Post-cleft Defofmity의 치험례

백세민,김수신,김동일,김우경,차진한 大韓成形外科學會 1988 Archives of Plastic Surgery Vol.15 No.4

There is increasing demand by cleft patients for improvement in their esthetic appearance and occlusion. Cleft lip and palate deformoty is a multifaceted problem. It is important to consider the underlying skeleton of the face as well as the covering soft tissue. With proper presurgical planing such as photographic, cephalmetric and dental cast analysis, the two jaw osteotomy and other procedures were performed simultaneously in 6 post-cleft deformity cases. We improved their facial appearance and occlusion. Their acceptance and satisfaction are exceptionally high.

신증후출혈열 환자의 역학조사를 위한 혈청학적 분석 및 항원검출

백락주,송기준,김상현,윤재경,김세연,송진원,이용주 대한감염학회 1997 감염 Vol.29 No.5

목 적 : 1991년 한탄바이러스 예방백신접종이 본격적으로 시행된 이후의 신증후출혈열 발생양상 및 한탄바이러스와 서울바이러스에 의한 감염비율에 대한 전반적인 역학조사와 새로운 한탄바이러스종의 존재 가능성을 증명하기 위하여 혈청학적 검사와 환자혈청에서의 한탄바이러스 항원검출을 시도하였다. 방 법 : 1994년 1월부터 1996년 12월까지 3년간 발생한 열성질환 환자중 신증후출혈열, 리케치아증 및 렙토스피라증 등이 의심되어 항체검사를 위해 고려대학교 의과대학 미생물학교실, 바이러스병 연구소에 의뢰된 혈청 8102건을 대상으로, 간접형광항체법, 혈구응집저지반응, 면역효소측정법 및 역전사 중합효소연쇄반응을 이용하여 한탄바이러스 감염에 대한 혈청역학적 연구 및 항원검색을 수행하였다. 결 과 : 간접형광항체법으로 조사한 한탄바이러스에 대한 항체 양성율은 30대 남자에서 가장 높았으며 10월에서 1월사이에 항체 양성 건수가 집중되어 있었다. 신증후출혈열 발생 빈도가 감소하고 있었으며 특히 건조기에 집중되었던 발생양상의 변화가 관찰되었다. 한탄바이러스에 의한 감염이 서울바이러스에 의한 감염보다 3배이상 높게 관찰되었으며 서울바이러스에 의한 감염은 고령층에서 더욱 빈발하였다. 한탄 및 서울 바이러스 이외의 새로운 한탄바이러스에 의한 감염 가능성이 확인되었다. 결 론 : 전반적으로 발생빈도가 감소하였으나 현재에도 우리 나라에서는 매년 수백명의 신증후출혈열 환자가 발생하며 한탄바이러스와 서울바이러스가 주요 원인체이나 새로운 한탄바이러스종의 존재 가능성이 확실하여 이의 규명을 위한 지속적인 연구가 수행되어야 할 것으로 사료된다. Background : Hantaan (HTN) and Seoul (SEO) viruses, harbored by the stripedfield mouse(Apodemus agrarius) and the Norway or common rat(Rattus rattus & Rattus norvegicus) respectively, were known to cause hemorrhagis fever with renal syndrome(HFRS) in Korea. We evaluated the seroepidemiologic patterns of hantaviral infection and detect the hantaviral antigens from patients sera. Methods : total 8,102 HFRS patients' sera were collected from 1994 to 1996, and examined by indirect immunofluorescent antibody technique(IFA), hemagglutination inhibition test(HI), IgM emzyme-linked immunosorbent assay(IgM-ELISA) and nested reverse transcription-polymerase chain reaction(RT-PCR). Results : The seropositive rate against hantaviral antigen was 12.0%(973/8102) with the high incidence rate(68.3%) in the period from October to January, and males in the thirties were mostly affected. HTN viral infections were detected 3.5 and 5.2 times higher than SEO viral infections by HI and RT-PCR, respectively, and patients in the fifties were the mostly affected age-group in SEO viral infections. IgM antibodies were detected in the 717 sera of the 905 IFA positive cases(79.2%), and the antigen detection rate of HTN and SEO viruses was 7.7%(56/724). Interestingly, 40 sera(4.4%), showed higher antibody titers against the puumala(PUU) virus than those against HTN or SEP viruses. Conclusion: The results showed HTN and SEO viruses were the main causative agents of HFRS in Korea, and also suggested the possible presence of PUU-related hantaviral infections.

