심한 상부 위장관 출혈을 유발한 십이지장 정맥류 3예

이진헌,강진경,박인서,송건훈,정재복,송시영,이용찬 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.3

The bleeding duodenal varices are a rare complication in patients with portal hypertension, but present a difficult diagnostic problem. If there is no bleeding esophageal, gastric fundal varices or ulcer in a patient with upper gastrointestinal bleeding and portal hypertension, the possibility of bleeding duodenal varices should be kept in mind. Thorough endoscopic examination of the entire duodenal mucosa is essential to document bleeding from duodenal varices. As an initial treatment, endoscopic sclerotherapy has had limited success in controlling active duodenal variceal bleeding. However, rebleeding rate is high, surgical treatment including shunt operation may be required for permanent control of bleeding and portal decompression. We report three cases of duodenal varices causing massive hemorrhage. All the patients had portal hypertension caused by liver cirrhosis of various etiologies and had varices in their esophagus. The second portion of the duodenum was the site of duodenal varices in all cases. The management was tailored to the condition of each patient, but only one patient among three survived.

한국의 서해연안 일부지역의 해양수질에 대한 조사연구

이진헌 7개 국립대학교 환경연구 논문집 공동발행 위원회 2001 환경연구논문집 Vol.1 No.1

The purpose of this study is he investigation of marine pollution at some parts of Yellow Sea. Sampling was done at eight places on May and September, and its places were divided by tow layers. One was upper layer which was 5m from the surface of sea, and another was lower layer which was 5m from the bottom of the sea. Subjects of marine pollution were temperature, pH, dissolved oxygen(DO), dissolved oxygen saturation, chemical oxygen demand(COD), suspended solid(SS), total phosphorous(T-P), total nitrogen(T-N), polychlorinated biphenyls(PCBs) and orgnanotin. The results were as follows. The marine pollution level of this area of Yellow Sea was 1st class about pH, but 3rd class about DO, DO saturation, COD, SS, T-P and T-N. Sea water quality between upper and lower layer was not statistically significant difference about DO(p=0.000) and DO saturation(p=0.02), but not significantly about temperature, pH, COD, SS, T-P and T-N. Temperature and SS were statistically significantly higher at September than May (p=0.000), but pH, DO, DO saturation and COD were significantly higher than at May than September(p=0.000). The average concentration of total PCBs was 2.1 × 10 exp(-6)㎎/L, and that of total organotin was 11.6 × 10 exp(-5) ㎎/L on May. But they not detected on September. Species of organotin was tetrabutyltin, monophenyltin, diphenyltin and triphenyltin. And Tributyltin(TBT) and others were not detected.

한ㆍ미ㆍ일 시나리오 구성 비교

이진헌,Lee, Jin-Heon 한국데이터베이스진흥원 2006 디지털콘텐츠 Vol.1 No.-

오늘날 독자들을 매료시키고 있는 디지털 문학이란 과연 19세기 소설처럼 온화하고 책임감 있는 것일까, 아니면 환각 작용을 일으키는 마약처럼 위험스럽고 치명적인 것일까, 현재 우리는 뉴미디어 혁명의 한가운데에서 있다. 14세기의 인쇄 활자나 19세기의 사진 기술이 당대의 사회와 문화에 혁명적인 충격을 주었던것처럼, 이제는 모든 문화가 컴퓨터를 매체로 생산 ㆍ배포ㆍ의사소통하고 있다. 본고에서는 헐리우드 공식을 기반으로 한ㆍ미ㆍ일 애니메이션 시나리오 구성 방식으 비교했다.

기후변화와 코로나19 시대, 환경보건교육이 필요한가?

이진헌 한국환경교육학회 2020 한국환경교육학회 학술대회 자료집 Vol.2020 No.7

가정폭력으로부터 벗어난 여성의 성장 경험 연구

이진헌,강희숙 한국사회복지질적연구학회 2015 한국사회복지질적연구 Vol.9 No.2

The purpose of this study is to understand the meaning and the essence of women’s growth experiences in the process deviates from domestic violence. Data were collected through in-depth interviews with 10 domestic violence survivors using Giorgi’s phenomenological research. As a result, the components of the time stayed violence were “‘l’ dose not exist, devoted life’ and ‘painstaking in order to escape the cycle of violence’. The components of shelter life after violence were ‘reflecting of my life: why I am here’, “communicating with the world and finding a sense of ‘I’”. The components of life after leaving the shelter were ‘unbending independent spirit’ and ‘recovered a happy life’. Thus, this study’s recommendations were the diversity of vocational training, the diversity of shelter’s program, and follow-up management on women left the shelter. 본 연구는 가정폭력피해여성이 폭력으로부터 벗어나는 과정에서 겪는 성장 경험을 이해하여 그 의미와본질을 알아보는데 목적을 둔다. 이를 위해 10명의 여성을 선정하여 심층면접을 하였으며, Giorgi의 기술적현상학적 방법을 적용하여 분석하였다. 분석결과, 폭력에 머물렀던 시기의 구성요소는 “‘나’는 없는 헌신적삶”과 ‘폭력의 굴레를 벗어나기 위해 애씀’이었으며, 폭력을 떠난 후 쉼터생활에서의 구성요소는 ‘삶을 되돌아봄: 나는 왜 여기에 있는가?’ 와 “세상과 소통하며 ‘나’를 찾아감”이었다. 쉼터 퇴소 후 생활에 대한 구성요소는 ‘확고한 자립의지’와 ‘되찾은 행복한 삶’ 등이었다. 이를 바탕으로 가정폭력으로부터 벗어난 후의 삶의 질 제고를 위해서 직업훈련의 다양성, 쉼터 프로그램의 다양성, 쉼터퇴소여성에 대한 후속 관리 등을 제언하였다.

