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.

智異山 緬羊牧場 造成을 爲한 氣象調査

文勝式,鄭鉉丞 진주산업대학교 1970 論文集 Vol.4 No.-

本 調査는 智異山 地區 緬羊 牧場 造成에 對한 適否를 判斷하기 爲하여 그 氣象 狀態를 調査한 것이며, 다음과 같은 結果를 얻었다. ① 晩霜日; 4月 22日, 初霜日 10月 16日 ② 氣溫: 年 平均氣溫 9.2℃ 最高는 8月에 26.6℃ 最低는 1月에 -12℃. ③ 降雨量: 2,346㎜. ④ 風速; 年 平均風速 6.2m/sec ⑤ 風向; 冬季는 北西風, 夏季는 南東風으로 이는 1年間의 調査이므로 短片的인 結論을 내릴수 없으나, 大關嶺 및 濟州島의 氣象과 對比하여 緬羊의 飼育이 可能함을 나타내었다. This survey was carried out to detect the availability for the sheep range and observe the meteological phenomenon in Mt.Chi-ri. Results obtained were as fellows; 1. Frosty period; from Actober 16 to April 22, 2. Yearly air temperature; 9.2℃, ranging from 26.6℃ in August to-12℃ in January, annual rainfall; 2,346㎜. 3. Yearly mean wind velocity; 6.2m/sec. 5. Direction of the wind; north-west in winter and south-east in summer. According to the above results from only one year observation,the meteological conditions of this region were similar to those of Dae-Kwan Ryung and Cheju Do, and were estimated tobe favorable for sheep rasing.

한우의 반추위내에서 요소 및 암모니아처리 볏짚과 황산병용처리 볏짚의 In situ 건물분해율

문승식,유성오 진주산업대학교 1997 산업과학기술연구소보 Vol.- No.4

본 시험은 볏짚의 수분함량을 30%로 조절하여 농업용 요소 6%를 수용액상태로 처리한 요소처리 볏짚과 암모니아가스 3%를 처리한 암모니아처리 볏짚을 밀봉상태로 45일간 보관한후 개봉하여 이들 처리볏짚의1/2에 해당하는 양에 농황산 2.2%을 처리하여 요소-황산병용처리 및 암모니아-황산병용처리 볏짚을 제조하여 화학적 조성을 분석하고 한우의 의해 in situ 건물 분해율을 측정하였으며, 그 결과를 요약하면 다음과 같다. 1. 벽짚의 건물소실율은 암모니아-황산병용처리 > 암모니아처리 > 요소-황산병용처리 > 요서처리순으로 높았다. 2. 건물의 잠재적 소화율은 타처리에 비하여 암모니아처리 볏짚에서 높은 경향을 나타내었다. 3. 볏짚의 건물분해율(P)은 암모니아-황산병용처리> 암모니아처리 > 요소-황산병용처리 > 요소처리 볏짚순으로 높았다. 4. 사료섭취량에 따른 한우의 반추위내 통과율이 시간당 6%일 때 72시간 발효시 예상건물 분해율(ED)은 요소처리, 암모니아처리, 요소-황산병용처리 및 암모니아-황산병용처리 볏짚이 각각 21.68, 25.06 28.30 및 31.86이였다. This study was carried out to investigate the effects of two phase treatments of urea-sulfuric acid and ammonia-sulfuric acid combination on in situ dry matter degradability of rice straw as ruminant feedstuff. Rice straws were treated with 6% urea (W/DM) or 3% ammonia (W/DM) for at least 45 days and further with sulfuric acid for overnight to complete the combination treatments. The treated rice straws were then sun-dried, and the chemical composition of the treated rice straw was analysed. Also, Four Korean native bulls (550±30.5kg) were used to determine the in situ dry matter degradability in rumen. The treatments included urea-treated, ammonia-treated, urea and sulfuric acid combination-treated and ammonia and sulfuric acid combination-treated rice straws. In situ disappearance of dry matter (DM) in the rumen was significantly (P<0.05) high in ammonia and sulfuric aicd combination-treated rice straw with following by ammonia-treated, urea and sulfuric acid combination-treated and urea-treated rice straw. Potential digestibility of DM were slightly higher in ammonia-treated rice straw than those of other treatments Dry matter degradabilities (P) in the rumen was high in ammonia and sulfuric aicd combination-treated rice straw with following by ammonia-treated, urea and sulfuric acid combinationl-treated and urea-treated rice straw. When passage rate of 6% in rumen of korean native bulls was applied, effective degradabilities (ED) of DM of urea-treated, ammonia-treated, urea and sulfuric acid combination-treated and ammonia and sulfuric aicd combination-treated rice straw were 21.68, 25.06, 28.30 and 31.86% after incubation for 72 hrs respectively.

