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      • 통풍성 관절염의 임상적 고찰

        윤채중,정승문,김영학,김동규,허광식,김태원,배학연,정종훈,이승일,김평남 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

        통풍은 Purine 대사의 이상으로 발생하는 질환으로, 고뇨산혈증인 사람의 전부가 통풍으로 발현되지 않고 증상의 출현 양상이 다양하여 진단과 치료에 주의가 필요하며, 조기에 적절한 조치를 한다면 충분히 조절이 가능한 질환이다. 본대학 내과학교실에서는 통풍으로 치료한 32명의 환자에서 임상양상, 병력과 검사소견을 분석하여 다음과 같음 결과를 얻었다. 1. 32명 모두 남자이며, 최초 발병 시기는 24세에서 72세로 평균 43.8±11.9세이었으며, 30대에서 40대까지가 19명(59.4%)으로 대부분을 차지하였다. 내원 당시 나이는 27세에서 75세까지로 평균 52.3±10.4세였으며, 내원시 까지 평균 유병기간은 8.5±6.8년으로 나타났다. 2. 동반 질환으로는 고지혈증 12례, 신장질환 10례, 고혈압 12례, 비만 8례, 당뇨 2례 등이었다. 3. 이환된 관절은 단관절 침범이 19례(59.4%), 다관절 침범이 13례 이었으며, 최초 이한된 관절은 족무지 중족골지골 관절로 19례(59.4%)로 가장 많았고, 통풍 결절은 20례(62.5%)에서 관찰되었으며, 유병기간이 10년 이상된 12례중 11례 (91.7%)에서 결절이 관찰되었다. 4. 평균 혈중 요산치는 9.17±1.75 ㎎/dl이었으며, 8.0 ㎎/dl에서 9.9 ㎎/dl 사이가 19명으로 전체의 59.4%를 차지하였다. Objective: The gout is a heterogeneous group of diseases resulting from tissue deposition of monosodium urate or uric acid crystals from extracellular fluids supersaturated with respect to this end product of human purine metabolism. The clinical manifestations are such as hyperuricemia, gouty arthritis, gouty nephropathy, uric acid nephrolithiasis. We analyze of clinical manifestations and associated factors in gout. Method: We have reviewed the medical records, radiologic findings and clinical results of thirty-two patients admitted at our department from April 1996 to July 1997. Result: 1) All patients were male. The mean age at initial attack was 43.8 years old, ranging from 24 to 72 years old. 2) The mean level of serum uric acid was 9.17mg/dl on admission. 3) The first metatarsopharyngeal joint was involved in 19 cases (59.4%). Tophus was observed in 20 cases (62.5%). 4) Hyperuricemia was associated with hypertension, obesity, nephrolithiasis and hyperlipidemia.

      • 이청담의 불교정화 정신과 조선불교학인대회

        김광식 진주산업대학교 2004 청담기술연구소 Vol.2004 No.-

        한국 현대불교사의 중심 사건이며, 조계종단의 재정비를 기한 것은 불교정화운동이다. 본 고찰은 불교정화운동을 상징하는 승려인 이청담의 정화정신의 실체를 찾아보고, 그 정신이 언제 구체화되었는가를 설명하였다. 즉, 그의 불교정화의 근본은 무엇이고, 왜 그는 불교의 정화를 치열하게 강조하였는가를 살펴보았다. 이청담의 불교정화는 교단정화, 신도정화, 사회정화라는 구도를 갖는다. 이 구도하에서 그의 불교정화 정신은 우리 민족의 역사와 얼이 담긴 불교의 정화 및 재건이었다. 이를 위해서 최우선적인 것이 수행자 중심의 승단을 만드는 것이었다. 그런데 이러한 그의 불교정화는 그가 승려 초기 시절인 1928년 3월, 각황사에서 개최된 전국학인대회에서 본격화되었다. 당시 그는 불교개혁을 위해 전국 강원의 학인들을 결집시켜 대회를 주도하였다. 즉 그는 불교정화를 위한 불교교육의 개혁을 강조 학인대회를 준비, 주관하였다. 요컨대 이청담이 입산출가한 1925년부터 입적한 1971년까지 불교정화라는 정신이 그의 일생을 관통하였던 것이다. It was the Buddhist purification movement that was a central event of the Buddhist history in Korea and gave improvement in Jogye order. This study sought for the substance of venerable Chung-dam's purification mind or the symbol of Buddhist purification movement and explained when the mind was materialized. Namely, it deserves special emphasis on what is the foundation of Buddhist purification and why he emphasized it particularly. His Buddhist purification consists of a religious order, a Buddhist and a society purification. This is to say, his Buddhist purification was the purification and reconstruction of Buddhism containing our people's history and spirit. In order to do this, it was required to make the religious order leaded by Buddhists first of all. However, during the years of a Buddhist priest, his thought was really unfolded in the national conference for Buddhist students(people who are in the progress of practice) held in 1928, March in the Gakhwang temple. At the moment, he gathered Buddhist students from national temples for Buddhist reformation and supervised the national conference. In other words, he prepared and supervised it in order to emphasize the reformation of Buddhist education for Buddhist purification. After all, the spirit of Buddhist purification played an important roll in venerable Chung-dam's life from entering the Buddhist priesthood in 1925 to nirvana in 1971.

