요하지통 환자에서 두 개의 캐눌라를 이용한 박동성 고주파 신경근 응고술의 임상 연구

김천숙,배재영,배덕구,강규식,안기량,권진형,김지은,유시현 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Dorsal root ganglion(DRG) block by the local anesthetics and steroids which has done classically in low back pain(LBP) patients with radiculopathy has high incidence of recurrence rate and side effects of steroids. Recently a new technique of pulsed radiofrequency thermocoagulation(P-RFTC) was introduced and substituted for it because of the benefits such as relatively low recurrence rate, low risk of nerve injury and comfort during the procedure. We experienced 15 patients who had LBP with radiculopathy and no or little response to epidural steroid injection. When we performed DR ganglionotomy by P- RFTC under the C-arm guide in these patients, we tried to approach the exact DR ganglion using tow cannulas - the one for obtaining patient's subjective symptoms and injection of contrast dye, the other for making a RF lesioning after identifying the impedance of sensory and motor stimulation. In conclusion, DR ganglionotomy by P- RFTC using two cannulas in LBP patients is an easy and safe procedure with satisfactory results.

수술실 오염도감소를 위한 수술실공조시스템에 대한 연구

김천숙,박은정,강규식,김지은,안기량,권진형,유시현,주영철,권순정 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background: The OR(operating room) should provide an optimum environment that is safe for the patient and the working personnel. The air ventilation system of OR has been studied to decrease the contamination of air. We investigated the flow and contamination of the air in OR at our hospital. Method: Cultures in OR were made and the number of bacteria and fungi were calculated. A two-dimensional model for the cross-section of an operation room is developed for the CFD (computational fluid dynamics) analysis. The characteristics of air flow in the empty operation room and in the occupied operation room are calculated by using a CFD program. Results: The current air ventilation system of our hospital does not deliver the clean air to the operating site efficiently in occupied OR. Conclusions: We suggested a new location of air ventilation system which improves air venting with little increase of the cost of equipment.

비유기중의 소유방염에 대한 항균펩타이드(Buforin Ⅱb)의 효능실험

김인송,권성균,임형준,이완규 한국수의공중보건학회 2002 예방수의학회지 Vol.26 No.3

Recently, a novel antimicrobial peptide including Buforin II has been emphasized to kill multi-drug resistant bacteria and avoid promoting multi-drug resistance. This study evaluated the efficacy of an antimicrobial peptide (Buforin IIb) on bovine mastitis. Based on the Minimum inhibitory concentration(MIC, 4 g/ml) of Buforin IIb, syringes were made five concentration(MIC×10, ×50, ×100, ×300, and ×500). Thirty three cows(38 quarters) with bovine mastitis were selected using California mastitis test and grouped in dependant on drug concentration and treatment duration. Each group treated by intramammary infusion twice a day for 3 5 days. The milk samples of 5 groups were aseptically collected from quarters at 0, 3, 7 and 14 days, and 2 groups were collected at 0, 5, 9 and 14 days after first treatment. Collected samples were used for bacterial culture and somatic cell count. Bacterial number(log_(10) mean CFU/ml) was decreased in dependant on drug concentration and extending treatment duration. In group D(MIC×300), bacterial number was decreased from 4.59±0.10(day 0) to 2.89±1.37(day 3), 4.04±0.33(day 7), and 4.19 ± 0.10(day 14), respectively(p 0.05). Bacterial number of B2(MIC×50, 5 days treated) is decreased, approximately 10%, than group B1(MIC×50, 3 days treated). Somatic cell count of group D was slightly decreased from 11,100(×10³)(day 0), to 7,386(×10³)(3 day), 6,886(×10³)(day 7), and 9,661(×10³)(day 14). Staphylococcus spp., was the most common isolate, was bacteriologically cured 100% by Buforin IIb treatment. Overall results indicate that Buforin IIb could have possibility to cure bovine mastitis, if higher concentration over experimental concentration were treated with extending treatment duration.

