두피에 발생한 혈관 육종 증례 보고 2례

한예식 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Background: Angiosarcoma of the scalp is rare vascular tumor originating from endothelial cell. The prognosis is very poor with high propensity of local recurrence and distant metastasis. The author reports experiences with the latissimus dorsi free flap in the reconstruction of soft tissue defect of scalp caused by excision of angiosarcoma. Methods: Two patients visited the hospital with 9x10cm, 8x11cm sized lesion on scalp. Distinguishing features were frequent occurrence of a peripheral erythematous ring, satellite nodules, intratumoral hemorrhage, and the tendency to bleed spontaneously. Both lesions in each patient had developed and increased in size for 5 months and for 3 months, respectively. Results: Two patients were diagnosed as an angiosarcoma. Prior to the operations, the patients had evaluations preoperatively including brain CT, brain MRI and whole-body PET-CT. There were no evidence of metastasis. We performed wide excision and reconstruction by latissimus dorsi musculocutaneous free flap with split thickness skin graft on both cases. In case 2, radiation therapy was done within 1 month of tumor excision. Multiple distant metastasis occurred in case 1. Conclusion: Angiosarcoma is a highly malignant tumor with poor prognosis. Treatment and reconstruction method was not yet established. Reconstruction methods include free flap, split thickness skin graft, local flap. We performed latissimus dorsi musculocutaneous free flap as reconstruction method. This method has advantages that have sufficient blood supply and bulk that offer durability to radiation therapy. However, it has a disadvantage in detection of local recurrences. And it has high potency than other reconstruction method for distant metastasis due to sufficient blood supply. Further discussion between doctor and patient is needed for the best possible selection of treatment.

비골골절 정복술 후 복합 환기실리콘부목과 바세린 거즈를 이용한 비강충전

한예식 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Background: The majority of nasal bone fractures have been managed by closed reduction and intranasal packing. Various packing methods have been used for maintaining stability of nasal bone and reducing patient's discomfort. In this study we compare previous procedure with only vaseline gauze and nasal packing with airway silicone splint and vaseline gauze after closed reduction of nasal bone fracture. Methods: We performed a prospective study with 60 patient treated nasal bone fracture from Dec. 2009 to Oct. 2010. Sixty patients were divided into vaseline gauze packing group and airway silicone splint and vaseline gauze packing group. Airway silicone splint (Doley Combo Splint®) consists of silicone sheet, hemicircular airway tube and Rhinocell®. We evaluated the patients' discomfort such as nasal obstruction through questioning survey and recorded packing periods and accidental packing material removal. Results: Nasal obstruction, dry mouth, swallowing difficulty and headache associated with intranasal packing were significantly improved among the patients who underwent packing with airway silicone splint and vaseline gauze. And packing period of airway silicone splint packing group was longer than other group Conclusion: Intranasal packing with airway silicone splint and vaseline gauze can be a useful method for reducing patients' discomfort associated with nasal obstruction. And this method can be used in the others surgery such as septoplasty and corrective rhinoplasty

위볼기 동맥 천공지 프로팰러 피판을 이용한 천골부 욕창의 재건

한예식 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Purpose : Superior gluteal artery perforator(SGAP) flaps are surgical options in pressure sore reconstruction. There are several advantages in reliability, preservation of muscle, versatility in flap design, and low donor site morbidity. An anatomical study was carried out to improve the flap's effective value. SGAP propeller flap can be successfully used in sacral pressure sore reconstruction. so we report this clinical experiences with review of the literatures Methods : 5 cadaver were dissected to investigate localization, distribution of the perforators and to measure thickness of subcutaneous tissue on gluteal region. and SGAP propeller flaps were performed in 3 patients with sacral pressure sore. The fasciocutaneous flap based on the SGAP was designed in elliptical shaped pattern from sacral region toward the inferolateral aspect of buttock and was elevated from adjacent tissue. The flaps rotated 120~180 degree to cover sacral defect. Donor defect was repaired primarily. Results : Several perforators were found under the SGAP propeller flap area. Its mean number was 3. The thickness of elevated flap were 2.02cm in medial side and 4.49cm in lateral side. The patients' mean age was 52.3 and the average follow up period was 9 months. No serious complications such as flap necrosis or infection occurred except 1 hematoma in postoperative day 3. No functional disturbances in walking were observed. The long term results were satisfied in proper soft tissue bulk and low recurrence rate. Conclusion : The anatomical study suggests that the SGAP flap as propeller type is possible in its enough volume and perforators' location. The SGAP propeller flap may be a reliable method in sacral sore reconstruction especially in patients who expected ability in walking after rehabilitation

