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金世珠,吳貞姬 최신의학사 1974 最新醫學 Vol.17 No.9
Bone tissue requires a longer period to heal than any other connective tissue and immobilization with fixation during the process of heaing is absolute. Immobilization allows deposition of collagen and reticulin as a dense network instead of a loose connective tissue such as joint capsule, where movement occurs repeatedly. It will allow movement through limited distance, adapted by shortening and fixation if there is no motion, or elongate slowly under prolonged tension. The authors have observed 110 cases with extremity fractures who were treated with immobiliza?tion at department of Orthopedic surgery and refered after treatment to department of Rehabilitaion medicine from January 1972 to December 1973 and studied the relationship of immobilization with the development of limitation of range of motion in joints. The results are as follows: 1) Longer the period of immobilization developed more limited motion in joint. 2) In upper extremity;. the improvement of joint range of motion in elbow was observed steady progress with treatment regardless to the period of immobilization, but no full range of motion was retained. 3) In lower extremity, it was observed that the cases with less than 49 days immobilization in femur fracture were increased to normal functional range in knee joint with treatment but with more than 49 days immobilization not to the normal range obtained. .4) In cases with closed reduction, it was observed that better improvement noticed in joints motion than with open reduction cases. 5) 27.7% of upper extrmity fractures and 12.9% of lower extremity fractures were developed limited range of motion in non-immobilized joints.
First Record of Three Uronychia Species (Ciliophora: Spirotrichea: Euplotida) from Korea
김세주,민기식 한국동물분류학회 2011 Animal Systematics, Evolution and Diversity Vol.27 No.1
Three morphospecies of the genus Uronychia, i.e. U. setigera Calkins, 1902, U. binucleata Young, 1922, and U. multicirrus Song, 1997, were collected from the coastal waters of Gumjin-ri on the East Sea and the public waterfront of Incheon on the Yellow Sea in Korea, respectively. These species are described based on live observation, protargol impregnation, silver nitrate impregnation, and their morphometrics. Diagnostic keys for these species are also provided. In addition, their small subunit ribosomal DNA sequences were compared with previously known sequences of Uronychia species. Diagnostics of three Uronychia species are as follows:U. setigera: 50-80 μm long in vivo, oval-shaped, 2 macronuclear nodules (Ma), 1 spur on the left margin, 11adoral membranelles (AM) 1, 4 AM2 , 1 buccal cirrus (BC), 4 frontal cirri (FC), 3 left marginal cirri (LMC), 2ventral cirri (VC), 5 transverse cirri (TC), 3 caudal cirri (CC), 6 dorsal kineties (DK), and approximately 23cilia in the leftmost kinety. U. binucleata: 70-110 μm long in vivo, oval to slightly rectangular shaped, 2 Ma, 1micronucleus (Mi), 2 spurs on the posterior region, 11 AM1, 4 AM2, 1 BC, 4 FC, 3 LMC, 2 VC, 5 TC, 3 CC,6 DK, and approximately 37 cilia in the leftmost kinety. U. multicirrus: 140-200 μm long in vivo, oval to slightly rectangular shaped, ca. 7 Ma, 1 Mi, 11 AM1, 4 AM2, 1 BC, 4 FC, 3 LMC, approximately 8 VC, 5 TC, 3 CC,and 6 DK. This study presents the first record of this genus in Korea.
좌측 정중 전두엽과 양측 기저절 경색 후 과잉성욕 증상과 강박 증상을 보인 환자 1례
김세주,김영신,최낙경,이병철,이만홍,Kim, Se Joo,Kim, Young Shin,Choi, Nak Kyung,Lee, Byung-Chul,Lee, Man Hong 대한생물정신의학회 2001 생물정신의학 Vol.8 No.2
60세 남자 환자로 좌측 정중 전두엽과 양측 기저절 경색 후 발생한 과잉성욕 증상과 강박 증상을 주소로 내원하였다. 환자는 뇌졸중 후에 발생한 운동 기능 장애는 시간이 경과하면서 호전되어 발병 1개월 이내에 거의 정상화된 반면 과잉성욕 증상과 강박 증상은 호전되지 않았다. 환자에게 과잉성욕 증상과 강박 증상을 목표로 fluvoxamine과 perphenazine을 처방하였으며 치료 시작 후 2개월이 경과하면서 환자의 과잉성욕 증상과 강박 증상은 서서히 사라졌다. 이 증례는 기저절-시상전두엽 회로가 성적 행동과 강박 증상의 조절에 있어 중요한 역할을 하고 있음을 시사한다고 할 수 있다. 과잉성욕 증상은 임상에서 간과하기 쉽고 또한 일반적으로 성적 활동에 대한 변화는 환자들 스스로 보고하지 않는 경향이 많다. 따라서 뇌졸중 환자, 특히 정중 전두엽이나 기저절 병변을 동반한 환자들의 경우에는 비록 그 병변이 측두엽 침범이 없거나 Kluver-Bucy syndrome의 전형적인 증상을 보이지 않는다 할 지라도 성욕등 성적 활동에 대한 체계적인 조사가 필요할 것으로 생각된다. 또한 과잉성욕 증상과 강박 증상을 함께 가지고 있는 경우 선택적인 세로토닌 재흡수 억제제의 사용이 두 증상 모두를 효과적으로 치료하는 데에 도움이 될 수 있을 것이다. Hyposexuality after stroke has been frequently observed, but hypersexuality as a sequela of stroke has not been commonly documented. We report a patient who exhibited hypersexuality and obsessive-compulsive behaviors after stroke in the region of the left mesial frontal cortex and both basal ganglia. At 2 months after stroke, he visited psychiatric unit due to these symptoms. His motor function was almost full recovered. He was treated with fluvoxamine and perphenazine. With two-month medication, his hypersexuality and obsessive-compulsive behavior disappeared. This case may indicate that basal ganglia-thalamocortical circuit plays an important role in the mediation of sexual behavior and obsessive-compulsive behavior. Since changes in sexual activity may not be spontaneously reported, a systemic inquiry into patient's sexual functioning after infarction in frontal lobe or basal ganglia is warranted.