여성 복압성요실금 환자에서 안정 시 방광조영술상 Inverted Tear-drop Sign의 의의

오승준,문경현,주명수,조경식 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.4

요크셔테리어견에서 발생한 기능성 양측성 난소 과립막세포종

오승준,정성목,김명철 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2008 動物醫科學硏究誌 Vol.15 No.1

A 12-year-o1d, intact female Yorkshire terrier was presented with a vulvar enlargement and progressive vaginal discharge purulently for 3 weeks. On radiographic, ultrasonographic and computed tomographic evaluation, a large mass was detected in left upper abdomen which measured about 3x4 centimeters. And a lesser large mass was detected in right upper abdomen and it had several discrete anechoic follicles and large cysts. Moreover, an enlargement of uterus was detected in a caudal abdomen. The masses and the uterus were removed by complete ovariohysterectomy and the resected specimen was histopathologically examined. Based on the gross, histopathologic findings, and the hormonal test, the masses were definitely diagnosed as bilateral functional malignant granulosa cell tumor (GCT). Until now, the dog has been successfully managed more than 4 months without complications.

株式會社의 發起人의 數 問題 : 商法 改正案과 관련하여 on the Revision Draft of the Korean Commercial Code

崔埈璿,蔡明洙 全北大學校 1994 論文集 Vol.38 No.-

Article 288 of the revision draft of the Korean Commercial Code which has been made public in last May at the occasion of the public hearing under the auspices of the Ministry of Justice stipulates the number of incorporators in stock company to be not less than 3 persons. This is a considerable difference from the homologous stipulation of the Commercial Code in force which requests not less than 7 persons. An explanatory on the draft dealt out at the public hearings reads ; "In Japan companies can be incorporated with every one incorporator. However, it does not fit in with the legal mind to allow stock company with only one incorporator, even though there is no countermeasure against the ex post facto one-man companies. 3 persons as the least number of incorporators seem to be optimum……." Not a few controversy is expected over the reasonability of regulating the number of incorporators. And, this is an attempt to show the inappropriateness of that kind of regulation, and to verify the legitimacy of incorporateness of that kind of regulation, and to verify the legitimacy of incorporation of one incorporator. The incorporator system is unique to stock company due to its nature. It is for to entrust the incorporator(s) to fulfill the due procedures needed to incorporate, and in order to make them take all the responsibility for any loss imposed to the third parties in the process of incorporation. Thus, the incorporator(s) in the legal sense is/are not always the promotor(s) of stock company who are actually taking part in the incorporating activities, but the (natural and/or legal) person(s) who sign and seal as incorporator in the form of articles of association. And in many cases, the strawmen are mobilized to fulfill the number of incorporators requested by law. Though jurists usually invent the theoretical grounds for the regulation for plural incorporators, the real motive of the Commercial Code to require the plural in corporators lies in the Commercial Code itself. The Commercial Code prescribes company to be association, association of plural persons. However, by the very existence of one-man company it has been proved already that being an association is not the essential nature nor the requisite of being company. Accordingly, the stipulation of the Commercial Code which requires the plural incorporators can not have any ground. Any restriction of the number of incorporators of stock company should be lifted to enlarge the freedom of incorporation of capitals who need legal personality for efficient competition, introducing at the same time the legal devices for the enrichment of capital of the companies into the Commercial Code for the safety of transactions.

