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      • KCI등재

        복강경 불임술의 임상적관찰 ( 제2보 )

        류석권(SK Yoo),엄승호(SH Ohm),김태홍(TH Kim),윤석한(SH Yoon) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.2

        저자는 1974년 5월 1일부터 1978년 7월 31일까지 국립의료원 산부인과를 방문한 불임시술 희망자중 복강경불임술을 시행하였던 총 900례(전기 소작법 680례 Ring법 220례)에 대한 조사 분석한 결과는 다음과 같다. 1. 연령분포는 31∼35세군이 전체의 42.6%로 수위이었고 차위는 36∼40세군으로 32.7%이었으며 평균연령은 34.3세, 최소연령은 21세, 최고연령은 46세이었다. 2. 자녀수는 3명이 전체의 50.8%로 가장 많았고 2명이 26.6%로 차위이었으며 평균 자녀수는 3명이었다. 3. 인공유산을 경험한 부인은 전체의 89%이었으며 경험이 한번도 없었던 경우는 11.0%에 불과하였다. 4. 개복수술의 기왕력이 있었던 경우는 전체의 10.4%이었고 충수돌기 절제술이 10.0%로 가장 많았으며 자궁부속기 절제술이 0.3%, 제왕절개술이 0.1%의 순이었으나 시술에 특별한 지장은 없었다. 5. 시술전까지의 피임방법은 경구피임약이 35.7%로 가장 많았고 condom법이 21.2%, 자궁내 장치법이 13.6%의 순이었고 무피임의 경우가 26.8%이었다. 6. 최종임신은 86.6%에서 임신중절수술을 행하였고 가장 많은 빈도를 차지하였다. 7. 최종임신결과로부터 불임시술과의 기간은 1∼3년인 경우가 전체의 43.3%로 가장 많았다. 8. 마취방법은 전체의 97.8%가 국소마취이었고 전신마취는 불과 2.2%이었다. 9. 시술시 CO2 gas 소요량은 4∼5l의 경우가 대부분이었으며 전체의 74.7%를 차지하였다. 10. 시술소요시간은 30분이내가 소작법군에서 전체의 70.6%, Ring법군에서 85.6%로 대부분을 차지하였고 Ring법에서 소요시간이 약간 짧았음을 보여 주었다. 11. 시술후 재원시간은 대부분이 3시간 이내로 전체의 69.2%이었고 소작법군에서 66.3%, Ring법군에서 78.4%를 차지하였다. 12. 시술과 동시에 실시한 수술로 가장 많았던 수술은 임신중절수술로서 전체의 40.2%이었으며 단지 불임시술만 실시하였던 경우는 전체의 42.7%이었고 수술소요시간이나 합병증의 발생에 있어서 큰 차이는 없었다. 13. 시술중 가장 많았던 합병증은 경미한 자궁부속기 출혈로 소작법군에서 34례(5.0%), Ring법군에서 2례(0.9%)가 있었으며 소작법 시행중 장손상이 1례 있었고 자궁천공이 3례 있었다. 전체적으로 합병증은 소작법군에서 54례(7.6%), Ring법군에서 11례(5.0%)가 있었다. 14. 시술후 가장 많이 호소하였던 증상은 요통 및 복부불쾌감으로 소작법군에서 235례(34.5%), Ring법군에서 136례(62.0%)로 양군에서 큰 차이를 볼 Among 900 cases of laparoscopic tubal Sterilizations, 220 procedures of Yoon`s ring application and 680 procedures of coagulation were performed mostly under the local anesthesia for the recent 5 years from May 1974 to July 1978. Differences between Yoon`s ring and coagulation method were made in various aspects. The results obtained were as follows; 1) The mean age of the patients was 34.3 years. The youngest was 21 years and the oldest 46 years. Age group of 31 to 35 years was most common with the incidence of 42.6%. 2) The average number of living children was 3.0, which encountered in 50.8% of the total and that of two in 23.8%. 3) Induced abortion of 13 times was the largest frequency ever found. 99 cases(11.0%) did not have the history of induced abortion, whereas 8 cases(0.9%) had experienced it more than 7 times. 4) No considerable technical difficulty during the tubal sterilization was encountered with those 103 cases(10.4%) who had previous history of laparotomy such as appendectomy in 99 cases(10.0%) adnexectomy in 3 cases(0.3%) and cesarean section in one case(0.1%). 5) Contraceptive method with oral pill prior to laparoscopic tubal sterilization was 35.7% of total cases, with condom 21.2% and with I.U.D 13.6%, respectively. 214 cases(26.8%), however, had not practiced any contraceptive method. 6) The last pregnancy before this laparoscopic sterilization was terminated by induced abortion in 86.6%, whereas term pregnancy in 13.0%. 7) The interval between outcomes of the last pregnancy and sterilization was one to three years, which occupied 43.3% of total cases. 8) Laparoscopic tubal sterilization was performed under the local anesthesia in 97.8% and under the general Anesthesia in 2.2%. 9) Four to five liters of Co2 gas were consumed for pneumoperitoneum in 74.7% of all cases. 10) Hospitalization for less than 3 hours was required in 66.3% of the coagulation group and 78.4% of the rihg group. 12) The incidental induced abortion followed by sterilization was encountered in 40.2%, an