주식회사 이사의 특별배임죄 : 존재의의와 한계

文成植,周鍾相 대전대학교 법문화연구소 1999 새울法學 Vol.- No.3

흰쥐 재생간의 알콜대사효소들의 활성치

문교철,곽춘식,정성광,김여희 啓明大學校 醫科大學 1988 계명의대학술지 Vol.7 No.2

A study was made on the change in the activities of the following during 10 post-operative days: alcohol dehydrogenase of regenerating rat livers after 70% (median and left lateral lobes) partial hepatectomy. After partial hepatectomy in the rats, activities of regenerating liver alcohol dehydrogenase significantly increased in the sixth day. The activities of microsomal ethanol-oxidizing system in the regenerating liver markedly increased from the third day after partial hepatectomy. However, no significant changes in hepatic catalase was noted throughout the experiments. The activities of cytosolic and microsomal aldehyde dehydrognease in the regenerating liver significantly increased from the sixthe day and the third to the sixth day respectively, but mitochondrial aldehyde dehydrogenase showed no change.

한우의 반추위내에서 요소 및 암모니아처리 볏짚과 황산병용처리 볏짚의 In situ 유기물 분해율

문승식,정현승,박성진,유성오 진주산업대학교 농업기술연구소 1997 農業技術硏究所報 Vol.10 No.-

본 시험은 볏짚의 수분함량을 30%로 조절하여 농업용 요소 6%를 수용액상태로 처리한 요소처리 볏짚과 암모니아가스 3%를 처리한 암모니아처리 볏짚을 밀봉상태로 45일간 보관한후 개봉하여 이들 처리볏짚의 1/2에 해당하는 양에 농황산 2.2%를 처리하여 요소-황산병용처리 및 암모니아-황산병용처리 볏짚을 제조하여 화학적 조성을 분석하고, 한우의 의해 in situ 유기물 분해율을 측정하였으며, 그 결과를 요약하면 다음과 같다. 1. 볏짚의 유기물 소실율은 암모니아-황산병용처리>암모니아처리>요소-황산병용처리>요소처리 볏짚순으로 높았다. 2. 유기물의 잠재적 소화율은 타처리에 비하여 암모니아처리 볏짚에서 높은 경향을 나타내었다. 3. 볏짚의 유기물분해율(P)은 암모니아-황산병용처리>암모니아처리>요소-황산병용처리>요소처리 볏짚순으로 높았다. 4. 사료섭취량에 따른 한우의 반추위내 통과율이 시간당 6%일 때 72시간 발효시 예상유기물 분해율(ED)은 요소처리, 암모니아처리, 요소-황산병용처리 및 암모니아-황산병용처리 볏짚이 각각 18.97, 21.63, 24.66 및 29.09%이였다. This study was carried out to investigate the effects of two phase treatments of urea-sulfuric acid and ammonia-sulfuric acid combination on in situ organic matter degradability of rice straw as ruminant feedstuff. Rice straw were treated with 6% urea (W/DM) or 3% ammonia (W/DM) for at least 45 days and further with sulfuric acid for overnight to complete the combination treatments. The treated rice straws were then sun-dried, and the chemical composition of the treated rice straws were analyzed. Also, Four Korean native bulls (550±30.5kg) were used to determine the in situ organic matter degradability in rumen. The treatments included urea-treated, ammonia-treated, urea·H_2SO_4 combination-treated and ammonia·H_2SO_4 combination-treated rice straws. In situ disappearance of organic matter (OM) in the rumen was significantly (P<0.05) higher in ammonia·H_2SO_4 combination-treated rice straw than those of other treatments. Potential digestibility of OM were slightly higher in ammonia-treated rice straw than those of other treatments. Organic matter degradabilities (P) in the rumen was high in ammonia·H_2SO_4 combination-treated with following by ammonia-treated, urea·H_2SO_4 combination-treated and urea-treated rice straw. When passage rate of 6% in rumen of korean native bulls was applied, effective degradabilities (ED) of OM of urea-treated, ammonia-treated, urea·H_2SO_4 combination-treated and ammonia·H_2SO_4 combination-treated rice straw were 18.97, 21.63, 24.66 and 29.09% after incubation for 72 hrs time, respectively.

