미숙아에서 발견된 태생기 회장-회장형 장중첩증 1예

이보영,김여향,황진복,김천수,이상락,권태찬,이희정,박우현,Lee, Bo Young,Kim, Yeo Hyang,Hwang, Jin Bok,Kim, Chun Soo,Lee, Sang Lak,Kwon, Tae Chan,Lee, Hee Jung,Park, Woo Hyun 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.2

미숙아에서 드물기는 하나 심한 복부 팽만과 담즙이 섞인 구토, 혈변 등의 증상이 비교적 일찍 초래되는 경우 장중첩증을 감별 진단으로 고려하여야 한다. 저자들은 극소 저출생 체중 미숙아에서 괴사성 장염과 유사한 증상을 보였으나 생후 11일경에 수술로 진단된 회장 폐쇄를 동반한 태생기 회장-회장형 장중첩증 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Intussusception in a preterm neonate is a very rare disorder. We experienced a case of intrauterine intussusception presented with symptoms of the small bowel obstruction in a preterm infant whose gestational age was $28^{+2}$ weeks. Urgent ultrasonography of abdomen revealed no definite intussuscepted segment. At emergent surgery performed on the 11th days of life under the diagnosis of distal small bowel obstruction, an ileo-ileal intussusception with distal ileal atresia without perforation was found.

일개 대학병원에서 제한 항생제 전산 프로그램 운용에 따른 항생제 사용량 변화

이보영,김천수,류성열,권기영,임정근,임태진,민병우,류남희,차순도,Lee, Bo Young,Kim, Chun Soo,Ryu, Seong Yeol,Kwon, Ki Yung,Lim, Jung Geun,Lim, Tae Jin,Min, Byung Woo,Ryoo, Nam Hee,Cha, Soon Do 대한소아감염학회 2006 Pediatric Infection and Vaccine Vol.13 No.2

