帶狀疱疹의 臨床的 觀察 및 Triamcinolone 病變的 注射 效果

崔圭哲,黃善郁 조선대학교 1981 The Medical Journal of Chosun University Vol.6 No.-

Herpes zoster is an acute infection of varicellar-zoster (V-Z)virus characterized by groups of vesicles and papules on the erythematous base along the corresponding dermatome of the involved segment in the cranial or spinal sensory ganglia. The treatment of herpes zoster aims at the symptomatic control of neuragia. One hundred and ninety five cases of herpes zoster were clinically observed at the Department of Dermatology of Chosun University Hospital from April 15, 1971 through September 30, 1980. The therapeutic effect of intralesional injection of triamcmolone on herpetic neuralgia was compared with those of systemic corticosteroid and the symptomatic analgesics. The results obtained were as follows : 1) The incidence of herper zoster versus the total number of outpatients wad between 0.50% and 1.89% (on an average, 1.30%) and there was no sexual difference of its incidence. 2) There were no marked monthly or seasonal differences in the incidence of herpes zoster. 3) The herpes zoster was frequently seen in the age of 20 to 29 years old. Considering the age distribution of population in Kwang-ju city. however. its incidence seems to increase with age. 4) Fifteen cases(9.6%.) of the herpEs zoster were seen to be combIned with chronic diseases such as pulmonary tuberculosis, diabetes mellitus and hypsrtension. 5) Herpes zoster was located in the thoracic (46.6%,), trigeminal, cervical, lumbar, sacral and facial nerve dermatomes in that order of frequency. 6) Postherpetic neuralgia was the most common complication with its incidence increasing with age. 7) Thirty nine cases with herpes zoster had intralesional injection with triamcinolone with the following results. Eleven (28.2%) had similar reaction as those treated with systemic corticosteroid and symptomatic analgesics whereas 28 (71.8%) had a more_effective response.

Homocysteine과 대사증후군의 관계

최진욱,김선현,염창환,정규철 관동대학교 의과학연구소 2006 關東醫大學術誌 Vol.10 No.1

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.

Sol-gel 공정에 의한 Silica sol의 합성 및 특성

이봉우,최용욱,우기석,박문수,김선일 조선대학교 생산기술연구소 1998 生産技術硏究 Vol.20 No.1

Reaction completion time was investigated to measure OH/CH ratio as reaction time at 25℃. In 50 and 60 minute reaction was completed in 1.0 ratio that was reached equilibrium state. In another method, equilibrium, state was investigated by measuring volume% of C₂H_(5)OH. From 40 to 50 minute. that was reached at 61.6 of volume% After reaction. monomer and tetrasilicate(92%) as main product was discovered and so oligomer(6%). Mean molecular weight (Mw) of sol solution was about 7.000. The beginning point and ending point of hardening was measured through the TGA investigation of reaction material. The hardening of sol solution was complected in 7 minute and viscosity was maximum from 4 to 5 minute and was set at 9 minute.

백당으로 가교된 폴리아크릴산 하이드로겔의 In vitro 점막부착력 평가

이재휘,김선영,이은석,이민석,김형수,최영욱 한국약제학회 2006 Journal of Pharmaceutical Investigation Vol.36 No.2

集中降雨時 無限斜面의 剪斷强度特性에 關한 實驗的 硏究

심태섭,김선학,신태욱,최용준 朝鮮大學校 建設技術硏究所 2004 建設技術硏究 Vol.24 No.2

Granite weathered soil obtained from the cutting slope is divided into two sample materials of SM and SP on the basis of the Unified Soil Classification System (USCS), manufactured the model slope consisting of these, and the pore water pressure and the depth of seepage according to the inclination of the slope and the precipitation strength are measured. From the result of the experiment, the pore water pressure is increased in proportion to the precipitation strength, which is proportionally increased to the inclination of the slope and tends to be decreased when it meets the steep slope of more than 1:1.5. The speed of seepage to the slope in accordance with the precipitation is turned out fast when the inclination of the slope is gentle; according to the result of the Lumbs suggested formula, the actual speed of seepage is faster than the theoretical speed. The shear strength within the slope is decreased as the precipitation strength increases, and since it shows the minimum value at the inclination of the slope in 1:1.5, it can be said that the shear strength declines due to the' increase of the pore water pressure within the slope. Also the slope consisting of SP is faster in the seepage compared to that of SM: and the likelihood of the slope failure is a lot bigger as the shear strength greatly declines with the much increase of the pore water pressure.

민항기 소음 예측을 위한 데이터베이스구축에 관한 고찰

송혁,송민정,최형욱,김선우 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1

The prediction of aircraft noise is based on the database of airplane's noise characteristics such as take-off and landing style etc. In this study, to predict the airplane flight noise, airplane which is being used for passengers and cargos currently are surveyed. The airplanes were divided into types and the noise characteristics of take off, flight at constant speed and landing were analyzed to establish database for prediction of aircraft noise. And the result of this study should be connected with GIS(Geographic Information System) to measure the area which is affected by aircraft noise.

