두개내 동맥 병변을 보인 혈관형 베체트씨병 2예

박은미,성정준,이정주,강동화,노재규 대한신경과학회 1999 대한신경과학회지 Vol.17 No.1

이슬람권에서 기독교적 종교교육의 방법

전재옥,허은아 이화여자대학교 교과교육연구소 1999 교과교육학연구 Vol.3 No.1

본 논문에서는 무슬림들에게 복음의 의미를 전하는 데 있어서의 접근 방법들에 대해서 살펴보았다. 이를 토마스 그룸의 기독교적 종교교육이라는 개념을 가지고 접근을 시도했다. 기독교적 종교교육의 목적은 역사안에서 예수 그리스도의 복음으로 인하여 하나님 나라에 참여케 됨으로 참 자유를 얻는 것이다. 본 논문에서는 이슬람권에서 기독교 복음의 의미를 그대로 전하기 위해 세계 종교들의 세계관을 기독교의 것과 비교함으로 세계 종교들 안에 내재해 있는 종교적인 갈망들을 살펴보았다. 그리고 기독교의 특징들을 가지고 세계 종교들과 접근할 수 있는 방법을 고찰했다. 이러한 접근방법을 가지고 마지막 장에서는 이슬람권에서의 기독교적 종교교육 방법을 모색해 보았다. 특히 성서에 나오는 구약시대 선지자 예레미야의 삶과 말씀증거를 통하여 예표된 예수 그리스도의 모습을 전달하고자 했다. 무슬림들에게는 선지자가 알라의 계시를 전달하는 자이므로 알라의 보호를 받으며 사람들로부터 존경과 신뢰를 받는 대상으로 여긴다. 그러나 이스라엘 민족의 죄를 위해 중보자가 되어 하나님께 자복하는 예레미야 선지자를 통해, 죄인들을 구원하시기 위해 고난당하고 죽기까지 순종한 예수 그리스도의 사랑을 전하고자 했다. 이는 예수 그리스도의 십자가의 길이 인간에게는 하나님의 사랑을 확증하는 복음의 능력으로 드러났듯이 우리도 이슬람권에서 기독교적 종교교육을 실시하고자 할 때 십자가의 길을 따라야 한다는 결론에 이른다. Islam makes up around 20% of the world's population. Muslims are the fastest growing major religious group, largely as a result of high birth rate. To this, many Christians respond in a negative way, considering it as a challenge or a threat of the Muslims to Christians. For example, they think of Islam in a purely negative way, encouraged perhaps by mass media emphasis on the horrors perpetrated by the Middle Eastern terrorists or on the armed conflicts among the area. As a result, any attempt made to share their faith with individual Muslims may be expressed in terms so negative and aggressive that the natural response of the Muslims is to close their ears and their hearts. Mostly, it is the one who bear witness to the Muslims, are to be blamed. For they were in lack of sharing the meaning of the gospel of Jesus Christ, in a sense that Muslims could understand from their worldview and language. Thus, it is the task of the one who brings the good news to the Muslims, to make understood the meaning of the Gospel in the boundary of Islamic cultural settings. Christians who seek to bring the good news of the Gospel to Muslims, in language they can understand, and in a way that reflect God's love, need to have accurate knowledge of Muslim belief and practice. It is to understand where Muslims are coming from spiritually and to consider some ideas as to how to share the love of Christ with them. This is based on the example of Jesus Christ who walked the way of the cross to show the love of God to us. This is the good news we want to share with the Muslims by walking the way of the cross. Then, what does it mean to walk the way of the cross in all our thinking about Islam and our relating to Muslims? Walking the way of the cross in our relationships with Muslims will mean following the example of the one who was willing to cross barriers of race, class, sex and religion, in order to meet people where they were in joy, their pain and their need. Walking the way of the cross in understanding Islam will mean trying to get inside the mind and heart of Islam. Our desire will not be to judge or condemn, but to ‘sit where they sit’, and to show that words such as ‘identification’ and ‘empathy’ can be more than easy slogans. Walking the way of the cross in discussion and dialogue will mean patient and attentive listening, which understands the words and appreciates the total worldview and the feelings that they express. Walking the way of the cross in our witness will mean testifying as best as we can how it is ‘in the face of Christ’ that we see ‘the light of the knowledge of the glory of God’. Finishing this thesis, I felt the need of more understanding based on the current information about Islam l myself relied on the articles which were mostly out of date. Nevertheless, I expect that these small attempts to reach the Muslims will grow and bear abundant fruits in the soon coming future.

