Mycoplasma passive hemagglutinin body titer의 증가를 동반한 돌발성 난청에 대한 임상적 고찰

임대준,김보형 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

Background and Objectives : Mycoplasma pneumonia (MP) is a common etiological factor in variety of respiratory diseases. MP infection developing especially as a primary atypical pneumonia causes diverse complications involving other organs and tissues such as skin, mucosa, musculoskeletal, cardiovascular, gastrointestinal, urogenital and central nervous systems. In the auditory system, otitis externa, otitis media, and myringitis bullosa have been reported. Sensorineural hearing loss possibly caused by MP is infrequently reported. The purpose of this study was to investigate the clinical importance of mycoplasma passive hemagglutinin body titer. Materials and Method : In patients of sudden sensorineural hearing loss who have increased mycoplasma passive hemagglutinin body titer, control group was treated with prednisolone alone, and experimental group was treated with prednisolone and roxithromycin. Both groups were compared with degree of hearing improvement by pure tone audiometry. Results : Experimental group have a better hearing improvement than control group, but these difference was statistically not significant. Conclusion : The reports of sudden sensorineural hearing loss caused by MP was extremely rare, but we suggest that the incidence was higher than previously reported, and if proper diagnosis could be done through the mycoplasma passive hemagglutinin body titer, the prognosis will be better.

혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

활성탄을 이용한 낙동강 상수원수의 수처리 효과

임영성,강관호,이홍재,서동철,허종수,손보균,조주식 한국환경농학회 2002 한국환경농학회지 Vol.21 No.3

상수원수를 보다 효과적으로 처리함으로서 양질의 수돗물을 공급하기 위한 기초자료를 얻고자 낙동강 상수원수를 대상으로 활성탄처리에 의한 공탐체류시간 및 활성탄 여층 깊이에 따른 수처리 효율과 생물활성탄으로서의 이용 가능성을 조사한 결과는 다음과 같다. 공탑체류시간(EBCT)에 따른 수처리 효율은 EBCT가 증가할수록 증가되었으나 운전시간이 경과함에 따라 활성탄 흡착능력은 감소되어 처리효율도 서서히 감소하였다. 활성탄 여층깊이에 따른 pH 변화는 활성탄 층 깊이에 따라 거의 없었으며, D0는 활성탄 층 깊이가 깊을수록 서서히 감소하였다. KMnO^4 소비량, UV254 흡광물질 DOC 및 THMFP 처리효율은 활성만 표층으로부터 하부로 내려갈수록 증가하였으며, 운전시간이 경과할수록 활성탄 상층부에 형성되어 있던 흡착대파 하부로 이동하였다. DOC의 상당 부분이 활성탄여과지에 서식하는 미생물 작용에 의해 분해 제거되는 것으로 나타났으며, 운전개시 126일 후의 BAC에서 활성탄 표층으로 부터깊이 20 cm 부근에 미생물이 1.1*10^7 cell/cm^3 이상 존재하는 것으로 관찰되어 생물활성탄 조건을 만족시키고 있었다. This study was carried out to evaluate the pollutant removal efficiencies of the advanced drinking water treatment using mated carbon process. For raw water, Nakdong river was used. From the activated carbon adsorption experiment, the following results were obtained. The efficiency of water treatment enhanced with increase in empty bed contact time. Variation of pH was not detected to the bed depth, but DO content gradually decreased with the bed depth, Removal efficiency of KMnO₄ consumption, UV254 absorption, DOC and THMFP also were increased by increasing in the bed depth. Transition of adsorption zone from upper parts of the bed to the lower parts were detected as treatment periods increased. Large portion of DOCs were degraded and removed by the microbes growing on the surface of activated carbons. Cell numbers of microbes were estimated over 1.1 × 10 exp(7) cell/㎤ at the depth of 20 ㎝ from the surface 126 days after starting operation. The results shown that the activated carbon filter was successfully acted as a biofilm filter.

낙동강 상수원수의 오존처리 효과 : II. 회분식 오존처리에 의한 휘발성유기화합물 및 조류제거 효과 II. Removal of VOCs and Algae in Raw Water by Conducting Batch Test of Ozonation Experiments

임영식,이홍재,이도진,허종수,손보균,조주식 한국환경과학회 2002 한국환경과학회지 Vol.11 No.12

This study was carried out to evaluate the pollutant removal efficiencies of the advanced drinking water treatment using ozonation process. For raw water, Nakdong River was used. By conducting batch test of ozonation efficiencies of the ozonation were 94 to 92%, respectively. Removal efficiencies of single VOC compound or mixed VOC compounds in the raw water were 80% to 90% by the ozonation with 2 mg/ℓ dosage and 10 minutes contact time. Removal efficiencies of ABS by the ozonation with 1 mg/ℓ, 3 mg/ℓ dosage and 20 minutes contact time were 83% to 96%, respectively. Almost 67% of chlorophyll-a at the concentration of 38.㎍/ℓ was removed by ozonation at ozone dosage of 1mg/ℓ for 20 min. considering the efficiency of ozone utilization and water treatment, the most effective ozonation could be obtained with high ozone dosage and short and short contact time.

