정맥하 진정요법에서 Midazolam 단독 사용과 Midazolam, Fentanyl 또는 Propofol 병용 요법의 비교

이동현,김재원,이상준,김재현,장태화,안상헌,장헌수,Lee, Dong-Hyeon,Kim, Jae-Won,Lee, Sang-Jun,Kim, Jae-Hyeon,Jang, Tae-Hwa,An, Sang-Heon,Jang, Heon-Su 대한치과마취과학회 2008 Journal of Dental Anesthesia and Pain Medicine Vol.8 No.2

Background: The purpose of this study was to compare the use of midazolam only with midazolam with fentanyl or propofol in IV sedation. Methods: 24 cases were divided to midazolam group (M group), midazolam + fentanyl group (MF group), midazolam + propofol group (MP group) and midazolam + fentanyl + propofol group (MFP group). In M group, 2 ml midazolam was injected at first, than at 2 minutes interval 1-2 ml injected continuously depending on the level of sedation. In MP, MFP groups, propofol was injected at the speed of 15-20 ml/hr by infusion pump. In this study, the sedation level was evaluated by using OAA/S scale. In each groups, the recovery time was measured until OAA/S scale score level was 5, and pre and postoperative blood pressure change was measured. Each group's data was statistically analyzed using one-way ANOVA. If significant statistical difference were observed, Dunnet test was performed, and control group was M group. Results: Pre and postoperative blood pressure change were not represent significant statistical difference in 4 groups (P value = 0.679 [systolic], P value = 0.206 [diastolic]). But recovery time were represent significant statistical difference (M group: 35.6, MF group: 32.5, MP group: 17.9, MFP group: 19.6 [P value = 0.002]). The result of Dunnet test on recovery time showed significant statistical difference on MF, MFP group when M group was control group. In MFP group, sedation was increased by using supplemental fentanyl, and postoperative pain control was dominant. Conclusion: To achieve the effect of anxiolysis, analgesia, amnesia effectively, and short recovery time, MFP group is mostly recommended.

하악 전돌증 환자에서 전산화 단층 촬영을 이용한 하악관의 해부학적 위치에 관한 연구

이동현,김재원,이수연,김재현,안상헌,이상한,장현중,Lee, Dong-Hyun,Kim, Jae-Won,Lee, Su-Youn,Kim, Jae-Hyun,An, Sang-Heon,Lee, Sang-Han,Jang, Hyun-Jung 대한악안면성형재건외과학회 2009 Maxillofacial Plastic Reconstructive Surgery Vol.31 No.6

Purpose: In this study, we analyzed and compared the anatomical position of the mandibular canal in normal occlusion and mandibular prognathism patients. Patients and Methods: Computed tomography image from 58 patients were divided into normal occlusion group and mandibular prognathism group, and each measurement were taken in the each measuring points(2nd premolar, 1st molar, 2nd molar, 3rd molar, ramus). Measurements were statistically analyzed by student's t-test. Results: BC (Thickness of the buccal cortex) value was 2.3~2.7 mm, CB (Distance from the canal to the lingual aspect of the buccal cortex) value was 1.3~4.3 mm, MC (Diameter of the canal) value was 3.2~3.8 mm, LI (Distance from the canal to the lingual aspect of the lingual cortex) value was 2.0~3.7 mm, TM (Thickness of the total mandible) value was 9.5~12.9 mm and CM (Distance from the canal to the inferior border of the mandible) value was 6.9~17.5 mm. Conclusion: In the comparison between two groups, there was statistically significant difference in CB value of 2nd, 3rd molar between normal occlusion and mandibular prognathism, and other value in the rest of the measuring points didn't show statistically significant difference.

폐경기 여성에서 고름자궁으로 나타난 자궁내막결핵 증례

이동현 ( Dong Hyun Lee ),조동휴 ( Dong Hyu Cho ),이정헌 ( Jeong Heon Lee ),김영란 ( Young Ran Kim ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.6

Mycobacterium infection manifesting pyometra in postmenopausal women is a extremely rare disease that hardly responds to the usual treatment of pus drainage and antibiotics therapy. We present a case of a postmenopausal woman with pyometra caused by endometrial tuberculosis. Almost all of the pus could be drained through the stenotic cervical canal, with difficultly. The result of Pipelle endometrial biopsy was negative. However, her symptoms continued and fluid gradually re-accumulated in the uterine cavity, despite successful pus drainage and sufficient antibiotics use. Therefore, the endometrial tissue was obtained by fractional curettage after cervical dilatation to identify the accurate cause of pyometra. A pathologic examination and polymerase chain reaction confirmed the diagnosis of endometrial tuberculosis. After completion of antituberculous medication, she was doing well without further development of pyometra. In a case of postmenopausal pyometra, endometrial sampling should be performed to rule out endometrial tuberculosis.

