18–30세 사이에 발생하는 뇌경색의 특징, 다기관 레지스트리 연구

장윤경,송태진,김용재,허지회,이경열,김영은,장민욱,조수진,강석윤 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.3

Objectives: Although there have been several reports that described characteristics for young age stroke, information regarding very young age (18–30 years old) has been limited. We aimed to analyze demographic factors, stroke subtype, and 3-month outcome in acute ischemic stroke patient who have relatively very young age in multicenter stroke registry. Methods: We evaluated all 122 (7.1%) consecutive acute ischemic stroke (within 7 days after symptom onset) patients aged 18 to 30 from 17,144 patients who registered in multicenter prospective stroke registry, 1997 to 2012. Etiology was classified by Trial of Org 10172 in Acute Stroke Treatment criteria. Stroke severity was defined as National Institutes of Health Stroke Scale (NIHSS) and stroke outcome was defined by modified Rankin scale (mRS) at 3 months after index stroke. Results: The mean age of all included patients was 25.1±3.7 years and 76 patients (62.2%) were male. The median NIHSS at admission was 4. Considering stroke subtype, 37 patients (30.3%) had stroke of other determined etiology (SOD), 37 (30.3%) had undetermined negative evaluation (UN) and 31 (25.4%) had cardioembolism (CE) were frequently noted. After adjusting age, sex and variables which had P<0.1 in univariable analysis (NIHSS and stroke subtype), CE stroke subtype (odds ratio, 4.68; 95% confidence interval, 1.42–15.48; P=0.011) were significantly associated with poor functional outcome (mRS≥3). Conclusion: In very young age ischemic stroke patients, SOD and UN stroke subtype were most common and CE stroke subtype was independently associated with poor discharge outcome.

Synergistic effects of alkylated graphene oxide on the properties of polypropylene-based carbon nanocomposites.

Yun, Young Soo,Pyo, Hye-Ri,Lee, Jae Yun,Chin, In-Joo,Jin, Hyoung-Joon American Scientific Publishers 2013 Journal of Nanoscience and Nanotechnology Vol.13 No.10

<P>Polypropylene (PP)/carbon black (CB)-alkylated graphene oxide (AGO) hybrid nanocomposites were prepared via solution process and the synergistic effects of AGO on the properties of the PP/CB nanocomposites were investigated. AGO at a content of only 0.2 wt% formed an overlapped network structure in the PP matrix and affected the electrical, thermal and mechanical properties of the PP/CB nanocomposites. Specifically, PP/CB (5 wt%)-AGO (0.2 wt%) nanocomposites exhibited an electrical percolation threshold at lower CB contents than the PP/CB nanocomposites did, and the sheet resistance was decreased to 2.3 x 10(7) omega/sq. The thermal degradation temperature and recrystallization temperature of the PP/CB (10 wt%) nanocomposites were increased by 11.3 and 1.6 degrees C, respectively, by the addition of 0.2 wt% AGO. In addition, the Young's modulus of the PP/CB (10 wt%) nanocomposite was increased from 438.1 to 540.1 MPa.</P>

터널 변위 거동 및 수치 모의실험의 결합 해석

정윤영 ( Yun Young Jeong ),한희수 ( Heui Soo Han ),이재호 ( Jae Ho Lee ) 대한지질공학회 2010 지질공학 Vol.20 No.1

