근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

난소 및 난소 종양 염전의 초음파 소견

오연희,이현경,이원재,이성우,박수성,윤혜원,임문환,심재철,김용탁,김성숙,김정란 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

Acute torsion of the ovary and ovarian mass is a recognized surgical emergency, but rarely has the diagnosis been made preoperatively on the basis of imaging studies. The sonographic findings in 14 cases of surgically proven torsion of the ovary and ovarian mass are described. Mostly cystic ovarian mass, engorged vessel, dilated uterine tube, beak-like echo(torsion site), smooth mass wall thickening an free-fluid collection in cul-de-sac are described. More significant in terms of specificity were the demonstration in 6 cases(42.9%) of the smooth mass wall thickening and in 8 cases(57.1%) of a free fluid in the cul-de-sac. We report the sonographic findings of ovary and ovarian mass torsion that may suggest the preoperative diagnosis of this condition.

우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영,강대룡,장영화,박성은,최원정,문성환,양규현,Kang, Hye-Young,Kang, Dae-Ryong,Jang, Young-Hwa,Park, Sung-Eun,Choi, Won-Jung,Moon, Seong-Hwan,Yang, Kyu-Hyun 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

위 MALT 림프종에서 다발성 림프절 전이로 오인된 동시성 림프절 결핵 1예

김성은,김규종,김도현,송준영,문대성,장리라,유찬희,문원,박무인,박선자,김영옥 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

28세 남자가 내시경적 점막절제술을 통해 저등급 위MALT 림프종으로 진단되었다. 병기설정을 위해 18F-FDG PET 검사를 시행하였고 우측 쇄골상부, 우측상/하부 기관주위, AP window 부위에 강한 섭취가 관찰되어 전이성 림프절로 판단하였다. 그러나, 우측 쇄골상부 림프절에서 시행한 절제생검에서 만성육아종성염증소견이 관찰되었고 조직의 결핵 중합효소연쇄반응에서도 양성 반응을 보였다. 2개월간 항결핵제의 사용 후 시행한 추적 컴퓨터단층촬영 검사에서 림프절 크기의 감소를 보여 최종적으로 위 MALT 림프종에서 광범위 림프절 전이로 오인된 동시성 림프절 결핵으로 진단되었다. A 28-year-old man was diagnosed as gastric MALT lymphoma in diagnostic EMR (endoscopic mucosal resection). He subsequently underwent an 18F-FDG PET. 18F-FDG PET showed intense multifocal uptake in right supraclavicular, right upper and lower paratracheal, and AP window areas that was considered radiologically to represent widespread metastatic lymphadenopathy. Excisional biopsy of a supraclavicular lymph node, however, revealed chronic granulomatous lymphadenitis with a positive reaction of Tb-nested PCR. After antituberculosis treatment for 2 months, a follow-up CT scan showed complete resolution of the lesions. Intense 18F-FDG uptake could be due to an infectious process such as synchronous tuberculous lymphadenitis. Therefore, this could mimic a malignant condition such as lymphoma with extensive lymph node metastasis due to a false-positive finding, which may lead to a misdiagnosis.

Effect of Mn and C on Age Hardening of Fe–Mn–Al–C Lightweight Steels

Sung‑Won Park,Jun Young Park,Kyong Mox Cho,Jae Hoon Jang,Seong‑Jun Park,Joonoh Moon,Tae‑Ho Lee,Jong‑Ho Shin 대한금속·재료학회 2019 METALS AND MATERIALS International Vol.25 No.3

The effects of Mn and C content on the age hardening of Fe–Mn–Al–C lightweight steels, which have austenitic or duplex(austenite and ferrite) microstructures, were investigated. An increase in Mn content induced a delay of the age hardeningthat is caused by the formation of intra-granular κ-carbides. In order to interpret the effect of Mn content, first-principlescalculations were conducted using the supercells of Fe24Al8C8,Fe24Al8C7,Fe24(Al7Mn)C8, and Fe24(Al7Mn)C7. The calculationsshowed that an increase in Mn content could be the source of the delay of the intra-granular κ-carbide formation bysuppressing C atom’ occupation of the vacancy at the body-centered site of L12. An increase in C content accelerated theformation of intra-granular κ-carbides, which induced the intense age hardening, and coarse inter-granular κ-carbides, whichresulted in significant decrease in impact absorbed energy due to inter-granular fracture.

密陽 天皇山의 植物相

文成基,金鍾元 慶星大學校 1986 부산수산대학 논문집 Vol.7 No.2

조사 대상지인 천황산 일대에서 1982년 및 1984년, 1985년 까지 7차에 걸쳐 채집, 조사, 동정된 식물상의 종조성은 3문, 8강, 2아강, 44목, 28아목, 89과, 216속, 259종, 46변종, 3품종으로 모두 308종류였다. 식물자원의 유용성에 따라 약용식물이 240종류, 관상용이 161종류, 공업조사원이 75종류, 용재자원이 19종류, 섬유자원이 9종류, 목초자원이 6종류, 잡용자원이 51종류, 식용자원이 194종류로 나타났다. 이 지역에서 개화하는 식물들은 봄보다 오히려 여름에 걸쳐 종 수가 많았다. 이 지역의 식생의 우점종은 표충사 계곡에는 상수리나무 및 산죽이 천황산 및 사자평 일대는 억새 군락이 재약산은 싸리 및 억새가 혼생하고, 얼음골은 산앵두나무가 우점하고 있었다. Floristic composition and vegetations of Chen-Hwang Mountain were investigated through 7 times of field survey during the period of 192-1985. The results were summerized as follows; Vascular plants were composed of 3 divisions, 8 classes, 2 subclasses, 44 orders, 28 suborders, 89 families, 216 genera, 259 species, 46 varieties, and 3 formae, or 308 taxa by Engler's system. The dominant species of vegetation found in these areas were Quercus acutissima Carrnthers and Sasamorpha purpurascents var. borealis Nakai in Pyo-Chung-Sa Valley, Miscanthus purpurascens Rendle in Sa-Za Plain, Lespedeza bicolor Turcz. var. iaponica Nakai and Miscanthus purpurascens Rendle in Jae-Yak Mountain, Vaccinium koreanum Nakai in O-leum Valley. According to the usefulness of plant resources the medicinal resources were 240 kinds, edible 194, ornamental 161, industrial 75, timber 19, fiber 9, pasture 6, and miscellaneous 51. The number of plant blooming in these areas were more in summer season than spring.

