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.

말기환자 관리에 대한 의사들의 태도

최윤선,김장욱,신승욱,이영미,이태호,홍명호 가톨릭대학교 가톨릭대학교 간호대학 호스피스 교육연구소 1998 호스피스논집 Vol.3 No.-

Background : Nowadays, it is possible to prolong the life. And to improve the quality of life of the dying patients, they need to receive not only the physical, pscychological, social and spiritual care but also comprehensive and continuous care. Also, doctors have to consider many ethical issues especially in the dying patients. The purpose of this study is to analyze the doctors' attitude of those ethical issues and emphasize the importance of hospice. Methods : During September 1996, doctors who worked for a university hospital participated in this study by responding to the pre-made questionnaire. It dealt with the most suffering pain, the preferred death place, the use of life maintaining equipments, the application of cardiopulmonary resuscitation(CPR) to terminal patients and the doctors' experience and attitude euthanasia. Results : ① The most suffering symptom in dying patients was pain(60.0%). ② The death place was recommended by doctors was home(58.8%) and hospital (15.4%) in order. ③ 56.9% of doctors answered 'the life maintaining equipments isn't needed', 29.2% of doctors answered' according to the case', and 'needed' was 12.3%. ④ The application of CPR to the terminal patients, without the DNR chart, the only 15.4% of doctors answered "Do not CPR." But with the DNR chart, the percents of 'Do not CPR' was increased to 69.2%. The resident group did more CPR than specialist group(p<0.01). ⑤ The 50.8% of doctors agreed with the passive euthanasia. Conclusions : Many doctors follow the family member's opinion in the ethical issues of the dying patients. Euthanasia is forbidden by the law in Korea, but many doctors agree with the passive euthanasia. Hospice can solve the debating ethical issues including the euthanasia.

잎담배 생산농가의 경작규모별 곁순방제 소요노동력 조사

최상진,김영신,이학수,석영선 충북대학교 연초연구소 2004 煙草硏究 Vol.19 No.-

This study was carried out to decect efficient method of sucker control classifed by cultivation hectarage per farm in 57 farms selected in the main producing districts of flue-cured and burley tobacco. In topping, it was no difference of working hours by cultivation hectarage per farm in flue-cured and burley tobacco. Suckering was the best in working hours among working type, and the more cultivation hectarage per farm was small, the more working hours of topping, suckering and application of suckercide was increased. Application of system suckercide shows a decrease as compared with application of contact suckercide but the decrease of working hours in application of contact suckercide by cultivation hectarage per farm was larger than in system suckercide. 경작면적별 효율적인 곁순억제방법을 알아보고자 황색종 및 버어리종 주산지에서 57개 경작농가를 선정하여 조사한 결과를 요약하면 다음과 같다. 1. 적심작업의 경우 황색종과 버어리종 모두 경작면적에 의한 노력소요량의 차이는 없었다. 2. 곁순제거작업은 다른 작업에 비해 노력소요량이 가장 많았고, 경작면적이 작을수록 노력소요량이 증가하였다. 3. 황색종과 버어리종 모두 침투성 곁순억제살포작업에 비해 접촉성 약제살포작업에서 노력소요량이 많았으나 경작면적이 큰 경우 접촉성 약제 살포작업 노력소요량 감소폭이 침투성 곁순억제제 살포작업에 대한 노력소요량 감소폭보다 컸다. 4. 각 작업에 대하여 농가간 최저 및 최고 노력소요량 차이가 큰 것으로 나타나 조사방법과 시기를 보완하여 보다 체계적이고 세밀한 조사가 추가적으로 이루어져야 할 필요가 있다.

보은, 괴산지역 황색종 담배포장의 자갈함량과 전작물별 생육상황 조사

최상진,석영선,배길관 충북대학교 엽연초연구소 2001 煙草硏究 Vol.18 No.-

This studies were conducted to investigate the growth characteristics by gravel contents and pre-crops of Flue-cured tobacco cultivated fields at Boeun and Koesan county extension. The results were summarized as follows. pH, available phosphorous(P2O5), inorganic nitrogen(NH4-N + NO3-N), organic contents, cation exchanging capacity(C.E.C) were much more at Koesan than those of Boeun. The gravel content were approximately from 20% to 70% and its content was much more containable at Koesan than Boeun. Stalk length, stalk diameter, leaf numbers, dry weight, largest leaf, the length and the width were higher at Koesan than Boeun. The growth of tobacco by pre-crop was higher tobacco fields than pepper fields.

