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      • KCI등재

        Pyknodysostosis 환아의 구강증상 : 증례보고

        김남혁,이제호,김성오,최형준,송제선 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

        Pyknodysostosis(PKND)는 파골세포의 기능 이상으로 인해 발생하는 상염색체 열성의 매우 드문 경화성 골질환으로 Toulouse-Lautrec syndrome으로 불리기도 한다. PKND의 원인으로는 파골세포 내 cathepsin K의 결핍으로 인해 파골세포의 골개조와 골흡수 기능의 실패가 생기게 되어 연골의 축적과 과도한 골의 광화가 나타나는 것으로 알려져 있는데, 이로 인해 골수염의 위험이 높고 빈번한 골의 파절이 나타난다. 150 cm 이하의 작은 신장, 개방된 천문과 두개골 봉합의 실패, 곤 봉형의 손가락과 중안모의 발달이 저하된 특징적인 안모를 보인다. 본 증례는 전반적인 총생과 전치부 개방교합을 주소로 본과에 내원한 7세 1개월의 여아로, 정형외과에서 PKND로 진단받은 상태였다. 임상 및 방사전 사진 검사상 천문과 두개골 봉합 폐쾌의 실패, 곤봉모양의 손가락, 구개의 고랑,짧은사지와 작은 신장 등의 PKND의 전형적인 임상적 특성을 나타내고 있었다. 비정상적인 골흡수와 골재생기능의 문제로 주소인 총생과 개방교합에 대한 교정적 처치는 시행하지 못했다. 탈락 시기의 유치 발거와 불소도포를 시행한 후 정기 검진을 시행 중인 상태로 PKND에 대한 문헌고찰과 함께 본 증례를 보고하고자 한다. Pyknodysostosis(PKND) is a rare sclerosing bone disorder that has an autosomal recessive trait, also known as Toulouse-Lautrec syndrome. Deficiency of the cathepsin enzyme K in the osteoclasts of PKND patients results in continuous endosteal bone deposits without osteoclastic resorption or remodeling. This causes a generalized increase in sclerosis and fragility of bones. Osteomyelitis in the mandible and recurrent fracture of the long bones are characteristic complicatons of PKND. The patients present typical features of PKND, such as short stature under 150 cm, open cranial suture and fontanelle, club-shaped phalanges, and underdevelopment of midface. This is a case of a 7-year-old girl with PKND, who visited our clinic with the chief complaint of anterior Open-bite and generalized crowding. The patient had been diagnosed as PKND by an orthopedist and manifested characteristic clinical and radiographic features, such as open cranial suture and fontanelle, obtuse madibular gonial angle, frontal and occipital bossing, grooved palate, club-shaped phalanges, and short stature. Orthodontic treatment was not considered because patients with PKND show abnormal bone resorption and remodeling. Instead, removal of deciduous teeth near exfoliation and TFA were performed, and periodic check-up is planned to maintain good oral hygiene.

