이부전방이동술, 하설골근절개술 및 설골현수법을 이용한 폐쇄성 수면 무호흡증 환자의 치료:증례보고

김재진,김은석,김태섭,Kim, Jae-Jin,Kim, Eun-Seok,Kim, Tae-Sup 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.2

Obstructive sleep apnea syndrome(OSAS) is a complex sleep disorder characterized by intermittent apnea secondary to sleep-induced obstruction of the upper airway. It occurs because of an airway obstruction anywhere between the trachea and the oronasal apparatus. The hallmark of OSAS is snoring, which is caused by vibration of the tissues of the pharynx as the airway narrows. The consequences of OSAS have focused on excessive daytime sleepiness resulting from sleep fragmentation and the cardiovascular derangements producing hypertension and arrhythmias. The primary method of controlling OSAS has been surgery. The current surgical procedures used for OSAS are tracheostomy, tonsillectomy, nasal septoplasty, uvulopalatopharyngoplasty, anterior mandibular osteotomy with hyoid myotomy and suspension, and maxillary, mandibular and hyoid advancement. We report a case of OSAS that was improved by genial advancement with infrahyoid myotomy and suspension. The patient was objectively documented by polysomnography, cephalometric analysis, and physical examination before the surgical procedure. The patient underwent genial advancement with infrahyoid myotomy and suspension. Patient had a good response from surgery.

