자궁내 태아사망의 임상적 고찰

이권해,이정재,조현철,이석민,이임순,이해혁,김권대,이순곤,남계현 순천향의학연구소 1999 Journal of Soonchunhyang Medical Science Vol.5 No.2

Objective: This study was designed to evaluate diagnosis and complication, prognosis during clinical study of cases of intrauterine fetal death. Methods and materials: This is a clinical study of 56 cases of the intrauterine fetal death among 8064 deliveries at Seoul Sunchunhyang university hospital during 5 years from January, 1994 to December, 1998. Results: The incidence was 0.7%. The age distribution of mothers was 18 - 44 years and was highest in the 25 - 29 years range(46.4%). The parity was the most highest in the nulliparous group(51.8%). The most common gestational weeks was 20 - 28 weeks gestational period(46.4%), and most common presentation was cephalic(73.5%). The most common weights of the intrauterine fetal death was from 5,00gm to 1,000g(48.2%). The mode of the most common delivery was the induction of delivery(57.2%). The etiologic factors were: unknown(42.9%), preeclampsia(17.9%), chorioamnionitis(14.3%), congenital anomaly(12.5%), abruptio placenta(7.1%), cord complication(3.6%), placenta previa, death of one for twin. There were 2 cases of maternal complication(DIC, Uterine atony). Conclusion : Intrauterine fetal death should be diagnosised early and treated properly to reduce risk of the maternal complication.

인식 정당성의 의무론적 이해에 대한 비판과 대안

이해완(Lee, Hae-Wan) 서울대학교 철학사상연구소 2013 철학사상 Vol.50 No.-

이 글은 ‘인식 정당성’을 의무론적으로 이해하려는 이병덕과 임일환의 최근 논의를 비판적으로 검토한다. 잘 알려진 대로, 인식적 의무의 준수가 진리연관적이지 않다는 점과 믿음의 생성과 소멸을 의지적으로 통제할 수 없다는 점은 의무론적 이해에 대한 두 개의 주요한 반론이다. 이 글에서는 의무와 진리연관성을 직접 연결시키려는 듯 보이는 이병덕의 시도와 약한 인식적 의무를 주장하는 임일환의 입장이 모두 여전히 이 반론들을 극복하지 못하고 있음이 논증될 것이다. 보다 근본적인 차원에서 인식 정당성에 관한 소위 ‘포기할 수 없는 직관’으로 알려진 것의 근원들을 재검토해 본다면, 지식의 규범성이 반드시 의무 개념과 연계되어 이해되어야 할 필요는 없다는 점이 드러날 수 있을 것이다. 그로부터 출발하여 필자는 인식정당성에 대한 새로운 이해의 한 방향을 제안한다. 필자의 견해로는 믿음은 그 생성의 국면과 유지의 국면을 구별할 수 있는데, 진리연관성의 확보와 우연성의 배제를 위해 이 두 국면이 모두 평가될 필요가 있고, 이 두 국면에서 모두 좋은 믿음이 되는 것이 지식을 위해 필요하다. 믿음의 생성 국면은 기존의 정당화에 대한 신빙성 이론의 제안과 유사하게 평가될 수 있으며 그 결과 진리연관성을 확보할 수 있게 된다. 한편 유지 국면의 적절성을 외재론적으로 평가하는 것을 통해, 의무론적 이해의 옹호자들이 지식의 규범성과 관련하여 가지고 있는 통찰은 존중하되 그것이 ‘인식적 의무’와 같은 개념에 의존하지 않으면서도 설명될 수 있는 방법을 모색하고자 한다. 이 작업이 외재론적 틀 내에서 내재론의 착안점을 수용할 수 있는 이론의 가능성을 타진해 보는 시도가 될 수 있었으면 한다. This paper critically reviews two recently proposed, duty-based understandings on epistemic justification, one by Beong-Deok Lee and the other by Il-Hwan Rim. Having difficulty in securing truthconduciveness has been the major weakness of such deontological conceptions of justification. The fact that beliefs are formed involuntarily also casts a serious doubt on the concepts of epistemic duty. I argue that, unfortunately, those two new suggestions by Lee and by Rim still cannot live up to their billings by being susceptible to these already known attacks. Lee’s attempt to directly connect duty to truth-conduciveness fails, and Rim’s dependence on the concept of weak epistemic duty cannot circumvent the criticism of involuntarism, as he has intended. On the basis of this review, I propose a new way to understand epistemic justification. It is my contention that the concept of epistemic justification may be so technical that it is not guided by the intuition of justification (as there is none) but rather constructed artificially in accordance with what we think is needed for a true belief to become knowledge. What we need is truth conduciveness and, if a true belief is acquired by chance and/or maintained by chance, ways to get rid of relevant accidentality are involved. Thus I think that a belief should be evaluated as being good in the phase of both its acquisition and its maintenance in order to see if it qualifies as knowledge. A good belief in its acquisition phase may well be a belief produced by a reliable beliefforming process so that we can secure the truth-conduciveness. I suggest that a good belief in the maintenance phase can also be evaluated in an externalist’s perspective so that we can eliminate the involvement of a kind of accidentality, which in turn is a way to capture what deontologists want to hold as being epistemically important. The difference is that my proposal does not rely on the problematic conceptof epistemic duty.

