최씨 훅을 이용한 복강경 버찌씨 수술

김영혜 ( Young Hye Kim ),박준선 ( Jun Seon Park ),최상준 ( Sang Joon Choi ),송창훈 ( Chang Hoon Song ),한세준 ( Sei Jun Han ),정혁 ( Hyuk Jung ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.6

목적: 버찌씨 수술은 복압성 요실금 수술에 효과적인 수술로 여겨져 왔다. 요실금의 원인이 내인성 요도 괄약근의 결손소견 없이 요도의 과운동성으로 인한 경우 버찌씨 수술이 일반적으로 추천되어진다. 본 연구에서는 복강경 버찌씨 수술에서 최씨 훅의 유용성에 대해 알아보고자 하였다. 연구방법: 2000년 10월부터 2005년 3월까지 본원에서 복강경 버찌씨 수술을 시행받은 47명의 환자를 대상으로 하였다. 27명은 고전적 복강경 버찌씨 수술을 시행하였고 20명은 내골반 근막을 Cooper 인대를 부착하는데 유용한 본원에서 고안한 최씨 훅을 이용하여 복강경 버찌씨 수술을 시행하였다. 결과: 고전적 복강경 버찌씨 수술을 시행한 군과 최씨 훅을 이용한 복강경 버찌씨 수술을 시행한 군의 평균 나이, 분만력, 폐경률, BMI는 두 군간에 통계학적으로 유의한 차이를 보이지 않았다 (p>0.05). 수술 시간은 고전적 복강경 버찌씨 수술은 90.52±15.32분, 최씨 훅을 이용한 복강경 버찌씨 수술은 38.50±10.14분으로 최씨 훅을 이용한 경우 수술시간이 통계적으로 유의하게 짧았다 (p<0.05). 두 군간에 재발률 및 합병증 발생은 통계적 유의성을 보이지 않았다 (p>0.05). 결론: 본 연구에서 본원에서 고안한 최씨 훅을 이용하여 복강경 버찌씨 수술을 시행한 결과 수술 시간을 단축시킬 수 있었으며 수술 효과는 기존 방법과 동일하게 관찰되었다. 이에 최씨 훅은 복강경 버찌씨 수술에서 사용할 때 집도자의 봉합 과정을 단순화시켜 수술 시간을 단축시키므로 복강경 버찌씨 수술에 용이한 기구이다. Objective: Burch operation has been effective method for the treatment of stress incontinence. Burch operation is a well-accepted procedure for treating stress urinary incontinence secondary to urethral hypermobility without intrinsic sphincter deficiency and is the reference standard with which other procedures are compared. This study is to evaluate the effectiveness of the Choi`s hook in laparoscopic Burch operation. Methods: This study included 47 patients who had undergone laparoscopic Burch operation from October 2000 through March 2005. Of these 47 patients, 27 patients underwent traditional laparoscopic Burch operation (Group 1) and 20 patients underwent laparoscopic Burch operation with Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament (Group 2). Results: The mean age of patients of Group 1 was 55.6±9.37 years of age and that of Group 2 was 56.0±5.93 years of age. There is no difference in the mean age of patients (P>0.05). The mean operating time was 90.5±15.32 minutes for Group 1 and 38.5±10.14 minute for Group 2. The mean operating time was shorter in Group 2 than Group 1 (P<0.05). There was no difference in recurrence rate and complication rate between Group 1 and Group 2 (P>0.05). Conclusion: We performed laparoscopic Burch operation with the Choi`s Hook on anchoring the endopelvic fascia to the Cooper`s ligament. When we compared traditional laparoscopic Burch operation with laparoscopic Burch operation with Choi`s Hook, we could shorten the operation time using the Choi`s Hook.

