동씨침을 시술한 안면경련의 치험 3례

김태우,김효은,조명제,강영화,이재동,Kim, Tae-woo,Kim, Hyo-eun,Cho, Myung-je,Kang, Young-hwa,Lee, Jae-dong 대한침구의학회 2003 대한침구의학회지 Vol.20 No.1

Objective : Hemifacial spasm is painless uncommon disorder characterized by involuntary paroxysmal movement of one side of face, In this study, the effect of Dong-Si acupuncture therapy for three patients with hemifacial spasm were evaluated. Methods : We have treated them with acupuncture treatment of Dong-Si acupuncture points(Cheuk-Samni and Cheuk-ha-Samni) and evaluated the effect by Scott's scale, For the first two weeks, it was dine once a day, and after two weeks, the other day. Results : Before therapy, the grades of spasm intensity classified by Scott's description in three cases were 3. And after Dong-Si acupuncture therapy, the grade of one case was 0, and two cases were 1. Conclusion : The Dong-Si acupuncture therapy for hemifacial spasm was effective and will be attempted to the patients with it.

A Systematic Review and Meta-Analysis of Arthroscopic Meniscus Repair in Young Patients: Comparison of All-Inside and Inside-Out Suture Techniques

Dong­Geun Kang,Young­Jin Park,Jae­Ha Yu,Jong­Byung Oh,Dong-Yeong Lee 대한슬관절학회 2019 대한슬관절학회지 Vol.31 No.1

Purpose: The purposes of the present study were to review published studies that investigated arthroscopic meniscus repair to treat meniscus injury in young patients and to compare all­inside and inside­out suture techniques.Methods: Various electronic databases were queried for published articles, and this search was updated in August 2017 for evaluating the outcomes of arthroscopic meniscus surgery in young patients. Data search, extraction, analysis, and quality assessment were performed according to the Cochrane Collaboration guidelines, and the clinical outcomes were evaluated using various outcome values in young patients according to suture techniques.Results: Three randomized controlled trials and three prospective comparative studies were included in this systematic review and meta­analysis. There were no significant differences in clinical outcomes such as meniscus healing rate (risk ratio [RR], 1.11; 95% confidence interval [CI], 0.90 to 1.37; I2=39%) and perioperative complications (RR, 0.62; 95% CI, 0.23 to 1.72; I2=43%) between all­inside and inside­out techniques for meniscus repair.Conclusions: The present study shows favorable results for clinical outcomes such as meniscus healing rate and perioperative complications in young patients. Furthermore, based on our results, both all­inside and inside­out meniscal suture techniques are equally effective in these patients.

NR과 SBR 가황물의 경도와 강성도에 대한 온도의 영향

진현호 ( Hyun Ho Jin ),홍창국 ( Chang Kook Hong ),조동련 ( Dong Lyun Cho ),강신영 ( Shin Young Kaang ) 한국고무학회 2007 엘라스토머 및 콤포지트 Vol.42 No.3

본 연구에서는 고무제품의 수치 안정성과 성능유지에 직접적으로 영향을 미치는 중요한 특성 중 하나인 온도변화에 따른 고무재료의 경도변화를 고찰하였다. 새롭게 제작된 International Rubber Hardness Degree(IRHD, Normal type) 경도측정 시험기를 사용하여 미충전된 NR과 SBR시편의 여러 온도에서 경도변화를 측정하였으며 Young`s modulus 값과 비교하였다. NR과 SBR 모두 유리전이온도 근처에서 경도와 Young`s modulus의 급격한 변화를 보였다. 온도가 증가함에 따라 경도와 Young`s modulus 값이 증가하는 경향을 보였으며 이는 분자의 운동성과 엔트로피 영향으로 해석할 수 있다. 카본블랙과 실리카가 충전된 NR과 SBR의 경우 충전제의 함량이 증가함에 따라 경도에 미치는 온도의 영향이 감소함을 관찰하였다. Hardness of rubbery materials, which is important for dimensional stability and product performance, was investigated upon temperature change in this study. A newly developed IRHD (International Rubber Hardness Degree) tester was used to measure the hardness changes of NR and SBR specimens at various temperatures and the hardness values were compared with the Young`s modulus. The hardness and Young`s modulus of NR and SBR showed an abrupt change near the glass transition temperatures. The hardness and Young`s modulus were increased by increasing temperature due to the increased random chain conformation of molecules. The effect of temperature on hardness and Young`s modulus of NR and SBR specimens filled with carbon black and silica was decreased by increasing filler content.

