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日本文,學日本學 : 『源氏物語』の雲居雁の嫉妬 -立ち姿を見せる女君の嫉妬-
신은아 ( Eun Ah Shin ) 한국일어일문학회 2010 日語日文學硏究 Vol.75 No.2
本稿は、夕霧の北の方である雲居雁の嫉妬の在り方を通して、『源氏物語』における雲居雁の嫉妬の意味を明らかにしようとしたものである。まず、雲居雁と夕霧との幼な戀、そして結婚過程を通して、彼女が內大臣家の娘として社會的地位を形成していく樣子を考察した。內大臣の娘として雲居雁の位置は非常に不安定なものであったが、父親の自邸に引き取られることになった雲居雁にとっては、それは內大臣の娘として內外的に認められることを意味し、內大臣家の娘としての自覺を持つ機會となったことが分かった。また、夕霧との結婚は光源氏家と內大臣家の同盟を意味し、雲居雁は、彼女の社會的地位の安定さは確固たるものとなる。そして、それは、結婚後の雲居雁の行動にも、後の雲居雁の嫉妬の在り方にも影響を及ぼすと考えた。つまり、雲居雁の結婚後の上流貴族の姬君らしからぬ姿は、二人の七年越しの戀の過程の中で、積まれた愛情と信賴、そして、もう一つ、彼女の實家の權勢からとみた。また、そのような雲居雁を愛しながらも、夕霧は、不滿も感じ、雲居雁とは違った魅力の落葉の宮への懸想が始まり、雲居雁の嫉妬が始まったことを考察した。雲居雁の嫉妬には、權勢家としての落葉の宮へのウハナリ妬みの樣相もみられるが、やはり彼女の嫉妬の本質は、夕霧への嫉妬から讀み取ることができると思い、その嫉妬の樣相の場面を詳細に分析した。『源氏物語繪卷』に描かれ、有名な一場面となっている雲居雁の「立ち姿」は、彼女の嫉妬の行動性を象徵していると思われ、また二人のやり取りからも一步も引かず、自分の言いたい事を主張しながらも、夫に對する愛情が垣間見られる面、そして子どもの頻繁なる登場から、彼女の嫉妬が、夫への愛情が基本となっており、そして、その愛とその愛を基盤に築きあげられた幸せな家庭を守るためのものであったと見解した。このような雲居雁の嫉妬は、『源氏物語』の中で、また違った價値觀の一側面を物語っているではないかと思われる。
미만성 침윤성 페질환을 보이는 환자에서 방사선투시유도 절단침 페생검의 유효성
최수전 ( Soo Jeon Choi ),신은아 ( Eun Ah Shin ),김정숙 ( Joung Sook Kim ) 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.1
Background: Open lung biopsy is used for diagnosis of diffuse infiltrative lung diseases (DILD), but it is invasive and relatively expensive procedure. Fluoroscopy- guided cutting needle lung biopsy (FCNLB) has merits of avoidance of admission and rapid diagnosis. But diagnostic accuracy and safety were not well known in the diagnosis of DILD. Methods: We included 52 patients (37 men, 15 women) having DILD on HRCT with dyspnea, except the patients who could be confidently diagnosed with clinical and HRCT findings. FCNLB was performed using 16G Ace cut needle (length 1.5 cm, diameter 2 mm) at the area of most active lesion on HRCT. Final diagnoses were made by the consensus. Results: The mean interval between the HRCT and FCNLB was 4.5 days. Most cases were performed one biopsy during 5∼10 minutes. Specific diagnosis was obtained in 43 of 52 biopsies (83%). The most common diagnosis was nonspecific interstitial pneumonia (11 cases) and followed by cryptogenic organizing pneumonia (7 cases), diffuse alveolar hemorrhage and usual interstitial pneumonia (5 cases in each), hypersensitivity pneumonitis (3 cases), tuberculosis and drug induced interstitial pneumonitis (2 cases in each), the others are in one respectively. Mild complication was developed in 9 patients (8 pneumothorax, 1 hemoptysis). Most of complications were regressed without treatment except one case with chest tube insertion for pneumothorax. Conclusion: Fluoroscopy-guided 16 G cutting needle lung biopsy was an useful method for the diagnosis of DILD.
