다산부에서 자간전증의 임상적 고찰

이주롱,이석민,한효상,이해혁,이임순,이권해 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

목적 : 전자간증 산모에서 초임신부와 다산부 각각의 임상적 특징을 조사하여 비교 분석하고자 하였다. 연구방법 : 1998년 1월부터 1999년 12월까지 2년간 순천향대학 서울병원에서 입원 분만한 임신성 고혈압성 질환 환자중 초임신부 106명과 다산부 50명, 총 150명을 대상으로 임상통계학적으로 조사 분석하였다. 결과 : 분만까지 임신기간의 비교시 초임신부에서는 33-36주에서 17.9%였고 다산부에서는 34.0%로, 다산부에서 조기분만의 예가 의의있게 많았다. 신생아 체중이 2500g 미만인 군이 초임신부군에서는 36.8%였고 다산부군에서는 62.0%로 다산부군에서 더 많았다. 임신성 고혈압성 질환의 중등도를 보면 중증자간전증의 초임신부에서 35.8%와 다산부에서는 44.0%로, 초임신부에 비해 다산부군의 중증 자간전증의 비율이 많았다. 결론 : 중증 임신성 고혈압성 질환이 다산부군에서 더 많았으며 적은 주수에서 제왕절개술을 시행해 출생아의 체중이 초임신부군에 비해 더 작았고 Apgar 점수도 더 낮았다. Objective : To study the clinical differences of primiparous and multiparous preeclamptic patients. Methods : We statistically analyzed 106 primiparous and 50 multiparous preeclamptic patients who were admitted to the Soonchunhyang University Hospital from January 1998 to December 1999. Results : It was statistically found that multiparae were more likely to give premature birth than primiparae: Thirty four percents of multiparae gave birth in the period between the 33rd and the 36th gestational weeks while 17.9% of primiparae did in the same period. Sixty two percents of the newborn babies of multiparae weighed less than 2500g. Among primiparae, the ratio was 36.8%. In addition, more multiparae(44.0% vs. 35.8%) suffered from severe preeclampsia. Conclusion : severe preeclampsia was found more frequently among multiparae. Since they gave birth earlier by cesarian section than primiparae, their babies weighed less and had lower apgar scores.

동일한 환자에서 조혈모세포이식 전후의 호중구감소 기간 중 감염양상에 대한 비교연구 : 중심정맥관 관련 패혈증을 중심으로 Based on Central Venous Catheter Related Septicemia

류재호,노규태,이영석,이영호,권혁찬,김재석,김효진,이영민,박혜원,박근희 대한조혈모세포이식학회 2002 대한조혈모세포이식학회지 Vol.7 No.1

연구배경: 동일한 환자를 대상으로 조혈모세포이식 전 일반 병실에서의 관해유도 항암제치료 및 강화요법으로 인한 호중구감소 기간의 감염양상과 고용량 항암제치료 후 무균실에서의 조혈모세포이식 시 호중구감소 기간의 감염양상을 중심정맥관 관련 패혈증을 중심으로 비교 연구함으로써 효율적인 감염관리지침을 마련하고자 하였다. 대상 및 방법: 1999년 1월부터 2001년 7월까지 2년 7개월간 동아대학교병원 일반병실에서 악성혈액질환으로 항암제 치료를 받다가 조혈모세포이식을 시행받았던 22명을 대상으로 중심정맥관 관련 패혈증의 형태를 비교분석하였다. 결과: 대상 환자들의 일반병실과 무균실에서의 입원기간은 각각 32±13일, 33±19일, 호중구 감소기간은 15±12일, 17±18일, 호중구 감소기간의 발열 횟수는 14회, 14회로서 입원병실의 종류에 따른 차이는 없었다. 환자들의 중심정맥관 사용일수는 일반병실에서 29일(7~545일), 무균실에서 100.5일(25~606일)이었으며, 총 사용일수는 각각 1,515일, 3,250일로서 무균실에서의 중심정맥관 사용일수가 의미 있게 길었다(P=0.001). 중심정맥관 사용 일수에 대한 감염률은 각각 5.28/1,000일, 3.08/1,000일로서 일반병실에서 그 빈도가 높았으나 통계적 유의성은 보이지 않았다(P=0.141). 결론: 중심정맥관 삽입 후 일반병실에서 항암제 치료를 받던 환자가 조혈모세포이식을 위하여 무균실에 입원하는 경우, 중심정맥관을 교체하는 것이 감염관리를 위하여 바람직할 것으로 생각된다. Background: We compared the incidence of central venous catheter (CVC) related septicemia during neutropenic period in the same patient, which developed following chemotherapy for remission induction and consolidation, or hematopoietic stem cell transplantation (HSCT). Methods: We retrospectively reviewed the medical records and laboratory data of 22 patients with hematologic malignancies who received anticancer chemotherapy followed by HSCT at Dong-A University Hospital between January, 1999 and July, 2001. We investigated the duration of hospitalization, duration of neutropenic period, duration of catheterization, microbiologically documented organisms and incidence of CVC related septicemia. Results: The data in general ward (before HSCT) and laminar air flow room (after HSCT) were as follows: duration of hospitalization was 32±13 days and 33±19 days, duration of neutropenic period was 15±12 days and 17±18 days, median duration of catheterization was 29 days (7~545 days) and 100.5 days (25~606 days) (P=0.001), and incidence of CVC related septicemia was 5.28/1000 days and 3.08/1000 days, respectively. In the CVC related septicemia, the most common etiologic organism was coagulase negative staphylococcus. Conclusion: We suggest that the exchange of CVC before admission to laminar air flow room could decrease the incidence of CVC related septicemia in HSCT recipients.

