초기 자궁내막암 환자에서의 복강경유도하 질식 자궁절제술과 복식 자궁절제술에 대한 비교 연구

김민규 ( Min Kyu Kim ),최동석 ( Dong Seok Choi ),김우영 ( Woo Young Kim ),최철훈 ( Chel Hun Choi ),김태중 ( Tae Joong Kim ),이정원 ( Jeong Won Lee ),김병기 ( Byoung Gie Kim ),이제호 ( Je Ho Lee ),배덕수 ( Duk Soo Bae ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.12

목적: 초기 자궁내막암의 수술적치료 시 복강경유도하 질식 자궁절제술 및 골반림프절절제술군과 복식수술군의 수술결과 및 재발율에 대해 비교하고자하였다. 연구 방법: 2003년 3월부터 2005년 5월까지 초기 자궁내막암 환자를 인구학적 특성이 같은 63명을 선택하여 복강경유도하 질식 자궁절제술 및 골반림프절절제술군 26명, 복식수술군 37명으로 나누어 수술 전후 혈색소 차이, 평균수술시간, 취득한 골반림프절갯수, 평균재원일수, 추가치료율, 재발률을 비교하였다. 결과: 복강경유도하 질식 자궁절제술 및 골반림프절절제술을 시행한 군과 복식수술을 시행한 군과의 비교에서 수술 전후 혈색소 차이, 평균수술시간, 취득한 골반림프절 갯수, 평균재원일수, 재발률에 통계적으로 유의한 차이가 없었다. 결론: 초기 자궁내막암의 수술 시 복강경유도하 질식자궁절제술 및 골반림프절절제술 방법이 복식방법에 비해 수술결과 및 재발률에 통계적으로 유의한 차이가 없으며 그 대체 수술법으로 많은 활용이 기대되었다. Objective: To compare laparoscopic surgery with conventional abdominal surgery in patients with early stage endometrial cancer. Methods: A retrospective review of 63 patients with early stage endometrial cancer managed between March 2003 and May 2005. Two groups were defined whether they had been treated by laparoscopy (case group: n=26) or by laparotomy (control group: n=37). We compared age, body mass index (BMI), hemoglobin change, operation time, number of pelvic lymph nodes, hospital stay, case with adjuvant treatment and recurrence between two groups. Results: There was no statistical difference in characteristics (age, BMI, nulliparity, previous abdominal surgery, FIGO stage, histologic grade). between case and control group. In addition, there was no statistical difference in operation data and outcomes between two groups. Hemoglobin changes were 1.1 g/dL (case group) vs 1.7 g/dL (control group) (p=0.072). Operation time was 131 min vs. 115 min. The numbers of lymph nodes obtained were 8.7 vs 7.7 (right) 9.2 vs. 7.6 (left). Hospital stays were 8.4 vs. 9.2 days. Adjuvant treatment cases were 7 vs. 15. Recurrent case was one in each group. Two patients initially evaluated by laparoscopy were converted to laparotomy due to bleeding and adhesion. Conclusion: Laparoscopic surgery for treatment of early endometrial cancer is a safe and effective alternative to laparotomy . However, long-term survival and risk of recurrence have yet to be determined.

洛東江 河口周邊의 防災對策에 관한 基礎的인 硏究

민일규,김원규,최병습,박상길,김가현 釜山大學校生産技術硏究所 1996 生産技術硏究所論文集 Vol.51 No.-

波浪과 흐름이 共存하는 大河川 河口部인 洛東江 河口域에서 洛東江 河口둑을 基点으로 波浪, 흐름, 地形變動, 潮流, 洪水位等을 評價基準으로 하여 災害에 대한 基本的인 評價를 實施했다. 波浪, 潮流, 洪水位等이 水位上昇을 透發시켜 周邊地域을 浸水시킬 수 있는 危險性의 與否를 實測과 數値計算을 통하여 實施하였다. 地形變動은 實測만을 통하여 地形變動率을 調査하였다. 資料를 分析한 結果 洛東江 河口地域은 波浪, 흐름과 波浪이 共存하는 領域으로 區分된다. 數値計算結果에 의하면 河口部에서의 來襲波高가 直接 河口둑 水門과 주변構造物에 미치는 影響은 크지 않았다. 또한, 3次元 波高分布를 볼 때 河口 水路를 따라서 거슬러 올라오는 波浪의 影響은 거의 없었다. 洪水位와 流速은 災害를 透發시키는 主要因子로 評價되었다. 波浪에 의한 異常高潮와 漲潮流와 潮汐의 滿潮時間 및 最大洪水量이 時間적으로 一致되는 境遇, 河口둑 周邊地域의 水位 上昇과 流速의 停滯現狀으로 浸水狀態가 發生한다. For the investigation of inundation disasters by wave setup in the Nakdong Estuary of the Large River which waves and currents are coexist, the wave surveying data was analyzed and the numerical model was applied to the Estuary. In this study, the result of surveying data analysis shows that waves have little effect on the surroundings. As the result of numerical computation, waves have seldom direct influence upon the barrage and its gates. Also, according to three dimension distribution of waves, it is found that coming up waves along the Estuary channel and the setup of waves have seldom effect barrage structures.

