위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동

이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.

입원환자를 대상으로 한 대집단 싸이코드라마의 치료요인 연구

이후경,김선재,윤성철,이규항,홍향희,함웅 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2

연구목적 : 본 연구는 개인정신치료와 집단정신치료의 훈련을 받은 정신과 의사라면 누구든지 쉽게 이용할 수 있는 우리나라 입원환자에게 적합한 대집단 싸이코드라마의 모델을 개발하고, 이를 입원환자에게 적용한 후 치료요인을 조사하여, 입원환자 치료에 도움이 되고자 하는 목적으로 본 연구를 시행하였다. 방 법 : 본 연구는 1998년 3월부터 1998년 9월까지 계요병원 입원환자 싸이코드라마에 참가한 모든 환자들과, 보조자아로 참석한 모든 치료팀을 대상으로 하였다. 대상자는 환자가 346명(남자 152명, 여자 194명)이었고, 치료팀은 총 60명이었다. 환자에게는 13가지 치료요인 척도, 싸이코드라마에 대한 일반적인 태도 척도, 도움이 되었던 점에 대해 기술하도록 한 설문지를 사용하였으며, 치료팀에게는 13가지 치료요인과 환자에게 도움이 되었던 점에 대해 기술하도록 한 설문지를 사용하였다. 환자집단은 관객, 보조자아의 역할을 한 환자, 공유(sharing)시간에 참여한 환자, 주인공으로 나누어 치료요인을 비교하였다. 결 과 : 먼저, 환자의 관점에서 본 치료요인은 다음과 같다. 1) 싸이코드라마에서의 역할에 관계없이 거의 대부분의 환자집단에서 실존적 인지와 일차가족집단의 교정적 감정경험을 매우 중시하였다. 2) 주인공, 보조자아의 역할을 한 환자, 공유시간에 참여한 환자와 같이 어떤 형태로든 싸이코드라마에 직접적으로 참여한 환자들은 사회화 기술의 발달을 중시하였으며, 보다 직접적인 형태인 행동으로 참가한 주인공이나 보조자아의 경우 카타르시스를 중시하였다. 3) 주인공을 제외한 모든 환자들은 희망의 고취를 중시하였다. 4) 관객의 경우 치료자와 환자에 대한 동일시와 보편성을 중시하였다. 환자와의 동일시는 공유에 참가한 환자의 경우 특히 중시하였고, 보편성은 보조자아로 참가한 환자의 경우 또한 중시하였다. 다음으로 치료팀이 평가한 치료요인을 환자들이 평가한 치료요인과 비교하면, 치료팀은 환자들보다 집단응집력을 더 중시하였으며, 반면 환자들이 중시한 사회화 기술의 발달과 치료자나 환자에 대한 동일시는 매우 낮게 평가하였다. 결 론 : 환자들의 역할에 따라 세분화하여 조사한 치료요인을 통해 입원환자 대집단 싸이코드라마의 특성과 환자의 역할에 따른 치료요인의 특성을 파악할 수 있었다. 본 모델은 입원환자 치료에 쉽게 적용될 수 있었으며, 전체적으로 많은 환자들에게 도움이 되었다. Objectives : This study was performed to make a model of large group psychodrama suitable for Korean inpatients and easy for psychiatrists trained in the individual psychotherapy and the group psychotherapy to use, to investigate the therapeutic factors after applying this model to inpatients, and then to contribute to the treatment of inpatients. Methods : The study subjects were all the inpatients and the therapists(the auxiliary ego's) who participated in psychodrama from March 1998 to September 1998. The subjects were composed of 346 inpatients (152 males, 194 female) and 60 therapists. To the inpatients 13-Therapeutic Factors Scale, Scale of General Attitude to Psychodrama, and the Questionnaire describing helpful things in psychodrama were administerd. To the therapists 13-Therapeutic Factors Scale and the Questionnaire describing helpful things in psychodrama were administered. The inpatient group were divided into 4 groups(the audience, the auxiliary ego's, the participants in sharing, the protagonists). The therapeutic factors among 4 groups were compared. Results : First, the therapeutic factors described by the inpatients group were as follows : 1) Most inpatients made great account of ‘existential factor’ and ‘the corrective recapitulation of the primary family group’ regardless of their roles in psychodrama. 2) The inpatients who participated in psychodrama directly as the protagonists, the auxiliary ego's, or the participants in sharing made much account of ‘development of socializing techniques’. The inpatients who participated in psychodrama more directly as the protagonists or the auxiliary ego's made much account of ‘catharsis’. 3) All the inpatients except the protagonists made much account of ‘instillation of hope’. 4) The audience made much account of 'identification' and 'universality'. Especially,'identification with members' was much accounted of by the participants in sharing. ‘Universality’ also was much accounted of by the auxiliary ego's. Next, when we compared the therapeutic factors in the inpatient group with those in the therapist group, the therapist group made much account of ‘group cohesiveness’ which the inpatient group made little account of. And the therapist group made no account of ‘development of socializing techniques’which the inpatient group made much account of. Conclusion : By dividing the inpatient group according to their roles, we found the characteristics of the inpatient large group psychodrama and of the therapeutic factors according to the roles of the inpatients. This model could be applied to the treatment for the inpatients easily and was helpful to many inpatients on the whole.

