녹내장 환자에서 유리체강 내 베바시주맙 주사가 망막신경섬유층에 미치는 영향

박창현,이기일,박혜영,이진해,김인태,박찬기,Chang Hyun Park,Kee Il Lee,Hae Young Park,Jin Hae Lee,In Tae Kim,Chan Kee Park 대한안과학회 2014 대한안과학회지 Vol.55 No.5

Purpose: To examine retinal nerve fiber layer (RNFL) changes after intravitreal injection of bevacizumab in patients with or without underlying glaucoma. Methods: A total of 104 eyes of 104 patients with retinal disease undergoing intravitreal injection of bevacizumab were prospectively investigated. Bevacizumab injections (1.25/0.05 mg/mL) were performed using a standardized technique. In the patient who had pretreatment with intraocular pressure (IOP)-lowering medication, 1 drop of brimonidine was instilled 30 minutes before the injection. Before and after the intravitreal injections, the patients were monitored for IOP and evaluated with optical coherence tomography using Stratus at least 3 months after the injection. Results: Thirty minutes after injection, 6.4% of patients had an IOP over 30 mm Hg in the non-pretreatment group while no patient had an IOP over 30 mm Hg in the pretreatment group. In eyes with only retinal diseases, the RNFL thickness did not change significantly after the injection regardless of pretreatment, whereas in eyes with underlying glaucomatous damage and no pretreatment, significant decrease in RNFL thickness was observed at the superior (<em>p</em> = 0.036) and temporal (<em>p</em> = 0.048) sectors of the optic nerve head without pretreatment. Conclusions: Intravitreal injection of bevacizumab did not typically cause significant changes in RNFL thickness; however, in eyes with underlying glaucoma without pretreatment, a significant decrease in RNFL thickness was observed in the superior and temporal sectors of the optic nerve head. Therefore, applying IOP-lowering pretreatment medication before intravitreal injection of bevacizumab is required for protection of RNFL in glaucoma patients. J Korean Ophthalmol Soc 2014;55(5):693-701

건조기법을 달리한 SEM 시료상의 비교검토

박창현,장병준,조강용,Park, Chang-Hyun,Jang, Byung-Joon,Cho, Kang-Yong 한국현미경학회 1995 Applied microscopy Vol.25 No.3

To compare the quality of ultrastructural preservation of Scanning Electron Microscopic specimens dried with different methods; pure air-drying, air-drying with using Tetramethylsilane(TMS), four kind of air-drying using Hexamethyldisilazane(HMDS) and critical point drying(CPD), we conducted scanning electron microscopic observation on liver, skeletal muscle and intestinal tissues from laboratory rat treated with each method. In pure air drying group, severe distortion of tissue surface was observed, and in HMDS treated group, only liver tissue showed slight distortion. But in TMS treated group, each tissue showed a good presentation comparable to CPD group. The results suggest that the method of air-drying using TMS may be the former is less expensive and simple be and also time-saving.

국내 발전기업의 아시아 화력발전플랜트 시장 진출전략

박창현,문승재,Park, Chang-Hyun,Moon, Seung-Jae 한국플랜트학회 2011 플랜트 저널 Vol.7 No.4

The power plant companies reached the culmination for growth in the domestic market. Besides, we have faced many challenges such as an electricity opening market trend for overseas, banning the use of coal due to the United nations framework convention on climate change, and the meticulous attention regarding the government's electricity charge plan. On the other hand, the overseas business has been a critical issue since China and many other developing countries expanded their projects abroad. Another factor is that power plant industry is being privatized, and it made the market regulation a bit loose. Thus, the market environment became favorable toward those companies which planned many overseas businesses. In this research, the power plant company's current condition for construction and operation as well as its technical competitiveness were analyzed, and an alternative plan using SWOT analysis for entering an oversea market was made. It dealt with both internal and external factors. Also, examined was the current situation under the power plant industry dealing with restructure for electric industry, lack of fossil fuel, and the United nations framework convention on climate change. From the research, it was suggested that many successful strategies to enter the overseas business by using the market trend I researched.

