수술로 호전되지 않은 췌장 농양을 내시경 치료로 완치한 1 예

서희영;전태주;김선영;강미선;허란;박지영;서동대;오태훈 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-

Necrotizing pancreatitis develops in about 10-20% of patients with acute pancreatitis, and pancreatic abscesses develop in 3% of them. The mortality of pancreatic abscess has been reported up to 40% in one study. Recently, there are several reports that show good results with n on-surgical therapy, such as percutaneous drainage and endoscopic drainage, but if the non-surgical drainage fails, surgical therapy are recommended. However, there is no definite therapeutic method which is suggested yet so far after the failure of the surgical drainage. So we report the case in which we experienced successful treatment of pancreatic abscess by endoscopic removal of necrotic tissue through the gastrocystostomy, after the failure of the surgical debridement and internal drainage through gastrocystostomy.

기-액흐름 연속누출에 의한 개방공간 증기운 폭발사고를 중심으로 중,소규모 사업장을 위한 사고 영향평가 방법

장서일,이헌창,조지훈,김태옥 한국산업안전학회 2003 한국안전학회지 Vol.18 No.1

For the unconfined vapor cloud explosion(UVCE) accident by the continuous release of gas-liquid flow of various saturated liquids in a vessel at ground level, overpressures were estimated by TNT equivalency model with two estimation methods, such as UVCE Ⅰ model based on a constant release time and UVCEⅡ model based on a real travel time of vapor by dispersion and analyzed with various release conditions. As a simulation result, the simple, easy, and correct method of evaluation of consequences of the UVCE accident was proposed by using consequences of UVCEⅠ model and correlation equations for differences of overpressures between UVCE models, so that this evaluation method could be used easily in the small and medium size enterprises without using the dispersion model.

맹출 지연 영구치의 자발적 맹출 유도 : 증례보고

권지훈,박호원,이주현,서현우 大韓小兒齒科學會 2007 大韓小兒齒科學會誌 Vol.34 No.4

Delayed tooth eruption is the most commonly encountered deviation from normal eruption time. Racial, ethnic, sexual, and individual factors can influence eruption and are usually considered in determining the standards of normal eruption. Delayed tooth eruption was affect to the dentition and facial growth, so that when it occurred careful evaluation should be performed to establish the cause and the treatment plan accordingly. Present 3 cases of delayed tooth eruption by periapical lesion. underdevelopment of incisior and compound odontoma were successfully treated. In these cases, we could observe spontaneous eruption of the delayed erupting tooth after removal of interrupting factor and space regaining with maintaining. 정상적인 맹출 시기는 종족,인종,성별과 개인적인 요소에 의해 결정되며,만약 정상적인 맹출 시기에서 두드러지게 벗어날 경우 맹출 지연이라고 한다. 영구치의 맹출 지연 원인은 다양하며,발생 시 치열 및 악궁에 부정적인 영향을 줄 수 있어 조기진단 및 치료가 중요하다. 본 증례들에서는 치아종 및 치아발육부전 그리고 낭종으로 인한 맹출지연을 보이는 각각의 환자에 대해 맹출 방해 인자의 제거와 맹출 공간의 형성 및 유지만으로 자발적 맹출을 이룰 수 있었기에 보고하는 바이다.

남자 대학생에서 걷기와 달리기 운동 시 체지방과 골격근량에 대한 비교

김아름,강지선,노홍서,오지훈,강현주 순천향대학교 기초과학연구소 2021 순천향자연과학연구 논문집 Vol.27 No.1.2

The purpose of this study was to investigate the difference in body fat mass and skeletal muscle mass during walking and running after resistance training based on healthy college student. One male college student (age = 25 years, Height = 175.0 cm, Weight = 86.9 kg, Body fat = 27%) volunteered to participate in the study. Body composition was assessed by bioelectrical impedance (Inbody 270, Korea). Walking exercise (4.8 km/hr, 60 min) was performed for 3 weeks, followed by running exercise (7.0 km/hr, 26 min) for 3 weeks. The experimental results are as follows. Running was more effective at dropping body weight and BMI than walking, however walking was more effective at reducing body fat (%) and increasing skeletal muscle mass (kg) than running in male college student. In conclusion, both walking and running provide benefits for body composition, and the best exercise for weight and body fat loss is the one that it actually do on a regular basis.

해남지역 하천에서의 비점오염원에 관한 연구

송재준,천지훈,서지양 木浦大學校 沿岸環境硏究所 1999 沿岸環境硏究 Vol.16 No.1

It is so difficult to know about the course of non-point source that only few people studying. This is the reason why we did not get good result in water-treatment frequently. Point and non-point source study must be balanced. This report have this intention. Summer is rain season in Korea so we have many problem in water quality. Bad quality originated from agricultural field, non-point source, that flow nutrients, agricultural chemicals, weed chemicals and etc. In this report provide the basic data of non-point source study on river of Haenam Area. Three point that we research is near Bok-pyoung, Kil-ho and Eo-seong bridge at 1999. 7. 5 ∼ 7. 12. Resulted: BOD, COD, SS, T-N, NH₃-N, NO₃-N, T-P, PO₄-P, Alkalinity decrease afterraining, dilution, much amount of water quantity made it. Agricultural section that major non-point source effluent high waste concentration at first stage, but dilution made lower at last. so it is needed that non-point source water storage for improve first stage wastewater at the lower part of a river. And continuous study about non-point source outbreak reason by waste effluent quantity data that made water quality and quantity research after division of the land useness near the river is needed, too.

