大學새마을運動과 大學生의 精神革命

장일성 건국대학교 1980 全國大學生 새마을運動硏究發表大會論文集 Vol.- No.5

대구시내 5개대학의 학생(534명)들을 통해서 대학새마을 운동에 대한 인식도와 평가, 그리고 필요성을 조사해 보았다. 그 구분적인 내용은 본론에서 구분적으로 설명했고, 각표를 뒷받침해서 논증했다. 이를 간략하게 결론을 맺는다면 3부로 요약할 수 있다.

여성유방의 외과적 질환에 대한 임상적 고찰

장일성,김경헌 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2

615 surgical breast diseases were clinically analyzed, which were performed at the Department of General Surgery, Chungnam National University Hospital during the past 5 years from January 1990 until December 1994, and the results were as follows. 1) The incidence of surgical breast diseases was 13.7% (615 cases) of total cases operated during the same period. 2) The incidences of 3 major surgical breast diseases, fibroadenoma, fibrocystic change and cancer were 38.2% (235 cases), 19.7% (121 cases), and 33.7% (207 cases), respectively, and fibroadenoma was most frequent. 3) The most frequent age group of surgical breast diseases was 4th decade in 33.7% (207 cases). 4) The most frequent age of breast cancer was 6th decade in 36.2% (75 cases), but the incidence of breast cancer of 4th decade surgical breast diseases 20.3% (42 cases). So, the age of breast cancer was younger than past. 5) Recently, breast conservative surgery has been increased and the incidence was 39.6% (82 cases) of operation on the breast cancer.

일반외과 영역에서 동통에 대한 Meclofenamate sodium의 치료효과

장일성,박인근,임철 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1

The therapeutic efficacy of meclofenamate sodium was evaluated in 50 patients with pain in Department of Surgery. In this study, 100mg meclofenamate sodium(1 capsule) was given orally 3 times a day for 1-10 days. The results obtained were summarized as follows; 1. Females predominated over males by 3 : 2 and as to the age distribution, patients between 30 and 59 age occupied 78%. 2. Duration of drug administration was between 1 day and 10 days. 3. Prompt to moderate improvement of pain was obtained in 96% of patients. 4. There was no significant untoward reaction either subjective or objective to the administration of meclofenamate sodium.

수술후 감염증에 대한 Flomoxef의 임상효과

장일성,배진선,윤완희,송인상,이희만,손소웅 최신의학사 1994 最新醫學 Vol.37 No.9

제27차 학술대회 : 117. 선천성 소아외과질환의 임상적 고찰

장일성,김대균,손기섭 대한외과학회 1975 대한외과학회 학술대회자료집 Vol.- No.-

치핵에 대한 임상적 고찰

장일성 충남대학교 의과대학 지역사회의학연구소 1983 충남의대잡지 Vol.10 No.2

For centuries the human race has been plagued with a disease called "hemorrhoid", but a precise definition of hemorrhoid does not exist because exact nature of the condition is not completely understood. Moreover, there is no universal agreement as to the optimal management of hemorrhoids. A clinical analysis was made about 54 cases of the hemorrhoids, admitted at department of surgery, Chungnam National University Hospital, during the past 4 years and 9 months from Jan, 1979 to Sept, 1983. The following results were obtained. 1. The peak incidence was in the age group of 3rd and 4th decade(59.3%), and male outnumbered female by 2.4 : 1. 2. The most common symptom was bleeding(42.6%), and next prolapsed mass(24.1%), pain(9.3%). 3. The most common duration between onset and admission was 1-5 years(27.7%), but 10 cases(18.6%) was over 10 years. 4. Previous treatments were done in 12 cases(22.3%), and 9 cases(16.7%) were treated by unauthorized persons with severe sequeles. 5. The average number of piles were 2.7, and the most common type of hemorrhoid was mixed type(63.4%), and next external hemorrhoid (21.4%), then internal hemorrhoid(15.2%). The most predominent site was right poster portion(39.3%). 6. All the hemorrhoids were treated by closed hemorrhoidectomy with good results. 7. The postoperative complications were hemorrhage and stenosis, 1 case respectively.

