보험의학적 측면의 갑상선 초음파 검사

이미연,성희정,임남성,최봉근,김동진,Lee, Mi-Yeon,Seong, Hee-Jeong,Lim, Nam-Seong,Choi, Bong-Geun,Kim, Dong-Jin 한국생명보험의학회 2002 保險醫學會誌 Vol.21 No.-

아스퍼질루스균에 의한 내인성 안내염 환자에서 뇌 기저 동맥 감염 동맥류가 동반된 증례

이미연,황웅주,이원기,Mee Yon Lee,Woong Joo Whang,Won Ki Lee 대한안과학회 2010 대한안과학회지 Vol.51 No.12

Purpose: To report a case of mycotic aneurysm of the cerebral basilar artery associated with bilateral endogenous aspergillus endophthalmitis. Case summary: A 41-year-old man with no underlying disease presented with decreased vision in both eyes. The patient was diagnosed with bilateral endogenous endophthalmitis, and the authors performed a vitrectomy and lensectomy on the right eye. Hyphae were detected in the vitreous sample, and systemic amphotericin was administered. Three days after the operation, the patient became comatose due to a subarachnoid hemorrhage. Aspergillus antigen was detected in the vitreous sample and in the cerebrospinal fluid. Subarachnoid hemorrhage was due to the rupture of a mycotic aneurysm of the cranial basilar artery, complicated by aspergillus infection of the central nervous system. J Korean Ophthalmol Soc 2010;51(12):1671-1675

재생불량성 빈혈 환아의 전신마취 하 치과치료

이미연,신터전,현홍근,김영재,김정욱,장기택,김종철,이상훈,Lee, Mi-Yeon,Shin, Teo-Jeon,Hyun, Hong-Keun,Kim, Young-Jae,Kim, Jung-Wook,Jang, Ki-Taek,Kim, Chong-Chul,Lee, Sang-Hoon 대한치과마취과학회 2013 Journal of Dental Anesthesia and Pain Medicine Vol.13 No.4

Aplastic anemia (AA) is a serious hematologic disease characterized by hypocellular bone marrow and deficient production of erythrocytes, granulocytes and platelets. Serious complications such as uncontrolled bleeding and bacteremia can occur. A case of severe AA are presented with dental considerations. A 4-year-old boy had been referred from Seoul National University Hospital for dental examination before the hematopoietic stem cell transplantation (HSCT). Treatments were planned under general anesthesia, due to the poor compliance. Following medical consult, dental treatments were performed after platelet transfusion and antibiotic prophylaxis. Postoperatively, neither significant bleeding nor complictation was observed. On the time of the treatment planning. the anesthesiologist and dentist should perform a complete hematological assessment. It is imperative not only platelet counts but also other leukocyte counts are under safe boundaries. It is mandatory to follow strict aseptic precautios for all anesthetic and surgical maneuvers. In severe thrombocytopenic patients, platelet transfusion should be considered. Also, it is recommended to establish a good oral hygiene.

