도심에 거주하는 남성 노인에 있어서 유산소 운동능력이 혈관내 염증수치와 동맥경직도에 미치는 영향

안기만(Ki man Ahn),김윤신(Yoon shin Kim),박원하(Won Hah Park) 한양대학교 고령사회연구원 2012 한양고령사회논집 Vol.3 No.1

Experimental epidemiology and clinical studies have provided strong evidence that physical exercise has beneficial effects on multiple physiological variables affecting cardiovascular health. Cardiopulmonary function has been previously associated with atherosclerotic disease and coronary events. The aim of this study was to examine the higher levels of cardiopulmonary function are associated with lower levels of hs-CRP(high sensitive C reactive protein) and baPWV(barcahial ankle pulse wave velocity) in Korean elderly men. Study participants were 115 elderly men (mean age 62.5±2.2) participated in the research. Age, body mass index(BMI), resting heart rate, blood pressure, medical history, lipid profile, high sensitivity C-reactive protein(hs-CRP), Brachial-ankle pulse wave velocity (ba-PWV), cardiopulmonary function were measured. VO2peak higher elderly man had a significantly decreased hsCRP(0.22±0.26, p<0.05) and PWV (1439.1±159.9, p<0.05). In addition, HDL-C(55.2±14.2, p<0.05) levels was significantly increased and LDL-C(1193±21.7, p<0.05) level was decreased. This study show that VO2peak levels are positively correlated with hsCRP, HDL-C and PWV. Apparently healthy subjects with increased inflammatory markers have increased systemic arterial stiffness, which might reflect early atherosclerotic changes. Higher physical conditioning status, indexed by VO2peak, was associated with reduced arterial stiffness and hsCRP and increased HDL-C. The results of our study suggest that high cardiopulmonary function reduces hsCRP levels and improves PWV, HDL-C in Korea elderly men. 심혈관질환은 현재 선진 산업 국가들에서 성인 사망 제 1원인으로 알려져 있다. 심혈관질환에 의한 사망률은 나이가 증가하면서 더 높아지는 것으로 보고되고 있다. 이러한 심혈관질환을 일으키는 위험인자로는 나이, 신체활동의 부족, C반응성 단백(CRP), 혈관경직도(baPWV) 등이 심혈관질환을 높이는 것으로 보고되고 있다. 무엇보다 인구의 고령화로 인해 심혈관질환이 증가하고 있다는 것이다. 심혈관질환을 예방하기 위해서는 생활 습관 개선이 중요하며 그 중에서도 신체활동은 매우 중요하다. 하지만 고령의 건강한 남성을 대상으로 심폐기능과 관상동맥질환의 위험인자와의 관련성을 살펴본 연구는 부족하다. 따라서 본 연구는 60세 이상의 건강한 노인 남성(62.5±2.2)을 대상으로 심폐체력의 수준에 따른 혈중 C반응성 단백(CRP), 혈관경직도(baPWV)의 변화를 알아보고자 했다. 심장병 증상이 없는 노인 남성 115명을 대상으로 하였으며, 심폐기능 측정을 위해 운동부하검사를 실시했다. 혈액검사를 통해 혈중 CRP와 동맥경직도를 평가하기위해 baPWV 검사를 실시하였다. 그 결과 혈중 CRP는 심폐기능이 높은 그룹에서 0.22±0.26로 심폐기능이 낮은 그룹의 0.49±0.49 보다 유의하게 낮은 것으로 나타났다(p<0.05). baPWV역시 심폐기능이 높은 그룹에서 1439.1±159.9로 심폐기능이 낮은 그룹의 1523.7±236.1보다 낮게 나타났다(p<0.05). 따라서 건강한 노인 남성의 경우 심페기능이 좋은 그룹에서 심혈관질환 위험인자인 CRP와 baPWV가 유의하게 낮은 것으로 나타났다.

