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김현수 ( Hyun Soo Kim ),천종운 ( Jong Woon Cheon ),김민수 ( Min Su Kim ),정창길 ( Chang Kil Jung ),김경록 ( Kyung Rok Kim ),최재원 ( Jae Won Choi ),강동우 ( Dong Woo Kang ),김선영 ( Sun Young Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2
Hyun Soo Kim, Jong Woon Cheon, Min Su Kim, Chang Kil Jung, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang and Sun Young Kim1 Departments of Internal Medicine and Pathology1, DongKang Medical Center, Ulsan, Korea Actinomycosis is a chronic suppurative disease and caused by Actinomycosis species, principally Actinomyces israelii, which are part of the normal inhabitant on the mucous membrane of the oropharynx, gastrointestinal tract, and urogenital tract. It usually affects cervicofacial, thoracic and abdominal tissue. Cervicofacial type has the highest percentage of occurrence with 50%. Actinomycosis frequently occurs following dental extraction, jaw surgery, chronic infection or poor oral hygiene. It may also be considered as an opportunistic infection in immunocompromised patients such as malignancy, human immunodeficiency virus infection, diabetes mellitus, steroid usage or alcoholism. But, actinomycosis rarely occurs in adults with normal immunity and rare in the esophagus. We report an unusual case of esophageal actinomycosis which was developed in a patient with normal immunity and improved by therapy with intravenous penicillin G followed oral amoxicillin, and we also reviewed the associated literature.
결장직장암 환자의 임상적 고찰 : 조선대학교 부속병원의 10년 간의 결과
나은종,문성표,장정환,김권천,민영돈,김성환,조현진,김정용,김경종 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2
Background and Objectives: The colorectal cancer rates 4th in the total cancer prevalence in Korea. The clinical patient demographics were considered with the incidence rate of the colon and rectal cancer. The clinicopathological factors were analyzed for the 5 year survival rate. Materials Methods: Of the 282 patients who were operated from Jan. 1, 1992 to Dec. 31, 2001 and diagnosed by pathological biopsy as colo-rectal cancer, 234 patients were followed up. The age, sex, location of the cancer, TNM stage, operation method, histopathological classification, metastatic region, complications after operation and the survival rate were investigated. Results: Of the 234 patients, male and female consisted of 120 cases (51.3%) and 114 cases (46.7%), with an average age of 61.6 years. The average follow up period was 52.3 months and the peri operative mortality was 5.6%. The site of the cancer was most frequent at the rectum with 127 cases (54.3%). The patients were classified according to the TNM stages with 38 cases of stage 1 (16.2%), 98 cases of II (41.9%), 72 cases of III (30.8%) and 26 cases of IV (11.1%). The 5 year survival rate in the age group older than 50 was 63.3 % and 73.5% in the group younger than 50. In regard to the operation type, the 5 year survival rate was 65.4% for elective operation and 65.8% for emergency operation. The 5 year survival rate for well differentiated, moderately differentiated, poorly differentiated cancer, and mucinous adenocarcinoma was 73.7%, 60.2%, 58.3%, and 92.6%, respectively. The 5 year survival rate of each of the TNM stage is 81.1%, 74.8%, 57.0%, and 11.5% for Classes I, II, III, and IV, respectively. Conclusion: The clinical factors were analyzed for the 5 year survival rate with no statistical significance for the age, sex, and location of the cancer. The TNM stage and histopathological differentiation were statistically significant. The colon cancer showed better prognosis compared to the rectal cancer.
