십이지장 유두부 선암 1예

이준상(Joon Sang Lee),강종식(Jong Sik Kang),김재하(Jae Ha Kim),최호정(Ho Jeong Choi) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2

N/A The periampullary area is anatomically complex and adenocarcinoma may arise from one of four layers of epitherium: the mucosa of the ampulla of Vater, the pancreatic duct, the distal common bile duct, or the periampullary duodenum. Growths arising from any of these sites have the same over all effect and will be considered as a group. They are often loosely termed Cancer of the head of the pancreas. In the clinical situation, the site of origin can not always be distinguished, and surgical treatment for all resectable carcinoma in the periampullary area is essentially the same. Hovever, carcinoma from each of these sites of origin may exhibit different natural history, diiferent growth patterns, different cure rates, and different nuances of diagnosis. So. It is advantageous to separate tthese four lesions as clearly as possible. Recently, authors experienced a case of adenocarcinoma of the ampulla of Vater at WMBH in Pusan. The patient had complained of abdominal pain and jaundice for four months. Under the impression of a carcinoma of the ampulla of Vater on radiologic and duodenoscopic findigs, the exploratory laparotomy with frozen section biopsy were performed and small mass(1.5 X 2.0 cm) at the ampulla of Vater was seen, and it was confirmed to be a adenocarcinoma of the ampulla of Vater(exposed ulcerationg type, stage III) by histopathologic study. The Whipple's operation was performed and postoperative course was relatively good. Chemotherapy(FAM regimen) was given to her. We report this case with the review of the literatures.

메콩경제권 국가들의 기업법에 관한 비교법적 고찰 -회사의 설립을 중심으로-

이준표 ( Joon Pyo Lee ) 연세대학교 법학연구원 글로벌비즈니스와 법센터 2012 연세 글로벌 비즈니스 법학연구 Vol.4 No.1

The Greater Mekong Subregion(GMS) is a development project set by the Asian Development Bank in 1992. GMS`s countries consist of six countries near the Mekon g River basin, namely Cambodia, Laos, Myanmar, Thailand, Vietnam and the Yunnan Province of China. With assistance from the Asian Development Bank, the six countr ies entered into a program of subregional economic cooperation, designed to enhanc e economic relations among the countries. In particularly China, Vietnam, Cambodia, Laos and Myanmar are the so-called transition countries. In the late 1980s, China, Vietnam, Cambodia, Laos and Myanmar abandoned their centrally-planned, socialist models and began the transition to more open and market-oriented capitalist econom ies. China, Vietnam and Thailand have recently revised the Enterprise law. It significan tly improved the process for forming a new company. The Enterprise Law creates more transparent procedures for private businesses, significantly simplifies regulation s and procedures to start businesses, and moves from discretionary licensing to auto matic registration, by way of the implementation of a negative list of restricted or prohibited activities. However, the ambiguity in licensing and regulatory procedures impedes the daily work and growth opportunities of enterprises. Furthermore, the continued state domination of the national economy limits the opportunities for robu st private enterprise. Therefore, more comparative studies on the enterprise law of advanced industrial nations including Korea can be essential for the development of enterprise law in GMS`s countries.

BCG 접종후 Mantoux 검사의 반응도와 임상인자들의 영향

이준성(Joon Sung Lee),이현정(Hyun Jung Lee),김영훈(Young Hoon Kim),황경태(Kyung Tai Whang),김종완 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1997 소아알레르기 및 호흡기학회지 Vol.7 No.2

