한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

비만증 환자에서 한약제에 의한 체중 감소효과

Oh, Seung-Joon,Jeong, In-Kyung,Kim, Young-Seol,Choi, Young-Kil,Paeng, Jeong-Ryung,Bae, Jung-Hwan,Shin, Hyun-Dae 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Seung-Joon Oh, In-Kyung Jeong, Young-Seol Kim, Young-Kil Choi, Jeong-Ryung Paeng¹, Jung-Hwan Bae and Hyun-Dae Shin²Department of internal Medicine, College Medicine, Endocrine Research Institute¹. Department of Rehabilitation, College of Oriental Medicine², Seoul, korea. Bady Fat Reduction Effects of Red Ginseng Compound Preparation on the Patients with Obesity. Proceedings of International Symposium on East-West Medicine, Seoul. 244-254, 1999.-Obesity can be defined as a metabolic disease due to an increased state of fat tissues caused by an imbalance of calorie intake and use. Recently, in Korea by improvement and westernization of food intake, along with decrease in exercise activities, the prevalence of obesity has increased greatly. Our objectives were to study stability and effects of decrease in body fat by administering red ginseng compound preparation (known to have body fat decreasing effects in laboratory animals) to obesity patients on low calorie diets. Changes in weight and body fat were measured while carrying out calorie-restricted diets on patients for 4 weeks, then administering red ginseng compound preparation for another 4 weeks. The patients were 20 people whose BMI were 25kg/㎡ or over and whose percent body fat was also 30% or over when tested by bioelectrical conductivity. 1. Changes in weight were from 70.04kg(base line) to 67.43kg(after taking red ginseng compound preparation). 2. In similar sense, BMI decreased from 27.12kg/㎡(base line) to 26.56kg/㎡(after dieting), and further to 26.01kg/㎡ (after taking red ginseng compound preparation). The BMI seemed to decrease significantly compared to the baseline after the use of red ginseng compound. 3. Waist hip ratio was changed from 0.8858(base line) to 0.8728, but it was statistically insignificant. 4. The percent body fat was 35,16%(base line), 33.87%(after dieting), and 31.68%(after taking red ginseng compound preparation). 5. Complete blood cell count and blood chemisrty remained unaffected by the administration. 6. In concern to endocrinologic studies, T3 decreased from 118.7 to 98.2ng/dL, and T4 increased from 8.8 to 9.2㎕/ dL. Epinephrine showed a tendency to decreased from 0.27 to 0.25 ng/mL, and norepinephrine increased from 0.39 to 0.44ng/mL. 7. Leptin was not changed. 8. Some patients complained adverse effects; constipation(5 patients, may be due to diet therapy), fatigue (2 patients), pruritus(2 patients), flushing(s patients), dizziness(3 patients) and epigastric discomfort(2 patients). However their symptoms were mild, so medication did not stopped. In conclusion, loss of weight without significant side effects was observed during low calorie diet and red ginseng compound preparation administration. This is thought to be in relation to sympathetic nerve system rather than adrenal gland. Also, further long0term studies should be required, since the observed results were based on short-term changes in weight.

전국 10개 종합병원 중환자실 환자의 직장내 Vancomycin-resistant Enterococci(VRE) 보균율, 보균의 위험요인 및 유전적 다양성 조사

정희진,송준영,엄중식,김우주,최선주,최정현,이혁,정문현,이광미,신동현,손보라,최종성,우흥정,권정아,이경원,최강원,박승철 대한감염학회 2002 감염 Vol.34 No.5

느타리버섯 신품종 육성 연구(I) : 병재배용 신품종『진미』느타리버섯의 특성

지정현,주영철,최종인 한국버섯학회 2004 한국버섯학회지 Vol.2 No.4

병재배 느타리버섯의 품종 다양화를 위해 단핵균주교잡에 의해 육성된 진미느타리버섯의 균사생장적온은 25∼30℃, 버섯발생 및 생육온도는 15±1℃이고 갓색은 회색이며 얕은깔대기형으로 발이수가 많았다. 배양일수는 20℃에서 22일, 초발이 소요일수는 4일이며 가늘고 긴형으로 농가실증시험에서 병당수량은 145.9g으로 높은 편이었다. 버섯의 갓색과 갓형태, 이형개체 발생,, 균사생장량, 종균배양기간 등에 대한 균일성도 양호하였고, 세균성 갈변병에 대한 저항성은 소정도로 나타났으나 푸른곰팡이병은 발생되지 않았다. 또한 균사 활력이 강하고 15 이하에서는 진한회색을 나타내며 육질이 부드럽고 대가 백색으로 깨끗한 직립형의 특성을 보유하고 있다. Jinmi oyster mushroom(Pleurotus ostreatus) were bred in Mushroom Research Institute, Gyonggi Province A.R.E.S in 2003. This oyster mushroom were bred and cultivated one after mating single spores collected from K3-2 and ASI2018-249. The major characteristics of the mushroom are showing a lot of pinheadings, the gray-colored and infundibuliform pileus. The optimum temperature for the mycelial growth was around 25∼30℃ and that for the pinheading and growth of fruitbody was around 15±1℃. Around 22 days at 20℃ were required for incubation of Jinmi and the yield was shown high by 145.9g/bottle.

