두개내 동맥 병변을 보인 혈관형 베체트씨병 2예

박은미,성정준,이정주,강동화,노재규 대한신경과학회 1999 대한신경과학회지 Vol.17 No.1

안내염과 대장암이 동반된 재발성 간농양

전승정,김태헌,류민선,오다연,송명은,이신아,류재인,김혜인,문일환,유권 이화여자대학교 의과학연구소 2011 EMJ (Ewha medical journal) Vol.34 No.2

The causes of pyogenic liver abscess has been known as biliary tract disease or intrabadominal infection but the large proportions of the patients has no apparent underlying disorders. Recently colonic mucosal lesions were reported in patients with cryptogenic liver abscess and it has been suggested that colonic mucosal break may play a role in developing liver abscess in otherwise healthy patients. We experienced a patient of severe recurrent liver abscess complicated with endophthalmitis only 3 months after successful treatment of initial cryptogenic liver abscess and a polypoid colon cancer was discovered by chance. It seems prudent to proceed colonoscopic examination in patients with cryptogenic liver abscess especially when it is recurrent.

이슬람권에서 기독교적 종교교육의 방법

전재옥,허은아 이화여자대학교 교과교육연구소 1999 교과교육학연구 Vol.3 No.1

본 논문에서는 무슬림들에게 복음의 의미를 전하는 데 있어서의 접근 방법들에 대해서 살펴보았다. 이를 토마스 그룸의 기독교적 종교교육이라는 개념을 가지고 접근을 시도했다. 기독교적 종교교육의 목적은 역사안에서 예수 그리스도의 복음으로 인하여 하나님 나라에 참여케 됨으로 참 자유를 얻는 것이다. 본 논문에서는 이슬람권에서 기독교 복음의 의미를 그대로 전하기 위해 세계 종교들의 세계관을 기독교의 것과 비교함으로 세계 종교들 안에 내재해 있는 종교적인 갈망들을 살펴보았다. 그리고 기독교의 특징들을 가지고 세계 종교들과 접근할 수 있는 방법을 고찰했다. 이러한 접근방법을 가지고 마지막 장에서는 이슬람권에서의 기독교적 종교교육 방법을 모색해 보았다. 특히 성서에 나오는 구약시대 선지자 예레미야의 삶과 말씀증거를 통하여 예표된 예수 그리스도의 모습을 전달하고자 했다. 무슬림들에게는 선지자가 알라의 계시를 전달하는 자이므로 알라의 보호를 받으며 사람들로부터 존경과 신뢰를 받는 대상으로 여긴다. 그러나 이스라엘 민족의 죄를 위해 중보자가 되어 하나님께 자복하는 예레미야 선지자를 통해, 죄인들을 구원하시기 위해 고난당하고 죽기까지 순종한 예수 그리스도의 사랑을 전하고자 했다. 이는 예수 그리스도의 십자가의 길이 인간에게는 하나님의 사랑을 확증하는 복음의 능력으로 드러났듯이 우리도 이슬람권에서 기독교적 종교교육을 실시하고자 할 때 십자가의 길을 따라야 한다는 결론에 이른다. Islam makes up around 20% of the world's population. Muslims are the fastest growing major religious group, largely as a result of high birth rate. To this, many Christians respond in a negative way, considering it as a challenge or a threat of the Muslims to Christians. For example, they think of Islam in a purely negative way, encouraged perhaps by mass media emphasis on the horrors perpetrated by the Middle Eastern terrorists or on the armed conflicts among the area. As a result, any attempt made to share their faith with individual Muslims may be expressed in terms so negative and aggressive that the natural response of the Muslims is to close their ears and their hearts. Mostly, it is the one who bear witness to the Muslims, are to be blamed. For they were in lack of sharing the meaning of the gospel of Jesus Christ, in a sense that Muslims could understand from their worldview and language. Thus, it is the task of the one who brings the good news to the Muslims, to make understood the meaning of the Gospel in the boundary of Islamic cultural settings. Christians who seek to bring the good news of the Gospel to Muslims, in language they can understand, and in a way that reflect God's love, need to have accurate knowledge of Muslim belief and practice. It is to understand where Muslims are coming from spiritually and to consider some ideas as to how to share the love of Christ with them. This is based on the example of Jesus Christ who walked the way of the cross to show the love of God to us. This is the good news we want to share with the Muslims by walking the way of the cross. Then, what does it mean to walk the way of the cross in all our thinking about Islam and our relating to Muslims? Walking the way of the cross in our relationships with Muslims will mean following the example of the one who was willing to cross barriers of race, class, sex and religion, in order to meet people where they were in joy, their pain and their need. Walking the way of the cross in understanding Islam will mean trying to get inside the mind and heart of Islam. Our desire will not be to judge or condemn, but to ‘sit where they sit’, and to show that words such as ‘identification’ and ‘empathy’ can be more than easy slogans. Walking the way of the cross in discussion and dialogue will mean patient and attentive listening, which understands the words and appreciates the total worldview and the feelings that they express. Walking the way of the cross in our witness will mean testifying as best as we can how it is ‘in the face of Christ’ that we see ‘the light of the knowledge of the glory of God’. Finishing this thesis, I felt the need of more understanding based on the current information about Islam l myself relied on the articles which were mostly out of date. Nevertheless, I expect that these small attempts to reach the Muslims will grow and bear abundant fruits in the soon coming future.

