울증(鬱證)환자에게 용서프로그램을 활용한 오지상승요법(五志相勝療法)을 시행하여 호전된 1례

이상언 ( Sang Eon Lee ),노동진 ( Dong Jin No ),박장호 ( Jang Ho Park ),이고은 ( Go Eun Lee ),박인숙 ( In Sook Park ),류영수 ( Yeong Su Lyu ),안민섭 ( Min Seob Ahn ),정지호 ( Ji Ho Jung ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.2

Yuzheng(鬱證) comes from obstruction of qi by stress. The patient has depressed mood, irritable sign, chest discomfort, costal pain, angry state or some strange feeling on the throat. Oh-Ji-Sang-Seung(五志相勝) therapy is base on the theory of interrelation in five elements in oriental medicine. The contents of Oh-Ji-Sang-Seung(五志相勝) therapy include five subjugations of five emotions. Anxiety subjugates fear(思勝恐), fear subjugates joy(恐勝喜), joy subjugates pity(喜勝悲), pity subjugates anger(悲勝怒), and anger subjugates anxiety(怒勝思). Forgiveness program is a kind of psychological therapies to decrease the degree of anger and it is included in Oh-Ji-Sang-Seung(五志相勝) therapy. In this case, a female patient, 50 years old, who suffered from Yuzheng(鬱證) with chest discomfort, irritable sign, easily angry state, depressed mood, hot flush, insomnia. We used Oh-Ji-Sang-Seung(五志相勝) therapy besides herbal medication, acupuncture to her condition got improved. Therefore we reported it for the treatment.

파열된 대망 임신 1 예

이상언(Sang Eon Lee),김태우(Tae Woo Kim),박정근(Jung Kun Park) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.8

Abdomianl pregnancy is rare, occurring 9.2 cases per 1,000 ectopic pregnane and encountered in 1 in 10,000-25,000 births. Omental pregnancy is extremely rare form of abdominal pregnancy that may cause life-threatening massive hemorrhage in case of rupture. The clinical characteristics is variable and physical examination by itself may be insufficient for diagnosis. Early and accurate diagnosis is necessary to decrease fetal and maternal mortality and morbidity, serious complications. We report a case of ruptured early omental pregnancy with a review of literature.

백내장수술 시 절개방향과 각막후면 난시 변화의 연관성

이상언(Sang Eon Lee),신용운(Yong Un Shin),성민철(Min Chul Seong),조희윤(Hee Yoon Cho),강민호(Min Ho Kang) 대한안과학회 2017 대한안과학회지 Vol.58 No.3

