방광 크롬친화세포종과 동반된 배뇨후 벼락두통

하윤석,강성진,허소영,이지현,김민정,김종국,김광수 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1

Thunderclap headache is a hyperacute, severe headache that is so named because the pain strikes suddenly and severely, and is sometimes a sign of a medical emergency. We report a case of pheochromocytoma in the urinary bladder in a 48-year-old woman who presented with recurrent thunderclap headache after voiding and exercise. So we think thunderclap headache during or immediately after micturition may be an important diagnostic clue of bladder pheochromocytoma.

치근 천공 치료 재료의 생체친화성의 비교

강민경,배인호,고정태,황윤찬,황인남,오원만 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.3

This study was carried out in order to determine in vitro biocompatibility of white mineral trioxide aggregate (MTA), and to compare it with that of the commonly used materials, i. e. calcium hydroxide liner(Dycal), glass ionomer cement (GIC), and Portland cement which has a similar composition of MTA. To assess the biocompatibility of each material, cytotoxicity was examined using MG-63 cells. The degree of cytotoxicity was evaluated by scanning electron microscopy (SEM) and a colorimetric method, based on reduction of the tetrazolium salt 2,3 bis {2methoxy 4nitro 5〔(sulfenylamino) carbonyl〕2H tetrazolium hydroxide} (XTT) assay. The results of SEM revealed the cells in contact with GIC, MTA, and Portland cement at 1 and 3 days were apparently healthy. In contrast, cells in the presence of Dycal appeared rounded and detached. In XTT assay, the cellular activities of the cells incubated with all the test materials except Dycal were similar, which corresponded with the SEM observation. The present study supports the view that MTA is a very biocompatible root perforation repair material. It also suggests that cellular response of Portland cement and GIC are very similar to that of MTA. 이번 연구는 치근 천공의 치료 재료인 white mineral trioxide aggregate (MTA)를 흔히 사용되는 calcium hydroxideliner(Dycal^(R), glass ionomer cement (GIC), 그리고 MTA와 유사한 성분을 가진 Portland cement와 세포독성 실험으로 생체 친화성을 평가하는 것이다. 세포독성의 정도는 MG-63 세포를 이용해 주사전자 현미경적 관찰과 수용성 tetrazolium salt를 이용한 흡광도를 측정 (XTT assay)하여 평가하였다. SEM 관찰에서, 1일과 3일째 모두에서 GIC와 MTA, Portland cement표면에서는 잘 부착된 세포를 보여주었다. 반면에, Dycal 표면의 세포들은 둥글고 부착되지 않은 양상을 보여주었다. XTT assay에서는 Dycal을 제외한 모든 재료에서 유사하게 높은 세포 활성도를 보여주었으며, 이는 SEM 관찰 소견과 일치하였다. 이번 연구는 MTA가 생체친화적인 재료라는 견해를 뒷받침한다. 또한 Portland cement와 GIC에서도 MTA와 유사한 세포반응을 보여주었다.

미스트 분무 및 스프링클러 관수가 단동 플라스틱 하우스에 미치는 냉각효과

강정윤,최동호,임홍성,허종철 제주대학교 산업기술연구소 2000 尖端技術硏究所論文集 Vol.11 No.2

As crops recently can be cultivated all the year in greenhouses, we need to improve the environment in which crops are able to grow in the summer. Therefore, in this study, we quantitatively got the cooling effects of 4 single span plastic greenhouses in the following ways : by spraying mist or sprinkler, or by opening the side window. and with those variables, we simultaneously did experiments at 4 greenhouses under equivalent conditions to reduce the temperature of the greenhouses in the summer. The results of the experiments are as following : 1) The temperatures of the greenhouses were effectively reduced by both spraying mist and sprinkler. 2) When the mist is intermittently sprayed. the indoor temperature has decreased by 4 degrees centigrade, meanwhile, in the greenhouse to make experiments using sprinkler, the temperature of that has been reduced by 2 degrees centigrade. Therefore, we can see the cooling effects of smaller mist in size as more effective than those of sprinkler. 3) When the greenhouse is naturally ventilated by opening the side window, we have to apply another cooling system because the indoor temperature is higher than the outdoor one.

