Multiple myeloma 환자에서 Bortezomib치료 후 발생한 마비성 장폐색증 1례

김준영,이원식,손창학,박성길,진한영,박석주,조영완,정은욱,강명주,박정하,주영돈 인제대학교 2006 仁濟醫學 Vol.27 No.-

Bortezomib is the first clinically available proteasome inhibitor that is clinically effective in the treatment of multiple myeloma. A proteasome inhibitor acts through multiple mechanisms to arrest tumor growth, tumor spread, and angiogenesis. The main adverse effects of bortezomib are gastrointestinal symptoms, cytopenia, fatigue, and peripheral neuropathy. To date, severe paralytic ileus has not been reported as a toxic effect of bortezomib treatment in multiple myeloma. Bortezomib is a novel agent that has only been used clinically for 30 months, so a need exists to further evaluate its toxicity. We report a case of grade Ⅲ (NCI CTCAE v3.0) or grade Ⅳ(SWOG toxicity criteria) paralytic ileus in a 65-year-old man with relapsed multiple myeloma who underwent one cycle of single-agent bortezomib treatment scheduled in a 21-day cycle (1.3 mg/㎥ as a single i.v. bolus on days 1, 4, 8, and 11).

Trigger point를 利用한 口眼괘斜 患者 10例에 대한 臨床的 考察

鄭榮敦,李浚龜,金永一,朴泰均,辛泳一,黃載然,李賢,李秉烈 대전대학교 한의학연구소 2002 한의학연구소 논문집 Vol.10 No.2

From July 1th 2001 to October 31th 2001, the Clinical investigation studies were carried out 10 cases of patient with Bell's palsy using Trigger point treatment group, who had been treated in Han-seung Oriental Medical Clinic. The results were like below : 1. The distribution of sex : Male were 4cases, female were 6case and the female to male ratio was 1.5 : 1. 2. The distribution of contributing factor : Unknown reason was most predominant 4 cases, and then were revealed to labor too hard, menttal stress(3 cases), trauma·common cold(1 case) in turn. 3. The distribution of perid to fall ill : Under a week was the most number 6cases, and then were revealed a week under two weeks(3 cases), over two weeks(1 case) in turn. 4. About period of treatment : The Trigger point treatment group is shorter than the Acupuncture treatment group. 5. The distribution of grade on admission in descending order : GrⅠ was the most number and then GrⅡ, GrⅢ in turn. 6. The distribution of clinical symptoms on adimission : Mastoid pain was the most number 9 cases and then lacrimal gland disorder 8 cases, dysgeusia 4 cases, hyperacusis 2 cases, the others 2 cases in turn. 7. About effect of treatment : The Trigger point treatment group is more excellent than the Acupuncture treatment group. 8. The more patient age is young, the more effect of treatment was excellent, had nothing to do with both groups. 9. The more perid to fall ill is short, the more effect of treatment was excellent, had nothing to do with both groups. 10. About period of improved frontal belly : The Trigger point treatment group is more excellent than the Acupuncture treatment group.

흰쥐에서 사염화탄소에 의해 유도된 간 상해에 미치는 키토산 올리고당의 영향

이영돈,박승림,강소영,김세재,박지권,고영환 제주대학교 생명과학연구소 1999 제주생명과학연구 Vol.2 No.-

Chitosan is the deacetylated product of chitin. Chitosan and its derivatives have many properties that make them attractive for a wide variety of health applications. We reported recently that water soluble chitooligosaccharides have hepatoprotective effect on ethanol induced liver injury in the mouse. The current study examined the effect of water soluble chitooligosaccharides on CC1₄-induced liver injury in rats. Male Sprague-Dawley rats were orally treated with CC1₄without or with administration of 5% chitooligosaccharides. After 5 weeks after CC1₄treatment, the histological sections and the expression of mRNA of interleukin-12(IL-12), hepatocyte growth factor(HGF), and tumor necrosis factor(TNF- ) were examined. The liver section of rats supplemented with chitooligosaccharides showed attenuated effects of the necrosis, steatosis, cirrhosis compared with those of non-supplemented rats. The level of TNF- mRNA in CC1₄-treated rats were higher than those in the rats supplemented with chitooligosaccharides, while the levels of IL-12 and HGF mRNA were higher in the rats supplemented with chitooligosaccharides than those of in CC1₄-treated rats. These findings suggested that water soluble chitooligosaccharides may have a hepatoprotective activity against CCl₄-induced liver injury in rats.

