후천제삼뇌신경마비의 임상양상과 자연경과

이주황,이은철,오신엽 대한안과학회 2020 대한안과학회지 Vol.61 No.11

Purpose: The purpose of our study was to investigate the clinical features and course of acquired third cranial nerve (CN3) palsy. Methods: We retrospectively reviewed the medical records of 40 consecutive patients who underwent at least 3 months of follow- up clinical evaluation from March 2016 to December 2019 who were admitted to the ophthalmologic department or referred from other departments of Samsung Changwon Hospital and diagnosed with acquired CN3 palsy. Results: The average age of patients with acquired CN3 palsy was about 64.6 ± 15.9 years and the mean follow-up period was 4.4 ± 8.4 months. Microvasculopathy (twelve patients, 30.0%) was the most common etiology followed by brain vascular lesions (eight patients, 20.0%), and tumors (eight patients, 20.0%). The complete recovery rate was 67.5% and non-isolated CN3 palsy was recorded in 30.0% cases of which six cranial nerve palsy (in eight patients, 66.7%) was the most common. Microvasculopathy (42.9%) and tumors (66.7%) were the most common features in the recovery and persistent groups, respectively. Extraocular movement limitation at the first visit was smaller in the recovery group (−2.4 ± 1.1) than in the persistent group (−3.2 ± 0.6); the difference was statistically significant (p = 0.039). Pupil involvement was found in one (8.3%) patient from the microvascular group and in eight (61.5%) patients from the compressive lesion group. Conclusions: The microvascular group or those with a low degree of extraocular movement limitation at the first visit had the highest recovery rate in acquired CN3 palsy. Although compressive lesions showed high pupillary involvement, imaging study should be considered for confirmation rather than attempting to discriminate the causative disease based solely on pupil involvement. 목적: 후천제삼뇌신경마비의 원인별 분포와 임상양상 및 자연경과를 알아보고자 하였다. 대상과 방법: 2016년 3월부터 2019년 12월까지 삼성창원병원 안과에서 후천제삼뇌신경마비로 진단된 환자 중 3개월 이상 추적 관찰이 가능하였던 40명을 대상으로 임상양상 및 자연경과를 후향적으로 분석하였다. 결과: 발병 시 평균연령은 64.6 ± 15.9세, 평균 추적 관찰 기간은 4.4 ± 8.4개월이었다. 원인별로는 미세혈관성 원인이 12명(30.0%), 뇌혈관질환(뇌출혈, 뇌경색, 뇌동맥류) 및 종양이 각각 8명(20.0%)을 차지하였다. 완전 회복은 27명(67.5%)에서 관찰되었고, 다른 뇌신경마비가 동반된 비단독제삼뇌신경마비가 12명(30.0%)으로, 이 중 제육뇌신경마비의 동반이 8명(66.7%)으로 가장 많았다. 회복군에서는 미세혈관성 원인 12명(42.9%), 지속군에서는 종양이 8명(66.7%)으로 가장 많았으며(p<0.001), 초진 시 안구운동제한 정도가 회복군(-2.4 ± 1.1)에서 지속군(-3.2 ± 0.6)보다 더 작았으며 통계학적으로 유의미하게 나타났다(p=0.039). 동공 침범은 미세혈관성제삼뇌신경마비 환자 중 1명(8.3%)에서, 압박제삼뇌신경마비 환자 중 8명(61.5%)에서 나타났다. 결론: 후천제삼뇌신경마비에서 미세혈관성 원인이거나 초진 시 안구운동제한 정도가 경할수록 회복률이 높았다. 그리고 압박성 뇌병변에서 높은 동공 침범률을 보이지만, 동공 침범 여부만으로 원인 질환을 감별하기보다는 필요 시 영상검사의 시행을 고려해야할 것이다.

2018 글로벌 한식 소비자 조사

이주황,배광덕,이재인,이채린,정예중,조범경 한식진흥원 2018 조사보고서 Vol.- No.-

반복적인 유리체출혈로 발현한 추정 잠복결핵 관련 중간포도막염

이주황,서용훈,이은철 대한안과학회 2022 대한안과학회지 Vol.63 No.3

Purpose: We report a case of recurrent vitreous hemorrhage in a patient with presumed latent tuberculosis-related intermediate uveitis, and we review the literature. Case summary: A 58-year-old male visited our clinic complaining of ocular pain, conjunctival hyperemia, decreased vision, and uncontrolled intraocular pressure (IOP) in the left eye. The best-corrected visual acuity (BCVA) was 0.4 and the IOP of the left eye was 34 mmHg. Slit lamp examination revealed conjunctival hyperemia, corneal edema, and inflammatory cells in the anterior chamber and anterior vitreous; fundus examination revealed mild vitreous opacity attributable to vitritis. The high IOP and the intraocular inflammation were treated with antiglaucoma agents and corticosteroids under the impression of chronic anterior uveitis and uveitic glaucoma. Of the tests performed to identify the cause of the uveitis-related vitreous hemorrhage, the interferon- gamma release assay was positive. A presumptive diagnosis of latent tuberculosis-related uveitis was made after pulmonary tuberculosis was excluded by our respiratory internal medicine department. Isoniazid was administered for 9 months. The vitreous hemorrhage recurred 1 month after antituberculosis therapy commenced but, at 2 months, all of the hemorrhage was absorbed and the BCVA improved to 1.0 without further recurrence. Conclusions: Intraocular tuberculosis can present with various clinical manifestations. If tuberculosis-related uveitis is presumed, tests for latent and manifest tuberculosis should be scheduled to allow of early diagnosis and immediate antituberculosis therapy.

