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Clinical study is undoubtedly essential in the development of medical science. All proposals for clinical study should be submitted to the Institutional Review Board (IRB) for scientific and ethical review. IRB is the fulfillment of the governments obligation to establish an institution of clinical study. Thus, some important factors for the establishment and operation of IRB were introduced in this manuscript to reiterate the importance of IRB among faculty members. While each hospital usually establishes its own IRB, it will probably be better to establish one IRB at Konkuk University Clinic to do away with manpower and financial burdens. IRB should consist of more than five persons including a physician, a statistician, a scientist, a lawyer, and a non-medical expert. Likewise, there should also be at least one female member. In addition, IRB should prepare several forms including standard operating procedures(SOP), application forms, informed consent, and their exemplar. The SOP of IRB should consider the regulations of IRB particularly on membership, conference, finance, review procedures, etc. IRB should determine whether the clinical study is scientific and ethical, given that unscientific study is also unethical. The quality of investigator and facilities, control group, informed consent, and recruitment of subjects should also be reviewed. In particular, informed consent is very important in the review of ethicality. It should be comprehensible; subjects should be well informed of the risks and benefits. Participation in and withdrawal from the study should also be unrestrictive and also do not influent to the relationship between medical doctor and patient
뇌와 전두골의 안와부분을 제거한 한국인 성인시체의 안와 80쪽에서 뒤사골동맥, 뒤사골신경, 앞사골동맥, 앞사골신경을 수술현미경을 이용하여 해부하고 조사하였다. 뒤사골동맥과 앞사골동맥이 이는 부분과 이는 양상, 동맥과 신경이 안와의 내측에 위치한 근육들과의 위치관계, 동맥들의 근융가지를 조사하여 다음의 결과를 얻었다. 1) 뒤사골동맥은 대부분 눈동맥에서 일었으나 (97.5%), 눈물샘동맥과 안와위동맥에서 이는 경우도 각각 1.3%씩 나타났다. 뒤사골동맥은 79.7%에서 근육가지를 냈으며 근융가지는 위경사근에 가장 많이 분포하여 67.1%가 분포하였고 위눈꺼풀올림근(17.7%), 내측곧은근(12.7%), 위곧은근(7.6%)의 순서로 가지를 냈다. 또한 뒤사골동맥은 대부분(91.1%)에서 위경사근의 위를 지나 뒤사골구멍으로 들어갔으며 위경사근과 내측곧은근 사이로 지나는 것은 8.9%였다. 위경사근의 위를 지나는 뒤사골동맥 중에서 도르래신경의 위를 지나는 것은 81.9%, 도르래신경과 위경사근의 사이를 지나는 것은 16.7%였다. 2) 앞사골동맥은 모두 눈동맥에서 일어났으며 근육가지를 가지고 있는 것은 18.8%였다. 근육가지는 위경사근으로 가는 가지가 17.5%, 내측 곧은근으로 가는 가지가 1.3%였다. 앞사골동맥은 90.0%에서 위경사근과 내측곧은근 사이를 지나 앞사골구멍으로 들어갔으며 위경사근의 위를 지나는 것은 8.8%였다. 3) 뒤사골신경은 전체 안와의 20%에서 존재하였다. 뒤사골신경 중에서 위경사근과 내측곧은근 사이로 지나는 것이 62.5%, 위경사근의 위를 지나는 것이 31.3%였다. 4) 앞사골신경은 모든 안와에서 위경사근과 내측곧은근 사이를 지났다. (이 연구를 위해 연구재료를 제공해 주시고 많은 조언을 주신 연세대학교 의과대학 해부학교실 정인혁 교수님께 깊은 감사를 드립니다.) I investigated the ethmoidal arteries and nerves in 80 orbits from male an female Korean adult cadavers by microsurgical dissection after the brain and orbital plate of the frontal bone had been removed, The mode of origin, position relative to the medial extraocular muscles, and supplying muscles were studied. The results were as follows. In usual, the posterior ethmoidal artery arised from the ophthalmic artery(97.5%), but 3% from the lacrimal and 1.3% from the supraorbital. In present study, 79.7% of posterior ethmoidal arteries showed muscular branches, The artery supplied superior oblique(67.1%), the levator palpebrae superioris(17.7%), the medial rectus(12.7%), and the superior rectus(7.6%). And the course of the posterior ethmoidal artery was superior to the superior oblique in 91.1% and between the superior oblique and medial rectus in 8.9%. The artery passing above the superior oblique crossed superior oblique and medial rectus in 8.9%. The artery passing above the superior oblique crossed superior to the trochlear nerve in 81.9% and between the trochlear nerve and superior oblique in 16.7%. The origin of the anterior ethmoidal artery was ophthalmic artery(100%). The anterior ethmoidal artery gave out muscular branches(18.8%) to the superior oblique in 17.5% and to the medial rectus in 1.3%. And this artery entered the anterior ethmoidal canal by passing between the superior oblique and medial rectus in 90.0% and superior to the superior oblique in 8.8%. The posterior ethmoidal verve was present in 20.0%. In which, the incidence of the nerve crossed between the superior oblique and medial rectus was 62.5% and that crossed superior to superior oblique was 31.3%. All observed anterior ethmoidal nerves passed between the superior oblique and medial rectus.