경기지역 일부 이주노동자들의 직무스트레스와 우울 증상의 상관성

이선웅,김규상,김태균,류향우,이미영,원용림,송윤희 大韓産業醫學會 2009 대한직업환경의학회지 Vol.21 No.1

목적 경기지역 일부 이주노동자들의 우울 증상을 파악하고 이에 영향을 미치는 요인을 평가하기 위해 직무스트레스를 중심으로 상관성을 분석하고자 하였다 방법 경기지역 9개 이주노동자 센터에 방문한 이주노동자 488명을 대상으로 12개국 언어로 번역된 구조화된 설문지를 사용하였다 조사항목은 사회 인구학적 및 작업관련 요인 건강행태 과거력 직무스트레스 우울 증상이었으며 직무스트레스는 8개 하부항목이 포함된 한국형 직무스트레스 측정도구K0SS-26을 사용하였다 우울 증상은 조맹제 등이 번역한 CES-D 번역판을 사용하였다 단변량 분석결과 유의한 관련 요인과 직무스트레스를 독립변수로 하여 우울 증상자 유무에 대한 다중 로지스틱희귀분석을 시행하여 관련 위험요인들의 상관성을 평가하였다 결과 연구대상 전체의 우울 증상율은 25.2%였지만 비중국 국적 및 불법 체류자는 각각 32.1%, 32.8%에 달하는 결과를 보였다 관련 혼란변수를 보정한 상태에서 직무스트레스 요인(OR 2.55 95% CI=1.30-4.99)이 우울 증상과 유의한 상관성을 나타내었으며 직무스트레스 하위영역 중 물리환경(OR 2.97 95% CI=1.59-5.53) 직무요구(OR 2.33 95% CI=1.26-4.32) 및 직장문화(OR 3.10 CI=1.49-6.48)가 우울 증상자 발생과 유의한 상관성을 나타냈다 결론 연구대상의 우울 증상율은 국내 일반인구집단과는 비슷한 수준이나 국내 근로자 집단에 비해서는 높았으며 특히 내부집단별로 비 중국국적 및 불법 체류자의 우울 증상율이 높았다 하지만 국적구분과 체류자격의 사회인구학적요인보다 직무스트레스요인이 이주노동자들의 우울증상과 보다 직접적인 상관이 있는 것으로 판단되어 이주노동자들의 우울 증상 발생을 예방하기 위해서는 효과적인 직무스트레스 중재방안이 조치되어야 할 것으로 판단된다. Objectives To investigate the mental health status of migrant workers We focused on the relationship between depressive symptoms and job stress Metheod A questionnaire was administered to 488 migrant workers who visited NGO migrant worker centers located in Kyung-gi province A structured self-reported questionnaire was used to assess each responder's sociodemographics work related characteristics health behaviors past medical history job stress and depression symptoms The job stress questionnaire was used according to K0SS-26 and depression symptoms were measured using CES-D which was translated into Korean We used multiple logistic regression analysis to assess the relationship between risk factors included job stress and depression symptoms Results The prevalence of depression symptoms in survey subjects was 25.2%, but the prevalence of non Chinese nationalities and illegal workers were 32.1% and 32.8% respectively Adjusting for confounding factors job stress (OR 2.55, 95% CI=1.30-4.99) had a statistical meaningful relationship with depression symptoms Among job stress domains, physical environment (OR 2.97 95% CI=1.59-5.53) job demand (OR 2.33 95% CI=1.26 4.32) and occupational climate(0R 3.10 CI=1.49-6.48) were most likely to experience depression symptoms Conclusions The prevalence of depressive symptoms among the study subjects was similar to the prevalence among the general population in Korea but higher than that among the Korean workers In particular, the prevalence among non-Chinese and illegal workers was higher However, the job stress factor appeared to have a more direct correlation with depressive symptoms than the sociodemographic factors of nationality or residential status Hence in order to prevent depressive symptoms of the migrant workers we believe that intervention on job stress is necessary

