• 한국임상수의학회지
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• 제30권3호
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• pp.210-213
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• 2013

고양이 헤르페스 바이러스-1 감염과 관련된 고양이의 괴사성 안면 피부염의 증례를 보고하고자 한다. 3살된, 미거세 수컷 도메스틱 숏헤어 고양이가 2년간 지속된 소양성 피부염을 주증으로 내원하였다. 환자는 생후 약 2개월령부터 지속적인 눈꼽과 결막염을 가지고 있었으며, 눈 주위부터 안면 전체로 확대된 피부염의 병력을 가지고 있었다. 내원 당시에는 가피로 덮여있는 미란과 궤양성의 피부병변이 안면과 회음부에서 주로 관찰되었다. 피부 병변부위의 조직학적 검사 결과, 경계면 피부염을 동반한 기저층의 수포변성과 각질세포의 단세포 괴사 소견이 관찰되었으며, 호산구 침윤을 동반한 표피와 진피의 괴사와 각질세포의 핵내 봉입체도 관찰되었다. 이에 가피 부위의 가검물을 이용하여 PCR검사를 수행하였고, 그 결과 고양이 헤르페스 바이러스-1의 유전자가 검출되었다. 위의 소견으로부터, 본 증례는 고양이 헤르페스 바이러스-1 감염과 관련된 궤양성 피부염으로 진단되었고, 아시클로버의 경구투여와 고양이 인터페론 오메가의 국소투여로 피부 및 점막 병변의 뚜렷한 개선을 볼 수 있었다.

• 대한소아치과학회지
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• 제30권4호
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• pp.618-625
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• 2003

본 연구는 경희대학교 치과대학병원 소아치과에 치아외상을 주소로 내원한 411명의 어린이를 대상으로 치아외상의 발생 연령과 남녀간의 성차, 발생의 양상, 부위, 원인, 장소 및 외상 후 내원 시기와 계절적인 발생빈도 등을 조사하여 외상의 예방, 적절한 진단과 치료 그리고 보호자의 계도 및 외상에 관한 홍보에 도움이 되고자 시행하였다. 1998년부터 2000년 사이에 치아외상을 주소로 내원한 환자 중 생후 5개월에서 6세 사이 남아 261명, 여아 150명의 외상치아 745개를 대상으로 다음과 같은 결과를 얻었다. 1.치아 외상은 남아가 여아보다 1.74배 많은 것으로 나타났으며, 남녀 모두 $1{\sim}2$세(34.1%) 및 $2{\sim}3$세(24.3%) 사이에 많이 발생하였다. 2. 치아 외상 양태는 진탕 32.2% 함입 11.9%, 측방변위 10.1%의 순으로 나타났다. 3. 상악 유중절치가 외상 치아의 75.3%로 가장 많이 발생하였다. 4. 치아 외상의 원인은 '넘어짐' 46.0%, '부딪힘' 40.3%, '떨어짐' 6.0% 순으로, 장소는 집안 48.0%, 집밖 37.7%, 유치원 9.2% 순으로 발생하였다. 5. 치아 외상 후 24시간 내에 내원하는 경우가 46.0%, 1주일내 29.5%, 1시간내가 7.5%를 보였다. 6. 월별 치아 외상은 10월(12.7%), 6월(12.2%), 5월(11.7%) 순으로 발생하였다.

• Tuberculosis and Respiratory Diseases
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• 제40권4호
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• pp.442-448
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• 1993

저자들은 최근 약 30년전 치과에서 발치도중 치아 흡인되었으나 환자가 모르고 지내오다 5개월 전부터 시작된 좌상부 흉통을 주소로 내원, 폐엽절제술후 치아 흡인으로 인한 기관지폐쇄로 확인된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한임상독성학회지
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• 제3권2호
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• pp.93-98
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• 2005

Purpose: This study was to investigate the resuscitation outcomes and the clinical characteristics of non-traumatic drug-induced out-of-hospital cardiac arrest by analyzing data from a single institution's registry. Method: We conducted a retrospective study of 795 patients who came to the emergency department with non-traumatic drug-induced out-of-hospital cardiac arrest during the period $1991{\~}2004$. Only patients over 18 years of age were included. Clinical characteristics. variables associated with cardiac arrest, and data during resuscitation were obtained from our cardiac arrest database. Patients were divided into two groups: drug-induced cardiac arrest (drug group, n=33), and non drug-induced cardiac arrest (non-drug group, n=762). Results: Spontaneous circulation was restored in 23 ($72{\%}$) patients in the drug group and in 314 ($45{\%}$) patients in the non-drug group ($x^2=0.020$). The patients who discharged alive number were 46 ($6{\%}$) in the non-drug group and 0 ($0{\%}$) in the drug group ($x^2=0.005$). The witnessed arrest, the epinephrine doses, and total defibrillation energy were not different between two groups. Conclusion: The return of spontaneous circulation rate was higher in the drug group than the non-drug group. However the drug group was lower survival discharge rate than in the non-drug group.