대학도서관 블로그 콘텐츠 비교.분석

이미연,김성희,Lee, Mi-Yeon,Kim, Seong-Hee 한국비블리아학회 2012 한국비블리아학회지 Vol.23 No.3

본 연구는 효과적인 대학도서관 블로그 콘텐츠 구성을 제안하기 위해 22개 현행 국내 대학도서관 블로그와 11개 국외 대학도서관 블로그를 분석하였다. 분석기준은 블로그 콘텐츠의 메인 카테고리 및 서브 카테고리 수, 콘텐츠 정보내용, 제공되는 정보 형식 및 형태, 이용자 피드백 메뉴 제공 등을 기준으로 비교 분석하였다. 그 결과 먼저 메인 카테고리 및 서브 카테고리에서 국내의 경우 그 범위가 다양하게 나타난 반면 국외의 경우 서브 카테고리수가 일정하게 구성되고 있었다. 정보내용 부분에 있어서는 국내의 경우 도서관행사, 서비스, 도서관 안내에 관한 카테고리의 비율이 높은 반면 국외의 경우 전문적인 자료, 정보원 관련 카테고리의 비율이 높은 것으로 나타났다. 또한 제공되는 정보의 형식 및 형태를 비교한 결과 국내의 경우에는 주로 링크, 문서 포맷으로 구성되어 있는 반면 국외의 경우 팟캐스팅, 비디오캐스트, 이미지 등 다양한 형태로 제공되고 있는 것으로 조사되었다. 이러한 연구결과는 이용자에게 흥미와 효용성 있는 우수한 콘텐츠 개발하는데 활용될 수 있을 것으로 기대한다. This study analyzed the characteristics and categories of blog contents from list of blogs in 22 academic libraries in Korea and 11 academic libraries in USA. The findings indicated that the majority of blog contents in domestic libraries are used for announcements, events, and general information while international libraries use professional information and general information evenly. In addition, this study showed the international libraries use the various types of information including podcasts and videocast, and images while domestic libraries use document formats and link types mainly. The results can be used to develop effective and useful contents for academic digital libraries.

간혈관종의 초음파진단

이미연,문수형,한혜진,김강석,Lee, Mi-Youn,Moon, Soo-Hyung,Han, Hye-Jin,Kim, Kang-Sueck 한국생명보험의학회 1990 保險醫學會誌 Vol.9 No.-

Authors analyzed sonographic findings of 59 cases of hepatic hemangioma, with had been diagnosed through examination in our Medical. dept, from Januray, 1985 to December 1989. The results of the analysis are as follows: 1) The hepatic hemangioma was found in 59 cases(0.33%) among the 17,714 insureds. 2) In all 59 cases who have hemangioma, hemangioma was found in 37 cases(0.35%) among the 10,724 insureds of male, and in 22 cases(0.31%) among the 6,990 insureds of female. 3) The possessing rate of hemangioma in male was increased by age regardless of sex-5/2,120 cases(0.24%) in $21{\sim}30$ years, 25/8,122 cases(0.31%) in $31{\sim}40$ years, 16/4,997 cases(0.32%) in $41{\sim}50$ years, 8/1,775 cases(0.45%) in $51{\sim}60$ years, and 5/359 cases(1.39%) in over 61 years. 4) The tumor involved right lobe of the liver in majority(71.4%) 5) The size of tumor was 10 lesions in under 10 mm, 58 lesions in $31{\sim}50$ mm, and 6 lesions in over 51 mm. The smallest tumor was 8 mm in diameter and the largest was 72 mm in diameter and 78 lesion(92.8%) were less than 50 mm in size. 6) Posterior acoustic enhancement was noted in 4 lesions among 68 lesions of less than 30 mm in long diameter, and in 4 lesions among 16 lesions more than 30 mm in long diameter. 7) Echographically most of the lesions presented as a round or oval high homogeneous echogenic mass, although a few mass appeared to be hypoechoic or Mixed echogenic. Finally a small round echogenic, sharply-marginated and internally homogeneous lesion is highly suggestive of hemangioma. If the hypoechoic lesion has homogeneous internal echoes and/or strong marginal echoes, it is also suggestive of hemangioma.

유비쿼터스 컴퓨팅을 위한 온톨로지 기반의 서비스 기술 및 오버로딩 기법

이미연,이정원,박승수,조위덕,Lee, Mee-Yeon,Lee, Jung-Won,Park, Seung-Soo,Cho, We-Duke 한국정보처리학회 2008 정보처리학회논문지B Vol.15 No.5