목 적 : 소아에서 Mantoux 검사는 결핵 감염의 유무를 판단하는 데 널리 사용되는 방법으로, BCG 접종후 면역 상태를 알아보는 데도 유용하다. 그러나 그 반웅의 정도 및 양전율은 백신접종시 연령, 백신의 용량, 백신접종후 시간경과 및 검사횟수 등에 영향을 받는 것으로 알려져 있다. 저자들은 BCG 접종후 시간경과, 재태기간, 성별 및 수유방법에 따라 Mantoux 검사의 반옹정도와 양전율에 차이가 있는지를 알아보기 위하여 이 연구를 시행하였다. 방 법 : 1994년 7월부터 1996년 6월까지 강남성모병원에서 출생한 신생아 85명(만삭분만아 71명, 미숙분만아 14명)을 대상으로 하였다. BCG백신은 국립보건원에서 제조한 것으로 생후 4주 이내에 0.05ml를 피내주사하였고, 접종후 3개월, 9개월, 15개월에 Mantoux 검사를 시행하였다. 검사시약은 PPD(5TU)를 사용하였다. BCG백신 접종과 Mantoux 검사의 결과 판독은 모두 동일인에 의하여 시행되었다. 결 과: 1) BCG 접종후 3개월, 9개월 및 IS개월에 Mantoux 검사에서 양전을은 만삭분만군 26.8%, 53.5%, 및 60.6%이었으며, 미숙분만군 14.3%, 28.6%, 50%로 만삭분만군에 비하여 미숙분만군에서 전반적으로 낮은 경향을 보였고 생후 3개월에 유의한 차를 나타내었다. 2) BCG 접종후 3개월, 9개월 및 15개월에 시행한 Mantoux 검사에서 경결의 평균 크기는 만삭분만군 7.2㎜, 8.5㎜, 9.4㎜를, 미숙분만군 5.0㎜ 6.6㎜, 8.2㎜를 보였으며 3개월에 검사한 경결의 크기는 두 군간에 통계학적으로 유의한 차가 있었다(P<0.05). 3) 만삭분만군 및 미숙분만군 모두에서 성별 및 수유방법에 따른 Mantoux 검사의 양전율은 유의 한 차가 없었다. 4) BCG백신의 합병증은 만삭분만군에서 9.9%로 림프절염, 지축적 궤양 및 열성 농양의 순이었으며 미숙분만군에서는 합병증이 한 예도 없었다. 결 론 : 이상의 결과에서 Mantoux 검사의 반응은 시간이 경과함에 따라 경결의 크기가 증가하고 양전율이 증가함을 알 수 있었으며 3개월 Mantoux 검사에서 미숙분만군에서 경결의 크기가 만삭분만군보다 작은 것은 미숙분만아의 면역학적 미성숙과 관련이 있을 것으로 생각되었다. Purpose : During the childhood, Mantoux test is very popular for detecting tuberculous infection and also useful for evaluating the immunity against tuberculosis after BCG vaccination. But the response and conversion rate is affected by the age of vaccination, the quality of vaccine, the duration after vaccination and the frequency of the test. This study was performed to investigate the difference of the response and conversion rate, according to duration after vaccination, gestational age, sex and feeding type. Methods : The subject was included 85 of infants (71 of full term infants, 14 of preterm infants) and was followed up 3 months, 9 months, 15 months after vaccination, from July, 1992 to June, 1994 in Kangnam St. Mary`s Hospital. We injected intradermally the BCG vaccine (0.05m1) which was produced by National Institute of Health and PPD (5TU) was used as a testing material of Mantoux test. Injecting BCG and interpreting the result of the Mantoux test was done by the same person. Results : 1) The positive conversion rates of Mantoux test which was done 3 month, 9 month and 15 month after vaccination were 26.8%, 53.5% and 60.6% in the full-term infant group, and 14.3%, 28.6%, and 50% in the preterm infant group. The conversion rate was significantly lower in preterm infant group as compared with that of the full-term infant group 3 months after vaccination. 2) The sizes of induration in Mantoux test, which was done 3 month, 9 month and 15 month after vaccination, are 7.2㎜, 8.5㎜, 9.4㎜ in the full-term infant group and 5.0mm, 6.6mm, 8.2mm in the preterm infant group. The size of induration was significantly lower in the preterm infant group as compared with that of the full-term infant group. 3) There is no difference in conversion rate of Mantoux test according to the sex, feeding type in both groups. 4) Complication rate for BCG vaccine is 9.9%, which is leaded by lymphadenitis, persistent ulcer, and febrile abscess as the order, in the full-term infant group and there are no complications in the preterm infant group. Conclusions : In those results, the size of induration and conversion rate is increased as the duration after vaccination, then lower conversion rate in the preterm infant group 3 months after vaccination may be due to immunological immaturity of preterrn infant.

