사회 경제적인 요인과 신경학적 질환 상태의 뇌졸중 환자의 스트레스에 미치는 영향에 대한 분석

김진욱,정주호 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2

Background: The diseases are getting increasingly chronic as the fast development of medical and scientific technical advances prolong the human life span. Among many chronic diseases, the apoplexy leads to partial paralysis, speech disorder, perception disorder and paresthesia and motor disturbance. It also causes mental disorder to patients. This research was aimed to check the level of stress perceived by apoplexy patients according to the socioeconomic factors and neurological manifestations. Method: Applying the Neuman's stress measurement, we surveyed the stress level of 150 inpatients and outpatients who have been currently taken care of by the departments of neurology, neurosurgery and rehabilitation at a university hospital and two general hospitals in Busan. Results: The stress level related to the socioeconomic factors is higher in patients who have low education level, low income level, and financial dependence on offsprings. The stress level related to the neurological manifestations is higher in patients who have multiple strokes, bilateral paralysis, and other neurological sequelae (language, sensory, memory, particularly, gaiting disturbances and dependencies for active daily living). Conclusion: The results suggest that poststroke patients are highly likely to suffer from mental stress by various socioeconomic factors and neurological manifestations. Therefore, it can be concluded that poststroke patients need not only medical treatments and rehabilitation procedures but also more proactive mental remedies and social supports considering patient's backgrounds and characteristics.

사형제도의 존치론과 폐지론 : 국민투표에 붙이자;Let this issue be put to a national plebiscite

許柱旭 江原大學校 比較法學硏究所 2005 江原法學 Vol.20 No.-

양식장 배출물 발효물의 어류 사료 첨가에 따른 넙치, Paralichthys olivaceus의 혈액학적 변동에 미치는 영향

강주찬,지정훈,송승엽,문상욱,강지웅,이영돈,김세재 한국어병학회 2004 한국어병학회지 Vol.17 No.1

본 연구는 우리나라 주요 양식어류인 넙치, Paralichthys olivaceus를 대상으로 육상수조식양식장 배출물 발효물의 어류 사료 첨가에 따른 혈액학적 변동에 미치는 영향을 검토하였다. 젖산균 및 효모를 사용하여 발효한 양식장 배출물의 이화학적 분석을 실시하였고, 발효물을 0.1, 0.5, 1.0 및 5.0% 농도로 8주간 투여하였다. 투여 4주째 및 8주째에 각 투여 구간별로 혈액학적 항목을 중심으로 그 차이를 확인하였다. 배출물 발효농도별 유의한 차이는 나타나지 않았지만, 분석시기에 따른 적혈구수, 혈색소 농도 및 혈색소 지수가 증가하는 경향을 나타내었으나, 주요 혈청 무기 및 유기성분은 배출 발효물 농도별로 유의한 차이는 나타나지 않았다. 또한 혈청 효소학적 조사에서는 조사시기별로 변동은 나타났지만, 동일 조시시기에서 각 구간별 유의한 차이는 나타나지 않았다. 따라서 이러한 육상 약식장 유래의 배출물 발효산물에 대한 다양한 방면의 연구가 진행되어야겠다. Effects of oral administration with fermented product from sewage in land-based seawater fish farm on haematological disturbance in the olive flounder, Paralichthys olivaceus was investigated. After 4 weeks of conditioning with a basal diet, fish were divided into 4 groups and provided experimental diet (0.1,0.5, 1.0 and 2.0%) supplement of fermented sewage for 80 days. Proximal analysis was performed for the product of sewage which was fermented by lactic acid and yeast. RBC count, hemoglobin concentration and hematocrit value were increased according to the treated periods, however, no statistical difference was observed between control and treatment groups. There were no significant difference in serum organic, inorganic compounds and enzyme activities between control and treatment groups. This study hypothesized that the supplement of fermented product from sewage in land-based seawater fish farm might be an additive sup plement for source of fish diet in view of haematological examination. Recycling of the sewage may be an economic artificial sources of diet for fish aquaculture practices.

치매간호중재 프로그램이 경증 치매노인의 Na, K, Ca, Cl, P, Cholesterol의 혈중농도 및 17-KS, 17-OHCS의 뇨배설량에 미치는 영향

나현주,조명숙,임욱빈 대한기초간호자연과학회 2002 Journal of korean biological nursing science Vol.4 No.2

This study was conducted for the evaluation of the effect of Dementia prevention nursing program on Urinary 17-KS, 17-OHCS, and Blood Na, Cl, K, Ca, P, cholesterol. The sample for the present study was composed of 16 demented elderly in D care center for the eldery in K city. The Dementia prevention nursing program consisted of concept memory training, music therapy, and art therapy. The program was performed twice a week and about ninety minutes was consumed for one session. The program had been administered for 8 weeks. We checked Urinary 17-KS, 17-OHCS, and Blood Na, Cl, K, Ca, P, cholesterol befor and after the program. Statistical analysis was performed by using descriptive statistics and Wlicoxon signed rank test of SAS system for window 6.12. The result were follows : 1. Urinary 17-KS 17-KS score increased significantly after intervention(p=0.005). 2. Urinary 17-OHCS 17-KS score increased significantly after intervention(p=0.00l). 3. Blood Na, Cl, K, Ca, P, cholesterol Na(p=0.0002), Cl(p=0.0001) K(p=0.0001), Ca(p=0.0028) decreased significantly after intervention. The results show that Dementia prevention nursing program increases Urinary 17-KS, the Dementia 17-OHCS, and decreases Blood Na, Cl, K, Ca, P, cholesterol. In conclusion, prevention nursing program can be used for the effective measure to decrease stress of the Demented elderly.

