• 사상체질의학회지
• /
• 제16권2호
• /
• pp.105-113
• /
• 2004

1. Objectives Hiccup is one of common symptoms clinically and caused by various etiologies. Persistent hiccup is defined as hiccup lasting more than 48 hours. We have tried researching effect of herbal medicines(Dokhwaljihwang-tang, Yangkyuksanhwa-tang). 2. Methods To heal the persistent hiccup, we used Dokhwaljihwang-tang and Yangkyuksanhwa-tang. 3. Results A Soyangin patient diagnosed to have persistent hiccup was, treated with Soyangin herbal medicines (Dokhwaljihwang-tang and Yangkyuksanhwa-tang), and change of his symptom & general condition was managed. 4. Conclusions The constitutional treatment with Soyangin herbal medicines(Dokhwaljihwang-tang, Yangkyuksanhwa-tang) may have an effect on management of persistent hiccup. Further study on management of this disease is needed.

• 사상체질의학회지
• /
• 제16권2호
• /
• pp.114-121
• /
• 2004

1. Objectives Hyperemesis Gravidarum is one of common symptoms clinically and caused by pregnancy. This is defined as vomiting sufficiently pernicious to produce weight loss, dehydration, acid-base imbalance. In severe case, it also leads to neurologic abnormality including confusion, gate disturbance, nystagmus. We have tried researching effect of herbal medicines, Soyangin Hyungbangsabaek-san. 2. Methods To heal the Hyperemesis Gravidarum, we used Soyangin Hyungbangsabaek-san. 3. Results Hyperemesis Gravidarum of a Soyangin patient was treated with a herb-medicine, and change of her subjective symptom & general condition was managed. 4. Conclusions The constitutional treatment with herb-medicine (Soyangin Hyungbangsabaek-san) was efficacious against Hyperemesis Gravidarum. Further study on management of this disease is needed.

• Clinical Endoscopy
• /
• 제56권6호
• /
• pp.754-760
• /
• 2023

Background/Aims: Endoscopic vacuum therapy (EVT) can heal a variety of defects within the gastrointestinal (GI) tract via applying negative pressure, which reduces the defect size, aspirates the infected fluid, and promotes granulation tissue. Here we present our experience with EVT as it relates to both spontaneous and iatrogenic upper GI tract perforations, leaks, and fistulas. Methods: This retrospective study was conducted at four large hospital centers. All patients who underwent EVT between June 2018 and March 2021 were included. Data on multiple variables were collected, including demographics, defect size and location, number and intervals of EVT exchanges, technical success, and hospital length of stay. Student t-test and the chi-squared test were used to analyze the data. Results: Twenty patients underwent EVT. The most common defect cause was spontaneous esophageal perforation (50%). The most common defect location was the distal esophagus (55%). The success rate was 80%. Seven patients were treated with EVT as the primary closure method. The mean number of exchanges was five with a mean interval of 4.3 days between exchanges. The mean length of hospital stay was 55.8 days. Conclusions: EVT is a safe and effective initial management option for esophageal leaks and perforations.

• Journal of the Korean Wood Science and Technology
• /
• 제36권6호
• /
• pp.33-40
• /
• 2008

삼나무의 심재 부위에는 흑화현상이 자주 발생한다. 심재 내 페놀성 추출물과 Norlignans 물질이 약알칼리하에서 산화함으로써 흑화현상이 발생한다고 보고된 바 있다. 본 연구에서는 삼나무 내부 흑심재와 변재간의 색상차를 줄여보고자 열처리와 광처리를 실시하였다. 열처리로는 열기건조, 진공가열건조, 열수처리를 적용하였고, 광처리로는 삼나무 표면에 자외선광을 조사하였다. 열처리와 광처리에서 온도와 함수율 및 자외선의 색상차 감소효과를 평가하였다. 색상차 감소 효과는 열수처리가 가장 우수하였으며, 산소량이 적은 저기압 상태에서 건조시킴으로써 산화반응을 줄여보고자 실시한 진공건조는 기대한 바와 달리 열기건조와 비슷한 정도의 목재 표면의 색상차 감소효과를 보였다. 광처리는 건조재 표면의 색상차 감소효과를 보여 대패가공 후 마감처리에 적합한 것으로 판단된다. 추후 효과적인 삼나무 재색제어를 위해서 각 처리별 최적 공정조건 탐색 및 복합처리 적용기술개발이 필요하다.

