다층 양막이식술로 치유된 각막천공 1 례

이우진,조문식,김준순 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Purpose : We report a case of corneal perforation and descemetocele which was treared with multilayer amniotic membrane transplantation. Patient and Methods : A male patient was referred to the Department of Ophthalmology, Soonchunhyang University Cheonan Hospital for the management of corneal perforation from long-standing persistent epithelial defect and stromal lysis. Three to four layers of cryopreserved amniotic membrane were applied to the perforation site and anchored with interrupted 10-0 nylon sutures for the purpose of restoring the integrity of the eye and regaining corneal thickness. Postoperatively, the patient was treated with topical antibiotics, corticosteroids and autologous serum eyedrops. Result : Multilayer amniotic membrane transplantation was successful in sealing the corneal perforation. The cornea remained stable with no further leakage of the aqueous postoperatively and no signs of infection and rejection were noted. Also, restoration of the corneal thickness was observed to a considerable amount. Conclusion : Multiplayer amniotic membrane transplantation allowed a successful repair of corneal perforation and seems to be an excellent alternative to tissue adhesive, patch graft, conjunctival flap, or even panetrating keratoplasty for treating corneal perforations.

위암으로 오인된 악성 흑색종 수술 1 예 : A case report

이문수,김태윤,김성용,백무준,김창호,조무식 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

The malignant melanoma matastatic to the stomach is a rare tumor. Its treatment is controversial and median survival after diagnosis is usually <1year. Here a case of malignant melanoma metastatic to the stomach is reported in a 77 years old woman who presented with epigastric discomfort for three months, and was diagnosed as ademocarcinoma at preoperation. The patient was performed subtotal gastrectomy, gastroduodenostomy, omentectomy, and was discharged with no complication on the twenty-one posoperation day. We report a case of malignant melanoma metastatic to the stomach with a review of the literature.

총 경정맥 영양 요법(TPN)중에 발생한 Wernicke-Korsakoff syndrome 1 예

이문수,김태윤,김성용,백무준,김창호,조무식 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Total parenteral nutrition is commonly known as a safe and convenient method of nutritional supplemantation for malnourished patients. Several metabolic complications have been adquately studied and reported their diagnosis and management. There was, however, no precisional data and studies of vitamin B1 deficiecy induced Wernicke's encephalopathy. And Wernicke's encephalopathy may be difficult to recognize, expecially if it is in the early stage and if all manifestation s are not yet present, and because a patients with Wernicke's encephalopathy may become comatose and die if the disorder is not diagnosed and vitamin B1 not given promptly. Therefore Wernicke's encephalopathy is emergent. We report a case of Wernicke-Korsakoff encephalopathy that was caused by vitamin B1 deficiency

피부미용사의 스트레스와 근골격계 자각 증상과의 관련성

이은희,전선복,이무식,김남송,장문정 한국미용학회 2001 한국미용학회지 Vol.7 No.3

The purpose of this study was to examine the relationship of skin beauty artist's stress to musculoskeletal subjective symptom to identify what factors are related to skin beauty artist's musculoskeletal subjective symptom. The subjects in this study were 211 selected skin beauty artists. A survey was conducted from March 11 to 31, 2001, with standardized self-reporting questionnaire to find out the general characteristics, perceived stress level and musculoskeletal subjective symptom. The findings of this study were as below; l. All the skin beauty artists investigated were female. 110 skin beauty artists (52.1%), more than half them, were highschool graduates, 117(55,5%) were unmarried, and the mean career was 52,74 months(four years and four months). The daily mean working hours were 10.61, and the actual daily mean working hours were 7.94. 2. For health habit. 19(9.0%) skin beauty artists were smoker, which indicated that most of them didn't smoke. 136(64.5%) people, more than half them, drank alcohol, and just 72(34.1%) got exercise. 3. In regard to the relationship of general characteristics to stress, the unmarried group was more stressed as they got a score 69.25(SD 12.45), compared to the married group that got 66.30(SD 11.50). The difference between the two group was significant (p<005). The nondrinking group were more stressed out with 69.42(SD 11.50) than the drinking group with 65.87(SD 12.97). The difference between the two was significant(P<0.05). The group that didn't get exercise were more stressed with 70.17(SD 12.11) than the workout group with 64.26(SD 11.27), and the difference between the two was significant(P<0.05). By career, the group that had worked for 34 months or less were more stressed with 70.47(SD 12.38) than the other group that had worked for more than 35 months with 65.87(SD 11.48). And the difference between the two was significant. 4, As for the correlational relationship between musculoskeletal symptom to relevant variables, stress was positively correlated to musculoskeletal symptom and the pain of neck, shoulder, back, arm, hand, wrist, waist and leg. Their stress had a positive correlational relationship with the symptom in every part. The younger people made more complaint of the symptom of shoulder, back and leg, and those who had worked for less period were more stressed out. The findings of this study suggested that there was a relationship between stress and musculoskeletal subjective symptom. To prevent stress and musculoskeletal subjective symptom, there should be an attempt to ease stress. The break time should be offered regularly during working hours, and amicable human relations should be kept. The right health habit should be formed in daily living, and stretching exercise and health care should be done more thoroughly.