조산의 예측 지표로서의 fetal fibronectin의 유용성

정집광,이해혁,이정재,이석민,이순곤,남계현,이임순,이권해 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Objective: The purpose of this study was to evaluate clinical efficacy of fetal fibronectin as a marker to predictor of preterm labor. Materials & Methods: The study group consisted of sixty-eight healthy pregnant women, at gestational age between 24 and 36 weeks, who visited our department with vaginal discharge from April, 1995 to December, 1997. For comparison, we divided all of the pregnant women into two groups by the result of ROM-Check^®, positive groups(N=21) and negative groups(N=47). When preterm labor appeared, 50mg of ritodrine hydrochloride(Yutopar^®) mixed I liter of 5% dextrose solution was administered slowly intravenously. Results: 1) The gestational age at delivery and the interval time from admission to delivery in the positive groups were significantly shorter than those of the negative groups(p<0.05). 2) The positive groups had significantly lower birth weight and Apgar scores than the negative groups(p<0.05). 3) Among the negative groups, in case of tocolytics administration, the interval time from admission to delivery significantly delayed more than that time in case of no tocolytics administration(p<0.05). Conclusions: The detection of the fetal fibronectin in vaginal discharge had a useful method as a predictor of preterm labor. Tocolytics was more effective in the negative groups than in the positive groups.

In Vitro Fertilization and Embryo Cleavage in Canine Oocytes

Hae }ung Kim,Sang Ryeul Lee,Sin Hae Park,Sung Hyun Kim,Bong Soo Kim,Dong Hun Yoo,Sin Hae Park,Mi Jung Shin,Jae Wook Kim,Zae Young Ryoo 한국동물생명공학회(구 한국동물번식학회) 2006 Reproductive & developmental biology Vol.30 No.2

갱년기 여성의 호르몬 대치 요법에 대한 수용율

이임순,장진영,이정재,이순곤,이권해,이해혁,김승형 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2

Purpose: We have evaluated the compliance of hormone replacement therapy. Method: There are 185 climacteric women who are divided into three groups (Group I, Group II, Group III). Group I is given conjugated equine estrogen(CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate(MPA, 5mg, day 1-12). Group II is given conjugated equine estrogen (CEE, 0.625mg, day 1-30) plus medroxyprogesterone acetate (MPA, 2.5mg, day 1-30), Group III is given only conjugated equine estrogen(CEE, 0.625mg, day 1-30). Results: 1) The compliance rate of hormone replacement therapy during three months is 77.9% including each Group I : 77.7%, Group Ⅱ : 76.1%, Group Ⅲ :80.4%. 2) The compliance rate of hormone replacement therapy during six months is 60.7% including each Group Ⅰ:52.9%, Group Ⅱ: 56.4%, Group Ⅲ: 79.5%. 3) The compliance rate of hormone replacement therapy during nine months is 49.7% including each Group Ⅰ: 45.5%, Group Ⅱ:41.7%, Group Ⅲ: 64.3%. 4) The compliance rate of hormone replacement therapy during a year is 44.4% including each Group Ⅰ: 40.2%, Group Ⅱ:35.3%, Group Ⅲ: 59.5%. Conclusion : It is vital that we maximize compliance if patients are to receive the full benefits from hormone replacement therapy. We think that physicians who prescribe hormone replacement therapy for climacteric women should enough explain the purpose, risks, and side effect of treatment for maximizing compliance of hormone replacement therapy.

