비만증 환자에서 한약제에 의한 체중 감소효과

Oh, Seung-Joon,Jeong, In-Kyung,Kim, Young-Seol,Choi, Young-Kil,Paeng, Jeong-Ryung,Bae, Jung-Hwan,Shin, Hyun-Dae 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Seung-Joon Oh, In-Kyung Jeong, Young-Seol Kim, Young-Kil Choi, Jeong-Ryung Paeng¹, Jung-Hwan Bae and Hyun-Dae Shin²Department of internal Medicine, College Medicine, Endocrine Research Institute¹. Department of Rehabilitation, College of Oriental Medicine², Seoul, korea. Bady Fat Reduction Effects of Red Ginseng Compound Preparation on the Patients with Obesity. Proceedings of International Symposium on East-West Medicine, Seoul. 244-254, 1999.-Obesity can be defined as a metabolic disease due to an increased state of fat tissues caused by an imbalance of calorie intake and use. Recently, in Korea by improvement and westernization of food intake, along with decrease in exercise activities, the prevalence of obesity has increased greatly. Our objectives were to study stability and effects of decrease in body fat by administering red ginseng compound preparation (known to have body fat decreasing effects in laboratory animals) to obesity patients on low calorie diets. Changes in weight and body fat were measured while carrying out calorie-restricted diets on patients for 4 weeks, then administering red ginseng compound preparation for another 4 weeks. The patients were 20 people whose BMI were 25kg/㎡ or over and whose percent body fat was also 30% or over when tested by bioelectrical conductivity. 1. Changes in weight were from 70.04kg(base line) to 67.43kg(after taking red ginseng compound preparation). 2. In similar sense, BMI decreased from 27.12kg/㎡(base line) to 26.56kg/㎡(after dieting), and further to 26.01kg/㎡ (after taking red ginseng compound preparation). The BMI seemed to decrease significantly compared to the baseline after the use of red ginseng compound. 3. Waist hip ratio was changed from 0.8858(base line) to 0.8728, but it was statistically insignificant. 4. The percent body fat was 35,16%(base line), 33.87%(after dieting), and 31.68%(after taking red ginseng compound preparation). 5. Complete blood cell count and blood chemisrty remained unaffected by the administration. 6. In concern to endocrinologic studies, T3 decreased from 118.7 to 98.2ng/dL, and T4 increased from 8.8 to 9.2㎕/ dL. Epinephrine showed a tendency to decreased from 0.27 to 0.25 ng/mL, and norepinephrine increased from 0.39 to 0.44ng/mL. 7. Leptin was not changed. 8. Some patients complained adverse effects; constipation(5 patients, may be due to diet therapy), fatigue (2 patients), pruritus(2 patients), flushing(s patients), dizziness(3 patients) and epigastric discomfort(2 patients). However their symptoms were mild, so medication did not stopped. In conclusion, loss of weight without significant side effects was observed during low calorie diet and red ginseng compound preparation administration. This is thought to be in relation to sympathetic nerve system rather than adrenal gland. Also, further long0term studies should be required, since the observed results were based on short-term changes in weight.

낮은 상관 특성과 큰 선형 복잡도를 갖는 새로운 p-진 수열군

김영식(Young-Sik Kim),정정수(Jung-Soo Chung),노종선(Jong-Seon No),신동준(Dong-Joon Shin) 한국통신학회 2008 韓國通信學會論文誌 Vol.33 No.7C

최근에 홀수인 소수 p, n=4k, 그리고 d=((p<SUP>2k</SUP>+1)/2²에 대해서 Seo, Kim, No, Shin<SUP>[1]</SUP>이 m-sequence와 d로 decimation한 부분 수열들 사이의 상관 분포를 유도하였다. 하지만 이러한 상관 분포로부터 수열군이 자명하게 결정되지는 않는다. 본 논문에서는 우선 위의 상관 특성을 유지하는 수열군을 선택하는 방법을 제시한다. 더 나아가서 이 수열군과 동일한 상관 특성을 가지면서도 더 큰 선형 복잡도를 갖는 수열군을 새롭게 생성할 것이다. 끝으로 3진 수열의 선형 복잡도를 특정 경우에 대해서 유도하고 이 경우 원래의 수열군보다 더 큰 선형 복잡도를 가짐을 보일 것이다. For an odd prime p, n=4k, and d=((p<SUP>2k</SUP>+1)/2², Seo, Kim, No, and Shin<SUP>[1]</SUP> derived the correlation distribution of p-ary m-sequence of period pⁿ-1 and its decimated sequences by d. In this paper, two new families of p-ary sequences with family size p<SUP>2k</SUP> and maximum correlation magnitude 2√pⁿ-1 are constructed. The linear complexity of new p-ary sequences in the families are derived in the some cases and the upper and lower bounds of their linear complexity for general cases are presented.

