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長空 김재준 목사의 ‘삶의 신앙' 지향적 설교에 관한 연구
김윤규 한국개혁신학회 2013 한국개혁신학 Vol.38 No.-
Changgong Jaejoon Kim has been called a famous theologian, writer and also great thinker. However his entire life he was a wise, excellent biblical scholar, and also a humble, devoted Preacher. He always was eager to listen to the "viva vox evangelii"(the living Good News-Gospel), and was a "Faith of Life-oriented" Preacher with wholistic spirituality. He prayed for actualizing and realizing of God's Will and His Justice and Righteousness in the earth. And to his audience, specially to the Intellectuals he proclaimed 'Faith and Life' in balance. he was continuously focusing 'Cosmic Community'. For the sake of that he prayed for the 'Illumination' of the Holy Spirit, and also for that matter he sacrificed himself. First of all, in this writing are reviewed his style of preaching and his personality through 'Changgong Jeonjip 18 volumes and many of Kim's sermons. Secondly, Kim's two sermons with same text and verses(in the year of 1956 & 1975) are compared, analized and evaluated, so that we find out the answer and solution of Today's Preaching Crisis. 장공 김재준 목사는 저명한 신학자, 저술가, 명문장가 또는 위대한 사상가로 알려졌다. 그러나 어떤 의미에서 그는 일생동안 뛰어난 ‘성서학자’로서 겸손하고 헌신적인 ‘설교자’였다. 그는 언제나 ‘생생한 복음의 소리’(viva vox evangelii)를 경청했고, ‘삶의 신앙’을 추구한 ‘통전적 영성’을 소유한 ‘설교자’였다. 그는 끊임없이 하나님의 뜻과 의(義)가 이 땅위에서 실현되기를 기도했고, 또한 설교를 통해 회중들에게, 특히 지성인들에게 ‘삶의 신앙’을 선포했다. 그는 언제나 ‘범우주적인 공동체형성’을 위해 성령의 도우심을 간구했고, 자신을 희생했다. 이 논문에서 연구자는 먼저 전 18권으로 된 ‘金在俊全集’과 수없이 많은 설교들을 통해서 장공의 ‘설교자’로서의 ‘위격’과 그의 설교유형의 특성을 추적할 것이다. 그 다음에 연구자는 장공의 설교들 가운데서 동일한 본문으로 행한 두 편의 설교를 대비하여 분석하고 평가함으로써, 오늘날 점차 고조되고 있는 ‘설교의 위기’에 대한 적절한 대답을 찾을 것이다.
St. Jude Medical판막치 환술의 장기 임상성적
김윤규,류지윤 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.9
One hundred eight patients (Feb.'86, through Jan.'96) underwent 53 mitral(MVR), 20 aortic(AVR), )5 double(DVR) valve replacement with SJM prosthesis. There were 55 males and 53 females whose mean age was 36.3 $\pm$ 10.4 years. We used 143 valves in mitral(88), aortic(54), and tricuspid(1) sites. The size and number of valves were 31 mm(32). 33inm(23), 29mm(20), 27mm(10), 25mm(2), and 35mm(1) in mitral site; 2)mm(21), 21mm(1 S), 19mm(7), 25mm(5), 27mm(2), and 33mm(1) in aortic site; and Blmm(1) in tricuspid site. Preoperative NYHA functional classes were II(14), III(73) and IV(21), and which were improved into I(89) and II(16) postoperatively. Early postoperative complications occurred in 15 cases(13.9%) in which LOS was the most common one(5 cases; 4.6%). fatly hospital death occurred in 3 cases(2.8%) due to LOS(1) and sudden cardiac arrest(2) he cummulative total follow-up period was 437.6 pl-yr with a mean of 4.1$\pm$2.9 years. There were 5 events of valve related'complications (2 TE, 1 paravalvular leak, 1 TE+paravalvular leak, 1 PVE) with the occurrence rate as 1.14%/pt-yr. Reoperation was performed in 2 cases and there were 2 cases of valve related death due to one PVE and one paravalvlllar leak. The complication free rate was 91.4$\pm$ ).4% at 10 years. Actuarial survival rate was 93.6 $\pm$ 3.1 % at 10 years. 