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      • 관상동맥질환의 중증도와 혈중지질치 및 아포지단백과의 상관관계

        임현주,황종현,류재근,정병천,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1997 慶北醫大誌 Vol.38 No.1

        목적 : 관상동맥질환의 위험인자로서 혈청지질 및 혈장 지단백에 대한 관심이 높아지고 있고 또 아포지단백이 관상동맥 질환을 일으키는데 다른 지질보다 더 중요하다는 연구가 많이 발표되고 있으나 우리나라에서는 아포지단백에 대한 연구가 그리 많지 않은 편이다. 이에 저자등은 혈중지질치와 새로운 위험인자로 알려지고 있는 아포지단백치를 측정하고 이들과 관상동맥질환 중증도와의 상관 관계를 알아보았다. 대상 및 방법 : 관상동맥질환이 의심되어 관상동맥조영술을 실시한 69명의 환자를 대상으로 하였으며 12시간 이상 공복후 혈청을 채취하여 총콜레스테롤, 중성지방, HDL-콜레스테롤, 아포지단백 AI (ape AI), 아포지단백 B (ape B)를 측정하였다. 관상동맥조영상 50%이상의 협착이 있는 혈관의 수 (lesion number), 최대협착을 합한 값 (lesion score), 각 분절의 최대협착을 합한 값 (total score), 가장 심한 협착 값 (peak stenosis) 등으로 관상동맥 중증도를 알아본 다음 이들과 혈청지질치, 아포지단백과의 상관 관계를 비교해 보았다. 상관 관계는 Spearman's correlation coefficient를 구하였다. 결과 : 관상동맥질환의 중증도와 각 지질치 간의 상관 관계를 비교해 보았을때 lesion number와 관계있는 것은 연령 (r=0.2789), 중성지방치 (r=0.2829)이며 lesion score와 관계있는 것은 연령(r=0.2911), 중성지방치0 (r=0.3316), 총콜레스테롤과 HDL-콜레스테롤의 비 (r=0.2361), apo B 치(r=0.2759), apo AI과 apo B의 비 (-0.3154)로 나타났다. Total score는 연령 (r=0.3100), 총콜레스테롤치 (r=0.2452), 중성지방치 (r=0.3022), 총콜레스테롤과 HDL-콜레스테롤의 비 (r=0.2770), apo B치 (r=0.2927), apo AI과 apo B의 비 (r=-0.3408)와 연관이 있었고 peak stenosis는 중성지방 치(r=0.3305), ape B 치 (r=0.2968), apo AI과 apo B의 비 (r=-0.3977)와 관계가 있었다. 연령으로 조정하여 partial correlation을 좌면, 관상동맥조영술상 중증도는 중성지방치 (r=0.3408), apo B 치(r=0.2877), apo AI과 apo B의 비 (r=-0.3460)와 유의한 상관 관계가 있었다. 이중 ape AI과 ape B의 비는 lesion score (r=-0.2640), total score (r=-0.3057), peak stenosis (r=-0.3460)와 유의한 상관관계를 보였다. 결론 : 이상의 결과로 보아 apo B치 그리고 apo AI과 apo B의 비가 관상동맥 중증도의 예견인자로 다른 혈중 지질 치보다 더 유용하다는 것을 알 수 있었다. Objectives : Recently, it was reported that the measurements of apolipoprotein levels may be valuable in the clinical assessment of coronary artery disease severity. However there are a few reports regarding to the relationship between coronary artery disease severity and apolipoprotein levels in Korea. Thus, we measured serum lipid and apolipoprotein levels and studied the relationship between coronary artery disease severity and serum lipids and apolipoproteins levels. Subjects and Methods : The 69 patients who underwent coronary angiography to evaluate chest pain were subjected to this study. We measured the levels of serum cholesterol, triglycerides, HDL cholesterol, apolipoprotein AI(apo AI) and apolipoprotein B(Apo B) and measured the severity of coronary artery disease by lesion number, lesion score, total score and peak stenosis. Then, we studied the relationship between coronary artery disease severity and apolipoproteins and calculated the correlation coefficient. Results : The results were as follows. There are significant correlation(r=0.3) between age, triglycerides, apo B levels, apo AI/B ratio and coronary artery disease severity. In controlling for age, tyiglycerides, apo B levels and apo AI/B ratio shows significant correlation(r=0.3) with coronary artery disease severity. Especially, apo AI/B ratio shows significant correlation(r=0.3) with lesion number, total score and peak stenosis. Conclusion : These results suggest that the apo B levels and the ratio of apo AI/B can be used as significant independent predictor for coronary artery disease severity rather than other serum lipid levels.

