조선 왕릉에 대한 역사지리적 고찰―풍수적 관련 사실을 중심으로―

　이 글은 조선 왕릉의 분포. 입지. 배치 특징과 경관의 조성 및 관리에 대한 풍수적 관련　 사실을 역사지리적으로 검토한 것이다. 또 경관상에 드러나는 가시적 형태뿐만 아니라 입지 및 형성 과정을 둘러싸고 전개된 정치권력집단 간의 공간정치적 양상을 주목하였다. 이들은 조선 왕릉이 통시적인 역사적 과정의 산물이면서, 공시적으로 중국 명. 청대 능과 비교되는 문화적 요소임을 말해주고 있다.　조선 왕릉은 도성을 중심으로 과반수 이상이 20-40리 범위의 외곽에 산포되어 있고 북동쪽과 북서쪽 권역에 집중하였다. 이는 신라와 고려 왕릉보다 광역적이다. 왕릉의 입지 경향은 小盆地의 산기슭에 있어, 신라 왕릉이 평지나 구릉지, 고려 왕릉이 산지의 山腹에 위치하는 것과 다르다. 이는 풍수적 요인이 반영되었기 때문으로생각된다. 同域 내 異陵 간의 거리는 300m 내외가 많으며, 홍살문부터 능까지의 거리는 대체로 150-200m 내외이다. 조선 왕릉의 배치는 남향 범위가 절대적이었다. 능침은 緩斜面의 자연지형을 補土해 만들었고, 명당수 역시 자연지형의 물길에 순응하여 조성하였다.　조선 왕릉은 조선 왕조의 권위적이고 상징적인 경관이었다. 조선 왕릉의 입지 선정 및 遷陵 과정은 왕실 혹은 왕족, 왕과 신하, 신하 간의 정치적 세력 관계가 풍수설을 政略的 수단과 外皮로 하여 나타난 정치사적 결과물이었다.　풍수는 조선 왕릉의 조성 과정 및 경관 축조에 큰 영향을 주었다. 조선 왕릉은 풍수지리적 원리에 따라 능의 위치와 배치, 능역 경관의 조영이 이루어졌기에 풍수적입지경관을 나타내었다. 조선 왕릉의 관리 상태는 해마다 정기적으로 왕에게 보고되었으며 국가의 법전에서 관리 내용 및 담당 역할이 규정되었다. 조정에서는 왕릉의관리를 두고 풍수관료의 풍수적 원리고수의 입장과 儒臣의 經世的 실용 논리가 대립하면서 조정되는 양상이 빚어지기도 하였다. 한국 風水史에서 볼 때 왕릉 풍수는조선시대적인 왕조 정치집단의 사회적 속성을 갖는 풍수 담론의 특징이라고 볼 수있다.　한편 조선 왕릉과 관련한 역사적 유산 중에서, 조선 왕릉의 풍수적 재현물이자 특수지도로서 산릉도가 주목되었다. 산릉도에는 능역을 구성하고 있는 경관 요소들이회화식으로 사실적으로 표현되었을 뿐만 아니라 풍수적 山水 묘사 방식을 보이며자세한 풍수 정보가 표기되었다

Relations Between COVID-19 and Studying Abroad in Korea : Focusing on a Case of N University in Japan

日本韓国研究. 2022, 2, P.49-62journal articl

치매와 배뇨장애

Voiding dysfunction is very common in Alzheimer’s disease, especially urinary incontinence with reported frequencies of 11-90%. Urinary incontinence occurs secondarily from dementia, can result in medical morbidity, impaired self-esteem of the patents, caregiver’s stress, early institutionalization of the patients, and considerable financial cost. Many studies have found that the frequency and severity of incontinence is positively correlated with the severity of dementia and the inability to walk or transfer. Research on the management of urinary incontinence in demented patients has focused almost exclusively on toileting programs and drug treatments for detrusor overactivity. To date, anticholinergic and antispasmodic medications have not been shown to be effective in treating incontinence in demented persons. Therefore we have to study about the etiology and treatment of Alzheimer’s disease

