부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

나르시시즘으로 바라본 황진이와 그 문학 연구

김지은(Kim, Ji-eun) 한국시조학회 2022 시조학논총 Vol.56 No.-

This thesis is a discussion of Hwang Ji-ni and Hwang Ji-nis literature from the perspective of narcissism. As is well known, a gisaeng was one of the lowly ranks of the Joseon Dynasty and belonged to the most inferior position in the hierarchy of ranks. Nevertheless, Hwang Ji-ni is a humanoid who is extremely full of narcissism and confidence in himself, and his attributes are being embodied in literature as they are. In a closed society, low-income groups such as gisaengs have no choice but to live by accepting and acknowledging their situation, so it seems very far from them to realize self-love. However, Hwang Ji-ni is not engrossed in her situation and is revealed as a person full of self-love. There is clearly a unique view of the world and literature that sets her apart from the anecdotes of other prostitutes and the progenitor of prostitutes. This discussion began with the question of where the driving force for this bouncing sensibility and self-love really originates. In supporting this discussion, Coharts self-psychology is very useful. He argued that narcissism was a prerequisite for a successful life, including engaging with objects, without seeing it as the “wrong” found in people who were mentally ill, immature, and not adequately psychoanalyzed. Fromthis point of view, it can be confirmed that Hwang Ji-nis narcissism is a healthy narcissism, and this mature narcissism is embodied in literature.

Surgical technique for single-port laparoscopy in huge ovarian tumors: SW Kim`s technique and comparison to laparotomy

( Jeong Sook Kim ),( In Ok Lee ),( Kyung Jin Eoh ),( Young Shin Chung ),( Inha Lee ),( Jung-yun Lee ),( Eun Ji Nam ),( Sunghoon Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2017 Obstetrics & Gynecology Science Vol.60 No.2

Objective This study aimed to introduce a method to remove huge ovarian tumors (≥15 cm) intact with single-port laparoscopic surgery (SPLS) using SW Kim`s technique and to compare the surgical outcomes with those of laparotomy. Methods Medical records were retrospectively reviewed for patients who underwent either SPLS (n=21) with SW Kim`s technique using a specially designed 30×30-cm2-sized 3XL LapBag or laparotomy (n=22) for a huge ovarian tumor from December 2008 to May 2016. Perioperative surgical outcomes were compared. Results In 19/21 (90.5%) patients, SPLS was successfully performed without any tumor spillage or conversion to multi-port laparoscopy or laparotomy. There was no significant difference in patient characteristics, including tumor diameter and total operation time, between both groups. The postoperative hospital stay was significantly shorter for the SPLS group than for the laparotomy group (median, 2 [1 to 5] vs. 4 [3 to 17] days; P<0.001). The number of postoperative general diet build-up days was also significantly shorter for the SPLS group (median, 1 [1 to 4] vs. 3 [2 to 16] days; P<0.001). Immediate post-operative pain score was lower in the SPLS group (median, 2.0 [0 to 8] vs. 4.0 [0 to 8]; P=0.045). Patient-controlled anesthesia was used less in the SPLS group (61.9% vs. 100%). Conclusion SPLS was successful in removing most large ovarian tumors without rupture and showed quicker recovery and less immediate post-operative pain in comparison to laparotomy. SPLS using SW Kim`s technique could be a feasible solution to removing huge ovarian tumors.

자료포락분석(DEA)를 이용한 보건의료의 효율성 측정

김남송,박홍섭,김은진,김설화,김정숙,김현아,김경숙,신지혜,최은정,양은진,유선미,유수진 圓光大學校 醫科學硏究所 2007 圓光醫科學 Vol.22 No.1

중년 여성의 렙틴 수용체 유전자 다형성과 신체구성상 특성의 관련성

김기진 ( Ki Jin Kim ),안나영 ( Na Young Ahn ),천우광 ( Woo Kwang Cheon ),박주식 ( Ju Sik Park ),홍창배 ( Chang Bae Hong ),신윤정 ( Yoon Jung Shin ),김상현 ( Sang Hyun Kim ),김태호 ( Tae Ho Kim ),이지은 ( Ji Eun Lee ) 한국운동생리학회 2004 운동과학 Vol.13 No.2