공시체 크기변화에 따른 풍화토의 전단강도특성

김형주,최종규 국립7개대학공동논문집간행위원회 2004 공업기술연구 Vol.4 No.-

A weathered granite soil is a very complex particle composition formed with by weathered justice and it was also spread variety. Thus, it was judged that Specimen it one's so small to rule shear stress by direct shear test. This study's purpose want to exactly know slope stability integer of Weathered Granite Soil compare with natural Quantity and comparative problems according with small sample by small direct shear test in domestic, as collapsed weathered granite soil was happen in Ocsan area, to know sherr strength by specimen size to have the large shear test (300×300mm), (Reformation Shear Test)(D=75mm) and (Direct Shear test)(D=60mm) under same clause. As shear transformation, the large shear test happen binding lord at 0.4kgf/cm², 0.8kgf/cm² in interlocking, it is expanded by dilatancy. But, in shear test of another specimen, particle do cultivation rule to de compression. Such like a Developing, it effect to shear strength so the large shear test show more big one a shear strength. Specimen size is smaller, shear contact face rate down, it relevant with stress error and specimen size bigger, show shear strength up. Therefore, in actual applying, when do execute slope stability grade and design, multiple negotiation do for easy multiple public apply of gravel, send better, and it is known to seem to be idealize, this study is particle to be refer a shear strength as refastening

고립성 폐결절의 조직학적 진단에 있어서 경기관지폐생검의 진단적 가치

김치훈,김정주,왕준호,연규민,김형수,리원연,용석중,신계철 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Transbronchial lung biopsy(TBLB) is a relatively simple and convenient diagnostic tool in solitary pulmonary nodule(SPN) on chest radiograph, which is cannot be diagnosed through routine tests. To investigate the diagnostic value and diagnostic rate of TBLB according to the variable factor, we analyzed 69 patients with radiologically SPN lesion on chest radiograph which was confirmed histologically. A histologic diagnosis of TBLB was made in 47 of 69 patients(68.1%), in which 26 of 37(70.3%) with malignancy and 21 of 32(65.6%) with benign lesion. There were no significant differences in diagnostic yield according to age, sex and location of the lesion. The diagnostic rate tended to increase with the more than 5 pieces to acquired by TBLB. When the size of SPN was less than 3 ㎝, it cannot be diagnosed. In conclusion, TBLB is a diagnostic procedure with good yield and safety, but percutaneous needle aspiration, transbronchial needle aspiration, and bronchial washing fluid cytology may be a complementary procedure to overcome the limitation of TBLB and get higher diagnostic yield for SPN.

새로운 Acetylcholinesterase inhibitors의 합성

최순규,김형민,조승환,최학기,박유미,이용균,정대일,김인식,한정태 동아대학교 부설 기초과학연구소 2004 基礎科學硏究論文集 Vol.21 No.1

노인성 치매의 일종인 alzheimer's disease의 효과적인 억제제를 합성하기 위해 우리는 분자 모델링에 의한 가장 적합한 물질인 m-[(N,N,N-trimethylammonio)phenyl]boronic acid를 합성하였다. 출발물질인 3-aminophenylboronic acid monohydrate의 경우 boronic acid의 작용기인 hydroxyl group을 protecting시킴으로써 반응의 안정성을 기하였다. Quarternary ammonium salt는 과량의 methyliodide와 염기 촉매인 potassium hydrogen carbonate를 사용하여 용매인 methanol에서 반응시켜 상당히 높은 수율을 얻을 수 있었다. 또한 과량의 methyliodide와 염기촉매인 potassium hydrogen carbonate를 사용하여 용매인 methanol에서 반응시킨 결과 boronic acid의 protection없이도 안정하게 반응이 진행되어짐을 확인할 수 있었다. In order to syntheisize a effective inhibotor for alzheimer's disease, we synthesized m-[(N,N,N-trimethylammonio)phenyl]boronic acid 4 which is designed by molecular modeling form. We protected the hydroxyl group of 3-aminophenylboronic acid monohydrate 1 with ethlyne glycol to remove the reactivity if hydroxyl group. To synthesize m-[(N,N,N-trimethylammonio)phenyl]boronic acid 4, we reacted 3-aminophenylboronic acid monohydrate 1 with ezcess methyl iodide and potassium hydrogen carbonate as a base-catalyst in methanol. but On executed reaction without protection on hydroxyl group, we found out the result that the hydroxyl group of boronic acid group at 3-aminophenylboronic acid monohydrate 1 didn't react with excess methyliodide. Synthesized m-[(N,N,N-trimethylammonio)phenyl]boronic acid 4 is in progress about biological tests as a plausible acetylcholinesterase inhibitor.