소세포신경내분비암종의 안와 전이로 진단된 전체외안근마비

이주황,이은철,이현욱,오신엽 대한안과학회 2019 대한안과학회지 Vol.60 No.12

Purpose: To report a case of primary ureteral small cell neuroendocrine carcinoma metastasis in the left orbital wall, with a review of the literature. Case summary: A 79-year-old male visited our clinic with a 10 day history of ocular pain, ptosis, and ophthalmoplegia in the left eye. He had been diagnosed with diabetes mellitus and was being treated for prostate adenocarcinoma. The corrected visual acuity was 0.8 in the right eye and 0.5 in the left eye. An extraocular movement test showed total ophthalmoplegia, mild exophthalmos, and ptosis in the left eye. Orbital computed tomography (CT) and magnetic resonance imaging showed an irregular mass-like enhancement in the superolateral orbital wall of the left eye, suggesting infectious and inflammatory orbital disease. After antibiotic treatment, high dose systemic steroids were administered. However, there was no improvement and the orbital CT was again performed, with no changes. A surgical biopsy for differentiating orbital tumors was performed and diagnosed as a metastatic orbital small cell neuroendocrine carcinoma. Using positron emission tomography, he was later diagnosed with a metastatic orbital small cell neuroendocrine carcinoma with multiple metastases. Conclusions: When the patient has a mass-like lesion on imaging with ocular pain, ophthalmoplegia, or ptosis, a surgical biopsy should be performed to make a diagnosis and determine the optimal management. 목적: 좌측 안와부에 전이된 요관 원발성으로 고려되는 전이성 소세포신경내분비암종의 1예를 문헌 고찰과 함께 보고하고자 한다. 증례요약: 79세 남자 환자가 내원 10일 전부터 발생한 좌측 안와부 통증과 안검하수 및 안구운동제한 주소로 본원에 내원하였다. 당뇨 및 전립선샘암종으로 치료를 받은 과거력이 있었고, 최대교정시력은 우안 0.8, 좌안 0.5로 좌안의 안구돌출과 안구운동제한 및 안검하수가 관찰되었다. 안와 단층촬영검사 및 자기공명영상검사에서 좌측 안와부 상외측으로 불규칙한 종괴 모양의 조영증강이 관찰되어 감염성 및 염증성 안와질환이 의심되었다. 항생제 치료 이후 고용량 전신 스테로이드 투여를 시행하였으나 호전이 없어, 재시행한 안와 단층촬영검사상 초진 시와 변화 없는 소견이었다. 이에 안와종양 감별을 위해 시행한 조직검사에서 소세포신경내분비암종으로 진단되었고, 이후 양전자방출단층촬영을 통해 다발성의 전신전이가 관찰되는 전이성 안와 소세포신경내분비암종으로 진단되었다. 결론: 안와부 통증, 안구운동제한, 안검하수와 같은 임상양상을 보이는 환자에서 영상학적 검사를 하여 종괴 소견이 관찰되면 진단 및 치료 방향 결정을 위해 조직검사를 반드시 고려해야 한다.

연구논문 - 무기 / 촉매 : 고체 전해질형 연료전지용 산소극 물질의 제조와 전기화학 특성 고찰

황이주,임형렬,유덕영,김조웅,이주성 한국공업화학회 1993 한국공업화학회 연구논문 초록집 Vol.1990 No.3

「바틀비」와 「꼬끼오」에 나타난 화자들의 모방욕망 구조

이주황 ( Ju Hoang Lee ) 한국현대영어영문학회 2015 현대영어영문학 Vol.59 No.1

This essay analyzes the structure of the narrators’ desire in Melville’s novels through Rene Girard’s mimetic theory. Girard argues that all desire is meditated by desiring what the other desires. In “Bartleby”, I offer insight into the true cause of the narrator’s mimetic behavior. The narrator has the desires of late John Jacob and Cicero. He is so safe a man that he cannot expose the true color of his desire. And In “Cock-A-Doodle-Doo”, I can examine the processes of mediated desire in the narrator’s desire. According to Girard, a character desires an object not for itself, but for the value projected onto it by the desire of another. Similarly, the narrator’s desire in “Cock-A-Doodle-Doo” is from Merrymusk’s. The most important thing for the mimetic desire is a scandal because it is almost impossible to avoid. The narrator in “Bartleby” has a scandal with Bartleby and the narrator in “Cock-A-Doodle-Doo” does one with Merrymusk. The scandal with Bartleby makes the narrator in “Bartleby” safe but false. The scandal with Merrymusk leads the narrator in “Cock-A-Doodle-Doo” to a high-spirited way although he imitates Merrymusk’s desire. It suggests that Melville intended to reveal the truth of desire.(Chungnam National University)