Kim, K.J., Ahn, N.Y., Cheon, W.K., Park, J.S., Hong, C.B., Shin, Y.J., Kim. S.H., Kim, T.H., Lee, J.E. Relationship between Gln223Arg polymorphism in the leptin receptor gene and body composition in middle-aged women. Exercise Science, 13(2): 233-240, 2004. Previous studies have been found for the polymorphism in the leptin receptor gene being involved in human obesity, We examined relationship between the Gln223Arg polymorphism in the leptin receptor gene and body composition. Subjects were consisted of obese group (N=94) and normal weight group (N=95) in middle-aged women. Body weight, %fat, BMI, skinfold thickness, body circumferences, and WHR we measured for the analysis of the detailed physique. Leptin receptor polymorphism was detected by PCR-RELP assays. The Gln223Arg polymorphism in the leptin receptor gene was no significant difference between obese and normal weight group, and heterozygous for the leptin receptor gene showed the highest values in both groups. The allele frequency was no significant difference between obese and normal weieht group. Body weight and BMI showed a significant (p<0.05) difference between mutant homozygous and heterozygous of the Gln223Arg in the leptin receptor gene in both groups. Hip and high circumferences showed a significant (p<0.05) difference between mutant homozygous and heterozygous of Gln223Arg in the leptin receptor gene in both groups. Although it was no significance, skinfold thickness of mutant homozygous group showed a high values than mutant heterozygous group in obese group. Therefore the Gln223Arg polymorphism of the leptin gene receptor not appeared to be a risk factor for obesity in middle-aged Korean women, but we suggest that the Gln223Arg polymorphism of the leptin gene receptor affect to the body composition.

혈관질환 정보관리 시스템

김동익,김덕경,허세호,이병붕,김용신,김은숙,문지영,도영수,신성욱,김동수,김만태,진재욱,김용신 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

As medical technology progresses rapidly, there is a rise in the average age along with the Korean dietary lifestyle becoming more westernized, which leads to an increase in the number of vascular disease patients in Korea. Thus, we need to manage the medical information of a disease systematically in order to diagnose and treat constructively. However, since there has been no standardized method of man agement to date, a great deal of information could not be properly utilized nor studied. Therefore, the departments of Cardiology, Radiology and Neurology of Samsung Seoul Hospital recently got together to develop an information management system called the Vascular Data System. This program was developed to be run on win98 O/S, upper Pentium Ⅲ, and upper 128 MB Memory, and its source code is Dephi 4.0. It was configured for the user to set the configurations as well as do a variety of search and analysis. If this program were to be updated continuously, it may be used extensively as well as in various parts of clinical research activities.

어머니-유아의 그림책 읽기 상호작용과 유아의 인쇄물 개념과의 관계

김지은 ( Ji Eun Kim ),김은영 ( Eun Young Kim ) 건국대학교 동화와번역연구소(구 건국대학교 중원인문연구소) 2010 동화와 번역 Vol.19 No.-

본 연구는 어머니-유아의 그림책 읽기 상호작용과 유아의 인쇄물 개념과의 관계를 살펴보고 인쇄물 개념에 영향을 미치는 상호작용의 유형을 알아보기 위해 서울에 소재한 유치원과 어린이집에 다니는 만 4-6세 유아 131명을 연구대상으로 선정하였다. 어머니-유아의 책읽기 상호작용을 조사하기 위해 곽아정(1994)이 수정하여 질문 형태로 만든 질문지를 사용하여 즉각적인, 비즉각적인, 생활지도성, 확장적 상호작용의 4가지 유형으로 분류하였고, 유아들의 인쇄물 개념을 알아보기 위해 “Concept About Print Test”(CAP, 2000)를 김선희(2004)가 수정ㆍ번안한 도구를 사용하였다. 수집된 자료에 대한 분석방법은 빈도, 백분율, t검증을 실시하였고, 어머니-유아 그림책 읽기 상호작용과 인쇄물 개념간의 관계를 알아보기 위해 Pearson 상관관계분석과 다중회귀분석을 실시하였다. 연구결과 첫째, 어머니-유아의 그림책 읽기 상호작용의 유형은 비즉각적인 상호작용이 가장 많이 나타났으며, 중상류층 어머니-유아가 저소득층 어머니-유아보다 확장적 상호작용을 더 많이 하는 것으로 나타났다. 둘째 인쇄물 개념의 하위영역 중 인쇄물 관례와 책에 대한 개념은 대부분 인지하고 있었다. 그러나 저소득층 가정의 유아보다 중상류층 가정의 유아가 더 높게 나타났다. 셋째, 어머니-유아의 그림책 읽기 상호작용과 인쇄물 개념간의 관계는 상호연관성이 높았으며, 상호작용의 유형 중 즉각적인 상호작용은 인쇄물 개념에 부정적인 영향을 미치는 것으로 나타났다 To examine relationships between mother-child reading interactions and concepts about print, samples of 131 children aged 4-6 years were selected from 6 preschools in Seoul. Instruments for measuring mother-child reading interactions were the Immediate, Non-Immediate, Organization, Extension scales of the Mother-child Reading Interactions, according to Kwack, and children’s Concepts about print were measured by the Concepts about print, based on Kim’s research. Data were analyzed by frequency, percentage, standard deviation, t-test, Pearson correlation, and regression analysis. Mother-child reading interactions correlated with children’s concepts about print. Immediate interactions were the worst predictor of concepts about print