지역사회 기반 야외걷기 운동이 비만 지적장애인의 대사증후군 위험요인에 미치는 영향

이진헌,강서정 한국생활환경학회 2020 한국생활환경학회지 Vol.27 No.3

Individuals with intellectual disabilities are significantly more sedentary than the general population without intellectual disabilities, and sedentary lifestyle habits are reportedly associated with increased prevalence of various chronic disease. We investigated the effect of walking exercise program- operated by community-based welfare facilitieson the risk factors for metabolic syndrome in obese adults with intellectual disabilities. Thirty adults were recruited and randomly assigned to the exercise group (EG, n=23) and control group (CG, n=7). Before and after its implementation, participants’ body composition, blood pressure, blood glucose, TC, HDL-C, LDL-C, TG were measured. Findings revealed significant differences in body composition, such as body weight, BMI, and WC, based on the time and time x group in the EG. The blood pressure of participants in EG also a significant difference by time. Blood sampling results showed significant within-group differences in HDL-C and LDL-C for the EG. Additionally, there were significant between-group differences in TC, HDL-C, and LDL-C. These results indicated that participation in a recreational walking exercise program may mitigate risk factors for metabolic syndrome. Additionally, walking exercise is a promising method for improving lifestyle habits, and for reducing and preventing additional health risks, among obese individuals with intellectual disabilities.

DPSEEA 모델을 통한 환경보건교육의 내용과 방법에 대한 고찰

이진헌 한국환경교육학회 2014 한국환경교육학회 학술대회 자료집 Vol.2014 No.12

DPSEEA모델을 통한 환경보건교육의 내용과 방법에 대한 고찰

이진헌,홍춘표,최석남 공주대학교 과학교육연구소 2015 과학교육연구 Vol.45 No.1

On the starting point of 21 century, the international environmental issues were changed from media-oriented approach to receptor-oriented approach. This trend was affected to our nation, the ministry of Korea was proclaimed the 10-years environmental health complex plan (2005) and Law of environmental health acts (2008). The basic concept of environmental health was popularly based on DPSEEA moede, which was proposed on 1993. The model was composed of Driving force (D), Pressure (P), State (S), Exposure (E), Effects (E), and Action (A) which was applied to each other part. Environment health education could be effectively performed using the indicators within each component of DPSEEA model. Climate change and exposure of hazardous materials could be applied for education using the framework of DPSEEA model, which was guessed to be a good tool for environmental health education.

여천공단의 대기공해문제와 대책

이진헌 인제대학교 1996 仁濟論叢 Vol.12 No.2

This study was conducted to evaluate air quality in the Youchun Industrial Complex, comparing with the air-quality-standards and large cities( Seoul and Ulsan) for five chemical species(SO2, NO2, O3, CO, TSP) and others. The monthly maximum concentrations of sulfur dioxide(SO2) and nitrogen dioxide(NO2) were 0.033-0.064 ppm and 0.054-0.128 ppm in 1994, respectively. Their levels were not compliance with annual-mean allowance levels(SO2 : 0.03ppm, NO2 : 0.05 ppm), and severer on November. The concentrations of ozone(O3) was higher than those of Seoul and Ulsan, especially above three times of 8-hr mean allowance level(0.08 ppm) on June and July. The rain were below pH 5.2 from 1991 to 1994. The concenrtations of hydrogen sulfide(H2S) were 0.012-3.8ppm. Its levels were above 10 times of the emission allowance level(0.2 ppm) at some places. The organic compoudes were detected at some places around the Youchun Industrial Complex. Especially, PAHs(polyaromatic hydrocarbons) and aromatic hydrogens were the worest air quality subjects.

증례: 유전성 맥관부종 1례

이진헌,조재용,남동호,홍천수 대한천식알레르기학회 1994 천식 및 알레르기 Vol.14 No.4

Hereditary angioedema is characterized by recurrent angioedema involving any part, of body especially extremities and inher ited. As autosomal dominant trait. In case of laryngeal angioedema,, life threatening result can occur, so it,s early diagnosis is crucial. Serum C4 measurement can be used as a screening method, and C1EI level (common form, 85 %) with it.s functional assay, C1EI activity (variant form, 15 % ) can be used as a confirmative met,hod. We report 43 year-old female patient with hereditary angioedema who had a history of recurrent abdominal pain, dyspnea and swelling of the extremities and face. Initial level of C3 and C4 was 83 mg/dl and 3mg/dl respectively. During angioedema attack, C1EI was 5.5 mg/dl and C1EI activity was below 1%.