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김천숙,박은정,강규식,김지은,안기량,권진형,유시현,주영철,권순정 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1
Background: The OR(operating room) should provide an optimum environment that is safe for the patient and the working personnel. The air ventilation system of OR has been studied to decrease the contamination of air. We investigated the flow and contamination of the air in OR at our hospital. Method: Cultures in OR were made and the number of bacteria and fungi were calculated. A two-dimensional model for the cross-section of an operation room is developed for the CFD (computational fluid dynamics) analysis. The characteristics of air flow in the empty operation room and in the occupied operation room are calculated by using a CFD program. Results: The current air ventilation system of our hospital does not deliver the clean air to the operating site efficiently in occupied OR. Conclusions: We suggested a new location of air ventilation system which improves air venting with little increase of the cost of equipment.
요하지통 환자에서 두 개의 캐눌라를 이용한 박동성 고주파 신경근 응고술의 임상 연구
김천숙,배재영,배덕구,강규식,안기량,권진형,김지은,유시현 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1
Dorsal root ganglion(DRG) block by the local anesthetics and steroids which has done classically in low back pain(LBP) patients with radiculopathy has high incidence of recurrence rate and side effects of steroids. Recently a new technique of pulsed radiofrequency thermocoagulation(P-RFTC) was introduced and substituted for it because of the benefits such as relatively low recurrence rate, low risk of nerve injury and comfort during the procedure. We experienced 15 patients who had LBP with radiculopathy and no or little response to epidural steroid injection. When we performed DR ganglionotomy by P- RFTC under the C-arm guide in these patients, we tried to approach the exact DR ganglion using tow cannulas - the one for obtaining patient's subjective symptoms and injection of contrast dye, the other for making a RF lesioning after identifying the impedance of sensory and motor stimulation. In conclusion, DR ganglionotomy by P- RFTC using two cannulas in LBP patients is an easy and safe procedure with satisfactory results.
( Ji Oh Mok ),( Chan Hee Jung ),( Chul Hee Kim ),( Chang Beom Ryu ),( Yeo Joo Kim ),( Sang Jin Kim ),( Hyeong Kyu Park ),( Kyo Il Suh ),( Myung Hi Yoo ),( Dong Won Byun ) 대한내과학회 2013 The Korean Journal of Internal Medicine Vol.28 No.6
Background/Aims: This study was performed to compare the mucosal findings after esophagogastroduodenoscopy in two groups before and after the use of alendronate only and following administration of the enteric-coated alendronate (5 mg) and calcitriol (0.5μg) combined drug (Maxmarvil, Yuyu Co.). Methods: The study population consisted of 33 postmenopausal healthy female volunteers, aged 50 to 70 years (mean age, 58 ± 5) without gastrointestinal symptoms and with normal baseline endoscopic findings. Esophagogastroduodenoscopy was performed at baseline and was repeated 2 weeks later after daily intake of Maxmarvil (n = 17 subjects) or alendronate only (n = 16 subjects). Mucosal injury scores were reported by an endoscopist after 2 weeks of treatment with each medication schedule. Results: Esophageal mucosal injuries developed in two of 16 subjects in the alendronate only group and 0 of 17 in the Maxmarvil group. Gastric mucosal injuries developed in eight subjects in the alendronate group and four subjects in the Maxmarvil group; this difference was statistically significant. Conclusions: The mucosal damage scores for the alendronate group (total score 24) were significantly higher than those for the Maxmarvil group (total score 9) in the esophagus and stomach. Therefore, this study suggested that enteric-coated Maxmarvil is less harmful to gastrointestinal mucosa than alendronate, and may improve the tolerability of osteoporosis medication in clinical practice.
Ji-Yea Lee,Sung-Hoon Han,Hyeong-Seok Ryu,Hee-Min Lee,Sang-Cheol Kim 대한치과교정학회 2018 대한치과교정학회지 Vol.48 No.6
Objective: The purpose of this study was to analyze the transverse dental compensation in reference to the maxillary and mandibular basal bones using cone-beam computed tomography (CBCT) and evaluate the correlations between transverse dental compensation and skeletal asymmetry variables in patients with skeletal Class III malocclusion and facial asymmetry. Methods: Thirty patients with skeletal Class I (control group; 15 men, 15 women) and 30 patients with skeletal Class III with menton deviation (asymmetry group; 16 men, 14 women) were included. Skeletal and dental measurements were acquired from reconstructed CBCT images using OnDemand3D 1.0 software. All measurements were compared between groups and between the deviated and nondeviated sides of the asymmetry group. Correlation coefficients for the association between skeletal and dental measurements were calculated. Results: Differences in the ramus inclination (p < 0.001), maxillary canine and first molar inclinations (p < 0.001), and distances from the canine and first molar cusp tips to the midmaxillary or midmandibular planes (p < 0.01) between the right and left sides were significantly greater in the asymmetry group than in the control group. In the asymmetry group, the ramus inclination difference (p < 0.05) and mandibular canting (p < 0.05) were correlated with the amount of menton deviation. In addition, dental measurements were positively correlated with the amount of menton deviation (p < 0.05). Conclusions: Transverse dental compensation was correlated with the maxillary and mandibular asymmetry patterns. These results would be helpful in understanding the pattern of transverse dental compensation and planning surgical procedure for patients with skeletal Class III malocclusion and facial asymmetry.