Γ-Cyclodextrin Glycosyltransferase 생산균주의 분리, 동정 및 효소 생산조건
김명희,손천배,임영희,배경숙,오태광 대전대학교 이과대학 기초과학연구소 1997 自然科學 Vol.- No.-
Cyclodextrin glycosyltransferase 생산균주를 토양으로부터 분리하여 형태학적, 생화학적 그리고 균주의 세포벽 지방산 조성분석에 의해 Bacillus brevis로 동정하였고, Bacillus brevis CD162로 명명하였다. 또한 배지조성에 따른 cyclodextrin glycosyltransferase의 최적생산조건을 검토한 결과, 2.0% soluble starch, 0.75% yeast extract, 0.5% bacto peptone, 0.2% KHPO₄, 0.05% MgSO₄·7H₂O, 1.5% Na₂CO₃ (pH 10.2)의 배지 조건에서 30℃에서 96시간 배양하였을 때 가장 높은 효소생산인 0.9 unit/ml을 얻을 수 있었다.(1997년 7월 10일 접수, 1997년 11월 21일 수리) A cyclodextrin glycosyltransferase-producing bacterium was newly isolated from soil using alkaline pH medium containg 1% Na₂CO₃, The isolated strain was identified as Bacillus brevis by morphological and biochemical characteristics, and designated Bacillus brevis CD162. The strain showed the best enzyme production of 0.9 unit/ml after 96 hrs of culture at 30℃ in a medium of 2.0% soluble starch, 0.75% yeast extract, 0.5% bacto peptone, 0.2% K₂HPO₄, 0.005% MgSO₄·7H₂O and 1.5% Na₂Co₃at initial pH 10.2
총수담관결찰이 백서 신세뇨관의 S-100 면역반응에 미치는 영향
金天浩,李永浩,朴景蘭,申台均,金源式 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.1
For the study on the changes of S-100 reactivity at the renal tubular epithelium of rats(SpragueDawley, b.w. 250± 20gm. male), the common bile duct ligation was performed under ether anesthesia. At 1st, 3rd, 5th and 7th day after operation, the S-100 immunoreactivity were compared with control rats. The results were as followings; 1. In the control rat, S-100 positive reactions were observed at the collectiong tubule, Henle's loop, distal tubule(partly) and renal papilla. 2. In common bile duct ligated rats, S-100 positive reactions were observed at the proximal convoluted tubule in the rats 1 day after operation, and at the collecting tubule and proximal convoluted tubule in the 3 days after operation.
김화창,김종호,천상묵,서대선,김명수,금경수 한국전통의학연구소 2002 한국전통의학지 Vol.12 No.1
A Study on the Youkjoron(逆調論) of the So Moon(素問) one of the classic book of oriental medicine, was carried out analytically for the right comments. The principal ideas abtained summerized as follows: The unbalance between Eum(陰) and Yang(陽) The unbalance between Su(水) and Wha(火) The Yuk Ga(肉苛) which is caused by the unbalance of the Young Wi(營衛) The Asthma(喘息) which is caused by the unbalance of the Viscera(臟腑)
조경진,이창규,이승관,정희천,김미숙,남경미,전주임 高麗大學校 倂設 保健大學 保健科學硏究所 2001 保健科學論集 Vol.27 No.2
Patient-oriented minds and Bill of Rights have brought a lot of POCTs or Waived Tests, which can obviously be threats to the medical technology profession. However, we cannot help but admit the realities and should take some necessary measures to meet the situation. Accordingly we took a survey to find what opinions medical scientists or nurses have against the POCTs. Most of the scientists worried about the reliabilites of test results while nurses were concerned about the ambiguity of their job entities. Taking account of the POCT nature, the scientists should lead the development of POCT menus and have the primanry responsibility to educate or train the POCT perfomers maitaining periodic QCs on all the procedures or equimpments, not paying much attention to the issues who might be the performers.
FEM에 의한 차체구조용 단일모자형 단면부재의 축압궤특성에 관한 연구
차천석,황창숙,백경윤,김기형,양인영 朝鮮大學校 機械技術硏究所 2002 機械技術硏究 Vol.5 No.1
차체전면부 사이드부재는 점용접에 의해서 이루어진 모자형 단면형상을 갖는 강도부재로써, 차량의 전면충돌에 있어서 중요한 역할을 한다. 전면충돌에 있어서 차량의 전면부에서 충분한 에너지를 흡수한다면, 승차자에게 가해지는 충격에너지를 경감시킬 수 있다. 따라서, 이러한 강도부재는 충분한 강성을 가져야 하지만, 적절한 압궤 또한 이루어져야 한다. 본 연구에서는 단일모자형 단면부재에 대하여 플랜지부 점용접 간격을 변화시켜 준정적(0.017m/sec) 및 충격합궤(7.19m.sec, 1034J)하에서 압궤특성을 해석하고자 유한요소 프로그램인 LS-DYNA3D을 이용하여 준정적 및 충격압궤 시뮬레이션을 행하였다. 시뮬레이션은 압궤실험 결과와 비교함으로서 시뮬레이션의 타당성을 학인하였다. The hat shaped section members of vehicles compose the base frame which plays an important role in a front-end collision. It consists of the hat shaped section members with spot welds. In front-end collision, the impact energy for the passengers will be decreased as the front parts of vehicles has sufficiently absorbed energy. And then, this structures have not to be very stiff but collapse progressively to absorb the kinetic energy as expected. In this study. LS-DYNA3D has been used for analyzing collapse characteristics on hat shaped section members with respect to spot weld pitches under quasi-static(0.017m/sec) and impact load(7.19m/sec. 1034J). By comparing the results from simulation and the experimental results. the utilization fo simulation has been certified.