협지방대유경이식술을 통한 구강상악동루의 외과적 치험례

여환호,이효빈,조세인,김영균 大韓顎顔面成形再建外科學會 1994 Maxillofacial Plastic Reconstructive Surgery Vol.16 No.1

IN 1956, Peer presented a very comprehensive account of free fatty tissue transplantation. The use of buccal fat pad had been usually used to reconstruct the perioral defects. The buccal fat pad is a special fatty tissue which is markdly different from subcutaneous fat. And it is a easily accessible fat tissue in oral and maxillofacial region. The buccal fat pad can be used as a free graft or pedicled flap. Recently, buccal fat pad is interested in cosmetic surgery because its' removal for cosmetic purpose has been favorable result. We used the buccal fat as an unlined, pedicled graft for closure of large oroantral fistula. We present a case of report and review of literature.

궤양성대장염 환자와 과민성대장증후군 환자의 감정표현불능증 비교 연구

이상빈,이성용,김상헌,임효덕 한국정신신체의학회 2003 정신신체의학 Vol.11 No.1

Trans-sphenoidal approach에 의한 pituitary microadenoma 수술 후의 임신 1례

여준규,이두룡,이미정,최종무,이원주,류효충,임만빈,최은주 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.3

We treated a patient with pituitary microadenoma having hyperprolactinemia and irregular menstruation infertility by transsphenoidal microsurgery. Her menstrual cycle become irregular after marriage but previous menstrual cycle was regular. When she visited our hospital due to infertility, initial serum prolactine level was slightly elevated 35.68ng/ml, During bromecriptine therapy, abrupt increase of serum prolactine level up to 126.52 ng/ml and headache and facial flush and galactorrhea developed. Pituitary microadenoma was confirmed by CT and MRI. The patient underwent transsphenoidal microsurgery. Patient was pregnant after surgery, and it was confirmed by USG and she is following up, OPD now.

하악과두 골절 치료에 있어 보존적 치료와 외과적 치료의 비교

박인순,이철우,여환호,이효빈,김영균,변웅래 大韓顎顔面成形再建外科學會 1994 Maxillofacial Plastic Reconstructive Surgery Vol.16 No.1

The authors investigated the 17 patients with the condylar fractures of the mandible who were admitted in Dept. of Oral and Maxillofacial Surgery, Chosun University, Dental hospital from 1990 to 1993 and could be taken follow-up above 6 months. Helkimo's clinical dysfunction index and mandibular mobility index were applied to the evaluation of the patients and the obtained results were as follows. 1. Mean maximal mouth opening was 38.4mm in the conservative group, 41.3mm in the surgical group and that showed no statistically significant difference.(P>0.05) 2. Clinical dysfunction index was higher in the surgical group than in the conservative group but .that showed no statistically difference.(P>0.05) 3. The extent of maximal mouth opening was increased gradually throughout the follow-up period. 4. Both groups didn't show severe clinically dysfunction.

하악과두 골절에 대한 임상적 연구

손보형,이효빈,황호길,윤창륙,여환호 大韓顎顔面成形再建外科學會 1992 Maxillofacial Plastic Reconstructive Surgery Vol.14 No.4

The author investigated the 162 patients with the condylar fractres of the mandilble who were admitted in Dept. of Oral and Maxillofacial Surgery, Hospital of Chosun Dental School from January 1985 to September 1992 clinically, including fracture incidennce, age and sex of the patients, causes of injures, associated injures, treatments and complications and obtained the following results. 1. Of the 449 patients with mandibular fractures, 162patients suffered condylar fractures(36.1%). 2. Of the 162 patients, males with condylar fractures were 128 patients, by a ratio of 3.8 : 1. 3. The most frequently affected age group was the third decade(32.7%). 4. Falls were ranked as the predominant cause(50.6%), followed by traffic accident(27.8%) and violence (16.0%). 5. The incidence of single condylar fractures was 28% and symphysis fractures were the most commomest of the concomittant injuries(60%). 6. The subcondylar fractures occurred most frequently(41.6%) and anteromedial displacement of the condylar fragments occurred most frequently(45.4%) 7. Of the all condylar fracture patients, children under 15 of age comprized 31 patients(19.1%) and condylar head fractures occurred most frequently at those children. 8. Of the managetments in condylar fractures, open reduction was 52.5% and remainder were closed reduction(47.5%). 9. Complications ensured such as TMJ ankylosis, limitation of mouth opening and mandibular movements, TMJ dysfunction, and anterior open bite.

