당뇨병성 경화부종 - 임상 - 병리조직학적 연구 및 문헌고찰 -

황호근(Ho Geun Hwang),이승하(Seoung Ha Lee),형근영(Keun Young Hyoung),신봉주(Bong Joo Shin),김경년(Kyoung Nyeon Kim),조정구(Chung Gu Cho),김주섭(Ju Seob Kim),차승훈(Seung Hoon Cha),박석돈(Seok Don Park) 대한내과학회 1996 대한내과학회지 Vol.51 No.4

N/A Objectives: We studied clinical feature, underlying disease and histo-pathologic finding of scleredema diabeticorum that was observed as non-pitting indurated edematous skin of the nape, occiput in non-insulin dependent diabetes mellitus. Methods: We performed clinico-histopathologic study in 5 cases of scleredema diabeticorum which were diagnosed at our hospital and reviewed 6 cases in Korean literatures. Results: 1) The male to female ratio was 4:1, The overweight or obese middle-aged (mean:54.6) males were prone to develop these cutaneous changes. There was no relationship between the development of diabetic scleredema and the duration, the severity of diabetes. Hypertension and hyperlipidemia were frequent associated finding among the patients. 2) The increased level of fasting C-peptide implicated that the ability of insulin secretion was preserved. 3) Non-pitting hardening of the skin on the nape, head and surrounding parts of the body was common skin change in all patients. No evidence of systemic involvements was found. 4) Typical histopathologic findings, consisted of the thickening of dermis, the degeneration of collagen bundles in mid- to deep dermis, and the deposition of acid mucopoleysaccharides, hyaluronic acid, were noted in 4 cases of our study. 5) The therapeutic responses of cutaneous changes were generally poor. Conclusion: These results implies that scleredema diabeticorum is not a rare cutaneous manifestation among the diabetic dermadromes, and special histopathologic stainings with skin tissue sections are necessary for diagnosis. Although the exact mechanisms of this disease are not known, and no effective therapy is available, it needs to be studied exactly that the facts of hyperlipidemia, overweight, hypertension and well-preservation of fasting C-peptide observed in our cases, may be related to syndrome-X.

크라우드펀딩의 성공·실패 사례분석

권혁인(Hyeog-In Kwon),이승하(Seoung-Ha Lee),나윤빈(Yun-Bin Na) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.7

본 연구는 국내 커뮤니티 아트(Community Art)의 활성화를 위한 크라우드펀딩(Crowd Funding) 사례 분석과 이를 통한 시사점을 도출하고자 한다. 우선 문화예술 영역의 크라우드펀딩 플랫폼에서 커뮤니티 아트 프로젝트를 검색하여 성공 및 실패 사례들을 선정하였으며, 이후에는 신뢰 & 정보 & 소통 & 콘텐츠 & 보상 측면을 포함한 총 5가지 항목에서 각 사례의 차이점을 비교하였다. 이를 종합 분석한 결과, 장르와 기간, 보상과 홍보 측면에서 비교적 분명한 차이점이 발생하였고 아울러 후원자의 요구에 부합하는 새로운 보상 물품 및 서비스를 개발할 필요성이 제기되었다. 이러한 시사점을 토대로, 본 연구는 자체적인 재원조성이 어려운 커뮤니티 아트에 실질적인 시사점을 제공한다는 측면에서 의의가 있을 것으로 보인다. 한편 커뮤니티 아트의 평가와 관련된 선행연구가 부족한 국내 여건 상, 향후에는 이러한 부분들을 보완할 체계적인 평가 및 분석틀의 연구도 병행되어야 할 것으로 보인다. The purpose of this study is to derive a implications for and analysis a CrowdFunding cases in order to activate domestic Community Art. First, in the area of culture and art of CrowdFunding platform, search for Community Art projects were selected examples of success and failure. As a result, differences in sample were compared in five items of Confidence & Information & Communication & Content & Benefit aspect etc,. Additional total analysis result, Genre and Period, clear differences in terms of compensation and Promotion occurred, as well as the need to develop new goods and services compensation was raised. Based on these implications, this study is to be a practical implication to Community Art of difficult to create its own fundraising. On the other hand, we suspect the environment of the domestic previous research related to the evaluation of Community Art is insufficient, and so must be concurrent also study the framework of analysis and systematic evaluation to complement these parts in the future.

