선천성 척추 후측만증 : 증례 보고

서광윤,신성태 인제대학교 1986 仁濟醫學 Vol.7 No.2

선천성 척추 측만증 및 후만증은 척추의 종적 성장의 불균형을 초래하는 척추 이상에 의한 것으로 이의 만곡도는 성장기 전반을 통해 진행하며 또 만곡이 견고하기 때문에 교정이 어렵다는 특성이 있다. 저자들은 치료 중 특이한 경과를 취했던 측만곡도 47도, 후만곡도 88도의 심한 선천성 척추 후측만증 1 례를 전방 유합술 및 후방 유합술을 시행하여 치료하였으며 최종 만곡도는 측만곡도 37도, 후만곡도 60도였다.

Ilizarov 술식을 이용한 사지 신장술 : 1년 이상 추시가능하였던 2례 보고 Long Term Follow Up

서광윤,권칠수,김용욱,김형수 인제대학교 1991 仁濟醫學 Vol.12 No.3

사지 신장술은 오랜기간 동안 정형외과 영역에서 추구하여 오던 것이며, 계속 여러 사람에 의해 시행되어 오던 술식이다. 사지신장술에 사용되어진 체외 고정 기구는 학자에 따라 다양한 방법이 소개되고 있으나 특히 일리자로프(llizarov)체외 고정 기구는 생체 역학적으로 사지신장술 및 골절 치유에 유리하며, 사지의 여러 변형을 교정할수 있는 장점이 있다. 이에 저자들은 본원에서 시행한 사지 신장술 2례를 1년 이상 추시 관찰하여 양호한 결과를 얻었기에 증례가 적고 한정된 경험이지만 보고하고자 한다. The Ilizarov external fixator, though developed over 35 years ago in the Soviet Union, is only now gaining popularity in the world. Its design and versatility allow the physician to treat a wider range of limb diseases than any other external fixation systems. The Ilizarov method of fixation also permits treatment of some orthopedic conditions that were previously considered to be untreatable, such as dwarfism. The device can be used to correct limb length discrepancies, manage open and closed fractures, nonunions, and bony or soft tissue deformities. A review of the first 2 cases performed at the Sang-gye Paik Hospital Inje University revealed all which have been successfully and which are still in progress.

Ilizarov 치료의 임상적 연구 : 1차 보고 The Preliminary Reports

서광윤,권칠수,김용욱,김형수,신몽룡 인제대학교 1992 仁濟醫學 Vol.13 No.4

The Ilizarov external fixator, though developed in the Soviet Union over 35 years ago, is now gaining popularity in the world. Its design and versatility allow the physician to treat a wilder range of limb diseases than any other external fixation system. The Ilizarov method of fixation also permits the treatment of some dwarfism that were previously considered to be untreatable, difficult and have many problems. The device can be used to correct limb length disorepancies, manage open and closed fractures, nonunion, and bony or soft tissue deformities. Since 1989, we have applied the Ilizarov external fixator for the treatment of the limb length discrepancies, fractures, nonunions, malunions and other formities. We have had the good clinical progresses and results so far. We report the early results of the Ilizarov treatments of 50 cases.

강박신경증 증상에 관한 현상학적 고찰

서광윤 大韓神經精神醫學會 1978 신경정신의학 Vol.17 No.1

Sixty-nine obsessional neurotics in Korea were studied from a phenomenological point of view in order to delineate the various forms and the relative frequency of obsessions and compulsions. An additional attempt was made to ascertain other clinical characteristics presented in these patients. The mean age of the sample at the initial visit to the hospital was 24.9 years (SD 7.5) for men and 28.0 years (SD10.9) for women, and 66.7 per cent of the sample were men. The highest frequency of the age of onset was seen in adolescence. Many of the patients tended to belong to higher educational and economical status, and a preponderance of obsessive character traits was identified both in the patients and their parents. The obsessive-compulsive symptoms frequently encountered were urges which were acted upon, thoughts of destruction, violence, death or injury, doubts concerning past events, checking, thoughts and fears involving contamination, cleaning oneself and avoidance behaviour, in order of frequency of their occurrence. One-fourth of the patients displayed no compulsions and the women showed significantly higher incidence of obsessive thoughts of indirectly causing physical harm to self or others than did the men.

