안와골절 수술 후 발생한 두 가지 상피세포를 가진 안와 점액낭종 1예

김미진,이민정,김찬중,김남주,정호경,곽상인,Mijin Kim,MD,Min Joung Lee,MD,Chan-Joong Kim,MD,Nam Ju Kim,MD,Ho-Kyung Choung,MD,Sang In Khwarg,MD 대한안과학회 2010 대한안과학회지 Vol.51 No.7

Purpose: The authors report a case of orbital mucocele lined with two types of histological epithelial cells developed after repair of the orbital wall fractures. Case summary: A 53-year-old man presented with proptosis of the left eye for two years. The patient had a history of left orbital inferomedial wall fracture repair ten years earlier at a different hospital. Examination revealed 4 mm proptosis and superior globe displacement of the left eye. Restriction of left ocular movements on elevation, depression and adduction were observed. A computed tomography scan demonstrated a large, non-enhancing, cystic tumor in the left inferior orbit with the inferior and medial wall displaced toward the paranasal sinus. An orbital cystic tumor was excised with the removal of previously-inserted orbital implant via a transconjunctival and transcaruncular approach. The inferior, and medial orbital walls were reconstructed using a MEDPOR® TITANTM implant. The initial pathologic diagnosis was epidermal cyst. Histopathologic re-review revealed an orbital cyst lined with both stratified squamous epithelium and pseudostratified ciliated columnar epithelium, thus diagnosis was changed to orbital mucocele. Proptosis and restriction in ocular motility improved postoperatively. Conclusions: Mucocele formation should be considered in patients in whom a cyst developed after orbital fracture repair.

회색문헌 통합관리 체계에 관한 연구

김미진,남영준,Kim, Mee-Jin,Nam, Young-Joon 한국과학기술정보연구원 과학기술정보센터 2003 Journal of Information Science Theory and Practice Vol.34 No.1

본 연구는 국내 각 기관에서 소장하거나 생산하고 있는 회색문헌을 체계적으로 수집하고 공유하여 활용할 수 있는 방안을 제시하였다. 이를 위해서 회색문헌이 갖고 있는 특성과 유형을 분석하였으며, 회색문헌이 갖는 특성 가운데 회색문헌의 공유를 저해하는 열람제한의 특징에 대해서도 조사하였다. 또한 이러한 제한을 극복하기 위한 방법을 도출하고 실제적인 회색문헌 집중관리 시스템을 개발하기 위해 필요한 기초 정보를 조사하였다. 기초자료와 정보를 입수하기 위해 회색문헌을 수집, 처리 및 서비스하는 기관의 정보관리 담당자를 대상으로 설문조사를 실시하였다. 설문결과 정보관리담당자들은 보고서를 회색문헌의 여러 종류중에서 가장 중요하다고 판단하였으며, 지도와 학위논문과 같은 자료에 대해서는 그 중요도를 상대적으로 낮게 보고 있었다. 또한 자관 회색문헌에 대해서는 보수적인 입장을 견지하고 있으며 외부 자료에 대해서는 열람을 희망하고 있었다. 따라서 회색문헌 공유를 위한 유인책으로는 경제적 지원보다 자료의 공유라는 유인책이 효과적임을 확인하였다. The purposes of the study were to identify the characteristics and types of grey literatures, to investigate the factors restricting the sharing of grey literatures in Korea, and to make recommendations for the efficient collection and utilization system of grey literatures being produced and managed by either government agencies or government-supported research institutes in Korea. A survey instrument was designed to measure the current status of grey literature management systems and to elicit expert opinions from information professionals in information centers for an efficient system of grey literatures. It was found that information professionals considered the technical reports as the most important type of grey literatures, but maps and dissertations as the least important type of information value. Related to the participation for the central system of grey literatures, many respondents preferred to utilize the grey literatures owned by other information centers, but they showed a neutral interest level in sharing their information centers' grey literatures with other centers.

