변형된 쌈지봉합을 이용한 함몰유두의 교정

손경민,천지선,김규보,양정열 대한미용성형외과학회 2011 Archives of Aesthetic Plastic Surgery Vol.17 No.2

Inverted nipples have shortened lactiferous ducts and less fibrous and collagenous muscular tissue and less connective tissue present, thus giving less bulk and less tissue for nipple projection. Until now, many authors suggested various methods of correction of inverted nipple, but it shows that perfect method does not exist. From July 2008 to December 2010, 41 nipples in 21 patients were treated. 20 patients had bilateral inverted nipples. Under the local anesthesia with sedation, the nipple was everted. A small incision was made on both lateral side at the nipple-areola junction. After nipple traction, the lactiferous ducts and surrounding connective tissues were divided by sharp dissection only through vertical direction. Upper and lower purse-string sutures using Nylon 4-0 were performed for the maintenance of corrected nipple. The small incision was closed by the simple suture. The operation time averaged 15minutes for each nipple. The mean follow-up period was 6months. There were no complications associated with surgery, such as recurrence, infection, hematoma, nipple necrosis and sensory loss. We applied modified purse-string sutures to mild and moderate inverted nipple patients, and acquired good results. So we report our experience with a review of literature. (Archives of Aesthetic Plastic Surgery 17: 119, 2011)

하안검 성형수술 후 발생한 양측 안구 뒤 혈종의 치험례

손경민,박철우,천지선,Son, Kyung Min,Park, Cheol Woo,Cheon, Ji Seon 대한두개안면성형외과학회 2013 Archives of Craniofacial Surgery Vol.14 No.2

Retrobulbar hemorrhage is a rare but serious complication after blepharoplasty, mid-face injury, and treatment of facial bone fractures. The incidence of postoperative retrobulbar hemorrhage is 0.055% with an incidence of associated permanent blindness of 0.005%. A 69-year-old male came to the emergency room with pain on both orbital areas and uncontrolled bleeding after cosmetic lower blepharoplasty performed at a private clinic. He had not been evaluated preoperatively by the private clinic, but we found that he had undergone percutaneous transluminal coronary angioplasty and taken anticoagulants for 10 years. We performed an emergency operation to evacuate the hematoma. However, after surgery, he persistently complained of orbital pain, pressure and diminished visual acuity. Intraocular pressure was increased, and computed tomography demonstrated a retrobulbar hemorrhage with globe displacement. Emergent lateral canthotomy and cantholysis were performed. Intraocular pressure was decreased to 48/30 mm Hg immediately after the operation, falling within the normal range the next day. We recommend three points to minimize loss of vision by retrobulbar hematoma. Firstly, careful preoperative evaluation must be conducted including current medications, underlying diseases and previous history of surgeries. Secondly, cautious postoperative observation is important for the early diagnosis of retrobulbar hematoma. Lastly, immediate treatment is crucial to prevent permanent blindness.

