요관결석 환자에서 강성요관경하 제석술과 요관절석술에 대한 임상적 고찰

김홍섭,황선태,노용수,양상국,박치영 건국대학교 의과학연구소 1995 건국의과학학술지 Vol.5 No.-

Patients with ureteral calculi may be managed by expectant, invasive, or noninvasive treatments, depending on the stone composition, size and location, expectations of the patients, and experience of the surgeon. Currently ureteroscopic removal of stone(URS) has been popularly used for the treatment of ureteral calculi. From January 1992 to December 1994,we retrospectively compared the clinical results of 87 URS's to those of 31 ureterolithotomies and analysed the factors that affect the result of URS. The clinical results of two groups were summarized as follows The mean stone size was 7.6㎜ in URS group and 12.1㎜ in ureterolithotomy group. In 81.6% of URS group, the stone was located in the lower ureter and 71% of ureterolithotomy group in the upper ureter. The mean operation time, hospital stay and costs of the URS group, 96.6% of the stone were removed or disintegrated. There was no statistical significance in the success rate of URS along the sex difference, the location and size of stone. However, the higher the location of stone was, the more operation time spent. The complication rate of URS was estimated 26.5% but most of complications were resolved by conservative management. We conclusively suggest that the URS is the acceptable alternative modality of the ureterolithotomy for the treatment of the ureteral calculi.

비만의 예방과 치료를 위한 영양과 운동처방

김용재,한성섭,백영호 釜山大學校 附設 體育科學硏究所 1994 體育科學硏究所 論文集 Vol.10 No.-

1. Obesity is an excessively increased state of total body fat, and it means that body fat is much more than normalcy by exercised 20 % in men and 30% in women. The causes of obesity are genetic body, environment, lack of exercise, meal pattern, psychological and social factor. And, obesity increased the risk of body unbalance and disease. Obese individual has a more and larger adipocytes fat cell than normal individual. And the number of adipocytes fat cell increases 4 times between 1∼22 years old. Adipose tissue LPL activity is elevated in obese individual. 2. Obesity promotes the adult-disease and increase the possibility of heart disease, hepatism, Mellitus(diabetes), Hypertension and Arteriosclerosis by 15∼40%. ① As the weight of hypertensive decreases, the blood pressure decreases, on the contrary, as the former increases, the latter increases. ② After decrease of weight, blood plasma tryglyceride becomes rare. ③ obesity induces the Mellitus and has remarkable relation with overweight. ④ By the phenomena of excessive insulin structure in the state of obesity, it was proves that insulin causes insulin resistance and insensitivity 3. Respiratory problems and other diseases are the CO₂ retention problems by the lack of exercise and the occurrence of gouty attacks (in the case of30% above average weight). In men, the higher mortality was for colorectal and prostate cancer, and in women, for endometrial, gallbladder and breast cancer. 4. Because BAT(Brown Adipose Tissue) emits the heat by oxidizing the fat-acid in cell, it has an important role as a regulator of body heat and energy balance. And, it seems that BAT in intimately associated with obesity through the weight regulation. 5. The therapeutic use of exercise to reverse obesity has been widely hailed. Exercise strengthens, softens the muscles and increases the chemical action and metabolism. Weight regulation by drugs has to be accompanied by metabolism and dietary management. The strength of exercise has to be maintained 80% of maximum pulse frequency, the duration of exercise has to be sustained 15∼20minutes after 3 minutes of warming up. It is recommended that 3∼6 times of exercise a week is suitable