대동맥 판막 치환술 후 반복되는 Acinetobacter baumannii 균혈증의 원인이 된 대동맥염 1예

정용필,김성철,송은희,장은영,김은경,김윤지,성흥섭,김미나,최상호,우준희,김양수 대한감염학회 2007 감염과 화학요법 Vol.39 No.3

감염성 대동맥염은 흔하지 않지만 매우 위중한 질병으로 Salmonella so.와 S. aureus가 주된 원인균이다. 아직까지 병원내 감염의 주요 원인균인 Acinetobacter baumannii에 의한 감염성 대동맥염은 보고된 바가 없었다. 저자들은 대동맥 판막 치환술을 시행받은 76세 남자 환자에서 적절한 항생제 투여에도 반복되는 A. baumannii 균혈증의 원인이 감염성 대동맥염으로 진단되었던 1예를 경험하였기에 보고하는 바이다. Infectious aortitis is an uncommon yet, life threatening disease. Early surgical treatment and prolonged antibiotic therapy is crucial to survival. Salmonella sp. and Staphylococcus aureus are the most common organisms isolated. There is no case report of infectious aortitis caused by Acinetobacter baumannii, which has recently emerged as a major cause of health care-associated infections. Here, we describe a 76-year-old male with infectious aortitis who experienced recurrent bacteremia due to A. baumannii in spite of adequate antimicrobial therapy after aortic valve replacement.

Film Session Q&A 2 : 05 ; How to remove a huge ovarian tumor in single port laparoscopic surgery using XXXL endopouch

( Jin Hwa Lee ),( Ga Won Yim ),( Eun Ji Nam ),( Sung Hoon Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-

목적: Demonstrate a new instrument, technique or procedure 방법: In this video, we showed how to remove huge ovarian tumors in sinlgel port laparoscopic surgery by SW KIM`s method. SW KIM`s method is the technique to put a huge ovarian tumor into a specially designed extremely large endopouch (XXXL: 30x30㎠sized) using two conventional laparoscopic needle holders and one laparoscopic grasper and gravity by changing the patient`s position. After identifying the infundibulopelvic and uteroovarian ligaments salpingooophorectomy including huge ovarian tumor was performed by LigaSure. And then ovarian tumor was located in the pelvic cavity by changing the patient`s position into reverse-trendelenberg position and a XXXL endopouch was inserted and un-rolled inside the abdominal cavity. To insert a huge tumor into the XXXL endopouch, the endopouch was opened in triangular shape. Bilateral apex of baseline of trianglular opening of the endopouch was hold by two needle holders and then the upper apex was hold by a grasper. After holding three point of endopouch opeing, the patient`s position was changed into deep trendelenberg postion, then the tumor came into the endopouch by gravity. While changing the patient`s position, 2 needle holders and a graspers were moved into the pelvic cavity from the abdominal cavity. Aftere identifying the tumor inside the endopouch, tumors could be removed through the single port opening site or transvaginally in laparoscopic hysterectomy case without spillage of ovarian tumor. 결과: The advantage of SW KIM`s method is to remove ovarian tumor without spillage in a single port laparoscopic surgery by putting it into the large endoscopic bag despite narrow space. 결론: Using a specially designed 30×30 cm sized XXXL Endopouch and SW Kim`s technique, huge ovarian tumors could be removed without spillage in single port laparoscopic surgery.

Tuning the Microstructure and Mechanical Properties of Cold Sprayed Equiatomic CoCrFeMnNi High-Entropy Alloy Coating Layer

Ji‑Eun Ahn,Young‑Kyun Kim,Sang‑Hoon Yoon,Kee‑Ahn Lee 대한금속·재료학회 2021 METALS AND MATERIALS International Vol.27 No.7

An equiatomic CoCrFeMnNi high entropy alloy (HEA) coating layer was prepared via a cold spray (CS) process. In orderto control the microstructure and nano-indentation properties of the CS HEA, heat treatments were employed. CS HEAcoating layer showed a heterogeneous microstructure where ultra-fine grains were formed at the particle interfaces, whilecoarse grains were formed inside the particles. Furthermore, deformation twins (DTs) were also formed inside the particlesdue to severe plastic deformation (SPD) in each particle generated during the CS deposition. For the 550 °C heat treatment(HT), fine Cr-rich precipitates were additionally formed at the grain boundary and particle boundary. By contrast, recrystallizationoccurred during 850 °C HT, while the size of the Cr-rich precipitate increased. The nano-indentation hardness ofthe CS HEA coating layer was 10.9 GPa, which was ~ 3 times higher than that of the conventional cast HEA. The superiorhardness of the CS HEA might has been enabled due to the combination of the high dislocation density, DTs, and ultra-finegrains. Based on the results above, the strategy to control the microstructure and mechanical properties through HT of theequiatomic CoCrFeMnNi HEA coating layer prepared via the CS process has been discussed.