Retinoid 투여로 인한 四肢畸形 발생과정에 대한 조직화학적 연구

李鄕愛,金恩英,朴善華,全容赫 고려대학교 의과대학 1993 고려대 의대 잡지 Vol.30 No.1

Histochemistry of carbohydrate residues and morphohistological changes and/with their correlation during the process of the drug-induced limb dysmorphogenesis, following single intragastric dose of etretinate (100mg/kg, body wt.) in DDY mice on day either 10 or 11 of gestation, were analysed. Deformities were largely stage-depedent as, exposure to etretinate on gestational day (GD) 11 with paddle-shaped buds resulted in meromelic defects in 100%, whereas on GD 10 with semilunar buds, slightly retarded morphogenesis ; the drug distrubed mainly on core mesenchymal condensation-formation of precartilaginous zone, thus it appears that the most susceptible period to the etretinate in the limb development is the stage of mesenchymal condensation and the drug-induced cell death in the core mesenchyme was associated with the zones of programmed or phygiological cell death (PCD) but expanded even to the apical ectodermal ridge (AER) and the phenomena lasted longer. PAS·PAPS reactivities and lectin binding of glycoconjugates and CHO residues were differently expressed depend on tissue/stage-specific ; PAS·PAPS positive materials and bindings of Con A, RCA, WGA were gradually increased in epithelia and AER with the development proceed and in chondrogenesis, PAS·PAPS reactivity persisted strongly, while Con A, WGA and RCA expression were temporarily rised in initiation of condensation but decreased thereafter ; etretinate increased Con A bindings in epithelia but reduced expressions of other lectins and glycoconjugates especially in chondrogenesis. Although the drug affected the expression of lectin bindings and glycoconjugates, it seems that these results are caused by in consequence of the morphohistological changes. The results suggest that inhibition of chondrogenesis with subsequent malformation has a primary association with the excessive cell death in the regions of PCD but initial role that caused PCD to expand, accelerate and last longer could be consequence of cytotoxicity, inhibited extracellular matrix production, a combination of these effects or some other effect such as change of gene expression which remains a question.

유통정보시스템의 효율적 구축방안에 관한 연구 : 부산·대구지역을 중심으로 Focusing on the Sales Business in Pusan-Taegu

