브루셀라균에 노출된 미생물 검사실 직원들에 대한 예방적 항생제 요법과 혈청학적 추적검사

이창섭,이혜수,이재현,박진희,최영실,황규잠,이흥범 대한감염학회 2008 감염과 화학요법 Vol.40 No.2

The aerozolization is one of possible Brucella transmission mechanisms, particularly in air-borne exposed laboratory workers. In this study, seven laboratory workers were potentially exposed to B. abortus via aerosols. Two laboratory workers who sniffed an agar plate several times were considered to be at high risk for acquiring the disease, 5 workers who did not work directly with the strain were be considered at low risk of infection. Prophylactic antibiotics of doxycycline 200 mg/day and rifampin 600 mg/day were offered for 6 weeks in high risk workers and 3 weeks for low risk workers respectively. Enrolled workers were advised to check for serological testing of Brucella species every 3 weeks during a total period of 12 weeks. Compliance with taking medicine was 57.1% (4/7) and compliance for completing the serological tests was 85.7% (6/7). None of the laboratory workers developed clinical disease or tested positive serologically during 3 months of seroloaical testing and 1 year of clinical follow-up.

송과선과 시상하부에서 동시에 발생한 배아종 1예

정재욱,이진호,이수진,하창영,김종수,정윤석,이관우,김현만 대한내분비학회 2000 Endocrinology and metabolism Vol.15 No.4·5

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.

전기도금한 교정용 스테인레스스틸 선재의 세포독성에 관한 연구

이계형,조진형,이기헌,황현식 대한치과교정학회 2005 대한치과교정학회지 Vol.35 No.2

본 연구는 전기도금을 이용하여 교정용 스테인레스스틸 선재의 직경을 증가시킨 후 세포독성을 알아봄으로써 이의 임상적 적용 가능성을 알아보고자 시행되었다. 시판되고있는 교정용 스테인레스스틸 선재에 전기도금 방법을 이용하여 니켈을 도금한 후, 이를 도금하지 않은 교정용 스테인레스스틸 선재 그리고 티타늄 또는 구리와 비교하기 위하여 이들을 배지에 넣고 72시간 배양하였다. 이 배양액을 금속 유리량 측정을 위해 ICP-AES(inductively coupled plasma atomic emission spectrophotometer) 분석을 시행한 결과 전기도금한 선재에서 많은 양의 니켈 이온이 유리되었으며, 구리에서는 많은 양의 구리 이온이 유리되었다. Microplate에 Balb/c 3T3 mouse fibroblast를 넣고 각 선재를 배양한 배양액을 75%, 50%, 25%로희석시켜 첨가한 후 MTT (3-[4.5-dimethylthiazol-2yl]-2.5-diphenyl tetrazolium bromide)분석을 시행하여 이를 배지만을 첨가한 경우와 흡광도를 비교하였다. 티타늄은 모든 농도에서 배지만을 첨가한 경우에 비해 흡광도 차이를 보이지 않았지만전기도금한 선재(p<0.001), 스테인레스스틸선재(p<0.05), 구리(p<0.001)는 배지만을 첨가한 경우보다 통계적으로 유의한 흡광도 감소를 보였다. ISO 10993, part5에 따라 구리는 "강한 독성"을 보이는 반면 티타늄과 스테인레스스틸 선재는 "무독성", 그리고 전기도금 선재는 "중등도 독성"으로 나타났다. 이상의 결과는 전기도금을 이용하여 교정용 선재의 직경을 증가시키는 방법이 임상에 적용되기 위해서는 세포독성을 줄이기 위한 추가의 연구가 필요함을 시사하였다. The purpose of this study was to examine the cytotoxicity of orthodontic wire which had an increased diameter through electroplating, and to evaluate its possoble clinical applications. First nickel plating was carried out on the commercially available stainless steel wire using an electroplating technique. For the comparison of the electroplated wire with ready made stainless steelwire and titanium or copper, each wire was incybated for 72 hours in a medium. The release of the metal ion was measured using ICP-AES(Inductively Coupled Plasma Atomic Emission Spectrophotometer). Balb/c 3T3 mouse fibroblast was put on a microplate and placed in an incubated medium of 75%, 50%, and 20% dilation. An MTT analysis was used to compare with the medium only. The changein absorbency value of each wire group and the difference of absorbency value according to the change of dilution was measured. The results of ICP-AES analysis showed that great amount nickel ion was isolated from electrpolated orthodontic wires and great amount copper ion was isolated from copper.The results of the MTT analysis showed that there was no difference in the absorbency value of titanium at any dilution. However the electroplated wires(p<0.001), the stainless steel wires(p<0.05) and the copper(p<0.001) were statistically significantly lower than those of medium only at all dilutions. Assessment as per ISO 10993, part5, showed that electroplated wire was alloted to "moderate cytotoxic", the titanium and stainless steel wire were "non-cytotoxic". The results of this study indicate that the electroplated or thodontic wires need additional efforts to dectease cytotoxicity for their clinical applications.

