설하선에서 기인한 경부하마종 치험 2례

김일규,김영렬,김종철,유선열,문승옥 대한악안면성형외과학회 1986 대한악안면성형외과학회지 Vol.8 No.1

물리(공)학적 감정의 통계적 고찰

김윤회,박남규,고재모,박종찬 內務部 國立科學搜査硏究所 1996 國立 科學 搜査 硏究所 年報 Vol.28 No.-

메니에르병으로 오인된 미로내 신경초종

김규성,장근욱,양태용,김태연 대한평형의학회 2003 Research in Vestibular Science Vol.2 No.2

신 손상 환자의 고식적 요법에 관한 임상적 고찰

김희철,전윤수,김민의,이남규,박영호 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

Recently according to the increase of the traumatic patient there is a trent for the prevalence of renal injuries to increase. The key point in managing the renal injuries is that we should make decision the treatment plan after accurate diagnosis from clinical symptoms, physical examination, radiologic studies. The goal of the management is the conservation of the renal function. The management of renal injuries by nonoperative or operative methods has been a subject of controversy for more than 2 decades. A aggressive immediated operative approach is generally advocated in some centers, while a more watchful conservative approach is endorsed in others. From January 1985 to May 1995, 159 patients with renal injury had been managed at Soonchunhyang University Hospital. Among 159 patients, 83 patients were classified with minor renal injury and 76 patients major renal injury. The Computerized Tomography was useful in diagnosing stage of injuries and detecting combined injuries which were not detected in excretory urography. All stabilized patients were managed by careful continuous observation, bed rest, appropriate fluid resuscitation and prophylactic antibiotic coverage, but unstabilized patients(17 cases) were managed by immediate operation. Complications occurred in 10 patients with a major renal injury associated with a devascularized fragment but not in other patients. In conclusion, the accurate diagnosis and treatment plan of renal injury with computerized tomography are important to avoid improper treatment. I conclude that conservative management of minor renal injury and major renal injury associated with vascularized fragment is a proper method of treatment. However, early surgical intervention should be considered in patients with major renal injury associated with devascularized fragment because of high complication rate and delayed surgical intervention rate.

사망 진단서(시체 검안서) 작성의 문제점

김규석,임용수,이중의,서길준,윤여규,어은경,염석란,정연권,이윤성 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: This study was conducted to analyze the current problems in completing death certificates and to identify the correct method for completing death certificates Methods: We reviewed 262 death certificates in three hospitals from March 1 to April 30, 2000, and 119 death certificates in one hospital from March 1 to 31, 2000. We identified major and minor errors and analyzed and compared them retrospectively. Results: A total of 381 death certificates were reviewed: 59 in Seoul National University Hospital,101 in Ewha Woman's University Hospital, and 102 in Gachon Medical College Hospital, which has no education program for completing death certificates in postgraduate training, and 119 in Samsung Medical Center which has an education program for completing death certificates. 358 certificates(94.0%) had at least one error. There were only 23 death certificates(6.0%) without an error. In 182 cases(47.8%), there was one major error. In 321 death certificates(84.3%), there were more than two errors. A comparison of Samsung Medical Center with the other hospitals showed that the number of total errors was statistically different(p=0.001). Conclusion: There were few death certificates without an error in this study. In a hospital which has postgraduate training in completing death certificates, there are fewer errors than in other hospitals which have no training course. Emergency physicians actually certify many deaths, so they must know the correct method of completing death certificates for statistics on morbidity and mortality.

合成洗劑가 빨간집모기의 生態, 生理學的 特性에 미치는 影響

金正和,李炯來,朴垠澈,李容揆,崔觀善 충북대학교 농업과학기술연구소 1995 農業科學硏究 Vol.12 No.2

It is considered a general experience that migration from rural to urban areas will go on in any developing countries pursuing economic development through industralization. In Korea, migration is considered one of the serious socio- economic problems because it has been made excessively fast than any other countries' experiences. The socio- economic problems originates in migration can be classified in two ways ; the one is the overpopulated problems of urban areas and emptied villages problems of rural areas, and the other is the shartage agricultural labor farce problems symbolized by the increasing idle cultivated land. To relieve migration effectively, the developing policies should be converted from pursuing fast industralization and urbanization to balance growth between areas and industries. Moreover problem solving political measure should be converted from partial and corresponding approaches to total approaches containing economic, social and institutional side-view.

