보존적 치료로 회복된 망경색에 의한 급성복증 1예

김정념,이숭환,김정식,김진호,배윤오,박성규,윤상정,한현영,이헌영 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

Omental infarction, the end result of impaired perfusion to the greater omentum, is a rare benign self-limiting clinical entity. The main clinical symptom is non-specific localized abdominal pain with a moderately raised white blood cell and erythrocyte sedimentation rate. These findings often mimic an abdominal surgical emergency. This condition is often misdiagnosed as acute appendicitis or cholecystitis. The characteristic feature of CT scan and ultrasonography provide non-invasive diagnosis in most patients with omental infarction. We report a case of patient whose CT scan showed the characteristic finding of omental infarction. The patient was improved spontaneously only with conservative care.

쌍태아에서 제 1태아의 분만 후 제 2태아의 지연분만 : 중례보고

김주환,서민정,유희정,노권일,조대현,박정규,이정헌,조성남,손영수 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.3

With the widespread use of fertility medications and techniques of in vitro fertilization, multiple gestation has become epidemic in modern obstetric practice. Delivery of the initial fetus in a multiple gestation usually is followed by delivery of the subsequent fetus or fetuses shortly thereafter. However in rare circumstances, the delivery is delayed for days due to disappearance of uterine contraction after delivery of the first fetus. When uterine activity ceases after the delivery of the first neonate, a policy of nonintervention may be considered in case of an immature or very premature delivery, in order to achieve a gestational age for the remaining fetus(es) more compatible with neonatal survival. We report a case of twin gestation with prolongation of the delivery interval between the twins for 46 days.

뇌하수체 종양 제거술 시행 후 뒤늦게 발생한 횡문근 융해증과 동반된 중추성 열

장제혁,최규남,김일환,노은지,김윤정,유충헌,고정해,박봉수,김태균,권민정,이순희,박정현 인제대학교 2008 仁濟醫學 Vol.29 No.-

Body temperature is controlled by thermoregulatory center of the hypothalamus. We report a case of 24 years old man with central fever. He was subjected to a partial excision of pituitary tumor compressing optic chiasm four years ago. He has received hormonal therapy for panhypothyroidism after removal of pituitary tumor. And He received gamma knife operation for partially contrast-enhancing masses in suprasellar and both hypothalamic areas that is probably postoperatively remnant or recurrent tumor of pituitary adenoma. One year after gamma knife operation, he presented with a febrile syndrome of unknown origin including rhabdomyolysis. All usual investigations proved negative. We diagnosed him as central fever with rhabdomyolysis. He received medical ICU care with cooling bed, ice pack. And his symptom improved. Postoperative hyperthermia may result following resection of the pituitary tumor. When central fever is suspected taking note of past history, a quick recognition of course of fever can help reduce the using of unnecessary antibiotics and hospital stay.

