만성 두부외상 환자에서 99mTc - HMPAO Brain SPECT의 임상적 유용성

서정호(Jung Ho Suh),김동익(Dong Ik Kim),정태섭(Tae Sub Chung),이종두(Jong Doo Lee),박창윤(Chang Yoon Park),정진일(Jin Ill Chung),김영수(Young Soo Kim) 대한핵의학회 1992 핵의학 분자영상 Vol.26 No.1

N/A Minima1 deterioration of cerebral perfusion or microanatomical changes were undetectable on conventional Brain CT or MRI. So evaluation of focal functional changes of the brain parenchyme is essential in chronic head injury patients, who did not show focal anatomical changes on these radiological studies. However, the patients who had longstanding neurologic sequelae following head injury, there had been no available imaging modalities for evaluating these patients precisely. Therefore we tried to detect the focal functional changes on the brain parenchyme using Tc-99m-HMPAO Brain SPECT on the patients of chronic head injuries. Twenty three patients who had suffered from headache, memory dysfunction, personality change and insomnia lasting more than six months following head injury were included in our cases, which showed no anatomical abnormalities on Brain CT or MRI. At first they underwent psychological test whether the symptoms were organic or not. Also we were able to evaluate the cerebral perfusion changes with Tc-99m-HMPAO Brain SPECT in 22 patients among the 23, which five patients were focal and 17 patients were nonfocally diffuse perfusion changes. Thus we can predict the perfusion changes such as local vascular deterioration or functional defects using Tc-99m-HMPAO Brain SPECT in the patients who had suffered from post-traumatic sequelae, which changes were undetectable on Brain CT or MRI.

십이지장 결핵 2예의 내시경적 고찰

장린,박충기,민영일,장영운,우정택,방익수,최학림,장주희 대한소화기내시경학회 1985 Clinical Endoscopy Vol.5 No.1

Today, the duodenal tuberculosis is a very rare disease. Final diagnosis of duodenal tuberculosis is difficult due to inconsistent symptoms and nonspecific duodenal lesions. We found 2 cases of duodenal tuberculosis by gastrascopy. In gastroscopic findings, there were undetermined ulcers and irregular nodular mucosal changes.

마취중 체온변화에 관한 연구

손수창,이정은,김익수,최세진 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2

To study the temperature change and the degree of heat loss during general anesthesia, skin temperature, tympanic temperature and rectal temperature were measured in 21 patients. Mean skin temperature was calculated from four probes situated on the lateral aspect of the mid-calf, the ventral surface of the mid-thigh, the nipple and the lateral aspect of the upper arm, using the formula of Ramanathan, and the heat loss can be calculated by Burton's formula. the result are as follows. 1. Mean skin temperature increased higher than control value at 20 minute, not significantly. thereafter remained high. 2. Tympanic temperature decreased significantly at 20 minute (p<0.005), esophageal temperature decreased at 60minute, and rectal temperature decreased at 90 minute significantly (p<0.05). 3. There was continuous loss of total body heat during general anesthesia. 4. In the recovery room, the aural temperature increased progressively.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

열원에 따른 구리선의 미세조직 및 조성 변화

박성우,장익수,김윤희,김상현,이경화,김진표,한승희,김영만,김영도,오낭렴 내무부 국립과학수사연구소 2000 國立科學搜査硏究所年報 Vol.32 No.-

흰쥐의 腹腔內에 投與한 C0^60 - Vitamin B_12의 臟器內分布 및 排泄에 관하여

張益柱,金圭秀,呂雄淵 慶北大學校 1964 論文集 Vol.8 No.-

Present study describes on the distribution of intraperitoneally administered Co^60-Vitamin B_12 in the liver, kidney and spleen, as well as its fecal excretion in the rats. The albino rats were administered 48.3μ㎎ of Co^60-Vitamin B_12 intraperitoneally and were sacrified by decapitation on the 3rd day after Vitamin B_12 administraion. The liver, kidney and spleen were removed and the rats' feces were collected every day for 3 days. The contents of Co^60-Vitamin B_12 in the liver, kidney, spleen and the feces were measured with the well type scintillation counter and the data were compared with the orally administered control group. The results were as follows; 1. The mean contents of Co^60-Vitamin B_12 in intraperitoneally administered rat's liver, kidney and spleen were 3-5 times more than those of control group. 2. Fecal excretion rate of intraperitoneally administered Co^60-Vitamin B_12 was markedly less than that of control group. And the total amount of excreted Co^60-Vitamin B_12 in feces was comparatively more than generally expected amount in the intraperitoneally administered group. 3. The authors were impressed that the absorption rate of intraperitoneally administered Vitamin B12 was significantly less than that of intramuscularly or intravenously administered Vitamin B_12, reported by other authors. 4. The above results indicate that a further study is necessary to prove the exact mechanism of absorption and fecal excretion of intraperitoneally administered Vitamin B_12.

球狀黑鉛鑄鐵의 鹽浴窒化

張忠根,金水泳,李相益 충남대학교 자연과학연구소 1977 學術硏究誌 Vol.4 No.1

Liquid nitriding is being is used for machine parts to improve fatigue strength and resistance to wear and seizure in spheroidal graphite cist iron. The difference in matrixes with as cast, pesrlite or ferritic structure in the iron has an important effect on nitriding. in the present work, spheroidal graphite cast irons with different matrixes nitrided by the tufftride process at 570 C for 1-6 hrs for a bask study on the nitriding of spheroids1 graphite castiron. The relationship between maximun hardness and nitriding time can be obtained as follows. In ferritic matris, hardness of matrix increased from 250Hv for 6hrs of nitriding time. In pearlite matrix, hardness of matrix increased from 390Hv to 560Hv. for 6 hrs of nitrding time.

