류마티스성 관절염 환자에서 발생한 대퇴천동맥의 동맥류파열 1예

임시연,권오정,이홍기,이광수,곽진영 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.2

Isolated true atherosclerotic aneurysm of the distal superficial femoral artery is rare disease. We experienced a case of distal superficial femoral artery aneurysm not associated with dilatation of the common femoral or popliteal artery. True arterial aneurysms are attributed to the weakening of the arterial wall due to atherosclerosis. True superficial femoral artery aneurysms were predominantly founded in elderly men and used to be diagnosed by ultrasonography, CT or angiogram. We report a case of distal superficial femoral arterial aneurysmal rupture in elderly woman who has a rheumatoid athritis and diagnosed by ultrasonography. We performed aneurysmal excision and interposition graft with PTFE.

중장염전에 관한 임상적 고찰

임시연,정풍만,Rhim, Si-Youn,Jung, Poong-Man 대한소아외과학회 2007 소아외과 Vol.13 No.1

Intestinal malrotation is usually asymptomatic and most often is found during abdominal exploration for other surgical diseases. However, a serious complication of intestinal malrotation, midgut volvulus is a true surgical emergency of childhood. The clinical findings, diagnostic procedures, treatment, and prognosis of midgut volvulus were reviewed by a retrospective study. Between 1980 and 2005, 29 patients with midgut volvulus ranging in age from 1 day and 15 years were treated at HanYang University Hospital. Seventy-nine percent of the patients presented before 1 month of age. Midgut volvulus occurred 2 times more frequently in male. The clinical findings were bilious vomiting (96.6 %), irritability (34.5 %), abdominal distention (13.8 %), abdominal pain (10.3 %), and palpable abdominal mass (6.9 %). The diagnosis was made by abdominal simple x-ray (17.2 %), upper gastro-intestinal contrast study (37.9 %), abdominal sonogram (20.7 %), abdominal CT (3.4 %), and abdominal exploration (20.7 %). Among the 29 patients, 5 patients developed gangrene of small intestine due to strangulation and underwent resection of bowel. Two patients died due to sepsis.

담도 폐쇄증으로 Kasai 수술 받은 환아들의 장기간의 추적관찰 (10년 이상 생존한 환아들을 대상으로)

임시연,정풍만,Rhim, Si-Youn,Jung, Poong-Man 대한소아외과학회 2007 소아외과 Vol.13 No.1

Biliary atresia (BA) is the result of fibrosing destructive inflammatory process affecting intrahepatic and extrahepatic bile ducts, which lead to cirrhosis and portal hypertension. Kasai portoenterostomy has been the standard operative procedure in biliary atresia. Recently, there has been remarkable increase in the survival rate in cases of BA. However, long-term survivors are not clearly evaluated in Korea. To define long-term prognosis factors of patients who underwent surgery for BA, a retrospective study was undertaken of 10 (37 %) patients surviving more than 10 years among 27 patients who underwent one of Kasai procedures between 1981 and 1995. Hepatomegaly was present in 4 and splenomegaly in 7 patients. Serum bilirubin was normalized at 1 year after operation. Aspartate aminotransferase (AST, GOT), Alanine aminotransferase(ALT, GPT) were normalized at 12 years and alkaline phosphatase(ALP) was normalized at 13.5 years. Cholangitis developed mainly within 5 years after operation so close follow up is needed. Life long follow-up is needed because of progressive deterioration of liver function even after 10 years.