라섹 수술 후 발생한 세균성 각막염

이동현(Dong Hyun Lee),이종헌(Jong Heon Lee),이지은(Ji Eun Lee) 대한검안학회 2015 Annals of optometry and contact lens Vol.14 No.3

Purpose: To report two cases of bacterial keratitis occurring after laser epithelial keratomileusis (LASEK). Case summary: Two patients were referred to our hospital because of ocular pain, conjunctival injection, and decreased visual acuity occurring 3 days after LASEK surgery. At that time, visual acuity was hand movement in both cases and they presented with corneal epithelial defects, stromal infiltration, and inflammation in the anterior chamber of their eyes. Patients were treated aggressively with hourly topical broad-spectrum fortified antibiotics after corneal scrapings were obtained. Gram stain was positive for gram negative bacilli in case 1 and culture was positive for Staphylococcus aureus in case 2. Both eyes responded well to treatment, resulting in residual corneal scarring with best corrected visual acuity of 20/25 in case 1 and 20/40 in case 2 after 12 and 6 months respectively. Conclusions: Infectious keratitis can occur after LASEK surgery usually during early postoperative period and early diagnosis and aggressive therapy should be followed through the close follow-up.

보건직 여성공무원의 인유두종바이러스 감염에 대한 인식 및 지식조사

조동휴 ( Dong Hyu Cho ),김은경 ( Eun Kyung Kim ),이동현 ( Dong Hyun Lee ),최원구 ( Won Ku Choi ),임은지 ( Eun Ji Lim ),김종현 ( Jong Hyun Kim ),이정헌 ( Jeong Heon Lee ),조성남 ( Seong Nam Cho ),오병찬 ( Byung Chan Oh ),정영주 ( Y 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.5

목적: 보건직 여성공무원의 인유두종바이러스 감염에 대한 인식도와 지식도를 알아보기 위해 본 연구를 실시하였다. 연구 방법: 2007년 4월부터 6월까지 전라북도 보건직에 종사하는 공무원 여성 총 991명에게 인터넷을 통한 설문을 실시하였다. 사용된 설문은 일차적으로 대상자의 일반적 특성을 묻는 11문항, human papillomavirus (HPV) 감염에 대한 지식을 묻는 9문항으로 구성되었다. 결과: 완전하게 설문답변을 한 546명 중 인유두종바이러스에 대해 들어 본 적이 있다고 답한 여성은 145명 (37.6%)이었다. 인유두종바이러스 감염과 관련된 인식도는 기혼여성, 성경험이 있었던 여성, 과거 자궁경부암 검사상 이상이 있었던 경우, 성병기왕력이 있었던 경우, 정기적으로 1년에 한 번씩 자궁경부암 검진을 받고 있는 경우에 유의하게 높았다. HPV 감염에 대해 들어 본 적이 있다고 답한 여성에 있어서, HPV 감염에 대한 지식을 묻는 문항 정답률의 총 평균은 56.3%였다. 70% 이상 높은 정답률을 보인 질문은 4문항이었다. `HPV는 자궁경부암을 일으키는 주된 원인이다` 124명 (88.6%), `HPV는 성교를 통해 감염되는 질환이다` 111명 (79.3%), `피임약을 통해 HPV 감염을 예방할 수 없다` 107명 (76.4%), `남자가 HPV를 옮길수 있다` 100명 (71.4%). 정답률이 50% 미만은 3문항이었다. `HPV는 크게 고위험군과 저위험군 2가지로 나뉘어져 있다` 62명(44.3%), `HPV 감염은 평생 지속된다` 41명 (29.3%), `콘돔으로 HPV 감염을 예방할 수 있다` 18명 (12.9%). 결론: 보건직 여성공무원의 HPV 감염에 대한 인식도와 지식도는 낮은 편이었다. 따라서 여성들의 HPV 감염에 대한 인식 및지식 정도를 높이기 위해서는 매스미디어를 통한 더 많은 교육과 홍보가 필요하다. Objective: To assess the level and accuracy of understanding of human papillomavirus (HPV) infection among female public health personnel in Chonbuk province. Methods: Nine hundred ninety-one female public health personnel were asked to complete a questionnaire assessing HPV awareness and specific knowledge about the virus. The questionnaire contained 11 demographic informations and nine true-false questions on knowledge about HPV infection. Results: Questionnaires were completed by 546 women, of whom 145 (37.6%) had heard of HPV. Married women (P=0.019), those with a history of candida, genital warts (P<0.001), or an abnormal smear result (P=0.001), annually visitor for a Pap smear (P=0.023) were more likely to have heard of human papilloma virus. Medical doctor (38.6%) was the most common source of hearing of HPV. Overall percentage of knowledge among those who had heard of HPV was 56.3%. Responses indicated than more than 70% had up-to-date knowledge about several issues: HPV is the main cause of cervical cancer, HPV is sexually transmitted, The pill protects against HPV, and Men can carry HPV. Fewer than 50% knowledge of HPV infection were as follows: HPV viruses are divided to low-risk and high-risk type, HPV infections persist forever, condoms protect against HPV. Conclusion: In this well educated samples, awareness of HPV infection was poor. And also, knowledge about HPV infection was relatively low. We recommend that more educational effort is needed for improving women`s knowledge and awareness of HPV infection.

