Fibro-Fatty Component is Important for the Long-Term Clinical Events in Patients Who Have Undergone Primary Percutaneous Coronary Intervention

김완호,박현웅,김기홍,송인걸,양동주,이충섭,서영훈,권택근,배장호 대한심장학회 2012 Korean Circulation Journal Vol.42 No.1

Background and Objectives: We evaluated which plaque components are associated with long-term clinical events in patients who underwent primary percutaneous coronary intervention (PCI). Subjects and Methods: The study subjects consisted of 57 consecutive patients (mean age, 58.5±14.5 years; 45 males) who underwent primary PCI and a virtual histology-intravascular ultrasound examination. Major adverse cardiac events (MACEs) including death, acute myocardial infarction, stroke, and revascularization were evaluated during the mean 28 month follow-up period. Results: Patients with high fibro-fatty volume (FFV >13.4 mm3, n=29; mean age, 61.3 years) had a lower ejection fraction (52.7% vs. 59.4%,p=0.022), a higher incidence of multi-vessel disease (69.0% vs. 28.6%, p=0.002), larger plaque area (25.7 mm2 vs. 15.9 mm2, p<0.001), and larger plaque volume (315 mm3 vs. 142 mm3, p<0.001) than those with a low FFV (≤13.4 mm3, n=28; mean age, 55.6 years). Patients with high FFV had a significantly higher incidence (32.1% vs. 8.3%, p=0.036) of MACE than those with low FFV. When we divided the study population according to the necrotic core volume (NCV), fibrous volume, or dense calcified volume, no significant findings in terms of demographics and MACE rates were observed. A Cox regression analysis revealed that the independent factor for MACE was FFV (hazard ratio,6.748; 95% confidence interval, 1.168-38.971, p=0.033) in this study population. Conclusion: The coronary plaque component, particularly FFV, but not NCV, was important in long-term clinical outcomes in patients who underwent primary PCI.

조선 후기 분황행례(焚黃行禮)와 분황교지(焚黃敎旨)