장상피화생과 Helicobactor pylori와의 상관 관계에 관한 연구

이복희,김대수,이현숙,진영주,윤세진,송형근,성노현,정현용,이동호 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2

In 1965 Lauren divided advanced gastric carcinoma into two main types-namely, "intestinal" and "diffuse" type carcinoma, which differ not only morphologically but also in their clinical and epidemiological characteristics. Moreover, a different histogenetic process has been postulated by many authors that intestinal type gastric carcinoma might arise from areas with intestinal metaplasia. Since Warren and Marshall reported the presence of Helicobacter pylori in the stomach in 1983, strong evidence has been obtained that there is a close relationship between Helicobacter pylori and chronic gastritis, atrophic gastritis, intestinal metaplasia, and intestinal type gastric carcinoma. To study the relationship between intestinal metaplasia and Helicobacter pylori infection, we performed gastroscopic biopsies and CLO tests taken from patients with epigastric pain. Only 87 patients with macroscopically suspected antral gastritis were included. The prevalence of intestinal metaplasia in gastric antral biopsies increased from 33.3% in the age group<30 years to 63.6% in the age group 60 years. When all patients were divided into two age groups-namely, (i)<50 years(n=41) and (ii)≥ 50 years(n-=46), intestinal metaplasia was found significantly more often in patients ≥ 50 years. ((i) 39.2%, (ii) 54.3%, p<0.0001). The prevalence of Helicobacter pylori in gastric antral biopsies decreased from 66.7% in the age group<30 years to 62.5%, in the age group in the age group 50 to 59 years. When all patients were divided into the same two age groups-namely(i)<50 years and (ii)≥50 years, the prevalence of Helicobacter pylori did not differ between two groups in a statistically significant way. The mean age of intestinal metaplasia positive patients who were also Helicobacter pylori positive was 48±11.0(mean±S.D.)years, whereas the mean age of intestinal metaplasia positive patients who were Helicobacter pylori negative was 52±9.7(mean±S.D.)years. In conclusion. although our data do not prove a causal relationship between Helicobacter pylori infection and the histogenesis of intestinal metaplasia, we suggest that Helicobacter pylori plays an important role in the development of intestinal metaplasia in the gastric mucosa. Whether Helicobacter pylori has to be present at all times during this process or is only necessary as a 'trigger', needs further research.

