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      • KCI등재

        원추각막 교정을 위해 시행한 각막링 삽입술 후 발생한 진균성 각막염 1예

        김시범,장무환,Si Bum Kim,Moo Hwan Chang 대한안과학회 2012 대한안과학회지 Vol.53 No.6

        Purpose: To report a case of fungal keratitis 3 days after intracorneal ring segment (ICRS) implantation for keratoconus. Case summary: A 65-year-old woman was referred to our clinic with refractory infectious keratitis in her left eye 3 days after ICRS insertion for keratoconus. Slit lamp examinations revealed infiltrates around the incision site with cellular reaction in the anterior chamber after the ICRS had been removed. Corneal scrapings were obtained for staining and cultures, and intensive topical antibiotics were administered. Initial microscopy and cultures were negative. Despite the use of intensive topical antibiotics, there was no improvement. Hyphae were isolated from additional corneal scrapings. The patient’s symptoms and corneal findings improved following administration of topical amphotericin B and oral itraconazole. Conclusions: Infectious keratitis after ICRS implantation is an uncommon but sight-threatening complication. Fungal keratitis should also be considered if infectious keratitis after ICRS is unresponsive to antibiotics. J Korean Ophthalmol Soc 2012;53(6):866-871

      • 축열수조의 성능에 관한 실험적 연구

        김시범,김효경,Kim, Si-Peom,Kim, Hyo-Kyung 대한설비공학회 1982 설비저널 Vol.11 No.2

        An experimental study on the storage tank which uses sensible heat of water is done. The influence of inlet flow rate (Re), the difference between initial temperature and inlet water temperature(Gr) and the location of inlet and outlet on the performance of storage tank is studied. Development of stratification is examined by measuring the transient temperatures of 36 points inside the tank. Measured values are transformed to the dimensionless parameters in order to calculate the temperature efficiency of storage tank. In the presence of combined natural and forced convection, the development of stratification becomes clearer and thus the efficiency becomes higher, as $Gr/Re^2$ increases.

      • KCI등재

        전신홍반루프스의 첫 발현 증상으로 발생한 양안의 심한 혈관폐쇄성 망막병증 환자 1예

        김시범,조우형,장무환,Si Bum Kim,Woo Hyung Cho,Moo Hwan Chang 대한안과학회 2013 대한안과학회지 Vol.54 No.3

        Purpose: To report a case of severe vaso-occlusive retinopathy with significant decrease of bilateral visual acuity as the first manifestation associated with systemic lupus erythematosus (SLE). Case summary: A 23-year-old man was referred to our clinic with bilateral visual impairment of hand motion (HH). Fundus examination revealed severe retinal hemorrhage, cotton-wool patch, occlusive retinal vasculitis with vascular engorgement, and diffuse retinal edema in both eyes. Because of a malar rash on both cheeks, generalized edema was observed on initial examination with hypertension, azotemia, anemia, and thrombocytopenia, The patient was diagnosed with SLE, strongly positive to antinuclear antibody (ANA), and received an intravitreal injection of Bevacizumab (Avastin, Genentech Inc., San Francisco, CA, USA) in the left eye in addition to hemodialysis, transfusion, systemic corticosteroid and immunosuppressant treatment due to lupus nephritis. Eighteen months later, the retinal edema, cotton-wool patch and hemorrhage resolved, leaving epiretinal membrane without traction in his left eye and diffuse degeneration of the right eye. Final visual acuity was HM in the right eye and 20/100 in the left eye. Conclusions: Vaso-occlusive retinopathy in SLE can result in permanent visual impairment. In a patient with a high possibility of SLE retinopathy, a periodic fundus examination and intensive management of systemic disease should be considered.

      • KCI등재

        비천공성 안외상의 통계적 고찰

        김시범,조경진,조우형,경성은,장무환,Si Bum Kim,Kyong Jin Cho,Woo Hyung Cho,Sung Eun Kyung,Moo Hwan Chang 대한안과학회 2013 대한안과학회지 Vol.54 No.6

        Purpose: To investigate the clinical and social characteristics of non-penetrating ocular injuries and use the results for treatment and prevention. Methods: A retrospective survey was performed on 468 eyes of 421 patients, who visited our clinic due to non-penetrating ocular injuries from January 2010 to December 2010. The incidence of ocular injuries, sex, age, monthly and seasonal distribution, side, cause, influence of alcohol, and change in visual acuity were reviewed statistically. Results: The incidence of non-penetrating ocular injuries was 4.9%. The incidence was more common in males (82.9%), in the 3rd decade of life (23.5%) and in summer (30.8%). Minor injuries (36.1%) were the most common caused by scratches, finger pricks, nails, or small foreign bodies. The second common cause was violence (16.4%), followed by traffic accidents (14.7%). The injuries related to alcohol represented 12.6% of all cases. When considering initial diagnoses, periorbital contusion and corneal abrasion were the most common. The initial visual acuity was less than 20/200 in 9.4% of the eyes and the final acuity after a 6-months of treatment was less than 20/200 in 3.0% of the eyes. Conclusions: This survey gathered the clinical and social characteristics as well as new insights into non-penetrating ocular injuries which can be used for treatment and prevention.

