가족력이 없는 조화운동불능 동반 선천안운동행위상실증

홍사민,한승한,이종복,Samin Hong,M,D,Seunghan Han,M,D,Jongbok Lee,M,D 대한안과학회 2005 대한안과학회지 Vol.46 No.8

Purpose: To evaluate the natural clinical course of sporadic congenital oculomotor apraxia associated with ataxia. Methods: In a retrospective study from June 1994 to March 2004, 3 patients with sporadic congenital oculomotor apraxia associated with ataxia were evaluated. Oculomotor apraxia and ataxia were checked. Results: The three patients with sporadic congenital oculomotor apraxia associated with ataxia showed a decrease in head thrust which can be found specifically in oculomotor apraxia, and an improvement of oculomotor apraxia and ataxia over the 10-year observation period. Conclusions: A favorable natural clinical course can be expected in a case of sporadic congenital oculomotor apraxia associated with ataxia in the absence of any clinical evidence of inheritance or genetic abnormality. J Korean Ophthalmol Soc 46(8):1368-1373, 2005

Detection of Occludable Angles with the Pentacam and the Anterior Segment Optical Coherence Tomography

홍사민,강성용,성공제,이정호,김찬윤 연세대학교의과대학 2009 Yonsei medical journal Vol.50 No.4

Purpose: To assess efficacy of the Pentacam (PTC) and the anterior segment optical coherence tomography (AOCT) for detection of occludable angles. Materials and Methods: Fourty-one eyes with gonioscopically diagnosed occludable angles and 32 normal open-angle eyes were included. Anterior chamber angle (ACA) and anterior chamber depth (ACD) were measured with PTC and AOCT. Receiver operating characteristic (ROC) curve was constructed for each parameter and the area under the ROC curve (AUC) was calculated. Results: Values of ACA and ACD measured by PTC and AOCT were similar not only in normal open angle eyes but also in occludable angle eyes. For detection of occludable angle, the AUCs of PTC with ACA and ACD were 0.935 and 0.969, respectively. The AUCs of AOCT with ACA and ACD were 0.904 and 0.947, respectively. Conclusion: Both PTC and AOCT allow accurate discrimination between open and occludable angle eyes, so that they may aid to screening the occludable angles. Purpose: To assess efficacy of the Pentacam (PTC) and the anterior segment optical coherence tomography (AOCT) for detection of occludable angles. Materials and Methods: Fourty-one eyes with gonioscopically diagnosed occludable angles and 32 normal open-angle eyes were included. Anterior chamber angle (ACA) and anterior chamber depth (ACD) were measured with PTC and AOCT. Receiver operating characteristic (ROC) curve was constructed for each parameter and the area under the ROC curve (AUC) was calculated. Results: Values of ACA and ACD measured by PTC and AOCT were similar not only in normal open angle eyes but also in occludable angle eyes. For detection of occludable angle, the AUCs of PTC with ACA and ACD were 0.935 and 0.969, respectively. The AUCs of AOCT with ACA and ACD were 0.904 and 0.947, respectively. Conclusion: Both PTC and AOCT allow accurate discrimination between open and occludable angle eyes, so that they may aid to screening the occludable angles.

Transforming growth factor-β Does Not Induce Endothelin-1 Secretion in Primary Cultured Human Tenon’s Fibroblasts

홍사민,김찬윤,이종복,Iizuka Yoko,성공제 대한안과학회 2008 Korean Journal of Ophthalmology Vol.22 No.4

Subconjunctival fibrosis is closely related to scarring after glaucoma filtering surgery, and transforming growth factor-β (TGF-β) is known to play a crucial role in this scarring process. It induces the transformation of fibroblasts to myofibloblasts and the production of extracellular matrix (ECM) in the Tenon’s capsule. Endothelin-1 (ET-1) is thought to be secreted by fibroblasts and contributes to fibrosis in such stressed conditions. However, evidence regarding autocrine production of ET-1 from TGF-βstimulated human Tenon’s fibroblasts are lacking. In the present study, the authors evaluated the effects of TGF-β1 on ET-1 expression from primary cultured human Tenon’s fibroblasts. Our results demonstrate that TGF-β1 seemingly has no influence on the synthesis of ET-1 in human Tenon’s fibroblasts. Even though fibroblasts usually are not a major source of ET-1, these different cellular responses may implicate the characteristics of Tenon’s fibroblasts as being different to fibroblasts from other tissue. Studies concerning other intracellular signaling pathways associated with pro- and anti- fibrosis are also needed to confirm the similarities of fibroblasts from human Tenon’s capsule with that from other organs.

