장기(蔣驥)의《산대각주초사(山臺閣注楚辭)》고

손정일 영남중국어문학회 1999 중국어문학 Vol.33 No.1

Insufficient Experience in Thyroid Fine-Needle Aspiration Leads to Misdiagnosis of Thyroid Cancer

손정일,이상열,우정택,박원서,변종규,김유진,변자민,진상욱,존석,오승준,김성운,김영설 대한내분비학회 2014 Endocrinology and metabolism Vol.29 No.3

Background: Fine-needle aspiration (FNA) of the thyroid is a widely accepted confirmatory test for thyroid cancer with high sensitivity and specificity. FNA is a simple procedure that is learned by many clinicians to enable accurate diagnosis of thyroid cancer. However, it is assumed that because the FNA test is a relatively simple procedure, its cytologic results are reliable regardless of the operator’s experience. The aim of this study was to evaluate the differences in the diagnostic indices of FNA between operators with different levels of experience. Methods: A total of 694 thyroid FNA specimens from 469 patients were reviewed, and were separated based on the experience of the clinicians who performed the procedure. One hundred and ninety were categorized in the experienced group, and 504 in the inexperienced group. All FNA results were then compared with histological data from surgically resected specimens, and the sample adequacy and diagnostic accuracy of the groups were compared. Results: The age, gender, and nodule size and characteristics were similar in both groups. The sample adequacy rate was not significantly different between the experienced and nonexperienced groups (96.3% vs. 95.4%, P=0.682). However, the non-experienced group had a higher false-negative rate than the experienced group (6.4% vs. 17.2%, P=0.038), and the sensitivity of the FNA test also tended to be lower in the nonexperienced group (95.6% vs. 88.9%, P=0.065). Conclusion: These results suggest that FNA operators who have less experience may miss cases of thyroid cancer by performing the procedure incorrectly. As such, the experience of the FNA operator should be considered when diagnosing thyroid cancer. When clinicians are being trained in FNA, more effort should be made to increase the accuracy of the procedure; therefore, enhanced teaching programs and/or a more detailed feedback system are recommended.

Hemoglobin A1c May Be an Inadequate Diagnostic Tool for Diabetes Mellitus in Anemic Subjects

손정일,이상열,우정택,황진경,진상욱,전숙,오승준,김성운,김영설 대한당뇨병학회 2013 Diabetes and Metabolism Journal Vol.37 No.5

Background: Recently, a hemoglobin A1c (HbA1c) level of 6.5% has been determined to be a criterion for diabetes mellitus (DM), and it is a widely used marker for the diagnosis of DM. However, HbA1c may be influenced by a number of factors. Anemia is one of the most prevalent diseases with an influence on HbA1c; however, its effect on HbA1c varies based on the variable pathophysiology of anemia. The aim of this study was to determine the effect of anemia on HbA1c levels. Methods: Anemic subjects (n=112) and age- and sex-matched controls (n=217) who were drug naive and suspected of having DM were enrolled. The subjects underwent an oral glucose tolerance test and HbA1c simultaneously. We compared mean HbA1c and its sensitivity and specificity for diagnosing DM between each subgroup. Results: Clinical characteristics were found to be similar between each subgroup. Also, when glucose levels were within the normal range, the difference in mean HbA1c was not significant (P=0.580). However, when plasma glucose levels were above the diagnostic cutoff for prediabetes and DM, the mean HbA1c of the anemic subgroup was modestly higher than in the nonanemic group. The specificity of HbA1c for diagnosis of DM was significantly lower in the anemic subgroup (P<0.05). Conclusion: These results suggest that the diagnostic significance of HbA1c might be limited in anemic patients.

일부 VDT 사용 근로자의 자각증상과 심리증상과의 관련성 연구

손정일,이수진,송재철,박항배,Son, Jeong-Il,Lee, Soo-Jin,Song, Jae-Cheol,Park, Hung-Bae 대한예방의학회 1995 Journal of Preventive Medicine and Public Health Vol.28 No.2

The study subjects in this study are 295 workers who work on one electronics industry, and they were composed of 93 VDT and 202 non-VDT workers. This study was carried out to obtain the prevalence of subjective symptoms and to compare psychological symptom scores from SCL-90-R between VDT and non-VDT work groups. And to verify the relationship between VDT work related symptoms and psychological symptoms, the author compared SCL-90-R T scores between symptom complaining and non-complaining groups. The results are summarized as follows : 1. Throughout the prevalence study of VDT work related symptoms according to VDT work state, the author could select the final 10 symptoms by sex;'eye fatigue', 'foggy vision', 'neck discomfort or pain', 'shoulder discomfort and pain', 'light headedness', 'dizziness', 'acne', 'itching sensation on face', 'difficulty in concentration', 'memory disturbance' in males, and 'blurred vision', 'foggy vision', 'neck discomfort or pain', 'shoulder discomfort and pain', 'abdominal distention', 'indigestion', 'acne', 'prickling sensation on face', 'difficulty in concentration', 'memory disturbance' in females. 2. Throughout comparison of psychological symptom scores from SCL-90-R between VDT and non-VDT workers, except 'Interpersonal sensitivity' in female, Mean T score were higher in VDT workers, but not significantly different between the two groups. These results indicate that the relation between VDT work status and psychological symptoms are not strongly correlated. 3. Because of the nonspecific characteristics of VDT work related symptoms, from the 40 subjective symptoms, the author selected the final 10 symptoms by sex, especially correlated to VDT, and divided the study subjects into symptom complaining and non-complaining groups. The mean SCL-90-R T scores between the two groups were compared. Except for the opthalmologic symptoms in females, the scores were significantly different between the two groups in all symptoms. And this indicates that the VDT work related symptoms strongly correlated with the present individual psychological conditions. 4. Due to understand that which of the 9 psychological symptom dimensions are strongly correlated with the subjective symptoms, the author excuted muliple logistic regression analysis, and the result were as follows; 'depression' and 'somatization', in male, and 'obsessive-compulsive' and 'somatization' in female.