• Tuberculosis and Respiratory Diseases
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• 제42권4호
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• pp.618-623
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• 1995

저자들은 내원 3개월 전부터 발생한 두통을 주소로 내원하여 검사결과 폐와 중추신경계를 동시에 침범한 효모균증으로 진단된 56세 여자환자에서 amphotericin B로 6주간 치료한 후 fluconazole 200mg/day로 전환하여 3개월간 경구 투여하여, 증상 및 흉부 방사선 소견의 호전과 함께 뇌척수액 추적 검사상 호전되고 두부 전산화 단층촬영상 특이 소견은 발견하지 못한 1례를 경험하였기에 문헌고찰과 함께 이에 보고한다.

• Clinics in Shoulder and Elbow
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• 제12권2호
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• pp.137-141
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• 2009

목적: 회전근 개의 하나인 견갑하근 단독 손상 시 봉합나사를 이용한 파열부 봉합술에 대해 문헌 고찰과 함께 그 결과를 알아보고자 한다. 대상 및 방법: 2001년 2월부터 2007년 10월까지 본원에서 견갑하근의 단독손상에 대해 봉합나사를 이용한 관절경적 처치를 시행한 29명의 환자를 대상으로 하였다. 전례에서 다른 회전근 개의 손상이 없는 견갑하근 단독 손상이었고, 견갑하근 손상의 범위는 상부 1/3인 경우가 19예, 상부 2/3인 경우가 7예, 완전 파열인 경우가 3예 였다. 평균 추시 기간은 12.2개월 (6~26개월) 이었다. 결과의 판정은 최초 내원 시점과 최종 추시의 constant shoulder score 결과를 비교하였다. 결과: 술후 constant shoulder score 는 술 전 평균 $49.9\pm7.3$ 에서 술 후 평균 $73.8\pm3.0$으로 constant shoulder score 중 pain points 는 술 전 평균 $4.3\pm3.2$ 에서 술 후 평균 $11.2\pm3.0$으로 향상되었다. 결론: 견갑하근의 단독손상 시 봉합나사를 이용한 견갑하근 봉합술은 좋은 치료방법 중 하나로 고려할 수 있다.

• 한국치위생학회지
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• 제4권1호
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• pp.65-79
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• 2004

There are two purposes in this study. The first one is to collect some oral health information through the investigations upon the oral health care of Korean adults. Referring to the result of the investigation. I wanted to furnish fundamental data with oral health education for each age and with a publicity booklet editing. That is the second purpose of this research. Among the people who visited Seo-gu Public Health Center in Kwang-ju, 207 people answered the questionnaires. There were 86 men and 121 women from the 20-aged to the 59- aged. The questionnaires covers knowledge aquisition path for dental caries prevention, the cognition degrees for the causes of dental caries and its prevention, the cognition degrees for the causes of periodontal disease and its prevention, the degrees for oral health methods, and the importance of oral health. The conclusions are as follows; 1. The cognition degree for dental caries prevention: The cognition for pit and fissure sealant was appeared most highly in thirties by 85.3%. but 62.1 % in fifties was answered, "Never heard". The cognition degree for fluoride application was appeared most highly in thirties by 73.5%. and the cognition degree for water fluoridation was most highly in forties by 54.2%. 2. The knowledge for pit and fissure sealant was acquired mostly through dental hospital in every age by 54.2%. 3. The knowledge for fluoride application was learned mostly through dental hospitals in twenties and thirties by 32.7%. and mostly through TV or radio health programs in forties and fiftieseach by 35.7% and 50.0%. 4. The knowledge for water fluoridation was acquired through TV or radio programs in all ages such as twenties. thirties. forties and fifties. Its rate was 57.8%. 5. The cognition degree of the cause of dental caries: 53.1 % of all ages think that dental caries can most frequently be caused by being lack of toothbrushing. 6. The cognition degree of the cause of periodontal disease: 58.5% people of all ages think that both dental plaque and calculus might be the main cause of periodontal disease. 7. The cognition degree of dental caries prevention: 72.8% people think that dental caries can be prevented by right tooth brushing method. and 8.7% people think that they can be prevented by scaling. However, 10.7% people of them were not interested in dental caries prevention. 8. The importance of oral health: 35.3% people think that teeth health is the most important, and 63.8% people think oral health is one of the most important health problems. Forties answered that tooth health was the most important thing, and fifties. thirties and twenties followed in the order. 9. The cognition for oral health maintenance: all ages(twenties. thirties. forties. and fifties) answered that right toothbrushing method was the best way to keep oral health by 69.1%.