폐동맥 분지협착에 스텐트 삽입 후 유발되는 폐동맥의 형태변화 - 폐동맥 폐쇄 부전의 역할 -

김미진,강두철,최재영,이종균,설준희,이승규,Kim, Me Jin,Kang, Du Cheol,Choi, Jae Young,Lee, Jong Kyun,Sul, Jun Hee,Lee, Sung Kyu 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.1

목 적 : 분지 폐동맥 협착 부위에 스텐트를 삽입하여 효과적으로 교정한 후, 이후 추적 관찰시에 협착이 없었던 반대편 분지 폐동맥 단면적이 감소하지 않고 증가하는 양상을 관찰하였다. 이에 분지 폐동맥 단면적의 변화에 영향을 끼치는 형태학적 혈역학적 요인들을 분석해 보았다. 방 법 : 1995년 1월부터 2002년 7월까지 연세대학교 심장혈관병원 소아심장과에서 좌폐동맥 분지 협착을 진단받고 스텐트 삽입을 시행받은 23명의 환아를 대상으로 하였다. 이들 환아에서 스텐트 삽입 전후로 심혈관 조영술을 통해 좌우 폐동맥 단면적의 변화, 도플러 심초음파 검사를 시행하여 폐동맥 부전을 측정하여 역류 분율의 변화를 관찰하였고, 폐관류 검사를 함께 시행하였다. 결 과 : 1) 좌폐동맥 협착으로 스텐트를 삽입한 후 좌폐동맥 지수는 $102{\pm}12mm^2/BSA$에서 $125{\pm}11mm^2/BSA$로 유의하게 증가하였다(P=0.001). 2) 협착이 없었던 우폐동맥 지수의 변화를 보면, 좌폐동맥에 스텐트를 삽입하기 전에 평균 $238{\pm}17mm^2/BSA$에서 추적 검사시 $249{\pm}20mm^2/BSA$로 유의한 증가는 없었다(P=0.474). 3) 스텐트 삽입 전후로 양측 폐동맥 지수의 합을 보면, 삽입전 $340{\pm}21mm^2/BSA$에서 추적 검사시 $374{\pm}26mm^2/BSA$로 증가하는 경향이 있었지만 유의한 차이는 없었다(P=0.09). 4) 폐동맥 폐쇄부전 역류 분율의 변화는 스텐트 삽입전 $50{\pm}5%$에서 $46{\pm}5%$로 감소하였으나, 유의한 감소량은 아니었다. 그러나, 폐동맥 폐쇄부전 역류 분율 증감 정도에 따라 세 군으로 나누어 비교해 보면, 3 군에서 우폐동맥지수는 삽입 전 $260{\pm}23mm^2/BSA$에서 추적 검사시 $325{\pm}33mm^2/BSA$으로 유의하게 증가하였다(P=0.041). 좌폐동맥 지수는 각 군에서 스텐트 삽입 전후로 증가하는 양상은 관찰되었으나, 1군에서만 유의하였고, 이는 폐동맥 폐쇄부전의 역류 분율 증감이 좌폐동맥의 단면적에 변화를 미치는 일차적 요인은 아닌 것으로 분석된다. 5) 스텐트 삽입 후 좌 우폐동맥 모두 폐동맥 폐쇄부전이 심할수록 폐동맥지수가 증가하여 유의한 양의 상관 관계를 가지고 (좌폐동맥; r=0.69, P<0.01 및 우폐동맥; r=0.53, P<0.01), 회귀분석상으로도 유의한 관계를 보였다. 또한 양측폐동맥 지수의 합도 유의한 양의 상관 관계(r=0.71, P<0.01)를 보였다. 결 론 : 협착이 있던 좌폐동맥은 스텐트의 삽입으로 교정되어 그 단면적 지수가 증가하였다. 그리고, 반대편 우폐동맥의 경우에는 잔존하는 폐동맥 폐쇄부전의 영향으로 단면적 지수가 감소하지 않고, 오히려 증가한 것을 관찰하였다. 그러나, 잔존하는 폐동맥 폐쇄부전의 장기적 예후를 고려해 볼 때, 이를 예방할 수 있는 것이 중요하다. 또한 역류 분율을 정확히 산출하기 위해 자기공명영상을 이용하는 것도 적극 검토해야 할 것이다. Purpose : Intravascular stent implantation for the treatment of postoperative branch pulmonary artery(PA) stenosis has been used successfully. However, the cross sectional area of contralateral branch PA does not regress in spite of the successful dilation of the stenotic branch PA after stent implantation. We analyzed the morphologic and hemodynamic factors on the size of branch PA after successful stent implantation. Methods : The subjects in our study were 23 children who had undergone stent implantaion from Jan. 1995 to Jul. 2002 in the Division of Yonsei Pediatric Cardiology. We evaluated the cross sectional area index(CSAI) of branch PA before and after stent implantation at follow-up catheterization. We also investigated factors such as residual pulmonary stenosis, pulmonary regurgitation(PR), systolic pressure of right ventricle, and lung perfusion scan. Results : The CSAI of the RPA without stenosis changed from mean $238{\pm}17mm^2/BSA$ to mean $249{\pm}20mm^2/BSA$(P=0.47), but didn't regress. The CSAI of the LPA with stenosis was increased effectively by stent implantation from the mean $102{\pm}12mm^2/BSA$ to mean $125{\pm}11mm^2/BSA$(P< 0.05). At follow up after stent implantation, the CSAI of PA is correlated with the residual PR fraction after stent implantation. Conclusion : In a group with increased residual PR, CSAI of RPA was found to be significantly increased between the pre- and post-stages of stent implantation. So, we suspect that the pulmonary regurgitation remaining after right ventricle outlet tract(RVOT) dilatation surgery is correlated with the increase in CSAI of RPA.