코헨증후군에서의 안과적 소견

박창현,최경식,이동환.Chang Hyun Park. M.D.. Kyung Seek Choi. M.D.. Dong Hwan Lee. M.D.. Ph.D. 대한안과학회 2006 대한안과학회지 Vol.47 No.4

Purpose: We report two cases of Cohen syndrome associated with ophthalmologic findings, which is the first such report from Korea. Methods: A 14-year-old boy and a 13-year-old girl, a brother and sister, who had visited the department of pediatrics for evaluation of developmental disorders was transferred to the department of ophthalmology due to evidence of nyctalopia and decreased visual acuity. There, refraction, ultrasonography, and fundus examinations were performed. Results: The children had high myopia, and refractive astigmatism. Bull`s eye maculopathy with a pale disc was found on the fundus examination. There were characteristic facial appearances including wave-shaped, down-slanting palpebral fissures and short philtrum. They also had grimacing expressions upon smiling. Neutropenia was identified in the female patient. Conclusions: Cohen syndrome should be suspected and considered in the differential diagnosis of patients with high myopia, nyctalopia, and decreased visual acuity.

산소로 유도된 망막증 모델에서 인간재조합 적혈구생성인자가 망막혈관에 미치는 영향

박창현,박태관,김성신,이승준,온영훈,김성운,Chang Hyun Park,Tae Kwann Park,Seung Joon Lee,Young Hoon Ohn,Sung Woon Kim 대한안과학회 2007 대한안과학회지 Vol.48 No.6

Purpose: To evaluate the effect of recombinant human erythropoietin (rhEPO) on the retinal vessels in a rat model of oxygen-induced retinopathy (OIR). Methods: Twenty-six Sprague-Dawley rat siblings were exposed to seven cycles each of hyperoxia (80% O2, 23.5 hours) and room air recovery (0.5 hours), followed by exposure to room air for five days. After each of the test group and control group was divided into two groups of rhEPO injected group and normal saline injected group, 400 u/kg of rhEPO or normal saline were intraperitoneally injected, respectively on the third, fifth, and eighth days of the experiment. Retinal neovascularization and capillary densities were compared between the rats on the eighth and fourteenth day after injection. The extent of VEGF164, and IGF-1 mRNA expression was measured in the rats on the 14th day post-injection. Results: Neovascularization and capillary density was the most increased in the rhEPO injected test group, but the avascular area was widely distributed in the vicinity of the retina. The degree of VEGF164 mRNA expression was highest in the test group that had been injected with normal saline. We found no difference in IGF-1 mRNA levels between the groups. Conclusions: We can infer that rhEPO can be a potent factor for inducing retinal neovascularization.

한방 치료와 연속 수동 운동(CPM)을 병행한 전방 십자인대 파열 환자의 수술 후 재활 치료에 대한 증례 보고

박창현,송윤경,Park, Chang-Hyun,Song, Yun-Kyung 척추신경추나의학회 2016 척추신경추나의학회지 Vol.11 No.1

Objectives : The objective of this study is to report the effect of Koran medical treatment and CPM exercise on recovery after reconstruction surgery of torn anterior cruciate ligament Methods : A 27-year-old male patient who had anterior cruciate ligament reconstruction surgery was treated by Korean medical treatment and CPM exercise from March 24th 2015 to April 16th 2015. Results : After treatments, VAS were generally decreased, ROM of Lt. knee got better from $95^{\circ}/10^{\circ}$(flexion/extension) to $120^{\circ}/-5^{\circ}$ (flexion/extension), Lysholm Score increased from 26 to 63. Conclusions : This study showed that Korean medical treatments and CPM exercise has meaningful effect on recovery after reconstruction surgery of anterior cruciate ligament. And it is considered that we need to apporoach recovery of these kinds of operation with more active Korean medical treatment, and further researches should be done steadily.

