• 대한한방내과학회지
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• 제44권5호
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• pp.1025-1032
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• 2023

Objectives: This study reports on the efficacy of using Korean medicine treatments for a functional dyspepsia patient. Methods: A 49-year-old female patient with functional dyspepsia was treated with herbal medicines and acupuncture for 33 days. The treatment effect was evaluated by measurements drawn from the Nepean Dyspepsia Index-Korean version score and Bristol Stool Scale results. Results: Following treatment, the patient showed a decrease in the Nepean Dyspepsia Index-Korean version score and an improvement in the Bristol Stool Scale. Conclusions: Korean medicine treatment improved the condition of a patient with functional dyspepsia. Further clinical research on patients with functional dyspepsia is needed.

• 대한두경부종양학회지
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• 제31권1호
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• pp.18-21
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• 2015

기관을 침범한 갑상선 악성종양을 제거한 후에 성문하부에 비교적 큰 기관 결손이 발생할 수 있다. 단단문합술은 넓은 부위의 결손부를 재건하는 방법으로 널리 받아들여지고 있지만, 문합부 파열, 반회후두신경마비, 재협착 등의 합병증이 발생할 수 있다. 본 증례는 기도를 침범한 갑상선 유두암종을 제거한 후 윤상연골과 기관연골의 비교적 큰 결손부를 흉쇄유돌근 근골막피판을 사용하여 안전하게 재건한 사례이다. 55세 남자 환자가 기도를 침범한 갑상선 유두상암으로 내원하였으며 기도침범은 윤상연골(둘레의 약 30%)과 4개의 기관연골(둘레의 약 50%)을 해당하는 넓은 부위였다. 수술 전 기관절개술을 시행하여 주위 기관연골의 상태가 좋지 않아 단단문합술 시행 후 문합부 파열 가능성이 있다고 판단하여 흉쇄유돌근 근골막피판을 이용하여 재건하기로 계획하였다. 갑상선 절제술, 경부림프절 절제술, 흉쇄유돌근 근골막피판을 이용한 재건술을 시행하였으며 수술 후 12일째 별다른 문제없이 퇴원하였다. 환자는 수술 후 현재 22개월 간 기도 협착 등의 별다른 합병증 없이 지내고 있다. 흉쇄유돌근 근골막피판은 성문하부나 기관지 전외측벽의 비교적 큰 결손부를 재건하는 데 유용하게 사용될 수 있다.

• KSBB Journal
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• 제29권6호
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• pp.421-425
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• 2014

In this study, the antioxidant activities of fractions (methanol, hexane, methylene chloride, butanol, ethyl acetate and water) of Solanum nigrum L. extract was investigated. The contents of total phenolic compounds of each fractions of methanol, butanol, methylene chloride, ethyl acetate, hexane and water are $4.41{\pm}0.23%$, $5.57{\pm}0.35%$, $9.89{\pm}0.19%$, $9.86{\pm}0.19%$, $1.89{\pm}0.04%$, and $3.18{\pm}0.06%$, respectively. For assay of antioxidant activity, 1,1-diphenyl-2-picryhydrazyl (DPPH) radical scavenging activity, reducing power and nitrite scavenging activity are evaluated. In DPPH radical scavenging activity, the highest effect was obtained from the fraction of ethyl acetate. Reducing power is ordered as ethyl acetate > methylene chloride > methanol. In nitrite scavenging activity, the highest activity was 5.5% (butanol fraction), whereas hexane fraction did not detected. Overall, antioxidant activities are closely related the content of phenolic compound in extracts of S. nigrum L.

• 한국항해항만학회지
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• 제37권5호
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• pp.543-549
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• 2013

본 연구는 부산을 대표하는 수변공간으로서, 인지도가 높은 7곳(해운대, 민락공원, 광안리, APEC나루공원, 다대포, 자갈치, 태종대)을 선정하여 사전 표본 설문조사를 실시하였다. 그 결과를 바탕으로 특성이 가장 뚜렷하게 나타난 2곳(해운대, 자갈치)을 대상으로 설문조사를 다시 실시하여, 방문자가 수변공간에 대해서 느끼는 수변공간의식을 조사하였다. 그 결과, 해운대는 이용자의 81.5%(163명)가 '바다바람을 느낀다.'로 응답하였으며, 자갈치는 55.8%(111명)가 '해산물을 먹을 수 있다.' 로 응답하였다. 또 수변공간의식을 중심으로 각각 연령대별, 희망 활동별로 수변공간의 전체적인 만족도에 대한 분석을 실시하였다.

• Pediatric Infection and Vaccine
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• 제18권2호
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• pp.207-211
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• 2011

뎅기열은 열대와 아열대지역에서 호발하며, Aedes aegypti 모기에 의해 전파되는 바이러스성 급성 발열 질환이다. 뎅기열은 발열과 인플루엔자 유사증상, 피부발진으로 특징지어지며, 뎅기출혈열의 경우 발열과 출혈증상, 혈장삼출 등을 동반하며, 심한 경우 혈장삼출에 의한 저혈량성 쇼크가 발생할 수 있고, 이를 뎅기쇼크증후군이라 하며 적절한 치료가 없을 경우 사망까지 이를 수 있다. 국내에서는 뎅기열의 발생빈도가 낮아 접하기가 쉽지 않고, 따라서 감별진단으로 고려하기 어려운 점이 있다. 저자들은, 11개월간 유학생으로 필리핀에 거주하였던 14세 남아가 뎅기출혈열로 진단된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한두개안면성형외과학회지
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• 제23권1호
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• pp.23-28
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• 2022