중년기 우울증 여성의 생활사건, 대처방식, 사회적 지지 및 가족관계

김동인,이진욱,김임,이선미,은헌정 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4

국문초록본 연구는 중년기 우울증 여성의 생활사건 스트레스, 대처 방식, 사회적 지지, 가족 관계 등의 정신사회적 요인들을 알아보기 위한 것으로 각 변인들이 어떻게 우울과 관계가 있는지를 우울증 환자 집단과 정상인 집단으로 나누어서 비교 연구하였다. 이를 위해 35세 이상 64세 이하의 116명의 우울증 환자와 113명의 정상인을 대상으로 Beck 우울 질문지(BDI), 생활사건 질문지, 대처방식 척도, 대인관계 지지 평가척도(ISEL), 가정환경척도 등의 검사를 하였고 다음과 같은 결과를 얻었다. 1) 최고 스트레스는 환자 집단의 경우 결혼생활 스트레스(42명, 36.2%), 정상인 집단의 경우는 가정생활 스트레스(44명, 38.9%)였다. 2) 소극적 대처(t=0.93, p=.35)만을 제외하고 환자 집단과 정상인 집단에서 BDI 우울 점수(t=15.94, p<.0001), 생활사건 스트레스 점수(t=4.73, p<.0001), 적극적 대처점수(t=6.29, p<.0001), 사회적 지지점수(t=7.20, p<.0001), 가족 관계 점수(t=5.75, p<.0001)에서 유의한 차이를 보였다. 3) 우울증 환자 집단에서 BDI 우울 점수는 생활사건 스트레스(r=.24, p<.01) 변인과 유의한 정적 상관을 보였고, 적극적 대처(r= -.22, p<.01) 변인, 사회적 지지(r= -.35, p<.001) 변인, 가족관계(r= -.30, p<.001) 변인과는 유의한 역 상관을 보였다. 4) 우울증 환자 집단에서 BDI 우울에 대한 각 변인들의 중다회귀분석은 사회적 지지(12.3%, β= -.281, T= -3.162, P=.002, 생활사건 스트레스(5.1%, β=.279, T=3.195, P=.002), 적극적 대처(3.5%, β= -.204, T= -2.225, P=.028) 변인이 합하여 20.9%의 설명력을 나타냈다. 5) 중년기 여성에서 생활사건 스트레스는 가족 관계에서 겪는 스트레스가 가장 큰 스트레스였고, 대처방식은 우울과의 관계에서 일관성이 부족하였으며, 사회적 지지는 우울에 영향을 주는 가장 중요한 요인이었고, 가족관계는 양 집단에서 유의한 차이는 있었으나 우울에 대하여 의미있게 설명하지 못하고 있다. ABSTRACTLife Events, Coping Styles, Social Support, and Family Relationships of Middle-Aged Depressed Women Jin-Wook Lee, M.D., Yim Kim, M.D., Sun-Mi Yi, M.S., Dong-In Kim, M.D., Heon-Jeong Eun, M.D. Department of Neuropsychiatry, Presbyterian Medical Center, Chonju The objective of this study was to explore the psychosocial factors such as life events, coping styles and family relationships in middle-aged depressed women. This study was designed to compare how different variables relate to depression in two different test groups : a depressed patient group and a normal group. The Beck Depression Inventory(BDI), The Ways of Coping Checklist, Interpersonal Support Evaluation List(ISEL), Family Environment Scale were administered to 116 depressed patients and 113 normal persons between the ages of 35 and 64. The results were as follows : 1) The highest stress was marital stress(n=42, 36.2%) in patient group and family stress(n=44, 38.9%) in normal group, respectively. 2) There were significant differences between patient group and normal group in BDI scores(t=15.94, p<.0001), life events(t=4.73, p<.0001), active copinig(t=6.29, p<.0001), social support(t=7.20, p<.0001), and family relationships(t=5.75, p<.0001) except for passive coping(t=0.93, p=.35). 3) In depressed patient group, BDI scores had a significantly positive correlation with the scores of the life events(r=.24, p<.01) and negative correlation with active coping(r= -.22, p<.01), social support(r= -.35, p<.001) and family relationships(r= -.30, p<.001). 4) In depressed patient group, multiple regression analysis showed that social support(12.3%, β= -.281, T= -3.162, P=.002), life events(5.1%, β=.279. T=3.195, P=.002), and active coping(3.5%, β= -.204, T= -2.225, P=.028) had predictability on the BDI scores and the total predictability was 20.9%. 5) Stress experienced in family relationships were highest in life events and there was a lack of consistency(in the BDI scores of the coping styles). Social support was the most important factor and there were no significant differences between the two groups in family relationships.