동해안 별신굿 巫舞장단의 변주원리

손정일 영남춤학회 2019 영남춤학회誌 Vol.7 No.2

Variation Types of The Eastern Coast Byeolsingut Shaman Dancing Rhythm Son, Jeong-il (Keimyung University) This study is based on the analysis of various databases about the Shaman Dancing's basic rhythms and variation types that remarkably show percussion instrument plays among the Eastern Coast Byeolsingut rhythms. There are 8 Eastern Coast Byeolsingut Shaman Dancing Rhythms: Puneori, Samojang, Geomu, Baegijang, Gutgeori, Deongdeokgungi, Hwimori, Danyak. The Eastern Coast Byeolsingut Shaman Dancing Rhythm has diverse variation types: rightbeat, offbeat·mixedbeat, extension, symmetry, inversion, even beat, continuously beating and more. The principle of inprovisation can be seen through these variations. 이 연구는 동해안 별신굿 장단 중 타악기 연주가 두드러지게 들어난 무무(巫 舞)장단의 기본장단과 변주원리를 다양한 자료를 통하여 분석한 것이다. 동해안 별신굿의 무무장단은 푸너리, 삼오장, 거무, 배기장, 굿거리, 덩덕궁이, 휘모리, 단약 등 총 8개 이다. 동해안 별신굿 무무장단의 변주원리은 정박, 엇박·잡박, 확 장, 대칭, 자리바꿈, 짝수박, 달아치는 배열 등으로 다양하다. 이러한 유형을 통 하여 즉흥연주의 원리를 알 수 있다.

체표면 위전도를 이용한 잡견 위 수축의 추정

손정일,이풍렬,이종철,함준수,임헌길,이민호,박경남,한완택,김종성 大韓消化器病學會 1998 大韓消化器病學會誌 Vol.32 No.2

고대 중국인의 사후(死後) 인식

손정일 중국어문학연구회 2004 중국어문학논집 Vol.0 No.29

덧배기장단의 음악적 실체 연구

손정일 세계음악학회 2019 음악과 문화 Vol.0 No.40

While conducting field research on rhythm recently, the 'Deotbaegi' rhythm has come up with a major problem. The troupes use the same name, but it is played differently, and the 'Gootgeori' seems to be similar as the 'Jajinmori' rhythm. This paper originated from these questions: 'How does the 'Deotbaegi' used in gyeongsang-do differ with 'Jajinmori' and 'Gootgeori' used all over?' and 'Why are the two different rhythms called the same?' Rhythms in Korea are named as the name of songs, rhythms, or performed styles. Sometimes the same rhythms are called by different names depending on their locations. The 'Doetbaegi' is the rhythm used with the 'Deotbaegi' dances, which is named from the performed style. It can be seen that the old name of it was called by the troupes as "Doetbaegi," "Jajin-doetbaegi", or "fast Doetbaegi". However, as the performers traveled around the country to perform together recently, it can be guessed as: those who accepted 'Gootgeori' became 'Gootgeori' and 'Deotbaegi,' those who accepted 'Jajinmori' became 'Deotbaegi' and 'Jajinmori'. Those who accepted all became 'Gootgeori' and 'Jajinmori'. 'Nongak' groups also played together around the country, but unlike the 'Choompae,' they accepted the name 'Jajinmori' while they still used the name 'Doetbaegi'. 'Deotbaegi' is the same with the basic rhythmic style of "Gootgeori" and "Jajinmori", but played with a big drum and does not make many variations. This is the sense of dancing and rhythm that only Gyeongsang people differentiated from other regions have. Thus, ‘Doetbaegi’ 's the rhythm "Gootgeori" and "Jajinmori" were played in accordance with the characteristics of the Kyongsang region, so that the same rhythm was called by different names.

한국인에서 비궤양성 소화불량 환자의 위전도 검사에 대한 고찰

손정일,정철헌,박동일,성인경,강인구,함준수,이종철,이민호,기춘석,박경남 대한소화기학회 1993 대한소화기학회 추계학술대회 Vol.1993 No.-

우리나라 산업폐수처리장의 현황 조사 분석<3>

손정일 한국환경기술인연합회 1999 환경기술인 Vol.154 No.-