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      • 원발성진행성 실어증

        한설희 충북대학교 의과대학 충북대학교 의학연구소 1996 忠北醫大學術誌 Vol.6 No.2

        원발성진행성실어증은 수년간에 걸쳐 대뇌고위 기능중 언어영역만 고립적으로 침범되어 서서히 진행하는데 임상적으로 치매와 구별되어야 하는 비교적 드문 증후군이다. 저자는 최근에 62세 여자환자가 약 4년간에 걸쳐 서서히 진행한 언어장애를 주소로 본원 치매크리닉을 방문하여 신경심리검사, 뇌파검사, 뇌핵자기공면영상, 단일광자방출단층촬영술 등에서 전형적인 원발성진행성실어증으로 확인된 우리 나라 최초의 예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. A 62-year-old right-handed woman presented with a progressive deterioration in her ability to name common object used in everyday life. Her initial language disturbance, word-finding difficulty, got worsened gradually over the next 4 years, She was able to point to the correct object when the word is provided by the examiner despite being unable to name it spontaneously. Her memory, attention, visuospatial skills and comportment were all intact. She is doing well in her daily living activities including taking care of herself, shopping and paying bills. MRI showed left perisylvian atrophy and dilated left frontal horn. SPECT study revealed decreased perfusion in left temporal lobe. Her clinical presentation together with the characteristic structural and functional neuroimaging findings were typical of 'primary progressive aphasia'.

      • KCI등재

        일 초등학교 1·2학년 아동과 학부모의 시력관련 지식 및 행태에 관한 조사

        김설이,강혜영 韓國學校保健學會 2002 韓國學校保健學會誌 Vol.15 No.1

        The purpose of this study was to investigate the visual acuity and the degree of vision-related knowledge and behaviors of the 1st and 2nd graders of primary school and their parents in a city. The research design was a descriptive study and the subjects were 579 pupils and their parents in Namwon City, Chonbuk province. Children's vision screening was conducted with Han's test by author, school nurse according to the guidelines. The data were analyzed by frequency, percentage, mean, S.D., t-test, ANOVA, Pearson's correlation coefficient, χ^2-test with SAS program. Subnormal visual acuity group (SVAG) in children was 17.3%, and was higher in girls and in the 2nd graders, but there were no significant differences statistically. The mean score of the vision-related knowledge in children was 6.8 points out of 10 points and that of vision-related behaviors was 23.5 points out of 33 points. The mean scores of the vision-related knowledge were significantly higher in 2nd graders (p= .02), in girls (p= .02) and SVAG (p= .01) and the group of high scores in vision-related knowledge presented significantly high scores in vision-related behaviors(p= .001). The mean score of the vision-related knowledge in parents was 6.4 points out of 10 points and that of vision-related behaviors was 28.4 points out of 33 points. The group with high scores of vision-related knowledge in parents presented significantly high scores in vision-related behaviors (p= .003). As SVAG were higher in 2nd graders and the group of high scores of vision-related knowledge showed also high scores in vision-related behaviors in both children and their parents, From the above results, the author suggests a school-based visual health program for them.

      • 결절성경화증 환자에서의 SPECT 뇌영상 : 예비적 연구 A preliminary report

        한설희,이상수,정승연 충북대학교 의과대학 충북대학교 의학연구소 1991 忠北醫大學術誌 Vol.1 No.1

        간질발작을 포함한 전형적인 삼징후가 동반된 결절성경화증 환자를 대상으로 뇌파검사, 뇌전산화단층촬영술 및 단일광자방출단층촬영술을 시행하였다. 뇌전산화단층촬영술에서는 상의하석회화병소와 조영제증강이 뚜렷하지 않은 피질에 연한 저음영 소견이 관찰되었으며 이어서 시행한 단일광자방출단층촬영술에서는 뇌전산화단층촬영술 소견보다 더 광범위한 부위에 관류결손이 관찰되었다. 단일광자방출단층촬영술은 결절성경화증 환자에서 간질발현 병소인 피질결절을 발견하는데 있어서 전산화단층촬영술 및 뇌파검사보다 더 유용한 방법이며 치료방침 결정이나 예후판정에 있어서도 큰 도움을 줄 것으로 기대된다. Two patients with a well-established diagnosis of tuberous sclerosis and epilepsies as their principal clinical symptom were examined by conventional surface electroencephalography(EEG), computed tomography, and single photon emission computed tomography(SPECT) using the 99mTc hexamethyl prophyleneamine oxime(99mTc-HMPAO). The interictal EEG showed various abnormalities of poor localizing value. Brain computed tomography surely demonstrated subependymal calcifications, although the cortical lesions were not so conspicuous. However, the SPECT images of each patient clearly demonstrated decreased cerebral perfusion in cortical areas. It may be assumed that such perfusion defect areas represent the epileptic cortical tubers or those of altered myelination, which are characteristics of the disease.

      • KCI등재

        김관 평론과 '민족음악'론

        신설령 민족음악학회 2004 음악과 민족 Vol.28 No.-

        Since there were few musical critics in 1930s, Kim Guan proposed the reexamination of "the national music." During this era, there were no support or exchanging of views from his fellow musical critics toward his proposal. Many believed that because of the closely monitored Japanese imperialism, they were intimidated to express their points of views and support for Kim's, "the national music." Besides of being suppressed, many found that Kim's opinion were very ahead of time or very futuristic and therefore, it didn't get the importance of its issues. After the independence from Japan, there were bursts of discussions about his proposal as like the darn water exploded. Many people including the musical critics were able to express their views towards the proposal. They could sing for joy during the independence. In 1980s, the systematic written exposition or argument about Korean music could point out and discussed the problems of the western music influences. However, during the occupation of the Japanese, there was one musical critic who gave his valuable opinion on "the national music" --- Kim Guan. Even though there was no freedom, there was advancement and it led the Korean music where it is today.

