총담관결석의 치료는 내시경역행담췌관조영술을 시행하여 결석을 제거하는 것이 표준적인 방법이며 내시경유두부 괄약근절개술 및 내시경유두부풍선확장술을 시행한 후 바스켓 및 풍선도관, 기계석 쇄석술 등의 여러가지 방법을 사용하여 그 성공률은 90% 이상으로 알려져 있다. 그러나 일부 거대담석이나 담도협착이 동반된 경우 등에서는 담석의 제거에 실패하는 경우가 있다. 본 저자들은 방사선 비투과성 담석에 대해서 일반적인 담석제거를 위한 방법을 사용한 후에도 담석제거에 실패하고 기계적 쇄석술을 시행하던 중 바스켓의 철선이 끊어지면서 담석과 함께 총담관 내에 잔류하게 된 환자에서 체외충격파 쇄석술을 시행하여 담석을 파쇄한 후 담석의 제거에 성공하였던 증례를 문헌고찰과 함께 보고한다.

The recent increase in the occurrence of common bed bug and tropical bed bug in shared areas highlights the need for rapid species identification at infestation sites, which is crucial for implementing targeted control measures due to differences in genetic and physiological traits. In this study, molecular diagnostic methods were developed using species-specific ITS2 sequences. Both multiplex PCR and loop-mediated isothermal amplification (LAMP) protocols with a DNA release method successfully distinguished between the two bed bug species regardless of developmental stages in 0.5~2.5 hours, even with dead specimens. Especially, LAMP's simplicity and speed make it applicable for rapid and accurate bed bug diagnosis at infestation sites.

The common snapping turtle (Chelydra serpentina), which is native to North America, started to be imported into South Korea as pets in the 1990s. The turtle was sold in supermarkets and pet shops nationwide at low prices such as 20 USD. These non-native turtles, with their large size and strong predatory nature, have been consistently discovered in the wild in South Korea beginning in 2014, and they were designated as an ecosystem-disturbing species (EDS) in October 2022. Until June 30, 2023, a collection system was implemented to reduce the abandonment problem of C. serpentina due to their designation as an EDS. In this study, we analyzed the impacts of the legal designation as an ecologically disturbing species and the collection system of C. serpentina on their abandonment and surrender. Our findings showed that designation as EDS did not affect the abandonment of C. serpentina. Meanwhile, the collection system led to cases of immediate surrender. Within 3 years of post-purchase, 41.8% of the turtles were surrendered, and 67.5% were surrendered when they reached 3 kg. Determining the impact of the legal designation as an EDS may be currently limited due to the difficulty of detecting C. serpentina in the wild. On the other hand, cases of surrender through the collection system are considered to be effective as they have been shown to reduce the abandonment of this newly designated ecosystem-disturbing species.

Qianjin Yaofang by Sun Simiao of the Tang Dynasty is a comprehensive collection of medical classics. The original version has been lost. Zhenben Qianjinfang, as the earliest extant version, contains a large number of common characters and has a very high reference value. This article takes the common characters in Zhenben Qianjinfang as the object of investigation, and uses research methods such as document collation, Chinese character studies, and exegesis to comprehensively sort out and systematically describe the common characters in the book, in order to provide reference for the study of ancient medical books. Based on preliminary statistics, there are a total of 661 pairs of characters that have a relationship between orthodox and secular in Zhenben Qianjinfang. Referring to Mr. Zhang Yongquan’s classification method of vulgar characters, these vulgar characters can be divided into nine categories, including changing meanings, changing sound symbols, simplification of glyphs, multiplication of glyphs, writing variation, splitting or merging of components, displacement of components, newly created vulgar characters, and borrowing pronunciation and common words, etc. For each type of common characters, typical examples are cited for critical analysis to explain the formation mechanism and rationale behind the glyphs of the common characters. To sum up, the formation of the common characters in Zhenben Qianjinfang is mainly the result of the combined effects of two internal and external factors. The evolution of glyphs, the need for semantic expression, and the phonetic characteristics of Chinese characters have contributed to the emergence of vulgar characters within the language system, while external factors such as politics, technology, and culture have also had a certain impact on the formation of common characters.

