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      • 슬관절조영술의 진단학적 의의

        이광진 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.2

        Double contrast knee arthrography has been widely utilized as the diagnostic aid for the internal derangement of the knee. A growing appreciation of the advantage of arthrography of the knee, increased experience with the teahnique, and an increased ability to interpret the arthrography have led to more frequent use of this diagnostic aid. We have performed 22 artrographies of the knee since Oct., 1976 and operated 7 cases among them. We analysed the cases concerning the diagnostic accuracy, its clinical significance discrepancy between arthrographic findings and postoperative lesions. Folllowing results were obtained. 1. In 20 cases of clinically suspected meniscal lesion, 16 cases revealed the abnormal meniseal findings (lateral: 12, medial:4) and 17 cases revealed normal variations(lateral 11, medial: 6). 2. Among the findings of normal variations of the arthrography, poplital line and small notching or step-like notching along the free margin were seen respectively in 5 and 7 cases and were most frepuent findings. 3. 6 cases out of 7 cases of operated torn meniscus were demonstrated correctly by arthrography but one case of posterior horn tear of medial meniscus was negative in arthrography. So it is very dangerous opinion to be depentent only to the arthrographic findings for the diagnosis of internal derangement. In future, further experience and study for arthrography combined with arthroscopic findings must be followed.

      • 척추결핵의 임상적 고찰

        이광진 충남대학교 의과대학 지역사회의학연구소 1977 충남의대잡지 Vol.4 No.1

        Currently. only left problem in bone and joint tuberculosis in the developed country is hte correction of deformed sequele through the improved epidemiology, the developed anti-tbc. agents, and the advanced operative technique. However, we frequently have found many active spinal tuberculosis in our clinics. So we analysed 35 cases of spinal tuberculosis who had been treated by operative or conservative method at our department during 2.6 years from Jan. 1974 to June 1976. The following observations were made; 1. The spine was involved most frequently in the bone and joint tuberculosis (54.7%), hip was in 11cases(17.2), and knee, in 8(12.5). 2. Common age incidence was in below 39 years(82.8%) and most common in between 20-29 years(34.3%).The sex incidence was 18 in male and 17 in female. 3. Lower thoracic and lumbar were mostly involved i.e. thoracic (37.1%), lumbar(31.4%), and thoracolumbar(22.9%) in orders. 4. Average involved vertebral number was 2.3. 5. Duration of disease was from 2.5 weeks to 12 years, and hospital admission days was mostly in 3 weeks. 6. Back pain, kyphosis, draining sinus, cold abscess formation, and paraplegia. were frequent clinical symptome. 7. The cases that was associated with other organ tbc. was 9 cases (25.7%) except lymphnodes it means 25.7% of the whole. 8. In the laboratory findings, E.S.R. that was 50-60 mm/hr at admission was shifted to as normal range of 10-20 mm/hr after treatments of 5-6 month. 9. In operative treatments, anterior direct approach to the lesion was 14 cases(66.7%), posterior fusion in 5 cases(23.8% ), and laminectomy in 2 cases(9.5%) 10. The consequence of tissue pathology, A.F.B. smear, and culture in 14 cases of direct approach to the lesion findings consistent with tbc. was 10 cases (76.9%) in tissue pathology, and positive culture was in 4 cases(staphylococci) 11. 4 cases of paraplegia treated with operative measures were completely recovered within 8 months after treatment.

