수입각증후군에 의한 급성 복증 1례

정은욱,지삼룡,이영태,박지훈,김동기,제인수,채두근,박성재,박은택,이연재,이상혁,설상영,정정명 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Afferent loop syndrome is an uncommon complication of a gastrectomy and Billroth Ⅱ reconstruction. It may cause symtoms at any time from the first postoperative day to many years after the gastrectomy. Afferent loop syndrome is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate afferent loop syndrome from other cause of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing afferent loop syndrome. We experienced one case of chronic afferent loop syndrome with acute pancreatitis. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. We report this case with a review of relevant literatures.

퇴행성 슬관절염 환자 평가 설문도구의 내적 신뢰도, 상관성에 관한 연구

류성룡,안경애,서병관,강중원,이상훈,이재동,최도영,김건식,이두익,이윤호 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objective : The aim of this study is to evaluate internal reliability and correlation among assessment instruments of knee OA. Methods : Data were obtained from 85 patients with knee OA. They were asked to answer VAS pain scale, two disease-specific questionnaires (WOMAC and LFI) and one instrument about health-related quality(KHAQ). Reliability was assessed using cronbach's alpha. Correlation was assessed by examining the pearson's correlation coefficients. Results : Cronbach's alpha of all Index except WOMAC stiffness subscale(.6679) exceeded the value of 0.70. A good correlation was obtained between WOMAC Subscale (especially Pain Subscale) and LFI (.726<cronbach's alpha<.791). Also, Correlation between KHAQ and two disease-specific questionnaires (WOMAC and LFI) was good(.612<cronbach's alpha<.662). Conclusions : All used instruments have good internal reliability. also, There are good correlation among them. The treatment of knee OA must be focused on health related quality. For this, we should use proper assessment instruments.

각종 소화성질환에서의 Campylobacter Pylori의 검출에 관하여

허정욱,강영우,박준호,박승국,하경임,김재룡,안성훈,박선우 啓明大學校 醫科大學 1988 계명의대학술지 Vol.7 No.2

Peptic disorders are among the most common maladies in korea as the world. In most cases their etiologies not be established and their pathophysioolgy remain obscure. Although the persence of fastric bacteria has been logn established, recently campylobacter pylori seems to be etiologic agent of peptic disorders. Campylobacter pylori is visualized in most cases of peptic disorders and not visualized after treatment of bctericidal agents, bismuth compound or metronidazole. We had a following results for identification of campylocacter pylori in stomach and duodenal mcuosa via endoscipc biopsy. 1. We studied 54 patients who had dyspeptic symptoms, 29 males. 2. Most patients are in 5th decades, next in 3rd and 6th in order. 3. Ptients were composed of 27 peptic ulcer, 22 gastitis and 5 gastric carcinoma. 4. Campylobacter pylori was identified in 69% of total patients, peptic ulcer 63%, gastritis 77%, stomach carcinoma leastly.

폐질환환자의 동맥혈가스분석

현정애,김재룡,전동석 啓明大學校 醫科大學 1986 계명의대학술지 Vol.5 No.2

Arterial blood gas anlysis has been established as an important aid to diagnosis, therapy, and prognosis in pulmonary diseases. Authors analyzed the results of arterial blood gas analysis of 136 pulmonary disease patients requiring oxygen therapy at the emergency room. In patients with chronic obstructive pulmonary disease, the findings are consistent with respiratory acidosis, PCO₂being abnormally high in 53.3% of the cases and PO₂below 80mmHg in 88.9%. In patients with bronchial asthma, the PO₂levels were higher than ones with chronic obstructive pulmonary disease but the results of remaining parameters were essentially similar. The patients of lung cancer were significantly iincreased in pH, comparing with ones of other pulmonary diseases (p<0.005), and significantly fell in PCO₂comparing with ones of bronchial asthma (p<0.01).

브랜드아파트의 차별화 계획요소에 대한 거주자의 선호도 조사연구

배정익,손재룡,이경회 대한건축학회 2003 대한건축학회논문집 Vol.19 No.9

Since the middle of the 1990's, the domestic apartment market is not focused on the differential architectural design factors or the preference of consumer's needs but on which company builds the apartment housings. This structure is needed for a new change by the reasons of the decontrolling price of domestic apartment housings and the IMF (International Monetary Fund), which caused the stagnation of housing. In this processing, brand strategy is added and simultaneously differentiation of design factors are added as a part of brand strategies. This study investigated residents’ preferences focusing on architectural design factors used in the marketing strategy of brand apartment housings. And based on such results of survey the further directions of architectural design factors are suggested in the 4th. In conclusion, it is found that the brand apartment housing residents evaluate standards on apartment housing differently than standards in the past. That is, moving away from the basis of orientation and the floor to focusing of living space design can be interpreted. In order to develop the differentiation of architectural design factors we have to subdivide different design factors into detail areas and then studies of design factors should be continuously conducted.