결절성 황색종과 동반된 제 Ⅲ 형 과지질단백혈증 1예

김지현,김연진,김현주,조소연,황규광,함정희 梨花女子大學校 醫科大學 醫科學硏究所 2000 EMJ (Ewha medical journal) Vol.23 No.1

We report a case of type Ⅲ hyperlipoproteinemia associated with tuberous xanthoma, which is improved by treatment with lovastatin and bezafibrate. A 34-year-old female patient visited our clinic for evaluation of multiple yellowish-brown papulonodules on the kness, elbows and palms. Serum lipid examination showed an abnormal elevation of serum cholesterol and triglyceride. Lipoprotein electrophoresis showed a single peak at pre-β and β portion without separation. The biopsh specimen from a nodule on the knee and a papule on the palm revealed characteristic findings of xanthoma. We diagnosed the case as type Ⅲ hyperlipoprotei-nemia. After 3 months of treatment with diet restriction, lovastatin and bezafibrate, the serum levels of cholesterol and triglyceride were reduced to normal level. The skin lesion of the palm showed complete regression and ones on both knees and elbows were moderate improvement.

마사지 요법이 고혈압 환자의 혈압에 미치는 영향

김종우,서현규,박윤기 대한정형물리치료학회 2003 대한정형도수물리치료학회지 Vol.9 No.2

To closely examine the effects of the massage treatment as one method of curing hypertension by exploring the effects that one-time circulation-centered massage has on a hypertensive's blood pressure, this study selected as the subject ten among fifty-yea-old essential hypertensives visiting N clinic, and measured and compared their blood pressures before and after I gave them massage. After stabilizing them, I measured their b l d pressures. In their prone and supine postures, I gave them rubbing massage for twenty minutes from positions proximal to their hearts to ones distal from their hearts to help their artery circulation and circulation-centered strong massage for ten minutes from positions distal from their hearts to ones proximal to their hearts to help their vein circulation. After the massage, I had them rest for five minutes and measured their blood pressures. Regarding each item analyzed, I calculated the mean and standard deviation before and after the massage. The difference before and after the massage was tested by corresponding t-test and the level of significance was made p<0.05. The findings are as follows. First, systolic pressure was 157.70±7.48 before the massage and 143.00±9.39, which is less than before the massage, after the massage, showing statistically significant difference (p<.05). Secondly, diastolic pressure was 97.80±6.56 before the massage and 95.20±5.18, which is less than before the massage, after the massage, not showing statistically significant difference (p <.05).

관동맥 우회로술 중 경식도 심초음파도로 관찰한 도부타민 투여후와 우회로술후의 좌심실 국소벽운동

김희열,김종진,윤호중,유기동,박지원,이길환,노태호,채장성,김재형,홍순조,최규보 대한순환기학회 1997 Korean Circulation Journal Vol.27 No.8

리스페리돈으로 무월경이 발생한 여자 정신분열병 환자의 우울, 불안, 삶의 질에 관한 연구

김연희,연규월,김미경,이혜진 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.5

Objectives : Amenorrhea, one of the most common side effects of neuroleptics, has known to be associated with prolactin elevation. Hyperprolactinemia seriously affects mental health causing depression, anxiety or hostility, while also affecting physical health causing amenorrhea, galactorrhea or sexual dysfunction. The possible correlation between nsperidone-induced amenorrhea and depression, anxiety and quality of life was evaluated in a cross-sectional open study. Methods : During a five-month period, WHO quality of life-BREF (WHOQOL), Beck depression inventory (BDI) and state-trait anxiety inventory (STAI) were applied twice at two-month intervals for 30 patients with risperidone-induced amenorrhea and 22 patients without amenorrhea. Results : Amenorrhea group had significantly higher scores in BDI and STAI-state, while showing lower scores in the quality of life than control group. The total BDI and STAI-state scores were more negatively correlated with WHOQOL score in amenorrhea group. Conclusion : Patients with risperidone-induced amenorrhea rated themselves significantly more depressed and more an-xious, and a lower quality of life compared to the control group, Clinicians should be more active in evaluating and treating hypemrolactinemic side effects such as amenorrhea, galactorrhea, depression and anxiety.