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      • 췌장염에 의한 가성낭종내에 생긴 가성동맥류 : 1례 보고

        오연희,이채경,김승현,이성우,양창현,이정호,이영현 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

        만성 췌장염의 합병증으로 생긴 가성동맥류는 드문질환으로, 반복적으로 다량의 출혈을 일으킬 수 있으며, 치료를 하지 않을 경우 사망율이 높기 때문에, 조기 진단과 치료가 필수적이다. 저자들은 38세 남자 환자에서 췌장염의 합병증으로 생긴 가성낭종내에서 발생한 가성동맥류 1예를 경험하였기에 보고하는 바이다. 가성 동맥류의 색혈류도플러상 낭종내에 양방향 흐름의 와류를 볼 수 있었다. Pancreatic Pseudoaneurysm within Pseudocyst from Pancreatitis: 1 Case Department of Diagnostic Radiology and Internal Medicine, College of Medicine,DongGuk University Yeon Hee OH M.D., Chae Kyeong Lee M.D., Seoung Hyeon Kim M.D., Sung Woo Lee M.D., Chang Heon Yang M.D., Jung Ho Lee M.D., Young Hyun Lee M.D. Pseudoaneurysm from pancreatitis is uncommon, but it can cause recurrent and massive hemorrhage. Because of high morbidity and mortality, early detection and treatment of the pseudoaneurysm is needed. We report a case of pseudoaneurysm within pseudocyst from pancreatitis. Color-flow Doppler sonography shows bidirectional flow and turbulent arterial flow, within anechoic mass.

      • 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.

      • KCI등재후보

        쥐치아 치근면의 치주인대세포의 활성도를 평가하는 방법으로 MTT검색법의 적절성에 대한 조직학적인 검증

        김현기,김의성,최인복,김진,이승종 大韓齒科保存學會 2003 Restorative Dentistry & Endodontics Vol.28 No.5

        The purpose of this study is to examine the viability of PDL cells in rat molars by using MTT assay and to verify the MTT assay through the histologic observation. Thirty of Sprague Dawley white female rats of 4 weeks old with a body weight of about 100 grams were used. Groupings are as follows : Immediate Group : Positive control group(n=10) after extraction immediately. Dried Group : Negative control group(n=10) after drying for an hour under warm dry. ViaSpan Group : 1hour ViaSpan group(n=10) after storing in ViaSpan at 4℃ for 1hour. Ten teeth of each group were treated as same as above and replanted to the original socket of experimental animals. After two weeks of replantation. all the experimental animals were sacrificed. And after fixation, extracted maxillary jaw was dimineralized. After it was embedded in paraffin. serial section by ViaSpan was carried out and for construction of specimen, hematoxylin eosin dye was used. The mean MTT measurement of immediate group(positive control) is 2.81 and the mean measurement of dried group(negative control) is 0.98 which is significantt differnt(P<0.05), The mean measurement of ViaSpan group is 2.65 and there is significant difference between dried group and ViaSpan group(P<0.05), However, there is no difference between immediate group and ViaSpan group. The average resorption points of immediate group is 3.03 points. In the dried group, average 6.44 points resorption and 2.68 points showed resorption in the ViaSpan group. Unlike with MTT assay, there was no significant difference between the immediate group and ViaSpan group. The usage of MTT assay as a viable cell marker may give us a better indication of the maintenance of periodontal ligament cell vitality.

