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      • KCI등재

        유리체강 내 베바시주맙, 트리암시놀론 및 혼합약제 주입 후 장기간 안압변동 관찰

        신용운,조희윤,이윤정,성민철,Yong Woon Shin,Hee Yoon Cho,Yoon Jung Lee,Min Chul Seong 대한안과학회 2011 대한안과학회지 Vol.52 No.5

        Purpose: The present study investigates the onset and frequency of increased intraocular pressure (IOP) after injections of intravitreal Bevacizumab, Triamcinolone, and a combination of both drugs. Methods: Patients were classified into three groups: Bevacizumab group (group A), Triamcinolone group (group B), and combined drug group (group C), irrespective of the underlying causes. The IOP was measured 30 minutes prior to followed by one day, one week, one month, two months, three months, six months, and one year after injection. The measured IOP at each time point was compared with the pre-injection IOP and the differences in IOP among the three groups were statistically analyzed. The relationships between various factors possible of increasing IOP were also analyzed. Results: A total of 259 subjects were enrolled in the present study. An IOP increase of more than 5 mm Hg was observed in 25 eyes (15%) in group A, 34 eyes (40%) in group B, and 40 eyes (50%) in group C. There was no statistically significant mean IOP change after injection in group A, but in groups B and C there was an increase in mean IOP up until two and three months after injection, respectively. However, eyes in group A with a history of glaucoma showed statistically significant increases in IOP. Conclusions: The onsets and frequencies of increased IOP were different with the different drugs. Proper follow-up for increased IOP after injection is necessary based on the type of drug used. J Korean Ophthalmol Soc 2011;52(5):574-581

      • KCI등재후보

        Effects of an Intravitreal Bevacizumab Injection Combined With Panretinal Photocoagulation on High-Risk Proliferative Diabetic Retinopathy

        신용운,이윤정,이병로,조희윤 대한안과학회 2009 Korean Journal of Ophthalmology Vol.23 No.4

        Purpose: To investigate the short-term effects of panretinal photocoagulation (PRP) combined with an intravitreal injection of Avastin® (bevacizumab) as an adjuvant to high-risk proliferative diabetic retinopathy (PDR). Methods: The data was collected retrospectively from the eyes of high-risk PDR patients, which were divided into two groups. One eye was treated with only PRP (PRP only group) and the fellow eye of same patient was treated with both PRP and intravitreal bevacizumab injection (Adjuvant group). Best corrected visual acuity (BCVA), IOP (intraocular pressure), and new vessel (NV) size in fluorescein angiography were recorded immediately and at the six-week follow- up visit. Adverse events associated with intravitreal injection were investigated. Results: Of 12 patients with high-risk PDR, five were male and seven were female. There were no statistically significant BCVA or IOP changes after treatment in either group (p=0.916, 0.888). The reduction of NV size was found in both groups, but NV size in the adjuvant group showed a greater decrease than that of the PRP only group (p=0.038). Three patients had adverse events after intravitreal injection. Two patients had mild anterior uveitis and one patient had a serious complication of branched retinal artery obstruction (BRAO). Conclusions: Intravitreal bevacizumab injection with PRP resulted in marked regression of neovascularization compared with PRP alone. One serious side effect, BRAO, was noted in this study. Further studies are needed to determine the effect of repeated intravitreal bevacizumab injections and the proper number of bevacizumab injections as an adjuvant.

      • KCI등재후보

        족관절부의 만성 골수염으로 오인된 유전성 감각 및 자율신경병증 제 4형 환아(1예 보고)

        신용운,정형진,오종석,Shin, Yong-Woon,Chung, Hyung-Jin,Oh, Jong-Seok 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.2

        We experienced a case of congenital insensitivity to pain with anhidrosis mimicking a chronic osteomyelitis of the talus, with recurrent ankle swelling and intermittent fever. He was misdiagnosed as low virulence osteomyelitis at other hospital in annual recurrence for 3 years. A Charcot joint in children is a very rare condition and diagnosis should be made in a careful approach.

