모체 Thyroxine 투여가 태아알코올효과를 가진 흰쥐 대뇌겉질 및 해마에서 NPY함유 신경세포의 생후 발달에 미치는 영향

김복,박상기,박영란,김종중,문정석,김주수,문영민,현영식,천관영,정윤영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Background and Objectives: Maternal alcohol abuse is considered to be one of the most prominent cause of neurobiological malformations in the postnatal and adult life of the offspring. In this study, we investigated the effects of maternal alcohol drinking on the postnatal development of NPY-containing neuron, and, the influence of thyroxine treatment on the cerebral cortex and hippocampus of pups of alcohol abused mother. Materials and Method: Time-pregnant rats were divided into three groups. Alcohol-fed group A received 35 calories of liquid alcohol diet daily from gestation day 6; control pair-fed group B was fed a liquid diet in dextrin replaced alcohol isocalorically: alcohol + T4 group C received 35 calories liquid alcohol diet and exogenous thyroxine subcutaneously. Results: Group C showed prominent NPY immunoreactivity in the cerebral cortex compared to group A and B at P7. In group C, NPY-containing neurons were widely distributed in the all layers of cerebral cortex after P14. Besides, numerical decrease of NPY-containing neuron as age increases was not found in group C. However, the decrease of NPY-containing neuron was clearly observed in group A compared to group C after P14. In hippocampus, group Band C were appeared similar patterns after P7. Additionally, in group C, NPY immunoreactivity was prominently appeared in CA2 and CA3 at P14 as compared to group B. Conclusions: The present results showed the increase of intensity and number of NPY-containing neurons in cerebral cortex and hippocampus of pups of exogenous T₄ supplemented alcohol-exposed dams as compared to control pair-fed and alcohol-exposed pups at P7. It presumably suggest that NPY-containing neurons might be regulated by the early postnatal growth stimulatory effect of the exogenously supplemented T₄. Therefore, the increase of NPY synthesis caused by maternal administration of exogenous thyroxine may ameliorate fetal alcohol effect, one of the ill effects as a result of the dysthyroid state following maternal alcohol abuse.

28세 여성에서 Epinephrine 국소 주사 후 발생한 스트레스성 심근병증 1예

임주견,곽성동,박재영,천재홍,최성열,차태준,이준상 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1

Stress induced cardiomyopathy is characterized by transient left ventricular dysfunction with typical regional wall motion abnormality of basal segment hyperkinesia and apical hypokinesia after physical or psychological stress. Stress induced cardiomyopathy mimics acute myocardial infarction but coronary angiography shows normal and usually recovers rapidly. Stress induced cardiomyopathy appears to occur almost exclusively in old females. Only a few cases have been reported in younger women but not yet in korea. The pathogenesis is not well known. Currently, it is thought that catecholamine may play important role. Especially, epinephrine may be most important catecholamine in the pathogenesis of steress induced cardiomyopathy. We report a case of stress induced cardiomyopathy occurred in young female after local epinephrine injection for hemostasis during tonsillectomy. 스트레스성 심근병증은 고령의 여성에서 주로 발생하며 카테콜라민 중 특히 epinephrine이 병리기전의 주요한 원인의 하나로 생각되어지고 있다. 저자들은 28세의 젊은 여성에서 편도절제술 도중 지혈을 목적으로 epinephrine을 국소 주사한 후 발생한 스트레스성 심근병증 1예를 경험하여 문헌 고찰과 함께 보고하는 바이다.

급성호흡부전증 환자에서 초기 인공환기방식의 중요성 : 인공환기시 혈역학적으로 유의한 부정맥의 유발요인 분석

이영주,김원,김영득,천석천,임경수 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: The purpose of this article was to identify the risk factors related to development of hemodynamically significant cardiac arrythmias in patients with mechanical ventilation. Methods and Results: Holter recording and echocardiogram were performed after 30 minutes of ventilator initiation in patients on mechanical ventilation(MV) owing to respiratory failure(RF) from various reasons. From 68 patients, hemodynamically significant cardiac arrythmias were detected in 18 patients(26.5%). Initial mean arterial pressure, maximal heart rate, and initial pH were identified as risk factors for hemodynamically significant cardiac arrythmlas. Additionally, the patients with pressure-controlled ventilation as an initial ventilatory mode developed hemodynamically significant cardiac arrythmias less frequently than the patients with other modes(15.8% vs. 40%, p=0.03). In multivariate analysis, initial mean arterial pressure(<70mmHg, odds ratio[OR]: 5.5; 95% confidence interval[CI]: 1.2 to 24.2, p=0.026), maximal heart rate(>120/min, OR: 19.7; 95% CI: 2.0 to 190.9, p=0.01), and pressure-controlled ventilation(OR: 0.13, 95% CI: 0.03 to 0.55, p=0.006) were associated with the development of hemodynamically significant cardiac arrhythmias. Conclusion: Theses findings suggest that during the early stages of mechanical ventilation with acute respiratory failure, hemodynamically significant cardiac arrhythmias are directly associated with tachycardia(>120/min), initial MAP(<70 mmHg), and, inversely, the initial use of pressure-controlled ventilation.

