습식크리닝에 의한 지류문화재의 물성변화

천주현,장은지 국립중앙박물관 2005 박물관보존과학 Vol.6 No.-

지류문화재의 보존처리과정에서 실시되는 습식크리닝의 영향을 알아보기 위해 습식크리닝 전과 후의 물성변화를 관찰하였다. 조사방법으로 고지와 현대지 7종을 각각 습식크리닝 전과 후의 구조적, 광학적, 강도적 성질의 변화를 측정하였다. 그 결과 습식크리닝은 지류문화재의 물성변화를 일으키고 특히 안료, 먹, 염료 등의 구성성분을 약화시킬 수 있음을 확인할 수 있었다. To understand the influence of wet cleaning performed in the course of preserving paper items, the change of matter properties by before and after wet cleaning was observed. Specifically, structural and optical qualities and strength were measured. The result showed that wet cleaning caused a substance change in the paper items and particularly weakened the structure material of pigments, Chinese ink, dyes, etc.

비소세포 폐암 환자의 이차 치료로서 Gemcitabine과 Vinorelbine 혼합 요법의 효과

장필순,강현모,이정은,권선중,안진영,이연선,정성수,김주옥,김선영 충남대학교 암공동연구소 2006 암공동연구소 업적집 Vol.5 No.

Background : Both gemcitabine and vinorelbine are effective anticancer drugs with mild toxicity on non-small cell lung cancer, and monotherapy of these drugs are effective as a second-line chemotherapy. The aim of this trial was to assess the response and toxicity of a combination of gemcitabine and vinorelbine in patients of previously treated for non-small cell lung cancer. Materials and Methods : 24 patients, initial stage III A/B,IV and previously treated with platinium and taxane based regimens, were enrolled from June 2000 to March 2004. The regimens consisted of vinorelbine 25mg/㎡ followed by an infusion of gemcitabine 1000mg/㎡ on day 1 and day 8 every three weeks. This course was repeated more than twice. Results : Twenty-four patients were analyzed for the response, survival rate, and toxicities. The overall response was 17% with a complete remission rate of 4%. The median time-to progression (TTP) was 3.1 months (95%, CI l-10months), and the survival time was 8.2 months (95%, CI 1-23 months). The grade 3/4 toxicities encountered were neutropenia (12.5%), anemia (0%), thrombocytopenia (0%). Non-hematological 3/4 toxicities were not observed. Conclusion : A combination of gemcitabine and vinorelbine in patients previously treated for non-small cell lung cancer provides a relatively good response rate, and a low toxicity profile. However, further study will be needed to confirm its effectiveness. (Tuberc Respir Dis 2005; 58: 344-351) 배경 : Gemcitabine, paditaxel, docetaxel, vinorelbine, ir-rinotecan 새로운 항종양제의 출현으로 일차 치료의효과가 증대 되고 있고 재발시에도 좋은 신체 활동도를 보이고 있어서 이차 치료의 대상군도 늘어나는 효과를 보이고 있다. 치료의 필요성은 증대 되고 있지만 현재까지 표준 치료가 확립되지 않은 상황에서 Gem-citabine과Vinorelbine모두 독성이 강하지 않아서 혼합 요법이 가능한 장점이 있고 비소세포 폐암에 대한효과도 입증이 되어있어서 본 연구는 반응이 없거나 반응을 보인후에 재발된 진행된 비소세포 폐암에 ge-mdtabine과 vinorelbine 흔합 요법을 시행하여서 치료 반응률과 생존율 그리고 부작용을 평가하였다. 대상 및 방법 :2000년 6월부터 2004년 3월까지 충남대학교병원에내원하여 진행성 비소세포 폐암 IIIA/IIIB, IV로 진단을 받고 일차 항암화학요법치료를 받은 환자중에 초기 치료에 반응이 없거나, 치료에 반응이 있었으나 병이 진행된 환자로 추적 관찰 기간이 6개월 이상인 환자를 대상으로 생존율과 반응률 그리고 독성을 분석하였다. 결과 : 총 치료 반응률은 17%. 반응 유지기간의 중앙값은 3.1개월(1-10개월)이었고 생존기간의 중앙값은 8.2개월 (1-23개월) 그리고 1년 생존율은 35%였다. 항암화학요법에 의한 독성은 3도 이상의 중성구 감소가 12%, 오심과 구토가 12.5% 였다. 결론 : 일차 치료에 반응이 없거나 재발한 비소세포 폐암환자의 이차 치료로 gemcitabine과 vinorelbine 혼합요법은 효과적이라고 생각되며 향후 3상 연구를 통한다른 약제와의 비교 연구가 필요하다고 생각된다.

