QT연장 증후군 환자에서 Head-Up Tilt Test에 의해 유발된 Torsades De Pointes 1례

전익수,차태준,김길수,김동완,김규종,김찬욱,김성만,주승재,이재우 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

안면 비대칭 환자의 수직 안모 유형과 이하두정 두부방사선 규격사진 계측치 및 표면 근전도의 상관성에 대한 연구

김성수,차봉근,이남기 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.3

안면 비대칭 환자의 진단분석에 이용할 수 있는 이하두정 두부방사선 규격사진과 표면 근전도 검사 자료는 통용화된 진단분석법 부재 등의 이유로 제한적으로 사용되고 있다. 그러나 여타 진단분석법과 비교할 때, 수직 안모 유형의 평가 등 차별적인 정보를 얻을 수 있어 이에 대한 연구가 필요하리라 보인다. 본 연구의 목적은 안면 비대칭을 보이는 60명을 대상으로 이하두정 두부방사선 규격사진 및 저작근의 표면 근전도를 측정하여 수직 안모 유형과의 연관성 및 안면 비대칭과의 연관성을 평가하고자 함이다. 이하두정 두부방사선 규격사진 계측치 중 radiographic corpus length는 비편위측이 큰 값을 보였고 (p < 0.001), 유의성은 없었으나 gonion to interspinosum axis는 편위측이 크고, gonion과 하악과두의 위치는 비편위측이 편위측에 비해 전방에 위치하였다 (p = 0.07). 안정시 편위측 전측두근의 근활성은 비편위측보다 높은 것으로 나타났다 (p < 0.01). 또한 최대 폐구 시 교근의 활성은 유의성이 없었으나 비편위측에 비해 편위측이 큰 값을 보였다 (p = 0.09). Facial index와 intercondylar axes angle은 양의 상관관계를 보였다 (p < 0.01). 최대 폐구 시 편위측 및 비편위측의 교근의 활성은 facial index와 양의 상관관계를 보였다 (p < 0.05). 이상의 결과를 통해 골격성 안면 비대칭을 보이는 환자에서 이하두정 두부방사선 규격사진과 표면 근전도 검사를 통해 비대칭 양상의 평가와 더불어 수직 안모 유형의 평가 또한 가능한 것으로 생각된다. Although the submentovertex radiograph and surface EMG are not often used due to the difficulty of interpretation, they are accepted as useful diagnostic and analytic aids for skeletal asymmetry. There have been reports which state that they were also useful for the evaluation of vertical skeletal relations. The purpose of this study was to evaluate the correlations between EMG data, measurements from submentovertex radiographs, facial types and facial asymmetry following examination of 60 asymmetric patients. The radiographic corpus length were greater in the nonaffected sides (p < 0.001), gonion to interspinosum axis were greater in the affected sides and the mandibular condyle and gonion were located more anteriorly in the non-affected sides than in the affected sides but not significant (p = 0.07). The activity of the anterior temporal muscle in rest position was higher in the affected sides than in the non-affected sides (p < 0.01). The activity of the masseter muscle at maximum clenching was found to be nonsignificant but it was higher in the affected sides than in the non-affected sides (p = 0.09). There was positive correlation between facial index and the intercondylar axes angle (p < 0.01). There was positive correlation between masseter muscle activity in maximum occlusion and facial index in the affected and non-affected sides (p < 0.05). The results demonstrate that the submentovertex radiograph and EMG can provide useful information for the evaluation of horizontal and vertical skeletal relations.