비심장 수술 환자에서 수술 전후 심장사건의 위험도 평가를 위한 심근관류 SPECT 의 유용성

이명철,임석태,이동수,강원준,정준기 대한핵의학회 1999 핵의학 분자영상 Vol.33 No.3

Purpose: We investigated whether myocardial SPECT had additional usefulness to clinical, functional or surgical indices for the preoperative evaluation of cardiac risks in noncardiac surgery. Materials and Methods: 118 patients (M: F=66:52, 62.7±10.5 years) were studied retrospectively. Eighteen underwent vascular surgeries and 100 nonvascular surgeries. Rest T1-201/stress Tc-99m-MIBI SPECT was performed before operation and cardiac events (hard event: cardiac death and myocardial infarction; soft event: ischemic ECG change, congestive heart failure and unstable angina) were surveyed through perioperative periods (14.6±5.6 days). Clinical risk indices, functional capacity, surgery procedures and SPECT findings were tested for their predictive values of perioperative cardiac events. Results: Peri-operative cardiac events occurred in 25 patients (3 hard events and 22 soft events). Clinical risk indices, surgical procedure risks and SPECT findings but functional capacity were predictive of cardiac events. Reveible perfusion decrease was a better predictor than persistent decrease. Multivariate analysis sorted` out surgical procedure risk (p=0.0018) and SPECT findings (p=0.0001) as significant risk factors. SPECT could re-stratify perioperative cardiac risks in patients ranked with surgical procedures. Conclusion: We conclude that myocardial SPECT provides additional predictive value to surgical type risks as well as clinical indexes or functional capacity for the prediction of preoperative cardiac events in noncardiac surgery.

비개흉 심근 경색 동물모델을 이용한 심근 경색의 자기공명영상에 관한 연구

임명관,박재형,이활,정진욱,이동수,정준기,최영희 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.11

후설의 선험적 주관성

김명준 춘천교대 인문사회연구소 1998 人文社會敎育硏究 Vol.2 No.-

자가방사법에 의한 종양항원의 정량화에 관한 연구 : In Vitro Quantitative Autoradiography 법의 확립 Establishment of In Vitro Quantitative Autoradiography

