치명적인 Amiodarone 폐독성 4예

이승우,이상학,여동승,이숙영,김석찬,김관형,문화식,송정섭,박성학,정은선,Lee, Seung-Woo,Lee, Sang-Haak,Yeo, Dong-Seung,Lee, Sook-Young,Lee, Seok-Chan,Kim, Kwan-Hyoung,Moon, Hwa-Sik,Song, Jeong-Sup,Park, Sung-Hak,Jung, Eun-Sun 대한결핵및호흡기학회 2002 Tuberculosis and Respiratory Diseases Vol.53 No.6

Amiodarone 폐독성은 약제 복용력이 있는 환자에서 새로운 증상과 X-선의 변화가 있을 때 의심하여야 하며 울혈성 심부전이나 폐감염증, 폐색전증, 악성종양 등과 감별하는 것이 중요하다. 진단은 임상적, 방사선학적, 조직학적 소견을 종합하여 내릴 수 있으며 대부분의 경우에는 약제 중단을 통해서 폐독성의 호전을 기대할 수 있으나 일부에서는 호흡부전으로 진행하거나 기존의 심부정맥의 재발 등으로 인하여 사망하는 경우도 있다. 저자들은 심부정맥으로 amiodarone을 사용하던 환자에서 치명적인 폐독성이 발생한 4예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다. The lungs are frequently the site of adverse drug reactions because of their higher oxygen concentration, the distinctive properties of the pulmonary circulation, and the close proximity of the alveolar epithelium to the blood. Amiodarone, an iodinated benzofuran derivative, is an effective antiarrhythmic drug commonly used for refractory tachyarrhythmia. However, it has a wide range of adverse effects, the most serious of which is lung disease. Most patients present with the insidious onset of dyspnea and a nonproductive cough, and generally recover after withdrawing the drug. We recently experienced four fatal cases of amiodarone pulmonary toxicity. Therefore, we discuss these unusual drug-induced pulmonary toxicity cases with a review of the relevant literature.

지출환(枳朮丸)의 흰쥐 위(胃) 운동성(運動性)에서 정상 상태 및 위벽 국소손상 후에 대한 효능

이승우,윤상협,Lee, Seung-Woo,Yoon, Sang-Hyub 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.1

Background & Objective : Jichul-hwan(JCH) has been used for the treatment of functional dyspepsia, regarded as a gastric dysmotility disease. We investigated the effects of JCH on gastric motility and its mechanisms of action in rats. Methods : The gastric wall was injured by tracting a part of stomach body in rats. Gastric emptying was measured after administration of normal saline(NS) or JCH in normal rats and gastric wall injured rats. To evaluate the mechanism of JCH under delayed gastric emptying conditions, normal rats were treated with atropine sulfate(1mg/kg, s.c.), quinpirole HCl(0.3mg/kgg, i.p.), $NAME(N^{G}-nitro-L-arginine$ methyl ester, 75mg/kg s.c.) and cisplatin(10mg/kg, i.p.). The gastric slow waves were measured for 30 minutes before and after administration of each solution(NS, JCH). Results : JCH 110.1mg/kg improved gastric emptying for 2 hrs(p=0.014). JCH 110.1mg/kg improved gastric emptying in the gastric wall injured rats(p=0.001). Under the delayed gastric emptying, JCH 110.1mg/kg improved gastric emptying in the group treated with atropine $sulfate(1.83{\pm}0.96$ vs $8.43{\pm}8.46$, p=0.003), but aggravated it with quinpirole $HCl(4.7{\pm}2.9$ vs $1.61{\pm}2.09$, p=0.021). Administration JCH 110.1mg/kg increased EGG power in rats. Conclusions : JCH stimulates gastric motility through the cholinergic pathway, so we expect that it would be effective in the treatment of dysmotility-like functional dyspepsia with low activity of vagus nerve.

