열공형과 비열공형 피질하 혈관성 치매에서 위험인자의 차이에 관한 비교 연구

배희준,정지향,유경호,나덕렬,김상윤,최경규,양동원,손의주,이상도,김재우,박경원,김응규,이재홍,박미영,한일우,함동석,최문성,하충건,최성혜,이애영,이병철,한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

Backgrounds and Objectives: Vascular dementia is a group of dementing disoders arising from various stroke syndrome. Among these. subcortical ischemic vascular dementia (SIVD) is regarded as a relatively distinct clinical entity. However, MRI patterns of SIVD are not homogenous. In some patients, lacunes are dominant, and in others, subcortical white matter changes are. This study was designed to compare risk factor profiles between SIVD with and without multiple lacunes. Methods: We divided 47 subjects (22 males, mean age. 68 years) recruited from VADAPET (Multicenter Trial For Evaluation Of The Changes In the PET Images Of Subcortical Vascular Dementia Patient) study into two groups one with more than 5 lacunes in deep gray matter (lacune group) and the other with 5 or less(non-lacune group) Clinical characteristics and laboratory findings of two groups were compared. Results: Nineteen of 47 patients (40%) belonged to the lacune group. The lacune and non-lacune groups d d not differ in the following variables: age, hypertension, diabetes mellitus, hyperlipidemia heart disease, history of stroke or TIA, history of trauma or major surgery, family history of hypertension stroke, or dementia, age at diagnosis of dementia, body mass index, white blood cell count, ESR, CRP, fibrinogen, hemoglobin A1C, total cholesterol. LDL cholesterol creatinine, proteinuria, glucosuria, and microhematuria. However, male sex, smoking alcohol. hemoglobin, and HDL cholesterol were possibly associated more with lacune group SIVD than with non-lacune group (p<0 1) Multivariate analyses revealed that smoking, hemoglobin, and HDL cholesterol were independent predictors of SIVD with multiple lacunes Conclusion: Our study suggests that SIVD with multiple lacunes may be significantly different in smoking habits hemoglobin, and HDL cholesterol from SIVD without multiple lacunes.

水 海洋係 專門大學 通信科 敎育課程 開發 硏究

金永煜,金秀植,高南泳,梁義藏,金圭煥,文建,鄭東洙 군산대학교 1984 群山水産專門大學 硏究報告 Vol.18 No.1

We have studied on the curriculum to develop the communication department of the inter-related fisheries and marine junior college groups and abridged them as follows. (1) A vessel communication has the special characteristics compared with general communication field and also it has an aim to protect the lives and the property from dangerous navigation. For these reasons we must educate many competent graduates who are versed in business and accustom themselves to necessary knowledge of communication and can be adapted them selves to the advanced communication method, techniques and international information on the communication. (2) Training goal and way of thinking of students were rearranged and the occupational cluster in the electronic-communication field was fractionated to develop the curriculum. Especially regarding operator's duty served the above purpose as a occupational cluster, we analyzed their job in accordance with it. (3) International convention on standards of training certification and watchkeeping for seafarers, 1978 was reflected, also international telecommunication convention was referred so that it might be satisfied with the condition to be observed. (4) Developing the curriculum, we responed and analyzed the questions from scientific world, industrial organizations and graduates and provide their advice and suggestions form consultive committee and reflected them to develop the curriculum

Hamlet, 르네상스 궁정의 이상과 그 역사적 패배

김문규 德成女子大學校 1996 德成女大論文集 Vol.25 No.-

Shakesperaean drama exposes key contraldictions within the political structures of Renaissance court life. And Shakespeare's critical diramatization of court life reached its culmination in Hamlet. Hamlet marks the real turning point, for Hamlet is Shakespeare's fullest reckoning with the crisis of Renaissance court life. Hamlet cherishes the vision of ideal court where the picture of a fair nation united in the reason of its prince and the prince is the glass of fashion in which his subjects might see reflected the rational harmony of a nation. But after his father's death and his mother's hasty marriage Hamlet finds the court torn between the remaining vestiges of feudal norms and the vulgarity of modern norms. and Hamlet comes to see that the realization of ideal court in the historical context, to the very end, he fights against the corrupting life of present court as a champion of Renaissance idealism. Although it shows the best of renaissance idealism defeated by the realpolitic of new court, Hamlet's struggle is not all tragic waste. His ideal should not be scorned because history passes it by. The political utopia he cherishes remains a necessary persective upon Europe. In this respect Hamlet is a dark mirror that Shakespeare holds up to the historical crisis of Renaissance humanism.

