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포도막 흑색종에 대한 감마나이프 방사선수술 - 증례보고 -
김병욱,김무성,심홍보,정영균,이선일,정용태,김수천,심재홍,윤일한,김영일,백광욱,Kim, Byung Wook,Kim, Moo Seong,Sim, Hong Bo,Jeong, Yeong Gyun,Lee, Sun Il,Jung, Yong Tae,Kim, Soo Chun,Sim, Jae Hong,Youn, Il Han,Kim, Young Il,Paik, Koang 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.5
Uveal melanoma is uncommon but life-threatening intraocular malignancy and has been treated by irradiation, local excision and enucleation. Gamma-Knife radiosurgery allows a high dose of radiation to be delivered to an intracranial target with a very high spatial accuracy and has been used for the treatment of ocular melanomas. We have treated two cases of uveal melanoma between October 1994 and December 1999. They include one man and one woman(34, 62 years, respectively). They were followed up for 12 momths. Mean maximal dose was 65Gy. In one case, the tumor disappeared 7 months after gamma-knife radiosurgery. In another case, multiple tumors (uveal, suprasellar and cerebellar tumor) had decreased in size. These results show that single and high dose gamma-knife radiosurgery is may be an option in the local control of uveal melanoma which can spare the eyeball and vision.
두부자세에 따른 근활성과 측모두부방사선계측치의 변화에 관한 연구
김병욱,한경수,Kim, Byung-Wook,Han, Kyung-Soo 대한안면통증구강내과학회 1999 Journal of Oral Medicine and Pain Vol.24 No.2
This study was performed to investigate the factors affecting muscle activity and cephalometric variables according to change of head postures. For this study, 150 patients with temporomandibular disorders and 80 dental students without any signs and symptoms of temporomandibular disorders were selected as the patients group and as the normal group, respectively. Head position to body-midline in frontal plane and upper quarter posture to body plumb line in sagittal plane were observed clinically and electromyographic(EMG) activity of anterior temporalis, masseter, sternocleidomastoideus, and trapezius on clenching were recorded with $BioEMG^{(R)}$ in four head postures, which were natural head posture(NHP), forward head posture(FHP), $20^{\circ}$ upward head posture(UHP), and $20^{\circ}$ downward head posture(DHP). Cephaloradiographs were also taken in the same head postures as in EMG taking, but that was taken only in NHP for the patient group. Cephalometric variables measured were SN angle, CVT angle, atlas inclination angle, occlusal plane angle, Me-C2 angle, pharyngeal width, occiput~axis distance, area of pharyngeal space, and cervical curvature. The data were analyzed by SAS statistical program. The results of this study were as follows : 1. Between the patient and the normal group, there were significant difference in distance from plumb line to acromion, eye-tragus angle, electromyographic activity of the four muscles, and cephalometric variables of linear measurement. 2. There was no consistent pattern of correlation between upper quarter posture, EMG activity and cephalometric variables in any case without relation to cervical curvature and head position in frontal plane. 3. Sternocleidomastoid muscle only showed variation of electromyographic activty with changes of head postures, but all the muscles did show correlation with head postures. 4. All the cephalometric variables measured in this study showed difference of mean value by head posture, and CVT angle, pharyngeal width, occiput-atlas distance, and area of pharyngeal space showed correlation between these variables with change from NHP to FHP, and from NHP to UHP.
김병욱 ( Kim Byung Wook ),김영희 ( Kim Young Hui ) 남북하나재단 2011 연구총서 Vol.2011 No.0
Until now, settlement support for North Korean defectors was focused on stabilizing consumption by improving their income level due to “Employment Subsidies,” “Vocational training Subsidy System.” and etc. It is time to widen the focus of the settlement support by alleviating consumption behavior level with solving employment problem and enhancing the consumption expenditure effect. After analyzing the consumption survey and consumption behavior regarding each settlement period of North Korea women defectors, this paper presents a rational consumption behavior measures. We have used survey research as a method for this research. For this, we surveyed 260 female defectors from North Korea (Age: from 20’s to 50’s, Settlement Period: 1-12 years), residents of Seoul, for North Korean defectors are most densely populated in Seoul. As a result, following the settlement period, a statistically meaningful consumption patterns were produced. Below are the summaries of the results. In the respondent’s household income, besides the basic living expense, unearned incomes such as church grants and basic living expenses were discovered. Despite all this, North Koreans’ monthly average household income is 45% of South Korean residents’ income and the Engel’s index of North Koreans’ is two times higher than that of South Koreans. This implies discussing the fairness between settlement support for North Korean defectors and support for the poorest people in Korean society is not appropriate. Also, we examined that 76.5% of respondents do not transfer cash to North Korea. This can be explained by the factors such as financial difficulties following the resettlement fund reduction after the employment subsidy program was introduced, increase of family defection, and remittance fatigue. Furthermore, following the North Korea’s cant “The hungry spot doesn’t appear but the dressing spot does appear,” the North Korean defectors place wearing and house decorating above eating. This is because the consumption view of North has been adhered to the financial difficulties after immigration to the South. Lastly, the conspicuous consumption phenomenon of North Korean defectors in the media resulted from purchasing specified products during the period when savings, insurance, health functional food, and eat out spending level is obviously low. Therefore on this issue, a right understanding is required for the Korean society. Based on the above research results, we present the following measures for the rational consumption behavior of North Korean defectors. The measures are operating support system for consumption behavior adaptation, supporting consumption education following settlement period and out-bound consultation, operating a rational consumption life experience program, improving the awareness of Korean society by giving positive examples of consumption behavior, generalizing the successful examples of consumption behavior adaptation to the North Korean defector’s society, operating mentor program by the senior defectors at the Hana Center and stimulating research on consumption behavior adaptation under the participation of North Korean defectors