형광백혈구 안저촬영술에서 플로레신 염색의 안정성과 형광림프구의 분리

김윤희,강필성,김강주,양연식,김재덕 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.1

Recently, retinal blood flow has been studied with several methods, targeted dye delivery method, fluorescent vesicle system, laser Doppler velocimetry, acridine orange staining method. Authors presented a new method, fluorescein leukocyte angiography using a scanning laser ophthalmoscope which include external staining of leukocyte with fluorescein dye and reintroduce the fluorescent leukocyte into the blood flow. Authors tried to check security of external fluorescein staining of leukocytes and separation of fluorescent lymphocytes from whole blood and supernatant fluid using Ficoll-Paque, with cell viability, leukocyte recovery rate and erythrocyte contamination rate. There was no significant difference in cell viability, leukocyte recovery rate and erythrocyte contamination rate between fluorescein staining group and non-staining group. Fluorescent lymphocytes could be separated from whole blood and supernatant solution after gravity sedimentation with 6% hetastarch and the gravity sedimented group had low erythrocyte contamination rate than whole blood group(p≤0.05). In conclusion, external fluorescein staining procedure of leukocyte during fluorescein leukocyte angiography could be performed without cell injury compared to non-fluorescein staining group and fluorescent lymphocyte could be separated from whole blood and supernatant fluid after gravity sedimentation.

폐흡충증으로 확진된 고립성 폐결절 1예

유영권,김규식,김윤현,나국주,김경수,임성철,김영철,박경옥 全南大醫大 2001 전남의대학술지 Vol.37 No.2

한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

Proportion And Characteristics Of Transient Nodules In A Retrospective Analysis Of Pulmonary Nodules

( Jin Yeong Yu ),( Su Young Chi ),( Hee Jung Ban ),( Yong Soo Kwon ),( In Jae Oh ),( Kyu Sik Kim ),( Yu Il Kim1 ),( Sung Chul Lim ),( Song Choi ),( Yun Hyeon Kim ),( Young Chul Kim ) 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.-

어린이에서 안검봉합시 흡수봉합사의 이용

김상덕,양연식,김재덕 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.1

This prospective clinical study was conducted to observe the outcome of surgical skin wound closure in the lower eyelid using absorbable suture material in young children. We operated 30 eyes of 15 patients for entropion and epiblepharon using 6-0 chromic catgut. The patients were carefully examed 1 day, 7 days, 10 days, and 3 months postoperatively for inflammation, wound infection and grossly visible scar. During the follow-up, 6-0 chromic catgut was absorbed and spontaneously disappeared between 7 days and 10 days. There were no inflammation and wound infection in all cases. But the partial visible scar by wound dehiscences was noted in one case. Considering these finding, we think that skin closure with chromic catgut has the advantages of the avoidance of patient discomfort, suture removal, and time spared for the surgeon. Especially, this is extremely helpful in young children.

보존적 치료로 회복된 망경색에 의한 급성복증 1예

김정념,이숭환,김정식,김진호,배윤오,박성규,윤상정,한현영,이헌영 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

Omental infarction, the end result of impaired perfusion to the greater omentum, is a rare benign self-limiting clinical entity. The main clinical symptom is non-specific localized abdominal pain with a moderately raised white blood cell and erythrocyte sedimentation rate. These findings often mimic an abdominal surgical emergency. This condition is often misdiagnosed as acute appendicitis or cholecystitis. The characteristic feature of CT scan and ultrasonography provide non-invasive diagnosis in most patients with omental infarction. We report a case of patient whose CT scan showed the characteristic finding of omental infarction. The patient was improved spontaneously only with conservative care.

腦의 神明機能과 腦의 호르몬 作用에 對한 文獻的 考察

金鎭炯,金允植,薛仁燦 대전대학교 한의학연구소 2002 한의학연구소 논문집 Vol.11 No.1

This thesis was written in order to help set groundwork of the mutuality between brain hormon and Shin-myung(神明) activity. 1.Shin-myung(神明) means all spiritual functions, and Shin(神) represents thinking, myung(明) represents consciounsness. 2.As a origin of Shin-myung(神明) activity, in ancient times Heart(心) was regared as one, but since Chung-Dynasty(淸朝), Brain(腦) is regared as a main controller to manage Shin(神) in human body. 3.Shin-myung(神明) activity would should between Brain(腦) and Shin-Sin(心神) 4.Hormon is chemical substance to serve convey informations and stimuiate them. In Present day Western medical science, make an attempt to understand Shin-myung(神明) activity of Brain(腦) as a activity of hormon doings. In conclusion, Shin-myung(神明) represent that Brain(腦) include Mind-Sprit(情神) activity, and it can be able by the function of brain hormon activety.

