한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

뇌의 미만성 축삭 손상 정도, 지능 지수 그리고 예후와의 상호관계

양승민,김영백,권정택,박승원,황성남,최덕영 중앙대학교 의과대학 의과학연구소 2001 中央醫大誌 Vol.26 No.2

Diffuse axonal injury (DAI) is defined as posttraumatic coma for over 24 hours without intracranial mass lesion. the purpose of this study was to examine the neurologic state of the patient and to evaluate the psychiatric sequela after DAI by psychometric analysis.Twenty eight patients with DAI were analyzed by a psychoanalyzer. Electroencephalography and magnetic resonance(MR) imaging were performed on eighteen patients. The ratio of male to female was about 6 to 1 and the major cause was traffic accident followed by fall down. Radiologic abnormality in MR image was predictors of poor outcome and early neurologic state was one of the most significant prognostic factor. Psychometric anlysis revealed that lntelligence Quotient was correlated with outcomes and most of patients with DAI were in normal range of lntelligence Quotient(67.9%) but they have suffered from variable psychologic problems, such as depression, anziety, phobia and dementia. Previous studies in DAI have been based principally on the prognostic factors and treatment without a systemic apporach to their meurologic and psychologic problems. Psychometric analysis can reveal psychologic symptom in the patients with DAI and appropriate management of their psychiatric problems may carry important implications for management of patients with moderate or servere DAI and improve rehabilitation outcomes.

외상후 요추에서 발생한 경막외 혈종의 치험 2례 : case report

양승민,권정택,민병국,석종식 중앙대학교 의과대학 의과학연구소 2000 中央醫大誌 Vol.25 No.1

Spinal epidural hematoma is uncommon diseases of traumatic injury to the spine. If there is an ongoing neurological deficits, decompression of dural tube is the standard of treatment. The authors report two cases of traumatic epidural hematoma of the lumbar spine. The diagnosis was made on magnetic resonance image. One patient was performed surgical intervention and the other recovered spontaneously without surgical intervention.

원자력 발전소 저압 터빈 동익 자동 초음파 검사 기술 개발

양승한,이정빈,김영호,윤병식,김용식 한국비파괴검사학회 2004 한국비파괴검사학회지 Vol.24 No.4

원자력 발전소의 터빈에서 운전 연수 증가에 따라 pin finger형 블레이드 루트부에 균열이 발생하는 문제점이 발생되었다. 블레이드 루트부에 대한 비파괴검사는 매 계획 예방 정비기간 동안 수동 초음파 검사를 통하여 수행되어 왔으나, 검사의 신뢰성을 확보하기 위해 해당 설비에 대한 자동 초음파 검사 기술 개발의 필요성이 대두되었으며, 이에 따라 자동 초음파 검사 장비 및 검사 기술을 개발하였다. 개발된 검사 장비의 적용성을 확인하기 위해 계획 예방 정비 기간 중 저압터빈 2,3단 블레이드 루트부에 대한 자동 초음파 검사를 수행하고, 다양한 형태의 터빈 검사에 확대 적용 가능성을 확인하였다. As the turbine running duration in nuclear power plants increases, cracks have been found in the pin finger type blade root area. The nondestructive examination for the blade root area has been carried out by manual ultrasonic examination during the overhaul period, but because of necessity to improve the reliability, we developed an automatic ultrasonic examination system and technique. To demonstrate the performance of the developed automatic ultrasonic examination system, low pressure turbine blades in the 2nd and 3rd stages of nuclear power plants were examined using developed system. Its applicability nuclear power plant turbine roots of various types was also confirmed.

