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      • 내시경적 점막절제술로 치험한 식도 과립상 세포종 1례

        강혁주,김성욱,최석진,이중현,장재식,서영범,윤병구,박건욱,김성자,김용섭,강승완,이구,양창헌,이창우,김욱년,이광헌,서정일 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

        과립상 세포종은 Schwann 세포 기원으로 생각되며 인체에 비교적 드물게 발생한다. 과립상 세포종은 전신 어느 곳에서나 발견될 수 있으나 주로 혀, 구강, 피부 혹은 유방 등에서 호발하며 드물게 위장관에서 발견된다. 위장관에서는 식도에서 가장 호발하며 다음으로 위, 대장 순이다. 과립상 세포종은 대부분, 특히 위장관에서는 양성이며 소수의 악성 병변이 보고되었다. 이러한 이유와 함께 수술 전의 진단이 어렵기 때문에 과립상 세포종에 대한 근본적인 치료는 현재까지 외과적 절제술이다. 최근에 시도되는 치료방법들로는 내시경적 레이저 치료, 용종절제술, 내시경적 점막 절제술 등이 있다. 저자들은 상부 소화관 내시경검사를 시행하여 식도 과립상 세포종을 진단하고 내시경적 점막 절제술을 시행하여 합병증 없이 퇴원하여 현재 재발없이 경과 관찰중인 1례를 경험하였기에 보고하는 바이다. Granular cell tumors, which occur infrequently, are probably of Schwann cell origin. They can occur almost anywhere in the body but usually affect the tongue, oral cavity, skin, or breasts and are rarely found in the gastrointestinal tracts. The esophagus is the most frequent gastrointestinal site, followed by the stomach and the colon. Granular cell tumors are generally benign, especially in the gastrointestinal tract, some malignant lesions have been reported. For this reason, and also because preoperative diagnosis is difficult, the standard treatment for granular cell tumor has until now been surgical excision. In recent years, other therapeutic methods is endoscopic laser therapy (ELT), polypectiomy, endoscopic mucosal resection (EMR). We report a case of esophageal granular cell tumor which was diagnosed by an endoscopy and managed using an endoscopic mucosal resection without complication.

      • KCI등재SCOPUS

        단일공법 복강경하 질식자궁절제술 110예의 고찰 및 다공법과의 비교

        박병준 ( Byung Joon Park ),김용욱 ( Yong Wook Kim ),노덕영 ( Duck Yeong Ro ),김태응 ( Tae Eung Kim ),류기성 ( Ki Sung Ryu ),김장흡 ( Jang Heup Kim ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.7

        Objective: To evaluate the safety and feasibility of single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH) using conventional laparoscopic instruments compared to multi-port access laparoscopically assisted vaginal hysterectomy (MPA-LAVH). Methods: We reviewed the medical records of 220 patients with uterine leiomyoma or adenomyosis who underwent 110 SPA-LAVH and 110 MPA-LAVH in Incheon St. Mary`s Hospital between April 2007 and November 2009. We performed SPA-LAVH with conventional rigid straight laparoscopic instruments in all cases. We also performed a new vaginal cuff closure method, Kim`s Vaginal Vault Suspension Method, named after the operator (Kim, YW) in both SPA-LAVH and MPA-LAVH. Results: There was no significant difference in patients` age, operating time, uterine weight, hemoglobin change, frequency of blood transfusion, and incidence of postoperative fever between the two groups. The patients` mean age was 46.1±7.0 years (SPA-LAVH) and 45.5±6.3 years (MPA-LAVH). The mean operating time was 87.2±21.0 minutes (SPA-LAVH) and 83.3±20.3 minutes (MPA-LAVH). The mean uterine weight was 261.4±139.7 g (SPA-LAVH) and 257.8±132.9 g (MPA-LAVH). The mean hemoglobin change was 1.1±0.7 g/dL (SPA-LAVH) and 1.2±0.6 g/dL (MPA-LAVH). Neither bowel injury nor urinary tract injury occurred during the operation in the two groups. One of the SPA-LAVH and one of the MPA-LAVH cases were converted to abdominal total hysterectomy. The mean hospital stay time was shorter with SPA-LAVH (2.6±0.6 days [SPA-LAVH] and 3.3±0.7 days [MPA-LAVH], P<0.05). Conclusion: SPA-LAVH using conventional rigid straight laparoscopic instruments can be offered as a safe and feasible alternative to MPA-LAVH.

      • KCI등재
      • 씨름 들배지기 기술의 키네메틱 특성분석

        김의환,홍장표,우성돈,정재욱 龍仁大學校 武道硏究所 2001 武道硏究所誌 Vol.12 No.1

        The purpose of this study was to analyze the kinematic variables Dul-baejiki, the most frequently used and crucial technique in Ssireum(Korean Traditional Westling) with 3dimensional analysis technique and show the kinematic characteristics of it. The subjects of this experiment were two best skilled players who have been plying in professional Ssireum team and whose weights are over 100kg(subject A) and under 100kg(subject B) each. Kinematic variables analyzed here include time, posture, and center of gravity. The mean values and the standard deviations for each variables were variables were obtained and used as basic factors for examing characteristics of Dul-baejiki motion From the data analysis discussion, the following conclusions were drawn: 1) Temporal variables The average time elapsed(TE) by phases of Dul-baejuki motion are the following. For subject A(over 100kg), TE during 1st phase was 0.69 sec(53.5%), TE during 2nd phase was 0.44 sec(34.1%), TE during 3rd phase was 0.16 sec(12.4%). For subject B(under 100kg), TE during 1st phase was 0.69 sec(55.6%). TE during 2nd phase was 0.36 sec(29.1%), TE during 3rd phase was 0.19 sec(15.3%). In the TE by phases of both subjects, the longest TE was the 1st phase, next the 2nd phase, and then the 3rd phase. 2) Center of Gravity(COG) variables Frontal Plane for both subjects showed a continuous movement rightward from pulling phase to falling phase. For Sagital Plane, subject Q moved backward in pulling phase, but subject B moved 6 cm forward until falling phase and then moved backward. For Height, subject A was situated 87.3 cm ∼106.7 cm high from the mat from initial phase throughout falling phase, subject B was situated 75 cm ∼97.1 cm.