한국의 젊은 성인 남성에서 성기능 향상을 위한 대체보완요법 사용에 대한 역학 연구

학위논문 (석사)-- 서울대학교 대학원 : 의학과, 2012. 8. 김수웅.Introduction: Few studies have been conducted on complementary and alternative medicine (CAM) for improving sexual function. We investigate CAM use for improving sexual function and propose a model explaining what leads to CAM use. Methods: Participants between 20 and 59 years old were recruited from an Internet research panel representing young Korean males. Participants were asked to complete questionnaires on demographic details, attitude toward sexual activity, sexual function, CAM use and desire to use CAM. Subjects were classified into 3 subgroups. Men who use CAM, men who desire but do not actually use CAM and men who neither use nor desire to use CAM were allocated to groups A (actual user), P (potential user) and N (non-user), respectively. Results: Among 443 subjects with a mean age of 39.2±10.2 years, 49 (11.1%) used CAM for improving sexual function (Group A). Dietary supplements were most commonly used. Overall mean satisfaction for the used CAM was 55.5±24.2%. There were 192 (43.3%) men who desired but did not use CAM (Group P). According to multivariate analysis, risk factors for desiring CAM included drinking (OR=2.24, 95%CI=1.28-3.91), regarding sex a very important part of life (OR=2.1695%CI=1.41-4.09), self-reported erectile dysfunction (ED) (OR=5.0895%CI=1.60-16.1), and self-reported premature ejaculation (PE) (OR=3.3495%CI=1.65-6.76). Risk factors for actual CAM use included smoking (OR=2.4995%CI=1.11-5.61), a strongly positive attitude toward sexual activity (OR=3.7795%CI=1.42-9.99), low RE (role emotion) points on the SF-36 (OR=0.9895%CI=0.97-0.99) and self-reported non-PE (OR=0.2295%CI=0.06-0.73). Conclusions: Smoking, drinking, self-reported ED, self-reported PE, attitude toward sexual activity, and emotional problems play roles in making decisions concerning CAM use. * This work is published in the Journal of Sexual Medicine (Choi WS, Song SH, Son H. Epidemiological Study of Complementary and Alternative Medicine (CAM) Use for the Improvement of Sexual Function in Young Korean Men: The Korean Internet Sexuality Survey (KISS), Part II. J Sex Med. 2012 May 22DOI: 10.1111/j.1743-6109.2012.02790.x.). ---------------------------------------------------------------------------------------------- Keywords: Alternative Medicine, Complementary Medicine, Male Sexuality, EpidemiologyAbstract i Contents iii List of tables and figures iv Introduction 1 Material and Methods 3 Results 7 Discussion 20 References 26 Abstract in Korean 31Maste

초대 부산주재 일본영사 곤도 마스키의 『朝鮮八域誌』 간행과 그 의의

departmental bulletin pape

비대면 수업에서의 manaba 활용 사례

application/pdf日本韓国研究. 2021, 特集号, P.32-44journal articl

박리성 벽내성 식도 혈종 -1예 보고-

Dissection intramural hematoma of the esophagus (DIHO) is a rare, but well-documented condition that is part of the spectrum of acute esophageal injuries; these include the more common Mallory-Weiss tear and Boerhaave’s syndrome. This disorder is predominantly seen in women during their sixth or seventh decade and the disease has various etiologies, but the pathogenesis has yet to be clarified. The triad of symptoms for this disorder includes retrosternal pain, hematemesis and odynophagia. It is important to differentiate esophageal submucosal dissection form other disorders that have a similar appearance, such as Mallory-Weiss syndrome and esophageal perforation because the prognosis of DIHO is excellent with conservative therapy and these other diseases require surgical treatment. We report here on a case of a dissecting intramural hematoma of the esophagus that was preoperatively misdiagnosed as the submucosal tumor of the esophagus preoperatively, and it was confirmed by Video-assisted thoracic surgery.박리성 벽내성 식도혈종은 Mallory-Weiss syndrome 또는 Boerhaave’s syndrome 같이 잘 알려진 급성 식도 손상과 달리 매운 드문 질환이다. 이 질환은 다양한 원인에 의해서 주로 중년 여성에서 발병하지만 아직 정확한 병인론에 대해서는 아직 확립되어 있지 않다. 3대 증상으로는 흉통, 토혈 그리고 연하곤란으로 알려져 있다. 특히 박리성 벽내성 식도 혈종은 수술이 필요한 식도 질환과 구분되어야 하는데 그 이유는 일반적인 내과적인 치료로도 예후가 양호하기 때문이다. 본 증례는 4일 동안의 흉통 및 연하곤란을 주소로 내원한 36세 여자 환자로 여러 가지 검사상 식도 점막하 종양으로 판단되어 흉부외과에 의뢰된 환자로 수술 후 박리성 벽내성 식도혈종으로 진단되어 보고하는 바이다