『법화경』 「신해품」의 장자궁자 비유를 통해 고찰한 불교 상담사의 길

임시연 동방문화대학원대학교 불교문예연구소 2020 불교문예연구 Vol.0 No.16

본 고는 법화경 「신해품」의 장자궁자의 내용이 불교 상담의 과정과 연관되어 있음을 보고, 신해품의 비유를 불교 상담적 관점에서 해석하며 불교 상담사에게 필요한 자질에 대해 고찰하였다. 신해품의 장자궁 자 비유에서 장자는 소승의 마음을 가진 궁자의 의식 상태를 알아차리 고 궁자에 대한 자비심을 내어 대승의 마음을 가질 수 있을 때까지 존중하고 배려하는 태도를 견지한다. 궁자는 장자의 보살핌을 통해 자신을 올바로 인식하고 자신에게 본래부터 있던 불성의 유산을 받아들일 수 있도록 변화한다. 본 연구에서는 이런 일련의 과정이 불교 상담에서도 일어나고 있다는 입장으로 불교 상담사의 역할을 논의하였다, 불교 상담사는 내담자의 트라우마를 바라보는 자비의 마음과 지혜로운 관점을 유지하며 보살로서의 역할을 해나가야 한다. 이를 이행하기 위해 불 교 상담사는 먼저 자기 인식을 넓히고 의식의 성장을 거쳐 대승의 마음 을 갖춰나가야 할 것이다. 이런 불교 상담사의 자기 성찰이 기본이 되고 나서 장자가 궁자를 대하듯 내담자의 아픔을 자신의 고통처럼 받아 들이고 상호의존하며 함께 성장해가는 과정을 만들어 나갈 수 있겠다. 이런 상호존중의 과정을 불교 상담사와 내담자가 더불어 이루어 가는 것이 불교 상담이 가진 특이점으로서 보여 진다. 따라서 불교에 기반으로 한 불교 상담을 진행하는 불교 상담사는 연기적 관점과 보리심을 지난 보살의 마음을 지녀야 한다. 또한 불교의 사성제를 이해하고 무상과 무아에 대한 올바른 앎을 지니며 내담자의 고통을 해결할 수 있는 불교적 치유기법을 익히는 노력이 필요하다. 지금까지의 결과를 토대로 활동하는 불교 상담사의 기본 자질과 마음 자세를 수련하고 실습하는 체계적인 교육과정이 구축된다면 현대인의 심리적 고통을 치유하는 방법으로서의 불교 상담이 지금 시대에 자리 잡게 될 것이다. In "The Sutra of the Lotus," the ancient government interpreted the analogy of the divine product from a Buddhist counseling perspective and considered the qualities necessary for Buddhist counselors. In the metaphor of the "Jangjagungja" of ‘Shinhaepum’, Jangja notices the state of Gungja's consciousness with the spirit of the small monk and maintains a respectful and caring attitude until he can have the spirit of the great monk with the mercy of the prince. Through the care of Jangja, Gungja changes so that he can recognize himself correctly and accept the legacy of his original disloyalty. In this study, we discussed the role of a Buddhist counselor in the position that this series of processes is taking place in Buddhist counseling, and the Buddhist counselor should play the role of a Bodhisattva by maintaining the spirit of mercy and wise view of the trauma of the physician. In order to implement this, Buddhist counselors will have to broaden their self-awareness first, grow consciousness, and build a great monk's mind. After the Buddhist counselor's self-reflection becomes the basis, we will be able to take the pain of the deceased as if it were our own pain, interdependence, and grow together. This process of mutual respect is seen as a unique feature of Buddhist counseling, which Buddhist counselors and counselors work together. Therefore, Buddhist counselors who conduct Buddhist counseling based on Buddhism should have an acting point of view and a spirit of Bodhisattva. It is also necessary to make efforts to understand the Buddhist sacrament, to have the right knowledge of self-renunciation and impermanence, and to learn Buddhist healing techniques that can solve the pain of a physician. If a systematic curriculum is established to train and practice the basic qualities and mind-set of Buddhist counselors based on the results so far, Buddhist counseling as a baton to heal the psychological pain of modern people will be established in this era.

