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전신질환이 없는 건강한 환자에서 나타난 단독 면화반 1예
박새미,조인환,박태관,온영훈 대한안과학회 2012 대한안과학회지 Vol.53 No.12
Purpose: To present a case of a single isolated cotton-wool spot in a healthy patient. Case summary: A 43-year-old woman with no systemic disease complained of sudden inferior field defect of the right eye. On fundoscopic examination of the right eye, a single soft white spot was observed in the superotemporal vascular arcade. An elevated hyper-reflective area in the inner retina corresponding to a white spot was observed on optical coherence tomography. Automated perimetry revealed an arcuate field defect which was wider than the cotton-wool spot. A complete workup for systemic diseases was within normal range except a positive rheumatoid factor. At the 2-week follow-up, the patient’s subjective symptom improved and the white spot decreased. After 6 months, the cotton-wool spot disappeared and slit-like retinal nerve fiber layer (RNFL) defects corresponding to the location of the cotton-wool spot was noticed. One year later, disc and RNFL defect were unchanged but the previous field defect disappeared. Conclusions: Isolated cotton-wool spots can occur without serious systemic diseases in healthy patients. A single isolated cotton-wool spot in the present case disappeared spontaneously leaving permanent structural damage on the retina over time.
점상출혈 및 면화반에서 비롯된 국소망막신경섬유층결손의 진행 2예
박새미,하승주 순천향대학교 순천향의학연구소 2011 Journal of Soonchunhyang Medical Science Vol.17 No.2
We report two cases of progressive localized retinal nerve fiber layer (RNFL) defect following cotton wool spots and a dot hemorrhage,63-year-old woman with RNFL defect in inferior temporal retina of the right eye and 43-year-old man with RNFL defect in superior temporal retina of the right eye. Case 1 showed a dot hemorrhage adjacent to RNFL defect in the right eye and a new slit-like localized RNFL defect in the left eye 5 months later. The visual field in the left eye demonstrated corresponding field defect 9 months later. Case 2 showed a slit-like RNFL defect starting from cotton wool spots in the right eye and corresponding visual field defect. Cotton wool spots and dot hemorrhages represented ischemic damages at the nerve fiber layer. Two noticeable cases showed the progression of RNFL defect caused by repetitive localized microvascular ischemic events, resulting in visual field loss.
박새미,이주원,이윤희,명준표,장하균,민경진,이낙우 대한산부인과학회 2023 Obstetrics & Gynecology Science Vol.66 No.1
ObjectiveTo identify factors that affect the participation of female immigrants in their 20s in the national cervical cancerscreening programs. MethodsData were obtained from the National Health Insurance Services from 2016 to 2017. A total of 17,730 women whoagreed to undergo cervical cancer screening during 2016-2017 were included in the study. ResultsOf the 17,730 women, 8,149 (46%) participated in cervical cancer screening, whereas, 9,581 (54%) did not. Logisticregression analysis of factors related to cervical cancer screening showed that the odds ratio (OR) of screening washigher in short duration of stay (OR, 1.18; 95% confidence interval [CI], 1.03-1.35), Chinese nationality (OR, 1.43; 95%CI, 1.28-1.59), unemployment (OR, 1; 95% CI, reference), participation in general health screening (OR, 4.16; 95% CI,3.24-5.33), and comorbidities (OR, 1.16; 95% CI, 1.09-1.24) when compared to the other populations. The highest ORwas associated with participation in general health screening. ConclusionAppropriate programs should be developed to increase participation of socially vulnerable groups in cervical cancerscreening. Such programs will improve awareness regarding cervical cancer screening and reduce disparities inhealthcare.
