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      • KCI등재후보

        Mycobacterium intracellulare에 의한 요추부 척추염 1예

        장은영,김미영,김정욱,송은희,백관미,정용필,성흥섭,김미나,김양수,우준희,이상호 대한감염학회 2007 감염과 화학요법 Vol.39 No.3

        비결핵성 미코박테리아에 의한 척추염에 대한 증례 보고가 국내에서는 아직 없었다. 저자들은 기저질환이 없는 환자에서 M. intracellulare에 의한 척추염을 rpoB 유전자에 대한 PCR-RFLP 방법을 통해 진단하였고 수술적 치료와 3제 병합 항균 요법으로 성공적인 임상 경과를 보인 1예를 경험하였기에 보고하는 바이다. We report a case of vertebral osteomyelitis due to Mycobacterium intracellulare in a 60-year-old man without predisposing conditions. He was successfully treated with surgical excision of the inflamed tissue and combined antimycobacterial therapy consisting of clarithromycin, ethambutol, and rifampin. In this case, polymerase chain reaction-restriction fragment length polymorphism analysis (PCR-RFLP) based on the rpo B gene of cultured isolates allowed rapid identification of M. intracellulare. Although very rare, nontuberculous mycobacteria (NTM) should be suspected as a causative pathogen of vertebral osteomyelitis. To the best of our knowledge, this is the first case of vertebral osteomyelitis caused by NTM reported in the Korean literature.

      • KCI등재

        체제 순응과 이미지의 여성들

        장영미(Jang Young - Mi) 돈암어문학회 2006 돈암어문학 Vol.- No.19

        The paper is a feminism study mainly dealing about Kwon Jung Seang's ‘Mong-Sil On Ni’. Kwon's ‘Mong-Sil On Ni’ outwardly seems to be a story about a woman undergoing war. But this is just a small part of it. Actually if we look at it more extensively, we can find out that it is viewing the Modern and Contemporary history of Korea. Shortly, by viewing the Korean War we can find out the life and the living and surviving ways of the people in those days. Like the war has separated the left and the right wing, inside of ourselves are also dividing man/woman, adult/children, and black/white in dichotomy logic. The fact that the dichotomy logic is caught sight of us can be said as a necessity for a meaningful discussion in this society of diversity. With these sense, the authority in Kwon's ‘Mong-Sil On Ni’, which men exercises on women in patriarchy society, can be said as violence. Also women's appearance seems to be created by men's sense of sight than the own identification of women.

      • 영양표시정착화사업(Ⅱ) : 식품참고량설정에 관한 연구 Study on the Establishement of the Reference Amount in Foods

        김대병,장영미,김인복,이혜영,장재희,김보영,이정구,김창민,정해랑 식품의약품안전청 2000 식품의약품안전청 연보 Vol.4 No.-

        본 연구는 영양표시에서 1회분량 및 영양소함량표시의 기준으로 사용되는 "식픔창고량"에 관한 연구를 수행하므로써 합리적이고 일관성있는 영양표시기준 개선을 위한 기초자료로 활용코자 하였다. 이를 위하여 미국 및 캐나다를 중심으로 제외국의 현황 및 식품참고량 설정방법을 조사 ·연구 하으며 제도도입 및 개선 방안을 강구하였파. 또한, 시판 제품의 영양료시현황 및 음료류 둥의 포장단위 등을 피악하여 식품참고량설정을 위한 기초자료로 활용코자 하였다. 앞으로 국민건강 ·영양조사자료의 체계적인 통계분석, 가공식품의 섭취량조사 등을 통하여 우리나라 국민의 1인 1회 섭취량자료의 축적이 선행되어야 할 것이다. The purpose of this ?roject is to study on the reference amounts customarily consumed per eating occasion to improve the nutrition labelling standards. We Performed to study on the methodology to establish the reference amounts on the basis of the review on the advanced counITy's status. And we investigated the packaged unit ofprocessed foods. Further study is needed to establlsh the customarily consumed amount per eating occasionthrough the statistical analysis of nationwide food consumption data. Our results will be helpful information to improve nutrition labelling system in Korea.

      • KCI등재

        물질남용 치료프로그램 후 재범여부에 대한 예비적 추적조사 연구

        김현수,조선미,오은영,임기영,정영기,윤웅장,이영미 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.6

        연구목적: 본 연구는 물질사범에게 시행되는 수강명령 프로그램의 효과를 재범률을 중심으로 살펴보고자 한 것이다. 방 법: 이 연구의 대상집단은 보호관찰소에서 의뢰받은 물질남용자집단이다. 이들은 법원으로부터 보호관찰, 수강명령, 치료명령, 사회봉사 등을 부과받았다. 총 104명의 대상자집단을 치료프로그램을 이수한 수강군과 비수강군으로 나누었으며 이들에 대한 재범률을 조사하였다. 결 과: 프로그램을 이수한 수강군이 비수강군에 비해 재범률이 낮았다(p<.05). 또한 단기 수강군과 장기수강군의 재범률의 차이를 조사하였는데 대상자 집단의 수가 적기 때문에 장기 수강군의 효과가 통계적으로 입증되지는 않았다. 결 론: 우리는 물질남용자에 대한 정책이 보다 교육적으로 변화할 것을 본 논문을 통하여 제시하려 하였으며 정부 및 법무부는 물질남용자에게 교육과 치료를 제공해주어야만 한다. Objectives: Using recidivism rate, we investigated the outcome after our substance abuse treatment program had been implemented. Methods: Our target population was substance abuse criminals referred by probational office. They either received the parole and probation order, treatment order or social service order from the court. We divided 104 substance abuse criminals into treatment group and non-treatment group. We examined their recidivism rate. Results: We reached a conclusion that treatment group had lower recidivism rate than non-treatment group(p<.0.5). We examined the effectiveness of short-term and long-term programs. However, no effectivess of long-term program was found because the sabject number was too small. Conclusion: We suggest that the strategies for substance abuse should be changed to more educative ones. The Government and Ministry of Justice must provide education and treatment to the substance abuse criminals.