감각사시에 관한 임상적 고찰

김상덕,양연식,김재덕 圓光大學校 醫科學硏究所 1998 圓光醫科學 Vol.14 No.1

Background: Sensory heterotropia is defined as a secondary deviation following loss or severe reduction in visual function in one eye. Surgical results in sensory heterotropia are quite unpredictable. Overcorrections or undercorrections occur frequently, and surgical alignment is rarely stable. Methods: The authors designed a study based on medical records of 28 patients with sensory heterotropia. The study included the etiology of visual impairment, type of strabismus as the age of the onset of visual loss and surgical outcome. Results: The range of age was from 5 to 50 years old(mean age, 20.6 years) and onset of visual impairment was from at birth to 25 years old(mean age, 7.6 years). The etiologies were anisometropia (8 cases), corneal opacity (7 cases), optic nerve disease (6 cases), retinal disease (5 cases) and congenital cataract (2 cases). The direction of deviation in patients under 5 years of age were esotropia in 7 cases and exotropia in 4 cases. In patients over 5 years of age esotropia accounted for 1 case and exotropia for 16 cases. Immediately after surgery 20 cases were successful, 3 cases undercorrected and 5 cases overcorrected. On follow-up, 4 cases out of 20 presented recurrence, one case of consecutive exotropia in a esotropic patient and straight alignment in one overcorrected patient. Also recurrence was low in the eyes with limitation of motion after operation suggesting that limitation of motion may be a inhibiting factor of recurrence in patients with sensory heterotropia. Conclusion: Although our average follow-up is only 23 months, We feel that surgical results in patients with sensory heterotropia appear to be stable enough to allow the patients of good cosmesis.

광기능성 폴리머의 소산장 결합을 이용한 측면연마 광섬유형 자외선 센서

김상우,서규원,윤종국,장수원,유윤식,이승하,강신원 한국센서학회 2002 센서학회지 Vol.11 No.6

측면연마된 광섬유와 광기능성 색소가 분산된 평면도파로 결합기를 이용한 새로운 형태의 자외선센서를 제작하여 그 특성을 측정하였다. 자외선 조사에 의해 유효굴절률이 변화하는 광변색성 색소가 분산된 폴리머를 평면 도파로 재료로 사용하였다. 박막 광도파로는 광변색성 색소인 스파이록사진을 사용하였다. 자외선 조사시간을 20초, 30초, 40초로 증가시켰을 경우 센서의 파장응답은 1.44nm/mW, 1.64nm/mW, 1.78nm/mW였고 1550nm 파장에서 센서의 90% 복귀시간은 100초로 나타났다. In this paper, we investigated a novel UV sensor using evanescent field coupling between the side polished fiber and photo-functional polymer waveguide. It was found that resonant wavelength shifts occur due to variation in the refractive index of polymer planar waveguide for its photo-functional properties on exposed UV. Spiroxazine (photochromic dye) was used as the planar waveguide. The resonant wavelength response were exhibited at 1.44 nm/mW, 1.64 nm/mW, and 1.78 nm/mW when UV irradiations were exposed for 20 seconds, 30 seconds, and 40 seconds, respectively. The recovery time of sensor was independent of UV exposure power and 90% recovery time was 100 seconds.

겸상적혈구 혈증에 의한 동통성 발작 1례

김효철,배택환,정윤석,김현수,조준필,김준식,곽연식 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The sickle cell disease are a group of hemoglobin disorders characterized by red cells that undergo sickle shape transformation when they are deoxygenated. Sickle cell disease is transmit-ted as an autosomal recessive trait. This unusual property, due to the polymerization of sickle hemoglobin results in anemia and vasoocclusive complication. 1) The most clinically significant of these disease are sickle cell anemia, sickle cell hemoglobin C disease, and sickle cell beta thalassemia. Symptoms of pallor, fever, abdominal and joint pain, enlargement of the liver and spleen, swelling of hands and feet first appear near the latter part of the first year of life. Intravascular sickling affects all organs. For clinical and therapeutic purposes, exacerbations may be classified as vasoocclusive or pain, aplastic, hemolytic or sequestration crisis. we experienced a 22 year old female patient who suffered severe multiple joint pain and back pain thought to be caused by vasoocclussive phenomena.