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      • 韓國人 脊髓腫瘍에 關한 硏究 : An Analysis of 120 Korean Patients

        徐英煥 최신의학사 1967 最新醫學 Vol.10 No.6

        Since the first successful removal of a spinal cord tumor by Victor Horsley in 1888, our knowledge of the pathology and diagnosis of this type of neoplasm and of its surgical treatment has been greatly enriched by meny workers throughout the world. The increasing number of reports of successful operations for spinal cord tumors clearly indicated the importance of early diagnosis and surgical treatment. Prolonged delay before treatment may lead to permanent paralysis and death of the patients, whereas, the early surgical removal of the tumor often results in complete restoration of normal function. The purpose of this investigation is to analyze certain clnical and pathologic findings in a series of 120 Korean patients of spinal cord tumors. These cases were operated at the Seoul National University Hospital from September, 1957 to Narch, 1967. The study is concerned with neoplasms which originated in the spine or from the structures within the spinal canal and metastatic malignant tumors. The types of tumors which were pathologically identified were neurofibroma, 38 cases (23. 4 per cent.); meningioma, 20 cases (16. 8 per cent.); tuberculoma, 8 cases (6.7 per cent.); gpoma, 5 cases (4.2 percent.); 4 cases (3.3 per cent.) each of paragonimiasis, malignant lymphoma and lymphosarcoma; 3 cases (2.5 per cent.) each of lipoma, angioma and osteogenic sarcoma; 2cases (1.7 per. cent.) each of i multiple myeloma, chordoma and reticulum cell sarcoma; one case (0.8 per cent.) each of spinal lithiais, dermoid cyst, rhabdomyosarcoma, lymphoma, cysticercus and unclassified malignant tumor; and metastatic malignant tumor, 23 cases (19.3 per cent.) Sixty tumors (50 per cent.) occurred in the thoracic portion of the spine. Twenty-five tumors (20.8 per cent.) were found in the lumber region; twenty-two (18.4 per cent.) in the cervical region; seven (5.8 per cent.) in the sacral region; and six (5 per cent.) in the Iumbosacral region. The horizontal locations of the tumors were as folllows: Intrameduliar'y, nine (7.5 per cent.); extrame dullary intradural, fifty-one cases (42.5 per cent); and extradural, sixty cases (50 per cent.) The age of the majority of patients was between fourty and sixty years; the youngest patients was a fiveyear-old girl who had a intramedullary astrocytoma and the oldest was a man of seventy who had a exturadural metastatic tumor. The average age of the patient in the whole series of cases was 38.4 years. In regard to the sex of the patients, there were more males (74 cases) than females (46 cases). It is interesting to note that neurofibroma was 1.5 times more prevalent among males than among femaces rnen~ngiomn ~w '"'"" e ore e alent among females than ~agagonun f, c~sticercoSiS'happene ioq nes and dernioid,cyst and spinal'lithtasis on y, in females ~v+t[ ~ A review of the sub}ective 4mplamts of all patients revealed that pain or dysesthesia in 98 cases Sul 7 Per cent.);'motor andlsensor=y~dlsturbance 6 115cases~.(95.8 per went:) apd disturbances of sphincter_; ' control in 102 cases (85 per cent.) In the' majority of cases a combination of two or more of th,, x Symptoms had developed during the, evolution of the disease. The color of , the cerebrospinal fluid obtained by lumbar puncture was recorded, in 64 'cases; this w a, yellow in 49 cases and colorless in-15 cases. The total protein was incerased in 57 cases. The cell count of the fluid was normal in 51 cases (79: 7 per cent.). The Queckenstedt test was made in 64 cases; compl_ ' etc block was demonstrated in 41 cases (64 per, cent.), partial block in 12 cases (18 8percent) and no block . in 11 cases (17.2 per, cent.). It was apparent that the best results of surgical treatment were obtained in those cases in which the patients harbored benign slow-growing tumors such as neurofibroma ; or meningioma but the results' of treatment for the intramedullary tumors and malignant metastatic tumors were uniformly poor

