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稀有한 乳頭周圍血管吻合과 白內障을 合倂한 無脈症이 一例
朴鴻均 中央醫學社 1964 中央醫學 Vol.7 No.4
A case of pulseless disease was reported here, A woman aged 17 who had been suffering from occasional attacks of fainting, head ach, dizziness and loss of vision was admitted to the Dept, of Ophthalmology, Chonnam University Hospital, and had been treated symptomatically under diagnosis of a pulseless disease for a month with no effects. Finally, the cataracts were extracted with visual improvement from vision 0.02(N. C.) to 0.2 with +10 D. in the both eyes. The first examination revealed peculiar circum-papillary anastomossis of the both retinal vessels, paralytic mydriasis, accommodative paralysis, and zonular cataracts in the both eyes, with deficit of pulseless on the both upper extremities.
朴鴻均 中央醫學社 1961 中央醫學 Vol.1 No.9
The majority of clinical asthenopia might be attributed to the imbalance between the relative convergence and the relative accommodation. It will considerably be significant to determine the two function in the asthenopic patients. The author attempt to establish the normal data’s on these two functions related in the 53 healthy normal Koreans using phorometer. The data’s obtained was compared with the results using haploscope by the other authors and it was rioted that the results of this method was nearly similar with the results of haploscope.
朴鴻均 中央醫學社 1961 中央醫學 Vol.1 No.9
Eighty-two tonographic traces in the 68 eyes of 37 normal persons and 25 tonographic traces in the 23 eyes of 17 clinically diagnosed glaucomatous patients were carried out successfully using hand holding Schi?tz tonometer. A nd the usefulness of this method was discussed according to the following results obtained. Average C value was 0. 271 cu. mm/min. /mm Hg. (range 0. 12-0-49), the average F value was 3.255 cu. mm/min. (range 1. 29 ,-6.77) and the average original intraocular pressure (Po) was 16.691 mm Hg. in the normal eyes. Only 3 eyes showed less than border line (C=0.15) in which 2 cases were 100 or more in the ratio of Po and C. In the glaucomatous eyes including one case of considerably improved after having operation, the average C value was 0.096 (range 0.02-0.16-0.23), the average Po was 37.12. Four eyes of these showed between 0. 12 and 0. 15, and only 3 eyes showed over 0. 15 in C value. An average 1.95mm Hg. of intraocular pressure was noted to be decreased after tonographic traces in the 36 fellow eyes in the normal persons. Twenty-six of 36(72.2%) fellow eyes showed decreased F value and 10 eyes of them (27.7%) showed increased F value in the normal persons. On the other hand, only one of six fellow eyes of the glaucomatous patients showed increased F value. All of the glaucomatous eyes showed 100 or more in the ratio of Po and C. (Po/C) while 7 of 82 normal eyes showed 100 or more in the same ratio.
박홍균,조수진 대한의사협회 2021 대한의사협회지 Vol.64 No.12
Background: Medication-overuse headache (MOH) is defined by the International Classification of Headache Disorders as a headache in patients with a pre-existing primary headache disorder that occurs on 15 or more days per month for more than 3 months. It is caused by overuse of medication for acute or symptomatic headache treatment. Regular and frequent use of acute or symptomatic medications can worsen headaches and lead to chronic headache or MOH. MOH is a burdensome medical condition that is difficult to treat, and the frequent recurrence of headaches may result in disability in individuals and impair socioeconomic outcomes. Current Concepts: Awareness of MOH and the education of patients, the general population, and healthcare providers are important for the first step of treatment. Scientific research regarding the treatment of MOH has been published in the past few years. Discussion and Conclusion: Physicians should educate and counsel patients to stop or at least reduce the intake of acute or symptomatic medications that can be discontinued abruptly or tapered slowly. During the period after the discontinuation of the overused medications, some withdrawal symptoms including headache might be manageable with bridging therapy. Evidence-based preventive therapies including anticonvulsants (topiramate and divalproex sodium), botulinum toxin A, and medications acting by antagonism of the calcitonin generelated peptide pathway might be helpful in patients with MOH for both avoiding the overused medication and preventing the relapse of overuse. A comprehensive and multidisciplinary approach may improve the outcomes of patients with MOH.
박홍균 한국항만경제학회 1997 韓國港灣經濟學會誌 Vol.13 No.-
The purpose of this paper is to improve information system of korean martime information system(MIS) service through EDI/EC, CALS, INTERNET, that is to find the system construction, solution in implement between EDI/EC, CALS, INTERNET and MIS.<br/> EC,CALS continue technical development to EDI, EDI is closely connected with INTERNET and essential for EC, CALS. MIS have connection whatever with other information system<br/> The solution of these problems are the estableshment of global INTERNET and secrity for system and other information system connection of MIS in one-stop service.