상부 조기 위암 환자의 복강경하 상부 위절제술 3례 경험

조규석,김형철,박경규,이문수,송옥평,임철완,신웅진,주종우,유기원 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Background : The reported incidence of early gastric cancer located in the upper portion of the stomach has been increasing with the recent advances in its diagnosis and screening. Recently, we have successfully performed laparoscopic assisted proximal gastrectomy and gastric tube reconstruction without pyloroplasty on three patients with early gastric carcinoma localized to the upper third of the stomach. We describe our modification of this procedure in this report. Method : After creating an surgical pneumoperitoneum, the stomach was mobilized using laparoscopic coagulating shears. Upper half of the greater curvature and three-quarters of the lesser curvature were then dissected along with regoinal D2 lymphadenectomy. This was followed by a 5 cm, longitudinal mini-laparotomy in the upper abdomen, and the construction of the exteriorized stomach with a gastric tube measuring 20 cm long and 4 cm wide. Reconstruction with an esophagogastrostomy was performed using a circular stapler. Result : No post-operative morbidity or mortality was observed in this small series of patients. The average operative time was 250 minutes (range 220-300 minutes), and the average blood loss was 150 ml (range 90-180 ml). The mean number of lymph nodes harvested during these laparoscopic proximal gastrectomies was 24 nodes (range 22-25 lymph nodes). The average postoperative hospital stays was 7.5 days (range 7-8 days). Conclusion : Our technique of laparoscopic assisted proximal gastrectomy and gastric tube reconstruction without phloroplasty offers a minimally invasive technique with the potential of impoving the post-operative quality of life patients with an early-stage proximal gastric cancer.

예비유아교사의 문제해결력 증진을 위한 블렌디드 PBL 프로그램 개발

강문숙,박수홍,김두규 부산대학교 과학교육연구소 2012 교사교육연구 Vol.51 No.3

본 연구는 예비유아교사의 유아교사양성과정에서 지속적이고 체계적인 문제해결력 증진을 위해 블렌디드 PBL 프로그램을 개발하는 것이다. 본 연구의 목적을 달성하기 위해 첫째, 문헌연구와 사례연구를 통해 핵심학습활동 프로세스와 핵심지원요소, 블렌디드 설계 전략을 도출하여 초안을 구안하였다. 둘째, 프로그램 초안을 전문가 형성평가를 실시하여 수정ㆍ보완한 후 프로그램을 완성하였다. 셋째, 이를 현장 적용하여 예비유아교사교육에 현장적용 가능성을 탐색하였다. 그 결과, 블렌디드 PBL 프로그램은 예비유아교사의 문제해결력이 증진되어 현장적용이 가능함을 알 수 있었다. 본 프로그램을 유아교사양성과정에 투입하기 위해서는 각 교과의 특성에 맞게 활용 할 수 있는‘PBL 문제’가 필요한데, 아직까지 유아교사양성과정에서 수업을 지원해 줄 수 있는‘PBL 문제은행’은 갖추어져 있지 않아 교수자들이 손쉽게 활용할 수 있도록 ‘PBL문제은행’을 구축하고, PBL 문제 검증 시스템 연구가 필요하다. 또한 구성주의 교수학습 방법의 하나인PBL 학습환경에서 팀이 가지는 문제해결력을 어떻게 조작적으로 정의할 것이며, 유아교사양성과에서의 팀기반 문제해결력 증진을 위한 블렌디드 PBL 프로그램의 개발 필요성을 제안하였다. This research aims to develop a Blended PBL Program to promote problem-solving skills among early childhood teachers. The core ideas of the PBL program were derived from a literature survey. Based on the core learning activities in the program, core learning guidelines were prepared and supporting components to assist student’s learning processes were deduced. A blending strategy in accordance with the entire program was established. The implication was obtained by applying the program to the work. The core idea matrix of Blended in the environment to promote problem-solving in instructions at the University was derived from the results of the research. According to this matrix, the core class activity was constructed through 7 stages. Learning supporting components for a facilitator and a learner were prepared for each process. Established blending strategy was created based on all-line, how to teach and learning supporting organization. Final program was suggested as a blueprint for seven stages actual learning which was consisted of an introductory learning component, a main learning component and a post learning component. The implication of research was derived from the analysis of data gathered from actual application of the program on problem-solving in a real instructional setting.

저항 스폿 용접 시스템의 고성능 전력 제어

서문준,김규식,김재문,원충연 성균관대학교 1997 학술회의지원논문목록집 Vol.1997 No.-

In this paper, we attempt to control the nonlinear power control system for resistance spot welders to be a fully linearized system by applying the recently developed nonlinear feedback linearization techniques based on differential geometry theories. The controller in this paper is computationally simple. In additionm the easy gain tuning as well as the high dunamic performance of resistance spot welding systems can be obtained. To illumunate the performance of our controller further we present some simulation results.

