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導入 機器의 效率的 活用을 위한 敎授-學習 敎材의 開發 : 8 個 學科 共同 硏究
李昌甲,孟琦錫,李載元,朴萬植,廷吉煥,金鍾悟,朴景采,李英浩,李東周,邕章祐,柳盛淵,趙澤東,姜理錫,李殷雄,李興浩,金健中,韓相玉,金良模,張錫明,朴俊灝,洪鳳植,金太均,金再韓,宋海永,盧載星 충남대학교 공업교육연구소 1982 論文集 Vol.5 No.1
In this study, through the combined effort and collaboration of 8 engineering education departments, teaching-learning processes and models were reviewed, and printed and bound student manuals developed on 120 different tasks and subjects. Audio-visual supportive material, already in use in laboratories, was added to form a complete teaching-learning package. In addition to promoting the maximum use of the newly acquired equipment, this study will also contribute to the development of laboratory practice, the in-service training of technical high schools teachers and help in the development of their own instructional program.
이장환(JW Lee),김철수(CS Kim),이승호(SH Lee),안종호(JH Ahn),이태호(TH Lee) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.6
희귀한 난소임신 1예를 보고하였고 아울러 이의 문헌고찰을 겸하였다. A ovarian pregnancy, which is extremely rare type of ectopic pregnancy was presented, and a brief review of literature was added.
한국형 자궁경부 촬영진 ( New Cervicography ) , 세포검사 그리고 HPV-DNA 검사를 이용한 새로운 자궁경부암 검진 모델 ( Model ) 개발
김승조(SJ Kim),박찬규(CK Park),이효표(HP Lee),남궁성은(SE Namkoong),강순범(SB Kang),서호석(HS Saw),이재관(JK Lee),김수녕(SN Kim),김재원(JW Kim),배석년(SN Bae),김찬주(CJ Kim),이근호(KH Lee),이선영(SY Lee),김인호(IH Kim),이찬(C Lee),이정노(JN Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.5
N/A Objective : The false negative rate of conventional cytology is reported to range from 18 to 45%. It is necessary to develop more effective screening strategies that would ideally be more accurate than conventional cytology. This study is designed to investigate the potential of conventional cytology, cervicography, HPV-DNA testing and their combinations as primary screening techniques for cervical neoplasia. The purpose of this project is to develop the models and guidelines for screening tools of cervical cancer of the uterus by evaluating sensitivity, specificity and cost-effectiveness of all the screening methods. Study design : We conducted a screening of random sample of women who visited the department of OB-Gyn. of five different major university hospitals such as Catholic University Hospital, Korea University Hospital, Seoul National University Hospital, Yeonsei University Hospital and Pochon CHA University Bundang CHA Hospital, from May 1, 1996 to April 30, 1999. In a cohort women with an age range of 20 to 70 who underwent routine cytologic screening at Catholic University, Hospital Bundang CHA General Hospital and local clinics from April 1, 1996 to Decomber 31, 2000. cervicography (n=417,125) and testing for HPV-DNA (n=1,347) by the hybrid capture assay were studied for the ability of the cervical cancer screeuing. A new cervicography system with Kim's classification which was developed by Prof. Kim Seung Jo as an adjunctive method for the cervical cancer screening was applied in this cohort study. And then, accuracy, effectivencess, cost-effectiveness of the single or combined screening method were analysed. Result : Sensitivity and specificity of Pap smear were ranged from 55.6% to 83.1% and 72.8% to 88.3% respectively. The combination of Pap smear and cervicography had sensitivity from 89.7% to 98.6%, specificity from 68.2% to 93.2%. With combination of Pap smear, HPV DNA test and cervicography, sensitivity became also highest accuracy among all screening methods from 92.8% to 98.8%. Considering medical charges for diagnosis and social cost occurred by false positive and false negative results, the most cost-effective diagnostic modality was thought to be the combination of Pap smear and cervicography(91,433 won). In patients who were diagnosed as LSIL, colposcopic examination confirmed progression to high grade intraepithelial lesion(HSIL) in 10.7% patients, persistence of LSIL in 55% patients during the 3 year follow-up period. Accuracy of the screening for cervical cancer and CIN can significantly be improved by cytology with new cervicography rather than cytology alone. We concluded that cervicography can be important adjunctive tests for cervical cytology, improving the effectiveness of cervical screening by allowing a more sensitive detection of cervical neoplasia.