거대한 악하선관 타석 1례

김경일,심홍섭,김용기,도남용 조선의대 1996 The Medical Journal of Chosun University Vol.21 No.2

반발경도법에 의한 혼화재 및 섬유사용 콘크리트의 압축강도 추정

김정섭,신용석,노성열,김정훈 朝鮮大學校 建設技術硏究所 2007 建設技術硏究 Vol.27 No.2

This study aims to estimate strength approximate to actual concrete strength by presenting appropriate rebound method strength estimation expression with admixtures (fly ash, blast furnace slag, silica fume) which are used as cement substitute and polypropylene fiber and steel fiber and owing to their s of cement owing to their equal conditions to blending characteristics of concrete used for domestic structures and their recyclable properties. In case of rebound hammering, equation by Japanese Architecture Society was estimated 26~40% higher than destructive strength and remaining suggested equation was estimated 2%~18% lower. In case of ultrasound velocity, equation by Japanese Architecture Society was estimated 4%~11% higher than destructive strength till 60 days of age, but as age progresses, is estimated to 15% lower than destructive strength and remaining suggested equation was estimated 3%~27% lower than destructive strength in almost age. In case of complex methods, all suggested equations were estimated to 24%~94% higher than destructive strength. Since application of existing expression of normal concrete against concrete using admixtures and fiber causes error rate, this study suggests the following estimation expression depending on the kind of admixtures and fiber of concrete using them and position of non-destructive experiment. C-N f_(cu)=1.6R-25.43(R²=0.90), C-FA f_(cu) = 1.07R-8.76 (R²=0.82), C-BF f_(cu)=1.46R-23.09(R²=0.92) C-SF f_(cu) = 1.55R-22.96(R²=0.89), C-PP f_(cu) = 1.16R-12.24(R²=0.73), C-S f_(cu)=0.99R-8.07(R²=0.86)

비파괴 시험에 의한 혼화재를 사용한 콘크리트 압축 강도 추정에 관한 연구

김정섭,신용석 朝鮮大學校 建設技術硏究所 2005 建設技術硏究 Vol.25 No.1

This study made member specimen for taking specimen, core with the concrete mixing normal concrete, admixture and conducted the same air curing as field conditions. After performing destructive and nondestructive test by ages, estimate expression was suggested by analyzing correlations between compressive strength, rebound number and ultrasonic pulse velocity and the results are as follows. 1) As a result of comparing error rate of existing expressions and this estimation expression, error rate of this estimation is reduced compared to existing expressions and has higher reliability. 2) When conventional concrete expression is applied to admixture concrete, error rate occurs and then this study suggests the following estimation expressions depending on types of admixture concrete.

전방십자인대 재건술후 등속 운동처방이 대퇴부 기능적 활성과 근 혈류속도에 미치는 효과

김유섭,김동희,장용우,문채련 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1

This study was to examine the effect of isokintic exercise prescription on thigh functional activity and muscle blow flow velocity after anterior cruciate ligament reconstruction. Subjects were twelve male patients. Test group were classified into isokinetice exercise group(seven male) and physical therapy group(five male). Ioskinetic exercise group(I.E.G) was exercised six times a weeks for eight week by using the isokinetic exercise in kin-com. Physical therapy group(P.T.G) were devoted oneself to one's physical therapy. Thigh strength showed significant increase in I.E.G and P.T.G especially I.E.G showed high(p<0.000) increase of 226.7% (quadriceps), 115.8% (hamstrings) compare with initial activity ratio. Cross sectional area of thigh showed significant (p<0.0001) increase of 3.65% in I.E.G Blood flow velocity showed significant(p<0.0001) increase of -18.8% in of I.E.G during 8week isokinetic exercise. Correlation among each variable showed closely connected. According to this results. after anterior cruciate ligament reconstruction. isokinetic exercise prescription will selected adaption of angle velocity from middle speed to high speed according to activity of muscle function.

Diazepam과 Lidocaine이 노인환자의 기관내삽관시 심전도 및 심맥관계에 미치는 영향

김경희,권성범,신용섭,최세진 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.1

We selected at random 30 geriatric patients who had received operation under the general anesthesia with endotracheal intubation. The patients were divided into 3 groups. Group 1 (control) had received endotracheal intubation without diazepam and lidocaine. Group 2 had received endotracheal intubation with diazepam. Group 3 had received endotracheal intubation with lidocaine. The changes of arterial blood pressure and pulse rate, and the appearance of arrhythmia were compared in each group. The results were as follows : 1. The increase of blood pressure and heart rate were less in group 2, 3 than the control group which showed significant increase of blood pressure and heart rate with endotracheal intubation. 2. The incidence of arrhythmias with endotracheal intubation was less in group 2(20%), group 3(50%) than the control group(80%). 3. The electrocardiographic change in the group 2 and 3 were not significant compared to group 1(control).

