안면신경마비 후유증 정안침 증례보고

이은지(Eun Ji Lee),김성태(Sung Tae Kim),권민구(Min Gu Kwon),신현권(Hyun Kwon Shin),고용준(Yong Jun Koh),강수우(Su Woo Kang),나재일(Jae Il Na),설재욱(Jae Uk Sul),조현정(Hyun Jung Jo),정필선(Pil Sun Jung),현민경(Min Kyung Hyun),정민영(Min 한의병리학회 2015 동의생리병리학회지 Vol.29 No.4

This study examines a clinical progress of treatment for the sequelae of facial palsy through Jung-ahn acupuncture. The patient in this case was diagnosed with facial paralysis a few years ago. The patient was treated with Korean medicine and Western medicine, but was given up without improvement. The paretic symptom was found out in left side of the face. Also facial spasm and epiphora caused by blepharoptosis were existed. The patient got 8 times Jung-ahn acupuncture treatment from September 18th, 2014 to September 26th, 2014. House-Brackmann facial nerve grading system(H-B scale) was implemented. On the first time of the treatment, H-B scale was Grade Ⅴ and facial nerve grading was 2/8. Facial spasm and epiphora caused by blepharoptosis in lower eyelid were appeared on facial expressions and conversation. After total 8 treatments(therapies), H-B scale was Grade Ⅲ and facial nerve grading was 5/8. The symptoms of facial paralysis and blepharoptosis were improved. Jung-ahn acupuncture is estimated to be effective in facial palsy sequela. More cases are required to develop treatment of facial palsy sequela.

수입각증후군에 의한 급성 복증 1례

정은욱,지삼룡,이영태,박지훈,김동기,제인수,채두근,박성재,박은택,이연재,이상혁,설상영,정정명 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.

체크리스트를 통한 대학생의 환경실천현황 분석

이은희,정재훈,임미정,박은정 서울여자대학교 학생생활연구소 2011 학생생활연구 Vol.24 No.-

본 연구는 서울여자대학교 대학생의 환경실천현황과 인식조사를 통해 기후변화시대에 대응하기 위한 대학에서의 환경교육 활성화와 실천의 문제점 등을 파악하기 위하여 수행되었다. 연구는 2011학년도 1학기 ‘기후변화와 녹색성장' 과목을 수강한 학생을 대상으로 설문조사를 통해 학생들의 행동양식을 분석하였다. 설문내용은 크게 응답자에 대한 일반사항, 체크리스트에 관한 설문, 그리고 기후변화와 녹색성장과 환경에 대한 사항의 3개 분야로 나누어 41개 문항으로 이루어져 시행되었다. 설문조사를 통해 강의 후 환경의 심각성에 대해 느끼는 정도와 설문대상자들의 환경을 위한 실천 활동 정도 등에 대해 분석한 결과 평소 환경에 관심을 갖고 있던 학생이 50%정도로 나타났으며, 강의 후 환경의 심각성을 느낀다고 답한 학생은 75%정도의 비율을 보여 이는 환경에 대해 큰 관심이 없던 학생들에게 대학에서의 환경교육을 통해 그 심각성을 일깨워준 것으로 나타났다. 또한 수업을 들은 학생의 대부분이 항상 또는 자주, 가끔 등 그 빈도의 차이는 있으나 환경을 위해 평소 생활에서 가능한 실천들을 행하고 있는 것을 확인할 수 있었다. 이러한 결과를 종합해 볼 때 대학에서의 환경교육은 학생들의 환경의식 변화를 꾀하여 보다 지속가능한 삶을 위해 필요한 환경적 인재를 양성하는 것은 물론 지역사회로의 확대를 통해 사회적, 환경적 변화를 가져올 수 있을 것으로 판단된다. 본 연구에서 확인할 수 있었던 학생들의 환경에 대한 인식을 통해 대학에서는 지속가능하며, 로하스적인 삶을 위한 교육을 더욱 확대해야함을 인지하고, 또한 이를 위해 환경에 대한 교육적 프로그램에 관한 연구가 이루어지는 것이 필요하다. 주요어:인식조사, 체크리스트, 한국대학, 환경교육 For this study, the check list for environment were written through the environment education of 'Climate change and green growth', an academic liberal arts subject which is necessary for freshmen of Seoul Women's University. And then, the study was conducted so as to vitalize the environment education of universities for responding the age of climate change based on the survey of students' recognition on environment after the class. For the study, students' behavior pattern was analyzed by the survey for students who attended the subject of ‘Climate change and green growth' during the first semester of 2011. The survey was fulfilled with 41 questionnaires whose contents are divided into 3 fields greatly. Through the survey, the degree that they feel the seriousness of environment, the degree that they conduct environment action, etc. after the class were analyzed. As the result, students who were usually interested in environment were about 50% and students who responded they felt the seriousness of environment after the class were about 75%, so it means that environment education of universities let students who were not interested greatly in environment know its seriousness. Also, most of students who attended the class put the things which are possible in daily life for environment into practice although each student had a difference of the frequency. If synthesizing the above results, environment education of universities is judged to not only cultivate environmental people which are necessary for more sustainable life by promoting the change of students' recognition on environment but also bring social and environmental changes by expanding into regional society. Through the students' recognition on environment, which could be confirmed by this study, universities must recognize that the education for sustainable and LOHAS life should be more expanded and conduct studies on the educational program for environment. Key words:Check List, Environment Education, Korean Universities, Survey of Recognition.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