뇌동맥류 파열 환자에서 증후성 뇌혈관연축의 발생 및 회복에 영향을 미치는 인자들

최석민,석종식,권정택,민병국,황성남,김영백,홍현종 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

To determine the factors affecting development and recovery of symptomatic vasospasm. the author analysed the results of patients with ruptured intracranial aneurysms treated by nimodipine and prophylactic “triple0H” therapy. From January 1991 to December 1995. 199 patients underwent surgery for ruptured intracerebral aneurysms. Combined hypervolemic hemodilution was initiated at the time of admission. Induced hypertension was added immediately after surgery(aneurysmal neck clipping). All patients received nimodipine intravenously or orally until the 14th day of SAH Sixty patients underwent surgery on Day 0 through 2 after attacks of subarachnoid hemorrhage(Goup A) 105 patients on Day 3 through 14(Group B). and 35 patients after Day 14(Group C). Of 199 patients. 76(38%) patients suffered from symtomatic vasospasm. Symptomatic vasospasm occured in 34% of Group A patients. 33% of Group B patients. and 5% of Group C patients. Symtomatic vasospasm occured more frequently in the older age group. the Fisher group 3 and Hunt & Hess grades 3, 4 and 5 groups. Of 76 patients who suffered from symptomatic vasospasm. 47(62%) patients recovered completely. The author analysed the relationship between recovery rate and sex, age. Hunt & Hess agrde and Fisher group among these 76 patients. Recovery rates between these groups were not significantly different. Based on this experience the author believes that Hunt-Hess grade. Fisher group and age are important factors affecting symptomatic vasospasm development.

관개수질을 고려한 시비가 벼의 생산성과 농업환경에 미치는 영향

엄미정,박현철,김갑철,류정,최정식 한국환경농학회 2004 한국환경농학회지 Vol.23 No.1

관개수 수질을 고려한 감비가 벼의 생산성과 농업환경에 미치는 영향을 분석한 결과는 다음 과 같다. 시험에 사용된 관개수의 질소, 인, 칼륨의 평균함량은 각각 6.16, 0.26, 9.37 ㎎/L 이 었고, 유입된 영양염류가 논을 통과하면서 농도가 감소되어 유출수의 성분은 유입된 관개수 보다는 낮은 농도를 보였으며, 논 표면수와 침출수의 농도는 시비량과 시비시기에 따라 변 화하였다. 토양검정 50% 시비구에서는 질소의 공급량과 소비량간의 차이가 0.14㎏/ha으로 나타나 양분수지면에서 균형을 이룬 반면, 농가관행시비구에서는 그 차이가 95.3㎏/ha로 나 타났다. 농가관행시비구에 비해 토양검정시비구와 토양검정50% 시비구는 등숙률, 천립중, 도정특성, 등이 우수하여 완전미수량에서 큰 차이를 보이지 않았으며, 시비량이 적을수록 단 백질 함량이 또한 적어 기계적인 식미치가 높게 나타나 품질에서 우수하였다. 시비효율에서 는 토양검정50% 처리에서 시비된 성분이 수량에 기여하는 비율이 높아서 시비이용과 효율 면에서 우수한 결과를 보였다. 이상과 같이, 관개수에 포함된 영양물질을 작물의 생육에 이 용함으로서, 농업용수의 수자원 이용효율을 높이는 동시에, 비료 절감효과와 생산량 증대의 가능성을 검토할 수 있었다. Table 11.Physicochemical properities and paratability of milled rice in the different fertilization ▷표삽입◁ (원문을 참조하세요) This study was conducted to investigate the effect on agricultural environment and crop productivity by different amount of applied fertilizer in consideration of irrigation water quality. N, P and K contents of irrigation water used in this eqdment were 6.16, 0.26 and 9.37 ㎎/L, reqecthly. N, P and K Concentrations of runoff water were lower than those of inflow water during rice cultivation. N, P and K Concentrations of ponded and percolated water were changed according to the amount and time of applied fertilization. During rice cultivation in paddy soil, nitrogen balance was closed to 0 in STF 50% (50% level of sail testing fertilizaton), 0.14 ㎏/ha, but it was 95.3 ㎏/ha in CF (conventional fertilization) treatment in STF 50% and STF (sail testing fertilization) treatment, yield of perfect rice was not greatly different as compared with CF treatment, due to the superiority of ripening rate, 1,000 grains weight and milling characteristics. Mechanical paratability of rice was excellent in NF (non fertilization) treatment, STF 50% treatment showed higher in nutrient availabiilty and fertilizers use efficiency than other treatments.