      • KCI등재
      • KCI등재
      • 목회 서신의 의의

        이광진 목원대학교 목원신학연구소 2009 신학과 현장 Vol.19 No.-

        신약성서 안에서 디모데전서와 후서, 그리고 디도서는 내용상 서로 매우 밀접한 관계에 있다. 각 교회들을 수신자들로 해서 쓰인 바울의 다른 서신들과 달리(빌레몬서를 제외하고), 이 세 서신은 사도 바울이 그의 동역자들인 디모테와 디도에게 그들의 목회자직의 올바른 수행을 위한 교훈들과 권면들을 전하기 위해 쓰인 것으로 되어 있다. 일찍이 무라토리 정경은 이 세 서신을 다음과 같이 소개했다: “ ... 디도서 그리고 디모데전후서는 교회 규율을 위해 공교회의 영광을 드러내는 거룩한 책들이다 " 그 내용과 이러한 평가에 힘입어 이 세 서신은 ‘목회서신' 이라는 명칭을 얻게 되었다. 사실 신약성서 안에 들어 있는 모든 서신들은 거의 다 목회서신이라칭할 수 있다. 그런데 유독 디모데전후서와 디도서를 하나로 묶어 ‘목회서신’ 이라 칭하는 데에는 특별한 이유가 있다. 여기에 사용된 ‘목회서신’은 세 서신들을 개별적인 목회자들보다는 교회를 위해 쓰인 신약의 다른 서신들과 구별하기 위해 붙여진 명칭이다. 이 서신들은 특히 성직안수를 받은 목회자들이 교회를 어떻게 돌보아야 듭}는지에 대해 조언을 준다는 의미에서 목회적이다. 다시 말해서 이 서신들은 교회를 돌보는 일을 맡은 목회자들에게로 향하기 때문에, 일반적으로 목회적 활동을 위한 가이드를 제시하려는 의도를 가지고 있다. 아래에서 보겠지만, 이 세 서신들은 1 세기 초기 기독교 역사 안에서 제 3 세대의 교회 환경을 엿보게 하는 글들로서씨 점점 제도화되어 가는 교회의 특성을 보여준다 5) 다시 말해서 목회서신은 교회의 조직과 질서에 대해 자세히 다룬다. 신약성서에는 다양한 교회론이 나오는데, 이 중에서 오늘날 제도적 인 교회 상에 가장 가까운 것은 목회서신에 나오는 제도적인 교회 상이라고 말할 수 있다. 따라서 우리가 특히 목회지들을 위한 목회서신의 중요성과 그 의의에 대해 탐구하는 것은 매우 의미 있는일이라생각된다. 필자는 이 주제를 위해 그동안 저술된 수많은 목회서신 주석서틀을 살펴보았지만, 이 주제에 대해 언급한 주석서는 세 권 정도인 것을 발견하게 되었다.따라서 필자는 이 주제에 대해 먼저 이 세 학지들이 언급한 내용을 기술하고, 이어서 필자의 입장을 기술하고자 한다.

      • 골종양에 대한 임상적 연구

        이광진 충남대학교 의과대학 지역사회의학연구소 1980 충남의대잡지 Vol.7 No.2

        Total 114 cases of bone tumors which were diagnosed and treated in our Department for 10 year and 10 mos. , from Jan. 1970 to Oct. -1980 were analysed clinically. Benign bone tumors were 48 case (42.1%), primary malignant bone tumors were 23 cases(20,2%) and metastatic bone tumors were 43 cases(37.7%). Following results were obtained: 1. In this study, the ratio between benign and malignant bone tumor was 1 : 1.4. 2. Osteochondroma was most frequently encountered in the benign bone tumor(29.2%). the next was enchondroma(20.8%). 3. Osteogenic sarcoma was most frequently encountered in the primary malignant bone tumors(21.7%). 4. The peak age incidence of solitary osteochondroma was in 2nd decade of life. the most common site of osteochondroma was around the knee joint. 5. Age prevalence in enchondroma was in 2nd & 3rd decades of life. the commomest site of involvement was phalanges of the hand. 6. The common sites of osteogenic sarcoma were distal femur & proximal tibia. 7. In the metastatic bone tumors, female was predominent(60.5%), common primary sites of cancer were skin. lung. uterus, stomach, breast and kidney and the most common involved bones were spine in 15 cases and pelvis in 15cases followed by rib and tibia(skin cancer) 8. Modern diagnostic equipments & therapeutic agents for diagnosis & treatment of malignant bone tumors should be arranged or at hand urgently.

      • 선천성 고관절 탈구에 대한 관절 조영술의 임상학적 연구

        이광진,고광표 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

        Arthrography can verify the state of the soft tissues situated between the femoral head and acetabulum in congenital dislocation of the hip. And it is known to be the most accurate and certain way of demonstrating lesser degrees of incongruity. It can visualize the intrinsic obstructive factors. We analyzed 39 cases of congenital dislocation of the hip in 34 patients, which had been evaluated by arthrography and followed up for more than 2 years postoperatively. 8 patients had involvement of the right hip : 21, involvement of the left. hip : and five, bilateral involvement. Prereduction arthrography showed following observation : subluxation in 8 cases(20.5%), dislocation in 31 cases(79.5%), deformed limbus in 31 cases(79.5%), hourglass capsular configuration in 15 cases(38.5%), shortened transverse acetabular ligament in 11 cases(28.2%), ligamentum teres hypertrophy in 8 cases(20.5%). Reduction arthrography showed following observations : adequate reduction in 24 cases(61.5%), inadequate reduction in 15 cases(38.5%) with medial dye pooling more than 2mm. Adequate reduction was obtained in 24 cases(61.5%) and were treated by closed reduction. Deformed limbus with medial dye pooling more than 2 mm was considered as inadequate reduction and there were 15 cases(38.5%) of this kind reduction. They were treated with open reduction in 6 cases, open reduction with innominate osteotomy in 5 cases, open reduction with femoral varization osteotomy in 2 cases. Clinical results were classified as Excellent in 28 cases(71.8%), Good in 10 cases(25.6%) and Fair in 1 case(2.5%) according to Gibson and Benson. Radiologic results were classified as Excellent in 10 cases (25.6%), Good in 9 cases(23.1%), Fair in 15 cases(38.5%), Poor in 5 cases(12.8%) according to Severin. We conclude from this study that arthrographic investigations can play a useful role in the diagnosis of the cause of the obstruction in CDH and thus help to determine proper management.

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