Elderly kidney transplant recipients have favorable outcomes but increased infection-related mortality

임정훈,Lee Ga Young,Jeon Yena,Jung Hee-Yeon,Choi Ji Young,CHO, JANG-HEE,Park Sun Hee,김용림,Kim Hyung-Kee,Huh Seung,유은상,Won Dong Il,Kim Chan-Duck 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.3

Background: The number of elderly patients with end-stage kidney disease has been increasing, but the outcomes of kidney transplants (KT) remain poorly understood in elderly patients. Therefore, we evaluated the clinical outcomes of elderly KT recipients and analyzed the impact of elderly donors. Methods: This retrospective cohort study included patients who underwent KT between 2000 and 2019. KT recipients were divided into four groups according to a combination of recipient and donor age (≥60 or <60 years); elderly recipients: old-to-old (n = 46) and young-to-old (n = 83); young recipients: old-to-young (n = 98) and young-to-young (n = 796). We compared the risks of mortality, graft failure, and acute rejection between groups using Cox regression analysis. Results: The incidence of delayed graft function, graft failure, and acute rejection was not different among groups. Annual mean tacrolimus trough level was not lower in elderly recipients than young recipients during 10-year follow-up. Mortality was significantly higher in elderly recipients (p = 0.001), particularly infection-related mortality (p < 0.001). In multivariable Cox regression analysis, old-toold and young-to-old groups had increased risk of mortality (adjusted hazard ratio [aHR], 2.89; 95% confidence interval [CI], 1.14– 7.32; p = 0.03; aHR, 3.06; 95% CI, 1.51–6.20; p = 0.002). However, graft failure and acute rejection risks were not increased in elderly recipients. Conclusion: In elderly recipients, graft survival and acute rejection-free survival were not inferior to those of young recipients. However, mortality, especially risk of infection-related death, was increased in elderly recipients. Thus, low immunosuppression intensity might help decrease mortality in elderly recipients.

1920년대 경성(京城)의 역사(歷史)/인문자원(人文資源) 아카이브 구축(構築)의 사례(事例) -『경성백승(京城百勝)』을 중심으로-

유춘동(兪春東) ( Yoo Choon-dong ),오영식(吳榮植) ( Oh Young-sik ) 한국어문교육연구회 2020 어문연구(語文硏究) Vol.48 No.4

『경성백승』은 1924년 6월 25일부터 8월 16일까지 <東亞日報> 문화면에 게재되었던 ‘一百洞町, 一百名物, 내 동리 名物’ 연재물을 재정리하여, 1929년 10월에 동아일보사 출판부에서 단행본으로 출간한 것이다. 1910년에서부터 1920년대 사이에는 朝鮮半島 전역을 다룬 案內書나, 국내주요 도시의 도시 안내서가 많이 출간되었다. 특히 경성의 지역 안내서는 타 도시와 비교해 볼 때 압도적으로 많았는데, 『경성백승』은 이 책들과 여러 면에서 차이가 있다. 이 책은 발간 및 기획주체가 宋鎭禹, 洪命熹, 鄭寅普 등의 민족지도자가 참여했고, 무엇보다 경성의 역사/인문자원의 원고를 당시 경성에 거주하면서 동아일보를 구독했던 독자들이 작성했다는 점에서 구분된다. 즉, 『경성백승』은 다른 경성 안내서와 다르게 ‘조선인에 의해서, 조선인이 선별한 경성의 주요 역사/인문자원이라는 것이다. 이 글에서는 이러한 『경성백승』의 전반적인 내용과 특성, 이 책에 수록된 1920년대 경성의 역사/인문자원의 아카이브의 특징 및 활용 방안에 대해서 살펴보았다. In this article, we looked at the character of “Gyeongseong Baekseung” published by the Dong-A Ilbo in 1929 and the meaning of this book. This book was published in October 1929 by the Dong-A Ilbo Publishing House, summarizing the series published in the Dong-A Ilbo culture section from June 25 to August 16, 1924 Between 1910 and 1920, guidebooks on the entire Joseon Peninsula and city guides for major cities in Korea, Gyeongseong, Busan, Daegu, Pyongyang and Kaesong, were published in a flurry. Among them, the number of 'regional guides' for Gyeongseong is overwhelming compared to other cities. However, “Gyeongseong Baekseung” differs from these books in many ways. Most of the “Gyeongseong Guidebook” and “Regional Guidebook” published during this period were published by the Governor-General of Joseon or published by related organizations. However, the book was organized by the Dong-A Ilbo, which was recognized as a national newspaper at the time, participated in the publication process by national leaders such as Song Jin-woo, Hong Myung-hee and Jeong In-bo, and most of all, it was written by readers who subscribed to the Dong-A Ilbo while living in Gyeongseong. In other words, “Gyeongseong Baekseung” is distinguished in that it is the main historical/human resources of Gyeongseong selected by the Joseon people, unlike other Gyeongseong guides. This article examines the overall contents and characteristics of the “Gyeongseong Baekseung” with these characteristics, and focuses on the characteristics of the 1920s Gyeongseong’s historical/human resources archives in the book, and how to study and utilize them in the future, and intends to proceed with the discussion.