다산부에서 자간전증의 임상적 고찰

이주롱,이석민,한효상,이해혁,이임순,이권해 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

목적 : 전자간증 산모에서 초임신부와 다산부 각각의 임상적 특징을 조사하여 비교 분석하고자 하였다. 연구방법 : 1998년 1월부터 1999년 12월까지 2년간 순천향대학 서울병원에서 입원 분만한 임신성 고혈압성 질환 환자중 초임신부 106명과 다산부 50명, 총 150명을 대상으로 임상통계학적으로 조사 분석하였다. 결과 : 분만까지 임신기간의 비교시 초임신부에서는 33-36주에서 17.9%였고 다산부에서는 34.0%로, 다산부에서 조기분만의 예가 의의있게 많았다. 신생아 체중이 2500g 미만인 군이 초임신부군에서는 36.8%였고 다산부군에서는 62.0%로 다산부군에서 더 많았다. 임신성 고혈압성 질환의 중등도를 보면 중증자간전증의 초임신부에서 35.8%와 다산부에서는 44.0%로, 초임신부에 비해 다산부군의 중증 자간전증의 비율이 많았다. 결론 : 중증 임신성 고혈압성 질환이 다산부군에서 더 많았으며 적은 주수에서 제왕절개술을 시행해 출생아의 체중이 초임신부군에 비해 더 작았고 Apgar 점수도 더 낮았다. Objective : To study the clinical differences of primiparous and multiparous preeclamptic patients. Methods : We statistically analyzed 106 primiparous and 50 multiparous preeclamptic patients who were admitted to the Soonchunhyang University Hospital from January 1998 to December 1999. Results : It was statistically found that multiparae were more likely to give premature birth than primiparae: Thirty four percents of multiparae gave birth in the period between the 33rd and the 36th gestational weeks while 17.9% of primiparae did in the same period. Sixty two percents of the newborn babies of multiparae weighed less than 2500g. Among primiparae, the ratio was 36.8%. In addition, more multiparae(44.0% vs. 35.8%) suffered from severe preeclampsia. Conclusion : severe preeclampsia was found more frequently among multiparae. Since they gave birth earlier by cesarian section than primiparae, their babies weighed less and had lower apgar scores.

폐경기 여성에서 호르몬 대치 요법시 병행 투여된 프로제스토젠 투여 방법에 따른 혈청 지질 및 지단백에 미치는 영향

이임순,전섭,이순곤,이해혁,이권해,정집광,이석민 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

Objective : The purpose of our study is to evaluate the effect of different administration method of progestogen on lipid profiles including total cholesterol, LDL(low density lipoprotein)-cholesterol, HDL(high density lipoprotein)-cholesterol, triglycerides during hormone replacement therapy in postmenopausal women. Methods and Materials : Seventy-one postmenopausal women who were assigned to following groups (Group I : conjugated equine estrogen(CEE), 0.625 mg/day plus continuous medroxyprogesterone acetate (MPA), 2.5mg/day, Group II : CEE, 0.625 mg/day plus cyclic MPA, 5mg/day for 12days/month. And we measured serum total cholesterol, high density lipoprotein (HDL)-cholesterol, low density lipoprotein (LDL)-cholesterol, and triglycerides before hormone replacement therapy(HRT) and 12 months later after hormone replacement therapy. Results: 1. Total cholesterol decreased in group I,III. 2. HDL-cholesterol increased in group I,II,III. 3. LDL-cholesterol decrease in group I,II. 4. Triglycerides increased in group I,II,III. There was significance in serum total cholesterol and LDL-cholestrerol among three groups. Conclusions : Estrogen alone or in combination with progestogen both in cyclic and continuous use improves lipid profiles, so medroxyprogesterone acetate(MPA) does not seem to blunt estrogenic effect on lipid profiles.

운동에너지 탄에 따른 전투시스템 내의 순간화재발생에 대한 해석적 연구

이승철(Lee Seung-Chul),전우철(Jeon Woo-Chul),이해평(Lee Hae-Pyeong),이헌주(Lee Heon-Joo),이창현(Lee Chang-Hyun) 제어로봇시스템학회 2012 제어로봇시스템학회 합동학술대회 논문집 Vol.2012 No.7

본 연구는 외부 위협탄에 의한 전투시스템의 취약성을 분석하기 위한 선행연구로써, 운동에너지 탄의 종류에 따른 가상의 전투차량 내부에 적재포탄에서 순간화재발생 여부에 대한 전산해석을 수행하였다. 본 해석은 Autodyn 프로그램을 사용하였으며 순간화재발생을 판단하기 위해 Lee-Tarver ignition and growth model을 이용하였다. 본 계산에서 운동에너지 탄은 type A와 type B 두 가지로 설정하였고, 고폭탄은 COMPB, TNT 및 PBX9404를 설정하였다. 전산해석 결과, 고폭탄의 재질이 TNT와 PBX9404가 COMPB 재질보다 순간화재발생 확률이 상당히 높음을 알 수 있고 type B의 운동에너지 탄이 type A 보다 순간화재발생 확률이 다소 높음을 알 수 있었다.

