식도암(食道癌)의 임상상(臨床像)

안득수 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

全北地方의 內科患者에 對한 比較評價 : 20個月間 1,722例의 分析 An analysis of transfered cases

安得洙,洪起芳 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-

"The diagnosis is an art" Hippocrates said. For correct diagnosis, sufficient medical know-ledge, medical jugement, alertness and throughtfulness of physicians as well as diagnostic facilities are required. In the present study, an analysis of 1772 patientsadmitted to medical ward for 20 months from Jan. From 1977 to Aug. 1978 at Jeonbug national university hospital was done. The datas were obtained from a review of operative findings together with tissue biopsy of surgical specimen as compared to clinical diagnosis. The results were as follows : 1. Among 1772 patients, 60 cases(3.5%) was transferred to surgical department. 2. Misdiagnosis was noted in 10 cases out of 60 transferred patients, with diagnostic error of 16.7%. 3. Favorable results in transferred patients was obtained in 61%. 4. Malignant disease in transferred patients was 16.6%. 5. Total numbers of medical ward patients during 20 months were 1722 and also sex ratio of male female was 3:2. 6. The season were concentrated somewhat in early spring(March and April), hot summer(July, August, & September), and Winter(December). 7. The kinds of patients showed gastrointestinal disease(26%), infectious disease(22%), drug intoxication including pharmaceutial drug(16%), cerebrovascular disease(10%), cardiovascular cisease(9%), respiratory disease(7%), nephrologic disease(4%), hematologic disease(3%), and endocrinologic disease(3%)

간경변 환자의 혈청 NAD Glycohydrolase 활성도의 감소

안득수,김대곤,서재석,안철민 대한간학회 2001 Clinical and Molecular Hepatology(대한간학회지) Vol.7 No.1

Background/Aims: NAD glycohydrolase (NADase) is abundantly expressed in the liver. This expression is prominent in Kupffer cells. Since it was recognized that reticulendothelial function is impaired in liver cirrhosis, we assessed how these enzyme activities were altered in patients with liver cirrhosis. Methods: Serum samples were obtained from 61 patients with liver cirrhosis (according to the criteria of Child-Pugh 15 were classified A, 24 were classified B, and 22 were classified C) and 16 healthy subjects. NADase activities were measured fluorometrically with [adenine-14C] NAD. The reaction mixture contained [adenine-14C] NAD and enzyme (patient serum). The reaction was stopped after a 30 to 480 min incubation by the addition of 50 L of 25% trichloroacetic acid. Results: Serum NADase activities in 61 patients with liver cirrhosis were significantly lower than those in healthy subjects (33±14 vs. 55.6±13 p$lt;0.001). Serum NADase activities in severe cirrhotic patients were significantly lower than those mild to moderate cirrhotic patients (criteria of Child-Pugh, A: 40.6±6.4 vs. B: 38.6±13 vs. C: 21.8±14, p$lt;0.001). NADase activities were correlated to prothrombin time (r = 0.69), and Apo A1 (r = 0.58) that were useful in identifying high-risk subjects for severe liver disease, but not asparate aminotransferase (AST) and alanine aminotransferase (ALT). Also, NADase activities reciprocally correlated with PGAA index (r = -0.78), Child-Pugh's score (r = -0.48), and serum alpha-2-macroglobulin (r = -0.72). Conclusions: NADase activities could be used as a single diagnostic marker for liver cirrhosis in addition to the Child-Pugh's score and PGAA index.(Korean J Hepatol 2001;7:68-76)