이 연구는 터널설계의 안정성을 예측하기 위한 터널거동분석에 초점을 맞춘 것이다. 3차원 수치해석, 현장계측 후 최대변형 및 사쿠라이에 의해 제안된 터널변형에 관한 경험적 안정성 평가방법들을 결합한 평가기법을 사용하였다. 사쿠라이가 사용한 계측자료들은 새로운 해석기법을 도입하여 재해석되었다. 터널안정해석을 위한 사쿠라이의 경험적 추세선은 이론적 추세선으로 새로이 도입되었으며, 이는 안정, 불안정 및 파괴영역으로 구분되었다. 터널 현장자료의 새 해석기법을 평가하기 위한 현장의 적용 예로, 김포의 지하철 9호선으로 연결되는 인천공항의 지하철터널을 이용하였다. 그 결과 터널보강후 인천공항 지하철의 상부 및 하부터널 모두 충분한 안정성을 보였다. 마이크로 실리카 그라우팅과 엄브레라방법에 의한 지반보강 후 겉보기 영계수가 상당히 증가하는 것을 볼 수 있었다. 그러므로, 제안된 새 해석기법을 이용하면, 터널변형과 지반조건에 따른 최적의 보강기법 선정에 활용할 수 있다. This study is focused on the analysis of tunnel behavior to estimate the stability on tunnel design. An estimation method was proposed as a hybrid consideration, which contains the displacement analysis by 3D numerical simulation, the maximum displacement obtained after field measurement, and an assessment of tunnel stability using a deformation analysis proposed by Sakurai(1988, 1997). The points of case study by Sakurai(1988, 1997) were replotted considering his analysis. From the new analysis of the tunnel case study, the trend line for analyzed points is analogized, which curve is divided into stable, unstable and failure zone. To evaluate the estimation method, a special shape of railway tunnel was selected, which are the Inchon international airport rail way connected to subway line 9 in Gimpo, Korea. The point s of upper and below track on the Inchon international airport rail way were satisfied to the stability of tunnel after reinforcing. Also the points shows the higher apparent Young`s modulus, which resulted from improvement on shear strength by the micro silica grouting and the supporting of umbrella method. Therefore, if new analysis used, proper tunnel reinforcing method could be selected according to tunnel strain and geological property.

겉보기 탄성계수와 탄성이론해를 이용한 터널안정성 평가

이재호(Lee Jae Ho),정윤영(Jeong Yun Young),박영화(Park Young Hwa),권근철(Kwon Keun Cheol) 대한토목학회 2009 대한토목학회 학술대회 Vol.2009 No.10

항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

봉독약침이 류마티스 관절염 환자의 기능회복 및 삶의 질에 미치는 영향

이상훈,이현종,박상민,김수영,박재경,홍승재,양형인,이재동,최도영,김건식,이두익,이윤호 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2003 東西醫學硏究所 論文集 Vol.2003 No.-

Objective: To evaluate the effects of bee venom acupuncture(BVA) on the rehabilitation and quality of life in rheumatoid arthritis(RA) patients Methods: Patients with RA were treated with the BVA therapy twice a week for 3 months. Tender joint counts, swollen joint counts, morning stiffness, Erythrocyte Sedimentation Rate(ESR), C-reactive protein(CRP), patient global assessment, physician global assessment, Korean health assessment questionnaire(KHAQ) were estimated and analyzed before and after BVA therapy. Results: Tender joint counts, swollen joint counts, morning stiffness showed significant decrease after BVA therapy. But, as acute inflammatory reactants, ESR showed no significant difference and CRP showed significant increase after BVA therapy. Patient global assessment physician global assessment, and KHAQ index showed significant improvement after BVA therapy. Conclusions: BVA therapy can improve rehabilitation and health-related quality of life RA patients as well as clinical symptom and signs. Further study is required in more population with large scale including acute inflammatory reaction of BVA therapy.

크론병에 대한 CoPPLX의 방어효과에 대한 연구

이호학,김유림,문창기,이재일,양병윤,김종수,이정민,정재혁,안석진,박상준,김윤권,김소연,김영중,조민구,최영자,장성조 圓光大學校 醫科學硏究所 2005 圓光醫科學 Vol.20 No.1

봉독약침이 류마티스 관절염 환자의 관절 통증, 종창 및 급성 염증 반응에 미치는 영향

이상훈,이현종,백용현,김수영,박재경,홍승재,양형인,김건식,이재동,최도영,이두익,이윤호 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2003 東西醫學硏究所 論文集 Vol.2003 No.-

