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안병헌,민병무,최시환,서병로,박우찬 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2
Vitreous hemorrhage, which is the major cause of blindness in proliferative diabetic retinopathy, has been prevented clinically with laser photocoagulation. We reviewed 57 cases(98 eyes) of proliferative diabetic retinopathy which were treated by argon laser and followed up for more than 6 months. Of these 98 eyes, 81 eyes(83%) showed a satisfactory response after standard panretinal photocoagulation. 14 eyes(14%) revealed the vitreous hemorrhage after panretinal photocoagulation and higher incidence of vitreous hemorrhage in the cases of new vessel on the optic disc. In the cases(26 eyes) of new vessel on the optic disc, 2000 laser burns revealed lower incidence of vitreous hemorrhage(1/5, 20%) in comparison with 1500 laser burns(8/21, 38%). These results indicate that initial augmented laser therapy prevented the vitreous hemorrhage effectively.
Superolateral Orbital Rim Craniotomy for Middle Cerebral Artery Aneurysms
Jeon, Byung-Chan,Peng Zhao,Zheng, Yongri KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1
Objective : Recently, several approaches for middle cerebral artery aneurysms (MCA) have been developed from conventional method, that is pterional approach. However, the literatures contain no report about minimally invasive surgery for the treatment of MCA aneurysms. So the purpose of our study is to describe a new technique, that is superolateral orbital rim craniotomy (SLORC) approach-minimally invasive surgery and the outcome for the treatment of MCA aneurysms. Methods : A retrospective review of 12 patients with MCA aneurysms ruptured or unruptured who were operated by SLORC approach was performed during October 1999 thru December 2001. Results : All the aneurysms were clipped successfully. The mean aneurysm size was 6.8 mm ranged from 4 to 15 mm. The average hospital stay was 15.9±9.1 days and the operation time usually consumed 3 to 4 hours. No patients died and adverse effects directly related with surgery were minimal. Cosmetic result was also achieved just a few days after operation. We never used lumbar drain or extraventricular drainage. During operation, less retraction of neural structure and no transfusion were required. The modified Rankin scores at discharge and 6 months afterwards revealed 0 grade in all assessed patients. Conclusion : The SLORC is a newly developed procedure for neurosurgeon to treat MCA aneurysms. Although this technique is not widely used, it is likely that this minimally invasive approach will become a promising operative technique in the future.
Gullian Barre Syndrome 患者 1例에 대한 症例報告
임승민,안정조,최영,조현경,김민상,유병찬,오병렬,김윤식,설인찬 대전대학교 한방병원 2002 惠和醫學 Vol.11 No.1
Gullian Barre Syndrome is an acute symmetric polyradiculoneuropathy that typically presents as a progressive flaccid paralysis. The pathology is believed to be caused by both cellular and humoral immune processes The possibility of death is 3-5% and About 20% of patients require mechanical ventilaton. Recently We have experienced a patient who had suspected Gullian Barre Syndrome for 60days, his condition weakness and pain was impoved through the herb and acupucture Therefore I reported it for the treatment.
소뇌출혈후 신경인성방광으로 배뇨장애를 주소로 한 환자 치험 1例
안정조,최영,조현경,임승민,김민상,오병렬,유병찬,설인찬 대전대학교 한방병원 2002 惠和醫學 Vol.11 No.1
In patients with Cerebral vascular accident, Voiding Dysfunction is very usual, but if with no improvement for a long time, it can cause many complexed-problems as urinarytract injury, infection or inflamation and patients suffering from pain, inconvenience and anxiety. In this case 58-year-old female with Voiding Dysfunction with Neurogenic Bladder after Cerebellum Hemorrhage, for 6 monts there was no interval change on symptom, We prescribed appropeiate herbal medication, and perform acupuncture and moxa. 5 days later after admission in Taejeon Oriental Hospital, The patien was able to have self-voiding and gradually improved. So we report it for the better treatment.