안내염과 대장암이 동반된 재발성 간농양

전승정,김태헌,류민선,오다연,송명은,이신아,류재인,김혜인,문일환,유권 이화여자대학교 의과학연구소 2011 EMJ (Ewha medical journal) Vol.34 No.2

The causes of pyogenic liver abscess has been known as biliary tract disease or intrabadominal infection but the large proportions of the patients has no apparent underlying disorders. Recently colonic mucosal lesions were reported in patients with cryptogenic liver abscess and it has been suggested that colonic mucosal break may play a role in developing liver abscess in otherwise healthy patients. We experienced a patient of severe recurrent liver abscess complicated with endophthalmitis only 3 months after successful treatment of initial cryptogenic liver abscess and a polypoid colon cancer was discovered by chance. It seems prudent to proceed colonoscopic examination in patients with cryptogenic liver abscess especially when it is recurrent.

축구 활동이 비만 초등학생의 혈중 지질에 미치는 영향

전태원,박익렬,엄우섭,이동기,우재홍,김경래,김은경,서한교,전병환,김광준,정진욱,박성태 서울대학교 체육연구소 2002 서울大學校 體育硏究所論集 Vol.23 No.2

The purpose of this study is to investigate the effect of Soccer playing in Plasma Lipids in Elementary Obesity Student. Subject for this study were consisted of 16 male(exercise group : 8, non-exercise group : 8), who were over 25% of body fat. Exercise group played soccer 3 times per week, one time was 90 minutes. Weight, % body fat, total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglyceride, c-ratio were measured at three time periods before exercise begin, and 5 and 8 weeks. The results were summarized as follow: Exercise group decreased significantly more than non-exercise group about weight, % body fat, total cholesterol, low density lipoprotein cholesterol, triglyceride, c-ratio. And Exercise group increased significantly more than non-exercise group about high density lipoprotein cholesterol. In conclusion, the regular aerobic exercise(soccer playing) for 10 weeks has great effects on control of serum lipid which is related to the increase well-being(reduced coronary heart disease, hyperlipidemia, hypertension, obesity et all.) in elementary obesity male student.

연쇄알구균 감염에 의한 급성 인후염 후 반응성 관절염 1예

박은하,도연실,양정채,강미라,서현주,정숙인,손준성,기현균,오원섭,백경란,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

연쇄알구균에 의한 급성 인후염 후 발생한 반응성 관절염은 급성 류마티스열의 개정된 진단기준을 충족하지 못하면서, 지속적 혹은 재발성의 비이동성 관절염과 발열, 홍반성 결절, 일시적 간기능 이상 등을 보이면서 심장염과 무도증을 드물게 동반하는 질환이다. 따라서, 발열을 동반한 급성 관절염 환자에서 감별해야 할 질환 중의 하나이며, 심근염 예방을 위한 페니실린 요법의 적응증 및 기간에 대해서는 아직 이론이 많은 상황으로, 보다 광범위한 연구가 필요하다. 저자들은 연쇄알구균에 의한 급성 인후염 1주 후에 발생한 하지의 다발성 비이동성 관절염과 함께 결절홍반 및 일시적 간기능 이상을 보인 환자에서 PSRA로 진단하고 비스테로이드성 항염증제 및 스테로이드로 성공적인 치료를 하였기에 이를 문헌 고찰과 함께 보고하는 바이다. Poststreptococcal reactive arthritis (PSRA) is associated with recent streptococcal infections. However, PSRA is distinct from acute rheumatic fever by its clinical manifestations: non-migrating arthritis, erythema nodosum or erythema multiforme, and transient elevation of serum transaminases. We experienced a 33-year-old man who presented with fever, arthritis of both knees and ankles, and erythema nodosums on extensor surfaces of lower legs which developed 6 days after the onset of pharyngitis symptoms. Blood and urine cultures were negative. Throat culture was negative for group A β-hemolytic streptococcus. The ASO titers increased up to 2080 IU/mL in sequential monitoring. The result of bone scan was compatible to arthritis of both knees and ankles. There were no signs or symptom of carditis. He showed clinical improvement with anti-inflammatory drugs (naproxen 1,000 mg/day and prednisolone 7.5 mg/d). PSRA should be included in the differential diagnosis of patients presenting with arthritis combined with fever.

