when anaerobic digestion sludge was used as a seeding. The results indicate that the seeding acclimated to high concentrations of ammonia for long time was easy in adaptation to high ammonia concentration and less subjective to ammonia inhibitory effects.

Robert Frost의 노동의 시학

김신범 한국현대영미어문학회 2000 The Journal of KACELLS Vol.5 No.-

The purpose of this study is to examine Robert Frost's poetics of labor, derived from extreme human situations. While not a particularly innovative approach, viewing art in its relation with life is nevertheless a crucial method of Robert Frost scholarship. Frost was concerned with the universal and enduring emotions, that highlight contemporary life in the 20th century. In other words, like many other contemporary poets, Frost did not think that man can live fantastically or romantically amid the harsh realities of the world. Therefore, his poetry is focused on the methods for accepting and overcoming these tragic problems. In Frost's own words, the purpose for writing poetry is "a momentary stay against confusion." Therefore, the main theme of his poetry was the wisdom of coping with the human existential situation-chaos or confusion. Frost has shown that man is not doomed to frustration and failure. The fact that he exploits terrifying aspects of human life for his poetic materials seems to suggest that he accepted the vision of doom in life. New England was an archetype for his poetic world. In other words, New Englanders served as models for his poetry writing. Frost himself once said about metaphor, "Poetry begins in trivial metaphors, pretty metaphors, "grace" metaphors, and goes on to the profoundest thinking that we have. Poetry provides the one permissible way of saying one thing and meaning another." In sum, Frost's composition of poetry is focused his metaphors. Therefore, Frost in his poetry begins with a realistic description of a scene or matter and develops into an interpretation of its meaning. Throughout his creative career, Frost exhibited painstaking and consistent efforts to overcome these tragic human existential conditions. In the face of chaos and the uncertainty of life, endurance and acceptance are sometimes essential; however, for the sake of survival, man should fight against the tragic conditions with effort, wisdom, courage, and a profound meditation on life. Accordingly this study examines the metaphor of labor among some disorderly and chaotic aspects of life. Frost believed that laboring and writing is the same in the light of the purpose. And the crux of his poetics is made up the thought. In conclusion, as Frost states in "The Lesson for Today," "I had a lover's quarrel in the world." He proposed courage and wisdom in enduring the calamities of life, and love born of genuine human relationships. In this respect, he is a great poet who strove to achieve man's self-recognition through the various conflicts and chaotic facets of life and to show unity through acceptance and conquest. This lover's quarrel is Frost's poetic subject, and throughout his poetry there are evidences of this view of man's existence in the natural world.

편측안면경련에 대한 미세혈관압술시 수술시야 확보를 위한 방법으로서 소뇌피질동맥 박리술 - 수 술 수 기 -

김범태,임수빈,장재칠,신윈한,최순관,변박장 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.11