근막 결손의 복원과 자궁천골인대 고정을 통한 전자궁적출술 후 질탈출의 성공적 교정

문화숙(Hwa Sook Moon),최진국(Jin Koo Choi),김경서(Kyung Seo Kim),박근식(Kyun Sik Park),황지영(Ji Young Hwang),문성은(Sung Eun Moon),한지원(Ji Won Han),김상국(Sang Gook Kim),김상갑(Sang Gap Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.7

목적 : 본 연구는 전자궁적출술 후 질탈출을 부위-특이적인 결함의 개념에 입각하여 치골경부 근막과 직장질 격막의 연결을 통한 골반내 근막의 복원과 자궁천골인대 고정술을 이용한 질탈출의 성공적인 수술적 교정의 방법과 결과를 보고하고자 한다. 연구 방법 : 1999년부터 2001년 8월까지 자궁적출술 후 질궁탈출 증상으로 문화병원 산부인과를 내원, 탈출된 질의 근막을 재건시킨 다음, 이를 자궁천골인대에 고정시킴으로써 질의 부위-특이적인 교정술을 받은 3명의 환자를 대상으로 하였다. 3명중 1명은 개복술을 하였고 2명은 내시경 수술을 하였다. 결과 : 환자의 연령 분포는 49-67세였으며, 수술시간은 평균 113분 (105-125)이었다. 세 환자 모두 수술 후 질의 상태가 해부학 및 기능적으로 정상이었으며, 9일째 특이사항 없이 퇴원하였다. 수술 후 HRT를 시행한 1명을 포함한 3명 모두 각각 24개월, 12개월, 7개월간의 추적 검사에서도 특이한 합병증이나 재발 없이 좋은 경과를 보였다. 결론 : 골반 근막 결손의 복원과 자궁천골인대 고정술은 전자궁적출술 후 질탈출의 교정에 매우 안전하고 효과적이며, 기능적인 방법으로 사료되며, 자궁천골인대를 질탈출 교정에 이용한 연구는 본 연구가 국내에서 처음이다. Objective : To report the method and efficacy of the site specific-defects repair in the endopelvic fascia and uterosacral ligament suspension for the correction of posthysterectomy vaginal vault prolapse. Methods : This study was performed in 3 patients with posthyterectomy vaginal vault prolapse who underwent the surgery for the reconstruction of endopelvic fascia and the correction of vault prolapsed vagina by using uterosacral ligament suspension at the department of Obstetrics and Gynecology in Moon-Hwa Hospital. Among them, 1 patient was treated by laparotomy, and 2 patients were treated by laparoscope. Results : The age of patients ranged from 49 to 67 years. The mean operation time was 111 minutes (105-120 minutes). The status of postoperative vagina was normal in all 3 patients, who were discharged 9 days after operation without symptoms. No complication or recurrence were found in them despite long-term follow-up for 24 months, 12 months, 7 months, respectively after operation. One patient has been treated with HRT therapy. Conclusion : The reconstruction of the defect of endopelvic fascia and uterosacral ligament fixation may be very safe, effective, and functional in the correction of vaginal vault prolapse. This study reports the treatment of vaginal vault prolapse using uterosacral ligament within Korea for the first time.