오이의 品質向上과 運作障害 경감을 위한 有機物 施用 및 輪換式 栽培의 효과에 關한 硏究

丁蓮圭,梁承烈,梁元模 順天大學校 1984 論文集 Vol.3 No.1

處女地 沓田輪換 式栽培地, 3年 連作地, 5年 連作地에 園藝作物을 供試하여 各 土壤別로 標集施肥, 有機物, 및 이들의 조합處理를 함으로써 連作程度와 施肥方法에 따른 作物의 收量과 品質, 土壤의 鹽類濃度 및 土壤理化學性을 比較檢査 함으로써 現象을 하고 나아가서 連作障害를 輕減 또는 防止하기 위한 방안을 모색하기 위하여 몇가지 實驗을 수행하였던 바 그 결과를 모색하면 다음과 같다. 1. 供試土壤의 實驗前 pH는 連作年數가 길어질수록 낮아지는 경향이 있었으며 반대로 유기물, 인산, 마그네슘, K, Ca 등은 連作年數가 길어질수록 높았고 C.E.C.도 비슷한 結果를 나타냈다. 2. 土壤內의 E.C.는 試驗前의 경우, 處女地, 沓田輪換式栽培地가 名名 0.35, 0.56이었고 3年, 5年 連作地가 名名 1.20, 1.30으로 連作土壤이 월등하게 높았으며 施肥後의 경우에는 3.00에서 4.35사이로서 全체的으로 높은 수준이었으나 土壤間에 큰 差異가 없었고 降雨에 노출시켜 일정한 기간이 지난후에는 0.39에서 0.43사이로 土壤에 관계없이 원래의 상태로 쉽게 회복되었다. 3. 土壤의 連作程度나 施肥方法에 따른 오이의 蔓長, 莖의 굵기, 節間數는 處理問에差異가 없었으며 유기물이나 미량요소의 施用에 의한 뚜렷한 증가는 나타나지 않았다. 4. 오이의 收量은 5年 連作地가 가장 많았고 다음으로 處女地, 畓田輪換式栽培地, 3年 連作地 順이었는데 이것은 1果의 果重, 果長, 果俓의 증대보다 수확과수의 差異에 의한 것이었다. 5. 連作程度와 施肥方法에 따른 오이의 品質反應중 外的인 品質 즉, 1果의 果重, 果俓, 果長의 差異는 없었으나 內的인 品質중 Vitamin C 含量은 連作年數가 길어질수록 낮아졌다. This experiment was conducted to investigate the effect of application methods of organic material and minor elements, and difference of replanting year on the elevation of vegetable qualities and the reduction of replant-failure in cucumber plants which were cultivated under covering conditions. Used soils were Virgin soil, Paddy-Upland rotation soil, 3 year replanting soil, 5 year replanting soil. Application methods were Standard fertilizer, Standard fertilizer+Organic material, Standard fertilizer+Minor elements, Standard fertilizer+Organic material+Minor elements. Cucumber seeds were sown at August, 15 and transplanted at September, 15 in 1984. The results were summarized as follows; The pH value of the used soil before experiment was showed a decreasing tendency with extending the replanting year. On the other hand, the contents of the Organic material, ??, Mg, K, Ca and C.E.C. were increased with extending the replanting year. Before experiment, Electric Conductivity of 3 year replanting soil and 5 year replanting soil were notably higher than that of the non-replanting soil, Virgin soil and Paddy-Upland rotation soil. Their values were 1.20, 1.30, 0.35 and 0.56 mㆍmho respectively. But E.C. of the soil after fertilization was increased highly, from 3.00 to 4.35 mㆍmho with no relation of the replanting year. And after the soil being opened to the rainfall for about 4 weeks, the soil salinity was easily removed. Replanting year and fertilizer application methods didn't have an influence on the plant height, stem diameter and No. of node of cucumber plant. The yield was, however, affectected by it, not because of the fruit weight, diameter and length but because of the different quantity of the harvest fruits. Vitamin C content of cucumber fruit was decreased with extending the replanting year.

수도권 지역의 의료기기 관련 업체의 실태 조사 연구

양태홍,이우철,김정래,박승환 서울보건대학 1997 서울보건대학 부설 병원경영연구소 논문집 Vol.3 No.1

Recently, the domestic business of medical equipment have many difficult things in the development and sale of new product. To overcome them, it is needed to solidify the co-work system of industry-education marriage. This paper is undertakened to serve an aid in the field of medical equipment. The analysis of data is attempted through the survey by questionaires, and an object of study is the medical business corporation at Seoul area. As a result to review the data it was identifided that this study is able to be applied to the basis material to reconstruct a right role and phase to medical business Also, it`s expected that we're able to use its results as the educational materials to bring up the more qualified students fit to the industrial need.

대장암종에서 암관련 유전자들의 Promoter Methylation과 암종 발생 및 진행과의 관게에 대한 연구

정동준,이정은,민영기,조성우,백무준,양승하,김의한,김창진 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3

