국산 Lidocaine 알칼리화를 위한 Bicarbonate 혼합시 침전유발 최소량에 대한 고찰

이선호,김현수,곽인숙,안원식,최관호,김광민,손민제 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.39 No.5

Background : When local anesthetics for regional anesthesia is used, usually small amounts of bicar-bonate are added for rapid onset. This addition gives the mixed solution a more alkaline pH. The following result is an increased unionized form of the local anesthetic and rapid penetration of the drug into tiissue. Unfortunately, no data about adequate mixing volumes of domestic lidocaine and bicarbonate is available. Methods : We examined six mixing pairs of two kinds of 2% lidocaines and three kinds of 8.4% bicarbonates for minimum volumes of bicarbonate to cause a precipitation of 2% 20 ml lidocaine. Results : The mean volumes of bicarbonate to cause precipitation were 1.54 ml for Kwang-Myung lidocaine with Kwang-Myung bicarbonate, 2.90 ml for Kwang-Myung lidocaine with Dae-Won bicarbonate, 2.73 ml for Kwang-Myung lidocaine with Je-Il bicarbonate, 0.97 ml for Je-Il lidocaine with Kwang-Myung bicarbonate, 1.26ml for Je-Il lidocaine with Dae-Won bicarbonate and 1.39 ml for Je-Il lidocaine with Je-Il bicarbonate. Conclusions : We conclude that the Kwang-Myung lidocaine and the Je-Il lidocaine could cause precipitation when mixing with a smaller bicarbonate volume than foreign textbook recommended. (Korean J Anesthesiol 2000; 39: 726-729)

Case Report : A Case of Epstein-Barr Virus-associated Hydroa Vacciniforme

Sun Young Huh,Mira Choi,Kwang Hyun Cho 대한피부과학회 2009 Annals of Dermatology Vol.21 No.2

Hydroa vacciniforme (HV) is a photosensitivity disorder characterized by recurrent necrotic vesiculopapules on sun-exposed areas, which heal spontaneously during adolescence. Recently, an association has been reported between latent Epstein-Barr virus (EBV) infection and atypical HV-like eruption and malignant potential. However, latent EBV infection has also been reported in the setting of typical HV. An 11-year-old girl presented with recurrent, scattered, discrete vesicular eruptions with scarring on the face and the extensor surfaces of both forearms. In-situ hybridization was carried out to detect latent EBV infection. Based on the clinical and histopathological findings, typical EBV-associated HV was suspected. (Ann Dermatol 21(2) 209~212, 2009)

지루각화증의 임상 및 병리조직학적 고찰

박세영 ( Se Young Park ),박현선 ( Hyun Sun Park ),조광현 ( Kwang Hyun Cho ) 대한피부과학회 2011 대한피부과학회지 Vol.49 No.1

Background: Although seborrheic keratosis is one of the most common epidermal tumors, there are only rare studies on the clinicohistopathologic features of seborrheic keratosis in Korea. The majority of cases of typical seborrheic keratosis can be clinically differentiated with ease from other dermatoses such as melanocytic nevi, lentigo, basal cell carcinoma and melanoma. However, its differential diagnosis can sometimes be difficult. Objective: This study was designed to investigate the clincohistopathologic characteristics of seborrheic keratosis, the frequency of biopsy and the accuracy of making the clinical diagnosis, as well as to analyze the cases where there is a mismatch between the clinical diagnosis and the histological diagnosis. Methods: We conducted a retrospective study and we searched for patients who were clinically diagnosed as having seborrheic keratosis between January 2000 and December 2008. The search found 1,248 patients and the patients were divided into two groups: a non-biopsy group (n=891) and a biopsy group (n=357). The clinical features, including age, gender, the anatomic site of lesion and the treatment method, were investigated in each group. In addition, the frequency of biopsy, the accuracy of the clinical diagnosis and the histopathological features were studied in the biopsy group. Results: Between the two groups, we found that the clinical features, including the proportions between the involved body sites, such as trunk/face, and the treatment methods were different. However, these differences might be partly attributed to the clinical decisions such as the frequency of performing biopsy for making the differential diagnosis of skin malignancy. In both groups, the most frequent age period was in the seventh decade and the most common anatomical site was the face. Only one-third of patients who were clinically diagnosed as having seborrheic keratosis received biopsy for histopathologic confirmation and the lesions were mostly located on the face. The clinical diagnosis matched the histological diagnosis in 282/357(79.0%) patients. In 75 patients who revealed a mismatch between the clinical and histological diagnosis, the skin lesion most frequently involved the face(57.3%) and the most common final diagnosis was basal cell carcinoma (13.3%). The frequency of a mismatch for the sun-exposed lesion was significantly higher than that of the non-sun exposed lesion (p=0.035). Conclusion: We present the clinical and histopathological features of seborrheic keratosis. If the lesion is presented with an atypical appearance or it located on a sun-exposed area and so it requires a differential diagnosis from other premalignant diseases or cutaneous malignancies, then we should perform a biopsy to make the differential diagnosis. (Korean J Dermatol 2011;49(1):12~19)