李奎煥,朴善泰,金香蘭 대구산업정보대학 1998 논문집 Vol.12 No.1

This study aimed first to correctly understand informationalization of distribution, that is POS System, EDI, EOS, and distributing VAN, second to observe the present condition and preceeding examples of construction of informationalization of distribution in our country and to execute analysis of corroborative evidence regarding informationalization of distribution centered on distributing companies in Pusan and Taegu districts, third to grasp the impeding primary factors when informationalization is built up, and fourth to present effective building up lans of informationalization of distribution in Pusan and Taegu districts which will be the foundation of informationalization of distribution in the distributing business circles. The writer studied, for the method of study, by dividing into theoretical study, research portion of the present condition and preceeding examples of building up informationalization of distribution, and analysis of corroborative evidence. For the theoretical study portion and analysis examples, the study method by documentary records was applied, and domestic and foreign books, theses and periodicals related to the informationalization of distribution were consulted. For the analysis of corroborative evidence, the writer studied by questionaires regarding opening of distributing markets, distriubuting environment and distributing information system of the distributing market by the retail dealers as its objects, and selected research by questionaires to collect information by personally visiting each company. About 15 universities and junior colleges related to the distributing industry in our country produce about 1,280 of fundamental manpower related to distrribution every year, and a portion of large-sized distributing companies established and are managing even inter-company colleges, but it is the real situation that these are not sufficient in quality and quantity. In order to cultivate manpower specialized in distribution, the industry, universities and government, forming a trinity, should cope with the matter jointly, and especially, the government level should newly establish subjects of study related to the distribution drastically and political and financial support should be necessarily followed. Also, if POS system is induced, as the source of tax revenue is completely exposed, compared with those companies which do not induce POS System, they will suffer disadvantage, so preferential treating method is necessary in case of application of valued added tax or income standard. The customary practice of dealing without data harmful to normal commercial transaction order and against equity is pointed out as the most fundamental problem point being held by the distributing business circle in our country. For the sake of effective building up the distributing information system, the source making rate shall be raised, the ratio of domestic made instruments of POS System shall be increased, by developing EOS System which can be connected with manufacturing companies, POS System shall be utilized effectively by connecting with the management information system of the whole enterprises, EIS (Executive Information System) and various data base, and shall be connected with EOS with other components of distributing channel and EOS and EFT (Electronic Fund Transfer) system shall be connected through EDI or VAN. Such distributing information system can accomplish composite distribution information systematization, so it can promote greatly the management power not only of distributing business but manufacturing business.

생쥐 피부의 창상치유에 관한 형태학적 관찰

이향주,이영호,김홍선,김원식 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.1

The back skin of ICR mice were incised. The skin tissues were obtained from the incised wound on the 1st day, 1st weeks, and 2nd week after incision. And these tissue were fixed in 10% neutral buffered formalin and 2.5% glutaraldehyde solution. And, the formalin-fixed tissues were stained by PAS and alcian blue-safranin for the research of morphological changes of epidermis and the mast cells and granulation tissues of dermis. The tissues fixed in 2.5% glutaraldehyde solution were prepared for scanning electron micros-copy, and observed the crusts of scar surface. The results were as follows. 1. The collagen fibers in he granulation tissues at wound region were increased gradually, and became more dense than normal skin on the 2nd week after incision. 2. The newly-formed epidermis was thicker than that of normal skin at the 1st week, and increased in thickness to the 2nd week after incision gradually. 3. The mast cells were decreased in number than those of normal skin on the 1st day after incision, however, increased than those of normal skin on the 1st week after incision. On the 2nd week, the number of the mast cell were similar to those of normal skin. 4. Mixed mast cells containing both histamine and heparin appeared the granulation tissues on the 1st day and 1st week after incision. 5. In scanning electron microscopy, fibrin network on the scar began to appear on the 1st day, formed in a row on the 1st week. But fibrin network changed into irregular rough crusts on the 2nd week after incision.