응급실에 내원한 환자에서 어지럼증의 원인과 임상양상의 분석

문원식,정경운,위준선,문정미,전병조,김용권,소정일,류진호,허탁,민용일 대한응급의학회 2001 대한응급의학회지 Vol.12 No.3

Background: Recently, The number of patients who have been complaining of the vertigo or dizziness has been increasing due to rapid growth of elderly population and senile disease. The differentiation of dizzy patients is not familiar to most emergency physicians. This study was designed to differentiate true vertigo and to investigate the clinical difference among central vertigo, peripheral vertigo, and other causes of dizziness. Methods: The authors analyzed the cases of 237 dizzy patients who visited the emergency department of Chonnam University Hospital during the recent 2 years. For the base of dizziness, associated past illnesses, severity, nystagmus type, and the causes of central and peripheral vertigo. Results: Female patients were 142(59.9%) and male patients were 95(40.1%). The most common age group was the 6th decade. The origin of dizziness was classified as peripheral cause(25.3%), central cause(32.9%), and others(41.8%). As to nature of the dizziness, the rotatory sense was dominant in peripheral vertigo and the floating sense and blurred vision in central vertigo. Peripheral vertigo was triggered by position change of head and body, and central vertigo by the eye movement. Audiograms I showed that most patients with central vertigo had normal hearing, but 46.7% of thoswith peripheral vertigo had an abnormal hearing disturbance. Nystagmus was more prevalent in peripheral vertigo Conclusion: History taking and physical examination played an important role in the diagnosis of dizzy patients. An important part of the diagnosis of a dizzy patient could be to evaluate the peripheral origin, the central origin and others causes. Because central vertigo may be associated with a significant neurological pathology, spectral radiological studies, including MRI and CT, are mandatory to rule out a devastating brain lesion.

유방암종에서 p53, cyclin D1 및 cathersin D 단백발현의 의의

문경래,김환정,이미자,기근홍,서재홍,양정원,조현진 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives: Breast carcinoma is a heterogenous disease. The prognosis of this carcinoma correlates with various prognostic factors. The aim of this study was to assess the prognostic significance of expression of p53, cyclin Dl and cathepsin D protiens in association with various prognostic factors in invasive breast carcinoma. Materials and Methods: The relationship is presented between expression of p53, cyclin D1 and cathepsin D by immunohistochemistry and various established prognostic factors such as tumor size, histologic grade, lymph node status and extensive intraductal component in 55 cases of invasive breast carcinoma. Results: No significant correlations were observed between expression of p53, cyclin Dl and cathepsin D and tumor size. The expression of p53 correlated with high histologic grade. The expression of p53 and cyclin Dl correlated with lymph node metastasis. Conclusion: These results indicate that expression of p53 and cyclin Dl in invasive ductal carcinoma may be an important prognostic factor, closely related to the high histologic grade and lymph node metastasis.

Interleukin-1β에 의한 사람 정상 코점막 상피세포의 분비기능 및 형태 변화

김경수,윤주헌,최진우,이정권,문형진,박준호,전희선 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.11

중·고등학생들의 보건교육 요구도 조사연구

문기내,남철현,김귀희,위광복,박경옥,이미경,심규범,장영진 慶山大學校 保健福祉硏究所 2003 保健福祉硏究 Vol.8 No.-

This study was conducted to examine middleㆍhigh school 720 students in seven regions of middleㆍsmall city and town, Myon for 2 months from March 2 through April 30, 2002 in order to realize a side of school health education in middleㆍhigh school and health education need as well as health education specialist in school in the future. The results of this study can be summarized as follows. 1. Health condition is now 'normal' is 51.0%, 'good' is 45.0%, 'not good' is 4.1% and health condition of children is good as much as education level of mother is higher. 2. Experience to learn health education in school for one year recently is 'no' is 39.6%, 'don't know' is 32.6%, 'yes' is 27.8% and it represents health education in school doesn't work well and experience to learn health education is lower and lower in town and Myon. 3. Health education ways to work in school now are 'Movie, Video, Slide' is 40.7%, 'education as groups of nurse-teacher' is 38.6%, 'to distribute health education material and book' is 7.7%, 'education by setting an example' is 3.4%, 'the others' is 9.7%. 4. Time of appropriate health education for one time is 'about a hour' is 56.7%, 'about 30 minute' is 33.8%, 'about two hour' is 7.6%, it represents this situation is because of what students' time is lack and burden about a curriculum in an education administratin and school classed of a focused school score. 5. The average score of satisfaction of health education in school is 16.99±0.58, 'men' is 1.79±0.60, 'women' is 1.61±0.55 as the distinction of sex, satisfaction level of men is higher than women. 6. Learning route about health information is 'through mass media' is 59.9%. 'through family, friend' is 15.0% 'health education lecture' is 7.2%, 'printing media' is 6.1%, 'medical institution' is 5.6%, 'the others' is 5.1%, 'public health center' is 1.0%, 'through mass media' is the highest percent as each 59.1% and 60.6% in all of men and women. 7. The most efficient education way of health education is 'movie, video, slide' is 32.6%, 'health education specialist who works school' is 21.9%, 'school health education by nurse-teacher' is 16.0%, 'way through mass communication' is 11.6%. 8. The appropriate health education specialist in the future is 'health education specialist who has qualifications' is the highest as 64.5%, 'nurse-teacher' is 12.4%, 'medical personnel(doctor, a physician of oriental medicine etc.,)' is 11.0%, 'staff in public health center' is 7.2%, people in other regions(health and medical professor etc.,) is 7.0%, it represents school health education is not actual and is formal now in second hand. 9. The most necessary health education program is 'program of stress solution' is the highest as 24.9%, 'program of no smoking' is 22.7%, 'sexual education program' is 19.8%, 'school violence program' is 8.8%, 'isolate from their friends prevention program' is 8.0%, solution program of stress which gives student by school score was very necessary. Therefore, school health education is formal and inefficient because school education focuses on an entrance exam, so middleㆍhigh school students decrease concern and interest about health education. Furthermore, reliance is gotten down about nurse-teacher who takes charge of school health, a charged person of school health education wants more chargeable health education staff. And a solution program of stress that gives students by school score was very necessary. According to active concern and planned, systematic school health education is necessary to give right health knowledge, health maintenanceㆍpromotion and setting of appropriate health education specialist is very urgent.

