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Peritoneal Dialysis-associated Peritonitis Caused by Chryseobacterium indologenes
최명우,오성식,최미림,이종화,양현주,선인오,이광영 대한내과학회 2018 대한내과학회지 Vol.93 No.1
Chryseobacterium indologenes (C. indologenes) is a nonmotile, gram-negative bacillus that is widely distributed in nature. Generally considered nonpathogenic, C. indologenes rarely infects humans and is not normally present in the human microflora. C. indologenes infections have been observed in cases of peritoneal dialysis (PD)-associated peritonitis, although the incidence of these infections is low. Although C. indologenes is generally susceptible to trimethoprim-sulfamethoxazole, levofloxacin, ciprofloxacin, piperacillin-tazobactam, and cefepime, no guidelines have been established for the treatment of PD-associated peritonitis. Here we report the first case of PD-associated peritonitis in Korea with C. indologenes identified as the sole etiologic agent. The patient recovered after intraperitoneal antibiotic treatment without the need for Tenckhoff catheter removal.
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최명우 ( Myung Woo Choi ) 한국성경적상담학회 2016 성경과 상담 Vol.15 No.-
사람을 변화시키기 위해서는 반드시 성령의 역사하심과 하나님의 말씀의 가르침이 있어야 하고, 피상담자가 중생과 성화를 통해서 변화를 체험하게 되어야 한다. 본 연구는 이러한 성경적 상담이론을 바탕으로 교회성장을 탐구하는데 순 복음강남교회를 사례로 연구한다. 상담사역을 통하여 교회성장을 어떻게 도모할 것인가는 목회의 중요한 과제이다. 목회는 그 성질상 교회 성장 핵심으로 한다. 질적 성장이든 양적 성장이든 성장이 없는 목회는 그 본질적 사명에 충실치 못한 것을 의미한다. 이러한 목회적 교회성장에서 평신도의 역할이 크게 기여하므로 오늘날 한국교회는 평신도 기능화를 위하여 전력을 다해야 한다. 그러나 한국 교회의 평신도 운동이 질서와 방향을 바로 잡지 못하고 있고 평신도들의 기동력이 잠제된 상태에서는 활성화 되지 못하고 있는 실정이다. 한국교회의 평신도 활용이 정상화 된다면 개교회의 성장은 물론 한국 사회와 세계교회에 크게 공헌할 풍부한 가능성을 갖고 있다. 이와 같은 가능성의 개발을 위하여 개 교회는 전교인을 성경적인 목회상담 요원으로 훈련하여 교회내외의 질적 변화를 도모해야 하며 이것은 곧 교회의 질적 성장과 함께 양적 성장도 연결될 것이다. Current Christian counseling practiced in many Korean churches has deviated from biblical principles and has been oriented towards a psychological approach affected by prosperity theology. The biblical counseling should be back on track. The definition and the purpose of the biblical counseling vary according to scholars. Professor Chungsook Chung defined the biblical counseling as not only giving clients advice on how to solve their problems but also re-educating them so that they can be equipped with a biblical outlook on life, which affects their mind-set, emotion, behavior and personality. She also defined the purpose of counseling as “presenting everyone perfect in Christ”(Col 1:28). A true change in a person takes place only by the work of the Holy Spirit and the teachings of the Word of God as the client experiences regeneration and sanctification. The research will be conducted on church growth based on the biblical counseling theory and the case of Full Gospel Gangnam Church will be studied. How to promote church growth through counseling is an important assignment in a church ministry. The core of the church ministry is on Church growth by nature. Whether it is qualitative or quantitative, the growth is what determines whether or not the church is faithfully carrying out its mission. The organized system of lay members within a church makes huge contributions to church growth, and therefore further effort should be put into organizing lay members of the church. However, the participation of lay people in church activities is constantly decreasing nowadays in most Korean churches. There is great potential for church growth in Korea and worldwide as well if Korean lay people`s activity is revitalized. To achieve that potential, every church needs to train all its members to become biblical counselors so that changes can happen from within the church, which will eventually lead to both qualitative and quantitative church growth.
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Early Phase of Achalasia Manifested as an Esophageal Subepithelial Tumor
이종화,이영재,이종명,주명진,양민아,최명우,윤소희 대한소화기학회 2019 대한소화기학회지 Vol.74 No.2
The Chicago classification (CC) defines an esophagogastric junction outflow obstruction (EGJOO) as the presence of several instances of intact or weak peristalsis, elevated median integrated relaxation pressure above 15 mmHg, and a discrepancy from the criteria of achalasia. The revised CC addresses the potential etiology of EGJOO, including the early forms of achalasia, mechanical obstruction, esophageal wall stiffness, or manifestation of hiatal hernia. A 58-year-old woman visited the Presbyterian Medical Center with swallowing difficulty. The patient underwent a high resolution manometry (HRM) examination and was diagnosed with EGJOO. Chest CT was performed to exclude a mechanical obstruction as a cause, and CT revealed a subepithelial tumor (SET) at the upper part of the esophagogastric junction. Therefore, laparoscopic surgery was performed and eccentric muscular hypertrophy of the distal esophagus was observed. Longitudinal myotomy and Dor fundoplication were also performed. The histology findings of the surgical specimens were consistent with achalasia. This paper reports a case of early achalasia that was finally diagnosed by the histology findings, but was initially diagnosed as EGJOO using HRM and misdiagnosed as SET in the image study.
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양현주,채수완,노순옥,정윤조,오성식,최미림,이종화,최명우,윤현주,선인오,이광영 대한응급의학회 2016 대한응급의학회지 Vol.27 No.5
Methanol poisoning is a medical emergency that requires rapid elimination of the toxin and its metabolites for recovery. The danger of methanol results from the accumulation of its toxic metabolite formic acid. This accumulation may result in the development of metabolic acidosis, visual impairment, and damage to the basal ganglia. Extracorporeal treatment is recommended in severe cases of methanol poisoning with coma, seizure, new vision deficits, metabolic acidosis, high serum anion gap, elevated methanol concentrations or impaired kidney function. Although the serum methanol concentration is helpful in determining the use of extracorporeal treatment, methanol assays are not standard laboratory tests in Korea. Herein, we report a case of methanol poisoning in which the patient’s clinical improvement was confirmed using serum and urine methanol levels.
KCI
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