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아메바성 질환에 대한 Tinidazole ( Fasigyn ) 의 치료 효과
박준일 ( Joon Il Park ),이성우 ( Sung Woo Lee ),김영숙 ( Young Sook Kim ),최문희 ( Moon Hi Choi ),진철현 ( Tchul Hyun Jeen ) 대한내과학회 1973 대한내과학회지 Vol.16 No.3
For the purpose of evaluating the therapeutic effect of Tinidazole (Fasigyn), clinical observations were made in 41 cases of amoebiasis, including intestinal amoebiasis (30 cases), amoebic liver abscess (6 cases ), and amoehic hepatitis (5 cases) in Wonju
김경석 ( Kyung Suk Kim ),박준일 ( Joon Il Park ),이성우 ( Sung Woo Lee ),김영숙 ( Young Sook Kim ),최문희 ( Moon Hi Choi ),진철현 ( Tchul Hyun Jeen ) 대한내과학회 1973 대한내과학회지 Vol.16 No.6
E.H. Fever was first reported m Manchuria in 1938 by Russian and Japanese workers, bat it was during the Korea War when it attracted world wide attention Specific features of the disease are renal damage and bleeding tendency. Bone Marrow Studies were made
금인레이의 치은변연적합도에 관한 주사전자 현미경적 연구
권혁춘,박준일 大韓齒科保存學會 1991 Restorative Dentistry & Endodontics Vol.16 No.2
SCANNING ELECTRON MICROSCOPIC STUDY OF THE JUNCTION BETWEEN GOLD INLAYS AND GINGIVAL CAVOSURFACE MARGINS Joon-II Park, D.D.S., M.S.D., Hyuk-Choon Kown, D.D.S., Ph.D. Department of Conservative Dentistry, College of Dentistry, Seoul National University Present-day inlay casting procedures have been developed for more than 100 years and experimentation has focused on the perfect adaptation to the cavity preparation. Marginal adaptation is considered to be an important indicator of the acceptability of the cast restotration, especially on the gingival margin. The purpose of this study was to evaluate the effects of a dissecting microscope and burnishing on vertical discrepancies, horizontal discrepancies, and cement thicknesson master die. Extracted premolars were prepared for class Ⅱ gold inlays and master dies were made with conventional techniques. The experiments consisted of 4 groups. Group 1 : unaided eye, no burnishing on master die. Group 2 : unaided eye, burnishing on master die. Group 3 : microscope, no burnishing on master die. Group 4 : microscope, burnishing on master die. Cemented inlays were embedded in the hard resin and sectioned with microcutter through the gingival margins. The sectioned surfaces were polished with emery paper and finally with aluminum oxide powders. The results of the experiments were measured for vertical discrepancies, horizontal discrepancied and cement thickness under the scanning electron microscpe at the beveled gingival margin. The results of the study were summarized as follows. 1. Group 1 showed the vertical discrepancies of 81.6 ㎛ (±48.6㎛), horizontal discrepancies of 60.1㎛(±41.1㎛), and cement thickness of 59.6㎛(±24.6㎛). 2. Group 2 showed the vertical discrepancies of 78.6 ㎛ (±30.9㎛), horizontal discrepancies of 36.9㎛(±20.7㎛), and cement thickness of 54.0㎛(±21.6㎛). 3. Group 3 showed the vertical discrepancies of 57.5 ㎛ (±26.4㎛), horizontal discrepancies of 28.4㎛(±17.5㎛), and cement thickness of 37.2㎛(±17.4㎛). 4. Group 4 showed the vertical discrepancies of 56.7 ㎛ (±35.0㎛), horizontal discrepancies of 31.8㎛(±24.2㎛), and cement thickness of 45.6㎛(±19.8㎛). 5. Vertical discrepancies were not significantly different at any groups(p>.050). 6. Microscope groups(Group 3,4) showed significantly improved horizontal marginal adaptation (p<.050). 7. Although cement thickness showed the subset of Group 3, 4, 2 and Group 4, 2, 1, Group 3 showed significantly smaller thickness than Group 1 (p<.050). 8. finishing and polishing by means of a microscope produced significantly smaller discrepancies than doing so with the unaided eye (p<.050).
