• 대한치과의사협회지
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• 제51권3호
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• pp.148-155
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• 2013

Antibiotic is one of the mainly prescribed drugs in dental office. The substantial part of all antibiotics used in dental office is given to patients without signs or symptoms of infection to prevent infections, and antibiotics became the most widely abused prescribed drugs on the basis of inappropriate indications, dosages and durations. Considering that antibiotics are one of the drugs that affect not only a single patient but also entire populations of individuals through their collective effects on microbial ecology, the importance of proper use of antimicrobial therapy can hardly be overemphasized. Therefore, the main considerations for antibiotic therapy in denial office were summarized here.

• 철학연구
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• 제141권
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• pp.225-261
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• 2017

점서(占筮)는 설시를 하여 괘[64卦]를 얻어내는 과정과 이 괘를 풀이하여 앞일을 예단(豫斷)해 보는 과정으로 이루어진다. 그리고 점서는 이두 과정에 앞서 설시를 하여 얻는 괘에 앞일에 대한 모종의 정보가 들어 있다는 것을 암묵적으로 전제하고 있다. 그렇지 않으면 얻은 괘에 대한 풀이는 원천적으로 무효가 된다. 따라서 이 논문은 점서에서 설시를 하여 얻는 괘에 어떻게 앞일에 대한 모종의 정보가 내재될 수 있는지, 즉 점서의 가능근거를 해명하고자 하였다. 그리고 이에 대한 탐구는 관련하여 유일한 단서가 될 수 있는 "주역(周易)"에서의 '천명(天命)'이 의미하는 바를 추적하는 방식으로 접근한다. 그리하여 '천명'은 '설시를 하여 얻는 괘'가 되며 이 설시를 하여 얻는 괘는 다시 '원하는 앞일과 관련한 조짐이나 암시'가 될 수 있음을 밝히고 있다. '천명'을 아는 것[지명(知命)]은 원하는 앞일과 관련한 조짐이나 암시를 아는 것이다. 점서에 있어서 이 삼자는 상호 동치관계에 있다. 그리고 '천명'을 받기 위해서, 즉 '수명(受命)'을 위해서는 설시를 하는 과정에서 기본적으로 원하는 일과 관련해 의식을 집중하되 작위를 하지 않아야 할 것[의식적(意識的) 무작위(無作爲)]을 요구한다. 이에 따라 설시를 하여 얻는 괘에 앞일에 대한 모종의 정보가 내재될 수 있음이 해명된다. '앞일에 대한 모종의 정보'는 바로 '원하는 앞일과 관련한 조짐이나 암시'인 것이다.

• 한국임상수의학회지
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• 제26권1호
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• pp.72-75
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• 2009

Pulmonary bullae are air-filled spaces within the lung parenchyma that result from the destruction, dilatation and confluence of adjacent alveoli. Pulmonary bullae are found most often in healthy, middle aged, large breed or deep-chested dogs that have no previous history of lung disease and bulla may occur as a result of emphysema, inflammation or trauma. Clinical signs include respiratory distress, anorexia, depression and tachypnea. In this study, a dog with respiratory distress by traffic accident was diagnosed as pulmonary bullae with pneumothorax using radiography at Veterinary Medical Teaching Hospital, GNU. In radiographs, various sized, smooth margin, well defined, oval shaped, gas or fluid filled multiple bullae are shown in the left cranial, left caudal and right accessory lobes. At the initial stage of observation, there were indications of four bullae, two of which were not found in the following radiograph. At the same time, there were serious indications of lung consolidation that caused respiratory distress of patient. Ultimately, the patient was expired after ten hours.

• Archives of Reconstructive Microsurgery
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• 제21권1호
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• pp.50-55
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• 2012

Purpose: We reviewed 66 cases of the glomus tumors in the hands. The purpose of this study was to review the characteristic signs and symptoms of glomus tumors and the surgical outcomes. We made hypothesis that (1) our guideline for surgical excision are reliable and (2) our surgical technique is efficient and less harmful to the nail root. Materials and Methods: The clinical diagnosis was made with occasional radiological studies and surgical excision was performed according to our indications. Patients with electrical shock-like pain by touching (the essential symptom) and at least 2 of 4 clinical signs and symptoms (cold hypersensitivity, paroxysmal pain that radiated proximally, blue discoloration, nail deformity for dorsal tumor or a palpable nodule for pulp tumor) underwent surgical excision. Results: The duration of symptoms of the patients was about 5.3 years. No difference of prevalence was found in both hands, but the thumb and the middle finger were more affected than the other fingers. The mean follow up period was 2.4 years and none of the patients complained the same characteristic pain at the last visit. Conclusion: To the best of our knowledge, this report is the largest case series about glomus tumors in the finger tip. The clinical signs and symptoms are important to make a diagnosis of glomus tumors, and surgical excision is the treatment of choice.

