비인두암으로 인한 제 6 뇌신경 마비

김주현 ( Chu Hyun Kim ) , 안재홍 ( Jae Hong Ahn ) , 장재우 ( Jae Woo Jang ) 대한안과학회 2002 대한안과학회지 Vol.43 No.9

한국인의 양안 단일시 시야검사 연구

김주현 ( Chu Hyun Kim ) , 안재홍 ( Jae Hong Ahn ) , 장재우 ( Jae Woo Jang ) 대한안과학회 2002 대한안과학회지 Vol.43 No.12

양안의 모든 외안근을 침범한 특발성 외안근염 1 예

김주현(Chu Hyun Kim),임종윤(Jong Yoon Lim),안재홍(Jae Hong Ahn),장재우(Jae Woo Jang) 대한안과학회 2001 대한안과학회지 Vol.42 No.11

구급대원용 개인보호복 개발을 위한 기초연구

노유민,남윤자,이혜린,김태한,김주현,신상도,No, Yoo-Min,Nam, Yun-Ja,Lee, Hye-Rin,Kim, Tae-Han,Kim, Chu-Hyun,Shin, Sang-Do 한국응급구조학회 2018 한국응급구조학회지 Vol.22 No.1

Purpose: The purpose of this study was to provide basic data for the development of personal protective equipment (PPE) for emergency medical technicians (EMTs) during chemical, biological, radiological, nuclear, and explosive situations. Methods: Body measurements were obtained for adults aged from 20 to 59 years from the data in the 6 th Size Korea national sizing survey. These data were compared to the sizes of protective clothing currently available in the market. In-depth interviews with active paramedics with experiences of wearing PPE were conducted. Results: Most of the imported protective clothing turned out to be unfit for Korean adults. This showed the urgent need for developing appropriately sized protective clothing for Korean emergency technicians. In total, 55.0% of the respondents indicated that the current protective clothing is unsafe, and 71.0% requested the clothing to have level C protective performance. Regarding the design, many people wanted hooded all-in-one type of clothing. Conclusion: Considering these requirements, most of the wearers wanted their protective clothing to be fundamentally protective of their body, be available in various sizes with adjustable parts, and easy to wear and take off. They also wanted the clothing to be secure in clear sight, while not revealing any parts of their body and not interfringe with their ability to communicate with others.

상부 소화관 질환증상에 대한 제산.소화효소제와 생약제를 함유한 복합제제 세립의 유용성

전형식(Hyung Sik Chun),김주현(Ju Hyun Kim),황일순(Il Sun Hwang),추현광(Hyon Kwang Chu),박현철(Hyon Chul Park),정숙향(Suk Hyang Chung) 대한약학회 1993 약학회지 Vol.37 No.2

The purpose of this study was to evaluate the clinical efficacy and safety of NRM which was newly developed as a combination product containing antacids, digestive enzyme and herbal drugs, and OTA powder, called OHTA''S ISAN on the morret, for the treatment of various symptoms in upper gastrointestinal diseases. 63 patients were recruited, 36 as a treated group with NRM and 27 as a controlled one with OTA. Patients were randomly allocated to receive either NRM or OTA t.i.d. for treatment of upper G-I symptoms and undergone endoscopic, symptomatic and clinical laboratory assessments before and after 2 weeks. The results were as follows; 1. The general improvement rates of subjective symptoms in upper G-I diseases were observed in 100%(32/32) for NRM and in 92%(23/25) for OTA. 2. The overall effective rates in terms of the symptoms and endoscopic findings were 88.9%(32/36)for NRM and 85.2%(23/27) for OTA respectively. 3. In NRM group, no significant side effects by NRM were observed except a mild and transient vomiting in one patient, but in OTA group treatment was discontinued due to nousea in one patient. However, there were no clinically significant changes detected in the laboratory parameters. According to the result of this trial, it is cocluded that NRM was safe and effective and (but not statistically significant) was superior to OTA in the treatment of gastrointestinal diseases caused by gastritis, gastric and duodenal ulcer, functional gastrointestinal disorder, non-ulcer dyspepsia etc.