효율적인 색인어 추출을 위한 합성명사 생성 방안에 대한 연구

김미진,박미성,최재혁,이상조,Kim, Mi-Jin,Park, Mi-Seong,Choe, Jae-Hyeok,Lee, Sang-Jo 한국정보처리학회 2000 정보처리논문지 Vol.7 No.4

The efficiency of thesytem depends upon an accurate extraction capability of index terms in the system of information search or in that of automatic index. Therefore, extraction of accurate index terms is of utmost importance. This report presents the generation methods of composition noun for efficient index term extraction by using words of high frequency appearance, so that the right documents can be found during information search. For the sake of presentation of this method, index terms of composition noun shall be extracted by applying the rule of composition and disintegration to the nouns with high frequency of appearance in the documents, such as those with upper 30%∼40% of frequency ratio. In addition, for he purpose of effecting an inspection of validity in relation to a composition of high frequency nouns such as those with upper 30∼40% of frequency ratio as presented in this report, it proposes an adequate frquency ratio during noun composition. Based upon the proposed application, in this short documents with less than 300 syllables, low frequency omissions were noticed, when composed with nouns in the upper 30% of frequency ratio; whereas the documents with more than 30 syllables, when composed with nouns in he upper 40% of frequency ration, had a considerable reduction of low frequency omissions. Thus, total number of index terms has decreased to 57.7% of these existing and an accurate extraction of index terms with an 85.6% adequacy ratio became possible.

