A Case of Urethral Stent for Recurrent Urethral Stricture and Penile Prosthesis for Erectile Dysfunction

Jung, Gyung-Woo,Song, Young-Jin,Park, Young-Ho,Kwon, Heon-Young,Yoon, Jin-Han 동아대학교의과대학 1992 동아의대학술지 Vol.4 No.1

일 대학병원에 입원한 노년기 양극성 장애 환자의 인구학적 및 임상적 특징

조숙현(Sook Hyun Cho),정한용(Han Yong Jung),권영준(Young Jun Kwon),이소영(So Young Lee),김양래(Yang Rae Kim),김윤정(Yun Jung Kim) 대한노인정신의학회 2006 노인정신의학 Vol.10 No.2

Objectives : As the elderly population is continuing to increase, psychiatric diseases of the elderly are becoming an important social issue. This study looks into the demographical and clinical features of the elderly patients diagnosed with bipolar disorder in a University hospital. Methods : The study subjects include patients admissioned in the closed wards of Soonchunhyang Seoul hospital and Cheonan hospital from March, 2000 to February, 2005 who met the DSM-IV-TR criteria for bipolar disorder at the time of discharge. A total of 146 patients (76 men, 70 women) medical records were studied retrospectively. Subjects older than the age of 50 at time of admission were grouped as the old age group, whereas those who were younger than 50 as the young age group. Also among the old age group, those who had the first onset of episode under the age of 50 were grouped as the early onset group, whereas those who had the first onset after the age 50 were grouped as the late onset group. Results : The number of bipolar disorder patients in the young age group and old age group were 73 and 73 respectively. The number of early onset group and late onset group were 46 and 23 respectively. The old age group had a relatively higher incidence of bipolar II disorder than the young age group. Also in the old age group there was a higher incidence of hypomanic or depressive episode rather than manic episode compared to the young age group. And in the old age group psychotic symptoms were less common and the mean admission length shorter than the young age group. Additionally in the old age group treatment with Lithium monotherapy or with no mood stabilizers at all were relatively common. Among the old age group, late onset group had a higher rate of bipolar II disorder than the early onset group. Conclusion : This study shows differences in the demographical and clinical features among different age groups. But additional research would be required to determine whether the bipolar disorders in the elderly or late onset group are actually a different type of disorder from those of the young.

만선신부전 환자에서 관상동맥조영술 소견에 관한 연구

한대희,김성구,박상호,김성한,조원영,방덕원,조윤행,정의룡,은영근,권영구 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Background : Patients with chronic renal fialure have a substantially elevated risk of death from cardiovascular diseases than do the general population. the patients with chronic renal failure are at significantly increased freqeuncy of hypertension, hyperlipidemia, and diabetes mellitus which are known to the risk factors of the coronary artery diseases, and the prevalence of the coronary artery diseases in chronic renal failure patients is highly associated with the hemodynamic disorder and metabolic abnormalities. therefore we expected that the coronary angiographic findings in patients with chronic renal failure should be different from the general population (control groups) and investigated the risk factors contributing to coronary artery diseases. Method : we have retrospectively compared the coronary angiographic findings of 44 patients with chronic renal failure on hemodialysis with that of 88 patients in the general population and investigated the factors contributing to the development and acceleration of coronary artery diseases in patients with chronic renal failure Result : Hypertension and diabetes mellitus which is risk factors for coronary artery disease is significantly increased in patients with chronic renal failure, in coronary angiographic finding the severity of the lesion is worse. the incidence of PCI or CABG of patients with chronic renal failure is more than that of control group but statistically no difference between patients with chronic renal failure and control group. the sex, the duration of disease, the duration of dialysis, serum creatinine in patients with chronic renal failure have no correlation to the prevalence of coronary artery disease and severity of lesion. hyperglycemic patients with chronic renal failure have high incidence of coronary artery disease and are worse in the severity of lesion Conclusions : There is significantly increased the pevalence and severity of involving multiple coronary artery diseses in hyperglycemic patients with CRF.