부하주파수 제어를 위한 자기조정 FPID제어기의 설계

이오걸,주석민,정동일,김상효 동의공업대학 1999 論文集 Vol.25 No.1

A self-tuning FPID(Fuzzy Proportional Integral Derivative) controller for load frequency control of 2-area power system is proposed in this paper. The parameters of the proposed self-tuning FPID controller are self-tuned by the proposed fuzzy inference technique. Therefore, in this paper, the fuzzy inference technique of PID gains using PSGM(Product Sum Gravity Method) is presented and is applied to the load frequency control of 2-area power system. The computer simulation results show that the proposed controller give better more control characteristics than conventional PID, FLC under load changes.

장애인복지패러다임의 변화에 따른 장애인복지관의 공간구성에 관한 연구

이효원,주석중 한국의료복지시설학회 2004 의료·복지 건축 Vol.10 No.2

In this study, some methods for the organization of space in the welfare center for the disabled are suggested corresponding to the change of welfare paradigm for the disabled, by means of investigating and analyzing the existing organization of space, division of the areas and relevant programs. The results of the study are as follows. 1) The method of the spatial organization in the welfare center for the disabled is divided largely into an area of the welfare complex center used as a facility of uses and an area of the controlling center that manages and makes use of domiciliary welfare. 2) The division of counselling and management is the center for the aforementioned two areas. This division occupying the minimum space in the welfare center has to be expanded. Besides, the space for the volunteers for 'domiciliary welfare' is necessary. This can be administered synthetically along with the room for volunteers in the division of social rehabilitation. 3) It is necessary for the division of medical rehabilitation to have a common waiting area due to its close connection with other treatment rooms. It should be recommended to have it in the water treatment room. It is required to have a parents' waiting area in the treatment room for child rehabilitation. 4) In case of the division of educational rehabilitation, the daytime care center should be closely related to the division of medical rehabilitation. Meanwhile, the classrooms after school have a limited use so that they can be shared with the room for female rehabilitation in the division of social rehabilitation. 5) It is in reality for the division of social rehabilitation to have an expanded area of domiciliary welfare. The room for volunteers for domiciliary welfare should be arranged, too.

노인복지회관의 공간구성현황에 관한 연구

이효원,박산돌,주석중 한국의료복지시설학회 2004 의료·복지 건축 Vol.10 No.2

This study attempts to provide the fundamental materials for space program in terms of planning a senior welfare center by means of examining and analyzing the present conditions of spatial arrangement of each section in senior welfare center for the aged. The results of the study are as in the following. 1) The demand for new service programs corresponding to the improved quality of the elderly and various social desires is relatively on the increase. Each program in senior welfare center for the elderly should be connected in an organic manner and the organization of space should be provided. 2) The section of counseling, the first step when using a welfare center, should be located in the entrance of the building and it has to be closely connected with other section. 3) The section of medical rehabilitation is a place mostly for the elderly in their frail physical condition; therefore, it is effective to use horizontal line. 4) It is important for the room for volunteers in the section for domiciliary welfare to be arranged flexibly with the office or the room for social education, and it is necessary to consider how easy daytime or short-term care is accessible. 5) The space where dynamic programs are progressed in the section of social education should be distinguished from the section of medical rehabilitation or the room for daytime care and the room for short-term care of the section of domiciliary welfare.

소규모지역에서의 지가 및 인구 분포 특성에 관한 연구 : 부산광역시 북구를 대상으로

이성호,조병렬,강석효 釜山大學校 都市問題硏究所 2003 都市硏究報 Vol.15 No.-

It is important to inquiry into the characteristics of several features which are components of a city in studying. However, it was impossible to analyze the existing inquiries in micro because of the limitation of information. Especially, there were not any examples in small scale area and it was very hard to guess the characteristics of the area using the existing information and systems. I presented micro analysis method in small scale area. It was based on not only the production method of land cost and the density of population using GIS is more advanced than existing, but also compared analysis of each feathers through the Grid analysis.

