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      • KCI등재후보

        ‘X]vst+어요’ 충남방언형의 외연(外緣)과 특징

        김정태 한국방언학회 2010 방언학 Vol.0 No.11

        One of features of dialect forms of the Chungnam area is to realize an auxiliary particle of a speech level, ‘-요/-yo/’ into ‘-유[-yu]. ‘-yo→[-yu]’ that is a dialect form of ‘X]vst+euyo’ embraces several issues of phonemes and prosodeme. Those issues are variations of phonemes of ‘-yo→[-yu] related to vowel rising of ‘-오/-o/→-우[-u],’ the realization form of ‘X]vst+euyo depending on the preceding phonemes of ‘/-yo/’ and ‘/-Əyo/’ accents depending on sound fields and forms accompanied with ‘-yo→[-yu],’ and regional distribution of realization form of ‘-yo→[-yu].’The premise of this research is that realization forms of ‘-yo→ [-yu] shown in structures of ‘X]vst+Əyo,’ a Chungnam dialect form are one of the features of Chungnam dialects. This paper aims at examining what meanings regional distribution of realization forms of ‘-yo→ [-yu]’ have. Mostly, ‘-yo→[-yu]’ has been considered as a feature and a typical form of Chungnam dialects. However, there is no specific confirmation on regional limitation, which is the edge, the boundary of this dialect. Therefore, this paper intends to confirm a unique characteristic of Chungnam dialects by examining the edge of realization forms of ‘-yo→[-yu].’ The regional distribution of realization forms of ‘-yo→[-yu]’ is limited to Chungcheongnamdo in terms of an administrative division. In the Southern parts of Gyeonggi and the Eastern parts of Chungbuk which are located in the boundary of Chungcheongnamdo, this form is partially found. The mixture of ‘[-yo]’ and ‘[-yu]’ implies that this form is discharged from the Chungnam area. Meanwhile, in Jeongbuk which making a boundary with the Southern part of Chungnam, this form is not found. In the certain areas of Chungnam like Geomsan, Nonsan, and Buyeo which makes a boundary with Jeongbuk, ‘[-yo]’ is realized, not ‘[-yu].’Therefore, this paper argues that the ‘-yo→[-yu]’ was realized in inland dialects of Chungnam as the core area, and spread its edge out to the Southern parts of Gyeonggi and the Eastern part of Chungbuk and the Westsouthern parts of Gangwon. Meanwhile, dialects of Jeonbuk where realization of ‘[-yo]’ is dominating have an influence on Southern parts of Chungnam and therefore, in the boundary area between Chungnam and Joenbuk, linguistic forms of Jeollado are clearly dominating. 충남방언형 중 하나의 특징은 상대 존대의 보조사 ‘-요’의 ‘[-유]’로의 실현이다. 이 ‘X]vst+어요’의 구조에서 ‘-요→[-유]’ 실현에는 여러 문제들이 내재되어 있다. 이를테면, ‘오→우’ 모음상승과 관련된 ‘-요→[-유]’의 음소 변이 문제, ‘-어요’의 ‘-어’의 변이 문제, ‘-요→[-유]’에 수반되는 음장 문제와 문형에 따른 억양 문제, ‘-요→[-유]’ 실현형의 지리적 분포 문제 등이다. 본고는 충남방언의 ‘X]vst+어요’의 구조에서 나타나는 ‘-요→[-유]’ 실현형이 충남방언의 특징이라고 전제한다. 그리고 이와 관련된 일련의 문제 중에서 ‘-요→[-유]’ 실현형의 외연과 지리적 분포가 어떤 의미를 갖는가를 규명코자 하였다. ‘-요→[-유]’의 실현형에 대한 지리적 분포는 행정구역 상 충청남도에서 적극적이다. 경계를 이루고 있는 경기도 남부와 충북 서부 지역에서도 발견되는데, 이 지역에서 ‘[-요]’, ‘[-유]’의 혼재로 보아 충남방언에서 방사된 것이라 할 수 있다. 또한 이 ‘[-유]’는 강원 서남 지역에까지 이르고 있다. 반면 전북과 경계를 이루는 충남의 남부, 즉 금산, 논산, 부여, 서천 등에서는 ‘[-유]’가 아닌 ‘[-요]’ 실현을 보이고 있다. 그리하여 ‘-요→[-유]’ 실현형의 외연과 지리적 분포에 대한 의미를 다음과 같이 정리할 수 있다. 먼저 ‘-요→[-유]’의 적극적인 분포는 대방언권으로서의 중부방언에 대한 하위 방언으로 ‘충남방언’의 설정 개연성을 갖게 하는 것이다. 아울러 ‘[-유]’의 분포가 충북의 서부에서도 확인되며, 소극적이나마 경기 남부와 강원의 서남부에까지 이르고 있다. 따라서 이들을 하나의 방언권으로 묶을 수 있고 아울러 핵방언으로서의 충남방언에서 동북쪽으로의 전파 가능성을 예측해볼 수 있다. 그리고 행정구역상 충남의 남부, 즉 전북과 접촉해 있는 금산, 논산, 부여, 서천 등과 충북의 남부, 즉 옥천, 영동 등은 전라방언권이다. ‘X]vst+어요’의 실현형에서 ‘-요→[-유]’가 아닌 ‘[-요]’로의 실현을 보여주고 있기 때문이다. 이 지역은 음운, 문법, 어휘 등 전라도의 언어 요소를 짙게 간직하고 있다.(도수희 1977, 김정태 2010)

