The Correlation between English Ennui and Global Capitalism

Tae Jun Cha(차태준) 미래영어영문학회 2018 미래영어영문학회 학술대회 자료집 Vol.2018 No.12

본 연구는 바이런 경(George Gordon, Lord Byron)의 『돈 주앙』(Don Juan ) 에서 찾아볼 수 있는 당시 영국 사회의 권태(ennui)에 대해 살펴봄으로써 시인 바이런의 시적 여담 기법과 문학적 복화술, 특히 작품의 주인공인 주앙(Juan)을 통해 시인의 의견을 이야기하는 기법에 대한 해석을 제시하고 있다. 특히 작품의 영국 칸토에서 드러나는 소비와 소모에 대한 관념(notion of consumption)은 당시 영국 사회와 유럽지역의 정치경제적 관계들 문학적으로 알아볼 수 있는데 기여한다. 바이런의 기법들은 이러한 등장인물들을 통해 시인의 의견과 이야기를 제시하며 작품에 대한 재해석에 기여한다. 더 나아가서 본 연구는 주요 등장인물인 주앙의 상업화(commodification)되는 과정에 대해 살펴보고 있다. 또한 등장인물의 교환가치(fungibility of Juan)가 어떻게 변화되는지 알아보고 있다. 이러한 영국사회에 대한 바이런의 고찰을 통해 알아볼 수 있듯이 당시 영국 제국과 특정 유럽지역들의 정치경제학적 관계들과 특성들을 『돈 주앙』과 작품의 등장인물들로 하여금 알아볼 수 있다는 의견을 제시하고 있다. 이러한 바이런의 특징적인 기법과 당시 영국 제국과 유럽 지역에 대한 고찰을 바탕으로 당시 영국제국과 영국 사회의 특성들을 문학적인 관점에서 연구하였다. 이는 향후에 바이런의 문학적, 시적 기법들에 대한 연구와 『돈 주앙』에 대한 해석을 증진 시키는데 기여할 수 있는 연구가 될 수 있을 것이다.

CAPD 환자에서 복강대식세포의 탐식능과 살균능에 관한 연구

남철우 ( Nam Cheol U ),최영식 ( Choe Yeong Sig ),차태준 ( Cha Tae Jun ),안수열 ( An Su Yeol ),양상호 ( Yang Sang Ho ),박상은 ( Park Sang Eun ),이시래 ( Lee Si Lae ),유경식 ( Yu Gyeong Sig ),장명웅 ( Jang Myeong Ung ),주운수 ( Ju U 대한내과학회 1992 대한내과학회지 Vol.42 No.4

