Fallot 4징증의 근치수술후 예후에 영향을 미치는 요소

민용일,오봉석,이동준,Min, Yong-Il,O, Bong-Seok,Lee, Dong-Jun 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.1

Twenty six patients were operated a total correction of tetralogy of Fallot between Jan., 1984 and July, 1985 at the Dept. of thoracic and cardiovascular surgery, Chonnam University Medical School, and a comparison between the survived group [n = 18] and the dead group [n = B was performed to detect factors influencing laboratory data, cineangiographic findings, operative findings and methods, and pump time. Following results were obtained, 1. There was no significant difference between two groups in the preoperative P.O2 and hematocrit level. 2. The size of the interventricular defect was not related to the operative mortality. 3. There was a significant difference in mortality rate between combined type of stenosis of pulmonary artery, valve and infundibulum and other types of right ventricular outflow tract stenosis. 4. There was a significant difference in mortality rate between the transannular patch reconstruction and other types of operative procedure. 5. There was no significant difference between two groups in total bypass time and aortic time. 6. There was no significant difference between two groups in left ventricular end diastolic volume and right ventricular end diastolic volume. 7. The operative mortality was related to the ratio of the diameter of the pulmonary valve annulus or each pulmonary artery to the ascending or descending aorta in cineangiographic findings, but there was no statistical significance of which probably is due to the lack of the total number of patients.

변형 Fontan 술식을 이용한 선천성 심기형증 치험 2

민용일,안병희,이동준,Min, Yong-Il,An, Byeong-Hui,Lee, Dong-Jun 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.3

Recently, direct atriopulmonary anastomosis was performed in 2 patients without using pericardium or prosthetic material. Case 1 A 13-year-old male patient whose diagnosis was tricuspid atresia [type lb] received direct atriopulmonary anastomosis successfully with good clinical and hemodynamic results. Nine months after operation, he has an increased exercise tolerance. Case 2 A 4-year-old female patient whose diagnosis was DORV with pulmonary atresia in A-V discordance had a formidable surgical challenge. A large-diameter direct atriopulmonary anastomosis was performed after the closure of the right atrioventricular valve. Her postoperative course has been even in 20th postoperative day.

개심술 500례의 임상적 고찰

민용일 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.1

From May 1977 to June 1986, 500 cases of open heart surgery were performed under the cardiopulmonary bypass. There were 278 male and 222 female patients ranging from 6 months to 69 years. 363 cases[73.6%] were congenital heart diseases, and 137 cases[27.4%] were acquired heart diseases, which were 33 valvular diseases, 3 myxomas and 1 IVC obstruction. There were 363 congenital heart anomaly with 35 operative deaths[9.6%], consisting of 279 acyanotic cases with 12 deaths [4.3%] and 85 cases of cyanotic cases with 23 deaths[28.4%]. In 133 patients of acquired valvular disease, 124 valves were implanted and operative death of valvular disease was 12%. Finally the operative mortality was 9.6% in congenital anomaly, and 12.4% in acquired heart disease, overall mortality rate was 10.4%.

최근 1년간 응급실 내원환자 21,700명에 대한 임상적 분석

민용일 대한응급의학회 1994 대한응급의학회지 Vol.5 No.2

21,700 cases of patients who visited Department of Emergency Medicine in Chonam University Hospital from August 1, 1993 to July 31, 1994 were reviewed. The results were as follows : 1. In 21,700 total visits(average 59.5 in a day), male to female ratio was 1.47 : 1 and the peak age group was 3rd decade(16.3% of total visit). 2. Disease to injury ratio was 2.1 : 1. In disease, male to female ratio was 1.2 : 1. A male predominece was found among injury as 2.2 : 1, respectively. The major groups of disease were children younger than 10 years of age and adults older than 50 years. In contrast, 42.3% of total injuries occured in 3rd and 4th decades. 3. The ratio of self-visit to transfer from other hospitals was 3 : 1, The majority(83.3%) used non-emergency vehicle such as taxi or bus. In contrast, the use of rescue services or ambulances were extremely rare. 4. The visiting patients were composed of internal medicine as 24.6%, pediatrics as 12.6%, surgery as 36.1%, and emergency medicine as 21.7%. The disposition was composed of discharge as 60.5%, admission to ward as 29.5%, and transfer to other hospital as 6.5%. 5. Averaged transit time in emergency room was 18.5 hours ; 31.3 hours for admission to ward, 14.0 hours for discharge, and 7.8 hours for transfer to other hospital, respectively. 6. Monthly visit was relatively even. Visits increased slightly on April, May, June, July, and October. 7. In daily visit, it increased slightly on Saturday and Sunday. 8. The majority of patients visited to emergency room between noon and midnight. In contrast, visits decreased abruptly form 1 : 00 AM. 9. The number of DOA was 320. In addition, the number of DAA and hopeless discharge was 644. Thus, mortality rate was 3.0%.

