생태마을의 계획요소 적용 현황 분석에 관한 연구 - 안솔기마을을 중심으로 -

나하영,천득염,Na, Ha-Young,Cheon, Deuk-Youm 한국주거학회 2007 한국주거학회 논문집 Vol.18 No.6

It was undeniable that rapid development of scientific technology gave us not only convenience and efficiency but troubles for existence of human due to destruction of ecosystem. Especially, rapid and massive expansion of the city deteriorated those phenomenons. Constructing Ecovillage was important and could be an alternative dwelling model in that it was sustainable so that we could cope with the troubles. But now, meaning and purpose of it was being hazy while thoughtless Ecovillage and notions of it were diffused. This study began to derive planning and evaluation index of Ecovillage on the basis of reference studies and suggestion for the notion and purpose of Ecovillage. This study began to suggest more clear notion of Ecovillage with reference study and derive planning and evaluation index of Ecovillage on the basis of the prior study. After Interviewing research and Field study, the derived index was applied to Ansolgi village and an evaluation for the application was made to suggest a direction and ways to develop and activate Ecovillage. The result of evaluation with the indices showed that Ansolgi village had those declined to visible and easy to make planning factors. Therefore, to activate and sustain Ecovillage in KOREA, even, simultaneous and well linked planning and evaluation indices should be developed. At this moment, since ten years have passed from the beginning of Ecovillage in KOREA, a study reflecting dwellers' evaluation is needed. And it is the most important the dwellers' cognition for the problems and will to resolve them and continuous interest and investment of government and others who are interested in sustainable development.

자발성세균성복막염의 임상적 소견; 10년간 단일센터의 경험

나하영 ( Ha Young Na ),김정한 ( Jeong Han Kim ),최원혁 ( Won Hyeok Choe ),권소영 ( So Young Kwon ),유병철 ( Byung-chul Yoo ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.2

목적: 자발성 세균성 복막염(spontaneous bacterial peritonitis, 이하 SBP)은 복수가 있는 간경변증 환자에서 중요한 합병증 중 하나이다. 이 연구에서는 최근 10년간 단일 센터에서 진단된 SBP 환자의 임상 양상에 대해 살펴보고자 하였다. 대상 및 방법: 2005년 8월부터 2015년 12월까지 본원에서 진단된 SBP 환자들을 대상으로 하여 그 전산의무기록을 후향적으로 검토하였다. 혈청과 복수 검체 검사를 시행하고 복수에서 동정된 균주를 조사하였다. 결과: 전체 51명의 환자가 연구에 최종 포함되었고 남자가 많았고(64.7%) 평균 나이는 59.2세였다. 간경변증의 가장 흔한원인은 음주(41.2%)였으며 다음이 B형 간염(39.2%)이었다. 31명(60.78%) 환자의 복수에서 균이 배양되었고 나머지 20명(39.22%)에서는 균이 검출되지 않았다. 배양된 균주는 그람 음성균이 80.64% 그리고 그람 양성균이 19.36%였다. 균주의 종류는 Escherichia coli, Klebsiella pneumoniae, 그리고 Streptococcus species가 각각 29.41%, 19.61% 그리고 11.76%를 차지하였다. Escherichia coli 중에서 4예(7.84%)가 ESBL 양성 균주였다. 가장 흔하게 사용된 일차 항생제는 cefotaxime (80.40%)이었다. 예방적 항생제 치료는 8명(15.69%)의 환자에서 시행되었고 SBP가 재발한 환자는 7명(13.72%)이었다. SBP 재발군과 비재발군을 비교하였을 때 양 군 간에 혈액검사나 복수검사에서 유의한 차이는 없었다. 결론: SBP는 복수가 있는 간경변증 환자에서 여전히 중요한 합병증이며 1990년대와 비교하여 큰 변화는 없었다. SBP를 효과적으로 치료하는 것이 간경변증 환자의 예후를 결정하는데 여전히 중요한 역할을 할 것으로 보인다. 또한 SBP 일차치료 실패의 원인으로서 ESBL 양성 균주의 역할에 대한 규명과 이에 대한 적절한 대비가 필요하다. Background/Aims: Spontaneous bacterial peritonitis (SBP) is one of critical complications in liver cirrhosis patients with ascites. We aimed to review clinical course of SBP patients in a 10-year period from single center. Methods: This study enrolled SBP patients between 2005 and 2015. Their medical records were reviewed. The laboratory findings of serum and ascites were examined, and characteristics of isolated microorganisms in ascites were analyzed. Results: Total 51 patients were enrolled. Male patients were predominant (64.7%), and mean age was 59.20 years. The most common etiology of cirrhosis was alcohol (41.2%), followed by hepatitis B (39.2%). Microorganism was isolated from the ascites in 31 patients (60.78%). The proportions of Gram negative and Gram positive were 80.64% and 19.36%. The proportions of Escherichia coli, Klebsiella, and Streptococcus species were 29.41%, 19.61% and 11.76%. Among Escherichia colis, 4 cases were ESBL positive (7.84%). The most commonly used first-line antibiotic was cefotaxime (80.40%). Prophylactic antibiotics treatment was performed only in 8 patients, and SBP was recurred in 7 patients (13.72%). When comparing the SBP recurrence group and the non-recurrence group, there were no significant differences in laboratory findings of serum and ascitic fluid. Conclusions: SBP is still a critical complication in cirrhosis patients with ascites, and the clinical features of SBP have not been altered much compared with those in 1990`s. The effective treatment of SBP is still very important for a better prognosis of cirrhosis patients. (Korean J Gastroenterol 2017;69:129-134)

