원위 대퇴골의 고립성 골연골종에서 발생한 속발성 연골 육종 1례 보고

정필현,황장수,강석,김용민,오형호,채동주,김종필 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

연골육종은 비교적 서서히 자라며 늦게 전이하는 악성 연골 종양으로 알려져 있다. 골 연골종에서 발생한 속발성 연골육종은 발생빈도는 드물며 타부위로의 전이가 적고 악성도가 낮은 경우가 많아 적합한 수술적 치료로서 좋은 예후를 보이는 것으로 보고되고 있다. 본 동국대학교 정형외과학 교실에서는 우측 대퇴골 원위부 골간단부에 생긴 고립성 골 연골종에서 이차적으로 발생한 연골육종을 치험한 바 문헌고찰과 함께 보고하는 바이다. A case of Secondary Chondrosarcoma Arising from Solitary Osteochondroma of the Distal Femur Department of Orthopaedic Surgery, College of Medicine, DongGuk University Phil Hyun Chung M.D., Jung Su Hwang M.D., Suk Kang M.D., Yang Mln Kim M.D., Hyung Ho Oh M.D., Dong Ju Chae M.D., Jong Pil Kim M.D. Chondrpsarcoma is a malignant cartilage-forming tumor that grows slowly and metastasis of this tumor occurs in late stage. Secondary chondrosarcomas arising from a solitary osteocartilaginous exostosis are rare and those have a better prognosis than other chondrosarcomas, and they rarely metastasize. We present our experience with a case of secondary chondrpsarcoma arising in solitary osteochondroma of distal metaphysis of right femur with clinical details.

내인성 혈장 리튬 농도와 정신분열병

오채근,김종인,이병학,윤재항,김창현,김성재 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.1

Objectives : The aim of this study was to compare endogenous plasma lithium concentrations among schizophrenic patients classified by DSM-IV subtype and control groups and to investigate the correlation of endogenous plasma lithium concentration and psychotic symptoms in schizophrenia. Methods : Schizophrenic patients were selected among psychiatric inpatients without lithium medication and then classified by DSM-IV schizophrenia subtype, Schizophrenic patient groups were composed of 15 disorganized type, 15 paranoid type and 15 undilferentiated type schizophrenic patients. The control group was composed of 15 healthy subjects without any psychiatric disease,Endogenous plasma lithium concentrations were estimated by inductively coupled plasma atomic emission spectrometer. The psychotic symptoms in schizophrenic patients were classified as positive symptoms, negative symptoms and disorganized symptoms according to andreasen classificationl about SANS and SAPS items. Endogenous plasma lithium Con-centration among three subtypes of schizophrenia and control group was compared, and correlation between endogenous plasma lithium concentrations and psychotic symptoms was examined. Rcsults : 1) Schizoprenic patients showed higher endogenous plasma lithium concentration than control groups (p=0.033). Endogenous plasma lithium concentrations were significantly different among three subtypes of schizophrenia (p=0.001). Compared with the control group, disorganized type showed higher endogenous plasma lithium concentration, but paranoid type and undifferentiated type were not significantly different. 2) Disorganized symptoms correlated with endogenous plasma lithium concentration (r=0.416, P=0.004), but negative symptom and positive symptom did not significantly correlate with endogenous plasma lithium concentration (r=0.202, P=0.184. r= -0.216, P=0.155). Conclusion : These results suggested that schizophrenic patients with disorganized symptom show the differences in utilization or distribution of endogenous lithium.