진행성 비소세포폐암의 이차항암화학요법으로서 Docetaxel 단독요법의 성적

강현모,이정은,장필순,이연선,권선중,안진영,정성수,김주옥,김선영 충남대학교 암공동연구소 2006 암공동연구소 업적집 Vol.5 No.

Background : The survival benefit associated with first-line chemotherapy in lung cancer has led to the need for second -line chemotherapy, for which Docetaxel (Taxotere^(?)) has proven efficacy in both settings. This study evaluated the safety and efficacy of docetaxel in patients with non-small cell lung cancer who had failed first-line platinum-based chemotherapy. Methods : Thirty one patients with non-small-cell lung cancer, who had failed first line platinum-based chemotherapy, between March 1999 and August 2003, were enrolled in this study. Patients received intravenous docetaxel, either 75 mg/㎡ or 100 mg/㎡, with routine premedication every three weeks. Results : Fourteen patients (45.2%) had a partial response. The median survival and progression- free survival times were 12.5 months (95% CI 7.3-17.6) and 3.0 months (95% CI 1.6-4.5), respectively. This study showed 2 factors gave different survival benefits; the age (< 60 years: 20.1 months vs. > 60 years: 6.6 months, p=0.0105) and the histological type (adenocarcinoma: 25.6 months vs. others: 7.9 months, p=0.0055). The predominant toxicity was neutropenia, which occurred as WHO grade 3 or 4 in 38.7 % of patients. One treatment related death was also reported. Non-hematological toxicity was minor and easily controlled. There were no significant statistical differences in the survival benefit and toxicity between the two doses. Conclusion : Docetaxel, as second-line monotherapy, was well tolerated and effective in patients with non-small-cell lung cancer who failed first line platinum -based chemotherapy. (Tuberc Respir DiS 2005: 58: 465-472) 연구배경 : 일차항암화학요법 후에 생존의 이득을 얻었음에도 불구하고 비소세포폐암 환자들의 대다수가 결국은 재발하거나 진행성 병변을 보인다. 이에 저자들은 기존의 여러 연구에서 보고 된 구제요법으로서 docetaxel의 항암효과와 비교적 적은 독성의 결과를 바탕으로,platinum을 근거로 한 항암화학요법을 시행 밖았으나 개발되거나 진행된 비소세포폐암 환자들을 대상으로 docetaxel 단독요법의 치료효과와 부작용에 대하여 알아보고자 하였다. 방법 : 조직학적으로 비소세포폐암으로 진단을 받고 platinum을 근거로 한 항암화학요법을 받았으나 재발 또는 진행성 병변을 보인 31명의 환자들을 대상으로 docetaxel 75 mg/m² 또는 100 mg/m²을 3주마다 정주하였다. 임상기록을 통한 후향적인 방법으로 분석하였다. 결과 : 1) 재발 또는 진행성 병변을 보인 31명중 남녀 비는 24:7이고 중앙연령은 60세였다. 2) 반응평가로 완전 관해는 없었고 부분관해는 14명(45.2%), 불변이 10명(32.3%), 진행이 7명(22.6%)으로 전체적인 반응율은 45.2%이었다. 3)중앙생존기간은 12.5개월(95% 신뢰구간: 7.3개월 17.6개월) 이었고, 1년 생존율은 52%였다. 무진행생존기간의 중앙값은 3.0개월(95%신뢰구간: 1.6개월 -4.5개월)이며, 반응군에서의 중앙반응지속피간은 3.7개월(95% 신뢰구간: 3.0개월 - 4.4개월)이었다. 4) 60세 미만인 경우(20.1 months vs 6.6 months. p=0,0105), 조직학적 아형이 선암일 경우(25.6 months vs 7.9 months, 0=0.0055) 통계적으로 유의한 생존기간의 증가가 있었다. 5) 부작용으로 3도 이상의 백혈구 감소증은 12명(38.7%),호중구 감소증에 동반된 발열은 6명(19.3%),감염이 동반된 호중구 감소증은 4명(12.9%)에서 발생했다. 치료와 관련되어 1명이 사망하였다. 6) Docetaxel 용량에 따른 생존기간의 차이나 독성의 차이는 없었다. 결론 : Platinum을 근거로 하는 항암화학요법으로 치료받은 후 재발 또는 진행성 병변을 보이는 비소세포폐암환자들에게 docetaxel을 투여하는 것은 비교적 안전하고 효과적인 항암치료법으로 사료된다.