혈소판 응집 억제제의 효과 측정법에 대한 고찰과 지원자에서 Triflusal의 혈소판 응집 억제능 평가
이병요,장힘찬,백인환,윤휘열,권광일 충남대학교 약학대학 의약품개발연구소 2010 藥學論文集 Vol.25 No.-
The anti-platelet agent is a member of a class of pharmaceuticals that decreases platelet aggregation and inhibits thrombus formation. They are effective in the arterial circulation and widely used in primary and secondary prevention of thrombotic cerebrovascular or cardiovascular disease. As a method for estimating the effects of anti-platelet agent, platelet aggregation was conventionally measured using the optical method or the impedance method. Several alternate methods currently in development or recently developed were considered, including luminescence method, flow cytometry, laser-light scattering method, and Verify Now-P2Y12 assay. Principles, advantages, and disadvantages of the optical method, impedance method, and the other alternate platelet aggregation methods were discussed in this report. 15 human volunteers were recruited for the evaluation of the efficacy of triflusal using the optical method. After the oral administration of a single dose of 900mg, 15 subjects received eight doses administered at 24-hour intervals of 600mg triflusal. Using platelet rich-plasma from above subjects, we performed baseline platelet aggregation test induced by adenosine diphosphate(ADP), collagen, and arachidonic acid. The results of platelet aggregation test after triflusal administration were compared with the baseline study. Triflusal significantly inhibited platelet aggregation induced by ADP (33.0±21.3%) and arachidonic acid (99.1±1.2%), respectively. Therefore, we concluded that anti-platelet aggregation effect of triflusal can be studied successfully with the optical method. Each of the platelet aggregation methods has value for evaluating the effects by various mechanisms of the anti-platelet agents. The ideal method for estimating the platelet aggregation as it relates to safety and efficacy in patients treated with anti-platelet agents will need to be determined in clinical trials.
金秉燦,金學守,李相魯,鄭正佶,金元主 경북대학교 교육대학원 1973 논문집 Vol.4 No.-
1. Introduction Governmental policies should receive strong support from the general public to be effectively implemented. Therefore to find some clue as to how public policies might receive nation-wide support is very important. As the research objective was to find some factors which effect degree of policy acceptability, we interviewed 1,179 persons(633 citizens of Tae-gu city and 546 persons from rural communities in Kyung-puk Province) from July 10 to August 20, 1973, by stratified sampling. Stratifying criteria were sex, age, financial assets and educational background. X^2 was used as a tool to test the hypotheses that there may be differences in values and degree of policy acceptance among persons of different strata and that there may be differences in degree of policy acceptance among persons who have different values. 2. General Tendency Forty percent of those interviewed choose the item "None" among the choices to the following question; Question; Which one do you choose, if you can choose only one of three? Answer; 1) Money or wealth 2) Power 3) Honour 4) None Let us call the persons who choose 1) "Money-oriented" and so "Power-oriented", "Honour-oriented". More persons interviewed preferred a self-restraining life to a hedonistic life, and egoistic, to altruistic. Egoists here means the persons who choose item 1, 2, 3, and altruists, 4 and 5 in the following question; Question; For whom do you think you live? Answer; 1) My-self 2) Children 3) Ancestor 4) Community 5) Nation or country More persons believed that the moral order of a society is more important than economic affluence. Almost seventy percent of the interviewed preferred that public policies be formulated for a better future life for the people than for immediate present well-being. Economic policies including those for increasing national income and increasing export were believed to be goood and effective in their implementation. However, taxes were regarded as too heavy. This shows that people rely much on the government for economic development on the one hand, but do not recognize their responsibilities to support those governmental efforts through taxes on the other. The Sae-Ma-Ul movement received as strong support as the economic policies and city development policies received sufficient support. But educational policies such as school expenses and ethics and moral education were denounced, as were the public health policies. 3. Differences among Strata ⑴ Region: people of rural communities regarded power and honour with more value than their urban counterparts, while urban people were more money-oriented. Rural people accepted tax policies more readily than did urban people, but they denounced the public health policies and educational policies mentioned above more severely than urban people. ⑵ Sex: men were more power and honour-oriented than women. Men preferred the moral order of scociety more than women, while women preferred economic affluence more than men. Export increasing policies, public health policies and school expense policies were accepted more readily by women. However, city development policies were accepted more readily by men. ⑶ Education: the more educated persons were more honour-oriented, emphasized the moral order of society and the better future life of the people more strongly than less educated persons. All these reflect the effects of moral education. However, from non-educated persons to high school graduates, the more educated the more money and power-oriented they were, while college graduates were far less money and power-oriented than middle or high school graduates. This points out the good effects of college education and some problems of middle and high school moral and ethics education. The more educated regarded the present compulsory educational system as more effective and school expences less expensive than the less educated. However, college graduate gave less support to the new school entrance system, while they gave the highest support to the Sae-Ma-Ul movement. ⑷ Age: the older persons emphasized the moral order of society more frequently and showed more political apathy than younger persons. They also accepted the public health policies more readily than the younger people. ⑸ Assets: the richer persons were more honour-oriented and regarded school expenses as less expensive than the poor persons. 4. Correlation between Values and Policy Acceptance ⑴ Money-oriented persons(who choose Money among given items of Money, Power, Honour and None) were much more egoistic (mentioned above in General Tendency) than the honour-oriented persons. ⑵ Honour-oriented persons accepted more readily than the money-oriented persons policies for increasing national income, reestablishing law, moral order and a better atmosphere of a society and the Sae-Ma-Ul movement (three of five policies analized in detail to test our hyphotheses about correlation between people's values and the degree of policy acceptance). Altruists supported policies for increasing national income and city development policies more strongly than the egoists. Therefore we assume that honour-oriented persons or altruists accept the public policies more readily than money-oriented persons or egoists.
