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      • 급성 ST 분절 상승 심근경색증의 표준진료지침 설계

        권선옥,김우식,오명기,나종천,이홍기,조욱현,최석구 인제대학교 2006 仁濟醫學 Vol.27 No.-

        The use of critical pathways for a variety of clinical conditions has grown rapidly in recent years, particularly pathways for patients with acute myocardial infarction. We intend to determine the impact of a clinical pathway on ST-elevation myocardial infarction (STEMI) and to evaluate the efficacy and safety of facilitated percutaneous coronary intervention (PCI) compared with primary PCI. Low risk STEMI patients (ST elevation >0.1mV in more than 2 limb leads or ST elevation >0.2mV in contiguous precordial lead, chest pain lasting more than 30 min without response to nitroglycerin) will be included. All patients will be also treated medically according to critical pathway. STEMI is one of the common diseases in emergency medicine and so it is necessary to establish realistic treatment guidelines. The use of critical pathways will improve the quality of care.

      • 고전적으로 조건화된 해마 신경다단위활동의 적핵 손상후 변화

        류재욱,조선영,김현택 한국심리학회 한국심리학회지 생물 및 생리 Vol.7 No.1

        토끼의 순막 고전적 조건화동인 해마에서 기록되는 신경다단위활동은 학습이 진행되는 동안 조건반응의 출현을 앞서서 예고해주는 식으로 변화해간다. 학습과 관련된 이러한 해마의 신경반응은 순막 고전적 조건화에 결정적인 뇌구조물로 알려져있는 소뇌 중간핵을 필요로 한다. 즉 소뇌 중간핵을 손상시키면 해마의 신경반응은 조건화되지 않으며 이미 조건화되었던 신경반응도 사라진다. 그러나 소뇌 중간핵은 학습과 연관된 신경가소성이 형성되는 신경구조물중의 하나인 까닭에, 소뇌 중간핵을 손상한 경우에는 소뇌의 신경가소성이 수립되지 않으므로, 해마에 미치는 영향이 어떤 신경적 경로를 통해 일어나는지 설명하기가 곤란하다. 본 연구에서는 소뇌 중간핵의 주요 원심성 구조물인 적핵을 손상한 후 해마에서 학습과 관련된 신경반응이 발달하는지를 살펴보았다. 적핵을 손상하면 행동적 조건반응은 나타나지 않지만 소뇌 중간핵의 조건화된 신경반응은 발달하므로, 학습은 이루어지지만 행동적 조건반응의 수행이 차단되는 경우라고 볼 수 있다. 조건화 이전에 우측 적핵을 전해질 손상시킨 토끼들은 좌측 순막조건화훈련(CS:550ms 소리자극, US:100ms 공기분사, ISI:450ms) 8회기에 이르기까지 거의 행동적 조건반응을 보이지 않았으며, 조건자극 제시 기간동안 해마의 신경다단위활동 증가 또한 보이지 않았다. 훈련을 우측으로 전이시키지 행동적 조건반응의 출현과 함께 해마에서 학습과 관련된 신경반응을 보였다. 좌측으로 훈련을 재전이 시킬 경우 우측전이시에 발달한 해마반응과 행동반응은 다시 사라졌다. 이러한 결과는 소뇌로부터의 학습정보가 적핵을 통해서 해마의 조건화된 신경반응의 발달에 영향을 미침을 시사하며, 소뇌와 해마의 기능을 모사하는 인공신경망 연구에 위계적 모형을 제공해준다. Sears et al. showed that learning-related multiple unit activity (MUA) developing in the hippocampus during the classical conditioning of nictitating membrane response depends on the intactness of the cerebellar interpositus nucleus, that was confirmed by our recent study. The cerebellar interpositus nucleus is known to be an essential neural structure for this conditioning, and a place representing time-amplitude neural model of the conditioned response(CR). Lesioning the interpositus nucleus, therefore, abolishes the learning itself and as a result, the hippocampal MUA can not develop. In case the red nucleus, the principal output pathway of the interpositus nucleus is lesioned, the learning-related MUA in the interpositus nucleus can be recorded, which is possibly interpreted as the learning is established but the performance of CR is blocked. The present study was conducted to determine if the learning-related MUA could be developed in the hippocampus after lesioning the red nucleus, the target of the interpositus nucleus. Experimental rabbits were given unilateral electrolytic lesions of the red nucleus before the conditioning sessions (CS: 550msec tone, US: 100msec air puff, ISI: 450msec). Experimenal rabbits showed less than 8% CRs by the end of the 8th session, whereas the control animals showed on the average more than 80% CRs by the 4th session (F[1,10]=187.84,p<0.01). The control group showed typical increase of hippocampal MUA in the process of learning, while the group with the red nucleus lesion did not showed the increases of hippocampal MUA in the CS period(F[1,10]=10.67,p<0.05). These results suggest that the learning-related input from the interpositus nucleus via the red nucleus may play a critical role for the normal MUA development in the hippocampus.

      • 한인진 추출물의 간장보호 작용에 관한 연구

        이순복,조태순,윤기욱,이종찬,이선미,심성보 성균관대학교 약학연구소 1998 成均藥硏論文集 Vol.10 No.1

        The dose-response effect of polysaccharide extracts(PS-1) from Artemisia iwayomogi was investigated under various hepatic disease models. Silymarin, DDB and UDCA were used as reference compounds. We found that the maximal effective dose of PS-1 was 100 ㎎/㎏ b.wt. in CCl_4-induced hepatotoxicity, D-galactosamine-induced hepatitis, in ANIT-induced cholestasis and 300 ㎎/㎏ b.wt. in CCl_4-induced chronic liver disease, 30 ㎎/㎏ b.wt. in chronic bile duct ligation and chronic ethanol fatty liver. These findings suggest that PS-1 fraction protects the hepatocyte against various hepatic injuries, and this fracton might be of therapeutic value.