친환경 가소제를 첨가한 에틸 셀룰로오스 나노복합체

김지흥(Ji Heung Kim),이동현(Dong Hyun Lee),심상준(Sang Joon Shim),남재도(Jae Do Nam),이영관(Young Kwan Lee),최성헌(Sung Heon Choi),조미숙(Mi Suk Cho),김덕준(Duk Joon Kim) 한국고분자학회 2005 폴리머 Vol.29 No.4

구입동기가 스포츠용품 브랜드자산과 확장 평가의 조절효과에 미치는 영향

최철영(Choi, Cheol-Yong),이동현(Lee, Dong-Heon),김남중(Kim, nam Joong) 용인대학교 무도연구소 2013 武道硏究所誌 Vol.24 No.2

이 연구의 목적인 스포츠브랜드자산과 브랜드확장평가와의 관계를 규명하기 위하여 광주,전남 지역 동우회 및 스포츠센터 회원 639명을 대상으로 설문 조사, 분석·논의하였다. 또한 설문지는 예비조사를 통해서 내용의 적합성과 적용 가능성을 통계적 방법을 통해서 신뢰도와 타당도를 검사한 후 이를 수정.보완하여 최종적으로 사용하였다. 이에 대한 통계기법으로 SPSS 12.0을 이용하여 빈도분석과 신뢰도분석을 사용하였으며, AMOS 5.0프로그램을 이용하여 경로분석 및 다변인 경로분석(Multi-Cluster Anaysis)을 사용하였다. 첫 번째, 스포츠브랜드자산은 확장 평가에 영향을 미쳤다. 두 번째, 구입 동기는 스포츠브랜드자산과 브랜드확장평가 관계에서 조절효과가 있다. To obtain the purpose of examination between sports brand equiety and consumer`s inclination about extension brand evaluation, I researched, analysed, and discussed about questionnaire to sports-center and the same taste"s club members of 639 numbers in Kwangju and Jeonnam province. Also, after investigating of preference and trust degrees using statistical methods, Suitabilities and application possibilities were ultimately used by amending and complementing them. Using SPSS 12.0 program frequence and reliability were analysed and MCA was accomplished by AMOS 5.0 program. First, sports brand equity is meaningful because of a non-standardization coefficient about the evaluation of brand expansion . Sports brand equity influences brand expansion. Second, A buying motive maneges between sports brand equity and the evaluation of brand expansion

[재료]UV-VIS-IR 분광법에 의한 산화 인듐 주석 박막의 선택적 투과 흡수 특성 관찰

이전국(Jeon-Kook Lee),이동현(Dong-Heon Lee),조남희(Nam-Hee Cho) 한국분석과학회 1992 분석과학 Vol.5 No.1

한,중,일 격투무예(수박(手搏),상박(相搏),상박(相撲))의 어원 및 기원에 관한 연구: 고대 일본 스모 (상박(相撲))에 보이는 격투술을 중심으로

송일훈 ( Il Hun Song ),남댁현 ( Duk Hyung Nam ),이재학 ( Jae Hac Lee ),이동현 ( Dong Heon Lee ) 한국스포츠정책과학원(구 한국스포츠개발원) 2007 체육과학연구 Vol.18 No.3

