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금동윤 ( Dong Yoon Keum ),박남희 ( Nam Hee Park ),이기태 ( Kee Tae Lee ) 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.1
We report here on an uncommon case of mediastinitis that occurred after entral venous catheterization. A patient with colon and jejunal cancer complained high fever, right shoulder pain, chest pain, and limited motion of the affected shoulder just 6 days
금동윤 ( Dong Yoon Keum ),박창권 ( Chang Kwon Park ),박경식 ( Kyung Sik Park ) 대한소화기학회 2005 대한소화기학회지 Vol.45 No.3
Background/Aims: Spontaneous esophageal rupture is a life-threatening injury because of delay in diagnosis and rapid progression to septic condition. But acceptable standard treatment strategy has not been established yet. This may be due to its low incid
노동섭,박창권,금동윤,김재범,Noh, Dong-Sub,Park, Chang-Kwon,Keum, Dong-Yoon,Kim, Jae-Bum 대한기관식도과학회 2009 大韓氣管食道科學會誌 Vol.15 No.1
Background: Benign tumors of the esophagus are rare. They include leiomyomas, gastrointestinal stromal tumors, neurofibromas and lipomas. In this study we present our experience with enucleation of these 13 tumors for 10 years. Material and Method: A retrospective review of patients who underwent enucleation of benign esophageal tumors between 1995 and 2005 was conducted. Symptom, tumor location and size, operative approach and outcomes after surgery were recorded. Result Thirteen patients were identified(leiomyoma: n=12; GIST n=l). Eight patients were men, five patients were women. Most of them were 4rd and 5th decade. The tumors arose in the lower(7 patients) and middle(6 patients) thirds of the esophagus. Eleven patients underwent a thoracotomy; the remainder were resected using VATS. All of patients underwent simple enucleation. There were no complications and recurrences after surgery. Conclusion: We present our experience with enucleation of these 12 leiomyomas and one GIST for 10 years.
실패한 Nissen 술을 Belsey Mark IV 위바닥주름술로 교정한 1예
손수민,신현정,박문호,금동윤,박창권,최원정,김애숙,황진복,Shon, Su Min,Shin, Hyun Jung,Park, Moon Ho,Keum, Dong Yoon,Park, Chang Kwon,Choi, Won Joung,Kim, Ae Suk,Hwang, Jin-Bok 대한소아소화기영양학회 2006 Pediatric gastroenterology, hepatology & nutrition Vol.9 No.1
Belsey Mark IV 위바닥주름술은 이전의 역류 방지 수술이 실패하여 재수술을 해야 하는 경우 혹은 식도 열공 탈장이 오래 되어 유착이 있는 경우에 적응증이 된다. 본 증례는 식도 열공 탈장과 GERD로 진단되어 Nissen 위바닥 주름술을 시행하였으나 실패하였고 재수술을 시도하였지만 수술 부위의 유착이 심하여 수술적 접근이 불가능하였다. 저자들은 흉강을 통하여 Belsey Mark IV 위바닥주름술을 실시하였고, 수술 후 증상과 영양상태의 호전을 보인 1예를 문헌 고찰과 함께 보고하는 바이다. Antireflux surgery has been indicated in gastroesophageal reflux disease (GERD) that does not respond to medical treatments. Although the most commonly performed operation is Nissen fundoplication, Belsey Mark IV fundoplication is indicated for more complicated cases, such as, in cases of a failed Nissen operation or a long lasting hiatal hernia. Here, we report a case of Belsey Mark IV fundoplication for a failed Nissen fundoplication. The infant developed frequent times of aspiration pneumonia after initial Nissen for a hiatal hernia with GERD during the newborn period. At 15 months of age, a $2^{nd}$ Nissen operation was attempted, but fundoplication was not available because of excessive mesenteric adherence to the liver and cardia. Therefore, Belsey Mark IV fundoplication was performed via trans-thoracic approach, which can provide full esophageal mobilization and better visualization of the herniated fundus and the surrounding tissues. Subsequently, she has shown an improved general condition without GERD.
천경희 ( Kyung Hee Chun ),박원균 ( Won Kyun Park ),조은미 ( Eun Mi Jo ),금동윤 ( Dong Yoon Keum ) 한국교육정보미디어학회(구 한국교육정보방송학회) 2012 교육정보미디어연구 Vol.18 No.1
본 연구는 의과대학에서 실시되는 의학교육과정 중 임상실습의 효과성과 효율성을 향상시키기 위해 이러닝을 적용하는 방안과 그 가능성에 대하여 탐색하기 위한 것이었다. 이를 위하여 먼저 의학교육에서의 이러닝 적용 유형 및 성과에 대한 최근 연구들을 리뷰 하였다. 또한 의과대학 소속 교수(29명), 전공의(11명), 의학과 4학년생(71명)을 대상으로 현재 운영되고 있는 임상실습 및 웹정보관리시스템 도입과 관련된 조사를 실시하였으며, 이후 10명의 교수를 대상으로 추가적인 심층 인터뷰를 실시하였다. 그 결과, 실습교육을 위한 교원 및 전공의의 시간과 보상이 부족하다고 주로 보고되었으며, 임상실습 운영 및 관리에 대한 지각에 있어서 운영진에 비하여 학생들의 만족이 낮고, 세 집단 간 유의한 차이(p<.05)가 있는 것으로 나타났다. 웹정보관리시스템의 필요성에 있어서는 세 집단모두 평균 이상의 필요성을 인식하고 있었으며, 응답 교원 중 75%(21명)가 웹 기반 실습 지원 시스템의 사용에 동의하였다. 또한 심층 인터뷰 참여자 11명 모두가 시스템의 필요성과 활용성에 대한 안내와 예시 등을 제시받은 후에 모두 참여 의사를 밝혔다. 이러한 설문과 문헌연구 결과를 토대로 의과대학에서의 교수·학습을 지원하기 위한 이러닝 교수·학습 환경의 구축 필요성과 그 적용 방안 및 가능성에 대하여 논의하였다. The purpose of this study is to explore a framework of e-learning implementation and possibility of e-learning in medical school in order to improve effectiveness and efficiency of medical curriculum. We, first, reviewed the recent literature on e-learning styles and achievement in medical education. Second, we conducted a survey on the clinical practice and web information management system of medical school. The subjects in this survey were 30 faculties and 11 residents in an academic hospital, and 71 senior students in medical school. Then we conducted in-depth interviews with 9 faculties. The result suggests that there were few time and rewards to teach and manage the clinical practices and there were significant differences between groups in the evaluation of the management of clinical practice. All three groups recognized a need of a web information management system, and 75% of the faculties agreed to use a web-based clinical practice assistance system. Also all the 11 faculties with in-depth interviews agreed on a need of the system and using it. Based on the results from the survey and interviews, a framework of e-learning implementation for medical school was suggested and the implications of the e-learning on the medical education were discussed.
비알코올 지방간염의 전자현미경 이상 소견 및 관련 인자
박경식 ( Kyung Sik Park ),장병국 ( Byoung Kuk Jang ),정우진 ( Woo Jin Chung ),조광범 ( Kwang Bum Cho ),황재석 ( Jae Seok Hwang ),안성훈 ( Sung Hoon Ahn ),강유나 ( Yu Na Kang ),황진복 ( Jin Bok Hwang ),금동윤 ( Dong Yoon Keum ) 대한소화기학회 2005 대한소화기학회지 Vol.45 No.6
Background/Aims: In spite of increasing interests about nonalcoholic steatohepatitis (NASH), there are few reports about the ultrastructure of hepatocyte in this disease. The aim of this study was to clarify abnormal electron microscopic (EM) findings and