황반원공 수술 후 가스 충전안에서 파장 가변 빛간섭단층촬영 소견
박새미,조성원,이태곤 대한안과학회 2015 대한안과학회지 Vol.56 No.9
목적: 황반원공 수술 후 가스 충전안에서 파장 가변 빛간섭단층촬영을 이용하여 수술 후 초기에 황반원공의 폐쇄 여부를 확인할 수있는지 알아보고자 하였다. 대상과 방법: 특발성 황반원공으로 유리체절제술, 내경계막제거술 및 가스충전술을 시행 받은 10안을 대상으로 수술 후 1일, 2일에 파장 가변 빛간섭단층촬영을 시행하여 황반원공의 상태를 확인하였다. 수술 후 30일에도 파장 가변 빛간섭단층촬영을 시행하여 수술후 초기에 확인한 황반원공 상태의 변화 여부를 확인하였다. 결과: 10안 중 6안(60%)에서 술 후 1일 황반원공의 상태를 확인할 수 있었다. 황반원공의 상태를 확인한 6안 중 5안(83%)은 원공의 폐쇄 소견을 보였으며, 수술 후 30일에 시행한 빛간섭단층촬영에서도 폐쇄된 상태를 보였다. 나머지 4안(40%)에서는 가스-망막 경계면만 나타나 폐쇄 여부를 확인할 수 없었으며, 수술 후 30일에 시행한 빛간섭단층촬영에서 4안 중 1안(25%)은 황반원공이 열려 있었다. 결론: 파장 가변 빛간섭단층촬영을 이용하여 가스 충전안에서 수술 후 초기 황반원공의 상태를 확인할 수 있었다. 파장 가변 빛간섭단층촬영을 이용하여 초기에 황반원공의 폐쇄를 확인함으로써 수술 후 엎드리는 자세를 지속하는 기간을 줄이는 데 도움이 될 수 있을것이다. Purpose: To investigate the ability to determine the postoperative status of macular hole (MH) in gas-filled eyes using swept source optical coherence tomography (SS-OCT). Methods: Ten eyes of 10 patients who underwent vitrectomy, internal limiting membrane peeling and gas tamponade for idiopathic MH were included in this study. The macular area was examined using SS-OCT on postoperative days 1, 2 and 30. Results: MH status was assessed in 6 eyes (60%) on postoperative day 1 and MH closure was confirmed in 5 of the 6 eyes(83%). MH remained closed in all 5 eyes at 1 month after surgery. Only gas-retinal interface was obtained in 4 eyes (40%) and unclosed MH was found in 1 of the 4 eyes (25%) at 1 month after surgery. Conclusions: The MH status can be determined using SS-OCT in the early postoperative period even in gas-filled eyes. Confirming early MH closure with SS-OCT can serve as an important guide to significantly shorten the duration of prone positioning while maintaining high closure rates.
급성골수구성백혈병에서 재발의 첫 임상증상으로 나타난 시신경유두 침범의 1예
박새미,박성규,박태관,Saemi Park,Seong-Kyu Park,Tae Kwann Park 대한안과학회 2011 대한안과학회지 Vol.52 No.2
Purpose: To present a case of leukemic infiltration of the optic nerve head as the initial manifestation of leukemic relapse. Case summary: A 65-year-old woman was diagnosed with acute myeloid leukemia. Complete remission was achieved after 4 complete courses of chemotherapy. She complained of a sudden decrease in visual acuity in her left eye. Fundus examination showed severe optic disc edema with peripapillary hemorrhage and serous retinal detachment. Visual acuity and fundus continued to aggravate and high-dose intravenous steroid therapy was instituted. Visual acuity and fundus deteriorated more after treatment. Brain magnetic resonance imaging and CSF study were normal but intrathecal chemotherapy and focal irradiation were performed on account of the suspected CNS involvement of leukemia. Morphologic improvement in the retinal structure was achieved, however, optic atrophy remained and her vision did not recover. Conclusions: The present case shows the involvement of the optic nerve head as the initial isolated manifestation for the relapse in a patient with complete remission. CNS involvement is rare in acute myeloid leukemia and in particular, the optic nerve is rarely reported as the initial isolated presentation for the relapse. Moreover, the disease progression relatively aggravated after treatment. In the atypical aspects of leukemic relapse, the present case was noticeable. J Korean Ophthalmol Soc 2011;52(2):250-254
1980년 이후 목조 건축문화재 지붕부에 사용된 산자 재료의 지역별 특성 및 수리 시기별 변화
박새미,장헌덕,권양희,Park, Sae-mi,Chang, Hun-Duck,Kwon, Yang-hee 한국건축역사학회 2021 건축역사연구 Vol.30 No.3
San-ja is one of the main members consisting of the roof of traditional wooden buildings in Korea. In this study, the regional characteristics of the materials used in San-ja and changes of the materials over time were examined. To this end, 123 documents on the repair of wooden architectural heritage recorded since the 1950s were reviewed. It was found that there was a difference in the San-ja material by region because of the diversity in the conditions of material supply. For instance, bamboo was the most frequently used material in Jeollanam-do province because it was readily available. However, with the development of transportation and vehicle, the regional characteristics have disappeared. As a result, the material has been unified with bamboo now. This is because bamboo is specified as a representative material in the specification or the convenience of construction is prioritized. In addition, the social and economic conditions at the time of repair had an influence on the selection of the San-ja materials.