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건국의대생의 의사국가시험 결과와 학업 및 졸업시험 성적과의 일치도 분석
장성훈(Soung Hoon Chang),이원진(Won Jin Lee),이건세(Kun Sei Lee),김상윤(Sang Yoon Kim),이예철(Ye Chul Lee) 한국의학교육학회 1998 Korean journal of medical education Vol.10 No.2
본 연구는 의사국시의 변화에 따른 본교 졸업생의 의사국시 합격/불합격과 학업성취도와의 관련성을 분석하고자 하였다. 즉, 1995년부터 1998년까지 4년간의 건국의대 졸업생 중 의사국시에 합격한 자와 불합격한 자간에 학업성적과 졸업시험성적의 차이가 있는가를 밝히고 이 둘 중 어느 것이 의사국시의 합격/불합격을 보다 잘 예측할 수 있는 자료이며 그 일치도가 어떠한지를 분석하여 학생들의 학습지도를 위한 자료로 활용하기 위함이다. 연구결과는 다음과 같다. 1.의사국시 합격/불합격한 자의 학업성적, 졸업시험성적 비교 의학과 4학년 평균 평점은 의사국시 합격자가 불합격자보다 평균0.49에서 0.71점까지 높았으며 통계적으로 유의하였다. 졸업시험 성적은 의사국시 합격자가 불합격자보다 평균4.9에서 9.9점까지 높았으며 통계적으로 유의하였다. 2.의사국시 합격/불합격과 학업 성적, 졸업시험성적과의 일치도 연도별 의사국시 합격/불합격 여부와 4학년 평점, 졸업시험 성적과의 일치도를 분석한 결과 가장 일치도가 높았던 점수는 의학과 4학년 평점의 경우 2.2점일 때였으며, 이 때의 kappa값은 평균 0.49이었고, 졸업시험의 경우 71점일 ??였으며, 이 때의 kappa지수는 평균0.64이었다. 따라서 의학과 4학년 성적과 졸업시험 성적 중 졸업시험 성적에서 더 좋은 일치도를 보였다. 결론적으로 건국의대의 경우 의학과 4학년 평점이 2.2점 이하이거나, 졸업시험 평균성적이 71점 이하인 학생은 의사국시에 불합격할 가능성이 크기 때문에 이들에 대한 집중적인 지도가 필요하다고 사료된다. In order to identify students who needs more intensive guide, we analysed the association between the results of Korean medical licensing examination(KMLE) and two different types of scholastic achievement; 4th grade score and graduation examination score. The scholastic achievement between passed and failed the KMLE at Konkuk University College of Medicine from 1995 to 1998 was investigated. First, we grouped the students into four groups according to the year they graduated. Second, we regrouped the group into two subgroups according to whether passed or failed in the KMLE. In the 4th grade score, the passed KMLE is higher than the failed from 0.49 to 0.71 and which is statistically significant. In the graduation examination score, the passed KMLE is higher than the failed from 4.9 to 9.9 and which is also statistically significant. We analyzed the degree of agreements between the results of the KMLE and the two different types of scholastic achievement. In 4th grade score, the highest degree of agreement shows 2.2 and its kappa index is 0.49. In graduation examination score, the highest degree of agreement shows 71 and its kappa index is 0.64. In conclusion, students who have lower than 2.2 in 4th grade score or lower than 71 in graduation examination score are tend to be failed the KMLE. So they need more intensive guide for the KMLE.
