외음부의 기저세포암

김보영 ( Bo Young Kim ),황선정 ( Sun Jung Hwang ),박병준 ( Byung Joon Park ),이은실 ( Eun Sil Lee ),한호섭 ( Ho Suap Han ),김용욱 ( Yong Wook Kim ),김태응 ( Tae Eung Kim ),노덕영 ( Duck Yeong Ro ),이안희 ( An Hi Lee ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.9

Basal cell carcinoma (BCC) is the most common human malignant neoplasm, accounting for 75% of all non-melanoma skin cancer. The incidence of BCC is strongly correlated with sun exposure as well as older age. Therefore, the vast majority of BCCs is observed in elderly patients on the sun-exposed skin of the head and neck with a frequency of more than 80%. BCC is very rare on sun-protected skin such as the perianal and genital regions and other etiologic factors must be considered in these cases. Although the pathogenesis of vulvar BCC is unclear, early diagnosis is very important. Because BCC in these areas sometimes seems innocuous, it is recommended that a biopsy of all suspect lesions be performed. We report a woman with BCC of the vulva treated with wide local resection and reviews the literatures on this subject.

야쿠트어 폐쇄자음 연구-러시아어 차용어휘 분석-

강덕수 ( Duck Soo Kang ),김지선 ( Jee Sun Kim ),홍준희 ( Jun Hee Hong ) 한국외국어대학교 언어연구소 2007 언어와 언어학 Vol.0 No.39

Duck-soo Kang.Jee-sun Kim.Jun-hee Hong. 2007. A Study of Obstruents in Yakut through Analysis of Borrowed Words from Russian. Language and Linguistics 39, 1-16. One of the most important constraints in Yakut is connected with syllabic structure. Its syllabic structure is based on CV. So the constraint of "NoGeminates" is strictly applied. And the harmony between features is also considered important. Yakut has the strict constraint on the phonotactical relations. In Yakut a feature [constricted glottis] works more vigorously than [voiced]. This feature is combined with a feature [+back] or [+lab], making new constraints on the initial place: *#[+back, -CG], *# [+lab,+CG]. Finally, consonantal assimilation in obstruents of Yakut is dominated by 2 lows of constraints. VowelHarmony >> Ident-CV[pl] >> NCP >> *[+palatal]# >> Ident-IO; *#[+back, -cont][+back,-high] >> *#[+back,-CG], *# [+lab,+CG] >> [+cont] >> NoGem >> Ident-IO >> *[+voiced]#