하악골 골절의 견고고정에 사용된 monocortical titanium miniplate와 관련된 감염증에 관한 연구

여환호,김영균,이효빈,김경원 大韓顎顔面成形再建外科學會 1994 Maxillofacial Plastic Reconstructive Surgery Vol.16 No.4

Eighty-nine patients with mandibular fracture were treated by open reduction and internal fixation using the monocortical titanium miniplate(Leibinger Co.). Postsurgical intermaxillary fixation was carried out for 2 to 18 days according to the patient's status. Seven patients developed infections postoperatively(7.9%). Five patients were favorably treated by incision and drainage and/or saucerization. But two patients were not controlled by early surgical intervention and should have been followed by plate removal, saucerization and secondary reconstruction including the bone graft. This article reports the postoperative infection associated with miniplate fixation of mandibular fractures and discuss the incidence, cause, treatment and prognosis with careful case analyses.

간경변증 환자에서 Escherichia coli 균혈증 합병 시 간기능 장애에 따른 C-reactive protein 생성 능력에의 영향

박완범,강철인,김동민,이기덕,장희창,김홍빈,오명돈,이효석,최강원 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

목적 : C-reactive protein(CRP)은 간에서 생성되는 급성 반응물질이다. 하지만 간부전증 환자에서 CRP의 반응이 간기능에 따라 어느 정도 영향을 받는지는 별로 알려진 바가 없다. 본 연구에서는 간기능에 따른 CRP 생성 능력을 평가하고자 하였다. 방법 : E. coli 균혈증이 있는 간경변증 환자 30명을 대상으로 하였고 간기능은 균혈증이 발생하기 전 2개월 이내에 측정된 혈청 빌리루빈, 혈청 알부민, 프로트롬빈시간, Child-Pugh 점수로 평가하였다. 대조군 A는 간질환이 없으면서 E. coli 균혈증이 발생한 환자 30명으로 하였고 대조군 B는 간경변증이 있으면서 급성 감염의 증거가 없는 환자 30명으로 하였다. 환자군과 대조군 간에 CRP의 최대값을 비교하였다. 결과 : CRP의 최대값은 환자군에서 7.3±5.0㎎/dL, 대조군 A에서 17.9±8.3㎎/dL로 환자군에서 유의하게 낮았다.(P<0.001). 간경변증 환자에서 CRP의 생성은 Child-Pugh 점수에 비례하여 감소하였으나(P=0.004) Child=Pugh class C의 간기능을 가진 환자군에서도 대조군 B와 비교하여 의미있는 CRP의 생성을 보였다(5.3±3.2 vs. 0.5±0.4㎎/dL, P<0.001). 결론 : 간기능부전 환자에서 CRP 반응은 간기능 저하 정도에 따라 둔화되지만 심한 간기능 장애를 가진 환자에서도 CRP의 생성은 유지된다. Background : C-reactive protein (CRP) is an acute phase reactant produced in the liver. To assess the influence of liver dysfunction on the production of CRP, we evaluated CRP response to E. coli bacteremia in patients with or without liver cirrhosis (LC). Methods : 30 LC patients who developed spontaneous peritonitis with E. coli bacteremia were enrolled in the study. Baseline values of total bilirubin, serum albumin, and prothrombin time were obtained within 2 months prior to infection. Liver dysfunction was categorized according to the Child-Pugh score. 30 patients with E. coli bacteremia who had no underlying liver dysfunction were included as a control group. Matched-control of 30 LC patients without evidence of acute infection was also included. The peak CRP values were compared among the groups. Results : In the patients with E. coli bacteremia, the mean value of peak CRP was 7.3 (+/- 5.0) ㎎/dL in LC patients, 17.9 (+/- 8.3) mg/dL in patients without liver dysfunction (p<0.001). In the advanced LC patients with Child-Pugh class C, the level of CRP was 5.2 (+/- 3.3) ㎎/dL in patients with E. coli bacteremia, 0.5 (+/- 0.4) ㎎/dL in patients without acute infection (P<0.001). Child-Pugh score had correlation with decrease of CRP (linear regression test, P=0.004). Conclusion : CRP response during E. coli bacteremia was attenuated but maintained even in patients with advanced liver dysfunction.