목적: 투명각막절개를 통한 백내장 초음파수정체유화술에서 절개위치에 따른 수술에 의해 유발된 후면각막난시의 변화와 전체각막난시에 미치는 영향에 대해 알아보았다. 대상과 방법: 단일 술자에 의해 투명각막절개를 통해 시행된 초음파수정체유화술을 받은 환자 81명(84안)을 대상으로 연구하였다. 절개방향은 상측 혹은 이측에서 시행하였으며 자동각막굴절계 상에서 전면각막곡률이 60-120˚의 경우, 상측절개를 시행하였으며, 전면각막곡률이 0-30˚, 150-180˚의 경우, 이측절개를 시행하였다. 30-60˚, 120-150˚의 경우는 대상에서 제외하였다. 수술 전후의 자동각막굴절계와 이중샤임플러그 전안부촬영기를 이용한 각막전면, 후면 및 각막전체의 수술에 의해 유발된 난시변화(surgically induced astigmatism, SIA)를 측정하였다. 결과: 총 81명(84안) 중 이측은 61안, 상측은 23안이며 자동각막굴절값(autorefractive keratometry, ARK)과 이중샤임플러그 전안부촬영기의 각막전면(simulated keratometry, Sm K), 후면(posterior keratometry, PK) 및 각막전체(total corneal power, TCP)의 모든 항목에서 이측보다 상측절개에서 SIA가 더 큰 값을 나타냈다(p<0.05). ARK의 수술 전후 난시변화는 이측절개에서는 유의한 차이는 없었으나 상측절개 시 유의하게 감소하였다(p<0.05). PK는 절개방향과 관계없이 수술 전후의 양 및 축 방향에서는 유의한 차이가 없었다. 이측절개와 상측절개 시 모두 수술 후 TCP는 수술 전 ARK, Sm K와 유의한 상관관계가 있었지만, 수술 전 PK는 수술 후 TCP에 영향을 미치지 않았다. 전체군에서는 수술 전 PK가 0.5D 이상일 경우, 후면각막의 SIA를 제외하고 모든 항목에서 SIA가 수술 전 PK가 0.5D 미만일 경우보다 유의하게 큰 값을 보였다. 이측절개 시에는 수술 전 PK가 0.5D 이상일 경우, 수술 후 SIA는 모든 항목에서 유의한 차이는 보이지 않았지만, 상측절개의 경우, 수술 전 PK가 0.5D 이상일 경우, ARK의 SIA는 유의하게 큰 값을 보였다. 결론: 절개방향에 관계없이 각막후면의 SIA는 유의미한 변화가 없으므로 수술 후 각막전체의 난시를 예측할 때 각막전면의 SIA를 고려해서 수술 후 각막전면의 난시값을 예측하고 수술 전 각막후면의 난시값을 합산하는 것으로 수술 후 전체난시를 예측하는 것이 의미있을 것으로 생각된다. Purpose: To determine if there is a difference in surgically induced astigmatism (SIA) of the posterior corneal surface between superior and temporal incision and its effect on total corneal power in patients who underwent clear corneal incision cataract surgery. Methods: A retrospective study of 81 patients (84 eyes) who underwent clear corneal incision phacoemulsification by one surgeon. Patients were divided into two groups according to the steep axis: the temporal and superior groups. Anterior, posterior and total corneal SIA (simulated keratometry [Sm K], posterior keratometry [PK] and total corneal power [TCP] respectively) were measured using autorefractive keratometry (ARK) and dual Scheimpflug imaging before and after surgery. Results: There were 61 eyes with temporal incision and 23 eyes with superior incision. The mean SIA was larger in the superior incision group than in the temporal incision group according to ARK, Sm K, PK and TCP (p < 0.05). There were no significant cylindrical changes in ARK in the temporal incision group, however, there was a significant decrease in the superior incision group before and after the operation (p < 0.05). Change in the amount and axis of PK before and after operation were not significantly different, for both incision groups. There was a significant correlation between post-operative TCP and both pre-operative ARK and Sm K for both groups. However, there was no correlation between post-operative TCP and pre-operative PK. In all patients, when pre-operative PK was more than 0.5 D, SIA-ARK, SIA-Sm K and SIA-TCP were all significantly larger than when pre-operative PK was less than 0.5 D, whereas SIA-PK was not. When pre-operative PK was more than 0.5 D, there were no significant differences in SIA-ARK, SIA-Sm K, SIA-PK or SIA-TCP in the temporal incision group. However, SIA-ARK was significantly larger in the superior incision group. Conclusions: There was no significant cylindrical change in PK before and after operation in both the temporal and superior incision groups. Therefore, when predicting post-operative TCP, it might be meaningful to consider SIA-ARK and SIA-Sm K.

공력탄성학적 효과를 고려한 전산 유동장 해석을 통한 교량 거더의 플러터 계수 산정

이상언(Lee Sang-Eon),정운용(Jeong Un-Yong),권순덕(Kwon Soon-Duck) 대한토목학회 2004 대한토목학회 학술대회 Vol.2004 No.10

교량단면에 대한 전산유동장해석과 풍동실험의 비교

이상언(lee sang eon),이일근(lee ill keun),안상섭(ahn sang sup) 대한토목학회 2004 대한토목학회 학술대회 Vol.2004 No.10

흔적 자궁각 임신 1 예와 그 임상적 고찰

이상언(Sang Eon Lee),권순철(Soon Chul Kwon),김태우(Tae Woo Kim),하윤식(Yoon Sik Ha),강승철(Seung Chul Kang),원석(Seok Won),박정근(Jeung Keun Park) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8

The pregnancy on the rudimentary uterine horn is uncommon condition, its incidence is reported nearly as 1 case per 100,000 normal pregnancy. We experienced a case of noncommunicating uterine horn pregnancy at 10-gestational week. Here we present the case with brief review of literatures.

발덴스트룀 거대글로불린혈증 환자에게서 발생한 동시다발성 양안 중심망막정맥폐쇄 1예

이상언(Sang Eon Lee),신용운(Yong Un Shin),임한웅(Han Woong Lim),성민철(Min Chul Seong),조희윤(Hee Yoon Cho),강민호(Min Ho Kang) 대한안과학회 2016 대한안과학회지 Vol.57 No.6

