시각이력해석과 응답스펙트럼해석의 응답오차비교 : 3차원 구조물의 외부응답을 중심으로

조영리,최형철,김정미,김재웅 대한건축학회 1999 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.19 No.2

In dynamic analysis of structures subjected to earthquake excitations, methods of Time History Analysis(THA) and Response Spectrum Analysis(RSA) are commonly used. The RSA based on combination of modal maxima is a practical method when compared to THA based on calculation of structural response as a function of time. However RSA can cause significant errors with unproper modal combination method or inappropriate spectrum, and so on. Therefore, various studies are carried out in order to improve RSA method. The purpose of this study is to compare response errors in THA and RSA with respect to external response including displacement, base shear and overturning moment in three-dimensional structure.

재발성 시신경염과 포도막염, 망막혈관염을 동반한 마이엘린 희소돌기세포당단백질항체 연관 질환 1예

조영리,안성현,조남천,이행진 대한안과학회 2024 대한안과학회지 Vol.65 No.1

목적: 마이엘린 희소돌기세포당단백질항체 연관 질환(myelin oligodendrocyte glycoprotein antibody disease, MOGAD) 환자에서 반복되는 시신경염에 포도막염이 동반되어 보고하고자 한다. 증례요약: 16세 여자가 왼눈 결막충혈, 눈부심, 두통을 주소로 내원하였다. 최대교정시력은 두 눈 1.2였고, 왼눈 상대구심동공운동장애가 있었다. 왼눈에 전방 내 세포, 시신경유두부종, 망막하액이 있었고 안와 magnetic resonance imaging에서 왼눈 시신경 원위부가조영증강되었다. 스테로이드 치료에 호전되었으나 9개월간 3번 재발하였다. 두 번째 재발 때 시력이 광각 있음까지 저하되었으나스테로이드에 잘 반응하였다. 세 번째 재발 시 본원에 첫 방문하였고 스테로이드 치료로 호전되었다. 하지만 치료 18개월 뒤 시신경염, 포도막염과 함께 황반부종이 있어 경구 스테로이드와 점안액을 유지하였다. 항MOG 항체 양성이었으며 세 번째 재발하고 2년 후인마지막 내원 시 왼눈 시력이 1.2, 시기능도 양호하게 유지되었다. 결론: MOGAD는 자주 재발하며 눈의 여러 구조를 침범해 다양한 임상 양상을 나타낼 수 있다. 이에 시신경염 환자가 전방, 망막혈관등 다른 눈구조에 염증이 동반될 경우 MOGAD 가능성을 고려해야 겠다. Purpose: To report a case of recurrent optic neuritis with uveitis in a patient with myelin oligodendrocyte glycoprotein (MOG)- associated disease. Case summary: A 16-year-old female presented with left eye hyperemia, glare, and headache. The best corrected visual acuity was 1.2 in both eyes with a left relative afferent pupillary defect. Cells in the anterior chamber, optic disc edema, and subretinal fluid were present, and the distal optic nerve was enhanced on orbital magnetic resonance imaging. Although it improved with steroid treatment, it recurred 3 times in 9 months. At the second recurrence, her visual acuity was reduced to light perception, but she responded well to steroids. During the third recurrence, she visited our hospital for the first time and improved with steroid treatment. However, 18 months after treatment, optic neuritis, uveitis, and macular edema occurred, so oral steroids and eye drops were maintained. Serum anti-MOG antibody came out positive, and at the last visit, visual acuity of 1.2 in the left eye and visual function were maintained well. Conclusions: MOG antibody disease (MOGAD) frequently recurs and invades various structures of the eye and various clinical manifestations have been reported. Therefore, if optic neuritis is accompanied by inflammation of the anterior chamber and retinal vessels, the possibility of MOGAD should be considered.