LOCOS구조에 대한 2차원 모델링

이준하(Joon Ha Lee),서기철(Ki Cheol Seo),박화식(Hwa Sik Park),황호정(Ho Jung Hwang) 대한전자공학회 1990 대한전자공학회 학술대회 Vol.1990 No.11

실크로드의 자연과 문화

이준선(Joon Sun Lee) 한국문화역사지리학회 2007 문화 역사 지리 Vol.19 No.3

현대 예술 및 문화 : 집단 기억의 매체적 동원과 조작 -나치 프로파간다 영화 〈콜베르크〉의 예로 본 기억의 누락과 자기기만

이준서 ( Joon Suh Lee ) 한국브레히트학회 2013 브레히트와 현대연극 Vol.0 No.28

DSC와 FTIR을 이용한 상용성 (폴리부틸나프탈레이트/폴리비닐페놀) 블렌드의 연구

이준열(Joon Youl Lee),한지영(Ji Young Han) 한국고분자학회 2002 폴리머 Vol.26 No.6

Layer-by-Layer 자기조립법에 의한 Poly(ethylene-alt-maleic anhydride)/ Poly(4-vinyl pyridine) 다층막 제조

이준열(Joon Youl Lee),홍숙영(Sook Young Hong) 한국고분자학회 2005 폴리머 Vol.29 No.4

현대 예술 및 문화 : 수치심 문화와 죄책감 문화의 과거사 극복 방식 -동아시아의 상황에서 본 독일의 사례

이준서 ( Joon Suh Lee ) 한국브레히트학회 2016 브레히트와 현대연극 Vol.0 No.34

Gehort Deutschland zu den Ladern, die durch eine Schuldkultur gekennzeichnet sind oder zu jenen, die eine Schamkultur aufweisen? Diese Frage zu beantworten ist nicht so einfach, wie es auf den ersten Blick scheint. Helmut Lethen z.B. behauptet in seinem Buch Verhaltenslehre der Kalte, dass in der Zeit zwischen dem Ersten und dem Zweiten Weltkrieg in Deutschland ``ein Augenblick tiefgreifender Desorganisation`` und daraus folgend eine ``zivilisierte Schamkultur`` herrschte. Ganz plausibel analysiertStephan Marks in seinem Buch Warum folgten sie Hitler?, wie die Nationalsozialisten in Deutschland die Schamkultur befordert und das Schamgefuhl sowie die Abwehrmechanismen gegenuber dem Schamgefuhl instrumentalisiert hatten, um die Bevokerung zu mobilisieren. Des weiteren nahm Aleida Assmann das angesichts der Schuldfrage tief durch Schamkultur geprate Nachkriegsdeutschland unter die Lupe. Gleichzeitig wuchsen jedoch auch die Zweifel daruber, ob eine wissenschaftliche Herangehensweise an das Begriffspaar Scham-und Schuldkultur uberhaupt sinnvoll ist, wenn es je nach Betrachter derart relativierend dehnbar und nahezu beliebig anwendbar zu sein scheint. In ihrem Text Geschichtsvergessenheit-Geschichtsbesessenheit zeigt Aleida Assmann sehr schlussig auf, wie die Deutschen unter der traumatisierenden Kollektivscham in Bezug auf die Kollektivschuld gelitten und schlieβlich einen Paradigmenwechsel von der Schamkultur zur Schuldkultur bis hin zu einer Erinnerungskultur vollzogen hatten. Assmanns jugere Kollegin Alexandra Pontzen fragt sich jedoch, ob das Schamgefuhl ihrer Landsleute nicht ``ein annehmbarer Kompromiss`` war, um die Kollektivschuld nicht ubernehmen zu mussen. Somit fuhrt sie einen anderen Mechanismus des Schamgefuhls an: die stellvertretende Scham. Man schamt sich fur die anderen, die sich schuldig gemacht haben. Wie wir sehen, ist die Vergangenheitsaufarbeitung in Deutschland keineswegs abgeschlossen. Sie ist ein weiterhin andauernder Prozess mit zahlreichen Diskussionen und dem Austausch unterschiedlichster Meinungen. Trotzdem last sich bereits darauserkennen, dass die Aufarbeitung der Kriegsverbrechen unabhangig von Scham- oderSchuldkultur sehr eng und stark mit Schamgefuhl verbunden ist, und daher dasArgument, dass eine Schamkultur eine Entschuldigung erschwere, keine Ausrede sein kann. Die oben angestelten theoretischen Uberlegungen zu Scham und Schuld finden durchaus auch im praktischen politischen Alltag ihre Entsprechung, so zum Beispiel in Joachim Gaucks Rede im griechischen Ligiade. Der berumte Kniefall von Willy Brandt, also das Scheitern des Wortes angesichts der Groβe der Schuld, findet somit, wenn auch erst langsam, allmahlich zu seinem Wort.

