문합부 후방 탈장

박승연(Seung Yeon Park),정민(Min Chung) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.1

Gastric surgery is one of the most frequently performed operations in Korea. Retroanastomotic hernia is a rare complication ingastric surgery. We experienced this hernia and herein report it with a review of the literature. A 69-year-old male patient suffered from periumbilical pain for 3 days. Positive physical findings were tenderness around the umbilicus and decreased bowel sound. Simple abdominal findings revealed a mechanical obstruction. This patient had a history of gastrectomy 13 years prior to admission. At operation field, we were able to find the defect consisting of the transverse mesocolon, stomach, jejunum and retroperituneum. In Korea, since its first report by Petersen, only a few reports about this hernia have been reported. After increased incidence of operations for morbid obesity, reports on retroanstomotic hernia have increased.

복부 수술 후 껌을 이용한 장폐색의 단축

박승연(Seung Yeon Park),정민(Min Chung) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5

Purpose: Gum chewing activates chephalic-vagal reflex as in food consumption and increases the release of gastrointestinal hormones which are related with gut motility. The objective of this study was to assess whether it is effective in shortening the time of hospitalization and postoperative ileus. Methods: Twenty patients who received open abdominal surgery for colon cancer in Gachon University, Gil Hospital were collected. They were further categorized to gum-chewing group (n=10, mean age=52.0 years, range 37 to 70) and control group (n=10, mean age=59.7 years, range 35 to 75) randomly. The patients in the gum-chewing group chewed gum three times a day from the first postoperative AM until the day they began oral intake. The time of gas out was recorded in each group. Results: The mean time of gas out were 2.35 days (SD 1.2) in gum-chewing group and 2.87 days (SD 1.2) in control group (P=0.41). The mean postoperative hospital days were 10.5 days in gum-chewing group and 13.0 days in control group (P=0.23). Conclusion: There were no statistically significant results for shortnening of postoperative ileus and hospital day in this study.

T1 침윤성 유관암에서 액와부 림프절 전이에 영향을 주는 인자들

박승연 ( Seung Yeon Park ),박흥규 ( Heung Kyu Park ) 대한임상종양학회 2010 Korean Journal of Clinical Oncology Vol.6 No.2

Background: Due to the increment of general interest in breast cancer and the early screening examination, the rate of early breast cancer is relatively increasing, along the rate of the successful treatment. Even at the earlier stage of breast cancer, the process of axillary lymph node metastasis is significant for treatment and prognosis of the cancer. Therefore, the aim of the study is to identify the factors that influence the lymph node metastasis among the patients with T1 breast cancer. Methods: Between January 2003 and May 2008, 204 patients diagnosed as infiltrating ductal carcinoma after the breast cancer resection at Gachon University Gil Hospital were enrolled in this study. Each patient`s age, size and location of cancer, number of tumor, tissue and nuclear grade, infiltration of lymph vessels, immunohistochemistry test result (ER, PR, p53, HER2, Ki67, etc.), and axillary lymph node status were compared. Results: 10 out of 204 patients had cancer smaller than 0.5 cm(T1a), 22 patients had cancer size larger than 0.5 cm and smaller than 1cm(T1b), and 172 patiens had cancer size larger than 1cm(T1c). For the rate of axillary lymph node metastasis, in the group of T1a, 1/10 (10%) patients showed axillary lymph node metastasis, in T1b, 2/22(9.1%) patients showed axillary lymph node metastasis and in T1c, 54/172(31.3%) patients showed axillary lymph node metastasis. The result distinguished by the size of the cancer was statistically significant (p=0.039). The number of tumor was sorted as 1, 2, and more than 3, and each integer was 179, 17, and 8 patients. The rate of axillary lymph node metastasis according to the number of tumor was 48/179 (26.8%) with 1 tumor, 5/17(29.4%) with 2 tumors, and 4/8 (50%) with more than 3 tumors. This result distinguished by the number of tumor was also statistically significant (p=0.007). Also, Lymphovascular invasion was statistically significant(p=0.001). The rate of axillary lymph node metastasis did not show the statistical significance with the age of patients, location of cancer, tissue and nuclear grade, and immunohistochemistochemical staining result. Conclusion: It is considered that the size and the number of tumor, and lymphovascular infiltration are the significant factors influencing axillary lymph node metastasis of the T1 invasive ductal carcinoma. Furthermore, it is expected that the size and the number of tumor in preoperative ultasonography will be helpful determining the axillary lymph node dissection.

공공임대아파트 생활안전 환경디자인 개념 및 원리 연구

박승연(Park, Seung-Yeon),강석진(Kang, Seok-Jin) 대한건축학회 2023 대한건축학회 학술발표대회 논문집 Vol.43 No.2

The purpose is to increase residence in a safe and comfortable environment in Public Rental Housing, this study aims to propose new concepts and principles of Safe Living Environmental Design by integrating crime prevention design and universal design. First, the concepts and principles of background theory, research conducted on Public Rental Housing, and related legal systems and certification standards are considered. Second, an expert survey is conducted to identify the application status of each certification standard through a field survey, to propose the concept and principle of Safe Living Environmental Design that integrates the two theories, and to find out the actual applicability and limitations.

건축실무자 중심의 범죄예방 건축기준 적용현황 분석

박승연(Park, Seung-Yeon),김고원(Kim, Go-Won),강석진(Kang, Seok-Jin) 대한건축학회 2022 대한건축학회 학술발표대회 논문집 Vol.42 No.2

The purpose of this study is to analyze the current application status of crime prevention building criteria centered on practitioner. Accordingly, the validity of detailed criteria was reviewed by analyzing related legal systems and crime prevention building criteria, and the level of understanding, application status, and improvement of each and clauses of crime prevention building through analysis of practitioners awareness.

