류마치스성 제1-2경추 아탈구 : 증례보고 Report of A Case

송상현,윤수한,조기홍,안영환,안영민,조경기 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

Authors report a case of one-stage transoral decompression and posterior fusion in rheumatoid atlantoaxial subluxation. A 63-year-old man developed a rheumatiod atlantoaxial subluxation with mild weakness of all extremities which developed relatively suddenly 3 months after the initial symptom of neck pain. Skeletal traction followed by transoral decompression and occipitocervical fusion was performed on the same day. Postoperative course has been uneventful and revealed favorable fusion state of occipito-atlanto-axis. The pertinent literature on theumatoid atlanto-axial subluxation is reviewed and discussed.

뇌동맥류의 진단에 대한 전산화단층촬영 뇌혈관조영술과 고식적 뇌혈관조영술의 비교

송상현,윤수한,안영환,안영민,조기홍,조경기,김선용,서정호 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

Cerebral angiography has been essential for the diagnosis of the intracranial aneurysms but. is sometimes accompanied by serious complications. Resolution of CT angiography was up-graded greatly to represent the three-demensional structure of vesseles since helical CT had been introduced. We have compared 26 cases of CT angiography and 28 cases of conventional angiography in terms of specificity and sensitivity for the diagnosis detectable aneurysm diameter. configurational diagnosis and diagnostic confidency. All results showed no statistical difference between CT angiography and conventional angiography. These should suggest that CT angiography could be replaced with conventional angiography for the diagnosis of ruptured aneurysms and even of unruptured aneurysms. resulting in the introduction of first screening modality of unruptured aneurysms.

비만을 동반한 위암 환자에서 두 병을 같이 수술 치료한 경험(증례)

최경현,윤기영,문형환,신연명,서경원,안수미,송윤미,석정희,정경연,이은하 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.3

Obesity is growing problem in Korea. We had a case of bariatric surgery during gastric cancer operation. Patient was 29 year old Korean lady with early gastric cancer located in the lesser curvature side of the middle 1/3 of the stomach. Her body weight was 89 kg, height 163 cm, and thus body mass index was 33.5 kg/m2. Preoperative blood pressure was 130/90 mmHg, hemoglobin 12.9 g/dL, total lymphocyte count 3,280/mL, serum albumin 4.3 g/dL, CEA 1.1 ng/mL, CA 19-9 9.1 ng/mL, and alpha fetoprotein 2 ng/mL. Another associated disease was right thyroid follicular neoplasm. The chest X-ray was normal. After IM injection of 2,500 units of heparin 30 minutes before the induction of general anesthesia, she received curative subtotal gastrectomy and Roux en Y gastrojejunostomy when a malabsorption loop of 120 cm jejunum was incorporated between the Treitz ligament and the end to side jejuno-jejunostmy site at May 29th 2006. Her postoperative course was uneventful except a minor wound seroma and the elevations of serum amylase(up to 4 folds) and lipase(up to 2 folds). She lost her body weight 9 kg in 5th, 21 kg in 7th, and 27 kg in 10th postoperative months to became 61.5 kg. On follow up exams in July 2008, she gained 4 kg to overcome her weakness and fatigue. From the above result, the incorporation of a malabsorption loop during reconstruction phase of gastric cancer operation was a good option for obese gastric cancer patients especially in cases of early gastric cancer.

베이지안 강건성에 대한 고찰

윤용화,김경무,송필준 대구대학교 부설 과학교육연구소 1993 과학교육 Vol.6 No.-

운동시의 습관적인 이 악물기가 치경부 수복물에 가해지는 스트레스를 분산하기 위한 마우스가드의 사용

윤성영,송창규,박세희,김진우,조경모 大韓齒科保存學會 2010 Restorative Dentistry & Endodontics Vol.35 No.1