2007년 대한감염학회 권장 성인 예방접종 권장안

강진한,김홍빈,손장욱,이상오,정문현,정희진,최영화,최정현,최준용,최희정 대한감염학회 2008 감염과 화학요법 Vol.40 No.1

In 2007, the Korean Society of Infectious Diseases recommended an immunization schedule for adults residing in Korea. This recommendation includes four categories: standard immunization for healthy persons, supplementary immunization for persons with underlying illnesses, recommendations for health-care personnel and for international travelers. The Standard Immunization Schedule consists of universal vaccination (tetanus-diphtheria/tetanus-diphtheria-pertussis (Td/Tdap); hepatitis A vaccine for persons aged 20s; human papilloma virus vaccine for women under 26 years old; meningococcal vaccine for military recruits and college students in dormitories; influenza vaccination for persons aged 50 years or more and pregnant women; and pneumococcal vaccination for persons aged 65 years or more) and catch-up vaccination (hepatitis A vaccine for persons aged 30s; hepatitis B vaccine, varicella and MMR vaccines for persons who have uncertain specific immunities). The Supplementary Immunization Schedule recommends 4 vaccines, i.e., pneumococcal, influenza, meningococcal, and Haemophilus influenzae type b, appropriate to the underlying illnesses, and confirmation of the presence of antibodies to hepatitis A and hepatitis B. The Recommendation for Health-Care Personnel includes universal vaccination (influenza and pertussis) and catch-up vaccination (hepatitis B, measles-mumps-rubella and varicella for seronegative health-care personnel). The Recommended Immunization for International Travelers focuses reinforcement of vaccinations for healthy persons and includes certain immunizations necessary for international travel (yellow fever, meningococcal, plaque, tick-borne encephalitis, and cholera). These guidelines can be seen at www.ksid.or.kr.

텔레비젼(TV)생산업체 근로자들의 영상단말기(VDT)작업이 시력과 안증상에 미치는 영향

우극현,최광서,정영연,한구웅,박정한,이종협,Woo, Kuck-Hyeun,Choi, Gwang-Seo,Jung, Young-Yeon,Han, Gu-Wung,Park, Jung-Han,Lee, Jong-Hyeob 대한예방의학회 1992 예방의학회지 Vol.25 No.3

