삼강오륜(三綱五倫)의 현대적 이해

민정기 ( Min Jung-kee ) 한국청소년효문화학회(구 한국청소년문화학회) 2017 韓國의 靑少年文化 Vol.30 No.-

‘삼강오륜(三綱五倫)’이란 모든 인간관계의 모범을 가르치는 윤리이다. 단적으로 표현하면 삼강은 수직윤리인데 비하여 오륜은 호혜윤리이다. 삼강은 벼리를 바로 세우는 윤리라면 오륜은 마땅히 지켜야 할 서로가 지켜야 할 도리이다. 우리나라의 삼강오륜은 효를 가장 기본적인 윤리라 하여 인사(人事)를 가르치고 있다. 아침에 일어나 부모님께 안부를 묻고, 나가거나 들어와서는 부모님께 고하는 것이 부자관계를 친하게 하는 근본이다. 이런 사람을 뽑아 등용해야 한다는 것이 이 논문의 현대적 의의이며 주장하는 핵심이다. 특히, 현대사회에서조차도 인간관계의 조화와 평화로서 대동단결하는 세상을 여는 일을 이 삼강오륜에서 찾고자 한다. 그러나 현대에 들어와 흔히 삼강오륜을 봉건시대의 덕목에 불과한 것으로 인식하는 경향이 많다. 그럼에도 불구하고 현대적인 재해석을 통해 우리 사회의 일반적인 덕목으로 활용할 충분한 소지가 있다고 하겠다. 교육은 ‘백년지대계’이다. 그러함에도 교육의 기본인 가정교육이 흔들거리고 학교교육과 사회교육이 무너지면서 청소년들의 탈선문제, 성범죄 문제가 과거 그 어느 때보다 심각하다. 무방비 상태인 시대이다. 이 문제는 우리 민족의 사상적 뿌리인 ‘동이인(東夷人)’과 ‘우리 얼’의 역사와 ‘한국정신’의 전통문화 계승·발전으로 해결할 수 있다. 삼강오륜으로, 세계를 이끌어 갈 대사유(大思惟)가 무엇인지 통찰력 있게 살펴보아야 한다. 세계의 힘이 서양에서 동양으로 변이(變易)하고 있다. 그 바탕에는 한국철학의 힘이 내재한다. 세계학자들이 삼강오륜을 ‘미래시대의 나침반’이라고 부르는 것은 그들이 삼강오륜을 뿌리교육으로 토대를 세우고자 하는 의도 때문일 것이다. 이제 우리는 우리나라가 도덕·윤리국가의 주체로 세우기 위한 목표가 여기에 있음을 강조한다. Samgangohrun' is an ethic that teaches all human relations. In short, the Samgang is a vertical ethic, and the Ohrun is a reciprocal ethic. The Samgang is the ethics that set the foundation rightly, and the Ohrun should be kept together. Our country teaches greetings as the most basic ethics. Getting up in the morning and asking your parents for help, going out or coming in and telling your parents is the basis for your close relationship with your parents. I have to pick this person up and take it. That is the contemporary significance of this essay. In modern society, to open a world of solidarity with harmony of human relations and peace, we have to find it in the Samgangohrun. However, there are many tendencies to perceive the Samgangohrun as merits of the feudal era. Nevertheless, I would like to say that it is worthy to utilize it as a general virtue of our society through modern reinterpretation. Education is 'The Plan of one hundred years'. The home education that is the basis of education is shaken, the school education and social education are collapsed, and the problems of derailment of youths and sexual crimes are more serious than ever. It is indeed a defenseless era. This problem can be solved by the history of 'Dong-yi-in(東夷人)' and 'Our spirit(우리의 얼)', the ideological roots of our nation and the succession of 'Korean spirit(韓國精神)'. We have to look at what ethics will lead the world in an insightful way. The power of the world is changing from the West to the East. It has the power of Korean philosophy. World-renowned scholars call the Samgangohrun a "Compass of the Future." It is because they intend to build the Samgangohrun as root education. Now we want to emphasize that our country is the subject of moral and ethical state.