정중곁 다리뇌경색 이후 발생한 두진 후 이상 안진

양세진, 백신혜 충북대학교 의과대학 충북대학교 의학연구소 2013 忠北醫大學術誌 Vol.23 No.2

국소 뇌간 병변이나 소뇌 병변 이후 발생하는 두진 후 이상 안진에 대한 보고는 지금까지 꽤 있었지만, 다리뇌경색 이후 발생하는 두진 후 이상 안진에 대한 증례는 흔치 않다. 우리는 사지의 겨냥 이상이나 위약감 없이 지속적인 어지러증만을 가진 정중곁 다리뇌경색 환자를 보고한다. 하향눈떨 림의 중요한 경로인 내측세로다발을 포함하는 다리뇌와 중추성 속도 저장 기전을 담당하는 전정소뇌가 이러한 두진 후 이상 안진을 유발했을 것으로 생각된다.

HYDROXYAPATITE를 이용한 전두부 성형술

백롱민,박재현,김진환,백세민,오갑성,정연철 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.5

The shape and contour of the upper third of the face is provided basically by the frontal bone. A relatively thin soft tissue coverage, which consists of the skin and frontalis muscle, readily shows subtle changes on the underlying frontal bone. The forehead represents the fortune of one's youth from the viewpoint of physignomy, and a broad forehead with minimal supraorbital bossing and round curvature is preferrd in the Orient. The forehead with a deficient, flat contour or asymmetry could be indicated for augmentation. The exact site and amount of augmentation are dicided preoperatively using clinical assessment, medical photographs, and cephalometric analysis. Hydroxyapatite(Pyrost), because of its nonresorbability, seems to have advantages over other alloplastic materials for forehead augmentation. From March 1989 to February 1992 forehead augmentation has been performed in 60 patients. Through a coronal incision, the dissection was carried over the periosteum to the supraorbital ridge and the lateral orbital rim. The subperiosteal pocket was made through a small incision, and was packed with Pyrost. When indicated, facial rhytidectomy, or reduction malar plasty was performed simultaneously. The result had been satisfactory and long lasting. There had been no implant shifting, infection, or bony erosion when examed from 1 year to 4 years after surgery.