폐경기 여성에서 호르몬 대체 요법후 유방촬영상의 변화 양상에 대한 고찰

이주영,김권천 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background : Increasing numbers of postmenopausal women are undergoing hormonal replacement therapy(HRT). We studied changes in the screen-film mammographic appearance of breast tissue after HRT. These changes included symmetric and asymmetric increase in breast density, and development of benign calcification etc. Methods : This clinical study was performed on 67 women that had been treated HRT at Chosun university hospital between January 1997 and June 1999. Results : 17 users(25%) had mammographic change after HRT, 8 had breast density change. 10 users had calcification or axillary lymph node enlargement change, but none had fibroadenoma of cancer change. Conclusion : There is no difference between each age group and the rate of breast change comparing with clinical factors, according to the increase of taken period, the rate of breast change was increased.

내시경으로 진단된 소화성 궤양의 임상적 고찰

김영건,육은주,김성걸,임의혁,성자원,김병호,허승식,이기천,정현용,이헌영 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

A clinical analysis was performed of 3055 pateints with peptic ulcer who were diagnosed with gastroduodenoscopy, in Hospital of Chungnam National University College of Medicine from July 1988 to May 1993. 1) During the period 1988-1993, The proportion of gastric ulcer among peptic ulcer decreased from 47.8% to 42.8%, but that of duodenal ulcer increased from 36.8% to 39.6%. 2) Of the 3055 cases, the number of patients with esophageal ulcer was 98(3.2%), with gastric ulcer 1407(41.6%), with. duodenal ulcer 1104(36.1%), with channel ulcer 149(4.9%), and with combind ulcer 297(9.7%). 3) We observed a peak incidence of peptic ulcer in the 50-69age group, gastric ulcer in the 5069age, duodenal ulcer in the 40-59age group. The ratio of male to female was 3.6 : 1 in peptic ulcer, 4.4 : 1 in gastric ulcer, 3.0 : 1 in duodenal ulcer. 4) The common site was angle in gastric ulcer, and bulb in duodenal ulcer. 5) The active stage was 39.4% of gastric ulcer, and 37.4% of duodenal ulcer, the healing stage was 34.2% of gastric ulcer, and 17.9% of duodenal ulcer, and the scar stage of gastric ulcer was 26.4%, and duodenal ulcer was 44.7%. 6) The size of ulcer was less than 1Cm in 66.7% of gastric ulcer, and in 75.5% of duodenal ulcer, the size of ulcer was greater than 2Cm in 13.2% of gastric ulcer, and in 6.5% of duodenal ulcer. 7) The frequency of multiple ulcer was 29.9% in gastric ulcer, and 16.5% in duodenal ulcer.

경부에 발생한 2새열낭종 2례

박홍주,박세찬,손영휘,윤천주,유선열 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.4

Developmental anomalies arising from the branchial apparatus include cysts, external sinuses, internal sinuses, and complete fistulas. Second branchial cleft cysts are by far the most common among these anomalies. It may occur at any age, being most common in the third decade, and more frequent in the male than in the female. It usually presents a smooth, round, nontender fluctuant mass located between the level of the tragus and the clavicle along the anteromedial border of the sternocleidomastoid muscle. It is lined by respiratory or squamous epithelium unless inflammation is present. The considerable amount of lymphoid tissue may be found beneath the epithelium. The treatment of choice of branchial cleft cyst is surgical excision. If the lesion is acutely infected, however, it is essential to relieve the infection prior to the surgery This report deals with two cases of second branchial cleft cyst. In case 1, the cyst had rapidly increased in size over pregnant period. In case 2, the patient presented the swelling in the left neck, and had the history of incision and drainage because of misdiagnosis as submandibular space abscess. The infection was treated by antibiotic therapy in the first place, and then complete surgical excision was made. There was no evidence of any recurrence or complications for these 3∼4 years.