Ji Hea Chang,이호준,Jae Hyun Kwon,Gi Hyeong Ryu,Heebong Moon,Changjae Kim,남기연,권범선 대한재활의학회 2014 Annals of Rehabilitation Medicine Vol.38 No.6
Objective To investigate the usefulness of computed tomography venography (CTV) for evaluation of leg swelling, especially deep vein thrombosis (DVT), in rehabilitation patients.Methods A hundred twenty-three patients, who had performed CTV performed because of suspected DVT in our clinic, were enrolled. We performed chart reviews retrospectively and categorized CTV findings as follows: DVT distal to inguinal ligament and no compression lesion; DVT proximal to inguinal ligament and no compression lesion; DVT distal to inguinal ligament and anatomical variant (for example, May-Thurner syndrome); DVT due to compression of mass (cancer or cyst); DVT and other incidental abnormal finding; and no DVT and other possible causes of leg swelling.Results DVTs were found in 65 (53%) patients. DVTs were found at distal level (thigh or lower leg) to inguinal ligament in 47 patients. DVTs were found at proximal to inguinal ligament, usually undetectable with duplex ultrasonography, in 6 patients. DVTs caused by external compression, such as femoral vein and cancer mass, were found in 12 patients (10%), which are also not easily detected with duplex ultrasonography. Other various causes of leg edema without DVT were found in 22 (18%) patients.Conclusion CTV can evaluate more extensively venous problems in the pelvis and abdomen and detect other possible causes of leg swelling. Therefore, CTV can be a useful tool not only for easy detection of DVT but also for evaluating differential diagnosis of leg edema in rehabilitation patients.
김지언 ( Ji-eon Kim ),김승진 ( Seung-jin Kim ),노시형 ( Si-hyeong No ),전홍영 ( Hong-yong Jun ),이충섭 ( Chung Sub Lee ),유종현 ( Jong-hyun Ryu ),김태훈 ( Tae-hoon Kim ),정창원 ( Chang-won Jeong ) 한국정보처리학회 2019 한국정보처리학회 학술대회논문집 Vol.26 No.1
의료영상은 진단을 목적으로 환자의 질환 부위별로 정밀하게 촬영하여 수집된 영상이다. 수집된 의료영상을 판독하여 진단하기 어려운 경우에는 조직검사를 통해 확진검사를 실시한다. 하지만 조직검사의 경우 환자에게 신체적, 경제적 부담을 줄 수 있다. 따라서 의료영상을 기반으로 정밀 진단하는데 도움을 줄 수 있는 정량분석 소프트웨어 개발이 중요하다. 현재 복부 간 질환의 경우 MELD(Model For End-Stage Liver Disease) 점수를 이용하여 간 질환의 중증도나 예후를 예측하는데 이용되고 있다. 하지만 MELD점수 산출에 있어서 의료영상 정보를 사용하지 않았기 때문에 질환 여부를 가늠하는 데 에만 이용될 뿐 병변부위의 위치를 확인하는데 에는 어려움이 있다. 그러므로 본 논문은 다양한 의료영상장비에서 획득한 복부영상을 이용하여 복부질환의 중증도를 예측 및 분석함으로서 실제 임상 진단에 도움을 줄 수 있는 시스템을 제안하고자 한다.
