초음파 가이드를 통한 맥락막상강출혈의 치료

이기헌,유재호,김태원,이상준,김신동 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1

Purpose : Intraoperative suprachoroidal hemorrhage is one of the most serious complications. We report a case of suprachoroidal hemorrhage during phacoemulsification surgery, was managed properly. Methods : Suprachoroidal hemorrhage occurred during phacoemulsificaiton in other hospital. The patient was referred to our department immediately after closing the surgical wound. On initial examination, iris and vitreous were prolapsed through surgical wound. Ciliary body was closely place to anterior chamber, and retina was not visible. Results : Prolapased ocular tissue were reduced by emergency operation. We controlled the patient’s intraocular pressure and inflammation. Ultrasonography was repeatedly performed to check the degree of liquefaction of suprachoroidal hemorrhage. After 9 days of suprachoroidal hemorrhage onset, vitrectomy and drainage through sclera was performed. Postoperative state was stable with successful removal of suprachoroidal hemorrhage. After 2 weeks of secondary operation, retinal detachment has occurred on nasal retinal area, so we performed scleral buckling and endolaser photocoagulation. After 6 months, retina was attached well and intraocular pressure was in normal range. Conclusion : In suprachoroidal hemorrhage, drainage of suprachoroidal hemorrhage after liquefaction of thrombi is effective. After successful drainage, postoperative complications may accompany such as retinal detachment or elevation of intraocular pressure. 목적 : 술중 발생하는 맥락막상 출혈은 매우 심각한 합병증이다. 저자는 수정체 유화술 중에 발생한 맥락막상 출혈을 적절히 대처한 증례를 보고하는 바이다. 대상과 방법 : 수정체 유화술 중 발생한 맥락막상강 출혈환자가 수술창을 봉합 후 즉시 본원으로 전원되었다. 초진시 홍채와 유리체가 수술창을 통해 탈출되어 있었으며, 전방을 통해 모양체가 확인되었으나, 망막은 보이지 않았다. 탈출된 안구내 조직을 응급수술을 통해 복원 후 환자의 안압과 염증을 조절하였다. 초음파를 반복적으로 실시하여 맥락막상 출혈의 액화 정도를 확인하였으며, 출혈 9일 후 유리체 절제술과 공막을 통한 배액술을 시행하였다. 결과 : 맥락막상 출혈이 성공적으로 제거되었으며 술 후 상태는 안정적이었다. 수술 2주 후 비측 망막 박리가 발생하여 공막돌륭술과 안구내 삽관 레이저술을 시행하였다. 6개월 후 망막은 잘 붙어있었으며, 안압은 정상 범위를 유지하였다. 결론 : 맥락막상 출혈의 경우 출혈의 배액 시기를 결정하는 것이 어렵지만, 규칙적인 초음파를 통해 배액술의 시기를 결정할 수 있다. 또한 맥락막상강 출혈의 성공적인 배액 이후에도 망막박리 및 안압상승과 같은 합병증의 동반에 대해 유념해야한다.

양지면 전원주택단지 프로젝트 계획

김신원,정유홍,노희곤,도의성,최기왕 경희대학교 디자인연구원 2006 예술· 디자인학연구 Vol.9 No.2

This plan of rural housing-development is to present a new orientation for the residential culture that can meet the shifting demands of modern people as their attitudes toward naturalistic life. In this plan, sites of possible, a new housing complex is designed to supplement the site partition problem of existing housing complex by using attractiveness that the site has as a residence environment in housing planning. The conclusion can be summarized as follows. 1. Currently, most residential developments on slopes are planned with excessive slope cutting or filling on existing natural slopes rather than utilizing existing contours. In consideration of this, this proposed plan uses the existing contours of the slope to the maximum capacity in site planning. 2. The majority of the home site buyers are between the ages 30's to 50's of middle to high level incomes. Reflecting the financial needs of these families, home construction was planned by using building methods that require lower costs. 3. Reflected open-space furtherance maximum at design of community equipment for party's offer to sale in lots persons, from site purchase recognition of construction to in package sale in lots way select. 4. Considered to preserve existing natural-food life in way financial world stroke maximum, and accomplish creation with existing vegetation. Also, did planting considering privacy, and considered vegetation's environment adaptation degree because using midland style vegetation. 5. Garden wished to offer an opportunity that can make by oneself directly depending on each fondness and character to tenants. If is this intuition, wished to design, and maintained spur of housing development because housing development uses maximum natural history style comparing with other power jars all. Also, because considering people who move in housing-development, designed, and tried to make housing-development that want to live most offering the convenience.

