Incidental Left Ventricular Thrombus Visualized by Cardiac Magnetic Resonance Imaging with a Normal Left Ventricular Systolic Function

Sang Mi Ro1,Sung Ho Her,Sol Mi Huo,Kuhn Park,Jong Bum Kwon,Dong Jae Lee,Hyun Jin Noh 조선대학교 의학연구원 2015 The Medical Journal of Chosun University Vol.40 No.3

Left ventricular (LV) thrombi may be caused by various conditions, particularly myocardial infarction. In most cases, LV thrombus occurs in patients with a significantly reduced ejection fraction. A LV thrombus is extremely rare in patients with normal LV function. We report a case of LV thrombus initially detected on transthoracic echocardiography and confirmed using cardiac magnetic resonance imaging in a patient with normal LV wall motion. We highlight the rarity of this condition and the usefulness of cardiac magnetic resonance imaging in the diagnosis of LV thrombus.

마우스에서 조합시험법에 의한 고려홍삼의 생식발생독성 평가

김미라, 박동선, 장자영, 신선희, 이예은, 백인정, 연정민, 이세라 , 남상섭, 황방연, 노재섭, 김순선, 조대현, 남상윤, 이범준, 김윤배, 윤영원 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.1

본문참조

여성성과 타자성의 도덕교육적 함의 : 길리간과 레비나스를 중심으로 On the basis of C. Gilligan's and E. Levinas' Philosophy

노상우,신미경 全北大學校 敎育大學院 2001 敎育論叢 Vol.21 No.-

There is a fundamental limit in Kohlberg's masculinity-oriented morality which is based on the ruling discourse of the ethics in modern. Modern education, engrossed in the instrumentalized rationality, which has grown a self-centered man, can't deal with the fundamentals resulting in the present crisis. So, this study analyzed the philosophy of 'femininity' through not only Gilligan who emphasizes womanly activities such as care and concern, but Levinas who confirms that emotion in the ethics of 'otherness' is the main factor accounting for the relationship between self and other. This study, above all, on the basis of Gilligan's and Levinas' philosophy, examined 'otherness' and 'femininity' represented by 'softness', 'compliance', 'empathy', 'sympathy', 'concern', 'love' and 'care', which have been relatively disregarded by the masculinity-oriented society represented by 'justice', 'right' and 'moral reason'. Through these, this study indicated the limitations of modern education, especially, moral education which has been centered on autonomous and rational reason, and suggested the education which recognizes the perception and experience of 'femininity' and 'otherness' causing 'responsibility', 'care for other', 'concern, love and affection', etc. As a result, this study claimed that through the stepping stone of 'femininity' and 'otherness', new discourse of moral education should be put into practice which can bring back the precious human value and the vision of life lost for so long and achieve the happy society.

청소년 자살충동의 요인 분석

노상우,송영미 全北大學校 敎育大學院 2002 敎育論叢 Vol.22 No.-

This study is intended to analyze the factors which cause the drive of adolescent suicide and provide the fundamental data for constructing education program for adolescent with which suicide can be prevented. For this purpose, some data are analyzed such as the cases of people who have experienced the drive of suicide, suicide note, scribblings. etc. In these data, there is explicitly expressed a mind and pain when one feels like committing suicide as well as the clue which shows the environments to drive one to suicide. Of course, these data can't explain everything about committing suicide: in case of suicide note. for it has been written under the extremely subjective view-point and the state of serious cognitive distortion, it is not easy to recognize the suicide note as the strong evidence of this study. However, some data which include description of the misty state right before suicide can be a clue which shows the appropriate education for understanding the drive of suicide and the commitment of suicide by adolescents and preventing it. So, this study is focused on finding out the adolescents under the environment of suicide as early as possible through the real writings by the adolescents who have committed suicide or experienced the drive of suicide and considering the preventive education to help the adolescents to start a new life.

유기용제 사용 소규모사업장의 체계적 건강관리 프로그램 개발에 관한 연구1) : 신경행동학적 검사법의 적용 가능성 Application of Neurobehavioral Core Test Battery(NCTB)