축구 활동이 비만 초등학생의 혈중 지질에 미치는 영향

전태원,박익렬,엄우섭,이동기,우재홍,김경래,김은경,서한교,전병환,김광준,정진욱,박성태 서울대학교 체육연구소 2002 서울大學校 體育硏究所論集 Vol.23 No.2

The purpose of this study is to investigate the effect of Soccer playing in Plasma Lipids in Elementary Obesity Student. Subject for this study were consisted of 16 male(exercise group : 8, non-exercise group : 8), who were over 25% of body fat. Exercise group played soccer 3 times per week, one time was 90 minutes. Weight, % body fat, total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglyceride, c-ratio were measured at three time periods before exercise begin, and 5 and 8 weeks. The results were summarized as follow: Exercise group decreased significantly more than non-exercise group about weight, % body fat, total cholesterol, low density lipoprotein cholesterol, triglyceride, c-ratio. And Exercise group increased significantly more than non-exercise group about high density lipoprotein cholesterol. In conclusion, the regular aerobic exercise(soccer playing) for 10 weeks has great effects on control of serum lipid which is related to the increase well-being(reduced coronary heart disease, hyperlipidemia, hypertension, obesity et all.) in elementary obesity male student.

혼합치열기 반대교합자에서 상악골 전방견인장치를 이용한 치료증례

최형준,이제호,최병재,김은영 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.3

The prevalence of class Ⅲ malocclusion is approximately 5∼9%, and about one fourth of this malocclusion is due to underdeveloped maxilla. Maxillary protraction appliance is an orthopedic device which promote the growth of a deficient maxilla by applying extraoral force to actively growing patients. The object of using maxillary protraction appliance is to guide a normal growth of maxilla and mandible and improve the occlusal relationship and also improve the facial profile. The author treated three patients whom were diagnosed as a class Ⅲ malocclusion due to deficient maxilla using maxillary protraction appliance and the followings are the conclusions : 1. In these cases, anterior crossbite was corrected by anterior movement of maxilla and downward backward rotation of mandible and simultaneously, anterior facial height was increased. 2. The amount of dental change compare to skeletal change was greater as the patients got older. 3. When 500gm of force to each side was applied, the treatment period has been decreased. 4. As a result of applying the force between maxillary first primary molar and canine, there was a small degree of changes in palatal plane. So, it can be concluded that the maxillary protraction appliance is effective in treating growing patients with a deficient maxilla.