흰쥐에서 분리 배양한 간세포의 담세관 형성에 있어서 액틴미세섬유의 역할에 관한 전자현미경적 연구

박창현,장병준,엄창섭,Park, Chang-Hyun,Chang, Byung-Joon,Uhm, Chang-Sub 한국현미경학회 1999 Applied microscopy Vol.29 No.4

간세포의 기능적 연구를 위한 배양계를 확립하기 위하여 Sprague-Dawley계 흰쥐의 간장에서 collagenase와 hyaluronidase의 혼합액을 이용하여 간세포를 분리하고 배양하여, 배양중인 간세포의 구조적인 변화와 담세관의 형성 과정을 확인하고, cytochalasin D를 배양계에 첨가한 경우 발생되는 간세포 및 담세관의 구조적인 변화를 살펴보아 다음과 같은 결과를 얻었다. 분리 배양한 흰쥐의 간세포는 원형이었고, 표면에 미세융모를 가지고 있었으며. 배양중 서로 부착되어 세포띠를 형성하였다. Cytochalasin D처리후 간세포의 표면은 미세융모가 소실되어 편평하게 변화되었으며, 소포성 돌출물이 자주 관찰되었다. 담세관은 부착된 간세포의 사이에서 형성되었으며, 간세포 표면의 작은 융기에서 기시하는 다양한 길이 및 형태의 미세융모로 채워져 있었고, 양단에는 치밀결합 및 부착만 등으로 구성된 연접복합체가 존재하였다. Cytochalasin D 처리후 당세관의 내강은 팽창되었으며 미세융모는 소실되어 거의 존재하지 많았고, 양단에 존재하는 연접복합체는 파괴되어 간격이 벌어진 곳이 많았다. 담세관내에 존재하는 미세융모 속에 존재하는 액틴미세섬유심은 완전하게 형성되어 있는 경우, 불완전하게 적은 양만 존재하는 경우, 그리고 전혀 존재하지 않는 경우가 있었다. 담세관주변세포질에 존재하는 액틴미세섬유얼기의 형성은 불완전하여 부위에 따라 없는 곳도 있었다. Cytochalasin D처리후 담세관주변세포질의 액면미세섬유얼기는 존재하지 많았다. 이상의 결과로 흰쥐의 간장에서 분리한 간세포는 배양중 성장하면서 정상적인 담세관을 형성함을 알 수 있었으며, 담세관의 형성은 접착부위의 연접복합체의 형성 및 미세융모의 형성,담세관 내 액틴미세섬유심 및 담세관주변세포질내 액틴미세섬유얼기의 형성 등을 특정으로 하는 것으로 판단된다. Bile canaliculi are the structure delivering bile secreted by hepatocytes into the bile passage. Bile secretion is mainly controlled by the cytoskeletal elements, mainly of actin in the microvilli, pericanalicular web. Most studies on the bile secretion have been done in viva situation, however, to control the various parameters in vitro culture system seem to be more useful. To set up an in vitro experimental system, the investigator isolated hepatocytes with an enzymatic method using a mixture of collagenase and hyaluronidase from normal Sprague-Dawley rat liver and cultured. Isolated hepatocytes were round and formed cords in culture. Microvilli covered the whole surface of hepatocytes. Bile canaliculi were formed between hepatocytes and were characterized by the presence of microvilli of various lengths and shapes mainly arising from small surface mounds. Actin filament core in the microvilli and pericanalicular actin web were incomplete. After cytochalasin D treatment, cultured hepatocytes were round but the surface were irregular with surfacen blebs, folds and grooves. Microvilli on the surface were scarce. Bile canaliculi were markedly dilated often with the detached junctional complexes. Bile canaliculi lacks microvilli almost completely and extended into the pericanalirular cytoplasm showing complex vacuolar and tubular structures by transmission electron mciroscopy. Pericanalicular actin web, intermediate filaments were hardly identified. Subsurface actin filaments were scattered scarcely under the cell membranes. These results suggest that hepatocytes isolated from rats can survive and form bile canaliculi in culture and the actin filaments are involved in the formation and/or maintenance of the bile canaliculi.