빈발재발성 미세변화 신증후군환아에서 발생한 다발성 뇌경색증

조성옥,한헌석,차상훈,이경희,박범수,하태선,채수안 충북대학교 의과대학 충북대학교 의학연구소 1995 忠北醫大學術誌 Vol.5 No.2

신증후군에서는 동맥 및 정맥의 혈전에 의한 혈전색전증의 위험이 높다. 이는 혈 중 응고인자 Ⅰ, Ⅱ, Ⅶ, Ⅷ, Ⅹ등의 증가와 뇨소실로 인한 antithrombin Ⅲ의 감소, 섬유소 용해계의 변화, 혈소판 응집력의 증가에 기인하며 그 외 스테로이드 투여, 이뇨제 투여, 저체액 상태도 관여한다고 생각하나 이런 과응고현상에 대한 정확한 병태생리는 규명되고 있지 않다. 저자들은 내원 21개원 전 처음 신증후군 증상을 보였고 신장 조직 검사상 미세변화 신증후군으로 진단을 받고 스테로이드와 면역 억제제를 사용하였으나 6개월에 3-4회의 재발을 보이던 중 내원 1달 전 보호자 자의로 모든 약물 복용을 중단한 채로 지내다가 고열과 반혼수 상태를 보여 내원한 7세 남아에서 다발성 뇌경객증을 발견하였기에 문헌 고찰과 함께 보고하는 바이다. The risk of thromboembolism by arterial or venous thrombosis is high in the nephrotic syndrome. This may be due to the increased serum concentrations of the factor Ⅰ, Ⅱ, Ⅶ, Ⅷ, Ⅹ etc, decrease of antithrombin Ⅲ due to urinary loss, the change of thrombolytic system, increase in the platelet aggregation capacity, the use of steroid, diuretics, and hypovolemic state. But, the pathophysiology of this hypercoagulable state has not been clear. A 7-year- old boy had been diagnosed as having frequently relapsing minimal change nephrotic syndrome, 21 months ago. In spite of the administration of prednisolone and cytoxan, he had presented recurrent proteinuria in the frequency of 3-4 times per 6 months. From 1 month prior to visiting emergency room, his parents discontinued his medications, therefore, he showed fever and semicomatous mental status. In brain MRI study, multiple cerebral infarcts were noted. So, the authors report a case of multiple cerebral infarcts in a patient with frequently relapsing minimal change nephrotic syndrome with a brief review of related literature.

국 · 공립 대학부설 평생교육기관의 체육계열 교욱현황과 과제

박철수,차성기 木浦大學校應用스포츠 科學硏究所 2003 스포츠 科學硏究 Vol.2 No.-

Recently, the importance of lifelong learning has been reconized try to play their roles and perform their functions in the college. Regarding to this, it is recognize the importance of the lifelong activity of physical education that can be performed according to the cycles of ages and cycles of life through the tasks and the operation state of physical education department of a lifelong educational institute attached to a college that operates mainly lifelong education, and examine more active role for the citizens of a community to lead their qualitative lives and for development of physical education department. The physical education department in lifelong educational agencies attached to national and public colleges opened and operated the subjects considering to the characteristics of each college and course for a private license. It was shown that the most distribution in the course were the fixed number of twenty to thirty regular learners(73 classes), fifteen weeks as learning period(eighty classes), and hundred thousand to two hundred thousand won as learning expense(eighty classes). For the tasks faced by the curriculum of the physical education department, it is at the point of time which is needs to take positive attitude of coping with the changes in the paradigm of the lifelong education by a college by establishing the object or objective of physical education centered on demanders to form the complementary relation rather than to progress the opposed relation between leisure society and learning society. It is necessary to support the effective of management and the diversification of users by opening school facilities as the area of learning physical education during lifetime in connection with lifelong educational performed by professional leaders by complementing the problems about the licenses of the physical education in Korea. It is also required to have the system of service corps which can support the learning and activity of physical education performed by old men and alienated class during their lifetime, to manage human resources with their database, and to positively develop and apply various programs for the promotion about learning and activity of physical education performed by the inhabitants in a community during their lifetime through utilizing excellent human and material resources in a college.

지속적 혈액투석 환자에서 Recombinant Human Erythropoietin의 투여경로에 따른 효과

김성은,차광수,김기현 동아대학교의과대학 1997 동아의대학술지 Vol.9 No.1

좌각차단을 동반한 심부전증 환자에 실시한 양심실 심박조율기 치료 : 증례 보고

김찬욱,차태준,김성만,김민대,권성일,서수홍,최병주,주승재,이재우 고신대학교 의학부 2002 高神大學校 醫學部 論文集 Vol.17 No.1

Epidemiological studies suggest that 30-50% of patients diagnosed with symptomatic congestive heart failure(CHF) have electrocardiographic evidence of a major intraventricular conduction delay, which may worsen left ventricular systolic and diastolic dysfunction through asynchronous ventricular contraction and paradoxical interventricular septal wall motion. Biventricular pacing is an emerging therapy allowing simultaneous electrical stimulation of the both ventricles with an implantable pacing system and it improves hemodynamics and well-being of patient by reducing ventricular asynchrony. Recently, we underwent biventricular DDD pacemaker implantation in a patient with CHF and Left bundle branch block and was significantly improved exercise tolerance and quality of life in that patient.