쑥의 항균성분에 관한 연구

이승우,원선희,이정윤,Lee, Sung-Woo,Won, Sun-Hee,Lee, Jeong-Yun 대한안면통증구강내과학회 2000 Journal of Oral Medicine and Pain Vol.25 No.2

This experiment was performed to investigate effects of boiled-water extract of artemisia on the important oral microflora, Staphylococcus aureus, Streptococcus mutans, and Candida albicans, and to examine the difference of antimicrobial effects according to concentration of extract. The bacteria was cultured in broth media containing 0.1%, 0.5%, 1.0% of artemisia extract, and sterile distilled water respectively. After harvesting the culture, the genomic DNA of each aliquot was extracted and DNA concentration was relatively compared by means of agarose gel electrophoresis. As a result, we found out that the boiled-water extract of artemisia had significant antimicrobial effects on Staphylococcus aureus, Streptococcus mutans, and Candida albicans and its antimicrobial effects was increased in proportion to its concentration.

백서 타액선 선포 세포의 배양

이승우,한송,고홍섭,Lee, Sung-Woo,Han, Song,Kho, Hong-Seop 대한안면통증구강내과학회 1999 Journal of Oral Medicine and Pain Vol.24 No.2

We investigated the culture condition and effects of various growth factors on the culture of salivary gland acinar cells. Male, Sprague-Dawley rats (about 6 weeks old) were sacrificed and their submandibular, sublingual, and parotid glands were used as specimens. High oxygen level more than 90% and coating of Matrigel on culture dish were important factors to help increase the survival time of acinar cells, Proper concentration of enzymes such as collagenase and hyaluronidase during isolation steps was also important. Addition of various growth factors such as dexamethasone, insulin, transferrin, selenous acid, reduced glutathione, epidermal growth factor, isoproterenol, and putrescine in culture medium helped to increase lifetime of cultured salivary acinar cells.

산림토양(山林土壤)의 산성화(酸性化) 민감도(敏感度)에 대(對)한 실험적(實驗的) 평가(評價)(II) - 추출성(抽出性) 황산(黃酸)이온(SO₄^2-) 함량(含量)과 황산(黃酸)이온 흡착능(吸着能)의 활용(活用) -

이승우,김영걸,이충화,변재경,Lee, Sung Woo,Kim, Young Kul,Lee, Choong Hwa,Byun, Jae Kyoung 한국산림과학회 2001 한국산림과학회지 Vol.90 No.4

산퇴적물에 대한 산림토양의 산성화 민감도를 평가하기 위하여 4개 지역 소나무림을 대상으로 토양내 추출성 황산이온 함량과 황산이온 흡착능을 정량하였다. 유기물층의 수용성 황산이온 함량은 강화와 홍천에 비해 울산과 남산에서 현저히 높아 황산화물의 지역적 유입특성을 반영하였다. 그러나 광물질 토양내 추출성 황산이온 함량은 황산화물의 유입량과 토양 흡착능의 상호작용으로 울산, 강화, 남산 및 홍천 순으로 높게 나타났다. 대기오염 우려지역인 남산, 강화 및 울산의 황산이온 특정흡착률(총 추출성에 때한 불용성의 비율)은 각각 16.6%, 56.8% 및 37.4%로써 산퇴적물에 대한 토양산성화의 상대적 민감도는 남산에서 가장 높았다. 황산이온 흡착등온식($RE=mX_i-b$)의 추가유입량($X_i$)과 흡착량(RE)간의 정의 상관성은 광물질 토양에서만 유의적으로(p<0.05) 나타났다. 흡착등온식의 회귀계수(m)로 나타낸 토심 30cm까지의 황산이온 흡착능은 남산, 강화, 울산 및 홍천에서 각각 0.16, 0.24, 0.25 및 $0.32mmol_c\;kg^{-1}$으로 이에 근거한 지역별 토양산성화 민감도는 남산에서 가장 높았다. 황산이온 영점흡착량(null-point adsorption)은 남산, 강화, 울산 및 홍천에서 각각 3.81, 2.17, 4.96 및 $0.65mmol_c\;kg^{-1}$으로 홍천을 제외한 나머지 지역은 현실적인 황산이온 퇴적량을 훨씬 초과하는 추정치이었다. The extractable sulfate content and sulfate adsorption capacity in soils of four Pinus densiflora stands were measured to assess the soil acidification sensitivity to acid deposition. The soluble sulfate content in organic horizon which reflects the previous deposition of sulfur oxides was much higher for Namsan and Ulsan than Kanghwa and Hongcheon. In mineral soils, however, the extractable sulfate content was the greatest for Ulsan followed by Kanghwa, Namsan and Hongcheon due to the interactive effect of previous deposition and soil adsorption of sulfate. Adsorption rates of specifically adsorbed sulfate(proportion of insoluble sulfate to total extractable sulfate) for Namsan, Kanghwa and Ulsan affected by acid deposition were 16.6%, 56.8% and 37.4%, respectively, so that the soil in Namsan had the highest acidification sensitivity to acid deposition. For sulfate adsorption isotherm($RE=mX_i-b$), the significantly positive correlations between added sulfate($X_i$) and adsorbed sulfate(RE) were found only in mineral soil(p<0.05) over all regions. The regression coefficient(m) that means soil sulfate adsorption capacity by 0-30cm depth was 0.16, 0.24, 0.25 and 0.32 in $mmol_c\;kg^{-1}$ for Namsan, Kanghwa, Ulsan and Hongcheon, respectively, indicating that soil acidification sensitivity is the highest for Namsan. The added sulfate($X_i$) that could make the adsorbed sulfate(RE) null was 3.81, 2.17, 4.96 and 0.65 in $mmol_c\;kg^{-1}$ for Namsan, Kanghwa, Ulsan and Hongcheon, respectively and the values of former three regions considerably exceeded the realistic sulfate deposition.

