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      • 國際法上 義務에 의한 基本權의 第三者的 效力

        Delbru¨ck, Jost 중앙대학교 법학대학 1975 法政論叢 Vol.19 No.-

        본論文은 西獨 Go¨ttingen 大學敎 法科大學의 憲法學 및 國家學敎授인 Prof.Dr.Jost Delbru¨ck의 "Drittwirkung der Grundrechte durch vo¨lkerrechtliche Verpflichtung?"의 完譯이다. 다만 紙面事情으로 脚註는 생략한다. 譯本의 原文은 Go¨ttingen 大學敎 法科大學의 憲法學敎授로서 지금은 은퇴하고 있는 Prof. Dr. Werner Wever의 70回生辰紀念論文集(Im Dienst an Recht und Staat, Frestschrift fu¨r Werner Weber zum 70. Geburtstag; hrsg. von Hans Schneider und Volksmar Go¨tz, Berlin 1974, SS, 223-238)중에 收錄되어 있다. 하지만 本論文의 발단에 관해서 말한다면, 本論文의 內容은 Prof. Delbru¨ck가 1973年 봄 Go¨ttingen 大學敎 本部講堂에서 행한 그의 正敎授就任講演(Antrittsvortrag)-譯者도 이 講演을 직접 들었음-에서 발표한 것을 整理한 것이다. 本論文의 韓譯紹介에 관해서는 이미 筆者와 出版社로부터 書面으로 諒解를 받았다.

      • KCI등재

        산전 유전질환 진단을 위한 임산부 혈청 Alpha-Fetoprotein 수치에 관한 연구

        김창규(CK Kim),김세광(SK Kim),양영호(YH Yang) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.12

        1985년 1월1일부터 1988년 10월30일까지 연세대학교 의과대학부속 세브란스병원 및 인천 세 브란스병원 산부인과에 산전 유전질환진단을 목적으로 내원한 임산부를 대상으로 하였따. 임신주수가 확실하고 기형을 수반하지 않았던 정상단태아를 임신한 872명의 임산부에서 채 취된 혈청을 ELISA방법으로 측정하여 각 임신주수별로 중앙값을 설정하여 cut-off value를 지수화하였고, 25, 50, 75 percentile 치를 통계처리하였다. 1. 임신 6주부터 임신 12주까지 임산부 혈청 AFP수치의 중앙값은 3.0, 3.0, 2.0, 2.3, 3.0, 4.0, 6.2로서 임신 6주부터 검출되었고, 임신 11주부터 점차 증가하는 양상을 나타내었다. 2. 임신 13주에는 9.8 IU/ml로서 점차 증가하다가 임신 24주에 101.2IU/ml로서 급격히 증가하 는 양상을 나타내었다. 3. 임신 28주에는 177.9IU/ml로서 최고치를 나타내었고 임신 34주까지 평행을 이루다가 임신 35주 이후부터는 점차 감소하는 양상을 나타내었다. 따라서 각 임신주수별로 지수화된 임산부 혈청 AFP수치를 이용하여 선천성 기형아 조기진 단 및 산전치료 방침에 기여하리라 사료된다. Prenatal Alpha-Fetoprotein screening may serve as an index of suspicion of congenital anomalies of the fetus including neural tube defects and chromal abnormalitis . This study was undertaken to esablish the normal range of AFP in maternal serum at 6 to of maternal serum from 6 to 40 weeks gestation were obtained from 872 uncomplicated pregnant women with normal singleton fetus by Enzyme Immunoassay . Maternal serum AFP values showed an increasing trend from 13 weeks gestation reaching a peak level at 28 weeks gestations and declined as pregnancy approached term. The author determined the median value of maternal serum AFP on each gestational weeks and established the cut off value using 2.0, 2.5, 0.25, 0.4, 0.6 Multiple of Median (MOM) and found the 25, 50, 75 percentile value. The authors consider that the use of the inexpensive and simple technique of maternal serum AFP measurements would help in the early detection of congenital anomalies and with this maiden experinece with AFP in Korea, it indeed became plausible that prior to performing ultrasound or amniocentesis, matermal serum AFP assay should be recommended as a routine screening method and a guidline to the management during the mid trimeter of pregnancy especially in 14-22 weeks gestation. The preliminary determination of the median and the normal rages of maternal serum values by each gestational weeks in uncomplicated pregnant Korean women delivery of normal singlton would be valuable for prenatal screening of genetic disorders.