비디오 영상을 이용한 녹내장 환자의 안약 점안 실태 분석

조영리,이태은 대한안과학회 2023 대한안과학회지 Vol.64 No.1

Purpose: To analyze eye drop instillation by glaucoma patients using video-recording. Methods: Glaucoma patients who had applied eye drops to both eyes for more than 1 month were enrolled. Patients who did not self-instill eye drops, those with best-corrected visual acuities of 0.01 or less, and patients requiring glaucoma surgery, were excluded. The patients were requested to instill their eye drops as usual, and this was video-recorded. Patients completed questionnaires exploring their usual instillation methods and the videos were viewed. The correctness of instillation (10 steps) was evaluated. We used the survey and imaging data to explore whether each step was performed correctly, and whether the patients were conscious of their instillation behaviors. We explored whether the survey responses and the video data were consistent. Results: Fifty-four patients were enrolled. Of the 10 steps, washing hands before instillation (9.3%), blocking the tear duct (9.3%), gently shaking the bottle (11.1%), and wiping away excessive eye drops with tissue (11.1%) were the steps that were most commonly poorly performed (as revealed by the videos). The mismatches between the survey and actual performances were greatest in the following order: Wiping away excessive eye drops with tissue (66.7%), delivering a single drop accurately into the eye (59.3%), and closing the eye to allow of absorption (57.4%). Conclusions: Great proportion of glaucoma patients instill eye drops incorrectly revealed by video recording. Careful education on how to instill eye drops is required. It may be difficult to detect problems regarding eye drop instillation only by asking questions. 목적: 비디오 영상을 이용해 녹내장 환자들의 안약 점안 실태를 분석하고자 한다. 대상과 방법: 1개월 이상 양안에 안약을 점안한 녹내장 환자를 대상으로 하였으며, 스스로 점안하지 않거나, 최대교정시력 0.01 이하이거나, 수술이 필요한 환자는 제외되었다. 사용 중인 안약을 평소처럼 점안하도록 하고 비디오로 촬영하였다. 이후 평소 점안 방법에대한 설문지를 작성하도록 하고 기록된 영상으로 환자의 점안 양상을 평가하였다. 열 개 항목에 대해 설문 조사 및 영상 평가를 시행하였다. 설문조사와 영상 평가를 통해 각 항목을 바르게 수행하는지 여부로 점안 실태를 분석하였고, 설문 조사와 영상 평가의 일치여부로 환자가 자신의 점안 행태에 대해 얼마나 잘 인식하고 있는지 분석하였다. 결과: 54명의 환자가 연구에 참여하였다. 비디오 평가에서 열 개 항목 중 점안 전 손 씻기(9.3%), 점안 후 눈물점 누르기(9.3%), 안약병가볍게 흔들기(11.1%), 흐르는 안약 티슈로 닦기(11.1%) 항목에서 정확하게 수행하는 환자의 비율이 가장 낮았다. 설문 조사와 비디오평가 사이의 불일치율은 흐르는 안약 티슈로 닦기(66.7%), 안약 한 방울 정확히 눈에 넣기(59.3%), 눈 감고 흡수되기를 기다리기(57.4%) 순서대로 가장 크게 나타났다. 결론: 많은 수의 녹내장 환자가 부정확한 방법으로 안약을 점안하고 있으며, 이 결과는 녹내장 환자의 안약 처방 시 점안 방법에 대한자세한 교육의 필요성을 보여준다. 또한 환자가 제대로 점안하는지 의심될 때 단순히 질문만으로는 정확한 실태를 파악하는 데 어려울 수 있음을 시사한다.

복합감염으로 오인되어 치료 실패한 다제내성 아시네토박터 바우마니 각막염 1예

조영리,안 민,조남천,유인천 대한안과학회 2024 대한안과학회지 Vol.65 No.3

Purpose: To report treatment failure of multidrug-resistant Acinetobacter baumannii keratitis in a patient wearing contact lenses for a long time. Case summary: A 48-year-old man using daytime soft lenses for 20 years was transferred due to decreased visual acuity and eye pain. Slit-lamp biomicroscopy showed a large corneal epithelial defect and stromal infiltration, but no hypopyon. Treatment was initiated with moxifloxacin, polyhexamethylene biguanide eye drops, and oral antibiotics. Corneal infiltration worsened, corneal scrapings and culture were performed. Gram staining showed Gram-positive bacteria, potassium hydroxide (KOH) hyphae- positive, and culture yielded Bacillus. He was hospitalized and vancomycin, voriconazole, and amphotericin B eye drops were administered. Oral antifungal agents were also prescribed. The corneal epithelial defect was restored from temporal side for a while, and then deteriorated with an endothelial plaque. Therefore, voriconazole and amphotericin B were injected intracamerally. All four repeated culture tests were negative. Despite total conjunctival flap, the patient complained of severe pain and eventually underwent evisceration. In the culture of intraocular contents, Acinetobacter baumannii, which is resistant to all drugs except minocycline, was detected. Conclusions: In patients wearing contact lens for a long time, not only mixed infection with acanthamoeba and fungi, but also gram-negative bacteria should be considered first, and multidrug-resistant Acinetobacter baumannii should also be considered. 목적: 장기간 콘택트렌즈를 착용한 환자에서 발생한 다제내성 아시네토박터 바우마니 각막염 증례를 보고하고자 한다. 증례요약: 20여년간 주간착용 소프트렌즈를 사용한 48세 남자가 시력저하와 안통으로 전원되었다. 세극등현미경상 큰 각막상피결손, 원형 기질침윤을 보였으나 전방축농은 없었다. 목시플록사신, polyhexamethylene biguanide 점안, 경구 항생제로 치료를 시작하였다. 각막침윤이 심해져 재시행한 각막찰과에서 그람양성균, 수산화칼륨도말 균사 양성, 바실러스균이 배양되었다. 입원하여 반코마이신, 보리코나졸, 암포테리신B를 추가하고 경구 항진균제를 사용하였다. 각막상피결손이 회복되다가 증가하고 각막내피반도 생기는등 악화되어 전방 내 보리코나졸, 암포테리신B를 주사하였다. 네 차례 배양검사에서 모두 음성이었다. 전체결막판피복술을 하였으나통증이 심해져 결국 안구내용제거술을 받았다. 안구내용물 배양에서 미노사이클린을 제외한 모든 약제에 내성을 보이는 아시네토박터 바우마니가 검출되었다. 결론: 장기간 콘택트렌즈를 착용한 환자에서 가시아메바, 진균의 복합감염뿐만 아니라 그람음성균을 먼저 고려해야 하고 다제내성아시네토박터 바우마니도 염두에 둬야 한다.