      • KCI등재

        한국전쟁영화 <인천>에 투영된 반공주의와 통일교의 이념

        김남혁 한양대학교 현대영화연구소 2018 현대영화연구 Vol.14 No.1

        한국전쟁영화 <인천>(1982)은 할리우드 제작 시스템과 한국의 자본이 결합되어 만들어진 독특한 작품이다. 이 영화는 종종 할리우드가 만든 최악의 영화 중 하나로 선정되어 왔으며, 전문가들과 일반 대중들의 반응 역시 이 같은 평가에서 크게 벗어나지 않았다. 하지만 일반 대중들이 이 영화가 문선명을 비롯한 통일교와 관련되었다는 사실에 거부감을 드러냈다면, 영화 전문가들은 이 영화의 미적 완성도를 문제 삼으면서도 그것이 통일교의 교리와는 무관하다고 말해 왔다. 하지만 본 논문은 이 영화의 서사와 통일교의 교리는 밀접한 관련을 갖고 있다고 주장한다. 단적으로 그것은 반공주의였으며, 이러한 반공주의가 영화 전문가들이 언급했던 미적 완성도와 역사적 사실의 왜곡에 영향을 주었다. 하지만 이때의 반공주의는 미국을 중심으로 아시아 국가들이 종속되는 기왕의 이념과는 다르며 통일교의 교리에 의해서 변형된 이념이었다. 1970년대 문선명은 한국과 일본과 미국을 각각 아담과 이브와 천사장으로 해석했고, 이들 세 국가가 성서에 나온 것과 같이 신 앞에 평등한 존재로서 힘을 합쳐야만 하나의 평화세계가 만들어진다고 주장했다. 영화 <인천>에는 이 같은 그의 생각이 그대로 반영됐다. 팔미도 등대작전이 재현됨으로써 한국인과 일본인 그리고 미국인이 동등한 입장에서 임무를 수행하는 모습이 그려질 수 있었다. 이 외에도 영화 전체에 걸쳐 아시아인들은 영어를 유창하게 구사하며 미국인들과 자연스럽게 소통하며, 그들로부터 도움을 받는 존재가 아니라 오히려 도움을 주는 주체적인 인물들로 재현되었다. 반면 더글라스 맥아더를 비롯한 미국인들은 강력한 남성적 주체성을 드러내는 인물이 아니라 신에게 의지하는 겸손한 인물들로 그려지며, 그렇지 못한 미국인들은 영화에서 비판적으로 재현됐다. 이처럼 영화 <인천>에 등장한 아시아인들과 미국인들은 이전에 발표되었던 할리우드 한국전쟁영화와 상당히 다르게 재현되었다. 이러한 재현은 통일교라는 종교적인 속성이 반공주의와 결합됨으로써 이루어질 수 있었다. The Korean War film <Inchon>(1982) is a very unique product that was made in collaboration between Hollywood in USA and the Unification Church in South Korea. Many Hollywood technicians and famous actors including Sir Laurence Kerr Olivier came to Korea to make this film. The Unification Church invested an enormous amount of money. However movie critics and the general public have chosen <Inchon> as one of the worst movies ever made in Hollywood. The general public felt a repulsion on the fact that the Unification Church made it. On the other hand, Movie reviewers criticised it only from the aesthetic point and they asserted that there was no connection between the narrative of it and the Unification Church. However this paper argues that they had a close connection with each other and the anticommunism was the final result from it. Of course, here, the anticommunism differs from the conventional notion which have been woven around USA. This specific anticommunism was vitalized and modified by the religious value : the Unification Church doctrine. The reverend Moon Sun Myung considered the situation in USA in the 1970s as a crisis. He strongly blamed many Americans having antiwar sentiment, liberalism and individualism. He also strongly advocated the unusual interpretation of the Bible. He said that South Korea, Japan, and USA were corresponded with Adam, Eve, and Archangel respectively according to the Bible. This paper argues that his opinions were reflected in <Inchon>. Asians and Americans including General Douglas MacArthur represented in <Inchon> are very different from them in many Korean War films made by Hollywood. Palmido(팔미도) lighthouse operation was represented in this film and Douglas MacArthur was depicted as a human being or a messenger of God. This style of representation could treat Asians and Americans in <Inchon> equally under the protection of God. This kind of protection had a close connection with the anticommunism propagated by reverend Moon in the 1970s.

      • KCI등재

        글래스아이오노머에 대한 나노 하이드록시아파타이트의 최적 첨가 비율 : 나노 하이드록시아파타이트의 첨가 비율에 따른 광중합형 글래스아이오노머의 결합강도와 탈회저항성의 변화 비교