목 적 : 감염병 치료를 위해서 항생제의 적절한 선택은 필수적이며 잘못된 사용은 내성균주의 출현과 확산, 치료의 실패, 약물 부작용, 의료비 상승 등의 다양한 문제점을 초래한다. 저자들은 임상에서 특정 항생제의 사용을 제한하는 전산 프로그램의 운용이 항생제의 부적절한 사용을 억제하고 약제 사용량 감소에 도움이 되는지 알아보고자 본 연구를 시행하였다. 방 법 : 항생제관리위원회의 의결로 내성의 우려가 있는 고가의 항생제와 과거에 부적절한 사용 경향을 보였던 약제 등 총 7계열의 16개 품목을 제한 항생제로 선정하였다. 입원환자를 대상으로 제한 항생제 관리용 전산 프로그램 운용 후인 2004년과 2005년 5~7월(연구군) 및 운용 전인 2002년과 2003년 동일기간(대조군)에 처방된 항생제의 사용 내역을 후향적으로 조사하였다. 항생제 사용량 비교를 위한 지표는 1일당 재원환자 100명당 항생제 사용자수(명)로 하였으며 일별 항생제 사용 환자수를 조사한 후 재원환자 100명당 사용자수를 산정하였으며, 계열별로 양군간 비교를 시도하였다. 결 과 : 1일 재원 환자수는 대조군($823.5{\pm}37.1$명)이 연구군($809.2{\pm}39.3$명)보다 많았으며(P<0.001), 1일 퇴원 환자수(연구군 : $81.2{\pm}16.0$명 vs. 대조군 : $81.5{\pm}16.9$명)와 재원일수(연구군 : $9.9{\pm}1.6$ vs. 대조군 : $10.0{\pm}2.1$)는 양군간 비슷하였다. 1일당 재원환자 100명당 항생제 사용자수(연구군 vs. 대조군)는 항진균제($0.6{\pm}0.3$명 vs. $0.7{\pm}0.4$명)와 glycopeptides ($4.1{\pm}0.7$명 vs. $4.2{\pm}0.6$명)는 양군간 비슷하였고, carbapenems($1.9{\pm}0.5$명 vs. $0.9{\pm}0.3$명)과 piperacillin-tazobactam($0.7{\pm}0.3$명 vs. $0.3{\pm}0.2$명), quinolones ($2.2{\pm}0.6$명 vs. $1.6{\pm}0.5$명)은 연구군에서 더 많았으며(P<0.001), 고가의 광범위 cephalosporins($1.3{\pm}0.4$명 vs. $1.6{\pm}0.3$명)와 부적절한 사용 경향을 보였던 약제($1.1{\pm}0.5$명 vs. $6.0{\pm}1.4$명)는 연구군에서 유의하게 감소하였다(P<0.001). 결 론 : 항생제 사용을 제한하는 전산 프로그램의 운용은 임상자료 분석에서 부적절한 사용 경향을 가진 항생제의 사용을 줄이는데 효과적이나 내성균 치료제나 고가 약제의 사용량 감소를 위해서는 미흡한 조치이며 이에 대한 추가적인 대책이 필요하다. Purpose : Appropriate use of antimicrobials is an essential factor to treat infectious diseases and prevent acquisition of antimicrobial resistant pathogens. This study was undertaken to search that application of computerized management program for restriction of antimicrobials use in a hospital is helpful to decrease antimicrobial use density. Methods : Antibiotics utilization committee decided to restrict the use of 16 antimicrobials(14 expensive drugs having fear of drug resistance by pathogens and additional two drugs with inappropriate using tendency). Retrospective evaluation of antimicrobial user numbers between May and July of 2004 and 2005(study group) was conducted to compare with previous use density during same period of 2002 and 2003(control group). Results : Inpatients number of control group($823.5{\pm}37.1$ persons) was more than study group($809.2{\pm}39.3$ persons, P<0.001), but, outpatients number and hospitalized duration were equal in two groups. Antimicrobial user number/100 inpatients per day of glycopeptides and antifungal agents was equal in two groups, and study group was significantly higher density than control group in the use of carbapenems, piperacillin-tazobactam and quinolones(P<0.001). But study group was significantly lower density than control group in the use of drugs with inappropriately using tendency and expensive cephalosporins having broad antimicrobial spectrum(P<0.001). Conclusion : Application of computerized management program for restriction of antimicrobials use in a hospital is effective to decrease the use density of antimicrobials with inappropriately using tendency, but it is an insufficient measures for the restricted use of other antimicrobials on the whole.

전이성 췌장암의 치료

이보영,우상명,Bo Young Lee,Sang Myung Woo 대한소화기암연구학회 2018 Journal of digestive cancer reports Vol.6 No.2

Pancreatic ductal adenocarcinoma is a dismal prognosis and 5^th leading cause of cancer related death in Korea. A large proportion of patients are diagnosed at advanced or metastatic stage. Therefore systemic chemotherapy has become the mainstay of treatment for pancreatic cancer. For most patients advanced or metastatic pancreatic cancer that has a good Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1, we can recommend for FOLFIRINOX (leucovorin, 5-fluorouracil [5-FU], irinotecan and oxaliplatin) and gemcitabine plus nanoparticle albumin-bound paclitaxel (nab-paclitaxel). Currently, steps towards improved therapeutic efficacy of palliative chemotherapy have been made by introducing these regimens. For patients with an ECOG PS of 2, gemcitabine monotherapy or S1 alone is recommended. The second-line therapy for patients initially treated with gemcitabine-based chemotherapy includes provide FOLFOX (leucovorin, 5-FU, and oxaliplatin), capecitabine plus oxaliplatin, and 5-FU plus liposomal irinotecan. The gemcitabine-based chemotherapy is a reasonable choice for patients treated with FOLFIRINOX. Currently, studies on selecting patients for biomarkers related to molecular biologic features of tumors are underway for the realization of precise medicine, and the development and verification of preclinical models for the development of new therapeutic agents are being carried out continuously.

