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      • SCOPUSKCI등재

        HELLP 증후군의 제왕절개술시 마취

        강기철,정춘근,김혜경,임재빈 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.5

        Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome is a variant presentation of severe preeclampsia/eclampsia. A 24-year old woman presented herself at 34 wk of pregnancy. Based on the clinical and laboratory assessment, HELLP syndrome was diagnosed. Cesarean section was performed under general anesthesia without invasive monitoring due to stable blood pressure. The course of anesthesia and surgery was uneventful and she delivered female neonate weighing 1770 gram. After the operation, the patient was transferred to the intensive care unit immediately. During the intensive care bleeding started and signs of disseminated intravascular coagulopathy showed up. Any improvement was not made after transfusion and every other supportive therapy. By the request of guardian, she was transferred to tertiary hospital, where she died. (Korean J Anesthesiol 1999; 36: 906∼910)

      • KCI등재

        일본만화의 사회적 평가에 관한 연구

        강기철 한국일본어교육학회 2003 日本語敎育 Vol.23 No.-

        現在、日本のマンガの國內におけるイメ一ジは不當に低い。このこと遠因には、植民地時代(1910~1945)に流通したマンガの質が低かったという事實もみとめられるが、主たる要因は、韓國國內においてマンガというメデイアそのものがあまり認められていないことにある。 1998年、金大中政府が日本大衆文化の開放を推し進め, それに伴って日本大衆文化の開放論爭が始まった. 日本大衆文化について再評價する動きが生まれたえあけだが、この再評過程を通じて明らかになったことは、韓國の社會が日本という國についてどれほどたくさんの偏見と誤解を持っているか、ということである。特にその偏見と誤解が甚だしい領城がマンガというメデイアの領城であり、韓國の言論界は、日本の社會でマンガというメデイアガ占めていう社會的な意義や影響力を正確に捉えず、否定的なイメ一ジだけに基づいて、この日本の大衆文化であるマンガメデイア貶めていたのである。 さて、このように日本のマンガについて認識轉換の契機は、おもに經濟上の論理によってつくられたものではあるが、日本大衆文化の代表ともいえるマンガというメデイアを正しく捉えるという作業の重要性は、勿論、現在でも損なわれてはいない。本論文は、以上のような現實認識に基づき、日本國內でマンガがどの程度の社會的意義と影響力を持っているのかということを調査し、日本社會と文化の理解促ものである。 本論文の具體的な構成は、以下の通りである。 まず第2章では、日本のマンガの實質的な成長について調査した。1990年代中盤の統計を引用し、マンガが持っている社會的評價を明らかにした。特にマンガ全出版物の40%を占めるまでになっていることも驚くべき事實であるが、更に注意しなければならないのは、マンガの讀者層が實に幅廣い年代に渡っているということである。讀書の動機という点においても、單なる娛樂という次元に留まらず、知識の習得や現代的な感性の享樂も認められ、實に多岐に渡っていることが分かった。 第3章では、2章で確認した事實を基にして①マンガの知識傳達機能、②マンガの純粹文學への領城擴大、③マンガの産業としての擴大再生産性を注意して見た。つまり、マンガが單純に娛樂と風刺の機能だけに留まるものではなく、現在は知識傳達のメデイアとしての役割を果たしていること、文學にまで影響を及ぼすほどにその物語が質に成長したことは、日本マンガの質的な優秀性と考えることができるということだ。また、マンガのアニメ一ション化やキャラクタ一化に伴う産業としての價値など、擴大再生産される側面に注目した。 第4章では, 日本におけるマソガの社會的認識度の變化のとぃう側面に注目した. 日本の政府機關がマンガ關係者に公的な賞を與え始めたことや、マンガ關連のテ一マパ一クの增加、そしてマンガの硏究者の增加等は日本の社會でマンガの社會的評價が飛躍的に向上しているということを裏付けるに十分である。 日本と日本文化を硏究するには、いろいろなアプロ一チの可能性があるが、本論文では、現代の日本を文化的·産業的の代表するマンガというメデイアを分析した。日本國內でその社會的認知度が飛躍的に上昇しているマンガというメデイアを分析することで、日本文化の少なくない部分が見えてくるもおと考えられる。