1995년 및 1996년에 국내에서 분리된 풍진바이러스의 염기서열 및 계통분석

백락주,송기준,정재희,정희진,김우주,김민자,송진원,김세연,이용주,박광숙,강주일 대한감염학회 1997 감염 Vol.29 No.3

목적: 유소아에서 경한 발진성 질환을 일으키는 풍진바이러스는 토가바이러스과에 속하며 일회 감염으로 평생면역을 획득하는 것으로 알려져 왔다. 그러나 1960년대 후반 풍진예방접종이 시행된 이후 선진국의 경우 풍진 호발 연령이 유소아에서 청소년 층으로 변화하는 양상을 나타내었으며 우리 나라의 경우에도 1995년에서 1996년도 사이에 발생한 풍진대유행기에 주로 중 고등학생층에서 풍진이 호발하였다. 주기적인 풍진의 유행에도 불구하고 우리 나라에서는 최근까지도 풍진 바이러스의 분리나 유전정보에 대한 연구보고가 없어 이에 대한 연구를 시행하였다. 방법: 1995년에서 1996년에 발생한 풍진 환자의 인후분비물을 채취하여 세포배양법으로 풍진바이러스 분리를 시도하였으며, 분리된 풍진바이러스의 RNA를 추출하여 역전사 중합효소연쇄반응법으로 증폭한 후 염기서열 및 아미노산 서열을 결정 분석하였다. 결과: 세포배양을 통해 7주의 풍진바이러스를 분리하였으며 국내 풍진바이러스주들은 염기서열상 92.5-100%의 동질성을 나타내었고, 백신주 RA27/3과는 2.2-6.4%의 차이를 보였다. 아미노산서열상에서는 국내에서 분리된 풍진바이러스주들은 98.3-100%의 동질성을 나타내었고, 백신주 RA27/3과는 1.7%이하의 차이를 보였다. 계통분석 결과 국내에서는 최소한 2가지 유형의 풍진바이러스가 유행하였다. 결론: 국내에서 유행한 풍진바이러스주의 E1 gene 부위를 기존에 알려진 외국의 분리주나 백신주와 비교시 의미있는 차이는 관찰되지 않았으며 Vero E6 세포는 풍진바이러스의 분리배양에 유용함을 알수 있었다. 그러나 풍진바이러스의 지속적인 변이 양상이 관찰된 사실은 체계적이고 지속적인 풍진바이러스 감시체계의 필요성을 제시하였다. Background: The age group of Rubella virus (RV) infection in most industrialized nations located in temperate climates, has in large part shifted from children to young adults since introducing of the RV vaccine in late 1960's. Interestingly, there were rubella outbreakes from 1995 through 1996 in Korea, and middle and high school students were mostly affected during that time. Although continued of genetic information of rubella viruses circulated in Korea. Method: To isolate RV circulated in Korea, and determine the phylogenetic relationship between RV strains in Korea and RV isolates from other geographic regions including vaccine strains, we inoculated nasopharyngeal secretion samples from clinically diagnosed rubella patients to Vero E6 cells, and sequenced corresponding region of the 5' EL encoding genomic regions of RV isolates. Result: Seven RV strains isolated from Korea showed 93.6 to 97.8% and 98.3 to 100% sequence homologies in nucleotide and amino acid levels, respectively, compared to RA27/3 vaccine strain. Phylogenetic tree based on 359bp of RV indicated that at least two different groups of RV circulated in Korea during 1995-1996 epidemics. Conclusion: Our data suggested that mutant RV strains were possiblely not the cause of recent rubella epidemics in Korea.

도시 생활 실태를 반영한 아파트 주거 공간 계획에 관한 연구 : 대도시 30평형대 아파트 거주자를 중심으로

김세진,백지원,이상호 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(계획계)

The family life of today is getting personalized and losing it's base to communication. However the living place neither support family activities, nor improve these matters. The purpose of this study is to examine what a family life is like and what the matter of their present residence. It will be helpful to improve the condition of residence and a family communication. Through this study we could realize what the trend of nowadays is. Moreover it's essential to plan home suitable for the life of residence.

양수 다발성 수지 재접합수의 치험례 : 4 cases report

차진한,박명철,김우경,한근태,김수신,백세민 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.2

Since the first successful replantation operation, several reports have been recorded replantated finger survival with high success rates. But ten and nine digits amputations are not common. It is even more unusual to have all digits suitable for replantation. 4 cases are presented where replantation of ten and nine digits were done at the department of PRS. Guro Hospital, Korea University from March 1987 to Jun 1988. In these cases, the patients were young and healthy, all of ten and nine digits were sharply amputed near the proximal phalanx, so a replantation team of 8 surgeons in alternating fashion replanted all ten and nine digits over 30 hours and each patient received 28 pints of whole blood during the procedure. Under general anesthesia, replantatin of both started simultaneously. All digits survived completely except partial necosis of right little finger in case 1. The ischemic time of each digit ranged from 4 hours and 45 minutes to 31 hours as shown in table 5. The long ischemic time did not criticaly affected the survival of amputated digit. Follow-up was from 12 months to 20 months postoperatively. The functional evaluation revealed as follows: 1. The grasping power ranged 13 lb to 65 lb(average;39.7lb) 2. The pinching power with index finger ranged 5 lb to 15 lb(average:10.2 lb) 3. The palm to pulp distance ranged 0 cm to 6 cm.(average;2.2cm) 4. The two point discrimination ranged 2.5mm to 22mm.(average;7.8mm) 5. The shape of digits were acceptable aesthetically. 6. All 4 patients were able to use both hands well in all activities of daily living.

