한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

인체 유방암종에서 Cyclic-Dependent Kinase Inhibitor, p27^Kip1 발현의 의의

송상용,김덕환,서연림,고영혜,김대식,남석진,양정현 대한병리학회 1998 Journal of Pathology and Translational Medicine Vol.32 No.12

편심하중 작용시 극한해석 상계법을 이용한 얕은 기초의 지지력 분석

상현규,류권일,고영헌,김팔규 忠南大學校 産業技術硏究所 2001 산업기술연구논문집 Vol.16 No.2

In the study the bearing capacity of the eccentrically loaded shallow footing is estimated by means of the upper bound method of limit analysis. In the case of applying the upper bound, the results depend on the failure mechanism. So the failure surface is correctly studied through the model test using sand. New method is proposed to estimate the bearing capacity of the eccentrically loaded shallow footing by means of the upper bound method to apply the failure mechanism based on the model test. The propriety of new method is verified by the results of various methods. And the influences of the variables eccentricity, embedment depth, variations of contact width factor by model test using sand are also studied in this paper

의약품중 잔류유기용매 시험법 확립에 관한 연구

고용석,강찬순,최보경,김혜수,홍정희,최명신,김상현,장성재,김길수 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

Headspace-GC(딘5-GC)를 이용하여 ICH 잔류웅매 가이드라인 class 1, 2에 속하는 28종의 잔류유기웅매 분석방법을 연군한 결과 SPB-5, BB-WAX column을 동시 이용하여 각각을 확인, 정량할 수 있었다.또한 염의 참가효과, 평형시간,평형온도가 headspace분석에 미치는 영향을 검토한 결과 평형 시간 30분,평형온도 85℃,Na₂SO₄Ig을 첨가하여 시험할 때 최적 부넉조건을 나타내었다. 회수율은 1,1-achloroethene(68.3%)를 제외하고 90.9 ~ 114.5%로 패체적으로 양호하였다. 따로 HS-GCJECD, DB-524 column을 이용하여 9종의 잔류유기용매에 대하여 각각의 검랸선을 작성하고 검출한계를 구하였다. 실제 의약품 원료 10종및 제제 5종에 적용시킨 결과 모두 불검출되었으며 본 시험법은 의약품중의 잔류유기용매 분석에 적용할 수 있는 방법이라고 판단된다. The headspace-fC/FID(HS -GC/FID) method was performed for test method developnlent of residu;31 organic solvents in pfrarmaceuticals. Using SPB-S and BB-WAXcolumn, 28 kinds of solvents iri ICH residual sof)·ents guidetine class 1, 2 couBd be individuallt-identified and quantitated. The foIBowing residoal soIYents were not detected by the headspaceinjection condition : N,N-Cmethylacetamide, N,N-dimeth)rlformamide, ethyfeneglycol, formamide,2-methoryethanot, N-rnethylpyrrolidone, suBforane. The effects of the addition of salts,equilibration time, and equilibration temperature on headspace analt·sis were invesugated. Theoptimum conditions weiFe obtained with addtion of Ifa2s04 19 as a salt, simultaneously. thetime and temperature of equitibration were 30min and 8i'f, respectivety. The recovery havefound between 90.9 and 114.5% except 1,1-dichloroethene(fi8.3%). Using DB-624 column &HS-GC/:ECD method, 9 kinds of residual solvents could be individually identified andfuantitated. This HS-GC method can be applied to test the residua3 organic solvent in thepharmaceuticals.