크랙幅이 壓縮破壞强度에 미치는 影響

文秉秀,黃秀喆,吳範錫,趙鎭境 충북대학교 산업과학기술연구소 2002 산업과학기술연구 논문집 Vol.16 No.1

Under the compressive loads, tensile stress fields are possibly induced according to the boundary condition of compressed body. At the crack tip, the possibility of occurance of tensile stress fields are strong even under the compressive loads. In this paper, the fracturing behavior of brittle materials containing crack are investigated and the compressive strength affected by crack clearance are inspected theoretically and experimentally. Upon the theoretical and experimental results, it is found that compressive strength is decreased as the crack clearance is increased.

저전력 움직임 추정을 위한 VLSI 설계

문지경,소현호,김진상,조원경 경희-다반 ASIC 설계교육센터 2003 경희-다반 ASIC센터 논문집 Vol.4 No.-

Many full searchblock matching (FSBM) architectures have been proposed for the motion estimation. However, the FSBM architectures need many computations and a lot of external memory accesses which are the main source of the power consumption. We propose an efficient low-power architecture for the full search block matching (FSBM) motion estimation by eliminating unnecessary computations and data reuse. Implementation results show the proposed motion estimator can save maximally about 9.3% power dissipation than a previous motion estimator.

Phospholipase A₂활성억제와 관련한 시호 물추출액 및 시호 약침액의 항염증효능에 관한 연구

문진영,남경수,임종국 동국대학교 경주대학 1997 東國論集 Vol.16 No.2

농도별 시호 약침액과 시호 물 추출액을 대상으로 phospholipase A_2(PLA_2)에 대한 시호의 영향을 알아보기 위하여, 1-stearoyl-2-[1-^14C]arachidonyl-sn-glycerophosphocholine을 기질로 하여 Ⅰ형 PLA_2(porcine pancreas) 및 Ⅱ형 PLA_2(Crotalus atrox)의 활성에 대한 효과를 측정하여 다음과 같은 결과를 얻었다. 1) PLA_2 효소의 활성발현에 최적 배양시간이 어떠한지를 알아보기위해 pH 7.0에서 37℃에서 반응시간을 0분에서 180분간의 범위까지 기질의 농도를 20n㏖로 하여 porcine pancreas 및 Crotalus atrox 유래의 PLA_2를 대상으로 활성의 변화를 관찰한 결과, 반응시간이 길어질수록 두 효소의 활성이 점차로 증가하였다. 2) Porcine pancreas 유래의 Ⅰ형 PLA_2의 활성에 미치는 시호의 영향을 관찰한 결과, 시호 약침액은 최고 92%, 시호 물 추출액에서는 최고 94%의 PLA_2 활성 저해효과를 보였으며, 희석배수가 증가할수록 활성 저해효과는 감소하였다. 3) Crotalus atrox 유래의 Ⅱ형 PLA_2의 활성에 미치는 시호의 영향을 관찰한 결과, 시호 약침액은 최고 60%, 시호 물 추출액에서는 최고 55%의 PLA_2 활성 저해효과를 보였다. 또한 시호 약침액 및 물 추출액의 원액에서 4배 희석액까지는 40% 이상의 억제효능을 보인 반면, 8배 이상의 희석액부터는 활성 억제효능이 급격히 감소하였다. 이러한 결과로 미루어 볼 때 시호 약침액 및 시호 물 추출액은 모두 PLA_2에 대한 강한 억제활성이 있음을 알 수 있었다. 또한 PLA_2 효소의 유형별로 볼 때, 시호는 Ⅱ형 PLA_2에 대해서 보다 Ⅰ형 PLA_2에 대한 억제효능이 훨씬 강함을 알 수 있었다. 그리고 시호 약침액과 시호 물 추출액을 비교해보면 Ⅰ형 PLA_2에 대해서는 시호 물 추출액이, Ⅱ형 PLA_2에 대해서는 시호 약침액이 상대적으로 다소 강한 억제효능이 있음을 알 수 있었다. 