한국형 도형심리유형 검사 척도 개발 연구

김재진 ( Jae Jin Kim ) 아시아문화학술원 2015 인문사회 21 Vol.6 No.4

한국형 도형심리유형 검사 척도란, 도형심리에 대한 이론을 바탕으로 한국의 문화적 특성과 이해하기 쉬운 문항으로 제작되어 검사자 응답의 신뢰도를 높일 수있도록 구성된 검사 척도이다. 본 연구는 기존에 나와 있는 성격유형 검사 도구들이 가지고 있는 일반적 특성인 성격유형 검사를 통해 자신과 타인을 이해하여 인간관계를 잘 하게 하는 것은 물론, 투사적 검사를 통해 과거의 심리적 상처를 치유하고, 현재 자신이 생각하고 있는 자신의 상황과 미래에 자신이 하고 싶은 것들을 제시해줌으로써 마음의 평안을 가져다 준다. 특히 글을 모르고 그림을 잘 그리지 못하는 노인과 아이들에게도 동그라미, 에스, 세모, 네모라는 도형을 그리게 함으로써 그들의 심리적 상태를 알 수 있으며, 남녀노소 어느 계층에도 쉽게 접근할 수 있는 심리검사 도구이다. 본 연구에서의 시사점은 다음과 같다. 첫째, 도형심리유형의 핵심은 투사되어서 그려진 도형의 형태, 크기, 위치를 통해서 사람들의 기질과 성격적 특성을 파악하여 장점들을 지지하고 격려함으로써 건강한 자아를 형성하고, 나아가 도형의 배열되어진 상태를 정확하게 분석하고, 해석, 판단을 함으로써 내담자의 심리적 갈등요인과 심리의 역동성을 파악, 검사자의 심리적 고통과 어려움, 문제들에 대해서 스스로 해결해 갈 수 있도록 방향을 제시해 주는 도구로 사용되어질 것이다. 둘째, 도형심리유형 검사는 문항 검사를 통해 성격적 특성을 알아볼 수 있고, 투사적 검사를 통해 신경증이나, 정신증에 대해서도 진단이 가능한 도구이다. 셋째, 도형심리유형 검사는 4가지의 기본도형(O, S, △, □)을 가지고 검사지에 그려진 도형의 형태, 크기, 위치 등을 통하여 반영되어진 검사자의 정신적, 정서적, 인지적, 행동적, 영적 상태를 통찰할 수 있으며, 기질, 성격, 적성, 흥미 등을 파악함으로써 자신을 발견하게 하고 타인을 이해하게 하며, 아울러 마음의 고통을 치유할 수 있도록 도와준다. 넷째, 본 연구에서 개발한 척도의 타당도, 신뢰도, 예측타당도, 재검사 신뢰도 분석 결과 매우 의의있는 결과가 분석되어 조직의 인사, 경영, 교육 상담, 산업 등에서 많은 도움을 줄 것이다. 다섯째, 한국형 도형심리유형 검사 척도를 개발함으로써, 자신을 이해하고 타인을 이해 함으로써 많은 사람들과의 관계 형성에 도움을 줄 것이다. 본 연구를 통하여 한국형 도형심리유형 검사 척도를 개발하였으나, 현재 국내에 발표된 논문이 없고, 참고문헌의 부족 등으로 연구 과정에서의 어려움이 많았다. 본 척도가 개발 됨으로써 성인들의 성격 유형 검사는 가능하게 되었으나, 이 분야에 대한 후속 연구에서는 다음 상황들을 참작하여 연구를 진척시켜야 할 것이다. 첫째, 인간의 성격은 전 생애에 걸쳐 발달하는 것이므로 초기 아동기 시절의 사람들과의 관계 양식, 사회의 경험 등이 고려되어 아동 및 청소년 특성에 맞는 연구를 확대하여 개발할 필요가 있다. 둘째, 본 연구의 연구 대상자들은 서울, 경기, 인천, 대전, 충청, 대구, 마산 지역에 거주하고 있는 성인들로 한정되었으므로, 표본을 전국으로 확대시켜 본 척도를 표준화하여 더욱 더 유용한 도구로 발전시킬 필요가 있다. 셋째, 본 연구에서는 성인들에 대한 일반적인 성격적 특성만을 알 수 있지만, 후속 연구로 리더십, 부모 영유아 양육 태도 척도 등이 개발된다면, 본 척도와 더불어 좋은 도구가 될 것이다. 넷째, 도형심리유형은 성격을 진단하는 심리 도구로만 그치는 것이 아니라, 앞으로는 기질별 인성개발, 학교적응, 진로탐색프로그램 등과 연계되어 학생들의 진로와 자신을 건강하고 통합적으로 이해해나갈 수 있는 도구로 더욱 발전시켜 다면적 성격 특성에 관한 연구가 진행되어야 할 것이다. This study analyzed the content validity and consistency of the questions of a Korean graphic type scale developed in a previous study (Kim Jae-jin & Yoon Cheon-seong, 2014) together with an expert panel consisting of 4 doctors, and based on the results, it conducted a self-reporting questionnaire survey of ordinary people and used the recovered questionnaires as statistical data. The Korean graphic type scale is a test tool developed based on the theories of geometric psychology, and its purpose is that the testees may understand the questions easily using easy words understandable to Korean people. The tool used in this study helps the testees to understand the self and others through testing their personality type and, by doing so, facilitates the establishment of human relationships, heals psychological wounds in the past through a projective test, and brings peace to the mind by presenting the testees’ present situation and what to do in the future. Particularly for elders and children who cannot read or draw well, the tool diagnoses their psychological state through their drawings of circle, triangle, quadrangle, and S shape, and therefore it is a psychological test tool easily accessible by any group of people regardless of age and gender. The implications of this study are as follows. First, the core of graphic type is that, based on the shape, size, and position of figures drawn through projection, it grasps people’s temperament and personality characteristic, supports and encourages their strengths, and consequently, contributes to the formation of healthy ego, and furthermore, by analyzing, interpreting, and judging the arrangement of figures, it examines the clients’ psychological conflicts and dynamics and suggests directions for the clients to solve the problems by themselves. Second, the graphic type scale is both diagnostic and non-diagnostic test. While existing personality type test tools focus on personality characteristic through a self -reporting questionnaire survey, this psychology type scale examines personality characteristics using a questionnaire and, at the same time, diagnoses the clients’ neurotic or psychotic symptoms through a projective test. Third, the graphic type test can diagnose the testees’ mental, emotional, cognitive, behavioral, and spiritual states through the shape, size, and position of figures drawn on the test sheet using four basic figures (○, △, □, and S), and help them find their own temperament, character, aptitude, and interest, understand others, and get healed of mental pains. Fourth, when the validity, reliability, predictive validity, and retest reliability of the scale developed in this study were analyzed, very significant results were obtained. Thus, the scale is believed to be useful in the personnel management and administration of organizations, education and counseling, industry, etc. Fifth, the Korean graphic type scale developed in this study is expected to help the clients establish relationships with many people through understanding themselves and others. A Korean graphic type scale was developed through this study, but there were many difficulties in this study because there were not related research papers published in Korea and reference literature was not sufficient. As this scale has been developed, it is not possible to apply a personality type test to adults, but the following situations need to be considered in future research for refining the scale. First, because people’s character develops throughout the entire lifetime, research needs to expand the scope to children’s and adolescents’ characteristics in consideration of the pattern of relationship, social experiences, etc. during childhood. Second, as the subjects of this study were limited to adults living in Seoul, Gyeonggi-do, Incheon, Daejeon, Chungcheong, Daegu, and Masan, future research needs to expand the geographic scope to the whole country in order to make the scale more standardized and useful. Third, the scale of this study was only for adults’ general personality characteristic, but if future research develops scales on leadership, parents’ child rearing attitude, etc., they will be used supplementarily with this scale. Fourth, the graphic type scale should not be limited to a psychological tool for diagnosing character but be developed as a tool for exploring multi-sided personality characteristics so that students may understand themselves and their career in a healthy and integrated way in connection to character development, adjustment to school, career exploration, etc.