고속 머시닝센터의 성능평가 기술에 관한 연구

강익수,강명창,김정석,김기태 한국공작기계학회 2004 한국공작기계학회 추계학술대회논문집 Vol.2004 No.-

The high speed machining center(HMC) has been widely applied to manufacture a die and machine elements product in industrial field. Because the evaluation for HMC is not sufficiently performed, ineffective machining is occasionally conducted in machining industry. In this study, the dynamic characteristics of newly developed machining center is evaluated under running condition and the machinability is investigated experimentally. Also, the in-process measuring instrument which can measure the tool wear on the machine were developed by using the CCD and exclusive jig and calibration instrument for tool wear measurement.

한국산 큰가시고기과 어류의 형태변이와 핵형

김익수,윤창호,이지현 全北大學校 基礎科學硏究所 1991 基礎科學 Vol.14 No.1

우리나라 연안과 담수역에 서식하는 큰가시고기과(Gasterosteidae)어류의 많은 표본은 1988년 3월부터 1989년 6월까지 채집하여 이들의 형태변이와 분류학적 위치에 대하여 검토하였다. 큰가시고기 Gasterosteus aculeatus 6개 조사집단의 체측인판수는 모두 32-35개였고 그 형태는 완판형으로 국내에서는 아직 육봉형이라고 생각되는 저판형이나 반판형은 발견되지 않았다. G. aculeatus의 척추골수, 세파수, 지느러미 기조수 등의 계수형질이나, 두장, 안경 및 등지느러미가시길이의 계측치는 집단간에 뚜렷한 차이가 없었다. 가시고기 Pungitius sinensis와 잔가시고기 P. Kaibarae ssp. 집단의 체측인판수는 모두 31-35개의 완판형이었고, 등지느러미가시 기조수, 척추골수 및 체고비등에 잇어서 2종간에 구별되었지만, 잔가시고기 P. Kaibarae ssp.의 집단에서는 등지느러미가시 기조막에 담회색을 딘 표본(white form)이 출현하였는데 이것은 이들이 서식하는 환경과 관련된 변이라고 본다. 이 2종의 염색체의 수는 모두 2N=42로서 같지만 G. aculeatus의 핵형은 metacentrics이 6개, submetacentrics이 6개 subtelo-acrocentrics이 30개이고, P. sinensis와 P. Kaibarae ssp.는 모두 metacentrics이 4개, submetacentrics이 4개 subtelo-acrocentrics이 34개로 2속 사이에는 서로 달랐다. Three species of Korean sticklebacks family Gasterosteidae were reviewed based on the specimens of several populations for the study of their morphological variations and taxonomical positions. All specimens of Gasterosteus aculeatus observed have a complete row of lateral plates ranging from thirty-two to thirty-five in number. The low-plate morph regarded as landlocked type is virtually absent. And no difference was recognized among six population of G.aculeatus in the meristic characters, i.e. number of vertebrae, gill rakers and fin rays. the Pungitius sinensis and P. Kaibarae ssp. shown local variations have scutes ranging from 31 to 35, but not clinal in the morphometric characters. But P.sinensis was statistically different from P.kaibarae ssp. in some characters such as the number of dorsal spine rays and vertebrae, and body depth, although their ranges overlapped. No significant taxonomic difference was detected between white form and black form in dorsal spinous membrane of P.Kaibarae ssp. Although these three species of Korean sticklebacks have the same diploid chromosome number(2N=42), G. aculeatus is obviously different from the two species of genus Pungitius in their karyotype; G. aculeatus consists of six metacentrics, six submetacentrics, and thirty subtelo-acrocentrics, and both P. sinensis and P. kaibarae ssp. have four metacentrics, six submetacentrics, and thirty-four subtelo-acrocentrics.

마우스 복강 대식세포의 Prostaglandin 합성에 미치는 Bacterial Lipopolysaccharide의 영향

문창현,김지영,최소연,박정미,어수익,이수환 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

Production of inflammatory mediators by the host in response to bacterial lipopolysaccharide (LPS) is generally believed to be responsible for the pathogenesis of septic shock. One of the mediators associated with septic shock sequelae are arachidonic acid metabolites, including prostanoids and leukolrienes. Prostaglandin H synthase (PGHS) is a rate-limiting enzyme in prostanoid synthesis of which there were very recently reported two different isotypes. Their activities and expressions are known to be regulated by different mechanisms. Also, differences in response to stimulators have been shown for the different cell types. Even in the macrophage populations, there have been reported diverse profiles of prostanoid synthesis. These discrepancies might be due to the differences in the underlying regulation mechanisms, but presently, little information is available regarding these. Thus, in order to get insights into these discrepancies, firstly, we compared the characteristics of LPS-induced prostanoid production in alveolar macrophages and mouse peritoneal macrophages and secondly, we examined whether variations of glucose concentration affect LPS-induced prostanoid synthesis and PGHS-2 activity in both cell types. Overall responses to LPS were qualitatively similar between both cell types, and LPS-induced TXB2 production was attenuated in high glucose media.