폐경기 여성에서 1년간 호르몬 대치 요법이 혈청 지질에 미치는 영향

이해혁,남계현,김승형,이임순,이권해,최승도 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

Cardiovascular disease is one of the most common cause of death in postmenopausal women. After the onset of menopause, the risk of cardiovascular disease is increased. Several risk factors of cardiovascular disease are well known to us. Among the risk factors, the changes of lipid profiles are roles for cardiovascular disease. Estrogen appears to protect the development of cardiovascular disease, by several mechanism. Especially the protective effect is believed to be mediated by the changes of lipid profiles. Decreased high-density lipoprotein (HDL)-cholesterol and increased low density lipoprotein (LDL)-cholesterol are important factors for development of cardiovascular disease. The purpose of this study was to evaluate the effect of hormone replacement therapy on the lipid profiles to include total cholesterol (TC), high density lipoprotein(HDL)-cholesterol, low density lipoprotein(LDL)-cholesterol, and triglycerides. We measured lipid profiles in 31 postmenopausal women and gave each conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 5mg, day 1-12) for 12months. The levels of serum TC, LDL-cholesterol, and triglycerides were decreased significantly (p<0.05) and HDL-cholesterol was increased significantly (p<0.05) after 12months of hormone replacement therapy. These data suggest that hormone replacement therapy appears to protect agianst the development of cardiovascular disease by the changes of lipid profiles.

갱년기 여성의 호르몬 대치 요법에 대한 수용율

이임순,장진영,이정재,이순곤,이권해,이해혁,김승형 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

Purpose: We have evaluated the compliance of hormone replacement therapy. Method: There are 185 climacteric women who are divided into three groups (Group I, Group II, Group III). Group I is given conjugated equine estrogen(CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate(MPA, 5mg, day 1-12). Group II is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group III is given only conjugated equine estrogen(CEE, 0.625mg, day 1-30). Results: 1) The compliance rate of hormone replacement therapy during three months is 77.9% including each Group I : 77.7%, Group Ⅱ : 76.1%, Group Ⅲ :80.4%. 2) The compliance rate of hormone replacement therapy during six months is 60.7% including each Group Ⅰ:52.9%, Group Ⅱ: 56.4%, Group Ⅲ: 79.5%. 3) The compliance rate of hormone replacement therapy during nine months is 49.7% including each Group Ⅰ: 45.5%, Group Ⅱ:41.7%, Group Ⅲ: 64.3%. 4) The compliance rate of hormone replacement therapy during a year is 44.4% including each Group Ⅰ: 40.2%, Group Ⅱ:35.3%, Group Ⅲ: 59.5%. Conclusion : It is vital that we maximize compliance if patients are to receive the full benefits from hormone replacement therapy. We think that physicians who prescribe hormone replacement therapy for climacteric women should enough explain the purpose, risks, and side effect of treatment for maximizing compliance of hormone replacement therapy.

모래상자놀이를 통한 부적응 행동유아의 자아존중감 및 친사회적 행동 변화양상에 관한 연구

이연승(Lee Yeon Seung),유명순(Yoo Myeong Soon) 한국어린이미디어학회 2007 어린이미디어연구 Vol.6 No.2

본 연구는 모래상자놀이를 통한 부적응 행동유아의 자아존중감과 친사회적 행동의 변화양상에 관한 연구로서, 모래상자놀이가 유아들의 전인적인 성장발달을 위한 기초자료로 활용될 수 있는지 확인하는데 그 목적이 있다. 이러한 연구목적을 달성하기 위하여, 부적응한 행동유아가 모래상자놀이를 통하여 어떻게 자신을 표현하고 집중할 수 있는 기회가 늘어나고, 또한 자아존중감 향상에 도움을 받으며, 친사회적 행동 관계에 어떤 영향을 주는지에 대한 비교 분석을 하였다. 연구과정은 25주에 걸쳐 사전검사, 모래상자놀이실시, 사후검사 순으로 진행되었다. 본 연구의 결과는 다음과 같다; 모래상자놀이를 통한 부적응 행동유아의 자아존중감 변화양상은 하위요인인 지적 능력에서 유아의 자아존중감이 향상되었고, 유아개인별 자아존중감 변화추이에서 향상되는 변화를 보였다. 또한, 부적응 행동유아의 친사회적 행동 변화양상은 나누기, 도와주기, 협동하기 등 친사회적 행동이 향상되었고, 유아개인별 친사회적 행동 변화추이에서 향상되는 변화를 보여주었다. The purpose of this study is to investigate the self-esteem and pro-sociality of the maladjusted children and this study is synthetic with using quantitative research. This study is made to present the possibility of the play with sand box to be the basic material for building children’s personality. For this purpose, the practical case has been analyzed to understand the effect on children’s sociality and self-esteem, as well as the way of expression of themselves and the opportunity of concentration on themselves. The target of the researcher is the 5~6 year old children in N child-care center which is attached to welfare facility in J area in Busan. The children are distracted, disturb others and have difficulty of social management, revealing the problem with a external maladjustment and their low self-esteem. Their home backgrounds are also normal except for one child whose parents are divorced. The research has been made in a daily life without any variable factor. The period of this research is 25 weeks, from August 16, 2006 to February 16, 2007 and pre examination, processing program, post examination are operated in order. As qualitative study, Young sook Kim’s modification on the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children by Harter and Pike were used. In addition, Won young Lee’s revision and its questionnaire paper and assist material on the "Skill Situation Measues" by Mcginnis and Goldstein were used as measuring tool of pro-sociable behavior. For qualitative analysis tools used for this study are as follows. The results of this study were as follows: First, there was an improvement of self-esteem in cognitive ability of the children which is one of the sub factors and difference in each children who played with sand box. Second, there was an improvement of pro-sociality in sharing, help, and collaboration and it was shown in each children who played with sand box. And there was a change in children's pro-Behavior.