유방의 엽상낭상 육종

장일성,고종군 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.2

Cystosarcoma phyllodes is a relative rare neoplasm of breast with a unpredictable clinical behavior. We have a retrospective studies of 12 cases of phyllodes tumor from 1988 to 1997, to determine whether histological features correlates with clinical behavior, what operation methodes affects to recurrence. The pathological results revealed benign forms were in 8 cases and malignant forms in 4 cases. Of the growth nature, 10 cases were rapid in nature, but malignant two tumors were not. One of the 4 malignant cases was high grade, others were borderline. 8 cases had been treated conservatively (7 cases, wide tumor excision ; I case, excisional biopsy), and 4 cases had undergone radical operation (2 cases, modified radical mastectomy ; other 2 cases, simple mastectomy). Conclusively, tumor growth & histological features were not correlates with recurrence, and wide resection should to be primary treatment and axillary dissection is not worthwhile.

단발성 갑상선 결절에 대한 임상적 고찰

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

Controversery exists concerning the preoperative differentiation of thyroid cancer from benign lesion and the management of solitary thyroid nodules because of conflicting information concerning the high clinical incidence of thyroid nodules, the varying incidence of cancer reported in those surgically excised and the infrequency of death from thyroid cancer. A clinical analysis is made about 55 cases of solitary thyroid nodules, diagnosed and operated at department of Surgery, Chungnam National University Hospital, during the past 3 years and 7 months from Jan. 1976 to Sept 1980. The following results are noted : 1. Of 55 cases, 48(87.3%) were benign and 7(12.7%) were malignant. 2. Benign thyroid disease was prevalent in the 3rd, 4th and 5th decade evenly, and malignant disease in the 3rd and 5th decade, bimodally. Sex distribution revealed predominance in female with ratio of 11 : 1 in benign disease and all the malignant disease are female. 3. There was a predirection for benign nodules to occur in the right lobe(66.7%), but malignant nodules occurred in the left lobe and in the isthmus(42.9%, respectively) and right lobe (14.2%). 4. On thyroid scanning, of 26 cases of the benign diseases, 22 cases were cold nodules, 3 cases hot nodules, and 1 case warm nodule, but all the malignant diseases were revealed. cold nodules. 5. In patholgic classification, adenomatous goiter was most common, about 60.4%, and next adenoma, 27.1%, in benign diseases. But in malignant diseases, 6 cases were Papillary adenocarcinoma and 1 case was follicular adenocarcionoma. 6. Most of benign diseases treated with lobectomy (75.0%), and most of mlignant diseases treated with subtotal thyroidectomy (57.1%).

Quardrantectomy with axillary Lymph node dissection in Breast cancer

장일성,김영일 대한외과학회 1991 대한외과학회 학술대회 초록집 Vol.1991 No.11

갑상선암의 임상적 고찰

장일성,노승무,최길돈 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2

The thyroid cancer are more frequntly detected in anually due to improvement of diagnostic method and interesting knowledge of the cancer among the general population. This paper represent a clinical study of 80 cases of carcinoma of the thyroid gland which were histol ogically diagnosed and treated surgically at Chungnam National University Hospital from January 1981 to September 1988 with special emphasis on the surgical management of the thyroid cancer. The results were summerized as follows: 1) The incidence of the thyroid cancer was 22.22% among the 360 cases of the surgical thyroid disease and incidence of the thyroid cancer was increased anually. 2) The thyroid cancer was prevalent in third fourth decades of life (51.25% of all) and in female (5.67 to 1). 3) The average duration of the thyroid cancer was 2.9 years. 4) In histopathological classification of the thyroid cancer, papillary adenocarcinoma was 78.75% of all casses of thyroid cancer. 5) In the location of the thyroid cancer nodule,' 40/% of the thyroid cancer nodules were located in right lobe, 25% at the left lobe and the most prevalent location was right upper lobe(18.9O% of all). 6) In thyroid scanning of the thyroid cancer, the prevalent nodules were cold nodules, The most prevalent nodules were single cold nodules(62.50% of all). 7) In thyroid function test of the thyroid cancer, all most revealed normal function(88.75% of all). 8) Cervical lymphnode metastasis were present 29 casses (36.25%) and most common in papillary adenocarcinoma 26 cases(25%). Distant metastasis was present one case (1.25%), anaplastic cell carcinoma and the site was left breast. 9) The surgical procedure performed in thyroid cancer were followed unilateral lobectomy (28 cases), near total thyroidectomy (26 cases) and total thyroidectomy with neck dissection (1lcases) 10) The most common postoperative complication was transient hoarser ness in 14 casee (17.5O%). 11) After operation, the thyroid cancer recurrence rate was 8 cases (10% of all).