• The Journal of the Korean dental association
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• v.20 no.12 s.163
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• pp.1019-1023
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• 1982

늙는다는 것, 즉 노화는 정상적인 생활과정이며 노령자체가 반드시 치과치료의 금기가 아니라는 것은 알고 있는 사실이다. 그래서 우리 전문가들에게 주어진 임무는 수명을 연장시키는데 기여함은 물론이고 노후를 생산적이고 유쾌하게 하여 생활의 질을 높이고 일상생활의 평범한 행위를 지속하도록 도와 주는데 있다 하겠다. 그러나 불행하게도 노인들은 참고 참다가 견딜수 없어 치료를 제공받기 힘든 연령에 치과치료를 요구하게 되는 경향이 있는데 결국 이것이 문제가 된다. 퇴행성 변화와 이로 인하여 야기되는 만성질병 때문에 위험이 보다 커지고 총의치를 하기에 아주 불량한 상태에 있게 된다. 오늘날 불소치료와 그 외의 예방처치로서 치아상실에 영향을 미치고 있는 것은 주지의 사실이다. 그러나 현재 이미 노인이된 환자에 대한 혜택은 무시할 정도며 이러한 영향을 최소한 다음 세대까지 유지 될 것으로 보고 있다. 그러므로 앞으로는 어린이에 대한 관심과 예방에 대한 열의 속에서도 노인에 대한 불공정한 고정관념을 버리고 관심과 동정으로 노인의 치료를 우선으로 해서 치과의사는 상품의 공급자가 아니고 주된 목적과 임무가 인도주의자 라는 것을 보여줘야 하겠다.

• Restorative Dentistry and Endodontics
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• v.35 no.1
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• pp.1-4
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• 2010

The final preparation (MAF) size in infected root canals is still controversial. Nonetheless, recent studies demonstrated that larger apical preparation sizes produces a greater reduction in remaining bacteria and dentinal debris as compared to smaller apical preparation sizes. Therefore, clinicians should be practiced with treatment strategies guided by evidence-based information, especially in infected/failed root canals.

• 대한두경부종양학회:학술대회논문집
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• 2002.11a
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• pp.256-256
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• 2002

• Journal of Chest Surgery
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• v.34 no.1
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• pp.35-40
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• 2001

배경: 혈역학적으로 문제가 되며 인도메타신 치료가 불가능한 미숙아 동맥관 개존증에서 동맥관 결찰술은 비교적 안전하고 효과적인 치료법으로 알려져 있다. 대상 및 방법: 1995년 1월부터 2000년 5월까지 동맥관 개존증을 가진 50명의 미숙아를 대상으로 인도메타신 치료와 동맥관 결찰술의 치료성적을 검토하였다. 결과: 50례의 미숙아 동맥관 개존증 중 28례에서 혈역학적으로 문제가 되어 치료가 요구되었고 그 중 5례에서는 인도메타신 치료를, 나머지 23례는 인도메타신 치료의 금기가 되어 동맥관 결찰술을 시행하였다. 제태기간과 출생시 체중은 치료를 시행하지 않았던 군(32.1$\pm$2.1주, 1731$\pm$450.9g)과 인도메타신 치료군(32.0$\pm$2.1주, 1830$\pm$165.5g)보다 동맥관 결찰술군(29.6$\pm$2.1주, 1435$\pm$431.0g)이 가장 짧았다(p<0.05). 치료를 시행한 28례에서 치료시 나이(8.6$\pm$5.5일, 7,3$\pm$4.4일)는 인도메타신 치료군과 동맥관 결찰술군 간에 차이가 없었으나, 체중(1670$\pm$43.6g, 1211$\pm$22.4g)은 동맥관 결찰술군에서 의의있게 적었다(p<0.05). 치료후 생존율은 100%와 73.9%로 인도메타신 치료군에서 높았고 술후 사망은 23.7$\pm$22.4일(6-68일)째 발생하였으며 사망원인은 패혈증 5례, 뇌실질내 출혈과 기관지폐이형성증이 각각 2례, 패혈증 쇼크와 기흉이 각각 1례로 수술과는 직접적인 관련이 없었다. 결론: 미숙아 동맥관 개존증에서 조기에 동맥관 결찰술을 시행하는 것은 비교적 안전하고 효과적이며, 특히 인도메타신 치료를 시행할 수 없는 경우와 초저체중의 미숙아에서도 안전하게 적용 될 수 있을 것으로 사료된다.

• Journal of Chest Surgery
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• v.37 no.2
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• pp.188-192
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• 2004

Treatment of huge chronic tuberculous empyema with cardiopulmonary dysfunction. Drainage of empyemal space by closed thoracostomy in chronic tuberculous empyema is generally contraindicated because of the possibility of empyema necessitatis and ascending infection. But in case that serious cardiopulmonary dysfunction is present, drainage of empyema and decompression is necessary. We experienced a case in which chronic tuberculous empyema was big enough to cause mediastinal shifting and cardiopulmonary failure. Immediate drainage of pleural cavity with tube thoracostomy was performed. Afterward, pleuropneumonectomy was done following cyclic irrigation for one month. The patient had successful postoperative course without any evidence of complication or relapse of infection.