        김남혁,김성오,송제선,이제호,손흥규,최병재,최형준 大韓小兒齒科學會 2013 大韓小兒齒科學會誌 Vol.40 No.3

        이 연구의 목적은 광중합형 글래스아이오노머인 Fuji II LCTM를 대조군으로 삼고 다양한 비율의 나노 하이드록시아파타이트(HA ; hydroxyapatite)를 첨가하여 최적의 물성을 나타내는 HA의 첨가비율을 알아보는 것이다. 각각 무게비로 5~30%의 나노 HA를 첨가하여 HA-5, HA-10, HA-15, HA-20, HA-25, HA-30의 여섯 개의 실험군을 설정하였으며 ISO 9917-2:2004 기본 규정에 따른 물리적 성질과 탈회저항성, 결합강도 실험을 시행하고 주사전자 현미경을 통해 탈회양상과파절 양상을 관찰하였다. 결합강도 실험 결과 HA의 함량이 증가하면서 결합강도는 증가하여 HA-15 군에서 최대치를 기록하였다(p < 0.05). 탈회저항성 실험으로 4일간의 탈회 후 CLSM을 이용하여 탈회면을 관찰한 결과, HA 첨가군에서 탈회 구간의 감소가 나타났으나 HA의 첨가량에 따른 유의한 차이는 없었다. 주사전자현미경 상에서 탈회면을 관찰한 결과에서는HA 입자가 탈회된 법랑질의 미세공극을 채우고 있는 양상이 나타났다. The aim of this study was to evaluate changes in demineralization resistance and bonding strength of light cured glass ionomer after the addition of nano hydroxyapatite in various ratios. Fuji II LC GIC (GC Co., Japan)was used as the control group and also as a base material for experimental group. HA was mixed into the RMGIC at various ratio to create a HA-LC GIC mixture, preparing six experimental groups, i.e. 5%, 10%, 15%,20%, 25%, 30% HA-LC GIC. According to the results, the bonding strength increased due to the addition of HA, showing the maximum value at the 15% nano HA group (p < 0.05). Under CLSM observation after 4 days of demineralization, the HA groups were more resistant to demineralization compared to the control group. No significant difference was observed between HA groups. In analysis through SEM, the HA groups showed attachment of granular materials and decreased demineralized tooth surfaces under influence of HA particles.

      • 디스플레이용 유리의 물리적·화학적 에칭에 따른 유리 표면의 미세조직과 Haze 및 투과도 평가

        김남혁,손정일,김광수 순천향대학교 부설 산업기술연구소 2016 순천향 산업기술연구소논문집 Vol.22 No.1

        This study was carried out to investigate the microstructure, haze and transmittance of the physically and chemically etched displayable glass by physical and chemical etching process. Etching process was performed by two steps orderly. Firstly, Sand blasting was selected as a physical etching process. For the next step, chemical etching was conducted. The chemical etching solution was prepared by combination of Buffered HF, NH4F, HF, HCl and distilled water. The microstructure after sand blasting shows very sharp pits and their size were also very nonuniform. However their distribution was uniform. Subsequently, those irregular and sharp pits were transferred to micro spherical type pits. Further, the micro spherical pits were grew with increasing the etching time. Finally the curvature of the spherical pits were decreased and the numbers of pits were also reduced as expanding. The continually spreading spherical pits were responsible for decreasing of haze and getting sound transmittance. The haze value of the chemically etched glass was increased with increasing etching time until 60 min. and then, the haze value displayed decreasing tendency after etching of 60 min. The ideal haze value range of 3∼7% could be achieved from the 4∼12 hrs etching exposure time on the selected concentration of chemical etchant.

      • SCOPUSKCI등재

        기관 재건술후 발생한 협착증에 대한 Microwave 조직응고법을 이용한 치료 -1례 보고-

        김남혁 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.4

        The microwave tissue coagulation therapy was originally used for hemostasis in the hepatic surgery, which is effectively applied in the endoscopic surgery such as the hemostasis of gastric ulcer or tumor bleeding, stenosis relieving of esophageal or rectal stenosis and tumor reduction in inoperable early cancer cases.We experienced one case of the restenosis after the tracheal reconstruction. The patient, who was 42 year-old male, had severe dyspnea due to the tracheal stenosis for 4 years. The resection of tracheal stenosis and tracheal reconstruction was done. But the restenosis occurred at the tracheal anastomosis site because of the protrusive granulation at one month after operation. The patient was successfully treated by the microwave tissue coagulation therapy.