장기간 고포도당으로 자극한 배양 족세포에서 안지오텐신 2 수용체 차단제에 의한 세포비후 차단과 세포주기 조절 단백의 차등 발현
박형천 ( Hyeong Cheon Park ),허종호 ( Zhong Gao Xu ),류동열 ( Dong Ryeol Ryu ),유태현 ( Tae Hyun Yoo ),정동섭 ( Dong Sub Jung ),김진주 ( Jin Ju Kim ),곽승재 ( Seung Jae Kwak ),이금희 ( Jin Ji Li ),한대석,강신욱 ( Shin Wook Kang ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.5
생맥산의 식이가 Streptozotocin으로 유도된 당뇨 Rat의 혈당과 혈청 성분 함량에 미치는 영향
김형진(Hyeong-Jin Kim),양혜진(Hye-Jin Yang),김미환(Mi-Hwan Kim),류기형(Gi-Hyung Ryu),정지윤(Ji-Youn Jung) 한국식품영양과학회 2009 한국식품영양과학회지 Vol.38 No.9
Streptozocin으로 당뇨를 유발시킨 rat에서 생맥산의 식이가 식이효율(FER), glucose, creatinine, cholesterol, triglycetide, HDL-cholesterol, 동맥경화지수(AI) 등에 미치는 영향을 조사하였다. 식이효율은 정상군이 5.94%로 가장 높았고, 당뇨대조군은 0.58%로 정상군에 비해 현격한 감소를 보였다. DA군과 DB군은 각각 3.65%, 3.38%로 다른 투여군보다 상대적으로 높은 수준의 식이효율을 보였다. 혈당변화를 측정한 결과 투여 전에 비해 DA군은 41%, DB군은 24.8%, DC군은 31.2%, DDL군은 18.6%, DDH군은 25.5%의 혈당 감소효과를 보였다. 생맥산 투여 전 creatinine 함량은 정상군에 비하여 당뇨 유발군에서 상승을 보였으며, DB군은 투여 후 33.3%의 유의적인 감소(p<0.05)를 보였고, 그외의 군(DA, DC, DDL, DDH)에서는 유의적인 변화가 없었다. 혈청 내 cholesterol 수치의 유의적인 상승을 보인 당뇨 유발군과 비교하여 생맥산을 14일간 투여한 모든 군에서 cholesterol 수치의 유의적인 감소를 보였다. 당뇨 유발군에서 유의적인 상승을 보인 혈청 triglyceride는 DC군에서 수치가 감소하였지만 유의적인 차이는 없었다. HDL-Chlolesterol은 DA, DB, DC군에서는 유의적인 변화는 나타나지 않았다. 반면 DDL군과 DDH군에서의 HDL-chlolesterol은 투여 전과 후 각각 41.81±2.28 ㎎/dL, 40.75±0.48 ㎎/dL에서 50.59±2.77, 49.93±1.17 ㎎/dL로 유의적인 증가를 나타냈다. Atherogenic index(AI)를 측정한 결과 투여 전에는 당뇨 유발군의 AI 수치가 정상군과 비교 시 모든 그룹에서 상승하였으나, 투여 14일 후 측정결과 DA, DB, DC군에서 정상군에 가깝게 수치가 낮아진 것을 확인했다. 또한 DDL군과 DDH군은 유의적인 AI지수의 감소를 나타냈으며 압출성형백삼을 이용한 생맥산의 식이가 동맥경화의 예방에 상당한 효과가 있는 것으로 판단된다. 이상의 결과를 종합해 보면 STZ로 유도된 당뇨 rat에서 생맥산의 식이는 FER의 개선에 상당한 효과를 보이며, 고혈당을 억제시키고 정상수준의 혈당으로 회복하는데 영향을 미치는 것으로 여겨진다. 또한 발효시킨 백삼을 이용한 생맥산 투여군에서는 신장 기능의 지표인 creatinine의 함량을 낮추고 지질수준의 감소를 보여 당뇨의 증상을 완화시키고 동맥경화증과 같은 혈액 순환기계 질환의 예방에 효과적인 건강보조식품으로 사용될 수 있을 것으로 사료된다. This study was carried out to investigate the effect of saengmaec-san on the level of blood glucose and serum components in streptozocin (STZ)-induced diabetic rats. The experimental groups were divided into normal group (normal), diabetic control group (Dia-control), 10% saengmaec-san (white ginseng) group (DA), 10% saengmaec-san (fermented white ginseng) group (DB), 10% saengmaec-san (fermented red ginseng) group (DC), 5% saengmaec-san (extruded and fermented white ginseng) group (DDL), 10% saengmaec-san (extruded and fermented white ginseng) group (DDH). The body weight after induction of diabetes was 85.4% in the Dia-control group compared with the normal group. But in the DA group, the body weight showed clear sign of recovery almost normal level after administration of saengmaec-san for two weeks. The food efficiency ratios (FER) were 5.94% in the normal group. But it was significantly decreased in the Dia-control group (0.58%). All the treatment groups showed increase of FER compared with the Dia-control group. The level of blood glucose was significantly increased in the STZ-induced diabetes groups but it was decreased in all the treatment groups after administration for 2 weeks. Serum creatinine level were significantly higher in the STZ-induced diabetes groups and after administration of saengmaeg-san for 2 weeks while the level of serum creatinine was decreased 33.3% in the DB group. After administration of saengmaec-san for two weeks, serum total cholesterol level were significantly lower in all treatment groups than the first day of the total cholesterol level. The level of serum triglyceride was increased in all the treatment groups compared with the first day of triglyceride level. The level of serum HDL-cholesterol, after STZ-induced diabetes, was decreased in all treatment groups but particularly in the DDL and DDH groups increased HDL-cholesterol level compared with the first day of the saengmaec-san administration. Compared with the beginning of experiment, Atherogenic index (AI) were significantly decreased in all treatment groups than the Dia-control group and showed clear sign of recovery almost normal level. These results suggested that the saengmaec-san could be developed as an antidiabetic agent.