인태아 폐의 신경상피소체와 신경종말에 관한 미세구조적 연구

민용일,윤재룡,Min, Yong-Il,Yoon, Jae-Rhyong 한국현미경학회 1995 Applied microscopy Vol.25 No.1

Ultrastructure of nerves and their associated cells in the bronchiolar epithelium of the human fetal lung were studied with ultrastructural and immunohistochemical methods. The neuroendocrine cells were scattered along the basal part of non-ciliated respiratory epithelium and appeared as single cell (solitary neuroendocrine cell) or groups (neuroepithelial bodies). The solitary neuroendocrine cells were devoid of any detectable innervation, while the neuroepithelial bodies were associated with nerve ending containing morphologically afferent (sensory) and efferent (motor) intraepithelial terminals. The afferent nerve endings contained abundant mitochondria with long cristae. The efferent nerve endings were characterized by the presence of synaptic vesicles. Both types of nerve endings formed synaptic junction between nerve endings and neuroepithelial bodies cells. Serial sections of the intraepithelial nerves revealed that both morphologically afferent and efferent types of nerve endings may be formed by the same nerve fiber. By immunohistochemistry, bombesin and serotonin were localized in solitary neuroendocrine cells and neuroepithelial bodies of human fetal lung from various prenatal age groups. These results suggest that the neuroepithelial bodies cells of the human fetal lung have neuroreceptor function.

심장판막증의 외과적 치료

민용일,김상형,이동준,Min, Yong-Il,Kim, Sang-Hyeong,Lee, Dong-Jun 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.3

From September 1980 to July 1986, 135 cases of cardiac valve surgery were performed under the cardiopulmonary bypass. Out of 135 cases, single valve surgery was 114 cases including open mitral commissurotomy 17, mitral annuloplasty 2, mitral valve replacement 85, and aortic valve replacement 10 and double valve surgery was 21 cases. There were 68 males and 67 females ranging from 9 to 57 years of age. Early death within 30 days after operation was 17 cases [12.6%] and caused of death were ventricular arrhythmia 5, low cardiac output syndrome 4, excessive bleeding 3, pulmonary complication 2, and so on. Among 118 early survivors, 5 cases [5.1%] of late death were developed over a period of 2 to 72 months, and main cause of death was fatal bleeding complication associated with anticoagulation therapy. Symptomatically, 91.8% of patients were in NYHA functional class I or II at the end of the follow-up.

교육과정 수시 개정 체제에 따른 교과 교육내용 적합성 제고를 위한 국가수준의 상설위원회 설치 방안

민용성 ( Yong Seong Min ) 한국통합교육과정학회 2012 통합교육과정연구 Vol.6 No.2

급성췌장염을 동반한 특발성 양측성 횡격막 마비 1례

박주경,소정일,류진호,김성근,허탁,민용일 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

Bilateral diaphragmatic paralysis(BDP) is a rare disorder, which can be secondary to spinal cord injury, motor neuron disease, myopathy, noninfectious polyneuropathy, infection, iced saline cardioplegia performed during cardiac surgery, or idiopathic causes. There may be typical presentations such as dyspnea, paradoxical respiratory movement, and hypercapnic respiratory failure. It needs to exclude above secondary causes to consider idiopathic bilateral diaphragmatic paralysis. We report a 51-years-old man who presented with idiopathic bilateral diaphragmatic paralysis combined with acute pancreatitis. We couldn't find out the association of these two clinical conditions. The patient was improved by mechanical ventilation.

학습자중심 다문화 교육과정의 개발 방향 탐색

민용성(Min, YongSeong),최화숙(Choi, HwaSook) 학습자중심교과교육학회 2014 학습자중심교과교육연구 Vol.14 No.10

본 연구는 학교교육의 전반적인 설계도인 교육과정이 시대적·사회적 상황에 부합하기 위해서는 학습자중심과 다문화 교육의 본질을 모두 반영해야 한다는 필요성에 대한 인식에서 출발하였다. 이를 위해 학습자중심적인 요소가 복합된 학습자중심 다 문화 교육과정 개발 방향에 대해 논의하고자 하였다. 이러한 목적을 달성하기 위해 다문화교육 중심내용 요소, 학습자중심 교육과 교육과정과의 관련성 및 국가수준 교육과정 총론 다문화내용 요소와의 공통된 내용 요소를 추출하여 이를 토대로 학습 자중심 다문화 교육과정의 개발 방향을 탐색하였다. 학습자중심 다문화 교육과정 개발 방향은 국가 수준 교육과정(총론) 문서 체제의재정립, 교육과정 구성의 방향, 학교 급별 교육과정 편성과 운영, 학교 교육과정 지원 등으로 구분하여 제시하였다. 다문화교육과 학습자중심의 본질에 터하여 시대적· 사회적 변화를 반영하는 학습자중심의 다문화 교육과정 개발 방향을 총론 수준에서탐색하였다는 점에서 의의를 갖으며, 이러한 연구 결과는 다문화교육과 교육과정 개발에 시사점을 줄 수 있을 것이다. This study started from the needs perception for the reflection of the multicultural nature and learner-centered education in order to coincide the times and social situations with the curriculum-the overall designs of school education. For this, this study discussed the direction of the learner-centered multicultural curriculum development of learner-centered complex components. In order to attain this purpose, this study extracted the relevance of core content elements of the multicultural education, learner-centered education and its curriculum relevance, multicultural content elements of the state-level curriculum. Based on this, inquired the direction of the learner-centered multicultural curriculum development. The direction of the learner-centered multicultural curriculum development proposed the redefine of the state-level curriculum document system, the direction of curriculum construction, the organization and management of each school curriculum and support school curriculum. In that nature of the multicultural education and learner-centered, inquired the direction of the learner-centered multicultural curriculum development for the reflection of the contemporary and social change in the state-level curriculum. These findings could have a significance in terms of suggesting the implications for the multicultural education and curriculum development.

전신성 지방이영양증 1예

민용기,조보연,이홍규,고창순,민헌기,이문규,김용성,김성연 대한내분비학회 1989 Endocrinology and metabolism Vol.4 No.3