균혈증, 안내염 및 전립선농양이 합병된 Klebsiella pneumoniae 간농양 1예

황석재,나학열,서환조 대한감염학회 1998 감염 Vol.30 No.6

저자들은 평소에 건강했던 72세 남자 환자에서 균혈증, 안내염 및 전림선농양이 합병된 Klebsiella pneumoniae 간농양 1예를 경험하였기에 문헌 고찰과 함께 이를 보고하는 바이다. Metastatic infections were rare complications of Klebsiella pneumoniae lever abscess and bacterremia. However, over the past 15 years, they have become prevalent infectious complications in diabetic patients in Taiwan. A 72-year old man was admitted to Kyung-Hee University Hospital with fever, chill, dysuria, and frequency. On rectal examination the prostate gland was tender. Abdominal sonogram showed liver abscess. On hospital day 3, orbital pain, eyelid edema, conjunctival chemosis, hypopyon, and absence of light perception were noted in the right eye. K. pneumoniae was isolated from blood culture. The antimicrobial susceptibility test showed susceptibility to all antibiotics, except ampicillin. He was treated with ceftrizxone and astromicin intravenously for 3 weeks and follow un-transrectal sonogram revealed formation of prostatic abcess. We report a case of K. pneumoniae liver abscess complicated with bacteremia, endophthalmitis, and prostatic abscess.

소음인(少陰人) 곽란(藿亂) 병증(病證)에 대한 고찰(考察)("동무유고(東武遺稿)", "동의수세보원(東醫壽世保元)" 초본권(草本卷), 갑오본(甲午本), 신축본(辛丑本)을 중심으로)

석재화,함통일,황민우,고병희,송일병,이수경,Soek, Jae-Hwa,Ham, Tong-Il,Hwang, Min-Woo,Koh, Byung-Hee,Song, Il-Byung,Lee, Soo-Kyung 사상체질의학회 2005 사상체질의학회지 Vol.17 No.2

1. Objectives This study is to find changes of Dongmu Lee Je-Ma's conception about Soeumin Gwakran(곽란(藿亂)) Disease through comparing with his writings such as ${\ulcorner}$DongMuYooGo${\lrcorner}$, ${\ulcorner}$, ${\ulcorner}$SooSe Bowon Sasang chobon guen${\lrcorner}$, ${\ulcorner}$SooSe Bowon Gabobon${\lrcorner}$ and ${\ulcorner}$SooSe Bowon Sinchucbon${\lrcorner}$. 2. Methods We compared conceptions, symptom, mechanism and treatment of Soeumin Gwakran(곽란(藿亂)) Disease in ${\ulcorner}$DongMuYooGo${\lrcorner}$, ${\ulcorner}$SooSe Bowon Sasang Chobonguen${\lrcorner}$, ${\ulcorner}$SooSe Bowon Gabobon${\lrcorner}$ and ${\ulcorner}$SooSe Bowon Sinchucbon${\lrcorner}$ 3. Results and Conclusions (1) In ${\ulcorner}$DongMuYooGo${\lrcorner}$ and ${\ulcorner}$SooSe Bowon Sasang Chobonguen${\lrcorner}$, Dongmu Lee Je-Ma?s conception about soeumin Gwakran(곽란(藿亂)) Disease is yet based on previous traditional medicine based on ${\ulcorner}$DongEuiBoGam${\lrcorner}$ (2) In ${\ulcorner}$SooSe Bowon Gabobon${\lrcorner}$, Seupgwakran(습곽란(濕藿亂)) is described within the catego of Taeum syndrome(태음병(太陰病)), and Geongwakran(건곽란(乾藿亂)) is described within the catergory of Soeum syndrome(소음병(少陰炳)). But conception about Soeurnin Gwakran(곽란(藿亂)) Disease is not yet definitely settled. (3) In ${\ulcorner}$SooSe Bowon Sinchucbon${\lrcorner}$, Geongwakran(건곽란(乾藿亂)) is described within a severe case of Taeum syndrome(태음병(太陰病)) ? Dongmu Lee Je-Ma? s conception about Soeurnin Gwakran(곽란(藿亂)) Disease is changed.

