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소아 아급성 괴사성 림프절염의 조기 진단을 위한 비특이적 경부 림프절 종대와의 감별
정은진 ( Eun Jin Chung ),권영희 ( Young Hee Kwon ),장여순 ( Yeo Sun Jang ),백혜성 ( Hey Sung Baek ),장기석 ( Ki Seok Jang ),박찬금 ( Chan Kum Park ),박정선 ( Jeong Seon Park ),오재원 ( Jae Won Oh ),이하백 ( Ha Baik Lee ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2011 소아알레르기 및 호흡기학회지 Vol.21 No.4
Purpose: We conducted this research to make an earlier diagnosis and identify better treatment for Kikuchi-Fujimoto disease (KFD) by comparing clinical findings with nonspecifically enlarged cervical lymph nodes in children. Methods: Nineteen patients were diagnosed with KFD by tissue pathology from a fine needle aspiration biopsy and/or excisional biopsy and were compared with the clinical, radiological, and pathological findings of reactive hyperplasia. Results: The average onset age of onset for patients with KFD was 11.8 ± 3.61 years, and the male to female ratio was 1:1.1, whereas patients with reactive hyperplasia were 11.8 ± 5.96 years, and the male to female ratio was 1.7:1. Patients with KFD suffered more from fever than patients with reactive hyperplasia (68% vs. 13%, P=0.002). Patients with KFD showed perinodal infiltration (P=0.001) and necrosis on computed tomography, whereas patients with reactive hyperplasia did not show any of these findings. Ultrasonographic findings were similar between the two study groups. In contrast, the histopathological examinations of biopsied cervical lymph nodes were enormously helpful for distinguishing the findings of KFD from those of patients with reactive hyperplasia. Conclusion: We recommend a histopathological examination to distinguish KFD from reactive hyperplasia in children with significantly enlarged cervical lymph nodes. (Pediatr Allergy Respir Dis(Korea) 2011;21:326-333)
정은교 ( Eun Kyo Chung ),김갑배 ( Kab Bae Kim ),정광재 ( Kwang Jae Chung ),이인섭 ( In Seop Lee ),유기호 ( Ki Ho You ),박정선 ( Jung Sun Park ) 한국산업위생학회 2012 한국산업보건학회지 Vol.22 No.1
Objectives: To compare the exposure level of extremely low frequency (ELF) magnetic fields among semiconductor workers, shipyard welders and office workers. Methods: To measure the ELF magnetic field concentration, EMDEX LITE (Enertech, USA) were used and monitored for eight hours continuously. Five companies handling the electric and magnetic field (EMF) source were investigated, which the exposure groups were classified into three groups: semiconductor workers, welders, and office workers. Welder group was chosen as a high exposed group and office group as a low exposed group. Results: The arithmetic mean (± SD) and geometric mean (GSD) of personal exposure level of semiconductor workers were 0.73 (± 1.33) μT, 0.43 (2.88) μT, respectively. The ceiling value ranged between 0.18 and 123.2 μT. Welders were exposed high with the arithmetic mean value of 3.46 (± 13.46) μT and geometric mean value of 0.45 (4.70) μT, respectively, and ceiling value range of 75.5~129.6 μT. The exposure levels of office workers were low compared to other exposed groups; the arithmetic mean 0.05 (± 0.13) μT, geometric mean 0.03 (2.38) μT and ceiling value range 0.37~3.35 μT. This study revealed statistically significant differences of the mean ELF magnetic field exposure doses among three groups (p < 0.01). Conclusions: The average ELF magnetic field exposure doses of semiconductor workers were much higher than those of office workers in control group, but were lower than those of welders in high exposure group.
분노증세를 동반한 심인성 진전 환자에 대해 이완요법과 한방치료를 실시한 1례 보고
김상호 ( Sang Ho Kim ),박소정 ( So Jung Park ),변순임 ( Soon Im Byun ),김지영 ( Ji Young Kim ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),황의완 ( Wei Wao Hwang ),김지혁 ( Ji Hyouck Kim ) 대한한방신경정신과학회 2006 동의신경정신과학회지 Vol.17 No.3
Psychogenic neurological conditions account for 1% to 9% of admissions at neurological unit. They are considered manifestations of underlying psychiatry disorders such as somatoform disorders and factitious disorders or malingering. Diagnosis for psychogenic tremor is difficult because mimic tremor is occurred at the secondary of the organic disorders or coexist in a patient with tremors of organic origin. A patient in this case report was diagnosed as psychogenic tremor, and she also complained the severe anger. A patient did not improved with the chemical medication for a long time. The patient received relaxation training, herbal medication and acupuncture for 20 days and showed short-term alleviation on tremor and decreased anger problem and other somatic problems.
