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Ilizarov 기의 점진적 압박술에 의한 경골 간부 개방성 골절의 치료
최남용,박성진,이인주,한석구,유결,안효승 대한골절학회 1998 대한골절학회지 Vol.11 No.4
External skeletal fixation is used widely in the management of open or closed tibial fractures, but delayed healing is common. There is concern that this might be due not only due to the severity of injury but also to the mechanical conditions imposed at the fracture site by the fixator. Since fractures treated by external skeletal fixation can rarely be reduced to perception nor held with absolute stability, union occurs by indirect healing, which is acutely sensitive to both the charactericstics and timing of mechanical stimulation. So, the achievement of the optimum mechanical environment is particularly important where delay in bone healing is likely. Ilizarov external fixator is useful in treating open fractures of the tibial shaft because it permits axial micromotion which enhances bridging callus formation with stable fixation as well as its complications such as infected nonunion or limb length discrepancy. The impared healing with external fixation is often caused by wrong surgical technique, such as distraction of fracture fragments by fixation device. Sequential compression at fracture site may overcome any fracture gap in external skeletal fixation and also enhance endosteal bone formation. We applied sequential compression forces at the fracture site in 18 open fractures of the tibial shaft, treated by Ilizarov external fixator with or without autogenous bone grafting. Sequential compression technique is composed of initial compression with 1 mm/wk for 4 weeks and then compression 1 mm/10 days until adequate apposition of cortex and callus formation in radiograph. We acquired successful bony union in all cases except one which had additional bone grafting in open fractures of the tibial shaft by sequential compression technique using Ilizarov device.
김진환(Jin Hwan Kim),김동원(Dong Won Kim),임성희(Seng Hee Lim),간진숙(Jin Suk Kan),신소영(So Young Shin),최수영(Su Young Choi) 한국정보과학회 2006 한국정보과학회 학술발표논문집 Vol.33 No.1
인터넷의 급속한 확산과 웹 기반의 학습을 제공하는 시스템이 늘어남에 따라 언제, 어디서나 웹을 이용한 학습이 가능한 환경이 제공되게 되었다. 하지만 활성화된 온라인 교육에서도 면대면 강의의 장점을 완벽하게 수용하기엔 어려움이 있다[1]. 따라서 최근에 LMS(Learning Management System)를 이용한 학습에서 학습자의 학습활동 평가[1,2], 학습자의 개별학습 성향[3], 다양한 콘텐츠 자원 활용[1,4]등에서 많은 연구와 대안이 도출되고 있다. 본 논문에서는 LMS내에 저작환경을 제공함으로써 기존의 클라이언트에서 단방향으로 이루어졌던 콘텐츠제작을 서버단에서 제공하여 콘텐츠 제작 시 학습자 학습활동 추적 정보생성과 전달 내용의 성격, 학습자의 성향에 따른 다양한 콘텐츠를 수용 할 수 있는 시스템을 구현하였다.
오성섭(Seng Seob Oh),박은진(Eun Jin Park),김일규(Il Kyu Kim),최진호(Jin Ho Choi),김형돈(Hyung Don Kim),오남식(Nam Sik Oh) 대한구강악안면외과학회 1999 대한구강악안면외과학회지 Vol.25 No.4
Incidence and mortality rate of maxillofacial infection is relatively low in the era of antibiotics. Despite the use of antibiotics, delayed treatment, underlying systemic diseases, drug-resistant microorganisms may result in life-threatening situations. The deep neck infection developed from odontogenic infection may result in sepsis, mediastinitis, aspiration pneumonia, asphyxia. Sepsis is the most dangerous complication which can quickly result in a number of lethal situations. The treatment of sepsis includes awareness of such complication, use of sensitive antibiotics, removal of infection source, and hemodynamic, respiratory and metabolic support. We experienced a patient who died of sepsis, which developed from odontogenic infection. The initial diagnosis was a buccal space cellulitis. However, in spite of medical and surgical treatment, this progressed to Ludwig s angina and then deep neck infection and finally sepsis. On the 10th hospital day, the patient died of multiorgan failure caused by sepsis. 우수한 항생제 요법이후 치성 감염으로 인한 Ludwig s angina의 합병증으로 인한 사망은 극히 드문 것으로 알려져 왔다. 본 교실에서는 고혈압의 기왕력을 지닌 57세 여환이 하악 전치부의 치근단 농양을 원인으로 하는 좌측 협간극의 감염으로 인하여 개구장애와 동통을 주소로 내원하여 입원치료중, Ludwig s angina 및 심경부감염으로 확산되고 입원 10일째 패혈증과 성인 호흡장애 증후군(ARDS)및 산발성 혈관내 응고증(DIC)의 진단하에 사망한 증례를 통하여 패혈증의 소견과 진단 및 그에 따른 처치 등에 대한 지견을 얻었기에 진단과 예방에 도움을 주고자 문헌 고찰과 함께 보고하는 바이다.
1993년부터 1995년 사이에 태어난 고등학생의 각 생년별 오운체질의 특징에 관한 연구
진승희 ( Seng-hee Jin ),김태희 ( Tae-hee Kim ),최경미 ( Kyung-mee Choi ) 대한한의진단학회 2011 大韓韓醫診斷學會誌 Vol.15 No.1
Objectives To characterize Five Woons in 1993, 1994 and 1995. Methods A diagnostic questionnaire was given to 1066 High School students who were born in Korea from 1993 to 1995. One of the Five Woons was given to the participant based on his and her birthday. The oneway analysis of variance was applied to compare the means of the Five Woons in each year. Results 1. Developed a reliable questionnaire consisting of 28 items for the purpose of chracterizing five constitutions. 2. Based on the Duncan method, significant differences were observed among the Five Woons in height, weight and BMI (p<0.1). For height, the score of Wood constitution was lowest. For weight the core of Soil constitution was lowest. 3. Based on the Duncan method, at the significant level (p<0.1), the Five Woons were different in each year (Gapsul year, Eulhae year, Gyeyoo year) for 28 items in the questionnaires: Q1, Q2,Q3, Q7, Q8, Q11, Q12, Q15, Q18, Q19, Q21, Q22, Q24, Q26, Q27 and Q28. Conclusions Further clinical research is necessary to characterize five constitutions and also develop more delicate analyses and questionnaires. Also the diagnosis and corresponding treatments based on the Five Woons should be further studied in view of the Asian medicine.