밝은社會運動의 時代的 當爲性과 基本精神

朴淳永,申大淳,趙萬濟 慶熙大學校 1983 論文集 Vol.12 No.-

The tasks of today's human society are 1) to preserve nature, 2) to create the sound social climate, 3) to construct human rehabitation and 4) to materialize the world peace with the human family spirit. The Bright Society Movement, acting up to such historical needs, is extending worldwidely. Following are the necessities of the times; 1) the population increase, the excessive urbanization and industrialization cause pollution to break the things of nature and to further intimidate human life. For that reason, the world-wide movement is urgently needed to protect the nature and revive her functions. 2) Materials are the necessary condition for man's life; nevertheless, the tendency spreads around the world to value more seriously materials than man. Machines and tools must be utilized for only man's convenience. It is our present mission to enhance human value and construct a society which is good to live. 3) As for human relationship, humanity and familiarity among neighbors grow more sterile. Recovering humanity in our society, we'll have to lead an intimate life with out neighbors as if a family, and all human beings ought to keep good relations one another under the awareness that we are all brothers. Since the world is becoming a global community, people in this community can not help co-operating one another. 4) The gradual increase of the number of modern people who take the passive and negative attitude in life, and antagonism between individuals, groups, races, and nations which most frequently results in war; these phenomena are typical of modern society. We should make every effort to induce people to take an active, positive attitude and cast away such antagonism. 5) Individualism and egoism for common prosperity. The solution is to place great emphasis collaboration and the basis for modern society are the main factors to destroy the social collaboration and the basis for common prosperity. The solution is to place great emphasis upon human education so as to make the habit of servicespirit. The Bright Society Movement, in accordance with these historical and social demands, takes as its motto Good will, Cooperation and Service―Contribution. 1. Good Will The spirit of Good Will is not only the native love made between friendly persons but the mental basis for human life. First, filial piety is the most important in the life of Good Will. Only a man, who is dutiful to his parents, can be a leader and do his best for society. Second, Good Will is beautiful love between husband and wife. For it is next to impossible without beautiful love to become the most intimate couple from two strangers. Third, Good Will is the love between parents and children. It is true love without any condition. Forth, Good Will is spirit of keeping friendly contact with neighbors. Such spirit is to help mutually, feel grateful, and live loving neighbors as if relatives. 2. Cooperation Cooperation is an essential principle to form human society. All beings in the universe keep inter-relation through the organic cooperative system with their environments. Man can yield greater results by mean of cooperation. A family can be happy when they collaborate one another; every member of a society is able to achieve their aims through their mutual cooperation. The Bright Society Club can construct human cooperative society as well, when it is possible to create the systematic cooperative relationship between unit clubs, federations, regional centres, national centres, and international centre. 3. Service-Contribution Service is man's natural behavior to contribute himself and the development of human beings. Everything with me is what is obtained from others, not what I produce by myself. Service means to reward everyone for what I have received. The society which consists of those who are willing to service each other; only that society can provide for proper opportunity to be compensated. Fruitful life does not lie in good health and materials. Really valuable Life is with helping others. Life, filled with Good Will, Cooperation, and Service-Contribution, must grow into a habit of everyman so as to be a guiding principle in his life. Now, the basic directions of unit club for the Bright Society Movement are as follows; 1. Leading role of unit clubs; Centering around unit clubs, Bright Society Movement is expanded. 2. Systematic relations of club structure; each unit club keeps organic relationship mutually. 3. Regional and functional unit clubs; unit clubs are formed on the basis of pecularities of regions or functions. When all human beings understand the historical and social missions and participate in the Bright Society Movement positively, we'll be able to creat earlier human cooperative society which is good to live.

건강검진자를 대상으로한 갑상선질환의 유병률 조사

석성자 ( Seong Ja Seok ),신두만 ( Du Man Shin ) 대한임상검사과학회 2007 대한임상검사과학회지(KJCLS) Vol.39 No.2