Sesquiterpene Components from the Flower Buds of Magnolia fargesii

Jung, Keun-Young,Kim, Dong-Seon,Oh, Sei-Ryang,Lee, Im-Seon,Lee, Jung-Joon,Lee, Hyeong-Kyu,Shin, Dong-Hyuk,Kim, Eun-Hee,Cheong, Chae-Joon The Pharmaceutical Society of Korea 1997 Archives of Pharmacal Research Vol.20 No.4

From the Chinese crude drug shin-i, the flower buds of Magnolia fargesii, four sesquiterpene, oplopanoe (1), oplodiol (2), homalomenol A (3) and $1{\beta},4{\beta},7{\alpha}$-trihydroxyeudesmane (4) were isolated. These structures were elucidated and the ${13}^C-NMR$ chemical shifts of these compounds were revised by means of various 2D-NMR techniques.

경피경간 조직생검후 천자경로에 파급된 간암

신현준,최영칠 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.5 No.-

Percutaneous needle biopsy is a commonly used diagnostic procedure with a high accuracy and a low complication rate. However, one of the undesirable complications is tumor seeding in the biopsy tracts. Authors expreienced a implantation metastasis through the bioipsy tract. So we report this case with clinical findings.

국소 폐병변에서의 역동적 조용증강 CT의 유용성

신현준,최영철,전혜정,박정희,김요한 건국대학교 의과학연구소 1998 건국의과학학술지 Vol.8 No.-

The blood supply and metabolism of malignant nodules are qualitatively and quantitatively different from those of most benign nodules. We evaluated the efficacy of dynamic CT for differentiation of benign malignant lesions. Thirty-six patients with malignant nodule(n=20), tuberculoma(n=7), and pneumonic consolidation(n=9) were evaluated by thin section dynamic CT. CT numbers of lesion and aorta were measured before enhancement, and 1 minute, and 3 minutes after enhancement. Malignant lesions(maximum, 31.1±10.7 HU) enhanced significantly more than tuberculoma(maximum, 13.5±12.9 HU), but mass/aorta ratios were not so significantly different between malignant lesions(maximum, 0.61±0.27), tuberculoma(maximum, 0.36±0.15), and pneumonic consolidation(maximum,0.49±0.14). Dynamic CT is very useful for differentiation of malignant lesions from tuberculoma.

병원단위의 임상진료지침 개발과정

신영수,김창엽,오병희,한규섭,윤병우,한준구,강영호 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.1

Background : With increased concerns about variation among physician a practice pattern and their impact on the quality of care, clinical practice guidelines have been developed by many different organizations, with differing aims and incentives. From the same point of view, there is growing interest in the development of clinical practice guidelines in Korea, but with only a few examples. As a result, there is not much exploration on the incentive and barrier to development guidelines as well as description on the development process. The purposes of this study are to describe the process of the four different clinical practice guidelines in a hospital setting, and to identify incentives and barriers in the development of guidelines. Methods : For this research, a clinical practice guideline development committee and four clinical practice guideline development teams were organized in a university hospital which has more than 1,200 beds. Twenty eight doctors, three nurses, and one technician participated as members of development teams for eight months. Four to six meetings were held, and three to seven departments in the hospital were involved. Results : The topics which developed into clinical practice guidelines were cardiopulmonary resuscitation(CPR), blood transfusion, anticoagulation, and angiography. The main goals set by teams were education(CPR, angiography), risk management(blood transfusion), and to enhance quality of care(anticoagulation). Among four teams, only in the team for anticoagulation guideline medical record review and pilot-testing were performed. Also literature review was not carried out systematically. However, all the guidelines were developed by multidisciplinary participation by personnels of related departments. All the team expected guidelines to be used as standard protocols in the practice. Conclusion : Experience and skill in developing process has to be improved to have a more valid and useful practice guideline. In particular, literature review and problem identification by examining medical record should be emphasized. Also further studies of the clinical outcomes of the guidelines application and changes in physicians behaviors would be required.

전방 십자인대의 파열시의 자기공명영상:직접소견의 중요성

신현준,이창희,최영칠,전혜정,박정희,김동헌 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

It is Important to know the normal size, shape, and signal intensity of anterior cruciate ligament in the evaluation of knee injury Many studies have reported findings of tear or rupture as well as normal anatomy of these structure, especially with MR images. To our knowledge, there are few studies about normal structures of anterior cruciate ligament in MR images. The purpose of this study is to compare normal finding with tear of anterior cruciate ligament on MRI. Twenty-three cases with rupture of anterior cruciate ligament were evaluated on MRI, measuring the length, thickness, width of anterior cruciate ligament, and angles of anterior and posterior cruciate ligaments. Mean length, thickness, and width of anterior cruciate ligament in patients with rupture were 37.7±4.8mm, 9.0±1.2mm, 8.0±0.8mm, and mean angles of anterior cruciate ligament, and posterior cruciate ligament were 48.1±9.6˚, 118.8±13.1˚. Curvature ratio of posterior cruciate ligament was 0.25±0.09. The results showed significant differences between normal persons and patients with complete or partial rupture, and the mean angle and curvature ratio of posterior cruciate ligament which are known to related with indirect sign in tear of anterior cruciate ligament showed significant differences between ours and that of western countries. These results will be useful in the evaluation of patient wish rupture of anterior cruciate ligament, especially on MRI.

