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      • 원발성진행성 실어증

        한설희 충북대학교 의과대학 충북대학교 의학연구소 1996 忠北醫大學術誌 Vol.6 No.2

        원발성진행성실어증은 수년간에 걸쳐 대뇌고위 기능중 언어영역만 고립적으로 침범되어 서서히 진행하는데 임상적으로 치매와 구별되어야 하는 비교적 드문 증후군이다. 저자는 최근에 62세 여자환자가 약 4년간에 걸쳐 서서히 진행한 언어장애를 주소로 본원 치매크리닉을 방문하여 신경심리검사, 뇌파검사, 뇌핵자기공면영상, 단일광자방출단층촬영술 등에서 전형적인 원발성진행성실어증으로 확인된 우리 나라 최초의 예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. A 62-year-old right-handed woman presented with a progressive deterioration in her ability to name common object used in everyday life. Her initial language disturbance, word-finding difficulty, got worsened gradually over the next 4 years, She was able to point to the correct object when the word is provided by the examiner despite being unable to name it spontaneously. Her memory, attention, visuospatial skills and comportment were all intact. She is doing well in her daily living activities including taking care of herself, shopping and paying bills. MRI showed left perisylvian atrophy and dilated left frontal horn. SPECT study revealed decreased perfusion in left temporal lobe. Her clinical presentation together with the characteristic structural and functional neuroimaging findings were typical of 'primary progressive aphasia'.

      • KCI등재

        치매의 행동심리증상의 개관 : An Overview

        한설희 대한치매학회 2004 Dementia and Neurocognitive Disorders Vol.3 No.1

        Behavioral and psychological symptoms of dementia (BPSD) are among the most distressing manifestations of dementia and results in considerable social and economic burden. They are highly prevalent in Alzheimer's disease (AD) and other progressive degenerative dementias. BPSD are one of main reasons for premature institutionalization and are major causes of significant loss of quality-of-life for the patient and his/her family and caregivers. Recent investigations indicate that BPSD are not an epiphenomenona of cognitive impairment, but could be attributed to specific biological brain dysfunction. This brief review provides an overview of recent advances in the field of BPSD research.

      • 신문에 나타난 동래읍성의 변화

        이설혜,박승범 東亞大學校 建設技術硏究所 2009 硏究論文集 Vol.32 No.2

        After Dongnae Fortress, the fortress established to guard the frontier from Japan’s invasion, lost its original function under the rule of Japanese imperialism, some parts of it which live at the present age have recently converted into a place of new functions, that is, a place giving a chance for citizens to experience history and culture and contributing to their relaxation and emotional development. The purpose of this study is to examine the potential variables that can affect future changes of Dongnae Fortress and to offer basic materials for the right direction establishment of the conservation of it by understanding the conservation process of the historical environment of Dongnae Fortress. The result of the frequency analysis on the number of newspaper articles dealing with Dongnae Fortress during 1990~2007, when the cultural properties of Dongnae Fortress were made the most use, showed that the recognition degree of Dongnae Fortress is tending upwards, especially since 2003 it has sharply been rising. The result of classification of the articles based on the subjects showed that the public administrational acts related to Dongnae Fortress had a great effect on the newspaper articles, accounting for 33% followed by the utilization 23%, the scholarship 21%, the others 14% and the management 9%. This study has a significant meaning in examining the change process of Dongnae Fortress shown in news reports focused on after the independence of Korea and during 1990~2007 period, and ultimately offering basic data for the right direction establishment of the conservation of Dongnae Fortress.

      • 결절성경화증 환자에서의 SPECT 뇌영상 : 예비적 연구 A preliminary report

        한설희,이상수,정승연 충북대학교 의과대학 충북대학교 의학연구소 1991 忠北醫大學術誌 Vol.1 No.1

        간질발작을 포함한 전형적인 삼징후가 동반된 결절성경화증 환자를 대상으로 뇌파검사, 뇌전산화단층촬영술 및 단일광자방출단층촬영술을 시행하였다. 뇌전산화단층촬영술에서는 상의하석회화병소와 조영제증강이 뚜렷하지 않은 피질에 연한 저음영 소견이 관찰되었으며 이어서 시행한 단일광자방출단층촬영술에서는 뇌전산화단층촬영술 소견보다 더 광범위한 부위에 관류결손이 관찰되었다. 단일광자방출단층촬영술은 결절성경화증 환자에서 간질발현 병소인 피질결절을 발견하는데 있어서 전산화단층촬영술 및 뇌파검사보다 더 유용한 방법이며 치료방침 결정이나 예후판정에 있어서도 큰 도움을 줄 것으로 기대된다. Two patients with a well-established diagnosis of tuberous sclerosis and epilepsies as their principal clinical symptom were examined by conventional surface electroencephalography(EEG), computed tomography, and single photon emission computed tomography(SPECT) using the 99mTc hexamethyl prophyleneamine oxime(99mTc-HMPAO). The interictal EEG showed various abnormalities of poor localizing value. Brain computed tomography surely demonstrated subependymal calcifications, although the cortical lesions were not so conspicuous. However, the SPECT images of each patient clearly demonstrated decreased cerebral perfusion in cortical areas. It may be assumed that such perfusion defect areas represent the epileptic cortical tubers or those of altered myelination, which are characteristics of the disease.