      • Gullian Barre Syndrome 患者 1例에 대한 症例報告

        임승민,안정조,최영,조현경,김민상,유병찬,오병렬,김윤식,설인찬 대전대학교 한방병원 2002 惠和醫學 Vol.11 No.1

        Gullian Barre Syndrome is an acute symmetric polyradiculoneuropathy that typically presents as a progressive flaccid paralysis. The pathology is believed to be caused by both cellular and humoral immune processes The possibility of death is 3-5% and About 20% of patients require mechanical ventilaton. Recently We have experienced a patient who had suspected Gullian Barre Syndrome for 60days, his condition weakness and pain was impoved through the herb and acupucture Therefore I reported it for the treatment.

      • 국소성 분절성 사구체 경화증의 완전 관해 후 발병한 IgA 신병증 1예

        임현민,김현정,박민석,주혜원,최원,김상현,박원도 인제대학교 2006 仁濟醫學 Vol.27 No.-

        We report a rare case of primary glomerular disease with IgA nephropathy in a 43-year old man. 7-years ago, he was diagnosed with minimal change nephrotic syndrome. After treatment with steroid for 1-year, azotemia and proteinuria were improved. But, nephrotic range proteinuria was relapsed within 1 week after cessation of steroid. Renal biopsy revealed focal segmental glomerulosclerosis, and achived a complete remission with the use of steroids and cyclophosphamide. Then, he was followed up with normal renal function for 4-years. On admission, the patient showed generalized edema and marked proteinuria. In 3rd renal biopsy, mesangial proliferative glomerulonephritis with diffuse global sclerosis was observed. Electron microscopy showed electron-dense deposit on the mesangium with slight mesangial proliferation, and immunofluoroscence microscopy showed granular deposits of IgA and IgM. These features were consistent with IgA nephropathy, different from results of previous biopsies. The pathogenesis of IgA nephropathy occurred with primary FSGS is not clear, as well as treatment. Now, proteinuria is improving, steroid and cyclophosphamide are probably useful for the disease.

      • 대전대학교 기숙사 식당의 급식만족도 조사

        임영희,김미원,곽현옥,박상현 대전대학교 생활과학연구소 2002 생활과학연구 Vol.8 No.-

        This study aimed at examining the foodservice satisfaction on dormitory restaurant by gender, age, college. The subjects of the study were 236 students living in the dormitory of Daejeon University. The survey was conducted between June 4 to June 12, 2002. The data was collected by survey and- was analyzed by SPSS package. The evaluation of the foodservice satisfaction by gender, showed that answers of the most students were below average. Generally, male students were more satisfied than females. The evaluation of the foodservice satisfaction by age, showed that younger students were more disatisfied than older students. The results suggest that food preference of subjects should be considered in meal planning and various cooking method should be utilized to enhance taste of foods for better foodservice. The management of the foodservice will be made efforts to improve the quality of foodservice on the basis of these results.

      • KCI등재

        북미자유무역협정의 정치경제학: 그 성격과 성과를 중심으로

        임현진,이성형,송주명 서울대학교 국제지역원 1996 국제지역연구 Vol.5 No.2

        이 글은 1994년도에 출범한 북미자유무역협정의 역사적 배경에서 출발하여 협정에 이르기까지의 각국의 협상 목표와 전략, 그리고 세계경제 전반에 미치는 영향과 협정의 주요 내용, 마지막으로 지난 3년간의 공과를 간단히 검토하고 있다. 세계적 차원에서 경제적 경쟁이 심화되면서 북미 3국은 기존의 상호의존성을 토대로 자유무역지대를 창출하는데 성공하지만 각국의 목표는 조금씩 다르다. 미국은 상대적으로 경제적 이익보다는 멕시코의 안정이라는 정치적인 목료를 고려하였고, 멕시코는 발전모델의 변경에 소요되는 재워조달이라는 경제적 이유가 가장 고려되었으며, 캐나다는 반면에 불참의 불이익을 회피하기 위해 북미자유무역협정에 가입하였다. 3년간 실험 끝에 역내의 무역창출 효과는 상당히 제고되었고 산업내 무역도 활발하게 전개되고 있지만 무역분쟁은 아짇고 크게 줄지 않고 있다. 초기의 낙관론과 달리 북미자유무역협정이 미주자유무역지대로 발전할 가능성은 상당히 약하다. This study examines the historical background of the NAFTA of 1994, negotiation targets and strategies of each country involved, its impact on the world economy as a whole, and its successes and failures over the past three years. While the three North American countries succeeded in establishing a free trade area based on reciprocity in the context of deepening economic competition in the world economy, the objectives of each country in this process slightly differ each other: The United States places more emphasis on a political objective-the stabilization of Mexico; Mexico is more interested in obtaining financial resources for remolding the existing economic development model; and Canada tried to avoid the possible economic disadvantages due to the boycott. After the three year economic experiment, the effect of trade creation within the trade area and intra-industry trade have been enhanced, whereas the trade disputes among the members still remain high. But the possibility of developing the NAFTA into the AFTA seems to be modest at the moment.

