식도암 병기 결정에 있어서 초음파내시경의 유용성

이화영,김재준,김영호,성인경,손희정,이풍렬,고광철,백승운,이종철 大韓消化器病學會 1998 大韓消化器病學會誌 Vol.32 No.2

急峻펄스 電壓을 利用한 强力오존發生裝置開發에 관한 硏究

文在德,吳哲洙,鄭華淑 경북대학교 1985 論文集 Vol.40 No.-

The power efficiency of ozone generation can be substantially improved by modifying a direct discharge wire of a wire-to-cylinder type ozone generator to a helical strip line. and using a fast rising pulse voltage on it. It is raised 1.3 times up of ozone yield compared with that of 60 gO_3/KWh of the industrial silent discharge type ozone generator. Parametric studies also made to get the optimum design of ozone generator tested. The generated ozone concentration had a peak value with proper increasing the crest pulse voltage, the quantity of a pulse forming condenser capacity of the pulse generator, and the interelectrode spacing of self triggered stainless steel spark balls. It is found that the optimum strip line length of the ozone generator tested was about 2m in view point of energy consumption. And, input and terminal impedance also effected greatly to ozone generation, the generated ozone concentration were increased when the input impedance had been 25Ω while the terminal had been opened.

급성충소돌기염의 임상 : 병리학적 고찰

양기화,조준필,하영천,한진우,정학재,손수창,이성희,황재훈,신철호 최신의학사 1989 最新醫學 Vol.32 No.4

自生 山菜類의 開發에 관한 硏究

申永澈,金在佶,申貞和 충북대학교 농업과학기술연구소 1992 農業科學硏究 Vol.10 No.1

In order to use as vegetable, studies on valuable wild plants-Pimpinella brachycarpa, Cryptotaenia japonica., Synurus deltoids., Solidago virga-aurea var. gigantean., Hemerocallis fulva. Were carried out by field observation and cultivation. The result were obtained as follow : 1. Pimpinella brachycarpa, Cryptotaenia japonica, Solidago virga-aurea var. gigantea were distributed at the higher altitude of 600M, but Synurus deltoids, Hemerocallis fulva were distributed under 500M. 2. Pimpinella brachycarpa, Cryptotaenia japonica, Solidago virga-aurea vat. Gigantean, Hemerocallis fulva except Synurus deltoids grew well on fertile soil in habitat. 3. The germination of Hemerocallis fulva were promoted at 25℃ under dark condition with Ethrel, whereas Synurus deltoides were promoted at 20℃ under dark condition with IBA treatment. 4. Te transplant seedlings of 5 plants, shading was necessary. Low light intensity under 5000Lux is recommended for low rate of bolting and for softening of tissue. 5. All 5 plants grew vigorously toward the end of July. 6. Plants would be harvested after 3 years with seed germination, but it would be desirable to transplant in order to reduce cultivation time. 7. It is desired that 5 plants should be subjected to suppressing or forcing cultivation.

저선량 γ선 조사가 고추의 광합성과 광 스트레스 경감에 미치는 효과

이혜연,김재성,백명화,박순철,박연일 한국환경농학회 2002 한국환경농학회지 Vol.21 No.2

고추 종자에 저선량 γ선을 조사시킨 고추 식물체의 생육과 광합성 능 및 광 스트레스 반응에 미치는 영향을 조사하였다. 저선량 4 Gy가 조사된 고추 식물체에서 광합성에 의한 산소발생이 대조구에 비해 1.5배정도 높은 것으로 나타났다. 고추 잎에 900 μmol/㎡/s의 빛의 세기로 광저해를 4시간 유도하였을 때 최대 광합성능 (Pmax)이 대조구의 경우 20%정도 감소되는 반면 4 Gy 조사구는 3% 정도의 감소를 보였다. Fv/Fm는 광저해가 진행됨에 따라 감소되는 경향을 보이며 대조구의 경우 4시간 처리시 fv/Fm 값이 50% 정도 감소되는 것을 볼 수 있었다. 반면 4 Gy조사구는 fv/Fm값이 대략 37%정도 감소되어 대조구에 비해 광 스트레스에 대해 덜 민감한 것으로 나타났다. Fo는 광저해가 진행됨에 따라 거의 변화가 없었으며 대조구나 4 Gy 조사구 사이의 차이도 거의 없는 것으로 나타났다. 광계Ⅱ의 광양자 수율인 Φ_PSⅡ과 광계Ⅱ 반응중심에 의한 여기 포획률을 나타내주는 1/Fo-1/Fm 또한 광저해가 진행됨에 따라 감소되었으며 4시간을 처리했을 경우 각각 대조구는 47%, 4 Gy 조사구는 30%의 감소를 볼 수 있었다. 비광화학적 소멸인 NPQ는 광저해가 진행됨에 따라 감소되는 경향을 보였으나 대조구와 4 Gy 조사구간에 차이는 없는 것으로 나타났다. 이러한 결과를 볼 때 종자의 종피를 투과한 저선량의 γ선이 식물의 광합성을 증대시키고 동시에 광 스트레스에 대한 저해를 감소시키는 것으로 보인다. The effect of low dose Y radiation on photosynthesis and the reduction of photoinhibition in red pepper plant was investigated. The seedling height, leaf width and leaf length of pepper were stimulated in plants grown from seeds irradiated with the tow dose of 4 Gy. The O_2 evolution in the 4 Gy irradiation group was 1.5 times greater than in the control. To investigate the effect of low dose Y radiation on response to high light stress, photoinhibition was induced in leaves of pepper by illumination of high light (900 μ㏖/㎡/s). Pmax was decreased with increasing illumination time by 20% in the control, while hardly decreased in the 4 Gy irradiation group. The photochemical yield of PSII, estimated as Fv/Fm, was decreased with increasing illumination time by 50% after 4 hours while Fo did not change. However, Fv/Fm in the 4 Gy irradiation group was decreased by 37% of inhibition, indicating that the photoinhibition was decreased by the low dose Y radiation. Changes in the effective quantum yield of PSII, Φpsu, and 1/Fo-1/Fm, a measure of the rate constant of excitation trapping by the PSII reaction center, showed similar pattern to Fv/Fm. And NPQ was decreased after photoinhibitry treatment, showing no difference between the control and the 4 Gy irradiation group. These results showed the positive effect of low dose Y radiation on the seedling growth and the reduction of photoinhibition.

