결막 편평상피유두종의 임상양상과 수술적 치료의 결과

안찬주(Chan Joo Ahn),김남주(Nam Ju Kim),정호경(Ho Kyung Choung),현준영(Joon Young Hyon),곽상인(Sang In Khwarg) 대한안과학회 2016 대한안과학회지 Vol.57 No.2

목적: 결막 편평상피유두종 환자들의 임상양상과 수술적 치료 방법 및 결과를 보고하고자 한다. 대상과 방법: 2000년 10월부터 2015년 2월까지 서울대학교병원 안과 및 분당서울대학교병원 안과에서 결막 편평상피유두종으로 진단받고 치료를 시행 받은 31명 32안의 의무기록을 후향적으로 조사하였다. 결과: 총 31명 중 9명은 본원 내원 전 같은 종류의 병변에 대한 절제술을 받았으나 재발한 경우였다. 25안에서 한 눈에 1개, 2안에서 2개, 5안에서 3개 이상의 종양이 관찰되었다. 종양은 눈꺼풀판결막에 가장 많았다. 재발한 환자에서 이전 치료경력이 없는 환자에 비해 종양의 수가 많은 경향을 보였다. 수술적 치료로 총 32안 중 13안에서 종양절제술만, 15안에서 종양절제 및 냉동치료, 3안에서 종양절제, 냉동치료 및 인터페론 점안요법, 1안에서 종양절제 및 양막이식술을 시행하였다. 수술 후 평균 추적관찰 기간은 11.1개월이었다. 수술 후 5안에서 재발하였으며, 재발까지의 기간은 평균 4.22개월(3일-9개월)이었다. 종양절제술만 시행하고 재발한 경우가 3안, 종양절제술과 냉동치료 후 재발한 경우가 1안, 종양절제, 냉동치료 및 인터페론 점안요법 후 재발한 경우가 1안이었다. 재발한 5안에 대하여 추가로 종양절제와 냉동치료 또는 종양절제와 인터페론 점안요법, 또는 종양절제, 냉동치료 및 인터페론 점안요법을 추가로 시행하였다. 결론: 결막 편평상피유두종은 수술적 절제 치료를 해도 재발 가능성이 있으므로 수술 후 장기간 지속적인 추적관찰이 필요하다고 생각한다 Purpose: To investigate the clinical features, surgical treatments, and their outcomes in conjunctival squamous papilloma. Methods: A retrospective chart review was conducted on 31 patients with 32 eyes that were treated for conjunctival papilloma from October 2000 to February 2015 in Seoul National University Hospital and Seoul National University Bundang Hospital. Results: Among the 31 patients, 9 patients had papilloma which recurred after previous surgical excision at another hospital. Twenty-five eyes had one papilloma lesion, 2 eyes had 2 lesions, and 5 eyes had more than 3 lesions. The most affected location of papilloma was the tarsal conjunctiva. The recurrent group displayed a tendency to have multiple lesions. Surgical excision without any adjuvant therapy was performed in 13 eyes; surgical excision and cryotherapy in 15 eyes; surgical excision, cryotherapy, and topical interferon alfa-2b in 3 eyes; and surgical excision and amniotic membrane transplantation in 1 eye. The mean postoperative follow up period was 11.1 months. There were 5 cases of recurrence and the mean time of recurrence after surgical excision was 4.22 months (range, 3 days to 9 months). Among 5 cases of recurrence, 3 cases were after surgical excision only, 1 case was after surgical excision and cryotherapy, and 1 case was after surgical excision, cryotherapy, and topical interferon alfa-2b. These 5 recurred cases were retreated with surgical excision and cryotherapy, surgical excision and topical interferon alfa-2b, or surgical excision, cryotherapy, and topical interferon alfa-2b. Conclusions: Conjunctival squamous papilloma is likely to recur even though the tumor is completely removed. Therefore, long-term postoperative follow up may be necessary for recurrence.