김완호 국립민속박물관 2017 민속학연구 Vol.0 No.40

This article is the study on Bunwhang-gyogi burned after the death of an ancestor in the period of Chosun. When an ancestor is honored posthumously, descendents perform a ceremony of burning a copy of Chujeung-gyogi conferred by king. It is considered to be gotten from a king because it is the copy of gyoji a king confers as a writ of appointment. However, when arranging the details about burning yellow papers in the ceremony and rite books of Chosun, it is estimated that the posthumously-honored family made up separately a yellow writ of appointment to burn after Chujeung-gyoji and Bunwhang-gyoji being conferred by a king, or after only Chujeung-gyoji being conferred he family made up Bunwhang-gyoji. Also, through an article titled ceremony of burning yellow papers Bunwhangeui(焚黃儀) in 『Geumgogjib(錦谷集)』 「Jabjeo(雜著)」 by Song-raehee(宋來熙), the type and size of paper used in Chujeung-gyojis and Bunwhang-gyojjs, and the content of the seal can be examed, which leads to the estimate that Bunwhang- gyojis date back to the mid 19th century. Next come the content and form of existing Bunwhang-gyojis and Chujeung-gyojis, and the classification of the type of existing Bunwhang-gyojis. The contents of Bunwhang- gyois and Chujeung-gyojis are all the same, but it can be confirmed that the issued months are different. Form comparison gets a meaningful result in the paper size. Most Bunwhang-gyojis have short lengths and long widths, and measure two-fifths to a quarter of Chujeung-gyojis’ size. and in contrast to Chujeung-gyojis, which are near square or have long widths and short lengths, there are cases with long lengths and short widths. The difference of paper size has an influence on the arrangement of letters of Chujeung-gyojis and Bunwhang-gyojis And the classification of forms is made according to the existing cases that Bunwhang-gyojis are conferred. In the case of the employed Bunwhang-gyojis are conferred on both the regular and the irregular. There are cases issued regardless of employment such as old age(壽職), filial piety(孝行卓異),and augmentation(加贈). It is generally known that Bunwhang-gyojis are conferred on those who are honored posthumously but it is confirmed that there are other cases Bunwhang-gyojis are issued. 분황교지는 조상이 증직되면 자손들이 증직을 고하는 예를 행하고 축문과 함께 태우는 것으로 알려져 있다. 따라서 분황교지가 남아 있는 경우를 자연스러운 현상으로 보기는 어렵다. 본고는 이러한 점에 주목하여 조선 후기 분황행례(焚黃行禮)와 분황교지(焚黃敎旨)에 대해 검토하였다. 『주자가례』, 『가례의절』 등의 가례서에 기반한 조선에서의 분황 예설(禮說)을 크게 두 가지로 정리할 수 있었다. 첫째, 『가례집람』과 『의례문해』를 통해 중국의 제서(制書)가 황색 종이를 사용하였기 때문에 조선에서도 이를 좇아 황지를 사용하게 되었다는 것과, 중국의 제서와 조선의 교지(敎旨)가 동일한 기능의 문서라는 것을 밝혔다. 둘째, 『상변통고』와 『예의류집』, 『사례절략』, 『가례작통』의 내용을 통해 임금에게 추증교지와 분황교지를 받고 증직 받은 집안에서 따로 분황할 교지를 작성하였거나, 임금에게 추증교지만 받고 분황교지는 원래 증직 받은 집안에서 작성하였을 가능성을 제시하였다. 또한 송래희(宋來熙)의 『금곡집(錦谷集)』 「잡저(雜著)」에 있는 분황의(焚黃儀)라는 글(1857)을 통해 추증교지와 분황교지에 사용하는 종이의 종류와 규격, 그리고 인장에 관한 내용을 검토하였다. “‘근래’에는 의례대로 작성하는 추증교지 이외에 황지에 교지를 별도로 작성한다”는 해설을 통해 분황교지가 19세기 중반 즈음한 시기에 유래하였을 가능성을 제시하였다. 다음으로 현전하는 분황교지와 추증교지의 내용과 형태 그리고 현전하는 분황교지의 유형을 분류해보았다. 분황교지와 추증교지의 내용은 동일하였으나 류인로의 3대를 추증한 추증교지와 분황교지의 경우 발급월이 추증교지는 10월, 분황교지는 11월로 다른 것을 확인할 수 있었다. 형태는 서식(書式), 시명지보(施命之寶) 인면(印面)의 크기와 인문(印文), 서체(書體), 종이의 재질, 규격 그리고 추증 받은 품계와 관직을 적은 부분과 방서(傍書)의 글자 수의 배치를 비교 분석하였다. 이 중 종이의 규격에서 유의미한 결과가 도출되었다. 대부분의 분황교지는 추증교지와 마찬가지로 세로가 짧고 가로가 길다. 그리고 추증교지의 5분의 2에서 4분의 1 규격으로 확인되는데, 세로 가로가 정방형에 가깝거나 가로가 길고 세로가 짧은 추증교지와는 반대로 세로가 길고 가로가 짧은 경우를 확인할 수 있었다. 종이의 규격이 다르기 때문에 추증교지와 분황교지의 추증 받은 내용을 적는 부분과 연호 좌우측에 추증된 이유를 쓴 방서(傍書)의 글자 수의 배치에서도 차이가 나타났다. 그리고 분황교지를 어떤 경우에 받는지 현전하는 사례를 통해 유형 분류를 하였다. 실직(實職)을 역임한 관원이 받은 분황교지 이외에 노인직(老人職), 효행탁이(孝行卓異), 가증(加贈)의 경우를 확인하였다.

