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      • KCI등재

        척추결핵: Gadolinium 조영증강 지기공명영상

        김성문 대한영상의학회 1991 대한영상의학회지 Vol.27 No.4

        To evaluate the value of gadolinium(Gd)-enhancement in the examination of spinal tuberculosis using magnetic resonance(MR) imaging in 25 surgically-confirmed cases of spinal tuberculosis, we studied(1) the ability of MR to show the extent of the lesions among Gd-enhanced T1 weighted images and non-contrast T1, proton density, and T2 weighted images, and (2) the specific contrast enhancing patterns of the lesions. The Gd-enhanced T1-weighted images were better in evaluating the extent of the disease than the noncontrast T1, T2, and proton density images in 68%, 52%, and 68%, respectively. After Gd-DTPA enhancement, the inflammatory tissues showed 2 types of rim enhancement: (1) irregular thick enhancing wall with central low intensity and (2) uniformly thin rim enhancement in large mass suggesting cold abscess. We concluded that Gd enhancement was valuable in MR examination of spinal tuberculosis in evaluating the disease extent as well as specific diagnosis by characteristic rim enhancement.

      • KCI등재

        뇌 농양의 자기공명영상 소견

        김성문 대한영상의학회 1992 대한영상의학회지 Vol.28 No.4

        The MR images of 13 patients with brain abscesses were retrospectively reviewed. The abscesses were solitary in 11 patients and multiple in 2 patients. They were located in the cortivomedullary junction of the cerebral hemispheres (11) and cerebellum (2).: The sizes of the abscesses were variable, ranging from 1 cm to 5 cm in diameter. They were round (5), oblong (4) or multilobulated (4) in shape. Massive surrounding edema was found in 12 patients. The signal intensity of the abscess contents was hypointense to gray matter and hyperintense to CSF on T1-weighted images. In 5 patients the abscess contents were heterogeneous on both T1-and T2-weighted images. The signal intensity of the abscwss walls was isointense (11), slightly hyperintense (1) or hypointense (1) relative to gray matter on T1-weighted images, whereas they were isointense (4) or hypointense (9) on T2-weighted images. Of 10 patients with Gd-enhanced-T1-weighted images, 5 patients (50%) showed thin, smooth, rim e hancement, while the other 5 patients revealed somewhat irregular thick wall engancement. Satellite or daughter abscesses were found in 6 patients. Meningeal or ventricular wall enhancement suggesting menigitis or ventriculitis was associated in 3 and 1 patient, respectively. In conclusion, the characteristic morphology and intensity of the abscess capsule, massive surrounding edema, satellite abscess and associated meningitis or ventriculitis are characteristic of the brain abscess, even though they are not entirely specific to allow for accurate diagnosis in all patients.

      • KCI등재

        원판형 슬관절반월의 자기공명영상

        김성문 대한영상의학회 1992 대한영상의학회지 Vol.28 No.3

        To evaluate the role of magnetic resonance(MR) imaging in the diagnosis of the discoid meniscus, the authors reviewed 31 cases of discoid menisci diagnosed by MR imaging among which 16 cases received arthroscopy. Using knee surface coil, sagittal T1, T2, & proton density images and coronal T1 weighted images were obtained with 18cm FOV & 4mm/1mm thickness/gap. A discoid meniscus was considered if three or more contiguous sagittal images demonstrated continuity of the meniscus between the anterior and posterior horns or the diameter of the mid-portion of the meniscus exceeded 15mm on the coronal image. The authors also observed the associated abnormalities including tears of meniscus and ligament, meniscal cyst, and osteochondral defects. All discoid menisci were lateral menisci and torn discoid lateral menisci were present in 26 cases (83%). In two cases, tears of the contralateral medial meniscus were present. The tears of anterior and posterior cruciate ligaments, meniscal c st, and osteochondral defects were present in 4, 2, 4, and 5 cases respectively. All collateral ligaments were intact. In conclusion MR imaging was useful for the detection of discoid meniscus and associated abnormalities.