      • Branch-Line Slit 을 갖는 이중 대역 PIFA의 설계 및 제작

        장수영,윤진호,김보미,김석현,이영순 금오공과대학교 2005 論文集 Vol.26 No.-

        A PIFA(Planar Inverted-F Antenna) which can be used in GSM/IXS dual band mobile phone has been designed and fabricated. In particular, in order to reduce the required top patch dimensions, the patch of the present PIFA has been designed as a type of an asymmetric branch line slit in which the excited patch surface currents can be meandered. By use of the HFSS, important design parameters such as the position of feed point and the length of slit were simulated and determined. In the present study, the design procedure by which the exact operating frequency and the proper band width can be obtained, are discussed. In order to check the validity of the present study, some simulated and measured results are presented.

      • KCI등재

        산 혹은 알칼리 음독시 상부 위장관의 주 손상 부위

        장혜영,김성은,정구영,정성애,주미순 대한응급의학회 2001 대한응급의학회지 Vol.12 No.4

        Background: It is generally known that while alkali ingestion injures principally the esophagus, acid usually spares the esophagus and damages the stomach mainly. The purpose of this study is to evaluate the most common site of upper gastrointestinal tract injury in acid/alkali ingestion based on endoscopic findings. Methods: We retrospectively evaluated 40 patients who ingested acid/alkali for types and amounts of product ingested, time required to undergo endoscopy, and initial endoscopic findings. Endoscopic lesions were graded according to the criteria suggested by Zagar and were graded at the authors' discretion to compare acid injury and alkali injury. Results: In the acrid ingestion group(n=27), the esophagus injury score was 2.55±1.18, the stomach injury score was 2.62±1.78, and the difference was -0.07±1.13, therefore, no significant difference was present(p=0.939). In the alkali ingestion group(n=10), the esophagus injury score was 1.63 ± 1.50 and the stomach injury score was 2.63 ± 1.20. Stomach injury was significantly more severe than esophageal injury(difference : -1.00± 1.18, p=0.026, Wilcoxon signed ranks test). Conclusion: While no difference exists between injuries of the esophagus and the stomach due to acid ingestion, the stomach was the most common site in alkali injury.

      • KCI등재

        치성감염후 발생한 급성 종격동염의 치험례

        장기영,김도균,신미정 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.3

        Acute mediastinitis is almost always secondary to some other condition, and most cases are due to esophageal perforation. Although acute mediastinitis from odontogenic infection is extremely rare in the era antibiotic drugs, some more fulminant odontogenic infections can produce complications including airway obstruction, necrotizing fascitis and extension of the infection to thorax. Irrespective of the changing incidence of etiologic factors, unless the pathophysiology of acute mediastinitis and its causes are understood and the conditions promptly recognized and properly treated, the result may be prolonged illness and even death. We experienced a case of odontogenic infection followed by acute mediastinitis and present review of literature.

      • 박경리 소설에 나타난 죽음의 의미 : 죽음을 통한 자기 구원과 갈등의 해소

        장미영 숙명여자대학교 숙명어문학회 2002 숙명語文論集 Vol.4 No.-

        The moment of death which comes to every human being inevitably but cannot be experienced ahead makes him know the valuableness of his own life and clear the limit of human-existence The recognition of death has been expressed differently by an author's individuality and a situation of the times. In Park Kyung-Ri's works which are autobiographic novels, a hero isolates himself from the present would by refusing the tragic death, suffering from an obsession and feeling desperate. This vicious circle is repeated. He has a chance to observe a reality objectively recognizing death as an actuality. This change appears in characters' actions which suicide is chosen because of despair about the social situation in the 60s short stories, or which counts acquaintances' death materially. In the series of love stories based on conflicts of love, however, death is used as a result of a hero's action, and a character came to kill himself because of inner, moral conflicts which he cannot overcome. A character who commits suicide because of conflicts shows a consciousness of causal death which he keeps his own dignity and punish himself. Here, his own choice of death ends the story and settles the confict. Though the author's idea can be transmitted into readers, their participation is narrow. This is a remarkable point in Park's works. Park's consciousness of causal death also appears in characters's death for ending. However nobel a character is, he meets misery death for his bad deeds, however humble a character is, a person, Wol-sun meets peaceful and beautiful death for her good conduct. Therefore the consciousness of death in Park's novels has meaning as a causal ending about a personal life and emphasize human's good will hidden behind a fate.

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