장기간 공기 음영이 지속된 기종성 신우신염의 내과적 치험 1예
김영옥,방병기,윤선애,복현정,박준일,김세희,양철우,송하헌 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.2
Emphysematous pyelonephritis is an uncommon and life-threatening necrotizing infection of the renal parenchyma that requires prompt diagnosis and early treatment. It is associated with gasforming coliform bacteria, and is characterized by the presence of gas within the renal parenchyma. The clinical picture and gas pattern should be monitored carefully before a surgical desion is made. If there is persistence of gas on serial x-rays despite aggressive therapy, prompt surgical therapy is recommended. We herein present 1 diabetic patient with emphysematous pyelonephritis who responded to medical treatment alone. The presence of gas was confirmed by CT scan and Escherchia coli was isolated in both urine and blood cultures. The patient was treated with antibiotics alone. Although the clinical signs and laboratory findings were improved, intrarenal gas persistently appeared over 1 month. CT scan 2 month after medical treatment revealed absence of gas in the renal parenchyma.
급성 신부전과 심한 단백뇨가 동반된 급성 다발성 세균성 신염 1예
정은선,김영옥,박은정,윤선애,박준일,김세희,방병기,양철우 대한내과학회 1999 대한내과학회지 Vol.57 No.3
Acute multifocal bacterial nephritis is a severe form of acute renal infection in which heavy leucocytic infiltrates occurs throughout kidney. Therefore, in contrast to uncomplicated acute pyelonephritis, it frequently causes acute renal failure. We here report an unusual case of acute multifocal bacterial nephritis which caused acute real failure and massive proteinuria. A 44-year old man was referred to our hospital because of high fever and both flank pain and non-oliguric acute renal failure. He had pyuria and massive proteinuria(5.87g/day), and serum creatinine level of 3.6mg/dL. We initially suspected hemorrhagic fever with renal syndrome. But immunofluorescent antibody for Hantavirus was negative and E. coli was isolated at urine. Computed tomography showed multifocal areas of wedge-shaped low densities in both kidneys. Kidney biopsy revealed tubulointerstitial infiltration of leucocyte without glomerular change. After treatment of antibiotics, proteinuria completely disappeared and serum creatinine level decreased to 1.0mg/dL. (Korean J Med 57:375-379, 1999)
김민정,김영옥,윤선애,박준일,김세희,방병기,양철우 대한신장학회 1999 Kidney Research and Clinical Practice Vol.18 No.4
Hemorrhagic fever with renal syndrome(HFRS) is characterized clinically by five distinct phases; febrile, hypotensive, oliguric, diuretic and convalescent phases. The oliguric phase usually lasts for three to six days. We here report a case of prolonged oliguric phase over one month in a patient with HFRS. A 36-year-old man developed oliguric acute renal failure due to HFRS. He commenced hemodialysis on the 2nd days of hospitalization. The oliguric phase was prolonged over one month. The endocrinologic study showed nomal range of plasma ACTH, cortisol, thyroid hormone and slight elevation of plasma atrial natriuretic peptide at oliguric phase. Kidney biopsy showed mononuclear cell infiltrate and associated edema in the interstitium. Diuresis appeared at the 43th days of hospitalization, but it was inadequate. To enhance diuresis and recovery of renal function, he was treated with steroid. Five days after steroid treatment, massive diuresis appeared and serum creatinine decreased to 1.2mg/dL at the 5 months after onset of the disease.
김영수,김재광,정규원,한준열,선희식,김용현,최 황,박용근,박준일 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
If there are multiple masses in the liver and a history of melanoma removed from the skin or other sites, a possible diagnosis could be that the multiple masses in the liver are in that metastatic lesions originating from the primary site of the previously removed melanoma. Although ocular melanoma is not as common as the cutaneous melanoma, it is the most common malignant ocular neoplasm. The metastatic patterns of the two melanomas are different. The ocular melanoma spreads to the liver exclusively at an early stage. If laboratory results, CT, arteriography, and MRI suggest a metastatic malignant melanoma of the liver, the diagnosis can be confirmed by laparoscopy and aspiration needle biopsy. The treatment of the ocular melanoma with metastasis to liver has been local resection, hepatic artery embolization, or systemic chemotherapy. Those treatment modalities, however, have failed to improve the survival rates, and the metastatic malignant melanoma remains to be an incurable disease. A case is reported of a metastatic malignant melanoma of the liver in a 57-year-old male patient, that was discovered 4 years after an enucleation of a choroidal melanoma of the right eye.