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이정은,윤세진,안은정,정순섭,이령아,김광호,박응범 대한대장항문학회 2006 Annals of Coloproctolgy Vol.22 No.4
Purpose: The screening test for colorectal polyp is important for the early detection and prevention of colorectal cancer. The aims of this study were to evaluate the characteristic findings and the anatomical distribution of colorectal polyps observed during colonoscopy and to determine proper screening candidates to undergo colonoscopy for colorectal cancer. Methods: From March 1999 to February 2004, 3,454 asymptomatic individuals underwent total colonoscopy. The number, the location, and the histology of polyps were evaluated retrospectively in 634 patients who had colorectal polyps (453 males and 181 females). The relations among age, location, and histology were analyzed. Results: The mean age was 60 years (range, 15 to 95). Four hundred and twenty-two patients (67%) had a single polyp, and 212 (33%) had two or more polyps. Left-sided polyps were observed in 422 patients (67%), right-sided polyps in 134 patients (21%), and synchronous both-sided polyps in 78 patients (12%). Adenomas were present in 387 patients (61%), and adenocarcinomas were detected in 47 patients (7.4%). There was no definite correlation between location and histology. However the prevalence of right-sided polyps increased with age (P<0.01). Conclusions: More than 30% of the polyps were located proximal to the splenic flexure. Thus, in the absence of left-sided lesions, an examination of the colon that is limited to the splenic flexure might miss 21% of such lesions. The increasing prevalence of right-sided polyps with age suggests that evaluation of the proximal colon is particularly important in the elderly, especially in those older than 60 years.
재판과정에서 공판검사의 인권친화적 태도: 법정 모니터링을 통한 인상분석을 중심으로
이정은 한국인권학회 2020 인권연구 Vol.3 No.1
This paper attempts to empirically explain the meaning and influence of the language and behaviors of prosecutors through court monitoring. To this end, we analyze the attitudes of prosecutors by visiting the courts in Seoul, Gyeonggi, Gyeongnam, Jeonnam, and Jeju Island in person. This research uses the observation method among qualitative research methods and applies Erving Goffman's theory of impression management to the analysis. The third-party interpretation of verbal and nonverbal behaviors raises a question about what the essential roles of the prosecutor are. The attitudes of prosecutors are categorized into two ways: human rights-friendly attitude and trial performance capability. This paper argues that prosecutors have to understand each case in the broader social relations and contexts and put intentional efforts to protect the human rights of involved individuals. 이 글은 법정 모니터링을 통해 공판검사의 언행이 갖는 의미와 영향력을 분석하고 바람직한 공판검사상에 대한 실증적 분석을 시도하고자 한다. 이를 위해 서울・경기, 경남, 전남, 제주의 법정을 방문하여 공판검사의 태도를 분석하였다. 이 조사는 고프만의 인상관리 이론을 적용하여 질적연구방법의 관찰조사를 실시하였으며, 제3자에 의한 언어와 비언어적 행위의 해석은 공판검사의 본질적 역할이 무엇인지를 질문하고자 한다. 공판검사의 태도는 인권 친화적인 태도와 공판수행의 성실성, 신속성, 친절함의 공소 수행역량으로 나누어 검토하였다. 조사결과, 공판검사는 소송관계자의 인권보호를 위한 의도된 노력이 필요하고 공정한 재판을 받을 권리를 사회적 관계와 조건 속에서 인식해야 할 필요가 있다는 것을 제안하고자 한다.
이정은,김유진,조문경,박신영,김은미,조용식,최윤희,Lee, Jung-Eun,Kim, Yu-Jin,Cho, Mun-Gyeong,Park, Shin-Young,Kim, Eun-Mi,Cho, Yong-Sik,Choi, Yoon-Hee 한국식품영양학회 2012 韓國食品營養學會誌 Vol.25 No.4
This study is carried out in order to develop food materials for the promotion of rice consumption. In this study, we researched the physicochemical properties of extruded rice flour (ER) and gelatinization popped rice flour (GPR) by the extrusion process and by the popped method with milled rice and brown rice. The extrusion process used a couple of screw extruders. The extrusion parameter was kept constant at a feed moisture content of 25%, barrel temperature of $120^{\circ}C$ and screw speed of 400 rpm. GPR was prepared by batch popping machine after gelatinization of rice. In order to evaluate the physicochemical properties of ER and GPR, as well as the gelatinization rate, water soluble index (WSI), water adsorption index (WAI), DPPH radical scavenging activity and total dietary fiber content, the color value was carried out. The gelatinization rate was similar to 71.1~73.8%. Further, the results of WSI and WAI were increased at ER and GPR compared to the raw materials; ER was also higher than GPR. DPPH radical scavenging activity and total dietary fiber content showed a tendency to reduce after extrution and popping. As a result of the color value, the L value of ER decreased more than the raw materials, whereas GPR increased at a and b values.