      • SCOPUSKCI등재

        미만성 폐질환에 대한 개흉적 폐생검

        김남혁 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.11

        To confirm diagnosis and to set proper therapeutic strategy, open lung biopsies were done in 57 patients who were suspected for diffuse interstitial lung disease from January 1985 to December 1994. Among them, 35 were male and 22 were female[M:F=l.6: 1 and mean age of the patients is 53.5$\pm$ 2.3[24-81 years. Tissue for histologic studies were obtained from left lung in 33, from right lung in 24according to the distributions of the pathology. Preoperative diagnostic work-up`s were chest X-ray, CT[HRCT scan, sputum study, bronchoscopy[BAL, TBLB and PTNA and all of them were unsuccessful to confirm diagnosis. In comparison of pulmonary function tests between preoperative and postoperative values, there were no significant differences in FVC, FEV1, FEV1/FVC[p 0.05 but in AaDO2[p[0.05 . Postoperative complications including atelectasis, wound infection, pulmonary edema and respiratory insnfficiency, were shown in 5 cases[8.8% , and two of them were died of respiratory failure and sepsis[mortality rate 3.5% . Pathologic diagnosis was confirmed in 53 cases postoperatively but it was undetermined in 4[diagnostic yield rate 93.0% . In comparison between preoperative clinical diagnosis and postoperative pathologic diagnosis, new diagnosis were made in 17 cases[29.8% and preoperative tentative diagnosis were confirmed histologically in 36 cases[63.2% . In 4 cases[7.0% , however, diagnoses were not confirmed after biopsies. Therapeutic plans were reset in 46 cases[80.7% in accordance with the final diagnosis.In conclusion, open lung biopsy is recommended for a specific diagnosis and proper therapeutic plan in diffuse interstitial lung diseases because of its high diagnostic yield Irate and it`s relatively low morbidity and mortality rate in these tompromised patents.

      • KCI등재

        "Literature as Symptoms": Three Short Stories of Yi Chungjun and the Order of Discourse in the mid-1980s in Korea

        김남혁 한국학중앙연구원 한국학중앙연구원 2015 THE REVIEW OF KOREAN STUDIES Vol.18 No.2

        Yi Chungjun is known as a prolific writer who wrote many works until his death. So, it may appear strange that he wrote only a few works in the 1980s. Three short stories, “Beolrae Iyagi” (The Tale of Bug), “Sumeun Songarak” (Hidden Finger), and “Nugeundeul chojangbuteo kkuneuro taeeonarya?” (Can Anyone Be Born an Expert?) were written during this time. More precisely, these stories were written during the difficult period between the May 18 Gwangju Incident and the June Democratic Struggle. At this time, the new military regime established a strange order of discourse that did not permit people to either criticize or forgive the rulers’ hypocrisy. Under this order of discourse, the ruling powers could distort people’s criticism into a justification of their rule. Thus, they also had no need of people’s forgiveness. As a means to overcome this discursive situation, Yi Chungjun aimed to write literature as symptoms. He distinguished between literature for alibis and literature as symptoms. The former can only represent the past. However, a novelist writing the latter analyses social conditions in historical context first and reveals contemporary features as a consequence. Thus an analysis of contemporary events is allegorically performed through discussion of past events. For example, the case of Yi Yunsang’s kidnapping in 1980 is alluded to in “The Tale of Bug” (1985), and the time setting for “Hidden Finger” (1985) is the Korean War of the 1950s. However, these short stories are not mere representations of past events. Although they seem to be just interesting stories, they embrace intensively political features. This is because literature as symptoms intervenes in contemporary problems through the methodology of allegory.

      • SCOPUSKCI등재

        흉막에 발생한 국소성 섬유성 종양;1례 보고

        김남혁 대한흉부심장혈관외과학회 1993 Journal of Chest Surgery (J Chest Surg) Vol.26 No.12

        Localized fibrous tumor of pleura is submesothelial origin and related terms with localized mesothelioma, giant sarcoma of visceral pleura, post-inflammatory tumor of the pleura, pleural fibroma, submesothelial fibroma. This tumor is rare. We experienced a case of localized fibrous tumor.This 66 years old female was admitted with 2 years left persistant flank pain and mild dyspnea. Chest X-ray and CT scan showed a 12x10cm well-defined huge mass in the left subpulmonic area, and not metastatic lesion of any organs.Exploratory thoracotomy was done and a 14x10x8cm [650gm weight] sized mass was excised.The patient was discharged without any complications postoperatively.

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