한상환,하미나,권호장,윤덕로,조수헌 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.2

It is known that there appear some nonspecific and delicate changes in neuropsychiatric aspect on the workers when they are exposed for a long period to low concentrated organic solvents in the work places. Therefore, it gives rise to the necessity of developing a program for the health supervisor stationed in the work place to supervise these neurobehavioral health affection. In addition to the questionnaire posed to the workers exposed to organic solvents, the study team conducted NCTB(Neurobehavioral Core Test Battery) respectively on an exposed group and a non-exposed group to organic solvents. The study team compared the results and decided whether or not to apply the results to the evaluation program of health affection. The study team divided 132 workers in 6 car repairing factories and 2 textile printing factories into exposed group and non-exposed group, pairing them off into 66 research objects according to their age, sex, and job. Neurobehavioral test was conducted on 6 items, except the POMS test, of NCTB developed by the World Health Organization(WHO). The study team conducted examinations of working environment on the exposed and non-exposed groups of each work place. The analysis of the collected materials for examinations were conducted with GC-MS. The concentration of the mixture in the air, relative to their respective threshold limit values(TLV) was calculated according to the formula of the ACGIH and the Korean threshold limits. The results indicated that for two of eight factories samples the recommended concentration limits for mixtures was exceeded. Of the six tests, the 'digit span forward', 'digit span backward' and 'digit symbol' produced conspicuous statistical differences between the two groups(p<0.1) as a result of compairing the test values by means of paired t-test. The results of respective analysis of the car repairing factories and textile printing factories revealed that the textile printing factories had greater differences between the exposed and the non-exposed than in the car repairing factories. It is presumably because the textile printing workers are continuously exposed to the organic solvents during working hours, whereas the car repairing workers are exposed only when they are doing painting works, The NCTB is assessed very useful in examining the neurobehavioral health affection under the exposure to organic solvents, and, therefore, the study team expects that the NCTB will play an important part in the course of developing a health program for the workers exposed to organic solvents.

덕유산 국립공원 저서성대형무척추동물의 군집변동 및 생물학적 수질평가

이영미,노상은,조희욱,이종은 7개 국립대학교 환경연구논문집 공동발행 위원회 2005 공업기술연구 Vol.5 No.-

A biological assessment of water quality was carried out in Deogyusan National Park from April 2005 to August 2005. The benthic macroinvertebrates collected seasonally from 5 field sites were identified mostly up to species level. The benthic macroinvertebrates collected from the surveyed sites were composed of 105 species, 74 genera, 46 families, 12 orders, 4 classes and 3 phyla. Dominant species occurring in all the surveyed sites was white color Chironomus sp. of Diptera. The dominance index(DI) showed the highest as 0.666 at site 3 and the lowest as o.388 at site 5. The species diversity index(H') showed the highest as 3.998 at site 5 and the lowest as 2.752 at site 3. Ecological score of benthic macroinvertebrate(ESB) Showed the highest as 199 at site 5 and the lowest as 149 at site 3. All surveyed sites were Oligosaprobic that the water quality estimated by ecological score of benethic macroinvertebrate community

사업장 소음 폭로에 의한 일과성 역치 상승과 회복

조수헌,하미나,한상환,주영수,성주헌,강종원,윤덕로,송동빈,이명학,김선태 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.2

To determine the recovery time from noise-induced temporary threshold shift(TTS), a prospective field study was conducted at three worksites where workers are known to be exposed high level of noise. Subjects were selected according to answers on a questionnaire which inquired about otological history and previous noise exposure, including avocational, military and occupational exposures. After excluding employee with past otologic problems, recent exposure to high level noise, and under medications, total 92 employees participated in the study. Among 92 participants, complete consecutive audiometric examinations were carried out at 0∼2 hours, 5∼7 hours, 14∼16 hours after worktime noise exposure on 26 participants wearing hearing protectors and 22 participants wearing no protective devices. The difference between the hearing level 0∼2 hours after noise exposure and 5∼7 hours is statistically significant by paired t-test(p<0.01). The median recovery times calculated from the data of 22 participants wearing no protective hearing devices are 15.6 hours at 4000Hz, and 7.7 hours, 10.3 hours, 8.4 hours at 1000Hz, 2000Hz and 8000Hz respectively. These data suggest that when measuring the pure tone audiometry for noise exposed workers, at least 16 hours noise-free interval is required.