제2형 당뇨병 동물모델인 OLETF 쥐에서 장기간 라미프릴 투여가 내당능 및 췌도 베타세포에 미치는 효과

고승현,윤건호,김명미,안유배,송기호,유순집,손현식,차봉연,이광우,손호영,강성구 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.6

연구배경:최근 소개된 HOPE(Heart Outcomes Prevention Evaluation)study의 결과에 의하면, 심혈관질환이나 이에 대한 위험인자가 1가지 이상인 9,541명을 대상으로 안지오텐신 전환효소 억제제의 일종인 라미프릴을 투여하여 사망율과 뇌졸증, 심부전, 당뇨병 합병증이 개선되었을 뿐 아니라 다른 항고혈압제에 비해 새롭게 당뇨병으로 진단되는 환자가 줄었음을 보고한바 있다. 이에 저자들은 라미프릴(ramipril)을 제2형 당뇨병 동물모델에 장기간 투여함으로써 당뇨병을 예방하거나 고혈당 상태 또는 인슐린 감수성을 개선시킬수 있는지를 알아보고자 하였다. 방법:생후 24주된 체중 400∼450g의 OLETF와 LETO 쥐를 대상으로 6개월간 라미프릴 경구투여 하였고 혈압, 24시간 단백뇨 및 인슐린 내성검사를 시행하였다. 6개월 이후로는 8주간 투여군과 대조군의 체중을 비슷하게 맞추어 내당능 상태를 평가하였고 이후 다시 8주간 고농도 포도당을 투여하였다. 경구당부하검사를 시행한 후 희생시켜 조직표본을 만들어 guinea pig anti­human insulin 항체로 염색후 DAB로 발색하여 point count 법으로 베타세포를 정량하였고, 면역염색으로 췌도의 변화와 섬유화의 정도를 관찰하였다. 결과:라미프릴을 6개월간 투여하였을 때 OLETF 쥐에서 1)체중 증가가 적었으며 2)경구 당부하검사시 포도당하 면적은 의미있게 감소하였고 3)인슐린 내성검사상 Kitt가 증가되는 경향을 보였으며 4)수축기, 이완기 혈압과 24시간 단백뇨양이 의미있게 감소하였고 5)체중을 맞추면 내당능 상태가 비슷해졌다가 고농도 포도당 주입시 다시 포도당하 면적이 대조군에서 더 증가되었다. 라미프릴 투여군에서 췌도변형 및 파괴와 탈과립, 췌도내 섬유화가 감소하였다. 결론:본 실험에서는 인슐린 비의존성 당뇨병 동물 모델인 OLETF 쥐에서 당뇨병 발생 이전 단계부터 장기간 라미프릴을 투여할 경우 체중증가가 적었고, 투여군과 대조군의 체중을 맞추었을 때는 내당능상태의 차이가 없아가 고혈당 투여시 다시 투여군과 대조군에서 의미있는 차이를 보였다. 라미프릴 투여가 베타세포의 기능면에서 이로운 효과를 보일 것으로 생각되었다. 따라서 비만한 환자에서 안지오텐신 전환효소 억제제의 장기투여는 단백뇨 감소, 혈압강하 효과 이외에 체중증가의 억제 및 당뇨병 발생을 억제할 가능성을 시사한다. Background : In a Heart Outcomes Prevention Evaluation HOPE study, ramipril, a long-acting angiotensin-converting enzyme (ACE) inhibitor, significantly reduced the death rates the number of myocardial infarctions, strokes, heart failure as well as the risk of complications related to diabetes and of diabetes itself. However, it is known that ACE inhibitors improve glucose tolerance or insulin sensitivity or reduce the incidence of diabetes. Methods : 24 week-old OLETF (Otsuka Long Evans Tokushima Fatty) rats weighing 400 ~ 450 g were used in this study. 4 groups of rats were examined in parallel for 40 weeks. The OLETF rats were randomized for treatment with an aqueous solution of ramipril (5 mg/Kg) daily [OL (RMP), n=10)] and with saline [OL (CON), n=10)]. The LETO rats were also randomized in the same was as the OLETF rats (LT(RMP), n=10, LT (CON), n=10). The blood glucose level, body weight, systolic and diastolic blood pressure was assessed every month. At 3 and 6 months, the 24hrs urinary protein concentration was measured, and as insulin tolerance test and oral glucose tolerance test were conducted in all experimental groups. After 6 months, the body·weight was matched for 2 months in each corresponding group. Subsequently, a 15% sucrose loading was done for 2 months. After the glucose tolerance test, the pancreas was excised and immuno histochemical staining was conducted for insulin to quantify the beta cell mass by a point-counting method. In addition, the islet morphology was evaluated in the pancreas. Results : Ramipril treatment for a period of 6 months improved the 2hr blood glucose level, the area under the glucose curve in the oral glucose tolerance test, insulin sensitivity in addition to lowering significantly systolic and diastolic blood pressure and 24hrs urinary protein level significantly in OLETF rats. Of note, a lower weight gain was observed in both the ramipril-treated animals at 6 months. After weight matching, the AUC g and 2hr blood glucose level values were similar between the corresponding groups, but a 15% sucrose loading worsened the AUC g value. Histologically, the islets were less disorganized and the extent of fibrosis was lower in the ramipril-treated OLETF rats in the trichrome stain. Conclusion : Long-term treatment of ramipril, a long acting angiotensin-converting enzyme inhibitor may be useful for suppressing weight gain and proteinuria in addition to having a protective effect on the islet to harmful stimuli such as hyperglycemia (J Kor Diabetes Asso 25:469~482, 2001).