본 연구의 결과에서 시호는 그 효능적 측면에서 항 염증제, 특히 PLA_2 저해제로 개발될 수 있는 가능성이 제시된다. Phospholipase A_2(PLA_2) is a key enzyme that catalyze the hydrolysis of the ester at the sn-2 position of cell membrane phospholipid to produce a lysophospholipid and arachidonic acid. Lysophospholipid is the precursor of platelet-activating factor(PAF). And arachidonic acid is the substrate for cyclooxygenase and lipoxygenase in the arachidonic acid cascade generating various eiconanoids such as prostaglandins, leukotrienes and thromboxanes. Thus, PLA_2 plays an important role in the pathogenesis of inflammation. Recently, compounds that inhibit PLA_2 activity have been received considerable attention as potential therapeutic agents in the treatment of inflammation. Bupleury radix has been used as a natural drug for fever, inflammation and liver disease in traditional medicine. This study was performed in order to investigate the inhibitory effects of Bupleury radix aqueous extract(BRAE) and aqua-acupuncture solution(BRAA) on activities of two different types of PLA_2. BRAE showed about 94% inactivation of group Ⅰ PLA_2 from porcine pancreas, and 55% inactivation of group Ⅱ PLA_2 from Crotalus atrox ultimately. And BRAA exhibited about 92% inactivation of group Ⅰ PLA_2, and 60% inactivation of group Ⅱ PLA_2. On the basis of these results, it is suggested that Bupleury radix might play a anti-inflammatory role by a mechanism that probably involves inactivation of PLA_2.

柴胡가 free radical에 의한 脂質過酸化物 生成에 미치는 效果

문진영,최미정,남경수,임종국 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

Antioxidant effects of aqueous Siho extract on lipid peroxidation were determined by TBA value and also by lipid peroxidation value during the autoxidation of Iinoleic acid. Siho extracts exhibited markedly antioxidant aCtivity, which inhibited 99% of linoleic acid peroxidation. And Siho extracts showed 42% scavenging effect on α,α-dlphenyl-β-pjcrylhydrazyl radical, also exhibited a 60-94% inhibitory effect on superoxide generation. Siho extracts dose-dependently protected the cell death induced by tert-butyl hydroperoxide (t-BHP) and significantly increased cell viability In the normal rat liver cell(Ac2F) . These results suggested that Siho might play a protective role in lipid peroxidation by free radicals. Key Words: lipid peroxidation ; Siho extracts; scavenging effect

동아의료원에서 실시한 양수천자 90례의 세포유전학적 분석

한진영,이경미,신상동,차문석,제구화 동아대학교의과대학 1997 동아의대학술지 Vol.9 No.2