청소년 도덕적 품성화 검사 도구 개정 연구(2차년도)

류숙희 ( Sook Hee Ryue ),이인재 ( In Jae Lee ),김영한 ( Young Han Kim ),박균열 ( Gyun Yeol Park ),홍성훈 ( Seong Hoon Hong ),전종희 ( Jong Hee Jeon ),윤영돈 ( Young Don Yoon ) 한국윤리교육학회 2013 윤리교육연구 Vol.0 No.29

본 연구는 한국 청소년들의 도덕적 품성화 능력을 측정하기 위한 검사 도구를 개발하기 위한 것으로 2011년도에 개발된 검사 도구를 수정 및 보완한 것이다. 즉, J. Rest가 주장한 도덕성의 제4요소인 도덕적 품성화에 관한 선행연구들을 체계적으로 분석하여 도덕적 품성화의 개념을 보다 명확히 하였고, 1차년도에 설정한 도덕적 품성화의 구성 요소를 개인품성과 관계품성의 두 항목으로 재설정하였다. 또한 검사의 신뢰도와 타당도를 높이기 위해 기존의 스토리와 문항을 수정하였다. 응답의 편포성을 완화하기 위해 2차년도에는 7점 척도를 사용하였다. 예비조사는 전국 중학교 2학년생 409명을 대상으로 실시되었고, 본조사는 전국 6,216명의 중학교 2학년생을 대상으로 실시되었다. 개발된 검사도구의 신뢰도계수(문항 내적 일치도인 크론바흐 알파)는 .90이상으로 신뢰할만했다. 타당도를 확보하기 위해 요인분석을 실시했는데, 도덕적 품성화 능력 검사는 1개 문항을 제외하고 모든 문항이 예정된 요인으로 묶였다. 그리하여 2차년도 연구를 통한 최종 스토리는 총 세 개(과제, 놀이공원, 작품)로 확정되었고, 각 스토리별 문항수는 과제 10개 문항, 놀이공원 9개 문항, 작품 10개 문항으로 총 29개 문항으로 확정되었다. 2차년도 연구결과 개정된 검사 도구는 2011년 검사 도구에 비해 더 안정된 검사도구로서 향후 청소년의 도덕적 품성화 측정을 위한 연구와 실무에 활용될 수 있을 것이다. The study aims to revise Moral Character Test I which was set for adolescents based on Rest`s four components model in 2011 and make standardized final morality test. In theory, this study is based on the four components theory of James Rest who invented DIT (Defining Issues Test) to measure the moral judgment. The four components are composed of moral sensitivity, moral judgment, moral motivation, and moral character (or moral implementation, moral action). This study focused on moral character. This 2nd year study could get some significant outcomes. To make test form, 3 components relating teams have closely exchanged informations. Because teams have to share same real life stories as follows: “homework inspect”, “on going to park”, “broken art work”. The questionnaire used seven likert type to lessen the far epistemological tendency. To represent moral character, research team used personal character and interpersonal character. To get final form of morality test, this study was made two sequential steps. First one was pre-test which was for 409 respondents. Second main one was for 6,216 respondents. For moral character, the reliability was highly coefficient with Cronbach`s alpha(>.90). The validity was also much improved and stable. But just in the story “on going to park”, the factor analysis shows a little bit limitation result. Even though, 1st and 2nd researches have common weak point which is highly dependent upon not factor but story. Through these processes, to test moral motivation, this study shows 3 stories and 29 questions. And this recommends that just one simple story might be developed for one component(moral character).

청소년 도덕적 동기화 검사 도구 개정 연구(2차년도)

전종희 ( Jong Hee Jeon ),이인재 ( In Jae Lee ),김영한 ( Young Han Kim ),박균열 ( Gyun Yeol Park ),윤영돈 ( Young Don Yoon ),류숙희 ( Sook Hee Ryue ),홍성훈 ( Seong Hoon Hong ) 한국윤리교육학회 2013 윤리교육연구 Vol.0 No.29