전통발효식품으로부터 Chitin 분해 미생물의 분리 및 특성 규명

고보경,최인순,이상현,임채오,이성호,갈상완,최영주 Plant molecular biology and biotechnology research 2004 Plant molecular biology and biotechnology research Vol.2004 No.-

A bacterial strain CJ-3 which produced chitinase was isolated from Korean traditional soy sauce. Using 16S rDNA analysis, the strain CJ-3 was identified as Bacillus atrophaeus. The approximate molecular weight of the putative chitinase enzyme was 31.0 kDa and the enzyme activity was remarkably induced by addition of colloidal chitin (0.5, 1.0, 2.0%). The antioxidant activity was increased 53% by the browning reaction products of B. atrophaeus CJ-3. Escherichia. coli lipopolysaccharides (LPS)-induced production of nitric oxide (NO) was reduced up to 45% by the browning reaction product in RAW264.7 macrophage. Inhibition of cell viability in the presence of LPS was recovered to normal level by the browning reaction product. These results suggest that browning reaction of B. atrophaeus CJ-3 plays an important role for activation of immune system. B. atrophaeus CJ-3 exhibited optimum temperature and pH of 37℃ and pH 7.8~8.0, respectively. The major intracelluar free amino acid was determined to be glutamate.

안와내벽외향골절의 비내시경적 정복술

김보형,강성호,임대준 건국대학교 의과학연구소 2003 건국의과학학술지 Vol.13 No.-

Background and objectives: High-resolution endoscopes and the advent of endoscopic instruments for sinus surgery currently provide surgeons with excellent endonasal visualization and access to the medial orbital walls. The purpose of this study was to demonstrate the reduction of medial orbital wall fractures through an endonasal endoscopic approach that allows the repair of the medial orbital wall fractures without an external incision. Materials and Method : This study was a retrospective analysis of 16 patients who underwent surgical repair of medial orbital wall fractures from March of 2000 to June of 2002. The 11 male and five female patients ranged in age from 15 to 54 years (mean, 28.8 years). These patients had undergone primary reduction of medial orbital wall fractures and were observed for at least 2 months after surgery. Result: All of 16 patients showed a complete improvement of their preoperative symptoms. There were no intraoperative or postoperative complications. Conclusion: Endoscopic reduction of medial orbit wall fracture using an endonasal approach seems to produce good results and definite cosmetic advantages.

제2형 당뇨병 환자에서 우연히 발견된 기종성 방광염 1례

박보민,김윤정,이영태,노정현,권수경,김동준,고경수,이병두,임경호,이순희,박정현 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Emphysematous cystitis is an uncommon disease in which bacterias produce gas within the bladder wall and surrounding tissue. Patients with diabetes, neurogenic bladder and chronic urinary tract infection are predisposed to the disease. It is usually caused by E.coli and Klebsiella. Severity of illness ranges from an asymtomatic condition to life threatening cystitis. Succesful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. We report a case of 52-year-old woman who did not compain of symtoms of cystitis but epigastric pain, nausea, and vomitting. Emphysematous cystitis was revealed on the abdominal X-ray series incidentally. CT scans of the pelvis showed mottled gas bubble within the bladder. After treatment, the symtoms subsided and plain abdominal film showed no evidence of gas shadow in the pelvic cavity.

가스 분위기에서 제조한 Mg-Zn계 합금의 미세조직

엄정필,임수근,허보영 慶尙大學校生産技術硏究所 1995 生産技術硏究所論文集 Vol.11 No.-

Microstructure of Mg-1 ~ 6wt%Zn, Mg-1.5wt%Mn and Mg-2wt%Zn-1.5wt%Mn alloys have been investigated by means of hardness test, optical microscopy, scanning electron microscopy and energy dispersive spectroscopy. The Mg alloy castings have been casted into the metallic mold with room temperature, and cooling part of metallic mold have located in it's lower part. The microstructure of Mg-Zn cast alloys revealed MgZn compound around the secondary dendrite arms. Analysis by scanning electron microscopy/energy dispersive spectroscopy showed that the composition of MgZn compound was Mg-77wt%Zn, which corresponds with the value of Mg-74.5wt%Zn given by Clack and Rhines. The addition of Mn in Mg-Zn alloys refined the grain size in as-casted alloys. Manganese additions also increased the vickers hardness.

천측두 동맥류 1예

강성호,임대준,김동욱,김보형 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-

Superficial temporal artery aneurysm is a rare entity, which is related to blunt trauma. It was diagnosed with history, physical examination and CT or angiography. Aneurysm is simply treated with excision and ligation. We report a case with review of literature.

경량 고강도 Mg-Zn계합금의 조직과 내식성에 관한 연구

안효준,남태현,임수근,안인섭,허보영,김기원 慶尙大學校 1995 論文集 Vol.34 No.1

The purpose in this study is to develope of high strength and corrosion reistant Mg-Zn system alloys by controlling microstructures and by adding of Cu elements. To produce optimum tesile strength,it is imperative to obtain effective grain refinment during casting. Optimal condition for grain size refining effect was obtained at the minmum composotion of 2wt% Cu or 1.5wt%So addition to Mg-6wt%Zn alloy.Age hardening behavior was experimented at the optimal compositions of the Mg-6wt%Zn, Mg-6wt%Zn-2wt%Cu and Mg-6wt%Zn-1.5wt%Si. The hardeness increment due to age hardening was at the Mg-Zn-Si alloy system. The improvement of corrosion resistanece by the addition with Cu is related to and increasing Zn/Cu ration in the intermatallic particles in the Mg-Zn system.Further improvements obtained by T6 treatment are related to the properties of the Mg-Zn phase,whih acts as a corrosion barrier by precipitating along the grainboundaries.Filiform corrosion observed soon after pit initiation and cellular form of pit propagation later in chloride media are explained in terms of solid solution matrix structure and the properties of air formed oxide.The information obtained from the fundamental research work is utilized in suggesting ways of improving the corrosion resistance of commercial AZ91.