제2형 당뇨병 외래 환자의 비만도에 따른 미세혈관합병증

이성규,조남한,김현만,이관우,정윤석,채봉남,김윤정,이미덕,노혜림,홍은경,조현경 대한당뇨병학회 2000 Diabetes and Metabolism Journal Vol.24 No.1

Background: Korean type 2 diabetic patients who are frequently non-obese, may be genetically different from Western type 2 diabetics who are frequently obese. Therefore, the diabetic complications of type 2 diabetes mellitus in Korea may be also different from those of Western countries. Until now, most studies reported in Korea did not analyse the microvascular complications of type 2 diabetes mellitus according to obesity, and also the criteria in the diagnosis of microvascular complications were different in each study. We investigated the microvascular complications and its relationship with obesity, in type 2 diabetic patients visiting an outpatient clinic. Methods: The study subjects were type 2 diabetic patients visiting an outpatient clinic of Ajou University Hospital. We selected patients participating in a 75 g oral glucose tolerance test, retrospectively. Type 2 diabetes was diagnosed according to the WHO/NDDG classification of diabetes. Biochemical studies including lipid profile, plasma insulin and C-peptide levels were done. Anthropometric measurements were performed. Based on BMI (㎏/㎡), the patients were divided into the following groups: the lean group, when the BMI was less than 20 ㎏/㎡ the ideal body weight (IBW) group, if the BMI was between 20 ㎏/㎡ and 25 ㎏/㎡ in women and 20 ㎏/㎡ and 27 ㎏/㎡ in men; and the obese group, when the BMI was $gt;25 ㎏/㎡ in women and $gt;27 ㎏/㎡ in men. Results: 1. Neuropathy (45.2%) was the most frequent among the microvascular complications, and the frequency of retinopathy was 15.1%, and that of nephropathy was 4.9%. Within 5 years of diabetes duration, the frequency of neuropathy, retinopathy, and nephropathy was 43.2%, 11.8%, and 2.9%, respectively. 2. Glycosylated hemoglobin (HbA_(1c)) and fasting blood glucose levels were not different among the three groups. Beta cell function{Δ (insulin 30min - insulin Omin)/Δ(glucose 30min - glucose 0min)} was the highest in the obese group. However, beta cell function(ΔI/ΔG) divided by the basal insulin level, considered insulin resistance, was not different among the three groups. 3. Within 5 years of diabetes duration, retinopathy tended to be the most frequent in the lean group, whereas neuropathy tended to be the most frequent in the obese group, and body mass index influenced the retinopathy and neuropathy, statistically significantly. Conclusion: Diabetic neuropathy was the most frequent among microvascular complications of type 2 diabetes mellitus in our study subjects. At the time of presentation within 5 years of diabetes duration, the lean group of type 2 diabetics had a tendency of the more frequent retinopathy, the obese group had a tendency of the more frequent neuropathy. These results suggest that type 2 diabetes mellitus in Korea is also not a single disease entity, as in Western countries and is a heterogenous group of disorders with a diversity of microvascular complications. However, the more studies about this will be required.

성 아타나시오의 『말씀의 육화론』의 신학적 중요성

조규만 가톨릭대학교 사목연구소 1999 司牧硏究 Vol.7 No.-

사제 직무

조규만 가톨릭대학교 사목연구소 2002 司牧硏究 Vol.10 No.-

국내 설계시공일괄사업에서 Fast-Track 적용결정 모델 : S월드컵주경기장 사례분석을 중심으로

조규만,현창택,구교진 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1

The Fast Track is the Method for accelerating schedule through the activities that are normally done in series are done in parallel. But it should not have been effective in Public construction, because the owner did not have confidence to success the fast track project. so, this study proposes the model selecting the project that is more effective to apply fast track. The model is made up two factors; one is owner's organization and the other is each project's characteristics. The use of these model enable owner to provide the Guide Line of the rational making decision.

