Diagnosis and Management of Lymphoplasmacytic Rhinitis in a Cat

강민희,박희명 한국임상수의학회 2011 한국임상수의학회지 Vol.28 No.4

A 7-year-old castrated, domestic shorthair cat was presented with a 2-year history of chronic nasal discharge and sneezing. Upon presentation, bilateral mucopurulent nasal discharge and stertorous respiration were marked. Physical examination revealed a tachypnea. Oral examination was unremarkable and chest radiology was normal. Findings of nasal cytology and skull radiology were not specific and further imaging technique, endoscopic examination and histopathology was performed for a definite diagnosis. Fluid, and/or soft tissue opacity was found in bilateral nasal cavity, nasopharyngeal regions and right side tympanic bulla through the CT scan. No evidence of neoplasia was revealed. A rigid rhinoscopy, flexible bronchoscopy and otoscopy was used for the visualization of the lesions and tissue biopsy biopsy was performed for histopathology. On histopathological examination, the nasal mass consisted mainly of large numbers of plasma cells and lymphocytes. And the final diagnosis was lymphoplasmacytic rhinitis based on histopathologic examination. Long term management with oral cyclosporine (5 mg/kg, BID) was safe and successful in this cat. This is the first case report described clinical and diagnostic characteristic features of feline lymphoplasmacytic rhinitis and its clinical outcome using oral cyclosporine in Korea.

靑少年이 知覺하는 家族關係

강민희 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

Farmily relationship subscales of the Offer Self-Image Questionnaire for Adolescents were applied to 200 high school students. Factor analysis to that data extracted five factors. They were, negative feelings to the parents factor, negative self-image factor, expectation of the parents factor, compliance to the parents factor, and hostility to father factor. These results reemphasize the importance of the emotional interactions of the family members, especially relationship with parents, for the ealthy development and prevention of the misconduct of the adolescents

Successful Management of Feline Infectious Peritonitis with Human Recombinant Interferon-alpha and Pentoxifylline in a Cat

강민희,박희명 한국임상수의학회 2011 한국임상수의학회지 Vol.28 No.4

A 6-month-old intact female, domestic short hair cat was presented with dyspnea and anorexia for 2 days. Physical examination revealed muffled heart sound with labored breaths. Hyperproteinemia and hyperglobulinemia with polyclonal gammapathy was revealed. Pleural effusion was non-septic exudates, it also had hyperglobulinemia with decreased albumin:globuline ration. In addition, effusion RT-PCR for feline coronavirus was positive in this cat. Feline infectious peritonitis (FIP) was strongly suspected and aggressive treatments with human interferon-alpha, pentoxifylline, and glucocorticoids were initiated. The cat remained healthy without recurrence of pleural effusion during 5 months follow-up periods. To the author’s knowledge, this is the first case report describing successful management of FIP with human interferon-alpha and pentoxifylline in Korea.

우울증 환자에 대한 Amineptine Hydrochloride의 임상 효과

강민희,신석철,왕성근,신윤오 최신의학사 1990 最新醫學 Vol.33 No.7

Patent Ductus Arteriosus Occlusion with an Amplatz^® Canine Duct Occluder in a Dog

강민희,김승곤,한태연,박현아,민사희,박지환,김태우,박희명 한국임상수의학회 2012 한국임상수의학회지 Vol.29 No.6

A 10-month-old intact male Maltese dog (body weight, 1.6 kg) presented with intermittent cough and abnormal heart sounds. The dog was diagnosed with a left-to-right patent ductus arteriosus (PDA) on the basis of the results of transthoracic echocardiography, color flow Doppler examination, and angiography. Transcatheter occlusion of the PDA was performed using the Amplatz^® Canine Duct Occluder (ACDO) via the femoral artery. The device was placed under fluoroscopic guidance and successfully occluded the PDA. The continuous heart murmur disappeared immediately after the correction and no residual flow was detected. The dog was discharged the following day and regularly examined for complications and safety. This is the first report demonstrating the clinical application of ACDO for the transcatheter closure of PDA via the femoral artery in a small-breed dog in Korea.