이소매복된 하악 제2소구치의 자가치아이식을 이용한 치험례

정윤주,궁화수,최성철,김광철,박재홍 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

악골내 이소매복된 치아로 인해 유치의 만기잔존, 교합이상과 같은 교정적인 문제가 발생할 경우 그 해결책으로 주기적 관찰, 최소한의 개입, 교정적 견인, 발치, 그리고 환자 자신의 매복치아를 이용하는 자가이식술 등을 들 수 있다. 자가치아이식은 치아를 구강내의 한 위치에서 다른 발치와나 외과적으로 형성된 치조와로 이동시키는 술식으로, 치아가 교정력을 가할 수 없는 위치에 존재하거나 치아 이동에 제한이 있어 통상적인 치료가 불가능할 경우에 발거에 앞서 고려할 수 있는 방법이다. 자가치아이식은 치료기간을 단축시키고, 치근 형성이 완료되지 않은 어린 환자의 경우 이식된 새로운 위치에서 치근 형성이 이루어지며, 새로운 치조골의 형성을 유도할 수 있다. 본 증례는 하악 우측 제2소구치의 매복과 하악 우측 제2유구치의 만기잔존을 주소로 본원에 내원한 11세 여아로, 하악 우측 제2소구치의 매복의 깊이가 깊고, 방향이 교정적 견인에 불리하다는 점, 미성숙 치근 발육 상태와, 만기잔존한 유구치로 인해 공간 상실이 없다는 점 등을 고려하여 자가치아이식을 시행한 뒤, 1년간의 주기적 관찰 결과, 양호한 결과를 얻어 이에 보고하는 바이다. In the case of the impacted teeth, the clinician has to consider development of tooth, site of impaction, eruption path, and cooperation of patient. Treatment options for the management of impacted teeth are separated into four categories: observation, intervention, orthodontic or surgical relocation and extraction. Autotransplantation may be defined as the transplantation of embedded, impacted or erupted teeth, from one site to another in the same individual into extraction site or surgically prepared sockets. Autotransplantation ensures preservation of natural tooth, induction of alveolar bone growth and root development, offers one of the fastest and most economically feasible means in the replacement of young patients' missing teeth. This case presents a malpositioned impacted mandibular premolar of an 11-year-old girl. It was thought that orthodontic traction was difficult because of its unfavorable impacted position. Therefore the tooth was treated by autotransplantation, we can observe good healing pattern during 12 months.

내시경적 조직검사로 진단된 위 분선충증 1 예

이석호,이화영,이규택,강인구,최규완,백승운,이종균,이준혁,고광철,이종철,오영륜,현재근,이풍렬,김재준,채종일 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.2

Strongyloidiasis is a parasitic disease caused by Strongyloides stercoralis which exists in two forms : the free living and parasitic forms. It exists in warm, moist climate in areas where there is frequent fecal contamination of the soil. After cutaneous invasion by the filariform larvae, petechial hemorrage, pruritus, papular rashes, edema, and urticaria occur. Infection commonly occurs in the proximal intestine of the gastrointestinal (G-I) tract but may extend from the stomach to the anus. Once the worm is established in the small intestine, the physical findings may include epigastric tenderness to palpation. The mucosal biopsy is an inefficient way of making the diagnosis because the worm is found in the biopsy specimen in only 2% of patients. Gastric strongyloidiasis is rare. We experienced a case of gastric strongyloidiasis diagnosed by the endoscopic biopsy and serologic test for parasite specific IgG antibody by micro-ELISA.

수술적으로 치료한 통증을 동반한 흉추부의 후외상성 Schmorl씨 결절 : 2례 보고 Report of Two Cases

신병준,이재철,송화용,정석봉,권계원,조영일,김연일 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Study Design : Two patients who had painful Schmorl's node at thoracic level from acute trauma were adopted and taken operation for its treatment Objectives : To document the effect of operation for the treatment of painful Schmorl's node at thoracic level summary of background data : Schrmorl's nodes are common spinal lesion generally believed to be asymptomatic, but in some cases there were painful symptom by Schmorl's node. This case report is to explain the effect of operative treatment for the painful Schmorl's node. Methods : Two patients were adopted who had traumatic painful Schmorl's node at thoracic level for our case report. They were treated conservative methods at first but it's effect were poor, so they were taken anterior decompression and fusion, and checked back pain symptom. Result : In all two patients, the symptom of back pain by Schmorl's nodes at thoracic level was almost subsided. conclusion : For the treatment of traumatic painful Schmorl's node, most of surgeon says that conservative treatments were treatment of choice, but operative treatments are also benefit to subsidence of back pain by Schmorl's node.

단일한 간종괴로 발현된 간질증 1예

김춘관,이화영,백승운,이풍렬,김재준,고광철,이종철,오영륜,고영혜 大韓消化器病學會 1997 大韓消化器病學會誌 Vol.30 No.5

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.