      • KCI등재

        심초음파로 결정된 응급 심낭천자술의 천자부위

        김성환,황성오,이강현,조준휘,강구현,문중범,이승환,윤정한,최경훈,김영식 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3

        Background: The aim of this study was to determine whether the conventional subcostal approach is suitable for emergency pericardiocentesis in patients with cardiac tamponade or impending cardiac tamponade. Methods: This study was a prospective, observational study conducted at the emergency department of a tertiary hospital, Patients who had symptomatic pericardial effusion and who needed emergency pericardiocentesis in the emergency department were included in this study. We measured the epicardium-to-pericardium distance at the subcostal, parasternal, and apical area with two-dimensional echocardiography to determine the appropriate puncture site for pericardiocentesis. An epicardium-to-pericardium distance of more than 1.0 cm was considered as the primary safety factor in determining the Puncture site for pericardiocentesis. The skin-to-pericardium distance was considered as secondary safety factor. Results: Ninety-five consecutive patients(55 males and 40 females; total mean age: 53 year old) with cardiac tamponade or impending cardiac tamponade were enrolled in this study. The puncture site for pericardiocentesis, as determined by echocardiography, was the subcostal area in 43 patients(45%), the apical area in 40 patients(42%), the left parasternal area In 11 patients(12%), and the right parastemal area in one patient(1%). Pericardiocentesis failed in 2 patients(2%) with the subcostal approach and in one patient(1%) with the apical approach. The average epicardium-to-pericardium distance was 31 ±21 mm in patients with the subcostal approach and 21±8 mm in patients with other approaches. There were no differences in the amount of pericardial fluid and in the intraperical pressure among patient groups according to puncture site. There were two procedure related complications: a puncture of the right ventricle with the subcostal approach and a ventricular tachycardia with the apical approach.

      • KCI등재

        금산지역의 수삼의 저장관리 및 유통 현황

        김현호,황용수,성봉재,김선익,조진웅,김충수 충남대학교 농업과학연구소 2006 농업과학연구 Vol.33 No.2

        There are need to develop of merchandise of value added fresh ginseng because of high consciousness level of consumer and enlarge of markets for high quality products. The fresh ginseng after harvest was distributed to farmer partually but in general, it was to market by consigner or wholsaler directly after harvest. There were a high difference on storage period of fresh ginseng in different harvesting seasons. The reduction of value of commodities of fresh ginseng for storage period was caused by decomposition and tender of tissue. The storage temperature was under the freezing point and the packing method was sealing tightly by plastic film. As the quality of fresh ginseng was defined by naked eye, it was difficult to sort the quality of ginseng directly harvest.

