풍선확장술을 이용한 간내 잔류담석의 경피적 제거술 : Percutaneous Management with Balloon Dilatation and Stone Extraction

조준식,송창준 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.1

Recurrent pyogenic cholangitis is frequently relapsed with residual intrahepatic stones and biliary strictures after surgical treatment. Percutaneous removal of residual intrahepatic stones is an effective alternative for second operation which has a high mortality and morbidity. However, the successful extraction of intrahepatic stones may be difficult because of a high frequency of associated biliary strictures. We evaluated the effectiveness of percutaneous balloon dilatation in six patients who were difficult to extract residual intrahepatic stones due to biliary strictures. Balloon dilatation using angioplasty balloon catheter was performed via a T-tube tract. In four of six patients, balloon dilatation was successful and partially successful in two patients due to reccurence of stricture. Stone extraction was complete in three patients, incomplete in two patients, and failed in one patient. The reason of incomplete removal and failure were large sized stones and impacted stones in the intrahepatic ducts. There was no complication. In conclusion, percutaneous balloon dilatation is an effective procedure for extraction of residual intrahepatic stones associated with intrahepatic biliary strictures.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

HPLC를 이용한 Alnus속 식물에서의 diarylheptanoids의 정량분석

정동욱,김준식,조수민,이연아,김광호,김세원,이민원 중앙대학교 약학연구소 1999 약학 논총 Vol.13 No.-

Quantitative determination of diarylheptanoids (oregonin and hirsutanonol), which were characteristic components of Alnus spp. has been conducted by High Performance Liquid Chromatography. The HPLC analysis was carried out using an YMC J'sphere ODS-H80 column [150×4.6mm, S-4μm. 80A(particle)] and a combination of acetonitrile and H2O was used as mobile phase in gradient solvent system. The results showed differnce in the species (Alnus japonica, A hirsuta and A. hirsuta var. sibirica)

제지용 도공안료의 표면개질에 의한 도공지 물성과 인쇄적성에 관한 연구(Ⅱ)

민동진,이희명,조준형,이용규,김용식 한국공업화학회 2004 공업화학 Vol.15 No.1

도공지의 품질향상을 위하여 도공용 무기안료의 제법개선, 도공액 특성 변화, 도공안료의 설계, 도공지 제조의 조업성 등 다양한 측면에서의 연구들이 진행되고 있다. 본 연구는 표면개질한 도공안료와 혼합처리한 도공안료를 용하여 도공지의 물성 및 인쇄적성을 비교하였다. 도공액 배합 시도공액의 유동특성과 인쇄특성에 영향을 줄 수 있는 여러 인자들을 일정하게 고정하였고 도공안료의 표면개질 유무에 따른 인쇄특성 변화를 조사하였다. 도공지의 표면은 SEM으로 측정하여 표면개질 효율을 조사하였다. 도공액의 물성뿐만 아니라 도공지의 물성 및 인쇄적성에 대한 비교ㆍ평가를 실시하였다. 또한 배합조건을 달리하여 인쇄적성의 효율성을 평가하였다. To improve the quality of coating paper, many areas, such as the manufacturing process of inorganic pigment for the coating, the property change of coating color. the surface design of coating pigment and the productivity of coated paper, were studied. In this study the physical properties and printability of coated paper were compared with the coating pigment to modify the surface of large particle and the coating pigment to mix together the large and small particles. After the coating color was mixed under the same conditions in order that the coating color has the same rheological property printability, the printability change caused by the surface modification of coating color was investigated. With the surface SEM of coated paper. the efficiency of the surface modification of coating pigment was investigated. The physical property and printability of coating paper, in addition to the physical properties of coating color. were compared and evaluated. Also. the efficiency of printability was evaluated, changing the mixing condition