익상편수술후 재발에 관여하는 인자

이동호(Dong Ho Lee),유호민(Ho Min Lew),김양호(Yang Ho Kim),김주현(Chu Hyun Kim) 대한안과학회 1999 대한안과학회지 Vol.40 No.11

미숙아 환아에서의 굴절이상

이기황(Ki Hwang Lee),문찬식(Chan Shik Moon),김주현(Chu Hyun Kim),장윤희(Yoon-Hee Chang),유호민(Ho Min Lew) 대한검안학회 2006 Annals of optometry and contact lens Vol.5 No.1

목적: 출생 후 만 1∼12년의 미숙아들을 대상으로 굴절이상과 이와 연관이 있는 인자들을 알아보고, 정상 만삭아와 비교해 보고자 하였다. 대상과 방법: 1994년부터 2004년까지 본원에서 출생한 37주 미만의 미숙아 중 출생 후 만 1∼12년 후 추적관찰한 환아를 대상으로 하였다. 조절마비굴절검사와 안축장길이, 전방깊이를 측정하였고 의무기록을 통해 재태기간과 출생체중을 후향적으로 조사하였다. 미숙아망막병증으로 치료받은 미숙아군(1군), 치료가 필요하지 않았던 미숙아군(2군), 만삭아군(3군)으로 분류하여 비교하였다. 결과: 대상 환아는 모두 86명이었다. 근시의 정도는 미숙아(1+2군)에서 통계적으로 유의하게 높게 나타났으며 1군과 2군을 비교했을 때도 1군에서 통계적으로 유의하게 높게 나타났다. 대상환아 중 근시 환아들을 대상으로 나이를 보정하여 안축장 길이 및 전방의 깊이를 비교하였을 때 세 군 간에 유의한 차이가 없었다. 근시를 나타낸 1군 환아들에서 근시의 정도에 유의하게 상관관계를 보였던 인자는 안축장의 길이, 전방의 깊이, 재태기간, 및 출생 시 체중이었다. 결론: 출생 후 만 1∼12세의 미숙아들에서 굴절이상 양상 및 영향인자를 알아보았다. Purpose: To evaluate the refractive status and their relation with gestational age and factors influencing the occurrence and degree of myopia in premature infants. Methods: Premature infants with a gestational age <37 weeks and born between Sept. 1994 and June 2004 were enrolled, and subdivided into two groups according to treatment for threshold ROP: Group 1: children born prematurely with threshold ROP, Group 2: children born prematurely without threshold ROP. Cycloplegic retinoscopy and ultrasound biometry were performed. These results were compared to the full term babies (Group 3). Results: There were significant differences in the incidence of myopia between age of 4 to 6 among the three groups, and the degree of myopia was higher in premature infants born with threshold ROP than the others. There were no significant differences in the axial length and anterior chamber depth between group 1 and 3. The degrees of myopia in group 1 were related to birth weight, intrauterine period, and axial length. Conclusions: Laser or cryotherapy treated eyes were significantly more myopic than the others. The degree of the myopia was found to be related to the birth weight, axial length, anterior chamber depth, and intrauterine period. Premature infants should be screened regularly and long-term follow up should be recommended to prevent amblyopia, strabismus, and other ocular abnormalities.