위절제술 환자의 표준진료지침 개발 및 적용 효과

김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

效率的인 物流EDI 시스템 構築方案 : 컨테이너 運送部門을 中心으로

金德洙,宋善玉 군산대학교 지역개발연구소 1996 地域開發硏究 Vol.8 No.-

고등학교 체육수업에서의 수행평가 적용상 문제점 분석

김이수,김평석,류수림,노덕선 한국스포츠리서치 2005 한국 스포츠 리서치 Vol.16 No.2

This study aims to understand and analyze problems on applying performance assessment to physical education in high school, and to offer basic data to seek for measures to settle performance assessment in physical education. The specific themes are, first, we analyze the present condition of reflection of the assessment in physical training. knowledge. and attitude in physical education. Second. we analyze teachers' implementation of performance assessment. Third, we compare the recognition of performance assessment according to students' gender. Fourth, we compare the recognition of performance assessment according to the type of schools. For the research, twelve high schools in the Metropolitan area were randomly selected, and 50 physical education teachers and 305 high school students in third grade were polled. Collected data from teachers were classified by type after frequency study. and the data from the students were analyzed in terms of frequency. by the means of Independent T-test for verification of average deviation between male and female students and by means of one-way ANOVA for analysis of school type-related results. When there was any significant difference among groups, Tukey method was applied for the aftermath verification. The results are as follows. First, the reflection rate of assessment on physical training. knowledge and attitude in physical education was found to be 60: 30: 10. Second, teachers implement physical training assessment mostly in two sports per semester. Most teachers assess focusing on the record (the number of times), and implement the assessment twice per each sport. Classroom assessment and assignment assessment are implemented if required. As for exam questions for knowledge assessment. most teachers gave only multiple-choice type questions. Most teachers also implement knowledge assessment with various other measures such as experiment. drill, physical training test and report. Assessment of attitude is mostly implemented by teachers. They evaluate such factors as uniform, participation, attendance, absence, and lateness. Students' behavior and attitude during classes are also mostly reflected in assessment. 68.8% (thirty three) respondents answered that they evaluated students' attitude every class. Third. as for the awareness of performance assessment according to students' gender, both boys and girls are found to be well aware of the assessment. They showed positive responses toward the number of assessment, fairness and accuracy of self assessment and peer assessment; toward humanistic education and academic achievement which are results of performance assessment, boys showed positive responses whereas girls showed negative ones. Fourth, the comparison of awareness of performance assessment according to school type shows that respondents from all types of boys', girls' and co-ed high schools responded positively, and especially respondents from boys' high school answered more positively. As for the reflection of students' interest on the assessment, respondents from all types of boys', girls', and co-ed high schools responded negatively, and especially respondents from co-ed high schools answered more negatively. Respondents from all types of high school, especially those from girls' high schools answered positively to the question regarding standards, function of performance assessment, appropriateness of reflection rate and the number of assessment of students' knowledge and attitude. With regard to fairness of performance assessment and accuracy of self assessment and peer assessment, respondents from both boys' and girls' high schools answered positively, especially there were more positive answers from girls' high schools. Respondents from boys' and girls' high schools answered more negatively than those from co-ed high schools to the question regarding effectiveness of group assessment in performance assessment. To the question of contribution of performance assessment to humanistic education, respondents from co-ed high schools answered more negatively than those from boys' and girls' high schools. Respondents from boys' and girls' high schools showed positive responses on the contribution of performance assessment to academic achievement, whereas respondents from coeducational high schools showed negative responses. which is statistically significant(F=3.909, p= .021). However, aftermath verification showed that only respondents from boys' and coeducational high schools showed significant difference (p= .020).

고등학교 체육특기·적성 교육활동에 관한 운영 분석

김평석,김이수,최현영,노덕선 한국스포츠리서치 2005 한국 스포츠 리서치 Vol.16 No.2

The objective of this research is a place where it examines the participation actual condition regarding the physical training specialty-an aptitude education activity of the high school students and a satisfactory degree. In the research object currently the high school south which are to Seoul - Inch'on - Kyonggi-Do. about it set at the royal tomb which points out specifically the students and u, the ticket house method the house Rag radio ticket house law (cluster random sampling) with total 405 people was ticket collected goods. In order to analyze the data of the research which it sees it uses a SPSS 11.0 for windows statistical program with the statistical technique which it uses ! and frequency analysis (frequency analysis), x²verification, and independent group t- verification (independent group t-test) it is a back. With above same research method and process it leads and it gets and the position conclusion with afterwords is same. First, participation objective the south student the motion technology advancement and health and the physical strength increase showed a high ratio, the schoolgirl in order with the friends together description below, the and hold was doing the motion technology advancement, the person who gives the place effect which selects from a physical training department south. about as the student all friend the student answer back appeared highly. physical training relation station the map the physical training teacher the other side which is visible a most high ratio it wants the coaching staff with the fact that it prefers the leader which equips a specialty map ability. Second, physical training specialty- aptitude education activity problem point, the diversification and the schoolgirl of program the map method south student of the coaching staff was investigated recognition of physical training pure with. third, physical training activity which participates with the fact that it will receive a many help in study it led and motor function and physical strength increase and health and. Function improvement and physical strength increase, against a study help the south student, the schoolgirl appeared in small quantity highly from healthy help. physical training activity which participates it led and school life it was it is joyful. satisfactory in intimate feeling and friend relationship of stress solution and the teacher and became the many help, it will appear, that even after words it will be active from the physical training relation station, the student answer back highly was investigated and even from multi problem point inside satisfactory boat song it was investigated with the high thing.

韓國 兒童놀이 發達史에 關한 硏究 : 傳統的 標準놀이 選定을 위하여 for the Selection of Traditional Standard Games

金德善 대구교육대학교 1975 論文集 Vol.11 No.-

This paper aims at finding out how the juvenile games peculiar to Korea were performed, what their major contents were, how their values and characteristics have changed and developed up to now to select the traditional standard games of Korea. The scope of the study was limited to those child-games worthy of juvenile education and physical training. The contents studied are as follows: 1. the significance and procedure of the study. 2. the essence of the games and their theoretical background. 3. the development of the games in different ages. 4. the development of the names and contetns of the games. (A) the aspects of the names and change of the games (B) the aspects of the contents and change of the games 5. the analysis of the elements of the games and their development. 6. the selection of standard games and their development. (A) the development of male children (B) the development of female children In this study, I chose 18 standard games; ten for male children, eight for opposite sex and recommended their spread and encouragement to the Ministry of Education.