農民所得增大를 위한 고구마의 栽培와 利用에 관한 硏究

黃鍾奎,梁熙天,崔定植,權涌周 全北大學校 1977 論文集 Vol.19 No.-

New varieties of sweet potato Sinmi and Hwangmi were cultivated in the reclaimed hilly area of four kinds of soil series in Jeonbug province and their growth conditions such as cutting time, row spacing, application of fertilizers and plant growth regulators and covering effect were investigated. Besides these studies on cultivation of sweet potatoes, experiments on the change of chemical components of sweet potato tubers, adaptibility for storage and drying of sliced sweet potato tubers were carried out. The results are summarized as follows : 1. The early cutting of May 20, alley of 90 X 20cm, application of potassium(28kg/10a)and covering produced the high yield of sweet potatoes. The apllication of OED green did not increase the yield of sweet potatoes, 2. The yield of Hwangmi was higher than that of Sinmi. These two varieties of sweet potatoes grew well in all the test soil series except Bansan. By early cutting of May 20, the highest yield of Hwangmi was obtained in Songjung series soil and the highest yield of Sinmi was in Yesan. 3. Starch content was higher in Sinmi than in Hwangmi while yield of starch per unit area was high in Hwangmi because of its high yield of sweet potato tubers. Both Hwangmi and Sinmi showed very high water content of more than 70 per cent. The highest yield of total solid matter from Sinmi was on September 15 and that from Hwangmi on September 30. Sinmi and Hwangmi harvested on September 30 showed the highest starch content. 4. Variation in water content, starch, soluble sugar, protein and fat content during storage was minimum in the sweet potatoes stored in the temperature controlled storage chamber and was maximum in those stored in the cave under ground. As a result, percent of grade A sweet potatoes remaining was highest in the temperature controlled storage chamber and lowest in the cave under ground. 5. Hwangmi was more susceptible to Rhizopus nigricans than Sinmmi, especially under the humid condition. 6. Shape and thickness of slice did not affect the yield of dried sweet potatoes but affected the time needed for drying. Depending on the thickness and the shape of slice, variations of 36 hours and 12 hours in drying time were observed respectively. Drying table was most effective in drying of sweet potatoes and drying rack was also effective and required 2 days less time than mat. Dipping in water did not show any effect on drying time but improved the color of dried sweet potatoes.

질의 공간 탐사를 위한 유전자 알고리즘 모델

이재훈,김영천,이성주 조선대학교 전자정보통신연구소 2003 電子情報通信硏究所論文誌 Vol.6 No.1

정보검색은 사용자가 필요로 하는 문서를 문서집합으로부터 가장 적합한 문서를 검색할 수 있어야 한다. 질의어가 문서에 대하여 어느 정도의 유사성을 가지고 존재하느냐를 기준으로 문서가 적합한 문서인지를 순서화 하다 보면 질의어와 비적합한 문서들이 순서화 된 경우가 있다. 본 논문에서는 유전자 알고리즘을 이용하여 전역적인 문서 공간은 탐색하여 사용자의 요구에 가장 적합한 문서를 검색하고, 다양한 모델의 문제를 해결하기 위해서 지식 베이스 연산자를 사용하였다.

상부소환관협착에 대한 Savary-Gilliard Dilatation의 치료효과와 안전성에 관한 관찰

정현용,육은주,임의혁,김병호,성자원,이기천,허승식,이헌영,김영건 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

For the patient with stenosis of upper digestive tract caused by either benign or malignant process, esophageal dilatation is an important therapeutic modality. We reviewed retrospectively 39 cases treated by Savary-Gilliard dilatation for upper digestive tract stenosis, and results were follows : (1) Dysphagia was improved in 95% of the patients. (2) Eight patients(20%) sufferd perforation, five of them were managed with conservative medical measures, others were managed operatively. (3) In the cases with benign stenosis dysphagia was not noticed for 8.8 months, but with malignant stenosis dysphagia was reappeared after 2.8 months despite concomitant chemoradiotherapy. In conclusion, Savary-Gilliard dilatation was an effective measure for symptome due to upper digestive tract stenosis, but more careful attention for perforation should be necessitated. Also another therapeutic modality for treatment of malignant stenosis was inevitable.

Transarticualr portal를 이용한 주관절의 관절경술

김성재,박인섭,김주영,정재훈,류상욱,천용민 대한견.주관절학회 2003 大韓肩.주關節學會誌 Vol.6 No.2