니체의 ‘힘에의 의지’ : 자유의지론과 결정론을 넘어서

손경민 대동철학회 2008 大同哲學 Vol.45 No.-

니체의 자유의지론 비판은 잘 알려진 사실이다. 이 때문에 그는 결정론, 운명론, 비합리적인 신비주의의 옹호자로 종종 오해된다. 그러나 니체는 자유의지론도 결정론도 옹호하지 않으며, 그 이분법적 극단을 넘어 생리-심리학에 근거한 ‘힘에의 의지’라는 제3의 영토를 그려 보여준다. 니체는 자유의지론에 담긴 권력의지를 계보학적으로 추적하고 자유의지 개념의 허구성을 드러낸다. 또한 그는 인간의 부자유 의지를 주장하는 결정론을 자연과학적, 도덕적 심급에서 각각 비판하여 그것이 결국 숙명론으로 연결되는 약자의 도덕이자 데카당 도덕임을 드러낸다. 니체는 힘에의 의지로서의 이 세계의 유물론적인 메커니즘을 간파한다. 그러나 그것이 법칙을 갖는다는 것을 부정한다. 그는 법칙이라는 것은 인간이 만들어낸 기호 체계를 자연에 투사한 것에 불과하다고 보며, 필연적 법칙이 세계를 지배한다는 관념을 부정한다. 따라서 니체가 바라본 힘에의 의지로서의 이 세계는 어떠한 통일적인 법칙도 없이 다양한 힘에의 의지들이 전개되고 분화되어 나가는 끊임없는 생성의 과정일 뿐이다. 창조란 바로 이러한 철학적 관점의 토대 위에서 가능해진다. Nietzsche’s critique of the Theory of Free Will is well known. Because of that, he is often misunderstood as a supporter of determinism, fatalism, and unreasonable mysticism. However, Nietzsche does not support either the theory of free will or determinism and travels beyond the extreme of a dichotomy, so presents the third territory called ‘Will to Power’ based on physio-psychology. Nietzsche genealogically traces the will to power in the theory of free will and reveals the falsities of the concept of free will. In addition, he criticizes determinism which advocates a human’s lack of free will(unfree will) in natural science and on a moral level, hence he discloses that the determinism leading to fatalism is not only a moral of the weak but also a moral of décadent. He penetrates the material mechanism of the world as the will to power, but he denies it has laws. He regards laws as the things that human beings invent. These laws are no more than a system of signs applied to nature and Nietzsche denies this idea that necessary laws govern the world. Therefore, this world as will to power by Nietzsche is a constant, becoming course which various wills to power develop and differentiate without any unified laws. Creation can be possible on the basis of such a philosophical perspective.

Prevalence and Risk Factor of Neck Pain in Elderly Korean Community Residents

손경민,Nam H. Cho,이승헌,김현아 대한의학회 2013 Journal of Korean medical science Vol.28 No.5

Neck pain is a common musculoskeletal condition, which causes substantial medical cost. In Korea, prevalence of neck pain in community based population, especially in elderly subjects, has scarcely been reported. We evaluated the prevalence, the severity and the risk factors of neck pain in elderly Korean community residents. Data for neck pain were collected for 1,655 subjects from a rural farming community. The point, 6-months and cumulative lifetime prevalence of neck pain was obtained in addition to the measurement of the severity of neck pain. The mean age of the study subjects was 61 yr and 57% were females. The lifetime prevalence of neck pain was 20.8% with women having a higher prevalence. The prevalence did not increase with age, and the majority of individuals had low-intensity/low-disability pain. Subjects with neck pain had a significantly worse SF-12score in all domains except for mental health. The prevalence of neck pain was significantly associated with female gender, obesity and smoking. This is the first large-scale Korean study estimating the prevalence of neck pain in elderly population. Although the majority of individuals had low-intensity/low-disability pain, subjects with neck pain had a significantly worse SF-12 score indicating that neck pain has significant health impact.

Streptozotocin 유발 당뇨쥐에서 음경해면체 평활근 섬유화와 TGF-β₁의 발현

손경민,박광성,안규윤 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.11

복압성요실금 환자에서 설문지를 이용한 슬링수술 성공률의 객관적 평가

손경민,박양일 全南大醫大 2001 전남의대학술지 Vol.37 No.2

귀밑샘에 발생한 거대한 악성 혼합 종양의 증례 보고

손경민,양정열,천지선 조선대학교 의학연구소 2013 The Medical Journal of Chosun University Vol.38 No.1

Malignant salivary gland neoplasms constitute approximately 1% to 3% of all head and neck malignancies and only 0.3% of all malignant neoplasms. Malignant mixed tumors represent 2.2% of all salivary gland tumors. We experienced a huge malignant mixed tumor in the parotid gland, and obtained good results after surgical excision of the parotid gland and reconstructive operation. Therefore, we report on our experience and review the articles related to that tumor.

