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      • 한국인 심부전증 환자 심근에서의 인형 거대 세포 바이러스 감염

        이명용,이무용,김영권,한성식,최성준,김효수,이영우,서정돈 단국대학교 1998 論文集 Vol.33 No.-

        Objectives: In order to evaluated the prevalence and the site of infection of cytomegalovirus in terminally failing heart, cytomegaloviral DNA was detected in the explanted hearts of transplantation recipients. Methods: DNA extractions were performed from explanted failing hearts(N=22) and normal hearts(N=5) and polymerase cain reactions(PCRs) were done for detection of late gene sequence coding pp150 glycoprotein. The products were confirmed by electrophoresis on the 1% agarose gel. n order to improve the detectability of cytomegaloviral genome, nested PCRs were executed with the primers designed for the original 607 bp products. In situ PCRs also were done with the samples which were confirmed as positive for CMV viral genome by nested PCRs. Results: All patients had IgG anti-cytomegalovirus antibody and did not have IgM anti-cytomegalovirus antibody. Cytomegaloviral genomes in myocardium were detected by polymerase chain reaction. The 607bp products by PCRs were found in both explanted failing heart(3 cases/22. 13.5%) and normal hearts( 1 case/5, 20.0%). In nested PCRs, 186bp products were found in both failing hearts(LV 4/22, LA 3/2, RV 4/22, RA 0/17) and normal hearts(LV 2/5, LA 1/4, RV 2/5, RA 2/5). These was no significant change in positivity of cytomegaloviral DNA genome between failing and normal hearts. Total positivity of cytomegaloviral genome in explanted hearts was 44.4% according to the nested PCR results. The positivity of cytomegaloviral DNA by n situ PCR was 33.3%(4/12), and the site of positive reaction was the nuclei of the myocardial cells. Conclusion: Cytomegalovirus was rarely observed in explanted hearts of terminal heart failure and nested PCR could enhance the sensitivity of cytomegaloviral genome detection. The result of the in situ PCR showed the site of the cytomegaloviral infection was nuclei of the myocardial cells. Cytomegalovirus, however, might have no direct causal relationship in the development of terminal heart failure.

      • Multiple myeloma 환자에서 Bortezomib치료 후 발생한 마비성 장폐색증 1례

        김준영,이원식,손창학,박성길,진한영,박석주,조영완,정은욱,강명주,박정하,주영돈 인제대학교 2006 仁濟醫學 Vol.27 No.-

        Bortezomib is the first clinically available proteasome inhibitor that is clinically effective in the treatment of multiple myeloma. A proteasome inhibitor acts through multiple mechanisms to arrest tumor growth, tumor spread, and angiogenesis. The main adverse effects of bortezomib are gastrointestinal symptoms, cytopenia, fatigue, and peripheral neuropathy. To date, severe paralytic ileus has not been reported as a toxic effect of bortezomib treatment in multiple myeloma. Bortezomib is a novel agent that has only been used clinically for 30 months, so a need exists to further evaluate its toxicity. We report a case of grade Ⅲ (NCI CTCAE v3.0) or grade Ⅳ(SWOG toxicity criteria) paralytic ileus in a 65-year-old man with relapsed multiple myeloma who underwent one cycle of single-agent bortezomib treatment scheduled in a 21-day cycle (1.3 mg/㎥ as a single i.v. bolus on days 1, 4, 8, and 11).

      • 융모성림프구를 보이는 비장변연부 림프종 1예

        진한영,손창학,주영돈,박정하,이재익,조영완,이원식 인제대학교 2006 仁濟醫學 Vol.27 No.-

        Splenic marginal zone lymphoma is very rare B-cell lymphoma, characterized by an indolent clinical course. Clinical features are moderate-to severe splenomegaly, absolute lymphocytosis, and bone marrow intrasinusoidal infiltration of lymphocyte. We report the case of a 37-year-old male with SMZL. He complained of LUQ pain, who had a massive splenomegaly and moderate lymphocytosis in peripheral blood. Immunophenotyping findings and morphologic findings were consistent with SMZL. He underwent splenectomy and received chemotherapy with cyclophosphamide for eight months. Now, one year later after surgery he has a nearly normal blood count with no treatment.