      • 海成粘土와 다짐粘土의 透水係數 豫測에 관한 硏究

        임희대,이상헌 忠南大學校 産業技術硏究所 1997 산업기술연구논문집 Vol.12 No.2

        It is very important for geotechnical engineers to understand properties of coefficient of permeability. The Kozeny-Carman equation is generally used at the present for estimating the coefficient of permeability. Even though the equation proposed by Kozeny-Carman gives fairly good results in estimating of sandy soils. But it is not appropriate for fine-grained soils such as clay. In the case of clayey soils, structure and distribution of particles play and important role in the coefficient of permeability. These structure and distribution are also closely related to specific surface. Large specific surface means that the grain size is very small. Soils possessing large amount of fine grains have a long flow of water. The study comes to the conclusion that the mostly related factor between specific surface and permeability appears to be #200 passing percentage in the case of compacted clays and clay content for marine clay. So new equation is proposed with the two factor in this study. But the developed equation can be used for estimating rough values in the field. That is, it is skeptical to calculate an accurate coefficient of permeability of soils. The other equations proposed until now were considered. But the results of the equations developed by plasticity index or effective grain size are far from the actual value.

      • KCI등재

        韓國動亂 이후의 한국 改新敎建築 禮拜空間 平面特性에 관한 硏究

        임광성,박현철,김남응 대한건축학회 2004 대한건축학회논문집 Vol.20 No.2

        The purpose of this study is to understand the variation characters of the Protestant worship space after the Korean war which classified by evaluation of its period, type, denomination, and scale. The results are summarized as follows: (1) Postwar Korean Protestant worship space can be classified as 8 different shapes-rectangular, square, cross, trapezoid, circular, fan-type, elliptical, and irregular shape. (2) A rectangular type was traditional plan until 1968 before Je-Am church plan was introduced with a circular shape to furtherance diversification of the space plan. (3) The Presbyterian church dominated in adoption of a rectangular shape and the Methodist for a square type. This is an evident to make assumption that the Methodist is less conservative and open-minded to new forms. (4) Frequently as well, square, fan-type, and circular form is adopted in a small scale church. This phenomenon was not intended to shorten the distance between altar and nave, but rather related to exuviate from conventional form, pursuit symbolism, and imitation of an aptitude of a large scale church. (5) Application of the multi-media facilities and popularizations are the transformation factors of the worship ceremonies-provoke a conversion of a new church planning concept in the future.

      • KCI등재

        외상후 혈뇨환자에서 응급 초음파검사의 의의

        임경수,이강현,황성오,이진웅 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

        The Ultrasonography is rapid, mobile, and noninvasive diagnostic tool in emergency center. As a result, we estimate it`s value as an advocated primary diagnostic modality in the immediate evaluation of patients with multiple trauma. We investigated 60 patients with traumatic hematuria(microscopic hematuria or gross hematuria) who visited our emergency department from 1995, July to 1996, March. To evaluate the injury of urinary systems, emergency physician examined patients with hematuria by ultrasonography, and comapared the results with those of excretory urography and computed tomography. We demonstrated 21 positive findings for abnormal fluid collection and renal parenchymal injury and bladder rupture on ultrasonography. All bladder injuries were diagnosised by ultrasonography, and all major renal injury(grade Ⅲ,Ⅳ,Ⅴ) were also diagnosised by that. The accuracy of emergency ultrasound examination in traumatic hematuria was 97.0%, and sensitivity was 95.0% with specificity of 97.4%. The ultrasonography was an accurate diagnostic adjunct in detecting renal injury and bladder injury in traumatic hematuria patients. Ultrasonography provides an excellent noninvasive diagnostic tool for the initial screening study of patients with traumatic hematuria.

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