비소세포 폐암 환자의 이차 치료로서 Gemcitabine과 Vinorelbine 혼합 요법의 효과

장필순,강현모,이정은,권선중,안진영,이연선,정성수,김주옥,김선영 충남대학교 암연구소 2006 암연구소 업적집 Vol.5 No.-

Background : Both gemcitabine and vinorelbine are effective anticancer drugs with mild toxicity on non-small cell lung cancer, and monotherapy of these drugs are effective as a second-line chemotherapy. The aim of this trial was to assess the response and toxicity of a combination of gemcitabine and vinorelbine in patients of previously treated for non-small cell lung cancer. Materials and Methods : 24 patients, initial stage III A/B,IV and previously treated with platinium and taxane based regimens, were enrolled from June 2000 to March 2004. The regimens consisted of vinorelbine 25mg/㎡ followed by an infusion of gemcitabine 1000mg/㎡ on day 1 and day 8 every three weeks. This course was repeated more than twice. Results : Twenty-four patients were analyzed for the response, survival rate, and toxicities. The overall response was 17% with a complete remission rate of 4%. The median time-to progression (TTP) was 3.1 months (95%, CI l-10months), and the survival time was 8.2 months (95%, CI 1-23 months). The grade 3/4 toxicities encountered were neutropenia (12.5%), anemia (0%), thrombocytopenia (0%). Non-hematological 3/4 toxicities were not observed. Conclusion : A combination of gemcitabine and vinorelbine in patients previously treated for non-small cell lung cancer provides a relatively good response rate, and a low toxicity profile. However, further study will be needed to confirm its effectiveness. (Tuberc Respir Dis 2005; 58: 344-351)