실활치 표백술 후 치관내 수복물의 미세누출에 관한 비교

정재은,이희주,허복 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.1

The purpose of the present study were to evaluate microleakage of a fourth generation dentin-bonding agent following a walking bleaching treatment, to determine the effect of temporary postbleaching dressing with calcium hydroxide on microleakage and to investigate the effect of delayed intracoronal restoration on microleakage. The results of this study were as follows: 1. Bleached groups showed more microleakage than unbleached group. 2. Immediately restored group following bleaching procedure showed the highest microleakage score. 3. One-week delayed restorations showed less microleakage but there were no statistically significant difference between group Ⅱ and Ⅲ. 4. Provisional dressing with calcium hydroxide had no influence on microleakage. It is necessary to know the time that has elapsed from the bleaching treatment to the restoration procedure to achieve optimal seal, as well as to reduce the risk of microleakage in adhesive restoration.

DIS80의 遺傳子型 決定을 위한 PCR法의 條件에 관한 硏究

鄭宰安,黃迪駿,李羲碩,宋垠燮 大韓法醫學會 1994 대한법의학회지 Vol.18 No.1

The polymerase chain reaction(PCR) is known to be a very sensitive method of nucleic acid synthesis by which a particular segment of deoxyribonucleic acid(DNA) can be specifically amplified. However, as no single protocol will be appropriate to all situations, it requires to optimize the PCR conditions for a given application, especially analytical procedure to amplified fragment length polymorphism of VNTR region. Recently, typing of VNTR regions in the field of forensic science is almost done by PCR, but this reaction ofter results in a number of potential problems including generation of recombinant alleles during the extension phase. The objective of this paper is to evaluate the cause of PCR products of a abnormal length, and to set up the guideline for the reliable production of D1S80VNTR region in the human genome by studying several parameters that influence polymerase chain reaction. In the study of D1S80 VNTR region to be amplified, the following PCR conditions are optimal in the 50㎕ of reaction volume and under the temperature conditions of 95℃ for 1 minute, 65℃ for 2 minutes and 72℃ for 2 minutes. 1. The adequate concentration of MgCl₂ is within the range of 1.0 to 2.0 mM. 2. The high activities of Taq polymerase show about 0.5 to 1.5 units without generation of the undesired products. 3. The adequate amount of template DNA is about 30 to 50ng, although the template DNA can be amplified with the minimum of 40pg. 4. With the 50ng of template DNA, the adequate numbers of PCR cycle range 25 to 27 cycles. 5. Artifact production by PCR is minimal within the range of 0.2 to 0.3μM of each primer concentration. With the above conditions, amplified fragment length polymorphism (AMP FLP) obtained by polymerase chain reaction from the genomic DNAs of 4 Korean families (one family with 8 offsprings and both parents, 3 families composed of each one child and both parents) were analyzed to test the applicability of this technique to paternity testing. The results obtained present reliable parent child relationships based on the correct genotypes of D1S80, without any undesired PCR products of abnormal length that are postulated as heteroduplex resulting from cross annealing or hybridization between the amplified target DNA.