혼화재 종류별 온도 변화에 따른 시멘트 모르터의 응결 및 강도발현 특성

주은희,손명수,차천수,황인성,김성수,한천구 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

In this paper, setting and strength development of cement mortar are discussed under various mineral admixture content and curing temperature. Setting time exhibited an increasing tendency with an increase in curing temperature. Under low curing temperature, use of CKD resulted in a reduction in setting retarding, whereas FA and BS retarded the setting time of cement mortar. For compressive strength, high curing temperature and age leaded to an increase in compressive strength of concrete. Under low curing temperature, the use of CKD resulted in an enhancement of compressive strength at early stage, and exhibited a similar level of compressive strength with plain concrete. For this reason, use of CKD in cold weather concreting has positive effect on strength development at low curing temperature under early age.

혼화재 종류별 온도 변화에 따른 콘크리트의 응결 및 강도발현 특성

주은희,손명수,차천수,한민철,김성수,한천구 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

The objective the paper is to investigate the physical and mechanical properties of concrete incorporating mineral admixtures. For setting properties, at low curing temperature, setting time of concrete with mineral admixture is delayed compared with that of plain concrete. But, use of cement kiln dust(CKD) has a desirable effect on reducing setting retard under low curing temperature. For compressive strength, concrete with FA and BS have low strength at early stage compared with that of plain concrete under low curing temperature. However, the use of CKD resulted in an enhancement of compressive strength at early stage under low curing temperature, and exhibited a similar level of compressive strength with plain concrete. For this reason, use of CKD in cold weather concreting has positive effect on strength development at low curing temperature under early age.

조혈모세포이식술이 골수기질세포의 기원 및 조골세포로의 증식 및 분화에 미치는 효과

강무일,조성원,오은숙,백기현,이원영,오기원,김혜수,한제호,윤건호,차봉연,이광우,손호영,강성구,김춘추 대한내분비학회 2000 Endocrinology and metabolism Vol.15 No.4·5

NSIP와 BOOP의 고해상전산화단층촬영 소견과 비교

백상현,박재성,차장규,홍현숙,김대호,박성진,조준희,이혜경,최진수 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.2

Purpose: BOOP and NSIP also share similar clinical features such as subacute flu-like illness, the finding of bronchoalveolar lavage, the result of pulmonary function test and more favourable outcome than usual interstitial pneumonia(UIP). The author try to compare the HRCT findings of NSIP with BOOP by pattern and distribution of diseases. Materials and Methods: HRCT findings of histopathologically proven NSIP(Group Ⅰ; 6, Group Ⅱ; 7, Group Ⅲ; 2) in 15 patients(5 male, 10 female, age range, 39-69 years; mean age, 53 years), BOOP in 15 patients(6 male, 9 female, age range, 26-76 years; mean age, 52 years) were reviewed retrospectively. Results: The common pattern of the two diseases was admixed consolidation, ground glass attenuation & reticular densities with/without architectural distortion(NSIP; 53.3%, BOOP; 46.7%). The main component of the pattern wan predominantly consolidation(NSIP; 46.7%, BOOP; 73.3%) and ground glass attenuation(NSIP; 40.0%, BOOP;20.0%). Architectural distotion was more provinent finding with NSIP(mild ; 3, moderate ; 4, severe; 2) compared with BOOP(mild; 7, moderate; 2, severe; 0). The predominant overall distribution was lower lung, peribronchovascular & peripheral lung field in both of the two entities(NSIP;73.3%, BOOP; 73.3%). Peribronchovascular involvement was more common with NSIP(100%) than BOOP(80%), whereas peripheral involvement was more common with BOOP(93.3%) than NSIP(80%). Conclusion: The HRCT findings of NSIP and BOOP were similar in pattern and distribution. But NIP manifested more frequently ground-glass attenuation, whereas BOOP showed more frequently consolidation. Architectural distortion was more severe with NSIP than BOOP. NSIP invoved more frequently peribronchovascular space and BOOP were more common in peripheral lung field.