      • KCI등재

        산욕기 자궁내번증 5 례

        최철균(CK Choi),권오실(OS Kwon),이의진(EJ Lee),문병준(BJ Moon) 대한산부인과학회 1987 Obstetrics & Gynecology Science Vol.30 No.2

        1980년 2월 1일부터 1986년 1월 31일까지 6년동안 성애병원 산부인과에서 산욕기 자궁내번증 5례를 경험하였기에 문헌적 고찰과 함께 보고하였다 An inverted uterus is one that is partially or completely turned inside out This condition ustally occurs immediately following delivery, but inversion may also occur during the puerperium In rare instances, inversion may develop in the pedunculated myoma, carcinoma, or sarcoma But puerperal inversion of the uterus constitutes an obstetric emergency with significant mortality, despite modern availability of blood transfusion and antibiotics The experience of the authors over the previous 6 years was reviewed and 5 cases of puerperal inversion were reported with brief review of the literatures

      • SCISCIESCOPUS
      • KCI등재

        새 조질술의 경험 1예

        박철규(CK Park),김선주(SS Kim),정수봉(SB Chung),김영준(YJ Kim) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.11

        There have been a multitude of operative technics developed to create an artificial vagina when it is congenitally absent. However, each of those technics has its disadvantages. A simplified method a vulvovaginoplasty for creating a neovagina described by Williams Dewhurst is presented and an experience there of is described here.

      • KCI등재

        난소종양의 임상병리학적 고찰

        박찬규(CK Park),양인환(IW Yang),고흥수(HS Koh),홍성선(SS Hong) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.6

        Ovarian tumors are one of the many neoplasms seen in the practice of gynecology. Becaus of the various types no basic etiology has been established. Numerous classifications have been devised based on etiology, histology and embryology, but no one has been universally accepted by gynecologists or pathologists. Only a few statistical surveys on ovarian tumors have been reported in Korea and even the small numbers of reports show great variation in their results. The author undertook this study because of the importance of a clinico-pathologic survey of ovarian tumors as observed in Korea. A Clinico-pathological as well as statistical survey was made on a series of 230 ovarian tumors admitted, operated upon and confirmed with post-operative histopathologlcal study as the Department of Obstetrics & Gynecology and Department of Surgery, Severance Hospital, Yonsei University during a period of 5 years and 7 months from January, 1961 to July, 1966. The results obtained are as follows: 1. The incidence of benign tumors was 87.4% of all ovarian tumors while that of malignant ones 12.6%. 2. Age distribution of benign tumors was between 26-46(average 36 years), while that of malignant ones 31-59(average 45 years). 3. Menstruation was regular in 57.8%, irregular in 11.7% and the rest were amenorrheic. Patients with benign tumors had regular cycle in 59.7%, irregular in 11.7%. 4. Among the subjective symptoms complained of by the patient, 51.3% noticed a lower abdominal mass, 47.4% complained of lower abdominal pain and 15.6% had backache. 5. As to objective signs among the ovarian tumors, ascites were observed in 27 cases(11.7%), cachexia in 6 cases(2.6%). In malignant tumors ascites and cachexia Were noted in 65.5%, 20.7% respectively while in benign ones none had cachexia and only 3.9% had ascites. 6. The size of benign and malignant ovarian tumors were average 11cm, 10.5cm respectively while that of non-neoplastic cyst among the benign tumors was average 9.9 cm. 7. Of all the ovarian tumors 45.9% were noted in the right ovary, 33.8% in the left. Benign tumors were observed 51.3% in right ovary, 37.8% in left while among the malignant tumors 24.1% were right, 17.2% in left. We can see the greater occurrence of tumors in right ovary in both the benign and malignat catagory. 8. The order of incidence of the benign tumors was dermoid cyst 30.4%, pseudomucinous cystadenoma 15.4%, simple cyst 14.4% and serous cystadenoma 11.4% while the incidence of the malignant ones was serous papillary cystadenocarcinoma 34.5% krukenberg tumor 24.1% and pseudomucinous cystadenocarcinoma 20.7%. 9. Among the neoplastic ovarian cysts dermoid cysts were bilateral in 14.8%, serous cystadenoma in 8.7% and pseudomucinous cystadenoma in 6.4%. 10. The incidence of malignancy in the serous neoplasms, pseudomucinous ones and dermoid cysts was 43.5%, 19.4% and 1.6% respectively while the malignancy of all the ovarian tumors was 12.6%.