This study was carried out on 14,443 subjects (8,706 men, 5,737 women ; between 20-80 years of age, mean age 41.8 ± 9.16) who visited the health promotion center of one university hospital. Serum T3, T4 and TSH concentrations were measured with CIA using commercial kits on ADVIA Centaur Assay. The prevalence of thyroid disfunction was high in elderly people and women like in western countries. The results were as follows; 1. The prevalence of overt hyperthyroidism was 4.8/1,000 population (men 4.1/1,000, women 5.9/1,000) and was higher in women than in men. 2. The prevalence of subclinical hyperthyroidism was 10.7/1,000 population (men 9.0/1,000, women 13.2/1,000) with peak prevalence at the age group 50, 60 and was higher in women than in men. 3. The prevalence of overt hypothyroidism was 0.5/1,000 population (men 0.5/1,000, women 0.5/1,000). The prevalence increased with age and was significantly higher in women in the age group over 60 years. 4. The prevalence of subclinical hypothyroidism was 12.6/1,000 population (men 6.0/1,000, women 22.7/1,000) and was as high as about 4 times in women than in men. 5. The prevalence of thyroid dysfunction was higher in women than in men in all the age groups, and was higher in the age group 50, 60 years than in any other age group.

Photonic Crystals: Integration of Colloidal Photonic Crystals toward Miniaturized Spectrometers (Adv. Mater. 9/2010)

Kim, Shin-Hyun,Park, Hyo Sung,Choi, Jae Hoon,Shim, Jae Won,Yang, Seung-Man WILEY-VCH Verlag 2010 Advanced materials Vol.22 No.9

<B>Graphic Abstract</B> <P>The cover shows a schematic illustration of patterned colloidal photonic crystals with different bandgap positions. When an unknown light source impinges on the patterned photonic crystals, the light information can be identified from the reflection intensity profile of the constituent photonic crystals. The two optical microscopy images and background image display integrated photonic crystals with 20 different bandgaps spanning the entire visible range, and the SEM image shows the cross-section of the photonic crystal stripes, as reported by Shin-Hyun Kim, Seung-Man Yang, and co-workers on p. 946. <img src='wiley_img_2010/09359648-2010-22-9-ADMA201090022-content.gif' alt='wiley_img_2010/09359648-2010-22-9-ADMA201090022-content'> </P>

두통을 주소증으로 하여 입원한 환자 120예에 대한 임상적 고찰

권경만 ( Kyoung Man Kwon ),김광록 ( Koang Lok Kim ),신윤리 ( Yoon Ri Shin ),박선영 ( Sun Young Park ),박동일 ( Dong Il Park ) 경락경혈학회 2012 Korean Journal of Acupuncture Vol.29 No.4

Objectives: The Purpose of this study is to investigate clinical characteristics with 120 patients who have sufferred from headache and were treated. Methods: We classified 120 patients into several groups by International Headache Society(IHS) classification and evaluated the effects of oriental medical therapy on headache. Results: 1. According to the statistics, women patients were more than men. And 50s has highest number of headache patients. 2. In classification by IHS, tension type headache were highest. 3. 24.2% of patients had entered Department of Internal Medicine, Colleage of Oriental Medicine Dongeui Univ for treatment within six month of onset. 4. According to the statistics, headache of whole part has highest number of headache patients. 5. The most number of associated symptoms were nausea, vomiting, dyspepsia etc. 6. The most number of headache patient`s past history were hypertension. 7. In classification by oriental medical differentiation of symptom and signs, the rate of blood deficiency were highest. 8. 64.2% of patients said they were satisfied with treatment, reporting half the frequency of headache or better from before treatment. Conclusions: In conclusion, the present results suggest that oriental medical therapy has effects on headache.

경막외 스테로이드 주입에 의한 경부 신경근증의 치료

신근만(Keun Man Shin),홍순용(Soon Yong Hong),최영 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.2

N/A Cervical epidural steroid injection, although not as familiar to many anesthesiologists, can be useful in the management of patients with acute and chronic neck, shoulder and arm pain. My clinic personally contacted and interviewed thirty patients with cervical radiculopathy who re- ceived cervical epidural steroid injection. Twenty seven percent of the patients had a excellent response(greater than 75% improvement) and fifty percent of the patients had a good response (greater than 50% improvement) to an injection of steroid into the cervical epidural space. We have conciuded that cervical epidural steroid injection was very effective in the management of cervical radiculopathy and represented a possible alternative to surgery. Many anesthesiologists should add to their armamentarium the use of such techniques in the man- agement of cervical radiculopathy.