Background: Intermaxillary fixation (IMF) is a technique that allows for the reduction and stabilization of mandibular fractures. Several methods of IMF, such as self-tapping screws or arch bars, have been developed. This study aimed to validate the usefulness of IMF with a self-tapping screw compared to IMF with arch bars with focus on the patients' perspective. Methods: We retrospectively reviewed the medical records of all patients who were treated for mandibular fractures at our hospital between August 2014 and February 2021. A total of 57 patients were enrolled in this study. Thirteen patients were excluded from the analysis: three patients were lost to follow-up, and 10 patients did not undergo IMF. Finally, 44 patients were analyzed, of which 31 belonged to the arch bar group, and 13 belonged to the screw group. Patient discomfort and pain during IMF application and removal were analyzed using a patient self-assessment questionnaire. The surgeon also assessed oral hygiene, IMF stability, and occlusion. Results: We applied IMF to 34 men (77%) and 10 women (23%). The mean age of the patients was 37.3 years. The most common fracture site was the angle (30%), followed by the parasymphysis (25%), the body (23%), the condyle (11%), and the ramus (11%). Patient discomfort and oral hygiene were statistically favorable in the screw group. The IMF application time was statistically shorter in the screw group (p< 0.001). IMF stability was not statistically different between the two groups. The pain score during IMF removal was lower in the screw group (p< 0.001). Conclusion: Compared to arch bars, IMF screws provide more comfort during the IMF period, help maintain favorable oral hygiene, and have a shorter application time. From the patient's perspective, IMF screws are an excellent alternative to conventional arch bars when applicable.

• 동의신경정신과학회지
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• 제34권4호
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• pp.369-384
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• 2023

Objectives: The purpose of this study was to review the recent clinical studies on Korean medicine for treatment of eating disorders. Methods: We searched clinical studies that verified the effectiveness of Korean medicine for the treatment of eating disorders. The search was done in 9 databases (Korean, Chinese, and English databases) from January 2016 to August 2023. Results: A total of 10 articles were retrieved. The articles were classified based on the type of study design: 1 database study, 2 case series, and 7 case reports. Among the articles, in 4 articles, acupuncture was used as a treatment intervention for bulimia nervosa, and in 6 articles herbal medicine was used as a treatment intervention for anorexia nervosa. The most frequent pattern identification was 'Liver qi depression', the most composed herb was 'Root of Glycyrrhiza uralensis (甘草)', and the most used acupoints were CV12 and SP6. All the studies showed positive results. Conclusions: Korean medicine for eating disorders treatments might be effective. However, the quality of evidence in the selected studies was low, and there was no comparison of the treatment effects using objective diagnostic tools. For more accurate results, systematically designed clinical studies using objective diagnostic tools should be conducted.

• 한국해양학회지:바다
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• 제15권3호
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• pp.110-114
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• 2010

수영만에 설치된 모니터링 부이에서 관측된 해류, 바람, 파고자료와 부산항의 조석자료를 이용하여 강한 이안류가 발생했던 2009년 8월 13~15일의 물리환경을 분석하였다. 수영만의 조류는 단주기 해류성분과 비슷한 크기를 가지며 대조-소조에 따른 변화를 보인다. 이안류가 발생했을 때 북동풍이 강하게 불고 조류와 해류가 해운대 해안 쪽 방향으로 중첩되었다는 공통점이 있고, 8월 14일 오후에 이안류가 없었을 때는 파고와 조석은 유사한 조건이었지만 조류와 해류가 거의 반대방향이었다. 강한 바람은 큰 파랑을 동반하여 이안류 발생의 기본조건을 조성하지만 만 내의 해류에 미치는 국지적인 영향은 비교적 작다. 수영만에 인접한 세 해수욕장 중에서 해운대에서만 강한 이안류가 나타나는 데에는 해운대 중앙부의 특이하게 얕은 수중언덕이 외해에서 들어오는 파랑, 해류, 조류를 감쇠시키는 효과가 중요할 것으로 생각된다.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.229-232
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• 2013

Traumatic fracture-dislocations of the hip frequently result from high-energy injury, and hip dislocations are commonly associated with severe concomitant injuries. Sciatic nerve injury often accompanies traumatic fracture-dislocation of the hip, but neurologic examination at the time of injury is difficult in severely traumatized patients with decreased consciousness. We present such a case of multiple traumas with traumatic hip dislocation and sciatic nerve injury after reduction, and we found that magnetic resonance image (MRI) played an important role in developing a management plan.

• Advances in pediatric surgery
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• 제20권2호
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• pp.58-61
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• 2014

Palpable inguinal mass in children should be differentiated from inguinal hernia, hydrocele, lymph node, and tumor. Though using ultrasonography, fatty tumor would be misdiagnosed as incarcerated inguinal hernia containing fatty component. We experienced the huge inguinal lipoblastoma in 5-year-old girl mimicking recurrent incarcerated hernia. Laparoscopic exploration revealed it was not incarcerated hernia but well demarcated bulging mass from abdominal wall. Mass was about $10{\times}4{\times}3cm$ and extended from internal inguinal ring to saphenous opening. It was near total excised because of right external iliac vein injury. Pathologically, it was proven as lipoblastoma containing mature adipocyte with lipoblast and fibrous septa. Postoperatively, we noticed a segmental thrombotic occlusion of external iliac vein. After 1 year, she has no symptom related to occluded vessel. The remained lipoblastoma showed no interval change. Even lipoblastoma has a good prognosis with low recurrence rate, we need careful follow-up.