      • Trigger point를 利用한 口眼괘斜 患者 10例에 대한 臨床的 考察

        鄭榮敦,李浚龜,金永一,朴泰均,辛泳一,黃載然,李賢,李秉烈 대전대학교 한의학연구소 2002 한의학연구소 논문집 Vol.10 No.2

        From July 1th 2001 to October 31th 2001, the Clinical investigation studies were carried out 10 cases of patient with Bell's palsy using Trigger point treatment group, who had been treated in Han-seung Oriental Medical Clinic. The results were like below : 1. The distribution of sex : Male were 4cases, female were 6case and the female to male ratio was 1.5 : 1. 2. The distribution of contributing factor : Unknown reason was most predominant 4 cases, and then were revealed to labor too hard, menttal stress(3 cases), trauma·common cold(1 case) in turn. 3. The distribution of perid to fall ill : Under a week was the most number 6cases, and then were revealed a week under two weeks(3 cases), over two weeks(1 case) in turn. 4. About period of treatment : The Trigger point treatment group is shorter than the Acupuncture treatment group. 5. The distribution of grade on admission in descending order : GrⅠ was the most number and then GrⅡ, GrⅢ in turn. 6. The distribution of clinical symptoms on adimission : Mastoid pain was the most number 9 cases and then lacrimal gland disorder 8 cases, dysgeusia 4 cases, hyperacusis 2 cases, the others 2 cases in turn. 7. About effect of treatment : The Trigger point treatment group is more excellent than the Acupuncture treatment group. 8. The more patient age is young, the more effect of treatment was excellent, had nothing to do with both groups. 9. The more perid to fall ill is short, the more effect of treatment was excellent, had nothing to do with both groups. 10. About period of improved frontal belly : The Trigger point treatment group is more excellent than the Acupuncture treatment group.

      • KCI등재

        야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

        조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

        Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

      • KCI등재

        저선량 γ선 조사가 참박의 초기 생육과 효소 활성 및 광합성 능에 미치는 영향

        이혜연,김재성,백명화,이영근,임돈순 한국환경생물학회 2002 환경생물 : 환경생물학회지 Vol.20 No.3

        저선량 γ선 조사가 참박의 초기생육과 생리활성에 미치는 효과를 알아보기 위하여 참박 종자에 γ선을 O~2OGy 수준으로 조사하여 생육을 관찰하였다. 저선량 γ선에 의한 참박의 초기생육은 대조구에 비해 4~16Gy에서 다소 증가하였고, 생육 조사시 측정한 자엽의 경우 catalase와 peroxidase활성이 대조구에 비해 8Gy조사구에서 가장 높았으며 본엽은 peroxidase 활성이 4Gy 조사구에서 확연히 증가하였다. 저선량 γ선을 조사한 박 식물체의 광 스트레스에 대한 반응효과는 광계Ⅱ의 광화학적 효율이 대조구와 8Gy의 경우 50%정도 감소되었으나 4Gy에서는 40%정도의 감소를 보였다. 반면 Fo는 광저해가 진행됨에 따라 약간의 증가를 보였으나 대조구나 저선량 조사구사이의 차이는 거의 없는 것으로 나타났다. 광계Ⅱ의 광양자 수율, φ_PSⅡ과 광계Ⅱ 반응중심의 흥분 포획능, 1/Fo-l/Fm 또한 광저해가 진행되는 동안 감소하여 φ_PSⅡ는 대조구와 8 Gy의 경우 20%정도 감소를 보인 반면 4Gy조사구는 15%의 감소를 보였고, 1/Fo-lF/m은 대조구와 8Gy는 55%,4 Gy는 45%의 감소를 나타냈다. 비광화학적 소멸인 NPQ는 대조구와 저선량 조사구 모두 70% 정도 감소되는 경향을 보였다. 이러한 결과를 볼 때 종자의 종피를 투과한 저선량의 γ선이 참박의 생육을 촉진시키고 4Gy에서 광 스트레스에 대한 저해가 감소되었다. Gourd seeds were irradiated with the doses of 0∼20 Gy to investigate the effect of the low dose ??-radiation on the early growth and physiological activity. The stimulating effects of the low dose ??-radiation on the early growth were not noticeably high, but were increased generally at 4∼16 Gy irradiation group. The catalase and peroxidase activity of cotyledon from seeds irradiated with ??-radiation were increased at 8 Gy irradiation group. The peroxidase activity of leaf was noticeably high at 4 Gy irradiation group. The photochemical yield of PSⅡ, estimated as Fv/Fm, decreased with increasing illumination time by 50% after 4hrs in the control and 8 Gy irradiation group, while Fo slightly increased. However, Fv/Fm in the 4 Gy irradiation group decreased by 40% of inhibition, indicating that photoinhibition decreased by the low dose ??-radiation. Changes in the effective quantum yield of PSⅡ, Φ_PSⅡ and 1/Fo-1/Fm, a measure of the rate constant of excitation trapping by the PSⅢ reaction center, showed similar pattern to Fv/Fm. NPQ decreased by 70% after photoinhibitory treatment with showing similar pattern between the control and the irradiation group. These results showed the positive effect of low dose ??-radiation on the seedling growth and the reduction of photoinhibition in the 4 Gy irradiation group.