생검펀치를 이용한 점액낭종의 절제

홍은혜,최병재,이제호,최형준,손흥규,김성오 대한소아치과학회 2007 大韓小兒齒科學會誌 Vol.34 No.2

점액낭종은 소타액선 분비관의 폐쇄나 파열로 타액이 저류되어 발생하는 연조직 부종이고, 비교적 높은 빈도로 발생하는 구강내 가성 낭종으로 스스로 파열되어 치유되기도 하지만 대개는 만성적으로 진행되어 몇 주에서 몇 달간 지속되기 때문에 치료가 필요하다. 점액 낭종의 발생시, 주변에 이환된 소타액선을 포함하여 제거하는 완전절제술 외에 재발율을 낮추기 위한 스테로이드의 국소적 주입, 냉동동결요법(cryotherapy), 미세조대술(micromarsupialization) 등의 여러 가지 치료방법이 제시되고 있다. 완전절제술의 한 방법으로 생검펀치(biopsy punch)를 이용할 수 있는데, 조작이 간편하고 출혈이 적으며 술 후 처치가 거의 필요없다는 장점이 있다. 이 증례는 점액낭종이 있고 행동 조절이 힘든 소아에서 생검펀치를 사용하여 점액낭종을 완전히 제거한 경우로, 양호한 결과를 얻었다. Mucocele is a clinical term of the localized superficial mucosal swelling caused by salivary retention after the obstruction or the rupture of minor salivary ducts. Various treatment methods have been suggested to lower its recurrence rate, including complete excision of lesion Biopsy punch can be used easily and simply for complete excision of mucocele. It has several advantages, such as convenience in use, low bleeding tendency, and nearly no requirements for post-operative management. In this case, biopsy punch was used for the removal of mucocele in an uncooperative child, which enable fast, simple and safe procedure, with a good result.

혼합치열기 반대교합자에서 상악골 전방견인장치를 이용한 치료증례

최형준,이제호,최병재,김은영 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.3

The prevalence of class Ⅲ malocclusion is approximately 5∼9%, and about one fourth of this malocclusion is due to underdeveloped maxilla. Maxillary protraction appliance is an orthopedic device which promote the growth of a deficient maxilla by applying extraoral force to actively growing patients. The object of using maxillary protraction appliance is to guide a normal growth of maxilla and mandible and improve the occlusal relationship and also improve the facial profile. The author treated three patients whom were diagnosed as a class Ⅲ malocclusion due to deficient maxilla using maxillary protraction appliance and the followings are the conclusions : 1. In these cases, anterior crossbite was corrected by anterior movement of maxilla and downward backward rotation of mandible and simultaneously, anterior facial height was increased. 2. The amount of dental change compare to skeletal change was greater as the patients got older. 3. When 500gm of force to each side was applied, the treatment period has been decreased. 4. As a result of applying the force between maxillary first primary molar and canine, there was a small degree of changes in palatal plane. So, it can be concluded that the maxillary protraction appliance is effective in treating growing patients with a deficient maxilla.

서울의 PPNG 발생 빈도(1991-1992)

김재홍,윤기범,박평원,김영진,전경민,김영태,김중환,곽호,구상완,송민석,유옥,지혜구,김동원,문상은,박영립,정승호,성범진,성순제,엄주용,황정열,이기홍,이주협,전태진 대한화학요법학회 1994 대한화학요법학회지 Vol.12 No.1

The prevalence of PPNG among pretreated gonorrhea cases isolated at the STD clinic of Choong-Ku Public Health Center in Seoul has been studied and reported annually since 1981. In 1991, 123 strains of N.gonorrhoeae were isolated, among which 58(47.1%) were PPNG. In 1992, 98 starains of N.gonorrhoeae were isolated, among which 51(52.0%) were PPNG. In all, 109(49.3%) strains were found to be PPNG among 221 strains isolated between 1991-1992. The prevalence of PPNG in Seoul showed increased tendency till 1989, thereafter, it has been stationary or slightly decreasing.

염산증기 흡입에 의해 발생한 화학성 폐렴 1예

장재혁,원경준,권세훈,하성일,권용은,이승일,윤성호 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

A 38-year-old man with dyspnea admitted to the emergency department after exposure to hydrochloric acid in pharmaceutical product manufacturer. Crackle was auscultated in both lung fields in initial physical examination. Chest radiograph showed consolidation and diffuse parenchymal infiltration in both lung fields. Arterial blood gas analysis showed severe hypoxia. This patient was treated by mechanical ventilation, corticosteroid, antibiotics and bronchodilators and was improved completely in a week after the admission. The authors report a rare case of chemical pneumonitis caused by hydrochloric acid.