일광 노출형 및 비일광 노출형 기저세포암에서의 GLI-1 발현에 대한 면역조직화학적 연구

서영주 ( Young Ju Seo ),김철우 ( Chul Woo Kim ),김광호 ( Kwang Ho Kim ),김광중 ( Kwang Joong Kim ),박혜림 ( Hye Rim Park ),김용선 ( Yong Sun Kim ) 대한피부과학회 2005 大韓皮膚科學會誌 Vol.43 No.2

배양 신경세포의 분화에 따른 Transferrin 흡수와 그 수용체 발현에 대한 자기방사기록 및 면역세포화학적 연구

조사선,박광태,유영복,이경훈,박경한,황덕호,백상호 대한해부학회 1994 Anatomy & Cell Biology Vol.27 No.3

퇴비 및 액비 시용에 따른 수수×수단그라스와 이탈리안라이그라스 작부체계의 수량과 양분흡수량 및 토양 유효 질소 및 인 변화

임상선,이광승,전병준,이세인 全南大學校 農業科學技術硏究所 2011 農業科學技術硏究 Vol.46 No.-

This study was conducted to investigate productivity and nutrients uptake of Sorghum×Sudan grass (SSG) and Italian ryegrass (IRG) cropping system with cattle manure compost and liquid pig manure application, respectively. Changes in mineral N and available P concentration before and after each cropping were also examined. Dry matter yield ranged from 2.12 to 2.86 ton ha-1 for SSG and from 3.57 to 6.08 ton ha-1 for IRG. Forage productivity observed in this study was substantially lower than other studies probably due both to low precipitation during cropping season and to soil characteristics; lower pH (<5) and available P concentration (ranged from 98.6 to 174.8) than the soils used in the previous studies. The uptake of N and P also showed very similar pattern to dry matter yield; IRG had higher nutrients uptake than SSG. According to nutrient balance analysis, 76.4% of N and 76.9% of P2O5 applied to the fields (161 kg N ha-1 and 265 kg P2O5 ha-1) were not assimilated by SSG. For IRG, 50.2% (133 kg N ha-1) of N applied (265 kg N ha-1) was not taken up; meanwhile, the amount of P2O5 assimilated by IRG was 75 kg P2O5 ha-1, and this was 49 kg P2O5 ha-1 more than that of applied P2O5 (26 kg P2O5 ha-1) as liquid manure, indicating additional P uptake from the soils. Accordingly, mineral N (NH4 + and NO3 -) and available P concentrations of the soils increased after SSG harvest as compared with the soils before cultivation, but they decreased after IRG cultivation. Such differences in nutrient uptake by plant and soil nutrient availability could be attributed to the contrasting availability of nutrients in the compost and liquid manure. Organic forms of nutrients included in the compost is likely to be released slowly by decomposition of organic matter and thus the nutrients released could be utilized by the next crop (IRG) rather than by the crop (SSG) to which compost was applied. On the other hand, as most nutrients in liquid manure is readily available, N and P in the liquid manure could be assimilated by IRG. Therefore, it might be necessary to consider both compost (slowly available) and liquid manure (rapidly available) to achieve a goal production of forage.

중이기형을 동반한 안이척수이형성 증후군에서 시행한 난원창 개창술 1예

조양선,정유석,이종찬,추광철 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.12

교통사고 후 신체 손상 환자의 외상후 스트레스장애에 대한 연구

강영수,김동인,이선미,김 임,김태형,은헌정 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.4

연구 목적 : 임상가를 위한 외상후스트레스장애 척도를 이용하여 교통 사고 후 신체 손상 환자의 외상후스트레스장애의 발병률을 알아보고, 사회인구학적 변인들, 손상 심각도, 불안, 우울과 외상후스트레스장애와의 상호관련성을 고찰하고자 하였다. 방 법 : 104명의 교통사고 환자들을 대상으로 , 자기 보고형인 사고 후 정신 건강에 관한 설문지와 외상후스트레스장애를 진단하기 위해서 임상가를 위한 외상후스트레스장애 척도를 이용하여 면담을 실시하였으며, 손상 심각도 척도를 이용하여 신체 손상의 정도를 측정하였다. 결 과 : 외상후스트레스장애의 발병률은 61.5%이었으며, 사회인구학적 변인들과 손상 심각도 점수에서는 외상후스트레스장애군과 비 외상후스트레스장애군이 유의한 차이를 나타내지 않았다. 그러나 외상후스트레스장애 군에 속한 사람들이 사고 당시에 사망자나 부상자를 목격한 경우가 의미있게 많았고(χ²=8.48, p<0.05). Beck의 우울점수가 외상후스트레스장애군에서 유의한 증가를 보였다.(t=5.03, p<0.05). 결 론 : 교통사고 후 외상후스트레스장애의 발병률은 매우 높았고, 두 집단 모두가 정상인 보다 훨씬 더 높은 불안과 우울을 보고하고 있다. 이와 함께 연구 결과는 상황에서 사망자와 부상자의 목격시 외상후스트레스장애로 발병하게 하는 위험 요인 중 하나 일 수 있다. Objectives : the authors attempted to estimate the incidence of posttraumatic stress disorder (PTSD) and the differences of sociodemographical feature, injury severity, depression and anxiety between PTSD and non-PTSD groups after motor vehicle accident. Methods : The subjects were 104 patients who had undergone motor vehicle accidents, and been hospitalized to orthopedic surgery hospitals. We administered them clinician-administered PTSD scale(CAPS) for diagnosing PTSD, injury severity scale(ISS) for identifying their physical injury, self-reported questionnaire made to identify socioepidemographic data, Beck Depression Inventory(BDI) for measuring depression, and State Trait Anxiety Inventory Ⅰ,Ⅱ(STAI-Ⅰ,Ⅱ) for measuring anxiety. Results : The incidence of PTSD in subjects was 61.5%. Most of sociodemographic factors were not different between PTSD and non-PTSD groups. Only there were significant differences between PTSD group and non-PTSD group on the cases that observed the dead or the wounded at the scene of motor vehicle accident(χ²=8.478, p<0.05) and BDI(t=5.03, p<0.05). Conclusion : These results indicate that prevalence of PTSD is higher after motor vehicle accident and both of the two groups report much higher depression and anxiety than normal population. In addition, the results of this study show that the observation of dead or wounded at accident situation can be one of risk factors to precipitate PTSD.