한국전통주거(韓國傳統住居)에 나타난 가택신앙(家宅信仰)과 공간구성(空間構成)에 관한 연구(硏究)

천득염,나경수,손희하,나하영,Cheon, Deuk-Youm,Na, Kyung-Su,Son, Heui-Ha,Na, Ha-Young 한국건축역사학회 2001 건축역사연구 Vol.10 No.4

Living spaces are the results of social environment and also the reflection of the viewpoints by their residents toward human culture and society. Therefore, in studying living spaces, the true essence of the spaces could be easily distorted when cultural and symbolic motives and values are disregarded and only their apparent characteristics are looked into. Hence, it's necessary to simultaneously understand both physical dwelling spaces from architecture's view points and social ideas, simultaneously, of people who form and interact with the spaces. Hence, this paper tries to study housing religion which is one of shamanistic religions which, in turn, have been the fundamental element of ancient religions and came into existence on the basis of dwelling spaces. This study presumes that house religion may have been permeated with its creators' ideas about living and those ideas could be one of those factors which plays a role in organizing of dwelling spaces. As such, with these prior analyses, this thesis attempts to understand the meaning of various dwelling spaces via the characteristics and functionalities of various house spirits which are mentioned in a local house religion and also will find out spatial harmony of Korean traditional living spaces by way of corelations among living spaces, people, and personalized house spirits. Almost all traditional Korean houses have assigned a house spirit to their individual dwelling space. This means a traditional house was considered as a scared space in a secular world called human society and the space was actually intended to protect sacredness of dwelling places from earthliness outside. So when the hierarchy of house spirits in housing religion is projected to a Korean traditional house, it can be shown that a dwelling house as a building was personified to a respectable human status. In other words, it can be concluded that each space was synonymous with a dwelling place for each house spirit and was considered a sacred godly place. In a nutshell, not only each space in a Korean traditional house was a physical and functional space, but also it formed a scared spatial place along with the concept of house spirits intending to ward off disasters and enjoy a comfortable life through those religious symbols and meanings. Housing shamanistic religion which has long been existing with residents and their lives is seeped with the viewpoints of the residents toward life, and hence understanding the meanings and organization of Korean traditional housing can reveal commonly practiced principles of spatial organization of the traditional houses. Therefore an analysis of Korean traditional housing on the basis of humanistic social ideas will help learn Korea's traditional houses which need to be understood in various methods.

회색질척수염의 병력이 있는 환자에서 발생한 근력 약화: 소아마비후증후군(Post-polio Syndrome)과 피부근염의 감별

안상희 ( Sang Hee An ),나하영 ( Ha Young Na ),강성희 ( Seong Hui Kang ),박수연 ( Soo Youn Park ),유형민 ( Hyung Min Yu ),임채호 ( Chae Ho Lee ),김지완 ( Ji Wan Kim ),권세웅 ( Se Woong Kwon ),이정화 ( Junghwa Lee ),김해림 ( Hae Rim 대한류마티스학회 2014 대한류마티스학회지 Vol.21 No.3

저자들은 급성회색질척수염과거력이 있는 환자에서 새로 발생한 근육 위약이 소아마비후증후군으로 진단되었다가, 근육위약과 피부발진의 증상이 진행하여 피부근염으로 최종진단 후 고용량의 스테로이드와 면역억제제 사용으로 증상과 검사실 소견이 호전되었던 예를 경험하여 문헌고찰과 함께 보고하는 바이다. Dermatomyositis (DM) is an idiopathic inflammatory myopathy, characterized by inflammation of the proximal skeletal muscles and typical skin manifestations, which results in symmetric muscle weakness. A 43- year-old man was presented with skin rash and left leg weakness, and he had a history of poliomyelitis. Initially, he was diagnosed as having post-polio syndrome (PPS) due to unilateral muscle weakness and a result of an the electromyography (EMG), which had shown patterns of PPS. After 4 months with conservative therapy for PPS, weakness of bilateral upper arms had developed and skin rashes on his entire body had aggravated and progressed. He was diagnosed as having dermatomyositis, based on elevated muscle enzyme levels, typical skin rashes, and typical EMG findings, which indicated muscle disease. When a patient with previous poliomyelitis has a newly developed muscle weakness or pain, we should consider various possible causes other than PPS.