      • 초고속 HMC 주축계의 열특성 해석

        김석일,김기상,김기태,나승표 한국공작기계학회 2001 한국공작기계학회 춘계학술대회논문집 Vol.2001 No.-

        This paper presents the thermal characteristics analysis of a high-speed HMC spindle system with angular contact ball bearings, built-in motor, oil-jet lubrication method, oil jacket cooling method, and so on. The spindle system is composed of the main spindle and sub-spindle which are mechanically connected by a flexible coupling. The spindles are supported by two front and rear bearings, and the built-in motor is located between the front and rear bearings of the sub-spindle. The thermal analysis model of spindle system is constructed by the finite element method, and the thermal characteristics in the design stage are estimated based on temperature distribution and heat flow under the various testing conditions related to material of bearing ball, spindle speed and coolant temperature.

      • KCI등재

        부검으로 확진된 알쯔하이머병 1예 : An Autopsy Report

        한설희,이건국,양기화,장순환 대한치매학회 2002 Dementia and Neurocognitive Disorders Vol.1 No.1

        While the clinical diagnostic accuracy of probable Alzheimer′s disease (AD) is 87-96% with a diagnostic sensitivity/specificity of 0 81-0 87, the unequivocal diagnosis of AD rests on histopathological evidence at brain autopsy and/or biopsy We report here a 92-year-old woman whose clinical presentation suggested a far advanced Alzheimer′s disease Formal neuropsychological evaluations were not applicable due to severe cognitive impairments With a relatively good general physical condition she could walk with aid during her last days no focal neurological signs were noted on a detailed examination Brain MRI revealed a diffuse cortical atrophy with a marked reduction in the hippocampal volume The brain obtained weighted 780g The cerebral hemispheres examined after fixation disclosed moderately severe atrophy in prefrontal and temporal lobes on coronal section, the hippocampus was likewise severely atrophied the lateral ventricles were moderately dilated On microscope examination, there were numerous senile plaques and neurofibrillary tangles in the neocortices. hippocampus and amyglada, compatible with advanced Alzheimer′s disease In summary we report the first Korean autopsy-proven case with advanced Alzheimer′s disease.

      • 신문에 나타난 동래읍성의 변화

        이설혜,박승범 東亞大學校 建設技術硏究所 2009 硏究論文集 Vol.32 No.2

        After Dongnae Fortress, the fortress established to guard the frontier from Japan’s invasion, lost its original function under the rule of Japanese imperialism, some parts of it which live at the present age have recently converted into a place of new functions, that is, a place giving a chance for citizens to experience history and culture and contributing to their relaxation and emotional development. The purpose of this study is to examine the potential variables that can affect future changes of Dongnae Fortress and to offer basic materials for the right direction establishment of the conservation of it by understanding the conservation process of the historical environment of Dongnae Fortress. The result of the frequency analysis on the number of newspaper articles dealing with Dongnae Fortress during 1990~2007, when the cultural properties of Dongnae Fortress were made the most use, showed that the recognition degree of Dongnae Fortress is tending upwards, especially since 2003 it has sharply been rising. The result of classification of the articles based on the subjects showed that the public administrational acts related to Dongnae Fortress had a great effect on the newspaper articles, accounting for 33% followed by the utilization 23%, the scholarship 21%, the others 14% and the management 9%. This study has a significant meaning in examining the change process of Dongnae Fortress shown in news reports focused on after the independence of Korea and during 1990~2007 period, and ultimately offering basic data for the right direction establishment of the conservation of Dongnae Fortress.

      • Gerstmann 증후군을 동반한 교차 실어증 1례 : MRI 및 SPECT를 이용한 연구

        한설희 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.1

        교차실어증이란 오른손잡이 환자에서 우측 대뇌 반구 손상후에 언어장애(실어증)가 발생한 경우를 말한다.오른손잡이 실어증 환자의 약 1%-2%에서 교차실어증이 발생하는 것으로 알려져 있으나 구조적 병변이 잘 밝혀진 예는 드물다.더욱이 우뇌 손상과 관련된 좌, 우 지남력 상실, 수지 실인증, 계산불능증, 필기불능증의 4 가지 임상 특징을 가지는 Gerstmann 증후군의 예는 더욱 드물다.저자는 MRI 및 SPECT 뇌영상 검사로 우뇌 경색이 확인된 오른손잡이 환자에서 Gerstmann 증후군과 교차실어증이 동시에 발생한 드문 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Crossed aphasia refers to disturbance of language following a right hemisphere lesion in right handed individuals.Although it is estimated to occur in 1% to 2% of all dextral aphasic, well documented cases of crossed aphasia continue to be rare.Moreover, it is also rare to see a Gerstmann's syndrome (left-right disorientation, finger agnosia, dyscalculia, and dysgraphia) in right hemispheric lesion.In this paper, the author presents one case of crossed aphasia associated with Gerstmann syndrome in monolingual right handed patient. This case is found interesting to be reported because it is a extremely rare condition where a crossed aphasia and a Gerstmann syndrome are simultaneously seen in the same patient.

      • KCI등재

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