• 대한치과의사협회지
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• 제50권8호
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• pp.507-515
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• 2012

The purpose of this article is to discuss the effect of aging on the treatment of replantation and transplantation of teeth in old patients. I case of replantation and 2 cases of transplantations in old patients are reported in this article. Patients aged 65 and over are included. They had several problems such as periapical lesion, crack or foot fractures. In those cases, the replantation and transplantation were treatment of choice. White ProRoot MTA was used in apical retrograde filling and perforation repair. After replantation and transplantation of teeth, follow-up visits showed signs of healing in 3 cases. Considerations and indications for replantation and transplantation are not much affected by age. Old patients are aware that replantation and transplantation can be performed comfortably and that age is not a factor in prediction success.

• Journal of Yeungnam Medical Science
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• 제22권2호
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• pp.131-140
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• 2005

Heart failure is a clinical syndrome comprised of a number of symptoms and signs associated with congestion and/or hypoperfusion. Specific pharmacologic therapies have been developed to slow disease progression from early to more advanced stages. Once symptoms have developed, aggressive multimodality interventions are instituted to alleviate symptoms and improve clinical status and quality of life; especially in those patients that present symptoms. Recently, an evolving adjunctive therapeutic modality, that involves using implanted electrical devices: cardiac resynchronization with or without implantable cardioverter defibrillators (ICD). has been used for management. Cardiac resynchronization therapy (CRT) is a proven treatment for selected patients with heart failure-induced conduction disturbances and ventricular dyssynchrony. When used in combination with stable, optimal medical therapy, CRT is designed to reduce symptoms and improve cardiac function by restoring the mechanical sequence of ventricular activation and contraction. This review summarizes the rationale, procedure, clinical trials, and clinical indications for CRT.

• Journal of Trauma and Injury
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• 제22권2호
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• pp.134-141
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• 2009

Purpose: Patients with traumatic brain injury (TBI) were referred from other hospitals for further management. In addition, patients routinely underwent computed tomography examinations of the head (HCT) in the referral hospitals. The purpose of this study was to evaluate retrospectively the utility of routine HCT scans according to the severity of TBI. Methods: Patients with TBI referred to our hospital between December 2005 and July 2008 were included in this study. We investigated HCT findings, indications for repeat HCT examinations (routine versus a neurological change), and neurosurgical interventions. The head injury severity was divided into three categories according to the Glasgow Coma Scale (GCS) score, including mild, moderate, and severe TBI. The use of neurosurgical interventions between patients who underwent routine HCT scans and patients who underwent HCT scans for a neurological change were compared according to the severity of TBI. Results: A total of 81 patients met the entry criteria for this study. Among these patients, 67%(n=54) of the patients underwent HCT scans on a routine basis, whereas 33%(n=27) of the patients underwent HCT scans for a neurological change. A total of 21 patients showed signs of a worsening condition on the HCT scans. Neurosurgical intervention was required for 23(28.4%) patients. For patients who underwent routine HCT examinations, no patient with mild TBI underwent a neurosurgical intervention. However, one patient with moderate TBI and three(13%) patients with severe TBI underwent neurosurgical interventions. The kappa index, the level of agreement for HCT indications of intervention and referral reasons for intervention, was 0.65 for high hierarchy hospitals and 0.06 for low hierarchy hospitals. Conclusion: Routine serial HCT examinations in the referred hospitals would be useful for patients with severe head injury and for patients from low hierarchy hospitals where no emergency physicians or neurosurgeons are available.