Streptomyces albulus 세정균체에 의한 polylysine의 대량생산

선흥석,김광섭,안치민,박찬영 全南大學校 觸媒硏究所 1997 觸媒硏究 論文集 Vol.19 No.-

Streptomyces albulus 세정균체를 이용하여 항세균물질인 폴리리신의 대량생산 가능성에 대하여 조사하였다. 발효기 배양에서 배양액 pH는 6.8에서 3.2로 감소하는 동안에 pH 4.0에서 4.5사이에서 폴리리신이 최대로 축적되므로 대수말기의 균체를 멸균증류수로 세척하여 마련한 세정균체를 아미노산 생산을 향상할수 있는 구연산을 2%첨가하고 pH를 최적인 4.2로 조정한 배지로 옮겨 배양하였다. 이러한 2단계공정으로 세정균체를 배양한 경우 배양액내의 폴리리신은 일반 1단계 단순 배양에 비하여 최대 6배의 축적량을 나타내었다. The feasibility of mass production of polylysine, an antibacterial substance, employing a washed mycelium of Streptomyces albulus has been investigated. Since the maximum accumulation of polylysine had appeared between 4.0 to 4.5 of pH during fermentor cultivation of which the pH of the broth has declined to 3.2 from 6.8, the strain growing in the broth on late log phase had been washed with sterilized water, then the sole mycelium had been transferred to another medium containing 2% citric acid having pH adjusted with NaOH to optimum of 4.2 to improve the production of the amino acid. The total accumulation of polylysine by washed mycelium of Streptomyces albulus from this two step procedure has exhibited 6 times more than the normal production of the simple one step fermentation.

귀인 훈련이 경도 정신지체아동의 무력감과 학업성취 및 태도에 미치는 효과

여광응,구유미,이정현,김선미 한국특수교육문제연구소 2001 특수교육저널 : 이론과 실천 Vol.2 No.1

이 연구의 목적은 경도 정신지체아동의 학습된 무력감을 감소시키기 위하여 체계적인 귀인훈련를 적용함으로써 학업성취능력과 학습태도 개선에 미치는 영향을 밝히는데 있다. 연구대상은 개인용 지능검사 결과 IQ 60-75사이이고 초등학교 특수학급에서 시간제 특수교육을 받고 있는 이동 3 명으로서 신체 및 언어장애와 같은 심한 장애가 없는 아동이다. 연구결과, 귀인훈련이 오랜 학교학습상황에서 겪게 된 학습의 실패상황에서 실패원인을 「능력」에 귀인하는 아동을 「노력」 에 귀인하도록 힘으로써 아동의 「학습된 무력감」 를 감소시키는데 효과적임이 밝려졌다. 즉,뺄셈학습과제의 수행속도가 귀인훈련 후 빨라졌으며 과제에 대한 흥미도 많이 증가하였다. 또한 귀인훈련이 경도 정신지체 아동의 학습태도를 개선하였다. 귀인훈련 후 아동의 실패과제에 대한 지속시간이 많이 늘어났으며, 아울러 실패과제에 대한 불안행동이 많이 감소하였고, 주의집중이 향상되며 학습태도가 바람직히게 변화된 것으로 나타났다. 이 결과는 귀인훈련을 통해 경도 정신지체아동의 학업성취도와 학습태도에 긍정적인 변화를 가져올 수 있음이 확인되었다. The purpose of the present study is to investigate how systematic atributional training affects leaming achievements and leaming attitudes for the children with mild mental retardation through decreasing their feelings of learned helplessness. For the study, three children with mental retardation, whose 1Qs range from 60 to 75, were selected from those who were enrolled at special classes of elementary schools. They do not have physical handicapped and language problems. The procedure applied to this study focused on the changes the reason for the learning failure from "their ability" to "their lack of effort".