랫드 배양배아에서 ginsenosides가 superoxide dismutase 유전자 발현에 미치는 영향

김재승, 이세라, 김연, 연정민, 백인정, 안병우, 김윤배, 이범준, 윤영원, 남상윤 충북대학교 동물의학연구소 2006 Journal of Biomedical and Translational Research Vol.7 No.2

본문참고

정맥주입 전문간호사가 삽입한 말초삽입형 중심정맥관(PICC) 사용 결과에 대한 후향적 분석

박정윤,박광옥,백미경,김세라,권혜리,양수진 대한기초간호자연과학회 2004 Journal of korean biological nursing science Vol.6 No.1

Background : Intravenous(Ⅳ) access is becoming an increasingly important part of health care today. The current drive for clinical effectiveness and cost-effective health care serves to increase the need for reliable vascular access. Venous access devices were developed to overcome problems associated with limited peripheral access and frequent venipuncture in patients with long-term therapy. Although the peripherally inserted central catheter(PICC) have become popular during recent years in USA, its procedure is rare in Korea. Purpose : The goal of this study was to analyze the PICC inserted patient data by Ⅳ CNS intervention. Method : A Total of 62 PICCs were inserted into 51 patients by the Ⅳ CNS during a 10-month period form November, 14, 2002, to October 2, 2W2. Data was obtained retrospectively through chart review. Result : The patient population included 34(54.8%) men and 28(45.2%) women, with a mean age 50.6 years. The main indication for PICC placement was to access vein in poor peripheral venous status(40.3%). The mean served interval for PICC insertions was 16.7 days(range, 2~61 days). The reasons for removal were completed therapy in 18 cases(29.0%), patient death in 13 cases(21.0%), and mechanical or functional PICC problem in 10cases(16.1%). The three PICCs removed for presumed infection, and one had only positive tip cultures(0.2%). Conclusion : PICCs are rapidly growing popularity and required an extended course of Ⅳ therapy.

하악과두골절 치료후의 예후에 관한 임상적연구

서일경,백세민,오재욱,김동일,김진환,선욱,박성규 大韓成形外科學會 1994 Archives of Plastic Surgery Vol.21 No.3

Seventeen of twenty-five patients who were treated for mandible condyle fractures at Inje university from March 1988 to May 1992, were available for follow up from postoperation one to five years were evaluated statistically the analysis are as follows: 1) The incidence of the mandibular condyle fracture was more frequent in males than that of females(five point two five : one). 2) The incidence of the disease based on age was the following orders; ten in the third decade(forty percent), nine in the fifth decade(thirty-six percent), three in the first decade(tweleve percent), two in the second decade(eight percent), and one in the sixth decade(four percent). 3) The incidence of the disease based on causation was as follows; nine by traffic accidents(thirty-six percent), six by an accidental fall down(twenty-four point five percent), six by fist blow(twenty-four percent), three by sliping on the ground(twelve percent)and by collision with trees(four percent). 4) Fifteen cases had unilateral fracture site and two cases were bilateral. The location of fracture line were seven cases on right side, twelve cases on left side, and fourteen cases on condyle portion, five cases on subcondyle potion. 5) Management was achieved by closed reduction in sixteen cases and one cases was treated by open reduction. 6) The cases were divided into four groups according to Yamaguchi's classification ; ten in degree 0(fifty-eight point eight percent), four in degree Ⅰ(twenty-three point five percent), two in degree Ⅱ(eleven point seven percent) and one in degree Ⅲ. A statistically significant difference in degree of TMJ dasfunction were demonstrated according to age (x²=fifteen point two two three, p=nought point one one) No significant difference in TMJ dysfunction were demonstrated between the first decade and the other decade.(x²=nought point one one seven, p=nought point seven three two) 7) After treatment for condyle fracture five patients(thirty-five point seven percent) showed disability out of fourteen patients; three in degree Ⅰ, one in degree Ⅱ and one in degree Ⅲ. After treatment for subcondyle fracture two patients(fourty percent) showed disability out of five patients; one in degree Ⅰ and one in degree Ⅱ. No statiscally significant difference in degree of TMJ dysfunction were demonstrated between condyle fracture and subcondyle fracture.(x²=nought point nine five, p=one)