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      • Two Cases of Rhinocerebral Mucormycosis in Diabetic Patients

        김명구,조우령 대한비과학회 2000 Journal of rhinology Vol.7 No.1

        Rhinocerebral mucormycosis is a rare fungal infection that involves the paranasal sinus and orbits and usually presents asacute invasive fungal sinusitis. It progresses rapidly, is often fatal, and occurs most commonly in patients with uncontrolleddiabetes. If the condition is not treated, the fungal infection may disseminate into the brain and cause death within a week. Weencountered two cases of rhinocerebral mucormycosis confirmed with histophathological examination. The cases were treatedsuccessfully with surgical debridement, a systematic application of amphotericin B, and irrigation and soakage with amphotericinB.

      • KCI등재

        육아성 고막염에 대한 레이저 치료효과

        김명구 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.1

        Background and Objectives:A granular myringitis represents a localized granulation tissue in a tympanic membrane and recurrent otorrhea, but normal hearing level and impedance audiometry. The cause of this disease is unknown. A therapy using antibiotics and ear toilet has not been successful whereas CO2 Laser therapy has been satisfactory. In this study, we present our experiences of using CO2 Laser therapy to treat granular myringitis. Subjects and Method:We retrospectively reviewed 30 patients who have undergone CO2 Laser therapy for granular myringitis. Information were collected on age, sex, operation, number of therapy received , post-Laser therapy side effects and outcome of treatment. Results:Thirty patients (100%) showed complete responses. As a side effect of CO2 Laser therapy, the perforation of tympanic membrane (23.3%) was observed. However, the perforation of tympanic membrane disappeared after several months in all cases. Conclusion:The results show that CO2 Laser therapy is an effective and safe treatment for a granular myringitis. (Korean J Otolaryngol 2006;49:13-7)

      • KCI등재

        중이수술 후 발생한 육아조직의 CO₂레이저를 이용한 치료 효과

        김명구,박상규 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.2

        Background and Objectives:Newly formed granulation tissues after tympanomastoidectomy can be a cause of persistent or recurrent otorrhea. In some cases when granulation tissues formed after an ear surgery do not respond easily to medical treatment, CO2 laser cauterization can be applied to them with satisfactory results. The purpose of this report is to describe the effects of CO2 laser therapy on post-operative granulation tissues. Subjects and Method:We retrospectively reviewed 31 patients who have undergone a CO2 laser cauterization treatment on granulation tissues newly formed after ear surgery between January 1995 and December 2003. The duration of follow up ranged from one month to 10 years and four months. The procedure was performed in the OPD under local anesthesia with a CO2 laser connected to a microscope. Information on age, sex, type of previous operation, results of bacterial culture, numbers of laser procedure, and outcomes of treatment was collected. Results: All 31 patients (100%) were cured completely. The granulation tissues in the ear drum and the external auditory canal responded in a especially short time. Conclusion:The results show that cauterization by a CO2 laser on newly formed granulation tissues after tympanomastoidectomy is a simple and effective procedure. (Korean J Otolaryngol 2006;49:137-42)

      • 콘로드 분해방법개선으로 작업시간 단축에 관한 사례연구

        김명구,김광수 대한안전경영과학회 2015 대한안전경영과학회 학술대회논문집 Vol.2015 No.11

        엔진 시 운전 후 엔진 내부 주요 부품 상태를 검사하기 위해 분해하는 작업을 엔진 개방 작업 공정이라 하는데 엔진 개방 작업 공정 중 콘 로드 분해 시간이 평균 대당 187.8분으로 표준 시간 90분을 과도하게 초과하여 시급히 개선이 요구 되어 현상파 악, 원인분석, 대책수립 및 실시를 하여 개선 후 86.7 분으로 감소하여 생산성 향상으 로 인한 원가절감을 연간 4200만원 달성하였다.