      • KCI등재

        장내의 탄수화물과 지방 흡수 억제를 통한 체지방 및 비만 개선 효과에 관한 연구

        정은희,윤승원,이홍석,윤유식,유경미,황인경 한국조리과학회 2003 한국식품조리과학회지 Vol.19 No.1

        In a previous study, a dietary supplement was developed in our lab using natural herbal extracts against digest enzyme activity in GI tract for weight control. This natural herbal extracts could regulate absorption of glucose and lipid by the inhibition of digest enzyme activity. In this study, we screened the natural herbs that inhibit glucoamylase activity and developed an water extract of cinnamon. The cinnamon extract delayed and decreased the increment of carbohydrate degradation through the inhibition of glucoamylase activity in vitro. Fifty volunteers were subjected to the intake of the herbal extracts by taking twice a day for 60 days. As a result, the treated subjects lost 3kg of body weight and 3.5kg of body fat mass after the treatment. Furthermore, the body mass index and waist size were significantly decreased during the experimental period. Above results suggested that the administration of the dietary additives composed of cinnamon and natural herbal extract improves the obesity by the decrement of body weight and body fat mass.

      • KCI등재후보

        이상근 증후근에 대한 수기요법 치료의 효과 연구

        김대훈,윤유정,김명준,최해훈 대한정형물리치료학회 2000 대한정형도수물리치료학회지 Vol.6 No.1

        This evaluation was made through 11 persons who discogenic disease it emergency disease. There was all complains low back, with sustained buttock pain with radiating to the leg due to piriformis syndrome during the period of march 2000 to November 1999 in seoul wooridul hospital. The purpose of this study was to determine the effect of manual therapy through 11 persons. The results were as follow : 1.Right buttock pain group(n=11), there was significant difference before manual treatment(P<.05) 2.Pain decreased before Tx then after Tx by VAS.

      • 상용관 마찰계수에 따른 관망해석

        유동훈,원유승,윤계섭,Yoo, Dong-Hoon,Wun, Yoo-Seung,Yoon, Kye-Sup 한국수자원학회 1996 물과 미래(한국수자원학회지) Vol.29 No.5