정준기,이동수,이명철,고창순,레이놀즈, 제임스 대한암학회 1991 Cancer Research and Treatment Vol.23 No.4

만성 무릎관절 통증환자에서 내측 반월상연골 손상과 관절 퇴행성 변화의 감별을 위한 ^99mTc-MDP 무릎관절 SPECT의 진단기준

팽진철,정준기,정환정,유재호,강원준,소영,이동수,이명철,성상철,이명철 대한핵의학회 2003 핵의학 분자영상 Vol.37 No.2

목적 : 만성 무릎관절 통증환자에서 관절의 퇴행성 변화로 인하여 ^99mTc-MDP SPECT를 이용한 관절 내 장애의 진단성능이 떨어지게 된다. 이 연구에서는 내측 구획의 섭취 증가가 관찰될 때 이를 내측 반월상연골 손상(MMI)과 퇴행성 변화(DC)로 감별 진단하기 위한 진단기준을 찾고자 하였다. 대상 및 방법 : 3개월 이상의 만성 통증으로 무릎관절 SPECT를 시행하고 이후 관절경 검사를 통해 관절 병소의 확진을 받은 환자 중 SPECT 상 내측 구회에 섭취 증가를 보인 47명, 49예의 영상을 대상으로 하였다. SPECT 영상에서 내측 경골 고원부에 초승달 모양의 섭취가 관찰될 때 MMI로 진단하는 기준(진단기준 Ⅰ), 초승달 모양 섭취 양상에 따라 전측, 중앙측, 후측 및 미만성으로 구분하고 이 중 중앙측, 후측, 미만성만을 MMI로 진단하는 기준(진단기준 Ⅱ), 이에 더해 섭취의 정도를 등급화하여 내측 구획에서 대퇴골 부위보다 경골 고원부의 섭취가 더 높을 때만 MMI로 진단하는 기준(진단기준 Ⅲ)의 세 가지 진단기준을 설정하고 이들의 진단성능을 비교하였다. 결과 : MMI 진단의 예민도와 특이도가 진단기준 Ⅰ에서 각각 93%, 14%, 진단기준 Ⅱ에서 각각 89%, 38%, 진단기준 Ⅲ에서 75%. 67%로 형태학적 기준과 섭취 정도에 의한 기준을 첨가할수록 진단성능이 향상되었다. 결론 : 이 연구에서는 무릎관절 SPECT가 적용되는 실제 임상 적응중에 가까운 만성 무릎관절 통증에서, 퇴행성 변화와 관절 내 장애를 감별하는 향상된 진단기준을 제시하였다. 이를 통하여 선별검사로서 무릎관절 SPECT의 진단적 가치를 더욱 높일 것으로 기대된다. Purpose: In patients with chronic knee pain, the diagnostic performance of ^99mTc-MDP knee SPECT for internal derangement of knee is deteriorated due to degenerative changes. In this study, we tried to establish diagnostic criteria to differentiate medial meniscal injury (MMI) from degenerative change (DC) when the uptake is increased in medial compartment. Materials and Methods: A total of 49 knee SPECT of the patients with chronic (more than 3 months) knee pain, which showed increased ^99mTc-MDP uptake in the medial compartment, were included in this study. The diagnosis was confirmed by arthroscopy. On knee SPECT, 3 diagnosic criteria for MMI were investigated. In Criterion Ⅰ, MMI was diagnosed when crescentic uptake was observed in the medial tibial plateau. In Criterion Ⅱ, crescentic uptake was further classified into anterior, mid, posterior, and diffuse patterns, according to the location of maximal uptake; and only crescentic mid posterior, and diffuse patterns were diagnosed as MMI. In Criterion Ⅲ, MMI was diagnosed when medial tibial plateau showed higher activity then medial femoral condyle. The diagnostic performance of the 3 criteria was compared. Results: The sensitivity and specificity were 93% and 14% in Criterion Ⅰ, 89% and 38% in Criterion Ⅱ, and 75% and 67% in Criterion Ⅲ, respectively. Criterion Ⅲhad significantly improved diagnostic performance, especially, specificity. Conclusion: In this study, we established a practical diagnostic criterion to differentiate MMI from DC on knee SPECT. The result is helpful to improve the diagnostic value of knee SPECT as a screening test for chronic knee pain.

노년기 우울성 가성치매 환자군에서의 뇌 단일광자방출 전산화 단층촬영 소견

이동우,이명철,정준기,이동수,곽철은,이재성,조경형,조맹제 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.6