상악 절치부에 매복된 다수 과잉치의 외과적 발거

홍은혜,김성오,이제호,최형준,송흥규,최병재 大韓小兒齒科學會 2008 大韓小兒齒科學會誌 Vol.35 No.2

과잉치란 정상에 비해 많은 수의 치아를 일컫는 것으로 유치열기와 혼합치열기에 발생하며,여러 가지 임상적 문제를 일으킬 수 있다. 특히 상악 전치부의 과잉치는 상악 전치의 맹출 장애 및 전위,정중부의 치간 이개,치근 흡수,함치성 낭종 형성 등의 문제를 유발할 수 있으므로 조기에 진단하고,과잉치의 위치 및 수,형태에 따라 적절한 치료를 시행하는 것이 중요하다. 이 증례는 상악 전치부에 네 개의 과잉치가 영구치의 맹출을 방해하고 있는 경우로,발거 시 합병증을 최소화하기 위하여 두 단계로 나누어 발거하였다. 컴퓨터 단층 촬영에서 네 개의 과잉치가 주위의 영구치 맹출을 방해하고 있었고,그 중 두 개의 과잉치는 절치 치배에 매우 근접해 있었다. 네 개의 과잉치를 동시에 제거할 경우 영구 치배에 손상을 줄 위험이 있으므로 두 개의 역위 매복된 원추형의 과잉치만 먼저 발거하였다. 남은 두 개의 과잉치는 위치가 변화되기를 기다린 후 두 번째 발거 수술을 시행하여,주위 절치 치배에 손상을 가하지 않고 치조골 삭제를 적게 하여 합병증 발생을 줄일 수 있었다. Supernumerary teeth are characterized by an excess number of teeth, which can be responsible for a variety of irregularities in the primary and transitional dentition, Supernumerary teeth, especially in the maxillary anterior region, may prevent the eruption of adjacent permanent teeth and cause their ectopic eruption, diastema, root resorption, or formation of dentigerous cyst. Therefore, early diagnosis of supernumerary teeth is important for prevention of such complications, and adequate treatment should be given according to their location, number, and morphologic features. In this case. four supernumerary teeth in the maxillary anterior region were disturbing the eruption of adjacent permanent incisors. Two of them were located in proximity to the central incisor tooth germs that their immediate removal may injure the permanent tooth germs, In order to minimize such complications, surgical extraction of the four supernumerary teeth was performed in two stages. At first, only two inverted conical supernumerary teeth were extracted. The other two tuberculous supernumerary teeth, close to the permanent tooth germs, were extracted later after their natural dislocation, In that way, we could minimize affects on the neighboring permanent tooth germs and also the amount of alveolar bone removed during surgery.

용융염산화 반응기에서 기체체류량 및 기-액 흐름특성

조용준,양희철,은희철,유재형,김준형 한국화학공학회 2003 Korean Chemical Engineering Research(HWAHAK KONGHA Vol.41 No.5

용융염산화는 혼성폐기물과 유해폐기물을 효과적으로 산화 및 분해할 수 있는 소각대체기술중 하나이다. 본 연구에서는 직경이 0.079 m이고 높이가 0.653 m인 용융염산화 반응기에서 기체체류량 및 기-액 흐름특성에 대한 연구를 수행하였다. 액상으로 용융탄산나트륨을 기상으로 건조된 공기를 사용하였으며 기체유속(0.05-0.22 m/s)과 용융염온도(870-970℃) 변화가 기체체류량 및 기-액 흐름특성에 미치는 영향을 규명하였다. 기체체류량은 용융염 온도가 상승함에 따라 증가하였는데, 이는 용융염 온도의 증가로 인해 용융된 탄산나트륨의 점도와 표면장력이 감소하였기 때문이다. 실험에서 얻어진 기체체류량 데이터를 drift-flux 모델에 적용하여 용융염반응기 내의 흐름특성을 규명할 수 있었으며, 이를 통해 흐름영역에 따른 기체체류량을 정확하게 예측할 수 있었다. Molten salt oxidation is one of the most promising alternatives to incineration that can be used to efficiently destroy the organic components of mixed wastes and hazardous wastes. In this study, the gas holdup and gas-liquid flow characteristics are investigated in the molten salt oxidation reactor (0.076 m D×0.653 m H.). Effects of input air velocity (0.05-0.22m/s ) and molten salt temperature (870-970℃) on the gas holdup and flow characteristics have been studied. Molten carbonate as the liquid phase and air as the gas phase have been used in this study. The gas holdup increases with increasing molten salt temperature due to the decrease of viscosity and surface tension of molten carbonate. The experimentally obtained gas holdups in the molten salt reactor have been well described and characterized by means of drift-flux model. The gas holdups with variation of the flow regime have been well predicted.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