한강하류의 대형무척추동물의 군집구조와 생태학적 특성

김재진,어성준,Kim, Jae-Jin,Aw, Sung-Joon 배재대학교 자연과학연구소 1999 自然科學論文集 Vol.11 No.1

Benthic macroinvertebrate fauna in lower part of Han river was surveyed using ponar grab and basket sampler during May, 1995 through June, 1996.The benthic macroinvertebrates composed of 14 species, 12 families, eight orders, seven classes in three phyla. Three species of annelids, four species of molluscans, and seven species of arthropodes were collected. Annelids were collected from all sampling stations, Neanthes japonica was a dominant species. Biomass reached pick at station 4 and decreased in lower part. Biomass was so unstable that seasonal fluctuation of biomass could observed. 1995년 5월부터 1996년 6월까지 한강 하류지역을 대상으로 Ponar grab과 basket sampler 등을 이용하여 저서동물상을 조사하였다.그 결과 총 3문 7강 8목 12과 14종이 서식하고 있는 것으로 나타났다. 이중 환형동물은 3종, 연체동물은 4종, 절지동물은 7종으로 나타났다. 환형동물은 전 조사정점에서 출현하였으며 참갯지렁이(Neanthe japonica)가 우점종으로 나타났다. 현존량은 정점 4를 기점으로 상류와 하류로 갈수록 감소하는 양상을 보였고, 시기별로는 1995년 5월부터 감소하기 시작하여 1995년 10월에 급격히 감소하였다가 1996년부터 약간 증가하는 양상을 보였으나 대체적으로 생물상이 불안정한 상태를 보였다.

