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만성 HBsAg Carrier 에 있어서 복강경 검사하 간침생검소견에 관한 연구
전재윤,최흥재,이광길,강진경 대한내과학회 1987 대한내과학회지 Vol.32 No.3
Chronic HBsAg carriers is defined as those who have HBsAg in their sera longer than 6 momths persistently. In general, chronic HBsAg carriers have no subjective symptoms and their liver functions are normal so that they are often regarded as those who have no liver pathology at all. The hepatic status of chronic HBsAg carriers is still controversial, and the pathologic findings of asymptomatic chronic HBsAg carriers shows marked differences according to the investigators. To clarify this issue a prospective study was performed in 41 asymptomatic chronic carriers with normal liver functions and no hepatomegaiy. All the Chronic HBsAg carriers underwent peritoneoscopic liver biopsy using Vim-Silverman needle, Viral markers, age and sex distribution, occupations, reasons for HBsAg test, peritoneoscopic fingings, pathologic findings, and pathologic findings by HBeAg and anti-HBc status were analyzed in chronic HBsAg carriers. The results were as follows; 1) Both HBsAg and anti-HBc were positive and anti-HBs negative in all 41 carriers, HBeAg and anti-HBe were tested in 33 of 41 carriers. HBeAg was positive in 15cases (45.4%), anti-HBe positive in 16cases (48.5%), end both negative in 2cases (6.1%). 2) The peak incidence was in the 3rd and 4th decades (70.7%), and the female outnumbered the female at a rate of 1.73 to l. 3) In 46.4% of the carriers, the peritoneoscopic findings were consistent with chronic liver diseases. 4) In 34.1% of the carriers, the pathologic findings were consistent with chronic liver diseases including 2cases of chronic active hepatitis with cirrhosis, and 3cases of chronic active hepatitis. 5) Of the 15cases with HBeAg positive, 7cases (46.7 %) had chronic liver diseases, 5cases (33.3%) non- specific findings, and 3cases (20.3%) normal liver. Of the 16cases with anti-HBe positive, only 3cases (18.8%) had chronic liver diseases, 11cases (68.8%) nonspecific findings, and 2cases (1.4%) normal liver. In conclusion, 34,1% of chronic HBsAg carriers had chronic liver diseases even though their liver functions were normal and they had no hepatomegaly. It is recommended that a liver biopsy be done in evey chronic HBsAg carrier to confirm his undorlying liver disease although his liver functions are normal and he has no hepatomegaly.
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고등학생의 지속가능한 식생활 역량 향상을 위한 가정과 식생활교육 프로그램의 개발 및 평가
전재윤,이경원 대한가정학회 2023 Human Ecology Research(HER) Vol.61 No.3
This study aimed to develop, and evaluate the effectiveness of, a home economics dietary education program that could be used to improve high school students’ sustainable dietary competencies. To achieve this goal, learning objectives and elements were selected for the education program to improve the students’ sustainable dietary competency. The content validity of this program was verified with numerous experts. After implementing the new educational program, its effect on high school students' sustainable dietary competencies was assessed through pre- and post-tests. The results of this study are summarized as follows. First, through the textbook analysis, the necessity of developing an educational program that can cultivate the three areas that constitute a sustainable diet (environment, health, and consideration) was confirmed. Second, a total of nine teaching and learning plans for sustainable dietary education programs were developed. From there, content validity verification was conducted by experts, indicating that the developed educational program was highly applicable in the field. Third, after the implementation, a survey was conducted based on a questionnaire consisting of 20 items related to three areas of sustainable diet, while the pre- and post-test assessment indicated statistically significant differences in all three areas: environment (pre: 3.40, post: 4.46, p<.001), health (pre: 3.15, post: 4.32, p<.001), and consideration (pre: 3.46, post: 4.48, p<.001). It is expected that the educational program developed in this study will be used as a basis for dietary education that fosters food citizenship in high school home economics courses.
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치과치료를 위한 정주진정법에 사용되는 미다졸람에 대한 역설적 반응 -증례 보고 및 문헌고찰-
전재윤,정세화,이병하,임재중,황경균,심광섭,박창주,Jeon, Jae-Yun,Jung, Se-Hwa,Lee, Byung-Ha,Im, Jae-Jung,Hwang, Kyung-Gyun,Shim, Kwang-Sup,Park, Chang-Joo 대한치과마취과학회 2009 Journal of Dental Anesthesia and Pain Medicine Vol.9 No.2
Midazolam, one of the most common benzodiazepine derivatives, is widely used in intravenous sedation for dental treatment without severe complications. However, paradoxical reactions to midazolam, including patient's unanticipated restlessness, agitation, hostility, and rage, have been frequently reported since the introduction of benzodiazepine. During outpatient intravenous sedation using midazolam for dental treatment, we experienced a paradoxical reaction to midazolam in a 28-year-old female patient. With a thorough review of the literature, the management of this complication and its various etiologies were discussed.
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전재윤,이준석,이슬지,남지환,이민정,김기원,임수진,송주현,문자영,염승철,이성철,Jun, Jae-Yun,Lee, Joon-Seok,Lee, Seul-Ji,Nam, Ji-Hwan,Lee, Min-Jung,Kim, Kie-Won,Lim, Su-Jin,Song, Ju-Hyun,Moon, Ja-Young,Yeom, Seung-Chul,Lee, Sung-Chul 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.2
Objectives : The perpose of this study was to observe the correlation between lumbar lordotic angle and radiological result. Methods : We randomly selected among the 150 patients with lumbar X-ray and MRI films who have visited Jaseng Hospital of Oriental Medicine with low back pain. Radiographic lumbar lordotic angle and lumbar HIVD were collected and stastically analyzed. Results : In this study, if the finding of a X-ray showed straightening of lumbar lordotic curve, based on MRI finding, the number of HIVD increased. Conclusions : There was a significant correlation between lumbar hypolordosis and HIVD, hypolordosis complained mare HIDVs.
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