      • KCI등재

        일본의 학교운동부활동의 성립 과정과 교육적 효과 및 만족도 분석

        서영환,정영미 한국발육발달학회 2019 한국발육발달학회지 Vol.27 No.1

        The purpose of this study is to investigate the process of the settlement process of the school athletic department which is the unique school education system of Japan which can not be found anywhere else in the world, It is aimed at finding satisfaction. For the purpose of this study, we analyzed literature on the process of settlement of school athletic activities, and recalled the activities of athletic clubs experienced in past high school for first grade students at K university for educational effectiveness and satisfaction, or responded through questionnaires Respectively. The analysis was performed with 108 coded data, and frequency analysis, T-test, and one-way ANOVA analysis were performed with significance level of α <.05. The results of the analysis are as follows: 1) The occurrence and settlement process of school athletic activities and the start of resurrection activities were centered on students of empire college and teacher school in 1919, I spread even more. After that, in order to nurture wealthy nations before 1945, group activities were expanded, and in accordance with the revision of the curriculum of the period with the theological middle school which was launched in postwar 1947, the recommendation (1951) arrival. Since the revision of the curriculum in 1958, it has been officially designated as a mandatory activity requiring more than one unit per week starting from the fourth grade of elementary school and participating in activities for all students from 1968 until middle / high school. It has been designated and operated as an essential area in the Japanese curriculum for over 30 years. Since 1998, the word 'essential' has been abolished in the middle / high school, but the elementary school has been abolished. 'In order to encourage voluntary and independent participation of students and to improve their motivation, sense of responsibility and solidarity, Is linked to one's field of instruction. 2) Educational effect and satisfaction of the athletic activities, and gender differences were significantly higher in the female students with educational effect (p<.01) and growth effect (p<.01). At the exercise level, the growth effect (p<.05) and the satisfaction level (p<.01) were significantly higher at the regional and national tournament levels. Also, the higher the number of competitions in the annual competition, the higher the recognition of the educational effect (p<.05) and the difference was significant. In the major of the leader, it was confirmed that the satisfaction of students who were instructed by the leader of the major in the exercise group was significantly higher in all three items with educational effect (p<.05), growth effect (p<.01) and satisfaction (p<.05).

      • KCI등재

        부정적 좌식습관에 따른 요통환자의 후면부 강화운동이 통증지수 및 스트레스 반응 개선에 미치는 영향

        서영환,오장록 한국발육발달학회 2022 한국발육발달학회지 Vol.30 No.4

        The purpose of this study was to examine the changes in the pain index and stress response through posterior strengthening exercise to subjects who are experiencing back pain due to a negative sedentary lifestyle, and to present a basis for explaining the optimal local exercise. Therefore, we recruited men aged 20 to 39 years who have worked for more than 3 years in the sedentary occupational group and are currently experiencing back pain. Through screening, 20 people who recorded a score of 4 or more on the NRS scale of the pain index test and 40 IU/L or more on the ɑ-amylase stress test were selected, and 10 people from the Back Exercise Group (BEG) who performed posterior exercises and an ECG that controlled exercise activities (Exercise Control Group) was divided into 10 people and conducted for 8 weeks. Research Results 1. The posterior strengthening exercise is effective in reducing the pain index of patients with low back pain. 2. The posterior strengthening exercise is effective in reducing the stress response of patients with low back pain. 3. There is a significant positive correlation between the pain index NRS and the stress response ɑ-amylase.

      • KCI등재

        레이먼드 카버의 소설에 나타난 내러티브 현재시제 연구

        서영환 현대영미어문학회 2014 현대영미어문학 Vol.32 No.2

        This paper critically examines some existing proposals about the so-called narrative present tense in English, suggesting an alternative approach. It specifically focuses on the concept of vividness, one of the most widely accepted semantic effects of the tense. This study raises the question of the validity of this notion on the ground that it is neither theoretically sound nor empirically justified. It also proposes that theres is a parallelism between the narrative present and the instantaneous present in that both encode the aspectual sense of completeness as well as the speaker’s structural knowledge of the context. It further proposes to assume that there should be connections between the narrative present and the speaker’s structural knowledge of the social or psychological contexts such as ‘gossiping’ or ‘story telling by a person with self-pity,’ among others. In examining a couple of Raymond Carver’s short stories, it is shown that the assumptions are supported by the discovery that the occurrences of narrative present (as well as the tense shift) coincide with various aspects of the narrative contexts mentioned above.

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