마우스가드는 19세기 복싱선수들의 구강내 열상과 연조직의 외상을 막기 위해 사용되었다. 최근에는 치과영역에서 다양하게 사용되고 있으며, 운동 보호 장치, 미백용 장치물, 교정용 유지 장치, 수술용 가이드 장치, 턱관절 안정 장치물 등에 쓰이고 있다. 습관적인 이 악물기에 의한 반복적인 5급 수복물의 탈락은 우선 이 악물기에 의한 스트레스를 조절한 후 수복이 이루어져야 한다. 마우스가드는 이 악물기에 의한 스트레스를 조절하는 장치물로 사용할 수 있다. 본 증례에서는 마우스가드로 치아에 가해지는 스트레스는 감소시키는 것에 대해 논의 할 것이다. 마우스가드를 사용함으로써 반복적인 탈락을 나타내는 5급 수복물의 유지에 단기적으로 만족스러운 결과를 얻을 수 있었다. 만약 환자 및 치과의사가 이 악물기로 반복적인 탈락을 나타내는 수복물로 고생하고 있다면, 마우스가드의 보조적인 사용이 치경부 수복물의 유지에 도움을 줄 수 있을 것이다. Mouthguards were used to protect boxers from lip lacerations and other soft tissue injuries in the late 19th century. Now they are used various parts of dental treatment, which are sports protective aid, bleaching tray, orthodontic retainer, implant insertion guide tray, splint and so on. Repeated dislodgement of Class V restoration due to habitual clenching stress should be restored with stress control. Mouthguard can be used as stress relief device. This case describes methods that can relieve occlusal force to teeth by using mouthguard. Satisfactory results can be obtained by using mouthguard for retention of repeated dislodgement Class V restorations. If patients suffered from repeated restorations of Class V due to clenching, mouthguard can be used additional device to relieve the occlusal stress in conservative dentistry.

복어중독에 의한 가사 상태에서 소생한 1예

송승찬,신진호,강석우,박경남,최호순,박근태,문희식,기춘석,이성희,윤병철,노우균,조균석,이민호 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.3

Tetrodotoxin is a neurotoxin produced by about 90 species of puffer fish and causes paralysis of central nervous system and peripheral nerves by blocking the movement of all monovalent cation. Ingestion of tetrodotoxin produces clinical manifestations such as paresthesias(within 10-45 min), vomiting, lightheadedness, salivation, muscle twitching, dysphagia, difficulty in speaking, convulsion and death that expressed by cardiopulmonary arrest with loss of brain stem reflex sometimes. Tetrodotoxin prevents or delays ischemia induced neuronal death by way of following 3 mechanisms. Firstly, it reduces the energy demand of the brain tissues. Secondly, it delays or even prevents anoxic depolarization. Finally, it deminishes ischemia induced cell swelling and cerebral edema. We report a case of puffer fish poisoning which presented with cardiopulmonary arrest and loss of brain stem reflex, but completely recovered by aggressive cardiopulmonary resuscitation.

