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      • KCI등재
      • KCI등재
      • 간경변증 환자에서의 위 배출 시간

        기주영,채희복,박선미,윤세진,정현용 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

        간경변증 환자에서 소화기 증상의 정도와 울혈성 위염, 복수의 유무가 위 배출 시간의 지연과 관련이 있는지 알아보고자 하였다. 대상 환자는 2001년 3월 1일부터 2002년 5월 31일까지 간경변증으로 진단 받은 33명의 환자를 대상(평균연령 54.3세)으로 하였고, 정상 대조군을 위 장관 질환의 과거력이 없고 소화 장애등의 자각증상이 전혀 없으며 위 배출등에 영향을 줄 수 있는 약물 복용이나 전신 질환이 없었던 15명을 대상(평균 연령 30세)으로 하였다. 위 배출 시간검사는 50gm의 달걀 1개에 Tc^(99m)-tincolloid lmCi를혼합하여 고형질화 시킨 TC^(99m)-tin-colloid-steamed egg를 섭취한 후부터 single-head-gamma camera(Picker Co,. USA)을 이용하여 위 배출 시간 반감기(T1/2)를 찾아냈으며 위배출 시간은 T1/2의 평균±표준편차로 표시하였다. 위 배출 시간의 지연은 정상 대조군 T1/2의 mean±1 SD(45.0+12.7분) 이상으로 하였다. 정상 대조군(n=15)의 위 배출 시간은 42.64±16.80분이었고, 간경변증 환자군(n=33)은 42.54±20.80분으로 두 군 사이에 유의한 차이가 없었고, 울형성 위염 및 복수의 유무, 증상점수 4점을 기준으로 하였을 때 위 배출 시간은 두 군 사이에 유의한 차이가 없었다. 식도 정맥류가 있는 군(n=26)과 없는 군(n=7)의 위 배출시간은 각각 49.27±16.80분, 31.71±10.61분이었고, 위 정맥류가 있는 군(n=7)과 없는 군(n=26)의 위 배출 시간은 각각 53.14±11.71분, 43.50±5.85분으로 정맥류가 있는 군에서 위 배출 시간의 지연을 보였으나 통계적으로 유의하지는 않았다(식도 정맥류 p=0.654, 위 정맥류 p=0.991). 혈청 알부민 수치와 위 배출 시간 반감기는 서로 유의한 상관관계가 없었다(p=0.177). 결론적으로, 간경변증 환자에서의 소화불량 증상의 정도와 울혈성 위염, 복수의 유무에 따라 위배출 시간에 차이가 없었다. The purpose of this study was to evaluate whether delayed gastric emptying time(GET) was associated with the degree of gastrointestinal discomfort, congestive gastropathy, and ascites in patients with liver cirrohsis. Thirty three patients, aged 54.3 years, with liver cirrhosis and fifteen control subjects, aged 30 years, without gastrointestinal symptoms and history of gastrointestinal disease were participated from the first of March in 2001 to the 31st of May in 2002. For GET, solid phase gastric emptying was done with radionuclide scintigraphy using single-head gamma camera after ingestion of Tc99m tin-colloid-steamed egg. Delayed GET was defined as the half time period in GET(T1/2) longer than the mean value plus 1SD of controls (45.0+12.7min). GET between Control group and patients with liver cirrhosis was 42.64±16.80min, 42.54+20.80, respectively. Therefore, there is no significant difference. On the base of congestive gastropathy, symptom score '4', and cirrhosis, there is no difference statistically between two groups. GET measured in the group with esophageal varix(n=26) or without esophageal varix(n=7), was 49.27±16.80min, 31.71±10.61min, respectively. GET measured in group with gastric varix or without varix, was 3.14±11.71min and 43.50±5.85min, respectively. But, there is no difference statically between two groups. There was no significant correlation between serum albumin level and T1/2 of GET(p=0.177). This study shows that there is with no apparent clinical difference between gastric emptying time and liver cirrohtic patients with gastrointestinal discomfort, congestive gastropathy, and ascites.