産後 精神障碍에 對한 臨床的 考察

徐光潤,吳吉成,朴魯澤 대한신경정신의학회 1969 신경정신의학 Vol.8 No.1

This study is to investigate the basic clininical phenomena of the 17 female patients with postpartum, mental disorders in Korea, who were treated in the Department of Neuro-Psychiatry, W oo Sok University Medical School Hospital during the period from March 1st, 1963 until September 30th, 1968. The results obtained were as follows: 1) According to the clinical diagnostic categories, these 17 cases were divided into 9 cases of psychoneurosis, 4 cases of psychotic depression, 2 cases of pseudoneurotic schizophrenia and 2 cases of schizophrenia 2) Eight cases occured in primipara, 5 cases in multipara and the others in each postpartum setting. 3) Most of them (I3cases) developed their mental disorders during I week period after delivery. 4) Their clinical symptoms were similar to those of mental disorders which were not associated with parturition. In addition, about half o f . these cases characteristically manifested somatic symptoms such as lumbago and coldness of the extremities. 5) As to their premorbid personality, 7 had hystericl, 5 depressive, 3 schizoid, 1 paranoid and I psychopathic personality make-up. 6) Thrughgoing anamnesis revealed that they had difficulties in their relations with parents and siblings in early childhood and later in their marital life. 7) As to their attitudes toward the babies,about half of them expressed the feelings of over-concern, frank rejection or guilt about their infants.

韓國人 憂鬱症患者 主訴에 關한 臨床的 考察

徐光潤 우석대학교 의과대학 1968 우석의대잡지 Vol.5 No.1

The focus of this study was to investigate the characteristic aspects of the chief complaints of depression in Korea. Their chief complaints expressed in multidimensional ways from psychical ones to various somatic symptoms were assessed in the contents and extents. The 268 cases of depression of this study were comprised from 209 cases of neurotic depression, 7 cases of manic-depressive psychosis, 40 cases of involutional depression and 12 cases of psychotic depression. Their complaints were classified into 107 items and these items again were grouped into 4 major categories according to the method of Grinker et al. The results obtained from this phenomenological study were summarized as follows: 1) Females were 1.7 times higher than males in the hospital incidence of depression. 2) In the distribution of ages, the highest frequency were observed in the period of 30-34 and 50-54 years of age in male and 25-29 and 40-44 years of age in female. 3) The complaints in the category of somatic behavioral manifestations occupied the highest incidence and variety comparing with the other ones of 3 major categories and complaints of gastrointestinal manifestations occupied the highest incidence of all. 4) From the analyses of the incidence of complaints, it is supposed that the excellent predictors for clinical diagnosis of depression are poor appetite (62.7%), difficulty in getting sleep (53.7%), physical weakness and fatigue (51.9%), dull headache (48.9%), palpitation (47.4%), indigestion with epigastric discomfort (44.8%), chest tightness (43.7%), constipation (39.2%), lack of drives (37.3%), dizziness (36.2%), multiple dreams (35.4%), wakefulness during night (34.3%), impaired concentration and memory (32.1%), anxiousness (31.0%), oral dryness and thirst (30.2%), suicidal thought (28.7%), sadness and blue (28.0%), early morning awakening (25.4%), and retarded thought process (24.3%). In addition, easy distractibility (22.0%), restlessness (22.0%), irritability (21.3%), pessimism (19.4%), and decreased sexual feelings and interests (19.4%) are also supposed to be relatively good predictors. 5) The many anxiety manifestations among the excellent and good predictors betray that the material selected for this study was largely composed from anxious depressions.