민간 소형 무인항공기의 안전성 향상 방안 고찰

안이기(Iee-ki Ahn) 항공우주시스템공학회 2018 항공우주시스템공학회 학술대회 발표집 Vol.2018 No.11

무인 항공기 시장이 확대되려면 무인 항공기의 감항성 요구 사항이 강화되게 된다. 본 논문에서는 감항성 중에 강화되는 안전성 부분을 어떻게 충족할 것인가에 대하여 검토하였다. 유인 항공기의 사고 요소 분석 및 안전성을 고려한 설계 방안 검토 등을 통하여 민간 소형무인항공기의 안전성을 향상하는 방안을 도출하였다.

종설 : 임신 중 인슐린저항성의 기전

안규정 ( Kyu Jeung Ahn ) 대한당뇨병학회 2009 Diabetes and Metabolism Journal Vol.33 No.2

Pregnancy is a complex metabolic state involving dramatic alterations in the hormonal or cytokine environments (increases in estrogen, progesterone, prolactin, cortisol, human chorionic gonadotropin, placental growth hormone and human placental lactogen, TNF-alpha, resistin, leptin, and a decrease in adiponectin) as well as an increasing burden of fuel utilization by the conceptus. Metabolically, the first trimester is characterized by increased insulin sensitivity and lipogenesis. The second and third trimesters, in contrast, are characterized by insulin resistance and increased lipolysis. The adipose tissue is considered an active organ, capable of secreting substances such as adipokines, which may play a role in the pathogenesis of insulin resistance. Resistin, leptin, serum and placental levels increase as pregnancy progresses, which is in contrast to levels of adiponectin. These levels correlate with the state of increased insulin resistance that develops in the latter stages of pregnancy. (Korean Diabetes J 33:77-82, 2009)

산부인과 영역에서 마이코프라스마 호미니스 감염에 관한 연구

안희성(HS Ahn),주갑순(KS Ju),이금자(KJ Lee),김상재(SJ Kim) 대한산부인과학회 1989 Obstetrics & Gynecology Science Vol.32 No.11

1987년 6월부터 9월까지 3개월간에 걸쳐서 고려대학교 구로병원 외래에 내원한 환자중 187명을 대상으로 M. hominis 배양 및 발육저지검사를 시행하여 다음과 같은 결론은 얻었다. 1. 대조군은 63예중 9예에서 M. hominis 양성을 보여 14.3%(9/63)의 감염율을 보였고, 불임군 골반염군 및 자궁경부염군에서 각각 22.7%(15/66), 21.4%(3/14) 및 17.9%(7/39)의 M.hominis 감염을 보였다. 2. 불임군 66예중 정상불임군, 배란이상군, 난관패색군, 자궁내막유착군, 골반염군 및 자궁경부염군으로 분류관찰한 바 각각 16.7%(3/18), 15.0%(3/20), 18.8%(3/16), 22.2%(2/9) 20.0%(1/5) and 40.0%(4/10)에서 M. hominis 의 감염을 보였나 대조군과 비교시 자궁경부염군에서만 유 의한 차이를 보였다. 3. 연령별 대조군에서는 연령이 증가됨에 따라 감염율이 증가되는 반면, 골반염군 및 자궁경관염군에서는 연령이 증가됨에 따라 감소되는 추세를 보였다. 4. 자연유산의 병력이 있는 예에서는 대조군보다 유의하게 M. hominis 의 감염율이 높았다. 5. 여성불임환자와 Artificial insemination of husband and in vitro fertilization을 시행함에 있어 반드시 M. hominis 검사를 시행하여야 한다고 사료된다. 1. Among 63 case of the control group , 9 cases were positive for M. hominis showing a 14.3%( 9/63) of the case. The positive rates for M. hominis in the infetility , PID and cervicities group were 22.7% (15/66), 21.49%(3/14) and 17.9%(7/39) respectively. 2. It was showing that the higher age, the higher infectivity in the control group except the cervicitis group which showed in the opposite way. 3. The 66 cases of infertiity group was subdivided into normal infertile couple, ovulatory failure tubal obstruction uterine synechia PID and cervicitis group and the positive rate for each group was consequently 16.7%(3/18), 15.0%(3/20), 18.8%(3/16), 22.2%(2/9) 20.0%(1/5) and 40.0%(4/10). The cervicitis group showed the highest infection of the M. hominis 4. The spontaneous abortion group showed a significantly higher infectivity rate for M. hominis 5. It is considered that tests for M. hominis were essential in infertility patients and case for artificial insemination of donor, Artificial insemination of husband and in vitro fertilization