      • KCI등재

        어린 환자에서 내향성 조갑증에 대한 조갑홈통 부목을 이용한 치료

        신용운,배서영,안상준 대한족부족관절학회 2018 대한족부족관절학회지 Vol.22 No.3

        Purpose: Ingrown toenails are a common disease in the adolescent period and the treatments could be more conservative for this early stage of the disease. This study is a case series on the results of a gutter splint for an adolescent ingrown toe nail as a simple, comfortable treatment method. Materials and Methods: From 2011 to 2018, 22 patients (mean age, 12.2 years; range, 8∼15 years) with ingrown toenails were treated with a gutter splint. There were 16 boys and 6 girls with 7 patients on both great toes, and additional 4 both corners of a nail, giving a total of 33 splints. Flat, plastic straws and glue or suture were used to protect the nail corners under local anesthesia. The medical records were reviewed retrospectively and phone calls were made to obtain the long-term results. Results: Fifteen splints were fixed with a suture and the other 18 splints were fixed with glue. There were 9 cases of recurrence out of 33 gutter splints, 8 out of 15 sutured splints and 1 out of 18 glued splints (p=0.010). There was no gender (p=0.383) or age (p=0.305) difference in the number of recurrences. Conclusion: For growing people, ingrown nails can be cured easily by conservative treatment for a transiently shortened or broken toenail. The glued gutter splint had a reasonable success rate as a first line treatment.

      • KCI등재

        월동기 흰뺨검둥오리의 일일 서식지 이용에 관한 연구

        신용운,신만석,이한수,한승우,정상민,오홍식 한국환경생태학회 2016 한국환경생태학회지 Vol.30 No.3

        본 연구에서는 야생동물위치추적기(WT-300)을 이용하여 국내에 월동․번식하는 흰뺨검둥오리의 하루 동안 서식지 이용과 이동거리를 파악하여, 우리나라 수조류 서식지 보호․관리의 기초자료로 활용하고자 하였다. 대상지역은 경기도 안성천, 충청남도 봉선저수지, 전라북도 만경강, 동진강, 전라남도 해남군 등 5개 하천과 저수지로 흰뺨검둥오리 20개체 에 위치추적기를 부착하였다. 흰뺨검둥오리는 월동기에 내륙수를 47.3%의 비중으로 가장 많이 이용하였으며, 다음으로 논, 해양수, 내륙습지, 연안습지 등이었다. 내륙수는 시간에 관계없이 꾸준히 이용하였다. 논은 야간에 주로 이용하였고, 내륙습지, 연안습지, 해양수의 경우 주간에 주로 이용하였다. 서식지 이용률 변화는 16시와 18시, 06시와 08시에 가장 컸다. 전체 평균 이동거리는 0.75±0.27㎞/2hours이었으며, 누적 이동거리는 8.95㎞이었다. 06시에서 08시, 16시에 서 18시에 이동한 거리는 2㎞이상으로 가장 길었다. 그 외 시간에는 1㎞미만의 이동거리를 보였다. 장거리를 이동한 시간은 서식지 이용률의 변화 폭이 가장 큰 시간과 일치하였다. This study identified the habitat use pattern and migration distance of spot-billed ducks during winter that occur for breed and wintering. The study was carried out using GPS-mobile phone based Telemetry (WT-300) to provide the research results as basic data for protection and management of the habitats of water birds in Korea. The tracking devices (WT –300) were attached to a total of twenty spot-billed ducks collected from the rivers and reservoirs in Gyeonggi-do Anseongcheon, Chungcheongnam-do Seocheongun, Jeollabuk-do Mangyunggang, Dongjingang, and Jeollanam-do Haenamgun. It was found that spot-billed ducks used rivers most frequently as their habitats (47.3%), followed by rice fields, ocean, inland wetlands, and tidal flats. While spot-billed ducks used rice fields at night time and ocean, inland wetlands, and tidal flatss at day time, they used rivers regardless of time. Change rate of habitat use pattern was highest between 6:00am and 8:00am and between 16:00pm and 18:00pm. The average daily migration distance was 0.75±0.27㎞/2hours and accumulated migration distance was 8.95㎞. Spot-billed ducks covered the longest migration distance between 6:00am and 8:00am and between 16:00pm and 18:00pm; the distance they moved during the periods from 6:00am to 8:00am and from 16:00pm to 18:00pm was 2㎞ but during the rest of the time, it was less than 1㎞ for equivalent durations. The time when spot-billed ducks covered the longest migration distance also corresponds to the time when they showed the greatest change rate of habitat use pattern.

