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외상 환자에서 안정화된 생체 징후에 대한 정의의 다양성: 전국적인 조사 결과
문성표 ( Seong Pyo Mun ),유영선 ( Young Sun Yoo ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
Purpose: Stable vital signs (SVSs) are thought to be the most important criteria for successful non-operative management (NOM) of blunt spleen injury (BSI). However, a consistent definition of SVSs has been lacking. We wanted to evaluate the diversity of the definitions of SVSs by using a nationwide survey. Methods: A questionnaire regarding the definition of SVSs was sent to the trauma surgeons working at the Department of Trauma Surgery and Emergency Medicine at a level-I trauma center between October 2011 and November 2011. Data were compared using analyses of the variance, t-tests, χ2 tests and logistic regressions. Results: Among 201 surgeons, 198 responded (98.2%). Of these 198 responses, 45 were incomplete, so only 153 (76.1%) were analyzed. In defining the SVSs, significant diversity existed on the subjects of type of blood pressure (BP), cut-off value for hypotension, technique for measuring BP, duration of hypotension, whether or not to use the heart rate (HR) as a determinant, cut-off value of hypotension when the patient had a comorbidity or when the patient was a child. Of the 153 surgeons whose responses were analyzed, 91.5% replied that they were confused when defining SVSs. Conclusion: Confusion exists regarding how to define SVSs. Most surveyed surgeons felt that a need existed to clarify both the definition of SVSs and the use of SVSs to determine hemodynamic stability for NOM. [ J Trauma Inj 2014; 27: 115-25 ]
증례 : 혈액종양 ; 혈우병에서 발생한 비장 자연 파열
문성표 ( Seong Pyo Mun ),정춘해 ( Choon Hae Chung ),박치영 ( Chi Young Park ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
Spontaneous rupture of the spleen in hemophilia is a well-known but, nevertheless, rare, potentially life-threatening complication. A 41-year-old man with hemophilia presented to the emergency department with abdominal pain and severe anemia. He denied any medication use or history of abdominal trauma. Abdominal CT scan revealed splenic rupture with hemoperitoneum. Splenectomy was successfully performed. The patient made an uneventful recovery and was discharged 19 days later. (Korean J Med 77:S1278-S1280, 2009)
복부 둔상 후에 발생한 광범위한 하대정맥 손상: 증례보고
유영선 ( Young Sun Yoo ),문성표 ( Seong Pyo Mun ) 대한외상학회 2014 大韓外傷學會誌 Vol.27 No.4
Traumatic injuries of the inferior vena cava (IVC) are the most challenging lesions in abdominal vascular injuries and are associated with a high mortality rate. Although endovascular treatment has been addressed in the management of vascular trauma, surgery is the mainstay in the treatment for IVC injury as an endovascular technique for the venous system has not been developed. We report a case of successful surgical repair of an extensive IVC laceration following a fall. [ J Trauma Inj 2014; 27: 219-23 ]
천민우,김성환,송창훈,문성표,김태곤,박용필,김대영,김영수,Cheon, Min-Woo,Kim, Seong-Hwan,Song, Chang-Hun,Mun, Seong-Pyo,Kim, Tae-Gon,Park, Yong-Pil,Kim, Dae-Young,Kim, Young-Su 한국전기전자재료학회 2006 전기전자재료학회논문지 Vol.19 No.12
We developed the equipment palpating cell proliferation using a high brightness LED. This equipment was fabricated using a micro-controller and a high brightness LED, and designed to enable us to control light irradiation time, intensity, frequency and so on. Especially, to control the light irradiation frequency, FPGA was used, and to control the change of output value, TLC5941 was used. Control stage is divided into 30 levels by program. Consequently, the current value could be controlled by the change of level in Continue Wave(CW) and Pulse Width Modulation(PWM), and the output of a high brightness LED could be controlled stage by stage.
정영일(Young Il Jeong),문성표(Seong Pyo Mun),장정환(Jeong Hwan Chang),김권천(Kweon Cheon Kim),민영돈(Young Don Min),김성환(Seong Hwan Kim),조현진(Hyun Jin Cho),김경종(Kyung Jong Kim),류소연(So Yeon Ryu) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.3
Purpose: Surgical site infection (SSI) is the most common nosocomial infection in surgical patients, and this accounts for 38% of all patients with nosocomial infections. Despite the advances in techniques and knowledge to prevent infection, SSI remains a significant source of postoperative morbidity and mortality, and it results in a prolonged hospital stay and increased cost. This study aims to assess the incidence of SSI and to identify the risk factors associated with SSI for patients who undergo abdominal operation. Methods: The data on 347 abdominal operations that were done under general anesthesia from 1 August 2005 to 31 July 2006 was collected and reviewed. Results: The overall incidence of SSI was 4.9%. Comorbidity was the independent risk factor for the development of SSI (P=0.011). The development of SSI was related with the American Society of Anesthesiologists (ASA) preoperative assessment score (P=0.025). The duration of the operation had a statistically significant association with an increased risk of SSI on univariate analysis. The wound classification was not associated with SSI. Staphylococcus aureus was the most frequently isolated organism, and all of the cases were methcillin-resistant Staphylococcus aureus. Conclusion: This study demonstrate that comorbidity is a significant independent risk factor for SSI.