전라남도 완도군 보길도에서의 폐흡충(paragonimus westermani) 중간숙주 조사

김재진,장재경,정평림,소진탁,Kim, Jae-Jin,Chang, Jae-Kyung,Chung, Pyung-Rim,Soh, Chin-Thack 한국패류학회 1985 The Korean Journal of Malacology Vol.1 No.1

Collections of Semisulcospira snails and crayfishes were made to detect out larval trematodes in Bogil Islet, Wando-Gun, Chonra-Nam-Do, Korea in August, 1985. In addition, intradermal test to figure out the prevalence rate of paragonimiasis in the islanders was also carried out. The results are summarized as follows: 1) Nineteen out of 186 examinees(10.2%) showed positive reactions by intradermal test with Paragonimus antigen. 2) Forty four snails out of 182 snails collected were infected with trematode cercariae. These larvae were Metagonimus sp., Cercaria yoshidae, Cercaria incerta and Cercarianipponensis. 3) Metacercarial incidence of Paragonimus westermani in crayfish was 65.4%. Mean number of metacercariae per crayfish was 6.5.

인천 화수 부두 주변 해역의 저서생물의 군집구조와 분포

김재진,Kim, Jae-Jin 배재대학교 자연과학연구소 1998 自然科學論文集 Vol.10 No.1

1995년 10월부터 1996년 9월까지 인천 화수 부두 주변 해역의 저서생물상을 조사하였다. 다모류가 모든 정점에서 4계절 모두 우점하였다. 그 다음으로 연체동물과 갑각류가 많이 출현하였으며 극피동물은 닻해삼 1종(Protankyra bidentata)만이 출현하였다. 정점 1에서는 오염지표종으로 알려진 Capitella capitata가 적은 수나마 출현하여 다른 정점에 비하여 오염이 다소 진행된 것으로 생각되며, 정점2와 3에서는 Heteromastus sp.가 다량 출현하여, 유기물 유입이 많은 곳으로 추정된다. The survey of the macrobenthic animals near Hwasoo wharf, Inchon, Korea was carried out during October, 1995 through September, 1996. Polychaeta was the most dominant taxons were Mollusca and Crustacea. Only one species of Echinomermata, Protankyra bidentata, was collected. Capitella capitata collected from site 1 indicates that the site was more polluted, and Heteromasmus sp. collected from sites 2 and 3 suggests that these sites were polluted with organic materials.

85년도 추계 대한 기생충학회 학술대회 및 총회

김재진,Kim, Jae-Jin 한국건강관리협회 1985 건강소식 Vol.9 No.12

정신질환에서 뇌영상의 이해와 전망

김재진,한기완,이정석,최수희,Kim, Jae-Jin,Han, Ki-Wan,Lee, Jung-Suk,Choi, Soo-Hee 대한생물정신의학회 2011 생물정신의학 Vol.18 No.1

Neuroimaging in psychiatry encompasses the powerful tools available for the in vivo study of brain structure and function. MRI including the volumetry, voxel-base morphometry(VBM) and diffusion tensor imaging (DTI) are useful for assessing brain structure, whereas function MRI, positron emission tomography(PET) and magnetoencephalography(MEG) are well established for probing brain function. These tools are well tolerated by the vast majority of psychiatric patients because they provide a powerful but noninvasive means to directly evaluate the brain. Although neuroimaging technology is currently used only to rule in or rule out general medical conditions as opposed to diagnosing primary mental disorders, it may be used to confirm or make psychiatric diagnoses in the future. In addition, neuroimaging may be valuable for predicting the natural course of psychiatric illness as well as treatment response.

수온, 페놀 및 납에 대한 펄조개의 내성 실험

김재진,Kim, Jae-Jin 배재대학교 자연과학연구소 1999 自然科學論文集 Vol.11 No.1

한강의 밤섬 일대에 서식하고 있는 펄조개(Anodonta woodiana)의 수온, 페놀 및 납에 대한 내성을 알아보았다. 그 결과 펄조개의 치사수온은 $37-38^{\circ}C$였으며, 페놀에 대한 $LC_{50}$은 1200 ppm, 납에 대한 $LC_{50$=220 ppm 으로 조사되었다. This study was carried out to determine the lethal water temperature and lethal concentrations of phnol and lead on Anodonta woodiana collected from Bam islet in Han river, Seoul, Korea. Lethal temperature$(LT_{48,50})$ on a woodiana was $37-38^{\circ}C$, and lethal concentrations$(LC_{50})$ of phenol and lead nitate were 1200 ppm and 220 ppm, respectively.

