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증례보고 : Osler- Weber- Rendu 증후군 환자의 전신마취 경험
이수남 ( Su Nam Lee ),김진강 ( Jin Kang Kim ),손동일 ( Dong Il Sohn ),이지희 ( Ji Heui Lee ),이용석 ( Yong Seok Lee ),이소영 ( So Young Lee ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
Hereditary haemorrhagic telangiectasia (HHT), or Osler-Weber-Rendu syndrome is an autosomal dominant disorder characterized by recurrent epistaxis, mucocutaneous telangiectasias, and visceral involvement including arteriovenous malformations that may develop in any organ, especially in the lung, brain, liver and GI tract. Early screening and regular follow up of patients with HHT are important to minimize the risk of development of serious sequelae. We report a case of 46-year-old female patient who had "suspected HHT" and review the literature on this rare disease. (Korean J Anesthesiol 2007; 52: 363~6)
청년기와 중년기 성인의 도덕 판단: 인지적 추론과 정서적 직관
이수남 ( Su Nam Lee ),신현정 ( Hyun Jung Shin ),김비아 ( Bi A Kim ) 전북대학교 사회과학연구소 2014 지역과 세계 Vol.38 No.2
본 논문은 Kohlberg(1966, 1968)가 도덕 발달에 필수적인 요건이라고 주장한 인지적 추론 능력의 발달에 더해 Haidt(2001)가 강조한 정서적 직관의 영향을 함께 고려하기 위해, 청년기와 중년기 성인의 도덕 판단을 비교해 보았다. Green 외(2001)가 주장한 도덕 판단의 이중처리 모형에 따르면 정서적 직관과 인지적 추론은 도덕적 딜레마 상황에서 매우 다른 기능을 하는데, 특히 ‘개인적’ 요인과 관련된 상황에서 그렇다. 본 연구는 인간의 인지 능력이 초기 20년 동안 주로 발달하는 반면, 정서적 직관이 사회적 경험의 축적에 따라 보다 서서히 발달한다는 것에 근거해 이루어졌다. 24개의 도덕적 딜레마 상황이 두 연령 집단(청년 성인 M=22.17, 중년 성인 M=44.58)에 제시되었고, 참가자의 결정이 적합한지 아닌지를 물었다. 중년 집단은 청년 집단에 비해 유의하게 덜 적합하다고 반응했고, 특히 딜레마가 개인적 요인과 관련되어 있을 때 더욱 그러했다. 이러한 결과는 중년 집단의 정서적 직관이 도덕적 성숙을 반영하는 것으로 해석된다. According to Green et al.(2001, 2004)`s Dual Process Model on moral judgment, emotional intuition and cognitive reasoning play quite different roles in moral dilemma situations, especially in situations involving ‘personal’-‘impersonal’ factor. This study was based on the ideas that emotional intuition develops through life span as a function of accumulation of social experiences and that cognitive ability reaches its asymptote at early twenties. Twenty four moral dilemma situations were presented to the two age groups(young adult group; M= 22.17 and middle-age group; M = 44.58), who decided whether the protagonists` decisions were appropriate or not. The middle-age group showed significantly less ‘appropriate’ responses to the decisions of the protagonists in the dilemmas especially when the dilemmas involved the personal factor than those of young adult group. This result was interpreted as showing that emotional intuition of middle-age group reflects moral maturity. Future direction of research and limitations of this study were discussed in the final section.
이정욱(Lee, Jung-Wook),이수남(Lee, Su-Nam),심재현(Shim, Jae-Hyun),정판기(Jung, Pan-Ki),이원구(Lee, Won-Ku),방병주(Bang, Byoung-Joo) 한국소음진동공학회 2011 한국소음진동공학회 논문집 Vol.21 No.9
Generally, sound-absorbing materials in vehicles are used for giving the comfort to passengers by reducing noise while driving. Materials of which targets are light weight, high performance, eco friendliness and recycling have been developed recently. In this study, sound-absorbing materials using PET(polyethylene terephthalate) hollow fibers to achieve the light weight and the high sound absorption performance are developed, and then evaluated to meet a requirement for the automotive components. The test results show that the acoustic performances of developed products having new fiber structure are better than those of the conventional product.