신경회로망 전 보상 PID 제어기에 의한 부하주파수제어

이오걸,김상효,정동일,주석민 동의공업대학 1999 論文集 Vol.25 No.1

In this paper, we propose a neural network precompensated PID(NNP PID) controller for load frequency control of 2-area power system. While proportional integral derivative(PID) controllers are used in power system, they have many problems because of high nonlinearities of the power system. Simulation results show that the proposed control technique is superior to a conventional PID controller and an optimal controller in dynamic responses about load disturbances. The proposed technique can be easily implemented by adding a neural network precompensator to an existing PID controller.

헨리 제임스의 틈새 미학 : 제국에 대한 반응으로서의 글쓰기 Henry James's Postcolonial Response to Imperialism in Comparison with Mark Twain 마크 트웨인과의 비교 연구

이효석 새한영어영문학회 2005 새한영어영문학 Vol.47 No.2

The American literary space of the late 19th century might be said to be a fighting arena between two forces on issues whether to denounce or accept the past European cultural tradition. The patriotic side would suspect it as a colonial dust of the Old World to be and propose to rebuild the national personality and culture based on unique national experience in the New World. The European, or cosmopolitan side persuaded the nation to consider itself as a part of Europe. They wanted to accept critically the European culture as a reference to American culture. Ralph Waldo Emerson's poetry and philosophical essays, Nathaniel Hawthorne's romance-novels, and Walt Whitman's poetry were full of romantically democratic spirits. Their works were signs of American cultural independence. By his novel A Connecticut Yankee in King Arthur's Court and his travel writings such as The Innocents Abroad and Following the Equator, Mark Twain became the American icon to represent this trend of anti-European patriotism in the 19th century America. On the other side, there were Charles Eliot Norton, Edwin L. Godkin, James T. Fields who were cosmopolitan scholars and journalists. They regarded Henry James as a writer to represent their interests. James seems to be, in many respects, set opposite to Twain; James seems to be, in many respects, set opposite to Twain; for example, their different literary styles, cultural biases, and political attitudes. But their literary and critical works served to attack and reconsider the European culture both directly and indirectly. Leela Gandhi thinks of two kinds of postcolonial strategies to cave in the center of imperial(ism). One is to refuse and destroy the past legacy and to set up a new national culture in the postcolonial areas. The other is to mimic and appropriate the imperial language and text and expose the instable authority of the center. This is the 'in-betweenness' of the postcolonial literature. Emerson, Hawthorne, Whitman, and Twain seem to be the patriotic one; New England cosmopolitans and Henry James, the other. James's novels, from the earlier work Roderick Hudson and An International Episode through The Portrait of a Lady to The Golden Bowl, have a virtue to be regarded as postcolonial. His American characters mimic and appropriate the language and behavior of the European counterparts, by which they expose the instable authority of the center, that is, the value of the Old World. The American characters, however, are 'in-between'; they are neither European nor American, neither patriotic nor pro-imperial, neither central nor marginal. Rather, they run around between the two conflicting areas of Europe and America, old and new, and imperial and colonial. They are, in the Bakhtinian sense, the dialogical subjects, not monological.

Symplastic glomus tumor 1예

이원채,장윤환,김효진,이석종,정상립,이수경,배한익 대한피부과학회 2003 대한피부과학회지 Vol.41 No.8

Glomus tumor is a benign lesion characterized by vessels and glomus cells in the varying proportion and it classically presents as a solitary, painful papule or nodule. Occasionally it displays unusual histopathologic features diagnosed as "atypical" glomus tumor, including malignant glomus tumor, glomus tumor of uncertain malignant potential, glomangiomatosis, and symplastic glomus tumor. Glomangiomatosis and symplastic glomus tumor reveal benign biologic behavior. We report herein a typical case of symplastic glomus tumor showing marked nuclear atypia, its only unusual feature comparing with classical one, in addition to the typical clinical and pathological features. (Korean J Dermatol 2003;41(8) : 1118~1120)

모더니즘 소설에 나타난 의식의 물질성 : 울프와 조이스를 중심으로

이효석 새한영어영문학회 2006 새한영어영문학 Vol.48 No.4

This is a study on the materiality of mind and body in the novels of Woolf and Joyce. The modern novelists and their characters, in the face of the most uncertain and fluid times, seem to be fully conscious of the interaction and interdependence between body and mind consisting of the subject. Both Plato and Aristotle insist that the body is apt to prevent the human subject from seeing the true essential, that is, idea. They set body or matter beneath the spirit, which can be found in Descartes whose philosophy has been criticized by many scholars for its fundamental dualism. Bergson disrupts traditional concepts of body and consciousness, and spirit and material. He regards the body as an important medium between consciousness and outer world. In this regard, Bergson is similar to Bakhtin. Bakhtin emphasizes the importance of the body as a hole intermediating between the outer world and human consciousness, asserting inevitable interrelationships between spirit and body, the subject and the other, etc. In addition to Virginia Woolf and James Joyce, the modern novelists, such as Henry James and Joseph Conrad, seek to analyze and to prove the consciousness of human subject. Especially, Woolf and Joyce probe it with the technique of stream of consciousness. In their works are characters whose dialogic consciousness develops and enlightens their selves through body and outer matter.