팔영산 삼림식생과 토양환경

이호준,김종홍,배병호,박문수,전영문,강재구,신정식 建國大學校基礎科學硏究所 1997 理學論集 Vol.22 No.-

전라남도 고흥군 소재 팔영산 (608.6 m) 일대의 삼림군락에 대한 색생조사를 1993년 10월부터 1995년 7월까지 실시하였다. 조사한 자료는 Z-M 방식에 의해 종조성표를 작성하였다. 이에 따라 삼림군락은 신갈나무군락, 졸참나무군락, 굴참나무군락, 서어나무군락, 소나무군락등 5 개 군락으로 분류되었다. 입지와 환경과의 유기적 관계를 조사하기 위해 토양을 분석한 결과, 신갈나무군락은 토양의 비옥도가 높은 산의 능선 부위에 집중 분포하였으며, 굴참나무군락과 소나무군락은 토양의 비옥도가 낮고 비교적 건조한 고도 400 m 이하 지역에 주로 군락을 형성하고 있었다. 또한 졸참나무군락은 고도 300 - 550 m 이내에서 부분적으로 나타났으며, 서어나무군락은 토양의 비옥도가 양호한 고도 300 - 550 m 사이의 골짜기 주변에 국지적으로 분포하였다. 팔영산 삼림식생의 특징은 상록활엽수림이 형성될 수 있는 지역이나 후박나무, 동백나무, 사스레피나무 등의 몇몇 종을 제외하고는 상록활엽수의 분포를 확인할 수 없었으며, 일부 식재림을 제외한 대부분의 지역이 낙엽활엽수와 소나무의 혼효림으로 구성되어 있었다. The phytosociological study forest vegetation on Mt. Palyoung (608.6 m) was investigated from October 1993 to July 1995 in Koheug-Gun, Cheonnam province. According to Z-M method, the floristic composition table of the forest vegetation was divided into five community as follows; Quercus mongolica community, Quercus serrata community, Quercus variabilis community, Pinus densiflora community, Carpinus laxiflora community. The soil was analyzed to investigated the soil conditions and soil fertility. As a result, the organic matters which showing soil fertility were found to be low Quercus variabilis and Pinus densiflora community at comparatively xerophic conditions, below 400 m altitude, while they were increased in Quercus mongolica community on mountain ridge, and that Quercus serrata community was appeared 300-550 m altitude around mountain stream to moderate soilfertility. The forest vegetation of Mt. Palyoung area unconfirmed capable of evergreen broad-leaved forest, but appeared to Machilus thunbergii, Camellia japonica and Eurya japonica species etc. On the other hand, surveyed site's vegetation was distributed mixed forest of deciduous leaved forest and Pinus desiflora, except for some afforestation.

조기위암 천공 1예

이문수,김태윤,김성용,백무준,김창호,조무식 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

An exceedingly rare case of perforated early gastric cancer is reported. A 68-year-old man developed a peritonitis due to perforation of early gastric cancer. Emergency radical operation was performed and followed by uneventful recovery. The histologic examination of the surgical specimen showed early gastric cancer of typeⅢ, composed signet ring cell carcinoma. 5 years of surgery, the patients survived with no evidence of tumor recurrence. The rarity of this complication in early gastric cancer is discussed and the literature reviewed.