      • '2021 터키이스탄불 포장전시회' 참관기

        김시범,Kim, Si-Beom (사)한국포장협회 2021 包裝界 Vol.344 No.-

        (사)한국포장협회(회장 임경호)가 '2021 터키 이스탄불 포장전시회(Eurasia Packaging Istanbul)'에 참가해 한국관을 운영했다. 10월 20일부터 23일까지 터키 이스탄불 Tuyap Istanbul Fair Convention and Congress Center에서 열린 이번 전시회에는 포장제품, 포장재료, 포장산업을 위한 서비스, 포장디자인서비스, 종이 및 판지 포장 관련 제품 및 기술, 컨버팅기술, 포장기계 및 장비, 포장 재활용기술, 물류서비스 등이 소개됐다. 한국포장협회는 7개사, 7개 부스 규모로 한국관을 마련해 우리나라의 우수한 포장 기술 및 포장재를 유럽시장에 선보였다. 이번 전시회의 한국관 구성에 참여한 (주)서일의 김시범 과장이 '2021 터키 이스탄불 포장전시회(Eurasia Packaging Istanbul)'의 참관기를 작성해주었다. 참관기를 통해 생생한 현장의 소리를 전할 수 있는 기회를 김 과장에게 지면을 빌어 감사의 인사를 전한다.

      • KCI등재

        비동맥성 앞허혈시신경병증과 시신경염 감별을 위한 형광안저혈관조영술의 유용성

        김시범,경성은,Si Bum Kim,MD,Sung Eun Kyung,MD,PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.8

        Purpose: To compare the fluorescein angiographic findings of nonarteritic anterior ischemic optic neuropathy (NA-AION) and optic neuritis. Methods: The present study included 41 patients (41 eyes), who were diagnosed with NA-AION or optic neuritis and underwent fluorescein angiography in our clinic. The clinical profiles of patients, characteristics of optic disc head and hemorrhage, and visual field findings were analyzed retrospectively. The onset and filling time, perfusion time of retinal artery, optic disc, and peripapillary choroid were evaluated quantitatively. Results: Patients with NA-AION showed statistically significant delay in both the onset time, filling time and perfusion time of the optic disc and peripapillary choroid compared with patients with optic neuritis (p < 0.05). There was no significant difference in the dye leakage of the peripapillary areas between the 2 groups (p = 0.324). Conclusions: In the present study, the results of fluorescein filling were significantly different between the NA-AION group and the optic neuritis group. The results may help determine the therapeutic plan and to differentiate between the 2 disease entities, especially in cases of overlapping clinical features. J Korean Ophthalmol Soc 2012;53(8):1143-1149

      • NB브레이스공법을 이용한 기존 건축물 내진보강기술

        김시범 ( Kim Si-beom ) 한국구조물진단유지관리공학회 2021 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.25 No.1

        기존 건축물에 있어 설계지진하중에 대해 강도와 강성을 향상시키기 위해 다양한 보강공법들이 제시·적용되고 있다. 일반 보강공법 적용시 강성보강에 따르는 기초보강 및 공사 전반적인 어려움에 대한 해결방안중 하나로 특허공법인 NB브레이스 공법에 대한 특·장점, 기존구조물의 설치방법과 종류를 소개하고, 실제 사례를 통해 일반공법과 NB브레이스공법의 보강결과를 비교 검토하기로 한다.

      • NB브레이스공법을 이용한 기존 건축물 내진보강기술

        김시범 ( Kim Si-beom ) 한국구조물진단유지관리공학회 2021 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.25 No.1

        기존 건축물에 있어 설계지진하중에 대해 강도와 강성을 향상시키기 위해 다양한 보강공법들이 제시·적용되고 있다. 일반 보강공법 적용시 강성보강에 따르는 기초보강 및 공사 전반적인 어려움에 대한 해결방안중 하나로 특허공법인 NB브레이스 공법에 대한 특·장점, 기존구조물의 설치방법과 종류를 소개하고, 실제 사례를 통해 일반공법과 NB브레이스공법의 보강결과를 비교 검토하기로 한다.

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