Heoclipped Dieulafoy`s Lesion in Giant Duodenal Diverticulum Mimicking a Polyp: A Case Report

진석재,김호동,김도현,박창국,황유정 대한내과학회 2015 대한내과학회 추계학술대회 Vol.2015 No.1

Duodenal diverticula are commonly observed in thegeneral population. Although they are usually asymptomatic, complications (inflammation, bezoar, bleeding, perforation) occasionally develop. Massive bleeding should be diagnosed and treated promptly. A 75-year-old man presented with melena. Endoscopy showed fresh blood clots filled the giant diverticulum at the second portion of the duodenum. We removed the fresh blood clots and repeatedly washed with water, and a nonpulsatile but continuous flow of blood on a polypoid lesion like a peanut was seen with no visible ulcer. Endoscopic hemoclipping was performed successfully without complications after the removal of a polypoid lesion. Finally, we considered the lesion was Dieulafoy’s lesion. Dieulafoy’s lesion as a cause of bleeding is quite rare in the duodenal diverticulum. We report here a case of a bleeding Dieulafoy’s lesion mimicking a polyp in the duodenal giant diverticulum treated by endoscopic hemoclipping after the removal of it.

자발적으로 소실된 특발성 후복막 혈종 1예

황유정 ( Yu Jeong Hwang ),진석재 ( Suk Je Jin ),정용진 ( Yong Jin Jeong ),명형준 ( Hyung Joon Myung ),신혜영 ( Hae Young Shin ),김호동 ( Ho Dong Kim ),주영은 ( Young Eun Joo ) 대한소화기학회 2021 대한소화기학회지 Vol.78 No.5

A 54-year-old man was transferred from another hospital due to a hematoma in the third portion of the duodenum on abdomen CT. He had been admitted for 2 weeks due to vomiting at another hospital. He had abdominal discomfort and nausea without abdominal pain when he visited the Gwangyang Sarang Hospital. Other than a distended abdomen and mild general abdominal tenderness, the results of physical examination were unremarkable. Abdominal CT revealed an approximately 9 cm thick walled hematoma at the anteroinferior site of the duodenal third portion. Upper endoscopy revealed stenosis of the third portion of the duodenum without mucosal lesions. The endoscope was not advanced through the narrowed duodenal lumen. A retroperitoneal hematoma was diagnosed, and his state was classified as subacute rather than acute based on the duration. The surgeon did not recommend surgical treatment. Urgent treatment was unnecessary; he was managed conservatively. The size of the hematoma decreased from 9.0 cm to 5.8 cm on the following CT. He could begin to eat food on the 26th admission day, and he was discharged on the 31st admission day. The hematoma disappeared entirely on the following CT. This paper describes a rare case of idiopathic retroperitoneal hematoma with a spontaneous resolution. (Korean J Gastroenterol 2021;78:295-299)

악심(惡心) 구토(嘔吐)를 주소(主訴)로 하는 소양인(少陽人) 표병증(表病證) 환자(患者)의 치험(治驗) 일례(一例)

석재화,황민우,최경주,이갑수,고병희,송일병,이수경,Seok, Jae-Hwa,Hwang, Min-Woo,Choi, Kyung-Ju,Lee, Kab-Soo,Koh, Byung-Hee,Song, Il-Byung,Lee, Soo-Kyung 사상체질의학회 2005 사상체질의학회지 Vol.17 No.3

1. Objectives This case is to report that a Soyangin patient with nausea and vomiting treated by Soyangin's Constitutional medications 2. Methods This patient was treated by several Constitutional medications and acupuncture treatment according to the result of Sasang Constitutional diagnosis with western management. We used Visual analogue scale(VAS) for the assessment of nausea and vomiting. 3. Results and Conclusions This patient's chief complants were nausea and vomiting. So he was treated by Soyangin's Constitutional medications(especially Hyeongbangpaedok-san, Dojeokganggi-tang and Hyeongbangsabaek-san) and showed a positive response about his symptom. But then we consider that studies about that case like this are more needed.

