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        난치성 백반증에 대한 흡입물집을 이용한 비배양 표피세포이식술 20례

        배정민 ( Jung Min Bae ),정한미 ( Han Mi Jung ),이한나 ( Han Na Lee ),이로우 ( Ro Woo Lee ),은성혜 ( Sung Hye Eun ),권혁선 ( Hyuck Sun Kwon ),이지혜 ( Ji Hae Lee ),김경문 ( Gyong Moon Kim ) 대한피부과학회 2018 대한피부과학회지 Vol.56 No.7

        Background: As nonsurgical interventions for vitiligo are not always successful, various surgical modalities have been used in patients with refractory vitiligo. Of these, non-cultured epidermal suspension transplantation (NCES) was recently introduced to treat large recipient sites using cells from small donor tissue. Objective: We assessed the effectiveness and safety of NCES as a surgical treatment for patients with refractory vitiligo. Methods: We retrospectively reviewed 20 cases in 17 patients (11 females; median age 25 years) who underwent NCES from July 2015 through March 2018. Suction blisters (20 mm in diameter) were collected from the patient’s inner thigh at a donor-to-recipient area ratio of 1:5. After the addition of 5 mL recombinant trypsin solution to the suction blisters, followed by incubation at 37°C for 60 min, epidermal cells were manually scraped off the blister surface, and epidermal cell suspension was obtained by centrifugation at 1,500 RPM for 5 min. The suspension was applied to the vitiligo regions after epidermal ablation of those regions. Phototherapy resumed 1 month later. Treatment success was defined as ≥75% repigmentation of the surgical site, and all adverse events were noted. Results: Overall, 85.0% of cases (17/20) exhibited treatment success. Adverse events included hyperpigmentation (20%) and surgical site infection (5%), but the treatment was tolerable in all cases. Conclusion: NCES is a reliable surgical option for patients with vitiligo refractory to nonsurgical treatment. Large areas of vitiligo can be treated by NCES, and use of this technique should be encouraged in Korea. (Korean J Dermatol 2018;56(7):426∼432)

      • 「어린이찾아주기 종합센터」업무 평가

        권혁선 한국복지재단 1989 동광 Vol.86 No.-

        The program of missing children has become a social concern in Korea. Newspapers have reported frequently the problem of missing children. Parents of the missing children themselves organized group trying to find their missing children by visiting nation's child caring institutions. The government has thus worked out a basic plan to encounter this problem, and committed Korea children's Foundation to do the child finding program as of May 1, 1986. Thus the child finding efforts of this society came to have an official channel into Korea Children's Foundation Center for the Missing Children. For the past three years from May 1, 1986 up to April 30, 1989, a total of 43,624 children's cards has sent from child welfare institutions in the nation. 2,938 parents or relatives of the missing children came to this center to look for their missing children through reviewing the cards. 1,170 people came to this center to report missing of their children. As of April 30, 1989, 727 missing children have been reunited with their parents. In this center we are keeping children's cards sent from child welfare institutions in 15 cities and provinces. Those cards are grouped by project and by year. Computer is well utilized for the child finding process. All names of the missing children are input into the computer, and it got easy for us to identify the missing children. Children who are on the list to be adopted overseas must be checked by this center which is aimed at prohibiting the adoption of the missing a certificate of confirming public relations work for child child finding process is very much important. We utilize television, radio, newspaper, magazine, posters, cigarette packs, soft drink packs for our public relations work. As to the reason for occurrence of the missing children, we found children are missing because of their parents' carelessness, children's mental weekend, parents abandoning their children, children of divorced parents, etc. For the preventation measures, we urge the parents to be careful to their children when outgoing, or to put name card on their children's breast with address and telephone numbers. When missing children occur, all the community people should take immedicate measures to help the parents find their missing children effectively. Social education is also needed to let the people know the importance of preventing children from missing. When the missing children can not be returned to their families, they should be cared at the institutions for their lives. Prompt report should be made to police box or to temporary child protection center when their children become missing. The number of the missing children is on the decrease due to joint efforts of all people concerned, but there are still many missing children. Cooperative efforts by government, voluntary agencies, and general public are highly needed. The function of this center is very much important.

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