일부 소규모 시계조립 사업장의 상지 누적외상성장애의 유병률

장은철,김현주,권영준,박시복,이수진,송재철 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.4

목적 : 단순 반복작업을 하는 시계조립 사업장 근로자를 대상으로 상지 누적외상성장애의 자각증상 유병률과 상지 누적외상성장애 유병률을 파악하고자 하였다. 방 법 : 인구학적 특성, 상지의 자각증상, 사회심리적 요인은 자가 설문지법으로, 인간공학적 특성은 점검표를 이용한 면담법으로 조사하였다. 상지의 자각증상 조사와 사회심리적 요인은 각각, N10SH (1993) 설문지와 Karasek(1979)의 Job strain model을 번역하여 조사하였다. 상지 누적외상성장애 판정은 의사가 작업 현장에서 직접 환자 면담과 이학적 검사를 수행한 후, 연구에서 규정한 증례정의에 의해 수행하였다. 수집된 자료는 x2 teat와 exact test로 단별량 분석을 하였고, 이중 의미있는 변수와 위험 인자로 알려진 변수들로 다중 로지스틱 회귀분석을 시행하였다. 결 과 : 대상자들의 자각증상 유병률은 54.2 %였고, 부위별로는 목 34.9 %, 손/손목 31.3 %, 어깨 30.1 %, 팔/팔꿈치 18.0 %순이었다. 상지 누적외상성장애의 유병률은 45.8 %였고, 근막동통증후군이 26명으로 가장 많았고, De Quervain씨 병 8명, 수부/전완부의 건염 및 건활막영 8명, 수근관 증후군 5명, 이두건염 5명, 척골 신경병증 5명, 내상과 염 4명, 외상과염 2명, 경추 디스크 질환 2명, 흥곽 출구 증후군 1명순으로 나타났다. 단변량 분석시 자각증상 유병률은 작업부서 중 완성 부에서, 상지 누적외상성장애 유병률은 여자와 완성 부에서 통계학적으로 유의하게 높았다. 다중 로지스틱 회귀분석 결과 완성부와 근무긴장도가 높은 군이 상지 누적외상 성장애와 통계학적으로 유의한 결과를 보였다. 결 론 : 이 연구에서 상지 누적외상성장애 유병률은 45.8 %으로서 저강도의 단순 반복작업을 하는 시계조립 사업장 근로자에서도 누적외상성장애의 위험이 있는 것으로 생각된다. 또한, 사회심리적 요인과 작업 부서별 공정 및 환경이 유병률에 영향을 미치는 주요 요인으로 생각되며, 향후 이들에 관한 다양한 연구가 진행되어야 할 것이다. 산업보건 현장에서는 시계조립 사업장과 같이 저 강도의 단순 반복작업을 위주로 하는 사업장에 대한 지속적인 관심과 각 사업장별 위험요인을 파악하여 적절한 예방 및 관리 대책을 세워야 할 것이다. Objectives : The prevalence of cumulative trauma disorders of upper extremities mons watch assembly workers in small-scaled industry was studied. Methods. In 83 workers at five watch assembly factories, symptoms and psychosocial questionnaire, ergonomic Interview, physical examination were conducted. Results : Prevalence of self-reported symptoms was 54.2% and neck 34.9%, wrist/hand 31.3%, shoulder 30.1%, elbow/arm 18.0% by anatomical site. Prevalence of cumulative trauma disorders was 45.8%. Most common disease was myofascial pain syndrome (31.3%). The other diseases were De Quervain disease (9.6%), tenosynovitis/tendinitis at wrist/hand (9.6%), bicipital tendinitis(6.0%), fat. epicondylitis(4.8%), meIn. epicondylitis(2.4%), and cervical disc disease(2.4%). As result of ergonomic interview, repetitiveness was 79(98.8%). There were no differences in the prevalence of self-reported symptoms and cumulative trauma disorders for age, sex, marital status, duration of work In the study, The significant factors of cumulative trauma disorders were occupational task and psychosocial stress in the study. The prevalence of cumulative trauma disorders in high strain group was hlgher (68.4%) than other three groups. The prevalence of self-reported symptoms and cumulative trauma disorders in assembly task was higher (70.0%, 64.0%) than other two tasks. Conclusions : Prevalence of self-reported symptoms was 54.2%, prevalence of cumulative trauma disorders was 45.8% in watch assembly workers. In this study, factor related to self-reported symptoms was occupational task and factors relaxed to cumulative trauma disorders were occupational task and psychosocial stress. This results suggest that differences of ergonomics and environment in occupational task cause differences of prevalence of self-reported symptoms and cumulatlve trauma disorders.

오렌지로부터 아플라톡신B₁의 정량분석에 관한 연구

장향동,백광균,구경림,옥선미,최진석,고은주,류성렬 한국공업화학회 2004 응용화학 Vol.8 No.2

Aflatoxin B₁ was known to have the strongest poisonous character among Aflatoxin compounds. To search the production of Aflatoxin B1 according to the change of temperature, relative humidity and incubation days, orange incubated with Aspergillus parasiticus KCCM 35078 was incubated at 20℃, 25℃, 30℃ at relative humidity 60%, 70%, 80% and for incubation time 3, 4, 5, 6, 7 days.. Production of Aflatoxin B₁ shows that the highest production appeared at 25℃ and its relative humidity 70%. The result that was quantitatively analyzed by using HPLC was 77.41ppm, and by using Fluoroscence detector was 87.87ppm. - Production of Aflatoxin B₁ shows that the lowest production appreared at 20℃ and its relative humidity 80%(HPLC), 60%(Fluoroscence detector). The result that was quantitatively analyzed by using HPLC was 4.47ppm, and by using Fluoroscence detector was 4.17ppm. The structure of Aflatoxin B₁ was identify with authentic sample by using instrumental analysis methods of GC/MS, ¹H-NMR, FT-IR respectively.