진딧물의 경보페로몬인 (E)-β-Farnesene의 합성과 생물활성시험

강석구,정경운,이정운,고현관 성균관대학교 기초과학연구소 1986 論文集 Vol.37 No.1

(E)-β-Farnesene, the alarm pheromone of aphids was synthesized from nerolidol by reacting in a sealed tube at 150℃ for 24h with DMSO. Base(KOtBu/DMSO) catalized elimination of HCl from farnesyl chloride at 50℃ for 4h afforded (E)-β-farnesene as the major product. Farnesyl chloride was prepared from nerolidol or farnesol with SOCl_2 or HCl. Biological activity test of (E)-β-farnesene thus synthesized was conducted.

미스트 분무 및 스프링클러 관수가 단동 플라스틱 하우스에 미치는 냉각효과

강정윤,임홍성,최동호,허종철 濟州大學校 産業技術硏究所 2000 산업기술연구소논문집 Vol.11 No.1

As crops recently can be cultivated all the year in greenhouses. we need to improve the environment in which crops are able to grow in the summer. Therefore. in this study. we quantitatively got the cooling effects of 4 single span plastic greenhouses in the following ways: by spraying mist or sprinkler. or by opening the side window. and with those variables. we simultaneously did experiments at 4 greenhouses under equivalent conditions to reduce the temperature of the greenhouses in the summer. The results of the experiments are as following : 1) The temperatures of the greenhouses were effectively reduced by both spraying mist and sprinkler. 2) When the mist is intermittently sprayed. the indoor temperature has decreased by 4 degrees centigrade. meanwhile. in the greenhouse to make experiments using sprinkler. the temperature of that has been reduced by 2 degrees centigrade. Therefore. we can see the cooling effects of smaller mist in size as more effective than those of sprinkler. 3) When the greenhouse is naturally ventilated by opening the side window. we have to apply another cooling system because the indoor temperature is higher than the outdoor one.

진행성 비소세포폐암의 이차항암화학요법으로서 Docetaxel 단독요법의 성적

강현모,이정은,장필순,이연선,권선중,안진영,정성수,김주옥,김선영 충남대학교 암연구소 2006 암연구소 업적집 Vol.5 No.-

Background : The survival benefit associated with first-line chemotherapy in lung cancer has led to the need for second -line chemotherapy, for which Docetaxel (Taxotere^(?)) has proven efficacy in both settings. This study evaluated the safety and efficacy of docetaxel in patients with non-small cell lung cancer who had failed first-line platinum-based chemotherapy. Methods : Thirty one patients with non-small-cell lung cancer, who had failed first line platinum-based chemotherapy, between March 1999 and August 2003, were enrolled in this study. Patients received intravenous docetaxel, either 75 mg/㎡ or 100 mg/㎡, with routine premedication every three weeks. Results : Fourteen patients (45.2%) had a partial response. The median survival and progression- free survival times were 12.5 months (95% CI 7.3-17.6) and 3.0 months (95% CI 1.6-4.5), respectively. This study showed 2 factors gave different survival benefits; the age (< 60 years: 20.1 months vs. > 60 years: 6.6 months, p=0.0105) and the histological type (adenocarcinoma: 25.6 months vs. others: 7.9 months, p=0.0055). The predominant toxicity was neutropenia, which occurred as WHO grade 3 or 4 in 38.7 % of patients. One treatment related death was also reported. Non-hematological toxicity was minor and easily controlled. There were no significant statistical differences in the survival benefit and toxicity between the two doses. Conclusion : Docetaxel, as second-line monotherapy, was well tolerated and effective in patients with non-small-cell lung cancer who failed first line platinum -based chemotherapy. (Tuberc Respir DiS 2005: 58: 465-472)