생체 내 분해 콜라겐기질을 이용한 섬유주절제술의 임상적 소견 및 임상 효과에 대한 분석

이승주,우제문,민정기,기창원,임진호,Sung Ju Lee,Je Moon Woo,Jung Kee Min,Chang Won Kee,Jin Ho Yim 대한안과학회 2012 대한안과학회지 Vol.53 No.2

Purpose: To observe the effects of biodegradable collagen matrix (OculusGenTM) on filtering bleb formation and maintenance and to investigate its clinical effects and usefulness in trabeculectomy. Methods: Ophthalmologic examinations were preformed 1 day, 2 weeks, 1 month, 2 months, 3 months, 6 months, and 12 months postoperatively in the case and control groups. The clinical findings of the filtering bleb were observed, and the clinical effects measured by mean intraocular pressure and complications were evaluated in both groups. Results: The success rates were 76% in the case group and 88% in the control group, and there were no significant differences between the case and control groups. In the case group, postoperative conjunctival injection persisted for more than 1 month with increasing severity, while ultrasound biomicroscopy revealed increased echogenicity of the subconjuctival and tenon tissue with no definite space-occupying effect. Conclusions: Trabeculectomy utilizing collagen matrix showed similar clinical results compared to the current traditional trabeculectomy; slit-lamp and ultrasound biomicroscopy findings did not reveal any advantageous changes to filtering bleb function. J Korean Ophthalmol Soc 2012;53(2):297-305

망막분지정맥폐쇄 환자의 오목무혈관부위 면적측정에서의 빛간섭단층혈관조영술의 효용성

이승환(Seung hwan Lee),민정기(Jung Kee Min),우제문(Je Moon Woo) 대한안과학회 2017 대한안과학회지 Vol.58 No.7

목적: 망막분지정맥폐쇄 환자에서 빛간섭단층혈관조영술(optical coherence tomography angiography, OCTA) 및 형광안저혈관조영술의 오목무혈관부위 면적측정을 통하여 빛간섭단층혈관조영술의 효용성을 확인한다. 대상과 방법: 망막분지정맥폐쇄가 있었던 34명을 대상으로 후향적으로 과거력, 안저검사, 형광안저혈관조영술, 빛간섭단층촬영검사, 빛간섭단층혈관조영술 결과를 분석하였다. 형광안저혈관조영술과 빛간섭단층혈관조영술을 사용하여 오목무혈관부위의 면적을 중심와두께(300 μm)를 기준으로 황반부종의 유무를 구분하여 두 개의 군으로 나누고 측정된 면적을 비교하였다. 결과: 형광안저혈관조영술과 빛간섭단층혈관조영술로 측정한 표층의 오목무혈관부위 면적은 황반부종의 유무와 관계없이 선형의 상관관계가 있었으나(r=0.845, p=0.001), 심부층에서는 상관관계가 없었고 통계적으로도 유의하지 않았다(r=0.001, p=0.996). 또한 형광안저혈관조영술과 빛간섭단층혈관조영술의 표층에서 측정한 오목무혈관부위 면적은 두 측정법 간에 유의한 일치를 보였지만 (intraclass correlation coefficient [ICC]=0.916, p=0.001), 심부층에서 면적과의 비교는 신뢰할 수 없었으며 통계적으로도 유의하지 않았다(ICC=0.001, p=0.501). 결론: 망막분지정맥폐쇄 환자에서 빛간섭단층혈관조영술은 형광안저혈관조영술의 2차원적인 단면에서의 오목무혈관부위 면적측정을 벗어나 표층과 심부층에서 오목무혈관부위를 측정할 수 있었다. 표층에서의 오목무혈관부위는 형광안저혈관조영술과 유의한 상관관계를 보였지만, 심부층의 오목무혈관부위는 그렇지 않았다. 하지만 심부층 오목무혈관부위는 환자의 시력저하와 양의 상관관계를 보이고 있어 시력예후를 반영하는 지표가 될 수 있을 것으로 생각된다. <대한안과학회지 2017;58(7):818-827> Purpose: To evaluate the efficacy of optical coherence tomography angiography (OCTA) by measuring the foveal avascular zone (FAZ) area in patients with branch retinal vein occlusion (BRVO). Methods: Thirty four eyes of 34 patients with BRVO were retrospectively reviewed. The area of the FAZ was calculated using fluorescein angiography (FAG) and OCTA. The FAZ area was divided into two groups according to the presence of macular edema, which was determined based on the central foveal thickness (300 μm), and then the measured areas were compared. Results: Pearson’s correlation analysis revealed a significant positive correlation between FAG and the superficial capillary plexus (SCP) in OCTA with or without macular edema (r = 0.845, p = 0.001). However, there was not a significant correlation between FAG and the deep capillary plexus (DCP) in OCTA (r = 0.001, p = 0.996). In addition, the FAZ area measured by FAG and OCTA in the SCP showed a significant agreement between the two methods (intraclass correlation coefficient [ICC] = 0.916, p= 0.001). However, there was no significant relation found for the FAZ area between FAG and OCTA in the DCP (ICC = 0.001, p = 0.501). Conclusions: In the patients with BRVO, OCTA can be used to measure the FAZ areas in both the SCP and DCP, beyond measurement of the FAZ area at the two-dimensional cross section used during FAG. The FAZ area in the SCP via OCTA showed a statistically significant correlation with the FAZ area determined by FAG, but there was no such correlation in the DCP. That said, the FAZ area in the DCP was positively correlated with a decrease in visual acuity among the patients, which may be an indicator of visual prognosis. J Korean Ophthalmol Soc 2017;58(7):818-827