정맥 자가 진통 조절법을 사용하는 유방암 수술환자에서 경구 항구역제 전투약의 효과

이현정,김혜진 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.24

Objective: This study was designed to evaluate the effect of premedication of ramosetron orally disintegrating tablet (ODT), a potent 5-HT3 receptor antagonist, for prophylaxis and treatment of postoperative nausea and vomiting (PONY) undergoing breast cancer surgery using patient controlled analgesia (PCA). Material and Method: 130 women classified ASA physical status Ⅰ-Ⅱ, aged 24-60 yr, undergoing elective breast cancer surgery, were randomized. A standard general anesthetic technique and postoperative PCA using fentanyl and ketorolac were used. Patients were assigned to one of three groups; group A (no prophylactic antiemetics were administered), group B (4 mg of ondansetron ODT was administered 30 minutes before induction), and group C (0.1 mg of ramosetron ODT was administered 30 minutes before induction). Episodes of nausea and vomiting, the use of rescue antiemetics, degree of pain, adverse events, and level of satisfaction were checked during 24 hr after the operation. Results: The overall incidence of PONY during the 24 hours after the operation in group B and C were decreased. The incidence of nausea after 6 hours after the operation and the frequency of the use of rescue antiemetics were significantly lower compared with group A and B. The patients in group C were more satisfied with control of PONY than others. Conclusion: This study results suggest ramosetron ODT was an effective way to prevent PONY in breast cancer surgical patients using PCA.

Continuous wave of obturation technique에서 플러거의 다양한 적용 깊이에 따른 근단부 폐쇄효율 비교

이상진,박정길,허복,김현철 大韓齒科保存學會 2007 Restorative Dentistry & Endodontics Vol.32 No.6

이 연구와 목적은 continuous wave of obturation technique으로 근관 충전을 할 때, 다양한 heat source plugger의 깊이에 따른 근단부 근관 폐쇄능력을 비교하는 것이었다. 직전 형태 발거 소구치를 #35/.06크기까지 니켈티타늄 파일을 사용하여 성형 및 세정하였다. 성형과 세정이 완료된 치아를 heat source plugger의 적용 깊이에 따라 15개씩 5군으로 분류하였다: 3 mm, 4 mm, 5 mm, 6 mm, 7 mm. 양성 대조군을 제외한 모든 근관은 E&Q plus (Meta Biomed Co., Chungju, Korea)를 사용하여 #35/.06 gutta-percha cone으로 충전하였다. 모든 치아의 근첨공 주변 1 mm를 제외하고 nail varnish를 도포하였고 음성 대조군은 근첨공을 포함하여 전체 면을 도포하였다. 모든 시편을 1% 메틸렌블루 용액에 72시간 동안 보관한 다음 치근첨으로부터 1, 2, 3 mm 높이에서 수평으로 절단하였다. 각 단면을 12.5 x 2.5배 현미경하에서 관찰하고 디지털 카메라로 촬영하였다. 염색제 누출 평가를 위해 five-degree scoring system을 사용하였다. 각 절단면에서의 점수를 모두 합하여 한 시편의 점수로 사용하고 통계학적 분석을 하였다. 이 실험 조건하에서, 3 - 7 mm 까지의 heat source plugger의 적용 깊이는 근단부 폐쇄에서 유의한 차이를 나타내지 않았다. 5 - 7 mm의 Buchanan's protocol을 포함한 3 - 7 mm를 모두 임상 적용에서 받아들여질 만하다고 보인다. The purpose of this study was to compare apical sealing ability of continuous wave canal filling technique according to various heat source plugging depths. Eighty one extracted human premolars with straight root were cleaned and shaped to size 35 using .06 taper rotaiy NiTi file. After cleansing and shaping, the teeth were divided into 5 groups following the heat source probing depths from the apex ; 3, 4, 5, 6 and 7 mm. All specimens were filled using E&Q Plus with #35/.06 tapered gutta-percha cone. The positive control teeth were not filled. All teeth were coated with nail varnish except the apical 1 mm around the apical foramen. Negative control teeth were completely sealed include the apical foramen. All specimens were immersed in 1% methylene blue solution for 72 hours. Then the specimens were sectioned horizontally at 1, 2 and 3 mm from the root apex. Each sectioned surface was photographed using a digital camera attached to the stereomicroscope at 12.5 x 2.5 fold magnification. All points at 1, 2 and 3 mm were summed as final score of one specimen. Statistical analysis of the collected data was performed. Under the condition of this study, there was no significant difference between the heat source plugging depths of 3, 4, 5, 6 and 7 mm in apical sealing ability. All of apical heat source plugging depth from 3 to 7 mm including Buchanan's protocol -from 5 to 7 mm- seems to be acceptable in clinical application.