1986년 2월부터 1996년 1월까지 108명의 환자에게 SJM 판막을 이용한 판막치환수술을 시행하고 1996년 2월까지 10년 동안 임상적으로 추적, 분석하였다. 성별은 남자 55명, 여자 53명이 였고 연령분포는 최소 11세에서 최고 60세로 평균 36.3 $\pm$ 10.4세였다. 치환된 판막은 승모판에 88개 대동맥 판에 54개 삼첨판에 1개였는데 승모판막치환에는 31mm(32), 33mm (23), 29inm(20), 27mm(10), 25mm(2), 그리고 35rnrn(1) 등이 사용되었고 대동맥 판치환에는 23rnm(21), 21min(18), 19mm(7), 25mm(5), 27mm(2), 그리고 33inm(1) 등이 사용되 었으며 삼첨판에 31mm(1)가 사용되었다. 술전 NYHA 기능적 분류는 II(14례), III(73례), IV(21례)였으나 술후에는 I(89례), II(16례)로 대부분 호전되었다. 술후 조기합병증은 15례(13.9%)에서 발생하였는데 저심박출증이 5례(4.6%)로 가장 많았고 3례(2.8%)의 술후 조기사망이 있었다. 술후 조기사망자를 포함한 전체 추적기간은 108례에서 평균 4.1$\pm$2.9년(437.6환자-년)이 었으며 후기 합병증은 5례(1.14%/환자-년)에서 발생하였는데 혈전색증(2례), 판막주위누출(1례), 혈전색과 판막주위누출(1례)및 판막염증(1례)등이었으 \ulcorner판막실패 례는 없었다. 재수술은 2례에서 시행되었고 2례가 사망하여 10년간 생존율은 93.6$\pm$3.1%였고 10년간 합병증이 없을 확율은 91.4$\pm$3.4%였다.
Anti-idiotype 항체를 이용한 17$\beta$-Estradiol 측정을 위한 Time-resolved Fluoroimmunoassay
김윤규,김창규,박성민,이치호,이원창,최영숙,김종배 한국동물번식학회 1993 Reproductive & developmental biology Vol.16 No.4
A competitive type immunoassay method for 17$\beta$-estradiol(E2) based on the idiotypic anti-idiotypic antibody and time-resolved fluorescence is described. The anti-idiotypic antibody(Ab2) produced to E2 binding site of the primary idiotype antibody (Ab1) was labelled with europium and was allowed to compete with E2 standards or serum sample for the binding sites of Ab1 which was bound to 2nd antibody captured ontothe surface of microtitre plates. Fluorescence measured by time-resolved fluorometer was inversely proportional to the concentration of E2 over the range 5~500pg/well. The sensitivity of the assay was 5pg per well which was compatible with that ofradioimmunoassay using the same Ab1 and 3H-E2 as a tracer. One great advantage of this method described here was to enable antibodies to be labelled instead of haptens, and thus makes it easier to develop sensitive and robust immunoassay systems specially for haptens.
체외순환에 따른 백혈구의 폐내정체와 말초혈액내 숫적 동태에 관한 연구
김윤규,김양원,최석철,조광현,Kim, Yun-Gyu,Kim, Yang-Won,Choe, Seok-Cheol,Jo, Gwang-Hyeon 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.7
체외순환으로 인한 백혈구의 폐내정체는 술후 폐기능 부전의 주된 요인들 중 하나로 인식되고 있다. 본 연구의 목적은 체외순환전 투여한 부신피질 호르몬제(Solu-Medrol 30mg1kg)가 백혈구의 폐내정 체와 일부 관류후 증후군에 예방적 효과가 있는지를 규명하는데 있다. 연구는 1995년 1월부터 6월까지 부산백병원 흉부외과에서 실시된 개심술 환자중 무작위로 선정된 50 명을 대상으로 전향적 맹검법(blind fashion)으로 시행되었던바, 연구의 목적상 전체 환자를 부신피질 호 르몬제를 투여한 steroid 군(n=25)과 투여하지 않은 placebo 군(n:25)으로 나누어 검토하여 다음과 같은 결과를 얻었다. 1. 체외순환은 말초혈액의 총 백혈구수를 유의하게 변화시키는데 초기 엔 그 수를 저하시켰고 시간이 경과할수록 점차 상숭시켰으며 이러한 숫적 변화들은호중구수의 변화에 기인하였고 술후 7일까 지 유의한 증가를 보였다. 2.부분 체외순환은 백혈구의 폐내 정체를 야기시키나 고용량의 스테로이드 사용으로 예방이 가능하 였다. 3.양 군 모두에 있어 체외순환 동안 임파구수는 의미있게 변화되지 않고 체외순환 종료후 부터 3일 동안 유의한 감소를 보였으나 술후 7일엔 완전히 기준치로 회복되 었다. 4. 단구수는 양 군 모두 체외순환 초기 엔 큰 변화가 없다가 이후 점차 상승하여 술후 7일까지 유의한 증가가 지속되 었다. 5. 술후 동맥혈 PaO,는 placebo 군은 술전치 에 비해 감소되 었으나(P=0.01) steroid 군은 변화가 없었다 (P=0.90). 술후 발열 역시 steroid 군에 비해 placebo 군이 더 높았다(P=0.001). 이상의 결과를 통해 체외순환을 이용한 심장수술 동안 백혈구의 활성화와 폐내 정체가 관찰되.