朝鮮時代 地方都市의 空間構造에 關한 硏究 : 尙州, 慶州, 大邱를 中心으로

예명해,足立裕司,신상화 대구대학교 과학기술연구소 1998 科學技術硏究 Vol.5 No.3

The objective of this research is to clarify the regional structure of the cities of the Chosun Dynasty and the principles of their formation. A comparative study of three cities, namely Sangju. Kyoungju and Taegu has been carried out. The results of the investigation are as follows. 1) Although the formation of the cities of Sangju, Kyoungju and Taegu took place before the occurance of Feng-shui, it is clear that the adoption of Feng-shui and techniques complimentary to the natural topography were highly regarded in the Chosun Dynasty. 2) The political ideas at the time, based on the strict principles and ranking-order of Confucianism also influenced the process of formation; seen particularly well in the structure of the GAMYOUNG. In addition, sacrificial facilities, being an expression of confucianism, were newly established outside these castle cities.

액취증에서 투메슨트와 최소절개를 통한 피하조직 절제술의 치료 효과

한예식 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Purpose: Axillary osmidrosis is a condition of abnormal unpleasant body odor caused mostly by apocrine gland secretion. Surgical excision of the subcutaneous tissue has been the treatment of choice for several decade. However, there are risks for complications including wound necrosis, hematoma, seroma, obvious scars following surgical treatment. We report our method of treatment of subdermal excision with small skin incision under local anesthesia with tumescent infiltration. Methods: From December 2008 to August 2010, 33 consecutive patients underwent subdermal excision with small transverse incision under tumescent anesthesia for axillary osmidrosis. The average age of the patients was 22 years (range, 13 to 62 years) and the average follow-up period was 7.6 months (range, 3 to 22 months). Result: Through a questionnaire that was answered by 33 patients, 97% reported satisfactory reduction of malodor. Complication included small hematoma (1.5%) and superficial epidermal necrosis (1.5%) which healed spontaneously. According to the postoperative histologic examination, only a few remnant of apocrine and eccrine glands were found. Conclusion: The subdermal excision with small incision using tumescent anesthesia for axillary osmidrosis decreases the bleeding during procedure and enables removal of sweat glands easily under direct vision. Therefore this operation has the advantages such as a high success rate, rapid recovery and a low complication and recurrence rate.