컴퓨터 음성분석장치를 이용한 조음장애 치료효과의 평가

김완호,김연희,김현기 大韓再活醫學會 1994 Annals of Rehabilitation Medicine Vol.18 No.1

피스톤 링과 실린더 라이너에서의 마찰저감 기술개발 ( Development of Friction Reduction Method between Piston Ring and Cylinder Liner )

김완호,차금환,김대은,임윤철 한국트라이볼로지학회 1998 한국윤활학회지(윤활학회지) Vol.14 No.4

Development of 2D microfluidic experimental setup for studying recovery of skeletal muscle cells

김완호,김재상,박형순,전성윤 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.04

동화를 활용한 초등영어교육

김완호 대한언어학회 2001 언어학 Vol.9 No.3

Kim, Wanho. 2001. Teaching English through Stories Korean Elementary Schools. The LlngutsHe Assoclauon f Korea 7ournai, 9(3), 109-134. The purpose of this study is to explore the possibilities of utilizing stories, and to find out ways to apply stories to elementary English and science classes. The rationale for utilizing stories is based on the theoretical science framework of Content-Based Language Instruction which is, recommended by Whole Language educators. The lessons suggested in this study integrate English stories into both English subject courses and other subject such as s social studies, etc. Stories can be authentic and natural leeching materials in an EFL setting. Stories can also provide students with opportunities for various and interesting language input. We encourage elementary school students to enhance their four language skills simultaneously through stories (Wonkwang Health Science College)

편마비 환자의 총대퇴동맥에서 초음파를 이용한 혈류 동태 분석

김완호,고명환,서정환,김연희 大韓再活醫學會 1998 Annals of Rehabilitation Medicine Vol.22 No.3

Reliability and Validity of the Korean World Health Organization Quality of Life (WHOQOL)-BREF in People With Physical Impairments

김완호,한수정,임현정,양경순 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.4

Objective To identify the validity and reliability of the Korean version World Health Organization Quality of Life Assessment (WHOQOL)-BREF among people with physical impairments living in a community.Methods Participants listed in the community-based rehabilitation project were recruited from 45 public health centers. People with brain lesions or physical disabilities were selected. Respondents (n=750) filled out the Korean WHOQOL-BREF questionnaire. Obtained data were analyzed statistically to assess the internal consistency as well as the construct and discriminant validity. An exploratory factor analysis was also performed. Results Cronbach’s α for the total score was 0.839. The value for each domain ranged from 0.746 to 0.849. Pearson correlation coefficient between each domain ranged from 0.539 to 0.717. The highest correlation was between the psychological and physical domain. The item-domain correlation indicated a significant correlation with their original domains. A multiple regression analysis of each domain with two overall questions was performed. The psychological domain made the strongest contribution with the overall quality of life (unstandardized coefficient B=0.065, r2=0.437). When general health satisfaction was considered as a dependent variable, the physical domain most strongly contributed to the variable (unstandardized coefficient B=0.081, r2=0.462). Exploratory factor analysis yielded four factors in the WHOQOL-BREF, accounting for 55.29% of the variability. To assess the discriminant validity, a comparison of each domain with Modified Barthel Index (MBI) was conducted. There were highly significant changes across the MBI scores with the WHOQOL-BREF domains (p<0.001).Conclusion Korean WHOQOL-BREF is a valid and reliable tool to measure the quality of life for people with physical impairments. It has good internal consistency, construct validity and discriminant validity for the population. Further study with a stratified sample is needed.