韓國 神話 및 傳說속의 Oedipus Complex

徐光潤 고려대학교 의과대학 1973 고려대학교 의과대학 잡지 Vol.10 No.1

골프에 의한 유구골구(the hook of the Hamate) 골절

서광윤,권칠수,김용욱,김진혁,김형수 대한스포츠의학회 1992 대한스포츠의학회지 Vol.10 No.1

한국아동골격성숙상에 關한 硏究

徐光倫 고려대학교 의과대학 1965 고려대 의대 잡지 Vol.2 No.1

The assessment of skeletal maturation by means of the Todd, Greulich & Pyles inspectional method, among others, has established its place in the evaluation of the growth and development of children in health and disease. Furthermore, this method has found its practical application in predicting adult heights and leg lengths which has proved to be a valuable aid in the field of orthopedic surgery. Few reports are available so far in this country on the skeletal maturation of Korean children except that of Han(1962) which is mainly concerned with the time of appearance of the ossification centers in the hands and feet, and that of Park (1962) which dealt with the subject of skeletal maturation and development of Korean children in a rather extensive but somewhat obscure way. The present study investigates skeletal maturation of Korean children through roentgenograms from age 7 to full maturity in the hands, and from age 13 to maturity in the knees. The assessment of bone and skeletal age was made by employing Greulich & Pyles Hand Atlas and Pyle & Hoerrs Knee Atlas, respectively, as standards of reference. The briefly summarized findings are as follows: 1. The ages of onset aEd order of the ossification in the hands showed a wide range of variation. The order of appearance of ossification centers in the carpal bcne of the male children was not necessarily the same as that of Standard Children. 2. Completion of ossification in the hands commenced from the carpal bones and ended with the closure of the distal radial epiphysis at the age of 18 years 5 months in the male and 17 years 3 months in the female. Using the Harvard Matnrity Series for comparison, the time of completion of ossification was delayed on the average by 4 months in the male, and 14 months in the female. 3. The fusion time of the distal femoral and the proximal tibia1 epiphysis was 17.5 years in the male and 16 years in the female, while fibula closed after 17 years 11 months in the male and 16.5 years in the femal. 4. Bone ages of 30 ossification centers in the hands showed a wide range of variations at each age level in both sexes. The average bone age of each ossification center showed a variable amount of retardation compared to Standard Children. The average of the difference in the bone ages through whole age levels showed maximum value in the lunate of the male, and the distal ulnar epiphysis, lunate and scaphoid of the female. 5. Skeletal ages of the hand showed a variable amount of retardation compared to Standard Children at each age level in both sexes. The average of the difference through all age levels was 11 months in the male and 13 months in the female, reaching its peak of difference at age 11 in both sexes. The period of maximum difference was inferred as due to the different timing of the maturation spurt, comparable to the prepubertal growth spurt, as its principal cause. Menarcheal age in this female group was 14 years 8 months. It was postulated that the mechanism, which causes retardation in the menarcheal age of Korean girls, was also responsible for the difference in maturation rate and pattern at least, in the prepubertal period in femaie groups. 6. It was realized that a different skeletal age norm is needed among different races, which show a The standard of the skeletal maturation of Korean children from age 7 to maturity was presented, and 7. Ccmparison with Chinese and Japanese children showed less dissimilarities in the rate and pattern of maturation than in comparison with Standard Children. 8. Bone and skeletal age of knees showed less retardation in the male groups, and comparable delay with hands in the female groups. Skeletal age of hands and knees did not necessarily correspond and this feature was more conspicuous in the male groups. quite different rate and pattern of skeletal maturation. its course of selection was described. 9. Hands were considered as more reliable and convenient in assessing skeletal maturity. 10. Korean girls are generally less precocious than boys in their respective skeletal maturation rates when compared with American children. 11. Skeletal maturation has a close relationship with body maturation and growth. 12. Bayleys Prediction Table for Adult Heights and Anderson & Greens Prediction Chart for Leg Lengths may be applied to Korean children with some qualification.

한국아동골격성숙상에 關한 硏究

徐光倫 首都醫科大學 1965 수도 의대 잡지 Vol.2 No.1