이질성, 이동성, 가변성 등의 특징을 갖는 유비쿼터스 컴퓨팅 환경에서 사용자의 의도에 맞도록 자율적이고 동적인 서비스를 제공하기 위해서는, 실시간의 상황을 고려하여 목적 달성에 필요한 서비스들을 합성할 수 있는 기법과, 이를 가능케 하는 효과적인 서비스 기술 및 관리 방법이 전제되어야 한다. 본 연구에서는, 도메인 내의 서비스를 추출하여 서비스 온톨로지로 구조화하는 메커니즘을 제안한다. 추출된 서비스는 제안한 서비스 규격에 따라 기술되고 온톨로지 내에서 계층적인 구조를 이루게 된다. 이를 근간으로 사용자는 다양한 추상화 레벨의 서비스를 사용하여 목표를 기술할 수 있고, 서비스 오버로딩 기법을 통해 실행 시에 가장 적합한 서비스가 선택된다. 또한, 요청한 서비스가 유효하지 않은 경우에도 서비스 온톨로지를 참조하여 대체 서비스를 찾을 수 있는 합성 방법을 제안한다. 구축한 서비스 온톨로지에 대한 실험 결과, 비구 조화된 서비스 리스트를 사용하는 것보다, 서비스 온톨로지를 사용함으로써 사용자의 목적 달성 성공률을 높일 수 있을 뿐만 아니라 서비스의 바인딩 시간도 감소시킬 수 있음을 보였다. To provide autonomous and dynamic services for users in a ubiquitous environment where heterogeneity, mobility and variability are main characteristics, an efficient service description/structuring mechanism and a service composition method are essential. Service composition can consider context in real-time and compose appropriate services. In this research, we propose a mechanism for extracting services from a specific domain and structuring them into hierarchical service ontology. Each service is described using the proposed service specification. Based on this service ontology, users can represent their goals using various abstraction levels of services, and then our service overloading method enables to invoke the most appropriate service at the execution time. Moreover, we present a method which can discovery an alternative service by referencing the service ontology, when the requested service is not available. The experimental result shows that our service ontology could improve the success probability of users' goals and reduce service binding time compare to using just an unstructured list of services.

Identification and Sequence Analysis of RNA3 of a Resistance-BreakingCucumber mosaic virus Isolate on Capsicum annuum

이미연,윤주연,최장경,한지학,류기현,김도선,Jang Ha Lee,Hong Il Ahn,Nam Han Her,Gug Seon Choi 한국식물병리학회 2006 Plant Pathology Journal Vol.22 No.3

Cultivated hot pepper crops showing severe mosaic symptom were found in Korea in 2004 and their causal agent was identified as Cucumber mosaic virus (CMV). These pepper crops was resistant to the virus in the filed, and they belonged to pathotype 0 (P0) resistant pepper. Resistance screening of selected pepper plants showed that a pepper isolate of CMV was the P0 resistance- breaking virus. This P0 resistance-breaking isolate of CMV, named as Ca-P1, was isolated from leaves of the virus-infected Capsicum annuum cv. Manidda that showed systemic severe mosaic symptom. Ca-P1-CMV could induce systemic mosaic symptoms on P0-susceptible (P0-S) and P0-resistant (P0-R) cultivars whereas an ordinary strain (Fny-CMV) could not infect P0-R. This result suggests that Ca-P1-CMV can overcome P0 resistant pepper cultivars. To analyze its genome sequence, the complete nucleotide sequence of RNA3 of Ca-P1- CMV was determined from the infectious full-length cDNA clone of the virus. RNA3 of Ca-P1-CMV consisted of 2,219 nucleotides. Overall sequence homology of RNA3-encoded two viral proteins (movement protein and coat protein) revealed high similarity (75.2-97.2%) with the known CMV strains. By sequence analysis with known representative strains of CMV, Ca-P1-CMV belongs to a typical member of CMV subgroup IB. The resistance and resistance-breaking mechanisms of pepper and counterpart CMV, respectively, remain to be investigated, which will enrich the genetic resources and accelerate CMV-resistant pepper breeding programs.