원형 플레이트 형태에 따른 초음파 부상 장치의 진동특성에 관한 연구

정상화,최석봉,차경래,김현욱,김광호,박준호 한국공작기계학회 2005 한국공작기계학회 춘계학술대회논문집 Vol.2005 No.-

In the semiconductor and optical industry the non-contact transportation is required for reducing the damages. The ultrasonic levitation is the solution of the problem. In this paper, the ultrasonic levitation system and 3 disk-type stator for levitation various object are proposed. The vibration modes of disks are analyzed with FEM and designed with the analysis results. The 3D vibration profiles of the disks are measured by Laser scanning vibrometer for verifying the vibration characteristics of the system. The amplitudes of the disks and the levitation heights of object are measured for evaluating the performance.

Bochner 방법을 응용한 Shigella의 약제내성 제거

최정현,이제철,설성용 慶北大學校 醫科大學 1991 慶北醫大誌 Vol.32 No.1

To study the optimal curing condition on selective medium described by Bochner et al. and modified medium, six strains of S. flexneri and 2 strains of S. sonnei were tested for minimum inhibitory concentration(MIC) of quinaldic acid and cured resistance pattern. Also, changing patterns of elimination according to incubation temperature were investigated at 37℃ and 42℃. MICs of Shigella on original Bochner medium and modified medium were 50 5o 400㎍/㎖. But MICs of Shigella were above of 400㎍/㎖ on the Bochner's medium excluding tetracycline and sodium phosphate. There were no differences in MIC between at 37℃ and 42℃. On the Bochner's medium, losses of drug resistance were more effective than other medium and cured resistance pattern was partial or total of original resistance, regardless of incubation temperature. Frequencies of curing were low on modified Bochner's medium, but most of cured resistance pattern were total resistance of Shigella. Frequencies of curing at 42℃ were similar to 37℃, but some strains showed resistance loss only at 42℃. MICs of 8 strains of Shigella were above of 400㎍/㎖ and no strains detected resistance loss on the both tryptic soy agar and tryptic soy broth.