외안각 절제술과 경결막 절개에 의한 안와 접근법

정종철,김성범,서지훈,송민석,전창훈,최세훈,김현민 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.4

Various surgical approaches to the orbits have been used. But the transconjunctival approach, also called the inferior fornix incision, provides adequate access to the orbital floor with esthetic results. Additionally, transconjunctival approach with lateral canthotomy allows more wide surgical field and good access to the orbital area. Generally, preseptal approach is more used rather than postseptal approach in the transconjunctival incision for the prevention of fat herniation during surgery. There are some complications in transconjunctival approaches but these complications can be prevented with careful surgical techniques. We report clinical results in 12 patients who were treated by preseptal transconjunctival incision with lateral canthotomoy for the treatment of orbital trauma. We were satisfied with this technique for reduction and reconstruction of the orbital trauma and we could also observe relatively good esthetic results.

급성 췌장염을 동반한 임신성 급성 지방간 1 예

강미선;박상훈;박지영 서희영;허란;김상현 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-

Acute fatty liver of pregnancy (AFLP) was first described as a specific clinical entity in 1940 and thought to be universally fatal. Maternal mortality in the past approached 75 percent. However early diagnosis and prompt delivery have dramatically improved the prognosis, and maternal mortality rate is now less than 18 percent. A early diagnosis, a prompt delivery, and a intensive supportive care have improved maternal and perinatal outcome. We report a 30—year—old woman at 37 weeks gestation who have multiple complications including acute pancreatitis in AFLP. She was complicated with acute renal failure, disseminated intravascular coagulation, duodenal ulcer bleeding, spontaneous bacterial peritonitis, pulmonary edema and acute pancreatitis.

무증상으로 발견된 담낭-담관 누공을 동반한 Mirizzi 증후군 1예

홍진희,전태주,서지영,서동대,오태훈,신원창,최원충,신은아,김기환 인제대학교 2009 仁濟醫學 Vol.30 No.-

Mirizzi's syndrome is a rare complication of the gallstone disease, characterized by narrowing of the common bile duct (CBD) due to chronic extrinsic compression of an impacted gallstone in the cystic duct or the neck of the gallbladder. The impacted gallstone may erode into the bile duct, causing cholecystocholedochal fistula. The patients generally have history of repeated attacks of jaundice and abdominal pain. But there is no report about asymptomatic Mirizzi syndrome with cholecystocholedochal fistula which were found incidentally. So herein we present our clinical experience with a case of asymptomatic Mirizzi syndrome with cholecystocholedochal fistula in a young female.

RAW264.7 세포에서 interferon-r 및 LPS에 의해 유도되는 NO생성에 미치는 TALT-35의 영향

박종일,박경석,김종석,박지훈,윤은진,송경섭,서강식,김훈,윤완희,박승길,임규,황병두 충남대학교 생물공학연구소 2006 생물공학연구지 Vol.12 No.-

TALP-35 purified from human term placenta is known to increase microtubule polymerization and stabilize the polymerized microtubule. To examine the effect of TALP-35 on immune system this study was performed. MTT assay was performed to investigate the effect of TALP-35 on the proliferation of RAW264.7 cells. TALP-35 dose dependently suppress the proliferation of RAW264.7 cells at high concentration (above 1 μM) in unstimulated cells, in case of 10 μM TALP-35 treated cells the suppression was 25% but in stimulated cells it was only 15%. Cosedimentation assay was carried out to investigate whether TALP-35 can bind to tubulin of RAW264.7, monocyte/macrophage lineage of mouse, and polymerize it. TALP-35 polymerize the tubulin of RAW264.7 cells and sedimented in dose-dependent manner. To investigate the effect of TALP-35 on the expression of iNOS protein western blotting was performed. The expression level of iNOS was decreased dose dependently in high concentration of TALP-35 treatment. To examine the activity of iNOS, secreted NO was determined by method based on Griess reaction. Interferon-γ and LPS-stimulated production of NO from RAW264.7 cells was decreased dose dependently above 0.1 μM concentration of TALP-35 and 50% is decreased at 10μM of it. This study shows TALP-35 can control cytokine induced-iNOS expression therefore it might control inflammatory diseases.

단면형상변화에 따른 점용접 부재의 에너지흡수 특성

최영민,차천석,김지훈,서현경,양인영 한국공작기계학회 2006 한국공작기계학회 추계학술대회논문집 Vol.2006 No.-

The front-end side members of vehicles absorb the most of the energy during the front-end collision. These side members are mostly consist of single hat shape. The side members absorb more energy under axial load if they have higher strength, and stable folding capacity (local buckling). When structural members are subjected to axial loadings, stress is concentrated on their edges. Thus, in this study, the energy absorption characteristics of the member were analyzed according to change of sectional shape for increase of strength. The side members consist of single hat, double hat, single cap and double cap section member. Based on the static test result of these side member, the impact simulation were carried out and compared with test result.