• Archives of Reconstructive Microsurgery
• /
• 제15권2호
• /
• pp.65-69
• /
• 2006

Purpose: We performed vastus lateralis (VL) muslce or myocutaneous flap for close of the trochanteric skin defect usually happened in paraplegia and report our 6 cases. Materials and Methods: Between March 2004 and August 2005 we performed 4 cases of VL muscule flap with skin graft and 2 cases of VL myocutaneous flap for close of the trochanteric skin defect in 6 paraplegia patients. There were 5 men and 1 woman and mean age was 52.2 years and mean diameters of skin defect was $8.3{\times}8.3\;cm$. The mean follow up period was 18 months. The survival of flap, complications, healing time and patient's satisfaction were evaluated. Results: All flaps were survived except 1 case of margin necrosis. In 2 cases, blood-serous discharges were continued after operation which might be due to dead space and treated with $2{\sim}3$ times debridement and delayed close. Mean time to heal the skin defect was 7.6 weeks. No infection and recurrence in follow up periods. Cosmetic results judged by patients are that 3 cases are good and 3 cases are fair. Conclusion: VL muscle and myocutaneous flap is good treatment method among the numerous methods in treatment-failed cases of trochanteric skin defects of paraplegia patients. This surgical procedure is simple, constant blood supply, good pliability, cosmetic results and also appliable to other skin defect of pelvis girdle like sacrum and ischium.

• 대한소아치과학회지
• /
• 제28권1호
• /
• pp.67-71
• /
• 2001

어린이에서 낭종이 발생하는 경우. 종종 계승 영구치의 정상적인 맹출을 방해할 수 있다. 그러나, 이러한 치아들은 일반적으로 맹출 할 수 있는 잠재력을 가지고 있다. 따라서 치아의 맹출을 방해하는 장애물을 제거해 주는 경우, 치아는 저절로 정상적인 위치에 맹출될 수 있다. 이러한 경우 일반적으로 낭종의 처치와 함께 변위된 치아의 맹출 유도과정이 요구된다. 낭종의 제거를 위해 많은 외과적 방법이 제시되어 왔다. 그러나, 낭종이 크거나 영구치를 변위시킨 경우에서는 적출술에 비하여 조대술이 추천된다. 조대술을 시행함에 있어서 그 개구부를 적절하게 유지하는 경우, 낭종의 처치와 함께 변위된 치아를 정상적으로 맹출 유도하는 것이 가능하다. 본 증례는 낭종에 의해 계승 영구치가 변위된 경우로서, acrylic obturator를 이용한 조대술을 시행하여 변위된 치아의 정상적인 맹출이 이루어짐과 동시에 남종의 치유가 적절히 이루어 졌기에 문헌고찰과 함께 보고하는 바이다.

• 대한관절경학회지
• /
• 제12권3호
• /
• pp.159-166
• /
• 2008

연골 세포는 무혈관성, 신경과 림프계가 없는 해부학적 특성으로 인해 연골 손상에 대한 치료가 어렵다. 연골 손상에 대한 수술적 치료는 간단한 변연 절제술로부터 천공술, 미세 골절술, 연골 이식술, 자가 연골 이식술 등 다양한 방법이있으며 이들 중 자가 연골 세포 이식술은 장기적 예후에서 여러 가지 이점이 기대되는 수술로 신체적 활동 요구도가 높은 15 ~ 55 세의 환자에게 좋은 적응이 된다. 자가 연골 세포 이식술은 1984년 Peterson 등의 동물 실험 결과를 토대로 발전하여 1994년에 사람을 대상으로 한 임상 실험에서 좋은 결과를 보였다. 성공적인 수술 결과를 얻기 위해서는 시술자는 자가 연골 세포 이식술의 적응증, 수술 술기 등을 잘 숙지하여야 하며, 수술 후 연골 세포의 재생 과정에 따른 술 후의 관리 및 환자 교육이 필요하다.

