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김민경,이인환,신애숙,김나희,김혜미,심소라,나병조,조승연,박성욱,정우상,문상관,박정미,고창남,조기호,김영석,배형섭,Kim, Min-kyung,Lee, ln-whan,Shin, Ae-sook,Kim, Na-hee,Kim, Hye-mi,Shim, So-ra,Na, Byung-Jo,Cho, Seung-yeon,Park, Seong-uk,Jung, Woo Sang 대한중풍순환신경학회 2010 대한중풍.순환신경학회지 Vol.11 No.1
Object : This study was conducted as part of the national project to standardize stroke diagnosis in Korean medicine. In this study, we aimed to evaluate the characteristics of acute stroke between heat pattern group and cold pattern group. Methods : We recruited stroke patients from 5 universities(Kyung-Hee University oriental medical center, Kyung-Hee University East-West Neo medical center, Kyungwon university lncheon oriental medical center, Kyungwon university Songpa oriental medical center and DongGuk university llsan oriental medical center) from April, 2007 until February, 2010. We diagnosed them and selected 463 heat pattern patients and 182 cold pattern patients. Results : We find that the risk factor of smoking, alcohol, diet(prefer to meat) are more associated with the heat pattern group. On the other hand, inflammation history in recent 3 months and diet(prefer to sea food) are more associated with the cold pattern group. RBC, Hg, Hct, TG, CK and Cl are more related to the heat pattern group. CPT, total cholesterol and HDL are more related to the cold pattern group. Tae-eum type takes high distribution of the heat pattern group, and So-eum type takes high distribution of the cold pattern group. Conclusions : This study provides evidence that the heat pattern group have more risk factor than the cold pattern group.
비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)
최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3
Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.
하계 및 동계에 있어서의 실내온열환경 특성과 쾌적성 평가
고경태,김봉환,김경훈 경희대학교 환경연구소 1998 環境硏究 論文集 Vol.8 No.-
The purpose of this study was to examine theory about indoor thermal comfort-environment as well as to determine thermal sensation and physical responses for men in summer and winter indoor environment, under various air temperature and relative humidity, with male university students. Subjective Evaluation, Heartrate (Electrocardiogram, ECG), Electroencephalogram (EEG) were examined. We found that comfort of people was achieved at SET* 24.7℃, -0.82<PMV<+0.93 in summer and at in winter. Vote rate of human body presented calf-forearm-head-chest-abdomen in turn in summer, and calf-head-forearm-chest-abdomen in turn in winter. The largest vote rate was found at the calf area. At low, heart rate was decreased and at high, heart rate was increased but there was no change EEG(keeping α-wave) both in summer and in winter.
가정 학습 과제의 내용과 그 처치에 관한 분석적 연구 : 산수과와 자연과 and Its Treatment
송환용,신순임,이용화,신경자,강태완 춘천교육대학교 과학교육연구소 1978 과학교육연구 Vol.5 No.-
We aimed at in this paper analyzing the content of homework in arithmetic and science education in elementary school, and finding out teacher’s guiding direction and student’s solving trend of it. The results are as follows: 1. Homework is given similarly by the ratio of the problem in textbook of the assigned school hours of the subject. 2. Teachers demand sincerity of the students in solving their problems, but they seem to negiect further direction. 3. Students are keen on solving the problems and think that it gives them great help for their learning. 4. It will be more effective for the teachers to make out the homework jointly rather than individually.
유방암종에서 p53, cyclin D1 및 cathersin D 단백발현의 의의
문경래,김환정,이미자,기근홍,서재홍,양정원,조현진 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2
Background and Objectives: Breast carcinoma is a heterogenous disease. The prognosis of this carcinoma correlates with various prognostic factors. The aim of this study was to assess the prognostic significance of expression of p53, cyclin Dl and cathepsin D protiens in association with various prognostic factors in invasive breast carcinoma. Materials and Methods: The relationship is presented between expression of p53, cyclin D1 and cathepsin D by immunohistochemistry and various established prognostic factors such as tumor size, histologic grade, lymph node status and extensive intraductal component in 55 cases of invasive breast carcinoma. Results: No significant correlations were observed between expression of p53, cyclin Dl and cathepsin D and tumor size. The expression of p53 correlated with high histologic grade. The expression of p53 and cyclin Dl correlated with lymph node metastasis. Conclusion: These results indicate that expression of p53 and cyclin Dl in invasive ductal carcinoma may be an important prognostic factor, closely related to the high histologic grade and lymph node metastasis.