      • KCI등재
      • KCI등재

        주산기 사망에 관한 고찰

        박찬규(CK Park),이충호(CH Lee),박용원(YW Park),김태효(TH Kim),이경림(KR Lee),이숙환(SH Lee) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.9

        1968년 1월부터 1978년 12월까지 만 11년간 연세대학교 의과대학 부속 세브란스병원 산부인과에서 출생한 22,866예의 출산아 중 815예의 주산기사망예의 임상기록부의 자료를 대상으로 임상통계학적으로 분석하여 다음과 같은 결론을 얻었다. 1. 만 11년간 평균 주산기사망률은 1,000출산아당 35.64였다. 2. 연령별 주산기사망률은 고위험률 임신군인 19세이하와 35세 이상에서 현저히 높았다. 3. 분만회수별 주산기사망률은 회수가 증가함에 따라 증가하였다. 4. 산전관리를 받지 않은 군이 받은 군보다 주산기사망률이 4.2배 높았다. 5. 임신주수에 따른 주산기사망율은 37~40주에 9.63으로 가장 낮았다. 6. 임신중 발생한 합병증중 대부분이 태아기형을 동반한 양수과다증이 507.4로 가장 높았다. 7. 지연분만과 추락분만에서 주산기사망률이 증가하였다. 8. 파막후 분만까지의 소요 시간이 증가함에 따라 주산기사망률이 증가하였다. 9. 거대아와 저체중아에서 높은 주산기사망률을 보였다. 10. 중위감자분만이나 둔위분만에서 주산기사망률이 높았었다. 11. 주산기사망의 원인은 원인미상 및 조산아가 대부분이었다. 12. 선천성 기형으로는 복합기형이 가장 많으나 단순기형에서는 무뇌증이 가장 높은 빈도를 보였다. 13. 신생아의 대부분이 24시간 내에 사망하였다. An epidemiological review of all 815 perinatal deaths occurring in Yonsei University Medical Center from 1968 to 1978 was carried out. The results were as follows: 1. Over-all perinatal mortality rate was 35.64 per 1,000 births. 2. The perinatal mortality rate was lowest in the age group 25-29. 3. The perinatal mortality rate was highest in 4 or more parity group. 4. There was a much higher perinatal mortality rate among women who recieved no prenatal care than among women who recieved some prenatal care. 5. The perinatal mortality rate was lowest for gestations between 37 and 40 weeks. 6. In terms of relation between complication in pregnancy and perinatal mortality, the hydramnios was considered to be the cause of the highest perinatal mortality rate. 7. The prolonged and precipitate labor led to increased perinatal mortality rate. 8. The prolongation of the interval between the rupture of membrane and delivery led to increased perinatal mortality rate. 9. A striking correlation existed between high perinatal mortality rates, and low birth weight and giant baby. 10. The perinatal mortality rate was increased in mid-forceps and breech series. 11. The major causes of perinatal death were prematurity and etiology unknown. 12. The most frequently encountered single anomaly was anencephaly. 13. The majority of neonatal deaths occurred within 24 hours of life.

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