2004학년도 재학생 의식조사에 관한 연구

고강호,김두화,김성현 濟州大學校 學生生活硏究所 2005 學生生活硏究 Vol.26 No.-

This study is to understand views and opinions of students on the general policy of Cheju National University (CNU) and ultimately provide basic data which can help university authorities establish policy and improve guidance and educational programs for students. For this survey, 105-item questionnaire was distributed to 1,117 students of the university. Data was analyzed by college, by academic year, and by sex using SPSS Method. The results are as follows. 1. About personal life and views of life As the most important thing in life, stable life (22.1%), exertion of one's ability (17.7%) and happy family life (13.8%) were picked. The most important attitude as a college student is trying to become a well-educated intellectual (31.9%) and laying the foundation to become an able member of society (44.5%). Daily computer use time is 1-2 hours on average (39.7%). Monthly reading volume is one book (45.5%) and two books (14.6%). Given the result, students think leading a stable life and preparing building blocks to become a member of society are very important, but they do not spend enough in reading. The authorities need to open and run programs to encourage reading, and students also should realize themselves. 2. About scholastic performance 61.3% of the students are satisfied with the study of their major. About the reasons for the dissatisfaction with their major, they answered subjects do not live up to their expectations (16.8%) and the major does not fit their aptitude and interest (14.1%) and they lack learning ability (11.7%). Questioned about whether to transfer to other department, 53.6% want transfer. The reasons for transfer are to extend chances of job seeking (31.2%), much interest in other studies (19.4%) and to complement the current study (15.3%). This result indicates that students think their major does not matchtheir aptitude. So, students should be more careful to decide their major considering one's aptitude and future career. 3. As for campus life What they are interested in regarding the university are the easiness of employment (22.5%), the prospect for the future (13.9%), commute distance (10.8%) and the possibility of university development (10.0%). The results show that students relate the meritsof the university to whether they can get a job or not. So, relevant programs should be carried out in line with their demands. 4. About administrative service and university development Questioned about in-campus facilities for students, 46.3% expressed their satisfaction and 40.8% said so-so. As to hat should be improved in the cafeteria, they replied not tasty food (29.3%), not wide menu (28.5%), and poor quality (9.0%). So, food quality and menu should be improved. 5. As to course and career after graduation Most students (74,8%) want to have a job, and some (12.7%) want to study abroad. The most important factors to get employment are foreign language ability (47.8%), certificates of qualification (23.2%). They get information on employment on the internet (41.3%) or from friends or relatives (28.5%); it turned out that job information provided by CNU is not delivered well to students. 6. About social problems CNU students think the most serious social problems are wealth discrepancy (42.5%), corruption and irregularities (12.9%). As to equal opportunity, 22.5% said think so, 37.7% said not so. As for legal justice, 17.6% said laws are fair and 37.0% said not fair largely negative about the fairness of laws. 7. About Consultation and Service Center Questioned bout the center, 56.2% said they heard about the center but never used it and 24.3% answered they neither heard about nor visited it. This means the center has yet to get familiar with students. The center should promote itself to attract more students.

