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- 저자 : Dong Do You (검색결과 122 건)
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유착성 관절낭염 치료에 있어서 한방 치료와 양방 치료의 임상적 고찰 : 동서협진 모델 개발을 위한 기초 연구를 중심으로
남동우,정인태,김주희,박유선,임사비나,이두익,이재동,이윤호,최도영 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-
Objectives : To observe the effect of acupuncture treatment and western medical treatment on frozen shoulder patients. Methods : 39 voluntary patients were randomly assigned to the Eastern treatment group(E group, n=22) and the Western treatment group(W group, n=17). The E group received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. Both groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after treatment using Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) according to the CSA and SPADI. The patient's satisfaction scored 5.67 on a scale of 10. The W group showed significant improvement(p<0.05) according to the CSA and SPADI. The patient's satisfaction scored 7.73. But the difference between the two groups were insignificant according to CSA and SPADI. Conclusion : Both acupuncture and nerve block treatment significantly improved frozen shoulder. But the difference of the two treatments was insignificant.
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김동주,윤유영,하상도,박기환 中央大學校 食糧資源硏究所 2003 食糧資源硏究所 論文集 Vol.15 No.1
오존은 염소보다 1.5배나 강한 산화제이고 염소나 다른 소독제에 비해 여러 종류의 미생물에 대해 살균 효과를 가지고 있다. 본 연구는 신선채소류로부터 인체에 유해한 병원균 등 미생물 오염을 감소시키거나 제거하여 최소가공 신선 과채류의 안전성을 향상시킬 수 있는 효과적인 조건을 찾고자 하였다. 상추, 깻잎, 당근, 고구마의 오존의 미생물 제어 효과를 평가하기 위해 세척 시간에 따 른 일반세균, Bacillus cereus,대장균 및 대 장균군, 포자형성균의 변화를 관찰하였다. 상추는 총호기성균이 6.32 log CFU/g, coliform은 3.36 log CFU/g 그리고 포자 형성균은 2.92 log CFU/g 검출되었다. 깻잎은 총호기성균이 5.36 log CFU/g, coliform은 3.88 log CFU/g 그리고 포자 형성균은 2.62 log CFU/g 검출되었다. 당근은 총호기성균이 7.34 log CFU/g, coliform은 3.49 log CFU/g 그리고 포자 형성균은 3.57 log CFU/g 검출되었다. 고구마는 총호기성균이 7.82 log CFU/g, coliform은 3.15 log CFU/g 그리고 포자형 성균은 3.30 log CFU/g 검출되었다. E. coli와 B. cereus는 모든 시료에서 불검출 되었다(검출한계: <10 cells/g). 미생물수는 세척시간에 따라 3분까지는 감소하였고, 그 이후에는 거의 변화가 없었다. 오존 처리에 의한 총호기성균의 살균효과는 상추의 경우 약 3 log, 깻잎은 약 2 log, 당근은 약 3 log 그리고 고구마는 약 2 log 감소하였다. coliforms은 모든 시료에서 약 2 log 감소 하는 것으로 나타났다. 포자형성균은 1분 이상의 세척 처리 후에는 불검출되는 것으로 나타났다. 이들 결과는 오존이 신선채소류의 미생물, 특히 포자형성균을 효과적으로 제어할 수 있음을 제시함으로서, 신선채소류 처리에 있어 오존이 기존 살균 소독제를 대신하여 사용될 수 있음을 보여주고 있다. Ozone is an oxidizing agent, which is 1.5 times stronger than chlorine and is effective over a much wider spectrum of microorganisms than chlorine and other disinfectants. The objective of this study was to propose an effective condition to improve the safety of fresh vegetables, which could reduce and eliminate human pathogens from fresh products. Microbial contamination levels in fresh vegetables such as lettuce, sesame leaf, carrot and sweet potato were evaluated and the variation of microorganisms was observed during washing in order to evaluate the effect of ozone on the control of microorganisms in fresh vegetables with time. Target microorganisms were APC, B. cereus, coliforms, E. coli and spore-forming microorganisms. The results of the total cell count of general microbes were in the range of 5.36 (sesame leaf) - 7.82 (sweet potato), coliforms 3.15 (sweet potato) - 3.88 (sesame leaf) and spore-forming group was 2.62 (sesame leaf) - 3.57 (carrot) log CFU/g while E. coli and B. cereus were not detected at the detection limit (<10<윗첨자>1</윗첨자>) in raw materials. The number of microorganisms were reduced with treatment time to 3 mins in the magnitude of 2-3 log reduction and little changed to 5 mins. About 3 log reduction of general microbes was achieved in lettuce, 2 log in sesame leaf, 3 log in carrot and 2 log in sweet potato. Coliforms were reduced about 2 log in tested samples. Ozone was found to be very effective to eliminate the spore-forming group from fresh vegetables, which was not detected after 1 min treatment. These results suggest that the ozone is effective to reduce microorganisms from fresh vegetables, especially very effective on the spore-forming microorganisms and thus could be used as an alternative to traditional sanitizers for fresh produce.