Vinyl腐蝕法에 依한 在來山羊 脾柱靜脈의 區域的 走行에 關한 硏究

金鍾涉,金武剛,金容根,元鳳來 慶尙大學校 1972 論文集 Vol.11 No.-

The studies were conducted to observe the segmental running of splenic trabecular veins, employing the vinylite corrosion technique in sixty adult Korean goats, and the following results were obteined: 1. The splenic trabecular veins of the goat were collected into 5 chief Rami of the splenic veins(called Rr. superior, media et inferior, Vv. polares superior et inferior), and the splenic parenchyma was divided into 3-8 intralienal venous segments by the course of trabecular veins. 2. Each intralienal venous segment was divided into 2-4 minute segments, therefore 7-22 minute segments were observed in the spleen. 3. The anastomoses were found between segments or minute segments. 4. The splenic arterial and venous system of the Korean goat took a individual course in the splenic parenchyma respectively.

로스쿨에서의 실무역량강화를 위한 커리큘럼(교육과정)의 개선과제

김용섭 梨花女子大學校 法學硏究所 2013 法學論集 Vol.18 No.2

로스쿨의 성공여부는 그 커리큘럼이 우수한 법률가를 양성하는데 손색없이 구성되어 있으며, 교육내용이 얼마나 충실하게 이루어지는지 여부에 달려 있다. 로스쿨 교육이 3년간의 단기이면서 법학의 지식이 부족한 로스쿨생에게 실무교육을 내실화 해야 하기 때문에 법이론의 기초부터 실무적인 교육까지 과연 3년 안에 제대로 된 교육이 가능할 것인가 하는 비관론이 있을 뿐만 아니라 현재의 법령과 인가기준에 비추어 로스쿨에서의 필수과목의 학점이 35학점에 그치고 있어 실무적인 역량을 배양할 수 있는 커리큘럼이 편성되어 있다고 보기 어렵다는 비판론이 팽배해 있다. 그런데 로스쿨의 교육에 있어 학사관리가 엄격히 이루어 지지 않을 경우에는, 경쟁률이 매우 낮은 변호사시험에 합격하여 법조사회로 진출하게 되므로 로스쿨 출신 변호사에 대한 사회적 신뢰가 악화되는 문제점이 야기될 수 있다. 현재 3년의 로스쿨 재학기간동안 로스쿨별로 다양한 커리큘럼이 마련되어 있는 것 같이 보이지만 일부 특성화 프로그램을 제외하고는 25개 로스쿨이 대동소이한 커리큘럼을 운영하고있다. 로스쿨에서 필수과목이 35학점에 불과하여 변호사로 활동함에 있어 반드시 필수적으로 수강하여야 하는 행정구제법, 불법행위법, 형사증거법, 민사집행법, 각종 소송실무과목이 대부분의 로스쿨의 선택과목으로 되어 있어, 변호사로 활동함에 중요한 과목조차 제대로 이수하지 않고 로스쿨을 졸업하는 학생이 적지 않은 실정이다. 이러한 중요과목들을 이수할 수 있도록 하기 위해서는 필수과목학점을 60학점이 상으로 상향하거나 현행의 필수과목이외에 필수선택과목제도를 마련할 수 있도록 커리큘럼에 관한 인가기준을 완화하고 지나치게 학생의 자율에 맡기고 지나치게 선택과목이 많은 커리큘럼의 기본틀을 전면 재조정할 필요가 있다. 나아가 엄격한 상대평가제를 내용으로 하는 학사관리강화방안을 대안 없이 완화할 것이 아니라, 현재 일본에서 검토하고 있는 공통도달도 확인시험과 같은 유형의 시험을 도입하면서 학사관리강화방안을 점차 완화할 필요가 있다. 우리의 경우 로스쿨협의회 차원에서 1학년에서 2학년으로 올라가는 단계에서 공통적인 유급여부 판정을 위한 평가시험을 치르도록 하여 로스쿨 교육의 질적 수준을 유지함과 아울러 로스쿨 입학 이전에도 법학에 대한 충분한 준비를 하고 입학할 수 있도록 유도하여 로스쿨의 교육이 실무역량을 강화하는 방향으로 나아가도록 하는데 기여할 것이다. 끝으로, 로스쿨별로 교과목을 개설하더라도 다양한 교수법이 동원되지만 변호사시험 과목을 중심으로 교과목의 중요한 핵심사항인 공통적 도달목표인 최소한도의 기준(minimal standard)을 정하여 시행할 필요가 있다. Success of law school depends how well its curriculum is constructed to be suitable for educating excellent lawyers and how substantial the contents of education is. While the education period of law school is as short as 3 years, law school students relatively lack of law knowledge should be substantially taught jon training. Accordingly, there are many pessimistic views about whether the extensive education ranging from theories of law to job training can be well performed for such a short period. In addition, there are many criticisms that the current law school curriculum is not told to be formed to enable cultivation of practical competence because even the current laws and law school authorization standards provide for only 35 credits for required subjects. In the meantime, if educational affairs are not exactly administered at law school, a great issue may be caused resulting in loss of people’s reliability on law school graduate