관동맥질환에서 저밀도 지단백 입자 크기의 분포

임효영,김인숙,승기배,강동헌,전두수,장기육,박준철,이수영,홍순조,최규보 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.8

하루 콩단백질 25g 섭취를 위한 메뉴작성 및 영양성분 분석

한재숙,김정애,서봉순,이연정,서향순,조연숙,한경필,이신정,오옥희,우경자,조은자,구성자,김수진,李承彦,南出隆久 동아시아식생활학회 2002 동아시아식생활학회지 Vol.12 No.2

The purpose of this study was to develop menus for daily intake of 25g soybean protein and to analyse nutrients of these foods. Analytical values were compared to the theoretical one using the food composition table and recommended dietary allowances for Koreans (7th revision). The results are as follows. 1. Soybean curd residue stew, Soybean curd, Kimchi saute, and hard boiled soybean and lotus root were selected for the menu for January, of which the content of soy bean protein(SBP) was 33.1g, soybean stew, soybean curd and soybean sprout saute, and Italian deep fried soybean curd were for February, of which the content of SBP was 35.0g. The content of SBP in soybean paste soup with soybean curd, fried soybean curd and fried soybean curd roll, the menu for March, was 24.9g. That of April were soybean curd gratin with soymilk, soybean curd and ham with garlic dressing and the content of SBP was 26.3g. That of May were soybean porridge, soybean flour cake with honey (Dasik), soybean sprout soup and the content of SBP was 26.7g. That of June were soymilk, pan-fried soybean curd, steamed soybean curd with chicken and the content of SBP was 28.4g. That of July were noodle with soymilk, mapatofu, soybean curd salad and the content of SBP was 24.7g. That of August were soybean sprout with mustard dressing, Tossed green pepper with raw soybean flour, Tofu and Kimchi stew, soybean curd steak and the content of SBP was 26.2g. That of September were Chinese cabbage soup with raw soybean flour, sweet and sour tofu and the content of SBP was 23.2g. That of Oct. were Fermented soybean stew, soybean pan cake and the content of SBP was 24.3g. That of November were not-pressed soybean curd casserole, pan-fried mashed soybean curd with egg, stir frying deep-fried soybean curd with vegetables and the content of SBP was 22.4g. That of December were soybean curd and mushroom casserole, fried soybean curd and vegetables, hard boiled soybean curd and the content of SBP was 28.9g. 2. The ratio of the analytical value over theoretical value (A/B%) of one serving in kcal, carbohydrate, protein, fat, ash and dietary fiber were 57.7~107.7%, 42.9~131.9%, 79.2~118.3%, 54.5~100%, 40.7~80.8% and 42.1~113.2%, respectively. 3. The ratio of A/B% of one serving in Ca, K, Na, P and Fe were 44.1~93.6%, 59.0~153.1%, 53.1~117.7% 64.6%~138.8 and 33.8~77.3%, respectively. That in Fe was the lowest among minerals. 4. The ratio of analytical value over Korean R.D.A(A/C%) in Ca was relatively higher (22.0~85.9%) than that in kcal(18~63%). 5. The ratio of A/C% in Fe was 25.1~64.3% and lower than that in Ca and protein in general.

