전측방 도달법으로 치료한 흉추간판탈출증

신원한,남충희 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.6

Thoracic disc herniation is an uncommon disease and its diagnosis and treatment still remain difficult. We present a case of thoracic disc herniation at T7-8 vertebral level presenting with signs of spinal cord compression. The lesion was diagnosed by magnetic resonance image(MRI) and iopamidol-enhanced computed tomography(CT). The patient was operated by transthoracic transpleural approach using the surgical microscope, the operative result was excellent. A brief review of the literature is given.

돼지에 있어서 品種,産次 및 分娩季節이 産仔數에 미치는 效果

申源執,申源執,申源執 전북대학교 농업과학기술연구소 1983 農大論文集 Vol.14 No.-

Effects of breed, parity and season of farrowing on litter size were estimated on the basis of data obtained from 372 litters(3,545 pigs) of Landarce, Berkshire, Duroc, Yorkshire and raised at the Kimjae Vreeding station over 8 year period from the spring of 1973 to the winter of 1980. Results obtained are summarized as follows: 1. The least square means over all litters studied were 8.13± 0.16 pigs for the litter size alive and 9.09±0.20pigs for the total litter size. 2. The effects of breed showed statistical significance at the 1% level for the both of the traits studied. For both of the traits, Landrace, Duroc and Yorkshire tended to be lager than Perkshire and Hampshire. 3. The effects of parity also showed significant differences at 1% level. The litter size was the smallest for the lst parity and the largest for the 4th parity and over. 4. The effects of farrowing season were not statistically significant for the both of the traits studied. The litter size tended to be lager in those farrowed in the spring and fall than the summer and winter.

요추부의 고립성 골수종 1예

신원한,변박장,이인수,지제근 대한신경외과학회 1982 Journal of Korean neurosurgical society Vol.11 No.3

A 48-year-old male with back pain and foot drop had been treated. Studies for myelomatosis were all negative. A plain lumbar spine X-ray showed an erosion of the left pedicle of the first lumbar vertebra. A myelography via lumbar and cisternal routes revealed total block with feather appearance at the upper level of the L₂ and the lower level of the T_(12) vertebra. Pathologic evaluation confirmed the diagnosis of solitary myeloma of the bone. After undergoing almost total excision, followed by radiation, the patient was still doing well.

중증 두부외상의 자기공명영상(MRI)의 소견 : 전산화단층촬영(CT)과의 비교 Comparison with Computed Tomography

신원한,이정훈,최순관,변박장,이인수 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.5

Magnetic resonance imaging(MRI) and computed tomography(CT) in 30 patients with severe head trauma were compared. MRI was superior to CT in detection of intracerebral and extracerebral traumatic lesions. The results obtained were as follows.' 1) 27 intracerebral(18 cerebral contusions, 5 diffuse axonal injuries & 4 intracerebral hematomas) and 13 extracerebral traumatic lesions(4 acute epidural hematomas, 4 subdural hygromas, 2 subarachnoid hemorrhages, 1 acute sudural hematoma, 1 chronic subdural hematoma & 1 pneumocephalus) in 30 patients were seen on CT and/or MRI. 2) Group Ⅰ lesions which seen on MRI and not seen on CT were 5 diffuse axonal injuries(100%), & 8 cerebral contusions(44%), and group Ⅱ lesions which seen on CT and MRI with better visualization on MRI were 6 cerebral contusions(33%), 2 intracerebral hematomas(50%). & 3 subdural hygromas(75%). 3) Group Ⅲ lesions which seen on CT and MRI equally well were 4 cerebral contusions(22%), 2 intracerebral hematomas (50%), 2 acute epidural hematomas(50%), 2 subrachnoid hemorrhages(100%), 1 chronic subdural hematoma(100%), 1 subdural hygroma(25%) & 1 pneumocephalus (100 %). 4) Group Ⅳ lesions which seen on CT and MRI with better visualization on CT were 2 acute epidural hematomas(50 %), & 1 acute subdural hematoma(100%), and lesion which seen on CT and not seen on MRI was not. 5) 21 intracerebral lesions of group Ⅰ and Ⅱ were located on temporal(11), parietal(3), frontal(2) and occipital lobes(2), basal ganglia(l), brain stem(l) and cerebellum(l). 6) we recommended MRI in the acute stage of severe head trauma for accurate diagnosis and evaluation of intracerebral traumatic lesions, especially diffuse axonal injuries and cerebal contusions, which were not visualized clearly on CT.