近代飜譯小說における受身表現の機能について -新情報の提示と視点を中心に-

이해미 ( Hae Mi Lee ) 한국일어일문학회 2015 日語日文學硏究 Vol.94 No.1

本稿においては、李海渼(2014)に續き、「新情報提示受身文パタ-ン(①これから始まる新しい場面(情況)の登場、または新しい人物との出會い、②視覺的情報の說明的な描寫、③受身表現による描寫、④主人公の動作描寫/④´主人公の心情描寫、⑤本格的な物語が始まる)」の形成時期·背景及びその類型·機能を考察するため、受身文形成の轉換点に該當する近代日本の飜譯小說を分析した。分析對象とした4編の小說においても、現代小說に見られる<新情報提示受身文パタ-ン>が現われ、ⅰ)視点コントロ-ルによって舞台の外側にいた讀者を內側に引き入れることで、臨場感を持たせる機能、ⅱ)舞台の外側にいる讀者の視線を引き、重要な素材または人物へ集中させる機能、ⅲ)舞台の外側にいる讀者の視線を連續的に移動させながら距離感を調節して主な素材の登場に劇的效果をもたらす機能も同じく用いられた。 パタ-ンの形態面から見ると、パタ-ン內の要素の省略及び重複·結合の現象が現われ、現代小說に比べて<新情報提示受身文パタ-ン>の固着性が弱い方であると言える。しかし、小說の前半及び場面の重要度が高いほど①~⑤の完全な形のパタ-ンの形態を成し、ある程度物語が進むにつれて、類推可能な部分または主人公に感情移入し終えた小說の後半などにおいては縮約された形のパタ-ンが用いられるなど、このようなパタ-ンの構造の柔軟なバリエ-ションによって讀者の視点及び視線のコントロ-ルの機能の程度を調節しながら效率的に新しい情報を示している。 また、すべての新情報が<新情報提示受身文パタ-ン>として示されるのではなく、脇役(特に、主人公の前にたちはだかる「影」)のように感情移入する必要のない人物が新しく登場する場合、または新聞のようなメディアによって客觀的な事實報道が前揭され場合などでは<新情報提示受身文パタ-ン>が用いられないということを明らかにした。 以上のことから、主語に焦点を當てるような視点調節機能が他の文と有機的に結び付つことによって、效率的に新しい情報を提示する機能をもたらす受身文の效果は近代飜譯小說においても現われているということが分かった。 This paper, followed by Hae-mi, Lee(2014), considers the formation period, background and types and functions of the <Passive sentence pattern of new information presentation(It is called "Passive pattern" afterwards)>. Four translated fictions in modern Japan were analyzed and they were classified as the turning point of formation of passive sentence. There were five types of patterns for "passive sentences" ①The story shows a new scene(situation)/②Explanatory description of a visual information/③Description using passive expressions/④Movement of the main character/Feeling and thoughts of the main character/⑤It begins full-fledged story" There were "Passive pattern" for the subjects of analysis, and they had 3 functions in common with Japanese contemporary fictions: ⅰ) perspective controlled to draw the reader who was on the outside of the stage on the inside, and a sense of realism function to impart, ⅱ) pull the line of sight of the reader who is on the outside of the stage, the ability to focus to critical material or person, ⅲ) adjust the sense of distance while continuously moving the line of sight of the reader who is on the outside of the stage function that causes a dramatic effect on the appearance of the main materials. In the formal aspects of the pattern, the fixation of "Passive pattern" was weaker than contemporary fictions because of omissions, overlapping and combination of the elements in the pattern. However, the complete form of the pattern was appeared at the beginning of the fiction or the more important scene. Also, the variation of the form was used at the back of the fiction and situations that readers can guess the scene because of the background. In addition, not all of the new information is shown as " the Passive pattern" and supporting roles who do not need empathy or news did not use "Passive pattern". From the above, "Passive pattern" was used in the modern fictions as the same as comtemporary fictions.

철갑소이탄에 의한 전투시스템 내 적재포탄의 순간화재에 관한 전산해석

이승철(Lee, Seung-Cheol),전우철(Jeon, U-Cheol),이해평(Lee, Hae-Pyeong),이헌주(Lee, Heon-Ju) 한국화재소방학회 2013 한국화재소방학회 학술대회 논문집 Vol.2013 No.추계

본 연구에서는 철갑소이탄이 장갑을 관통한 후 전투시스템 내의 적재포탄(고폭탄 또는 추진제)에 피탄되었을 때 순간화재 발생확률에 대해 전산해석을 수행하였다. 장갑은 RHA 재질로 설정하였고, 장갑 두께를 5~30 mm까지 5 mm씩 증가시키며 전산해석을 실시하였다. 고폭탄은 COMPB, TNT, PBX가 사용되었으며 추진제는 ANB가 사용되었다. 본 해석은 Autodyn 프로그램을 사용하였으며, 순간화재 발생 여부를 해석하기 위해 Lee-Tarver ignition and growth model을 사용하였다. 해석 결과, 철갑소이탄이 고폭탄 TNT와 PBX에 피탄되었을 때, 순간화재 발생확률이 모두 100%를 나타내었으며, 고폭탄 COMPB의 경우, 0.8~0.08%로 나타났다. 추진제 ANB의 순간화재 발생확률은 3.8~3.6%로 나타났다.