      • KCI등재

        사대부 시조에 나타난 사회적 소통 양상 고찰 ―훈민시조와 강호시조를 중심으로―

        김성문 우리문학회 2019 우리文學硏究 Vol.0 No.62

        “Communication”has had an important meaning in our lives well before human language was organized, and has been the greatest driving force behind the material and spiritual achievements enjoyed by humanity today. However, the reality is that lack of social communication is causing various problems these days. This study analyzed the social communication patterns of the Middle Ages, especially during the Joseon Dynasty, through an analysis of the ancestral work of four generations, and of the meaning of the book. Communication has various dimensions, depending on its scope or nature, whether it is feedback or direction. In this study, the discussion focused on two dimensions: one-sided social communication, especially bottom-up communica tion, and one-sided communication, considering the medieval time of Joseon and the identity of the ambience of the cross-strait communication. First, top-down communication confirmed the meaning and aspect of communication in Hunmin-sijo. The Hunmin-sijo aims to consolidate the system of dynasties by extending and sharing the relevant principles with the general public, as it has the creative intention to educate the people through Confucianism—a major ideology of the time. To achieve this goal, it is either the form that shows a firm order to the people or a willingness to stick to the Confucian ideology from the perspective of the soloist. Next, the form and meaning of upward communication were examined on the basis of Gangho-sijo. Gangho-sijo, who is stronger in lyricism than the Hunmin-sijo, confirmed that the aristocrats sang their attachment to the political reality with the sentiment of Yeon-gun or Ae-gun, which also affirmed the principles of the Joseon Dynasty. As such, it can be seen that medieval aristocrats used literature to constantly try to communicate with society. This suggests a lot in terms of diagnosing the present through the past, and preparing for the future based on it. ‘소통’은 인간의 언어가 체계화되기 이전부터 우리 삶에 중요한 의미를 지녔으며, 이는 오늘날 인간이 누리고 있는 물질적, 정신적 성취를 가능케 한 가장 큰 원동력이었다. 그런데 요즈음 사회적 소통의 미흡과 부재로 인하여 다양한 문제들이 야기되고 있는 것이 현실이다. 이에 본고는 중세, 특히 조선시대의 사회적 소통의 양상을 사대부들의 시조 작품에 대한 분석을 통해서 확인하고, ‘溫故知新’의 측면에서 그 의미를 살핀 결과물이다. 소통은 그 범위나 성격, 피드백의 여부, 방향성 등에 따라서 다양한 양상을 띠게 되는데, 본고에서는 조선이라는 중세의 시간적 특성과 양반 사대부라는 신분적인 특수성을 감안하여 일방적 사회적 소통, 특히 상향식 소통과 하향식 소통의 두 양상에 주안점을 두고 논의를 진행하였다. 먼저 하향식 소통은 훈민시조에서 그 의미와 양상을 확인하였다. 훈민시조는 당대의 주요 이념인 유교도덕으로 백성들을 교화(治人)하기 위한 창작 의도를 가지기 때문에 인간 사이에 마땅히 지켜야 할 도리를 일반 백성에게까지 확대․공유함으로써 궁극적으로 왕조의 체제를 공고히 하는 것을 목적으로 한다. 그리고 이 목적을 효율적으로 달성하기 위하여 백성들에게 단호하게 명령하거나, 혹은 솔선수범의 입장에서 유교이념에 충실하고자 하는 의지를 드러내는 형식을 취한다. 다음으로 상향식 소통의 양상과 그 의미는 강호시조를 통해서 살펴보았다. 훈민시조에 비하여 교술성보다는 서정성이 강화되는 강호시조는 양반 사대부들이 정치 현실에 대한 애착(修己)을 연군이나 애군의 심정으로 노래한 경우로, 이 또한 조선왕조 체제의 원리를 긍정하는 면모를 보임을 확인할 수 있었다. 이와 같이 중세 양반 사대부들은 문학을 활용해서 끊임없이 사회적 소통을 시도하였음을 확인할 수 있다. 그리고 이는 과거를 통해서 현재를 진단하고, 이를 바탕으로 미래를 예비한다는 측면에서 시사하는 바가 적지 않다.