천민우,김성환,소금영,문영래,문성표,박용필,이호식,김태곤,Cheon, Min-Woo,Kim, Seong-Hwan,So, Keum-Young,Moon, Young-Lae,Mun, Seong-Pyo,Park, Yong-Pil,Lee, Ho-Sik,Kim, Tae-Gon 한국전기전자재료학회 2007 전기전자재료학회논문지 Vol.20 No.8
We developed the 4channel Light Medical Therapy Apparatus for External Injury Cure using a high brightness LED. This equipment was fabricated using a micro-controller and a high brightness LED, and designed to enable us to control light irradiation time, intensity, frequency and so on, Especially, to control the light irradiation frequency, FPGA was used, and to control the change of output value, TLC5941 was used. Control stage is divided into 4 levels by program. Consequently, the current value could be controlled by the change of level in Continue Wave(CW) and the output of a high brightness LED could be controlled stage by stage. Compared with one LED irradiation, several LEDs irradiation could increase optical power.
천민우,김성환,송창훈,문성표,김태곤,박용필,김대영,김영수,Cheon, Min-Woo,Kim, Seong-Hwan,Song, Chang-Hun,Mun, Seong-Pyo,Kim, Tae-Gon,Park, Yong-Pil,Kim, Dae-Young,Kim, Young-Su 한국전기전자재료학회 2007 전기전자재료학회논문지 Vol.20 No.1
This paper performed the basic study for developing the Photodynamic Therapy Equipment for medical treatment. We developed the equipment palpating cell proliferation using a high brightness LED. This equipment was fabricated using a micro-controller and a high brightness LED, and designed to enable us to control light irradiation time, intensity, frequency and so on. Especially, to control the light irradiation frequency, FPGA was used, and to control the change of output value, TLC5941 was used. Control stage is divided into 30 levels by program. Consequently, the current value could be controlled by the change of level in Continue Wave(CW) and Pulse Width Modulation(PWM), and the output of a high brightness LED could be controlled stage by stage. And then, each experiment was performed to irradiation group and non-irradiation group for both Rat bone marrow and Rat tissue cells. MTT assay method was chosen to verify the cell increase of two groups and the effect of irradiation on cell proliferation was examined by measuring 590 nm transmittance of ELISA reader. As a result, the cell increase of Rat bone marrow and tissue cells was verified in irradiation group as compared to non-irradiation group. The fact that specific wavelength irradiation has an effect on cell vitality and proliferation is known through this study.
종양크기에 따른 미세유두상 갑상선암의 임상병리학적 특성
유영선(Young Sun Yoo),김성수(Sung Soo Kim),문성표(Seong Pyo Mun),김경종(Kyung Jong Kim),장정환(Jeong Hwan Chang),민영돈(Young Don Min),김성환(Seong Hwan Kim),조현진(Hyun Jin Cho),김권천(Kweon Cheon Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.76 No.6
Purpose: Papillary thyroid microcarcinomas (PTMC), which are not palpable and have no clinical symptoms are 1.0 cm or less in diameter. The optimal extent of thyroid tumor resection has been controversial. We investigated clinicopathological findings of PTMC of 5 mm or less in diameter for reasonable therapeutic approach. Methods: From, Jan. 2002 to Dec. 2006, 366 patients underwent thyroidectomy for thyroid papillary carcinoma at our institution. Among these patients, 62 patients with a mass measuring less than 5 mm and 103 patients with a mass 5 mm to 1.0 cm were selected. We retrospectively reviewed their medical records. Results: There was no significant difference on the clinical characteristics except multifocality. We performed more unilateral lobectomy, near total thyroidectomy with or without neck node dissection in patients with PTMC of less than 5 mm (P=0.13). In permanent biopsy, lymph node metastasis more frequently occurred in patients with PTMC of less than 5 mm (P=0.03). There were no differences in capsular invasion, distant metastasis or recurrence. Conclusion: In papillary thyroid microcarcinoma less than 0.5 cm, it is very uncommon for capsular invasion, distant metastasis and locoregional metastasis to exist. The extent of tumor resection may be limited less than near total thyroidectomy for suitable cases, because there was no locoregional metastasis or distant metastasis in the follow-up period. Longer follow-up periods would be required to confirm that limited surgery is sufficient for tumors less than 0.5 cm in size.
조수형,김선표,최웅지,김성중,조남수,이준영,문성표 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2
An unprecedented magnitude of disaster, Tsunami, washed away Southeast Asia, on December 26, 2004. and more than 200,000 peoples were killed by the disaster. Staffs of our hospital visited Indonesia for voluntary medical supports from January 12, to January 21, 2005. We summarize here our 10 days' experiences in Indonesia.