천주 차단 (Tienchu block)을 이용한 후두통치료

정창우,민진혜 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

The occipital neuralgia starts with dull pain or stiffness of the posterior neck and occipital headache. When advanced, occipital neuralgia, eye general muscle and pain, contraction headache follow. It is frequently seen in pain clinic practice, either as an independent pbenomenon cause by fatigue or as the reffered symptom of other diseases. Tienchu is accupoint B-10 on the bladder meridian. It is situated at the depression adjacent to the upper lateral border of the trapezius muscle. The Tienchu syndrome is a myofasial condition of the posterior neck region with a trigger point. Therefore, a Tienchu block with local anesthetic is a most effective therapeutic method for many patients who complain of posterior headache or posterior neck pain.

십이지장에서 발생한 간양 선암종 : 1예보고 a case report

구자홍,임현철,김진영 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

The hepatoid adenocarcinoma is a rare extrahepatic primary neoplasm showing similar histopathologic features of primary hepatocellular carcinnoma and usually produce a large amount of alpha-fetoprotein hepatic type. There ate several pathologic and radiologic reports of adenocarinoma of stomach, lung, pancreas, gallbladder, bile duct, ampulla of Vater, renal pelvis arid urinary bladder. Authors report a case of biopsy-proven hepatoid adrnocarcinoma of the duodenum.

A case of herpes zoster that has occurred without chicken pox history in normal early childhood

Cho, Moon Kyun,Lee, Hyun Hee 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

대상 포신은 주로 성인에서 발생되며, 소아에서는 드물게 발생하는 질환이다. 대상포진의 병변은 군집성 발진이 특징적으로 밴드형태의 분포를 보이며 하나 혹은 그이상의 신경절을 침범하는 질환이다. 원인균은 허피스 바이러스군에 속하는 varicella-zoster바이러스(VZV)이다. 발생기전은 수두를 하는 동안 varicella-virus가 피하신경에 들어가 있다가 varicella-virus가 재활성화 되어 발생된다고 하나 그 이유 아직까지 명확하게 알려지지 않지 있다. 재활성화 시키는 요소는 피로, 연령, 면역 억제제, 림프종, 백혈병 등이 관계된다. 소아기에서 대상포진을 면역상태가 좋지 않은 소아, 자궁내 감염이 있었던 경우, 생후 수두를 앓은 경우 발생한다. 정상 소아의 경우 유아기에 후천적으로 varicella-zoster-virus에 감염되면 대상포진의 발생시기가 단축되며, 된 환아의 경우도 후천적으로 수두백신을 생후 13개월에 접종하였고 그후 13 개월 후 발생된 것으로 보인다. 저자들은 수두의 병력 없이 백신접종 후 발생된 것으로 보이는 대상포진을 경험하였기에 보고하는 바이다.

심근경색증의 급성기에 시행한 경피적 관동맥 스텐트 삽입술의 효과

이남호 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

최근 들어 여러 연구보고에서 심근경색증의 급성기에 스텐트 삽입술을 시행하여 풍선확장술만을 시행한 경우에 비해 시술 후 6개월 내의 주요 심장합병증 및 재협착율이 현저하게 감소됨이 보고된바있다. 본 연구에서는 1992년 9일 1일터 1991년 10월 10일까지 세브란스병원 심장내과에 내원하여 심근경색증의 급성기에 경피적 관동맥성형술을 시행받은 38명의 환자들을 대상으로 하여 풍선확장술만 시행한 군과 스텐트를 시술한 군으로 나누어 관동맥조영술 소견 및 임상적 경과 등을 전향적으로 분석하였다. 분석결과 비록 적은 대상환자수로 인하여 통계적 유의성은 관찰되지 않았으나 스텐트 시술군에서 풍선확장군에 비해 관동맥 재협착율이 훨씬 낮은 것을 알수 있었으며 병원내 생존에 유일하게 의미 있는 지표는 경색원인 관동맥의 재관류 여부였다. 따라서 최근의 여러 연결결과 및 본 연구의 결과를 고려할 때 향후 심경색증의 급성기에 스텐트 삽입술이 매우 중요한 치료로서 자리잡을 것으로 사료된다. Primary balloon angioplasty in acute myocardial infarction has been shown to result in lower rates of mortality, recurrent MI, and stroke compared with thrombolysis. However, recurrent ischemia and early reocclusion of the infarct-related vessel occur in 10-15% of patients and late restenosis in the first 6 months remains high. Recently two prospective randomized trials comparing stenting with balloon angioplasty in acute stage of myocardial infarction showed that balloon angioplasty followed electively by coronary stents can be used as the primary modality for acute myocardial infarction, reducing in-hospital adverse events, and improving late outcome compared with balloon angioplasty alone. In this study, we retrospectively reviewed the angiographic findings and clinical outcomes of 38 percents with primary angioplasty in acute myocardial infarction, Although there was no statistical significance due to small study population, restenosis rate in the stent group was lower than in the balloon angioplasty group(18% versus 50%). This study demonstrates that primary stenting in acute stage of myocardial infarction can be applied safely and effectively, resulting in a lower rate of restenosis compared with balloon angioplasty.