HFCVD법을 이용하여 제작한 n-형 다이아몬드 박막의 특성 연구

김병규,황윤식,권민철,김용,이재열,박홍준 동아대학교 기초과학연구소 2000 基礎科學硏究論文集 Vol.17 No.1

HFCVD법으로 암모니아 가스를 사용하여 n-형 도핑된 다이아몬드 박막을 제작하여, 기판온도와 암모니아 가스 첨가비에 따른 박막의 morphology의 변화를 조사하였다. 증착된 시료에 대한 SEM, Raman, XRD를 이용하여 박막의 특성을 분석하고, 도핑에 따른 전계방출 특성을 측정하였다. 양질의 n-형 도핑된 다이아몬드 박막을 증착시키기 위해 기판온도와 암모니아 첨가비에 따른 최적의 증착조건을 찾을 수 있었다. We fabricate n-doped diamond thin films by hot filament chemical vapor deposition method(HFCVD) using ammonia as a doping gas and investigate the effect of the substrate temperature and the ammonia gas ratio upon the diamond film morphology. The SEM, Raman spectroscopy, and the XRD analysis are executed to characterize film morphology. Field emission property of the film is measured also. We find optimum conditions of the substrate temperature and the ammonia gas ratio to deposit high quality n-doped diamond thin films.

성인 음낭수종의 치료로서 Window Operation의 효용성

서병욱,박영호,이남규,전윤수,김민의,김영호,송윤섭,구자현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.1

We intended to determine the usefulness of window operation for adult hydrocele repair. We reviewed medical records of 132 patients from January 1995 to June 1998 with primary hydrocele and evaluated complications and recurrence rates of eversion and/or excision, plication, and internal drainage technique. Recurrence rate was highest in internal drainage technique as 85.2%, and those of eversion and/or excision and plication technique were 1.3% and 4%, respectively. Complication rate was highest in eversion and/or excision technique, and lowest in internal drainage technique. Although complication rate was lowest in window operation, this operation could not be successful due to high recurrence, and we suggest that this operation should be abandoned for hydrocele repair.

무증상의 현미경적 혈뇨의 비뇨기과적 고찰

구자현,서병욱,김영호,송윤섭,전윤수,김민의,이남규,박영호 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2

We intended to know whether all of the patients with asymptomatic microscopic hematuria should be urologically investigated routinely. We reviewed the medical records with asmptomatic microscopic hematuria from January 1995 to December 1997. Urological studies included intravenous urography or ultrasonography, urine cytology, cystoscopy and biopsy, urine AFB smear and culture and urine PCR for AFB. The age with patients ranged from 9 to 74 years(mean age: 39.7 years). Benign diseases were found in elderly patients and patients with high degree of hematuria, but there was no patients who had urological malignant disease. According to the results, we suggest that follow-up with urine cytology is sufficient to younger patients or low degree of hematuria with asymptomatic microscopic hematuria.

돌로마이트 슬러지를 이용한 세라믹스 제조

한상목,강상규,이승섭,이병민 강원대학교 석재복합신소재제품연구센터 1998 석재연 논문집 Vol.3 No.-

돌로마이트 폐기물 슬러지에 Al(OH)₃와 SiO₂를 첨가하여 코디어라이트와 규회석을 합성하고자 하였으나 1250℃소성으로 코디어라이트는 MAS조성에서 합성되지 않았으며 규회석은 합성이 되었다. 돌로마이트 내화물의 내수화성을 증가시키기 위해 슬러지에 Fe₂O₃를 6%이상 첨가하여 소성한 결과 입계에 (Ca·Mg·Al·Fe)SiO₂의 생성으로 인하여 내수화성이 증가되었다. The possibility of synthesis for the cordierite and wollastonite with dolomite waste sludge, Al(OH)₃ and SiO₂ was studied. With the composition of MAS, the cordierite was not synthesized at sintering of 1250℃ and the wollastonite was made at the same temperature. The addition of Fe₂O₃ above 6% to the dolomite for the antislaking behavior has promoted the sinterability of dolomite and (Ca·Mg·Al·Fe)SiO₂ at grain boundary was affecting the increase of antislaking.