lawyers, as law school graduates can easily pass the examination for the bar whose competitive rate is very low. It seems that law schools have set up a variety of curricula for the 3 year period, but except for some specialized programs, 25 law schools operate almost same curricula. Required subjects of law school are given only 35 credits, and many important subjects such as Administrative Remedies Act, Injunctions in Tort Act, Police and Criminal Evidence Act, Civil Execution Act, various litigation practice subjects, etc. which are required to be necessarily taught to serve as a lawyer are classified as elective subjects at most law schools. Accordingly, it is real that not a few students graduate from law schools without completing even the subjects required for serving as a lawyer. In order to enable law school students to complete such important subjects, credits of required subjects shall be raised to more than 60 units, or the fundamental curriculum frame excessively allowing students self-control and elective subjects shall be wholly adjusted to enable law schools to introduce the required elective subjects system, even through mitigation of the current law school authorization standards. In addition, the current plan for intensifying administration of educational affairs focusing on the strict normative evaluation system shall not be mitigated without an alternative. The educational affairs administration of law school is required to be gradually mitigated only after introduction of a proven test system such as the common achievement evaluation test currently reviewed in Japan. In korea, it is recommended that the Law School Council administer an evaluation test to select flunkers for the first grade students to advance to the second grade, so as to keep the quality level of law school education and induce law school applicants to make enough preparation for law before entering law school. In the end, it will greatly contribute to advancement of law school education in the direction to step up practical competence. Finally, even though subjects are set up by individual law schools and teaching methods are different each other, it is recommended to set a minimal standard to be commonly satisfied at least for each of the subjects included in the examination for the bar.

구조적 손상을 입은 철근콘크리트 보의 보강 효과에 관한 연구

김정섭,신용석,김경옥 朝鮮大學校 建設技術硏究所 2006 建設技術硏究 Vol.26 No.1

This study conducted bending experiment to examine reinforcing effects after preloading of reinforced concrete by reinforcing materials and obtained the following conclusions. To sum up experimental results, it was found that CFS reinforced specimens were excellent in improving bending force and ductility capacity and CB reinforced specimen showed higher reinforcing effects. GFS reinforced specimen had lower reinforcing effects due to lower attachment than fiber reinforced material CFS. GSP reinforced specimen had larger internal force than other reinforced specimens, but it showed the lowest reinforce effects due to its low attachment to concrete and GSP reinforcing specimen showed the same or higher reinforcing effects than other reinforcing materials if its attachment to concrete is improved.