[인터넷 뒤지기] 인터넷으로 준비하는 여행계획

강민희 새가정사 2001 새가정 Vol.- No.-

Tegretol-CR의 抗 躁症 효과에 관한 임상적 연구

강민희,왕성근,신석철 최신의학사 1993 最新醫學 Vol.36 No.7

Hepatocellular Carcinoma in a Cocker Spaniel Dog with Hypoglycemia

강민희,유종현,박희명 한국임상수의학회 2010 한국임상수의학회지 Vol.27 No.2

A 5-year-old male Cocker spaniel was presented with an abrupt seizure episode. The dog was moderately dehydrated, hypersalivation and loss of consciousness at the presentation. Tentative diagnosis was made through history taking, clinical signs, physical examination, neurologic examination, basic laboratory examinations, radiological examination and cytologic examination. In addition, serum alpha-fetoprotein (AFP) value was measured to diagnose in this case. The serum AFP concentration was marked elevated (1513.5 ng/ml). The patient was suspected as HCC and medical therapy was initiated to control hypoglycemic-associated seizure. However, the dog was euthanized because of the owner’s request. It was diagnosed as hepatocellular carcinoma (HCC) based on the histopathologic examination. This case indicates that AFP measurement might be valuable to diagnose HCC in dogs.

「心因性皮膚疾患크리닉」환자들에 關한 豫備調査

金哲應,趙斗英,姜民熙 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.1

1983年 3月부터 1984年 2月까지 서울大學校病院 皮膚科 외래진료소내의 「心因性皮膚疾患크리닉」에 諮問依賴된 患者 51명 (남:32명, 여:19명) 을 對象으로 社會人口學的持性을 調査分析하고 呼訴하는 症狀, 身體部位, 依賴前 皮膚科診斷, 依賴後 精神科的 診斷 및 治療등에 대해 분석하고 이를 外國의 경우와 比較ㆍ考察하였다. 1. 男ㆍ女 비율은 男子에서 높았고 (1.68:1), 年齡別 有意한 差異는 없었다. 2. 職業은 非生産的인 狀態가 많았고 (68.18%) 經濟狀態는 中下位가 많았다. 3. 依賴된 患者는 대부분 (8401%) 이 皮膚疾患과는 관계없이 精神疾患者이었다. 4. 呼訴하는 증상은 瘙痒感이 가장 많았다(29.55%) 5. 呼訴하는 身體部位는 男子의 경우 肛門生殖器部位(45.45%), 女子는 顔面部位 (54.55%)가 많았다. 6. 객관적인 皮膚病變은 男子, 78.57%, 女子의 82.25%에서 없었다. 7. 依賴前 皮膚科診斷은 「診斷保留」가 많았고 (38.69%), 精神科的診斷은「單症性健康念慮精神病 」이 많았다 (25.0%). 8. 精神科治療를 권유 했을때 거부하는 例가 많았으나 (46.15%) 6개월이상의 장기 추적치료는 精神科外來에서 하는게 더 효과적이다. 이상의 結果에서 시사되는 바와 같이 본 크리닉에서의 정신과 諮問醫의 연결활동은 여러면에서 의의가 있었다. 그러나 본 연구조사는 소수의 대상환자들에게서 관찰된 것인 바 앞으로 본 크리닉에 의뢰되는 더 많은 환자들을 對象으로 한 각각의 문제점에 대한 철저한 硏究는 물론 개개의 환자들에 대한 보다 더 깊이있는 정신의학적 접근이 필요하다고 생각된다. In 1983 the psychodermatoloy outpatient clinic was established at the Seoul National University Hospital, open one afternoon a week, where one liaison-psychiatrist and one dermatologist conjointly treat the patients referred from the dermatology outpatient clinic. This study purported to investigate the demographic characteristics and clinical aspects of the total 51 patients treated at the clinic during the period from March 1, 1983 to Feb. 28, 1984, and the results were summarized as follows; (1) Males predominated over females (62.7% vs 36.6%) and there were no age-specific findings. Majority of the patients came from middle-and-lower socioeconomic classes (90.0%) and majority of the patients suffered from psychiatric problems rather than actual dermatologic disorders (81.0%). (2) Pruritus was the most frequent complaint among them, with males on the anogenital regions (45.5%) and females on the facial region (54.6%), and the most frequent psychiatric diagnosis was monosymptomatic hypochondriacal psychosis (25.0%). (3) While two-fifth (42.1%) of the patients dropped-out after 1-2 visits, the fact that another two-fifth (39.5%) continued to visit the clinic more than 5 times showed our liaison activities gave some positive impacts in the care of psychodermatologic problems. It also seemed that with a better psychological preparations for those patients upon the referral by the dermatologists the early drop-out rate could be markedly reduced.