경추의 전방경유 수술법 (변형 Trans-Unco-Discal법)

신원한 순천향대학교 1994 논문집 Vol.17 No.2

The author reports the operative technique of microsurgical anterior cervical discectomy with fusion which was modified the Trans-unco-discal approach.

전방경유수술법(변형 Trans-Unco-Discal법)을 이용한 경추증의 치료에 대한 임상적 분석

신원한,백승호,김범태,최순관,변박장 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.10

A retrospective study of operative results was carried out in a series of 79 patients who operated upon for cervical spondylosis using anterior(modified Trans-Unco-Distal) approach over the past 10 years at the Department of Neurosurgery, Soonchunhyang University Hospital. The operative findings were analysed and also the correlation between preoperative clinicoradiological factors and postoperative clinical results were statistically assessed. The major results were as follows : 1) Of 19 patients, there were 53 in radiculopathy, 18 in radiculomyelopathy and 8 in myelopathy. Mean age was 49 years and the incidence was the highest in sixth decade. Male to female ratio was 2.3 : 1. 2) In 132 levels operation was performed and C 5, 6 was the most commonly involved level. Incidence of one level operated was 47% and one of above 2 levels operated was in 53%. Of 129 interbody grafts there were 79 levels using BOP and 50 levels using ilium. 3) Operative results ; (1) Clinical results were graded excellent in 63%, good in 30%, fair in 6%, and poor in 1%. (2) Clinical results in radiculopathy was statistically significant better than one in myelopathy and radiculomyelopathy(p < 0.05). As to number of osteophytes, clinical results in below 3 osteophytes was statistically significant better an above 4 osteophytes(P < 0.05). (3) As to age, duration of symptoms, disc space narrowing, developmental canal stenosis, number of operated levels and material of bone graft, clinical results were not statistically significant. (4) Improvement rates in myelopathy and radiculomyelopathy (n=26) were 50% in Nurick's grade and 85% Kadoya's grade. (5) In 23 patients who could be performed follow-up at recently, improvement rate was 88% in Japanese Orthopeadic Association's scale. (6) The rates of complications were 16% and the most complication was related to bone graft. There was no significant correlation between the complications and clinical results in all cases.

개인정보보호의 현황과 개선방안

신원부(Won Boo Shin)(辛源富),김태훈(Tai Hoon Kim)(金泰勳),김종업(Jong Eop Kim)(金鍾業) 위기관리 이론과 실천 2013 Crisisonomy Vol.9 No.6

제4의 혁명으로 불리는 스마트 모바일 혁명은 스마트 폰을 비롯한 다양한 디지털 기기들을 활용해 클라우드 컴퓨팅과 빅 데이터를 활용한 스마트워크 구현과 이전에 누리지 못한 편익을 가져다주었지만, 개인정보의 해킹ㆍ유출이라는 과제를 동시에 가져왔다. 2012년 3월에 새로운 개인정보보호법이 발효되었지만, 여전히 개인정보보호는 스마트 모바일 시대의 가장 시급하고 핵심적인 과제로 부상하였다. 따라서 국가 차원의 정보보호 대응체계 마련을 위한 정책 및 제도개선필요(국가정보보호 종합계획수립 등)하고, 해킹 및 사이버테러 방어를 위한 새로운 기술 도입 시급하다고 할 수 있다. 본 연구는 이러한 문제를 인식하고 공공 및 민간(금융)부문 정보보호 실태파악, 현황 및 문제점 분석ㆍ진단하였다. 이를 통해, 새로운 정보보안시스템 도입 및 개선방안 도출하였다. 본 연구는 최근 주요 개인정보 유출 사례분석을 통해 피해 유형을 분류하였고, 공공부문을 중심으로 개인정보보호와 관련한 현황 진단을 통해 실태를 분석하였다. 이러한 사례분석 및 현황진단의 결과를 토대로 개선방안 도출하는 문헌연구와 실증연구를 병행하여 사용하였다. Information & Communication Technology(ICT) is constantly evolving and providing new digital devices and services, such as smart-phone, SNS and cloud computing. "Smart Mobile Revolution" as called "the 4th Revolution has brought various conveniences more than we had previously thought. However, the Revolution has led to pressing questions like hacking & leak of personal information at the same time. In other words, with cloud computing and big data, the digital revolution has now brought smart working, but hacking & leak of personal information are soaring day by day. Protection of personal information will become even more important because of increase of smart phone use, SNS and cloud computing. At the same time, the use of information is directly linked to national competitiveness, so the leak personal information is the biggest stumbling block and issue. Therefore, central government should plan to introduce the protection system and technology of personal information. This study explores the statement and improvement of personal information focused on public sector. The study used the literature and empirical research method.