혈우병 소견을 가진 뇌출혈 환자 치험(治驗) 1례(例)

정인태,서병관,이현종,하지영,강미경,홍장무,백용현,박동석,최도영,Jung, In-tae,Seo, Byung-kwan,Lee, Hyun-jong,Ha, Ji-young,Kang, Mi-kyeong,Hong, Jang-moo,Baek, Yong-hyeon,Park, Dong-suk,Choi, Do-young 대한침구의학회 2003 대한침구의학회지 Vol.20 No.4

Objective : Hemophilia, a genetically determined disorder, is characterized by abnormality of the coagulation mechanism due to functional deficiency of a specific factor, namely VIII or IX. In this study, the effect of Dong-Si acupuncture therapy on the cerebral hemorrhage patient with hemophilia was evaluated. Methods : We treated him with acupuncture by stimulating Dong-Si acupuncture point(Yuk Wan) and assessed the effect by using manual dynamic evaluation of MRC(Medical Research Council) and Modified Barthel Index. Results : After treatment, the bleeding tendency was grossly reduced and bleeding lesion was absorbed gradually. And manual dynamic evaluation of the upper extremity increased from 4 grade to 5 grade. Conclusions : This result suggest that Dong-Si acupuncture therapy on the cerebral hemorrhage patient with hemophilia was effective. And futher studies are required to concretely prove the effectiveness of Dong-Si acupuncture therapy for treating hemorrhagic diseases.

원인 없는 열로 입원한 생후 28일에서 90일 사이 영아들에 대한 임상적 고찰

류민혁,노윤일,이성훈,이선영,허남진,이동진,Rye, Min Hyuk,Noh, Yn Il,Lee, Seong Hun,Lee, Sun Young,Hur, Nam Jin,Lee, Dong Jin 대한소아감염학회 2001 Pediatric Infection and Vaccine Vol.8 No.2