Drug Attitude and Adherence to Anti-Glaucoma Medication

홍사민,강성용,윤종욱,강의천,성공제,김찬윤 연세대학교의과대학 2010 Yonsei medical journal Vol.51 No.2

Purpose: The purpose of this study is to assess patient attitudes towards anti-glaucoma medication and their association with adherence, visual quality of life, and personality traits. Materials and Methods: One hundred and forty-seven glaucoma patients were enrolled this study. The participants were divided into ‘pharmacophobic’ and ‘pharmacophilic’ groups according to their scores on the Modified Glaucoma Drug Attitude Inventory (MG-DAI). To establish a correlation with patient drug attitude, each group had their subjective drug adherence, visual quality of life, and personality traits examined. For personality traits, the Myers-Briggs Type Indicator (MBTI) was used to sub-classify each group. Results: Among the patients analyzed, 91 (72.80%) patients showed a ‘pharmacophobic’attitude and 34 (27.20%) patients showed a ‘pharmacophilic’ attitude. The pharmacophobic group tended to have worse adherence than the pharmacophilic group. Personality dichotomies from the MBTI also showed different patterns for each group. Conclusion: In glaucoma patients, pharmacological adherence was influenced by their attitude towards drugs; an association might exist between drug attitude and underlying personality traits.

신종 코로나바이러스 감염증(코로나19) 대유행과 보건의료인의 인권: 공중보건의사를 중심으로

홍사민 한국보건행정학회 2022 보건행정학회지 Vol.32 No.3

Korea’s quarantine response to the novel coronavirus (coronavirus disease 2019 [COVID-19]) pandemic is based on the sacrifice ofhealth professionals, especially public health doctors (PHDs) who were called out first and put in the first place in the country. PHDsperformed major quarantine tasks, such as collecting samples from screening clinics and epidemiological investigations, in variousparts of the country, including the Daegu area, where the first large-scale COVID-19 confirmed cases in Korea and explosivelyincreased. Because of their position as fixed-term civil servants, however, PHDs’ professionalism as doctors was ignored, and theywere not properly compensated for their work. They were also exposed to problems such as a high risk of infection, mental suffering,and various human rights violations. We must prepare concrete measures to improve the fundamental treatment of PHDs and protecttheir human rights in order to prepare for a possible infectious disease pandemic in the future.

대한민국의 난민 의료지원

홍사민 한국보건행정학회 2023 보건행정학회지 Vol.33 No.2

Refugees who are persecuted can apply for refugee recognition in the Republic of Korea in accordance with the Refugee Conventionand the Refugee Act. They can do so either at the port of entry or during their stay in Korea. After undergoing screening, individualsmay be recognized and protected under different categories, such as recognized refugees, humanitarian status holders, refugeeapplicants, and refugees seeking resettlement. Recognized refugees are entitled to the same social benefits and basic livelihoodguarantees as Korean nationals. Humanitarian status holders and refugee applicants may receive support such as minimum livingexpenses, housing facilities, medical care, and education. In the medical field, refugees and their unmarried minor children are eligiblefor medical support through the “Medical Service Support Project for Marginalized Populations, Including Foreign Workers.” Thissupport is in addition to the national healthcare coverage and medical benefits provided by the government. However, there arepressing concerns regarding the inadequate budget allocated to this project and the excessive cost burden placed on participatingmedical institutions. It is crucial to secure additional funding and implement administrative improvements. Furthermore, it is essentialto develop medical support measures that ensure the minimum right to health for individuals who choose not to undergo the refugeerecognition process at the port of entry.

한국인 중간대뇌동맥 겉질가지의 갈림과 분포

홍사민,송형근,유남규,정인혁 대한체질인류학회 2002 대한체질인류학회지 Vol.15 No.4

Anatomic Study on the Cortical Branches of the Middle Cerebral Artery in KoreansSa Min Hong1, Hyung Keun Song1, Nam Kyu Yoo1, In Hyuk Chung

눈의 부작용을 신경써야 하는 다빈도 내과 처방 약물

홍사민 대한내과학회 2019 대한내과학회 추계학술대회 Vol.2019 No.2

대한민국 수용자 의료처우의 실질적 개선

홍사민 한국보건행정학회 2023 보건행정학회지 Vol.33 No.3

The responsibility to ensure the health rights of detainees, particularly their medical rights, fundamentally lies with the state in allnations. However, in the correctional facilities of the Republic of Korea, these rights are currently not adequately safeguarded. Numerous detainees express dissatisfaction with the medical services provided and show a preference for voluntary externaltreatment. However, barriers such as prolonged application processes for external treatment and the requirement for detainees tocover their medical expenses present significant challenges. Therefore, the National Human Rights Commission of Korea hasadvocated for an increased medical budget in correctional facilities and a bolstered professional medical workforce to improve themedical care of detainees. Recommendations for improvements include: (1) establishing dedicated correctional hospitals fordetainees, (2) setting up specialized correctional wards, (3) collaborating with military hospitals, (4) launching mobile medical busesfor diverse specialties, (5) enhancing collaboration with public and private medical institutions, (6) increasing compensation forpartnering external medical institutions, (7) improving the working conditions of medical officers, (8) safeguarding the defense rightsof medical staff, (9) improving the working conditions of public health doctors from the Ministry of Justice in correctional facilities,and (10) pre-assigning public health specialists and military doctors to correctional facilities. By implementing these measures, it isanticipated that the quality of medical services in the Republic of Korea’s correctional facilities will improve, reducing the demandfor external treatments among detainees and ensuring their health and medical rights are realistically upheld.

Case Report: Colon pseudoobstruction and Repletion heart failure

홍사민,이윤식 한국정맥경장영양학회 2006 한국정맥경장영양학회 학술대회집 Vol.2006 No.-