장소성 형성을 위한 역사인물의 활용방안 -충남 천안의 충무공 김시민 관련 유적을 중심으로-

강민희 동아인문학회 2019 동아인문학 Vol.46 No.-

It has been pointed out that cultural contents based on historical characters can be arbitrarily divided. Nevertheless, it has attracted local governments′ attention because it is possible to acquire universality and peculiarity at the same time, improve cultural awareness, and ultimately revitalize the economy. However, there were many cases in which there were no practical measures or directions. As a result, there are many cultural contents that can be avoided not only from visitors but also from local residents. Therefore, let's look at the direction and method of cultural content that can invoke universal values through the remains and relics of Chungmugong Kim Si-Min. Through this process, Kim will not be a historical figure remaining in a particular time and space, but will arouse a spirit of objectivity that is recognized in society by acquiring universality beyond time and space. 지금까지 축적된 역사인물콘텐츠의 수만 보더라도 ‘지금, 여기’에 있지 않더라도 역사인물이 개인과 공동체에 미치는 영향력은 적지 않아 보인다. ‘역사’로 불리는 먼 과거를 살았던 인물이, 어떤 이유로, ‘지금, 여기’를 살아가는 우리에게 각광받고 있을까? 이에 대한 답은 개인과 공동체로 거칠게 나누어 생각해 볼 수 있다. 전자의 경우, “當代를 살아가는 독자들이 삶의 의미를 음미”하고, “우리 삶의 한 전형적인 인물의 삶이 이야기”하는 인류 보편가치를 환기한다는 점에서 논의를 전개할 수 있을 것이다. 또한, 공동체의 입장에서는 지역에 산재한 유․무형의 역사문화자원과 연계해 정체성을 강조․확산하고 향유자의 방문을 유도할 수 있는 대상으로 여기는 경향이 크다고 판단된다. 논자는 이와 같은 흐름과 입장에 적극적으로 동의하는 동시에 역사인물이 밈(meme)을 형성하는 요인으로 작용할 수 있고, 지역에 산재한 유․무형의 문화자원과 연계될 때 새로운 장소성을 형성할 수 있다는 가정을 마련하였다. 이상의 가정을 검증하기 위하여 ‘역사인물을 활용한 장소성 형성방안’이라는 연구주제를 마련하였으며, 구체적인 연구대상으로 충무공 김시민 장군과 그의 고향인 충남 천안시를 선정하였다. 충남 천안시는 김시민의 고향이지만 “다소 의아심이 들 만큼 구체적인 계승과 발양의 흔적이 없었고, 이를 아쉬워하는 사람들이 많았”고, “대규모 개발사업, 혹은 정신과 역사의 계승이 축소된 모습들이 재현되지 않”았다는 점에서 논의의 필요성이 있다고 여겨진다. 논의의 진행을 위하여 충남 천안시의 충무공 김시민 장군(이하, 김시민) 유적 및 유물을 총체적으로 검토하였으며, 그중에서 이야기가치(story value)가 높다고 여겨지는 1) 생가터와 사사처를 중심으로 천안시의 김시민 유적과 관련 스토리, 키워드를 검토하였다. 또 2) 김시민콘텐츠의 방향과 활용방안을 제시하고, 3) 장기적인 측면에서 고려해야 할 내용을 논의하였다.