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강충남,김종오,김동욱,고영도,유재두,최창호 대한스포츠의학회 1999 대한스포츠의학회지 Vol.17 No.1
Injury to associated structures is expected to worsen the prognosis of ACL tears. Meniscal injuries are well known to coexist in knees with both acute and chronic ACL injuries. However, it is not conclusive whether the likelihood of encountering a repairable meniscal lesion diminishes as the time from injury increases. W e reviewed records of 127 patient receiving an arthroscopically assisted stabilizing procedure for an acute and chronic ACL injury incurred while skiing, soccer, traffic accident to associated meniscal injury. All patient had undergone arthroscopic evaluation. We classified acute injury as injury less than 3 months old at time of surgery, and chronic injury as more than 3 months old. Acute injuries were 88 cases and chronic injuries were 39 cases. In 55 ski-related injuries, 41 knees were acute and 14 knees were chronic. Fourteen(34%) meniscal tears were noted in chronic cases. In 42 soccer injuries, 20 knees were acute and 22 knees were chronic. In acute cases, 14(70%) meniscal tears were noted and in chronic cases, 14(64%) meniscal tears were noted. In 30 traffic accident injuries, 27 knees were acute and 3 knees were chronic. In acute cases, 19(70%) meniscal tears were noted and in chronic cases, 2(67%) meniscal tears were noted. There was strong trend of the increased incidence of medial involvement in the non-skiers than in the skiers, In the type of meniscal tear with acute ACL rupture, 33 of 52 meniscal were longitudinal tear, 6 were horizontal tear, 4 were radial tear(only in lateral meniscus) and 9 were complex tear. In the pattern of meniscal tear with chronic ACL rupture, 15 of 37 meniscal were longitudinal tear, 3 were horizontal tear, 1 was radial tear(only in lateral meniscus) and 18 were complex tear(medial meniscus 16, lateral meniscus 2). In the treatment of torn menisci, 29 of 52 meniscal tears were treated by conservative treatment and meniscal repair, 21 meniscal tears were treated by partial menisectomy and 2 meniscal tears were treated by subtotal menisectomy in acute injuries. In chronic injury, 10 of 37 meniscal tears were treated by conservative treatment and meniscal repair, 18 meniscal tears were treated by partial menisectomy and 9 meniscal tears were treated by subtotal menisectomy. There was no total menisectomy. As the time from injury increased, the medial meniscus tears were severe and were more likely to require menisectomy.