복막결핵 환자에서 발생한 합병증을 유발한 홍채낭종의 자발적 회복 1예

윤요셉(Yo Sep Yoon),이승환(Seunghwan Lee),민정기(Jung Kee Min),이창규(Chang Kyu Lee) 대한안과학회 2018 대한안과학회지 Vol.59 No.5

목적: 복막결핵 환자에서 발생한 홍채낭종으로 인해 포도막염 및 폐쇄각성 안압 상승이 발생했을 때 결핵 치료 및 보존적 치료만으로 홍채낭종의 자발적 회복을 보인 증례가 있어 보고하고자 한다. 증례요약: 49세 여자 환자로 본원 내원 한 달 전 우안 시력 저하가 있어 일차 병원 안과에서 우안 홍채염 진단하에 스테로이드 치료중 전방내 염증세포와 12시 방향으로 전방각을 완전히 막는 홍채낭종이 발생하여 내원하였다. 이때 환자는 본원 내과와 산부인과에서 복막 결핵으로 진단 후 수술과 약물 치료 중이었다. 환자는 과거력상 녹내장은 없었지만 홍채낭종 발생 시 우안 안압 29 mmHg까지 상승하였고 전방 내 염증세포가 +1~+2 정도 보였다. 고식적인 낭종 내 알코올 주입, 레이저 치료, 절제술 등과 같은 침습적인 치료 없이 앓고 있던 결핵에 대한 약물 치료와 함께 안압약과 스테로이드 안약 치료만으로 결핵의 일차 병변의 호전과 함께 홍채낭종도 완전히 없어졌다. 결론: 홍채낭종이 안구의 병변으로 발생한 경우 침습적인 치료를 즉각적으로 시행하기보다는 우선 홍채낭종의 양상과 원인 질환 파악이 필요하며 이차적 양성 홍채낭종이 의심되는 경우 원인 질환에 대한 일차적 치료가 필요할 것으로 생각된다. Purpose: We report a case of spontaneous recovery of an iris cyst with only tuberculosis medication and conservative eye drops when uveitis and angle closure occurred because of a cyst in a patient with peritoneal tuberculosis. Case summary: A 49-year-old female who was diagnosed with iritis and treated with steroid eye drops visited our clinic because of decreased visual acuity 1 month prior. There were anterior chamber inflammation cells and an iris cyst completely obstructing the anterior chamber at 12 o clock. At the time, the patient had been diagnosed with peritoneal tuberculosis in the Department of Internal Medicine and Gynecology and had been treated with surgery and medication. The patient had no past history of glaucoma, but when the iris cyst developed, the intraocular pressure increased to 29 mmHg and anterior inflammatory cells were seen in the range of +1 to +2. The primary lesion of tuberculosis improved and the iris cyst disappeared with treatments involving medication for tuberculosis, steroid eye drops, and glaucoma eye drops, without invasive treatments such as alcohol curettage, laser treatment, or cyst resection. Conclusions: If an iris cyst is a new lesion of the eye, it is necessary to identify the pattern and cause of the iris cyst first, and if a secondary benign iris cyst is suspected, the primary treatment of the causative disease is necessary rather than prompt invasive treatment. J Korean Ophthalmol Soc 2018;59(5):491-495