김경환,순정운 慶尙大學校生産技術硏究所 1997 生産技術硏究所論文集 Vol.13 No.-
From ride share aspect, Korean taxis are functioning as public transit. However, taxi-operators are generating social problems on issuing taxi licenses every year, because there is no reasonable method for estimating adequate number of taxis in a city. Thus, a method for estimating adequate number of taxis was developed in this study, the method consists of three criteria; one is the criterion based on optimal taxis' occupancy rate considering optimal waiting time of passengers, the optimal income of operators, and working hours of taxi divers, another is criterion on taxi-passenger chane, the other is the criterion on traffic conditions. Also, a new observation method of taxis' occupancy rate was suggested. In this study, Chinhae was selected as the study city. Followings are the results of this study. First, by using the new observation method of taxis' occupancy rate based on taxi traffic count reliable occupancy data could be collected with low expenses. Second, the results applying the model suggested in this study to Chinhae showed that preset number of axis is adequate and the results matched well with the real situation of Chinhae.
조경진,박영선,박지환,이병기,정순희 高麗大學校 倂設 保健大學 保健科學硏究所 1997 保建科學硏究論集 Vol.6 No.1
For the the enhancement of educational efficiency in on-site training of 3-year health college program, the authors perofrmed a survey. From the survey result the authors came to conclusions as follows, The duration of training in the health college programs should be extended as one year through the extension of length of study. Evaluations in training sites were thought to be unreasonable, and therefore the evaluation system should be improved or newly developed. Educators in colleges are also urged to participate in various workshops to catch the new theory and changing technologies. All health alleges should try to expand their experimental facilities and equipments. Securing suitable training places is very difficult for some colleges located in small cities. At this point the governmental meddling is keenly required to ease the situation. Each training place must prepare its own educational program on which the educators can execute schedules. Training fee is another intricate matter for both collegs and training places. Some criteria for the amount per trainee and proper paying methods should be suggested in the earliest time. Considering the highly sophisticated equipment and higher wages for the manpower within the laboratories and relevanat places, the education in managerial aspects should be included in the programs. To enhance the effiency in the trainings, the student's daily report should be practical one not formalistic, and opportunities to handle the sophisticated equipments should be given to the trainees, and paying the careful consideration to trainees would be desirable.
Quick BASIC을 이용한 탄산염 시스템 모델(CSM)개발
김경섭,제충환 안성산업대학교 1998 論文集 Vol.30 No.-
Carbonate system in water is very important to calculate solution composition during water treatment operations where strong acids or bases are added to carbonate-bearing waters, to assess p and solution composition when acidic wastes are discharged to receiving waters, and to calculate the pH and solution composition at various stages of the alkalinity and acidity titrations. To understand this system more easily and to help water quality management and control, Carbonate System Model(CSM) using Quick BASIC is developed. CSM is mainly composed of three main parts, MAIN MENU, PROCESSOR MENU and POST-PROCESSOR MENU. in MAIN Menu, open and closed systems can be selected and in PROCESSOR MENU, equilibrium pH and solution composition are calculated with the input values of MAIN MENU. In POST-PROCESSOR MENU, the results are produced in three different ways, i.e, screen, printer and graphical display Running this model demonstrates that CSM becomes a very useful tool to understand carbonate system in water body and it can be also used to educational purpose for under-graduate and graduate students.
김성환,황성오,이강현,조준휘,강구현,문중범,이승환,윤정한,최경훈,김영식 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Background: The aim of this study was to determine whether the conventional subcostal approach is suitable for emergency pericardiocentesis in patients with cardiac tamponade or impending cardiac tamponade. Methods: This study was a prospective, observational study conducted at the emergency department of a tertiary hospital, Patients who had symptomatic pericardial effusion and who needed emergency pericardiocentesis in the emergency department were included in this study. We measured the epicardium-to-pericardium distance at the subcostal, parasternal, and apical area with two-dimensional echocardiography to determine the appropriate puncture site for pericardiocentesis. An epicardium-to-pericardium distance of more than 1.0 cm was considered as the primary safety factor in determining the Puncture site for pericardiocentesis. The skin-to-pericardium distance was considered as secondary safety factor. Results: Ninety-five consecutive patients(55 males and 40 females; total mean age: 53 year old) with cardiac tamponade or impending cardiac tamponade were enrolled in this study. The puncture site for pericardiocentesis, as determined by echocardiography, was the subcostal area in 43 patients(45%), the apical area in 40 patients(42%), the left parasternal area In 11 patients(12%), and the right parastemal area in one patient(1%). Pericardiocentesis failed in 2 patients(2%) with the subcostal approach and in one patient(1%) with the apical approach. The average epicardium-to-pericardium distance was 31 ±21 mm in patients with the subcostal approach and 21±8 mm in patients with other approaches. There were no differences in the amount of pericardial fluid and in the intraperical pressure among patient groups according to puncture site. There were two procedure related complications: a puncture of the right ventricle with the subcostal approach and a ventricular tachycardia with the apical approach.