발암물질 H2O2의 Connexin 발현 억제에 대한 녹차 추출물의 예방효과

Background & Objectives: Carcinogens result in the impairment of intercellular communication as well as intracellular communication of normal cells. Connexin (Cx) is a main constituent protein of gap junctions that let messengers such as ions communicate between cells. We evaluated the effect of carcinogen H2O2 on the expression of Cxs and gap junction intercellular communication (GJIC) in the human keratinocyte cell line (HaCaT) and analyzed the prevention effect of green tea extracts against H2O2. Materials & Method: We performed neutral red dye uptake tests to determine the optimal concentrations of H2O2, green tea extracts-epicatechin (EC) and epigallocatechin-3-gallate (EGCG) in this study. To analyze the expression change of Cxs, we performed RT-PCR, Western blot, and immunocytochemistry after 24-hour culture of HaCaT cells treated with agents. We also evaluated GJIC quantitatively using the ’scrape loading dye transfer (SLDT)’ technique. Results: Cx26, Cx30, Cx31, Cx43, but not Cx29 were expressed in the HaCaT cells. H2O2 (250 uM) down-regulated Cx26 and Cx43 proteins. In HaCaT cells treated with H2O2, EC (175 uM) up-regulated Cx26 and Cx43 proteins, but EGCG (50 uM) up-regulated only Cx43 protein. Immunocytochemistry showed the decreased expression and abnormal location of Cx26 and Cx43 under H2O2, and EC and EGCG (5 uM) inhibited the effect of H2O2, showing similar staining in the control. In SLDT, H2O2 down-regulated GJIC, while EC and EGCG significantly prevented HaCaT cells from the H2O2-induced, down-regulation of GJIC. Conclusions: The carcinogen, H2O2, inhibits GJIC in the keratinocyte cell line. Green tea extracts, such as EC and EGCG, prevent GJIC inhibition in the keratinocyte cell line treated with H2O2, suggesting they have a potential anti-cancer properties

수직 후두부분 적출술 후의 음성분석

BACKGROUND AND OBJECTIVES: It is generally believed that reconstruction of the glottic region after vertical partial laryngectomy (VPL) can improve glottic and supraglottic function. But reports on secondary healing without glottic reconstruction after VPL are lacking. This study attempts to obtain an objective phonatory data after VPL without glottic reconstruction. MATERIALS AND METHODS: From 1993 to 2001, 13 patients, who had been treated with VPL without glottic reconstruction, and 44 patients who underwent VPL were included in this study. Patients who had been followed up postoperatively less than 12 months were excluded from this study. Seven lesions were classified as T1 glottic cancer and six as T2 glottic cancer ; classic VPL (11 cases) and frontolateral VPL (2 cases). For the evaluation of voice, acoustic (fundamental frequency (Fo), jitter, shimmer, noise to harmonic ratio (NHR)), aerodynamic (maximal phonation time (MPT), mean flow rate (MFR)) analysis and videostroboscopy were done. RESULTS: There were significant differences in Fo, jitter, shimmer, NHR, MPT and MFR between VPL group and the normal control group. In videostroboscopy, the following tendencies were observed in many cases: incopmplete glottic closure, decreased and irregular mucosal wave and amplitude, supraglottic voicing, abnormal arytenoid movement and anterior commissure blunting. CONCLUSION: We had objective phonatory data after VPL without glottic reconstruction, which showed that voice quality after VPL without glottic reconstruction were somewhat unsatisfactory. Further studies on other surgical techniques of VPL would help to elucidate better ways of improving voice quality in these patients