백내장 수술 중 트리판 블루가 유리체로 유입된 증례

이미연,이현수,주천기,Mee Yon Lee,Hyun Soo Lee,Chun Ki Joo 대한안과학회 2008 대한안과학회지 Vol.49 No.7

Purpose: We report a case of inadvertent staining of the vitreous with Trypan Blue during cataract surgery. Case summary: We performed cataract surgery in a 44-year-old male patient on an eye with mature cataract. Preoperatively, he had no zonular weakness or lens subluxation. We used trypan blue to stain the anterior capsule to facilitate capsulorhexis. We observed zonular weakness during surgery. During phacoemulsification, the dye entered into the vitreous cavity through the area of zonular weakness and a sudden loss of the red fundus reflex developed. However, we did not perform any specific procedure to correct the problem and finished phacoemulsification and intraocular lens insertion. After surgery, slit lamp examination showed a blue fundal glow, which persisted for 1 week. As expected, the patient’s BCVA was better than before the operation. Conclusions: Use of trypan blue is relatively safe for use in cataract surgery. But to use trypan blue or other dye during cataract surgery, it is necessary to have careful pre operative ocular examination. And if some risk factors like zonular weakness or lens subluxation exists, more caution during surgery is needed. J Korean Ophthalmol Soc 49(7):1189-1193, 2008

HRT2와 HRT3의 녹내장의 진단에의 유용성 비교

이미연,이나영,박찬기,Mee Yon Lee,Na Young Lee,Chan Kee Park 대한안과학회 2008 대한안과학회지 Vol.49 No.8

Purpose: To compare the ability of Heidelberg Retina Tomograph (HRT) 2 and the new version, HRT3, to discriminate between glaucoma and non-glaucoma eyes and to evaluate the most useful parameters for glaucoma detection. Methods: Fifty-two healthy eyes, 62 glaucoma-suspect eyes, and 172 glaucoma eyes (a total of 286 eyes) were studied retrospectively. The discrimination capabilities of healthy and glaucomatous eyes were compared using areas under the receiver operating characteristics (AROCs) curves. Agreement between classifications was defined by κ analysis. Results: The stereometric parameters that best discriminated between glaucoma and non-glaucoma eyes were cup shape measure at HRT2 (areas under the ROCs curves (AUC) 0.784) and global probability score (GPS) at HRT3 (AUC 0.718). The stereometric parameters that best discriminated between normal and non-normal eyes were cup shape measure at HRT2 (AUC 0.785) and GPS at HRT3 (AUC 0.696). The sensitivity was 95% at HRT3 and 91% at HRT2, and specificity was 61% at HRT2 and 59% at HRT3. Conclusions: The glaucoma-discriminating ability of the HRT3 software is similar to that of HRT2; however, HRT3 provided results without the need for subjective operator input. J Korean Ophthalmol Soc 49(8):1303-1308, 2008

저산소성 허혈성 뇌병변 환아에서 구인두 기도유지기에 의한 치아 손상

이미연(Mi-Yeon Lee),신터전(Teo-Jeon Shin),현홍근(Hong-Keun Hyun),김영재(Young-Jae Kim),김정욱(Jung-Wook Kim),장기택(Ki-Taeg Jang),김종철(Chong-Chul Kim),이상훈(Sang-Hoon Lee) Asia association of Disability and Oral health 2013 International Journal of Disability and Oral Healt Vol.9 No.2

Hypoxic ischemic encephalopathy (HIE) is an important cause of permanent damage to central nervous system cells, most cases with oxygen deprivation in the nenonate due to birth asphyxia. Survival children with HIE develop problems such as cerebral palsy, mental retardation, learning difficulties, and other permanent neuro-developmental disabilities. This article report two cases of the children with HIE who had be traumatized on their teeth from oropharyngeal airway (OPA) in the emergency situation. The patients with the disease accompanying seizure or convulsion, needs special consideration for the prevention from dental trauma in emergency airway management.