일일초 세포생장에 촉진물질이 미치는 영향에 관한 연구

김린주,정욱진,권혁민,김두회 明知大學校 産業技術硏究所 1996 産業技術硏究所論文集 Vol.15 No.-

The effects of fatty acids related with elicitation mechanism were investigated in cell suspension cultures of Catharanthus roseus. The specific growth rate in control culture was 0,17 to 2.0 day-¹ and the cell doubling time(td) showed 3.5 to 4 days. The highest specific growth rate was obtained when the inoculum was added at 4g FCW, compared with 2 and 3 g FCW inoculum. The suspension cells were cultured at various concentrations of fatty acids and fatty acid was added at different culture time. The addition of methyl jasmonate among fatty acids only showed the slight promoting effect on cell growth but others did not show any increasing effect. The best injection period of fatty acid to promote the cell growth was the inoculation time.

탄산음료 유발 법랑질 침식에 대한 항우식 제품의 예방 효과

송주현,김영재,김정욱,장기택,김종철,한세현,이상훈 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.1

본 연구는 항우식 제품인 Casein phosphopeptide-amorphous calcium phosphate(CPP-ACP)를 포함하는 치아크림, 불소 바니쉬, 저농도 불소 양치액을 치아에 도포하는 것이 단시간 탄산음료에 의한 법랑질의 침식을 예방할 수 있는지 살펴보기 위해 계획되었다. 법랑질 시편에 다음과 같은 항우식 제품을 도포하였고, 인공타액에 24시간 보관한 후, 콜라에 1분 증류수에 1분씩 5회 번갈아 처리하였다. 1군: 대조군(무처치) 2군: CPP-ACP 치아크림군 3군: 불소 바니쉬군(1,000 ppm F) 4군: 저농도 불소 양치액군(227 ppm F) 5군: 불소 바니쉬 + CPP-ACP 치아크림군 6군: 저농도 불소 양치액 + CPP-ACP 치아크림군 미세경도와 침식깊이를 측정하였고, Quantitative light-induced fluorescence(QLF)를 이용하여 안정된 형광 격자에 대한 부피 형광 변화인 ΔQ를 측정하여 무기질 감소량을 평가하였다. 6일 동안 실험을 반복하여 다음과 같은 결과를 얻었다. 1. 미세경도는 1군≤2군≤4군<6군<3군≒5군 순이었다. 2. 평균 침식깊이는 5군≒3군<6군<4군≒2군≒1군 순이었다. 3. ΔQ는 1군≒2군≤4군≤6군≤3군≒5군 순이었다. ΔQ의 감소율은 1군과 2군, 4군과 6군, 3군과 5군이 각각 유사하였다. 4. ΔQ는 미세경도와 강한 양의 상관관계를 나타냈고(r=0.96, p<0.05), 침식깊이와는 강한 음의 상관관계를 보였다(r=-0.96, p<0.05). The aim of this study was to evaluate the preventive effect of commercially available anticariogenic products, specifically, the tooth cream containing Casein phosphopeptide-amorphous calcium phosphate(CPP-ACP), fluoride varnish and low-level fluoride mouthrinse on enamel erosion induced by carbonated beverage in a short period of time. Enamel specimens were treated as follows and were then kept in artificial saliva for 24 hours followed by further processing by alternately soaking them in Cola beverage and in distilled water for 1 minute each five times. Group 1: control group (no treatment) Group 2: tooth cream with CPP-ACP Group 3: fluoride varnish (1,000 ppm F) Group 4: low-level fluoride mouthrinse (227 ppm F) Group 5: fluoride varnish + tooth cream with CPP-ACP Group 6: low-level fluoride mouthrinse + tooth cream with CPP-ACP Microhardness and erosion depth were measured and the mineral loss of each specimen was evaluated by measuring the volumetric fluorescence change(ΔQ) against the stable fluorescent grid using quantitative lightinduced fluorescence(QLF). The experiment lasted for 6 days repeated each day. The results were as follows: 1. The microhardness was increased as follows: Group 1≤2≤4<6<3≒5. 2. The mean erosion depth was increased as follows: Group 5≒3<6<4≒2≒1. 3. The ΔQ was increased as follows: Group 1≒2≤4≤6≤3≒5. The decrement of ΔQ was similar between group 1 and 2, group 4 and 6 and group 3 and 5. 4. The ΔQ showed positive correlation with microhardness (r=0.96, p<0.05), while it was negatively correlated to erosion depth (r=-0.96, p<0.05).