당뇨교육실 - 당뇨인의 올바른 간식 섭취법

김미진,Kim, Mi-Jin 사단법인 한국당뇨협회 2008 당뇨 Vol.219 No.--

상사근기능항진에서 상사근힘줄절제술 및 상사근뒤쪽힘줄절제술의 교정 효과

김미진,김성준,유영석.Mijin Kim. MD. Sung Jun Kim. MD.. Young-Suk Yu. MD. 대한안과학회 2012 대한안과학회지 Vol.53 No.6

Purpose: The authors of the present study compared the effects of tenectomy and posterior tenectomy of the superior oblique for treating superior oblique overaction (SOOA). Methods: The records of 30 eyes of 19 patients who underwent tenectomy or posterior tenectomy of the superior oblique alone or in combination with surgery on other horizontal rectus muscles from April 2005 through November 2010 were reviewed. The review was performed in 3 patients who underwent unilateral superior oblique tenectomy, 5 patients who underwent unilateral superior oblique posterior tenectomy, 3 patients who underwent bilateral superior oblique tenectomy, 6 patients who underwent bilateral superior oblique posterior tenectomy, and 2 patients who underwent superior oblique posterior tenectomy and tenectomy. Results: The mean age of the patients was 14.2 years, and the mean follow-up period was 20 months. Through superior oblique tenectomy (11 eyes) and superior oblique posterior tenectomy (19 eyes), the amount of SOOA decreased from +2.27 to +0.09 and from +1.84 to +0.93, respectively. Except for 1 out of 11 eyes with superior oblique tenectomy, SOOA was completely corrected, although SOOA remained in 6 eyes after posterior tenectomy. Therefore, the correctional effects of the 2 methods differed; both procedures showed insignificant correctional effects on vertical strabismus. Conclusions: Superior oblique tenectomy has a superior long-term weakening effect; however, posterior tenectomy showed a comparable effect in the patient with moderate to severe SOOA. Both of these methods had few complications and are considered to be effective superior oblique weakening procedures. J Korean Ophthalmol Soc 2012;53(6):813-818

안내 섬모에 의한 안내염

김미진,허장원,정흠,Mijin Kim,Jang Won Heo,Hum Chung 대한안과학회 2010 대한안과학회지 Vol.51 No.6

Purpose: To report a case of intraocular cilium revealed by diagnostic vitrectomy in a case of stubborn uveitis that was unresponsive to steroid therapy. Case summary: A 39-year-old man was referred to our hospital due to decreased vision in his right eye that started two months prior to presentation. He had previously been treated for a diagnosis of iridocyclitis. The patient’s history revealed a blunt trauma to the right eye while wearing glasses after which he developed a microhyphema and was treated for traumatic iritis at another clinic 3 months ago. He was treated with topical and oral steroids after being diagnosed with iridocyclitis and had recently been prescribed additional oral cyclosporine because his condition had not improved. Ocular examination revealed inflammatory cells in the anterior chamber and vitreous cavity with hand motion vision. Ultrasonography revealed a hazy vitreous cavity but the retina was flat. Diagnostic vitrectomy with intravitreal antibiotic injection was performed and an intraocular foreign body presumed as a cilium was detected without an entrance wound on the exterior or interior surface of the eye. After removal of the foreign body, the patient’s vision was completely recovered. Conclusions: In cases of chronic uveitis that do not respond to immunosuppressive treatment without a clearly definable cause, diagnostic vitrectomy should be considered, keeping in mind the possibility of intraocular foreign body. J Korean Ophthalmol Soc 2010;51(6):904-907

전층각막이식술 후 발생한 감염성 각막염의 임상양상 및 위험인자

김미진,오주연,김미금,한상범,이진학,위원량,Mijin Kim,Joo Youn Oh,Mee Kum Kim,Sang Beom Han,Jin Hak Lee,Won Ryang Wee 대한안과학회 2010 대한안과학회지 Vol.51 No.4