자궁경부 상피종양에서 human papillomavirus 감염과 survivin 발현

윤재호,정동준,이정은,박동명,배동한,선우재근,백무준,김창진 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Human papillomavirus (HPV) has been considered a causative agent of uterine cervical carcinoma. HPV is a DNA oncogenic virus, which is well known as a causative virus in uterine cervical carcinoma. The virus is classified into two groups genotypically, low risk and high risk, according to the carcinogenic potentiality, and the determination of the viral genotype is important in clinical practice. Recently, numerous genotypes can be determined by high throughput method using DNA chip. Survivin is a recently characterized inhibitor of anti-apoptosis (IAP) protein, which is abundantly expressed in most solid and hematological malignancies, but undetectable in normal adult tissues. In this study, HPV genotypes are determined by DNA chip and the expression of survivin was examined by immunohistochemistry in 80 cases of uterine cervical intraepithelial neoplasia (CIN) and invasive carcinoma to see the roles of HPV and survivin in the carciogenesis of uterine cervical epithelial neoplasia. The results were as follows: 1. HPV positive rate was 72.5%, while negative rate was 27.5% in 80 cases of CIN and invasive carcinoma. The CIN and invasive carcinoma showed higher HPV positive rate (p <0.05). 2. HPV positive rate according to the histologic grade were 60%, 65%, 77% and 90% in CINI, CINII, CINII and invasive carcinoma, respectively. HPV positive rate showed increasing tendency according to the histologic grade, though there was no statistical significance. 3. The most frequent genotype was type 16 and the next were 58, 52, 18 and 33 in order of frequency. 4. Survivin was expressed in 96.3% of CIN and invasive carcinoma. The expression rate of survivin showed no significant difference between the histologic grade of CIN and invasive carcinoma, but showed tendency of increased expression rate in invasive carcinoma. 5. Survivin was expressed in HPV positive and in HPV negative each as in 95.5% and 96.6% respectively. There was no significant difference of survivin expression between HPV positive and negative cases. The above results suggest that HPV has no effect on the regulation of survivin expresson level in the uterine cervical intraepithelial neoplasia and invasive carcinomas.

계승영구치가 선천적 결손된 유치의 치근 흡수

이정은,이제호,최형준,김성오,송제선,손흥규,최병재 대한소아치과학회 2009 大韓小兒齒科學會誌 Vol.36 No.4

유치의 정상적인 치근 흡수는 계승 영구치의 맹출 압력으로 단핵구 세포가 방출되어 파골세포로의 분화가 촉진되어 일어나며, 계승 영구치의 맹출 경로를 따라 유치의 치근이 흡수되어서 유치가 탈락하게 된다. 계승 영구치가 선천적으로 결손되었을 때에도 유치의 치근은 흡수될 수 있는데, 유치의 비정상적 치근흡수는 외상이나 염증, 교합압의 증가, 지지조직의 약화 등으로 발생할 수 있다. 치아의 선천적 결손은 인간에서 가장 흔한 발육이상이며, 영구치가 결손되었을 때 유치는 만기 잔존할 수 있다. 영구치의 선천적 결손은 전신질환이 있는 경우뿐만 아니라 국소적 원인이나 인류 진화에 따른 영향 등에 의해서도 발생한다. 이 증례들은 계승 영구치가 선천적으로 결손된 어린이에서 유치의 치근이 비정상적으로 흡수된 경우로 계승 영구치가 결손 된 유전치와 유견치, 유구치의 치근이 1/2 ~ 3/4정도까지 흡수 되었으며 흡수 부위는 불규칙적인 형태를 보였다. 원인으로는 흡수에 감수성이 높은 유치의 치주인대, 그리고 성장에 따라 증가되는 저작근육과 저작력, 혼합치열기에 유발되는 비정상적 교합 등을 생각할 수 있다. 계승 영구치가 결손된 유치가 비정상적인 치근 흡수를 보이는 경우에 유치는 유지될 수도 있지만, 여러 요인에 의하여 탈락될 경우에는 공간을 유지 할 것인지 판단해야 하며, 향후 보철치료나 교정치료를 요하므로 장기적인 치료계획을 수립해야 한다. Root resorption of primary teeth usually occurs as the succeeding permanent teeth erupt, which induces differentiation of the hemopoietic cells into osteoclasts. Their root resorption pattern reflects the eruption path of the succeeding permanent teeth, and eventually the primary teeth shed as their succeeding permanent teeth erupt. Even when a permanent tooth germ is congenitally missing, root resorption of the corresponding primary tooth may still occur due to various factors, such as inflammation, traumatic occlusal force, and weakness of periodontium etc. Such congenital missing of permanent teeth is a commonly observed phenomenon in human be ing, and it often accompanies delayed retention of primary teeth. The etiologic factors for congenital missing in elude not only systemic diseases, but also local factors and human evolution process. In the radiographs of the cases in this report, the primary teeth without succeeding permanent teeth show pathologic root resorption. Root resorption progressed about 1/2~3/4 of the roots, and the surfaces of the resorption area were irregular. Considering high susceptibility of the periodontal ligament of primary teeth to root resorption, pathologic root resorption of primary teeth with delayed retention can be explained by the increased masticatory muscle force and abnormal occlusion developed during the mixed dentition. When the primary teeth without succeeding permanent teeth are lost, decision for space maintenance is required and long-term treatment plan for further prosthetic or orthodontic treatment should be establsihed.