Casaade 奇型胃에 있어서 胃酸度에 關한 硏究

安得洙,洪起芳 전북대학교 의과학연구소 1978 全北醫大論文集 Vol.2 No.-

We observed following results in 84 patients of cascade stomach in the Department of Internal Medicine, Jeonbug National University Hospital from January to December of 1977. 1. Pure forms were 45 cases(53.6%), organic forms 22 cases(26.2%), and undifferenciated forms 17 cases(20.2%). Men were 61 cases(72.6%) and women 23 cases(27.4%). 2. In the pure form, patients with mild deformity were 25 cases(37.3%), patients with moderate deformity 15 cases(22.4%), and patients with severe deformity 5 cases(7.5%). In organic form, patients with mild deformity were 9 cases (13.4%), moderate 11 cases(16.4%), and severe 2cases (3%). And as a whole, mild deformity was 34 cases(50.7%) moderate 26 cases(38.8), and severe 7 cases(10.5%). 3. In pure form, the mean free acidity of patients with mild deformity was 43.9+16.1mEq/L, moderate 24.9±9.4mEq/L, and severe 5.8±5.8mEq/L, We observed decreasing tendency of free acidity in accordance with the severity of cascade deformity during the fasting state. 4. In organic form, mean free acidity of mile deformty was 53.8±23.3mEq/L, moderate 50.0mEq/L, and severe 68.6±12.0mEq/L. This results suggest that the acidity in organic form is not related to the severity of deformity and also almost all cases of organic forms combined duodenal ulcer with bulb deformity. 5. The most common symptoms of cascade stomach were abdominal pain, epigastric discomfort epigastric fullness, and belching. About 95 percents of symptom was developed within 2houres after meal. 6. Neurotic symptoms such as hot flushing, headache and palpitation were observed in 44% of all cases. 7. In 7 cases, the symptoms were relieved by changing position of body.

특집 간경변증 - 원인 및 증상

안득수 한국만성질환관리협회 1994 월간성인병 Vol.161 No.-

국악의 성지 기본계획

안득수,정나라,양지인 한국전통조경학회 2004 한국전통조경학회지 Vol.영문 No.2

The purpose of this study was to create a master plan for the holy place of Korean classical music. The site is located in Namwon City, Jeollabuk-Do and has an area of 74,137㎡. The holy place was planned to carry out several major functions such as offering spaces for the knowledge, the creative handing down, and the globalization of Korean classical music as well as a tourist destination.In order to accomplish these aims of the project, the physical characteristics of the site were analysed and synthesized. The literature was also reviewed to investigate traditional environmental design prin-ciples and the Korean classical music.The design principles of axis and hierarchy were adopted to enhance the state of the holy place. And as design motives, some elements relevant to Korean classical music and the theme of Namwon City, love were used to elevate the level of imageability and likeability.

巨大한 胃憩室 一例

安得洙,文武彦 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-

Diverticula of the stomach was first described by moebius in 1936. Since then, several hundred csese have been recored in the literature. we report 1 case of huge gastric diverticula associated with splenic fistula and also secondary infection. To the best knowledgof the authors, this is first case of the kind ever reporedin the literature in this country. A 16 year old boy was admitted because of progressive anemia and unkown fever. Thepatient showed pale, underdeveloped and poor nurished man who was 2months duration of unkown fever and anemia. Chest X-ray revealed elevation of the left hemidiaphragm and radiolucent gas in the left hypochondral region and also Upper G-I series showed huge diverticula in the left posterior aspect of stomach. The diverticula with fistulated spleen was removed surgically and fair result gained on 50th hospital bay.

胃十二指腸內視鏡直視下 胃液檢査 및 各種 胃腸疾患 分析에 對하여

安得洙 전북대학교 의과학연구소 1980 全北醫大論文集 Vol.4 No.1

A clinical analysis was made of 496 cases among 946 cases who were examined by gastrofiberduodenoscopy in Jeonbug National University Hospital for about 7 years from 1973 to 1979 and also gastric juice examination including chemical analysis, its PH, sediments and its volume in fasting state were done in 256 cases. The results were obtained as followings. 1. Of the total 496 cases, 496 cases were analvsed by ki-nds of diseases and male was 252, female 244. 2. In 256 cases, the gastric juice which was taken by gastrouddodenofiberscopy was examined and analysed chemically. 3. The average volnme of fasting gastric juicoe was 18.0 ml. 4. Total acidity was very in gastric malignancy high (51.4mEq/L) but free acidity (9.3mEq/L) in gastric malignancy, very low and gastric ptosis and peptic duodenal ulcer showed both high value in total and free acidity. 5. Lactic acidity of various gastric juice was the highest in gastric cancer. 6. The Kinds of diseases are gastritis, gastric ulcer, duodenal uncer, malignant disease, ptosis, cascade stomach and others.