Cancer in Patients on Chronic Dialysis in Korea
이정은,조병철,유태현,김범석,박형천,강신욱,이호영,한대석,하성규,최규헌,한승혁,박정탁 대한의학회 2009 Journal of Korean medical science Vol.24 No.-
The study of cancer in patients treated with dialysis in Korea has not been reported. The aim of this study was to investigate the incidence and mortality of cancer among patients on dialysis in Korea. The study subjects were 106 cancer patients (2.3%) out of 4,562 end-stage renal disease (ESRD) patients maintained on hemodialysis (HD) or peritoneal dialysis (PD) at Yonsei University Health System from 1996 to 2005. We excluded patients in whom the diagnosis of cancer preceded dialysis or those who received renal allograft or started dialysis after renal allograft. Seventy- three (69%) of our subjects were male and 33 (31%) were female. The mean age at the time of cancer diagnosis was 57.9±11.7 yr. The mean time from the start of dialysis to the diagnosis of cancer was 75.2±63.9 months. The most common cancer site was gastrointestinal tract (GIT) (51%) followed by urinary tract (20%), lung (8%), and thyroid (7%). Sixty nine percent of the total mortality was due to cancer. The mean time from diagnosis to death was 2.9±2.5 yr. In ESRD patients with cancer, there were no significant differences in mortality rates by dialysis modality. In ESRD patients, the most common cancer was GIT cancer followed by urinary tract cancer. Therefore, careful surveillance of these cancers in ESRD patients is highly recommended.
미다졸람과 다이아제팜의 케타민에 의한 심혈관계 및 안압 상승 억제효과
이정은,윤석화,신용섭,이원형 대한정맥마취학회 1997 정맥마취 Vol.1 No.1
서론: 케타민을 정주시 심혈관계항진과 안압의 증가를 일으키며 각성시 섬망이나 악몽 등이 발생할 수 있으며 미다졸람은 작용발현시간이 신속하고 진정광과 최면효과가 우수하기 때문에 마취유도와 기관내삽관시 서로 병용하여 사용할 경우 케타민에 의한 부작용을 억제할 수 있을 것이라는 착안으로 본 실험을 시행하였다. 방법: 미국마취과학회 환자상태분류 Ⅰ, Ⅱ에 속하는 환자 30명을 대상으로 1군(10예); 케타민 2 ㎎/㎏ 정주로 마취유도한 군(대조군), 2군(10예), 미다졸람 0.15 ㎎/㎏ 정주후 케타민 2 ㎎/㎏ 정주로 마취유도한 군, 3군(10예); 다이아제팜 0.3 ㎎/㎏을 정주후 케타민을 2 ㎎/㎏를 정맥 주사한 군으로 하였다. 결과: 1. 케타민에 의한 수축기 및 이완기혈압의 상승은 미다졸람 는 다이아제팜의 전투여로 효과적으로 억제하였다. 2 케타민에 의한 안압 상승을 미다졸람 또는 다이아제팜의 전투여로 효과적으로 억제하였다. 3. 미다조람, 다이아제팜 투여로 마취유도에 따른 우수한 망각 효과를 관찰하였다. 4. 미다졸람 투여시 1분내 모든 환자에서 수면에 도달하였고 정맥내 투여에 따른 동통을 호소하지 않았다. 결론: 임상적으로 케타민을 정맥 주사 하기전에 미다졸람을 정맥 주사하므로 케타민 단독 사용에 의한 심혈관계 및 안압 상승억제와 악몽 그리고 다이아제팜 정주에 따른 동통등의 예방에 우수한 효과가 있을 것으로 사료된다.