연구배경 : 지속성 복막투석 환자에서 복막방어 기전인 복강내의 opsonin 활성도 및 복강대식세포이 탐식능과 살균능의 저하가 복막염의 발생빈도를 높이는데 영향을 줄 것이다. 방법: 복막염 발생빈도가 높은 환자 9명과 복막염 발생빈도가 낮은 환자 9명을 대상으로 혈청 및 복강내의 IgG 농도를 측정하였고, 복강대식세포의 C. albicans에 대한 탐식능과 세포내 살균능 및 IgG 투여후에 탐식능과 살균능을 측정하였다. 결과 : 1) 대상환자의 평균연령, 평균복막투석 기간은 양군 사이에 유의한 차이가 없었고, 1인당 년간 복막염의 발생빈도는 HPI군이 5.2회, LPI군이 1.3회로 HPI군에서 유의하게 높았다(p<0.005). 2) 혈청 총단백의 값은 LPI군이 6.5g/dl로 HPI군의 5.9g/dl 보다 유의하게 높았으나(p<0.05), albumin, IgG, IgA, IgM, C3, C4 및 말초 백혈구수와 백혈구 백분율수의 값은 양군 사이에 유의한 차이가 없었다. 3) 복강세포수와 그것의 생존력은 양군 사이에 비스하였고 IgG값은 HP군의 6.3 ㎎/dl에 비해 LPI군은 7.4㎎/dl로 LPI군에서 더 높은 경향이 있었다. 4) 복강대식세포가 C. albicans와 접촉후 30분, 1시간, 2시간째의 탐식율은 HPI군이 각각 46.0, 55.6, 55.9%였으며 LPI군은 각각 47.7, 56.2. 62.6%로 LPI군이 HPI군에 비해 높은 경향이 있어고, 30분에서 2시간째까지 양군 모두에서 계속 증가하였다. 5) 복강대식세포의 C.albicans에 대한 세포내 살균율은 30분, 1시간, 2시간째에 HPI군이 가각 11.6, 17.5, 22.8 %였으며, LPI군은 각각 16.1, 22.6, 29.6%로 LPI군이 HPI군에 비해 유의하게 높았고 (p<0.05), 30분에서 2시간째까지 양군 모두에서 계속 증가하였다. 6) HPI군에서 IgG 0.025㎎을 혼합액에 첨가한 후 30분, 1시간, 2시간째의 탐식율은 각각 56.1, 61.3, 64.6%였고 살균율은 각각 15.3, 22.0, 24.9%로 2시간째의 살균율을 제외하고 투여전에 비해 유의하게 증가하였고(p<0.05), 30분에서 2시간째까지 계속 증가하였다. 7) LPI군에서 IgG 0.025㎎을 혼합액에 첨가한 후 30분, 1시간, 2시간째에 탐식율은 각각 57.4, 64.1, 65.5%였고 살균율은 각각 18.7, 28.9, 33.1%로 2시간째의 살균율을 제외하고 투여전에 비해 유의하게 증가하였고(p<0.05), 30부에서 2시간째가지 계속 증가하였다. 결론 : CAPD 환자에서 복강대식?W의 C. albicans에 대한 탐식능과 살균능은 hrakrdua이 많이 발생하는데 환자와 적게 발생하는 환자 사이에 유의한 차이가 없었으나, 더 많은 예에서 연구 검토되어야 할 것이고, IgG를 투여함으로써 탐식능과 살균능을 증가시킬 수 있었다. Background : Impairment of peritoneal defense mechanisms; i.e. opsonization, phagocytosis and intracellular killing would correlate with the high peritonitis rate in a subgroup of continuous ambulatory peritoneal dialysis (CAPD) patients. Methods : Serum and peritoneal IgG concentration, the phagocytosis and intracellular killing of Candida albicans (C. albicans) by peritoneal macrophages were measured in 9 patients with high peritonitis incidence (HPI: more than 3 episodes in 6 months) and 9 patients with low peritonitis incidence (LPI: less than 2 episodes in 12 months) on CAPD. Also, after addition of IgG, the phagocytosis and intracellular killing were measured. Results : 1) The average incidence of peritonitis was 5.2 ep./pt./yr. in HPI group and 1.3 ep./pt./yr. in LPI group(p<0.05). 2) Serum albumin, IgG, IgA, IgM, C3 and C4 levels and peripheral blood leukocyte counts with differentials were similar in both groups. 3) The IgG levels in peritoneal effluent was 6.3 ㎎/㎗ in HPI group and 7.4 ㎎/㎗ in LPI group. The numbers and viability of peritoneal cells were similar in both groups. 4) Percentages of uptake of C. albicans by peritoneal macrophages at 30 minutes, 1 hour and 2 hours after incubation were 46.0, 55.6 and 55.9, respectively, in HPI group and 47.7, 56.2 and 62.6, respectively, in LPI group. Percentages of intracellular killing at 30 minutes, 1 hour and 2 hours were 11.6, 17.5 and 22.8, respectively, in HPI group and 16.1, 22.6 and 29.6, respectively, in LPI group. The percentage of uptake in HPI group was slightly lower as compared with LPI group althougth the difference was not significant. However, the percentage of intracellular killing in HPI group was significantly lower than that in LPI group(p<0.05). 5) After IgG was administered, percentages of both uptake and intracellular killing increased significantly in both groups (p<0.05). Conclusion: The concentration of serum and peritoneal IgG and the rates of in vitro uptake and intracellular killing of Candida albicans by peritoneal macrophages were not different significantly between HPI group and LPI group. The uptake and intracellular killing rates could be improved by immunoglobulin administrations in both groups.

급성심근경색증 때 내원 첫 심전도상 QRS파 끝부분의 비틀림과 조기 예후와의 관계

이영수,차태준,김현주,임진형,이철희,최환준,유호대,주승재,이재우 高神大學 醫學部 1998 高神大學醫學部 論文集 Vol.13 No.1-2

갑상설관 잔유조직에서 발생한 하시모토 갑상선염과 동반된 여포상 선암 1예

이준철,최영식,임학,최진,박선미,장희경,차태준,박요한 대한내분비학회 1996 Endocrinology and metabolism Vol.11 No.3

Thyroglossal duct remnants are common congenital abnormalities of the thyroid development but malignant tumors arising in the thyroglossal duct remnants are rare, occuring in less than 1%. In the literature, about 160 cases of malignancy in the thyroglossal duct remnant have been reported. Among the various types of carcinoma being found from the thyroglossal duct remnants, most are papillary carcinoma(79.8%) and Mixed follicular-papillary carcinoma(9.5%). Others are squamous cell carcinoma(7.6%), follicular carcinoma(1.2%), and anaplastic carcinoma(0.6%). Hashimotos thyroiditis is a common autoimmune disease of the thyroid gland. Malignant tumors of the thyroid gland with Hashimotos thyroiditis are rare disorder except malignant lymphoma whose association with Hashimotos thyroiditis is well known. Malignant tumors associated with Hashimotos thyroiditis arising in a thyroglossal duct remnant are extremely rare. Recently the authors experienced a case of follicular carcinoma associated with Hashimotos thyroiditis arising in a thyroglossal duct remnant, which was removed by local excision and reported with literature review(J Kor Soc Endocrinol 11:336-342, 1996).