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

교란 상관 관계 분석 그래프를 이용한 발전소의 고장진단에 관한 연구

이승철,이순교 중앙대학교 기술과학연구소 1998 기술과학연구소 논문집 Vol.28 No.-

발전소 운전중 기기의 고장이 발생할 경우, 고장은 순간적으로 clear 되거나 또는 지속적으로 유지되기도 하고 때로는 casecade되어 다른 고장으로 파급되기도 한다. 이러한 다양한 고장들의 경과상태와 파급양상은 시스템 및 기기의 운전특성 및 plant내에서도 상호 연결상태 고장자체의 severity 정도에 따라 복잡하게 전개되어, 통상 중대한 고장이나 교란의 발생시에는 파급되어 발생되는 교란까지 합하여 발전소의 중앙제어실에는 수많은 경보가 울리게 된다. 이 경우 파급되어 발생되는 교란들중 관측이 되지 않은 교란들은 교란들의 전후 파급관계를 이용하여 그 발생을 추정할 수 있다. 본 연구에서는 발전소의 운전 감시와 고장 진단을 체계적으로 수행하기 위해 개발한 DIAG(Disturbance Interrelation Analysis Graph)라 불리는 자료구조를 사용하여 그래프 상에서 내삽(interpolation)과 외삽(extrapolation)을 통해서 관측이 안된 고장을 체계적으로 추적하는 방안에 대하여 논하였다. In a power plant, once a disturbance occurs, it can be either persistent, self cleared, cleared by the automatic controllers or propagated into another disturbance until it subsides in a new equilibrium or a stable state including a total system shut down. For safe operation of the power plant, causes of the disturbances should be found and removed quickly as possible in order to prevent potential fatal disturbances. A data structure called a disturbance interrelation analysis graph(DIAG) is developed in this paper, trying to capture all the necessary knowledge and to show explicitly the reasoning paths for disturbance detection and diagnosis.

구강외과 수술용 스텐트 기반 영상유도 수술 시스템의 개발

이우진,김대승,이원진,이삼선,최순철,허민석,허경회,김명진,이지호 대한구강악안면방사선학회 2009 Imaging Science in Dentistry Vol.39 No.3

Purpose : The purpose of this study was to develop a stent-based image guided surgery system and to apply it to oral and maxillofacial surgeries for anatomically complex sites. Materials and Methods : We devised a patient-specific stent for patient-to-image registration and navigation. Threedimensional positions of the reference probe and the tool probe were tracked by an optical camera system and the relative position of the handpiece drill tip to the reference probe was monitored continuously on the monitor of a PC. Using 8 landmarks for measuring accuracy, the spatial discrepancy between CT image coordinate and physical coordinate was calculated for testing the normality. Results : The accuracy over 8 anatomical landmarks showed an overall mean of 0.56±0.16 mm. The developed system was applied to a surgery for a vertical alveolar bone augmentation in right mandibular posterior area and possible interior alveolar nerve injury case of an impacted third molar. The developed system provided continuous monitoring of invisible anatomical structures during operation and 3D information for operation sites. The clinical challenge showed sufficient accuracy and availability of anatomically complex operation sites. Conclusion : The developed system showed sufficient accuracy and availability in oral and maxillofacial surgeries for anatomically complex sites. (Korean J Oral Maxillofac Radiol 2009; 39 : 149-56)

소아 만성 부비동염에서 단순촬영상과 OMU CT상의 비교

이병돈,박상호,김장묵,이승균,장혁순,강주원,김장욱 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

Most commonly and widely used diagnostic tool for chronic paranasal sinusitis in children is plain X-ray check not only because of small radiation dose and easy performance, but because of low cost. However ostiomeatal unit computed tomography(OMU CT) was known to be more accurate and recommended recently by many physicians. The author have studied for both OMU CT and plain X-ray of paranasal sinuses and compaird their findings in 90 chidren(180 sides of sinus) aged from 4 to 14 years who suspected having sinusitis. OMU CT was taken after plain X-ray examination (Caldwell's view, water's view, lateral view), and the time interval betweeen these two examination was O to 14 days (average 4.7 days). The following results were obtained. Considering that OMU CT was accurate, the rate of correspondence in diagnosis of sinus pathology between plain X-ray and OMU CT was 48.3% in the ethmoid sinus, 51.1% in the maxillary sinus, 41.9% in the sphenoid sinus, 43.4% in the frontal sinus. If all OMU CT findings had been accurate, the incidence of false positives according to plain X-ray was 25.5% in the ethmoid sinus, 28.3% in the maxillary sinus, 70.8% in the spenoid sinus and 77.8% in the frontal sinus. While, the incidence of false negatives according to plain X-ray was 85.9% in the ethmoid sinus, 70.5% in the maxillary sinus, 50.0% in sphenoid sinus and 37.5% in the frontal sinus. A routine preoperative OMU CT is recommended, which allows a detailed evaluation of pathologic changes and anatomical relations of the paranasal sinuses before surgical interventiaon for the paranasal sinuses. Considering the above facts, diagnosis of pediatric sinusitis only by plain X-ray was inadequate and OMU CT was necessary.

이동 물체의 에지를 이용한 변위 추정

이성순,김형종,한승조 조선대학교 동력자원연구소 1997 動力資源硏究所誌 Vol.19 No.1

In this paper, we propose a contour-based motion estimation scheme. It is based on the observation that the most significant frame differences occur along moving object edges. It uses discontinuities in image brightness and frame differences to estimate displacements along edges, and avoids the difficult feature-matching problem. The proposed system transmits the contour motion information as overhead information to the receiver. But as only one motion vector per edge neighborhood needs to be transmitted, the overhead is relatively low, while achieving an impressive reduction in the motion compensated prediction error.