• 한국지역지리학회지
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• 제12권2호
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• pp.229-244
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• 2006

지리적 표시제란 농산물 등 상품 및 그 가공품의 명성 품질 기타 특징이 본질적으로 특정 지역의 지리적 특성에 기인하는 경우 당해 상품 및 그 가공품이 그 특정지역에서 생산된 특산물임을 표시하는 제도를 의미한다. 우리나라에서는 1999년에 제정된 농산물품질관리법을 통해 지리적 표시제가 본격적으로 시행되고 있다. 본 연구에서는 우리나라에서 지리적 표시제가 공식적으로 도입된 이후 최초로 인증을 얻은 보성녹차의 사례를 중심으로 지리적 표시제가 지역 문화산업 진흥에 미치는 영향 및 시사점을 분석한다. 연구결과 지리적 표시제 도입 이후 지리적 표시품인 보성녹차의 제품이미지 상승과 품질향상이 이루어짐으로써 지역 특산품인 보성녹차의 재배와 생산이 증가하였을 뿐만 아니라 녹차연계 관광산업의 개발 등을 통해 지리적 표시제가 지역 문화산업의 진흥에 전반적으로 긍정적인 기여를 하고 있는 것으로 나타났다. 이러한 연구결과는 지리적 표시제의 도입이 지역 특산의 국산 명품 브랜드를 육성함으로써 향후 수입자유화에 대비한 우리니라 통상정책 측면에서 유효한 대응책이 될 수 있음을 시사한다. 또한, 지리적 표시제가 지역문화 정체성 제고와 장소마케팅을 위한 효과적인 수단을 제공할 수 있음을 시사한다.

• Journal of Trauma and Injury
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• 제35권4호
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• pp.291-296
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• 2022

The therapeutic approach for colon injury has changed continuously with the evolution of management strategies for trauma patients. In general, immediate laparotomy can be considered in hemodynamically unstable patients with positive findings on extended focused assessment with sonography for trauma. However, in the case of hemodynamically stable patients, an additional evaluation like computed tomography (CT) is required. Surgical treatment is often required if prominent mesenteric extravasation, free fluid, bowel infarction, and/or colon wall perforation are observed. However, immediate intervention in hemodynamically stable patients without indications for surgical treatment remains questionable. Three patients with colon and mesocolon injuries caused by blunt trauma were treated by nonoperative management. At the time of admission, they were alert and their vital signs were stable. Colon and mesocolon injuries, large hematoma, colon wall edema, and/or ischemia were revealed on CT. However, no prominent mesenteric extravasation, free fluid, bowel infarction, and/or colon wall perforation were observed. In two cases, conservative treatment was performed without worsening abdominal pain or laboratory tests. Follow-up CT showed improvement without additional treatment. In the third case, follow-up CT and percutaneous drainage were performed in considering the persistent left abdominal discomfort, fever, and elevated inflammatory markers of the patient. After that, outpatient CT showed improvement of the hematoma. In conclusion, nonoperative management can be considered as a therapeutic option for mesocolon and colon injuries caused by blunt trauma of selected cases, despite the presence of large hematoma and ischemia, if there are no clear indications for immediate intervention.

• 동의신경정신과학회지
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• 제20권3호
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• pp.15-33
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• 2009

Objectives : To study for classifying indications and procedure of historical changes, as a preliminary study, we collected and arranged prescriptions of headaches in medical documents after "Hwang-Je-Nae-Gyeong". Methods : 1. The researcher reviewed books, as a bibliography, recording to associate with a headaches in "UI-Bu-Jeon-Rok". 2. In reference books, we collected and arranged the herb medicines related to headaches in chapter of them. 3. In case of no chapter associated with headaches in books, we found prescriptions related to headaches and rearranged them. 4. Applied or added herb medicines were excluded, if the chief virtue was not primarily for headaches. 5. Prescriptions for signs to headaches related to dizziness were excluded. 6. Prescriptions for signs to associated with tremor were excluded. 7. We excluded prescriptions of headaches for dermatological disease. Results and conclusions : 1. Thirty seven documents were referred to the section of a headche in "UI-Bu-Jeon-Rok". 2. Prescriptions of "Sang-Han-Ron", which were related to headaches, were repeatedly quoted in chinese medical publications. 3. Nameless prescriptions of headaches were recorded from earlier books to later publications. 4. It started to record prescriptions of headaches separately from "Hawl-In-Seo" in 1107. 5. Described how to discriminate Naesang from Oegam, but prescriptions of headache were not listed in Dongwon Yi's "Nae-Oe-Sang-Byeon-Hok-Ron" which was published in 1247.