      • KCI등재

        서·남해안 연안습지의 수조류 군집특성

        신용운,한승우,이시완,황인서,박치영,SHIN, YONG-UN,HAN, SEUNG-WOO,LEE, SI-WAN,HWANG, IN SEO,PARK, CHI-YOUNG 한국해양학회 2019 바다 Vol.24 No.1

        국가해양생태계종합조사와 연안습지 기초조사를 통한 서 남해안 연안습지 10개 지역(장봉도, 무의도, 대천천하구, 서천갯벌, 유부도, 곰소만, 하의도, 증도, 도암만, 강진만)에서 서식하는 수조류의 도래현황에 대한 조사는 2008년 5월부터 2013년 3월까지 실시되었다. 관찰된 수조류 중 도요 물떼새류가 36종(37%) 193,111개체(67.1%)로 가장 우점하는 분류군이었으며, 수면성 오리류, 백로류, 갈매기류 등의 순으로 우점하였다. 우점종은 민물도요(Calidris alpina), 괭이갈매기(Larus crassirostris), 큰뒷부리도요(Limosa lapponica), 흰물떼새(Charadrius alexandrinus), 붉은어깨도요(Calidris tenuirostris)이었다. 분류군별 개체수는 도요 물떼새류가 서천갯벌과 유부도에서 가장 많이 관찰되었으며, 수면성 오리류는 도암만에서 가장 많이 관찰되었다. 잠수성 오리류는 강진만에서 가장 많이 관찰되었으며, 갈매기류는 서천갯벌에서 가장 많이 관찰되었다. 서 남해안 연안습지 10개 지역은 수조류의 유사도지수(Ro)에 의해 3개 Group으로 나뉘었다. 1 Group은 수면성 오리류와 잠수성 오리류가 우점한 지역이었으며, 2 Group은 도요 물떼새류가 우점한 지역이었다. 3 Group은 갈매기류가 우점한 지역으로 구분되었으며, 지역 간 환경에 따른 종구성에 차이가 있음을 확인할 수 있었다. The migration status of waterbirds inhabiting the 10 coastal wetlands in the south and west coasts (Jangbongdo, Muuido, Daecheoncheon estuary, Seocheon tidal flat, Yubudo, Gomso bay, Hauido, Jeungdo, Doam bay, Gangjin bay) was examined from May 2008 to March 2013. For the most dominant taxonomical group, shorebirds accounted for 37.5% of the number of species and 67.1% of the total population, followed in the order of dabbling ducks, herons, and seagulls. The dominate species were Calidris alpina, Larus crassirostris, Limosa lapponica, Charadrius alexandrinus, and Calidris tenuirostris. Shorebirds were observed most at Seocheon Tidal Flats and Yubudo Island, and dabbling ducks were found most in Doam Bay. Diving ducks were observed most at Gangjin Bay and seagulls were seen most frequently at Seocheon Tidal Flats. The ten coastal wetlands of the western and southern coasts were divided into three groups according to the similarity index of waterbirds (Ro). Group 1 was the area where dabbling ducks and diving ducks were dominant, group 2 was the area where shorebirds were dominant, and group 3 was the area where seagulls were dominant. It was evident that there were differences in species composition depending on the regional environments.

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