근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

목적 : 본 연구는 전자궁적출술 후 질탈출을 부위-특이적인 결함의 개념에 입각하여 치골경부 근막과 직장질 격막의 연결을 통한 골반내 근막의 복원과 자궁천골인대 고정술을 이용한 질탈출의 성공적인 수술적 교정의 방법과 결과를 보고하고자 한다. 연구 방법 : 1999년부터 2001년 8월까지 자궁적출술 후 질궁탈출 증상으로 문화병원 산부인과를 내원, 탈출된 질의 근막을 재건시킨 다음, 이를 자궁천골인대에 고정시킴으로써 질의 부위-특이적인 교정술을 받은 3명의 환자를 대상으로 하였다. 3명중 1명은 개복술을 하였고 2명은 내시경 수술을 하였다. 결과 : 환자의 연령 분포는 49-67세였으며, 수술시간은 평균 113분 (105-125)이었다. 세 환자 모두 수술 후 질의 상태가 해부학 및 기능적으로 정상이었으며, 9일째 특이사항 없이 퇴원하였다. 수술 후 HRT를 시행한 1명을 포함한 3명 모두 각각 24개월, 12개월, 7개월간의 추적 검사에서도 특이한 합병증이나 재발 없이 좋은 경과를 보였다. 결론 : 골반 근막 결손의 복원과 자궁천골인대 고정술은 전자궁적출술 후 질탈출의 교정에 매우 안전하고 효과적이며, 기능적인 방법으로 사료되며, 자궁천골인대를 질탈출 교정에 이용한 연구는 본 연구가 국내에서 처음이다. Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

일반인구에서 유전자 다형성이 요중 1-hydroxypyrene 및 2-naphthol의 배설량에 미치는 영향

황문영,조병만,문성배 한국환경과학회 2005 한국환경과학회지 Vol.14 No.5

This study was performed to determine the effects of genetic polymorphisms, such as glutathione S-transferase μl (GSTM1), glutathione S-transferase Φl (GSTT1), glutathione S-transferase π1 (GSTP1), aryl hydrocarbon N-acetyltransferase 2 (NAT2), cytochrome P450 2E1 (CYP2E1), cytochrome P450 IA1 (CYP1AI) on the concentrations of urinary 1-hydroxypyrene (1-OHP) and 2-naphthol in general population with no occupational exposure to polycyclic aromatic hydrocarbons (PAHs). Study subjects were 257 men who visited a health promotion center in Busan. A questionnaire was used to obtain detailed data about age, smoking, drinking, body fat mass, intake of fat etc. Urinary 1-OHP and 2-naphthol concentration were analyzed by HPLC system with a fluorescence detector. A multiplex PCR method was used to identify the genotypes for GSTM1 and GSTT1. The polymorphisms of GSTP1, NAT2, CYP1A1 and CYP2E1 were determined by the polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) method. Urinary 1-0HP concentration was higher in deleted genotype of GSTMI, increased as smoking and alcohol drinking increased. Urinary 2-naphthol concentration was also rely on the age and smoking. Neither genetic polymorphism nor drinking-related factors were significantly related to urinary 2-naphthol concentration. No significant relation was found between physical characteristics and concentrations of urinary PAHs metabolites in the subjects, but the geometric mean of urinary 1-OHP and 2-naphthol was higher in the group with higher value compared to median value. These data suggest that in general population occupationally not exposed to PAHs, urinary concentration of PAHs metabolites is influenced by smoking, alcohol drinking and deleted genotype of GSTM1 in 1-OHP and smoking in 2-naphthol.