기피우스와 성

한예경 대구대학교 인문과학연구소 2008 人文科學硏究 Vol.31 No.-

Люди, которые хорошо знали Мережковских, писали и говорили об огромном влиянии Зинаиды Гиппиус на Мережковского. Имеено она часто бывала генератором новых идей в их творческом и духовном союзе. Их современники сведетельствовали о том, что в этом союзе двух первичная, ополодотворяющая, <<мужская>> роль досталась Гиппус, Мережковский же исполняет <<женскую>> роль. Гиппиус имела обыкновение подписываться мужскими псевдонимами, носила мужскую одежду, и лирическим героем ее поэзии, как правильно, был мужчина. Только в личной переписке и дневниках она позицирует себя как женщина, современные исследователи склонны видеть в ее увлечении мужским началом не столько литературный прием, сколько <<психлогическую потребность раздвоенного сознания>>. Она сознательно стремилась освободиться от власти пола, отказывалась от женнственности, ощущая в себе андрогинность. Гиппиус была создателем религиозно-философского Общества. Ее образование было в основном домашним и брак с Мережковским положил начало духовному союзу и открыл для Гиппиус дорогу в столичную писательскую среду. Все таки она не уважала женский пол, говорила о женщинах, что "у них сознания не будет, пока они будут только женшинами." Культ Девы Марии превещал возможность преображения отношений между мужчиной и женщиной, потому что он снимал с их любви проклятие греха. Но для Гиппиус Дева Мария была не идеалом из-за ее женственности. Христианство обьявляет, что только отречение от плоти-практически отрицание пола есть путь к спасению от греха. Земная женщина вовсе не ровня мужине. Поэтому Гиппиус стремилась к полному отрицанию пола. Американская исследовательница Герда Лернер сказала, что женщины должны были пожертвовать чем-либо, чтобы быть мыслителями, и чтобы взять на себя эту роль, она пожертвовала женщиной в себе.

대두박에 대한 extrusion처리 및 formaldehyde처리가 젖소의 반추위내 in situ분해율에 미치는 영향

문여황,김기원,문점동,조광일,김병기,이성실,이상철 진주산업대학교 농업기술연구소 2001 農業技術硏究所報 Vol.14 No.-

This experiment was conducted to investigate the effect of temperature of extrusion processing on ruminal degradation characteristics of soybean meal. Four ruminally cannulated Holstein cows were employed to in situ trial and treatments were composed of soybean meals untreated(Control), extruded at 115, 130 and 155℃, and treated with 0.3% formaldehyde(HCHO). The nylon bags were suspended for 0, 3, 6, 9, 12 and 24 hours in the rumen, respectively. Animals fed the diet of 50 : 50 in concentrate and orchard grass hay at 110% of NRC(1988) requirements, and were freely access to water and mineral block. The regression equations for degradation characteristics and effective degradability(ED) of crude protein of soybean meals in the rumen were obtained as follows. Control P = 26.41 + 69.86(1-e^-0.041t) ; ED(k=0.05) = 57.89% 115℃ extrusion P = 3.39 + 44.76(1-e^-0.013t) ; ED(k=0.05) = 12.63% 130℃ extrusion P = 2.79 + 56.60(1-e^-0.015t) ; ED(k=0.05) = 15.85% 155℃ extrusion P = 1.71 + 31.48(1-e^-0.018t) ; ED(k=0.05) = 0.04% 0.3% HCHO P = 7.23 + 35.14(1-e^-0.015t) ; ED(k=0.05) = 15.34% where, P = Degradability during the time(t) suspended in the rumen, k = Passage rate at the rumen(%/hr/100). Ruminal degradabilities of dry matter, crude protein, organic matter and energy significantly (P<.01) decreased by extrusion or HCHO treatments, but did not affected by the temperature of extrusion processing. The ruminal degradation of soybean meals treated extrusion and formaldehyde, paticularly crude protein, was low beyond expectation.

製造物 責任 訴訟과 立證責任

金麗會 대구효성가톨릭대학교 1997 연구논문집 Vol.54 No.1

In recent years, as the production, sale and consumption of the goods becomes large quantity, the products liability come to serious day by day. The products liability pay for damage that some goods with a defect come to a consumer or a third in a production and flowing. A principle of law on the products liability come into being in the Anglo-American law, is discussed actively in Germany, Japan and France, tend to legislation in these days. If we compose legaly the liability of the producers who produce goods with a defect, we clear up that is the contact liability or that is the tort liability? We have difficult as interpretation of the contemporary civi law, i-e, the contact liability and the tort one. It is reality that we are returned to products liability as a amendment of the proof law. It is right that we will make a peculiar law to solve difficult of a principle of law on the products liability.