활력증후가 안정적인 복부둔상 환자에서 증가된 liver transaminase치가 가지는 간손상 진단의 임상적 의의

김주현,김영식,김상철,김호중,김선만,이부수 대한응급의학회 2003 대한응급의학회지 Vol.14 No.3

Purpose: A patient at the emergency department (ED) with blunt abdominal trauma may still have the possibility of liver injury, even though they are hemodynamically stable. Computed tomography (CT) scanning or ultrasonography (US) is available if they are hemodynamically stable. However ultrasonography (US) has technical differences between physicians depending on their skill and computed tomography (CT) is expensive and time consuming, while liver transaminase is widely available, relatively inexpensive. Therefore, we studied diagnostic value of liver transaminase as a screening test for liver injury in hemodynamically stable patients with blunt abdominal trauma. Methods: From March 2000 to February 2001, we treated 44 hemodynamically stable patients with suspected blunt abdominal trauma who were patients with elevated liver transaminase. An evaluation protocol including patient' s age, sex, injury mechanism, history, physical examination, Glasgow Coma Scale (GCS), Revised Trauma Score (RTS), Injury Severity Scale (ISS), liver transaminase, abdominal US and abdominal CT was prospectively performed on all patients by residents and the staff of the emergency department. Based on the confirmed diagnosis of abdominal CT, patients were divided into two groups: groupⅠwith liver injury and group Ⅱ without liver injury. We analysed the two groups by using the t-test and the chi-square test, and calculated the sensitivity, the specificity and the predictive value of serum aspartate aminotransferase (AST) and serum alanine aminotransferase (ALT) by using multiple cutoff values. Results: There were 34 male patients (76.3%) and 10 female patients (23.70/o) and the average age of all patients was 37 years. Triage RTS and GCS were, respectively, 11.7±0.7 and 13.9±2.1 in group Ⅰ, and 11.4±1.2 and 13.2±3.5 in group Ⅱ, the differences between the two groups were statistically insignificant. The ISS was 26.8±9.4 in group Ⅰ and 21.1±8.0 in group Ⅱ, and the differences was statistically significant. AST and ALT were, respectively, 288.0±113.7 IU/L and 177.9±95.8 IU/L in group I and 148.1±84.8 IU/L and 95.1+59.8 IU/L in group Ⅱ. The maximum value of the highest sensitivity and minimal specificity of AST and ALT, calculated using the receiver operator curve, were AST > 256.3 IU/L and/or ALT > 122.0 IU/L, for which the sensitivity and the specificity were 61.1% and 84.6%, and the positive and the negative predictive values were 73.3% and 75.8%, respectively. Conclusion: We recommend that all patient with suspected blunt abdominal trauma be evaluated using serum liver transaminase as a screening test for liver injury even though they are hemodynamically stable. If AST > 256.3 IU/L and/or ALT 122.0 >IU/L, they should be evaluated with abdominal CT to confirm liver injury.

식도 궤양, 급성 담낭염 및 허혈성 대장염의 소견이 현저한 알레르기성 육아 종증(Churg-Strauss Syndrome) 1 예

김광호,박성혜,이상헌,김주현,박현철,남상민,정숙향,김호연,황일순,전형식,추현광 대한내과학회 1993 대한내과학회지 Vol.45 No.3

Churg-Strauss syndrome is a kind of rare systemic vasculitis characterized by peripheral eosinophilia, bronchial asthma and relatively specific pathological findings such as necrotizing vasculitis, eosinophilic infiltration of tissue and/or extravascular granuloma. Clinically multiple organs/systems can be involved with various manifestations of disease of lung, heart, skin, musculoskeletal system, nervous system and gastrointesinal/hepatobiliary tract. Gastrointestinal symtoms were frequently accompanied, but usually mild and easily controllable so that special study for evaluation of the symptoms hardly seemed to be needed. We experienced a case of Churg-Strauss syndrome presenting as esophageal ulcers, acute acalculous cholecystitis and treatment-resistant ischemic colitis in a 24-year-old male patient with acute upper abdominal pain and watery, often bloody diarrhea. He also showed peripheral eosinophilia, bronchial asthma, mononeuritis multiplex, skin rash and arthritis. The patient received high dose corticosteroid, cyclophosphamide and exchange plasmapheresis with resolution of almost all symptoms. But symptoms of ischemic colitis such as abdominal pain and diarrhea are not completely improved in spite of intensive therapy.

간세포암의 간동맥 화학색전술 후 합병된 간농양 1예

추현광,김주현,오세진,박혜영,박현철,전형식 대한감염학회 1995 감염 Vol.27 No.1

저자들은 간세포암 환자에서 간동맥 화학색전술 시행 후 합병된 Enterobacter cloacae 에 의한 간농양 1예를 경험하였기에 문헌고찰과 함께 보고한다. Transcatheter arterial chemoembolizaion(TACE) is a useful alternative to surgery and systemic chemotherapy for inoperable hepatocellular carcinoma. The common adverse reaction observed following TACE is a postembolization syndrome which consists of abdominal pain, fever, nausea, vomiting and leukocytosis. Heapatic abscess and septicemia have been reported to be rare complications. We experienced a case of hepatic abscess following TACE for a huge hepatocellular carcinoma. Enterobacter cloacae was isolated from drainage of the abscess and the patient was recovered with antimicrobial therapy and percutaneous drainage of abscess.