온톨로지 기반의 서비스 상호운용을 위한 협업 시스템

황치곤,문석재,정계동,최영근,Hwang, Chi-Gon,Moon, Seok-Jae,Jung, Kye-Dong,Choi, Young-Keun 한국정보통신학회 2013 한국정보통신학회논문지 Vol.17 No.1

기업의 업무 환경 변화에 따른 정보 시스템 간의 협업 개발은 기존 업무 서비스의 중복 및 유지보수 비용의 증가라는 문제가 발생한다. 이에 따라 웹 서비스는 동일한 비즈니스 도메인 내 서비스의 중복을 방지하고 이미 활용 중인 서비스를 위한 분산 컴퓨팅의 표준으로 제안되었으나, 웹 서비스가 필요로 하는 데이터가 규격화되어 있지 않기 때문에 사용자는 다양한 비즈니스 목적에 부합하는 서비스를 찾기 어렵다. 따라서 본 논문에서는 서비스 운용을 위한 온톨로지를 기반으로 한 협업 시스템을 구축한다. 온톨로지는 협업 처리를 위한 분산 시스템 환경 하에서 상호 의존적으로 존재하는 서비스를 찾아 융합 서비스를 지원할 수 있다. 협업 시스템의 역할은 온톨로지를 기반으로 서비스의 개발, 등록 및 호출하는데 사용 한다. 로컬 시스템은 서비스 프로파일을 통해 협업 지원을 요청한다. 협업 시스템은 해당 서비스 프로파일을 참조하여 개발을 지원하고, 온톨로지를 통해 실 데이터 간의 의미적 연관관계를 표현하며, 서비스에 포함된 인스턴스들에 대한 관계를 추론한다. 이를 바탕으로 여행 예약 서비스를 위한 협업 시스템에 적용한다. 그 결과로 협업 시스템에서 발생하는 데이터 충돌 문제를 해결하여 서비스를 효율적으로 관리할 수 있으며, 시스템 간의 매핑이 감소됨을 검증한다. The development of collaboration among information systems in accordance with changes in enterprises' business environment brings about the problems of duplication of the existing business services and increase in costs of maintenance. Accordingly, Web service has been suggested as the standard of distributed computing to prevent the duplication of services within the same business domain and to attain the services that are already being utilized. But since the data needed for Web services are not standardized, it is difficult for the users to find services that meet diverse business purposes. In this paper, we construct an ontology-based collaboration system for service interoperability. The ontology can support fusion service by finding services which are existed interdependently under the distributed environment for collaboration processing. The role of the collaborative system includes development, registration and call of services based on ontology. A local systems request collaboration support through the service profile. Collaborative system supports the development of service using the service profiles, represents the semantic association between real data through system ontology, and infers relationship between instances contained in the services. Based on this, we applied the travel booking services for collaboration system. As a result, service can be managed effectively preventing collision in collaborative system, and we verify that the mapping between system is reduced.

온톨로지 기반의 멀티미디어 콘텐츠 검색 시스템

황치곤,문석재,이대성,윤창표,Hwang, Chi-Gon,Moon, Seok-Jae,Lee, Daesung,Yoon, Chang-Pyo 한국정보통신학회 2013 한국정보통신학회논문지 Vol.17 No.6

최근 멀티미디어 기술과 네트워크의 발전으로 멀티미디어 콘텐츠의 생성은 빠르게 늘어가고 있다. 그러나 이를 찾고 활용하는 기술은 부족하다. 이러한 문제를 보완하고 해결하기 위해 멀티미디어 콘텐츠를 위한 표준안들이 많이 있으나 멀티미디어 데이터 형식과 상호운용성을 표현하기에는 부족하다. 본 논문에서는 멀티미디어 콘텐츠를 상호 운용할 수 있도록 하는 온톨로지 기반의 콘텐츠 검색 시스템을 제시한다. 온톨로지는 MPEG-7의 MDS(Multimedia Description Scheme)와 같은 스키마 구조에 온톨로지 구축을 위한 규칙을 제시하여 구성한다. 이러한 온톨로지를 바탕으로 멀티미디어 데이터가 가지고 있는 연관성을 확장하여 의미론적 검색 시스템을 구축한다. With the development of multimedia and network technology, the production of multimedia contents is rapidly increasing. Meanwhile, the technology to search and use the contents is still insufficient. There are standards for multimedia contents to address the problem, but they cannot fully support diverse multimedia data types or ensure their interoperability. In this paper, an ontology-based content search system is proposed to ensure the interoperability of multimedia contents. The ontology is configured by presenting the rules for it using the schema structure of the multimedia description scheme (MDS) of MPEG-7. Based on this ontology, This paper extend multimedia relationship based on ontology, thus established the semantic retrieval system.