기도 이물의 임상적 고찰

김영석,이승규,이민재,백병준,오천환 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Aspiration of foreign bodies into the airway is a common problem in spite of efforts to educate the public and it can be sometimes fatal accidents. A retrospective study has been performed for 34 cases of airway foreign bodies, which were obtained from April 1994 to August 1998 at Chunan hospital of Soonchunhyang University. The results were as follows: 1) Among the 34 cases, 26 cases(76.4%) were under the age of 3. The ratio of male and female was 1.4:1. 2) The most common symptom after foreign body aspiration was intractable cough(38.2%). 3) Abnormal findings in the chest X-ray films were found 24 cases(70.6%) and the most common abnormal radiologic feature was combination of pneumonia and atelectasis(37.5%), followed by combination of pneumonia and emphysema(16.6%), pneumonia alone(16.6%). 4) The nature of foreign body was vegetables in 20 cases(58.8%), miscellaneous in 11 cases(32.4%), metals in 2 cases(5.9%) and plastics in 2 cases(5.9%). 5) By distribution of the location of foreign bodies, 26 cases(76.4%) were located in the main bronchus(20 cases in right side and 6 cases in left side), 5 cases were in trachea, 2 cases were in larynx and 1 case was located at carina level. 6) By duration of foreign body lodgement in the airway, 15 cases(44.1%) were found within 24 hours, 9 cases(26.5%) were within 7 days, 7 cases(20.6%) were within 30 days and 3 cases(8.8%) were found over 1 month. 7) In mode of treatment, ventilating bronchoscopic removal under general anesthesia was performed in 29 cases(85.3%), thoracotomy with bronchotomy in 2 cases, thoracotomy with lobectomy in 1 case and postural drainage in 2 cases. 8) Complication rate according to the nature of foreign body was most high in vegetables(68.2%). 9) Correlation between complication rate and the duration of the foreign bodies in situ was definite.

급성 골수성 백혈병 환자에서 관해 유도 항암 화학요법 후 발생한 베르니케 뇌증

황진원,정재현,서광원,최병진,송영진,김종윤,이은지,임홍규,이상민 인제대학교 2009 仁濟醫學 Vol.30 No.-

Wernicke's encephalopathy is characterized by the triad of ocular symptoms, ataxia, and mental confusion and neuropsychiatric condition generally caused by acute thiamine deficiency. Although it is common in the severe alcoholics, several other causes also have been identified, such as total parenteral nutrition (TPN) use, hyperemesis gravidarum, anorexia nervosa, hemodialysis, uremia, and acquired immunodeficiency syndrome(AIDS). Chemotherapy in patient with malignanacy and long term total parenteral nutrition following bone marrow transplantation are related with Wernicke's encephalopathy. A 48-year-old woman had been treated with Daunorubicin and Cytarabine for remission induction chemotherapy of acute myeloblastic leukemia and intravenous hyperalimentation due to persistent hematochezia and ileus caused by infiltration of leukemic cell in terminal ileum. She suddenly complained of diplopia, tremor, and mental confusion at 32th day after chemotherapy and generalized tonic-clonic seizure at 34th day after chemotherapy. The diagnosis of Wernicke's encephalopathy was made with clinical presentations and brain MRI. Brain MR T2-weighted & Flair image revealed a high signal intensity lesions bilaterally at the medial thalamus and peri-acueductal grey matter of the midbrain. The patient was successfully treated with vitamin B1. We presented a case of acute Wernicke's encephalopathy developed after remission induction chemotherapy followed by intravenous hyperalirnentation in a patient with acute myeloblastic leukemia.

아래턱뼈 계측을 통한 한국인의 체질인류학적 특징 및 남녀판별함수 분석

허경석,고기석,정한성,강민규,최병영,김희진 대한췌담도연구회 2000 대한췌담도연구회지 Vol.5 No.4

중국 덕주 지역의 구순구개열 의료 봉사 활동 보고 및 치험례 발표

이원덕,이부규,최진영,김종렬,오용석,민병일,김명진,Lee, Won-Deok,Lee, Bu-Kyu,Cho, Jin-Young,Kim, Jong-Ryul,Oh, Yong-Seok,Min, Byoung-Il,Kim, Myung-Jin 대한악안면성형재건외과학회 2009 Maxillofacial Plastic Reconstructive Surgery Vol.31 No.5

Il Woong Cleft lip and palate foundation was founded in 1968 by Professor emeritus Byoung-Il Min. Since then the foundation has operated numerous cleft lip and palate patients not only in Korea but also in under-developed countries such as Vietnam, China, and Cambodia. In December 2005, the foundation was allowed as an incorporated association by Ministry of Foreign affairs and Trade, so that it could have official status. From March 6th 2009 to March 14th 2009, we conductp,d charity cleft lip and palate operations of 23 patients in areas of Deozhou, China. Hereby we present the results of operations.