ImmunoDot법에 의한 전신성 류마티스 질환의 자가항체 검사

박성환,김선준,김성일,민준기,이상헌,홍연식,조철수,김호연 최신의학사 1997 最新醫學 Vol.40 No.7

플루옥세틴 캅셀제의 지원자에 대한 생체이용율 및 대사율 비교

강원구,박용순,조규행,최준식,권광일 충남대학교 약학대학 의약품개발연구소 1998 藥學論文集 Vol.14 No.-

Fluoxetine is a nontricyclic antidepressant which blocks serotonin reuptake selectively. Its N-demethyl metabolite, norfluoxetine is also selective inhibitor of serotonin uptake. This study was carried out to compare the bioavailability of Myung-in fluoxetine (20 ㎎/cap with that of Prozac?. The bioavailability was conducted on 24 healthy volunteers who received a single dose (80 ㎎) of each drug in the fasting state, in a randomized balanced 2-way crossover design. After dosing, serial blood samples were collected for a period of 48 hours. plasma was analyzed for fluoxetine and norfluoxetine by a sensitive and validated HPLC assay. The major pharmacokinetic parameters (AUC_0-48hr, Cmax, Tmax. AUC_inf.. MRT. T_1/2. Vd and Cl) were clculated from the plasma fluoxetine concentration-time data of each volunteer. The microcomputer program. "WinNonlin' was used for compartmental analysis. A two-compartment model with first-order inpot, first-order output and no lag time was chosen as the most appropriate phamacokinetic model. The data were best described by using a weighting factor of 1/y^2. Though the plasma fluoxetine concentrations of Myung-in fluoxetine were higher than those of Prozac® at all observed time from 7.9% to 16.9% (P<0.05 at 6, 7 and 10 hr), the bioavailability of Myung-in fluoxetine appeared to be bioequivalent with that of Prozac®. There were no statistical significant differences between the two drugs in al pharmacokinetic parameters including AUC_0-48hr of norfluoxetine.

두가지 혈류 유발방법에 의한 새로운 심폐소생술(이중 혈류 유발 심폐소생술)장치의 개발

황성오,김현,조준휘,오범진,임종천,최경훈,윤정한,이승환,김영식,이강현,이윤선 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: There have been many efforts to augment blood flow during cardiopulmonary resuscitation. These efforts have focused on maximizing the effect of cardiac pump or thoracic pump alone. However, considering that the heart is the biggest blood reservoir and increase of intrathoracic pressure can generate blood flow, simultaneous exploitation of both mechanisms may have synergistic effect. We hypothesized that simultaneous chest constriction in addition to sternal compression by standard CPR may have additive hemodynamic effects by preventing deformation of the chest and increase of intrathoracic pressure. Methods and results: we built a new mechanical device to perform compression and thoracic constriction simultaneously. The device consists of two main elements. Piston in the center is to depress the sternum. Strap is to constrict the thorax circumferentially. Strap is attached to both sides of the piston. When the piston is pushed down, it depresses the sternum and pulls on the thoracic strap. To determine strap width to produce optimal hemodynamic effect, we measured hemodynamic parameters with variable widths of strap in two dogs after induction of ventricular fibrillation. Result of the experiment showed that 10cm wide strap was determined to be most effective. We also determined optimal depth of compression to produce maximal hemodynamic effect with animal experiments using two dogs. Animal experiments showed that the highest aortic pressure could be generated when the stemum was depressed to 5 cm. Cardiopulmonary resusciation using a new device could generate higher systolic aortic pressure, coronary perfusion pressure and end-tidal carbon dioxide tension in comparison with standard cardiopulmonary resuscitation in a pilot animal study using two dogs. Conclusion: New cardiopulmonary resuscitation method using a mechanical device designed by us could perform sternal compression and simultaneous thoracic constriction, and generate better hemodynamic effects than standard cardiopulmonary resuscitation in pilot animal experiments.

생체분해성 고분자를 이용한 사시수술용 제형개발 및 효용성에 대한 연구

민병무,김용백,김승영,김창식,박근성,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

A new device, muscle clamping system was developed to facilitate exact quatifying technique A strabismus surgery, and reduce the risk of complications. The device is composed of a lower fixing body with three jaws and an upper supporting body. They are used to clip an extraocular muscle and fix it to the sclera with a single bite. Superior rectus recession on 16 rabbit eyes were performed with this new device. Conjunctival injection, muscle adhesion strength, and light microscopic findings were examined at 1, 2, 4 and 8 weeks postoperatively. The Conjunctival injection were minimal, adhesion power ranged from 420 to 600 gram gravity, which is sufficient in withstand the normal pull of human extraocular muscle. In microscopic exam, some Inflammatory cells and fibrosis were found. The new device was technically easy, fast, and accurate, so it may be useful in stabismus surgery.

항 C(rh`) 항체에 의한 지연 용혈성 수혈 반응 1 예

서정민,박동준,김판규,이혜경,조철수,심규식,박석준,이정득 대한내과학회 1993 대한내과학회지 Vol.45 No.1

A delayed hemolytic transfusion reaction precipitated by anti-C (rh') is described in a previously transfused 40-year-old man. Seven days after the transfusion of the 7 pints of red cells for anemia due to Mallory-Weiss syndrome, he experienced a fall in hematocrit and hemoglobinuria accompanied by a positive direct and indirect antiglobulin test. Anti-C (rh') was identified in the patients serum by Panel cell screening test.