아미노글리코사이드 사용제한에 따른 병원성 균혈증 유발 그람음성간균의 내성변화 및 임상적 의의

오종택,김신우,손종원,도병훈,한승우,신병철,박지현,이종명,김능수 대한감염학회 2003 감염과 화학요법 Vol.35 No.4

목적 : 항균제 오남용으로 인한 내성균의 출현, 약물부작용의 발생 및 약제 비용의 증가는 환자 개인뿐만 아니라 사회적으로 문제가 되고 있다. 본 연구는 항생제의 오남용을 막기 위한 제도의 일환으로 시행한 아미노글리코사이드 사용 제한정책의 비용 효과적인 측면을 조사하고 그람음성간균에 의해 병원성 균혈증이 발생한 환자들을 대상으로 이 정책이 항생제 내성률과 환자 사망률에 미치는 영향을 연구하였다. 방법 : 930병상 규모의 3차 병원인 일개 대학병원에서 아미노글리코사이드 사용제한정책이 시행된 직후인 2002년 3월에서 9월 사이에 그람음성간균(Acinetobacter baumannii, Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli, Enterobacter cloacae, Enterobacter aerogenes, Serratia marcescens, Stenotrophomonas maltophilia, Burkholderia cepacia)에 의해 발생한 병원성 균혈증 환자 60명(실험군)과, 이 정책이 시행되기 전에 입원한 환자들 중 균주별로 같은 수만큼 선별한 병원성 균혈증 환자 60명(대조군)의 의무기록을 후향적으로 조사하였다. 결과 : 아미노글리코사이드 사용제한정책이 시행된 시기인 2002년 3월에서 9월 사이에 처방된 아미노글리코사이드 사용량 및 비용을 이 정책이 시행되기 전인 2001년 3월에서 9월 사이와 비교한 결과, 아미노글리코사이드의 사용량(antimicrobial utilization density)은 사용제한 후 225.2에서 130.3으로 42% 감소하였고 약제 비용은 44% 감소하였다. 아미노글리코사이드 사용제한 후 병원성 균혈증을 유발한 그람 음성간균의 이 항생제에 대한 내성률은 유의한 변화를 보이지 않았으며 균혈증과 직접 연관된 사망률도 환자의 나이, 성별, 기저질환 및 원발병소 등을 보정할 경우 유의한 차이를 보이지 않았다(40.4% vs. 24.1%, P=0.11). 결론 : 아미노글리코사이드를 5일을 초과한 사용 시 감염전문가의 사전 승인을 필요로 하는 사용제한정책은 아미노글리코사이드의 사용량과 비용을 유의하게 감소시켰다. 또한 이 정책 시행 후 그람음성간균에 의한 균혈증 환자에서 균혈증으로 인한 사망률과 아미노글리코사이드에 대한 내성률은 유의한 차이가 없었다. Objective : To evaluate the effects of an aminoglycoside restriction policy on expenditures for aminoglycosides, antimicrobial resistance rates and clinical outcome of nosocomial bacteremia caused by Gram-negative bacilli (GNB). Methods : Starting in February, 2002, a prior consultation with an infectious disease specialist for using aminoglycoside antibiotics over 5 days was required in a 930-bed university hospital. In retrospective analysis of medical records 7 months after initiation of the aminoglycoside restriction policy, sixty cases of clinically relevant nosocomial bacteremia caused by GNB were found. These bacteremic patients were compared with sixty, species-matched, control patients with nosocomial Gramnegative bacteremia before the policy for total expenditures for aminoglycosides, susceptibility to antibiotics and clinical outcomes of bacteremia. Results : During the same period of 7 months before and after the restriction policy, total expenditures for aminoglycosides decreased by 44% in cost (from 465,030,841 Won to 259,618,337 Won) and the antimicrobial utilization density of aminoglycosides decreased by 42% (from 225,2 to 130.3). On the other hand, the patterns of antibiotic susceptibility and bacteremia-related in-hospital mortality rates after the policy did not show a significant change, compared with those before the policy. Conclusion : Antibiotic restrictions are among the most popular methods to diminish the practice of antibiotic overuse in hospitals. In this study, requirement for prior approval of aminoglycoside use over 5 days led to a significant decrease in the amount and cost of total aminoglycosides without a significant change in susceptibility patterns and bacteremia-related mortality rates.

Mirror Movements를 보이는 클리펠-파일 증후군환자의 운동유발전위검사

박종원,김동현,권오상 대한신경과학회 1999 대한신경과학회지 Vol.17 No.2

흰쥐의 뇌, 척수 및 신경절에서 내장기관과 관련된 신경원의 추적에 관한 미세형태학적 연구 -Ⅰ. 부교감 운동신경 세포체의 표지부위

이창현,최종림,오인균,정동인,송창호,이무삼 대한해부학회 1996 Anatomy & Cell Biology Vol.29 No.4

기초과학 실험에 관한 학습자료 개발 : 4·5·6학년 새 자연과 교육 과정 4th·5th·6th grade new elementary school science curri culum

오상철,김영호,현종익 濟州敎育大學 科學敎育硏究所 1983 科學敎育硏究誌 Vol.7 No.-

This is a study to develop the obervations and experimental materials for the elementary school 4th.5th.6th grade science curriculum that are carried on effect from this year. The materials which teachers do and the teachers and students can make, by themselves, are as follows: 1) In the field of biology for 4th.5th and 6th grade, 11 kinds of plant observating materials were cultivated. 2) In physics field of sixth units in the text book for 4th.5th and 6th grade, 10 kinds of implements were developed: electric circuit, moving of heat, expansion of heat and body, solute, movement of Earth and Moon, eaergy of Water and Wind.

기관골 신생증 1예

오영상,이은우,정종혁,문승원,김수현,김동한,양혁승,박정환,박경옥,강성수,이영직 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

Tracheobronchopathia osteoplastica is a rare disorder of unknown cause characterized by the projection of numerous bony or cartilaginous submucosal nodules into the tracheobronchial lumen with sparing of the posterior membranous portion of tracheobronchial tree. In the past, most of the cases were diagnosed as secondary finding at autopsy. Nowaday, the key component of the evaluation is flexible fiberoptic laryngoscopy and bronchoscopy, which typically demonstrates irregular spicules of subrnucosal bone and cartilage projecting into the tracheobronchial lumen and causing various degrees of airway obstruction. A 45 years old man was visited Sunchon St. Carollo hospital due to discomfort on throat. We saw several nodules just below vocal cord via laryngoscope. The computed tomography revealed multiple small calcified nqdules on trachea and both main bronchi. Pathologic finding of bronchoscopic biopsy showed abnormal proliferation of bony and cartilagious nodules in the tracheal submucosa. These fingdings were consistent with tracheobronchopathia osteoplastica. We report here on a case of tracheobronchopathia osteoplastica with review of literature.