평면부 유리체절제술과 실리콘기름충전술을 시행한 눈에서 망막층 두께의 변화 분석

김재현(Jae Hyun Kim),윤요셉(Yo Sep Yoon),우제문(Je Moon Woo),민정기(Jung Kee Min) 대한안과학회 2021 대한안과학회지 Vol.62 No.7

목적: 열공망막박리 및 안내이물 환자에서 유리체절제술과 실리콘기름충전술을 시행한 후 성공적으로 망막 재유착을 보인 환자에서 망막층 두께의 변화를 알아보고자 하였다. 대상과 방법: 유리체절제술과 실리콘기름 충전을 시행한 환자 28명 28안(열공망막박리 24안, 안내이물 4안)을 대상으로 후향적 연구를 진행하였다. 파장가변 빛간섭단층촬영기의 삼차원 광각모드를 사용하여 실리콘기름 충전 도중 및 제거 후 시점에서 망막전층, 망막신경섬유층 및 신경절세포-내망상층의 두께를 황반부 Early Treatment Diabetic Retinopathy Study subfield에서 측정했고, 정상 반대안과 차이를 비교 분석하였다. 결과: 실리콘기름 충전 기간 동안 망막전층 두께 감소에 비하여 망막신경섬유층과 신경절세포-내망상층의 경우 실리콘기름 유지 기간이 길어질수록 평균 두께 감소가 두드러졌다. 망막전층, 망막신경섬유층 및 신경절세포-내망상층의 두께는 실리콘기름 충전 중에 측정한 값보다 제거 후 및 정상 반대안을 측정한 값이 유의하게 크게 측정되었다. 결론: 실리콘기름 안구 내 충전술은 망막층 두께 변화를 유발할 수 있다. 실리콘기름의 안구 내 충전 기간이 길어질수록 내망막층의두께 감소를 더 유발할 수 있다. Purpose: To investigate changes in the retinal layer thickness in rhegmatogenous retinal detachment (RRD) and intraocular foreign body (IOFB) patients undergoing successful pars plana vitrectomy (PPV) with silicone oil tamponade. Methods: This retrospective study included 28 eyes of 28 patients (RRD: 24 patients; IOFB: 4 patients) that were successfully repaired with PPV with silicone oil tamponade. The thickness measurements of the total retina, retinal nerve fiber layer (RNFL), and ganglion cell-inner plexiform layer (GC-IPL) were performed with swept-source optical coherence tomography in nine Early Treatment Diabetic Retinopathy Study subfields, using the wide three-dimensional mode before and after silicone oil tamponade removal. The measurements were compared and differences were analyzed with respect to normal fellow eyes. Results: The RNFL and GC-IPL thickness measurements decreased remarkably as the silicone oil tamponade period progressed, compared with the thickness of the total retinal layer. The average thicknesses of the total retina, RNFL, and GC-IPL were significantly greater in eyes in which the silicone oil had been removed than in those in which the silicone oil remained. Conclusions: Silicone oil tamponade can change the thickness of the retina layer. The longer the silicone oil is tamponaded, the more significant the reduction in thickness of the inner retinal layer.