Understanding of the anatomy for nerve blocks of anterior abdominal wall

Mun Gyu Kim 대한외과학회 2015 대한외과학회 학술대회 초록집 Vol.2015 No.11

A Comparative Proteomics Survey of Proteins Responsive to Phosphorous Starvation in Roots of Hydroponically-grown Rice Seedlings

Kim, Sang-Gon,Wang, Yiming,Lee, Chang-Hoon,Mun, Bong-Gyu,Kim, Pil-Joo,Lee, Sang-Yeol,Kim, Yong-Chul,Kang, Kyu-Young,Rakwal, Randeep,Agrawal, Ganesh Kumar,Kim, Sun-Tae The Korean Society for Applied Biological Chemistr 2011 Applied Biological Chemistry (Appl Biol Chem) Vol.54 No.5

Rice takes up phosphorous (P) as major nutrient source for its growth and development when grown under anaerobic water-logged soil conditions. To better understand the underlying mechanisms and to develop potential protein biomarkers of P-starvation, hydroponically-grown rice seedlings in the complete media and phosphorus absence (P-starvation) of phosphorous nutrient solutions were investigated for physiological and proteome changes. The P-starvation manifested significant reduction in root growth in three-week-old seedlings compared to respective complete media. Furthermore, P-starvation also showed increased activity of acid phosphatase in roots of one- and three-week-old seedlings, suggesting that experimental design is suitable for proteomics survey of P-starvation responsive proteins. Two-dimensional gel electrophoresis coupled with matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) mass spectrometry analysis of total root protein from three-week-old seedlings identified 10 P-starvation responsive protein spots out of 140 high-quality protein spots. Identified 10 proteins were involved in metabolism and defense/stress response. Out of 10, 2 and 8 protein spots were found to be up- and down-regulated, respectively. Semi-quantitative reverse transcription polymerase chain reaction (RT-PCR) analysis of corresponding genes of four randomly selected proteins, including putative glyceraldehydes-3-phophate dehydrogenase (G3PDH, spot R1), S-adenosyl-L-methionine synthetase (SAMS, spot R4), ATP synthase subunit alpha (spot R6), and root-specific pathogenesis-related protein 10 (PR-10, spot R8), showed that just as protein abundance, these proteins are also regulated at the transcript level. Results suggest identified P-starvation responsive proteins are involved in maintaining nutrient homeostasis and/or associated with changes in root physiology under the absence of P.

Is the Spinous Process of T7 Usually at the Same Level as the Inferior Tips of the Scapulae?

Mun Gyu Kim,Si Young Ok,Sang Ho Kim,Se Jin Lee,Sun Young Park,Eun Hyo Koh,Heon Yong Bae,Kyung Yul Hur 순천향대학교 순천향의학연구소 2012 Journal of Soonchunhyang Medical Science Vol.18 No.1

Objective: Appropriate placement of thoracic epidural catheter provides an adequate postoperative analgesia in chest and upper abdominal surgery. Usually, when thoracic epidural puncture is performed, both scapular lower tips and the thoracic (T)7 spinous process is assumed to be at the same horizontal level. The aim of this study is to identify the thoracic epidural puncture in the sitting position, with the neck flexed and arms crossed, may change the relationship between the thoracic vertebrae and the scapular lower tips. Methods: One hundred patients with postoperative patient controlled epidural analgesia using thoracic epidural catheters were enrolled. It is presumed that the both scapular lower tips and T7 spinous process is at the equal level when performing thoracic epidural puncture. The actual insertion level of the Tuohy needle was examined by radiography when the patient was in the sitting position. Results: Out of 100 patients, there were 62% that were in the same level as the scapular lower tips and T7 spinous process. However, 1% of the patients leveled at T4, 1% at T5, 25% at T6, 18% at T8, and 1% at T9. Conclusion: When performing the thoracic epidural puncture under the sitting position, the relationship of the T7 and the scapular lower tips may change. The change of position of scapular lower tips varied among T6.82±0.70. Therefore, to be precise, it is advised to utilize C-arm guide when epidural puncture is carried out.

Precision Sampling Voltmeter Adopting Superconductor-Normal Metal-Superconductor Junction Array

Mun-Seog Kim,Kyu-Tae Kim,Wan-Seop Kim,Yonuk Chong,Po Gyu Park,Sung-Won Kwon 한국자기학회 2010 한국자기학회 학술연구발표회 논문개요집 Vol.2010 No.12