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김영균 한국동서철학회 1999 동서철학연구 Vol.17 No.1

Rocuronium의 애별투여방법이 모지내전근의 이완에 미치는 영향

최영균,김승수,이원진,조광래,이상은,김영환,임세훈,이정한,이근무,정순호,김영재,신치만 인제대학교 2009 仁濟醫學 Vol.30 No.-

Objective : There are controversies in pnmmg technique of rocuronium whether it can or can't shorten the onset time. We want to compare the effects of two different priming doses and intervals of rocuronium. Materials and Methods : After giving propofol, 50 patients were randomly assigned to 5 groups. Group I received a placebo, followed 3 min later by rocuronium 0.6 mg/kg. Priming doses and intervals of Group II, Ill, N, V were 0.06 rng/kg and 2 min, 0.12 mg/kg and 2 min, 0.06 rug/kg and 3 min, 0.12 mg/kg and 3 min, respectively. Total dose of rocuronium was 0.6mg/kg. Train of four (TOF) count or ratio and 1st twitch height of TOF (T1) were monitored with 15 secondsintervals. TOF ratio of each groups just before bolus injection, duration for TOF count to reach zero and duration for Tl to reach 95% depression after bolus injection were compared. Results : Duration for TOF count to reach zero and duration for Tl to reach 95% depression after bolus injection were decreased in priming groups compared to Group 1 (P < 0.01) In group V, significant depression of TOF ratio just before bolus injection was seen (P < 0.05). Conclusion : Priming technique with rocuronium is effective method to shorten the onset of neuromuscular block. But priming dose of rocuronium itself could cause hypoxia and aspiration in awake patients and should be used carefully. Priming dose of rocuronium 0.06 mg/kg and 2 minutes interval maybe relatively safe method.

인터넷 중독 청소년들의 정신병리 및 대처 방식

안영균(Young Kyun Ahn),신영철(Young Chul Shin),고복자(Bok Ja Koh),심진현(Jin Hyun Shim),김범조(Bum Jo Kim),이승민(Seung Min Lee),이길홍(Kil Hong Lee) 한국중독정신의학회 2005 중독정신의학 Vol.9 No.1

This study was conducted to investigate the differences in psychopathology and coping strategies among internet addictors, over users and non addictors in high school students. Subjects were 273 high school students in Seoul city. Self rating questionnaires included demographic data, Young’s Internet Addiction Scale, SCL-90-R, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory, and The Way of Coping Strategy. Subjects were classified into 3 groups (addiction, over use, non addiction) by Internet Addiction Scale score. Prevalence of internet addiction was 4.3% and male adolescents were more addictive than female. Students who were mainly involved with internet chatting or game showed higher internet addiction score. The addiction group and over use group showed higher level of somatization, obsession, interpersonal sensitivity, depression, anxiety, hostility, and paranoia than non-addicted group. Addiction group and over use group used passive coping strategies more frequently in the stressful situation than nonaddicted group. Also, the regression analysis for finding out causal factors that predicts internet addiction showed that emotion relieving strategy were important variable which predict internet addiction. Interpersonal sensitivity and emotion relieving coping strategy was important to predict addiction. This study showed that problematic internet use was closely associated with psychopathology and psychiatric comorbidity. And high interpersonal sensitivity and emotion relieving coping strategy were related with internet addiction in adolescence.

이해관계자중심 경영패러다임의 실천을 위한 전략적 인적자원관리 시스템 모형 탐색 연구

하상균(Ha, Sang-Kyun),박용승(Park, Young-Sung) 한국경영교육학회 2020 경영교육연구 Vol.35 No.5

[연구목적] 본 연구의 목적은 이해관계자중심 경영패러다임의 실천 위한 인적자원관리 시스템의 이론적 모형을 정립하는 것이다. 이를 위해 본 연구에서는 새로운 이해관계자 중심 경영패러다임의 경영 원리를 전략적으로 지원하는 인적자원관리 시스템 모형의 도입 필요성과 전략적 운영 기조 그리고 주요 구성요소를 설명한다. 주주중심 경영패러다임에서 이해관계자중심 경영패러다임으로의 전환을 실질적으로 이루어내기 위해 종업원들의 태도와 가치체계의 변화 그리고 그 제도를 실천할 종업원의 역량이 개발되도록 하고, 패러다임의 전환이 상징적 구호와 레토릭으로 전락하지 않도록 하는 새로운 전략적 인적자원관리의 이론적 모형을 제시한다. [연구방법] 이해관계자중심전략경영, 전략적 인적자원관리, 지속가능 경영 및 깨어있는 자본주의, 학습조직, 시스템이론 등 기업경영의 새로운 패러다임에 관한 광범위한 문헌연구를 수행하고 이를 종합하는 탐색적 수준의 질적 연구를 통해 이해관계자 중심 경영패러다임 실천에 기여하는 새로운 전략적 인적자원관리 시스템 모형을 도출한다. [연구결과] 본 연구에서는 이해관계자중심 경영패러다임을 조직에 내재화하여 실천에 기여하는 생태적 인적자원관리 시스템(Eco-HRM System)을 제안한다. 주주중심 경영패러다임의 가치와 원리에 갇혀 있는 전략적 인적자원관리 시스템의 한계를 넘어 이해관계자 중심 경영패러다임을 전략적으로 지원하는 인적자원관리 시스템의 비전과 실천모형을 제시하였다. [연구의 시사점] 이론적 시사점은 기존연구에서는 거의 논의가 없었던 이해관계자중심 경영패러다임 실천에 기여하는 인적자원관리시스템(Eco-HRM System)의 이론적 모형을 제안하였다는 점이다. 또한 실무적으로는 새로운 이해관계자 경영패러다임의 현장 실천을 위한 인적자원관리 시스템의 재설계를 위한 아이디어를 제공한다는 점이다. [Purpose] The purpose of this paper is to explore a Conceptual Model of Eco-HRM System. For this purpose, this paper is to explain a new human resource management system model that strategically supports the stakeholder-centered management paradigm. In order to change from a shareholder-centered management paradigm to a stakeholder-centered management paradigm, the attitudes of employees in the enterprise must change. [Methodology] This paper carried out extensive literature research on the new paradigm of corporate management, including stakeholder-centered strategic management, strategic human resource management, sustainable management and conscious capitalism, learning organization and system theory. And this study was conducted on qualitative methodology this paper proposes a new strategic human resource management system model that contributes to the practice of stakeholder -centered management paradigm. [Findings] In this study, we propose an Eco-HRM system that contributes to the practice of the stakeholder-centered management paradigm. The Eco-HRM system is an evolutionary model that complements the limitations of strategic human resource management system. [Implications] Theoretical implications are that the conceptual model of the Eco-HRM System, which contributes to the implementation of the stakeholder-centered management paradigm. The practical implications are that it provides ideas for redesigning the human resource management system.