      • KCI등재

        김관 평론과 '민족음악'론

        신설령 민족음악학회 2004 음악과 민족 Vol.28 No.-

        Since there were few musical critics in 1930s, Kim Guan proposed the reexamination of "the national music." During this era, there were no support or exchanging of views from his fellow musical critics toward his proposal. Many believed that because of the closely monitored Japanese imperialism, they were intimidated to express their points of views and support for Kim's, "the national music." Besides of being suppressed, many found that Kim's opinion were very ahead of time or very futuristic and therefore, it didn't get the importance of its issues. After the independence from Japan, there were bursts of discussions about his proposal as like the darn water exploded. Many people including the musical critics were able to express their views towards the proposal. They could sing for joy during the independence. In 1980s, the systematic written exposition or argument about Korean music could point out and discussed the problems of the western music influences. However, during the occupation of the Japanese, there was one musical critic who gave his valuable opinion on "the national music" --- Kim Guan. Even though there was no freedom, there was advancement and it led the Korean music where it is today.

      • KCI등재

        경도인지장애 : 알쯔하이머병의 초기단계인가? Is it an Early Stage of Alzheimer's Disease?

        한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

        Aging causes deterioration of various aspects of memory performance in norma adults In recent years. a great deal of interest has been generated around the concept of a boundary or transitional state between normal aging and dementia or, more specifically, Alzheimer's disease (AD). This condition has received a number of descriptions including incipient dementia. questionable dementia. age-associated cognitive decline, isolated memory impairment and mild cognitive impairment (MCI) Commonly accepted guidelines for MCI have been established-memory complaint, preferably corroborated by an informant. objective memory impairment for age and education. normal general cognition, preserved activities of daily living, and not demented The precise definitions need to be explicated. but these will probably simply be a refinement of a concept. rather than a major re-definition Importantly, clinical and neurobiological evidence suggests that patients with MCI are at an increased risk for developing AD. Current research efforts are geared with MCI are at an increased risk for developing AD. Current research efforts are geared towards intervention strategies aimed at preventing the development of AD among persons with MCI.

      • Henigway의 主人公들에 關한 考察

        鄭卨秀 忠州大學校 1976 한국교통대학교 논문집 Vol.8 No.1

        When we read Hemingway's works, we can find that Hemingway offers three Patterns of his heroes in his works. One is the pattern of Nick Adams, another is the pattern of Jake Barnes, a third is the pattern of Frederic Henry. Hemingway's heroes have 'moral code' which Hemingway made in his works in order to express his literary ideas. Nick Adams does not have moral code, but Nick experiences, Violence, evil and death which man has in this world. Jake has moral code receiving and enduring his conditions given him. Henry has moral code conquering his conditions. Hemingway's heroes must conduct acoording to these codes. If heroes and charaters in his works do not observe them, he regard as a coward. Hemingway exoressed all his literary ideas through his heroes. And we can guess Hemingway's heroes are Hemingway himself because all the contents of his works agree with his practical life.

      • Gerstmann 증후군을 동반한 교차 실어증 1례 : MRI 및 SPECT를 이용한 연구

        한설희 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.1

        교차실어증이란 오른손잡이 환자에서 우측 대뇌 반구 손상후에 언어장애(실어증)가 발생한 경우를 말한다.오른손잡이 실어증 환자의 약 1%-2%에서 교차실어증이 발생하는 것으로 알려져 있으나 구조적 병변이 잘 밝혀진 예는 드물다.더욱이 우뇌 손상과 관련된 좌, 우 지남력 상실, 수지 실인증, 계산불능증, 필기불능증의 4 가지 임상 특징을 가지는 Gerstmann 증후군의 예는 더욱 드물다.저자는 MRI 및 SPECT 뇌영상 검사로 우뇌 경색이 확인된 오른손잡이 환자에서 Gerstmann 증후군과 교차실어증이 동시에 발생한 드문 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Crossed aphasia refers to disturbance of language following a right hemisphere lesion in right handed individuals.Although it is estimated to occur in 1% to 2% of all dextral aphasic, well documented cases of crossed aphasia continue to be rare.Moreover, it is also rare to see a Gerstmann's syndrome (left-right disorientation, finger agnosia, dyscalculia, and dysgraphia) in right hemispheric lesion.In this paper, the author presents one case of crossed aphasia associated with Gerstmann syndrome in monolingual right handed patient. This case is found interesting to be reported because it is a extremely rare condition where a crossed aphasia and a Gerstmann syndrome are simultaneously seen in the same patient.

      • 美國大學의 特異性 : 近大美國 文學을 中心으로

        鄭卨秀 忠州大學校 1968 한국교통대학교 논문집 Vol.2 No.-

        Every literature of Europe began before the time of printing. This was a period of folklore, legends, and ballads. Such a collection of simple songs and stories represents the "childhood" of a literature, in which it is starting to grow up and develop. But American literature had no such childhood. American literature was begun by the colonists who came from England to settle the New Condinent. We can divide Ameracan literature as the following : 1. The Period of the American Colonies ; The writings of this period dealt with religion, morals, and church teachings by Puritanism and Frontier Mind. 2. The Period of the American Revolution ; Because of Independence War, American literature did not develop in this period. 3. Romanticism ; The romantic writers dealt with admiration of nature, individual dignity freedom, right and to sing the rustic life. The active writers of this Period were Irving, Cooper, Emerson, Thoreau and Poe. 4. Realism ; American realism was led by Mark Twain who wrote「The Adventure of Tom Sawyer」,「The Adventure of Huckleberry Finn」etc. with American humour and style. From this period American literature, completely, escaped from the literature of another counntry. 5. Naturalism ; American realism was grown up by naturalists. Naturalists wrote the exposing novels to American society of this period. In this treatise, I described only about the peculiarity of modern American literature. I think what we know of the peculiarity of a period is very important. By understanding the literature of another country, we must know the peculiarity of that peroid well. As a result we can understand their literature deeply.

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