장르에 따른 dictogloss 활동이 한국 중학생들의 영어 듣기 능력과 태도에 미치는 영향에 관한 연구

장은혜,김은주 이화여자대학교 사범대학 교과교육연구소 2012 교과교육학연구 Vol.16 No.4

영어 듣기 능력 향상에 긍정적인 효과가 있는 것으로 여겨져 온 dictogloss 활동이 장르에 따라 어떠한 효과가 있는지에 관한 연구는 매우 부족한 편이다. 본 연구의 목적은 장르에 따른 dictogloss 활동이 한국 중학생의 영어 듣기 능력과 정의적 태도에 미치는 영향을 알아보는 것에 있다. 이를 위하여 중학생 60명을 대상으로 8주 동안 총 12차시의 dictogloss 활동을 실시하였다. 본 실험 연구를 통해 얻어진 결과는 다음과 같다. 첫째, 장르에 따른 dictogloss 활동이 학습자들의 영어 듣기 능력에 미친 영향을 알아본 결과, 이야기체와 서술체 듣기 자료 집단 모두 사전 듣기 평가보다 사후 듣기 평가 점수가 크게 향상되었음을 볼 수 있었다. 그러나 이야기체와 서술체 집단 간에 통계적으로 유의미한 차이는 나타나지 않았다. 그렇다면 장르에 따른 dictogloss 활동이 학습자 수준별로 실시되었을 때, 학습자들의 영어 듣기 능력에 어떠한 영향을 미치는지 알아보았다. 그 결과 이야기체와 서술체 듣기 자료의 하위 수준 학습자 모두 dictogloss 활동을 통해 영어 듣기 능력이 유의미한 수준으로 향상되었고, 이는 dictogloss 활동이 하위 수준 학습자의 듣기 능력을 향상시키는데 긍정적인 효과가 있음을 나타낸다. 또한 장르에 따른 dictogloss 활동이 상향식과 하향식 듣기 이해 과정에 어떠한 영향을 미치는지 알아본 결과, 이야기체와 서술체 집단 모두 상향식 듣기 문항 유형의 평균이 하향식 듣기 문항보다 크게 향상된 것을 알 수 있었다. 이야기체 듣기 자료의 경우 상.하위 수준 학습자 모두 상향식 듣기 이해 과정에 유의미한 향상이 있었고, 서술체 듣기 자료의 경우 하위 수준 학습자만 상향식과 하향식 듣기 이해 과정에 유의미한 향상이 있었다. 둘째, 장르에 따른 dictogloss 활동이 학습자들의 정의적 태도에 미친 영향을 알아본 결과, 이야기체와 서술체 모두 사후 태도 점수에서 통계적으로 유의미한 차이가 있는 것으로 나타나 dictogloss가 긍정적인 효과가 있는 것으로 나타났다. Although dictogloss has been thought to be beneficial in many listening classrooms, the benefits of dictogloss based on different genres have not yet been thoroughly investigated in second language listening research. There is therefore a need for a study aimed at looking into the effects of dictogloss in terms of different genres, and according to the learners’ proficiency levels in listening skills and their attitudes toward dictogloss. A total of 60 Korean middle school students were selected, and they were allocated randomly into two homogeneous groups according to two differing genres: narrative and descriptive. Each group was then subdivided according to their pre-listening test scores: higher-level and lower-level groups. The study was conducted over an eight-week period, excluding one week for training sessions that immediately preceded it. The results were compiled and analyzed quantitatively in order to investigate the effects of dictogloss depending on different genres. In addition, the participants' attitudes toward the dictogloss activity was examined. The findings obtained from the study are twofold. First, both of the groups - narrative and descriptive - benefited from engaging in the dictogloss tasks. No statistically significant differences, however, were found within groups; it can therefore be inferred that dictogloss tasks might help to improve L2 learners' English listening skills regardless of the genre. Varying results, however, were obtained depending on the learners' language proficiency level. Lower-level learners in both groups showed improvements in their post-listening test; this indicates statistically significant differences in listening skills. In addition, the results of the effect of dictogloss activities depending on different genres showed a significant difference with respect to the bottom-up processing. In the case of the narrative genre, there is a statistically significant differences on top-down processing and descriptive genre, only the lower-level group showed differences in bottom-up and top-down processing. Second, the results indicate that the participants' overall attitude toward the dictogloss activities tended toward the positive side of the spectrum with respect to both genres, but there were intergroup differences depending on the participants' proficiency levels. The proposed reason for this is that learning cooperatively may have positively affected both the higher-level group students and the lower-level group students as the higher-level group students took the lead from the front and formed a competitive environment in good faith. Moreover, the lower-level group students established more interest toward group activities, and this induced them to lively engage in the activity as they were able to immediately solve problems by getting feedback from discussion between groups. It is therefore suggested that teachers and researchers should attempt to devise a wider variety of dictogloss activities that are appropriate for learners of different proficiency levels in different contexts to systematically tackle and confirm the validity of this activity.