      • 처분장근처에서 침식에의한 Sr 화학종의 평형

        조윤정,김성현,이인화,김시욱,고문주,박성규,이범규 조선대학교 환경연구소 2000 環境硏究 Vol.16 No.1

        Leaching and adsorption equilibria of Sr Chemical Species from the near field of a repository has been studied in solidified cement with Fe and oxidized Fe. The absorption percent, Ads %, and distribution coefficient, K_d were calculated using equilibrium concentration to predict the extent of leaching and adsorption. In the mixed aqueous solutions the Ads % increase as Cement(C)/Water(W) ratios increase and K_d was decreased for Sr. These behaviors were discussed by adsorption and equilibrium of spiked ions. Oxides Fe promoted adsorption of spiked ions, but pure Fe had no effect. E_h values were also estimated and discussed to elucidate oxidation-reduction environment of experimental system.

      • 결절성 황색종과 동반된 제 Ⅲ 형 과지질단백혈증 1예

        김지현,김연진,김현주,조소연,황규광,함정희 梨花女子大學校 醫科大學 醫科學硏究所 2000 EMJ (Ewha medical journal) Vol.23 No.1

        We report a case of type Ⅲ hyperlipoproteinemia associated with tuberous xanthoma, which is improved by treatment with lovastatin and bezafibrate. A 34-year-old female patient visited our clinic for evaluation of multiple yellowish-brown papulonodules on the kness, elbows and palms. Serum lipid examination showed an abnormal elevation of serum cholesterol and triglyceride. Lipoprotein electrophoresis showed a single peak at pre-β and β portion without separation. The biopsh specimen from a nodule on the knee and a papule on the palm revealed characteristic findings of xanthoma. We diagnosed the case as type Ⅲ hyperlipoprotei-nemia. After 3 months of treatment with diet restriction, lovastatin and bezafibrate, the serum levels of cholesterol and triglyceride were reduced to normal level. The skin lesion of the palm showed complete regression and ones on both knees and elbows were moderate improvement.

      • KCI등재
      • KCI등재후보

        국내 중소도시 상수도관의 파손특성 및 영향인자 분석에 관한 연구

        이현동,정원식,안윤주 대한상하수도학회 2002 상하수도학회지 Vol.16 No.4

        This paper was performed to analysis the major factors and characteristics of pipe breaks for urban drinking water pipelines in Korea. The results from the characteristic analysis of pipe breaks by natural cause (77.6%) were showed represented to be highly related to the factors such as deterioration, water hammer, and external factors. And break rate with pipe types were showed PE 0.2056, CIP 0.1521, DCIP 0.06 No./Km/year, respectively. Break rate were showed represented to be weakly related to the pipe diameters, seasons, and laying year. Especially, break rate of winter season were not represented to highly the this study more than other cities such as Newyork, Philadelphia, Seoul, Taegu, Busan.

      • 개에 있어서 耳根部의 Lidocaine 水針에 의한 全身 無痛覺의 誘發

        권현주,유건주,이상은,이정연,송근호,김명철,정성목,박성준,김덕환 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

        Twelve clinically healthy mongrel dogs were used to clarify the possibility of general analgesia induction by lidocaine aquapuncture to auricular root area in the present study. The experimental animals were devided into control (6 heads) and experimental groups (6 heads), respectively. Physiological salines (3 ml/kg) were injected into both auricular root areas in control group. Lidocaine hydrochlorides (3 ml/kg) were injected into both auricular root areas in experimental group. Superficial pain, the changes of vital signs and blood leukocytes, and PCV were examined on pre, 5 min., 15 min., 30 min, and 60 min. after injection in control and experimental groups, respectively. Analgesia was not detected at all in control group, however, all experimental animals were recumbent and analgesia was generally detected in the auricles, noses, dorsal parts, ventral areas, limbs and tails from 5 to 30 minutes after injection with lidocaine hydrochloride into auricular root areas in experimental group. As for the change of vital signs, body temperature showed decreasing tendency from 5 minutes after lidocaine injection in experimental group. Heart rates and respiration rates were increased on 5 minutes after lidocaine injection and then they showed decreasing tendency in experimental group. No significant difference were found among groups. As for the changes of hematological findings, the numbers of blood leukocytes were increased till 15 minutes after lidocaine injection and then they showed decreasing tendency. PCV values were increased on 5 minutes after lidocaine injection, and then they showed decreasing tendency. However, no significant differences were observed among groups. Considering the above findings, it was thought that general analgesia was possible by aquapuncture with lidocaine hydrochloride into auricular root areas and lidocaine aquapuncture didn’t affect so much to the changes of vital signs and blood.