만성정신질환자의 직업재활 사례

황태연,한은선,이영문,강순정,정경선 용인정신의학연구소 1995 용인정신의학보 Vol.2 No.1

비정질 Fe1-x Px합금의 전기비저항

문영모, 연규황, 김택기 忠北大學校部設基礎科學硏究所 1987 自然科學硏究 Vol.1 No.1

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理解點檢方略이 敎材回想에 미치는 效果

文善模,黃永信 경상대학교 중등교육연구소 1994 현대교육연구 Vol.6 No.-

The purpose of this study was to investigate the effects of comprehension monitoring strategy on text recall. The hypotheses to be tested were as follows: (1)There will be a significant difference in recall scores of the idea units between types of comprehension monitoring strategy(main idea. detail idea. control). (2) There will be a significant difference in recall scores of the idea units between levels of verbal ability (high vs low). (3) There will be a significant interaction effect in recall scores of the idea units between types of comprehension monitoring strategy and levels of verbal ability. (4) There will be a significant interaction effect in recall scores of the idea units between types of comprehension monitoring strategy and levels of idea unit(high vs low). Subjects of this study 84 female high school students selected randomly on the basis of levels of verbal ability. And they were randomly assigned to experimental conditions. The stimulus material was expository text about Islram. It was consisted of three paragraphs and about 220 words. Each of the three paragraphs in text focused on a separate aspect of the main topic. The first paragraph dealt with the social class. the second with the economy, and the third with civilization. The middle paragraph was modified to contain inconsistent information at main idea or detail idea. To test the hypotheses. 3(types of comprehension monitoring strategy : main idea. detail idea. control) × 2(levels of verbal ability : high vs low) × (2)(levels of idea unit : high vs low) ANOVA was applied for recall scores of the idea units. The main findings of the study were as follows: (1) There was a significant main effect of types of comprehension monitoring strategy on recall scores of the idea units. Main idea comprehension monitoring strategy and detail idea comprehension monitoring strategy had more facilitative effect than control condition. (2) There was a significant main effect of levels of verbal ability on recall scores of the idea units. That is. higher verbal ability condition had more facilitative effect than lower verbal ability condition. (3) There was no significant interaction effect between types of comprehension monitoring strategy and levels of verbal ability on recall scores of idea units. (4) There was a significant interaction effect between types of comprehension monitoring strategy and levels of idea units on recall scores of the idea units,

적응제어기법에 의한 Switched Reluctance Motor 드라이브의 성능개선

황영문,이치우 釜山大學校生産技術硏究所 1997 生産技術硏究所論文集 Vol.53 No.-

SRM의 발생토오크는 회전자 위치각에 따른 가변 인던턴스 변화율과 상전류의 자승에 비례하는 특징이 있다. 회전자 위치각과 상전류에 따른 가변 인덕턴스 변화율은 자기포화현상에 의해 변하게 되며 자기포화에 따른 가변 인덕턴스 변활율은 토오크리플을 유발하게 된다. SRM 드라이브는 동적 운전조건을 결정하는 많은 파라메터가 있으므로 다변하는 시스템에 유용한 적응제어기법을 사용하여 램프형 전류를 만들 수 있다. 따라서 본 논문에서는 전압 보상제어와 동적 도통각 및 속도제어를 이용한 적응제어기법을 도입하여 평활 토오크를 위한 램프형 보상전류를 갖게 하여 토오크리플을 현저하게 저감시킬 수 있었다. The torque in SRM is proportional to the inductance variation as the rotor position and the square of the phase current. An inductance variation according to the rotor position and the phase current is changed by the magnetic saturation. And the ripple in generated torque is resulted from the inductance variation with the magnetic saturation. SRM drive has many variable parameters to determine dynamic performance. As result, the adaptive control technique that is available for multi-variable system is used for ramp type current. This paper suggests that adaptive control technique, which consists of voltage compensating control an dynamic dwell angle and speed control, is used to reduce torque ripple and this suggested scheme is able to shape ramp type current which makes the generated torque flattened.

미숙아에서 총 정맥영양으로 인한 담즙 정체성 황달 발생에 관한 임상적 고찰

황지성,김영민,문순정,배종우,최용묵 경희대학교 2002 慶熙醫學 Vol.18 No.3-4

A Study on the Establishment of Destination Image through Mass Media

Hwang,Kyu-sung,Baik,Yu-kyung,Moon,Hye-young 세계문화관광학회 2007 Conference Proceedings Vol.8 No.0

As the products of mass media, such as drama, movies, and commercial advertisements have grown and entertained us, they induced people to visit the locations where they were filmed. However, little has been known what effects in movies or television-induced locations on tourism. The purpose of this study is to investigate the effects of the products of mass media on tourism through locations induced by dramas, movies, and commercial advertisements. More specially, this study examined the relationships between the perceptions of movies or television-induced affective response, the perceptions of movies or television-induced attributes and movies or television-induced destination images on tourism. Findings suggest that if audiences enjoy delightful movies, they will feel destination images with fun and delightfulness when they visit the location scene. Also, the results suggest that if dramas and movies gain in public favor, the location where they are filmed will become a new and fantastic destination to people.

先天性代謝異常症의 Pilot 硏究

黃泰周,崔榮倫,程文泰 全南大醫大 1985 전남의대학술지 Vol.22 No.4