傳統造景要素の現代的適用に關する事例硏究

安得洙 경희대학교 부설 조경계획연구소 1996 造景論叢 Vol.8 No.1

정신병원 치유정원의 음경관 디자인을 위한 소리효과 분석 - 심리적 및 생리적 효과를 중심으로 -

안득수,Ahn, Deug-Soo 한국조경학회 2015 韓國造景學會誌 Vol.43 No.1

본 연구는 정신질환자에 대한 청각적 요소의 심리적, 생리적 영향을 분석하여 정신병원 치유정원의 음경관 조성을 위한가이드라인을 얻는데목적이있다. 피실험자는전라북도에소재한정신병원의입원환자중주치의의추천을받은경증의 정신분열증 환자 27명을 대상으로 했으며, 조사는 2011년 10월에 이루어졌다. 조사는 피실험자에게 물소리, 새소리, 풍경소리 및 음악소리 등의 단일음과 이들의 일부로 구성된 4개의 복합음을 각각 들려주고, 뇌파 및 심리적 효과를 측정하였다. 물소리는 기분 좋고 활기를 불어넣을 수 있는 이미지로, 새소리는 듣기 좋고 유쾌한 소리로 인식되어 정신병원의 치유정원을 설계할 때에는 반드시 소리의 활력성을 고려해야 할 것이다. 물소리는 선호도도 높고, 심리적 활력성에 미치는 영향도 여타의 단일음 보다 탁월하다. 마음의 평정심에는 음악소리가 큰 영향을 미치며, 물소리는 심리적 활력성과 평정심에 모두 영향을 미치고 있다. 심리적 영향에 대한 단일음과 복합음을 비교하면 활력성에는 물소리, 평정심에는 음악소리와 같이 단일음이 복합음보다 영향력이 크다. 복합음에 대한 선호도는 물소리와 새소리로 구성된 복합음이 상대적으로 높고, 대체적으로 물소리가 포함된 복합음이 선호되었다. 단일음에 대한 생리적 반응을 분석한 결과, 마음의 평정심을 유도하기 위해서는 물소리나 새소리의 자연음보다는 인공음인 음악소리가 더 효과적이다. 생리적 반응에 있어서 평정심을 고취시키기 위하여 복합음을 도입할 경우에는 음악소리와 새소리 또는 음악소리와 물소리를 조합시키는 것이 바람직하지만, 복합음보다 단일음인 음악소리가 가장 효과적이다. 심리적 반응 및 생리적 반응을 종합적으로 분석하면 마음을 가장 평온하게 하는 것은 음악소리와 물소리이며, 가장 큰 활력을 불어 넣는 것은 물소리이다. This study is intended to obtain a guideline for creating a therapeutic garden soundscape in a psychiatric hospital by analyzing the psychological and physiological effects of auditory components on mental patients. The subjects were 27 inpatients at a psychiatric institute located in Jeollabuk-do. They were recommended by their doctors and had been diagnosed with mild cases of schizophrenia. The survey was carried out in October 2011. With regard to the study, the subjects listened to single sounds(the sound of flowing water, birdsong, wind chimes and music) and 4 sounds composed of some of these, and then Electroencephalography(EEG) and psychological effects were measured. The moving water sound was perceived as pleasing and revitalizing and the birdsong as sonorous and delightful. When designing a healing garden in a psychiatric hospital, the vitality of sound should be considered. In comparison to other single sounds, water sounds were highly preferred and had greater effects on psychological vitality. Music sounds had a significant effect on enhancing tranquility while water sounds affected on both psychological vitality and tranquillity. When comparing single sounds with combined sounds, single sounds such as running water for vitality and music for tranquility had a greater psychological effect than combined sounds. In terms of combined sound preferences, the combination of water and bird sounds had higher preference rates. Generally, combined sounds including water tended to have higher preference rates. The physiological effects of single sounds showed that music had a greater therapeutic effect than natural sounds such as water sounds and birdsong in promoting tranquility. As for combined sounds adopted to enhance physiological tranquility, it is most appropriate to combine music and birdsong or music and water sounds. However, a single music sound is more effective than combined sounds. Overall, analyses of both psychological and physiological reactions showed music and water sounds to be most calming while water sounds promoted the greatest vitality.