신생아기 일기식 방법으로 수술한 Hirschsprung병에 대한 고찰

임시연,정풍만,Rhim, Si-Youn,Jung, Poong-Man 대한소아외과학회 2007 소아외과 Vol.13 No.1

Conventional treatment of Hirschsprung's disease consists of initial colostomy followed by pull-through operation. But, the treatment of Hirschsprung's disease has been changed along with the development of new surgical technique. Since 1995, endo-GIA has been available at our hospital and one stage Duhamel operation has been performed for neonatal Hirschsprung's disease. Between May 1995 and April 2006, 26 neonates have been treated with one stage pull-through operation by one pediatric surgeon at HanYang University Hospital. The sex ratio was 4.2:1 with male predominance. Clinical findings included abdominal distension (96.2 %), vomiting (50.0 %), delayed passage of meconium (46.2 %), constipation (23.1 %), and enterocolitis (15.4 %). Twenty two cases (84.6 %) were short-segment and 4 cases (15.4 %) were long-segment disease, of which 2 cases were total colon aganglionosis. One of the two patients with total colonic aganglionosis had double transition zones - distal ileum and hepatic flexure of the colon. The average age at operation was $14.56{\pm}8.77$ days and the average weight at operation was $3.26{\pm}0.66kg$. Primary Duhamel operations were performed in 25 patients and Soave-Boley operations was performed in one patient. The endo-GIA 35 (Ethicon, USA) was used from 1995 until 1997, and after that endo-GIA 60 (USSC, USA) was used. The average Duhamel operation time was $88.57{\pm}22.80$ minutes. Wound abscess (n = 2) and septum formation (n =1) occurred after Duhamel operation. Bowel function was normalized in 59 % within 3 months and in 95% within 1 year after operation. There was no mortality after one stage pull-through operation in neonate.

총담관낭의 임상적 고찰

임시연,정풍만,Rhim, Si-Yeon,Jung, Pung-Man 대한소아외과학회 2003 소아외과 Vol.9 No.2

Congenital dilatation of the common bile duct (choledochal cyst) is an uncommon disease. Although the etiology is unknown yet, various theories such as distal obstruction of the common bile duct, congenital weakness of the duct and anomalous union of the pancreaticobiliary duct have been offered to explain the occurrence of choledochal cyst. Thirty - six cases of choledochal cyst over 22 years were analyzed clinically and classified according to Todani's classification and Kimura's anomalous union of pancreaticobiliary duct type. Todani type 1 consisted with 22 cases which were subdivided into 19 cases of type Ia, 1 case of type Ib and 2 of type Ic. Type IVa consisted with 14 cases including one case of Caroli's disease. There were 25 type BP cases and 10 type PB cases and 1 normal pancreatobiliary junction. Serum alkaline phosphatase was increased significantly in almost all cases. Seven patients (19.4%) had associated congenital anomalies such as double gallbladder, left - sided gallbladder, common bile duct web, biliary atresia, accessory hepatic duct, heterotopic pancreas, cleft lip and 2 cases of intestinal malrotation. All patients underwent cyst excision and Roux - en - Y hepaticojejunostomy and cholecystectomy. There was one death due to methicillin resistant Staphylococcus aureus sepsis.

신생아 자발적 위 천공의 임상적 고찰

임시연,정풍만 대한외과학회 2003 대한외과학회 학술대회 초록집 Vol.2003 No.11

담도폐쇄증에 대한 Kasai 술식 후 10년 이상 생존한 9예에 대한 임상적 고찰

임시연,정풍만 대한외과학회 2005 대한외과학회 학술대회 초록집 Vol.2005 No.10

총담관 및 담낭에 발생한 유암종

임시연,최동호,김한준,이경근,백승삼,이광수 대한외과학회 2003 대한외과학회 학술대회 초록집 Vol.2003 No.5

싱가포르 2019: 차기 총선과 국민 단합의 과제

임시연 한국동남아학회 2020 동남아시아연구 Vol.30 No.2

In 2019, the ruling People’s Action Party (PAP) fully devoted itself to gearing up for the upcoming general election. As part of this, the PAP government carried out a cabinet reshuffle, appointing Finance Minister Heng Swee Keat as the Deputy Prime Minister who is expected to spearhead the fourth-generation PAP leadership. In the meantime, opposition parties were also hurriedly preparing for the election. A new opposition party was formed and allied itself with smaller opposition parties to contest the election together. Singapore’s economy was not performing very well because of the China-U.S. trade war, which triggered a global economic slowdown. To address national challenges such as inequality and an aging population, the PAP government proposed unity as its core banner and launched the “Singapore Together Movement.” Leaders invited the public to engage in policymaking while emphasizing social welfare policies. On another front, legislation focusing on controlling fake news or disinformation was introduced and the Maintenance of Religious Harmony Act was updated. These measures stirred some public concerns about restrictions on freedom of expression. Singapore continued to maintain balanced foreign relations between China and the United States, focusing on ASEAN-centered foreign policy and further strengthening cooperation with neighboring countries. In 2020, a battle between the ruling party and opposition parties is expected, while leadership continues to maintain unity and security to retain the electorate’s trust and support in the next election.