내년(2024년) 4차 서울대회를 준비하는 로잔 운동은 총체적 선교 에 초점을 맞추며 다양한 공공의 영역들에서 삼위일체 하나님의 선교를 실천하는 공공선교학과 공통점이 있다. 삼위일체 하나님은 그분의 백성들을 공공의 영역들로 보내시고 공적 참여를 통해 그분의 선교를 실천하신다. 로잔의 이슈 네트워크도 29개 네트워크들 중 일터, 비즈니 스, 미디어, 예술, 그리고 새로운 과학 기술 등과 같이 다양한 공공의 영역에 관한 공적 주제들을 다룬다. 본 글 에서 먼저 공공선교학의 시작과 흐름을 다루고 로잔 운동과 관련 있는 공공선교학자인 레슬리 뉴비긴, 르네 파딜라, 사무엘 에스코바르, 그리고 브라이언트 마이어스 등의 선교 신학을 소개한다. 그리고, 복음주의 공공선교학자인 그렉 오케슨의 공공선교학의 주요 특징들(1. 삼위일체 선교, 2. 복잡성, 3. 공공의 영역들, 그리고 4. 회중의 증인)과 로잔 운동의 공통점들을 언급한다. 특히, 공공선교가 실천되는 다양한 ‘공공의 영역들’은 선교의 현장으로서 하나님의 나라 신학이 구현되어야 할 공간이다. 그러므로 이 영역들을 소개하고 마지막으로 로잔 운동 50주년에 개최되는 4차 서울대회에서 선교의 보편성과 함께 특수성과 시대성을 고려하여 공공 선교학적 제안을 하고자 한다.

담관 결석은 폐쇄성 황달, 담도염 및 췌장염 등 합병증을 일으킬 수 있으며, ERCP가 1차 치료로 권유된다. 그러나 ERCP 후 부작용의 발생이 적지 않은 만큼, 이를 최소화하기 위해서는 시술 전 담석의 크기 및 개수, 환자의 출혈성 경향 등 위험인자의 확인이 필요하며, 이에 따른 담석 제거를 위한 적절한 방법이 무엇인지에 이해가 필수적이다. 또한 풍선도관이나 바스켓과 같은 부속기구의 장, 단점 및 적응증 그리고 부작용 대처법에 대해서 충분한 숙지가 필요하다.

난치성 담관결석은 내시경 유두 괄약근 절개술 후 EPLBD, 기계적 쇄석술, 경구담관경 유도하 담관 내 전기수압쇄석술 혹은 레이저 쇄석술, 일시적 플라스틱 담관 스텐트 삽입, 경피경간담관경유도하 쇄석술, 체외충격파쇄석술 등 다양한 시술을 통해 해결될 수 있다. 본고에서는 가용 가능한 다양한 방법을 사용하여 난치성 총담관결석을 제거한 증례를 소개하고 각각의 과정에서의 시술의 어려움을 극복하는 대응방법을 논의하고자 하였다.

연구에서는 두족류의 생식생태를 이해하기 위하여 우리나라 주요 두족류인 살오징어 Todarodes pacificus 수컷의 생식기관과 정포의 미세해부학적 구조를 기재하였다. 살오징어는 자웅이체로 외투막에 투과되는 생식기관의 색과 교접완을 통하여 암, 수를 구분할 수 있는 성 적이형을 가진다. 수컷 생식기관은 정소, 1차 수정관, 정포선, 정포낭, 2차 수정관으로 구성된다. 살오징어의 수컷은 정포 형성기관인 정포선과 같은 특수화된 생식기관을 가진다. 정소는 조직 학적으로 정세관형이었다. 1차 수정관은 정소의 후방부터 정포선까지 연결된 가늘고 긴 역삼 각형의 용수철 형태였다. 내부에는 H-E 염색에서 호염기성으로 반응하는 정자가 가득 차 있었 다. 정포선은 1차 수정관과 정포낭에 연결된 불규칙한 타원형으로 내부에는 다수의 관상선이 존재하였다. 정포낭은 정포선과 2차 수정관 사이에 위치하는 관 구조로 내강에서는 다수의 정 포가 확인되었다. 2차 수정관은 정포낭의 후방부에 연결되며, 내부에 정포를 갖고 있었다. 정포 는 길이 약 22 mm의 길고 투명한 관 형태로 내부에는 정자 덩어리를 갖고 있었다.

