영구 완전방실치단이 합병된 살모넬라균에 의한 급성 심근염 1례

박윤아,김영휘,박인숙 대한순환기학회 1995 Korean Circulation Journal Vol.25 No.3

장덕조 소설에 나타난 ‘문학소녀’와 ‘여류’ – 「해바라기」(1937)와 「여류 예술가」(1940)를 중심으로

박윤아 한국여성문학학회 2022 여성문학연구 Vol.56 No.-

This paper examines the relationship between the birth of a literary girl and female writers through an analysis of Jang Deok-jo’s short novels Sunflower and Female Artists. The new representation of “literature girls” is the result of the discipline surrounding the daily lives and emotions of female writers. Jang Dukjo’s early short stories effectively reproduce the social identity and on to logical anxiety of “literary woman” as “hysteria.” In particular, these representations are important in that they reveal the possibility of discipline of male-dominated power and there location of gendered emotions. The subject of “literary woman” is born in a pathological state, and women’s resistance and voices are sutured. Colonial literature’s strategy of limiting women’s literary enjoyment and artistic achievement reveals the oppression of the ruling powers that created an environment in which female writers could not grow. This paper is meaningful in that it specifically re-evaluates women writers’ methods of survival, which are inherent in the process of calling summoning “literature girls.” Moreover, it reveals the authoritarian attitudes adopted by colonial women writers in their oppressive daily lives, where, subject to the pressures of dominant discourse, they were forced to awaken. 이 논문은 장덕조의 단편소설 「해바라기」와 「여류 예술가」를 중심으로 문학소녀의 탄생과 여류 작가의 상관성을 고찰했다. 문학소녀라는 새로운 표상은 여성 작가의 일상과 정서를 둘러싼 규율화의 결과다. 장덕조의 두 편의 소설은 ‘문학 하는 여성’의 사회적 정체성과 존재론적 불안의 감정을 히스테리로 효과적으로 재현한다. 특히 남성 중심적 권력의 규율화와 젠더화된 감정의 재배치 가능성을 드러냈다는 점에서 중요하다. ‘문학 하는 여성’ 주체는 병리적 상태에서 탄생하며 여성의 저항과 목소리는 봉합된다. 여성의 문학적 향유와 예술적 성취를 제한하는 식민지 문단의 전략은 여성 작가가 성장할 수 없도록 환경을 조성해 나간 지배권력의 억압성을 드러낸다. 이 논문은 문학소녀의 호명 과정에 내재한 여류 작가의 존재 방식을 구체적으로 재평가하고 식민지 여성 작가들이 지배 담론에 의해 각성을 강요당한 억압적인 일상 속에서 취한 작가적 태도를 드러내고 있다는 점에서 의의가 있다.

외이도를 침범한 전이성 신세포암 1예

박윤아,공태훈,이재우,박상유 대한이비인후과학회 2015 대한이비인후과학회지 두경부외과학 Vol.58 No.10

A renal cell carcinoma (RCC) is known for its high propensity for early metastasis. Among the metastatic cancers of the head and neck, RCC is the third most common disease after breast cancer and lung cancer. Head and neck metastasis of RCC occurs mainly in the thyroid gland (36.6%), nose and sinus (9.1%), and lesions in the ear canal and temporal bone are very rare. Although extremely rare, metastatic malignancy in the breast, lung, prostate, kidney to the external auditory canal have been reported in the literature. We report a case of metastatic RCC of the left external auditory canal in a 78-year-old male patient who had experienced multiple organ metastasis after nephrectomy due to renal cell carcinoma.

악성 질환에 의한 급성 대장 폐색에서 자가팽창형금속스텐트를 이용한 치료법

박윤아,이광훈,이선일,손승국 대한대장항문학회 2006 Annals of Coloproctolgy Vol.22 No.1

Purpose: The purpose of this study was to review our experience with the use of self-expandable metallic stents as the initial interventional management for acute malignant large-bowel obstruction. Methods: The records of 35 patients who underwent placement of a colonic stent for acute malignant obstruction at our institution between January 2003 and December 2004 were reviewed. Results: Stents were placed for palliation in 19 patients and as bridge to surgery in 16 patients. Technical success of stent placement was achieved in all patients (100%), but clinical failure occurred in two patients due to limited expansion of the metallic stent. One of them who had clinical failure underwent an emergency operation, and the other needed no further procedure because of his death. Complications occurred in 4 patients (12%), including one pelvic abscess associated with colon perforation, two minor bleedings, and one anal pain. All the patients in the bridge-to-surgery group underwent an elective colon resection without stoma. In the palliative group, stent reocclusion was observed in three patients during the follow-up (median: 65 days; range: 27~440 days), two of which were managed by reinsertion of a stent. In the remaining patients, the stent was patent until death or the last follow up date (median: 65 days). Conclusions: Placement of a self- expandable metallic stent is a safe and effective procedure for immediate decompression of acute malignant large- bowel obstruction. It provides a chance of elective surgery for patients with resectable disease, as well as relief of symptoms for those with unresectable disease.

