Langerhans cell histiocytosis

장창덕,허준,박성환,김철훈,오수진,황희성,최설희,신상훈 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.4

Langerhans cell histiocytosis(LCH) appears to arise from Langerhans cell and comprises a spectrum of clinical disease previously described in the literature by a variety of eponyms including histiocytosis X, eosinophilic granuloma, Hand-Christian disease, and Letterer Siwe syndrome. This rare disorder occurs in all groups, predominently affecting children & young adults. LCH has a wide spectrum of clinical features. The differentiation of several forms of this disease is primarily a clinical and not a histologic one. The radiographic characteristics include the appearance of solitary "intraosseous" lesios, the multipicity of "alveolar bone" lesions, the bone lesions, periosteal new bone formation, and slight root resorption. Prognosis of a single bone lesion, is known to be excellent. In contrast, disseminated disease has seen associated with a chronic course, a high rate of morbidity and late consequences, and possible mortality. Treatment of LCH remains problematic. Treatment of multisystem disease, where organ function is being compromised has generally been with high-dose systemic corticosteroids or multiple chemotherapy.

아동의 농촌체험과 정서지능과의 관계

조록환,박장희 한국농업교육학회 2007 농업교육과 인적자원개발 Vol.39 No.3

이 연구는 아동의 농촌체험과 정서지능발달과의 관련성을 탐색해 보고 아동의 정서지능발달을 지원 해 줄 수 있는 농촌체험프로그램개발을 위한 기틀을 마련해 주는데 연구의 목적이 있다. 이를 위해 본 연구에서는 서울시내 소재 초동학교에 재학 중인 4~6 학생 972명을 대상으로 지난 3년 동안의 농촌 체험실태와 정서지능발달 경향성,그리고 이 두변인간의 관련성을 탐색하였으며,다음과 같은 결과를 얻었다. 첫째,아동들은 지난 3년 동안 평균 5.15회 정도의 농촌체험을 하였다. 횟수별로는 1,2회성 체험아동들이 응답자의 33.1%를 차지하며 가장 많았고,다음으로는 6회 이상 체험아동들이 응답자의 23.8%를 차지하여 많았다. 응답자 가운데 20.4%는 지난 3년 동안 농촌체험을 해본 적이 없는 것으로 나타났다. 농촌체험의 유형별로는 농촌문화생활체험과 농촌자연체험을 많이 한 반면,농사체험을 비교적 덜한 것으로 나타났다. 전반적으로 볼때,6학년 아동들의 농촌체험활동이 저조한 것으로 나타났다. 둘째,아동의 정서발달은 아동의 성과 연령에 따라 유의한 차이가 있었다. 먼저 성별에 따라서는 여아가 남아보다 정서지능(전체)과 정서지능의 하위요인 중에 정서인식,정서표현,정서조절능력이 높았다. 그리고 학년에 따라서는 4학년 아동들이 5,6학년 아동들보다 정서지능의 하위요인인 정서활용능력이 높았다. 셋째,아동의 정서지능은 농촌체험의 횟수에 따라 차이가 있었다. 즉,6회 이상 농촌체험을 한 이동들이 농촌체험경험이 전혀 없는 아동들에 비해 정서지능(전체)이 높았으며,3회 이상 농촌체험을 한 아동들이 농촌체험경험이 전혀 없는 아동들보다 정서지능의 하위요인인 정서활용능력이 높았다. The purpose of this study was to investigate the relationship between children's rural activity and emotional intelligence. The subjects were 972 elementary school students of 4th, 5th, 6th grade in Seoul. The subjects were asked to report the rural activity frequencies in recent three years. And the emotion intelligence was assessed by EI Test for Korea Students(Moon, 1996). The major findings of this study were as follows : 33.1% of the subjects have participated in rural activity 1 ~ 2 times, 22.7% of the subjects have participated in rural activity 3 ~ 5 times, 23.8% of the subjects have participated in rural activity more than 6 times. And 20.4% of the subjects were have never participated in rural activity. Gender and age were found to be significant factors on EI. Females demonstrated higher EI than males. The 4th grade students demonstrated higher emotional utilization among sub-abilities of EI than the other two grades students. Rural activity frequency also found to be a significant factor on EI. The students who have participated in rural activity more than 6 times reported the higher EI than the students who have never participated in rural activity.

