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Ocular Inflammation Associated with Systemic Infection
문병길,이주용 한양대학교 의과대학 2016 Hanyang Medical Reviews Vol.36 No.3
Systemic infections that are caused by various types of pathogenic organisms can be spread to the eyes as well as to other solid organs. Bacteria, parasites, and viruses can invade the eyes via the bloodstream. Despite advances in the diagnosis and treatment of systemic infections, many patients still suffer from endogenous ocular infections; this is particularly due to an increase in the number of immunosuppressed patients such as those with human immunodeficiency virus infection, those who have had organ transplantations, and those being administered systemic chemotherapeutic and immunomodulating agents, which may increase the chance of ocular involvement. In this review, we clinically evaluated posterior segment manifestations in the eye caused by hematogenous penetration of systemic infections. We focused on the conditions that ophthalmologists encounter most often and that require cooperation with other medical specialists. Posterior segment manifestations and clinical characteristics of cytomegalovirus retinitis, endogenous endophthalmitis, toxoplasmosis, toxocariasis, and ocular syphilis are included in this brief review.
문병길,Soo Geun Joe,Jong-uk Hwang,Hong Kyu Kim,Jae Won Choe,Young Hee Yoon 대한의학회 2012 Journal of Korean medical science Vol.27 No.5
We evaluated the prevalence and risk factors for early age-related macular degeneration (AMD) in Koreans 50 yr of age or older who were examined at a single health promotion center. We retrospectively reviewed the records of 10,449 subjects who visited the center over a 6-month period. Fundus photography was performed on all subjects, and systematic risk factor analysis was conducted using a structured questionnaire. All patients (n = 322)were initially diagnosed with drusen or early AMD using fundoscopy; the control group (n = 10,127) were those yielding normal fundoscopy findings. The age- and genderadjusted prevalence of early AMD was 3.08%. Advanced age, male gender, smoking status, hyperlipidemia, working outdoors, and residence in rural areas were all significantly associated with an increased risk for development of early AMD. Higher-level ingestion of fruit or herbal medication and an increased amount of exercise were associated with a lower risk of early AMD development. In our Korean cohort, consisting principally of relatively healthy, middle-class urban adults, the prevalence of early AMD was 3.08% that is similar to that reported in earlier epidemiological studies. Several modifiable risk factors such as smoking and hyperlipidemia are associated with the prevalence of early AMD in our cohort.
펨토초 레이저를 이용한 데스메막박리 각막내피층판 이식술의 장기 임상경과
문병길,김재형,이주은,김명준,김재용,차흥원,Byung Gil Moon,Jae Hyung Kim,Joo Eun Lee,Myoung Joon Kim,Jae Yong Kim,Hungwon Tchah 대한안과학회 2011 대한안과학회지 Vol.52 No.6
Purpose: To evaluate the long-term clinical outcomes of femtosecond LASER-assisted Descemet’s stripping endothelial keratoplasty (DSEK). Methods: The clinical results of endothelial keratopathy from 11 consecutive patients who were followed up for at least 12 months after femtosecond LASER-assisted DSEK were retrospectively analyzed. The best corrected visual acuities (BCVA), manifest refractions, intraocular pressures, and perioperative complications were evaluated preoperatively and up to 24 months after the femtosecond LASER-assisted DSEK. Results: The average follow-up period was 18 months. Postoperative visual acuity had significantly improved from 1.26 (logMAR) to 0.80 (logMAR) at 3 months (p < 0.05) and this change was maintained during postoperative follow-up. All eyes underwent successful transplantation and the donor discs were well-attached. The mean endothelial cell density continued to decrease during the follow-up period. The donor-recipient stromal interface was the area where varying degree of haziness and birefringent particles were found. Conclusions: The femtosecond LASER-assisted DSEK was effective in creating an endothelial donor disc which resulted in rapid visual recovery and low surgically-induced astigmatism. However, the operation caused rapid decrease in endothelial cell density which requires continuing further consideration by the physician. J Korean Ophthalmol Soc 2011;52(6):679-689
문병길(Byeong-Kil Moon),문양세(Yang-Sae Moon),김상필(Sang-Pil Kim),김진호(Jin-Ho Kim) 한국정보과학회 2012 한국정보과학회 학술발표논문집 Vol.39 No.1B
기업의 목적은 이익을 창출하는 데 있다. 이를 위해서는 제품별 생산성을 높여 원가를 절감해야 하지만, 대부분의 레미콘 제조업체는 원가관리를 운영하지 못하고 있는 실정이다. 레미콘 제조업체의 제품공정은 단순하나 제조원가 중 직접재료비가 약 70% 이상으로 큰 비중을 차지하고 있다. 따라서 원가절감의 여부가 경영성과에 미치는 영향이 크다고 할 수 있다. 또한, 정부·공공기관 등은 예산을 안정적으로 관리하고, 부당한 지출을 방지하기 위하여 엄격하게 원가계산제도를 운영하고 있다. 레미콘 제조업체의 원가관리를 위해서는 우선적으로 업체 특성에 맞는 원가관리 시스템을 구축하여야 한다. 이를 위해서 본 논문에서는 레미콘 제조업체의 특성에 맞는 원가관리 시스템을 설계하였다. 시스템 설계는 전체 프레임워크, 처리 절차, 데이터베이스 스키마와 자료구조, 입력·출력 설계로 구성하였다. 원가계산의 절차는 정부원가계산 제도를 이용하여 설계하였다. 본 논문의 성과로, 계약자는 원가정보를 신뢰하며 이용할 수 있고, 레미콘 제조업체의 원가정보 표준화에 기여할 것으로 기대한다.