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- 저자 : 이인국 ( In-gook Lee ) (검색결과 2 건)
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해부 실습 시 포름알데히드 노출이 학생들의 신경행동기능에 미치는 영향
사공용 ( Yong Sakong ),조희윤 ( Hee-yoon Jo ),이인국 ( In-gook Lee ),이경수 ( Kyeong-soo Lee ),전만중 ( Man-joong Jun ) 영남대학교 의과대학 2016 Yeungnam University Journal of Medicine Vol.33 No.2
Background: Formaldehyde is used to preserve cadaver in medical schools, and students are exposed to formaldehyde during cadaver dissection classes. When humans are exposed to formaldehyde, it induces mucosal inflammation, skin inflammation, and declining of neurobehavioral function including attention and memory executive functions. The purpose of this study is to identify the effects of formaldehyde exposure on student`s neurobehavioral performance during cadaver dissection classes. Methods: The level of formaldehyde was measured in a cadaver dissection class. A total of 16 students were randomly divided into two groups. One group wore respiratory protection masks, while the other group did not. Among many subtests in Korean Computerized Neurobehavioral test, backward digit span was tested on all subjects before and after the class. Results: The length of memorized digit span between the two groups was not significant; however there was a greater decrease in neurobehavioral function after formaldehyde exposure in the non-mask group than the mask group. Conclusion: Formaldehyde exposure during cadaver dissection may likely decrease neurobehavioral performance of students. Therefore, proper ventilation system and respiratory protective equipment are necessary to protect medical school students from adverse effects of formaldehyde exposure.
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자궁내막증 환자에서 Microlaparoscopy를 이용한 Pain Mapping의 유용성
이경호,장영건,주관영,이인국 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.12
목적 : 자궁내막증환자의 진단에 microlaparoscopy를 이용하여 conscious pain mapping을 시행하고 자궁 내막증 병변중 어떤 유형의 병변이 가장 통증을 심하게 일으키는지 검사하였다. 연구방법 : 1999년 7월부터 12월까지 6개월간 삼성제일병원 산부인과에 만성골반통을 주소로 내원한 환자 18명을 대상으로 하였다. Fentanyl과 Midazolam으로 conscious sedation을 시행한후 2mm microlaparoscopy로 골반내를 시진한후 자궁내막증이 있는 각 부위를 촉진하고 환자에게 통증의 정도를 말하게하여 0에서 10까지 통증의 강도를 기록하였다. 결과 : 자궁내막증의 각 병변중 적색병변은 통증점수가 6.87±1.45, 백색병변은 6.54±1.68, 흑색병변은 5.41±2.38으로 적색병변이 통증이 가장 심하였다. 결론 : 자궁내막증의 병변은 적색, 백색, 흑색의 순으로 통증을 유발하므로 향후 수술적 치료시에 적색병변은 꼭 제거를 해 주어야하고, microlaparoscopy를 이용한 conscious pain mapping은 자궁내막증 환자에서 통증을 일으키는 부위를 정확하게 가려낼수 있어 진단 및 치료에 많은 도움을 줄 수 있다. Objective : This study was performed to determine which type of endometriosis lesions represent the most severe pain in conducting conscious pain mapping using microlaparoscopy. Methods : Eighteen women (28-45 years) from July to December 1999 with a history of chronic pelvic pain and clinical examination suggestive of endometriosis were enrolled. After intravenous injection of Fentanyl and Midazolam, 2㎜ microlaparoscope and probe were placed. Pain mapping was performed on each endometriosis lesion and pain score was obtained from the patients rating from 0 to 10. Results : Pain scores of each endometriosis lesion were red lesion 6.87±1.45, white lesion 6.54±1.68, black lesion 5.41±2.38, respectively. Conclusion : Of the endometriosis lesions that caused pain, red ones were associated with the most severe pain, followed by white and black lesions. Microlaparoscopy under local anesthesia with conscious sedation is effective for evaluating the type and location of pain provoking lesion in patients with endometriosis and will be helpful in making diagnosis and further surgical procedures.
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