The Rise of Cerebellar Ataxia in South Korea: 2002–2016

박윤아,박건우 대한신경과학회 2020 Journal of Clinical Neurology Vol.16 No.1

Posterior Type of Alzheimer’s Dementia Presenting with Homonymous Hemianopsia

박윤아,박건우,이찬녕 대한치매학회 2017 Dementia and Neurocognitive Disorders Vol.16 No.4

Background Alzheimer’s disease is a chronic neurodegenerative condition, mostly affecting the medial temporal lobe and associated neocortical structures. In this report, we present a rare clinical manifestation of this disease. Case Report A 61-year-old female with word finding difficulty and memory disturbances was diagnosed with Alzheimer’s disease. Two years later, she complained of right homonymous hemianopia without optic ataxia, ocular apraxia, and simultagnosia. No findings other than parenchymal disease were apparent in magnetic resonance imaging and laboratory tests. Conclusions In this case, in a patient initially diagnosed with Alzheimer’s dementia with progressive disease, we found only homonymous hemianopia, without signs of Balint’s syndrome or Gerstmann’s syndrome. After careful investigation showing that Alzheimer’s dementia with visual symptom was not associated with parenchymal disease, we concluded a case of atypical variant of Alzheimer’s disease.

반복적인 좌골신경통의 증상으로 발현한 대뇌혈철소증

박윤아,최정윤,정진만,박문호,권도영 대한신경과학회 2015 대한신경과학회지 Vol.33 No.3

혼합물 실험계획법을 이용한 유색 의 EPDM 첨가제 배합비에 따른 기계적 특성 분석

박윤아,전의식,김영신,이현승 한국기계가공학회 2022 한국기계가공학회지 Vol.21 No.8

With the recent increase in the demand for electric vehicles, it is necessary to identify the high current safety of automobile parts. Among the automobile parts, the EPDM parts required colored parts from the existing black; therefore, it was necessary to change the basic filler from carbon black to silica. The rubber used in automobile parts is flexible and exhibits basic characteristics of high strength and elongation. However, as the filler is changed to silica, its physical properties, such as tensile strength and elongation, are lower than those of the existing carbon black base. Therefore, it is necessary to evaluate the mechanical properties with the addition of the EPDM compound using silica as a base without degrading the physical properties of EPDM. In this study, an experiment based on the additive content was performed using the mixture experimental planning method to analyze the mechanical properties according to the additive type and mixing ratio of silica-based EPDM. The mixing ratio of the four additives was set using a simplex lattice design, and the tensile strength, elongation, modulus 300%, and permanent compression reduction rate were analyzed for mechanical characteristics, and rheometer experiments were performed for vulcanization characteristics. Through statistical analysis of the measured data, the main effects and interactions of the EPDM-blended rubber additives were analyzed. These results can be used to derive a mixing ratio of additives that satisfies the required characteristics of the EPDM compound.

주요 신경계질환의 항우울제 처방 패턴: 2017년 제도 변경 이전

박윤아,백은선,최지미,이준영,이수현,박건우 대한신경과학회 2019 대한신경과학회지 Vol.37 No.2

Background: It is well known that patients with neurological disorders are vulnerable to depression. However, in Korea, National Health Insurance services had banned non-psychiatrists from prescribing antidepressants for more than 2 months until January 2017. Now, neurologists are able to prescribe antidepressants to patients with only four neurological disorders. Due to this recent change in national health insurance policy, there will be a large change in the prescription pattern of antidepressants. In this study, we performed an analysis of antidepressant prescription patterns in Korea prior to this recent policy change. Methods: The source population of this retrospective cohort study is the Health Insurance Review & Assessment Service database. We analyzed the claim database for patients who have one of four major neurologic disorders and had healthcare documentation submitted by healthcare providers between January 1, 2011 and December 31, 2016. Results: During 2012-2016, antidepressant prescription rates of 6.21% (127,192 of a total 2,048,165 patients), 9.93% (81,861 out of 824,290), 10.12% (173,582 of 1,714,776), and 13.36% (48,530 of 363,347) were found for cerebrovascular disease, epilepsy, dementia, and Parkinson’s disease respectively. The most frequently prescribed antidepressant in cerebrovascular disease and epilepsy was tricyclic antidepressants (TCAs). In Parkinson’s disease and dementia, the most frequently used antidepressant was selective serotonin reuptake inhibitors. Conclusions: The overall prescription rate of antidepressants was much lower than the estimated rates reported in other countries. TCAs were the primarily prescribed antidepressant. It is now expected that TCAs will be replaced by newer antidepressants.

임상 추론: 반복적인 기도흡인이 발생한 67세 파킨슨증후군 여성

박윤아 대한신경과학회 2021 대한신경과학회지 Vol.39 No.3