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이경진,구본수,조기호,Lee, Kyung-Jin,Koo, Bon-Soo,Cho, Ki-Ho 대한한방내과학회 1999 大韓韓方內科學會誌 Vol.20 No.1
We report 1 patient with Primary aldosteronism caused by malfunction of adrenal gland. which occupies 1-2% of the whole Hypertensive disease. The patient was 35 year-old female with the history of hypertension. She was hospitalized at Department of Circulatory Internal Medicine. College of Oriental Medicine, Kyung Hee University, Seoul, because of low limb weakness, chest discomport, palpitation and dry mouth. The value of serum potassium level was o.6 and at last adenoma was diagnosed on the basis of abdomen CT scan. The Primary aldosteronism manifests myasthenia, headache, dry mouth, palpitation. In laboratory findings, it especially shows specific U -wave in EKG due to low serum potassium level resulted from excessive flow-out through urine. It could be regarded as ‘Flaccid paralysis of Limbs(?症)‘, the Oriental medical term which indicates a condition of general weakness. We report on this case with a review of literature.
파킨슨환자의 자기공명영상과 미세전극기록을 이용한 담창구 파괴술
이경진,손형선,박성찬,조경근,박해관,최창락,Lee, Kyung Jin,Son, Hyung Sun,Park, Sung Chan,Cho, Kyung Keun,Park, Hae Kwan,Choi, Chang Rak 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Objective : The exact position of the lesion during the pallidotomy is critical to obtain the clinical improvement of parkinson's disease without damage to surrounding structure. Ventriculogrphy, CT(computed tomograpy) or MRI(magnetic resonance imaging) have been used to determine the initial coordinates of stereotactic target for pallidotomy. The goal of this study was to determine whether microelectrode recording significantly improves the neurophysiologic localization of the target obtained from MRI. Methods : Twenty patients were studied. They underwent a unilateral pallidotomy. Leksell frame was applied and T1 axial images parallel to the AC-PC(anterior commissure-posterior commissure) plane using a 1.5 Tesla MRI with 3mm slice thickness were obtained. Anteroposterior coordinate of target was chosen at 2mm in front of the midcommissural point and lateral coordinate between 19 and 22mm from the midline. The vertical coordinate was calculated on coronal slice using a fast spin echo inversion recovery sequence(FSEIR) related to the position of the choroidal fissure and ranged over 4-5mm below the AC-PC plane. Confirmation of the anatomical target was done on axial slices using the same FSEIR sequence . Microrecording was done at the pallidum contralateral to the symptomatic side using an electrode with a tip diameter of $1{{\mu}m}$ diameter tip and 1.1-1.4 mOhm impedance at 1000Hz. Electrophysiologic localization of the target was also confirmed intraoperatively by macrostimulation. Results : Microrecording techniques were reliable to define the transition from the base of the pallidum which was characterized by the disappearance of spike activity and by the change of the audible background activity. Signals from high amplitude neurons firing at 200-400Hz were recorded in the pallidal base. X, Y and Z coordinates of target obtained from the MRI were within 1mm from the X, Y, Z coordinates obtained with microrecording in 16 patients (80%), 15 patients(75%), 10 patients(50%) respectively. The difference of Y coordinate between on MRI and on microrecording was 4mm in only one patient. Conclusion : The MRI was accurate to localize the target within 1mm of the error from microrecording target in 70% of the patients. 4mm discrepancy was observed only once. We conclude that MRI alone can be used to determine the target for pallidotomy in most patients. However, microrecording technique can still be extremely valuable in patents with aberrant anatomy or unusual MRI coordinates. We also consider physiologic confirmation of the target using macrostimulation to be mandatory in all cases.
환경기술코너-방류수 수징 원격감시체계(TMS) 시범운영
이경진,조재원,현문식,권봉경,최준창,Lee, Gyeong-Jin,Jo, Jae-Won,Hyeon, Mun-Sik,Gwon, Bong-Gyeong,Choe, Jun-Chang 환경보전협회 2007 환경정보 Vol.29 No.367
최근 수질환경보전법의 개정법률(안)에 의거하여 폐.하수종말처리장에 수온, pH, 생물학적산소요구량(BOD), 화학적산소요구량(COD), 총질소(TN), 총인(TP) 및 부유물질(SS)의 자동으로 측정할 수 있는 수질자동측정기의 부착이 의무화될 예정에 있다. 그러나, 현재 전국적으로 화학적산소요구량 측정장비와 같이 일부 항목에 대한 자동측정장치는 설치.운영 중인 곳이 많이 있으나, 수질 TMS 설치 규정에 나와 있는 전 항목을 측정할 수 있는 장비가 설치되어 운영하는 곳은 극히 일부에 불과한 실정이다. 따라서, 수온, pH, 화학적산소요구량(COD), 총질소(TN), 총인(TP), 부유물질(SS) 자동측정 장치를 설치하고, 무선통신(CDMA) 방식을 이용하여 '방류수 수질 원격감시체계(TMS) 시범 운영'을 통하여, 측정 장비들에 대한 자료의 정확성, 신뢰성을 파악하여 설치될 장비들에 대한 성능을 사전에 평가하고, 수질 TMS 시스템에 대한 현장 적응 능력 및 안정성을 파악하여 실질적으로 운영되는 시점에 좀 더 정확하고 실용적인 시스템을 적용하고자 한다.