政治社會化와 環境

尹龍熙,成章煥 慶北大學校 東洋文化硏究所 1982 東洋文化硏究 Vol.9 No.-

This paper intends to explain what political socialization is and to know the environment of the political socialization. Especially, this paper accounts for the environment which affects the political socialization of people, and examines family, school, peer group, and mass communication as the environment of the political socialization. In order to bring up the sound democratic citizens, reasonable political socialization is to be done. For three points, each citizen has to learn good and high political social norms. The contents of this paper are as follows; 1) Preface 2) Political Socialization and Poiltical Culture 3) Political Socialization and Environment 4) Political Socialization in Korea 5) Conclusion

아동기 가정 내 스트레스가 공동의존성에 미치는 영향 및 공동의존성과 정신병리와의 관련성

곽운환,손지욱,한규희,박철수,김장락,김붕년,김봉조,강여화,하형래 대한생물치료정신의학회 2003 생물치료정신의학 Vol.9 No.1

연구목적: 본 연구는 공동의존성에 영향을 미치는 아동기 가정내 스트레스 요인과 공동의존성과 다른 병리와의 연관성을 규명하고자 하였다. 더불어 특정한 질환에서의 공동의존성의 평가가 가지는 의의를 탐색해 보고자 하였다. 방 법: 연구 대상은 정상 일반인 남성집단 88명과 알코올리즘 남성 집단 76명으로 구성되어 있다. 평가도구는 본 저자가 직접 작성한 '아동기 가정내 스트레스 요인 측정용 설문'과 공동의존 척도(RPS), 간이증상 진단검사(SCL-90-R)를 사용하였다. 통계적 분석은 Mann-Whitmey test, Kruskall- Wallis test, Multiple linear regression analysis, Spearman correlation analysis를 이용하였다. 결 과: 1) 정상 일반인 군과 알코올리즘 군의 공동의존성 평균값은 각각 49.12점(표준편차=15.41)과 88.31점(표준편차=17.48)이었다. 2) 정상 일반인 군에서는 '아동기 부모 사별'(p<0.01) '부모의 알코올리즘'(p<0.01) '부모의 상습적 구타'(p<0.01)의 3가지 요인에서, 알코올리즘 군에서는 '어린시절 부모 사별'(p<0.01) '부모의 알코올리즘'(p<0.01) '부모의 상습적 구타'(p<0.01) '부도의 도박'(p<0.01) '사회 병질자 부모의 존재'(p<0.05)의 5가지 요인에서 스트레스 유무에 따라 공동의존성에 유의한 차이를 보였다. 3) 두 집단 동시에 SCR-90-R의 8개 소척도 중 '대인관계 예민성'이 공동의존성과 가장 높은 연관성(rs>0.06, p<0.01)을 보였다. 이외에도 '우울증' '불안증'등이 두 집단 모두에서 통계적으로 유의한 연관성을 보였다. 결 론: 본 연구는 부모의 알코올리즘뿐만 아니라 여러 가정 내 스트레스 요인이 공동의존성의 발생에 영향을 미칠 수 있음과 공동의존성이 높은 집단이 다른 정신과 질환을 동반할 가능성이 높음을 증명한다고 할 수 있다. Objectives : The aim of this study was to examine the relationships of codependency with family stressors in childhood and psychopathology. Methods : Subjects were a group of 88 normal adult males and a group of 76 alcoholic males. The degree of codependency was assessed with the Korean version of Recovery Potential Survey(RPS). All subjects filled out questionnaires regarding demographic information and family stressors. The psychopathology was measured by self-administred questionnaires using Symptom Check List-90-Revision(SCL-90-R). Results : 1) There were no significant differences in codependency levels by sociodemographic characteristics in two groups, but obvious difference in mean of codependency scores(normal group : 49.12±15.41, alcoholism group : 88.31±17.48). 2) There were significant differences in codependency levels between the presence and absence of parental physical abuse, parental death, and parental alcoholism(p<0.01) in both groups. 3) Among family stressors, parental physical abuse had the largest contribution to codependency level in multiple linear regression. 4) There were significant correlations between the codependency levels and the scores of SCL-90-R's subscales of interpersonal sensitivity, depression, and anxiety in both groups. Conclusion : The codependency levels were related to some family stressors such as parental physical abuse, parental death, and parental alcoholism and the high-level codependency was correlated with higher level of psychopathology in both normal and alcoholism group. These results suggested that various family stressors, as well as parental alcoholism may be predictors of codependency, and codependency also may be a predictor of other psychiatric disorders.

관동맥 우회로술 중 경식도 심초음파도로 관찰한 도부타민 투여후와 우회로술후의 좌심실 국소벽운동

김희열,김종진,윤호중,유기동,박지원,이길환,노태호,채장성,김재형,홍순조,최규보 대한순환기학회 1997 Korean Circulation Journal Vol.27 No.8