목적: 발덴스트룀 거대글로불린혈증 환자에서 발생한 동시다발성 양안 중심망막정폐쇄 1예를 경험하여 보고하고자 한다. 증례요약: 65세 남자 환자가 약 6개월 전부터 발생한 양안 시력저하를 주소로 내원하였다. 당시 최대교정시력 우안 0.02 좌안 0.06으로 측정되었으며 안저소견은 양안의 광범위한 망막출혈, 정맥울혈, 황반부종 소견을 보였다. 6개월 전 재발성 비출혈, 양안 중심망막 정맥폐쇄로 타원에서 진료를 보았으며 이에 대해 타원에서 우안 유리체강내 덱사메타손 이식제 투여 및 베바시주맙 주입술을 시행받았으며 혈액검사에서 빈혈, 고단백질혈증 등의 소견이 보여 본원 혈액종양내과로 입원하여 정밀검사를 시행하였다. 골수생검상 대부분이 림프형질세포성 림프구로 차지한 발덴스트룀 거대글로불린혈증소견을 보였고, 이에 대해 항암요법을 시행 받았다. 항암치료를 시작한 1년 후 최대교정시력 우안 0.15 좌안 0.6으로 측정되었으며 안저소견상 양안의 정맥울혈 및 황반부종은 감소하였다. 결론: 당뇨, 고혈압 등의 전신질환이 없는 성인에서 양측의 중심망막정맥폐쇄가 동시에 발생한 경우, 발덴스트룀 거대글로불린혈증과 같은 혈장점도에 따른 변화를 의심하고 이에 관한 전신적인 검사를 하는 것이 필요하며 원인질환에 대한 내과적 치료가 시력예후에 도움이 될 것이다. <대한안과학회지 2016;57(6):1012-1017> Purpose: The authors report a case of bilateral simultaneous central retinal vein occlusion caused by Waldenstrom’s macroglobulinemia. Case summary: A 65-year-old man presented to our department complaining of decreased visual acuity for the duration of about 6 months. On his initial visit, best-corrected visual acuity was 0.02 in the right eye and 0.06 in the left eye. Based on the findings of a funduscopic examination, the patient had bilateral diffuse retinal hemorrhages, dilated tortuous veins, and macular edema. He had experienced recurrent spontaneous epistaxis 6 months previously and had undergone treatments such as intravitreal bevacizumab injection and intravitreal dexamethasone implantation at another hospital. Laboratory tests at that hospital showed anemia and hyperproteinemia, for which he was referred to our hemato-oncology department. Bone marrow biopsy was consistent with Waldenstrom’s macroglobulinemia/lymphoplasmacytoid lymphoma, and he was treated with systemic chemotherapy. One year after the systemic chemotherapy, his best-corrected visual acuity was 0.15 in the right eye and 0.6 in the left eye. Funduscopy showed decreased bilateral retinal hemorrhages and macular edema. Conclusions: When simultaneous bilateral central retinal vein occlusion occurs in a patient with no other underlying disease such as hypertension or diabetes, it might be a sign of serum hyperviscosity, and there should be a very high level of suspicion for presence or progression of systemic disease. If such a disease is properly and timely diagnosed, effective early systemic evaluation and therapy can be administered, and it is important to have initial general treatment as well as ophthalmic treatment. J Korean Ophthalmol Soc 2016;57(6):1012-1017

MCP 분석을 이용한 해상풍력발전단지의 장기풍속 추정

이상언(Yi, Sang Eon),박진호(Park, Jin Ho),정용태(Jeong, Yong Tea),이경훈(Lee, Kyung Hoon) 대한토목학회 2012 대한토목학회 학술대회 Vol.2012 No.10

해상풍력발전단지의 배치에 따른 년간 에너지생산량추정

이상언(Yi, Sang Eon),박진호(Park, Jin Ho),정용태(Jeong, Yong Tea),이경훈(Lee, Kyung Hoon) 대한토목학회 2012 대한토목학회 학술대회 Vol.2012 No.10

정신병리를 가진 청소년의 등교거부 사례보고

허은정 ( Eun Jung Heo ),이상언 ( Sang Eon Lee ),류희영 ( Heui Yeong Lyu ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.4

Objectives: School refusal is usually considered as individual`s behavioral problem. These days, however, the adolescents` school refusal needs some kind of medical approaches because it is related to mental disorder of the adolescents. Due to too much pressure and stress from the competition between classmates and from good performance in school, the number of adolescents who refuse to go to school is increasing. Despite this circumstance, school refusal is neither regarded as a single independent disorder nor endorsed as an officially classified disease, which makes difficult to conduct research on this issue and to establish standardized treatment for it. In addition, there is a lack of research on this topic, especially in oriental medicine, so there is no a case report or study on school refusal. This study is trying to comment on school refusal from the perspective of oriental medicine. Methods: We tried to examine the effect of oriental medicine treatment for school refusal with four adolescent cases. The patients commonly have at least more than one mental disorder (including depression disorder, anxiety disorder, and anorexia nervosa), have some problem with the relationship with their family, in particular with mother, do not have father or not be loved by their father, and have irregular eating habits. Thus, we diagnosed them as qi transforming into fire(氣鬱化火,) spleen-stomach deficiency cold(脾胃虛寒,) and heart blood deficiency(心血虛) due to stress from the family issues and unhealthy eating habits. The patients received supportive therapy, family therapy, etc among many oriental mental treatments and their progress had been observed through hospitalization and outpatient treatment. Results: All four cases were reported positive progress on their symptoms and started coming back to school. We also examined whether they were well fitting into the school while they received outpatient treatment, and the results show that all four patients continue to settle down in normal school life. Conclusions: This study closely reviewed the mental disorder of school refusal cases and showed that the Oriental medical treatment was effective in helping the patients come back to school. More future research is required to better treatment for school refusal cases in oriental medicine.