To develop a proper model of block lecture as an educational program, we surveyed the educational environments and problems in Konkuk University Medical College(KUMC). The major findings were as follows; 1. There is no significant differences in ratio of lecture/laboratory hour between KUMC and average of medical colleges in Korea. 2. The total lecture time is higher(138%) in KUMC than the minimal lecture time(1204 hrs) for basic medical science in the guideline of the Korean Medical Association(KMA). 3. The real lecture hours was 2,184 hrs for 4 years that is less than the time(2786 hrs) reported to Council of Korean Medical Dean. 4. The time estimated for block lecture in all course at KUMC is 1428.5 hrs. 5. A number of specialists(professors) for each course is not sufficient and many courses have to depend on lecture rather than laboratory or clinical bedside working. 6. The professors are separated at three distant sites resulting in inefficient structure. 7. The educational space in the two hospitals is not sufficient for block lecture program. 8. In KUMC at present, 9 courses can be performed with block lecture program, those are Diagnostics, Medical Ethics, Forensic Medicine, Introduction to Biomedicine, Legal Medicine, Emergency Medicine, Community Medicine, Psychiatry, and Pediatrics. And 20 courses need the further investigation to develop block lecture program. More intensive study is needed for 6 courses. From these results, although KUMC needs more space and specialists and needs effective concentration of manpower to perform block lecture, 35 block lectures can be introduced after investigation. And it is suggested that introducing the block lecture system in whole curriculum is not possible at present status of KUMC.
본 건국대학교 의과대학 성형외과학 교실에서 Romberg씨 질병으로 좌측의 안면 함몰을 주소로 내원한 여자 환자 1례에서 탈상피화시킨 서혜부 유리 피판술을 시행하여 좋은 결과를 얻었기에 이에 문헌 고찰과 함께 보고하는 바이다. Romberg's disease is progressive hemifacial atrophy, which begins before the age of 20-years, affecting the subcutaneous tissue and skin with later involvement of the muscle and osteocartilagenous frame work. The disease may be heralded by pigmentary changes of the hair, skin, or iris. When present, atrophy may originate from the cutaneous stigmata and may become so sharply delimited by the midline. There are a number of methods to correct the soft tissue deformity of the face. We had experienced 22-year old female patient who had a moderate soft tissue atrophy on the left side of the face. The patient was treated with a de-epithelized groin free flap. Superficial circumflex iliac vessels were used as donor pedicle and the superficial temporal vessels were recipient vessel. Initially moderate bulkiness was noted but after 6 months follow-up period the external contour was good and the patient satisfied. A case presentation and review of literatures are the basis of this report.
1987년 3월부터 1990년 12월까지 건국대학교 부속 민중병원 안과에 내원한 환자중 산립종과 맥립종으로 진단을 받고 치료를 받았던 409안에 대하여 임상적으로 분석한 결과 산립종이 236안, 맥립종이 173안이었다. 산립종과 맥립종 모두 20대에서 가장 발생 빈도가 높았고, 90% 이상이 30대 이하였으며, 상안검에서 더 많이 발생하였다. The author clinically analyzed the data of chalazion(236 eyes) and hordeolum(173 eyes) from March 1987 to December 1990 in the department of Ophthalmology, Min Joong Hospital The results were as follows : 1. The peak incidence of chalazion and hordeolum was 20∼29 year of age. 2. Most cases of the chalazion and hordeolum(90.2%) occurred under the age of 40. 3. The upper eyelid is more commonly affected than the lower eyelid.