그레이브스병에 동반된 특발성 혈소판 감소성 자반증 1예

김완호,윤세희,정인범,조도연,최은경,박근용 대한내분비학회 2005 Endocrinology and metabolism Vol.20 No.3

The association of Graves' disease and idiopathic thrombocytopenic purpura(ITP) is a rather rare, but well documented condition, and has also been reported a few times in Korea. At present, two main hypothetical mechanisms are used to explain the association of the two diseases; the presence of autoimmunity, which leads to both diseases, and activation of the reticuloendothelial system by thyroid hormone.A 33 year old female patient visited our hospital with mucosal bleeding and purpura over her entire body of 3 days duration. Her initial platelet count was 2×109/L, and the thyroid function tests showed a suppressed TSH level of 0.09 mU/L(0.4~3.1) and elevated levels of triiodothyronine and free thyroxine. The levels of anti-thyroglobulin Ab anti-TPO Ab, and anti-TSH receptor Ab were also elevated. The clinical, laboratory and bone marrow findings were compatible with Graves' disease associated with ITP. She was treated with methylprednisolone and propylthiouracil, after which her platelet count increased and thyroid function normalized. We report a case of Graves' disease associated with ITP, which was treated well by glucocorticoid and antithyroid medications 그레이스병에 특발성 혈소판 감소성 자반증이 동반되는 경우는 드물며, 그 병인은 아직 정확히 밝혀지지 않았지만 주로 두 가지 기전으로 설명되고 있다. 즉, 혈소판과 갑상샘 세포에 작용하는 자가항체에 의한 자가면역 기전과, 갑상샘 호르몬의 자극에 의한 망상 내피계의 기능항진에 의해 발생하며, 이 두 질환이 동시에 있는 경우에는 각각의 질환만 있을 때와는 다르게 치료방법과 결과가 다양하게 나타날 수 있다. 저자들은 점막출혈과 전신의 점상출혈을 주소로 내원한 33세 여자 환자에서 그레이브스병에 동반된 특발성 혈소판 감소성 자반증을 진단하고, 항갑상샘약제와 글루코코르티코이드로 병용치료 하였다. 환자의 갑상샘 기능이 정상화되지 않은 상태에서 글루코코르티코이드 투여로 혈소판 수치가 바로 회복되었고 항갑상샘약제를 병용하면서 갑상샘 기능도 정상화되었다. 퇴원 후 약 6개월이 경과 한 현재, 저용량의 항갑상샘약제만 투여 중이며, 갑상샘 기능은 정상으로 유지되고 특발성 혈소판 감소성 자반증의 재발은 없는 상태이다.

뇌졸중 발생 후 재활의학과 입원 치료 이용 실태

김완호,이규범,김수경,장숙랑,김병식,임현정,김선옥 대한뇌졸중학회 2005 Journal of stroke Vol.7 No.2

Background: To survey the utilization status of rehabilitation hospital or clinic in patients with stroke and the difference of utilization according to district and to compare the total admission period, disability grades, functional status, and follow-up of rehabilitation clinic after discharge between the patients who had hospitalized in rehabilitation clinic and those in other clinics. Methods: Two hundred-sixteen patients with stroke in big cities (Do-Bong, Seoul and Gwang-Ju, Jun-Nam), towns (U-Wang, Kyung-Ki and Won-Ju, Kang-Won), and farm villages (Dam-Yang, Jun-Nam and Chung-Do, Kyung-Buk) were interviewed to complete the questionnaire concerning their general characteristics, utilized facilities, functional status and follow-up of rehabilitation clinic after disc h a rge. R e s u l t s : Only thirty-four patients (15.7%) with stroke had been in the rehabilitation hospital or clinic, whereas one hundred-five patients (48.6%) were in the oriental medicine clinic. Utilization rate of rehabilitation clinic in farm village (1.7%) was significantly less than that in town (24.2%) or big city (18.8%)(p<0.05). Total admission period in patients had been rehabilitation clinic (161.5days) tended to be shorter than those other clinics (335.6days)(P=0.482). After discharge, the former patients (61.7%) had visited rehabilitation medicine doctors more frequently than the latter (52.9%)(p=0.429). Conclusions: The utilization of rehabilitation hospital or clinic was not correlated with the total admission period, disability grades, functional status, and follow-up of rehabilitation clinic after discharge. (Korean Journal of Stroke 2005;7(2): 144~150)