      • 섬진강 수계의 곡성군 어류상

        김성호,윤창호,주현수 한국환경생물학회 2002 환경생물 : 환경생물학회지 Vol.20 No.2

        섬진강 중류의 전남 곡성군 수계의 담수어류상과 서식현황을 2001년 3월부터 10월까지 조사한 결과,총 5과 22속 30종 1,786개체가 채집되었다. 출현한 어류는 26종이 잉어과 어류에 해당되었고, Rhinogobius brunneus의 1종만이 이차담수어에 해당되었다. 하천 전체에서 zacco platypus(우점도 24.2%)가 우점종으로 확인되었고, 아우점종은 Pungtungia herzi (10.7%)로 나타났다. 한국 고유종은 Rhodeus uyekii등 11종으로 전체 어류에 대하여 36.7%를 차지하여 비교적 높은 고유도를 나타냈다. 다양도 지수에 의하여 곡성군 섬진강 수계의 하천 수질오염을 판정한 결과,전체적으로 β-중부수성 수질상태 (다양도 2.70)를 나타냈으나, St.2와 St.3을 제외한 조사지역에서는 β-중부수성으로부터 중부수성까지의 하천수질상태를 나타냈다. The fauna of freshwater fish and the structure of fish community were investigated from March to October in 2001 at six stations in the middle reach of the Seomjin River, Gokseong-gun. The collected fishes (1,786 individuals) were identified into 30 species of 22 genera belonging to 5 families. Of them, cyprinid fish occupied 26 species, only one species (Rhinogobius brunneus) was secondary freshwater fish. Dominant species was Zacco platypus (dominance index: 24.2%) and subdominant species was Pungtungia herizi (10.7%). The endemic species of Korea were 11 species including Rhodeus uyekii (36.7%) about the ichthyofauna. In estimation of water quality by diversity indices, the general conditions of water quality of all survey times and all stations were relatively fine (β-mesosaprobic, diversity index: 2.70). But four survey sites except St. 2 and St. 3 showed severe water pollution with one or more times in total survey periods.

      • 인진쑥(Artemisia iwayomogi) 올리고당류(AIP1)의 기능성 탐색

        이동석,최현주,윤현주 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

        Objective: We examined the effects of the AIPI on the cell apoptosis, colonal and pathogenic microbial activities in vitro, and glycemic controls in vivo. Methods and Materials: The oligosaccharide fraction AIPI was isolated and purified from Artemisia iwayomogi by the aqueous extraction and gel filtration chromatography. Results: In the experiment of murine macrophage culture, the AIPI decreased the apoptotic cell death. In the mircrobiological experiments of the Bifidobacterium and Lactobacillus from the human intestine, the AIPI stimulated these colonal microbialactivities. However, the AIPI showed a strong inhibition against activities of the Listeria monocytogenes and Klebsiella pneumoniae in the experiments of the agar-diffusion and the estrase-FDA. In the animal experiment, the AIPI lowered the blood glucose curves of the glucose tolerance test in the diabetic rats. Conclusion: It is concluded that the oligosaccharide fraction AIPI from the Artemisia lwayomogi may have several beneficial functions as an immune booster, colonal probiotics, antimicrobial agent, and glucose intolerance alleviatin-biohealth material.

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