• Journal of the Korean Society of Radiology
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• v.82 no.3
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• pp.500-511
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• 2021

The prevalence of lower extremity disease is increasing with age. With recent technological advancements, endovascular treatment is being performed more frequently. The treatment goal of intermittent claudication is to improve walking and reduce claudication. To achieve these goals, anatomical durability and patency are important. In patients with critical limb ischemia, the lesions are diffuse and particularly severe in below-the-knee arteries. The treatment goal of critical limb ischemia is to promote wound healing and to prevent major amputation, which is evaluated by the limb salvage rate. Primary stenting using covered or bare metal stents is a widely accepted endovascular treatment. While drug-eluting technologies with or without atherectomy are widely used in the treatment of femoropopliteal disease, balloon angioplasty is the mainstay treatment for below-the-knee intervention. CT angiography provides a road map for planning endovascular treatment in patients without absolute contraindications.

• Journal of Korean Medical classics
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• v.21 no.2
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• pp.193-200
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• 2008

재전통의학이론상일반운용'토법'적주요목표이병인화병위양종분류인식하거적(在전統의학理논上一般운用'吐法'的主要目표以病因和病位양종分류인식下去的). 관우병인의미착직접토출격상(관于病因意味着직接吐出膈上), 위완적담음숙식지인착오적섭식지유독지물(胃脘的痰음宿食지因錯오的섭食之有毒之物), 관우병위가이설(관于病位可以설), '기고자(其高者), 인이월지'적'기고자'시지상완(因而越之'的'其高者'是指上脘), 격상적유형실사(膈上的有形실邪). 장자화재 "유문사친"상설"일토지중(장子和在"儒門事親"上설"一吐之中), 변태무궁(변태无궁), 루용루험(屢用屢험), 이지불의(以지不疑)", 몰구완격담식혹비교고적병위(沒拘脘膈痰食或比較高的病位). 이차통과흔다임상경험(而且通과흔多임床경험), '토법(吐法)'능취득료타개현부이발산피부적청양(能取得了打개玄府而발散皮부的淸양), 타개하초(打개下焦), 천착장중적옹체(穿着腸中的壅滯), 통조수도(通조水道), 단절수지상원(단絶水之上源), 접통울체(接通울滯), 피상행진기(被上行진기), 접통관객(接通관객), 교류상하적(交流上下的) 음양(陰陽), 교제심신(交제心신), 조절병교제수화(조절병交제水火), 창달기기(창달기기), 접통경락혈맥등적성효(接通경絡血맥等的成效). 인차타확장료'토법'적치료범위(因此他擴장了'吐法'的治료范圍). 본논문관우장씨적'토법'(本논文관于장氏的'吐法'), 개념(槪念), 방법급종류(方法及종류), 규율(규律), 통토적치료기전(通吐的治료기전), 금기(禁忌), 조선적방면래진행정리(조宣的方面래진行整理), 보고(報告).

• Journal of Chest Surgery
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• v.34 no.9
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• pp.711-715
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• 2001

Background: Deep venous thrombosis(DVT) is a curable disease when it is appropriately treated in the early stages of onset. The long term follow up of chronic DVT shows poor prognosis with serious complications such as venous valvular insufficiency, venous claudication, venous ulcer and leg swelling. Thrombolytic therapy is a very active treatment that delivers thrombolytic agents via catheter to the target thrombi. The aim of this study is to evaluate the effect of catheter directed thrombolysis using urokinase to acute DVT. Material and Method: We studied 5 patients, who were diagnosed as acute DVT and had no contraindication for selective hemolysis using urokinase. Result: All the patients were successfully recanalized. Total infusion time of urokinase was 2.0$\pm$0.6 days, and the amount was 5.9$\pm$2.45 million IU. In 4 patients, who were diagnosed as May-Therner syndrome, we performed the balloon angioplasty and inserted the stent at the stenotic portion. There were minor complications such as hematuria, hematoma at puncture site, and all of them are self limited. Conclusion: Catheter induced thrombolysis is an effective treatment in acute DVT.

• Journal of Chest Surgery
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• v.41 no.5
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• pp.640-642
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• 2008

Advanced age is known to be a risk factor for early mortality after heart transplantation and is considered to be a relative contraindication. However, recent studies have shown that there are no significant differences in early and midterm survival rates between older and younger recipients. With rising life expectancy and improvements in medical support, the demand for heart transplantation in elderly patients continues to grow. We present a successful case of heart transplantation in a 78-year-old patient.

• Radiation Oncology Journal
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• v.11 no.2
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• pp.277-283
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• 1993

Background: We peformed a retroslective study in patients with previously untreated advanced (Stage III or IV) laryngeal and hypopharyngeal cancer to compare the results of induction chemotherapy followed by definitive radiation therapy (CT+ RT) with those of conventional laryngectomy and postoperative radiation therapy (OP + RT). Method: Between 1985 and 1990, twenty-four patients were treated with two or three courses of chemotherapy and radiation therapy (66-75 Gy). Twenty-five patients were received laryngectomy and radical neck dissection (except 3 patients) and postoperative radiation therapy (55~64 Gy). Result: After a median fellow-up of 20 months, the actusrial 5-year overall survival rate was $24\%$ (chemotherapy group) and $36\%,$ (op group). (P>0.1). The local control rate was the $65\%,$ (13/20) and $68.2\%,$ (15/22). (p>0.1). The rate of laryngeal preservation was $65\%$ (13/20) in chemotherapy group. Conclusion: Induction chemotherapy and definitive radiation therapy can be effective in preserving the larynx in a high percentage of patients with advanced laryngeal and hypopharyngeal cancer.