이미지와 표현의 문제 : 무한의 거울로서의 영화? Cinema as a Mirror of Infinity

문성원 한국철학사상연구회 2004 시대와 철학 Vol.15 No.1

이 논문은 질 들뢰즈의 '표현' 개면과 엠마뉴엘 레비나스의 '말함'(le Dire)과 '말'(le Dit)의 구별 등을 통해, '재현'을 넘어서는 표현과 말함이 영화에서 어떻게 가능한지를 탐색한다. 영화는 복제와 반복이 가능한 재현의 매체로 여겨져 왔지만, 영화를 조작적 재현성의 굴레에서 벗어나게 하려는 시도도 계속 이어져 왔다. 이 글에서는 타르코프스키의 영화 「거울」이 영화의 재현적 특성을 완전히 거부하지 않으면서도 재현성을 넘어서고자한 중요한 예로 다뤄진다. 영화 「거울」은 특정한 의도나 고정된 의미 속에 가둘 수 없는 영상 이미지들을 통해 무한한 삶의 현실을 드러내고 있다. 이는 들뢰즈가 스피노자의 해석을 통해 부각시킨 표현 개념과 부합한다. 표현은 무한한 실체가 스스로를 잃지 않으면서 속성과 양태를 통해 스스로를 나타내는 방식이다. 무수한 표현이 있고 그 하나하나가 표현하는 것의 표현이지만, 그 표현들로 표현하는 것이 다 드러나지는 않는다. 즉 그 표현들이 표현하는 것을 재현하는 것은 아니다. 그렇지만 그 표현 하나하나 속에는 표현하는 것의 존재가, 또 본질이 표현되어 있다. 표현은 무한한 실체를 감싸고 펼친다. 이런 맥락에서 '거울'은 대상을 수동적으로 반영하는 장치가 아니라 무한한 세계의 무수한 표현을 담아내는 장치로 여겨질 수 있다. 그 때문에 영화 「거울」은 의미 내지 의미구조 면에서 열려 있다. 이 열림이야말로 '재현'과 대비되는 '표현'의 강점이다. 이 열림에 힘입어 영화 「거울」은 재현을 넘어서는 영화, 시적인 말에 비견되는 표현으로서의 영화가 된다. 본 논문은 이와 같은 영화의 특성을 살리기 위해 '적실한 표현'의 문제를 제기한다. How could be achieved in cinema an expression over representaions? That is the theme of this treatise. Gilles Deleuze's concept of expression in his study of Spinoza, and the distinction of 'the saying and the said' in the philosophy of Emmanuel Levinas play the role of stepping stones of our arguments. Besides, "Mirror", the cinema of Andrej Tarkowskij, is treated as a good example which embodies 'expression' without refusing all the characteristic of representation in cinema. It shows the infinite reality through the images beyond any determinated meaning or intention. Expression in this kind is the way of manifestations of infinite substance. There are innumerable expressions, and all of these are the expressions of the expressor, but its infinity is not exhausted by them. The expressions are not representations of the expressor. Nevertheless, the being or the essence of expressor is expressed in each of expressions. The expression implicates and explicates the infinite substance, to which its meaning is open. This openness is the merit of expression that the representation cannot have. Thanks to it, the cinema "Mirror" acquires the quality of 'the saying' which 'the said' of poem has-the quality of expression. In relation to this, we can propose the problems of 'adequate expression'.

제주도 주요하천의 기저유출량 산정

문덕철,양성기,고기원,박원배 한국환경과학회 2005 한국환경과학회지 Vol.14 No.4

Groundwater in Jeju Island, flowing through main stream, is spring water from underground. To set a fixed quantity of groundwater flowing from surface in a hydrological view, 4 downstream (Woedo stream, Gangjung stream, Yeonwoe stream and Ongpo stream) were selected to calculate the characteristic of baseflow and the base-flow discharge through the data on tachometry. There were 11 to 14 level peak caused by runoff, mostly occurred during monsoon season. Also, duration of runoff was 15 to 25 hours, well reflecting the characteristic of inclined, short stream length in Jeju Island and pervious hydrogeographical feature. In case of Gangjung stream, Yeonwoe stream and Ongpo stream, variation of stream water level by baseflow rose above during summer, which was closely linked to the distribution of seasonal precipitation. From autumn to spring, water level fell below while that of Woedo stream remained the same all year round. Data on the water level observed in Woedo stream and Gangjung stream in every single minutes was applied to weir formula(equation of Oki and Govinda Rao) to calculate baseflow discharge. Also, using the data on current and water level calculated in Ongpo stream and Yeonwoe stream, water level-water flow rating was applied to assess baseflow discharge.

정형외과 영역에서의 Etodolac의 사용경험

문명상,하기용,곽운상 최신의학사 1987 最新醫學 Vol.30 No.9