이경진,조재원,권봉경,최준창,Lee, Gyeong-Jin,Jo, Jae-Won,Gwon, Bong-Gyeong,Choe, Jun-Chang 한국환경기술인연합회 2006 환경기술인 Vol.23 No.12
최근 수질환경보전법의 개정법률(안)에 의거하여 폐 · 하수종말처리장에 수온, pH, 생물학적산소요구량(BOD), 화학적산소요구량(COD), 총질소(TN), 총인(TP) 및 부유물질(SS)의 자동으로 측정할 수 있는 수질 자동측정기의 부착이 의무화될 예정에 있다. 그러나, 현재 전국적으로 화학적산소요구량 측정장비와 같이 일부 항목에 대한 자동측정장치는 설치 · 운영 중인 곳이 많이 있으나, 수질 TMS 설치 규정에 나와 있는 전 항목을 측정할 수 있는 장비가 설치되어 운영하는 곳은 극히 일부에 불과한 실정이다. 따라서, 수온, ph, 화학적 산소요구량(COD), 총질소(TN), 총인(TP), 부유물질(SS) 자동측정 장치를 설치하고, 무선통신(CDMA)방식을 이용하여 ‘방류수 수질 원격감시체계(TMS) 시범 운영'을 통하여, 측정 장비들에 대한 자료의 정확성, 신뢰성을 파악하여 설치된 장비들에 대한 성능을 사전에 평가하고, 수질 TMS 시스템에 대한 현장 적응 능력 및 안정성을 파악하여 실질적으로 운영되는 시점에 좀 더 정확하고 실용적인 시스템의 적용하고자 한다.
계절과 연령은 중풍환자의 증후(證候)에 어떠한 영향을 미치는가?
이경진,정은정,문상관,고창남,조기호,김영석,배형섭,이경섭,노진환,Lee, Kyung-Jin,Jeong, Eun-Jeong,Moon, Sang-Kwan,Ko, Chang-Nam,Joh, Ki-Ho,Kim, Young-Suk,Bae, Hyung-Sup,Lee, Kyung-Sup,Roh, Jin-Hwan 대한한방내과학회 2001 大韓韓方內科學會誌 Vol.22 No.1
Objective : We wanted to examine the differences of symptoms of stroke by seasons and age groups. Methods : We recorded the symptoms of 254 stroke patients for 1 year and statistically analyzed the results. The Chi-Square test was used for the analysis.(p<0.05). Results : There was no difference of symptoms by age, but the symptoms were different by seasons. In spring and autumn, there was a large amount of Hwa. In summer, there was a large amount of Kihuh, and in winter, there was a large amount of Hwa and Dahm. Conclusions : We have concluded that these differences should be considered in the management and the prevention of stroke.
체외수정시술시 배아이식 후 배아이식도관 말단부에서의 미세균주 배양율과 임상적 임신율과의 관계
이경진,배상욱,김정연,김진영,이병석,박기현,조동제,송찬호,Lee, Kyoung-Jin,Bai, Sang-Wook,Kim, Jeong-Yeon,Kim, Jin-Young,Lee, Byung-Seok,Park, Ki-Hyun,Cho, Dong-Jae,Song, Chan-Ho 대한생식의학회 1999 Clinical and Experimental Reproductive Medicine Vol.26 No.3
Objective: To evaluate incidence of microbial growth from the tip of the embryo transfer catheter after embryo transfer in relation to clinical pregnancy rate following in-vitro fertilization and embryo transfer. Method: This study was performed prospectively at the time of transcervical embryo transfer following conventional in-vitro fertilization and intracytoplasmic sperm injection procedures. Sixty three patients were enrolled in this study. Microbiological cultures were performed on endocervical swabs and embryo transfer catheter tips. Results: Positive microbial growths were observed from endocervical swabs in 45 (71.4%) women and from catheter tips in 30 (47.6%) women. There was no statistically significant difference seen in the mean number of oocytes fertilized or number and grade of embryos transferred between the group of patients without growth and the group of patients with positive microbial growth from catheter tips. The clinical pregnancy rate were 30.3% in the group of patients without growth and 13.3% in the group with positive microbial growth from catheter tips. This difference in clinical pregnancy rates was statistically significant. Conclusion: Our finding is that microbial contamination at embryo transfer may influence implantation rates. The major questions arising from our finding are whether eradication of endocervical micro-organisms is possible and whether their eradication will improve implantation rates.