후천성 면역부전증후군 환자에서 발생한 Cryptosporidium parvum 감염 2예의 보고

오명돈,최강원,신형식,김성민,최희정,강현재,김윤준,채종일 대한감염학회 1996 감염 Vol.28 No.5

Cryptosporiduim is an intracellular protozoan parasite and known as an important pathogen causing diarrheal illness in animals and man since 1970's. With the advance of epidemic of Acquired Immunodeficiency Syndrome(AIDS), Cryptosporidium has emerged as one of important pathogens in AIDS patients and is responsible for chronic diarrhea, cholecystitis, biliary tree obstruction and respiratory illness. Despite frequent reports of cryptosporidial diarrhea in other countries there has been no report of human cryptosporidial infection in AIDS patients so far in Korea. We report two cases with chronic cryptosporidial diarrheal illness in AIDS patients. C. parvum oocyst was identified by fecal smear with modified acid fast staining. In one patient the diarrheal illness was improved after 4 weeks supportive management only. But fecal excretion of oocyst continued after clinical improvement of the diarrheal illness. Another patient was died of respiratory failure after recurrent diarrheal illness. Cryptosporidial infection should be considered in differential diagnosis of chronic diarrhea especially, in AIDS patients.

갑상선기능항진증과 원발성항인지질항체증후군에 동반된 무도병 환자 1례

박종원,김동현,박태환,권오상 대한신경과학회 1998 대한신경과학회지 Vol.16 No.2

제주도 감귤원 토양의 화학적 특성과 물 분산성 콜로이드 함량

오상실,현해남,정종배 한국환경농학회 2002 한국환경농학회지 Vol.21 No.2

토양 중에서 농약을 대공극과 숨골을 통하여 지하수로 이동시킬 수 있는 매체로 작용하는 물분산성 콜로이드 함량과 그 안정성은 여러 가지 토양의 이화학적 특성에 의해 결정된다. 본 연구에서는 제주도 감귤원에서 채취한 30개 토양을 사용하여 pH, 유기물, oxalate 용액 추출성 Al과 Fe 등이 물분산성 콜로이드의 함량에 미치는 영향을 조사하였다. 토양의 pH가 증가할수록 물분산성 콜로이드의 함량이 높았으며, pH 5~6 이상의 토양에서는 표면 음전하의 증가에 따라 콜로이드의 안정성이 높아질 가능성이 많은 것으로 나타났다. 낮은 pH 조건에서는 표면 음전하의 감소와 함께 활성 Al 또는 Fe 함량이 증가함에 따라 콜로이드의 응집 현상이 촉진되는 것으로 나타났다. 물분산성 콜로이드의 함량은 콜로이드의 입단화를 촉진시킬 수 있는 토양의 유기물 함량과 반비례하였으며, 유기탄소 함량 5% 이하의 토양에서 특히 물분산성 콜로이드의 함량이 많게 나타날 가능성이 높은 것으로 나타났다. Oxalate 용액 추출성 Al과 Fe의 산화물 또는 수산화물들 그리고 Al의 유기물 복합체는 토양 중에서 콜로이드 형태로 존재할 수도 있으나 점토광물의 입단화를 촉진시키는 결합제로 작용함으로써 물분산성 콜로이드의 분산을 억제하는 것으로 판단되었다. Water-dispersible colloids are suspected to facilitate transport of contaminants to groundwater. This study evaluated some soil chemical properties in relation to the stability of colloids in soils of Jeju citrus orchards. Thirty surface soil samples were collected, and pH, organic matter content, oxalate-extractable Al and Fe contents, and water-dispersible colloid content were measured. In soils of higher pH, water-dispersible colloid contents were higher. The stability of colloids was found to be significantly promoted at pH above 5~6. Since organic matter can act as a flocculant, organic matter content significantly enhanced the colloid stability. In soils of less than 5% organic C, water-dispersible colloid content was expected to be significantly higher. In soils of higher oxalate-extractable Al and Fe contents, colloids remaining in suspension were lower. This indicated that amorphous oxides and hydroxides play important stabilizing roles in soil structure and can stabilize soil clay against dispersion. Therefore in soils of higher pH, lower organic matter, and lower amorphous clay minerals, the stability of water-dispersible colloids and the potential of colloid-mediated transport of organic chemicals to groundwater could be higher.