온라인 아동 성착취 근절을 위한 법률개정 방안 : 국제규범과 국내 법령의 비교를 중심으로

정주은,남장현,서지혜 이화여자대학교 법학전문대학원 2020 Ewha Law Review Vol.10 No.-

온라인을 기반으로 한 아동ㆍ청소년에 대한 성착취는 아동ㆍ청소년이 쉽게 유혹되고 어른들에 의하여 발견되는 것이 어렵기 때문에 심각한 피해를 야기한다. 본 연구는 온라인 아동 성착취의 심각성을 인지하고 관련 법령의 개정 방안을 제시하고자 하였다. 우선 우리나라의 아동ㆍ청소년의 성보호에 관한 법률 및 형법 등의 법제 및 현황과 문제점을 살펴보았다. 이를 기반으로 UN아동권리협약 및 제2, 제3선택의정서와 UN아동권리위원회의 권고사항 및 특별보고관의 권고, 팔레르모의정서, 란사로테협약 등 국제규범의 내용을 살펴보고, 해당 국제규범과 해외의 입법례 등과 비교하여 현행 국내 법령의 개선방안을 모색하였다. 연구를 통해 현행 국내 법령의 부적절한 용어 개선이 필요하고, 아동 최선의 이익 원칙에 의한 법 해석 및 적용을 해야 하며, 현행 형법을 활용함과 동시에 그루밍 등 새로운 개념에 대하여 법률에 규정해야 함을 발견하였다. 이와 더불어 성착취물 등에 대한 처벌을 확대하고 형량과 양형기준을 개선하여야 할 필요성도 절감하였다. 현재 국회에 계류 중인 법률개정안을 검토하여 해당 법률안에서 주목할 점과 보완할 점에 대하여 설시하였다. 보론으로는 함정수사의 도입과 제3선택의정서 비준의 필요성을 주장하였다. 이에 비추어 볼 때, 최근 일련의 사건 이후 아동ㆍ청소년의 성보호에 관한 법률이 많은 부분에서 긍정적인 방향으로 개정되었지만 보호의 대상인 아동ㆍ청소년에 대한 범죄이므로 더욱 엄중히 처벌해야할 필요필요가 있는바, 국제규범에 따라 아동ㆍ청소년의 성보호를 위한 개정이 더욱 필요함을 시사한다. Online child sexual exploitation leads to serious damage because children and juveniles are easily tempted but it is hard for adults to find the breeding ground for crime. This study was intended to recognize the seriousness of online sexual exploitation for children and juveniles and to propose the law amendment. First of all, we explored the current status and problems of the legislation, such as the Act on the Protection of Sex in children and juveniles and the Criminal Law in the Republic of Korea. We reviewed the contents of international rules such as the U.N. Convention on the Rights of the Child, the Second and Third Choice Protocol, the recommendations of the U.N. Commission on the Rights of the Child, the recommendations from the CRC and special rapporteur, the Palermo Protocol, the Lanzarote Convention. In accordance with those international rules, we sought the amendment of current domestic law. According to the study, we concluded that the inappropriate terms in the current domestic law should be modified, and the law should be interpreted and applied in accordance with the principle of the best interests of children. Also, new concepts such as ‘grooming’ should be stipulated in the law while utilizing the existing Criminal law. In addition, we were faced with the necessity of expanding punishment for sexual exploitation and improving sentencing guidelines. We reviewed the proposition which was pending in the National Assembly and suggested pros and cons. And then, we complementally argued for the institution of entrapment and the ratification of the Third Choice Protocol.