면역억제 치료 후 Darbapoetin에 반응한 진성 적혈구 무형성증

손인성 ( In Sung Son ),김도영 ( Do Young Kim ),박수연 ( Soo Youn Park ),나하영 ( Ha Young Na ),이정현 ( Jung Hyun Lee ),허태회 ( Tae Hwe Heo ),조영일 ( Young Il Jo ) 대한내과학회 2013 대한내과학회지 Vol.84 No.5

항 EPO 항체에 의한 PRCA는 매우 드물지만 적절한 치료를 하지 않으면 지속적인 적혈구 수혈이 필요하게 되므로 문제가 된다. PRCA가 진단되면 ESA 투여를 중단하고 면역억제 치료를 하는 것이 필요하다. 특히 항 EPO 항체는 모든 종류의 ESA 제제와 교차반응을 하므로, 어떤 ESA 제제로도 교체 투여하지 않아야 한다. 국내에서는 3예의 증례가 보고되었는데, 면역억제 치료를 시행하였으나 모든 예에서 치료에 성공하지 못하였다. 저자들은 EPO-α를 피하 주사하던 환자에서 발생한 PRCA를 면역억제 치료 후에 darbepoetin-α로 교체 투여하여 성공적으로 치료한 예를 경험하였기에 문헌고찰과 함께 보고한다. Patients with erythropoiesis-stimulating agent (ESA)-induced pure red cell aplasia (PRCA) should not routinely be switched to an alternative ESA or to darbepoetin-α because anti-erythropoietin (anti-EPO) antibodies cross-react with all kinds of recombinant ESAs. We present a case of ESA-induced PRCA in a 69-year-old man on hemodialysis whose anemia improved with reintroduction of darbepoetin-α following immunosuppressive therapy. The patient developed severe anemia after 15 months of subcutaneous administration of erythropoietin-α. After the diagnosis of PRCA, erythropoietin-α was discontinued and immunosuppressive therapy with a combination of prednisolone and oral cyclophosphamide was initiated. After 4 months of immunosuppressive therapy, the anti-EPO antibody titer was markedly decreased; however, esophageal candidiasis developed. Additional therapy with cyclosporine alone instead of prednisone and cyclophosphamide was performed, and anti-EPO antibody was subsequently not detected. Darbepoetin-α was then reintroduced, and the patient`s anemia improved without red cell transfusion. In conclusion, ESA-induced PRCA was successfully treated with reintroduction of darbepoetin-α following immunosuppressive therapy. (Korean J Med 2013; 84:742-746)

일반 논문 : 가댁신앙(家宅信仰)을 통한 한국전통주거공간(韓國傳統住居空間)의 의미(意味) 해석(解釋)

천득염 ( Deuk Youm Cheon ),나경수 ( Kyung Su Na ),손희하 ( Heui Ha Son ),나하영 ( Ha Young Na ) 전남대학교 호남학연구원 2001 호남학 Vol.28 No.-

연구논문 : 신항만 해사 매립 공사시 비산먼지 발생량 산정 및 주변영향 평가

최원준 ( Won Joon Choi ),조기철 ( Ki Chul Cho ),이은용 ( Eun Yong Lee ),나하영 ( Ha Young Na ),이순규 ( Soon Kyu Lee ),오광중 ( Kwang Joong Oh ) 한국환경영향평가학회 2006 환경영향평가 Vol.15 No.4

영구임대 및 분양아파트 단지의 사회적 통합 실태조사

이민아(Lee Min-Ah),김미희(Kim Mi-Hee),나하영(Na Ha-Young) 가정과삶의질학회 2009 가정과삶의질연구 Vol.27 No.2

家神信仰을 통한 韓國傳統住居空間의 意味 고찰

나하영,천득염 대한건축학회 2001 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.21 No.1

The Korean Traditional Dwelling House is a product of a social environment which reflects the thought, religion. Therefore, to understand the meaning of the Korean Traditional Dwelling House, it is necessary to study the dweller's thought about men-world. The purpose of t11is study is to understand the meaning of the Korean Traditional Dwelling House by analyzing the Domestic Religion. In conclusion, the Domestic Religion is related closely to the Korean Traditional Dwelling House. On such a context, the Korean Traditional Dwelling House is regarded as a sacred house where gods dwell. Accordingly the Korean Traditional Dwelling House has the dualism as the space of men and gods, and the hierarchic structure by hierarchy of gods.

家宅信仰을 통한 韓國傳統住居空間의 意味 解釋

천득염,나경수,손희하,나하영 전남대학교호남문화연구소 2001 호남학 Vol.28 No.-

The Korean Traditional Dwelling House is product of a social environment which reflects the thought, religion. Therefore, to understand the meaning of the Korean Traditional Dwelling House, it is necessary to study the dweller' thought about men-world. The purpose of this study is to understand the meaning of the Korean Traditional Dwelling House by analyzing the Residential Religion. In conclusion, the Residential Religion is related closely to the Korean Traditional Dwelling House. On such a context, the Korean Traditional Dwelling House is regarded as a sacred house where gods dwell. Accordingly the Korean Traditional House has the dualism as the space of men and gods, and the hierarchic structure by hierarchy of gods.