간경변증 환자에서 Escherichia colli 균혈증 합병 시 간기능 장애에 따른 C-reactive protein 생성 능력에의 영향

박완범,강철인,김동민,이기덕,장희창,김흥빈,오명돈,이효석,최강원 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

Social Policy as Ethnic Conflict Appeasement in Turkey

Hyo Bin Lee 한국유럽학회 2014 유럽연구 Vol.32 No.4

이 연구는 어떻게 사회 정책이 민족 갈등을 완화하는 정책으로서의 역할을 했는지 터키의 사례를 가지고 알아보고자 한다. 터키의 사회 보장 제도는 정규직과 정규직의 가족 성원을 보호하고, 비공식 부문 고용인들은 제외되었다. 쿠르드인들이 주로 살고 있는 지역에 비공식 부문의 경제가 커지면서, 쿠르드인들은 제대로 된 사회 보장 제도를 받을 수 없었다. 정의개발당이 집권한 이래, 정부는 현물이전, 주거정책, 가족과 아동 급여 그리고 건강보험과 같은 새로운 사회 부조 제도를 확장하고 신설하였다. 다양한 사회 부조 제도는 터키 사회에서 가장 하층민을 중심으로 한 제도로서, 현금이나 현물을 제공하거나, 무료 의료 서비스를 제공했다. 이러한 정책에서, 사회 보장이 없는 쿠르드족이 터키인들보다 훨씬 더 많은 혜택을 받게 되었다. 무료 의료 지원이나 가족과 아동 급여 정책에서 가장 많은 혜택을 받고 있는 도시들은 모두 쿠르드인 밀집 지역으로 나타났다. 현금이나 현물과 같은 직접적이면서 즉각적인 복지정책은 비록 일시적인 재정 관련 처방책이지만, 쿠르드인들에게 폭넓은 지지를 얻었다. 결국 이러한 혜택은 정의개발당이 2007년과 2011년 선거에서 쿠르드 지역에서 승리하게 되는 원천으로 작용하였다. This research seeks to explore how social policy affects ethnic appeasement in Turkey by analyzing the problem of Turkish welfare regime, its impacts on Kurds and the newly enforced social policies. The Turkish welfare regime closes the channels of social security to those who are employed in informal sector. The increasing number of informal workers in the Kurdish areas is the major blind spot of the Turkish social security system. Since AKP came into power, it expanded, created and institutionalized new social policies to target the poorest groups in the society such as CCT, In-kind Transfer Program, and Universal Health Insurance. Although the government did not target certain ethnic groups, the Kurdish people became the most beneficiary group from these social assistance programs. These social assistances play a significant role in gaining popular support for AKP from the Kurdish regions. Finally, AKP won two elections (2007 and 2011) in most of the Kurdish regions.

FUZZY PAIRWISE $\gamma$-IRRESOLUTE HOMEOMORPHISMS

Lee, Hyo-Sam,Lee, Joo-Sung,Im, Young-Bin Korean Society of Computational and Applied Mathem 2008 Journal of applied mathematics & informatics Vol.26 No.3-4

We define and characterize a fuzzy pairwise $\gamma$-irresolute open mapping (fuzzy pairwise $\gamma$-irresolute closed mapping) on a fuzzy bitopological space. We also characterize a fuzzy pairwise $\gamma$-irresolute homeomorphism on a fuzzy bitopological space.