조선시대 충정관의 보존처리

이미식,송미경,배순화,홍문경 국립중앙박물관 2001 박물관보존과학 Vol.3 No.-

강원도 원성군 호저면에서 출토된 조선시대 모자(충정관)를 보존처리하였다. 모자는 양모 펠트 직물로 구성되어 있었으며, 견섬유의 끈으로 장식되어 있었다. 처리 전의 모자는 심하게 오염되어 있었고 좀벌레에 의해 손상된 상태였다. 유물의 처리과정은 부드러운 붓과 핀셋으로 고형오염물을 제거한 후 유물을 지지 할 수 있는 스테인레스 망을 이용하여 퍼클로로에틸렌으로 2차례에 걸쳐 건식세탁하였다. 여분의 용매는 압지법을 사용하여 제거하였다. 세탁 후 유물의 감량률은 7.99%, 세탁 전후 유물의 색차는 2.57을 나타냄으로써 유물에 부착되어 있던 각종 오염물들이 탈락되었으며, 모자의 외관이 깨끗해지고 밝아졌다. 세탁 후 견봉사를 이용하여 장식용 끈들을 제자리에 고정시키고 모자의 모양을 잡아주는 보수 작업을 실행하였다. The hat excavated from the tomb of Hojeo-myon Wonsung-gun in Kangwon province was dry-cleaned and restored. The hat was made of wool felt and decorated with several strands of silk cord. It was very dirty and moth-eaten. After getting rid of the particle soils on a surface with painting brush, the hat was dry-cleaned using perchloroethylene applying the minimum force, and blotting paper was used for drying. During cleaning, it was supported by the stainless steel net. The weight loss was 7.94% after cleaning. The soils sticked on the hat was removed clearly. The texture of the hat became softer after cleaning. Color difference(∆E) was 2.57, which is a noticeable change. The color became clear and changed to the red and yellow range. After dry-cleaning, the hat was repaired. Dislocated silk cords were fixed to the right place by stitching with silk yarn. To keep the shape of the hat, it should be supported by a hat-shaped stiff net during exibition and storing.

소세포 폐암의 갑상선전이 1예

장리라,최영식,박요한,문대성,김자경,김성은,최인수,유찬희,남성진 고신대학교 의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Metastasis to the thyroid gland is usually considered uncommon. The most frequent sites of the primary tumor include the kidney, breast and lung. Its presence often indicates poor prognosis. Metastases represent the advanced stage of the tumors and fine needle aspiration cytology is and important way of diagnosis in thyroid metastasis. we experienced a case of Metastatic Small cell Lung Carcinoma to the Thyroid Gland. A 58-year-old man with Graves' disease diagnosed pulmonary nodule in the left upper lung field on his chest X-ray film. The patient's thyroid gland was diffusely swollen, and elastic to hard. A thyroid ultrasonography showed 1cm sized hypodense nodule on the left thyroid gland. The patient underwent a ultrasonography guided fine needle aspiration cytology of the mass. Cytological diagnosis was a metastatic small cell carcinoma. Then Chemotherapy was administered to the patient. The authors report this rare case of metastatic small cell lung carcinoma to the thyroid with literature review.

Dynamic Vehicle Scheduling for Pickup/Delivery Systems

이문규,박병춘,손유익,김태식 啓明大學校 産業技術硏究所 1996 産業技術硏究所 論文報告集 Vol.19 No.1

In this paper, we consider a vehicle scheduling problem with time windows where for each customer request either pickup or delivery operation is performed by a single vehicle. For the static case of the problem, a dynamic programming (DP) algorithm which generates exact solutions is developed. In this case, intermediate requests which may arrive during the excecution of the current route are not allowed. The approach is then extended to solve the equivalent dynamic case where new emergent requests are automatically included in the current route at the time they appear. The algorithm optimizes over all the known information and does not consider any future requests. To show the validity of the algorithm an example problem is solved.

Outward-looking Strategy in the Developing Economy

unknown 龍仁大學校 人文社會科學硏究所 2005 인문사회논총 Vol.- No.12