마야콥스키의 시와 여성의 모티브

한예경 대구대학교 인문과학연구소 2005 人文科學硏究 Vol.29 No.-

Основные инварианты структуры женского мотива интенсивно формировалась уже в ранний период творчества поэта в контексте разработки группой футуристов собственной футуристической теории. Тогда уже формируется программный отказ поэта от бытовой обыденности, коррелирующий с футуристической моделью. негативное отношение к женскому образ вырабатывается в качестве общего врага поэта. Женские образы отмечены той же ролевой фунциональностью, работая на усиление агитационного пафоса автора. Пренебржительное отношение к женщине маркировано уменьшительными суффиксами. Женскиймотив явно редуцирован и лищен самостоятельности. Образ идеологически чуждой женщины создается набором-клище изобразительно-выразительтых средсв, лексика стремится к ненормативности, яызк обретает грубость. Женский мотив может служить иллюстрацей затоя поэтической мысли поэта, утойчивость и беконечная повторяемость инварианов-признак упрямой зависмости поэта от привычной старой схемы.

대학생의 낭만적 애착, 사랑 성향과 이성교제시 갈등해결 전략에 관한 연구

김예나,김정택 西江大學校 學生生活相談硏究所 2008 人間理解 Vol.29 No.-

The purpose of this study was to find out the best predictors affecting courtship conflict resolution strategy. Adult romantic attachment factors(Avoidance and Anxiety) and three distinctive love attitudes(Eros, Ludus and Mania) were used as predictors. 539 South Korean undergraduate students who have dating experience were surveyed. Correlation analysis showed that Avoidance attachment was negatively associated with Eros and Mania whereas it was positively associated with Ludus. Anxiety attachment was positively associated with Mania and Eros. Both Attachment factors were positively associated with unconstructive conflict resolution strategies such as Negative Conflict Escalation, Negativity and Conflict withdrawal. Eros was positively associated with constructive strategy such as Love and affection, Emotional Expressivity, Validation, Focusing, Communication over time, Editing, Feedback and Leveling whereas Ludus was positively associated with unconstructive conflict resolution strategy. Mania was significantly related with both strategies. Finally, stepwise multiple regression analyses indicated that Eros was the strongest predictor of constructive conflict resolution strategy whereas Anxiety and Avoidance attachment were for unconstructive conflict strategy. Eros was consistently related to both constructive and unconstructive conflict resolution strategies, It shows that the individual's capacity of Eros tendency could be the strongest predictor for courtship conflict resolution strategy. The results of this study indicate that counselors can use the information for understanding their college students counselee, especially they are dating. 본 연구는 남녀 대학생 539명을 대상으로 애착과 사랑 성향의 관계, 그리고 이성 교제시 갈등 해결 전략의 관계를 살펴보고자 하였다. 이를 위해 성인의 낭만적 애착 척도, 사랑 태도 척도, 갈등 해결 전략 척도를 사용하여 상관 분석과 중다 회귀분석 단계적 방식을 실시하였다. 연구 결과, 긍정적인 갈등 해결 전략에는 에로스의 설명력이 제일 높은 것으로 나타났으며, 이어서 애착 회피가 부적인 영향을 미치는 것으로 나타났고, 부정적인 갈등 해결 전략에는 애착 불안, 회피, 루두스, 매니아 순으로 설명력이 높은 것으로 나타났으며 에로스는 부적인 영향을 미치는 것으로 그 뒤를 이었다. 결과를 종합하면, 애착과 사랑 성향 모두 이성간의 갈등 해결 전략을 예측하는 중요한 변인으로 볼 수 있으며, 특히 주목해야 할 점은 에로스 성향이 이성간의 갈등 해결 전략에 일관적으로 영향을 미치는 변인으로 나타나, 개인의 에로스 성향의 정도가 이성 교제시 갈등 해결 방식을 예측할 수 있는 중요한 변인이 될 수 있다는 점이다. 이런 결과는 대학생들이 이성 교제시 어떤 행동양상을 나타내는지를 예측함으로써, 상담자가 대학생 내담자들을 보다 구체적으로 이해하고 필요한 도움을 제공할 수 있는 기초자료로 활용될 수 있음을 시사하고 있다.