극단 저체중 신생아에서의 동맥관 개존증 결찰술을 위한 진정맥 마취 경험 2례

최영균,고명진,이상은,조광래,김영환,임세훈,이정한,이근무,정순호,김영재,신치만 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

Running title: Cases of anesthesia for extremely low birth weight infant. Extremely low birth weight infants (birth weight < 1000 g) are prone to various morbidities such as respiratory distress syndrome, intraventricular hemorrhage, periventricular leukomalacia, patent ductus arteriosus, necrotizing enterocolitis and retinopathy. To accomplish successful anesthetic management, many precautions must be continuously taken during the operation. First, inspired oxygen concentration should be adjusted to avoid oxygen toxicity. Second, body temperature must be maintained adequately. Third, hemodynamic parameters should be kept stable. We report 2 cases of successful anesthetic management for extremely low birth weight infant who underwent ligation of patent ductus arteriosus at the neonatal intensive care unit.

Microstructure and properties of cross-roll rolled and heat treated metastable TiNbSn alloy.

Jung, Taek-Kyun,Choi, Ho-Joon,Kim, Kyung-Taek,Shin, Young-Chul,Lee, Hyo-Soo,Lim, Sung-Chul,Kwon, Hyouk-Chon,Hanada, Shuji American Scientific Publishers 2014 Journal of nanoscience and nanotechnology Vol.14 No.10

<P>A (Ti-35mass%Nb)-4mass%Sn alloy was cross-roll rolled with a reduction ratio of 70% in which the roll axes are tilted by 5 degrees away from the transverse direction of the rolled sample and then aged at 250 degrees C for 2 h. Cross-roll rolling was found to increase yield strength and Young's modulus, simultaneously. Yield strength was higher in cross-roll rolled than in conventionally rolled at same reduction ratio. Yield and tensile strength further increased by a low temperature ageing by ψ precipitation hardening and microstructure refinement. Yield and tensile strength of the aged 70% cross-roll rolled sample were higher than those of the aged 70% conventionally rolled one.</P>

젊은 성인의 고관절 발육부전증에 대한 2종 무명골 절골술의 경험 : 증례보고 Report of 3 Cases

문명상,우영균,정영복,제양환 대한고관절학회 1990 Hip and Pelvis Vol.2 No.1

장기간 항갑상선제 투여 후 임의 중단 뒤 재복용시 발생한 무과립구증 1 예

김승만;김태영;박수영;배영환;서영경 정은주;김태균;권민정;박정현;이순희 인제대학교 2011 仁濟醫學 Vol.32 No.-

Agranulocytosis, one of the major side effects of antithyroid a gents, probably occurs in less than 0.25% of cases treated with antithyroid agents. It usually occurs within the first several weeks or months after the initiation of therapy, when drug dosage is higher. Most reported cases of agranulocytosis have occurred during the first 3 months of therapy. We describe here a rare case that did not experience the side effect for 6 years of antithyroid agent treatment but presented with agranulocytosis in one month after re-exposure. It suggests that the major side effect such as agranulocytosis can occur in patients who had undergone prior uneventful antithyroid drug therapy.

노인의 Helicobacter pylori 재균율

박주상,홍원선,이영수,이은주,명승재,정훈용,양석균,김진호,민영일 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

경막 천자 후 두통 치료 목적의 자가 혈액 봉합술 시행 중 발생한 기뇌증

정순호,김책,김영환,임세훈,이정한,이근무,최영균,김영재,신치만 인제대학교 2006 仁濟醫學 Vol.27 No.-

A 57-year-old woman who was suffered from chronic back pain and radiating pain to left leg visited the local pain clinic. An accidental dural puncture happened at the L4-5 intervertebral space during the procedure with the loss of resistance technique using air. The epidural needle was removed, and a new insertion was done at the L3-4 intervertebral space with administration of the 0.5% lidocaine 8 ml mixed triamcinolone 40 mg. On the next day, she visited again the local pain clinic with complaining of headache. During an epidural autologuous blood patch procedure, she complained of a severe headache, nausea, vomiting, and developed generalized tremor of abrupt onset. There was no evidence of a dural puncture during the procedure. She was referred to our hospital at once. A brain CT scan showed air-filled cavities in basal cistern. She was given conservative treatment during 14 days. After 10 days, follow up brain CT scan showed no air-filled cavity in basal cistern. She was discharged from our hospital without complications.