대장균에서 재조합 Rat Guanine deaminase 유전자의 발현, 정제 및 분석

성연선,곽상준,박대성,김향원,이희영 단국대학교 1998 論文集 Vol.33 No.-

Guanine deaminase(EC, 3.5.4.3, ;Guanine aminohydrolase, GAH, GDA) catalyzes the deamination reaction of guanine to xanthine irreversibly. The cDNA encoding rat guanine deaminase had been isolated from a λZAPII rat brain expression library using antibody generated against purified rat guanine deaminase. Toe obtain recombinant GDA and analyze the property of catalytically conserved retion, here we expressed the recombinant GDA in E.coli and showed the retention of its catalytic activity similar to native rat GDA. To make the construct carrying coding region to GDA in pGEX4T prokaryotic expression vector, the region encompassing open reading frame of pBlue-GDA was PCR amplified and subcloned into pGEX4T prokaryotic expression vector with correct reading frame of fusion carrier glutathione S-transferase. After transformation to E.coli DH5a. The bacteria carrying pGEX-GDA was grwon in the condition of IPTG induction. The fusion protein GST-GDA was purified with GSH-sepharose affinity chromatography. The purified GST-GDA was subsequently digested with biotin-conjugated thrombin, and thrombin was removed by streptavidin agarose. Then sample were treated with GSH-sepharose affinity chromatography to remove the contaminant GST and GST-GDA. The purified recombinant GDA showed 70% of specific activity relative to that of purified rat GDA. The recombinant GDA showed identical molecular weight with rat GDA in SDS-PAGE.

사회관계망의 구조적 특성과 기능적 특성이 정신장애인의 사회적응에 미치는 영향

정선혜,이진향,서미경 대한신경정신의학회 2008 신경정신의학 Vol.47 No.2

Objectives : The purpose of this study was to investigate effects of structural and functional characteristics of social network on social adjustment in people with mental illness. Methods : 236 members of the people with mental illness who were enrolled in day hospital, community mental health center and social rehabilitation center participated in the survey. Results : Of structural and functional characteristics of social network, the influenced factors on social adjustment were network size of professional, social support (family, friend and professional) and conflict with professional. When controlling socio-demographic and disorder characteristics, this regression model affected significantly on social adjustment but the power of influence reduced slightly. Conclusion: In order to improve the social adjustment of people with mental illness, it is necessary for social network to provide them with more emotional and social resources. Especially, it is important for mental health professionals to build active partnership with the people with mental illness as consumer. For people with mental illness, the economic stability through guaranteed income such as disability benefits, and occupational rehabilitation is very important.

손마사지가 허혈성 심질환 환자의 불안에 미치는 효과

현경선,이향련,공송심,윤경자,김현섭,김효남,최지원,김운정 성인간호학회 2001 성인간호학회지 Vol.13 No.2

The purpose of this study was to investigate the effect of a hand massage program on anxiety, vital sign and pain in clients with ischemic heart disease. The design utilized for this stuffy was quail-experimental with a nonequivalent control group non-synchronized design The subjects were fifty-four patients, twenty-eight for the experimental and twenty-six for the control group, who were admitted with ischemic heart diease at a cardiac intensive care unfit in K medical center of K university. This study was carried out from May, 1999 to March, 2000. The level of anxiety and pain measured by Visual Analogue Scale, systolic blood pressure, diastolic blood pressure and pulse rate were measured before and after hand massage, the state of Anxiety was measured by the Spielberger (1970) scale at admission and after hand massage for three days. The collected data were processed by using the SPSS PC program and analyzed using χ2-test and t-test. The result of this study are as follows : 1. The scores of VAS anxiety and State of anxiety of the experimental group were lower than those of the control group. 2. The degree of systolic blond pressure, diastolic blood pressure and pulse rate of the experimental group were lower than that of the control group. 3. The score of VAS pain of the experimental group was lower than that of the control group. The results suggested that hand massage can decrease VAS anxiety, State of anxiety, vital signs and VAS pain of patients who were admitted with ischemic heart disease at cardiac intensive care unit Therefore, It Is proposed that hand massage is an appropriate nursing intervention to relieve anxiety of the patients who were admitted with ischemic heart disease at a cardiac intensive care unit.

鹽油中 呈味成分의 檢索

金香仙,金賢榮,朴吉子,劉炳淑,李揆媛,洪璟珠 梨花女子大學校 藥學硏究所 1961 梨花藥學硏究 Vol.- No.2