老人의 園藝活動參與에 따른 餘暇 및 生活滿足度의 關係

정재은,이광우,심우경 한국식물인간환경학회 2001 인간식물환경학회지 Vol.4 No.1

This study was designed to probe the relation between participation in horticultural for all activities and leisure and life satisfaction of the older adults. A total of 388 older adults over the age of 60 were included as subjects of the study, The subjects of this study were divided by two groups: 250 participants in horticultural activities and 138 non-participants. The data collected from the questionnaires designed for this study were consisted of responses to items constructed to represent each variable. For data analysis, t-test, anova, frequency and answer tree were used. The major findings resulted from this study were as following; First, it found that participants in horticultural activities of the older adults showed greater leisure satisfaction than non-participants. Second, the longer than 20 years in participating horticultural activities and attending the least 30 minutes horticultural activities a day, the higher leisure satisfaction. Third, participants in horticultural activities of the older adults showed greater life satisfaction than non-participants. Fourth, the attending time of horticultural activities a day and duration of participation in horticultural activities do not effect the life satisfaction. Fifth, there existed significant relation among daily participation in horticultural activities of the older adults, leisure satisfaction and life satisfaction. It was also found that participation in horticultural activities of the older adults facilitated the leisure satisfaction, it finally leaded to the life satisfaction.

혈관모세포종의 임상 분석

김은성,강삼석,이정길,김태선,정신,김재휴,김수한,이제혁 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.5

혈관모세포종의 임상 분석

김은성,강삼석,이정길,김태선,정신,김재휴,김수한,이제혁 대한신경외과학회 1998 Journal of Korean neurosurgical society Vol.27 No.1

최근 5년간 급성 A형 간염으로 입원한 환자들에 대한 입원 내용 분석

장재영,유병욱,조용진,오정은,홍성호,조주연 순천향대학교 의학연구소 2009 Journal of Soonchunhyang Medical Science Vol.15 No.1

Abstract Background : Due to improvements in Korea's sanitary conditions, antibody rates to the hepatitis A virus is decreasing rapidly and admission due to the disease is increasing, Patients who were admitted for hepatitis A during the last 5 years were selected and yearly differences in admission, clinical picture, medical fees, and differences according to age and gender were analyzed. Methods : Patients who were admitted to the Seoul Soonchunhyang University Hospital during the 5 year period between May of 2003 and April of 2008 and tested positive for IgM anti-HAV were selected and their medical records retrospectively analyzed. Results : 156 subjects [91 male (58%), 65 female (42%) were selected. The average age was 29.2 years (range; 21.4-37), average admission period 12.6 days (range; 12.5-1 7.7) days, and average medical fees 2,295,151 (range; 932,097-3,658,205) KRW(Korean Won), Yearly incidence rates were as follows : 10 for May, 2003 to April, 2004, 14 for May, 2004 to April, 2005, 23 for May, 2005 to April, 2006, 69 for May, 2006 to April, 2007, and 41 for May, 2007 to April, 2008, The maximum value median of AST, ALT, and bilirubin during admission was 989 IU/L, 1999 IU/L, and 5.6 mg/dL each, Each factors were all positively correlated with the patient's age. Conclusions : Recent decrease in antibody positivity of the hepatitis A virus and subsequent surge of acute hepatitis A is a cause of rising socioeconomic costs. A large scale epidemiologic research on whether HAV vaccination should be made mandatory and health insurance applied seems to be needed. Key words : Hepatitis A, Age, Medical fees, Vaccination