좌각차단을 동반한 심부전증 환자에 실시한 양심실 심박조율기 치료 : 증례 보고
김찬욱,차태준,김성만,김민대,권성일,서수홍,최병주,주승재,이재우 고신대학교 의학부 2002 高神大學校 醫學部 論文集 Vol.17 No.1
Epidemiological studies suggest that 30-50% of patients diagnosed with symptomatic congestive heart failure(CHF) have electrocardiographic evidence of a major intraventricular conduction delay, which may worsen left ventricular systolic and diastolic dysfunction through asynchronous ventricular contraction and paradoxical interventricular septal wall motion. Biventricular pacing is an emerging therapy allowing simultaneous electrical stimulation of the both ventricles with an implantable pacing system and it improves hemodynamics and well-being of patient by reducing ventricular asynchrony. Recently, we underwent biventricular DDD pacemaker implantation in a patient with CHF and Left bundle branch block and was significantly improved exercise tolerance and quality of life in that patient.
이찬원,민병윤,손성원 경남대학교 환경문제연구소 1989 환경연구 Vol.11 No.-
Over the past two decays, coastal waters of Masan Bay have been extensively used by coastal communities and industries for the disposal of various wastes. The average COD had increased from 3.9㎎/1 in 1984 to 5.7㎎/1 in 1988. Both nitrogen and phosphorous as main sources of eutrophication had rapidly increased in 1985 and maintained above 1.0㎎/1 as T-N(total nitrogen) and 0.03㎎/1 as PO₄,-P. This data shows that the Masan bay is now the most polluted bay in Korea. To monitor the water quality of Masan Bay, some chemical parameters were determined. The results indicate deficiences in dissolved oxygen(DO) content of bottom waters(depth 6-18m) of all the sites examined. Concentrations of PO₄-P in bottom waters were higher than those in surface waters of all the sampling sites. These resultes of this study reflect that sediments in all areas of Masan Bay are contaminated with organics and these pollutants are extracted into water columns. Considering the values of temperature, pH, concentration of DO, PO₄-P, and T-N(total nitrogen), the waters do not appear to be mixed both vertically and horizontally. The coastal waters in all areas of Masan Bay were also polluted with dissolved heavy metals. The concentration ranges of dissolved Zn, Mn, Cr, Cu, Pb, and Hg wpre 1.17-11.07, 0.09-0.94, 0.04-0.40, 0.03-0.13, 0.02-0.12 and 0.02-0.09 g/ repectively. The extend of current pollution is severe enough with high levels of organic chemicals. metals, nutrients and low oxygen levels(especially in water columns overlayed sediments). Fortunately, a municipal sewage treatment plant will have been built in Masan area by 1990. But the master plan only includes pretreatments such as screening and grit removal, primary treatment, sludge handling system, and chlorinating chamber. Aeration basin and secondary clarifier for secondary treatment will be accomplished by 2001. Construction of upgrading of municipal treatment plant including secondary and advanced treatment in very near future is now recommended.
박찬호,리갑수,이성수,안규동,이병국 순천향대학교 산업의학연구소 2001 순천향산업의학 Vol.7 No.1
The cumulative trauma disorder is a disease group of musculoskeletal systems developed by repeated work, which became greate concern in occupational health problem in Korea recently. Many paramedicals working in the department of Laboratory, Radiology, and Rehabilitation of the hospital have been engaged in the simple repetitive hard works causing cumulative trauma disorder. This is the study on the cumulative trauma disorder in those medical technicians. Total 285 (180 male, 105 female) medical technicians and office workers working in the hospital were surveyed with the self-administered questionnaires. They included the questions such as age, sex, marital status, education, height, weight, smoking and drinking history as a general characteristics and work department, kind of work, work duration, work conditions as a work characteristics. And also subjective symptoms related with the work in each region of body area were questioned. Among the work conditions, there were significant differences between medical technicians and office workers (e.g., high in medical technicians) in daily works lifting patients or heavy equipments, works moving continuously and rapidly, works with uncomfortable position, works keeping neck and upper arms in uneasy position. Complained rate of subjective symptoms was significantly higher in physical therapist and in the group of work duration over 10 years. The significant symptoms were pain, abnormal sensation, burning sensation. The significant factors affecting the subjective symptoms were female and work duration over 10 years for wrist area, female and current smoking for knee or ankle area, physical therapist, work duration between 6 and 9 years for lumbar area, female and radiologic technicians and work duration over 6 years for shoulder area. None was significant for neck area.