Corporate Resource And Institutionalization Characteristics, Knowledge Management Activities, And R&D Teams’ Perfonnance

최만기(Choe, Man Kee),신창호(Shin, Chang Ho) 한국인적자원관리학회 2010 인적자원관리연구 Vol.17 No.1

지식경영에 관한 많은 연구는 자원기반관점을 바탕으로 하고 있다. 그러나 지식경영이 성공하려면 그것이 조직의 제도로 정착되어야 한다. 그런 점에서 제도화이론 관점에서도 지식경영을 연구할 필요가 있다. 또한 기업에서 지식을 창출하고 공유하는 주된 주체들 중 하나는 연구개발집단이다. 그럼에도 불구하고 자원기반관점에서는 물론 제도화이론 관점을 바탕으로 연구개발집단의 지식경영과 성과를 다룬 연구는 찾기 힘들다. 따라서 본 연구는 자원기반관점과 제도화이론을 바탕으로 기업의 자원 및 제도적 특성이 연구개발팀의 지식경영활동에 어떠한 영향을 미치며,나아가 지식경영활동이 연구개발팀의 성과에 어떠한 영향을 미치는 지에 관한 Choe와 Shin(2003)의 모형을 보다 정교화하고 이를 바탕으로 연구가설들을 설정하였다. 모형의 적합성과 가설의 검정을 위해 본 연구는 설문조사를 통해 89개 한국 기업의 281개 연구개발팀으로부터 자료를 수집하여 LISREL 통계 프로그램을 이용하여 구조분석과 경로분석을 행하였다. 그 결과,모형적합도는 만족할만한 수준이었고 가설들은 모두 채택되었다. 그리하여 기업의 자원적 특성과 제도적 특성들이 연구개발팀의 지식 창출이나 공유활동에 긍정적으로 영향을 미쳤으며,그러한 지식경영활동은 다시 연구개발팀의 대내외적인 성과에 영향을 미쳤다. 변수들간 상대적인 영향력을 파악하기 위한 경로 분석 결과,특히 자원특성들 중 업무의 다기능성,정보기술 및 지식경영전략이 지식창출에 강한 영향을 미친 반면 정보기술은 지식공유에 크게 영향을 미치는 경향을 보였다. 한편,제도특성들 중에는 지식경영 시스템 활용이 지식창출에 크게 기여한 반면 지식경영시스템 활용과 함께 지식경영보상제도의 구축이 지식공유에 강한 영향을 미치는 경향을 보였다. 나아가,이러한 지식 창출과 공유활동은 연구개발팀의 대 내적인 지식경영성과에는 물론 대외적인 성과에도 크게 기여하는 경향을 보였다. 본 연구에서는 이러한 연구결과들에 대한 시사점들을 논하고 향후 연구를 위한 과제들을 제시한다. Many previous studies of knowledge management have been based on the resource-based theory of the firm. Institutionalization, however, is necessary in order for knowledge management to be successful. In that sense, knowledge management needs to be studied from the viewpoint of institutionalization theory. In addition, R&D teams are major groups to create and share knowledge in corporations. There exists, nevertheless, very little research on the knowledge management and performance of R&D teams based on the institutionalization theory as well as the resource-based theory. Thus, based on Choe and Shin's (2003) model, this study generated hypotheses about the effects of the resource and institutionalization characteristics on knowledge creation and sharing and the effects of these knowledge management activities on inside and outside team performance. To analyze the fitness of the model and to test the hypotheses, this study collected data from 281 R&D teams of 89 Korean companies through a questionnaire survey and conducted the covariance structure analysis and the path analysis utilizing the LISREL statistical program. As results, the model was fitted and all the hypotheses were accepted. In detail, resource and institutionalization characteristics significantly and positively affected knowledge creation and sharing activities which, in turn, had positive and significant impacts on both inside and outside team performance. Specifically, among the resource characteristics, task multifunction, information technology, and knowledge management strategy tend to strongly affect knowledge creation, while information technology tends to affect knowledge sharing. Among the institutionalization characteristics, the utilization of knowledge management system tends to contribute to knowledge creation significantly, whereas the establishment of knowledge management reward system with the utilization of knowledge management system tends to strongly affect knowledge sharing. Furthermore, such knowledge management activities as knowledge creation and sharing tend to increase the performance of outside as well as inside R&D teams.