        Studied are the existing equations of Hazen-Williams and Colebrook-White, and the equations of Yoo's (1995) mean zero velocity point and mean friction factor developed for the estimation of commercial pipe friction factor. Simple arrangements of pipe network are devised by changing the diameter, flow discharge and length, and the characteristics of four equations are investigated by comparing the computed results of pressures at each node. Three groups of pipe diameter, small, medium, large, are considered in the comparison, and various problems of existing equations are discussed based on the computed results of pressures and velocities. 상용관 마찰계수 산정을 위해 개발된 기존의 Hazen-Williams 식, Colebrook-White 식과 유동훈(1995)이 제안한야 영점높이 평균법과 마찰계수 평균법의 산정식들을 비교 검토하였다. 간단한 관망에 대하여 관종류, 관경, 유속, 관길이를 변화시켜 수리조건을 구성하였으며, 네가지 상용관 마찰계수 산정식을 적용하여 구한 압력차이를 비교하여 각각의 산정식들이 가지는 특징을 논하였고, 입력자료의 변화에 따라 마찰손실이 어떠한 거동을 하는지 알아보았다. 관경을 소형관 및대형관으로 변화시켰을 때의 분석결과와 중형관일 때의 분석결과를 세 종류의 강관에 대하여 비교하였고, 유속 변화와 압력 변화와의 비교를 통하여 기존 상용관 마찰 계수 산정식의 문제점에 대하여 논하였다.

      • KCI등재
      • SCOPUSKCI등재

        Scapular Osteocutaneous Free Flap 을 이용한 하악재건 3 예

        윤근철,이택종,유장열,이향주 大韓成形外科學會 1989 Archives of Plastic Surgery Vol.16 No.3

        Although there are many methods and donor sites in the mandibular reconstruction by microvascular tissue transfer, the iliac bone with deep circumflex iliac artery has been used most commonly. Meanwhile, Acland introduced scapular osteocutaneou free flap using the periosteal branch of circumflex scapular artery in 1985. In reconstructing 3 cases of mandibular composite defects, we adopted the scapular osteocutaneous free flap to avoid the handicaps of iliac bone free flap i.e bulkness, difficulties in mucosa-bone dissociated reconstruction etc.. After resonable period of follow-up, we reviewed the cases and methods of reconstruction and concluded that the scapular osteocutaneouos free flap hs following merits. 1. Technically easy especially in the large mucosal defect and in case the mucosal detet is not near to the bone defect. 2. Aesthetically good. 3. Structural stability is tolerable inspite of scapular bone osteotomies. And in one case we modified the procedure by elevating the bone with attached Teres major muscle belly to meet the need of soft tissue defect resulting from neck dissection.

      • 농촌지역사회에 적합한 부모교육프로그램개발을 위한 기초연구

        유가호,최윤정 계명대학교 생활과학연구소 2001 科學論集 Vol.27 No.-

        This study aims to provide fundamental data for development of parent education program which is appropriate to rural communities. This study questioned 36 mothers who live in Keochang and have ever taken part in the parent education programs. It investigated what the motives and effects of the parent education program are, whether their effects still continue, and how much the desire for education of the programs is expected. This was performed by both interview and telephone interview based on 34 open questionnaires. First, the program should focus on developing the skill to listen to and understand what children try to say as well as the skill to express clearly what the parents require of their children. The pedagogical methods should be appropriate to the sentiments of rural life which is busy and tough only with their daily farming works and the example should be related with easy cases. The content of programs, should contain the education of parents personal growth, self-esteem of mother understanding of the culture of children and adolescent, sex education, and environment education as well as the change of general society and proper educational system. Second, the training period should be as short as three or four weeks timing to be the farmer's slack season and there should be intensive courses by levels. Third, the specific supporting conditions are as follows :1)low tuition, 2)hosting regular lectures on parent education, 3)composing of small groups either by children's age, 4)offering public educational facilities where ordinary programs can be managed, 5)securing and fostering professional indigenous instructors who can understand the sentiments of the rural communities and their life styles, 6)running the consultation center and consultation phone where professional counselors stay all the time, 7)operating the parents education program which fathers can join in, 8)providing local libraries which contain good books and newly published books, and provide programs for both parents and adolescents.

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