비알콜성 지방간 : 임상소견과 초음파소견의 비교

채희복,김미성,박선미,성노현,윤세진 충북대학교 의학연구소 2000 忠北醫大學術誌 Vol.10 No.1

연구목적 : 최근 건강검진이 널리 시행됨에 따라서 지방간 환자가 많이 발견되고 있으며 이에 대한 사람들의 관심이 증대되고 있다. 본 논문에서는 지방간 환자의 임상적인 특징을 살펴보고 위험요인과 예후에 관련된 인자들을 규명해 보고자 하였다. 연구대상 및 방법: 1998년 2월부터 2000년 3월까지 충북대학교 병원에 내원한 환자 중 초음파로 지방간을 진단받은 65명의 환자를 대상으로 하였다. 후향적으로 진료기록을 검토하였으며, 전화로 체중, 키, 음주력, 약물복용력, 관련증상 유무를 확인하였다. 초음파상 지방간의 중증도와 대상환자들의 체질량지수, 혈청 ALT치의 상승, 기저질환, 관련 임상 증상들간에 상관성이 있는지를 비교분석 하였다. 결과: 체질량지수와 초음파상 지방간의 중증도간에는 유의한 상관관계가 관찰되었다. 혈청 ALT치를 80 IU/L를 기준으로 두 군으로 나누어 지방간의 중증도와 비교하여 본 결과 중증도가 심할수록 혈청 ALT치의 이상소견이 더 높은 빈도로 관찰되었다. (P < 0.01) AST/ALT비는 초음파상 중증도와 역의 상관관계를 나타내었다. (P < 0.01) 소량음주군과 비음주군의 두 군으로 나누었을 때 지방간의 중증도가 심한 군에서 소량음주군이 보다 더 많이 포함되는 경향을 보였다 (P = 0.052) 첫 초음파 검사 시행 시점부터 평균 32개월의 기간이 경과한 뒤 추적검사가 가능하였던 9명의 환자 중 6명에서 무변, 3명에서 호전이 관찰되었다. 결론: 본 연구의 결과 초음파상 지방간 중증도가 심한 환자에서 더 자주 혈청 ALT치의 상승이 관찰되었다. 지방간 환자 중에서 간내 지방축적이 심할수록 염증을 동반할 기회가 많아진다고 생각된다. 이러한 간내 염증괴사소견의 동반은 좋지 않는 예후를 시사하므로 간조직검사등의 적극적인 진단과 비 알콜성지방간염에 대한 조기대응이 필요하다고 생각된다 아울러 지방간 이환기간과 간내 염증과의 상관성을 증명하기 위한 후속연구가 더 필요하다고 생각된다. Background/purpose : Nonalcoholic fatty liver disease can be found more frequently than before due to a high fat diet and a sedentary life style. The aim of this study was to compare clinical characteristics and outcomes of patients with different sonographical grade of the nonalcoholic fatty liver. Methods : 65 patients were diagnosed as nonalcoholic fatty limier patients by abdominal solography from Feb. 1998 to Mar. 2000. We reviewed medical records and confirmed the clinical data by phone. We compared the sonographical grade of the fatty liver with such clinical data as BMI, serum ALT level, underlying diseases and associated symptoms. Results: 1) There was a significant correlation between the BMI and the sonographical grade of the fatty liver . 2) The more severe the sonographical grade of the fatty liver, the higher the serum ALT level was. 3) There were significant inverse correlations between the AST/ALT ratio and the sonographical grade of the fatty liver. 4) Out of the 9 patients whose status could be assessed by sonography or biochemical tests after about 3 years, 3 patients improved and the other 6 patients showed no interval change. Conclusion : Both the amount of excessive fat and the duration of the fatty liver are considered to be the risk factors of nonalcoholic steatohepatitis. We confirmed the association between the sonographical grade of the fatty liver and the serum ALT level by this study, but the association between the duration of the fatty liver diesease and the nonalcoholic steatohepatitis needs to be studied more in the future. The nonalcoholic steatohepatitis showing necrosis or a Mallory body may take an aggressive course leading to cirrhosis and liver related death. Therefore, a liver biopsy and active therapeutic intervention is necessary, early and properly

특수건강진단 자료를 이용한 소음성난청 판정기준의 비교

한상환,조수헌,주영수,하미나,윤덕로,권호장,강대희,성주헌 大韓産業醫學會 1996 대한직업환경의학회지 Vol.8 No.3

Although noise-induced hearing loss (NIHL) is the most prevalent occupational disease in Korea, only 10% of the diagnosed cases are compensated. Old (1989-94) and current diagnostic criteria, criteria for workers' compensation of NIHL in Korea, compensation formulas of American Medical Association/American association of Ophthalmology and Otolaryngology (AMA/AAOO), the Committee on Hearing, Bio-Acoustics, Biomechanics (CHABA), American Academy of Otolaryngology (AAO) recommendation were compared. Each criterion was applied on the audiomety data of 4044 workers (8023 ears), who had received the second line screening test of Special Periodic Health Examination Program for noise-exposed workers during 1991-2. First, the resulting proportions of NIHL cases by employing each criterion were compared and strength of agreement was measured using kappa value. Temporary Threshold Shift (TTS) was corrected by noise free interval, and the reduction ratio of NIHL cases was calculated. Theoretical progression model of NIHL was reconstructed from previous studies on the natural course of NIHL to evaluate the change of diagnosis result of each criterion in the model. The kappa value between old and current criteria was 0.19, 0.55 for current criteria and workers' com. criteria, ranging from 0.08 to 0.78, highest coincidence was observed between current criteria and CHABA formula. The current criteria produce most similar results with CHABA formula. If TTS is corrected for NFI, there is about 14% reduction of NIHL cases. The results of applying on NIHL progression model divided the formulas roughly into 3 groups, of which compensation criteria was the most, old criteria and AAO the least conservative. In conclusion, the result of 4 ㎑ audiometry should be excluded in evaluation of hearing level and a new hearing conservation program should be set out. Current diagnostic criteria has an ambiguity in that managerial concept for prevention and purpose of compensation is mixed up. The current diagnostic criteria and compensation criteria could be incorporated into a new formula which is based on the state of the art test for estimating everyday hearing disability.

연령증가에 따른 혈압요소들의 좌심실비대 및 관동맥질환과의 관련성

박재석,박창규,박미영,박재형,김용현,나진오,신성희,서순용,홍순준,박성미,임홍의,김응주,서홍석,오동주,노영무 대한순환기학회 2004 Korean Circulation Journal Vol.34 No.2