중국 길림성 조선족의 민족 정체감에 관한 연구

이호영,이동근,신승철,김만권 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.2

The present study examined the structure and patterns of ethnic identity in a sample of Korean-Chinese parents and their adolescents residing in the Jilin Province in China. The ethnic identity of these participants(total :148 parents:100 adolesents:48) includes two major components : Korean identity and Chinese identity. Each of these components was measured in three different modalities : behavioral, affective and cognitive. The results are summarized as follow ; 1) Generational comparisons between Korean identity scores of parents and adolescents indicated similarities in the modalities of cognitive and behavioral identities. Both groups shared a Korean orientation manifested in their high level of Korean behavior and cognition. However, both groups also shared a relatively high level of Chinese identity. In summary, dual identity appeared to be preserved over time. The parents scored higher than the adolescents in their affective modality of Korean identity. Chinese identity was scored higher in the adolescents than korean identity in their affective modality. The generational comparisons indicated that the adolescents were acculturated in their affect than their parents. 2) Comparison of men and women in the strength of identity' component showed higher cognitive scores among the men. in Korean identity, compared with Chinese identity. Men were more identified with "Chinese" and "Korean" in the affective component of their identity.

초음파 기관지 내시경으로 진단한 기관기관지 골연골형성증 1예

이천우,옥철호,정만홍,장태원,임성경,조은주,이신준,이혜원,구상건,천봉권 고신대학교 의과대학 2011 고신대학교 의과대학 학술지 Vol.26 No.2

Tracheobronchopathia osteochondroplastica (TO) is a rare benign disease of unknown etiology characterized by accumulation of calcium phosphate in the submucosa of large airways and benign proliferation of bone and cartilage resulting in nodular formation. We report a case of tracheobronchopathia osteochondroplastica diagnosed by Endobronchial ultrasonography in a 56-year-old man. Chest Computed Tomography revealed thickening of tracheal and bronchial wall, and multiple nodules through whole trachea. Endobronchial ultrasonography showed numerous submucosal nodules with hetero-echogenecity in the third and fourth layers. Histopathological examination revealed nonspecific bronchitis with squamous metaplasia and metaplastic ossification. We confirmed tracheobronchopathia osteochondroplastica. The patient's symptoms were successfully treated with antibiotics and oxygen supplyment. endobronchial ultrasonography can helpful diagnosis in tracheobronchopathia osteochondroplastica.

Urapidil, Labetalol의 투여가 기관내 삽관시 심혈관계에 미치는 영향

신용섭,윤석화,손수창,이원형,이정은,황원재,김만수,김영주,김혜자,최세진 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

We have examined the comparative efficacy of small doses of intravenous urapidil and labetalol in blunting hemodynamic response to endotracheal intubation and surgical incision in 30 patients without cardiovascular diseases. After intravenous urapidil 0.2 mg/kg or labetalol 0.2 mg/kg anesthesia was induced with thiopental 5mg/kg. Endotracheal intubation was facilitated by vecuronium 0.15 mg/kg with priming principle and anesthesia was maintained with enflurane and nitrous oxide in oxygen. Systolic, diastolic and mean arterial pressure and heart rate were measured before administration of the drugs, 5 minute after administration, just prior to endotracheal intubation and 1, 3, 5, 10 minute after intubatin. Also the peak blood pressures and heart rate within 10 minutes after surgical incision were measured. Endotracheal intubation and surgical stimulation were associated with significant increases in blood pressures and heart rate in both urapidil and labetalol group. Comparison of the changes in systolic, diastolic, and mean artrial pressures and heart rate between urapidil and labetalol group showed no significant difference except peak systolic pressure after surgical incision. It is concluded that the pressor response to endotracheal intubation and surgical stimulation are not influenced significantly by urapidil 0.2 mg/kg or labetalol 0.2 mg/kg. However, urapidil and labetalol preloading may be similarly effective in the blunting of the increases in blood pressures with larger doses of the durgs during anesthetic induction.