사향(麝香)이 생쥐의 뇌손상(腦損傷)에 미치는 영향(影響)

이보영,강석봉,Lee, Bo-Young,Kang, Seok-Bong 대한한의학회 1995 대한한의학회지 Vol.16 No.2

The studies were investigated in the coma time and the survival time induced by KCN, the duration of breathing after decapitation, the survival time following ligation of both common carotid arteries and the survival time after it is treated for normobaric bypoxia with a nitrogen gas, a carbon dioxide gas or a vaccum in mice. The results were as follows: 1. In histotoxic anoxia, Moschus(0.4mg/kg, p.o) demonstrated a protective effect on coma induced by a sublethal dose of KCN(1.8mg/kg, i.v.) in mice. 2. Mice subjected to a lethal dose of KCN(3.0mg/kg, i.v.) did not die by administration of Moschus. 3. Moschus was significantly extended the duration of breathing after decapitation in mice. 4. Moschus showed a significant extension of survival time in mice following ligation of both common carotid arteries. 5. In the normobaric hypoxia with a nitrogen gas, Moschus showed a significant extension of survival time in mice. 6. In the normobaric hypoxia with a carbon dioxide gas, Moschus showed a significant shortness of survival time in mice. 7. In the normobaric hypoxia with a vaccum, Moschus showed a significant extension of survival time in mice. From the above results, it is suggested that Moschus demonstrated protective effects on the brain damages induced by cerebral anoxia.

연구논문 - Properties of Welded Joints - : 용접부의 기계적 성질에 미치는 Ni 과 Mn 의 복합 효과

이보영,정재필 ( Bo Young Lee,Jae Pil Jung ) 대한금속재료학회 ( 구 대한금속학회 ) 1988 재료강도 심포지엄 Vol.- No.-

보수용접기술 기초

이보영,Lee Bo-Young 대한용접접합학회 2005 대한용접·접합학회지 Vol.23 No.1

경합범의 요건과 효과에 관한 몇 가지 쟁점 검토

이보영 ( Bo Young Lee ),강준모 ( Joon Mo Kang ) 전북대학교 법학연구소 2011 法學硏究 Vol.32 No.-

Unlike the past, the clause of the concurrent crimes in the Criminal Act was revised. The revision on January 20, 2004, there is a restriction of the scope of ex-post concurrent crimes by the judgment which is above imprisonment without prison labor is confirmed (Art. 37 of the Criminal Act). Subsequently, in the revision on July 29, 2005, the punishing clause of ex-post concurrent crimes were revised which was take into account for the simultaneous concurrent crimes, in the event there is a crime which has not been adjudicated among the concurrent crimes, a sentence shall be imposed on the said crime taking account of equity with the case where the said crime is adjudicated concurrently with a crime which has been finally adjudicated (Cl. (1), Art. 39 of the Criminal Act). In the meantime, there are two arguments regarding concurrent crimes: (1) the scope of the ex-post concurrent crimes is too broad since it concluded judgments of the punishment of the summary order and proceedings are confirmed or fines are imposed which were not limited the scope, (2) the punishment of the ex-post concurrent crimes is more severe than the simultaneous concurrent crimes. In particular, if I specifically describe above arguments, three main arguments and issues are as follows: (ⅰ) whether re-sentencing suspension for the crime after confirmed the sentence suspension and it was made before the confirmation of the sentencing, and in the case of the re-sentencing suspension for the crime that was committed before the judgment was confirmed whether the former sentencing of the suspension is loosed the effect, (ⅱ) whether additional charge becomes abuse of the arraignment if it was made after the lower trial court entered into the sentencing, (ⅲ) concerning the concurrent crimes sentence of the trial court that are entered into the partially acquit and the remaining part are entered into conviction, and in the case where only the public prosecutor appealed for the part of acquitted sentence and the upper court quashed lower court judgment, whether the judge should reverse only the acquitted part or reverse entire adjudication. In regarding the issue related (1) was resolve by revision of Art. 37 of the Criminal Act, and issue related (2) was also settled by the en ban judgment of the Supreme Court in 1989. The Supreme Court holds that as to the matter of acquit in relation with the concurrent crimes that are provided Article 37 of the Criminal Act, even the cases are heard in the same trial at the same time, in the event those cases are regarded entered into sentence suspension at all together they should be sentenced of the suspension. At this time, even the defendant who has not yet passed the suspended time period, court may be adjudicated sentence suspension, exceptionally former sentencing of the suspension is not loosed the effect in this case. Hereby the issue of the disqualified and null and void of the suspended sentence in the ex-post concurrent crimes, which were treated through the limited interpretation with precedent in the meanwhile, was settled by the legislation. Therefore, the problems concerning the element of the ex-post concurrent crimes and point at issues on the punishment are now resolved to what extent by the above two times revisions. However, it needs to be reviewed because still there is some issues are remained unsettled. They are first, the justifiable punishment for the additional crimes and whether it is comprise the violation of the principle of prohibition against double jeopardy, second, the scope of quash of the judgment of the original trial in the Supreme Court where a partial appeal is filed on the concurrent crimes, third, the study on the draft of the revised Criminal Act which was made an advance notice of proposed rulemaking on October 25, 2010. In this article, firstly I will thoroughly examine several issues such as the meaning of concurrent crimes in the revised Criminal Act, types, comparison of old and new clause of the Act, then the element and the effect of concurrent crimes will be reviewed, and finally I will scrutiny some points of dispute related concurrent crimes.