18S-srRNA 분석에 의한 Acantbamoeba 한국 분리주들의 분류 검토

신호준,지영진,조명수,김형일,박연희,임경일 아주대학교 의과학연구소 1998 아주의학 Vol.3 No.2

Acanthamoeba spp. spread in soil, ponds, air and swimming pool, cause a granulomatous amoebic meningitis and amoebic keratitis in human and experimental animals. Their classification had depended upon morphological characteristics and physiological conditions such as thermophilic status and generation times. However, because amoeba species showed the morphological and physiological diversity in isolates, many attempts have been made on identification of Acanthamoeba spp. Restriction fragments length polymorphism (RFLP) analysis of IBS-small subunit ribosomal RNA (srRNA) was an useful tool for classification among morphologically and genetically closely-related species. In this study, 18S-srDNAs of amoebae were amplified by PCR with primer encoding 18S-srRNA gene and digested with restriction endonudeases, and RFLP analysis was applied on classification of Acanthamoeba Korean isolates (YM-4, YM-5 and YM-7), comparing with reference amoebae, A. culbertsoni, A. polyphaga and A. royreba. Trophozoites of six Acanthamoeba spp. had typical acanthopoda, but did not show any morphological differences. Cyst of Acanthamoeba sp. YM-7 was similar to that of A. polyphaga which was designated as group Ⅱ Acanthamoeba. Morphologically other amoebae belonged to group Ⅲ Acanthamoeba. Digestion of 18S-srDNA with six enzymes, Dde Ⅰ, Hae Ⅲ, Hind Ⅲ, EcoR Ⅰ, Rsa Ⅰ and Sph Ⅰ, resulted in various DNA fragments. Using the method of Nei and U (1979) for RFLP analysis, genetic divergence was not observed between A culbertsoni and Acanthamoeba sp. YM-4. Between A. culbertsoni and Acanthamoeba sp. YM-5, genetic distance was 0.070, 0.364 between Acanthamoeba sp. YM-4 and A. polyphaga, and 0.277 between Acanthamoeba sp. YM-7 and A. polyphaga. In comparison with A. culbertsoni and A. polyphaga, Acanthamoeba sp. YM-7 showed genetic distance of 0.330 and 0.154, respectively. Thus, Acanthamoeba sp. YM-7 is a similar species to A. polyphaga. Acanthamoeba sp. YM-5 is a different species from A. polyphaga, but closely-related to A. culbertsoni. Acanthamoeba sp. YM-4 can be classified as a subspecies or a strain of A. culbertsoni.

당뇨망막증 환자에서 건강보조제 복용 후 양안 동시에 발생한 망막출혈 1례

이상준,이정주,김수영,김신동 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2

Purpose : This is a report of retinal hemorrhage in a patient suffering from diabetic retinopathy taking 10 days of protein supplements. Method : A 38-year-old female patient who had received a panretinal photocoagulation started taking supplements made of cocoon(cocoon steamed powder, ginseng powder, pepino abstraction powder et al.) for 10 days. Then, the patient went on to suffer from an uncontrollable blood pressure, a general edema and a loss in visual acuity. The patient's vision was counter finger 50cm in both eyes. The fundoscopy revealed vitreous hemorrhage in the right eye and preretinal hemorrhage in the left eye. She was hospitalized in nephrology, We waited to resolve hemorrhages. But hemorrhages was not improvement, we performed a pars plana vitrectomy and laser photocoagulation. Results : After the operation, the corrected vision was 0.8 in the right and 0.63 in the left eye, respectively. The patient's general condition was improved with diuretics. Discussion : The main ingredient of the supplements that the patient took were peptides. So this patient with diabetic renal failure had to reduce renal function which cause a reduction in glomerular filtration rate, a increase in blood creatinine levels, edema due to increased blood pressure and vitreal hemorrhaging in both eyes. In conclusion, one must be careful of health supplements because we cannot be sure of the ingredients and the side effects which could worsen certain illnesses.

수지(手指)에 발생한 Glomus Tumor - 치험 2례 보고 -

신경현,김준영,윤치순,최창욱,김학현 순천향의과대학 1978 Journal of Soonchunhyang Medical Science Vol.1 No.1

Glomus tbmor of the hand has been well documented lesion that usually presents as painful dermal nodule in the finger. Glomus tumor may be difficult in diagnostic and therapeutic problems because of relatively rare and not easily experienced cases. Normal glomus body presents in the skin and subcutis of the extremity, but the normal body is not more than 1 mm3) in size. Most evidence indicates that the main function of the normal glomus body is to aid in regulation of the skin circulation. The glomus tumor is thought to be an abnormal proliferation of the glomus body and accompained by the classic triad of symptoms : pain, tenderness and temperature sensitivity. This paper reports two cases of glomus tumor occurring in the nail bed and finger pulp. One case was found 30 years later & another case 15 years after the onset in spite of srvere pain, tenderness and lancinating pain when exposed to the cold tempera ture but the excision of the tumor resulted in complete recovery.