CPLD 조건식을 위한 RTL 바인딩

김재진,윤충모,Kim, Jae-Jin,Yun, Choong-Mo 한국정보통신학회 2006 한국정보통신학회논문지 Vol.10 No.12

본 논문에서는 CPLD 조건식에 위 한 RTL 바인딩을 제안하였다. HDL로 기술된 회로에 대해 스케줄링을 수행한 후 모듈 연산 간격을 고려하여 합당한 모듈을 선택하여 할당을 수행한다. 할당을 수행한 후 주어진 조건식에 맞도록 CPLD를 선정한다. 할당된 결과의 모듈을 CPLD 내부의 CLB의 맞도록 부울식을 분할하고, 최적의 CLB를 사용하여 회로를 구현할 수 있는 바인딩 알고리즘을 제안하였다. 16 비트 FIR 필터로 실험한 결과 알고리즘을 적용하기 전보다 작은 크기의 CPLD로 회로 구현이 가능하였으며, 가산기의 경우 알고리즘을 적용하지 않았을 때 내부 사용율은 8.45%이었으나 알고리즘 적용한 결과 61.88%로 내부 사용율이 증가되는 결과를 나타내었다. In this paper, a RTL binding technique for CPLD constraint is proposed. Allocation processing selected module consider the module calculation after scheduling process for circuit by HDL. Select CPLD for constrain after allocation. A Boolean equation is partitioned for CLB by allocated modules. The proposed binding algorithm is description using optimum CLB within a CPLD. The proposed algorithm is examined by using 16 bit FIR filter. In the case that applicate the algorithm, the experiments results show reduction in used CLB.

Organized Hematoma in the Maxillary Sinus

김재진,Kim, Jae-Jin Korean Association of Maxillofacial Plastic and Re 2010 Maxillofacial Plastic Reconstructive Surgery Vol.32 No.5

Organized hematoma of the maxillary sinus is a rare, nonneoplastic benign lesion with locally destructive behavior that may mimic a malignancy. Clinically, symptoms do not usually occur while the lesion remains localized to the maxillary sinus. Because there is gradual enlargement of the lesion causing erosion and displacement of the adjacent bony structures, symptoms such as epistaxis, cheek swelling, nasal obstruc-tion, headache, and exophthalmos become manifest. Radiologically, unilateral cases are much more fre-quent than bilateral, and Waters' view shows complete opacity of the expanded maxillary sinus and some masses. CT scan shows a large heterogeneous enhancing mass causing considerable expansion of the max-illary sinus with bony erosion. On MR imaging, the mass usually has a variable signal intensity on T1- and T2- weighted images, ranging from low to high. After contrast administration, discrete areas of enhance-ment are present within the mass. Although the disease is essentially benign and nonneoplastic, differen-tial diagnosis from neoplastic disease including malignancy both clinically and radiologically has been always problematic. Accurate preoperative diagnosis of organized hematoma of the maxillary sinus is important to avoid unnecessary extensive surgery, because this condition is curative with a simple, conservative surgical approach and rarely recur. Organized hematoma of the maxillary sinus should be included in the differential diagnosis when patients have recurrent epistaxis, slow-growing mass of the cheek, nasal obstruction, and expansile mass in the maxillary sinus. A 33-year-old man was referred to the department of oral and maxillofacial surgery with a three-month history of slowly growing painful swelling of the left cheek. The mass of the maxillary sinus was resected by a Caldwell-Luc approach. Histopahtoly showed only a fibous encapsulated organized hematoma. To our knowledge, organized hematoma of the maxillary sinus has not been previously described in the Korean literature of the oral and maxillofacial surgery. We report a case of organized hematoma of the maxillary sinus presenting with an enlarging maxillary sinus mass.