척추마취 후 통증 자가조절법 시행이 척추강 내 몰핀의 용량에 미치는 영향
이예철,우남식,김윤수 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-
Intrathecal administration of morphine is a highly efficacious modality for the treatment of postoperative pain. However, side effects are often present and rarely life-threatening. Routine management of postoperative pain have been changed as a result of technological advances in drug delivery systems(patient controlled analgesia: Ⅳ-PCA). The purpose of this study was to observe the effect of Ⅳ-PCA on variable dosage of intrathecal morphine, and to evaluate the minimal dosage of intrathecal morphine for pain relief. Eighty patients requiring spinal anesthesia for operation were randomly assigned to receive intrathecal morphine 0.01mg(Group Ⅰ: n=20), 0.02mg(Group Ⅱ: n=20), 0.04mg(Group Ⅲ: n=20), and 0.1mg(Group Ⅳ: n=20). All patients were operated under spinal anesthesia with 0.5% bupivacaine 10-15mg, and taken Ⅳ-PCA. PCA unit was filled with 60ml: mixed with fentanyl 50㎍, ketorolac 18mg, and normal saline. It had a flow rate of 0.5ml/hr and lockout interval was 15minutes. The degree of analgesia was subjectively evaluated by visual analogue scale(VAS). Patients were evaluated 3, 6, 12, 24, and 48 hours after operation for pain relief, nausea, vomiting, pruritus, and respiratory depression. VAS pain score were significantly lower in group Ⅱ,Ⅲ, and Ⅳ than group Ⅰ at postoperative 6, 12, 24hours(p<0.05), but were no significant difference at 3 and 48hours. There were no apparent cases of respiratory depression. Nausea or vomiting occurred in 10-25% of all patients. Pruritus occurred in 5-10% ofⅠ,Ⅱ,Ⅲ group, and occurred in 40% of group Ⅳ. Urinary retention occurred in 5% ofⅠ and Ⅱ group, and in 35-40% of group Ⅲ and Ⅳ. We conclude that the Ⅳ-PCA with 0.02mg of morphine is an effective and safe method for pain control after spinal anesthesia.
전신마취중 발생한 혼합응혈괴에 의한 기관내 튜브 완전폐쇄-증례보고-
정정일,조재군,김정성,이규창,강포순,이예철 건국대학교 의과학연구소 1997 건국의과학학술지 Vol.7 No.-
A fifty seven year old female patient was scheduled for emergent craniectomy and removal of hematoma, open reduction and internal fixation of frontal bone with miniplate and wire under general anesthesia. Preoperative checked datas for emergent operation were within normal limits and vital signs of the patient were stable. During the induction of general anesthesia, an orotracheal intubation was done in operating room. About 50 minutes after induction of anesthesia, signs of complete airway obstruction developed suddenly. so we inserted suction tip into the lumen of the endotracheal tube, but the suction tip into the lumen of the endotracheal tube. After we stopped the operating procedure, we removed the tube and intubated another endotrcheal tube. We found that the distal part of lumen of extubated tube was obstructed completely by blood clots and mucus.
이수경,신양식,김갑수,이예철,김지응,마은주 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.3
Background: Some of elective surgical procedures may be postponed or cancelled due to inadequate preoperative assessment and preparation. To minimize this problem, our preadmission anesthesia consultation clinic had been designed and managed at the outpatient department. The case referral pattern and efficacy of the clinic were evaluated for 1 year. Methods : The study was done collected prospectively on 881 patients referred to the clinic from January to December 1997, 1 year. The age, sex, departmental distribution of consultation, ASA physical status of patients, the clinical department and reasons of consultation, and satisfaction of the patients or their parents were analized prospectively. The preoperative hospital stay periods before and after the opening of the clinic were compared. Results : The sex ratio(M/F) were 6/4. Thirty-seven percent of the patients were under 10 years old and 11.8% were twenties. ENT(48.4%), ophthalmology(15.6%), general surgery(12.6%) were mainly referral departments. Reasons for consultation were related to chest X-ray abnormality(28.9% of the cases) and EKG abnormality(17.9%). The majority of consultation had pediatric(30%) and cardiologic problem(26%). URI(54.2%) and liver disease(12.6%) were major disease entities to postpone their surgery. In 2.7% of the patients, their admission or operation were postponed by the anesthesiologists in the clinic. Ninety-one percent of the patients were satisfied to visit the clinic. Conclusion : We conclude that reduction in preoperative hospital stay and shortening in delay of surgery are provided, and most patients are satisfied to the preadmission anesthesia consultation clinic. (Korean J Anesthesiol 1998; 34: 514∼519)
우남식,이예철 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.6
The popular term malignant hyperthermia syndrome (MHS) refers to a clinical syndrome classically observed during general anesthesia. It is characterized by a rapidly increasing.temperature and a high mortality rate. A case of MHS was experienced which developed 60 minutes after induction of general anesthesia with thiopental sodium, succinylcholine, halothane, N₂O and O₂. High fever, muscle rigidity and cyanosis developed and were followed by arrythmia and unstable blood pressure. Anesthesia was terminated and vigorous emergency treatment was attempted. The patient died about 6 hours after induction of anesthesia.