CPTED 연구 동향 분석

박승연(Park, Seung-Yeon),강석진(Kang, Seok-Jin) 대한건축학회 2022 대한건축학회 학술발표대회 논문집 Vol.42 No.1

지역기반 CPTED적용을 위한 범죄위험도 평가연구

박승연(Park, Seung-Yeon),강석진(Kang, Seok-Jin) 대한건축학회 2018 대한건축학회 학술발표대회 논문집 Vol.38 No.1

공공임대아파트의 거주성 향상을 위한 연구 동향 분석

박승연(Park, Seung-Yeon),강석진(Kang, Seok-Jin) 대한건축학회 2023 대한건축학회 학술발표대회 논문집 Vol.43 No.1

Public rental Housing are a very important social stabilization measure in that they will promote housing stability for low-income people without homes and raise the level of housing welfare, and the living environment is the same. With the need to improve social awareness of public rental Housing and to apply policies, systems, and environmental improvement measures, it is considered very important to analyze the trends of related research conducted so far and derive implications.

활성화 된 상업가로의 환경요인과 이용자 특성 분석

박승연(Park, Seung-Yeon),김민진(Kim, Min-Jin),강수진(Kang, Su-Jin),문지영(Moon, Ji-Young),서수민(Seo, Su-Min),강석진(Kang, Seok-Jin) 대한건축학회 2019 대한건축학회 학술발표대회 논문집 Vol.39 No.2

The purpose of this study is to analyze the characteristics of commercial streets specialized by region from the user"s perspective and to draw up suggestions for future street activation. The characteristics of the street were analyzed through field surveys and survey analyses in commercial areas in urban areas, and the aggregated survey data were analyzed by statistical programs. Methods for revitalizing local small and medium-sized cities as commercial districts will need to preserve street identity by reflecting local social demographics, diversify stores that can cause various behaviors, and expand facilities for landscape improvement and safety.

형상체질을 바탕으로 한 귀 분석 상담

박승연(Seung Yeon Park) 한국자연치유교육학회 2022 자연치유교육학회지 Vol.6 No.1

자연치유의 한 분야인 귀 분석 상담은 귀 혈(穴), 즉 귀의 특정 위치(적용점)에 나타난 반응을 살펴 자극함으로써 뇌로 전달된 자극이 다시 적용점과 연관된 신체로 전달되어 증상 완화와 치유에 사용되는 자연치유 요법이다. 귀 분석 상담에 개인의 고유한 특성인 체질을 적용한다면 더욱 효율적인 치유를 할 수 있을 것이다. 이를 위한 방안으로 형상체질을 바탕으로 한 귀 분석 상담 방법론에 대한 연구의 필요성이 제기된다. 본 연구에서는 목형인의 귀의 적용점에 나타나는 주요 반응을 조사, 자료화하여 귀의 적용점 및 구역에 나타나는 반응 빈도를 분석하였고, 형상체질의 특성을 고려하여 목형인의 약한 장부와 적용점의 반응과의 관계 분석을 통해 목형인을 위한 귀 분석 상담 가이드를 제시하였다. 첫 번째, 목형인의 경우 오행의 상극(相剋), 상모(相侮) 관계인 토(土)와 금(金)에 해당되는 약한 장부 비장/위장, 폐/대장을 우선적으로 고려하여 귀 분석 상담을 시행하는 것을 제안한다. 두 번째, 인체의 항상성을 유지하는데 도움이 되는 기본 자리로 “신문, 뇌, 내분비, 자율신경, 삼초”를 첩압하고, 목형인 체질에게 토(土) 에너지를 보완하는데 도움이 되는 기본 자리로 소화기의 마스터 혈인 “이중”을 첩압하기를 제안한다. 마지막으로, 생애주기를 고려하여 40~60대의 경우 생식기 구역과 신장, 방광, 전립선 적용점의 반응을 살피고, 10~20대의 경우 과민구 증상을 고려하여 귀 분석 상담을 시행하기를 제안한다. 아울러, 본 연구 결과를 기반으로 형상체질 특성과 적용점의 반응과의 상관관계를 비교 연구하여 형상체질별 귀 분석 상담모형으로 연구가 확장되기를 기대한다. Ear analysis counseling, which is a field of natural healing, stimulates by examining and stimulating the ear acupoints, that is, the response at a specific location (application point) of the ear, and the stimulation transmitted to the brain is transmitted back to the body related to the application point for symptom relief and healing. It is a natural remedy used.If the individual's unique characteristics, the constitution, are applied to ear analysis counseling, more efficient healing will be possible. As a plan for this, the necessity of research on ear analysis counseling methodology based on shape constitution is raised. In this study, the frequency of reactions appearing in the application point and area of the ear was analyzed by investigating and documenting the main reactions appearing at the application point of the ear of the wooden caster,Considering the characteristics of the shape constitution, an ear analysis counseling guide for wooden figures was presented through an analysis of the relationship between the weak tenon and the response of the application point. Considering the characteristics of the shape constitution, an ear analysis counseling guide was presented for the neck type person through the analysis of the relationship between the weak head of the neck type person and the response of the application point. Second, as a basic seat that helps maintain homeostasis of the human body, it presses “engel gate, brain, endocrine, autonomic nervous system, and Sam Jiao” and helps to supplement earth energy for a wooden constitution. Suggests to subdue “Ear center”, the master point. Lastly, considering the life cycle, it is suggested to examine the response of the genital area, kidney, bladder, and prostate application points in the case of the 40s to 60s, and to perform ear analysis counseling considering the symptoms of hypersensitivity in the case of the 10s to 20s. In addition, based on the results of this study, it is expected that the study will be expanded to a counseling model for ear analysis by shape constitution by comparatively studying the correlation between the shape constitution characteristics and the response of the application point.