마음수련 명상 프로그램이 통합학급 초등학생의 장애수용태도에 미치는 영향

이주황(Lee, Juhwang),박미정(Park, Meejung) 학습자중심교과교육학회 2019 학습자중심교과교육연구 Vol.19 No.20

The purpose of this study is to verify the effects of Maum-Meditation by applying meditation programs and examining whether it can enhance the disability receptive attitude of non-disabled students in inclusive classrooms of elementary schools. In order to achieve the purpose of this study, seven non-disabled students in an inclusive class in the fourth grade at J Elementary in P City were selected for studies. The research design was in accordance with the single group, pre-post test method and meditation program intervention was held a total of 15 times for 9 weeks using the creative experience activity class. The conclusions from this study are as follows. Maum-Meditation programs have a positive effect on enhancing the disability receptive attitude of elementary school students in inclusive classrooms. Upon applying meditation, it was found that inclusive education attitude and behavioral intent scores from the disability receptive attitude of non-disabled students increased at statistically significant levels. This study is significant in that it revealed that Maum-Meditation programs have positive effects on improving the disability receptive attitude of non-disabled students in inclusive classes of elementary schools. It is suggested that follow-up studies should be conducted on increased application of research subjects, and change in disability receptive attitude of teachers through Maum-Meditation based on these research results. 이 연구에서는 마음수련 명상 프로그램이 초등학교 통합학급 비장애학생의 장애수용태도에 미치는 영향을 알아보고자 하였다. 이를 위해 경상북도 P시 소재 J초등학교 4학년에 재학 중인 비장애학생 7명을 연구 대상으로 선정하였다. 15회기로 구 성된 마음수련 명상 프로그램은 자기 마음 돌아보기, 명상의 원리 알기, 부정적인 마음 버리기 등의 내용으로 구성되어 2019년 3월 8일 ~ 4월 29일 기간 중 회기 당 40분씩 진행되었으며, 장애수용태도의 하위영역인 통합교육 태도와 행동 의도의 사전·사후 점수 간 유의한 차이가 있는지 알아보기 위하여 대응표본 검정을 실시하였다. 연구 결과 마음수련 명상 프로그램 적용 후 비장애학생의 통합교육 태도와 행동 의도가 통계적으로 유의하게 향상된 것으로 나타났다. 이 연구는 마음수련 명상 프로그램을 통하여 초등학교 통합학급 비장애학생의 장애수용태도가 향상될 수 있음을 밝혔다는 측면에서 그 의의가 있다.

大學 Campus, Site Planning에 關한 硏究

李柱璜 慶尙大學校 1982 論文集 Vol.21 No.1

Reviewed the academic campus site realities of the Seoul national university in Korea, the Tsukuba university of Japan, the U.C.L.A and M.I.T in the U.S.A and analyzed the university site planning focused on the education and research facilities, the common facilities, academic systems for students and employees. The planning procedures for academic zone are also proposed for the campus planning based on site condition, the system of circulation, the pattern of architecture and functional relations to the town or city.

「종탑」에 나타난 신분에 의한 모방 욕망

이주황 ( Lee Ju-hoang ) 한국현대영어영문학회 2017 현대영어영문학 Vol.61 No.4

This essay is to study the mimetic desire developed by the social status in “The Bell-Tower”. A main character, Bannadonna is an unblest foundling. He is an architect, artisan, or mechanician. He is highly respected from the common people because of his some achievements, but officials of the government and nobles seem never to forget his status. They seemingly recognize some of his ability, but maintain the gap between themselves and him. This makes him desire their desire for governing people. So his desire is metaphysical. According to Rene Girard, all desires are meditated. To Bannadonna the bell-tower represents his desire to rise above those who have marked him forever as “the foundling”. Furthermore, the bell-tower is his means to titanic self-glorification. Bannadonna even pursuits his aim of achieving superhumaness. So he makes Talus which resembles him. Bannadonna was betrayed and killed by Talus as he betrayed people. The effect of the mimetic desire in “The Bell-Tower” drives from the enormous difference between Bannadonna as he really is and as he desires with the other’s desire. (Chungnam National University)

고체 전해질형 연료전지용 산소극 물질의 제조와 전기화학 특성 고찰

황이주,임형렬,유덕영,김조웅,이주성 한국공업화학회 1993 한국공업화학회 연구논문 초록집 Vol.1993 No.0