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Clopidogrel에 의해 발생된 전신 염증 반응 증후군 1례
김민환,김종훈,박경일,박혜연,황철웅,김의석,도준형,남궁준,이성윤,이원로 白中央醫療院 2005 仁濟醫學 Vol.26 No.1
Clopidogrel bisulfate, a widely used inhibitor of platelet aggregation, is considered at least as safe as aspirin. We describe a 61 year old male patient who developed a systemic inflammatory response syndrome consisting of high fever, rash, chills, impaired liver function, and mild leukopenia after receiving clopidogrel after coronary angiography and stent implantation. The reaction resolved promptly after withdrawal of the drug, thus making the diagnosis of a clopidogrel induced reaction highly probable.
일측성 질폐쇄 및 동측 신장 무발생을 동반한 중복자궁 2예
윤일영,여소진,김형문,김정식,김태희,이해혁,남계현,이권해,김준모,김민의 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis usually presents after menarch with progressive abdominal pain during menses secondary to hematocolpos, and indeed a very rare congenital anomaly due to Mullerian duct malformation. An accurate and prompt diagnosis is of importance to permit treatment and to assure the future fertility of the patient. Pelvic ultrasound, physical examination and pelvic MRI established a diagnosis of hematometracolpos secondary to uterus didelphys with unilateral imperforate hemivagina. An incision in the vaginal septum allowed drainage of the hematocolpos, providing relief of the patients symptoms. We report two case of uterus didelphys with obstructed hemivagina with brief review of the literature.
2003년도 해양스포츠 체험활동을 통한 소아건강교실 사례 발표
김현준,이상엽,이가영,곽현,이남수,김혜선,김윤진,김인주,김용기,대한비만학회 부산분과학회 일동 대한비만학회 2003 The Korean journal of obesity Vol.13 No.4
부산에 소재한 3개 초등학교 청소년단체 소속의 초등하교 3학년부터 6학년까지 구성된 172명을 대상으로 청소년단체 지도자, 초등학교교사, 자원봉사자, 의사와 영양사가 1박 2일간의 해양스포츠 체험활동 을 통한 건강교실을 시행하였다. 대상자의 체질량지수, 체지방량을 측정하여 비만정도를 평가하였으며, 칼로리 섭취에 대한 강의를 시행하였고, 설문지 조사를 통해 대상자의 식이 섭취 습관에 대한 조사를 시행하였고, 본 건강교실에 대한 만족도를 측정하였다. 대상자중 남자에서는 40%, 여자에서는 25.69%에서 비만 경향을 보였다. 대상자의 대부분에서 시행된 건강교실에 긍정적 반응을 보였으며, 향후 체계적인 구성과 철저한 사전계획이 병행되어 본 증례 보고와 같은 건강교실을 시행한다면, 비만아동에서 거부감 없이 비만에 대한 교육을 실시할 수 있으며, 정상 체중 아동군에서도 비만에 대한 예방교육을 시행할 수 있는 프로그램이 될 것이다. 172 elementary school students involved this health program. This subjects were learened about obesity that affect health problem, ideal eating habits, calories that contained in the children's favorite foods by doctors and nutritionist. And this stubjects were checked heights, weight, body fat percent. Obesity is 40% in the boys and 25.69% in the girls. Most subjects were satisfactory with this health program. So we will effectively educate obese children without resistance and prevent normal weight children from obesity through structured and well-designed health program that similar to this program.
