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이건욱,Lee, Geon-Uk 한국화재보험협회 2006 防災와 保險 Vol.111 No.-
불은 인간을 인간답게 만들고 오늘날의 문명을 창출케 한 인류 역사 이래 최대의 발견물이라 할 수 있다. 불이 발견되기 전에는 얼마나 많은 사람들이 어두컴컴한 밤 맹수의 식사거리가 되었을 것이며, 생식으로 인한 각종 질병에 시달렸을지 생각만 해도 아찔하다. 우리의 삶과 생명을 지켜주는 불, 세계의 수많은 민족들은 나름의 문화코드 안에서 불에 대한 관념과 풍습을 만들어왔다. 참으로 혹독한 겨울 날씨를 가진 시베리아. 한겨울에는 영하 50도로 내려가는 일도 빈번하다. 이렇게 추운 환경에서 몸을 녹여주고 음식을 데워주는 불은 다른 민족들보다 시베리아 지역에 사는 사람들에게 더욱 중요하게 느껴질 수밖에 없다. 이번 호에서는 시베리아의 많은 민족 중에서 불에 대한 다양한 풍습이 아직도 전승되고 있는 뚜바 민족들에 대해 살펴보고자 한다.
간장 ( 肝臟 ) · 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 만성 췌장염 환자의 임상적 고찰
이건욱(Kuhn Uk Lee),장이찬(Lee Chan Jang),오민구(Min Gu Oh) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
N/A The 10 years (1980-1989) experience of 43 patients with chronic pancreatitis at Seoul National University Hospital has been analysed to investigate the relationship between history of pain, morphologic change of pancreas (calcification), and diabetes mellitus (DM), and to study indications of surgery and complications. The main etiologic factor was probably alcohol (30 case). The mean age of the patients with alcohol-induced chronic pancreatitis was 9 years below that of the other patients in men (no statistic difference). Calcifications were found in 29 patients, DM patients to require insulin therapy were 13 patients. calcifications were found in 12 patients among 13 diabetes mellitus patients (p<0.05). Pancreatic duct abnormality was found in 29 patients [moderate change of main pancreatic duct dilatation and/or stenosis; 22 cases, severe change of the above findings; 7 cases, filling defect (probably pancreatic duct stone); 7 cases.] Twenty-five patients had been lost average 10.5 Kg/3 months body weight, among whom 11 DM patients were included. There was no relationship between history of pain, morphologic change, and diabetes mellitus. The complications of chronic pancreatitis in 43 patients were pseudocyst (5 cases), comrnon bile duct stenosis (3 cases), splenic vein thrombosis (2 cases). The indications for surgery were pseudocyst (2 cases), cholestatic jaundice (1 case), GI bleeding due to splenic vein thrombosis and portal vein thrombosis (2 cases), pain relief (5 cases) and differential diagnosis from cancer (2 cases). There was no operative mortality.
이건욱(Lee Kun-Wook) 한국무속학회 2003 한국무속학 Vol.0 No.7
러시아에서는 익사, 자살, 살해, 행방불명된 처녀의 영혼을 ‘루쌀까’라고 한다. 또한 루쌀까는 사산아, 세례 받지 못하고 죽은 어린이의 영혼을 가리키기도 한다. 루쌀까는 사람을 괴롭히고 질병을 옮기는 해로운 귀신이기도 하지만, 동시에 풍년을 가져오는 역할을 하는 주요한 귀신이다. 루쌀까는 물이나 숲, 들판 등에 살고 있으며, 초여름인 루쌀나야 주간에 주로 활동한다. 어린 루쌀까를 자식으로 삼기도 하며, 남자들을 ‘유혹’하는 힘을 가지고 있다. 곳곳에서 다양한 모습으로 나타나는데, 보통긴 머리카락을 풀어헤치고 있으며 촉촉하게 젖어 있다. 주로 그네를 타고 놀며, 바느질이나 실타래, 옷감 등을 좋아한다. 사람들은 ‘루쌀까 보내기’를 통해 풍년과 액막이를 기원한다. ‘루쌀리아 주간’, ‘루쌀까 보내기’와 같이 신격의 이름자체가 명명되어 의례로서 행해진 것은 러시아에서 루쌀까가 유일하다. The aim of this paper is to examine the russian spirit(soul) ‘rusalka’. According to russian folklore, the virgin who drowns, it commits suicide and the virgin who is murdered become ‘rusalka’. Also the child who dies before receive baptism, stillborn child and from the parents imprecation it receives and the child who dies become ‘rusalka’. Their activity usually duration from end of May until middle of June. They are active in river, lake, forest and field. But practically they appear in the water’s edge. Rusalkas entice men and tickle until men die. And they ruin the crops. On the other hand for men they look up lost domestic cattles, give us rain and help women needlework. To protect their hazard, russians make an incantation and make a taliaman. On summer rusalkas ready to go to their place where they live in fall, winter, spring. So, russians make a special ritual for seeing off rusalka. Many russian researcher reguard rusalka as demon. But refuting that rusalka is demon, author write that rusalka was spirite helping men’s life in ancient times. And author think that this dualism(rusalka is good or bad) is maden by russian orthodoxy.
이건욱(Kuhn Uk Lee) 한국간담췌외과학회 2010 한국간담췌외과학회지 Vol.14 No.3
The European Association for the Study of the Liver (EASL) in 2001 and the American Association for Liver Diseases (AASLD) in 2005 followed the Barcelona - Clinic Liver Cancer (BCLC) staging classification and treatment schedule. Surgical resection can be offered for patients who have a single lesion if they are not cirrhotic or have cirrhosis and still have well-preserved liver function, normal bilirubin and hepatic vein pressure <10 mmHg (level II). But the Japanese Practice Guideline reported by the Japanese Society of Hepatology in 2007 recommended surgical resection for 2 or 3 tumors no more than 3 cm in diameter, even in cases with 4 or more lesions. The differences in practice guidelines between these two areas come from different cultural situations, especially in the availability of transplantation. Our results from hepatic resection in 834 patients with HCC from 1992 to 2004 at Seoul National University Hospital were as follows: 1) After surgical resection, the favorable prognostic group are patients with tumor size less than 10 cm in size without major vessel invasion. 2) Surgical resection is recommended in the favorable group of patients with oligonodular tumors. 3) Surgical resection is not indicated for patients with major vessel tumor invasion or portal hypertension. In the AASLD guidelines, liver transplantation is an effective option for patients with HCC, corresponding to the Milan criteria: solitary <5 cm or up to three nodules <3 cm (level II), and a living donor transplantation can be offered for HCC if the waiting time is long enough to allow tumor progression leading to exclusion from the waiting list (level II). Japanese Practice Guidelines restrict liver transplantation to patients under the age of 65. The role of salvage liver transplantation is still controversial. Early detection and the development of therapeutic agents for metastases by microvascular tumor invasion are important for increasing survival of HCC patients.