본 연구는 J. Rest의 4구성요소 모형을 바탕으로 1차년도(2011년)에 개발된 도덕적 동기화 검사를 보다 신뢰롭고 타당한 도구로 개정하는 것이다. 따라서 선행연구를 보완하여 도덕 동기화의 구성 요소를 도덕지향성과 도덕적 정서귀인 등 두 항목으로 재설정하고, 스토리와 문항을 수정하였다. 개발된 세 개의 스토리(과제, 놀이공원, 작품) 별로 신뢰도를 분석한 결과, 전반적으로 .90 내외의 높고 수치를 보였다. 응답의 편포성을 완화하기 위해 2차년도에는 7점 척도를 사용하였다. 예비조사를 위해서는 전국 중학교 2학년생 409명을 대상으로 했고, 본조사를 위해서는 전국 6,216명의 중학교 2학년생을 대상으로 실시하였다. 개발된 검사도구의 신뢰도계수(문항 내적 일치도인 크론바흐 알파)는 .90이상으로 신뢰할만했다. 타당도를 검증하기 위하여 요인분석을 실시한 결과, 과제 스토리와 놀이공원 스토리의 일부 문항이 가정한 요인으로 잘 묶이지 않았는데 이 문항들을 제거하고 요인분석을 다시 실시해본 결과 기대하는 바를 충족했다. 그리하여 2차년도 연구를 통해 최종 스토리는 총 세 개(과제, 놀이공원, 작품)로 확정되었고, 각 스토리별 문항수는 과제 9개 문항, 놀이공원 9개 문항, 작품 10개 문항으로 총 28개 문항으로 확정되었다. 본 연구를 통해 수정 확정된 도덕적 동기화 검사도구는 상당히 안정적인 신뢰도와 타당도를 확보하였기에, 향후 우리나라 청소년의 도덕적 동기화 능력을 측정하기 위한 검사도구로 활용되기에 적절할 것으로 판단된다. The study aims to revise Moral Motivation Test I which was set for adolescents based on Rest`s four component model in 2011 and make standardized final morality test. In theory, this study is based on 4 components theory of James Rest who invented DIT (Defining Issues Test) to measure the moral judgment. The 4 components are composed of moral sensitivity, moral judgment, moral motivation, and moral character (or moral implementation, moral action). This study focused on moral motivation. This 2nd year study could get some significant outcomes. To make test form, 3 components relating teams have closely exchanged informations. Because teams have to share same real life stories as follows: “homework inspect”, “on going to park”, “broken art work”. The questionnaire used seven likert type to lessen the far epistemological tendency. To represent moral motivation, research team used moral orientation, moral emotion attributions. To get final form of morality test, this study was made two sequential steps. First one was pre-test which was for 409 respondents. Second main one was for 6,216 respondents. For moral motivation, the reliability was highly coefficient with Cronbach`s alpha(>.90). The validity was also much improved and stable. But just in the story “homework inspect”and “on going to park”, the factor analysis shows a little bit limitation result. Eliminated those questions, the result of factor analysis was more stable and reliable. Through these processes, to test moral motivation, this study shows 3 stories and 28 questions. And this recommends that just one simple story might be developed for one component(moral motivation).

제 1 소구치 발치를 동반한 제 I 급 교정 치료 환자의 치료후 악궁의 형태에 관한 연구

박영철,김형돈 대한치과교정학회 1994 대한치과교정학회지 Vol.24 No.4

This study was designed to get the knowledges of the ideal arch form of the class I malocclusion patients of Koreans with first premolar extraction. The subjects consisted of 98 individuals with class I malocclusion with first premolar extraction. The results were as follows ; 1. Author found the ideal arch shape of the class I malocclusion patients with first premolar extraction. 2. Equations of ideal arch form of the class I malocclusion patients with first premolar extraction were obtained from SPSS.

Human Chorionic Gonadotropin(HCG)에 의한 넙치, Paralichthys olivaceus의 배정효과

박인석,김형배,최희정,이영돈,손진기 제주대학교 해양연구소 1992 해양자원연구소연구보고 Vol.16 No.-

For the evaluation of hormonal control of sperm in cultured fish a method to quantify the spermiation response of mature flatfish to hormonal therapy is described. Spermatocrit was determined after 30 min. in centrifuge condition of 12,000rpm. Sperm density was estimated by a standard hemacytometer method. However, sperm density can be predicted from spermatocrit since their relationship is linear as described by the re-gression equation. Y=1.14X-0.04 (r=0.91. P<0.0001. n=50), where Y is spermatocrit and X is sperm density. Sperm density levels ranged from 21.5 to 98.4×10^(4) spermatozoa per ㎕ milt corresponding to spermatocrit values of 12 to 95%. Milt production by mature flatfish was highest (7.4ml per kg body weight) at 24h after injection of 1,000IU of human chorionic gonadotropin(HCG) per kg body weight and coincided with low spermatocrit (63%) and sperm density (67.4×10^(4) spermatozoa per ㎕ milt) levels. No significant differences was appeared in milt production, spermatocrit and sperm density between control and HCG-treated fish at 48h after HCG injection. These results demonstrate that spermiation in mature flatfish can be reliably evaluated by a spermatocrit method and that HCG is effective in stimulating of spermiation in this species.