난소에 발생한 원발성 이행세포상피암 2예

조영리 ( Young Ri Cho ),이창재 ( Chang Jae Lee ),김소희 ( So Hee Kim ),김진희 ( Jin Hee Kim ),송준백 ( Jun Baek Song ),김동자 ( Dong Ja Kim ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.12

Primary ovarian transitional cell carcinoma (TCC) is extremely rare tumor and recently it has been recognized as one of histologic subtype of ovarian epithelial carcinomas. Primary ovarian TCC has been classified as a different subtype from malignant Bren

공중의 연령과 정치 성향이 코로나19 위험 인식, 위험 정보의 탐색 처리, 정부의 재난 대응 평가에 미치는 영향 : RISP 모델의 적용

조영리(Young-Lee Cho),김수연(Soo-Yeon Kim) 한국언론학회 2021 한국언론학보 Vol.65 No.4

This study investigates existing social and political conflicts based on generational gaps in understanding the domestic spread of COVID-19. It attempts to examine the effects of public’s age, political orientation, and COVID-19 risk perceptions on their attitudes towards COVID-19 risk communication information seeking and processing, as well as their evaluation of the government’s response to COVID-19 by applying the RISP model. The survey was conducted in November 2020 with 107 respondents categorized as young (in their 20s), 107 categorized as middle-aged (in their 40s), and 111 categorized as elderly (in their 60s) using panel data from a research firm in Korea. Respondents age affected their risk perceptions negatively. It meant that respondents in their 20s showed significantly higher COVID-19 risk perceptions than did respondents in their 60s. Nevertheless, there were no significant differences among the various age groups in terms of their political orientation, COVID-19 risk communication information seeking and processing, or evaluation of the government’s response to COVID-19. This indicates that Korean publics seek and process COVID-19 risk communication information actively and evaluate the government’s response to COVID-19 somewhat positively regardless of age. While respondents political orientation did not significantly affect COVID-19 risk perceptions, it affected their evaluation of governments response to COVID-19. Those who were ‘progressive’ in political orientation were more likely to support the government’s response to COVID-19 positively. The COVID-19 risk perceptions of respondents significantly affected their information seeking and systematic processing positively, while it impacted their heuristic processing negatively. Respondents risk perceptions did not show any significant relationships with information avoidance. It meant that high risk and unprecedented changes in daily life due to the COVID-19 hardly made publics avoid COVID-19 information. While respondents systematic processing significantly had a positive relationship with their evaluation of governments response to COVID-19, their information seeking did not show any significant relationships with their evaluation of governments response to COVID-19. Respondents risk perceptions indirectly affected their evaluation of governments response to COVID-19 positively through information seeking and processing. Particularly, the results of this study emphasized the significance of high-risk perceptions of young publics in their 20s, and risk communication for them should be well-planned and targeted to alleviate their high-risk perceptions. This study is meaningful in that it attempted to apply RISP model to understand how publics age and political orientation affect COVID-19 risk perceptions, information seeking and processing, and their evaluation of governments response to COVID-19.

가속도귀환방식의 능동지반분리계에 의한 내진효과

박중석,조영리,김정미,김재웅 대한건축학회 1998 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.18 No.2

포스타 : 일반부인과 ; 좌골직장와에 발생한 공격성 혈관점액종

김항진,양영민,안광준,김태상,조영리 대한산부인과학회 2002 대한산부인과학회 학술대회 Vol.88 No.-

좌골직장와에 발생한 공격성 혈관점액종

양영민 ( Yang Yeong Min ),조영리 ( Jo Yeong Li ),안광준 ( An Gwang Jun ),김항진 ( Kim Hang Jin ),김익수 ( Kim Ig Su ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.8

Aggressive angiomyxoma is a rare soft tissue tumor associated with high risk of local recurrence but lacks metastatic potential. This tumor arise from soft tissue of the perineum or lower pelvis, and affect predominantly yonug women. Aggressive angiomyxom

재생 불량성 빈혈과 동반된 연속 임신

김준홍 ( Joon Hong Kim ),양영민 ( Young Min Yang ),조영리 ( Young Lee Cho ),안광준 ( Kwang Jun Ahn ),김태상 ( Tae Sang Kim ),김익수 ( Ik Su Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.1

Aplastic anemia in pregnancy is an extremely rare condition with high maternal morbidity and mortality rates. Prognosis is poorer when aplastic anemia is complicated during pregnancy and many such patients have an unsuccessful pregnancy outcome. The relat