GASKET LIFE CRITERIA AT LOW TEMPERATURES ADOPTING PROPORTIONAL COMPENSATION FOR LOSS OF FLEXIBILITY AND CONFORMABILITY

Young-Doo Kwon,Seong-Hwa Jun,Jin-Sik Han,Dong-Jin Lee 한국자동차공학회 2018 International journal of automotive technology Vol.19 No.1

In the automobile industry, the service life of gaskets is defined as the time until which a released gasket recovers 60 % of the original compression. It was observed that the recovery curves of gaskets were highly nonlinear at high temperatures, and relatively nonlinear at temperatures above the room temperature. However, it was also noted that the recovery curves of the gaskets at temperatures below room temperature exhibited linearity with respect to the ln(time). Automotive manufacturers demand gasket life criteria that exceed a specific time or the entire life of a car. In the case of gaskets used at lower temperatures, since materials encounter losses in its flexibility and conformability, the definition of service life specifying a 60 % recovery may not be sufficiently safe to eliminate possible leakages. In this study, new gasket life criteria that could be used at low temperatures were proposed. The new criteria were proposed based on the change in Young’s modulus of the gasket material in order to conserve the sealing capability.

李圭晙의 生涯와 思想的 傾向

권오민(Kwon Oh-mi),박상영(Park Sang-young),안상영(Ahn Sang-young),한창현(Han Chang-huyn),안상우(Ahn Sang-woo) 한국의사학회 2009 한국의사학회지 Vol.22 No.1

This article conducted an pilot study on Lee Gyu-Jun(李圭晙)’s life and thoughts. He championed, and is mainly based on, old annotations of ancient Confucian bibles古文 that were made in the Han漢 and Tang唐 era in Chinese history and consequently took additionally into account Zuxi朱熹’s annotations on Confucian bibles. This cause big trouble to him in conservative Gyeong Shang Province(嶺南). He participated in the Confucian Religion Movement孔敎運動 and proposed constitutional monarchy as a new polity fit for changing Korean history. He closely interacted with many resistants to the Japanese rule of Korea and had a mixed perspective on Western culture, science and technology, and social system, positive or negative, contingent on cases. He made great footprints in the history of both modern Korean medicine and philosophy. Thus there is an urgent need for the overall study on Lee Gyu-Jun in every aspect.

하부팽창형 임프란트의 유한요소 분석 및 골형성에 대한 연구

한석환,김영규,민경기,조완석,권종진 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.3

The aim of this study was to evaluate by finite element analysis influence of investigated expanding implant on stress distribution and to observe biocompatibility, bone formation feature and change in the bone contact area around the explanding implant through experimental animal study. FEA models of the mandible were constructed based on three-dimensional graphic data of the bone structure around an osseointegrated implant, analysis of stress distribution followed by 100N vertical, 50N horizontal was done. And in the animal study, expanding implant were placed in the mandibles of eight Korean mongrel dogs and analyzed the results with histomorphometric measurements. In finite element analysis, compressive stresses are produced at the bone tissue surrounding the implant, and the contact area between the implant and the bone tissue is increased, which result in increased resistance to horizontal and vertical pressure loads. In the histomorphometric analysis, the measured ratio of the contact surface and bon density between implant and bone was similar to those of the controlled group from 6 weeks. It is thought that increased horizontal and vertical resistance is a great help to the immediate loading on expanding implant and that there needs standardizing quantitative measurement of implant stability and osseointegration to determine whether or not to use the functional loading and to reduce the total treatment period reliably by placing functional loading on each implant based on both bone quality and implant stability.