The colorectal corcinoma is one of the most common malignant tumor in Korea and its carcinogenic mechanism has not been elucidated exactly yet. So far, the most common carcinogenic mechanism has been known to be multiple genetic changes. But, the CpG island hypermethylation has been revealed to be one of the most important carcinogenic mechanism second to the genetic changes. The epigenetic changes characteristically imprint and transfer to the next generation without changes of nucleotide sequences. When the CpG island of promoter or 5'- exon 1 of a specific gene is methylated by DNA methyltrasferases (DNMTs), the gene expression is inhibited. Carcinogenic mechansisms by promoter methylation has been well known, but the progression of the cancer has not been elucidated yet. The molecular researches on the carcinogenic mechanisms largely depended on the tumor tissue containing various components of cell, due to difficulties in harvesting pure homogeneous tumor cells. Promoter methylatonof the cancer related genes as APc, hMLH2, p16, DAP-K and MGMT in 50 cases of sporadic colorectal carcinoma was studied. The pure normal colorectal epithelial cells, and cancer cells from superficial and deep invasive portion were harvested respectively by laser captured microdissection(LCM), and DNA was extracted from them. The promoter methylation was studied by methylation specific poymerase reaction (MSP) after bisulfite modification of the DNA and the expression of the genes by immunohistochemistry. The results suggests that promoter methylation of the cancer related genes are closely related with the colorectal carcinogenesis and it occurrs from early phase of carcinogenesis, progressing constantly to the late stage. And the promoter methylation of normal epithelial cells increased by age. The p15, known to be the genes related to hematologic malignancy, was closely related to the colorectal carcinoma as well.

내시경적 점막절제술 후 발생한 위천공의 성공적인 보존적 치료 1예

양정채,박은하,이준행,이풍렬,김재준,백승운,이종철 대한내과학회 2004 대한내과학회지 Vol.66 No.5

위장관 천공은 내시경적 점막절제술 후 발생할 수 있는 중대한 합병증으로 현재까지 이에 대한 치료 방법은 정립되지 않은 상태이다. 본 증례는 점막층에 국한된 위선암에 대한 내시경적 점막절제술 후 위천공이 발생한 경우로서 아주 작은 미세천공(microperforation)이었고, 최근 시도되고 있는 내시경적 클립 시술의 적응이 되지 못했다. 하지만 임상적인 복막염 발생 및 진행의 징후가 보이지 않아 금식, 광범위 항생제 투여 등의 보존적 요법으로 치료를 시행하였고, 시술 일주일 후 복막염의 발생이나 진행 없이 호전되어 퇴원하였다. 본 증례는 내시경적 점막절제술 후 발생한 미세 천공의 제한적인 경우에 한하여 수술이나 내시경적 치료를 하지 않고 보존적 요법만으로 성공적인 치료를 시행한 예로 문헌고찰과 함께 보고하는 바이다. The serious complication after endoscopic mucosal resection (EMR) was bleeding and perforation. Most of bleedings could be controlled by endoscopic procedure. However, the strategy of treatment for perforation was not established. A 60- year-old man was admitted to our center for EMR of gastric adenomatous lesion. After EMR, perforation in stomach was detected by peumoperitoneum on plain upright chest X-ray. We treated with conservative management such as withholding of oral intake, adminstration of broad-spectrum antibiotics, parenteral nutrition and close monitoring. There were no worsening clinical sings of peritoneal inflammation except mild leukocytosis during the in-hospital course. On the third hospital day after EMR, the patient resumed oral intake. The seventh hospital day, he was discharged. Our experience showed that selected small microperforation in stomach after EMR could be treated by not endoscopic procedures or surgical interventions but conservative management.

LCA 프로그램을 이용한 건축물의 환경부하 및 경제성 평가 사례

정영선,양관섭,이승언 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

The purpose of this research is to develop method and tool that are available to quantitatively estimate co2 exhaust, energy consumption and resource. This research fixed the basic guidelines as provided by ISO 14040's and composed database of energy consumption unit and CO2 emission unit using input-output analysis. This paper focused on the case study for the apartment housing. The results are as follow ; According to increase of building life, the saving rate of environmental loadings and LCC grows(estimated period:100yr, building life:80yr saving rate LCE:19%, LCCO2:18%, LCC:20%). The operating energy decrease by the national energy efficiency policy measures affect the saving rate of environmental loadings and LCC.

단계적 온도 하강법을 이용한 췌도세포 냉동보존법

정인경,오승훈,김병준,양태영,이병완,하창영,노정현,정재훈,민용기,이명식,이문규,김광원 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.26 No.1