목 적 : 최근 3개월 이하의 열이 나는 영아에서 특정 임상 경과나 검사실 소견으로 확인된 일부의 환자들은 심각한 세균 감염에 대해 저위험군에 속하며 이들은 외래 치료가 가능할 수도 있다고 한다. 본원 소아과에서는 원인 없이 열이 나는 생후 28일에서 90일 사이의 어린 영아들은 패혈증 의심하에 입원하여 세균성 원인이 아니라는 것이 밝혀질 때까지는 항생제를 투여하였다. 지난 1년 동안 원인 없이 열이 나서 입원 치료한 이 연령군의 영아들을 임상적으로 분석하여 앞으로 치료 방향에 도움을 얻고자 본 연구를 시행하였다. 방 법 : 2000년 1월부터 2000년 12월까지 울산동강병원 소아과에 원인 없이 열이 나서(직장 체온${\geq}38^{\circ}C$) 패혈증 의심하에 입원 치료하였던 131례를 대상으로 성별분포, 계절분포, 원인질환, 발열기간 등을 후향적으로 검토하였다. 또한, 심각한 세균감염증에 대한 저위험군의 환아를 식별하기 위해 흔히 사용되는 기준인 개선된 Rochester criteria를 이용하여 대상환아들을 분석하였다. 결 과 : 대상 환아 131례 중 요로감염이 60례(45.8%)로서 가장 많았고, 무균성 뇌막염이 33례(25.2%), 균혈증 2례(1.5%), 특별한 진단명을 붙일 수 없는 예가 36례(27.5%)였다. 균혈증 2례의 원인균은 Staphylococcus aureus였다. Rochester criteria의 저위험군에 속하는 예가 57례(43.5%), 그렇지 않은 군에 속하는 예가 74례(56.5%)였으며, 요로감염은 저위험군, 그렇지 않은 군은 각각 43.8%, 47.3%, 무균성 뇌막염이 각각 28.1%, 23.0%, 특별한 진단명을 붙일 수 없는 예가 각각 28.1%, 27.0%로서 두 군간의 차이가 없어 Rochester criteria가 본 연구대상 환아들에게는 이들 질환을 구별할 수 있다는 결론을 얻지 못했다. 2례의 균혈증은 모두 저위험군이 아닌 군에 속해 있었다. 남아 85례, 여아 46례로서 남녀비가 1.8 : 1이였고, Rochester criteria에 의한 저위험군과 그렇지 않은 군의 남녀비는 1.9 : 1, 1.8 : 1오서 두 군간의 차이는 없었다. 봄철과 여름철에 각각 35.1%, 36.7% 발생하여 대다수를 차지하였고 무균성 뇌막염은 봄철 16례(48.5%), 여름철 13례(39.4%), 겨울철 4례(12.1%) 발생하였는데, 봄철에 발생한 환아 중 12례는 5월에, 여름철에 발생한 13례 중 12례는 6월에 발생하여 5월과 6월에 대부분 발생하였다. 항생제 투여 후 발열이 소실되는 기간이 48시간 이내에 61.8%, 72시간 이내가 83.2%로서 48~72시간 이내에 대부분의 열이 소실되었으며, Rochester criteria에 의한 저위험군과 그렇지 않은 군의 비교시 48시간 이내가 각각 54.4%, 67.6%, 72시간 이내가 각각 78.9%, 86.5%로서 두군간의 차이는 없었다. 결 론 : 생후 28일에서 90일 사이의 원인 없이 열이 나는 어린 영아는 철저한 이학적 검사와 검사실 소견으로 저위험군에 속하는 경우 보호자가 잘 돌볼 능력이 있고 의사와 연락이 잘 되는 경우 외래 치료가 가능하겠으며, 소변 배양 검사는 채뇨백보다는 도뇨관 채뇨법이나 방광 천자로서 채취한 소변으로 검사를 실시해야 하겠다. 향후 좀 더 바람직한 치료방침을 정하기 위해서 전향적인 연구가 꼭 필요할 것으로 사료된다. Purpose : The purpose of this study was to investigate clinical features of hospitalized infants 28~90 days of age with fever without source and to analyze those of young febrile infants using risk criteria for serious bacterial infection. Methods : The clinical features of 131 infants 28~90 days of age admitted to the Ulsan Dong-Kang General Hospital Pediatric Department because of fever(temperature ${\geq}38^{\circ}C$ rectally) without source, from January 2000 to December 2000, were investigated by retrospective chart review. The clinical features of 131 febrile infants were analyzed using Rochester criteria. Results : Among 131 cases, there were 60 cases(45.8%) of urinary tract infection, 33 cases (25.2%) of aseptic meningitis, 2 cases(1.5%) of bacteremia and 36 cases(27.5%) of no specific diagnosis. Among 131 cases, there were 57 cases(43.5%) in low risk group and 74 cases(56.5%) in not low risk one by Rochester criteria. A significant difference in the incidence of urinary tract infection, aseptic meningitis and no specific diagnosis was not found between both groups. Male to female ratio was 1.8 : 1. Sex ratio between both groups was not significantly different. Most febrile infant were noted in spring(35.1%) and the summer(36.7%). The peak incidence of aseptic meningitis was noted in May and June. The fever subsided mostly within 48~72 hours after administering antimicrobial agents(61.8~83.2%). A significant difference in duration of fever after administering antimicrobial agents was not found between both groups. Conclusion : A selected group of low risk infants 28~90 days of age with fever without source can be managed as outpatients provided that a thorough initial evaluation is performed, that parents can reliably monitor their infant closely at home and that careful follow up can be assured. Because bag collected specimens were more likely to yield indeterminate urine culture result, a suprapubic or catheter obtained urine specimen for culture is a necessary part of the evaluation of all febrile infants 28~90 days of age. The further prospective study on evaluation and management of young febrile infant should be performed in our hospital.