• 대한한방부인과학회지
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• 제18권1호
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• pp.218-233
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• 2005

Purpose : To investigate clinical-epidemologic aspect of infertility patients in Conmaul Oriental Hospital. Methods : From 2003, 5 to 2004, 4, a total 1223(female 943, male 280) patients was recruited, and their medical records were reviewed retrospectively. Results : The mean age of female was $31.83{\pm}3.63$ yesrs, and $34.08{\pm}3.66$ years in male. The mean BMI of female was $20.83{\pm}2.74$, and $24.36{\pm}3.03$ in male. The most common occupation of female was profession, administration, management.The primary infertility was 52.9% and the secondary infertility 47.1%. The most common past history in female was laparotomy. The mean duration of infertility was $3.32{\pm}2.5$ years and $3.9{\pm}2.63$ years in female and male. 83.6% of secondary infertility women experienced abortion. The incidence of patients with both combinded infertility factors of female and male was the most highest, and the most common single factor was ovulatory. 92.4% of female patients took sterility tests, 71.0% of male patients took semen analysis. 50.8% female took ovulation induction, IUI, IVF before coming. 8.91% of female and 72.14% of male were accompanied by their spouse. 61.2% of female took sterility test with their spouse. Female's duration of treatment was longer than man's. The most reliable source of choices was encouragement of family members, acquaintance. Conclusion : In this study, we presented staus concerend with infertility and the characteristics of patients went to oriental hospital. Furthermore, the study about oriental treatments and the results of that treatments is required.

• Journal of Chest Surgery
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• 제40권2호
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• pp.136-139
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• 2007

양측성 슬와동맥 포착증후군은 주로 젊은 남자에게서 슬와동맥과 비복근, 섬유대, 슬와근과의 비정상적인 주행관계에 의한 혈류장애로 허혈성 파행을 유발하는 드문 말초 혈관질환이다. 58세 남자환자가 내원 1개월 전부터 시작된 좌측 하지의 허혈성 파행, 냉감, 3번 발가락 괴사로 입원하였다. 발목-상완 지수 감소 소견을 보여 대퇴동맥 혈관조영술을 시행하였고 좌측 하지 천부 대퇴동맥 원 위부 이하 부위 완전폐쇄소견 보였다. 심전도상 심방세동 보여서 슬와동맥 혈전증을 의심하고 유로키나제 혈전용해술을 시행하기로 결정하였다. 혈전용해술 후 좌측 슬와동맥 포착증후군이 진단되었고 해부학적 확진을 위하여 자기공명촬영를 시행하였다. 슬와동맥이 비복근 내측으로 주행하는 제1형으로 진단되었고, 슬와동맥류를 완전 제거하고 반대측 대복제정맥를 이용하여 대치술을 시행하였다. 경미한 우측 슬와동맥류는 수술하지 않고 관찰 중에 있으며 현재까지 합병증 없이 개통성이 유지되고 있다. 이에 심하게 이환된 하지는 수술적 치료를 시행하고, 경미하게 이환된 하지는 보존적 치료로 좋은 결과를 얻었기에 보고하는 바이다.

• Journal of Preventive Medicine and Public Health
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• 제35권4호
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• pp.340-350
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• 2002

Objectives : To evaluate the annual visit days, the annual prescription days and the medical costs of hypertensive patients. Methods : The medical insurance records of 40,267 incident patients with the diagnostic code of hypertension from September 1998 through August 1999 in Daegu city were reviewed. Results : The proportion of the most proper medical care pattern group (Group VIII) who visited for 6-15 days with 240 prescription days or more a year was only 6.2%. The proper care group (Group IX) who visited for more than 16 days with 240 prescription days or more a year was 9.3%. The overall proper care group (Group VIII+IX) was therefore 15.5%. The proportion of the insufficient care group (Group I, IV) in both the number of visiting days and prescription days was 57.4%. The mean prescription day of the most proper group (Group VIII) was 29 days; the mean annual medical expenses,453,587won; the mean annual amount paid by patients, 218,013won; and mean medical expenses per prescription day, 1,483won. The proportion of the overall proper care group (Group VIII+IX) was significantly higher in adults aged 50-59, those who were enrolled in industrial workers health insurance as well as government employees and private school teachers health insurance, and those who made a higher contribution per month (p<0.01). According to the type of medical facilities, the proportion of the most proper medical care pattern group was highest in the general hospitals (9.3%) but the overall proper care group was higher in the public health centers (22.1%) and private clinics (17.1%). Conclusions : The management system of hypertension should be reinforced urgently. Therefore, it is necessary to develop guidelines including the number of visiting days per year and prescription days per visit day, and make the system provide medical facilities to more properly care for hypertensive patients.