사이버 교육 시스템의 설계에 관한 연구

백신원,이준휘,문기동,변종순 한경대학교 2003 論文集 Vol.35 No.-

The education based on the web (WBI) has need of the formation of a new educational paradigm which is different from the method of an existent traditional class as a model of a new teaching-learning. Also, a credit is recognized in case that the person concerned obtains a national certificate of qualification through establishment and promulgation by 【the law of the recognized credit etc.】 in the national educational reform. In such realities on-line learning-site of theory on the qualification of an information processing to use the web. However it is nearly difficult to find out the learning sites related to a subject for the information processing exercise revised in Aug, the year 2001. Thus, this thesis designed and embodied the educational system of the information processing exercise to reconstruct a Supervision Program for a scholastic examination test, a learning content of Visual Basic, a mock entrance examination, and a previous questions of practical in order to obtain the certificate of information processing qualification through a self-directed learning to use the web without limitation of time and space by the students-selves to apply 10 steps of a general design process with WBI to the method of development.

S/W 개발 프로젝트 품질인증 및 조직 성과에 관한 연구

백신원,이준휘,문기동 한경대학교 2003 論文集 Vol.35 No.-

Quality of software development project is very important in complex and largest domestic software markets. CMM level certification evaluated about quality of software development project at present. Therefore, software development company attempts acquisition for CMM Certification, CMM level up and organization's realiavility. But, today confidentiality of CMM certification comes into question, An exploratory study was undertaken about difference of software project quality and organization performance between CMM certification organization and no-CMM certification organization. Two organizations make no odds partially. First of all, incremental improvement of project process takes precedence of CMM certification.

Polyphosphate가 연조직 창상 치유에 미치는 영향에 관한 연구

박기범,류동목,이진용,신제원 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.3

Polyphosphate has been used as a food additive. It has been approved the use of PolyP to the products as a safe additive. In other study, PolyP seems to has an ability of promoting effect on bone regeneration, possibly by enhancing osteoconductivity of the carrier and/or by increasing osteoinductivity of the damaged bone tissue. So we performed this study in order to evaluate the effect of polyphosphate on the dermal defect healing in critical-sized defect wound. Using welder and blade, a 1㎝ diameter sized burn-defect and rectangular excisional-defect was prepared in the thigh of each Sprague-Dawley rats. Then defect areas were applied topically with distilled water(DW), 0.01% orthoposphate(Pi), or 0.01% polyP75. The application of these materials was continued for seven days. The rats, which had burn wounds, were sacrificed at week 1 and 2. the other goups, which had excisional wounds, were sacrificed at day 3, week 1, 2, and 4. the specimens of the defect were prepared, stained with H&E, and examined under the microscope. Dermal defect healing capacity of polyP75 was also examined by observaing cellular activity of periodontal cells using MTT assay. The results were as follows. PolyP75 at the concentrations of 0.01% increased the MTT activity of periodontal cells by 154.1%. a pathohistologic findings of burn wound with polyP75 showed a faster epidermal healing and more profound maturation in dermis than those of other groups. In excisional wound, compare with other groups, tissue maturity and density of matrix in dermis were much enhanced in the polyP75 groups.