사상체질진단 두면부 분석프로그램의 Upgrade 연구 : 성별.연령별 특징

석재화,윤종현,이준희,황민우,조용진,고병희,이의주,송일병,Seok, Jae-Hwa,Yoon, Jong-Hyun,Lee, Jun-Hee,Hwang, Min-Woo,Cho, Yong-Jin,Kho, Byung-Hee,Lee, Eui-Ju,Song, Il-Byung 사상체질의학회 2007 사상체질의학회지 Vol.19 No.3

1. Objectives Facial features are the important personal characteristics. As a study of all the standardization research about the morphology of face and head, this study was carried out to find the differences according to sex, age. 2. Methods We have collected 1140 cases of patients of the Sasang constitutional Department of Kyung-Hee Medical Center and Kangnam Kyung-Hee Oriental Hospital. we took pictures their frontal view, lateral view of face and measured height, breaths and projected length of face with Face Features Measurement Program(FFMP) and analyzed shape differences of face according to sex, age. 3. Results We got the morphologic characteristics of face according to sex, age. And we will upgrade the Sasangin Classification System by this Morphologic study of Head and Face. 4. Conclusions 1) The morphologic characteristics of face according to sex (1) A man's head is longer and wider than a woman's in most measurement. (2) A woman's eye is bigger in height than man's. (3) A woman's face is looked full-filled than man's. (4) A man's polion is higher than pupil but a woman's polion is lower than pupil. 2) The morphologic characteristics of face according to age (1) Young age's forehead is longer and higher than old age's. (2) Young age's eyebrow is wider than old age's (3) Young age's eye is bigger in height than old age's (4) Old age's nose is longer, wider and lower than young age's (5) Old age's ear is longer than young age's (6) Old age's bigonial breath is wider than young age's (7) Old age's low face is extinguished than you age's

서울시내 일부 종합병원에서 K. pneumoniae로 분리동정된 인돌 양성균주에 대한 조사 연구

맹석재,리도현,황선철 한림대학교의료원 1981 人間科學 Vol.5 No.6

자가면역성 뇌척수염 흰쥐의 활성화된 신경아교세포에서 증가된 osteopontin의 발현

박석재,황인선,김규범,신태균,지영흔,Park, Suk-jae,Hwang, In-sun,Kim, Gyu-beom,Shin, Tae-kyun,Jee, Young-heun 대한수의학회 2006 大韓獸醫學會誌 Vol.46 No.3

Experimental autoimmune encephalomyelitis (EAE) is a disease model of multiple sclerosis (MS) that is characterized by remittance and relapse of the disease and autoimmune and demyelinating lesions in the central nervous system (CNS). Autoimmune inflammation is maintained by secretion of a large number of protein. Previous studies have suggested that transcripts encoding osteopontin (OPN) are frequently detected in the mRNA population of MS plaques. To elucidate the functional role of OPN in initiation and development of EAE, we examined the expression and localization of OPN in the spinal cord during acute EAE. We demonstrated that OPN significantly increased at the early stage of EAE and slightly declined thereafter by western blot analysis. An immunohistochemical study revealed that OPN was constitutively expressed in some glial cells (microglia, astrocytes) of white matter and neurons in the CNS of control rats. OPN expression was shown to be increased in the same cells at the early and peak stage of EAE. To identity cells expressing OPN by double-immunofluorescence labeling, we labeled rat spinal cord sections for OPN with a monoclonal OPN antibody and with mAbs for astrocyte (GFAP), microglia/macrophage (OX42)-specific markers. The major cell types of OPN-expressing cells were activated astrocytes and microglia in the adjacent inflammatory lesions. Interestingly, OPN was mainly expressed in the end feet of astrocytes around vascular cell adhesion molecule-1 (VCAM-1) expressing endothelial cells of CNS blood vessel. These findings suggest that increased levels of OPN in activated glial cell may play an important role in the recruitment of inflammatory cells into the CNS parenchyma during EAE.