참여 기반의 문화콘텐츠 개발 사례 분석 및 활성화 방안

나윤빈(Yun-Bin Na),권혁인(Hyeog-In Kwon),이승하(Seoung-Ha Lee) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.2

오늘날 국내 다문화 사회는 동화에서 융화의 방향으로 인식의 전환이 요구되고 있다. 이와 같은 패러다임 은 서로 다른 문화적 배경에 대한 이해를 전제로 하며, 이질적인 그룹 간 이해와 인정의 연결고리로서 문화 콘텐츠의 역할이 어느 때보다 중요해지고 있다. 이러한 문화콘텐츠는 다문화 구성원 스스로가 프로젝트에 참여하여 개발할 때 그 효과가 높아질 수 있으며 사회적 의의에도 부합할 수 있다. 본 연구는 결혼이민자를 중심으로 한 외국인 그룹과 일러스트레이터, 동화작가 등 내국인 그룹과의 협력을 통해 콘텐츠를 제작한 다문화콘텐츠기획팀 ‘알토플라코’의 프로젝트 사례를 분석하고자 한다. 각 프로젝트는 공연, 전시, 앱북 등의 콘텐츠로 나타났으며 구체적으로 사례 선정 및 소개, 콘텐츠의 기획?개발, 평가, 활성화 방안 등을 살펴 보았다. Domestically multicultural society is being demanded a change in recognition today into the direction of harmony from assimilation. This change in paradigm is having a proposition as understanding about mutually different cultural background. A role of cultural contents is getting important more than ever as a link of understanding and recognition between heterogeneous groups. These cultural contents can be enhanced its effect when being developed on the basis of cooperation by which the multi-cultural members themselves participate in a project, and can conform even with social significance. The purpose of this study is to analyze a project case of a multicultural contents planning team Arto Placo, which produced contents through cooperation between a foreigner group including marriage immigrants and a local group such as illustrator and childrens book writer. Each project was indicated to be contents such as public performance, exhibition, ad APP book. The aim was to specifically examine Case Selection and Introduction, Contentss Planning?Development, Assessment and Activation plan.

여자에서 운동부하 검사상 ST 절 / 심박수 지수와 Rate - Recovery Loop 의 진단적 가치

전일문(Il Mun Jeon),오경아(Kyeong A Oh),유남진(Nam Jin Yoo),소재범(Jae Bum Soh),이승하(Seoung Ha Lee),김민석(Min Seok Kim),정진원(Jin Won Jeong),박양규(Yang Kyu Park),박옥규(Ock Kyu Park) 대한내과학회 1995 대한내과학회지 Vol.48 No.3

N/A Objectives; Performance of exercise electrocardiography for the detection of coronary artery disease (CAD) in women has been limited by relatively poor sensitivity and specificity of the standard criteria. Recent studies suggest that diagnostic method in co-operating heart rate adjustment of ST segment depression during exercise may improve the accuracy of exercise testing. Methods: To assess the effect of gender on relative test performance of the ST/HR index, rate recovery loop and standard ST-depression criteria for identification of CAD, we studied 135 patients(71 men, 64 women) who underwent coronary arteriography and treadmill exercise testing(Bruce protocol) suspected of having CAD. Results: 1) There were no significant differences in the sensitivity (71% ) and specificity(71%) between standard criteria(ST≥lmm horizontal or downsloping depression) and ST/HR index(ST/HR index thresh- old; 1.7pV/beat/min) or rate recovery loop(76% vs 69%, 79% vs 71% respectively; p=NS) in all of the subjects. 2) In male subjects, the sensitivity(71%) and specificity(84%) of the standard ST criteria when com- pared to the ST/HR index and rate recovery loop(65 % vs 84%, 75% vs 85% respectively; p=NS) had no statistical significance. 3) In female subjects, there were no significant differences in specificity (standard ST criteria; 63%, ST/HR index; 63%, rate- recovery loop; 70%: p= NS), but sensitivities of the ST/HR index and rate recovery loop(90% vs 90% respectively; p<0.05) were significantily higher than that of the standard criteria(71 % ). Conclusion; These findings suggest that the ST/ HR index of rate-recovery loop method may improve the accuracy of exercise test for detection of CAD in women.

성인에서 고인슐린혈증성 저혈당을 보인 췌장내의 미만성 Nesidioblastosis 1예

조정구,채권묵,서검석,윤기중,양광수,이승하,형근영,신봉주 대한내분비학회 1996 Endocrinology and metabolism Vol.11 No.2

Nesidioblastosis is a term that describes multifocal hyperplasia of all panereatic cell components and is characterized primarily by their disorganization and proliferation throughout the entire pancreas. Adult onset nesidioblastosis is an extremely rare entity associated with hypersecretion of insulin. The authors have recently experienced a case of nesidioblastosis in an adult. A 41-year old man was admitted due to intermittent hypoglycemic symptoms, that had been relieved by carbohydrate ingestion. Hyperinsulinemic hypoglycemia was documented during prolonged fast. Under the presumptive diagnosis of insulinoma, abdominal CT, celiac angiogram and percutaneous transhepatic portal venous sampling were done but we could not find any definitive mass. Eight-five percent of the pancreas was removed. Pathologic examination of the resected pancreas revealed irregularly sized islets and scattering of small endocrine cell clusters throughout the acinar tissue and ductuloinsular complex(1 Kor Soc Endocrinol 11:247~253, 1996).