증례 : 복강경으로 성공적으로 절제한 후복막 점액성 낭선종 1예
문성진 ( Sung Jin Moon ),윤영훈 ( Young Hoon Yoon ),전태주 ( Tae Joo Jeon ),정재복 ( Jae Bock Chung ),이우정 ( Woo Jung Lee ),신은아 ( Eun Ah Shin ),김호근 ( Ho Geun Kim ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
저자 등은 28세 여자 환자에서 발생한 후복막 점액성 낭선종 1예를 복강경을 이용하여 성공적으로 치료한 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Primary retroperitoneal mucinous cystadenoma is a extremely rare tumor, reported exclusively in women. There have been about 30 cases of reports in worldwide literature, and only 3 reported cases in Korea to date. Because this tumor is histologically heterogenous and may have metastatic potential, a careful surgical excision with a thorough histopathological examination is needed, and close follow-up is mandatory. While transabdominal laparotomy and complete surgical excision is a standard of treatment, there had been a case-report of laparoscopic resection in 1998. Herein we report a case of primary retroperitoneal mucinous cystadenoma, which was successfully resected by laparoscopy, in 28-year-old woman. (Korean J Med 69:S741-S745, 2005)
정희정 ( Hee Jung Jung ),조용균 ( Yong Kyoon Cho ),최훈 ( Hoon Choi ),고지경 ( Ji Kyung Ko ),김명환 ( Myoung Hwan Kim ),김복린 ( Bok Rin Kim ),신은아 ( Eun Ah Shin ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.10
Primary ovarian transitional cell carcinoma (TCC) is extremely rare type of tumor and resembles transitional cell carcinoma of the bladder. Primary ovarian TCC has been classified as a different subtype from malignant Brenner tumor for it`s histologic and clinical characteristics. It usually presents at an advanced stage .Though more aggressive than malignant Brenner tumor, it shows more favorable prognosis because of better response to the chemotherapy than other epithelial ovarian carcinomas. We experienced a case of primary ovarian transitional cell carcinoma in a premenopausal woman who underwent staging operation and chemotherapeutic treatment, and herein report the case with a brief review of related literatures.
보중익기탕(補中益氣湯) 복용 후 재발생한 미만성 간질성 폐렴
김승구 ( Seung Gu Kim ),강건희 ( Gun Hi Kang ),김준재 ( Jun Jae Kim ),박현 ( Hyun Park ),백나나 ( Na Na Baek ),이현경 ( Hyun Kyung Lee ),신은아 ( Eun Ah Shin ),이영민 ( Young Min Lee ),이혁표 ( Hyuk Pyo Lee ),정훈 ( Hoon Jeung ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.5
Many classes of drug, such as antineoplastic drugs and antiarrhythmic drugs, have potential to induce interstitial lung disease. Herbal medicines are also believed to have the potential to induce pneumonitis. However, to our knowledge, there are no reports of pneumonitis caused by herbal medications in the Korean medical database. We report a case of recurrent pneumonitis caused by a self rechallenge of the Herbal medicine Bojungikgitang (Bu-Zhong-Yi-Qi-Tang : Hochu-ekki-to). (Tuberc Respir Dis 2008;65:416-420)
무증상으로 발견된 담낭-담관 누공을 동반한 Mirizzi 증후군 1예
홍진희,전태주,서지영,서동대,오태훈,신원창,최원충,신은아,김기환 인제대학교 2009 仁濟醫學 Vol.30 No.-
Mirizzi's syndrome is a rare complication of the gallstone disease, characterized by narrowing of the common bile duct (CBD) due to chronic extrinsic compression of an impacted gallstone in the cystic duct or the neck of the gallbladder. The impacted gallstone may erode into the bile duct, causing cholecystocholedochal fistula. The patients generally have history of repeated attacks of jaundice and abdominal pain. But there is no report about asymptomatic Mirizzi syndrome with cholecystocholedochal fistula which were found incidentally. So herein we present our clinical experience with a case of asymptomatic Mirizzi syndrome with cholecystocholedochal fistula in a young female.