상 요추 추간판 탈출증의 수술적 치료

조태현,송준혁,김명현,박향권,김성학,신규만,박동빈 梨花女子大學校 醫科大學 醫科學硏究所 2000 EMJ (Ewha medical journal) Vol.23 No.3

Objectives : Lumbar disc herniations at the L1-L2, L2-L3, and L3-L4 level are rare. The purpose of this study is to observe the variable clinical finding of upper lumbar disc herniations and to provide proper treatment modality. Patients and Methods : Between 1998 Jan. and 1999 Dec., seventeen patients with upper lumbar disc herniations who were undergone surgery in our institute were retrospectively evaluated. Patients were evaluated based on following factors : age, sex, aggravating factor, symptoms and signs type of disc herniation, type of surgery, and outcome of post-surgery. Results : The incidence of lumbar disc herniation at the level of L1-2, L2-3 and L3-4 is 6.1% with declining frequency as the level ascends. The peak age incidence is 6th decade in both sex. Preoperative symptomes and signs are variabe. In sixteen cases, posterior approach was done. In these cases, twelve cases were performed microscopic partial hemilaminectomy, and four cases with spinal stenosis were performed total laminectomy and posterior screw fixation with bone fusion. In one case, lateral extracavitary approach was done. In results of operation, fourteen cases showed more than good grade(82%). Conclusion : The age incidence of lumbar disc herniations at the level of L1-2, L2-3 and L3-4 older than lumbar disc herniations at the lower level of L4-5 and L5-S1. The signs and symptoms are variable. In our cases, most of the patients were performed posterior approach with microscopic partial hemilaminectomy except the patients combined spinal stenosis. One case was performed a lateral extracavitary approach because the risk of the cord and cauda equina injuries. The prognosis of upper lumbar disc herniations after treatment with only microscopic partial hemilaminectomy and diskectomy is comparable with the prognosis of lumbar disc herniations at the lower level.

Alkali 감령처리된 Polyethylene Terepthalate Filament 직물에 나타난 흰얼룩의 원인분석

曺煥,李石榮,許萬宇,鄭元圭 嶺南大學校 工業技術硏究所 1983 연구보고 Vol.11 No.1

A study has been undertaken to know the reason why the white specks appear in the polyethylene terephthalate (PET) filament fabrics which were made alkali weight loss treatment in the dyeing and finishing factories of Taegu area. The results are as follows 1. Main component of the white spects in PET filament fabrics is CaCo₃. 2. The CaCO₃was extracted from the washing water and adhered to the PET filament fabrics during the dyeing and finishing process. 3. When PET filament fabrics were treated with hard water, the warp sizing agent did not dissolve to make specks on dyed fabrics. Then the insoluble sizing agent can not be got rid of by alkali treatment. 4. On account of using Na₂CO₃ in washing PET filament fabrics, white spects also can be appeared.

리더십 유형과 벤처기업 조직유효성에 관한 연구

조동규,양재생,이만규 東亞大學校 大學院 2004 大學院論文集 Vol.29 No.-

In an effort to improve job satisfaction and organizational commitment in venture business, this study investigates the relation between leadership style and organizational effectiveness of venture business and the influences of the former on followers' satisfaction and commitment. Leadership style was taken as an independent variable, which is classified into 3 types: directive, supportive, and participative. On the other hand, job satisfaction and organizational commitment were regarded as dependent variables. The former means worker's satisfaction on pay, promotion, coworker relation etc., while the latter refers to identifying oneself with an organization and accepting its goals and value, desiring to stay at the organization continuously. Three major hypotheses were set up to be tested and the subjects of the research were 101 workers sampled from five venture business in Busan and Kyungnam areas. Their responses were then analyzed by means of ANOVA and regression methods. The results of the analysis turned out to be as follows: first, participative leadership style shows significant relation with job satisfaction; second, coworker relation is related to organizational commitment; third, participative leadership style leads to cooperative human relation in organization.

구원에 대한 그리스도교 내의 대화

조규만 가톨릭대학교 사목연구소 2003 司牧硏究 Vol.11 No.-

인간 생명 존엄성의 근거에 관한 신학적 성찰

조규만 가톨릭대학교 인간학연구소 2002 인간연구 Vol.- No.3

후천성 이중 유문 1예

정규성,조기섭,정재용,조영호,민영돈,박찬국,김만우 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.1

Double pyrolus, one of the relatively rare anomalies of the gastrointestinal tract, is a fistulous communication between the gastric antrum and the duodenal bulb. The first case of a double Pylorus was reported in 1969 by Smith, since then several cases have been reported. Recently, as the frequency of examining upper gastrointestinal series and endoscopy increases, it occurs more frequently and a few cases have been described in our country. According to the reports previously published, it resulted only from cysts, diverticla, atresia, band, membrane malformation of the pylorus, however, it might be also caused by penetration, complication of peptic ulcer. We report a case of double pylorus in a 67-year old man with prolonged administration of corticostetoids due to lumbago who has complained epigastric pain which was confirmed by endoscopy and biopsy.