수학교육에서의 증명의 엄밀성에 관한 고찰

강윤수,정권수 順天大學校 師範大學 附屬 科學敎育硏究所 1996 科學과 敎育 Vol.4 No.-

Hanna stated that the stress on rigorous proofs does not improve the grasp of the mathematical facts. In this paper, we investigate the situation of Korean mathematical education in the perspective of Hanna's viewpoint. As a result, we make some suggestions through Fischbein's intuitive method of proofs, Leron's structural method of proofs and Hadar's method of generic - examples assisted proofs.

TRISS Method를 이용한 외상 환자 관리의 평가

윤영국,서강석,이정헌,김종근,감신 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Trauma is well known as a major cause of death and disability in Korea, but we do not have a optimal method to evaluate the trauma patients effectively. The purpose of this study was to predict the prognosis and mortality of the trauma patients and to evaluate the quality of trauma care by TRISS method. A retrospective study of 100 cases of trauma victims who visited to emergency room and was admitted to surgical intensive care unit of Kyungpook University Hospital from January 1994 to December 1995 by TRISS method was made. In this study, we have found out following results. 1. Sex ratio of male to female was 4:1 and the mean age was 44 years. 2. Analysis of injury mechanism showed high incidences of traffic accident(71%), fall down(14%), cultivator(5%), penetrating trauma(3%) in order of frequency. 3. A comparison between survivors and deaths showed difference in TS(14.81±1.31 vs.13.64±1.43), RTS(7.26±0.82 vs. 6.78±10.24 vs. 37.45±11.05), TRISS Ps-1 TS and ISS(0.93±0.11 vs. 0.79±0,15), and TRISS Ps-2 by RTS and ISS(0.89±0.15 vs. 0.73±0.19). 4. By TRISS method, unpredicted outcomes occurred in 11 of 100 with 10 unpredicted deaths and 1 unpredicted survivor by TRISS-1 and unpredicted outcomes occurred in 14 of 100 with 9 unpredicted deaths and 5 unpredicted survivors by TRISS-2. 5. The most common cause of death was chest trauma(36.4%). 6. The Z statics, quantitating the difference in the actual number of deaths and the predicted number of death, using TRISS-1 method was 0.84 and using TRISS-2 method was -0.57. The authors conclude that the real dead patients exceeded the predicted outcome in TRISS-1 and the real dead patients were less than the predicted outcome in TRISS-2, and our patient management as well as application of this method should be analyzed for accurate outcome. In conclusion, TRISS method offers a good approach for predicting the prognosis and mortality of the trauma patient and evaluating trauma care.

노인 건강식 한방 삼계탕의 제조 및 품질 특성 : Manufacturing and Quality Characteristics of Herb

정대윤,강정화,은종방 全南大學校 農業科學技術硏究所 2011 農業科學技術硏究 Vol.46 No.-

The physiochemical characteristics and sensory properties of herb Samgyetang added with different dried medicinal herbs were investigated to find the best formulation for elderly healthful dietary. For the herb Samgyetang product, a fixed ratio of Achyranthis radix, Rehmanniae radix, Schizandra chinensis, Atractylodes lancea, Glycyrrhiza glaba L, and Zizyphus jujube were mixed with different concentrations of Paeonia lactiflora (PL) or Platycodon grandiflorum (PG), respectively for the development of new formulation. The pH of herb Samgyetang decreased as PL amount increased and the soluble solid content increased as PG amount increased. S6 showed the highest a* value and b* value, which had the highest addition level of PL. In contrast, S5 was the lowest a* value and b* value. In sensory evaluation, the highest score in flavor, taste and overall acceptability was found in the sample with the highest amounts of PG (S7). In conclusion, the following is suggested as the best formulation of herb Samgyetang : 10% PL, 40% PG, 5% Achyranthis Radix, 5% Rehmanniae Radix, 15% Schizandra chinensis, 10% Atractylodes lancea, 5% Glycyrrhiza glaba L, and 10% Zizyphus jujube.