      • KCI등재후보

        유리피판술후 피판 혈류 감시를 위한 Laser Doppler Flowmetry의 유용성

        김정태 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.4

        Continuous observation based on the operator‘s clinical experience is impractical in monitoring free flap and the success rate of flap can be increased with the adjunctive monitoring system such as laser Doppler flowmetry. The author tried to establish the objective critical point to analyze the data in the postoperative period in microsurgical reconstruction. In this study, laser Doppler flowmetry(Periflux 4001 Master, Sweden) was used continuously for flap monitoring from the recovery room; every hour for 24hours, every 2 hours in the next 24 hours and every 3-6hours thereafter until the 7th day. Among 43 cases performed, 4 patients suffered from postoperative vascular insufficiency and they were decided to follow the exploration or salvage procedure. The value may be recorded at most 3.0 even when the tissue sufferes without flow due to its highly sensitive system, and it is quite reliable for flap survival if the initial value is above 3.0 with increasing trend. If the flow value persists below 3.0 continuously or show a plateau, vascular compromise can be doubted. Initial plateau or decline curve was caused by flap swelling and could be detected in 2 postoperative periods such as early (2-24hour) and/or late (26-116 hour) period. Its decline was maximally up to 31.5% and this decline was more commonly observed in perforator- based free flap than others. However, its appearance and duration was quite unexpected especially in small free flap due to skin tension after suture. In conclusion, the laser Doppler flowmetry is a valuable adjunctive system in flap monitoring after operation by observing the trend in perfusion value.

      • KCI등재후보
      • KCI등재후보

        광범위한 사지 림프관 기형의 수술적 치료

        김정태,김창연,신우진,조동인 대한성형외과학회 2003 Archives of Plastic Surgery Vol.30 No.5

        Lymphatic malformation in the extremity is usually extensive with its indiscrete margin, and is often associated with vesicle-like skin lesions and bleeding caused by trauma. In case of extensive lesion, even subtle upper respiratory infection can easily lead to local heat and progress to cellulitis and sepsis. So lymphatic malformations, although benign and not known to have malignant degeneration, can be debilitating to the patient. Fortunately, lymphatic malformation in extremity is accessible to radical resection and recurrence can be reduced significantly compared to the lesion in trunk or head and neck. We have experienced five patients(2 males and 3 females) with extensive lymphatic malformation in extremity. Patients were evaluated with radiologic modalities (MRI, MR angiography, color Doppler image) preoperatively, underwent radical resection and reconstructive surgery using tourniquet to minimize the bleeding. The extensive skin and soft tissue defects after resection were covered with free flap(3 cases), split- thickness skin graft(2 cases), and primary closure(2 cases). During Follow-up(mean 29 months), there was no recurrence and frequent symptoms of infection, fever, and skin lesion were also disappeared. In treating lymphatic malformations in extremities, the precise preoperative evaluation using radiologic modalities including MRI and color Doppler image are important, because they are very helpful to define its boundaries and vascularity. Although there are many modalities of treatment of lymphatic malformations, surgical excision is treatment of choice and complete excision is possible especially in extremity, if tourniquet was applied. In order to prevent the recurrence, the coverage with healthy normal tissue including free flap in large defect is requisite after radical resection.

      • KCI등재후보

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