      • 용치놀래기, Halicoeres poesilopterus(Temmink et Schlegel) 生殖生態

        李榮敦,李澤烈,盧洪吉 濟州大學校海洋硏究所 1991 해양과환경연구소 연구논문집 Vol.15 No.-

        1990년 10월부터 1991년 9월까지 제주도 북방함덕연안에서 채집된 용치놀래기, Halicoeres poecilopterus를 대상으로 生殖生態를 파악하기 위하여 生殖巢熟度指數(GSI)와 生殖巢의 組織學的 방법에 의한 生殖週期와 性轉換 과정 등을 조사한 결과는 다음과 같다. 1. 生殖巢熟度指數(GSI)는 암 수 다같이 6월에 급겨히 상승하여 7월에 최대치를 나타내고 있으며, 8월에 접어들면서 하강하기 시작하여 9월부터 낮은 값을 나타내고 있다. GSI최대값은 암컷 6.35 수컷 1.01을 나타냈다. 2. 生殖週期는 성장기(5∼6월), 성숙기(6∼7월), 완숙 및 산란기(7∼8), 회복 및 휴지기(8∼4월)등의 연속적인 주기를 나타냈다. 3. 체장 13.0∼15.0㎝되는 개체들에서 雌性에서 雄性으로 性轉換現像이나타났다. 4. 본종은 一次精巢와 二次精巢가 혼합되어 나타나는 複雄性(diandry)의 雌性先熟魚에 속하는 것으로 나타났다. 5. 암컷에서 수컷으로 性轉換함에 따라 적색에서 청색으로 채색변화가 나타나고 있다. Reproductive ecology of the Wrasse, Halicoeres poecilopterus was investigated histologically on the gonadal development, sex reversal and studied by gonadosomatic index(GSI), color patterns. Samples were collected at the costal area of Ham duck, Cheju-do, Korea from October, 1990 to September, 1991. In male and female, GSI began to increase from june when the water temperature began to increase and the reached maximum value in July, respectively. It began to decrease from August. Thereafter, maintained relatively low value until May of next year. The annual reproductive cycle of this species could be classified into four sucessive developmental stage : growing stage(May), mature stage(June-july), ripe and spent stage(July-August), degenerative and resting stage(August-April). In H.poecilopterus, individuals with hermaphroditic gonad were observed in 13.0-15.0㎝ in standard length. sex reversal of this species could be oceured from 13.0㎝ to 15.0㎝ in standard length. A(red) and B(blue) types of color patterns were observes in this species. The individuals in plain A type coloration are mainly females and hermaphroditic individuals, but few primary and secondary males are included. The individuals in gaudy B type coloration are mostly secondary and primary males.

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