      • KCI등재
      • KCI등재

        선천성 대동맥궁 기형의 전산화단층촬영 및 자기공명 영상

        김성문 대한영상의학회 1990 대한영상의학회지 Vol.26 No.4

        Eleven patients with congenital aortic arch nomalites were evaluated by CT and MR imaging : six patients had a right sided aortic arch with retroesophageal aberrant left subclavian artery ; four patients had a left sided aortic arch with aberrant right subclavian artery ; and one had a double aortic arch. Presenting clinical symptoms were facial edema in one dysphagia and chest pain in two. The remaining eight patients were asymptomatic. Congenital anomalies of the aortic arch and its great vessels could well be evaluated with both CT and MRI. However, MRI demonstrated anomalous vessels more vividly for its multidirectional imaging capability and natural contrast between flowing blood and surrounding soft tissues.

      • KCI등재후보

        피보험이익에 대한 소고

        김성문 경북대학교 법학연구원 2010 법학논고 Vol.0 No.32

        The explosive growth of the situation of moral hazard was changing the concept of necessity of the insurance system. The influence of the situation has induced the following criminal behaviors. Therefore, this study focused on the concept of the insurable interest which was used in some countries like U.S.A and the United Kingdoms etc.. to prevent criminal intents in the system of life insurance. The concept has not been yet adopted by the republic of Korea. But the changing situations like the increase of criminal behaviors would need some measures like that. In that circumstances, there were some people who took up the position that we need that concept to prevent criminal intents in that system. In the light of Australia and New Zealand, they have changed the concept of the insurable interests in the system of life insurance recently. Despite resigning the concept, they actually have maintained the scope of insurable interest. Therefore this study focused on the necessity to adopt the concept of the insurable interest in the system of life insurance in the Republic of Korea. Through referring to situations of other countries, this study showed the adoption of the concept of that broadly would be useful to handle many problems in the life insurance system. 도덕적 위험의 폭발적인 증가는 생명보험체계에서 필요로 하는 개념의 변경을 가져왔는데 그러한 상황은 보험관련 범죄를 포함하고 있다. 따라서 본 연구는 미국이나 영국과 같은 국가에서 생명보험체계에서 보험범죄를 예방하기 위해 사용되는 피보험이익의 개념에 초점을 맞추었다. 우리나라에서는 아직 피보험이익의 개념은 채택되지 않고 있으나, 보험관련 범죄의 증가라는 상황의 변화는 그러한 개념인정을 필요로 하게 되었다. 그러한 상황에서 생명보험체계에서 보험범죄를 방지하기 위한 피보험이익개념이 필요하다는 주장이 제기되고 있으며, 미국과 영국 역시 그러하다. 그리고 호주와 뉴질랜드의 경우 최근에 그들은 생명보험체계에서 피보험이익의 개념을 변경하였다. 피보험이익개념을 포기했음에도 여전히 피보험이익의 영역을 유지하고 있다. 따라서 본 연구는 우리나라의 생명보험체계에서 피보험이익이라는 개념의 채택필요성에 초점을 맞추었다앞에서 언급한 여러 국가들의 상황을 통해 본 논문은 생명보험체계에서 발생하는 많은 문제들에 광범위하게 적용될 수 있는 개념의 채택을 보여주고 있다.

      • KCI등재

        CFL-1, a novel F-box protein with leucine-rich repeat may interact with UNC-10 for the regulation of defecation and daumone response in Caenorhabditis elegans

        김성문,황수연 한국통합생물학회 2017 Animal cells and systems Vol.21 No.3

        Previously we reported that CFL-1, the single LRR-type F-box protein in the Caenorhabditis elegans genome, affected defecation behavior and daumone response. CFL-1 is highly homologous to the FBXL20 in mammals, which regulates synaptic vesicle release by targeting its substrate Rim1 for ubiquitin-mediated degradation. The worm homolog of Rim1 is UNC-10, a presynaptic membrane protein that triggers synaptic vesicle fusion through interaction with RAB-3 GTPase. To examine if CFL-1 exerts its modulatory effect on the defecation and daumone response via ubiquitination of UNC-10, we performed RNAi knock-down of CFL-1 in the unc-10(e102) mutant background. We noticed additive increase in defecation interval when the activities of both CFL- 1 and UNC-10 were compromised. Also, the degree of dauer formation upon daumone treatment in unc-10 mutants treated with CFL-1 RNAi decreased further than the level observed in untreated mutants or wild type N2 worms with CFL-1 RNAi knock-down. Our data suggest that CFL-1 affects defecation frequency and daumone response in C. elegans through the ubiquitination of UNC-10.

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