      • 휠체어농구선수의 체력, 윙게이트 검사 및 어깨관절 등속성 근력발현 능력에 관한 연구

        김대현,최승권 용인대학교 특수체육연구소 2008 특수체육연구 Vol.5 No.-

        The purpose of this study is to find out potential differences in physical strength, anaerobic power and uniform shoulder joint muscle power between handicapped and non-handicapped wheelchair basketball players. To meet the goal, this study selected total 26 subjects for various physical tests, which included 14 national handicapped wheelchair basketball players(hereinafter ‘NWA group') joining buildup drill in preparation for 2008 Beijing Paralympics, as well as 12 non-handicapped wheelchair basketball players(hereinafter ‘AWA group'). This study sought to measure physical strength(e.g. body fat, agility, instantaneous power, etc), and anaerobic capacity through 30-second upper body wing gate test, as well as uniform muscular function(medial shoulder torque and lateral shoulder torque). Measurement data were analyzed using t-test among groups, and significance level was established at p<0.05. The results of this study can be outlined as follows: First, according to measurement of physical strength, it was found thatNWA group belonged to overweight cases in terms of body fat mass on the whole. According to systemic reaction test, it was found that AWA group responded to sounds in quicker time than NWA group. For 20- meter running, it was found that NWA group scored better records than AWA group. Second, according to WAnT test, it was found that AWA group showed higher functional level in the highest power and fatigue index than NWA group. Third, according to uniform shoulder joint muscle function test, it was found that NWA group showed higher functional level than AWA group in the highest torque per weight around bilateral shoulder joints at medial torque's angular velocity of 60deg/sec and 240deg/sec, as well as around right shoulder joint at medial torque's angular velocity of 180deg/sec. Moreover, it was also found that NWA group showed higher functional level than AWA group in total work load around right shoulder joint at medial torque's angular velocity of 60deg/sec and 180deg/sec, as well as around left shoulder joint at medial torque's angular velocity of 240deg/sec. 본 연구는 휠체어농구선수와 장애가 없이 휠체어농구를 하는 선수에게 있어서 체력, 무산소파워, 어깨 등속성 발현능력 등에 차이가 있는지를 알아보고자 하는데 그 목적이 있다. 본 연구의 대상은 2008년 베이징 파랄림픽 대비 강화훈련에 참가한 2007년 국가대표 장애인 휠체어농구선수 집단 14명과 장애가 없는 휠체어농구선수 집단 12명이었다. 본 연구에서 체력은 체지방, 민첩성, 순발력 등을 측정하였고, 무산소성 능력은 상체 30초 윙게이트테스트를 실시하였으며, 등속성 근기능은 어깨의 내측회전력과 외측회전을 측정하였다. 측정한 자료의 분석은 집단 간 t-test를 실시하였고, 유의수준은 p< .05으로 설정하였다. 본 연구의 결과는 다음과 같다. 첫째, 체력측정 결과 체지방량에서 국가대표휠체어농구선수(NWA) 집단이 과체중으로 나타났으며 전신반응 검사에서는 소리에 대한 반응시간에서 장애가 없는 휠체어농구선수(AWA) 집단이 NWA 집단보다 빠르게 나타났다. 20m 달리기에서는 NWA 집단이 AWA 집단보다 빠르게 나타났다. 둘째, WAnT 결과 최고파워와 피로지수에서 AWA 집단의 기능수준이 NWA 집단보다 높게 나타났다. 셋째, 어깨관절 등속성 근기능 결과 체중당최고토크에서는 내측회전력의 각속도 60deg/sec와 240deg/sec의 양쪽 어깨관절, 내측회전력의 각속도 180deg/sec의 오른쪽 어깨관절에서 NWA 집단의 기능수준이 AWA 집단보다 높게 나타났으며, 총일량에서는 내측회전력의 각속도 60deg/sec, 180deg/sec의 오른쪽 어깨관절, 내측회전력의 각속도 240deg/sec의 왼쪽 어깨관절에서 NWA 집단의 기능수준이 AWA 집단보다 높게 나타났다.

      • 급성 및 만성 간질환에서 C형 간염바이러스 항체(anti-HCV)양성률

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

        The prevalence of antibody against hepatitis C virus (anti-HCV) was investigated in 331 patients with various liver diseases from April 1992 to September 1992. The presence of anti-HCV was detected by Lucky HCD EIA test in 331 cases and by (Ortho HCV Antibody ELISA test 148 patients) The results are summarized as follows: 1. Overall, antibody to HCV(anti-HCV) was positive in 37(11%) of 331 patients with various liver diseases. 2. 16(11%) of 144 patients with chronic hepatitis, 2(5%) of 37 patients with alcoholic liver disease, 17(22%) of 76 patients with liver cirrhosis and 2(5%) of 38 HBsAg carriers were positive for anti-HCV.None of 12 patients with acute hepatitis, 11 patients with drug induced hepatitis and 13 patients with hepatocellular carcinoma was anti-HCV positive. 3. HBsAg positivity in patients who had anti-HCV was 24%(9/37). 4. A positive correlation was found between Lucky HCD and Ortho HCV test. Of 128 Lucky HCD negative cases, 124 cases were negative for Ortho HCV ELISA and 4 cases were positive for Ortho HCV ELISA Of 20 Lucky HCD positive cases, 11 cases were positive for Ortho HCV ELISA and 9 cases were negative for Ortho HCV ELISA. These results suggest that hepatitis C virus has an important etiologic role in HBsAg negative chronic hepatitis and liver cirrhosis in Korea. The diagnostic value of Lucky HCD EIA test may be slightly better or equivalent to Ortho HCV ELISA test in the diagnosis of Hepatitis C virus infection.

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