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      • 궤양성 대장염의 임상적 고찰

        박응범 梨花女子大學校 醫科大學 醫科學硏究所 1989 EMJ (Ewha medical journal) Vol.12 No.4

        Ulcerative colitis is a chronic inflammatory disease, characterized by diffuse ulceration of colorectal mucosa and submucosa. It is relatively frequent in the western countries, but is relatively rare in Korea. However, the diagnostic rate shows a tendency to increase with various diagnostic method and attention to the diseases of the patients. Author has experienced 31 cases of ulcerative colitis diagnosed with clinical symptoms, radiologic and endosopic examination from March, 1983 to August, 1989 at Ewha Womans University Hospital. The results are as follows; 1) The peak incidence of age was 20~29(41.9%) and the ratio of male to female was 1:2.1 2) The chief complaints on admission were bleeding, diarrhea and abdominal pain. 3) The duration from the onset of the symptoms to the first visit was less than 1 month in 18 cases(58.1%). 4) The most common involved site of the disease was rectosigmoid colon. 5) The operations were performed in 6 cases and their indications were unresponsive to medical treatment(3cases), perforation(2 cases) and one primary peritonitis. 6) The operations were J shaped ileal pouch-anal anastomosis after total colectomy and subtotal colectomy (2 cases), total proctocolectomy with permanent ileostomy( 1 cases), left hemicolectomy with end to end anastomosis (1 case), right hemicolectomy with ileostomy(l case) and one exploratory eaparotomy. 7) There were 2 proctitis in complication and no mortality.

      • SCOPUSKCI등재

        무맥증 수술치험 2례

        박응범 대한흉부심장혈관외과학회 1970 Journal of Chest Surgery (J Chest Surg) Vol.3 No.2

        A patient was 29 year old house wife who was admitted to the Yonsei University Medical Center on 6 th of Nov., in 1970, with chief complaints of complete loss of bilateral visual acuity, generalized weakness, frequent palpitations, claudication of masseter muscles and intermittent fainting. These symptoms were developed 5 years prior to admission. Physical finding on admission revealed complete loss of bilateral visual acuity, absence of both radial and carotid pulse, but there was good femoral and popliteal pulse. She couldn't open her mouth as she desired and had weakness of mastication. Radiological findings of plane chest PA were not significant. Aortogram(Cineangiogram) showed non-visualization of both carotid and subclavian arteries. It showed only innominate and interal mammary artery preoperatively. The operative findings were as follows: There were complete obliterative changes in both common carotid and subclavian arteries, and periarteritis in the innominate artery. Tube Dacron Prosthesis Bypass with V-arm between innominate artery and both common carotid arteries was performed after thromboendarterectomy. Histopathological finding of the thromboend arterectomy specimen was compatible with pulseless disease, which showed marked fibrous thickening of intima and a diffuse inflammatory cell infiltration of the whole layers. Her postopererative course was uneventful. Follow up aortogram(Cineangiogram) was taken on 11th postoperative day, which revealed both common carotid arteries patent. Her preoperative Subjective symtoms disappeared remarkably, such as her visual acuity improved much, fainting and vertigo disappeared completely and she can go to bath room without difficulty and help. Another patient was 34 year old house wife who was admitted on August, 1964 with chief complaints of frequent fainting and progresive visual loss. She was operated only thromboendarterectomy of both common carotid arteries. Postoperative course was smooth and subjective symptoms were disappeared.

      • 기초디자인 교육에 있어서 매핑기법의 활용 방법에 관한 기초연구

        박응범,홍정표 한국감성과학회 2007 춘계학술대회 Vol.2007 No.-

        Customary way of thinking may be the most major stumbling block to creative thinking in basic design education in the information and network era. The basic design education was used to be based on personal experience or subjective ideas, but these days, the role of divergent thinking and convergent thinking which provide the basis of creative techniques has been closely examined. Going beyond a divergent thinking and directly starting a convergent thinking means bypassing the design process of the existing basic design education. Though preceding studies considered various creative techniques apart from divergent thinking and convergent thinking, this study presumed that complementing the most typical methods of divergent thinking and convergent thinking may result in the same basic design education effect. So, what approach must be used to the design? The way of thinking needs to change. For that, we try to apply the mapping to basic design education. It must encompass interactive thinking which includes immaterial elements and communication. Divergent thinking can begin with the accurate understanding of current state, and the created current state resolves the design process that needs to be a certain thing. The purpose of this study was to present the method for applying the mapping techniques to basic design education based on divergent and convergent thinking which provides the basis of creative ideas.