보리 유식물 분리엽록체의 광합성 전자전달활성에 미치는 Dimethipin의 영향

이준상 ( Joon Sang Lee ) 한국환경생물학회 2005 환경생물 : 환경생물학회지 Vol.23 No.1

8일간 생장한 보리 유식물에 72시간 동안 dimethipin을 처리하면서 엽록소 함량의 변화와 광합성적 전자전달 활성을 측정하였다. 10^(-3)M dimethipin을 72시간 처리한 경우 엽록소 함량이 33% 감소하였다. 이에 비해 7일간 암소에서 생장시킨 후 dimethipin을 처리한 보리 유식물은 녹화 48시간에 10^(-4)M에서 대조구에 비해 43% 엽록소 함량이 감소하였으며, 엽록소 a/b 비율이 증가하였다. 24시간의 dimethipin처리는 PSⅡ+PSⅠ활성에 거의 영향을 미치지 않았다. 10^(-4)M dimethipin처리는 48시간 배양시 10% 그리고 72시간에는 25%의 PSⅡ+PSⅠ활성을 억제하였다. Water splitting system을 제외한 PSⅡ+PSⅠ 활성은 10^(-3)M dimethipin을 48시간 처리할 경우 8% 그리고 72시간에는 10% 억제되었다. 7일간 암소에서 자란 황백화된 보리 유식물을 녹화시간 6, 12, 24와 48시간에 dimethipin을 처리할 경우 PSⅡ+PSⅠ활성은 5, 10, 10 그리고 11% 억제되었다. 반면에 water fplitting system을 제외한 PSⅡ+PSⅠ활성은 모든 처리시간에서 그 효과가 없었다. 또한 PSⅡ와 PSⅠ의 활성도 대조구와 큰 차이가 없었다. 이와 같이 dilnethipin에 의해 야기된 광합성적 전자전달 활성의 억제는 엽록체 합성과정에서의 영향보다는 엽록체의 기능에 영향을 주는 것으로 사료되며, 이러한 엽록체 기능의 감소는 dimethipin에 의해 야기되는 30~40%의 엽록소 함량감소에 의한 것으로 사료된다. Eight days grown barley seedlings were treated with dimethipin for 72 hours and then the content of chlorophyll and photosynthetic electron activities of isolated chloroplasts were investigated. At the treatment of 10^(-5)M dimethipin the content of chlorophyll was decreased to 33% at 72 hours. Seven days etiolated barley seedlings were exposed to the light while dimethipin was added. At the time of 48 hours` greening chlorophyll content was reduced to 43% at 10^(-4)M dimethipin and the chlorophyll a/b ratio was increased. In photosynthetic electron transport the activity of PSⅡ+PSⅠ was decreased to 10% at 48 hours and 25% at 72 hours at 10^(-4)M dimethipin. In the treatment of 10^(-4)M dimethipin the activity of PSⅡ+PSⅠ, except water splitting system was inhibited to 16% at 48 hours and 27% at 72 hours. The activity of PSⅡ was inhibited to 8% at 24 hours, 13% at 48 hours and 18% at 72 hours at 10^(-4)M dimethipin. The activity of PSⅠ was inhibited to 4% at 24 hours, 8% at 48 hours and 10% at 72 hours at 10^(-4)M dimethipin. In the times of greening of 7 days etiolated barley seedlings the activities of PSⅡ+PSⅠ were reduced to 5, 10, 10 and 11% at 6, 12, 24, and 48 hours, respectively, at 10^(-4)M dimethipin. On the other hand, the activity of PSⅡ+PSⅠ except water splitting system, was not inhibited at all incubated hours in 10^(-4)M dimethipin and there were no clear changes of the activities of PSⅡ and PSⅠ as compared to the control. Therefore, it could be concluded that dimethipin inhibited the photosynthetic electron activity by affecting the function of chloroplast rather than the synthesis of chloroplast and the inhibited function of chloroplast seems to come from the severe decrease of chlorophyll content.