자궁외임신 환자의 치료에 있어서 골반경수술과 개복술의 비교 연구
이의진,김정욱,김상용,이도훈,이달경,이승기 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.6
본 저자들은 자궁외임신에 있어서 종래의 개복술과 골반경을 이용한 수술방법을 비교하였을 때 골반경수술방법이 다른 보고들과 같이 많은 장점이 있고 매우 효과적인 치료방법임을 다 시 한 번 확인하였으며 다음과 같은 결론을 얻었다. 1. 자궁외임신으로 수술받았던 137명의 환자중 골반경수술을 받았던 환자는 95명(69.34%)이 었고, 개복술을 받았던 환자는 42명(30.66%)이었다. 2. 골반경수술과 개복술을 비교하였을 때 임상적 소견에 있어서 연령, 몸무게, 출산력, 임신 주수, 기왕력 및 내원시 주증상, 혈색소치, 혈압치 등은 유의한 차이가 없었으나 복강내 혈 액량에서 유의한 차이(p$lt;0.01)를 보였다. 3. 골반경수술과 개복술을 비교하였을 때 임신부위는 ampullar portion이 각각 87.37%, 73.81%로 가장 많았으며 수술방법으로는 salpingectomy가 96.84%, 76.19%로 가장 많았다. 단 , 자궁각임신일 경우에는 모두 개복술을 시행하였다. 4. 골반경수술과 개복술을 비교하였을대 수술소요시간에서는 60.9+-21.3mins;62.8+-20.9mins 로 유의한 차이가 없었으나 입원기간에서는 3.6+-1.0days ; 7.0+-0.7days로 유의한 차이 (p$lt;0.01)를 보였다. 5. 양군 모두 치료를 요하는 합병증은 발생하지 않았다. Recently, pelviscopic surgery trends to increase in world-wide in department of gynecology. Especially, in treatment of ectopic pregnancy, pelviscopic surgery is as effective and safe as treatment with laparotomy and has the advantage of decrease in hospital stay, cost and delay in return to normal activity and of cosmetic effect. To evaluate the efficacy of pelviscopic surgery in ectopic pregnancy, we have reviewed 137 patients treated by pelviscopic surgery and laparotomy from January 1993 to September 1994. The results were as follows. 1. A total of 137 patients were randomized to either pelviscopic surgery(N=95, 69.34%) or laparotomy(N=42, 30.66%). 2. There were no significant differences between the pelviscopic surgery and laparotomy groups in age, weight, parity, gestational age, past history and chief complaint, hematocreits, blood pressure but the estimated blood loss was significantly (p$lt;0.01) lower in patients undergoing pelviscopic surgery. 3. In all ectopic gestaions, the most common site is ampullar portion(83.21%) and the most common operative procedure is salpingectomy(90.51%). 4. The mean operating time was not significant between pelviscopic surgery (60.9 +-21.3mins) and laparotomy(62.8+-20.9). But the length of hospital stay was significantly (p$lt;0.01) shorter after pelviscopic surgery(3.6+-1.0 days) than after laparotomy (7.0+-0.7 days). 5. There were no intraoperative complications in the both groups.
Prostaglandin E2 질정에 의한 자궁경부 숙화 및 분만유도 효과
이의진,김정욱,이희경,이달경,이승기,고경수 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.9
임신 38주이상 42주이하의 Bishop score 4점이하 유효분만 진통이 없는 산모 90명에 대하 여 각기 45명을 질정투여군과 oxytocin투여군으로 설정하여 초산부, 경산부에 따라 분류하였다. 이를 기초로하여 Prostaglandin E2 질정과 oxytocin의 임상학적 비교평가하였다. 1. Prostaglandin E2 질정투여군과 Oxytocin정맥점적투여군간에 연령, 임신주수, 경관상태는 유의한 차이가 없었다. 2. 각 실험군간의 분만유도 성공률에는 유의한 차이가 없었다. 3. Prostaglandin E2 절정을 사용한 분만유도 실패군중 초산부의 경우 oxytocin 투여군보다 자궁경관 상태 개선효과가 유의하게 향상되어 있었다. (p$lt;0.05). 4. 제왕절개분만율, 출혈량에 있어서도 역시 유의한 차이가 없었다. (단, 자궁경관 열상이 Prostaglandin E2 질정투여군에서 2례 발생). 5. 5분 Apgar 8점 미만의 신생아 빈도에 있어 두군간에 유의한 차이가 없었다. 6. Prostaglandin E2투여군에서 태아긴박증 2례와 구토 1례가 있었고oxytocin 정맥 투여군에서 태아긴박증 3례가 있었으나 유의한 차이가 없었으며 두 군 모두에서 유의할만한 부작용은 관찰되지 않았다. 이상의 결과로 Prostaglandin E2 질정투여를 이용한 분만유도는 성공율에 있어 oxytocin정맥투여에 의한 성공율과 유의한 차이는 없으나 초산모에 있어 자궁경관 숙화효과가 유의하게 향상되어 있으며 Prostaglandin E2 질정투여시 사용법이 간편하고 부작용이 적으며 대상범위가 넓은 안전한 유도 분만방법이라 여겨진다. In order to determine the clinical usefullness of PGE2 vaginal suppositories and oxytocin intravenous injection, PGE2 tablet(3mg) was administrated intravaginally to the 45 pregnant women and oxytocin intravenously to the 45 pregnant women . All the involved pregnant was between 38 and 42 weeks gestation, and who had below 4 points, by Bishop`s score(From March to December 1995). Results were obtatined as follows; 1. There was no significant differences on age distribution gestational period, cervical status in each group . 2. Sucess rate with labor induction was not significantly different in each group . 3. In induction failure group , PGE2 vagivnal suppository group was significantly better than oxytocin group incervical ripening over 3points by Bishop`s score(p$lt;0.05). 4. There were no significant differences in Cesarian section rate, blood loss , 5-min Apgar score. 5. Side effects were minimal. That were vomiting(1 case), fetal bradycardia(2cases)in vaginal suppository group and fetal bradycardia(3 case) in oxytocin group. But there was no significant difference in each group . This study also shows that the PGE2 vaginal suppository is simple to use, acceptable to the patient has almost no side effect, effective in cervical ripending , An PGE2 vaginal suppository group have no significant differences on duration of labor compared with oxytoxin induction group.