Objective In order to study the effects of bee venom(BV) on the pain, edema, and acute inflammatory reactant of rheumatoid arthritis(RA) patients. Methods Patients with RA who met the ACR(American College of Rheumatology) 1987 revised criteria for the diagnosis of RA were treated with the BV therapy twice a week for 3 months. Tender Joint counts, swollen joint counts, Visual analog scale(VAS), morning stiffness, ESR. C-reactive protein(CRP) were analyzed before and after BV therapy. Results The results as follows. 1. Tender joint counts in patients after BV therapy were significantly lower than those before BV therapy(9.0±7.9 vs 15± 11.4, p=0.002). 2. Swollen joint counts of the patients after BV therapy were significantly lower than those before BV therapy(50±61 vs 15±23, p=0.001). 3. VAS in patients after BV therapy was significantly lower than those before BV therapy(608± 17.6 vs 380± 159, p=0.000). 4. Duration of morning stiffness in patients after BV therapy was significantly reduced compared with that before BV therapy(119.1± 112.6 min vs 59.0±89.7 min, p=0.009). 5. ESR and CRP were not significantly changed before and after BV therapy, suggesting BV itself could make inflammatory reaction as well as therapeutic effect. Conclusions BV therapy improved tender joint counts, swollen joint counts and duration of morning stiffness in this study, and further study is needed on long-term effect of BV therapy.

지연유합과 불유합에서 저신호 강도 초음파의 유용성

윤여헌,김종오,고영도,유재두,정준모,오종건,방한천,최창호,신명철 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 저 신호 강도 초음파를 이용한 지연유합과 불유합의 치료에 대한 유용성을 알아보고자 하였다. 대상 및 방법 : 2001년 7월부터 2002년 5월까지 본원에 내원한 지연유합 7례와 불유합 8례를 대상으로 5개월간 저 신호 강도 초음파로 치료하여 5개월후 골유합 여부를 알아 보았다. 결 과 : 총 15례 중 대퇴골 간부 2례, 경골 간부 1례, 상완골 간부 1례, 요골 1례의 지연유합에서 골유합을 얻었고 대퇴골 간부 불유합 3례에서 유합을 얻었다. 지연주합은 71%의 유합율을, 불유합은 37.5%의 유합율을 보였다. 결 론 : 저 신호 강도 초음파는 골유합을 촉진 시킬 수 있으며 지연유합에서 시도해 볼 만 하나 불유합 치료를 위해서는 보다 많은 연구가 필요 하다. Purpose : To evaluation of usefulness of low-intensity ultrasound for nonunion and delayed union. Materials and Methods : For 5 months, we treated 7 delayed union and 8 nonunion using low-intensity ultrasound. After 5 months, in checked X-ray AP and Lateral view, when cortical bridge formation was done, we through union. Results : In 7 delayed union, 5 cases-2 femur, tibia, humerus, radius were healed. In 8 nonunion, 3 femur nonunion were healed. Union rate was 71% in delayed union 37.5% in nonunion. Conclusion : we thought that the low-intensity ultrasound has capacity of induction of union and was considered as the method of treatment for delayed union.

Piracetam이 마우스의 기억력 및 대뇌피질내 Acetylcholine량 변화에 미치는 영향

尹再順,申精姬,李容筍,劉永瓚 梨花女子大學校 韓國生活科學硏究院 1991 韓國生活科學硏究院 論叢 Vol.47 No.-

The central cholinergic synapse is known to be closely connected with memory. Previously, piracetam has been reported to improve the intellectual ability. We used a scopolamine-induced amnesiac mouse to study the effects of piracetam on memory retrieval by passive avoidance learning test and on the acetylcholine level of cerebral cortex. The amnesia was produced in mouse by the intraperitoneal injection(i.p.) of scopolamine at a dose of 1 ㎎/㎏ body weight(b.w.). Upon administration of piracetam to amnesiac mouse at doses of 100 and 200 ㎎/㎏ b.w., i.p., 30 min, prior to retrieval test, the significant improvement on memory impairment was observed by examination 24 hr after training. The level of acetylcholine in cerebral cortex of mouse was decreased by the scopolamine treatment, however, this decrease was attenuated by piracetam. These results suggest that the effect of piracetam on memory may be attributed to activation of cholinergic nerve.