개에서 지알디아증의 치료 1례

신에스더,박희서,이시예,송우리,김명철,김덕환,송근호 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

A 3-month-old, 3.85kg female Jin-do dog with chief complaint of bloody diarrhea and depression was referred to the Veterinary Teaching Hospital, Chungnam National University. In fecal examination, trophozoites of giardia were observed and It was diagnosed as canine giardiasis. For treatment, metronidazole was administered orally for 5 days at a dose of 22mg/kg q12h. Diarrhea was not observed on 3 days after medication and most of clinical signs were disappeared on 7 days after medication with metronidazole. General conditions and activitivities became good on 13 days after medication. In addition, cysts or trophozoites of giardia were not detected any more in fecal examination using floating method with zinc sulphate solution. The present patient was a case of canine giardiasis that showed favorable response to metronidazole.

고양이의 만성 췌장염 치료 증례

김현아,윤기영,박정호,이왕희,송근호,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

A 5-year-old Russian blue cat was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with the history of anorexia, lethargy, weight loss(6.5 to 4.8 kg) 2 weeks ago. Abdominal ultrasonography showed the following : increase of echogenicity of liver, irregular shape of gall bladder, hyperechoic region around duodenum. Pancreatitis, cholangitis, hepatic lipidosis was diagnosed by the ultrasonography. Anti- inflammatory therapy, antibiotic therapy was administered. Abdominal ultrasonography is a efficient available diagnostic tool but serum fPL test reveals the highest sensitivity and specifity result for feline pancreatitis. SNAP fPL test is newly released that can check pancreatitis within 10 minutes by same princple of Spec fPL test used in Gastrointestinal Laboratory of Texas A & M Univerrsity.

개에서 교통사고에 의한 폐좌성 1례

송우리,이시예,신에스더,박희서,정성목,송근호,김명철 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

A 4 years old, mixed male dog with a history of traffic accident was presented to the Veterinary Medical Teaching Hospital of Chungnam National University with tachypnea and respiratory distress. Physical examination showed that the dog was auscultated crackles sounds, dysynchronous abdominal breathing pattern, hemoptysis, hematuria, urodynia and right and left scleral congestion. Blood and blood chemical examination revealed that WBC, AST and ALT was highly elevated. Parenchymal pulmonary fluid and closed pneumothorax were observed by thoracic radiography. This case was diagnosed as pulmonary contusion. Intravenous fluid and oxygen was administered and also dexamethasone(1mg/kg, Ⅳ), furosemide(2mg/kg, Ⅳ), (ampicillin, 20mg/kg, Ⅳ) and meloxicam(0.2mg/kg, PO) were intravenously injected for 5 days. Abnormal clinical signs were disappeared after treatment.

개에서 발생한 이버멕틴 중독증 1례

여동원,윤기영,박정호,이왕희,송근호,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

A 1-year old, intact male Jin-do dog with ataxia, hypersalivation and anorexia was referred to the Veterinary Medical Teaching Hospital of Chungnam National University. Ivermectin toxicosis was diagnosed by the history taking, clinical signs, physical examination and neurological examination. After therapy with intravenous fluid and lipid emulsion administration, the clinical signs were found to have significantly improved.

A Study of How Clothing Stores Response to Customer Complaints Affects Future Purchase Intension

Kun Hui Park,Choon Sup Hwang 복식문화학회 2004 The Costume Culture Association International Conf Vol.2004 No.10

Changes in Dynamic Foot Pressure After Surgical Treatment of Valgus Deformity of the Hindfoot in Cerebral Palsy :

Park, Kun Bo,Park, Hui Wan,Lee, Ki Seok,Joo, Sun Young,Kim, Hyun Woo Journal of Bone and Joint Surgery 2008 Journal of bone and joint surgery Vol.90 No.8