고려후기 금석문을 통해 본 불교의례의 새로운 동향

안지원(Ahn Jee-won) 한국역사연구회 2011 역사와 현실 Vol.- No.80

The epigraphs in the late period of Goreyo show how Buddhist rituals in its late period differ from those in its early period in three characteristics. First, Buddhist rituals with elements of S?n Buddhism had increasingly become popular due to a shift in Goryeo’s Buddhist society from the Textual School to the S?n School. After Ch’oe Ch’ung-h?n ended the political turmoil, he started enthusiastically to support S?n Buddhism’s Sus?nsa(修禪社) that deplored the corrupt Buddhist society of those days. With such support, Chogye Buddhist Sect(曹溪宗) became a mainstream of Goryeo Buddhism. This change influenced rituals as well. The epigraphs in the late period show that congregations for discourse on S?n were frequently held, whereas they did not appear during the early period. Second, practice of penitence gained prominence in Goryeo Buddhism, because of the influence from gyeolsa movements(結社佛敎) that arose in the late period of Goryeo. Practice of penitence was not found in the epigraphs in the early period. However, the epigraphs in the late period contains four cases regarding it. Although the number seems to be very small, they do provide invaluable information about Buddhist rituals. These four ones show that practice of penitence was emphasized by all sects of Goryeo’s Buddhist society. Moreover, a word, ‘penitence’ became a central theme in Goreyo’s Buddhism, and rituals also began to adapt it as well. Third, because of the Mongols’ invasion and Yuan(元)’s interventions in Goreyo’s politics, Buddhist rituals related to Yuan imperial family appeared. Incessant ceremonies and a large-scale royal treatment of monks to dinner praying for Yuan imperial family’s long and happy lives serve good examples how strongly they influenced Goreyo’s Buddhist rituals. Such an influence is also well-described in the epigraphs in the late period unlike those in the early period of Goreyo.

구약성경에 나타난 다윗의 인구조사(삼하 24:1-25; 대상 21:1-22:1): 전염병 가운데 흐르는 하나님의 은혜

안석일 ( Suk-il Ahn ) 개혁신학회 2022 개혁논총 Vol.59 No.-

David’s census in the OT is a story of God's grace flowing in the midst of the plague. In the background of this narrative, there are the covenantal curses of ‘sword, famine, and plague’ (Lev 26:25-26; Deut 28:21-34). These are repeated by the prophets, who have proclaimed that YHWH would bring the judgment of curse upon the Israelites if they broke God’s covenant (Jer 15:2; Ezek 6:11). Covenantal curses make society confused and life painful. In this regard, it is very meaningful for Christians living in the Corona era to look at the story of David’s census. In this paper, the author summarizes the theological functions and meanings of the two texts dealing with David’s census (2 Sam 24; 1 Chr 21), demonstrating that God’s grace is still continuing in the midst of the epidemic. When David had offered burnt-offerings to YHWH after the census, the plague ceased. David’s confession and intercession brought God’s gracious answer (2 Sam 24:25). But David’s census in Chronicles goes beyond this, proceeding to greater grace of God. Because the building place of God’s temple in near future is Ornan’s threshing floor. Thus, Chronicles concludes the story of David’s census with this verse: “This is the temple of the Lord God, and this is the altar of burnt offerings of Israel” (1 Chr 22:1). In spite of David’s sin of the census, God provides him a place to build an altar where the sin can be forgiven and appoints that place as the building site of the temple. Therefore, even though David’s census resulted in the death of many Israelites due to the plague, God’s grace continues in the midst of it, and it also foreshadows God’s atoning work in Jesus Christ.