간기능 평가에 있어서 개인용 컴퓨터를 이용한 간체적의 산정

김경식 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

Measurements of the whole liver volume have used for the assessment of preoperative functional reserve in cirrhotic patients. The equipment of personal computer and peripherals have been developed and widely used. We easily calculated pure liver volume excluding tumor volume using program on personal computer and investigated the relationship between pure liver volume the conventional parameters such as Child-Pugh score and IGG R15. The whole liver volume were 1634.3±764.4cm, volume of tumor were 322.7±97.0㎤ and the pure liver volume excluding tumor volume were 1311.7±402.5㎤. The comparison true liver volume with above mentioned two indexes were as follows: (1) The true liver volume were 1389.1±565.6㎤ in patients with Child-Pugh points 5 and 1243.8±196.6㎤ in patients with a value of IGG R15 less than 10% and 1501.8±571.3㎤ in patients with a value of IGG R15 above 10%, respectively. Although there were limitations for using the pure liver volume as index of liver reserve function the measurement for liver volume with this method is simple and accurate and further studies and more cases would be needed.

한국인의 구순 선호경향에 관한 조사

김희석 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

Study on the beauty sense for face is important for the planning of aesthetic and reconstructive surgery. The purpose of this study is to justify the concept of preferred of disliked lip among the Korean adult female and male. The selected photographs of Korean adult females(21 frontal view and 28 lateral view) were classified lip seven types by measured heights of upper and lower vermilion, and classified as preferred of disliked lip according to the evaluation of 600 adult Korean. The following results were obtained, 1. Most preferred lip of Korean adult female were distinct lip line and standard of upper and lower vermilion height(type 1. standard type) 2. Most disliked lip of Korean adult female were revealed as type 7(upper thick type) by Korean adult male and type 3(both thin type) by Korean adult female. 3. We think it is valuable to take into consideration of this concept of beauty sense for lip when we make a preoperative plan for lip aesthetic and reconstructive surgery.

스트레스 대처행동에 관한 연구 : 간호학생의 무력감 경험 및 정서적지지와 관련하여

최미경 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

This study was designed to investigate the content of stress coping behavior and to examine factors, determining stress coping behavior for nursing students(n= 1.19) in relation to socidemographic variable, the experience of powerlessness, emotional support. Data analysis procedure included factor analysis and stepwise multivariate regressions using stress coping behavior as dependent variables. Analysis showed; 1. As a whole, nursing students showed a tendency of lack in positive stress roping behavior. 2. Contents of stress coping behavior showed that high grade student had more tendency to take stress coping behavior positively than 1ow grade students. 3. Multiple regression analysis revealed that the factors such as grade and religion were to be independently and significantly associated with stress coping behavior: Students who were in high grade and had no religion were tend to take stress coping behavior positively. 4. The experience of powerlessness and emotional support did, inspite of stereotype, poorly impact on stress coping behavior. We tan guess the effect of education indirectively from these findings, but longitudinal studies need to consider the direct effect of education. The results also indicate that the respondents should be on encouraged to take stress coping behavior positively.

복강내 고환에서 발생한 Anaplastic Seminoma 1례

심희영,구자홍,김현정 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

The cryptorchism is a congenital disorder in which a testicle is arrested at some point in its normal descent anywhere. The end of surgical correction by the 2-year-old is to restore the fertility and decrease the malignant chance. The cancer is 35 - 48 times more common in a misplaced testis than in the normally descended organ. Do most authors recommend the orthiectomy as a treatment of the cryptorchism after puberty because of a malignant chance. We experienced the malignant tumor developed in abdominal testis with the radical orchiectomy and radiothererapy. We report a case of anaplastic seminoma in 35 year old male a brief review of the literature.

심한 무지 외반증의 제1 중족지간 관절고정술

최경진 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1

We reviewed the result of the arthodesis of the first metatarsophalangeal joint severe hallux valgus patients. From Feb. 1994 to March 1997, 34 patients were operated on. There were 29 women and 5 men. Their age ranged from 45 to 72 years. The follow-up averaged 21 months. The arthrodesis of the first metatarsophalangeal joint resulted in a significant long-term improvement with respect to pain, the ability to stand and walking shoe wear. Before surgery, the average hallux valgus angle was 43.5˚. The postoperatively hallux calgus fusion angle was an average 8.7˚. Before surgery, the average intermetatarsal angle was 21.5˚. The postoperatively intermetatarsal angle was an average 6.7˚. After surgery, an average dorsiflexion angle was 12.2˚. The arthtodesis of the first metatarsophalangeal joint was a very effective treatment on severe hallux valgus.

Cisplatin 내성 난소암 세포주의 클론에서 DNA M ismatch Repair 유전자의 변이와 Taxol,Topotecan의 민감도

손우석,김흥기 關東大學校醫科大學醫科學硏究所 1998 關東醫大學術誌 Vol.2 No.1