연구배경:최근 당뇨병의 새로운 치료법으로 시도되고 있는 췌도이식은 충분한 췌도수의 확보와 췌도생존율을 높이기 위한 면역억제제 사용이 제한점이 되고 있다. 본 연구의 목적은 이식 전 충분한 췌도 수의 확보를 위해 분리한 췌도를 냉동보존하는 방법을 확립하고 냉동보존한 백서 췌도세포의 시험관내 그리고 생체내 기능을 조사하였다. 방법:분리한 백서의 췌장소도를 48시간 배양한 후 한 시험관당 췌도세포 1000개씩 나누었다. 냉동보존은 6개의 시험관에 DMSO를 첨가한 후 초 냉각(supercooling), 핵화(nucleation)단계를 거친 후 99% isopropanol과 액체질소가 들어있는 dewer를 이용하여-0.25℃/분의 냉각속도로 -40℃까지 단계적으로 얼린후-70℃ 액체질소 탱크에 보관했다. 해동은 냉동시킨 vial들을 액체 질소 태으에서 꺼내 37℃ 항온조에 담가 급격히 해동시킨 후, 원심분리하여 상층액을 제거하고 각 vial에 0.75M sucrose 용액을 가한 후, 10% fetal calf serum이 함유된 RPMI 1640 media에서 배양하였다 각각 6개의 시험관에서 해동한 췌도들을 광학현미경 및 형광현미경하에서 췌도의 모양과 생존율에 대해 조사하고 인슐린 정적반응을 알아보았다. 또한 분리한 췌도를 냉동보존하지 않고 이식한 경우를 대조군(6마리)과 생체내 기능을 비교하였다. 결과:① 냉동보존후 획득한 췌도의 수와 생존율 해동후 획득한 췌도의 수는 해동시킨 당일날이 902±21, 24시간 배양 후에는 857±16, 72시간 후에는 817±18개로 점차 감소되었다. AO/PI 염색상 각 췌도의 생존율은 냉동 전을 100으로 하였을 때 해동당일, 24시간 후, 72시간 후가 각각 60±5, 80±5, 90±5%로 해동후 3일간 배양하였을 때 냉동전의 수준으로 회복하였다. ② 냉동보존후 췌도의 포도당에 대한 정적 인슐린 분비능:냉동직후 감소된 경향을 보였으나 해동후 3일간 배양한 췌도의 인슐린 분비는 냉동전과 통계적으로 의미있는 차이가 없이 냉동보존 전의 수준으로 회복되었다. ③ 냉동보존후 췌도의 포도당에 대한 동적 인슐린 분비능:냉동보존한 췌도를 해동후 3일째의 인슐린 동적 분비능은 냉동 전과 마찬가지로 자극 인슐린의 반응의 제1기와 2기가 잘 관찰되었다. ④ 냉동보존한 췌도세포 이식 후 혈당 변화:스트렙토조토신으로 유도된 당뇨병 쥐에 췌도이식 후 혈당은 냉동보존한 췌도이식군에서 대조군에 비해 혈당의 조절효과가 더 오래 지속되었다. 결론:소동물에서 단계적 온도 하강법을 이용한 췌도세포 냉동보존법을 확립하였으며 이는 기능, 구조 및 생존율에 큰 이상을 보이지 않았으므로 장차 사람의 췌도세포 동종이식시 부족한 췌도세포수를 극복하고 면역반응을 줄일 수 있는 매우 유용한 방법이 될 것으로 판단된다. Background : Although islet transplantation has been attempted to reverse the state of diabetes, achieving a critical number of islets and modulating the immune response limit the success of islet transplantation. Cryo-preservation of islets offers many important benefits for islet transplantation by collecting islets with a wide variety of HLA phenotypes and islet MHC expression. The aims of this study was to determine the optimal conditions for cryo-preservation by using a controlled cooling method and to evaluate in vitro and in vivo functional properties of the cryo-preserved islets. Methods : Collagenase-isolated, Ficoll-purified islets were cultured for 48 hours. They were aliquoted into freezing tubes (1000 islets per tube), equilibrated with 2M dimethyl sulfoxide (DMSO) in three steps, supercooled, nucleated, and controll-cooled at rate of 0.25℃/min to - 40℃ prior to storage at - 196℃. Rapid thawing and removal of DMSO with 0.75 M sucrose preceded 48 hour of culture and the morphology, viability, glucose-induced insulin secretion, and in vivo function of rats transplanted with cryopreserved islets was reexamined. Results : ① Recovery was 90.2±0.2%, 85.7±0.1% and 81.7±0.1% immendiately after, 24 hours and 72 hours after thawing respectively. The viability was 60±5%, 80±5%, 90±5% immediately after, 24 hours and 72 hours after thawing respectively. ② The glucose-stimulated-insulin secretion (GSIS) tended to decrease immediately after thawing, but GSIS increase to the level of pre-cryopreservation 72 hours after thawing. ③ The in dynamic GSIS, the first and the second phase of insulin secretion were well preserved in islets cultured for 72 hours after thawing. ④ The cryopreserved islets were cultured for 3 days and transplanted into renal sub-capsular space of streptozotocin (STZ) induced diabetic rats. The duration of normoglycemia in the STZ-induced diabetic rats transplanted with cryopreserved islets was significantly longer than of the fresh islets. Conclusion : The optimal condition of cryopreservation using the controlled cooling method was established in rat pancreatic islets. This cryopreservation method can be a feasible approach for human islet transplantation (J Kor Diabetes Asso 26:64~74, 2002).