<P>BACKGROUND: Calcaneal lengthening osteotomy and extra-articular arthrodesis of the subtalar joint are two methods used for the correction of valgus deformity of the heel and forefoot abduction. The purpose of this study was to compare the operative results of these procedures in patients with cerebral palsy who were able to walk. We focused primarily on changes in radiographic parameters and how altered mobility of the subtalar joint by the two operative methods would modify pressure distribution over the plantar surface of the foot. METHODS: A total of eighty-one feet in forty-seven patients were included in the study. The mean age at the time of surgery was eight years and one month, and the mean follow-up period was thirty-nine months. The subjects were divided into two groups; Group I consisted of thirty-seven feet in twenty-two patients who underwent a calcaneal lengthening osteotomy, and Group II comprised forty-four feet in twenty-five patients who underwent an extra-articular subtalar arthrodesis. Preoperative and final follow-up radiographs and dynamic pedobarographs were used to evaluate the results. RESULTS: The feet in both groups were found to be similarly deformed before surgery, by radiographic measurements and dynamic foot-pressure analysis. Both operative procedures led to improved radiographic indices; however, calcaneal pitch failed to improve after the subtalar arthrodesis. After surgery, the relative vertical impulse was decreased for the hallux, first metatarsal head, and medial aspect of the midfoot in both groups, while it was increased for the lateral aspect of the midfoot and calcaneus. On the other hand, postoperatively, the relative vertical impulse of the medial aspect of the midfoot was higher and the relative vertical impulse of the first through fourth metatarsal heads was lower in the group that had subtalar arthrodesis compared with the group that had a calcaneal lengthening osteotomy and the normal control subjects. CONCLUSIONS: Extra-articular subtalar arthrodesis appears to be an effective means to achieve predictable correction of severe valgus deformity of the heel in patients with cerebral palsy who are able to walk; however, supination deformity of the forefoot remains and calcaneal equinus is not corrected. On the other hand, we believe that the calcaneal lengthening osteotomy is the treatment of choice because postoperative foot-pressure distribution more closely approximates the normal foot-pressure distribution.</P>

Proceedings Global Outlook of Fashion : Poster Presentation ; A Study of How Clothing Stores Response to Customer Complaints Affects Future Purchase Intension

( Kun Hui Park ),( Choon Sup Hwang ) 복식문화학회 2004 2004 The Costume Culture Association International Vol.0 No.-

특발성 내반슬의 원인과 수술적 치료

박희완(Hui Wan Park),주선영(Sun Young Joo),박진수(Jin Soo Park),박건보(Kun Bo Park),김현우(Hyun Woo Kim) 대한정형외과학회 2007 대한정형외과학회지 Vol.42 No.2

목적: 기능상 혹은 미용상 장애를 초래하였던 특발성 내반슬 변형 환자들을 대상으로 원인을 분석하고 이에 대한 수술적 치료법을 제시하고자 하였다. 대상 및 방법: 하지의 선열 및 염전과 관계되는 방사선학적 계측을 시행하였으며, 변형의 원인에 따른 수술적 방법과 치료 결과를 평가하였다. 결과: 각각 대퇴 전염각 증가군, 근위 경골의 내반 변형과 원위 경골의 외회전각 증가군 및 근위 경골의 내반 변형군 등 3개의 군으로 분류되었으며, 각각의 원인에 대한 회전 및 교정 절골술을 시행하여 만족할 만한 기능적, 미용적 결과를 얻었다. 결론: 특발성 내반슬에 대한 수술적 치료를 고려할 경우 실제 변형이 존재하는 해부학적 위치에 따라 단순히 근위 경골의 내반 변형에 의한 것인지 혹은 하지의 염전에 의하거나 동반된 것인지를 감별해야 하며, 이에 따른 수술적 치료가 시행되어야 만족할 만한 교정을 얻을 수 있을 것으로 사료된다. Purpose: To determine the underlying causes of idiopathic genu vara, and to evaluate the results of surgery. Materials and Methods: Radiographic measurements were made using a standing orthoro-entgenogram and a computerized axial tomography scan. Functional and cosmetic results after surgery were evaluated according to the causes. Results: The patients with idiopathic genu vara were categorized into three groups: a group associated with increased femoral anteversion, a group associated with tibia vara and increased external rotation of the tibia, and a group associated with tibia vara. Satisfactory functional and cosmetic results were obtained after corrective surgery based on actual causes. Conclusion: An accurate analysis based on the rotational and angular deformities is needed to make a surgical treatment plan for idiopathic genu vara.