인공지능 기반 신생혈관성 나이관련황반변성 진단보조소프트웨어 사용자 인터페이스 개선 연구

구원미(Wonmi Gu),김소영(Soyoung Kim),김영은(Young Eun Kim),박성희(Sunghee Park),김문수(Moonsu Kim),임화경(Hwakyung Lim),허태영(Tae-Young Heo),김도윤(Doyun Kim),민정기(Jung Kee Min),홍석수(Seoksu Hong),윤재석(Jaesuk Yun) 대한약학회 2024 약학회지 Vol.68 No.2

With the recent development of Software as a Medical Device (SaMD), the significance of reducing use errors in medical devices is increasing. In this study, we conducted a formative evaluation of Artificial Intelligence (AI)-based software for ophthalmic image detection and diagnosis. The software automatically displays the presence or absence of neovascular age-related macular degeneration using fundus images to assist medical personnel in making diagnostic decisions. We aimed to find ways to reduce the number of use errors in formative evaluations. For this purpose, we conducted usability testing by performing tasks based on use scenarios for usability formative evaluations with intended users in their intended use environments, and then modified the user interface to reduce use errors. The initial formative evaluation revealed errors in utilizing the capture and dragand- drop functions for uploading fundus images, checking analysis results, and perform logout procedures. To reduce use errors, we improved the function by relocating the capture icon, displaying a hand-shaped cursor during dragging, inserting a fundus position guide, and eliminating the drag-and-drop function. We have also enhanced the design to present analytics results in a more intuitive manner and added a separate logout button to reduce the risk of use error. As a result, the number of use errors in the formative evaluation decreased from six to one in the summative evaluation. The development of ophthalmic image detection and diagnosis assistant software that reflects these improvements is expected to enhance user safety, usability, and reduce use errors.

一部農村地域 學童期兒童의 身體發育과 營養狀態에 關한 調査硏究

閔貞基 대한보건협회 1981 대한보건연구 Vol.7 No.2

A general Survey of 418 School Children (from lst to 4th grade) residing in the Dong nae area of Shindong Myun and Dong Myun, Choon Seoung Gun, Kang Won Province was conducted from August 20 to 27, 1979, to obtain information about nutritional status, of School Children in a rural area of Korea. 360 Children are selected for hematological tests and 90 children for biochemical tests. The results of these tests are presented below; 1) Both the mean body height and mean body weight of these children were higher and heavier than those in the case of the Iowa malnutrition borderline Standards. 100% total tested children was within the 90 percent of Korean Physical Standard height level. 86.0% of boys, 79.3% of girls in weight within the 90 percent of Korean Physical Standard weight level and 7.1% of boys, 2.6% of girls in weight less than 80 percent of Korean Physical Standard weight level. 2) The mean hemoglobin level was 12.3g/100ml (±2.2) and 48.9 percent of the children were anemic (less than 12g/100ml among those 6 years old or more). The average hematocrit value was 41.3% (±4.6) and 82.8% total tested Children showed below 34% value on the M.C.H.C. test. These results showed that the incidence of anemia was high and it displayed hypochromic charade ristics in those tested children. 3) The mean values of total strum protein and albumin were 6.92g/100ml and 4.39g/ml respectively. Especially in Serum albumin value of all Children showed more than 4g/100ml. 4) The mean Urinary ureanitrogen per creatinine ratio was 11.5 (±4.8) and 23 percent was in above 15 ratio. Considering these results, it was assumed that protein nutritin in these children was relatively good.

一部地域 女大生의 營養實態 調査

閔貞基 한국식품영양학회 1988 韓國食品營養學會誌 Vol.1 No.2

In view of the national health, the health of women during their childbearing age is important. This survey was conducted for the purpose of pratice of nutrition education the dietary intakes, and the means of daily food intakes was investigated by food habit for 100 students and two day records of 75 women students of Junior on Dept. of Food and Nutrition in a college in November 1987. The results obtained are summarzed as follows. 1) Average food habit score was only 4.67 out of possible 10.0 points. And 41% of the subjects belonged "poor food habit" group. 2) Their diets were found to be lacking in total amount of food intake (915±74gm)and in such foods as cereals, potatoes, green and yellow vegetables, oils and fats. But animal food intakes were sufficient in such foods as fishes, meats and eggs. The percentage of animal protein to total protein was 43.8% in subjects. 3) The averege calorie intake (1535±512㎉) was insufficient against R.D.A.(2000㎉), the other lacking nutrients were protein, Fats and oils, Ca, these percentages of R.D.A. were 98.2%, 64.0% and 89.6%. They showed that each person was depended upon more the chief meals than side dishes in intakes of energy.