케일 쥬스에 의한 AFLATOXIN B_1의 유전독성 억제 효과

최영현,박건영,이선미,유미애,이원호 부산대학교 유전공학연구소 1995 분자생물학 연구보 Vol.11 No.-

The inhibitory effect of the fresh juice of kale on the genotoxicity induced by aflatoxin B_1 (AFB_1) in Salmonella and Drosophila was investigated. The kale juice had strong inhibitory activity for His^- to His^+ reverse-mutations induced by AFB_1 acting on S. typhimurium TA100. A similar inhibitory effect was detected in somatic cell mutation assaying system of D. melanogaster. Using the wing hairs spot test, we found that the formation of mutant hairs in adult flies as a result of feeding with AFB_1 in their larval stages was efficiently inhibited by coadministration of the fresh juice of kale, which revealed that it can inhibit gene mutation, deletion and mitotic chromosomal recombination. These results seem to suggest that kale juice may exert its inhibitory effect to mutagenic and/or carcinogenic properties of DNA damaging agents.

리사이클을 위한 평판 유리 파쇄 장치 개발

최성대,정선환,김잠규,김우재,김용선 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

At a point time, when demand is gradually increasing on LCD and PDP market all over the world, demand on glass which is key part of LCD and PDP is increasing, too. Hence, glasses are being cut by requested size for satisfaction on demands, the remain glass is making problems. This study is for designing installation of handling these remained glasses effectively and easily.

신생아 말초혈액 T 림프구의 아형 분석

최두영,김종덕,장선일,이신은,조성경,정헌택 최신의학사 1990 最新醫學 Vol.33 No.12

성인남자의 신체충실지수에 따른 체형 연구 : 대구·경북 지역의 성인남자 신체계측치를 중심으로

최영미,김계선,홍정민 대구효성가톨릭대학교 응용과학연구소 1995 응용과학연구논문집 Vol.4 No.-

This study was conducted to design the clothes considering suitability for the physical body of male adults by carrying out with a Martin type of measuring gauges andweigher the body measurement of male adults(20s-50s) residing in Taegu and Kyongbuk areas to obtain the basic information of this study. The result of this study is summarized as follows. 1. As the classified result of the physical body types with the body index, it was shown that the average physical body index of male adults was 1.43 which normal. The physical body type distribution on the body index by ages showed that the lower the age, the more the thin body type while the higher the age, the more the fat body type. 2. The measured result of 3 groups by the physical body types indicated that there was a remarkable difference in such items as weight, breadth items, thickness items, circum-stance items, width items, and the front and rear length of the crotch. 3. The index values by the physical body types showed that while there was increase in their waist widht/height, chest circumstance/height, and waist circumstance/chest circum-stance, the increase of the chest, waist and hip was greater in such order as the thin, aver-age and fat body types. 4. Their flat rate by the physical body types showed that the chest, waist and hips were cylindrical in order such as thin, average and fat body type, while the side rate decreased when their thickness of hip was larger than that of chest on the basis of waist thickness. 5. The correlation between weight and other items indicated that there were its low corre-lation with height items, middle correlation with breath items and thickness items, respec-tively, and high correlation with circumstance items other than that of elbow.

제1요수 불완전 하반신 마비 환자에서의 기능적 전기자극에 의한 훈련 증례보고

최현주,이수영,김종문,강선화,정순열,강곤,정진상 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.5 No.-

Functional electrical stimulation(FES) is known to increase muscle bulk and strength and prevent muscle atrophy in complete paraplegic patients. And other benefits include peripheral adaptations which improve muscle endurance, girth, and appearance, as well as central circulatory adaptation which enhances aerobic(cardiopulmonary) capacity. Good candidates for FES include spinal cord injured patients who have clinically complete upper motor neuron lesion between T4-T12. But we experienced incomplete L1 paraplegic patient who has improved maximal knee extension power, endurance, circumference and cross-sectional area of the thigh and the shank after FES-induced exercise for 44 weeks. So we recommend more trial of the FES-induced exercise to not only complete but also incomplete lumbar paraplegic patients.

선반 기어박스의 기어열 - 축계 진동 해석 및 저감에 관한 연구

최영휴,박선균,배병태,정택수,김청수 한국공작기계학회 2001 한국공작기계학회 춘계학술대회논문집 Vol.2001 No.-

In this study, torsional and lateral vibrations of a gear box transmission system were analyzed theoretically using some mathematical models and examined to determine the causes of its excessive vibrations. As the results, it was found there exist possibility of resonance between gear mesh frequencies and lateral vibration mode of the transmission shaft during the third shifting mode operation. In order to avoid this resonance, we proposed changing the arrangement of gears on the transmission shaft. The measured vibration levels of the improved gear box were dramatically reduced. These results may be helpful to design a machine tool gear box with low noise and vibration.