후추(Piper nigrum) 열매의 Alkaloids

박일권,이학주,이상길,신상철,박지두,최돈하,안용준 한국목재공학회 2003 목재공학 Vol.31 No.5

후추 열매의 MeOH추출물로부터 silica gel 및 preparative HPLC 칼럼 크로마토그라피를 이용하여 5종의 알카로이드 화합물을 단리하였으며, NMR, MS 등의 기기분석 결과, N-isobutyl amide alkaloids인 pellitorin (Ⅰ)를 비롯하여, quineensine (Ⅱ), pipercide (Ⅲ), retrofractamide A (Ⅳ)과 piperidine alkaloid인 Pipeline (Ⅴ)으로 각각 동정하였다. Five amide alkaloids were isolated from the fruits of Piper nigrum. The structures were determined as : pellitorin(Ⅰ), quineensine(Ⅱ), pipercide(Ⅲ), retrofractamide A(Ⅳ), and piperine(Ⅴ) respectively on the baiss of spectrosopic data.

독가시치류의 일종 Siganus canaliculatus(PARK)의 산란기 생식소와 난발생

박무억,이영돈,노섬 제주대학교 해양연구소 1992 해양자원연구소연구보고 Vol.16 No.-

Mature adults of Rabbit fish, Siganus canaliculatus. which is generally known to be distributed up to the southern costal waters of Korean peninsula, were captured in Ham-duck, northeast of Cheju on August 2. 1992. Gonad of the Rabbit fish was investigated histologically on the view point of gonadal development. Pale yellow ovaries are consisted of the mature oocyte groups and early growing oocyte groups, while Yellowish red ovaries consisted of the ripe oocyte groups and early oocyte group. Milky white testis is mostly filled with spermatozoa in the lobular cavity. The eggs and sperm were stripped and fertilized by the wet method on the laboratory. The fertilized egg diameter varied from 0. 57mm to 0.61mm. The water temperature throughout incubation ranged from 26℃ to 27℃. The hatching took place in 32 hour after fertilization. The newly hatched larvae are averagely 1.94mm in TL, possessing yolk sac.

원형 탈모증 환자에서의 감정표현불능증

박두병,전창무,손인기,민경준,김영돈,노병인 大韓神經精神醫學會 2001 신경정신의학 Vol.40 No.5

연구목적 : 감정표현불능증이 정신신체질환의 특징적인 성격 경향 인지에 대해 논란이 많이 있어 왔다. 이에 정신신체질환이면서 피부과 외래 환자의 다수를 차지하는 원형탈모증 환자에 있어서의 감정표현불능증에 대해 알아보았다. 방 법 : 원형탈모증 환자군(31명)과 연령, 성별을 대비시킨 정상대조군(31명)에서 MMPI, SCL-90-R, TAS-20K를 시행하였다. 정신신체질환 이외의 질환에 의한 영향을 배제하기 위해 다른 정신과 질환이 있다고 판단되는 경우는 제외시켰다. 집단간의 비교를 위해 paired t-검증을 실시하였다. 결 과 : 원형탈모증 환자군에서 MMPI 결과는 F 척도, K 척도, Hs 척도, D 척도, Hy 척도, Pd 척도, Pa 척도, Pt 척도, Sc 척도의 점수가 정상대조군에 비해 의미있는 차이를 보였고(p<0.05), SCL-90-R 점수에서는 SOM 척도, O-C 척도, I-S 척도, DEP 척도, ANX 척도, HOS 척도, PHOB 척도, PAR 척도, PSY 척도, GSI, PSDI, PST 점수가 정상대조군보다 유의하게 높은 점수를 보였다(p<0.05). 또한 TAS-20K 점수에서는 환자군이 정상대조군에 비해 Factor 1과 총점에서 유의하게 높은 점수를 보였다(p<0.05). 결 론 : 결론적으로, 원형 탈모증 환자군에서 정상 대조군에 비해 감정표현불능증이 더 심하고 특히 자신의 느낌을 잘 알지 못하는 것으로 나타났다 이는 원형탈모증 환자의 심리적인 대처기전을 세워 나가는데 좀더 주의를 기울이고, 더 많은 관심을 가져야 한다는 것을 의미한다. Objectives : Alexithymia has been regarded as the general personality of psychosomatic disease, but it's controversial. The object of the study is to find out the relationship between alexithymia and alopecia areata. Methods : Thirty one alopecia areata patients were compared to 31 normal healthy persons in alexithymic tendency using TAS-20K Also MMPI and SCL-90-R were checked in both groups. Psychiatric diseases were ruled out. Results : The scores of F, K, Hs, D, Hy, Pd, Pa, Pt and Sc of MMPI in alopecia areata patients were different from those in normal healthy persons. The scores of SOM, O-C, I-S, DEP, ANX, HOT, PHOB, PAR, PSY,GSI, PSDI, and PST of SCL-90-R in alopecia areata patients were significantly higher than those in normal healthy persons. In TAS-20K, the scores of Factor I and Total in alopecia areata patients were higher than those in normal healthy persons. Conclusion : Our results suggest that alopecia areata patients are more alexithymic than normal healthy persons.