연구 목적 : 우울성 가성치매 환자군의 Tc-HMPAO SPECT영상 소견을 정상 대조군, 인지기능장애가 없는 우울증 환자군 및 알쯔하이머형 치매 환자군과 비교함으로써 노년기 우울성 가성치매의 병태생리의 일부를 알아 보았다. 연구 방법: 9명의 알쯔하이머형 치매 환자군, 7명의 인지기능장애가 없는 우울증 환자군, 7명의 우울성 가성치매 환자군, 4명의 정상대조군을 대상으로 하였다. 우울증 환자군은 DSM-III-R의 우울증의 진단 기준에 의해 진단되었고, 알쯔하이머형 치매 환자군은 DSM-III-R의 진단기준과 NINCDS-ADRDA의 알쯔하이머형 치매의 진단 기준에 의해 진단되었다. 모든 대상자가 해밀턴 우울증 척도 및 MMSE-K에 의해 평가되었다. 모든 대상자에 대해 99m-HMPAO SPECT를 시행하였고, 각 대상군의 영상을 Friston의 통계적 매개변수 지도 방법을 이용, 매 복셀(voxel) 단위로 비교분석하였다. 결과 : 결과는 아래와 같다. 1) 알쯔하이머형 치매 환자군은 대조군에 비해 우측 전두엽, 우측 측두엽, 양측 두정엽에서 유의한 혈류감소 소견을 보였다.(p<0.05). 2) 우울증 환자군은 대조군에 비해 좌측 전두엽에서 유의한 혈류감소 소견을 보였다.(p<0.05). 3) 우울성 가성치매 환자군은 대조군에 비해 우측 측두엽과 좌측 두정엽에서 유의한 혈류감소 소견을 보였다.(p<0.05). 4) 우울성 가성치매 환자군은 우울증 환자군에 비해 우측 측두엽과 양측 두정엽에서 유의한 혈류감소 소견을 보였다.(p<0.05). 결론 : 우울성 가성치매 환자군은 측두-두정엽의 혈류감소 소견을 보였고, 이는 알쯔하이머형 치매와 유사한 소견이었다. 이러한 결과는 우울성 가성치매가 초기의 원발성 치매 환자군을 포함한다는 가설을 지지해준다. 0bjects : Through comparison of the Tc-HMPAO SPECT image ofdepressive pseudo-dementia group with those of control group(depression group free from cognitive impairment)and DAT(Dementia of Alzheimer's type). we tried to see part of pathophysiology of she depressive pseudodementia of the elderly. Methods : The subjects consisted of 9 patients with dementia of Alzheimer type(DAT group),7 patients with depression free from cognitive impairment(depression group),7 patients with depressive pseudodementia(depressive pseudodementia group), and 4 normal controls. De-pression patients were diagnosed according to DSM 111-R DAT patients were diagnosed by DSM 111-R and N1NCDS-ADRDA criteria of DAT. All were rated with Hamilton Rating Scale for Depression and Mini Mental State Exam. All underwent 99m-HMPAO SPECT scan. The images of each group were analysed using SPM of Friston, which compares the images on voxel-by-voxel basis. Results : The results were as follows : 1) DAT group showed significant decrease in cerebral blood flow (CBF) compared with controls in the right frontal region, the right temporal region, and both temporal regions(p<0.05). 2) Depression group showed significant decrease in CBF in the left frontal region(p<0.05). 3) Depressive pseudodementia group showed significant decrease in CBF compared with controls in the right temporal region and the left parietal region(p <0.05). 4) Depressive pseudodementia group showed significant decrease in CBF compared with depression group in the right temporal region and both parietal regions(p<0.05). Conclusion : Depressive pseudodementia group showed decreased CBF in temporo-parietal region, similar to that of the DAT group. This result supports the hypothesis that depressive psuedodementia includes a subgroup of patients with early-stage primary dementia.

비호지킨 림프종환자에서 proMACE-cytaBOM 복합항암화학요법의 유효성에 대한 제 2상 임상시험

김성우,안명주,박석규,이영렬,정태준,최일영,김인순 한양대학교 의과대학 2000 한양의대 학술지 Vol.20 No.1

Aggressive non-Hodgkin's lymphoma by REAL classification is a heterogenous group of disease. With recent advances in combination chemotherapy, the long-term survival is improved to 40-65%. We investigated twenty-one aggressive non-Hodgkin's lymphoma patients treated with pro-MACE-cytaBOM (prednisone, adriamycin, cyclophosphamide, etoposide, cytosine arabinoside, bleomycin, vincristine and methotrexated) to determine the efficacy and toxicites. There were seven patients older than 60 years. Histologic types by REAL classification were as follows : diffuse large B cell (12/21), peripheral T cell (6/21), anaplastic large cell (2/21) and angiocentric T cell (1/21). Most of patients were classified in Stage Ⅱ-Ⅳ (20/21). According to IPI (international prognostic index) score, seven patients were included in low risk, five were low-intermediate risk, three were high-intermediated risk and six were high risk group. seventeen complete responses (85%) and two partial responses (10%) were achieved. The overall response rate was 95%. The mena disease free survival was 30 months, the mean overall survival was 29 months (range:21-36), and the median overall survival was not reached. WHO grade Ⅲ/Ⅳ neutropenia or thrombocytopenia was observed in 16.7% and 2.8%, respectively. There was no treatment-related death. These results suggest that proMACE-cytaBOM combination chemotherapy is very effective and has low toxicity in the treatment of aggressive non-Hodgkin's lymphoma even treated in elderly patients.