흰쥐에서 음경발기 평가의 척도로서 음경해면체내압측정술 확립
송윤섭,김용준,이광우,김준모,문기혁,박영호,민영기,유형균,김형건 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1
Purpose: Because studies about the control of penile erection at the entral nervous system was dependent on the animal experiments, establishment of measuring penile erection is important to evaluate the effects changes at the central nervous system on the penile erection. Intracavernous pressure measurement in rats has been introduced as a suitable index for the evaluation of penile erection but this method is invasive and technically difficult. So, we established the intracavernous pressure measurement in rats as the experimental index for penile erection. Materials and Methods: 42 male adult Sprague-Dawley rats (250-300gm) were divided to saline or papaverine treated group. Rats were placed on a heating table to maintain their body temparature and anesthetized with 50mg/kg of pentobarbital sodium by intraperitoneal injection. A cannula was inserted to the left carotid artery to measure systemic blood pressure. Saline (0.05, 0.1ml), papaverine(0.05, 0.1, 0.25, 0.5, 1.0, 2.0mg) were injected intracavernously via 26 guage needle filled with saline or papaverine which connected to pressure transducer and polygraph was inserted into the corpus cavernosum on one side to inject the drug and to measure intracavernous presure. Results: Properly executed insertion and intracavernous administration produced a instantaneous but transient rise in intracavernous pressure that substantially stabilized and maintained at 5.4±0.4mmHg. Intracavernous pressure and duration of penile blood flow following intracavernous injection of papaverine are increased comared to those of saline. Conclusions: Monitoring intracavernous pressure in rats represents a suitable index for the evaluation of penile erection in small laboratory animals.
김선경,원준연 서울대학교 행정대학원 2003 行政論叢 Vol.41 No.4
다수 행위자들간 상호작용을 통한 도시계획 결정과정을 예측하기 위해서는 관련 행위자들이 누구이고, 그들간의 관계는 어떠하며, 각각의 다양한 가치와 이해가 어떤 방식으로 조정되는 가를 살펴볼 필요가 있을 것이다. 이에 본 연구에서는 현대의 도시계획과 같은 역동적인 정책과정 중 부분의 행위자 관계를 잘 기술해 낼 수 있는 정책네트워크 분석모형에 근거하여 최근 서울시에서 수행된 3가지 도시계획 사례인 저밀도아파트지구 개발기본계획 변경사례, 개포택지개발지구 지구단위계획결정사례, 지하철9호선 도시계획시설 결정사례 등을 대상으로 정책결정 참여자간의 관계 및 상호작용을 파악하였다. 분석결과 정책행위자의 수와 규모, 참여형태에 따라 다양한 유형의 정책네트워크 형성 가능성과 가변성으로 인해 정책네트워크 제도화의 순준은 낮았으며, 이때 정책행위자들의 참여수준이나 의사반영수준은 시의회의 참여와 중재 여부에 따라 달라지는 것으로 나타났다. 따라서 무엇보다도 시의회 같은 정책네트워크내의 연결고리조직의 존재여부가 정책네트워크의 형태에 중요한 영향을 미치는 것으로 나타났다. This study aims to search the interaction and relationship of actors, then suggest their role in urban planning process. With this aim, this paper analyze the latest three urban planning cases of Seoul Metropolitan area based upon policy network theory. Three cases are low density Apt-lot development master plan, Gae-Po building site zone development plan and subway 9 construction plan. The results of this paper are as follows. The level of policy network institutionalization was low due to the diversity and changeability of policy network. Meanwhile the level of the policy actor's participation and adaption level of their interest has relevance to the mediation role of local assembly. Consequently, mediation actor in policy network will be the most important factor which build up urban planing policy network.
페놀을 포함하는 여러 자리 리간드 구리(II)착물의 용매추출 및 분석적 응용
김선덕,김준광,박정은,김성윤 대구대학교 기초과학연구소 1998 基礎科學硏究 Vol.15 No.2
The extraction of aqueous Cu(II) ion into chloroform were conducted by using N,N-bis(2-hydroxybenzyl)-propylenediamine(BHPD), N,N-bis(2-hydroxybenzyl)-diethylenetriamine(BHDT), N,N-bis(2-hydroxybenzyl)-triethylenetetraamine(BHTT), and N,N-bis(2-hydroxybenzyl)-tetraethylenepentaamine (BHDP) as ligands. The method is based on the formation of Cu(ll)- ligand complex, which is extractable into chloroform from an aqueous solution at pH 8 over by shaking for 1h. The absorbance were measured at 614nm Cu(ll)-BHPD, 599nm Cu(ll)-BHDT, 605nm Cu(ll)-BHTT, and 626nm Cu(ll)-BHTP. The Iigand-to-Cu(ll) ion ratio, the relationship between extractability and pH of the aqueous phase were examined.