폐경후 여성에서 생화학적 골대사지표 검사의 비교

정윤석,송민경,박덕배,김현만,임영애,곽연식,이득주 대한골대사학회 1995 대한골대사학회지 Vol.2 No.2

일 대학 병원 마취 · 회복실 간호사의 간호활동 분석

강윤경,김경미,김연이,박혜옥,서광희,송숙녀,이현숙,조의영 대한간호행정학회 2006 간호행정학회지 Vol.12 No.1

Purpose: This study was aimed to specify roles of nurses from the anesthesia and recovery room by analyzing nursing activities as well as anesthesia nursing during surgery. Method: The objects were 12 RNs working in the recovery room of a university hospital located in Incheon. Self-report was performed by measuring stop-watch for five days from May 17th to May 21st in 2004. Research method was designed to record the time and frequency of the nursing activity from anesthesia and recovery room based on nurses' statement and other references for five days. The data were analyzed with descriptive statistics, ANOVA, and t-test via SPSS Win 10.0 program. Result: Nursing activities in anesthesia recovery room were classified into two different characteristics such as direct and indirect nursing activity. The activities consisted of 11 direct nursing areas and 39 nursing activities in anesthesia preparation room. The indirect nursing was classified into 8 nursing areas and 32 nursing activities. The direct nursing was classified into 12 nursing areas and 55 nursing activity. Also, the indirect nursing was classified into 7 nursing areas and 21 nursing activities in recovery room. In terms of prevalence of nursing activities in the anesthesia preparation room, observation and cooperation of anesthesia was the most prevalent activity, drug and eqipment management the second prevalent, and drug administration the third. On the other hand, in the recovery room, the most prevalent activity was vital sign checking and observation, the second most prevalent activity informative activity, and the third body temperature control. Nursing activity time was recorded according to the nursing characteristics. In the anesthesia preparation room, the direct nursing spent for 8092.20 minutes was larger than the indirect nursing spent for 7198.50 minutes. Also, in the recovery room, the direct nursing spent for 2361.16 minutes was larger than the indirect nursing spent for 1134.13 minutes. 4. Nursing activity time was compared to duty shifts. In the anesthesia preparation room, the direct nursing was more prevalent on day shift and the indirect nursing was prevalent on evening shift. However, in the recovery room, both direct and indirect nursing activities were prevalent on day shift. Conclusion: The role of anesthesia and recovery room nurses was analysed according to the time, frequency, and its characteristics.

주야 교대 근무가 편두통에 미치는 영향 : 한림대학교 의료원 간호사 연구 Hallym Medical Center Nurse Study

주민경,유경호,마효일,김윤중,김주용,송흥기,이병철 대한두통연구회 2004 두통 Vol.5 No.1

화상에 의한 간상해에 Anti-prostaglandin이 미치는 영향

김용송,임정교,손윤경,서인수,손태중 慶北大學校 醫科大學 1991 慶北醫大誌 Vol.32 No.1

저자는 anti-prostaglandin의 화상독에 의한 간상해에 미치는 영향에 관하여 알아보고자 Sprague-Dawley계 흰쥐 수컷의 체표 30%에 3도 화상을 일으키고 생리식염수와 anti-prostaglandin제제인 flurbiprofen을 투여한 후 각각 5일과 10일 후 도살하여 간의 변화를 관찰하였으며 성적은 다음과 같다. 생리식염수를 투여한 실험군에서는 화상 5일 후 간세포에 mitochondria의 상해와 ER의 확장이 있었고 유동내에는 호중구 등 염증세포의 침윤이 있었다. 화상 10일 후에는 상기한 mitochondria의 상해가 거의 수복되고 ER의 확장도 감소되었으며 유동내의 염증세포도 거의 보이지 않았다. flurbiprofen을 투여한 실험군에서는 화상 5일후 mitochondria의 상해와 ER의 확장이 관찰되었으며 이는 화상 10일 후 까지 지속되었다. 이상의 성적으로 보아 중증화상후에 간은 화상독에 의하여 간세포 mitochondria의 상해를 주로하는 손상을 받게되나 이는 시간이 지나면 수복 가능한 가역적인 상해라 보아진다. 또한 anti-prostaglandin제제는 화상독에 의한 간세포상해에 거의 영향을 미치지 못할 것으로 생각된다. An ultrastructural study was carried out to investigate the effects of burn toxin to liver. Thermal burns wee tried on the skin of Sprague-Dawley rats with severity of 30% and 3rd degree. Flurbiprofen (a kind of anti-prostaglandin) and normal saline was administered every day after burn. The animals were sacrificed at 5 days and 10 days after burns and the livers were extracted for electron microscopic observation. The liver cells of saline intake groups at 5 days after burns were characterized by generalized mitochondrial injury, such as swelling, loss of cristae and membrase destruction. Dilatation of ER and lysosomal increase are also noted. The sinusoid revealed neutrophilic infiltration. At 10 days after burns the liver cells demonstrated nearly normal structure without mitochondrial injury. Mild dilatation of ER was seen. The flurbiprofen intake groups revealed that mitochondrial swelling, loss of critae and destruction of mitochondrial membrane with dilatation of ER and lysosomal increase at 5 days after burns. These features were continued to 10 days after burns. According to these results, it would be concluded that the effects of burn toxin to liver is characterized by mitochondrial injury and it is reversible change. And the anti-prostaglandin drugs may not be effective to inhibit the progressive injury induced by burn toxin.