      • KCI등재

        천연한약재(목통, 삼릉, 치자) 추출물의 항산화효과 및 항균활성효과

        김정균,강영미,엄광식,고영민,김태영 경상대학교 농업생명과학연구원 2003 농업생명과학연구 Vol.37 No.4

        한약재로 많이 이용되고 있는 목통, 삼릉 및 치자의 항산화활성과 항균활성 정도를 검토하기 위해 한약재를 물, 70% methanol(MeOH) 및 100% MeOH로 추출한 후 각 추출물의 페놀화합물함량, 전자공여능, hydroxy radical 소거효과, reducing power 및 항균활성시험을 하였다. 그 결과 실험에 사용한 3가지 한약재 모두 항산화효과와 항균활성이 뛰어났으며, 특히 목통 70% MeOH 추출물이 그 효과가 가장 컸으며 다음이 100% MeOH, 물추출물 순이었다. Antioxidant activity and antimicrobial activity of medicinal plants extracts from 3 edible or medicinal plant were examined. The extracts from Akebia quinate Decaisne, Scirusfluviatilis A. Gray, Gardenia jasminoides for. grandiflora Makino showed comparatively strong antioxidative activity on test. Electron donatating abilities and hydroxy radical scavenging ablities of 70% methanol, 100% methanol extracts were higher than thoes of water extracts. Some extracts of medicinal plants showed antimicrobial effect, especially, the extracts showed antimicrobial effect in the 70% methanol higher than other extracts.

      • 수술 전 진단된 충수돌기 점액류종 1례

        허광식,손현화,김동규,박찬국,김만우,김정용,기근홍 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

        Primary unruptured appendiceal mucocele is a rare disease. It is very difficult to diagnose preoperatively because of the rarity of classical symptoms and low incidence. Usually it is discovered incidentally during abdominal ultrasonography(US), computed tomography(CT), or appendectomy for acute appendicitis. If untreated, one type of mucoceles may rupture producing a potentially fatal entity known as pseudomyxoma peritonei, therefore preoperative diagnosis is very important. With the advent of colonoscopy, abdominal US and CT, it has been possible to preoperatively diagnose mucocele of appendix. We experienced a case of appendiceal mucocele in a 60 year-old woman who had symptoms of lower abdominal discomfort and right lower quadrant abdominal pain, and it was diagnosed preoperatively by colonoscopy, abdominal US and CT. So we present this case with review of literature.

      • U형 프리캐스트 프리스트레스트 콘크리트 거더를 이용한 2경간 연속 교량구조의 개발을 위한 기초연구

        이환우,김명식,김광양 釜慶大學校 1997 釜慶大學校 論文集 Vol.2 No.2

        The current syudy is a part of esries of research about the development of new superstructure system to overcome the engineering problems in the design of bridges of 30m to 45m in span length using the existing bridge systems. The basic concept of new system in the continuation of adjacent two simple spans composed of the precast prestressed concrete U-type sections. The partial post tensioning method is applied to create the contimuity. In this stdy, the new technique was introduced and applied with an example design of two span of 40m in span lemgth to find the possibility for pratival applicatio as a feasibility syudy. The obtained results show that the new splicing method is expected to offer significant economical and serviceability advantages.