치수및 치근단병소에서 interleukin-1α, interleukin-1β, tumor necrosis factor-α의 분포에 관한 연구

고현정,정관희,임성삼 大韓齒科保存學會 1998 Restorative Dentistry & Endodontics Vol.23 No.1

This study was designed to examine the tissue levels of interleukin-1α(IL-1α), interleukin-1β(IL-1β) and tumor necrosis factor-α(TNF-α) in inflamed human dental pulps and periapical lesions, and to determine the relationship between each cytokine and pulpal and periapical pathosis. The pulps used in this experiment, were obtained in routine endodontic treatment and the periapical lesions in periapical surgery after clinical diagnoses were performed. These specimens were divided into four groups as normal pulp group(control group, n=9), acute pulpitis group(n=9), chronic pulpitis group(n=10) and periapical lesion group(n=18) and stored in liquid N_2. For extract preparation, tissues were finely minced with a scalpel, and the fragments were incubated in 0.5㎖ homogenizing buffer (0.1 mol/L potassium chloride, 0.02 mol/L TRIS; pH=7.6) for two hours and grinded with glass homogenizer. Debris was removed by centrifugation and supernatants were immediately tested with enzymelinked immunosorbent assay(ELISA, R&D Co., Minneapolis, USA). Following results were obtained ; 1. The concentrations of IL-1α in all experimental groups were significantly higher than in control group(p<0.05). And the concentrations of IL-1α in periapical lesion group were somewhat higher than in two pulpitis groups, but the differences among those groups were not stastically significant(p>0.05). 2. The concentrations of IL-1β in all experimental groups were significantly higher than in control group(p<0.05), and all the experimental groups expressed similar concentrations. 3. The concentrations of TNT-α in all experimental groups were higher than in control group but only the differences between chronic pulpitis group and control group were statistically significant(p<0.05). And the concentrations of TNT-α in acute and chronic pulpitis groups were higher than in periapical lesion group but only the differences between chronic pulpitis group and periapical lesion group were statistically significant(p<0.05). 4. There was significant correlation only between IL-1α and IL-1β in periapical lesion group(p<0.05).

새로운 沆癌劑 2-Amino-4-thio(3H)pteridine 誘導體의 合成에 關한 硏究

高玉鉉,姜馨龍,金永洙,金成原 조선대학교 약학연구소 1983 藥學硏究誌 Vol.5 No.1

In order to obtain some new anticancer agents, authors synthesized N^4-(2-amino-3-cyano-5-methylpyrazine 1-oxide)-N^1-(4, 6-dimethyl-2-pyrimidinyl) sulfanilamide, N^4-(2-amino-3-cyano-5-methylpyrazine 1-oxide)-N^1-(2, 4-dimethoxy-4-pyrimidinyl) sulfanilamide, N^4-(2-amino-3-cyano-5-methylpyrazine 1-oxide)-N^1-(5-methyl-1.3.4-thiadiazol-2-yl)sulfanilamide by condensing 2-amino-3-cyano-5-chloromethylpyrazine 1-oxyide and sulfamethazine, sulfadimethoxine and sulfamethizole, respectively. we also synthesized N^4-〔2-amino-4-thio(3H)-6-methyl pteridine 8-oxide〕-N^1-(4, 6-dimethyl-2-pyrimidinyl)sulfanilamide, N^4-〔2-amino-4-thio(3H)-6-methylpteridine 8-oxide〕-N^1-(2, 4-dimethoxy-4-pyrimidinyl)sulfanilamide and N^4-〔2-amino-4-thio(3H)-6-methylpteridine 8-oxide〕-N^1-(5-methyl-1.3.4-thiadiazol-2-yl)sulfanilamide, respectively.

소아 호흡기계 감염증에 대한 Biostim^(�)(RU 41740)의 임상적 효과

고경옥,변상현,이건수,정용헌 최신의학사 1991 最新醫學 Vol.34 No.12