영상단말기 (VDT)작업이 시력과 안증상에 미치는 영향을 알아보기 위해 1991년 7월에서 10월 사이에 구미시의 1개 TV생산업체에 종사하는 근로자들 가운데 채용 당시 안과적으로 문제가 없었고, 나안시력이 1.0 이상인 40세 미만 남자 338명을 대상으로 일일 평균 화면작업시간이 4시간 미만인 근로자(I군, 60명)와 4시간 이상인 근로자(II군, 204명)를 폭로군으로 하고 유사한 작업환경에서 근무하는 비화면작업자(74명)를 비폭로군으로 나누어 연령, 작업경력, 교대근무형태, 확대경 사용유무, 1일 평균 TV시청 시간 및 수면시간과 그리고 안자각증상에 대한 설문조사를 실시한 후, 안과적검사를 시행하였다. 조사시 원거리시력 (양안의 평균시력)이 채용시에 비해 0.15 이상 저하된 비율은 II군이 20.6%로 비화면작업군의 14.9 %, I군의 15.0 % 보다 다소 높았으나 통계적으로 유의한 차는 아니었다. 연령, 작업경력, 확대경 사용유무, 교대근무형태 등에 따라 층화하여 원거리시력 저하율을 비교해 본 결과 세 군간에 통계적으로 유의한 차가 없었다. 근거리시력 저하율도 비화면작업군이 28.4 %, I군이 18.3 %, II군이 27.5 %로 통계적으로 유의한 차이가 없었으며, 연령 등 4가지 독립변수를 층화하여 비교해 보아도 유의한 차이가 없었다. 안자각증상 호소율은 안피로를 포함한 7가지 항목에서 눈물이 나는 것을 제외한 모든 항목에서 비화면작업군에 비해 I군이, I군 보다는 II군이 통계적으로 유의하게 높았다(P<0.01). 화면작업자 264명 가운데 조명이 나쁜 장소에서 일하는 근로자들의 원거리시력 저하율과 안자각증상 호소율이 조명이 좋은 작업장에서 일하는 근로자보다 더 높았다(P<0.05). 7가지 안자각증상을 각 증상 마다 늘 느끼는 경우는 2, 가끔 느끼면 1, 느끼지 않으면 0으로 점수화하여 개인별 총 안증상 점수를 구해 세 군간에 원거리시력 차이 유무별로 비교해 본 결과, 시력차 유무에 따른 평균 안자각증상 점수의 차는 없었으나 시력차 유무에 관계없이 II군의 평균 안자각증상 점수가 6.13 으로 I군(3.53) 또는 비화면작업군(3.30) 보다 훨씬 더 높았다(P<0.01). 안자각증상 점수와 유의한 상관관계를 보인 독립변수들은 화면작업시간, 확대경 사용유무, 교대근무형태 등이었고, 채용시와 조사시 원거리시력 차이, 원거리시력과 근거리시력 차이, 누액분비기능, 안압, 굴절력 등과 유의한 상관관계를 보인 독립 변수는 하나도 없었다. 안자각증상 점수를 종속변수로 하는 중선형 회귀분석 결과에서는 화면작업시간이 길수록, 단부제나 2교대 근무자보다 3교대 근무자에서 유의한 선형관계를 나타내었다(P<0.01). 본 조사에서는 1일 장시간 VDT작업으로 시력이 저하되는 것은 관찰할 수 없었고 안자각증상은 유발되는 것으로 나타났다. 안자각증상의 예방을 위해 VDT 작업장의 조명을 적절하게 유지하고 장시간 연속해서 작업하지 않도록 작업관리를 해야 할 것이다. This study was conducted to evaluate the effect of VDT work on eyes and vision among workers in a TV manufacturing plant. The study subjects consisted of 264 screen workers and 74 non-screen workers who were less than 40 years old male and had no history of opthalmic diseases such as corneal opacities, trauma, keratitis, etc and whose visual acuity on pre-employment health examination by Han's test chart was 1.0 or above. The screen workers were divided into two groups by actual time for screen work in a day : Group I, 60 workers, lesser than 4 hours a day and group II, 204 workers, more than 4 hours a day. From July to October 1992 a questionnaire was administered to all the study subjects for the general charateristics and subjective eye symptoms after which the opthalmologic tests such as visual acuity, spherical equivalent, lacrimal function, ocular pressure, slit lamp test, fundoscopy were conducted by one opthalmologist. The proportion of workers whose present visual acuity was decreased more than 0.15 in comparison with that on the pre-employment health examination by Han's test chart was 20.6% in Group II. 15.0% in Group I and 14.9% in non-screen workers. However, the differences in proportion were not statistically significant. The proportion of workers with decreased visual acuity was not associated with the age, working duration, use of magnifying glass and type of shift work (independent variables) in all of the three groups. However, screen workers working under poor illumination had a higher proportion of persons with decreased visual acuity than those working under adequate illumination (P<0.05) . The proportion of workers whose near vision was decreased was 27.5% in Group II, 18.3% in Group I, and 28.4% in non-screen workers and these differences in proportion were not statistically significant. Changes of near vision were not associated with 4 independent variables in all of the three groups. Six out of seven subjective eye symptoms except tearing were more common in Group I than in non-screen workers and more common in Group II than in Group I (P<0.01). Mean of the total scores for seven subjective symptoms of each worker(2 points for always, 1 point for sometimes, 0 point for never) was not significantly different between workers with decreased visual acuity and workers with no vision change. However, mean of the total scores for Group II was higher than those for the Group I and non-screen workers (P<0.01). Total eye symptom scores were significantly correlated with the grade of screen work, use of magnifying glass, and type of shift work. There was no independent variable which was correlated with the difference in visual acuity between the pre-employment health examination and the present state, the difference between far and near visions, lacrimal function, ocular pressure, and spherical equivalent. Multiple linear regression analysis for the subjective eye symptom scores revealed a positive linear relationship with actual time for screen work and shift work(P<0.01). In this study it was not observed that the VDT work decreased visual acuity but it induces subjective eye symptoms such as eye fatigue, blurred vision, ocular discomfort, etc. Maintenance of adequate illumination in the work place and control of excessive VDT work are recommended to prevent such eye symptoms.