Correlation 분석 기법을 적용한 요통 환자에 관한 레지스트리 데이터의 탐색적 분석

박창현,박무순,김형석,차윤엽,김순중,고연석,오민석,황의형,신병철,김창업,송윤경,Park, Chang-Hyun,Park, Mu-Sun,Kim, Hyung-Suk,Cha, Yun-Yeop,Kim, Soon-Joong,Ko, Youn-Suk,Oh, Min-Seok,Hwang, Eui-Hyoung,Shin, Byung-Cheul,Kim, Chang-Eop,Song 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4

Objectives The aim of this study is to analyze the patients who have low back pain through registry. Methods We registered patients with low back pain who visited department of korean rehabilitation medicine in university hospitals on study. We collected data from 116 subjects consisted of 51 inpatients and 65 outpatients and ruled out 8 who didn't have pattern identification data at the point of inpatient or outpatient visit so we analyzed 108 in total. We used Pearson's product moment correlation to find correlationship among variables, and analyzed statistical data using Phyton scipy library stats package. Results We set general features, region of the pain, physical examination, ROM, questionnaire results, pattern identification as variables and draw a conclusion by analyzing these variables. Conclusions Registry aimed at low back pain patients was established in department of korean rehabilitation medicine of university hospitals and exploratory analysis based on data were made. Through the registry, we expect that more advanced studies will be performed; for example, executing research which verifies effectiveness and stability of korean medical treatment or developing tools to fill the gap between pattern identification and disease identification.

만성 요통 한의진단 도구 개발을 위한 변증 항목 번역 적합성에 관한 연구

박창현,강용중,고성규,송윤경,Park, Chang-Hyun,Kang, Yong-Joong,Ko, Seong-Gyu,Song, Yun-Kyung 척추신경추나의학회 2016 척추신경추나의학회지 Vol.11 No.2

Objectives : The aim of this study is to verify if the translation of chronic low back pain questionary is done properly. Methods : We used pattern identification of chronic low back pain in the guideline suggested by Ministry of Food and Drug Safety when making the questionnaire. And we used expressions which four native korean speakers who have bachelor's degree on chinese and teach related subjects in university have agreed on for two times. Results : We examined translated sentences about 40 symptoms according to 9 large categories on the questionnaire and corrected them into agreed expressions. Conclusions : In this study, we carried out evaluations on the suitability of the translations of categories which identify symptoms of low back pain. From now on, it is necessary to verify the degree of accuracy of question items that have been subjected to translation verification in clinical diagnosis. Furthermore considering the characteristics of patients with low back pain, we think diagnostic tools which reflects objective diagnosis results other than diagnostic identification are needed in the clinical field.

지상파 DMB용 능동형 안테나의 설계 및 제작

박창현,신동률,김정표,김기호,양묘근,성원모,Park, Chang-Hyun,Shin, Dong-Ryul,Kim, Jeong-Pyo,Kim, Gi-Ho,Yang, Myo-Guen,Seong, Won-Mo 한국전자파학회 2007 한국전자파학회논문지 Vol.18 No.1

본 논문에서는 기생 소자를 이용한 소형화된 안테나와 저 잡음 증폭기를 결합하여 휴대 단말기에 적용이 가능한 지상파 DMB 능동형 안테나를 설계 및 제작하였다. 제작된 능동형 안테나의 크기는 $80{\times}6{\times}0.4\;mm$로서 FR4 기판으로 제작하였다. 제작된 안테나는 기생 소자 및 단락 스터브가 없는 단순 안테나에 비해 38.8 %의 안테나 크기 축소 효과를 가진다. 제작된 능동 안테나를 DMB 수신 모듈에 연결하여 S/N 비를 측정한 결과 300 mm의 로드 안테나와 동등 이상의 성능을 나타내었다. 본 논문에서 제작된 능동형 안테나는 지상파 DMB 휴대 단말기에 적용 가능하다. In this paper, An active antenna of T-DMB was developed to equip to handhold gadgets by using LNA and a parasitic element allowing to miniature. The size of the fabricated active antenna is $80{\times}6{\times}0.4\;mm$ and FR4 is used for the substrate. The size of the proposed antenna is reduced by 38.8% at the operating frequency compared to one without a parasitic element, and a short stub. The proposed antenna shows improved performance at the measurement especially in the ratio of S/N compared with conventional monopole of 300 mm. The proposed antenna is well able to adapt into handhold gadgets for receiving T-DMB.