      • 唐三彩象形陶에 對한 硏究

        김장욱 기전여자대학 1991 論文集 Vol.11 No.-

        The lead staged wares fall into two main groups, one consisting of figurines and the other of practical objects. A Significant feature of the figurines is their realisme, and this despite the mechanical methods by which they were made. Like the figures, the vassels, too, are slipped to give greater brilliance to the colours. Which are either splashed on carelessly or painted on in carefully organized designs. The latter treatments success or failure depends to some extent on the viscosity of the glaze. Figurine wares on T'ang Dynasty is the important to understand the silla figurine wares. It is estimated as the important to recreative effort endlessly today.

      • 생쥐 위장관의 Interstitial cells of Cajal(ICC)에 대한 면역조직화학적 연구

        김영철,차경훈,신무경,임건한,김주영,안병수,김장만,양경철,박도영,오재욱,장인엽 조선대학교 2003 The Medical Journal of Chosun University Vol.28 No.1

        Background and Objectives : Interstitial cells of Cajal(ICC) are the pacemakers in gastrointestinal tract that modulates gastrointestinal motiliey and these cells also transmit neural input from enteric nerves to smooth muscles. Recent work on tissues from patients with motility disorders that suggest that loss or defect in ICC could be related to pathophysiology in human and animal models. Immunolabelling of ICC in intestinal wall is recently developed by using specific marker, anti-c-kit antibody. Immunohistochemistry was done for ICC network in attempt to provide a morphological basis for the mechanism regulating gastrointestinal motility Methods : Cryosection was done, and whole-mount preparations of mouse stomach, gastrointestinal tract were immunolabelled using the anti-c-Kit. Immunolabelled ICC networks were observed under a confocal laser scanning microscopy. Results : According to three dimensional reconstruction study, we found that the c-Kit-positive celluar networks were widely distributed in the gastrointestinal muscle (1) circular muscle layer(IC-IM), (2) myenteric plexus(IC-MY), (3) deep muscular plexus(IC-DMP) in ileum, (4) submucosal plexus(IC-SMP) and longitudinal muscle layer(IC-LM) in colon. Conclusion : The characteristic profiles of ICC celluar networks provide a morphological basis upon the mechanism regulating gastrointestinal motility. Additional studies for the enteric nerves-ICC interaction are need to evaluate the detailed roles of Icc in gastrointestinal tract.

      • 樂燒技法에 對한 硏究

        김장욱 기전여자대학 1995 論文集 Vol.15 No.-

        Raku as a style of pottery originated in kyoto in the late sixteenth century with the potter chojiro,a korean immigrant. Raku was prized by japanese tea masters because it is unpretentious but aesthetically pleasing and embodies the ideals of Zen Buddhism and wabi. Raku was first brought to the attention of the western world by Bernard Leach. warren Gilbertson was probably the first potter to introduce raku to the united states directly. The beginning of raku in America beyond Gilbertson's introdution of the technique are difficult to ascertain. The potter who is responsible for establishing raku as a popular,creative method of pottery making is paul soldner. soldner spontaneously put a piece in some leaves to hum. Thus was born today's contempory incarnation of the raku process - postfiring reduction. Soldner has been at the fore front of raku from those earlist days,As his influence spread, so did the popularity of raku. Koreans are used to high temperature technique blue celadon and white celadon. At first,the raku technique wasn't popular and refused for a new. However,the raku technique will have a short firing time and fast result,even in a picnic setting. If you try this technique,you can exprience a exitement and pleasant suprise of irregular changes. For beginner and young ceramists,this can be very useful and use for developement of creation,due to it's low cost of firing and kiln production. But it needs to find a substitute materials for Gerstley Borate or Colemite. For professional ceramist,this technique fits very well to. modern arts theory of deformation and it gives a veriety of colors from low temperature firing. I think this goes well with modern taste and can contribute to open a new field of korea modern ceramis.

      • KCI등재

        공동주택에 적용되는 공기식 열교환기의 성능평가에 관한 연구

        김상민,안병욱,손장열 대한건축학회 2005 대한건축학회논문집 Vol.21 No.3

        Indoor Air Quality has been significantly degraded due to the improvement of the airtightness of residential and commercial combined high-rise apartment buildings. In order to handle the problems related to insufficient ventilation, the application of mechanical ventilation system is required in detached residences or apartments in the country. As an alternative, air-to-air heat recovery ventilators are used at initial stage for energy conservation using waste heat recovery and the improvement of IAQ in high-rise apartments, currently being more widely used even in apartments and detached residences. Due to this trend, relevant institutes and organizations are making standards for the evaluation of HRV(Heat Recovery Ventilator) performance, but research related to the evaluation of HRV performance are not sufficiently done in this circumstance before applying in real buildings. Therefore, the purpose of this study is to compare and evaluate international and domestic standards for the evaluation of HRV performance, and to provide guideline for the adequate selection of effective HRV by evaluating the performance synthetically in terms of major items.

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