주관적 건강인식과 건강검진 결과의 비교분석을 통한 건강행위 연구

문상식,이시백 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.3

The purpose of this study is to analyze health behavior by comparing the difference between self-perceived health status and health examination results. The study subjects consist of 7,702 people aged over 20, surveyed by Health Interview survey, Health Examination survey, Dietary Life survey, Health Consciousness and Behavior survey Data used in the study are drawn from raw data from a 1998 National Health and Nutrition survey. Goneral characteristics variables are sex, age, education level, residential area, marital status, occupation, and living standard while dichotomous variables, 'not healthy' and 'healthy' are used to measure self-perceived health status. Variables for health examination results are high blood pressure, high cholesterol, diabetes, liver diseases, liver inflammation, kidney diseases, normal weight, regular diet, optimum sleeping time(7-8 hours), regular health examination and health behavior practice group. Major findings of the study are as follows: 1)Analysis of self-perceived health status and health behavior by disease : Variables significantly correlated with high self-perceived health status have strong associations with high health behavior practice, which supports the hypothesis that as one has high self-perceived health status, one is more likely to practice health promoting behavior. The results of analysis of health behavior differences by dividing subjects into two categories, 'cases of illness' and 'cases of no illness' indicate that drinking, sleeping time, health examination are significant variables (p<0.001, 0.05) whereas smoking, weight control, regular exercise, regular diet are not significant. 2)Analysis of disparity patterns between self-perceived health status and health examination : The hypothesis that health behaviors would be different according to the disparity pattern between self-perceived health status and health examination is supported as a result of χ2 test. Among Type I : Self-perceived health status is high and actual health status is good (no disease) Type II : Self-perceived health status is high and actual health status is poor(have disease) Type III : Self-perceived health status is low and actual health status is good(no disease) Type IV : Self-perceived health status is low and actual health status is poor(have disease) Type I and Type IV show no disparity, Type I shows the highest health promoting behavior whereas Type IV shows the lowest health promoting behavior Type II, and III, compared to Type I, practise lower health promoting behavior Multi-logistics regression analysis was conducted to find out the degree of impact on health behavior. Independent variables are goneral characteristics, self-perceived health status and health examination result and presence of illness, while the dependent variable is health promoting behavior. The analysis of the impact of self-perceived health status on the health promoting behavior shows that smoking, drinking, weight control, regular exercise, health examination practice, and/or regular diet are significantly correlated to self-perceived health status, High self-perceived health status is inversely related to high health promoting behavior. This finding supports the hypothesis that the higher one perceives one's health, the more likely one is to practice health promoting behavior. On the contrary, the presence of illness has little impact on health promoting behavior. 3)Multiple logistics analysis on how disparity patterns between self-perceived health status and health examination affect health behavior : The results of multiple logistics analysis made on health behavior variables compared to the standard variable are as follows: When analyzed on the standard of Type I, smoking is a significant risk factor for the Type IV. In case of drinking, all the patterns show a high probability of relative task ratio. With regard to weight control, it is a risk factor for Type II while all the patterns show high probability of not practising when analyzed on the standard of type IV.Type III and IV show high probability of not doing regular exercise while Type IV, shows a high probability of not taking appropriate sleeping time. When analyzed on the standard of type IV, all the patterns show a high probability of not taking health examinations. Type III and IV show a high probability of not having regular meals. As for overall health promoting behavior, Type III and IV show a high relative risk ratio. These two groups have low self-perceived health status. It implies that self-perceived health status has significant impact on health promoting behavior. This is also supported by the fact that Type I with high self-perceived health status and no illness shows a high practice rate of health promoting behavior. Types II and III the groups with high disparity between self-perceived health status and health examination results, show a low practice rate of health promoting behavior when compared to Type I. Type IV, that is the group with low self-perceived health status and actual illness, shows the lowest practice of health promoting behavior. It is highly probable that this type proves to be the poorest health group.