치위생과 학생들의 B형 간염 바이러스의 표지자와 인지도에 관한 연구

강은주,신상희,장선희 韓國學校保健學會 2002 韓國學校保健學會誌 Vol.15 No.2

This study is aimed at offering basic data about prevention of Hepatitis B virus and infection control to dental hygiene students who will work mostly at dental offices which are characteristically exposed to a high risk of HBV infection. For this study, surveyed were 188 sophomores and juniors of the dental hygiene department who volunteered to undergo the tests of HBsAg and HBsAb. The examination of the blood collected from the samples and analysis of their perception about hygiene resulted in following conclusion: Positive HBsAg Four was found in 4 testees(2.1%) while 118(62.8%) revealed positive. HBsAb. Juniors showed higher positive rate in HBsAb whereas sophomores had higher positive rate in HBsAb. But such difference has statistically no significance. Generally, students seemed to pay little attention to HBV, judging from the survey of their perception about the present state of HBsAb and HBsAb(p>0.05), conduct of infection(p<0.05), completion of 3 requested vaccination(p>0.05), and formation of antibody(p>0.05). With regard to the infection routes of HBV, most students(92.4%) replied "through blood", which is statistically insignificant, though. Next ratio goes to the reply "through contaminated injectors". This reply came more from sophomores than from juniors, a difference which is statistically significant(p<0.05). The lowest rate of possible infection(29.2%) was thought to be "through breast-feeding of a positive mother"(p<0.05). In general, it turned out that sophomores had more knowledge about the infection routes of HBV than juniors. In terms of clinical history among family members, 6(3.1%) reported that some of their family members are currently suffering from a liver complaint, 3(1.6%) replied their family members were once afflicted, and 4(2.1%) said their members died of hepatitis. Except 10(4.7%), all the surveyees replied that their states of health are better than normal. Generally, sophomores are healthier than juniors except for very health case, a difference which is statistically of no value.

우리 나라 보건관리대행서비스 평가 연구

하은희,조수헌,김선민,주영수,한상환,하미나,권호장,홍윤철,김창엽 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.1

Group occupational health service programme started in 1990 is one of the measures to cope with limited human and financial resources in occupational health. The programme has expanded rapidly to include 52 institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. This study has aims to develop the criteria to assess the quality of newly developed group occupational health service programme, and to investigate the quality of institutions, and finally to develop policies for the quality improvement. 1) Criteria development : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, followings are included as core elements of qualitative occupational health programme; accessibility, continuity, comprehensiveness, technical quality, intersectoral collaboration, emphasis on preventive services, community participation, and adequacy. Again each element is divided into five major components of national health system infrastructure developed by the World Health Organization; development of health resources, organized arrangement of resources, delivery of health care, economic support, and management. In turn, each component is categorized into three aspects of quality assessment, structure, process and outcome. Expert panel selected several criteria for each category to evaluate the programme. Criteria were modified according to each group of interviewees, to produce two sets of questionnaire, one for chief operating officer and another for nurses in the institutions, and the chief operating officer and workers in the workplace. 2) Subject : Of all 52 institutions, 25 voluntarily participated in the survey. At individual institution, chief operating officer and practicing nurses were interviewed in depth. After intensive education for interviewees, every interviewees, every interview was performed with standardized guideline and questionnaire. The quality of the 'Group occupational health service programme' was found to be lower than expected. Especially in continuity, comprehensiveness, technical quality, community participation and adequacy, lower quality in structural aspect was commonly identified throughout all the institutions,. Quality in terms of accessibility and continuity highly varied among institutions., To improve quality of the programme, more comprehensive and systematic programme such as accreditation has to be introduced. In addition, human resources, governmental fund and information systems for individual workers are to be developed. As a long range plan, integration of occupational health services into the national health systems and pooling of financial resources and planned allocation should be considered.

흉추의 병적골절을 보인 심한 신성 골이영양증 1례 : 증례 보고

이송주,이은미,임학,정연순,장재호 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

A 33-year-old woman presented with tingling sensation and weakness in the both hands and feet. She had a diagnosis of secondary hyperparathyroidism caused by renal failure. Her height was shortened due to severe kyphosis. On plain radiograph, there were fractures on both femoral necks and pathologic fracture on thoracic vertebra. An MRI scan of the spine demonstrated a expansile, heterogeneous hypointense lesion of the 2nd thoracic spine, which remained hypointense on T2 images. Following total parathyroidectomy the patient underwent a thoracic decompression and spinal stabilization from the back. Hyperparathyroidism may cause brown tumor and tumor associated pathologic fracture in the spine. Involvement of the spine with neural compression is extremely rare. An early spinal decompression with parathyroidectomy leads to remission of symptoms.