IoT환경에서 프라이버시를 보장하는 의료데이터 이상치 탐색 기법

이보영(Bo Young Lee),최원석(Wonsuk Choi),이동훈(Dong Hoon Lee) 한국정보보호학회 2015 정보보호학회논문지 Vol.25 No.5

최근 다양한 기능을 가진 센서가 개발됨에 따라 여러 종류의 데이터를 간편하게 측정할 수 있게 되었다. 특히, 센서들이 인터넷에 연결되는 사물인터넷(Internet of Things: IoT)환경과 헬스 케어 서비스가 결합하면서 원격에서 심박수, 혈중 산소 농도, 체온, 혈압 등의 사용자 데이터를 수집하는 어플리케이션이 등장하고 있다. 사용자의 유전정보를 이용하여 이상형을 찾거나 환자의 질병유무를 알려주는 어플리케이션 등이 대표적이 예이다. 이 때에 수집되는 사용자 데이터는 사용자의 프라이버시와 매우 밀접하기 때문에 이러한 정보는 반드시 보호되어야 한다. 즉, 사용자의 프라이버시를 보장하면서 서비스제공자는 적절한 서비스를 제공하여야 한다. 본 논문에서는 PhysioNet에서 제공하는 생체정보를 활용하여 헬스 케어 서비스를 제공하는 환경에서 프라이버시를 보장하며 서비스 제공자가 서비스를 제공할 수 있는 있는 기법을 제안한다. Recently, as high-quality sensors are being developed, it is available to conveniently measure any kind of data. Healthcare services are being combined with Internet of things (IoTs). And applications that use user’s data which are remotely measured, such as heart rate, blood oxygen level, temperature are emerging. The typical example is applications that find ideal spouse by using a user"s genetic information, or indicate the presence or absence of a disease. Such information is closely related to the user"s privacy, so biometric information must be protected. That is, service provider must provide the service while preserving user’s privacy. In this paper, we propose a scheme which enables privacy-preserving outlier detection in Healthcare Service.

달크로즈의 유리드믹스에 관한 연구의 추이

이보영 ( Bo Young Lee ) 한국리듬운동학회 2011 한국리듬운동학회지 Vol.4 No.1

This study is to go over the trend of Dalcroze`s Eurhythmics. To do that, analyses from several researches about music and dance were used and compared to deduct its bias and universality. Also, this study suggests the way to develop Dalcroze`s Eurhythmics for further analysis. First, the studies about Eurhythmics are biased in music. This is shown as the fact that Dalcroze`s Eurhythmics was first developed for musical education, three methods of education, such as Eurhythmics, Rhythmic Solfege, and Improvisation, were the topics for his study, and the thirty four parameters of rhythm give access to music study. Second, the methods of research are evenly distributed in quality, quantity, and other studies. Third, Dalcroze`s Eurhythmics was studied universally, even though only one department reviewed it since the department provided professional education or organized the society. Fourth, in degree classification, people who have master`s degree have more study on Eurhythmics. However, more studies from people with Ph. D are needed to enhance them. Fifth, the objectives of the study are more towards to toddlers and elementary school students who were the objective for the early stage of the study. However, Eurhythmics will require more variety of objectives such as junior high/high school and college students, and adults(teacher, elders, and disabilities). In history of dance, Dalcroze`s studies are less brisk than those in music. Also, the methods of Eurhythmics consist of both music and dance, so the combination of them is needed to improve the study results.