말초혈액에서 Tg mRNA에 대한 역전사 중합효소 연쇄 반응법의 갑상선 재발암의 분자생물학적 진단

권성일,박기룡,김현영,신채희,임영찬,최영식,박요한,이강대,장희경,이재화,염하용 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.4

연구배경: 갑상선암은 다른 조직에 발생한 암에 비해 비교적 천천히 자라므로 대부분 예후가 양호하지만, 일부에서는 주위 조직으로 침윤하거나 혹은 원격 전이로 인하여 치명적인 결과를 초래할 수 있다. 갑상선전절제술 및 131^I 제거술 후 경과 관찰시 갑상선암의 재발과 전이의 진단에 있어 131^I 스캔과 혈청 Tg의 측정이 현재 임상에서 가장 많이 이용되고 있으나 이 방법에는 여러 가지의 결점이 있다. 최근 Tg mRNA에 대한 RT-PCR법을 이용한 여러 연구결과는 131^I 스캔과 혈청 Tg 측정의 결점을 보완할 수 있는 좋은 보조적인 진단법으로 이용할 수 있을 가능성을 제시하였다. 이에 말초혈액에서 측정한 Tg mRNA에 대한 RT-PCR법이 갑상선 절제술 및 방사성요드 치료 후 갑상선암의 재발 및 전이 유무의 진단에 유용한가를 알아보고자 이 연구 시행하였다. 방법: 분화된 갑상선암으로 진단된 후 갑상선전절제술을 시행받고 방사성요드 치료를 받은 환자 중 현재까지 한차례에 이상 추적 방사성요드 전신 스캔을 시행하고 추적관찰이 가능했던 유두선암 35예, 여포선암 5예를 대상으로 연구를 시행하였다. 대상군은 131^I 스캔 소견상 음성인 군(Group Ⅰ), 잔여조직이 있는 군(Group Ⅱ), 국소전이가 있는 군(Group Ⅲ), 및 원격전이 군(Group Ⅳ)으로 구분하였다. 정상 대조군은 갑상선질환이 없는 10예의 건강인으로 하였다. 대상환자의 말초혈액을 이용한 Tg mRNA에 대해 특이적인 primer를 이용하여 RT-PCR 및 nested RT-PCR을 시행하였다. 결과: 본 연구 결과는 다음과 같다. 1) 131^I 스캔 소견상 음성인 군 21예 중 1예에서 Tg가 양성소견을 보였다. Anti Tg Ab가 양성인 4예 모두 Tg가 음성을 보였다. 잔여조직이 있거나 국소전이 및 원격전이를 보인 군 19예 중 Tg가 양성인 경우는 4예였으나, Tg mRNA는 전예에서 양성이었다. 2) 131^I 스캔에서 국소 및 원격전이 소견을 보인 8예 중 4예에서 Tg가 음성으로 131^I 스캔과 혈청 Tg 사이에 불일치 소견을 보였다. 3) 말초혈액에서 특이적인 primer를 이용하여 RT-PCR 및 nested RT-PCR을 시행한 결과 대상군 40예 및 정상 대조군 10예 모두에서 Tg mRNA가 양성을 보였다. 결론: 본 연구에서 갑상선 절제술 및 방사성요드 치료 후 갑상선암의 재발 및 전이 유무를 평가함에 있어 역전사 중합효소 연쇄 반응법을 이용한 Tg mRNA 측정의 의의는 재평가되어야 한다고 생각된다. Background: Differentiated thyroid cancer is the most common endocrine malignancy. Despite advances in the treatment of thyroid cancer, disease recurrence and metastasis may occur in as many as 20% of patients, and so continues to pose major problems in its clinical management. Serum thyroglobulin (Tg) measurements, by immunoassay, are used to detect residual or recurrent thyroid cancer following thyriod ablation. However, the usefulness of immunoassay is limited by both the requirement for thyroid hormone withdrawal, to attain optimal test sensitivity, and interference by the antithyroglobulin antibody (Anti-Tg Ab). Recent studies have reported the clinical usefulness of reverse transcription-polymerase chain reaction (RT-PCR) detection of Tg mRNA in the peripheral blood of patients with differentiated thyroid carcinomas. We performed this study to evaluated the usefulness RT-PCR of Tg mRNA in peripheral blood of patients with thyroid carcinoma following a total thyroidectomy and radioiodine ablation therapy. Methods: Forty cases that underwent a total thyroidectomy and radioiodine ablation therapy were included in this study. Of the 40 patients, 35 were papillary carcinomas and 5 were follicular carcinomas. Ten normal control subjects were also studied. Tg mRNA was extracted. Then RT-PCR and nested RT-PCR, were run with specific Tg primers. Concurrently, DNA sequencing of the isolates was carried out to prove the isolates were identical to the nucleotide sequence of the Tg. Results: The Tg was detected in 4 of 19 patients, with either a residual thyroid bed, or metastasis, on a 131^I whole body scan and in 1 of 21 patients with a negative radioiodine scan. Surprisingly, the Tg mRNA was detected in all the patients and normal controls. Conclusion: From our results we can not recommend Tg mRNA, detected by RT-PCR in peripheral blood, as a tumor marker superior to that of the Tg serum level. We consider an intensive re-evaluation of the method is required before considering its clinical applications (J Kor Soc Endocrinol 17:501∼513, 2002).