일본어 담화 연구의 동향과 연구방법 고찰

申媛善(신원선) 한국일본어학회 2011 日本語學硏究 Vol.0 No.31

본고는 제23회 국제학술발표회에서 개최된 “대학원생을 위한 기획 심포지엄-일본어학연구 어떻게 할 것인가-”에서 발표한 내용을 수정, 가필한 것이다. 본고의 목적은 일본어 연구에 첫 발을 내딛는 대학원생에게 일본어 담화 연구, 그 중에서도 말로 구현된 담화를 대상으로 한 연구를 소개하고 구체적인 연구방법을 제시하는 데 있다. 권유, 토론, 전화, 이야기(物語), 첫대면 등 다양한 장르의 담화를 소재로 한 연구를 개관하고 회화자료의 수집과 문자화 방법을 소개하였다. 마지막으로 담화연구의 필요성과 일본어교육에 대한 응용 가능성에 대해 기술하였다.

前置きを表す「けど」の指導に関する研究

申媛善(신원선) 동아시아일본학회 2012 일본문화연구 Vol.43 No.-

본 논문은 교육실습 후의 교수활동평가에 기초하여 前置きの「けど」의 지도방법에 대해 고찰하고 적절한 지도안을 제시한 것이다. 지도안 작성에 앞서 교재를 분석하여 前置きの「けど」가 어떻게 다루어지고 있는지 도입시기와 도입방법을 중심으로 기술하였다. 다음으로 「けど」를 다루고 있는 과거의 실습수업 비디오를 분석하여 본 연구의 지도안에 반영할 점과 개선해야 할 점을 정리하였다. 마지막으로 실제 일본어교육 현장에서 가르치고 있는 교사들의 인터뷰를 통하여 현장에서 이루어지고 있는 지도방법을 정리하고 실습이라고 하는 특수한 상황에 적용할 수 있도록 수정, 보완하였다. 이를 바탕으로 본 논문의 지도안을 제시하였다. 과거의 실습에서는 前置きの「けど」와 逆接の「けど」를 함께 도입했으나 본 논문에서는 「んです」와 前置きの「けど」를 함께 도입하였다. 짧은 시간에 이루어지는 실습에서 「けど」의 용법을 2가지 제시하게 되면 학습자들에게 혼란을 초래할 우려가 있다고 판단했기 때문이다. 또한, 일본어회화에서 前置きの「けど」가 「んです」에 접속된 상태로 사용되는 예가 많은 점도 고려하였다. 「けど」의 형식에 관해서는 「Xけど,Y」와 「Xけど」를 도입하여 권유나 의뢰의 장면에서 본 내용에 들어가기 전에 상황을 설명하는 기능과 본 내용을 말하지 않고 상대의 행동이나 발화를 유도하는 기능을 다루었다.

요추간판탈출증에 대한 경피적 자동수핵제거술의 임상적 분석

신원한,김용덕,김범태,최순관,변박장 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.9

A retrospective study of operative results was carried out in a serics of 48 patients who were performed automated percutaneous discectomy for herniated lumbar disc using Nucleotome between Jan.1990 and Jan.1994. The operative results were analysed, and the correlation between preoperative clinicoradiological factors and postoperative clinical results were statistically assessed. The major results were as follows : 1) Of 48 patients, 37 were males and 11 were females. Mean age of the patients was 31.7 years and the highest incidence occurred in their thirties. 2) The preoperative symptoms and signs were radiating pain(l00%), lumbago(94%), motor weakness(21%), and positive score in straight leg raising test(77%). Mean duration of symptoms was 33.1 months and the duration of recent aggravation was 3.7 months. 3) Operation was performed in 62 intervertebral discs, the most commonly involved level was L4-5 (53%). Mean duration of follow-up was 19.1 months. 4) Clinical results on follow-up were graded excellent in 65%, good in 21%, fair 8% and poor in 6% by Cabot's classification, and the overall success rate was 85% by Onik's classification. 5) As to age distribution and the group concerning compensatory and non-compensatory, success rates were not statistically significant. 6) The causes of failure were sequestered discs in 3 cases, suspicious sequestered discs in 2 cases, combined spinal stenosis with multiple discs in 1 case and worker's compensation in 1 case. According to the above results, automated percutaneous discectomy was recommended as primary choice of a relatively noninvasive surgical procedure for the herniated lumbar discs except for sequestered disc and spinal stenosis.