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Morphometric study of fibularis brevis and fibularis digiti quinti muscles insertion patterns
최다예 대한체질인류학회 2021 대한체질인류학회 학술대회 연제 초록 Vol.64 No.-
The fibularis brevis and fibularis digiti quinti muscles are of clinical significance during reconstructive surgery and treatment of fractures of the metatarsal bone. The aim of this study was to determine the morphological characteristics of these muscles and the location of their respective insertion areas. Thirty specimens from Korean cadavers were used in this study (mean age: 72.00 ± 12.01 years). All specimens were classified into one of three types according to their morphology at the insertion site; Type 1 (single attachment), Type 2 (bifurcated attachment), and Type 3 (presence of fibularis digiti quinti muscle) were observed in 26.67% (8/30), 16.67% (5/30), and 56.67% (17/27) of cases, respectively. The location of the insertion area of the fibularis brevis muscle did not differ significantly and the width of the tendon show statistically significant difference according to the morphology. Fibularis digiti quinti muscle bellies with particularly distal attachments were observed in two specimens (6.67%). An improved understanding of the anatomical characteristics of the fibularis muscles provides insights that may benefit future anthropological study as well as clinical procedures relating to the foot.
최다예,이정혜,안정현,서연림,우경인,김윤덕,Da Ye Choi,MD,Jung Hye Lee,MD,Jung Hyun Ahn,MD,Yeon Lim Suh,MD,PhD,Kyung In Woo,MD,PhD,Yoon Duck Kim,MD,PhD 대한안과학회 2014 대한안과학회지 Vol.55 No.8
Purpose: Normal squamous cells do not exist in the orbit. Therefore squamous cell carcinoma of the orbit is rare and usually arises as a secondary tumor from distant metastasis or local invasion. The authors herein describe the first case of primary squamous cell carcinoma of the orbit in Korea. Case summary: A 74-year-old female presented with a 2-month history of left upper eyelid swelling and ocular pain. On physical examination, a round, firm, fixed and tender mass was palpable in the superomedial side of the left orbit. Magnetic resonance imaging (MRI) showed 21 mm x 15 mm x 20 mm-sized irregular soft tissue mass with indistinct margin and peripheral enhancement in the superomedial portion of the left orbit, and incisional biopsy of the mass was performed. Histopathological examination showed clusters of squamous cells with polymorphic nuclei and interspersed keratin pearls, consistent with findings of well-differentiated squamous cell carcinoma. Despite extensive systemic work-up, there was no sign of extraorbital malignancy. The patient received left exenteration and adjuvant radiation therapy. Ten months after enucleation, a 12 mm x 14 mm sized firm mass developed on the left forehead, and excisional biopsy and frontalis rotational flap reconstruction were performed. Histopathological examination of the mass was consistent with well-differentiated squamous cell carcinoma. The patient remained alive 17 months after diagnosis without evidence of local recurrence or distant metastasis. Conclusions: Primary squamous cell carcinoma should be considered in the differential diagnosis of acutely progressing tumors of the orbit. J Korean Ophthalmol Soc 2014;55(8):1224-1228
유리체강내 간시클로버와 포스카네트 병합 치료로 호전된 진행성외망막괴사 1예
최다예,이수현,김예진,최수한,김은영,구홍회,김상진 대한안과학회 2015 대한안과학회지 Vol.56 No.6
목적: 저자들은 급성백혈병 환자에서 발생한 진행성외망막괴사가 유리체강내 항바이러스제 병합치료로 호전된 증례를 보고하고자한다. 증례요약: T 전구세포 백혈병으로 진단 받고 항암 치료 및 제대혈 조혈모세포이식을 시행 받은 11세 남자 환자에서 이마의 대상포진과우안 망막 주변부 괴사성 병변이 발생하고 빠르게 진행하였다. 환아의 뇌척수액에서 Varicella-Zoster virus가 검출되었으며 진행성외망막괴사로 진단되었다. 정맥내 acyclovir 및 foscarnet과 우안 유리체강내 foscarnet 주사치료에도 망막괴사는 진행하여 망막박리가발생하고 전체 망막괴사로 발전하였다. 이후 좌안에 새로운 망막괴사가 발견되어 정맥내 foscarnet, ganciclovir와 유리체강내foscarnet, ganciclovir 주사치료를 시행하였으며, 망막박리가 발생하였으나 망막괴사는 억제되어 후극부를 침범하지 않았다. 이후경구 valganciclovir와 유리체강내 foscarnet, ganciclovir 주사치료를 유지하며 좌안 시력을 보존하였다. Purpose: To report a case of progressive outer retinal necrosis treated by combined intravitreal foscarnet and ganciclovir. Case summary: A 11-year-old male with a history of chemotherapy and cord blood transplantation due to precursor T-cell leukemia developed Herpes zoster lesion on his forehead and rapidly progressing peripheral retinal necrosis without vasculitis in the right eye. Varicella-Zoster virus was confirmed in his cerebrospinal fluid using polymerase chain reaction (PCR); and the patient was diagnosed with progressive outer retinal necrosis. Despite combined treatment with intravenous acyclovir and foscarnet and intravitreal foscarnet, retinal necrosis progressed to retinal detachment and total retinal necrosis. During follow-up, new retinal necrosis was observed in his left eye. The patient was started on combined intravenous and intravitreal foscarnet and ganciclovir; retinal necrosis in the left eye regressed and posterior pole was spared. With subsequent oral valganciclovir and intravitreal foscarnet and ganciclovir, the remaining retina was preserved with maintained vision.
코로나19로 인한 두경부 해부학 수강생의 온라인 수업 만족도와 학습몰입도에 관한 연구 – 치위생학과 학생을 대상으로 -
최다예,홍민희 중소기업융합학회 2021 융합정보논문지 Vol.11 No.5
본 연구는 온라인으로 진행된 두경부 해부학 수업을 수강한 학습자를 대상으로 온라인 강의에 대한 만족도 를 조사하고, 지속적으로 진행될 수 있는 온라인 수업에서 더 좋은 교육 효과를 얻기 위한 기초자료를 마련하기 위해 수행되었다. 두경부 해부학 온라인 수업을 수강한 치위생학과 학생 120명을 대상으로 온라인 강의를 수강하 는 시간과 온라인 강의 유형을 조사하였다. 수업 이해도와 학업성취도를 주관적으로 평가하도록 하였으며, 온라인 강의의 학습몰입도, 온라인 강의 만족도에 영향을 미치는 요인을 분석하였다. 학업 성취도가 증가할수록 학습 몰입 도가 증가하였으며, 과제 시간이 줄어들수록 학습 몰입도가 증가하였다. 수업이해도가 높아질수록 온라인 수업 만 족도가 증가하였으며, 과제 시간이 증가할수록 온라인 수업 만족도는 감소하였다. 본 연구의 결과가 포스트 코로나 시대를 맞아 해부학 분야의 새로운 교육과정을 설계할 때 그 방향을 비추는 역할을 할 수 있기를 기대한다. This study was conducted to survey the learners' satisfaction with the online head and neck anatomy class and obtain basic data for the purpose of possibly making continuing online class educationally more effective. A Google Forms survey was conducted with dental hygiene students, and 120 copies of the questionnaire were used as data for the final analysis. The study surveyed when they take on online classes and the types of online classes and had the respondents subjectively evaluate their own understanding of the classes and their academic achievements through them. The biggest influence on learning immersion was academic achievement and the biggest influence on the satisfaction with online class was the students' understanding of the class. It is hoped that the research results will shed light on the directions for designing new curriculums in anatomy in this era of a pandemic.