정신분열병 환자의 인지기능에 대한 항정신병 약물의 영향에 관한 연구

권영준,한선호 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

Objects : This study was performed to evaluate and compare the effects of classical and atypical antipsychotics on cognitive function of schizophrenic patients. Methods : 80 schizophrenic inpatients were selected for this study. They were divided into 4 groups and take one of the medication(haloperidol, risperidone, clozapine, and olanzapine). Their symptomatology, extrapyramidal side effects, and cognitive functions were measured at baseline and 6 weeks after medication by PANSS(Positive and Negative Syndrome Scale), ESRS(Extrapyramidal Symptom Rating Scale), Wechsler's memory scale, and Trail making test. Results : 1) The positive symptom, general psychopathology and total scores improved markedly, and there were no significant differences among 4 groups. The negative symtpom scores were improved better in risperidone, clozapine, and olanzapine groups than haloperidol group. 2) In ESRS, the questionnaire and parkinsonism scores were significantly elevated in all 4 groups, but the scores of haloperidol group were higher than other groups. The change of scores of dystonia and dyskinesia were not significant in risperidone, clozapine, and olanzapine groups, but in haloperidol group the scores were elevated significantly. 3) In the measures of cognitive functions, the logic memory were worsen in haloperidol, risperidone, and olanzapin groups, but not in clozapine group. The performance of forward digit span was preserved in atypical antipsychotics groups but not in haloperidol group. In the backward digit span and visual reproduction, haloperidol, risperidone, and olanzapine groups scored significantly lower than clozapine group. In the Trail making B, the performance time was increased markedly in haloperidol. and risperidone groups, but not in clozapine, olanzapine groups. Conclusion : Atypical antipsychotics effectively decreased negative symptoms, and have less extrapyramidal side effects compared with classical antipsychotics. Atypical neuroleptics, especially clozapine, seemed to preserve cognitive functions.

교육ㆍ심리검사의 편중문항의 추출방법의 관한 고찰

권요한,이영만 창원대학교 학생생활연구소 1991 학생생활연구 Vol.4 No.-

소형 연 X-선 현미경

권영만,김한경,강성훈,김경우,윤권하 원광대학교 대학원 2008 論文集 Vol.41 No.-

A Soft x-ray microscope operates in the 'water window' wavelength region (2.3-4.4 nm), where natural contrast between carbon (protein) and oxygen (water) allows to image a biological cell. The compact soft x-ray microscope operates at λ = 2.88 nm (430 eV) and consist of liquid-nitrogen-jet-target laser-plasma x-rays source, a tandem ellipsoidal condenser mirror for sample illumination, an objective micro zone plate, and a thinned back-illuminated charge coupled device with 1,024 × 1,024 pixels. The Liquid-nitrogen-jet-target laser-plasma source was a high brightness of 1.4×10^(12) photons/pulse·sr·line. The tandem ellipsoidal condenser mirror has 15% reflectivity. The photon flux arrived at the sample is 1.29×10^(5) photons/μ㎡ The micro zone plate was used for an objective optic, and had outermost zone width of 30 nm, zone number of 667, and diameter of 80㎛, and the focal length was 835㎛. On performance test for the compact soft x-ray microscope, the 'Siemens Star' image was obtained with a 60-nm-resolution at 380 magnification and 3 minutes exposure. I also obtained images of biological samples, such as diatom and red blood cell of a mouse with 5-10 minutes exposure.