Polarograph법에 의한 Cadmium-Acetato Complexes에 관한 연구

황정의,정종재,손무룡,박유철 慶北大學校 1969 論文集 Vol.13 No.-

HAc와 NaAc용액을 혼합한 완충용액에서 Hume과 DeFord의 Polarograph 법으로Cadmium의 Acetato Complex의 안정도상수 및 그 조성을 Ion 강도 0.4, 0.7 및 2.0와 15℃, 20℃, 25℃ 및 30℃ 의 온도에서 각각 측정하였다. 초산Ion의 농도가 약 0.2 mole/ℓ 이상에서는 CdA_c^+, CdA_c2 및 CdA_c3- 3종의 착체가 존재하나 약 0.2 mole/ℓ 이하에서는 CdA_c3- 착체는 존재치 않는다. 실험범위내에서 측정된 안정도 상수(K_ijk)와 (T_k)사이에는 Log K_ik=A_i/T_k+B_i란 일반식이 성립하여 안정도상수와 Ion강도 (μj) 사이에는 LogK_ij=A_iμj+B_i란 일반식이 주어짐을 알았다.

척수 외상의 자기공명영상 및 신경학적 소견 : Delayed MR Image and Correlated Neurology

박용규,정진명,김은상,김재일,송해룡,한종우,신형진 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.11

19 patients with traumatic spinal cord injuries and associated neurological deficit were examined by delayed(> 1 month) magnetic resonance imaging(MRI), the result of which were correlated with neurologic and somatosensory evoked potential(SSEP) findings. 5 different MRI patterns were observed in these patients : (1) normal signal intensity(SI) on T1-and T2-weighted images(WI)(pattern N/N, n=6), (2) normal SI on T1-WI and high SI on T2-WI(pattern N/Hi, n=3). (3) low SI on T1-WI and high SI on T2-WI(pattern Lo/Hi, n=6), (4) syrinx(n=2), and (5) cord transection(n=2). The neurologic state was determined using Frankel's classification at admission and MRI time. Pattern N/Hi had best neurologic state except pattern N/N, and pattern Lo/Hi showed worst prognosis except pattern transection. SSEP findings relatively well correlated with neurologic findings, but did not exactly. The cause is probably that SSEP shows predominantly the function of ascending sensory systems of the cord, do not reveal motor pathways, directly or indirectly.

청각 자극용 전기자극기 개발

허승덕,정동근,김리석,김광년,강명구,김재룡,김기련 한국음성과학회 2004 음성과학 Vol.11 No.3

This paper introduces a development of an electrical stimulator for auditory stimulation. The electrical stimulator is useful in neurotological diagnosis, audiological evaluation, candidate selection for cochlear implantation, optimal device selection and decision making of MAP strategy for severe-to-profound hearing impaired persons. The development was based on sound parameters of auditory brainstem responses and auditory electrophysiological characteristic such as effective firing of auditory nerve and recording evoked potentials during refractory period of neuron. Besides pulse parameter could adjustable by programming for more varied electrical stimulation evoked response audiometry. Using the electrical stimulator, electrical square pulse was applied to promontory, and electrically evoked auditory brainstem response and electrically middle latency response were successfully recorded in cats.

Saos-2 세포에서 Doxorubicin에 의한 세포사멸 유도과정에서의 유전자 발현 변화

임정숙,배민재,백석환,김재룡,김정희,김성용 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Background: Doxorubicin has proved to be a useful chemotherapeutic agent especially for osteogenic sarcoma. It induces cancer cell death via apoptosis. Materials and Methods: To explore and analyze the change of gene expression during doxorubicin induced apoptosis on human osteogenic sarcoma, Saos-2 cell cDNA microarray was performed. After treatment with doxorubicin, total RNA was purified and expressed genes were investigated with a 17k human cDNA micoarray. Results: For analysis of the cDNA micoarray, the genes were filtered using the sum of the median value of Cy2 and Cy5 signal intensity of greater than 800. Expression of 264 genes was changed by more than 2 fold, and the expression of 35 genes was changed more than 3 fold after treatment with doxorubicin. The genes were primarily related to cell death, cell growth and maintenance, signal transduction, cellular component, transport, and metabolism. Conclusion: Treatment with doxorubicin induced expressional change of many genes. Some of the genes might be related with apoptosis directly or indirectly. Further study is now needed to characterize these genes.

퇴행성 슬관절염 환자의 증상 중증도 지표와 DITI의 상관성 연구

서병관,류성룡,강중원,안경애,이재동,최도영,김건식,이두익,이윤호,이상훈 EAST-WEST MEDICAL RESEARCH INSTITUTE KYUNG HEE UNI 2005 東西醫學硏究所 論文集 Vol.2005 No.-

Objectives : To investigate the applicability of thermography as severity measurement in the patients with osteoarthritis (OA) of the knee. Methods : Data were obtained from 80 patiens with OA of the knee. They were asked to answer two disease-specific questionnaire (Western Ontario and McMaster Universities (WOMAC) OA index, Lequesne's Functional Index (LFI)), one generic instrument (Korean Health Assessment Questionnaire (KHAQ)), VAS in order to assess the severity of disease, quality of life, degree of pain and taken thermography in standardized environment. Results : The thermal difference between ipsilateral side and contralaterla side of lateral aspect of knee was correlated with that of medial aspect of knee, and the thermal difference of anterior thigh was correlated with that of lateral, medial aspect of knee and patella region. Age, duration of disease, duration of morning stiffness, sex, crepitus, and painful side of knee were not correlated with the thermal differences of each region. LFI, WOMAC, WOMAC pain subscale, WOMAC stiffness subscale, WOMAC physical function, KHAQ,, VAS were not correlated with the thermal differences of each region. Conclusion : Further study on the thermography on OA of the knee in population with appropriate severity grade and the standardization of analysis of thermographic data were recommended.