Prevotella nigrescens의 용혈특성에 관한 연구

곽주석,장훈상,장석우,이수종,유용욱,민경산 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.4

세균의 용혈활성은 세균이 숙주 내에서 생존하기 위해 필요한 철을 획득하기위한 특성이며 기능면에서 볼 때 숙주에 대한 중요한 독력인자로 간주될 수 있다. 본 연구에서는 괴사치수 및 치근단 치주염으로 진단된 환자의 근관에서 분리한 Prevotella nigrescens의 용혈활성을 다양한 조건 하에서 측정하여 그 특성을 규명하는 것을 목적으로 한다. 1. 임상에서 분리한 P. nigrescers와 표준균주인 P. nigrescers ATCC 33563에서 모두 용혈활성이 나타났다. 2. 사람, 면양 및 말 세 가지 종에 대해 용혈활성을 비교한 결과 사람의 적혈구에서 가장 강한 용혈활성을 나타내었다. 3. 용혈소 억제제인 NaN₃와 dithiothreitol (DTT)는 농도의존적으로 P.nigrescers의 용혈활성을 감소시켰다 (p<0.05). 4. P. nigrescers가 최대 용혈활성을 나타내는 최적의 pH는 4이었으며, 50℃이하의 온도에서는 용혈활성을 보였으나 95℃에서 급격히 감소하였다. 5.배양조건에 따른 P. nigrescens의 용혈활성을비교한 결과 10% CO₂배양기에 배양한 경우혐기성 조건에서 배양한 것보다 더 높은 용혈활성을 보였다. Hemolytic property is a specific feature of bacteria to obtain iron which is essential for its survival in host tissues. Therefore, it is thought to be one of several factors of virulence. The purpose of this study was to investigate the hemolytic properties of Prevotella nigrescens isolated from the teeth diagnosed as pulp necrosis and apical periodontitis under the presence of hemolysin inhibitors such as NaN3 and dithiothreitol, heat, various pH and cultural conditions. The results were as follows; 1. Clinically isolated P. nigrescens strains and standard P. nigrscens ATCC 33563 showed hemolytic activity. 2. P. nigrescens showed higher hemolytic activity against human erythrocytes than sheep or horse erythrocytes. 3. NaN₃ and dithiothreitol (DTT) reduced the hemolytic activity of P. nigrescens in a dose dependent manner (p<0.05). 4. Optimal pH for the maximum hemolytic activity of P. nigrescens was 4.0 and the hemolysin was stable under the 50℃, but the hemolytic activity was significantly decreased at 95℃. 5. P. nigrescens cultured in 10% CO₂ condition showed higher hemolytic activity than the bacteria cultured in the anaerobic condition.[J Kor Acad Cons Dent 30(4):335-343,2005]

어린이 미사 현황 분석

김영욱,김주후 가톨릭대학교 사목연구소 2004 司牧硏究 Vol.13 No.-

무시멘트형 인공 고관절 전 치환술 이후 완전 체중 부하

김주용,전진욱,김영창 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Introduction: The purpose of this study is to evaluate the result of immediate full weightbearing after cementless total hip arthroplasty and to find the appropriate rehabilitation program. Materials and Methods: The(52patients)60case of cementless total hip arthroplasty was evaluated after average duration of follow up 78.4months. The age of patients at the time of operation had average 54.7years. Preoperatively diagnosis was avascular necrosis 36case, osteoarthrites 18case. The Harris hip score was checked clinically at last follow up and osteolysis and subsidence was evaluated radiologically. Results: Harris hip score was improved to 93.2point, Radiologic finding revealed no severe more than 2㎜ and subsidence and physical examination revealed hip pain on only 2case. inguinal pain on 1case. Results: At last, we can not find fibrous ingrowth that was worried in the prvevious rehabilitation program. No significant difference was revealed as compared with the result of previous reports. Immediate full weightbearing after cementless total hip arthroplasty shortend the hospital stay and can make early return to the society.

Bleomycin에 의한 채찍양(flagellate) 피부 색소 침착 1예

김주섭,신성욱,박석돈 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

Bleomycin is one of the widely-used chemotherapeutic agents. It may cause non-specific changes in the skin including stomatitis, hair loss, nail changes, inflammatory nodules, multiform erythema and vesicobullous eruptions. Cutaneous flagellate pigmentation on pressure or trauma sites is known as specific cutaneous reaction to bleomycin, although its pathomechanism is not clearly elucidated. We experienced a rare flagellate pigmentation due to bleomycin injection in a patient with metastatic testicular tumor. A 25-year-old male showed linear brown flagellate pigmentations on the trunk, axillae, dorsa of hands, which were developed after BEP(bleomycin. etoposide, cisplatin) combination chemotherapy. He underwent left radical orchiectomy and artificial testicular replacement because of metastatic testicular endodermal sinus tomor(stage D_2). Gentle rubbing or scratching on the skin caused linear brownish edema and residual pigmentation. Histopathologic finding of the pigmented sites revealed melanin pigmentation of basal cell layer and patchy pigmentation of low prickle cells. The flagellate pigmentation became paler during 7 months follow-up period. Authors report a cutaneous flagellate pigmentation after bleomycin chemotherapy.