素問·調經論에 대한 연구(Ⅱ)

鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2

'Joe'(調) implies the harmony or the regulation, and 'Kyung'(經) indicates a meridian on that is translating meridian blood and Meridian-Qi. The Meridian channel is opened to the Five viscera(五藏) and the Six bowels(六腑) internally and that is connected with three hundred and sixty five joints externally. The body never occurs disease until Qi-hyul(氣血) is harmonied and Yin-Yang(陰陽) is balanced. If the disease occurs by means of the internal cause-the eating and drinking, the living of dwelling space, the importance of the emotion etc, I or by means of the external cause- the wind and rain, and the cold and dampness, it has influence on the Qi-hyul(氣血) of the body. Therefore with disharmony of the body has Qi-hyul, each kind of the Hei-shil disease brake(&實病燮) occur. From this chapter, Joe kyung(調經) implies the regulation that each kind of Hei-shil disease brake with ocwrance of the disorder of the body Yin-Yang-Qi-hyul(陰陽氣血), the shortage(&) is supplied, and the surplus(R) is decreased. Summerizing the contents of the "Joe Kyung Ron(調經陰)" in reference to the contents of successive generation note, the contents were as follows; In chapter 1, it was made clear that the revelation of the body normal physiological function had an action that connected human being's inside with it's outside, and that play the part of a passage in Qi-hyul(氣血) risvolving. In chapter 2, it was made clear about the plentiful disease, and it's administration of the Shen-Qi-Hyul-Hyung-Zhi(神·氣·血·形·志) with kept in the five viscera. In chapter 3, it was made clear about the Hei-shil(虛實) of the cause of the disease(病機), Qi-Hyul(氣血) union malim(雅氣), that by Qi-Hyul(氣血) itself union how Hei syndrome(虛證) and Shil syndrome(#%) are? In chapter 4, it was made clear that cause of a disease about Hei-Shil(虛實) has an attack of disease by pung(風)·woo(雨)·han(寒)·seo(署), and by the eating and drinking, the living of dwelling space and it explained the cause of a disease. In chapter 5, it explained the cause of a disease about Yin-Yang-Han-Yul(陰陽寒熱). In chapter 6, it explained an acupuncture technique about Hei syndrome(虛證) and Shil syndrome(l實證). chapter 7, it explained the method of Joe Kyung(調經) through the region of the body. The above contents had significient influence on the assortment and demonstration of the method of the acupuncture and moxibustion and disease in the future.

地方自治實施에 따른 地方政府 再分配支出의 變化

정헌애 서경대학교 1994 論文集 Vol.22 No.1

PVDF 압전소자 활용 전기 에너지 수집

"이수헌", "여인권", "정재성", "박종대" 배재대학교 자연과학연구소 2015 自然科學論文集 Vol.26 No.1

PVDF(Polyvinylidene Fluoride)를 사용하여 진동에너지를 전기적 에너지로 수집할 수 있는 소형 발전시스템을 개발하였다. 개발된 시스템은 온도, 진동, 압력 등의 데이터를 수집하고 무선으로 전송하는 센서 네트워크의 전원으로 사용될 수 있다. We have developed a small electrical energy harvesting system using PVDF(Polyvinylidene Fluoride) which can convert vibrational energy into electrical energy. The developed system can be used as a power source for sensor network which acquire data such as temperature, vibration, pressure, etc and transmit data to a data center

우리나라 人蔘酒의 世界化 方案 : 전략과 과제

鄭憲培 중앙대학교 산업경영연구소 1997 산업경영연구 Vol.6 No.1

行政組織內의 權力現象에 관한 硏究

정헌영 서경대학교 1990 論文集 Vol.18 No.-

Historically organization theory is very important topic in the study of public administration. However there are scarce studies on power and politics phenomenon in the organizations. From the viewpoint of theoretical context, study on power and politics in the organization is located in the sociology of conflict-functionalism and the pluralistic view of organizations. In this view the organization is seen as a web of cross-cutting conflicts between individuals and interest groups interested in their personal interests and goals. In this context power is seen as the medium through which conflicts of interests are settled. Power is generally defined as the forces sufficient to bring about some outcomes which is impossible otherwise in the social relations. By the way there are different perspectives on the power, the power phenomenon within organizations, nevertheless, is an inevitable and ineradicable feature of organizational life. Accordingly the administrator must recognize the power phenomenon and cope with organizational politics.

우리나라 建設産業의 環境經營 : 課題와 戰略

정헌배 중앙대학교 산업경영연구소 1997 산업경영연구 Vol.6 No.2