역전파알고리즘 기반 자율주행로봇의 지역경로계획설계

정헌,박경석,이경웅,박기두,최한수 조선대학교 전자정보통신연구소 2002 電子情報通信硏究所論文誌 Vol.5 No.2

The research about the AMR has been progressed, which can bridge a disadvantage that a robot performs under a position unmoved. The AMR-Research constitutes skelton, path planning, AMRcontrol, sensor fusion and obstacle avoidance etc... The path planning of autonomous mobile robot use two method. One is global path planning and another is local path planning. In this paper, we study the local path planning of autonomous mobile robot move in unknown enviroment. This local path planning is based on neural network using the direction indicator rules learning. Also the system is made up of sensor system. The experimental results show that the developed direction indicator system operates properly and strongly at circumstance

미만성 경화 아형 갑상선 유두암 1예

최정민,이송주,김부경,최영식,박요한,김정훈,허방 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1

The diffuse sclerosing variant (DSV) is a rare malignant tumour that accounts for 0.7-5.3% of all papillary thyroid cancers. DSV tends to occur at a younger age and has a higher incidence of cervical lymph node metastases, compared with papillary thyroid carcinoma. A 62-year-old female patient diagnosed thyroid nodule with diffuse and mild increased 18F-deoxy-glucose (FDG) on FDG positron emission tomography (PET)-computed tomogram (CT) scan. The ultrasound images showed typical findings of DSV such as diffusely enlarged thyroid lobes and diffusely scattered microcalcification. We performed this patient ultrasonography guided fine needle aspiration and cytologic analysis revealed papillary carcinoma. Total thyroidectomy with central compartment node dissection and lateral lymph node dissection was performed and finally diagnosed DVS. The authors report this case with literature review.

증기발생기 전열관의 내면 축방향 균열에 대한 ECT 특성 평가

최명식,허도행,이덕현,박중암,한정호 한국비파괴검사학회 2001 한국비파괴검사학회지 Vol.21 No.5

증기발생기 전열관에서 1차측 응력부식균열의 발생빈도가 증가하고 있으므로 이의 정확한 탐지와 평가를 위해서는 균열 형상에 따른 와전류 신호특성을 규명하고 적합한 탐촉자를 선정하는 것이 매우 중요하다. 본 연구에서는 증기발생기 전열관의 내면 축방향 균열에 대한 와전류 검사의 검출능과 크기예측에 대한 신뢰도를 정량적으로 평가하고 pancake coil과 plus coil과의 신호특성 차이를 비교하였다. 이를 위하여 전열관 내면에 EDM으로 노치를 가공한 시편과 실제 증기발생기에서 1차측 응력부식균열이 발생하여 인출한 전열관을 시험편으로 사용하였다. 본 연구에서 얻어진 결과를 토대로 내면 축방향 균열에 대한 와전류 검사 신뢰도 향상을 위한 방안을 제시하였다. For the enhancement of ECT reliability on the primary water stress corrosion cracks of unclear steam generator tubes, of which the occurrence is on the increase, it is important to comprehend the signal characteristics on crack morphology and to select an appropriate probe type. In this paper, the sizing accuracy and the detectability for the inner wall axial cracks of tubes were quantitatively evaluated using the following specimens: the electric discharge machined notches and the corrosion cracks which were developed on the operating steam generator tubes. The difference of eddy current signal characteristics between pancake and axial coil were also investigated. The results obtained from this study provide a useful information for more precise evaluation on the inner wall axial cracks of steam generator tubes.