이 연구에서는 한·중·일에 분포한 수박(手搏)·상박(相搏·相撲) 비교·분석을 통해 격투무예(Combat) (手搏·相搏·相撲)의 어원·기원에 관한 연결성 및 전통성을 확인할 수 있었다. 첫째, 격투무예(手搏·相搏·相撲)의 발생 근원지가 한·중·일 삼국에서 행하여 졌던 실전 싸움 격투술이라는 뒷받침 해줄만한 신빙성 있는 고대 고증문헌의 자료들이 존재한다. 둘째, 고구려 고분벽화의 각저도(角抵圖)와 중국 진대(秦代)의 묘안에서의 나무빗 그림 및 후한시대 한묘(漢墓)의 고분벽화에 보이는 shoubo(手搏), 그리고 일본 헤이만(平安)시대의 토우 유물에서도 격투무예(手搏·相搏·相撲)로 추정되는 유술기법들이 보인다. 셋째, 한·중·일 고증문헌 및 유물을 통해 격투무예(手搏·相搏·相撲)의 발생 근원지의 경로를 확인할 수 있었다. 넷째, 일본의 스모(相撲)는 고대 고분벽화 및 토우 형태에 보이는 신체복장의 모습이 매우 유사하였다. 다섯째, 일본 스모(相撲)의 고증 그림을 살펴보면, 고대 고분벽화에 보이는 역사(力土)들의 신체제례의식 동작들을 엿볼 수 있었다. 이상의 연구결과를 종합해 볼 때, 한·중·일에 분포한 격투무예(手搏·相搏·相撲)에 관한 연관성을 인정해야 한다. 더 나아가 수박(手搏) ·상박(相搏·相撲)은 어느 특정한 무술의 의미가 아니라 일반명사의 총체적인 의미로 쓰인 것으로 사료된다. This research proves the tradition and the relationship about the beginning and the etymology of ``Combat`` through the comparison and the analysis of ``Subak(手搏)`` and ``Sangbak(相搏·相撲)`` distributed throughout Korea, China and Japan. First of all, the dependable data of ancient historical documents prove actual martial arts which was conducted in Korea, China and Japan as the origination place of ``Combat``. Secondly, the techniques of ``Combat`` are shown at the ancient wall painting such as Goguryeo`s Gakjeodo(角抵圖), Chinese painting of a wooden comb, shoubo(手搏) and Japanese remains(earthenware), earthenware. Thirdly, through these historical records and remains, it is clear that the trace of the original place of ``Combat`` is in Korea, China and Japan. Fourthly, the sumo(相撲) of Japan is very similar to clothes that are shown at the ancient wall painting. The fifth, as the historically proved painting of Japanese sumo(相撲), the body ceremony of history is shown at that painting. After taking the above into consideration, implications of the techniques of ``Combat`` distributed among Korea, China and Japan must be confirmed. Furthermore, ``Subak(手搏)`` and ``Sangbak(相搏·相撲)`` does not mean specific military arts, but general terms.

한국의 도시성장과 도시화 과정을 통해본 비효율적 요인과 과제 : 대도시권을 중심으로

이동현 명지대학교 대학원 1999 대학원논문집 Vol.3 No.-

Most of cities in Korea have become worse in all the human aspects of urban form by the various kinds of problems, since the rapid urbanization that was caused for the urban growth and it's sprawl during the national economic growth. Although many of the plans and developments had been implemented to reduce the urban problems by the government, the result was always in remaining unexpected and another problems that were continued still now. While those problems have accumulated. we are faced to take over the economic burdens for more investment for the urban renewal and developments before the functional or cultural problems were reduced. In recent, for those reason, the efficiency of the investment becomes the major concerns by reflecting the past investments for the inefficiency of the development that was carried out every years during the period of the rapid urban economic growth, in spite of tremendous investment, and finally it also become the important theme on subject to find out the main factors that have made the investment go to the inefficiency and loss for reduction of the urban complex. Solve find out the factors, it is needed to trace the problems of economic burdens from the period of the early urbanization until now. These factors are as follows: First, the major reason of inefficient economic factor was the increasing population that had been occurred in the rapid sprawl around the urban area by the numerous immigrants from the rural. The high density of the population around the urban area needed strongly more traffic volume than before, and also made the reason of disorder of the land use and infrastructure which led to the most inefficient investment later. Second, in the implement of the urban renewal and development, the method and strategy were concentrated only on the target area and architectural effects without consideration of the proper population distribution for the future and organization of each land use or space use which also led to the inefficient one now. Now, to solve or minimize these inefficient factors, it is necessary to develope the method of analysis and organization of new Model in economic context for the more efficient urban development.