      • KCI등재

        정신장애인 치료에 중요 역할 담당자의 정신질환에 대한 태도조사

        김병후,정선욱,강연화,김윤,김창엽,홍진표,한오수,조맹제,김용익 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

        Objectives : Attitudes of families of mentally ill, health personnels and community leaders to the mentally ill after the development and utilization of the community mental health program and reintegration of the chronically ill patients into society. This study was designed to compare the attitudes toward the mentally ill patient of the persons who have important role in treating the mentally ill and to find the variables influencing the attitudes. Methods : We measured attitudes toward mental illness in psychotic patients' families(N=139), community leaders(N=180) and health personnels(N=324) including mental health personnels before the implementation of community mental health services in Yonchon county and Seodaemun district area. The instrument used to measure attitudes was Opinion about Mental Illness(O. M. I.) scale. Results : 1) Health personnel showed lower Authoritarianism(Factor A) and higher Benevolence(Factor B) scores on the average than community leaders and psychotic patients families. 2) Current residence affect the attitudes in psychotic patients' families, not in community leaders and health personnels. Families in urban area showed lower Authoritarianism(Factor A) and Social Restrictiveness(Factor D) and higher Benevolence(Factor B) scores than in the rural areas. 3) Many patient variables were correlated to the attitudes of families. Duration of illness, number of recurrence, number of admission, age of patient and family burden were positively correlated mainly to Social Restrictiveness(Factor D). 4) Sex and religion of respondents showed no or weak relationship with the factor scores. Conclusions : Education for community leaders and families is required to achieve successful community mental health services. Community support program should be developed for chronic, recurrent and burdensome psychiatric patients in the first place.

      • 두 광원에 의해서 형성된 그림자식 무아레 무늬의 컴퓨터 채색을 통한 3차원 물체의 형상 재현

        육근철,정기주,류지욱,조선미 公州大學校 基礎科學硏究所 1996 自然科學硏究 Vol.5 No.-

        위치가 서로 다른 두개의 백색 광원에 의해서 형성된 무아레 무늬를 컴퓨터로 받아들여 소프트웨어 상에서 재구성하고 이들을 채색하여 무아레 무늬 사이의 경계가 뚜렷한 색구조 무아래 무늬를 만든다. 그리고 이렇게 해서 얻은 두 개의 2차원적 무아레 무늬를 합성하여 3차원적 형상으로 재생할수 있는 방법을 구현하고 제안하였다. In this paper. We present and experimently realized the reconstruction of the 3-D image by using two color moire topography painted in computer, we can be effectively removed noise effects originated from background color of objects by using reconstruction techniques in software.

      • KCI등재후보

        Escherichia coli 패혈증 환자에 합병된 대칭적 하지 말단 괴사증 1예

        남해성,유진홍,권순석,민준기,조현선,박민경,심병주,남유정,이지인,김진수,길욱현,조근종,신완식 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

        We have encountered a rare case of symmetrical peripheral gangrene complicating Escherichia coli sepsis in a 47-years-old male. He was successfully treated with antibiotics, anticoagulants, and vasodilator. To our knowledge, this is the first report on symmetrical peripheral gangrene complicating E. coli sepsis in Korea.

      • KCI등재

        한국판 임상가용 아동 및 청소년을 위한 외상후 스트레스장애 척도의 신뢰도 및 타당도 연구

        구정일,김태형,은헌정,최말례,이선미,조수진,송옥선,김형욱 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

        Objectives : This present study was conducted to explore the reliability and the validity of Clinician Administered PTSD Scale for Children and Adolescents Korean version (CAPS-CA) Mcthods : The Subjects were children and adolescents (8-13yrs) from different places: a certain elementary school, three orphanages, a general hospital, and two neuropsychiathc local clinics. Only subjects who experienced a catastrophic traumatic event were tested by CAPS-CA, CDI, RCMAS, and TSC. Rcsults : The range of correlations between item-criterion were .67-.84. The coefficients of internal consistency were .87. and test-retest reliability was .90, were all the coefficients in the proper range. Inter-correlations of CAPS-CA, CDI, RCMAS, and TSC scale showed significant correlation. TSC showed the highest correlation coefficient. CAPS-CA can be a useful clinician-administered diagnostic instrument for children and adolescents PTSD symptoms. Conclusion : The reliability and the validity of CAPS-CA were confirmed. CAPS-CA could be applied for diagnostic purposes of PTSD in children and adolescents.

      • Lutembacher 증후군 환자 증례 보고

        김성범,서정주,곽철훈,김상민,이보라,민선경,황은구,김용인,조욱현,최석구 인제대학교 2008 仁濟醫學 Vol.29 No.-

        Lutembacher's syndrome is rare combination of mitral stenosis (MS) and atrial septal defect (ASD). The hemodynamic interplay between the MS and ASD leads to wide variation of clinical presentation. Here we describe a 43-year-old female with Lutembacher's syndrome and tricuspid regurgitation with pulmonary hypertension, who underwent direct closure of ASD and tricuspid valvuloplasty successfully. We also reviewed other literatures in an effort to increase awareness of this condition.

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