소아 상완골 외과 골절의 무 정복 지연 골유합술

박건보 ( Kun Bo Park ),이승환 ( Seung Whan Lee ),김현우 ( Hyun Woo Kim ),박희완 ( Hui Wan Park ),이기석 ( Ki Seok Lee ) 대한골절학회 2008 대한골절학회지 Vol.21 No.2

목적: 골절편의 전위가 심하지 않은 소아 상완골 외과 골절의 지연, 불유합을 대상으로 정복 없이 골간단부 유합술 및 고정술을 시행한 술식의 결과를 보고하고자 한다. 대상 및 방법: 2000년 3월부터 2004년 2월까지 상완골 외과 골절 지연, 불유합으로 본원에서 수술적 치료를 시행 받은 12명의 환자를 대상으로 하였다. 수술 시 환아의 평균 연령은 6년 1개월 (1년 7개월~9년 1개월)이었으며, 골절의 평균 전위는 3.3 ㎜ (2.0~4.5 ㎜)였다. 모든 예에서 정복을 시행하지 않고 불유합 부위의 소파술 후에 유관 나사 및 K-강선을 사용하여 고정하였다. 결과: 모든 환자에서 골유합이 확인되었으며, 임상적 평가에서는 우수 7예, 양호 3예, 보통 2예의 결과를 나타내었다. 상완골 외과 부위의 무혈성 괴사나 성장판의 조기 유합 등의 합병증은 발생하지 않았다. 결론: 소아 상완골 외과 골절의 지연, 불유합의 경우 골절편의 전위 정도가 심하지 않을 시에는 골절부의 해부학적 정복술을 시행하지 않고 소파술 후에 압박력을 가하여 나사 고정을 시행하는 것이 효과적인 치료가 될 수 있다. Purpose: To evaluate the efficacy of the in situ late osteosynthesis for slightly displaced fractures of the lateral humeral condyle. Materials and Methods: From 2000 to 2004, 12 patients (8 boys and 4 girls) were managed with in situ late osteosynthesis for fractures of the lateral humeral condyle. The average age at the time of operation was 6 years 1 month (1 year 7 months~9 years 1 month), and the mean amount of fragment displacement was 3.3 ㎜(2.0~4.5 ㎜). The operative procedure included curettage and in situ fixation of the fragment. Results: Bony union was achieved in all cases after avg. 48 months (33~73 months) follow-up assessment. According to the score system of Dhillon et al, 7 patients had excellent, 3 had good, 2 had fair results. None of the patients developed avascular necrosis or premature closure of the epiphysis. Conclusion: We suggest that in situ fixation is an effective method for the late treatment of slightly displaced fracture of the lateral humeral condyle.

상완골 교합성 골수정을 이용한 소아 및 청소년의 대퇴골 간부 골절의 치료

박건보 ( Kun Bo Park ),박훈 ( Hoon Park ),김현우 ( Hyun Woo Kim ),박희완 ( Hui Wan Park ),노재영 ( Jae Young Roh ) 대한골절학회 2010 대한골절학회지 Vol.23 No.2

목적: 소아 및 청소년의 대퇴골 간부 골절에서 상완골용 교합성 골수정을 이용한 치료에 대하여 보고하고자 한다. 대상 및 방법: 10명의 환자, 11예를 대상으로 하였으며, 남자가 9명, 여자가 1명이었다. 기저 질환으로 골형성부전증이 2명, 단순 골낭종이 1명 있었으며, 우측이 7예, 좌측이 4예였다. 수상 당시 평균 연령은 12세 7개월 (8세 11개월∼15세 7개월)이었으며, 술 후 추시 기간은 평균 21개월이었다. 전례에서 상완골용 교합성 골수정을 대전자부에서 삽입하였다. 결과: 수술 후 감염이나 불유합, 하지 부동, 내고정물 파손과 같은 합병증은 발생하지 않았으며, 전례에서 골유합을 얻을 수 있었다. 근위 대퇴부의 외반 변형이나 대퇴골 두의 무혈성 괴사는 관찰되지 않았다. 결론: 소아 및 청소년의 대퇴골 골절에서 상완골용 교합성 골수정을 대전자부에서 삽입하여 고정하는 것이 효과적이고 안전한 치료가 될 수 있다. Purpose: To evaluate the results of interlocking humeral nail for femur shaft fractures through the greater trochanter in older children and adolescent. Materials and Methods: Eleven femoral shaft fractures in ten patients were selected. They were consisted of 9 boys and 1 girl. Two patients had osteogenesis imperfecta and one patient had a simple bone cyst as an underlying disease. 7 cases were right side and 4 cases were left side. The mean age at the time of operation was 12 years and 7 months (8 years 11 months∼15 years 7 months). The mean follow-up period was 21 months and interlocking humeral nail was inserted at the greater trochanter in all patients. Results: All patients had a complete bony union without any complication such as infection, nonunion, leg length discrepancy and metal failure. Avascular necrosis of femoral head and coxa valga were not developed in all patients. Conclusion: Intramedullary nailing through the greater trochanter using interlocking humeral nail is effective and safe treatment for the femoral shaft fracture in older children and adolescents.