2-[(4-Cyanophenyl)amino]-3-chloro-1,4-naphthalenedione (NQ-Y15)의 돌연변이원성

김봉희,정기화,유충규,창동신,이기선,전선덕,소동수,채상호,문창규 德成女子大學校 藥學硏究所 2001 藥學論文誌 Vol.12 No.1

2-[(4-Cyanophenyl)amino]-3-chloro-1, 4-naphthalenedione (NQ-Y15) was asssayed for its genotoxic potential by using Salmonella typhimurium reversion assay and in vitro chromosome aberration test on Chinese hamster lung cells. In the Ames test, NQ-Y15 induced his+revertants of Salmonella typhimurium TA 98 and TA 1537, reaching levels twice the negative control values. But, NQ-Y15 induced only his+revertants of Salmonella typhimurium TA 1537 more than twice the control values under the condition with metabolic activation system. In the cytogenetic test on chinese hamster lung cells. NQ-Y15 showed significant chromosomal aberrations, but the incidence was significantly reduced in the presence of metabolic activation.

2-[(4-Cyanophenyl)amino]-3-chloro-1,4-naphthalenedione(NQ-Y15)의 돌연변이원성

김봉희,정기화,유충규,창동신,이기선,전선덕,소동수,채상호,문창규 한국환경독성학회 2000 환경독성보건학회지 Vol.15 No.4

2-[(4-Cyanophenyl)amino]-3-chloro-1, 4-naphthalenedione (NQ-Y15) was asssayed for its genotoxic potential by using Salmonella typhimurium reversion assay and in vitro chromosome aberration test on Chinese hamster lung cells. In the Ames test, NQ-Y 15 induced his+ revertants of Salmonella typhimurium TA 98 and TA1537, reaching levels twice the negative control values. But, NQ-Y15 induced only his^(+) revertants of Salmonella typhimurium TA1537 more than twice the control values under the condition with metabolic activation system. In the cytogenetic test on chinese hamster lung cells, NQ-Y15 showed significant chromosomal aberrations, but the incidence was significantly reduced in the presence of metabolic activation.

형제에서 발생한 신성 요붕증

김마리,김덕수,정혜천,박범수,하태선 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.1

신성 요붕증은 항이뇨 호르몬(antidiuretic hormone, arginine vasopressin)의 혈중 농도가 높음에도 불구하고 신장이 항이뇨 호르몬에 반응하지 못하여 생기는 유전 질환이다.신장이 항이뇨 호르몬에 반응하지 못하면 신장의 농도 조절 작용과 수분 재흡수의 기능이 상실되어 많은 양의 저장(hypotonic) 상태의 뇨를 체외로 배출하므로써 탈수증에 이르게 된다.저자들은 다음, 다뇨 및 성장 장애를 주소로 내원한 형제에서 임상 검사를 통하여 신성 요붕증을 진단하였다.형제 중 형은 8세 남아로 생후 10개월에 다음, 다뇨 및 발열을 주소로 내원하여 신성 요붕증을 진단 받고 치료를 시작하였으나, 보호자 자의로 약물 복용을 중단하였다.14개월 남아인 동생이 다음, 다뇨 및 성장 장애의 증상으로 내원하여 같은 방법으로 신성 요붕증을 진단받았고, 현재 형과 함께 이에 대한 치료를 받고 있다.저자들은 형제에서 발생한 신성 요붕증을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Nephrogenic diabetes insipidus is a genetic disease that the kidney cannot respond to a-ntidiuretic hormone in spite of elevated serum antidiuretic hormone.Failure of the kidney to respond to antidiuretic hormone result in decreased function of the kidney of osmore-gulation and water resorption, and therefore nephrogenic diabetes insipidus are present in large amount of hypotonic polyuria, polydipsia and dehydration.The authors experienced two case of nephrogenic diabetes insipidus in brothers who have polydipsia, polyuria and failure to thrive.One 8-year-old boy had been diagnosed as nephrogenic diabetes insipi- dus by clinical test at 7 years ago, but at 32 months of his age, his parents had disco- ntinued his medication.The other 14-month-old boy has been diagnosed nephrogenic di- abates insipidus by same method lately. So, we report two case of nephrogenic diabetes insipidus in brothers with the brief rev-iew of related literatures.