강직성 척추염에 대한 연구 : 척추 골절을 중심으로 Focused in Spine Fractures

이준규,안재성,김형성 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

In ankylosing Spondylitis, ankylosis of some or all segments of the spine, segmentally or diffusely can be affected. Because all the ligaments become ossified in the involved area, a fracture that occur through this involved segment traverses both bone and ligaments, producing an extremely unstable situation similar to a shearing type of fracture. As the disease enters a chronic phase, the pathologic changes lead to a rigid, brittle, and osteoporotic spine. Mild trauma can lead to fractures that are difficult to diagnose, cause a high incidence of neurologic deficits, and present treatment problems. Patients known to have ankylosing spondylitis should be counseled regarding the possibility of a fracture, and if pain persists after an injury, they should be thoroughly investigated radiologically to rule out a potentially serious problem. Reduction of the displacement and stabilization is best achieved with posterior instrumentation, and laminectomy is not indicated. From March, 1990 to October, 1996, 11 cases of the ankylosing spondylitis in the department of orthopaedic surgery at Chungnam National University Hospital were managed nonoperatively with good healing and one case is operatively treated by anterior interbody fusion for cervical lesion, posterior instrumentation for thoracolumbar lesion.

황복(Takifugu obscurus)에 대한 중금속, 유기주석화합물 및 다환방향족탄화수소(PAHs)의 급성 독성

이정석,이규태,김동훈,김진형,한경남 한국환경독성학회 2004 환경독성보건학회지 Vol.19 No.2

We exposed juvenile puffer fish, Takifugu obscurus(30 days after hatching) to various aqueous pollutants including 4 kinds of inorganic metals(Ag, Cd, Cu and Hg), 2 organotin compounds(tributyltin [TBT] and triphenyltin [TPhT]) and 5 polycyclic aromatic hydrocarbon(PAH) compounds(chrysene, fluoranthene, naphthalene, phenanthrene and pyrene) to estimate median lethal concentrations(LC50s) of each pollutant after the 96-hour acute exposure. Among the inorganic metals, Hg(52㎍/L; 96-h LC50) was most toxic to test animals and followed by Ag(164㎍/L), Cu(440㎍/L) and Cd(1180㎍/L). Aqueous TBT was more toxic between the two organotins; the 96-h LC50 for TBT(5.1㎍/L) was 3 times lower than that of TPhT(17.3㎍/L). The acute toxicity of PAH compounds was highest for chrysene(1.5㎍/L; 96-h LC50) and decreased in the order of pyrene(65㎍/L)>fluoranthene (158㎍/L)>phenanthrene(432㎍/L)>naphthalene(8690㎍/L). The toxicity of PAH compounds was closely related to their physico-chemical characteristics such as K_(ow) and water solubility, and well explained by simple QSAR relationship. The sensitivity of puffer fish to various inorganic and organic pollutants was generally comparable to various fish species widely used as standard test species in previous studies and further evaluation should be conducted to develop adequate testing procedures for T. obscurus when used in various toxicity tests.

Cyclosporin A에 의한 비만세포 고사(apoptosis)

노환중,장형준,조규섭,김유선,유영현,전경명 대한이비인후과학회 2001 대한이비인후과학회지 두경부외과학 Vol.44 No.12

구호흡을 동반한 증식성 치은염 환자의 치료증례

이종갑,이남형,손흥규,김형태 大韓小兒齒科學會 1993 大韓小兒齒科學會誌 Vol.20 No.2

Mouth breathing gives direct irritation to gingival tissue and increases gingivitis by increasing debris deposite. Generally, it is reported that gingivitis increases at puberty and it is mainly caused by microbial change and hormonal imbalance. This study included generalized gingivitis accompanying mouth breathing and localized gingival hypertrophy. This 11 years old female patient had no past medical history but she had menarchy a year ago. As a treatment, primarily eliminated the cause of mouth breathing and conducted tooth brushing instruction, scaling, and gingivectomy which resulted good.