이배진(Bai Jin Lee),박정영(Jung Young Park),이희영(Hi Young Lee),강효승(Hyeo Seon Kang),이종영(Jong Young Lee),변동일(Dong Il Byun),김형길(Hyung Gil Kim),이수남(Su Nam Lee) 대한소화기학회 1998 대한소화기학회지 Vol.30 No.4
Eosinophilic gastroenteritis is a rare condition of unknown cause characterized by peripheral eosino- philia, eosinophilic infiltration of the gastrointestinal tract, and gastrointestinal symptomatology. Eosinophi]ic gastroenteritis is generally classified according to the layer of gastrointestinal tract involved. Especially, serosal eosinophilic infiltration is the rare,;t form of presentation, and may result in the development of eosinophilic ascites. Herein we repcrt an unusual case of eosinophilic gastroenteritis presenting with peritoneal eosinophilic infiltration diagnosed by a peritoneal biopsy. A 16-year-old woman came to our hospital presenting with abdminal <listensiron and tenderness, vomiting, and diarrhea with marked peripheral eosinophilia. Stool .;pecimens were negative for ova parasites. Biopsy specimens of esophagus, stomach, duodenum, and colon showed nonspecific intlammation but that of the peritoneum showed specific intense e.inophilic infiltration with fibrous band and eosinophilic vasculitis. A diagnosis of serosal eosinophil c gastroenteritis based on c]inical, laboratory, eosinophilic pertoneal fluid and histopathologic data, (:specially the biopsy specimens of the peritoneum. She was treated with corticosteroid and respond d dramatically with a complete resolution of ascites and other G-I symptoms. (Korean J Gastroenterol 1997; 30:547-552)
증례보고 : 우측 개흉술 중 발생한 발작 심실상성 빈맥 환자의 전-후 전극 위치의 이극 심장율동전환 치료경험
이지희 ( Ji Heui Lee ),김진강 ( Jin Kang Kim ),이현도 ( Hyun Do Lee ),손동일 ( Dong Il Sohn ),이소영 ( So Young Lee ),이수남 ( Su Nam Lee ),장호조 ( Ho Jo Jang ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.2
A 54-year-old male patient with squamous cell carcinoma of lung was scheduled for right lower lobectomy. He had suffered from diabetes mellitus during 8 years, but his preoperative electrocardiogram was normal sinus rhythm. During right thoracotomy, 2 times of unstable paroxysmal supraventricular tachycardia (PSVT) appeared but returned to normal sinus rhythm by carotid sinus massage. But, third unstable PSVT was not controlled by adenosine and anterior - lateral paddle positioned biphasic cardioversion. We changed anterior-lateral paddle position to anterior-posterior paddle position. And PSVT terminated abruptly and changed to sinus rhythm. So we present a case of unstable PSVT during right thoracotomy and treated with anterior-posterior paddle positioned biphasic cardioversion. (Korean J Anesthesiol 2006; 51: 246~51)
호흡기 : 림프절, 피부, 뇌를 침범한 파종성 콕시디오이데스진균증 1예
이지민 ( Ji Min Lee ),배성하 ( Sung Ha Bae ),이수남 ( Su Nam Lee ),박기훈 ( Ki Hoon Park ),박찬권 ( Chan Kwon Park ),윤형규 ( Hyoung Kyu Yoon ),송정섭 ( Jeong Sup Song ) 대한내과학회 2012 대한내과학회지 Vol.82 No.6
저자들은 미국 애리조나에서 거주력이 있는 건강하고 젊은 한국인에게서 림프절, 피부, 뇌를 침범한 파종성 콕시디 오이데스진균증을 확인하였기에 이를 문헌고찰과 함께 보고하는 바이다. Coccidioidomycosis, a fungal infection caused by the fungus known as Coccidioides immitis, can affect many species of mammals and some reptiles. The fungus is endemic in the soil of the southwestern United States, Mexico, and parts of Central and South America. Most infections in humans are relatively mild or asymptomatic, but severe or fatal illness can also occur, especially in the elderly or immunocompromised. We report on a patient with disseminated coccidioidomycosis whose lymph nodes, skin, and especially brain were infected at diagnosis; however, the lung parenchyme was not infected. Because the brain infection could have been a fatal complication in this peculiar case, we recommended life-long fluconazole treatment for the patient. After 2 months of high doses of fluconazole, the patient`s clinical signs were greatly improved with respect to fever, headache, skin lesions, and mediastinal widening on the chest X-ray.
증례 : 가성뇌종양 ( pseudotumor cerebri ) 의 1 예
최영길 ( Young Kil Choi ),이수남 ( Soo Nam Lee ),박세근 ( Se Geun Park ),박수영 ( Su Yong Park ) 대한내과학회 1973 대한내과학회지 Vol.16 No.11
Since Dr. Frank Walsh reported a young female patient with bilateral papilledema who had been taking norethynodrel with mestranol (Enovid), the number of reports of this syndrome associated with oral contraceptive are increasing every year and might well b
김원배,강정희,이수경,이수남,Kim, Won Bae,Kang, Jung Hee,Lee, Soo Kyung,Lee, Su Nam 대한소아감염학회 1997 Pediatric Infection and Vaccine Vol.4 No.1
Since 1972, a unique lymphadenitis called as subacute necrotizing lymphadenitis has been described in many Japanese literature. Originally described in Japan, it now appears worldwide. It mainly affects young women and usually manifests as fever and lymphdenopathy. The pathology is characterized by necrosis with loss of nodal architecture, infiltration with many histiocytes, and an absence of granulocytes. We report a case of subacute necrotizing lymphadenitis in axillary area. 4 10-year-old male child was admitted with a one-month history of fever, swelling in the axillary area. He treated with intravenous antibiotics. Despite treatment he remained febrile for the next ten days. 4 dissection of the axillary swelling was then performed, as was a diagnostic lymph node biopsy. The patient's condition resolved over several days and he was discharged.