      • KCI등재

        유용성 도료와 수용성 도료의 유해성 비교에 관한 연구 : 자동차 보수용 도료를 중심으로

        권은혜,김광식,오정룡,최정근,정윤석,이유진,김은아,송세욱,정호근 한국산업위생학회 2001 한국산업보건학회지 Vol.11 No.1

        The purpose of this study is to substitute water-based painting materials for the current solvent-based ones used in motor-repairing process to minimize the exposure of organic solvents to the painters. This study assessed the exposure of organic solvents to the painters using water-based and solvent-based painting materials and compared compositions, painting processes and the health hazards of the application of these alternative painting materials. The results of this study are as follows. 1. solvent-based painting materials used in motor-repairing process consist of various organic solvents, which consist primarily of toluene, xylene, ethyl benzene, ethyl methyl bezene, trimethyl bezene, ethyl acetate, butyl acetate, methyl isobutyl ketone, 2-ethoxy ethanol, 2-ethoxy ethyl acetate and toluene-2.4-diisocianate and the others. These organic solvents are know as health-hazardous substances. But water-based painting materials are high-solid, low-solvent ones and consist of such two organic solvents as 2-butoxy ethanol and 2-heptanone and the others. 2. The painters using solvent-based painting materials in motor-repairing process are exposed to various organic acetate, methyl isobutyl ketone, trimethyl benzene, 2-ethoxy ethanol, and 2-ethoxy ethyl acetate. But the painters using solvent-based ones are only exposed to 2-butoxy ethanol and 2-heptanone. 3. By using water-based painting materials in stead of solvent-based painting materials containing health-hazardous organic solvents, the exposure of such organic solvents in the painter's breathing zone can be largely prevented. 4. This study recommends water-based painting materials as substitutes for the current solvent-based ones used in motor-repairing process to minimize the exposure of organic solvents to the painters.

      • 초등 사회과 3학년 지역화 교수·학습자료개발 연구

        홍기대,손정선,김언식,김용조,이광성,김경운 光州敎育大學校 初等敎育硏究所 2002 初等敎育硏究 Vol.17 No.-

        The purpose of this study is in developing locally-oriented teaching-learning materials to motivate students to effectively take part in activities using map and in improving the field work of social studies to plan a map learning and to give them the ability of practice. It represents the right order involved in teaching the activities using map after doing preceding learning : classroom, playground, and the environs of the school including to some learning methods such as a puzzle map, a correlative of learning. Field trip study planning and lesson-plan are designed in case of Sewage disposal plant, Duknam filtration plant, Bonchon industrial complex relating to field trip study. There are some effects expected which follow through this study. First, teachers are able to draw learner's interest in finding learning sources directly through the community where they live. Second, learners have active participation in class, motivation, drawing their interests through map learning by doing preceding study of learner-centered. Third, teachers can make use of it as useful tools to get high achievement goal with self-direct learning.

      • 재발성 복부 통증을 호소한 환자에서 복벽에 발생한 자궁내막증 1예

        홍현진,박성한,이준식,배용목,김지연,안광순,박선자 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.1

        Endometriosis is the abnormal growth of endometrial tissue outside the uterine cavity. Endometriosis in the abdominal scar following cesarean section is very rare condition among the extrapelvic endometriosis. The frequency of abdominal wall endometriosis secondary to cesarean section is from 0.03% to 0.8% in some reports. It is difficult to diagnosed in spite of the typical symptoms. The typical symptom is aching swelling in the area of the surgical scar, which is influenced by the phases of menstruation. The definitive diagnosis is established by pathologic analysis. Surgical excision remains the treatment of choice. The majority of patients presented from 1 to 2 years after the precipitating operation. We experienced an unusual case of abdominal wall endometriosis presented over 10 years after cesarean section, who was admitted to our hospital complaining of recurrent left lower abdominal pain. So, we report this case with a brief review of the concerned literatures.

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