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매선 요법의 국내외 논문 분석 - 임상 논문 중심으로 -
이용석,한창현,이영준,Lee, Yong Seok,Han, Chang Hyun,Lee, Young Joon 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.3
Objectives : The focus of the review was laid on differences in research pertaining to thread embedding acupuncture between domestic and foreign journals. Methods : We collected 53 Korean articles on thread embedding acupuncture study from 4 Korean article searching sites, and 80 foreign articles from Pubmed. We analyzed the number of the theses according to the publication year, study method, journal, and subject. Results : A total number of 134 thread embedding acupuncture articles were categorized as 100 clinical trials, 14 experimental papers, and 19 literature reviews. Of the collected clinical trials, 55 were case studies, 6 were CCTs and 39 were RCTs. The domestic clinical trials were comprised of 36 case studies, 1 CCT, and 2 RCTs, and foreign clinical trials were comprised of 19 case studies, 5 CCTs, and 37 RCTs. Although only 12 of the 39 domestic clinical trials exclusively treated thread embedding acupuncture to the experimental group, 38 out of 61 foreign clinical trials undertook thread embedding acupuncture as the sole treatment. While the 2 domestic RCTs research had no significant evidence that the experimental group was different from the control group, the experimental group demonstrated better responses than the control group in 31 of the 37 foreign RCT studies. Conclusions : Studies on thread embedding acupuncture are more intensively studied in the foreign field in comparison to the domestic field. Referring to the results from the foreign thread embedding acupuncture studies, domestic use of thread embedding acupuncture should be expanded. Also, more refined research needs to be conducted in the domestic field in order for the Koran medicine to lead the thread embedding acupuncture. This study is limited in that the literature search in the foreign journals were restricted.
정상인에서 Nalbuphine HCI 과 Morphine 정주가 이산화탄소반응곡선에 미치는 영향
이용석,함병문 대한마취과학회 1990 Korean Journal of Anesthesiology Vol.23 No.4
To compare the respiratory depressant effect of nalbuphine and morphine, six healthy male volunteers (mean age 26 yr) were given the nalbuphine at a dose of 0.15 mg/kg and morphine at a dose of 0.1 mg/kg intravenously, at intervals of 2 weeks in a double-blind laboratory study. Respiratory depression was monitored by ventilatory responses during CO₂ rebreathing at 1 min, 30 min, 60 min and 90 min after injection. The displacement (mean intercept at P_(et)_(co2) 60 mmHg) and the slope of the linear relationship between minute ventilation with P_(et)_(co2) were measured, There were no significant differences in the slope and the displacement of CO₂ response curve between nalbuphine group and morphine group. Also, no significant differences in the slope and the displacement among 1 min, 30 min, 60 min and 90 min after injection of nalbuphine and morphine were noted. These findings demonstrate that the respiratory depressant effect of nalbuphine in similar to morphine at equianalgesic dose, and occurs within 10 min, and coinues more than 90 min.
이용석,김철한,강상규,탁민성,Lee, Yong-Seok,Kim, Chul-Han,Kang, Sang-Gue,Tark, Min-Seong 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.1
Purpose: Nerve sheath myxoma is a rare cutaneous neoplasm originating from the peripheral nerve sheath and divided into three groups : myxoid, cellular and mixed type. There is a controversy on it's origin whether schwannian cell or perineurial differentiation, or anything else. Myxoid nerve sheath myxoma is asymptomatic, soft, papule or nodule in middle-age adults. We report a case of myxoid nerve sheath myxoma on the fingertip. Methods: A 53-year-old woman presented with a painful, $0.4{\times}0.4{\times}0.6\;cm $sized, corn shaped nodule on the left 3rd fingertip. We put into surgical excision and studied it by histopathologically and specific immnohistochemical stain. Results: The tumor has well defined nodules separated by thin fibrous connective tissue with abundant myxoid stroma and were positively stainded for S-100 protein, NSE and GFAP. After surgical treatment it was healed without recurrence. Conclusion: Nerve sheath myxoma is rare neoplasm and located mainly on face, but very rarely on the fingertip. We report a case of painful myxoid nerve sheath myxoma located on the 3rd fingertip.
소아의 전두동에 발생한 복잡골절에서 Cyanoacrylate의 유용성
이용석,강상규,천남주,김철한,탁민성 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.1
Purpose: In treatment of facial bone fracture, occurred in children, we generally use wires, miniplate, absorbable plate or combination. These foreign bodies can be palpable, cause of infection and need reoperation for removing. And when bone fragments are multiple, small and thin, it is hard to handle and make accurate reduction of all fragments. In these case, a biodegradable tissue adhesive, Histoacryl^Ⓡ(n - butyl - 2 - cyanoacrylate), can be used as fixation technique for small, multiple, and thin fracture fragments. Methods: 3 years old and 6 years old children, who has comminuted fracture on frontal sinus, we used Histoacryl^Ⓡ for fixation of multiple bone fragments. After approaching by coronal incision, we pulled out all bone fragments and reconstructed bone fragments by Histoacryl^Ⓡ and fixed those on frontal sinus by absorbable plates. Results: Photographs and 3 - dimensional CT obtained preoperative and postoperative. And we compared them each other about accuracy of reconstructed bony contour. We can reconstruct almost all bone fragments easily along 3 - dimensional structure and get excellent aesthetic result. There was no complication such as infection. Conclusion: In treatment of comminuted facial bone fracture, occurred in children, Histoacryl^Ⓡ is excellent method for accurate reconstruction in small and thin bone fragments, which cannot be fixed by wire, miniplate or absorbable plate without complication