미지의 방향성을 갖는 불확실한 스위치드 순궤환 시스템의 추종 제어를 위한 강인 저 복잡성 설계

이승우,유성진,Lee, Seung-Woo,Yoo, Sung-Jin 대한전기학회 2017 전기학회논문지 Vol.66 No.1

This paper investigates a robust low-complexity design problem for tracking control of uncertain switched pure-feedback systems in the presence of unknown control direction. The completely unknown non-affine nonlinearities are assumed to be arbitrarily switched. By combining the nonlinear error transformation technique and Nussbaum-type functions, a robust tracking controller is designed without using any adaptive function approximators. Thus, compared with existing results, the proposed control scheme has the low-complexity property. From Lyapunov stability theory, it is shown that the tracking error remains within the preassigned transient and steady-state error bounds.

안와하벽재건술 후 발생한 지연성 눈뒤출혈: 증례보고

이승우,최영웅,남상현,김훈,Lee, Seung-Woo,Choi, Young-Woong,Nam, Sang-Hyun,Kim, Hoon 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.4

Purpose: Retrobulbar hemorrhage is a rare complication followed by blepharoplasty, trauma, orbital reconstruction, and so on. Most of the cases occur within 24 hours, half of them in the first 6 hours. Some authors have reported delayed retrobulbar hemorrhage after blepharoplasty and trauma within 1 day to 9 days. However, there have been few reports of delayed retrobulbar hemorrhage resulting from the complication of orbital reconstruction. Methods: A 22-year-old male underwent orbital floor reconstruction due to the orbital floor fracture. In 84 hours after the surgery, he complained sudden onset orbital pain and decreased visual acuity immediately after defecation. Intraocular pressure was unmeasurable due to the swelling at that time. Emergency computed tomography was performed. Results: Computed tomography revealed subperiosteal hematoma on inferior orbital wall extended to the apex. Emergency decompressive surgery was performed within 1 hour. After evacuation of hematoma, orbital symptom was improved and visual acuity was restored. Conclusion: Delayed retrobulbar hemorrhage is rare but vision-threatening. Therefore early diagnosis and treatment of delayed retrobulbar hemorrhage is thought to be crucial. The cause of delayed hemorrhage was not clear, however, valsalva maneuver might be the cause of hemorrhage.