탄성력이 관계되는 역학적 에너지 보존에 관한 지도상의 문제점과 개선 방안

문충식,윤성현,권재술 한국교원대학교 과학교육연구소 1991 청람과학교육연구논총 Vol.1 No.1

현행 고등학교 물리 교과서와 대학 일반물리학 교재에 나타난 용수철 진자의 진동에서 역학적 에너지 보존에 관한 기준점 설정의 불명확성과 오해의 소지를 지적하고 이를 해결하기 위한 방안을 제시하였다. 혼란이 생기는 원인은 근본적으로 좌표 기준, 위치 에너지의 기준 설정에서 나타나는 것으로써 군등장인 경우, 거리에 비례하는 위치 에너지(mgx)이므로 기준을 어디에 잡아도 무방하나 그렇지 않는 탄성 위치 에너지의 경우(1/2)kx^2에는 주의를 요한다. 본 연구는 기준 위치 설정에 따라 위치 에너지 표현식이 다름을 보이고 이를 고등학교 및 대학 일반물리학 수준에서 지도할 수 있는 방안을 제시하고자 한다. A typical representation of elastic potential energy is (1/2)kx^2, where x represents the distance from the spring's unstratched end point. However, this representation will be correct only in a particular situation that the origin of the coordinate and the reference point of the potential energy are at x=0. Without this condition, the potential representation, (1/2)kx^2, is no longer correct. In this study, the misconceptions found in high school textbooks and university laboratory manual were exemined and presented a improved method to teach elastic potential energy. The generalized form of elastic potential energy with arbitrary reference point in coordinate system as well as potential energy was derived. To adopt this idea in high school level, a graphical method of deriving the generalized form of elastic potential energy was devised.

노인외상환자의 예후 인자

문철규,전정민,최성혁,문준동,이성우,홍윤식 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: It has been documented that certain prognostic factors may affect the outcomes of the old aged victims by trauma. Considering that trauma is the sixth most common cause of death in people over the age of 65 years and there is a rapid growth of elderly population, it is paramount to understand the prognostic factors when dealing with geriatric trauma patients. Hypothesis and Goals: It can be hypothesized that the prognostic factors should be determined independently between populations being consisted of different races, countries, socio-economic states, cultures, or so on. Thus, the study was designed to evaluate the factors affecting the outcomes of elderly Korean trauma patients. Methods: One hundred forty six patients aged over 65 years were retrospectively reviewed, who visited the Emergency Center of Korea University from January, 1997 to June, 1998. Of 146 patients, 7 were excluded due to discharge against advice or transfer to the other hospitals. Parameters analyzed were age, sex, mechanism of injuries, body region injured, Injury Severity Score (ISS), previous medical illness, hospital morbidity, duration of hospital stay, and cost. Each patient was classified into improved or not-improved group depending on the outcomes, and young-old or old-old group depending on the age. The factors affecting the hospital stay in improved patients were analyzed in the parameters of previous medical illness, hospital morbidity, multiple injuries, ISS, and age. All statistical tests were conducted with two-tailed levels of 0.05. Results: Of 139 patients, the mean age was 74±7.1 years, mean ISS 9.3±7.26, mean hospital stay 27±27.1 days. Most commonly injured body region was the extremities due to fall from a level surface. Rate of previous illness showed 0.94 medical diseases per person and were aggravated after trauma in 39 patients (60.9%). Hospital morbidity rate was 0.46 incidents per person. There were no differences in age and duration of hospital stay between the improved and the not-improved group. Substantial differences were noted in affected body region, incidence of previous illness, and hospital morbidity between the groups (p=NS). Not-improved group had higher ISS(p<0.05). ISS, previous illness and hospital morbidity affected the duration of hospital stay in the improved group. Hospital stay was 40±25.1 days in patients with ISS over 6 while 6±8.6 days in those with ISS 5(p<0.05). Hospital stay in the improved was 26±26.9 days while 31±24.8 days in the improved old-old group (p=NS). Hospital stay in the young-old minor trauma (ISS5) patients with previous illness and hospital morbidity was 26±10.1 days while 4±7.3 days in those without previous illness and hospital morbidity (p<0.05). Conclusion: Previous medical illness and hospital morbidity, not age, are predictive of outcomes of geriatric trauma patients with respect to hospital stay. As most of the hospital morbidity was a trauma-induced aggravation of previous medical illness and hospital morbidity contributing poor outcomes can be potentially avoidable, routine aggressive care for the geriatric trauma patients with previous medical illnesses is needed.

Amentoflavone의 아라키돈산 유리효소인 phopholipase A_2에 대한 저해활성 및 비만세포에서 histamine 유리 억제효과

문태철,이은경,이승호,손건호,김현표,강삼식,장현욱 영남대학교 약품개발연구소 2002 영남대학교 약품개발연구소 연구업적집 Vol.11 No.-

Amentoflavone, naturally occurring biflavonid, isolated from the leaves of Ginko biloba, selectively inhibited human seceretory phospholipase A_2. This compound potently and irreversibly inhibited human group IIA in a dose dependent manner with an IC_50, about 3??M. Amentoflavone inhibited phospholipase A_2 by noncompetitive manner, with the apparent Ki value of 1×10^3M. In addition, the inhibitory activity of amentoflavone is rather specific against group IIA phospholipase A_2 than IB phospholipase A_2. Furthermore, this compound strong inhibit histamine release from A_23187 treated rat peritoneal mast cells. These results indicate naturally occurring biflavonid represents a novel anti-inflammatory agent.