• Archives of Plastic Surgery
• /
• 제35권2호
• /
• pp.121-126
• /
• 2008

Purpose: Poly-N-acetyl glucosamine(PGlcNAc) nanofiber-based materials, produced by a marine microalga, have been characterized as effective hemostatic and angiogenic agents. The similarity between PGlcNAc patch and the natural extracellular matrix allows it to support new healthy tissue growth in an injured area and to encourage fluid absorption. In this study, we hypothesized that a poly-N-acetyl glucosamine fiber patch(PGlcNAc patch) may enhance wound healing in the db/db mouse. Methods: PGlcNAc patches were applied on one square centimeter, full-thickness, skin wounds in the db/db mouse model. Wounds(n=15 per group) were dressed with a PGlcNAc nanofiber patch for 1 hour(1 h), 24 hours(24 h) or left untreated(NT). After the application time, patches were removed and wounds were allowed to heal spontaneously. The rate of wound closure was evaluated by digital analysis of unclosed wound area in course of time. At day 10, wounds(n=7 per group) were harvested and quantified with immunohistochemical markers of proliferation(Ki-67) and vascularization (platelet endothelial cell adhesion molecule, PECAM-1). Results: Wounds dressed with PGlcNAc patches for 1 hour closed faster than control wounds, reaching 90% closure in 16.6 days, nine days faster than untreated wounds. Granulation tissue showed higher levels of proliferation and vascularization following 1 h treatment than the 24 h and NT groups. In addition to its hemostatic properties, the PGlcNAc material also appears to accelerate wound closure in healing-impaired genetically diabetic mice. Conclusion: This material, with its combination of hemostatic and wound healing properties, has the potential to be effective agent for the treatment of complicated wounds.

• 한국치위생학회지
• /
• 제6권4호
• /
• pp.403-417
• /
• 2006

The purpose of this study is that level of community members about dental hygienist's job of cognition and perception. The subjects of this survey were 500 of community members located in Gumi, Seoul, Incheon, Wonju.(response rate 92%) The results of study could be summarized as follows: 1. Women, 30 age group, officer and house keeper who had were experienced scaling higher level cognition of dental hygienist than another groups. 2. The group that had experienced oral examination, oral health consult, and the young group who had not experienced prosthodontic treatment had higher perception that dental hygienist main role is oral health care education. 3. The student who had experienced scaling had higher perception that dental hygienist's main role is oral disease prevention. 4. Over 30 age, women group who had experienced dental treatment between 6 month and 2 years had higher perception that dental hygienist main role is dental assistance At the conclusion of this investigation, We investigated that person's perception and cognition is promoted through scaling. Therefore we have to increase opportunity of oral health prevention and education role. In addition, we should notify dental hygienist with uniform, name tag and information about dental hygienist.

• 대한수의학회지
• /
• 제6권1호
• /
• pp.10-17
• /
• 1966

Salmonella pullorum 표준형균주(標準型菌株) 및 변이형균주(變異型菌株)의 균체물질(菌體物質)을 가열추출(加熱抽出), 산성추출(酸性抽出), 산성가열추출(酸性加熱抽出), trypsin 소화(消化) 급류산(及硫酸) ammonium 포화(飽和)등의 방법(方法)으로 처리(處理)하여 얻은 각(各) 분층(分層)의 항원성(抗原性)을 혈구응집반응(血球凝集反應) 및 침강반응(沈降反應)으로 비교검토(比較檢討)하여 다음과 같은 결과(結果)를 얻었다. 1. S. pullorum 균체항원(菌體抗原)은 표준형균주(標準型菌株) 및 변이형균주(變異型菌株) 다같이 가열추출(加熱抽出)에서만이 인(人)0형혈구(型血球)와 계혈구(鷄血球)에 흡착(吸着)되어 혈구응집반응(血球凝集反應)의 반응(反應)을 나타내였다. 2. Trypsin의 영향(影響)은 별(別)로 저명(著明)하지는 아니하나 산성추출항원(酸性抽出抗原)에서 표준형균주(標準型菌株)보다 변이형균주(變異型菌株)가 혈구응집반응(血球凝集反應)에서 약간(若干) 양성(陽性)으로 변전(變轉)되었다. 3. S. pullorum 표준형균주(標準型菌株)의 항원성물질(抗原性物質)은 유안포화시(硫安飽和時) 거의 그 침전분층(沈澱分層)에 이행(移行)되며 이는 동(同) 침전분층(沈澱分層)을 trypsin 소화(消化)하므로써 혈구응집반응(血球凝集反應)에 강력(强力)한 항원성(抗原性)을 보유(保有)하고 있으므로 증명(證明)할 수 있었다. 4. 유안포화시(硫安飽和時) S. pullorum 변이형균주(變移型菌株)는 산성추출항원(酸性抽出抗原)에서는 침전분층(沈澱分層)을 얻을 수 없었고 그 상청(上淸)에는 항원성(抗原性)도 없었으나 가열추출항원(加熱抽出抗原)에 있어서는 상청(上淸) 급(及) 침전분층(沈澱分層) 공(共)히 혈구응집반응(血球凝集反應)에 양성(陽性)을 나타내었다. 5. 각종추출항원분층(各種抽出抗原分層)의 침강반응(沈降反應)에서는 거의 반응(反應)을 나타내지 아니하였다.