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경막 내 colistimethate 투여로 치료한 다제 내성 cinetobacter baumannii 뇌실염
홍유아,유진홍,김진진,모은영,안건희,정희경,김진석,이현정,정미향,윤승배 대한감염학회 2009 감염과 화학요법 Vol.41 No.4
Acinetobacter species is a non-fermentative aerobic gram-negative coccobacillus that is an important pathogen found in nosocomial infections. Recently, multi-drug resistant Acinetobacter baumannii (MDR-AB) infections have been increasing and pose a serious problem. Most such infections present as bacteremia, pneumonia, or a wound infection; however, CNS infections are very rare. We herein present a case of ventriculitis caused by MDR-AB in a 37-year old man after a neurosurgical intervention. The patient was successfully treated with intrathecal colistimethate.
진홍률,양상권,최영석 충북대학교 의과대학 충북대학교 의학연구소 1999 忠北醫大學術誌 Vol.9 No.2
비성형수술에 삽입하는 사용물로는 자가연골이 가장 이상적이지만 필요한 만큼의 충분한 양을 얻기가 힘들고, 수술시간이 길어지며, 흡수가 일어날 수 있다는 단점이 있다. 이러한 단점을 극복할 수 있는 이종이식물 중에서 고어텍스는 최근에 개발되어 사용이 점차 증가하고 있는 추세이지만 아직까지 고어텍스의 임상적 효용성에 대한 보고는 드물다. 저자들은 고어텍스를 5명의 융비술 환자에서 사용하였는데 3명은 연골과 같이, 2명은 고어텍스 단독으로 사용하였다. 이 중 1명에서 감염이 발생하여 고어텍스를 제거하고 늑연골을 이용하여 융비술을 다시 시행하였고 나머지 4명은 모두 만족스러운 결과를 얻었다. 평균 20개월의 추적관찰에서 이식물의 이동이나 탈출, 피부의 손상 등의 큰 부작용이 없어 고어텍스가 비성형, 특히 융비술에 유용하다고 판단되어 관련문헌 고찰과 함께 보고하는 바이다. Though autogenous cartilage remains the ideal graft material in nasal surgery, situations exist where an alternative or an additional grafting material is needed. Gore-Tex is one of most recently developed alloplastic material and has been widely used for rhinoplasty. But there are few reports about the clinical efficacy of this material in rhinoplasty. The authors used Gore-Tex as a nasal implant in 5 cases of augmentation rhinoplasty. In three patients, the Gore-Tex was used with septal or conchal cartilages because the cartilages were not enough for the needed augmentation. In one patient, the implant was removed due to postoperative infection and subsequent augmentation was done with autogenous rib catilage after infection control. During average 20 months of follow-up, complications such as absorption, mobilization, or extrusion of the implant and thinning of the nasal skin were not found. All patients were satisfied with the surgical results. From these results, Gore-Tex can be considered as an effective material in augmentation rhinoplasty when autogenous material is not available or is not sufficient for the proper augmentation.
홍석진 부산유아교육학회 2003 유아교육논총 Vol.11 No.-
본 연구는 동화와 관련한 최근의 학위논문의 연구 동향을 알아보기 위한 것이었다. 국회도서관 DB에서 나타난 1997년부터 2001년도까지의 논문 457편의 목록에서 404편(88.4%0을 분석기준에 근거하여 분석하였다. 분석결과 나타난 주요한 결과는 다음과 같다. 첫째, 동화와 관련한 논문이 꾸준히 증가하고 있고, 1999년 이후 100편이상의 논문이 나오고 있으며 기초연구보다는 응용연구가, 비실증연구보다는 실증연구를 더 많이 하였다. 둘째, 연구방법은 실험연구와 문헌연구를 많았고 1999년부터 실험연구가 50%이상이 되었다. 넷째, 조사연구와 실험연구를 제외하면 예비조사를 실시하지 않은 연구가 많았다. 넷째, 자료수집방법은 검법과 내용분석법을 많이 사용하였고 도구는 자작도구와 외국번안도구를 많이 사용하였다. 특히, 문헌연구는 내용분석법과 자작도구를 많이 이용하였다. 다섯째, 유아와 초등학생을 대상으로 한 동화를 이용한 교육적 효과에 관한 연구는 언어 발달, 사회성 발달, 정서 발달과 관련되는 것이 주류를 이루었다. 마지막으로 동화와 관련한 연구는 일반대학원보다는 특수대학원의 석사논문이 많았다. The purpose of this study is to analyze the studying trends for the master and doctoral dissertations related with fairy tales. The subjects of this study were 404 pieces out of 457 pieces from 1997 to 2001 years. These researches are kept in the Library of Congress database The major finding of this study were as followings. First, the number of dissertations about fairy tale have been continuously increased. Especially the number of these researches which have been studied during one year since 1999 is more than 100. Applied researches than basic researches and statistical methods than unstatistical methods are more studying Second, the methods of the researches is like that experimental and survey researches are numberous and the number of experimental researches which have been studied during one year since 1999 is more half than the total number which have studied during one year since 1999. Third, These researches which gave been not conducted prior study are numberous except of survey and experimental researches. In the data accumulation method, test method and content analysis method appeared in order. Use of the study tool appeared a result that frequently used one’s own method and translate method. Fourth, These researches which are chosen young children and elementary schooler as subject of research mainly studied about language development, social development, or emotional development. Finally, These researches were more master dissertations of unregular graduate school than master dissertations of regular graduate school.
홍석찬,진정언,강성호 건국대학교 의과학연구소 1997 건국의과학학술지 Vol.7 No.-
The orbital blowout fracture occurs when a convex object(usually a baseball and a fist) larger in diameter than orbital rim strikes the orbit, increasing intraorbital pressure and producing hydraulic forces in all directions, which explodes the bony margin. The most frequently site of fracture is the bony floor in the region of the infraorbital canal, less frequently medial orbital wall, that is, lamina papyracea. Medial orbital wall fractures are also seen with other types of facial fractures such as frontal, nasoethmoid, and maxillary injuries. With the advent of nasal endoscope, endoscopic intranasal reconstruction has substituted for external approach. We experienced a case of blowout fracture of left medial orbital wall, which was treated with endoscopic intranasal reconstruction method and report this case with the review of the literature.
홍석찬,김진국,강성호 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.5 No.-
Frontoethmoidal sinus mucocele usually presents with frontal headache, exophthalmos and diplopia. Over the years it has necessitated either a conservative or a radical procedure. However, recently endoscopic sinus surgery has afforded to decrease the operative morbidity, and image the sinus postoperatively without problem. We have experienced a case of frontoethmoidal sinus mucocele which was satisfactorily treated with endoscopic marsupialization. Till now, no disease recurrence has been noted with endoscopic follow-up for 5 months. The etiology, characteristic features, and treatment of frontoethmoidal mucocele were reviewed.