혈관내피세포-U937세포의 부착에 미치는 Eicosapentaenoic Acid의 효과

김은지,전재은,임현주,차성철,정의룡,조용근,조용근 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

연구배경: 역학적연구에서 어류의 섭취가 많은 집단에서 관상동맥질환의 빈도가 낮은 것이 보고되었고, 이것은 어류에 많이 함유된 불포화지방산(polyunsaturated fatty acid) 특히 eicosapentaenoic acid 때문으로 생각되어지고 있다. 본 연구에서는 동맥경화증 발생의 초기단계로 여겨지는 단핵구와 혈관내피세포 사이의 adhesion에 미치는 다불포화지방산의 영향을 in vitro system에서 관찰하고자 하였다. 방 법: 제대정맥에서 얻은 혈관내피세포를 배양하여 96 well에 옮기고 25, 50, 100, 200 ㎛ 농도의 eicosapentaenoic acid(EPA)를 6시간 동안 처리한 U937세포를 부착시켜 adhesion assay를 시행하였다. 혈관내피세포를 자극하기 위해서는 lipopolysaccharide(LPS)를 well당 100 ng씩을 투여하였다. 음성대조군으로는 LPS로 자극하지 않은 혈관내피세포에 EPA처리를 하지 않은 U937세포로 adhesion assay한 성적을 사용했고, 양성대조군으로는 LPS로 자극한 혈관내피세포에 EPA처리를 하지 않은 U937세포로 adhesion assay한 성적을 사용했다. 그리고 EPA(3.3 mM)을 5㎛ CuSO4 및 300 ㎛ asscorbic acid와 혼합하여 섭씨 37도에서 16시간 두어 산화-EPA를 만들어 같은 실험을 반복하였다. 결 과: U937세포에 25, 50, 100, 200 ㎛의 EPA로 6시간 처리하였을 때 U937세포의 생존율은 99% 이상이었다. 혈관내피세포를 LPS로 자극했을 때 adhesion assay에서 혈관내피세포에 붙는 U937세포의 수는 현저히 증가하였다. 그러나 EPA를 U937세포에 25, 50, 100, 200 ㎛의 농도로 6시간 처리 후에 lipopolysac-charide를 처리한 제대정맥 내피세포에 부착(adhesion)시켰을 때 처리한 EPA의 각 농도에 따른 부착된 U937세포의 수는 통계적으로 유의한 차이를 나타내지 못했다. EPA처리가 부착된 U937세포의 수에 영향을 미치지 못하였다. 결 론: EPA는 U937세포에 영향을 미쳐 혈관내피세포-U937 세포부착을 감소시키지는 못하였다. 따라서 EPA에 의한 혈관내피세포-단핵구 부착 억제 효과는 EPA의 단핵구에 미치는 영향에 의하지는 않는 것으로 생각되나 추후 더 많은 연구가 필요하리라 생각된다. Background : Epidemiological studies have shown correlation between low incidence of coronary heart disease and high consumption of fish products. It has been suggested that this may be due to the high content of polyunsaturated fatty acids of the n-3 fatty acid group in fish oil. In animal studies eicosapentaenoic and (EPA) inhibited attachment of monocytes to the arterial endothlium. Method : Adhesion assay was performed on the endothelial cells of the human umbilical vein with 25, 50, 100, 200 ㎛ EPA-treated U937 cells. The endothelial cells were activated with lipopoysaccharide (LPS). The adhesion assay was repeated with oxidized EPA. EPA was oxidized with CuSO4 and ascorbic acid. Result : Viability of U937 cells were not afected by concentrations up to 200 ㎛ of EPAand oxidized EPA. LPS treatment of endothelium notably increased the number of U937 cells attached to endothelial cells on the adhesion assay. However, treatment of EPA, native or oxidized, to U937 cells did not afect the number of U937 cells attached to LPS activated endothelial cells. Conclusion : EPA treatment, native or oxidized, of U937 cells did not affect U937 cell-endothlial cell adhesion. This suggests that inhibition of monocyte-endothlial cells ◎attachment by EPA is not due to the effects of EPS on monocytes.(Korean Circulatin J 1998;28(4):606-610)