가감삼기탕(加減三寄湯) 전탕액(煎湯液)이 가토(家兎) 혈장(血漿) COrtisol 농도(濃度) 및 혈장(血漿) $PCO_2,\;PO_2$에 미치는 영향(影響)

이승우,한상환,Lee, Seung-Woo,Han, Sang-Whan 대한한방내과학회 1990 大韓韓方內科學會誌 Vol.11 No.2

To evaluate effects of Ga Gam Sam Kee Tang(GGSKT) water extract on the plasma cortisol concentration and arterial blood $PCO_2,\;PO_2$ in the rabbit. The results obtained were as follows : 1. Intravenous administration of GGSKT water at the dose of $0.2m{\ell}/kg$ remarkably increased plasma cortisol concentration from 1 to 2 hours. 2. Oral administration of GGSKT water extract at the dose of $10m{\ell}/kg$ significantly decreased plasma cortisol concentration on 3 hours. 3. Intravenous administration of GGSKT water extract at the dose of $0.4m{\ell}/kg$ remarkably decreased arterial blood $PO_2$ on 2 hours. 4. Oral administration of GGSKT water extract at the dose of $1.0m{\ell}/kg$ significantly decreased arterial blood $PO_ 2$ on 2 hours and remarkably increased on 4 hours. 5. Intravenous administration of GGSKT water extract at the dose of $0.2m{\ell}/kg$ remarkably increased arterial blood $PCO_2$ on 4 hours. 6. Oral administration of GGSKT water extract at the dose of $2.0m{\ell}/kg$ significantly decreased arterial blood $PCO_2$ from 1 to 2 hours. These results suggest that therapeutic action of GGSKT water extract for athma may be related with the increment of plasma cortisol concentration and the decrease of arterial blood $PCO_2$.

Iridoid 화합물이 창상 치유에 미치는 영향

이승우,고홍섭,이상구,Lee, Sung-Woo,Kho, Hong-Seop,Lee, Sang-Goo 대한안면통증구강내과학회 1999 Journal of Oral Medicine and Pain Vol.24 No.2

Aucubin, the natural product, which is isolated from Aucuba japonica, has a variety of pharmacological effects such as liver-protective function, inhibition of liver RNA and protein biosynthesis, hypotensive activity and antimicrobial effect, etc. This study was performed to investigate the effects of iridoid compounds on wound healing. The author prepared 0.1% aucubin solution and 0.1% aucubin ointment as an active form, aucubigenin to which aucubin was converted by ${\beta}$-glucosidase. Artificial surgical wound was made on either 1cm lateral side of the dorsal midline along the axis of spine of Sprague-Dawley rats under sterile technique. Application of 0.1% aucubin solution or 0.1% aucubin ointment to surgical wound was done daily. Light microscopic examination was performed on the postsurgical 3 days, 5 days, and 9 days. The 0.1% aucubin solution group epithelialized earlier than the control group and the fibrosis of granulation tissue of both aucubin groups were more prominent than the control group. Collectively, this study suggests the possibility of aucubin as a topical agent. Further research should be performed on the mechanism of aucubin on wound healing and proper formulation for effective topical agents.

악하선-설하선 혼합타액내 주요 단백질에 대한 구강내 주요 균주의 부착

이승우,정성창,김영구,고홍섭,Lee, Sung-Woo,Chung, Sung-Chang,Kim, Young-Ku,Kho, Hong-Seop 대한안면통증구강내과학회 1999 Journal of Oral Medicine and Pain Vol.24 No.3

The present study was performed to investigate the binding between salivary proteins(low-molecular-weight mucin;MG2, amylase, proline-rich proteins;PRPs) and oral pathogens(Streptococcus gordonii, Actinomyces viscosus, Staphylococcus aureus) by using solid-phase assay. In the case of transferring proteins to Immobilon-P, S. gordonii binds to MG2. A. viscosus binds to MG2, amylase, and PRPs, and S. aureus binds to MG2 and amylase. On nitrocellulose membrane, S, gordonii and A. viscosus bind to MG2, amylase, and PRPs. S. aureus binds to MG2 and PRPs. However, rabbit anti-A. viscosus antisera and rabbit anti-S. aureus antisera showed cross reactivity to PRPs adsorbed to only nitrocellulose membrane in negative control experiments, which were done without bacterial overlay. The results were different according to the membrane used as solid-phase, which reflected the assay-sensitive nature of binding experiment. PRPs and amylase are known to be components of tooth enamel pellicle. In addition, there was experimental evidence that PRPs and MG2 may covalently bind to oral mucosal epithelium. Considering above facts, the results of the present study can provide information on the interactions between salivary proteins and oral bacteria on tooth and oral mucosal surfaces.