컬러 BIPV 시스템 연구 현황 및 동향 분석

안종권(Jong Gwon Ahn),김진희(Jin Hee Kim),김준태(Jun Tae Kim) 대한설비공학회 2022 대한설비공학회 학술발표대회논문집 Vol.2022 No.6

통상적으로 설치되는 일반 태양광(PV; Photovoltaic) 모듈은 가능한 한 입사광을 많이 흡수하고 발전효율을 최대화하기 위해 반사율이 낮은 검은색, 또는 짙은 청색 계열로 제작된다. 그러나 건물에 통합적으로 설치되는 건물일체형태양광발전(BIPV; Building Integrated Photovoltaic) 시스템은 한정된 색상으로 인한 디자인적 한계와 건물을 구성하는 다른 건자재와의 융합적인 측면에서의 어려움이 있다. 이에 다양한 색상을 구현하여 디자인을 개선한 컬러 PV 모듈을 적용하여 건축계의 미적 요구와 건축적 수용성을 높인 컬러 BIPV 시스템이 주목받고 있다. 이에, 본 연구에서는 컬러 BIPV 시스템의 연구 현황 및 개발 동향을 분석하였다.

태양광-전력저장장치 연계운영의 최대부하 이동에 관한 연구

안교상(Kyo-Sang Ahn),김경환(Kyeong-Hwan Kim),한경태(Kyung-Tai Han),정순열(Soon-Yeol Jeong),황우현(Woo-Hyun Hwang) 대한전기학회 2010 대한전기학회 학술대회 논문집 Vol.2010 No.7

전력계통의 전력부하 상태는 일일 혹은 계절별로 다양한 형태를 보여주고 있다. 산업의 발전과 더블어 생활문화의 향상은 전기에너지 소비의 촉진을 가져오고 사용되는 전력부하는 다양한 패턴으로 최대-최저부하의 곡선을 그리며, 전력계통 운영에 직/간접적으로 영향을 주고 있다. 이에 본 고에서는 청정한 발전전원인 태양광발전과 전력저장장치를 적용하여 최대전력부하 이동에 따른 전력회사 혹은 소비자 측면에서 운영에 따른 특성과 계통의 영향에 대하여 논하고자 한다.

교육서비스가 교육성과에 미치는 영향

안관영(Ahn, Kwan Young),곽영환(Kwak, Young Hwan),이병직(Lee, Byung Jig) 한국서비스경영학회 2000 서비스경영학회지 Vol.1 No.-

욥기 30:22하반절 ‘크티브’/‘크레’의 선택과 문학적-수사학적 번역

안근조(Keun Jo Ahn) 대한성서공회 2017 성경원문연구 Vol.- No.40

The task of this study is to decide whether we are to adopt ‘Ketib’ or ‘Qere’ for the translation of Job 30:22b. Most previous translations follow Ketib rather than Qere’s alternative reading. Exegetical reasons as well as historical emergence of Masorah parva are pursued in order to explain the translators’ decision of Ketib reading in Job 30:22b. This study, by contrast, aims to prove that Qere reading of the text is more appropriate because it reveals literary-rhetorical competence of the text. Translators have not given much attention to ‘Ketib’/‘Qere’ system of the Masorah text. Also, their sensitivity to literary textures of the text has been questioned by literary critical scholars. However, a reconsideration of the masoretic marginal notes and detailed readings of the literary complex of the text emerge as one of the cardinal criteria in interpreting and translating biblical texts. This study first observes how the Ketib/Qere system was employed by Masoretes in its first phase and how the system has been utilized by modern translators. Second, the reasons for scholars’ taking Ketib instead of Qere in interpreting Job 30:22b are explored in both perspectives of textual critical analyses and exegetical studies. This work looks through various versions and readings of the text. Third, the literary features of the book of Job is emphasized. Regarding Job 30:22, the rhetorical skills of paradox and reversal are recognized. Based on these literary-rhetorical techniques, a new translation which adopts Qere reading is proposed. This new translation reflects literary-rhetorical effectiveness of the whole book of Job. Finally, some observations and suggestions of translation criticism are made with the emphasis on the necessity and validity of the literary-rhetorical translation.