사이버 공간에서의 형법의 임무와 과제

이보영(Lee Bo Young) 한국법학회 2009 법학연구 Vol.36 No.-

현대사회는 인터넷시대, 사이버시대이다. 한국 전체인구 3분의 2에 해당하는 3.000만 명이 넘는 네티즌이 존재하면서 현재생활에 있어 중요한 인프라로 자리 잡고 있다. 그러나 이 같은 인터넷의 확산에 따른 역기능도 우리사회에 크나큰 문제로 작용하고 있다. 위험사회의 예로 들고 있는 사이버 공간과 같이 빠르게 변화하고 어떠한 위험원이 나타날지 모르는 곳에서 형법의 역할은 규제의 효율성과 실효성의 감소를 막기 위해 법치국가의 보장을 무너뜨리는 위험을 감수하고서라도 형법을 투입하는 방향으로 나아가고 있다. 법치국가의 원칙이 무너지면 결국 피해를 입는 것은 국민들이다. 따라서 본 논문에서는 인터넷 범죄의 현황을 살펴보고 위험사회에서 형법의 역할이 사이버 공간에서 어떻게 적용될 수 있으며 이런 과정에서 어떠한 문제점이 생기며 형법이 어떻게 나아가야 하는 지를 살펴보도록 하겠다. 법의 사회형성적 기능을 강화한다고 하더라도 언제나 최우선의 고려대상이 될 수 있는 것은 아니다. 사회의 자율적 정화기능으로 위험원에 대한 대처가 가능할 경우에는 법은 그 자리를 겸손하게 양보하여야 한다. 과다하게 법률의 규정에 의해 사회윤리적으로도 해결할 수 있는 사안에까지 법이 투입된다면 위험사회를 볼모로 하는 또 다른 전제적 위험사회의 서막이 시작될 것이다. 또한 지나친 합리성과 유용성의 강조가 불러 올 수 있는 극단적인 기능주의적 사고 역시 경계하고 성찰해야 할 부분임을 부인할 수 없다. 형법은 이제 죄와 벌의 무거운 짐을 인간의 어깨에 덧씌우는 장치가 아니라 그것을 벗겨주는 장치로 이해되어야 한다. 형법 속에서도 인간을 해방시키고 인간을 인간답게 만드는 새로운 지평을 바라보아야 한다. 교육을 하든지 처벌을 하든지 인간을 인간으로 바라보는 눈을 지녀야 한다. Modern society, the internet era. is the cyber age. However, due to dysfunction of the spread of the Internet in our society is problem. The risk of cyber-space soceity is changing rapedly with no krisk of criminal law where won the yeok haeungyujeui not gonna see a reduction in the efficiency and effectiweness of national crineun risk are moving in the direction of commitment. Principle of the rule of law of the country after the brusts are the people damage. Therefore, checking the status of the risk of Internet crime bonnsnmunesesneun society's role in the criminal law in cyberspace, and how thers can be appllied for any problems in the process move on when he should have seen how the criminal law. Particulary young people with illegal downloads of the offender and discuss the production was as much as do DI. Ⅰ. Introduction Ⅱ. The latest trends in Internet crime Ⅲ. Distributing illegal downloads punishment Review Ⅳ. Criminal law issues and directions in cyberspace. Ⅴ. Legal challenges to the spread of the Internet for changes in criminal Ⅵ. The need for a new criminal policy Ⅶ. Conclusion Criminal law is now a heavy burden of human sin on the shoulders of bee deotssuiwooneun devices take off, but it should be understood as an autonomous Criminal law and free human beings and even human seul humanized should want to create new horizons.