급성심근경색증 때 내원 첫 심전도상 QRS파 끝부분의 비틀림과 조기 예후와의 관계

이영수,차태준,김현주,임진형,이철희,최환준,유호대,주승재,이재우 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2

There were some reports that magnitude of ST segment elevation reflects the extent of myocardial injury in acute myocardial infarction. And the magnitude of ST elevation, which is influenced by the extent and severity of ischemia, is also determined by other factors. Recently there were some reports that if terminal portion of QRS was distorted, it was related to severe myocardial injury. So we investigated the relationship between distortion of the terminal portion of the QRS complex and early outcome of the myocardial infarction. We classified 108 patients into two groups : 64 patients who had no distortion of terminal QRS portion and 48 patients with distortion of terminal QRS portions. Distortion of terminal QRS portion was defined as the emergence of the J point at a level above the lower half of the R wave or disappearance of the S wave in leads with an Rs configuration in 2 or more adjacent leads. We studied the first ECG checked in emergency room or intensive care units. And we followed the inhospital course of the two groups. 1. There were no significant difference in infarct sites, blood pressure, potassium, creatinine, cholesterol, HDL, triglycerides, smoker, hypertension and DM between two groups. 2. There revealed significantly higher level of peak CK-MB, SGOT and LDH in the QRS distortion group. And Killip class and mortality were also higher in the QRS distortion group. 3. Multivariate logistic regression analysis of mortality with various factors showed that reinfarction, fillip class, QRS distortion was associated with mortality. Distortion of the terminal portion of the QRS complex on the admission ECG was associated with severe myocardial injury and higher mortality rate in patients with acute myocardial infarction.

완전 전도로 절제 결과 평가를 위해 동율동시 투여한 Adenosine

노지훈,이지현,임대관,박찬복,김성만,차태준,주승재,이재우 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1

Background: Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common form of supraventricular tachycardia. Radiofrequency cather ablation (RFCA) of the slow pathway can treat AVNRT. Slow pathway ablation is associated with a risk of complete AV block in rare cases. In difficult cases, electrophysiologist should check degrees of artrioventriculr node(AVN) damage during and after ablation. There are several methods of identifying high risk of slow pathway ablation and identifying degree of AVN damage, but sometimes there are not perfect. Adenosine is effective in AVNRT termination by influencing AVN conduction. Use of adenosine can identify change of AVN conduction properties Methods : Adenosine tests were studied in 24 patients (10 men, 14 woman:43.5± 16.6 years) with inducible sustained AVNRT. Adenosine 6㎎ and 12㎎ were injected before and after successful ablation of slow pathway during sinus rhythm. Results : With adenosine 6㎎ injection, AVNRT occurred in 13patients and A-H jump in 15 patients before ablation, whereas AVNRT occurred in no patient and A-H jump in 5 atients after ablation. Adenosine 6㎎ induced AV block beats were significantly increased from 0.4±1.5 to 4.0±4.0 beats by ablation (p<0.05). Adenosine 6㎎ induced longest RR interval was also significantly increased from 876±319 to 1575±852 msec by ablation (p<0.05). And then adenosine 12 ㎎ were injected before and after ablation of slow pathway in 21 patients. AVNTR occurred in 13 versus 0 patient, A-H jump occurred in 16 versus 9 patients. the longest RR interval was 1590±714 versus 4245±3492 msec(p<0.05). Conclusion : After successful RFCA of AVNRT, adenosine increases the number of AV block beats and the longest RR interval significantly. Administration of adenosine during and after ablation can identify severe AV nodal damage which was induced by ablation. Administration of adenosine during and after RFCA enables us to estimate amount of AV nodal damage and it give us information about when to stop the cather ablation. Adenosine can be useful to identify patients with impending heart block during and after ablation of slow pathway.

결절성 경화증에 동반된 비후성 심근병증 1 예

이재우,김용수,김대현,김기환,박종남,이준철,차태준,주승재,김동옥,이병건 대한내과학회 1996 대한내과학회지 Vol.51 No.4

Tuberous sclerosis is one of the neurocutanceous syndromes with autosomal dominant inheritance and has a reported incidence of 1:10,000. Mental retadation cerebral convulsion, and adenoma sebaceum are the characteristic signs of the disease. Besides the neurocutaneous abnormalities, hamartomatous proliferative lesions occur in virtually every organ, including the brain, retina, skin, heart, lung, digestive tract, kidney, endocrine glands, bones, and blood vessels. Rhabdomyoma is the most common benign primary cardiac tumor found in tuberous sclerosis, which is rarely associated with is rarely associated with endocardial fibroelastosis. But tuberous sclerosis combined with hypertrophic cardiomyopathy has never been reported. We experienced a patient with tuberous sclerosis who had hypertrophic cardiomyopathy demonstrated by the echocardiography. As far as we know, this is the first reported case in the world. So we reported this case of hypertrophic cardiomyopathy combined with tuberous sclerosis, with the review of literatures.

급성 심근 경색 후 좌심실 재구도와 수축기 기능 및 이완기 기능의 변화 : 입원시 Killip분류에 따른 비교 Comparison according to Killip Class at Admission

고철희,주승재,박달수,김지현,편준철,이영수,차태준,이재우 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.10

인슐린 저항성과 관상동맥질환

김진,최휘,오원섭,김경진,윤병철,최진,김복근,구양훈,최환준,최영식,차태준,유호대,주승재,이재우 대한순환기학회 1997 Korean Circulation Journal Vol.27 No.8