Oxidation of Titanium Matrix Composites Reinforced with (TiB + TiC) Particulates

Young‑Jig Kim,Poonam Yadav,Junhee Hahn,Xiao Xiao,Dong Bok Lee 대한금속·재료학회 2019 METALS AND MATERIALS International Vol.25 No.3

Titanium matrix composites reinforced with (5, 10, 20) vol% (TiB + TiC) particulates were in situ synthesized using melting-investment casting method by reacting Ti with B4Cpowder. Their oxidation behavior was studied at 800–1000 °C inair. Formed scales consisted of transient TiO3and stable rutile-TiO2. More dispersed (TiB + TiC) particulates had higheroxidation resistance due to strong Ti–B and Ti–C bonding which required higher activation energy for oxidation comparedto Ti–Ti bonding in the matrix. However, such increment in oxidation resistance was limited by the formation of semiprotectivetitanium oxides, volatile B2O3,and CO2gas. With increment of (TiB + TiC), scales progressively became thinner,thus improving scale adherence.

Trichophyton verrucosum infection in Korea: Analysis on 224 patients from 1976 to 2015

( Dong Hyuk Eun ),( Jun Hong Park ),( Sun Young Moon ),( Yong Hyun Jang ),( Seok-jong Lee ),( Do Won Kim ),( Yong Jun Bang ),( Jae Bok Jun ),( Weon Ju Lee ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.2

Background: Trichophyton (T.) verrucosum is a dermatophyte causing ringworm in cattle, distributed worldwide. It can be responsible for various inflammatory lesions of skin and scalp. In Korea, kerion celsi caused by T. verrucosum was first reported at 1986 in the southeast province of Korea. Since then, many patients infected with T. verrucosum have been reported in Young-nam province. There are few long-term studies about epidemiological characteristics of T. verrucosum. Objectives: To investigate the clinical and epidemiological characteristics of T. verrucosum infections in Korea. Methods: A total of 224 patients were diagnosed as T. verrucosum infection by fungal culture from 1976 to 2015. The data were based on a retrospective survey of medical records. Results: The annual incidence of patients with T. verrucosum infection had been increasing since the report in 1986. The number of patients showed a peak in 1988. After 2000, the number of patients had been decreasing. Female to male ratio showed a 1.2-fold predominance of female infection. And more than 15-year-old group was 59.4% of total patients. T. verrucosum infection was most commonly seen in spring and was found predominantly in patients living in rural areas. Face was most frequently involved, followed by arms. Conclusion: These findings provide useful information for understanding of T. verrucosum infection and future dermatophytosis prospects.

영골(靈骨).강압혈(降壓穴) 자극(刺鍼)이 혈압(血壓)에 미치는 영향(影向)

임영남,심성용,한지완,고호연,박종형,한양희,전찬용,김동우,Yim, Young-Nam,Sim, Sung-Yong,Han, Ji-Wan,Ko, Ho-Yeon,Park, Chong-Hyeong,Han, Yang-Hee,Chun, Chan-Yong,Kim, Dong-Woo 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.2

Objective : The purpose of this study is to evaluate the clinical effect of the non-pharmacological anti-hypertension method, acupuncture, for hypertensive patients. Methods : 26 patients diagnosed with hypertension were each treated by one of three methods: an anti-hypertension drug(adalat soft capsule), venepuncture, and acupuncture. In cases of rising blood pressure, patients were treated by their one of the three methods, and blood pressure was measured at regular intervals. Result : As for the group of acupuncture treated patients on Young-gol(ling-gu) and Gang-ap-hyul(jiang-ya-xue), readings dropped 18.0mmHg in systolic blood pressure and 6.50mmHg in diastolic blood pressure. This was a greater effect than that seen in the venepuncture treated patients. Blood pressure checked one hour after acupuncture treatment showed a greater difference than blood pressure checked after thirty minutes. Conclusion : Safe reductions in blood pressure were observed through the non-pharmacological method of acupuncture on Young-gol(ling-gu) and Gang-ap-hyul(Jiang-ya-xue).