었고 steroid의 사용이 백혈구의 폐내정체를 예방해 주고술후의 일부관류후증후군을완화시켜 줌을확인할 수 있었다. 따라서 체외순환전 고용량 스테로이드의 예방적 투여가 적절한 것으로 사료된다. Transpulmonary sequestration of leukocyte following cardiopulmonary bypass(CPB) has been recognized as one of main causes of postoperative pulmonary dysfunction. The purpose of this study is to investigate the effect of a single dose of prebypass corticosteroid on pulmonary leukostasis and postoperative pulmonary dysfunction. The study was performed prospectively in randomized-blind fas ion for 50 patients from January 1995 to June 1995. All patients were divided into two groups; In the steroid group(n=25), corticosteroid(Solu-Medrol 30mg1kg) was injected prior to CPB and in the placebo group (n=25), normal saline was injected before CPB. The results were summarized as follows. 1. Total peripheral leukocyte counts decreased significantly at 5 minutes of CPB in all patients(P<0.01), and began to increase progressively at later periods of CPB with neutrophilia. The significant rise remained at postoperative 7th day. 2. During partial CPB, transpulmonary leukostasis occurred in placebo group(P< 0.001), whereas it was prevented in steroid group. 3. In both groups, peripheral Lymphocyte counts were stable during CPB, but began to reduce at time of intensive care unit(ICV) and the Iymphocytopenia remained until postoperative )rd day. The Iympho- cyte counts recovered on postoperative 7th day. 4. In both groups, peripheral counts of monocyte were relatively stable in the e rly peroid of CPB, and increased gradually in the later periods of CPB. This significant monocytosis remained throughout postoperative periods(P< 0.05). 5. The mean value of postoperative PaOa was lower than that of pre-CPB In placebo group(P=0.01), but in steroid group, there was no significant difference(P=0. 90) and fever was higher in placebo group compared to steroid group(P=0.001).
구강질환을 가진 환자들의 캔디다균종의 분포와 채취 방법에 따른 배양 결과 비교
김윤규,강재국,임영관,김병국,김혜은,조혜중,SUNQIAOCHU,안규현,SHISHUHAN,김옥준 대한구강악안면병리학회 2017 대한구강악안면병리학회지 Vol.41 No.2
The purpose of this study is to analyze the distribution of Candida species in patients with oral disease and clarify the distinction of Candida culture test according to its isolation technique. 75 samples was isolated from 42 patients who visited Chonnam National University Dental Hospital due to oral disease from December 2015 to August 2016. For isolating the candida sampling, saliva sampling and oral swabbing were used. Acquired sampling was cultured in CHROMagar Candida Culture Medium, which indicates the candida species as color. Of the 42 patients, C. albicans was the most frequently isolated species in 39 patients. For 17 patients out of 21 who underwent saliva sampling and oral swabbing simultaneously, oral swabbing was quantitatively underestimated comparing to saliva sampling. 12 samples in 21 samples having particular Candida species were not isolated by oral swabbing. Considering the possibility of fungal infection in various oral disease, it is recommended to perform not only oral swabbing but saliva sampling when isolating Candida.