SRP(Stress Reduction Program)을 적용하여 호전된 공황장애 48세 남환 치험 1례
서진우 ( Jin Woo Suh ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),박소정 ( So Jung Park ) 대한한방신경정신과학회 2007 동의신경정신과학회지 Vol.18 No.3
The SRP program(stress reduction program) is reported has a good effect to patient to escape from anxiety. To reduce several symptoms due to anxiety, we performed some SRP programs to our patient who had suffered anxiety disorder.The measurement tools of patient`s improvement we used are Heart Rate Variability and State-Trait Anxiety Inventory. Through this programs, symptoms and feeling of anxiety were decreased than first time and Autonomic nerve system balance was much improved. this is caused by effort of self-control meditation, mindfullness, breathing instruction and muscle relaxation program.
장보은 ( Bo-eun Jang ),카말라술 ( Kamal Rasool ),이상희 ( Sang-hee Lee ),박주택 ( Ju-taek Park ),정선옥 ( Sun-ok Chung ) 한국농업기계학회 2020 한국농업기계학회 학술발표논문집 Vol.25 No.1
트랙터 및 농작업기계 보급 확대와 발전으로 인해 사망 사고발생이 증가하고 있으며, 농업기계 농작업 사고유형 중 전복 인한 사고가 36.8%로 큰 비율을 차지하고 있다. 또한 작업 시 트랙터의 전도 문제는 경사지의 기계화 추진뿐만 아니라 작업 안전의 관점에서도 중요하다. 본 연구에서는 트랙터 부착형 배추 수집기 주행상의 안정성을 분석하기 위한 것으로서, 동역학 분석 프로그램을 이용한 시뮬레이션 및 실제 전도시험을 통하여 시작기의 안정성을 평가하였다. 배추 수집기의 주행 안정성 분석을 위하여 동역학 분석 프로그램을 활용하여 횡전도각 시뮬레이션을 진행하였다. 무게 중심은 이론식을 통해 계산되었으며, X축 방향으로 1.32 m, Y축 방향으로 0.9 m에 위치한다. 컨베이어 각도에 따른 기체의 횡전도 분석을 위해 컨베이어의 각도가 0°, 45°, 90°인 경우 시뮬레이션을 각각 3회씩 반복하여 수행하였다. 실증시험을 위한 트랙터 부착형 배추 수집기의 전도시험 또한 컨베이어의 각도 0°, 45°, 90° 일 때 측면별 각 5회씩 반복하여 전도시험을 수행하였다. Recurdyn을 통한 측면 별 횡전도각 시뮬레이션 결과, 배추 수집기가 우측으로 기울어질 때의 횡전도각은 각각 53.49°, 53.32°, 52.59°으로 나타났으며, 좌측으로 기울어질 때 컨베이어 각도별 횡전도각은 각각 12.28°, 32.49°, 40.45°으로 나타났다. 좌측으로 배추 수집기가 기울어질 때 수집기 컨베이어의 길이로 인해 횡전도각이 12° 이상으로 기울어지기 시작하면 그라운드에 접하였다. 전도시험 결과, 배추 수집기가 우측으로 기울어질 때의 횡전도각은 각각 31.20°, 22.40°, 31.15°이었고, 좌측으로 기울어질 때의 횡전도각은 15.11°, 20.60°, 30.92°였다. 시뮬레이션 결과와 비슷하게 좌측으로 기울어질 때는 컨베이어가 바닥에 닿아 컨베이어가 완전히 펴진 상태, 즉 작업 상태에서 기울어질 때에는 지면에 충돌할 위험성이 크다고 판단된다. 횡전도 분석 결과, 컨베이어의 각도가 0°, 45°, 90°로 설정되었을 때 15.11° ~ 31.20° 범위를 가지었으며, 이는 ISO 16251-2 기준에 충족되는 것으로 판단되었다. 추후 배추의 적재, 주행 속도 등을 고려한 동적 시뮬레이션 및 실차 시험을 통해 안정성이 보장된 시작품 개발에 도움을 줄 수 있을 것이다.
한의학 정신요법 집단치료로 호전된 감별 불능 신체형장애 여환 1례
변순임 ( Soon Im Byun ),김상호 ( Sang Ho Kim ),박소정 ( So Jeong Park ),김지영 ( Ji Young Kim ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),황의완 ( Wei Wan Hwang ),김지혁 ( Ji Hyouck Kim ) 대한한방신경정신과학회 2006 동의신경정신과학회지 Vol.17 No.3
Oriental Medicine Based Psychotherapy is consisted of 8 sessions which are available for various kinds of patients(mood disorders, somatoform disorders, anxiety disorders, Hwabyung, adjustment disorders etc.). Through 8 sessions, patients were educated on the relationship of mind and body which is the basic concept of oriental medicine and also received several training such as Progressive Muscle Relaxation, Autogenic Training, Breathing Training, Meditation, Qi-training. After these several training they get to think of their problems and inner conflict with people and get some insight about themselves and others, it can help handling their problems. This case report is about the patient with lots of somatic complains through the whole body, who got better after treatment by oriental medicine based psychotherapy added on herbal medicine and acupuncture.