냉적응 생쥐의대식세포 활성화에 미치는 PKC 억제제와 Ca^(2+) Antagonist의 영향

정노팔,박한우,최인호,오영근,신형철 大韓免疫學會 1995 大韓免疫學會誌 Vol.17 No.3

Human thymus 조직으로부터 cDNA library를 만들었다. 무작위로 선별한 cDNA clone중에서 468개 염기로 된 cDNA clone (PTH209)을 검색한 결과 124개의 아미노산을 code하는 EAP(Epstein-Barr asseciated protein) 유전자임을 확인하였다. Thymus의 EAP와 Epstein-Barr 바이러스 positive 및 negative cell line의 RNP에서 분리한 EAP^(13)를 비교한 결과, coding region은 동일하였으나 3'UT region은 달랐다. 더구나 EBERs(Epstein-Barr encoded RNAs) 와 La 자가항원이 결합된 RNP의 EAP와 마찬가지로, thymus의 EAP는 sea urchin의 developmental stage-specific 단백질로 알려진 217^(2) 과 매우 유사한 아미노산 서열을 보였다. 이런 결과로 미루어 thymus의 EAP는 thymic development에 중요한 역할을 하는 것으로 사료된다. To study the adaptation of immune systems in the animals kept in cold temperature, the recovery rate of peritoneal exudated mouse macrophage was measured in mouse bred at room temperature(RT) or at cold(S±2 C). NBT-reduction activities and phagocytic activities were measured too, to the macrophages recovered. The results are as follows; More than 40% of cells were recovered in the cold treated groups compaired to the RT bred groups. The NBT-reduction activities were totally blocked at 10mM EGTA, and were below 10% of the control in H7 100pM and TMB-8 0.1mM. The NBT-reduction activity of cold treated groups were higher than RT group at lower concentration than H7100pM and TMB-8 0.1mM . The H7 resulted no changes in phagocytic activities both cold and RT groups at 0.1-100pM. The TMB-8 resulted in significant decrease in phagocytic activities at 0.1 mM and 1mM. The conclusions are 1) the cold treated animals showed an increase in the NBT-reduction activities and in the macrophage recovery rates, 2) H7 was unable to block phagocytosis of yeasts up to 10011M concentration, 3) lectin-like yeast cell surface molecules have different signaling mechanism form IgG molecules.

하시모토 병과 동반된 악성 빈혈 1 예

한 호,안명주,최정혜,이창범,이영열,최일영,김인순,이웅수 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.2

Pernicious anemia is the most common cause of vitamin B12 deficiency and is caused by autoimmune destruction of parietal cell containing gastric mucosa region. This disease is significantly associated with autoimmune endocrinopathies and anti-receptor autoimmune disease. We report here a case of 26-year old man who was diagnosed pernicious anemia with high level of autoantibody titer (antithyroglobulin antibody 1:25,600 and antimicromosomal antibody 1:6,400) indicating subclinical Hashimoto's thyroiditis. Since other autoimmune diseases are frequently associated with pernicious anemia even without evidence of clinical symptoms, screening test for the presence of autoimmune disease should be evaluated in these patients.

도시주부의 과거. 현재. 미래측면에서 본 주관적 경제복지감

한정화,최덕경,최동숙 안성산업대학교 1999 論文集 Vol.31 No.-

Economic welfare of a family is regarded as utilization of the flow of goods and services on which the family has command from its production and consumption. The purpose of this study is to investigate some influencing factors related to the urban housewives' subjective economic well-being. Questionnaires were used to the 1800 housewives in Seoul from the end of September to the end of October in 1996. The 1261 data obtained were analyzed by Frequency, Percentage, mean, t-test, F-test, Duncan's Posthoc Test, and Stepwised Multiple Regression with SPSS PC^+. The major finding of this study were summarized as follows; (1) There were significant differences on the subjective economic well-being for the urban housewives according to the social demographic variables (housewives' age, education and healthy condition). (2) There were significant differences on the subjective economic well-being for the urban housewives according to the objective variables (residence price, income, savings, debt and education). (3) There were significant differences on the subjective economic well-being for the urban housewives according to the perceptions of the economic conditions (working satisfaction, the perception of the relative comparison, the government policy for the price and the tax, the perception of the living standards and the subjective social class). (4) There were significant differences on the subjective economic well-being for the urban housewives according to the leisure and family variables (children number, the family life cycle, leisure satisfaction, the coincidence of the conjugal opinion and the types of the conjugal buying decision. The current government and the education policy should be reevaluated and revised for the improvement of the housewives' welfare.

한국산 배의 Polyphenol 화합물군이 쥐의 면역기능에 미치는 영향

최희진,한호석,박정혜,배종호,우희섭,안봉전,배만종,김현구,최청 한국식생활문화학회 2003 韓國食生活文化學會誌 Vol.18 No.4

This study was conducted to investigate immunofunctional activity of the polyphenol fractions isolated from Korean pear. In the experimental of Rosette forming cell, the results showed that all the polyphenol fractions enhance the cell count compared with the control group. Especially polyphenol fraction II and III showed highly significant effect on Rosette forming cell, and allergy inhibition. After antigen challenge, histamine content of blood of the polyphenol groups was lowered to near the normal group.