      • SCOPUSKCI등재

        Enflurane, 아산화질소, Thiopental과 소량의 Fentanyl을 이용한 마취유도시 기관삽관에 의한 빈맥과 수축기고혈압을 막기위한 Esmolol의 ED95

        강기철,양병이 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.2

        Background: Esmolol has been used combined with small dose of fentanyl to prevent tachycardia and hypertension induced by tracheal intubation, but there has been few studies about the appropriate doses of esmolol when used combined with fentanyl. Methods: According to esmolol dose, 140 patients were randomly allocated to 7 groups of 20 patients. After 2 μg/kg of fentanyl, 4 mg/kg of thiopental and 0.12 mg/kg of vecuronium were intravenously administered, mask ventilation for 3 minutes with enflurane, nitrous oxide and oxygen was followed. Then one of the doses of esmolol, 0, 0.2, 0.3, 0.45, 0.6, 0.8 or 1.0 mg/kg was administered. Ninty seconds later, tracheal intubation by direct laryngoscopy was performed. After then heart rate was monitored continuously and blood pressure was measured 5 times with 1 minute interval. The highest heart rate and systolic blood pressure were recorded. We calculated the doses of esmolol which reduce the incidence of tachycardia (increased above 100 bpm or by more than 40% ofpreinduction level) and systolic hypertension (increased above 170 mmHg or by more than 40% of preinduction level) below 5% respectively. Results: The ED95 of esmolol for prevention of tachycardia induced by tracheal intubation was 0.56 mg/kg (95% CI: 0.44∼0.81 mg/kg). But the incidence of systolic hypertension was so low even without esmolol injection that the esmolol dose was not significant factor. Conclusions: In anesthetic induction and tracheal intubation with enflurane, nitrous oxide, thiopental, vecuronium, and fentanyl 2 μg/kg, esmolol 0.56 mg/kg was ED95 of preventing tachycardia. But the incidence of systolic hypertension was acceptably low even without esmolol injection. (Korean J Anesthesiol 1999; 36: 225∼231)

      • KCI등재후보

        치아종의 임상병리연구

        강기철,이종헌 대한구강악안면병리학회 2005 대한구강악안면병리학회지 Vol.29 No.6

        Odontomas are the most common benign tumors of odontogenic origin characterized by their‘ slow growth, and a re cons ider ed to be developmental a nomalIes They consist of enamel, dentine, cementum and pulpal tissue and cons titue about 22% of all odontogeni c tumors The purpose of this study was to value clinicopathologic features of this kind 01 tumors‘ and to apply these results to make a pa ln of diagnosis and treatment in future, The 20 cases of odontomas between 1991 a nd 2004 subrn.i tted to Dept , of Oral Pathology of Dankook Univ, Dental Hos pital were used We analyzed theil‘ prev a lence‘ di s tributi on in gender , age of the pat ients , anatornic location. clinical manifestations and histopa thologic fea rtures Cli nical symptoms s howed delayed eruption(n=3) of either the deciduous or permanent tooth‘ mtra- 01 extraoral swelli ng(n =9). pain(n =2) , Of a ll the odontomas, 45% in the Mn & 55% in the Mx was seen There were 55% in the anter iosuperier sector & 25% i n the pos ter ioi nferior zone. while the rest in the upper molar region, COO showed 18,5 year s(r ange 6,4) , 60% 0[' diagnosed odontomas, incisor / canine area of mx, smaller(5-30mm) & unilocular. and mu l tip le radiopaque mini teeth s urroun따d by defined radiolucency, whi le CXO showed 30, 1 years(range 14 , 5) ‘ 40% of diagnosed odon tomas ‘ 1s t and 2nd molar of the mn, la rger(1O-60mrn) & unilocular undistinguished radiopaque mass and surrounded by ra di 이 uc e nt zo ne & a di s tin ct ra di opaque border, Both showed reduced enamel epithelium, enamel. dentin and cementum‘ di s play ing s ph eri al calcificat ions. and fibrous capsule as background , A.nd ghost cells were seen in 2 cases COO s howed hig hly orga nization & differenti ation, resembling a minitooth Each tooth was contained with co n nective tissuc sac CXO s howed haphazard organization, and was domi nated by dentin , displaying no resemblance a tooth, Through the definitive diagnos is of odonotmas on the basis of the clinicopath이 ogi c results, we should establish a plan in diagnosis and t rea tment of odontomas

      • KCI등재
      • KCI등재

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