비골 골절 교정 후 Rolled Silastic Sheet를 이용한 비강 충진의 효과

손경민,양정열,김규보,한윤주,천지선 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.5

Purpose: Nasal bone fracture is the most common type of facial bone fracture and most of nasal bone fracture is combined with septal fracture frequently. Nasal septum is important to support the distal nose and to maintain the nasal airway. But nasal septal fractures are usually unrecognized and untreated at the time of operation. Recently, various materials were using for nasal packing after closed reduction, however these materials are not focused on the correction of nasal bone and nasal septal fracture and many patients are suffered from nasal packing materials. Thus, the purpose of this study is to compare routine packing materials and rolled silastic sheet with respect to postoperative effect of correction of nasal bone fracture and discomfort of nasal packing materials. Methods: We examined 320 patients treated nasal bone fracture from January 2008 to December 2010. For Group I(n=92), Merocel^Ⓡ was used for nasal packing, for Group II(n=152) vaseline gauze was used, and Rolled silastic sheet(RSS) with vaseline gauze packing(VGP) was used for Group III(n=76). Under the general anesthesia, all patients were operated by closed reduction and nasal packing was done using three kinds of packing materials. At the time of postoperative 7 days, packing material was removed and studied for pt’s satisfaction and postop. complications. Results: In patients with RSS with VGP, the complaints (nasal obstruction, foreign compressive sensation and discomfort during food ingestion) of keeping the nasal packing were decreased(p<0.05) and the postoperative complication(deviation) were decreased comparing to vaseline gauze packing and Merocel^Ⓡ packing, however, these differences were not statistically significant(p>0.05). Conclusion: Postoperative nasal packing with RSS with VGP was more comfortable to the patients and it was more effective method to correct the nasal bone fracture and nasal septal fracture.

슈퍼커패시터를 이용한 도시형 철도의 가선전압 안정화

孫景珉(Kyoung-Min Son),崔載昊(Jaeho Choi),金炯哲(Hyung-Chul Kim) 전력전자학회 2009 전력전자학회 논문지 Vol.14 No.6

TNF-α 길항제가 적응이 되는 류마티스관절염 환자들의 임상양상

손경민 ( Kyeong Min Son ),정영옥 ( Young Ok Jung ),김인제 ( In Je Kim ),김범준 ( Bum Jun Kim ),이성연 ( Seung Yun Lee ),문소영 ( So Young Mun ),서영일 ( Young Il Seo ),김현아 ( Hyun Ah Kim ) 대한류마티스학회 2013 대한류마티스학회지 Vol.20 No.6

Objective. The aim of this study was to examine clinical characteristics of Korean rheumatoid arthritis (RA) patients with clinically indications for TNF-α blocker, and to compare their clinical parameters with the Korean National Health Insurance reimbursement criteria. Methods. Data were obtained from a registry of RA patients who visited rheumatology clinics of Hallym University affiliated hospitals. Among patients who were previously prescribed DMARDs for more than three months, rheumatologists selected patients clinically indicated for TNF-a blocker. The clinical characteristics at the time TNF-α blocker use was deemed indicated were examined. Radiographic damage was quantified by Modified Sharp van der Heijde score in hand and foot simple AP radiograph. Results. From August 2010 to January 2013, five rheumatologists in four hospitals selected 109 patients clinically indicated for TNF-α blocker. When TNF-α blocker was considered, mean DAS28 was 5.2 (range 2.1∼8.05), mean swollen joint count was 6 (range 0∼22), mean tender joint count was 10.6 (range 0∼28), mean ESR was 43.2 mm/hr (range 1∼140) and mean CRP was 2.5 mg/dL (range 0.1∼18.3). The mean total modified Sharp van der Heijde score was 32.72 (range 0∼240). Eighty one percent of subjects did not have enough active joints to satisfy the Korean National Health Insurance reimbursement standard. Conclusion. Our results show that patients with clinically indications for TNF-α blocker had a broad range of disease activity and clinical parameters, and the majority did not meet the Korean National Health Insurance reimbursement criteria