Purpose: To report the clinical manifestation, predisposing factors, microbiological profiles and treatment outcome of infectious keratitis following penetrating keratoplasty (PK). Methods: Medical records of the post-PK patients later diagnosed with culture-positive keratitis, between January 2003 and June 2008 at our hospital were retrospectively reviewed. Results: Among 228 eyes of 226 patients who previously had PK, 18 eyes (7.89%) of 16 patients developed microbial keratitis. Fifteen patients had a bacterial infection, of which a Streprococcus species was the most common causative microorganism (6 eyes, 33.3%). Three eyes had fungal infection; one case was co-infected with bacteria. Six eyes (33.3%) presented with a suture-related problem, and sixteen eyes (88.9%) had been using topical glaucoma medications. The suture-related problem and use of glaucoma medication were significantly associated with the development of infectious keratitis (p=0.040 and 0.013, respectively). Remission was achieved in all cases within the mean duration of 2.47 months after treatment initiation. However, visual improvement was not achieved in 11 eyes (68.7%) due to graft opacity. Conclusions: Early identification of predisposing factors and appropriate management at an early stage may prevent the occurrence of graft infection and improve graft survival. J Korean Ophthalmol Soc 2010;51(4):504-509

이소성 췌장과 위점막을 가진 멕켈 게실에 의한 장중첩증 1예

김미진,김재영,설지영,강대영,Kim, Mi Jin,Kim, Jae Young,Sul, Ji Young,Kang, Dae Young 대한소아소화기영양학회 2006 Pediatric gastroenterology, hepatology & nutrition Vol.9 No.1

저자들은 장중첩증의 관장 정복 후 입원 관찰 기간 동안에 2차례 더 재발한 장중첩증을 가진 5세여 아에서 복부 CT 촬영으로 선두를 확인하고 복강경으로 치료한 이소성위점막과 췌조직을 동시에 가진 멕켈 게실에 의한 장중첩증 1예를 경험하였기에 문헌 고찰과 함께 보고한다. Intussusception is a frequent cause of intestinal obstruction in early childhood and most are idiopathic in origin. In a minority of cases a definite pathological lead point is identified by imaging studying or during surgery. As the pathologic lead point of intussusception, Meckel's diverticulum is the most common lesion. In symptomatic patients, 40~60% of Meckel's diverticulum contain ectopic tissue, with gastric mucosa being far the most common type. A few Meckel's diverticulum contain pancreatic tissue. Combined heterotopic pancreatic and gastric tissues in the Meckel's diverticulum especially causing intussusception is extremely rare. We report the case of 5-year-old girl with an intussusception caused by Meckel's diverticulum containing both heterotopic gastric and pancreatic tissues.

2007년 서울 지역에서 판매되고 있는 반찬류의 세균 오염과 항생제 내성실태

김미진,이도경,장석,양환진,안향미,백은혜,하남주,Kim, Mi-Jin,Lee, Do-Kyung,Jang, Seok,Yang, Hwan-Jin,An, Hyang-Mi,Baek, Eun-Hye,Ha, Nam-Joo 대한약학회 2008 약학회지 Vol.52 No.6

The purpose of this research was to investigate the microbiological quality and antimicrobial susceptibilities of the ready-to-eat side dishes, which are were collected from the grocery stores, big markets, and department stores in Seoul throughout November, 2007. Of total 124 samples, presence of staphylococci and enteric bacilli was observed in 38 samples (31%) and 53 samples (43%), respectively. And 30 samples (24%) were shown to be of unsatisfactory quality for total bacterial count (>$10^5$). Antimicrobial susceptibilities of the staphylococci isolated from the side dishes were tested for six different antimicrobial agents, which are in widespread clinical use in Korea, as well as four new antimicrobials, daptomycin, linezolid, quinupristin/dalfopristin and tigecycline. As a result, the staphylococcal isolates were found to be resistant to oxacillin (${MIC}_{90}$, >128 ${\mu}g$/ml), teicoplanin (${MIC}_{90}$, >128 ${\mu}g$/ml), mupirocin (${MIC}_{90}$, >128 ${\mu}g$/ml), linezolid (${MIC}_{90}$, 128 ${\mu}g$/ ml) and quinupristin/dalfopristin (${MIC}_{90}$, 32 ${\mu}g$/ml). Especially, some of the staphylococcal isolates exhibited high level and multi-drug resistance. Moreover, these bacteria were also resistant to new antimicrobials, except tigecycline.