      • 大腸 內視鏡檢査에 依한 診斷的 硏究

        朴應範 梨花女子大學校 韓國生活科學硏究院 1980 韓國生活科學硏究院 論叢 Vol.26 No.-

        대장내시경의 대장진단술은 비교적 최신의 기술로서 각광을 받고 있으며, 1960년대에 소개되어 최근 십여년간에 걸쳐 기구 및 기술의 발달로 임상에 크게 기여하여 왔다. 특히 대장의 조기암 발견이라든가 각종 대장질환의 진단, 생검, 세포검사, 치료 등은 X선 진단술의 오진을 완전 보강할 수 있게 되었다. 저자는 최근 8개월간 이대병원에서 경험한 50례의 대장내시경 검사 후 문헌고찰을 하였으며, 증례분석, 삽입률, 삽입 소요시간, 합병증 등을 고찰하였다. Diagnostic exploration of the colorectum with flexible fiberoptic colonoscope is a relatively new technique. In early 1960 the first flexible fiberoptic colonoscope was introduced and has been used clinically. Colonofiberscope is very important instrument for the detection of colorectal lesions, especially cancer, and for the treatment. In recent 10 years colonofiberscopy is much advance-ment and applied clinically. I experienced 50 cases of colonofiberscopy and sigmoidofiberscopy at the department of Ewha Womans University Hospital during last 8 months. Clinical analysis of 50 cases of colonofiberscopy and sigmoidofiberscopy were made and with my experience and review of literature, introduction of apparatus, technique, indication, contraindication and complications of colonoscopy were presented.

      • 소화성 궤양 천공에 관한 임상적 고찰

        박응범 梨花女子大學校 醫科大學 醫科學硏究所 1986 EMJ (Ewha medical journal) Vol.9 No.2

        A clinical study of 138 cases of patient with peptic ulcer perforations was performed with emphasis on group analysis. The patients were admitted to the Department of General Surgery, College of Medicine, Ewha Womans University, from Jan. 1976 to Dec. 1985. The result were summarized as follow; 1) The most frequent location of perforation was the pylorus(36.7%) of stomach, and then antrum(29.6%) and 1st portion of duodenum were followed. 2) The sex distribution ratio of male and female was 26.6:1. 3) The age distribution was more fregquent in 3rd and 4th decades. 4) The duration of peptic ulcer history was 1-3 years(24.6%), and greater than 5 years was 23.2%. 5) The duration of perforation to operation was more freqent in 12-24 hours(40.6%). 6) As the operative procedures, simple closure was performed in 108 cases(78.3%) and subtotal gastrectomy in 29 cases(21.0%). 7) Associated diseases were pulmonary Tbc, hypertension and pneumonia. 8) The postoperative complications not significant difference between resection group and non-resection group of perforation. 9) The late complication were noted in 5.0% and pyloric obstruction and ulcer intractibility and reperforation were noted. 10) There was no case of death.

      • 기초디자인 교육에 있어서의 Mind Mapping기법 활용에 관한 연구

        박응범 한국디자인지식학회 2008 디자인지식저널 Vol.8 No.-

        최첨단 정보화시대에는 새로운 창의적인 아이디어 발상법과 발상된 정보의 처리법을 요구하고 있다. 본 연구는 기초디자인 교육에 있어서의 기존의 방법과는 다른 새로운 창의적인 아이디어 발상 기법인 Mind Mapping기법을 활용하여 기초 디자인 교육에 대한 영향을 평가하고, 기초 디자인 교육이라 할지라도 기존의 연구를 통합하여 평가될 수 있다는 사실을 증명하고자 한다. 그러므로 본 연구에서는 디자인 프로세스 중에서 창의적인 아이디어 발상의 과정인 발산적 사고와 수렴적 사고의 통합을 Mind Mapping기법에 대한 이론적 내용의 이해를 통하여 기초 디자인 교육의 전반적인 과정을 알아본 후 발산적 사고와 수렴적 사고를 통합한 Mind Mapping기법이 기초디자인교육에 있어서 어떻게 영향이 나타나는지에 대하여 실험연구를 통하여 가설을 검증하는 연구이다.

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