Lactococcus garvieae is a Gram-positive cocci that has been known to be a fish pathogen, and considered as a low virulence organism rarely associated with human infection. We report a case of acute cholangitis with common bile duct (CBD) stone and bacteremia by L. garvieae bacteremia in a 70-year-old male. The patient presented with epigastric pain and was diagnosed with two CBD stones. Blood culture obtained prior to empiric antimicrobial therapy with ceftizoxime sodium showed growth with Escherichia coli and L. garvieae. The bacteria were confirmed by matrix-assisted desorption/ionization time-of-flight mass spectrometry. Initial attempt at endoscopic biliary drainage failed, and the patient underwent percutaneous transhepatic biliary drainage and subsequent stone removal. He occasionally ingested raw fish and had a history of gastric ulcer with acid suppression therapy, which could be possible risk factors for L. garvieae infection. This is the first case of L. garvieae bacteremia in acute cholangitis.

RCEP will have a significant impact on ASEAN, China and other contracting parties, significantly enhancing the cooperative levels between ASEAN and other essential economies in the region. It can develop the manufacturing industry in ASEAN and China with higher quality. First of all, this study used the Strengths (S), Weaknesses (W), Opportunities (O) and Threats (T) (SWOT) model to analyze the specific impacts of China’s participation in RCEP on the development of ASEAN’s manufacturing industry. Subsequently, strategic recommendations were put forward for the high-quality development of ASEAN’s manufacturing industry under the RCEP cooperation mechanism from four aspects of SO,WO, ST and WT. As the signing of RCEP provides an excellent development opportunity, the ASEAN member countries should carry out deeper cooperation with China; create new strengths for high-quality development of the manufacturing industry; erect a closer regional industrial chain and the supply chain; and promote the realization of a higher level of regional economic integration between ASEAN and China.

The Army, Navy, and Air Force are currently making various efforts to apply defense IoT technology by reflecting the characteristics of each military. However, there are concerns that comprehensive collection, management, and analysis may be limited because each military has no overlapping system or guaranteed interoperability of data, and there are inefficient aspects in terms of using and investing a limited defense budget. In this study, evaluation items and priorities for pilot projects were selected by applying Delphi technique and AHP method to determine which projects are preferentially effective when commonly applied in terms of Army, Navy, and Air force. As a result of the analysis, the project basis and driving force, project feasibility, performance and ripple effect, redundancy and connection were identified in the order of IoT-based small detachment units and unmanned base construction, intelligent smart unit, smart ground ammunition depot, and smart training management system. According to the comprehensive results reflecting the weights of each evaluation item, the fact that small detachment units and unmanned base construction project are recognized as the first project to be applied to the Army, Navy, and Air Force is a valid approach to be effective while each military is burdened with personnel management because of the reduction of manpower. Through the research results, it is expected that the direction of application to the policy of the defense IoT project can be confirmed in terms of efficient use of limited budgets.

The distributions of common minke whales observed in the East Sea in ten surveys in May of 2003, 2005, 2006, 2007, 2009, 2010, 2012, 2015, 2016 and 2020 were investigated using satellite sea surface temperature (SST) derived from the Moderate Resolution Imaging Spectrometer (MODIS). Most of the minke whales were observed in the waters off the Korean Peninsula at 36-38.5° N, which is expected as the highly productive coastal upwelling area. Yet, no minke whale was observed in 2006 when a relatively larger scale coastal upwelling occurred with SST at 11°C. In 2016 and 2020, the warm water higher than 17°C extended widely in the area, and the minke whales were observed in the offshore waters, deeper than 1,000 m. 87.5% of minke whales observed in May appeared in the SST from 13 to 16°C, and they seemed to avoid relatively high temperatures. This suggests that optimum habitat water temperature of minke whales in May is 13-16°C. The SST in the area had risen 1.67°C from 2003 to 2021, and it was remarkably higher than in other parts of the surrounding areas. The future temperature rising may change the route and timing of the migration of minke whales in the study area.