서울시 교직원 당뇨병의 역학적 특성 및 관련위험요인분석

이희우,김종희,장철환,신선미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.1

Purpose : To describe the prevalence, epidemiological characteristics, and related factors of diabetes mellitus in school personnel. Method : 5,384 school personnel (2,638 males 2,746 females) received physical examinations at the Seoul School Health Center in Z 2. Using the American Diabetes Association criteria, and fasting blood sugar(FBS) was classified as normal at 110>=FBS, borderline 111-125, and the diabetes group 126<=FBS. Related factors of each group were evaluated by gender. Results : In the diabetes group, there were 4.74% males and 0.8% females, and the borderline group was 6.37% males and 2.22% females. The older age group gad a higher distribution in both males and females in the diabetes group. In the diabetes group, the mean and abnormal rate of BMI, systolic hypertension, diastolic hypertension, total cholesterol, GOT, GPT, and GTP were higher than in the normal group. In life style factor, the diabetes group gad a higher distribution of meat eating and smoking more than 20 years than the normal group. The effect of FBS on BMI, BP(blood pressure), total cholesterol, GOT, GPT, and GTP were investigated after controlling for confounding variables. In the borderline and diabetes group, the mean of BMI, BP, total cholesterol, GOT, GFT, and GTP was higher in dose-response effect. In the logistic multiple regression, the related factors of the diabetes group were hypertension and abnormal GTP in males, and abnormal total cholesterol and GTP in females. In the borderline group, the related factors were meat eating, hypertension, and high GOT in males and the older age group, and hypertension, total cholesterol, and abnormal GTP in females. Conclusions : It is possible to manage all related factors of diabetes mellitus except for age. An appropriate program for health promotion is necessary.

새열기형의 임상적 고찰

김장묵,김대식,백승혁,한동렬,김희중,백병준,오천환 순천향의학연구소 2000 Journal of Soonchunhyang Medical Science Vol.6 No.2

Background and Objectives : Branchial cleft anomalies are encountered rarely in clinical practice. We reviewed medical records of branchial cleft anomalies according to age and sex distribution, site distribution, characteristics of mass on physical examination, location of mass, preoperative diagnosis, type of branchial cleft cyst and report our experience with 25 cases of branchial cleft anomalies. Materials and Methods : A review of medical records was performed on 25 cases of branchial cleft anomalies diagnosed in pathologic report from January, 1990 to March, 2000. Result : Sex distribution was 11 male and 14 female, age distribution was most common in third decade which was 8 cases(32%). Site distribution was predominant in left side(13 cases), and in physical examination, the characteristics of the mass was nontender(76%), mobile(60%), soft(80%). The lesion site was submandibular area in 2 cases, upper 1/3 portion of sternocleidomastoid muscle(SCM) in 2 cases, middle 1/3 portion of SCM in 20 cases and parotid area in 1 case. The preoperative diagnosis was branchial cleft cyst in 16 cases, cervical lymphadenitis in 3 cases, tuberculous lymphadenitis in 3 cases, branchial cleft fistula in 1 case, dermoid cyst in 1 case and parotid mass in 1 case. Among 25 cases, first branchial cleft cyst was seen in 4 cases, second branchial cleft cyst in 20 cases and second branchial cleft fistula in 1 case. Conclusion : The clinical history of recurrent neck inflammatory episodes in young patients and nontender, mobile, soft neck mass should raise the suspicion of this entity. Investigation using CT scanning in combination with aspiration is useful. Treatment of all branchial cleft anomalies is complete surgical excision because there is lack of spontaneous regression, a high rate of recurrent infection, the possibility of other diagnosis, and rare malignant degeneration. Complete removal without complications depends on a good understanding of regional embryogenesis, a knowledge of the surrounding structure, and awareness of the different anatomical presentation.

Haemophilus aphrophilus 심내막염 1예

차충환,신희봉,장성수,김민경,김양수,송재관,김미나 대한임상미샐물학회 2003 Annals of clinical microbiology Vol.6 No.2

팥 신장기 과습처리에 의한 생육특성 및 단백질 발현

정해룡, 유장환, 윤성현, 권수정, 우선희 충북대학교 농업과학기술연구소 2022 農業科學硏究 Vol.38 No.2

Adzuki bean is sensitive to waterlogging stress. The overall study on the waterlogging stress is limited comparing to the study on the drought and any environmental stress. Therefore, the present study was conducted to investigate the changes in growth characteristics and the expression patterns of proteins at the 5-leaf stage periods of adzuki bean. The domestic cultivar, Arari (Miryang No. 8) was used to test the waterlogging stress. In the waterlogging treatment for 3 days, the plant height showed slightly decrease in the treatment at 3 days of waterlogging, but root fresh weight showed significantly changes at 3 days of the waterlogging treatment. Chlorophyll contents showed also significantly different at 3 days of waterlogging treatment compared to control the plants. The waterlogging stress gradually influenced the growth differences between the control and the treatment respectively. More than 350 pro- tein spots were identified on 2-D gels using an image analysis. Moreover, a total of 28 proteins were analyzed using LTQ-FT-ICR MS. Among these 28 proteins, a total of 18 proteins were up-regulated, and 10 proteins were down-regulated under waterlogging treatment. According to biological process, the most of the proteins were found to be involved in carbohydrate metabolism. Regarding the subcellular local- ization, most of the proteins were localized into chloroplasts in 5-leaf stage.

흉쇄관절에 생긴 연쇄상구균 감염 후 반응성 관절염-증례 보고-

안경회,김희상,홍장혁,윤동환 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.6