韓國行政學의 發達過程과 土着化方案에 관한 硏究

金永聲,申基源 충남대학교 법률행정연구소 1989 논문집 Vol.17 No.-

p-Vinyl-trans-Stilbene(PVTS)와 유도체의 편리한 합성

안철진,신동수,신원기 昌原大學校 基礎科學硏究所 1997 基礎科學硏究所論文集 Vol.9 No.-

P-vinyl-trans-stilbene (PVTS)(1) and trans-3,4-dimethoxy-4'-vinylstilbene(2) were prepared using Horner-Emmons olefination as a good yield. To a suspension of phosphonate, 7 and NaH in dry THF was added the aldehyde at rt under argon and stirred for 24∼36hrs to afford PVTS, 1 and 2 as 78∼85% yield.

악성림프종 환자에서 복합화학요법으로 유발된 백혈구 감소증에 대한 인형 재조합 과립구 집락형성-촉진인자(rhG-CSF: Neutrogin)의 효과

박성규,전진우,기신영,유병우,김홍수,백승호,원종호,홍대식,박희숙 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.1

Clinical effects of rhG-CSF were investigated in 17 patients receiving chemotherapy for non-Hodgkin's lymphoma. Patients were given G-CSF 2㎍/㎏/day after 2nd cycle chemotherapy for least 14 consecutive days, and clinical and laboratory results were compared to results of the first cycle. Treatment with G-CSF resulted in increase of mean WBC count(952.9±152.2㎜³vs 1882.4±350.4/㎜³) and neutrophil count(212.9±53.0/㎜³vs 841.5±238.0/㎜³), reduced the duration of leukocytopenic days(12.4±1.3 days vs 5.5±1.0 days, WBC count less than 4000/㎜³) and neutropenic days(4.5±0.9 days vs 2.3±0.7 days, neutrophil count less than 500/㎜³), and reduced the duration of neutropenic fever(5.8±1.1 days vs 0.9±0.5 days). The side effects of G-CSF were not so significant. These results demonstrated that G-CSF is safe and useful for the treatment of neutropenia induced by anticancer chemotherapy of non-Hodgkin's lymphoma and reducing the incidence of febrile periods and duration of antibiotic administration.

우리나라 한중콘크리트 적용기간의 변화에 관한 고찰

한민철,김경민,신동안,윤기원,한천구 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

In this paper. variations of the period of cold weather concrete in Korea are discussed based on the climate data of Korean Meteorological Adminstration(KMA). Determination of the period of cold weather concrete with the region is done by following Korean Concrete Institute(KCD, American Concrete Institute(ACD and AIJ(Architectural Institute of Japan(AIJ) specification. Present study is compared with previous study done by the authors. Period of cold weather concrete is found to increase with high altitude and in-land and mountain area. Period of cold weather concrete by present study is shorted compared with that of previous study by about 3~6 days regardless of applied specification. Especially. the period of cold weather concrete at southern region near sea is reduced remarkably compared with that of previous study. This is due the rise of mean air temperature by global warming. In the scope of present study, period of cold weather concrete is provided with table and map diagram.

한국 정신장애의 역학 조사 연구[I] : 각 정신장애의 유병률

조맹제,함봉진,김장규,박강규,정은기,서동우,김선욱,조성진,이준영,홍진표,최용성,박종익,이동우,이기철,배재남,신정호,정인원,박종한,배안,이충경 大韓神經精神醫學會 2004 신경정신의학 Vol.43 No.4

Objectives : This study aims to estimate the prevalence of the DSM-IV psychiatric disorders in Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI). Methods : Subjects were selected by taking multi-stage, cluster samples of 7,867 adult household residents, 18 to 64 years of age, in ten catchment areas. Total 78 trained interviewers administered the K-CIDI to the selected respondents, from June 1 to November30,2001. Results : Total 6,275 respondents completed the interview. Some 33.5% of respondents reported at least one lifetime disorder, 20.6% reported at least one-year disorder, and 16.7% reported at least one-month disorder. The most common lifetime disorders were alcohol abuse/dependence (17.24%), nicotine dependence/withdrawal (11.19%), specific phobia (5.16%), and major de-pressive disorder (4.25%). The lifetime prevalence of substance abuse/dependence (0.25%) and schizophrenia (0.16%) was very low. Nicotine and alcohol use disorder showed very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among female than male. Conclusion : The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in distributions of psychiatric disorders across the areas and times were observed.