정신분열병 환자의 반응시간

최형식,정범석,김한규,송현주,이재원,김창윤 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.5

연구배경: 주의력은 인지적인 정보처리과정(information processing)의 가장 기본적인 단계이다. 반응시간 (reaction time)은 주의력을 가장 잘 반영하는 검사 중 하나로서, 자극이 제시된 후 반응이 시작되기까지 반응 여부를 결정하는데 걸리는 시간인 판단 시간(decision time)과 반응이 시작되면서 목표에 도달할 때까지 시간인 운동시간(motor time)으로 나누어 볼 수 있다. 기존의 연구결과로는, 정신분열병 환자군에서 반응시간의 수행이 떨어져 있다는 보고는 많이 되어왔으나 차이가 없다는 보고도 있으며, 판단시간과 운동시간 중 어느 부분에 장애가 있는지 명확하지 않다. 또한 반응시간 측정값은 질병의 진단적 유형(diagnostic subtype), 증상, 경과 등의 영향을 받으며 개체간의 변동(inter-individual variation)이 크고, 같은 피험자라도 측정시점이 다를 때마다 차이를 보이는 개체내 변동(intra-individual variation)이 커서 검사결과마다 차이를 보이고 있는 상태이다. 목적: 환자군은 개체간 변동이 크고 다른 임상적 요소에 의해 영향받는 점을 고려하여, 임상적으로 안정적인 경과에 있는 정신분열병 환자만을 대상으로 정상인 군과 반응시간의 차이를 비교하고자 하였다. 또한 반응시간을 판단시간과 운동시간으로 나누어 측정하여 각각을 비교분석 하고자 하였고, 개체내 변동이 큰점을 고려하여 25회 반복 측정을 실시하고 이에 따른 변동의 경향성을 조사하고자 하였다. 방법: DSM-Ⅳ에 의해 '정신분열병'으로 진단된 환자로서, 급성기 이후 항정신병약물을 유지하고 있으며BPRS(brief psychiatric rating scale) 30점 이하의 임상적으로 안정적인 상태가 3개월 이상 유지된10명이 환자군으로 포함되었고, 정상인은 자원자 10명이 포함되었다. 검사도구는 비엔나 테스트 시스템 반응유닛(Reation Unit) 파라미터 S8을 이용하였다. 총 6가지의 자극이 무작위로 1측정시기(session) 당 총 32회 주어지고, 피험자는 이중 특정 자극에 8번만 반응하도록 되어 있다. 시작 전 1회 연습 후 총 25측정시기를 5분 간격으로 반복하였다. 반응 시간을 판단시간과 운동시간의 합으로 정의하고 세 가지 모두 컴퓨터를 이용하여 자동 측정되었다. 반응·판단·운동 시간의 비교에는 반복 측정을 고려한 분산분석(repeated measures analysis of variance)을 사용하였다. 결과: 환자군은 정상인에 비하여 유의하게 반응시간의 수행속도가 저하되어 있었다(p<0.01). 판단시간과 운동시간으로 나누어 볼 때, 환자군에서 판단시간이 유의하게 느렸고(p<0.01), 운동시간은 수행저하의 경향을 보였으나 통계적으로 유의하지는 않았다. 25회 반복측정시 양군 모두 측정시기에 따른 유의한 변화를 보였고(p<0.01), 환자군의 반응시간은 개체간의 차이뿐 아니라 개체내 변동이 큰 경향을 보였다. 옳게 반응한 횟수(correct response)는 환자군에서 저하되는 경향을 보였으나 통계적으로 유의하지는 않았다. 고찰: 정신분열병 환자군에서 판단시간이 유의하게 저하된 것은, 반응시간의 저하가 운동요소 보다는 인지적 요소에 의한 것임을 시사하는 것으로, 정보처리과정의 기본적인 단계인 주의력 장애를 보여주는 것으로 생각된다. 비교적 안정적이고 임상적인 특성이 동일한 환자군에서도 반응시간이 대조군에 비해 큰 개체간 차이와 개체내 변동성의 경향을 보였으며, 이는 단순한 측정오차라기 보다는 정신분열병 환자군의 인지기능의 특성을 반영하는 것으로 생각된다. 중심단어:정신분열병·반응시간·판단시간·운동시간·개체간 변동·개체내 변동. The reaction time(RT) has been known to reflect attention that controls the flow of information processing. Extensive research has demonstrated cognitive impairment in schizophr-enia subjects using RT taske. However, little work has been done examining the relative contribution of DT(decision time) and MT(motor time) to slowed RT in schizophrenics. Also, recent investigators have observed that schizophrenic patients exhibit larger intra-individual variability in RT than do normal comparison subjects. The purpose of this study, using multi-stimulus convergent RT task, was to explore the speed of RT, relative contribution of decision time(DT) and motor time(MT) to slowed RT, overall sequential profile in 25 repeated-time measurements in 10 schizophrenic out-patients and 10 normal control subjects. Overall reaction time and decision time were slower in schizophrenic subjects than in normal controls. The motor time was not shown to be significantly different between the two groups with 0.05 significance level, although there was some trend indicating schizophrenic subjects were slower consistently in repreated measurements over time. These results suggested that the slower reaction time in schizophrenic subjects was mostly determined by cognitive component, decision time rather than motor time. Sequential profile of repeated measurements showed greater intraindividual and interindividual variations in schizphrenics than in normal controls. These results indicate that high variabilities are not merely measurement errors but characteristic of schizophrenic psychopathology. KEY WORDS: Schizophrenia·Reaction time·Decision time·Motor time·Inter-individual variation·Intra-individual variation.

다채널 광정렬 장치에서의 다자유도 회전 스테이지 동작 특성에 관한 연구

정상화,차경래,김현욱,최석봉,김광호,박준호 한국공작기계학회 2005 한국공작기계학회 춘계학술대회논문집 Vol.2005 No.-

In recent years, as the demands of VBNS(Very high speed Backbone Network Service) and VDSL(Very high-data rate Digital Subscriber Line) increase, the development of kernel parts of optical communication such as PLC(Planar Light Circuit), Coupler, WDM elements increase. The alignment and the attachment technology are very important to fabricate the optical elements for communication. In this paper, the mechanism of rotational stage are studied. with the three different method and the results of them are applied to the design of the system. The performance test of resolution and travel is performed.