간흡충증에서 초음파검사의 진단적 가치

이현경,김지용,성낙진,홍성태 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

목적: 간흡충증에서 초음파검사의 진단적 가치를 알아보기 위하여 본 연구를 시행하였다. 대상 및 방법: 1996년 5월 한달 동안 간흡충의 농후유행지인 형산강 유역 포항지역의 436명의 자원자를 대상르로 초음파검사, 피내반응검사, 대변검사를 시행하였다. 이후 대변검사를 기준(gold standard)으로하여 초음파검사의 민감도, 특이도, 양성예측도 및 음성예측도를 알아보았다. 결과: 간내담관의 확장 및 담관주위 에코를 양성 소견으로 하였을 경우 초음파검사의 민감도 65.5%, 특이도는 64.6%, 양성예측도는 38.2%, 음성예측도는 84.3% 이었다. 결론: 초음파검사는 피내반응검사보다 민감하지는 못하나 특이적이었다. 그리고 피내반응검사 양성자에게 초음파 검사를 시행하는 것은 진단기준의 특이도를 높여 주는 효과가 있었다. Objectives: In this study we aimed to evaluate the diagnostic value of sonography on clonorchiasis. Subjectives and Methods: During a month, May 1996 sonographic examination, skin test, and stool examination were performed to 436 volunteers of Pohang which is located along the Hyong-San-Gang river and is one of well known endemic areas. Sensitivity, specificity, positive predictive value(PPV), and negative predictive value(NPV) of sonography were determined while stool examination was assumed as a gold standard. Results: The sensitivity of sonography was 65.5%; specificity, 63.2%; PPV 38.2%; NPV, 84.3% if both intrahepatic duct dilatation and periductal echogenicity were assumed as positive findings. Conclusions: Sonography was less sensitive but more specific than skin test. And sonographic examination perfomed to skin test positive subjects could increase the specificity of diagnostic criteria.

노인외상환자의 외상중증도계수와 동통감지력의 변화에 대한 임상적 고찰

이진웅,임경수,김영식,황성오,이강현,김선만,김 현 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Because elderly individuals are participitating in social work as adult inspite of their physical handicapes such as hearing difficulty, visual difficulty and limit of motion, they are continually exposed to the risk of injury. Trauma is now fifth cause of death in elderly of over 65 years old, and the elderly suffer disproportionately high injury-related motality comparing with younger adults. In addition, sometimes elderly patients don`t complaint of pain on injured site because of high threshold to pain. We studied about occurence of neglected injury due to high threshold to pain in geriatric trauma patients. When we diagnosised injury that patients did not complaint of pain on injured site through physical examination and radiologic examination, we defined that as neglected injury. There were 8 (8%) geriatric patients who didn`t complaint of pain on injured site on admission to emergency center, but only 0.7% of adult patients had neglected injury. The severity was estimated by use of AIS(Abbreviated Injury Scale), and the severity of all neglected injuries were above AIS 2 point. The neglected injury were head injuries(4 in number), abdominal injury(1), pelvic injuries(2) and extremity injury(1). So if geriatric trauma patients were admitted to emergency center, we recommand full physical and radiological examinations although patients don`t complaint of pain.

올레산의 비율에 따른 아데노신의 경피 투과의 영향

남현빈,정세진,구민석,오예진,김용민,이훈희,윤수정,임정균 순천향대학교 부설 산업기술연구소 2021 순천향 산업기술연구소논문집 Vol.27 No.2

In addition to the development of functional cosmetics, technology to increase percutaneous absorption rate when applied to the skin is an important task. In this experiment, oleic acid was used as a skin absorption promoter, and its effect on transdermal permeability of adenosine was studied and analyzed using a skin-like membrane. As a result of the experiment, it was investigated that the permeability coefficient and concentration of adenosine are proportional to the content of oleic acid. This indicates that a high proportion of oleic acid is effective as a skin absorption promoter.