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흉부 대동맥류에서 좌쇄골하동맥 보존을 위한 주문 제작된 천공형 대동맥 스텐트 그래프트의 치험
허 균 순천향대학교 순천향대학교 순천향의학연구소 2012 Journal of Soonchunhyang Medical Science Vol.18 No.2
Endovascular repair for thoracic aortic aneurysm is widespread and recently, the advent of new device-fenestrated stent graft enables endovascular repair for aortic aneurysm to be close or involved in the orifice of left subclavian artery. However, fenestrated stent graft is not available in Korea. We report herein a case in which endovascular repair for thoracic aortic aneurysm closed to the orifice of left subclavian artery using custom made fenestrated stent graft. The aneurysm was successfully repaired by a total endovascular approach without open surgical repair.
아메드 밸브 삽입술 후 장치의 노출에 대해 보존 대퇴근막 이식으로 치료한 1예
박가희,하승주 순천향대학교 순천향의학연구소 2011 Journal of Soonchunhyang Medical Science Vol.17 No.2
We report one case of implant plate exposure after Ahmed valve implantation, treated with preserved fascia lata transplantation. Exposure of implant occurred in 47-year-old patient with Ahmed glaucoma valve implantation. She was treated with preserved fascia lata graft and amniotic membrane transplantation. No recurrent implant plate exposure has been found since then. Intraocular pressure has been maintained well for 3 months of follow-up. In cases of implant plate exposure, additional preserved fascia lata graft and amniotic membrane transplantation can improve surgical success.
송우진,김태형,이은정,이상헌,서현정,신진희,심지훈,심현진 순천향대학교 순천향의학연구소 2009 Journal of Soonchunhyang Medical Science Vol.15 No.2
Background : Prostatic abscess is an uncommon, the presenting symptoms are non-specific. But it is potentially serious disorder with a mortality rate of 3 to 16%, the early diagnosis and appropriate use of effective antibiotics with drainge is important. Methods : we retrospectively reviewed 6 cases of prostatic abscess treated during an 5-year period at an university hospital in Korea. Results : Most of patients were elderly (mean age, 68 years) with hypertension (2, 33%), benign prostatic hypertrophy (2, 33%) or diabetes mellitus (1, 17%). The symptoms were myalgia (67%), fever (50%), dysuria (33%), residual urine sense (33%). All causative pathogens were gram-negative bacilli, including Klebsiella pneumoniae (3, 50%), Klebsiella oxytoca (1, 17%), Escherichia coli (1, 17%) and Proteus mirabilis (1, 17%). Five cases (83%) had ampicillin resistance. Two cases had undergone invasive procedures, including tansurethral resection of the prostate, transrectal catheter drainge. Conclusions : The most common pathogen was Klebsiella pneumoniae. when old ages had nonspecific urinary symptoms, fever although empirical antibiotics, we should take transurethral ultrasonography, computor tomography for evaluating prostatic abscess.
생산직 여성에서 교대근무와 업무스트레스가 직무만족에 미치는 영향
이경재,김주자,이남수 순천향대학교 순천향의학연구소 2009 Journal of Soonchunhyang Medical Science Vol.15 No.1
Background : To investigate the impact of shift work on job satisfaction and work stress among manufacture working women. Methods : A total of 873 subjects were analyzed using the structured questionnaire, which was composed of shift work, job satisfaction, work stress and background characteristics. Data analysis included multiple linear regression to test for a relationship of shift work and work stress with job satisfaction while statistically controlling for demographic and occupational variables. Results : Mean score of job satisfaction was significantly higher in shift workers than in day workers. Overall mean work stress was lower in shift workers than in day workers, although significant difference was not observed. In a multiple regression analysis with significant control variables, shift work was associated with 0.79 more job satisfaction(p=0.013), but only three individual items of work stress significantly with job satisfaction. Conclusions : Our findings suggest that shift work and work stress may be associated with job satisfaction. Therefore, proper strategies will be needed to increase job satisfaction of manufacture working women.