      • KCI등재

        돌발성 난청 환자에서 Lipoprostaglandin E1 과 Carbogen 흡입의 병행치료 효과에 관한 연구

        김명구 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.1

        Sudden sensorineural hearing loss (SSNHL) is a disease, which occur rapidly within 3 days with unknown causes. Vascular and viral mechanisms are considered as the main cause, but an etiologcal background for vascular factors is more assumed. Carbogen inhalation and lipoprostaglandin E1, both of which have vasodilation effects, are used as treatment modalities in SSNHL. The purpose of this study was to recognize the effectiveness of lipo-PGE1 combined with carbogen inhalation, and to compare with other treatment modalities. Subjects and Method:The study group consisted of 224 patients (110 males, 114 females) diagnosed with SSNHL. We retrospectively reviewed patients who were admitted and treated from January 2001 to December 2005. All patients were treated with carbogen inhalation and drugs. Stellate ganglion block (SGB) and lipo-PGE1 were applied to patients selectively. Eighty-six patients (DCP group) were treated with lipo-PGE1, 49 patient (DCS group) with SGB, and 89 patients (DC group) without SGB. Results:The overall recovery rates after the treatment were 59.8%. Therapeutic results of lipo-PGE1 group were better than those of other groups. Conclusion : Although various treatments for SSNHL have been proposed, lipo-PGE1 and carbogen inhalation were more effective and lipo-PGE1 is considered to be more helpful for SSNHL. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:22-7)

      • KCI등재

        중국 고전서사의 변용 — 온라인 게임 콘텐츠 활용 방안 연구

        김명구 한국중국소설학회 2022 中國小說論叢 Vol.67 No.-

        This study investigates in depth the organic relationship and feasibility between Chinese classical narratives and cultural contents based on various characteristics that emerge throughout the process of applying them to cultural contents employing Chinese classical narratives. This study focuses on well-known ‘online game’ content such as ‘MOBA games’, ‘web browser games’, and ‘enhanced reality games’ to provide specific guidelines on how to use Chinese classical narratives as game content. By adopting ancient Chinese narratives that are now deemed to be out of date, such cultural content utilization measurements allow for the examination of numerous ways that can be used to apply it to contemporary forms of cultural content. Chinese classical narratives can be portrayed more realistically by incorporating them into modern online games. In addition, by leveraging Chinese classical narratives that contain stories that have gathered over the course of a lengthy history, it is possible to build online games with a wide variety of topics and styles that span both ancient and modern times. In the process of developing a story, Chinese classic narrative-based games can be rich in content and themes. This way of creatively and practically applying Chinese classical narratives to cultural content enables researchers to broaden the scope of their studies to include narrative studies in many genres, areas, forms, and types, in addition to Chinese classical narratives. In addition, through this process, it can serve as a key aspect in comprehending the complex meanings and contents suggested in Chinese classical narratives. If Chinese classical narratives are incorporated or linked to cultural content in a variety of ways, it is believed that a variety of educational impacts can be produced in addition to the promotion of understanding and knowledge of Chinese classical narratives. 본 연구는 중국의 고전서사를 활용하여 문화콘텐츠에 적용하는 과정에서 나타나는 다양한 특징을 기반으로 중국 고전서사와 문화콘텐츠의 유기적 연계성과 실현 가능성에 대해서 자세히 살펴보았다. 본문에서는 ‘MOBA 게임’, ‘웹 브라우저 게임’, ‘증강현실 게임’ 등 널리 알려진 ‘온라인 게임’ 콘텐츠를 중심으로 중국 고전서사를 어떻게 게임 콘텐츠로 활용할 수 있는지 구체적인 방안을 제시하였다. 이와 같은 문화콘텐츠 운용 방안을 통해 ‘과거의 것’으로 여겨지는 중국 고전서사를 활용하여 현대에 적용하는 방법에 대해 다양하게 살펴볼 수 있었다. 우리는 중국 고전의 서사를 현대의 온라인 게임 속에 운용함으로써 중국의 고전서사를 보다 실감 나게 구현할 수 있다. 그뿐만 아니라 오랜 역사를 거쳐 축적된 스토리성을 지닌 중국 고전서사를 통해 고전과 현대를 아우르는 다양한 서사의 내용과 유형을 살펴볼 수 있고, 스토리 전개 과정에서 나타나는 풍부한 내용과 주제를 폭넓게 파악할 수 있다. 이러한 시각은 우리가 중국의 고전서사뿐만 아니라 다양한 장르와 지역, 형식과 유형에서의 서사 연구로 확장할 수 있으며, 그 속에 내포된 복잡한 의미와 내용을 더 깊이 이해하는데 중요한 요소로 작용할 수 있다. 이처럼 중국 고전서사를 여러 방식으로 문화콘텐츠에 접목하거나 연계한다면 중국 고전서사에 대한 이해와 지식을 증진하면서 더불어 다양한 교육적 효과를 창출할 수 있을 것으로 판단된다.

      • KCI등재

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