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Surgical resection of metastasis to the pancreas
Dong Do You,Dong Wook Choi,Seong Ho Choi,Jin Seok Heo,Woo Suk Kim,Cheon Yu Ho,Hyung Geun Lee 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.4
Purpose: Metastasis to the pancreas is rare, and the benefit of resection for pancreatic metastasis is poorly defined. The aim of this study was to review our experiences of the operative management of metastasis to the pancreas. Methods: Between 1995 and 2009, 11 patients (8 men and 3 women; median age, 54 years) were admitted to our institution with a metachronously metastatic lesion to the pancreas and later underwent pancreatic resection. The clinical features and outcomes of treatments were examined. Results: The primary cancers were renal cell carcinoma (RCC, n = 7), carcinoid tumor (n = 2), rectal cancer and leiomyosarcoma. Six patients underwent distal pancreatectosplenectomy, 3 pancreaticoduodenectomy and 2 patients underwent enucleation for small RCC. One patient died of metastatic RCC at 53 months after surgery and ten patients remain alive; four patients without disease at 7 to 69 months postoperatively, and the other six with disease at 11 to 68 months. Median postoperative survival of all patients was 34 months. Conclusion: Patients with a low surgical risk should be considered for pancreatic metastasectomy if curative resection is possible. Primary cancer type, which is associated with survival benefit, would be the best candidate for surgical resection of metastases to the pancreas.
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Prognostic Factors after Curative Resection Hepatocellular Carcinoma and the Surgeons Role
( Dong Do You ),( Dong Goo Kim ),( Chang Ho Seo ),( Ho Joong Choi ),( Young Kyung You ) 대한간학회 2017 춘·추계 학술대회 (KASL) Vol.2017 No.1
Aims: Patient, surgical, and tumor factors affect the outcome after surgical resection for hepatocellular carcinoma (HCC). The surgical factors are only modifiable by the surgeon. We reviewed our experience with curative resection for HCC in terms of surgical factors. Methods: After analyses of the prospectively collected clinical data of 256 consecutive patients undergoing surgical resection for HCC, prognostic factors for disease-free survival (DFS) and overall survival (OS) were identified; all patients were stratified by tumor diameters > or < 5 cm and their outcomes were compared Results: Multivariate analyses showed that microvascular invasion, estimated blood loss, blood transfusion, and the number of tumors were independent adverse prognostic factors for DFS, whereas microvascular invasion, serum alpha fetoprotein, and tumor diameter were independent adverse prognostic factors for OS. Blood transfusion had borderline significance (p = 0.076). After stratification by tumor diameter, blood transfusion was only associated with poor DFS and OS in patients with tumor diameters > 5 cm. Conclusions: Tumor recurrence after liver resection for HCC depends on tumor status, bleeding, and transfusions, which subsequently lead to poor patient survival. Surgeons can help improve the prognosis of patients by minimizing blood loss and transfusion, particularly in patients with larger tumors
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Prognostic factors after curative resection hepatocellular carcinoma and the surgeon’s role
Dong Do You,Dong Goo Kim,Chang Ho Seo,Ho Joong Choi,Young Kyung Yoo,Yong Gyu Park 대한외과학회 2017 Annals of Surgical Treatment and Research(ASRT) Vol.93 No.5
Purpose: Patient, surgical, and tumor factors affect the outcome after surgical resection for hepatocellular carcinoma (HCC). The surgical factors are only modifiable by the surgeon. We reviewed our experience with curative resection for HCC in terms of surgical factors. Methods: After analyses of the prospectively collected clinical data of 256 consecutive patients undergoing surgical resection for HCC, prognostic factors for disease-free survival (DFS) and overall survival (OS) were identified; all patients were stratified by tumor diameters > or <5 cm and their outcomes were compared. Results: Multivariate analyses showed that microvascular invasion, estimated blood loss, blood transfusion, and the number of tumors were independent adverse prognostic factors for DFS, whereas microvascular invasion, serum alpha fetoprotein, and tumor diameter were independent adverse prognostic factors for OS. Blood transfusion had borderline significance (P = 0.076). After stratification by tumor diameter, blood transfusion was only associated with poor DFS and OS in patients with tumor diameters > 5 cm. Conclusion: Tumor recurrence after liver resection for HCC depends on tumor status, bleeding, and transfusions, which subsequently lead to poor patient survival. Surgeons can help improve the prognosis of patients by minimizing blood loss and transfusion, particularly in patients with larger tumors.
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