일개 대학병원근무자들에서의 인플루엔자 예방 접종 순응도 관련요인

정희진,손장욱,최선주,엄중식,우흥정,천병철,김우주,박승철 대한감염학회 2004 감염과 화학요법 Vol.36 No.4

목적 : 병원근무자에서의 인플루엔자 예방 접종은 병원내에서 인플루엔자 전파를 막기위한 수단으로 적극 권장되고 있으나 매년 인플루엔자 백신을 접종하는 병원근무자들은 소수에 지나지 않는다. 본 연구는 병원근무자들에서의 인플루엔자 예방 접종률을 향상시키기 위한 목적으로 첫째, 백신 접종자에서의 인플루엔자 백신 접종 계기를 알아보고 둘째, 인플루엔자 백신접종의 장애요인을 분석하여 그 문제점을 해결하는데에 목표가 있다. 재료 및 방법 : 서울 1개 대학병원의 병원종사자들을 대상으로 1999년 10월 1개월에 걸쳐 인플루엔자 예방 접종을 하도록 한 후 2000년 3월에 접종군과 비접종군을 대상으로 구조화된 설문지를 이용한 설문조사를 실시하였다. 백신 접종군을 대상으로 백신접종의 동기(que to action), 비접종군을 대상으로는 접종에의 장애요인(barrier) 등을 조사하였다. 이 외에도 양군을 대상으로 인플루엔자에 대한 지식 척도, 인플루엔자 백신으로 기대되는 효과(benefit)등에 대한 설문조사를 시행한 후 정답률을 조사하였다. 결과 : 1) 설문 조사에 응한 총 수는 309명으로 간호사가 60% 이상이었다. 백신접종군은 평균연령, 평균 근무연수가 비접정군에 비하여 유의하게 길었으나 성별, 직종별 분포는 양 군간 차이가 없었다. 2) 인플루엔자 예방 접종의 필요성에 대한 지식정도에 있어 접종군의 934%가 그 필요성을 잘 인식하여 비접종군의 779%보다 유의하게 높았으나 예방 접종이 필요한 구체적 이유에 대한 정확한 이해는 접종군 113%, 비접종군 119%에 불과하였다. 3) 인플루엔자 예방 접종을 받은 의료인들의 행동계기는 ‘감염관리실의 홍보’와 ‘주위사람들의 권유’에 의한 경우가 26.9%, 21.6%로 가장 많았고 본인이나 가족, 친구들을 통한 일종의 감지된 위협 때문에 접종한 경우 31명(186%)의 순이었다. 4) 비접종자들에서 예방 접종을 시행치 않은 가장 흔한 이유는 ‘업무에 바쁘고 시간이 없어서’라는 항목이었으며(37.3%) 특히 의사 집단에서는 이러한 이유가 68.8%로서 압도적으로 많았다. 간호사나 기타 직종에 종사하는 직원들의 경우는 자신의 건강에 대한 확신이 30%내외에 달하였고 예방 접종 자체의 효과에 의문을 갖는 경우도 직종에 따라 6.3-29.7%에 달하였다. 결론 : 병원근무자에서 인플루엔자 예방 접종률을 향상시키기 위해서는 백신 접종의 장애물(효과의 의문, 부작용)을 효과적으로 제거하고 인플루엔자 백신의 필요성과 효과를 인식시키기 위한 교육과 함께 시간, 공간상의 제약을 배제할 수 있는 접근성의 문제를 해결하여야 할 것으로 사료된다. Background : In spite of yearly recalls, influenza immunization rate among healthcare workers (HCWs) remained low in Korea University Guro Hospital. This study was conducted to identify the causes of non-compliance against influenza immunization and to analyze the barrier factors for the immunization. Materials & Methods : Questionnaires were distributed in March of 2000 at Korea University Guro Hospital. We evaluated factors associated with acceptance of influenza vaccination and opinions regarding influenza prevention (knowledge about influenza vaccination efficacy, que to action in vaccinee, perceptible benefit, barrier to vaccination). Results : 309 completed questionnaires from HCWs were returned. Mean age and mean duration of work in hospital were higher and longer among vaccinee than non-vaccinee. Even though the necessity of influenza vaccination among HCWs were accepted well in vaccinee compared to nonvaccinee, the accurate reasons for vaccination were not quite understood among HCWs regardless of compliance. Vaccine campaign (30.8%) and advise from doctors (24.7%) were important for the promotion of vaccination among vaccinee. However, major reason for non-compliance among nursing staff and was mis-confidence that their bodies' self defense mechanisms would ward off infection (33.5%) and 'too busy to get injection' for doctors (65%). Conclusion : We conclude that regular education about perceptible benefits and wrong concerns about influenza vaccination among HCW's and easy accessibility to vaccination were important determinants to improve the influenza vaccination. On-site availability of a vaccination-nurse also proved to be important.

만성질환자에서 인풀루엔자 예방 접종의 효능 분석 : 후향적 환자-대조군 연구

박승철,정희진,손장욱,최선주,엄중식,우흥정,천병철,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.4

목적: 인플루엔자는 예방접종을 통하여 효과적으로 예방이 가능한 대표적인 호흡기 감염질환이다. 미국이나 국내의 인플루엔자 예방접종 지침에서 고령인구(50세 또는 65세 이상)와 그 외의 만성질환자들을 인플루엔자 예방접종의 일차 대상자로 정하고 있다. 그러나 국내에서는 아직까지 만성질환자들에서의 인플루엔자 백신의 효능평가에 대한 연구결과가 없는 실정이며 국내에서의 만성질환의 분포가 외국의 그것과 일치하지 않기 때문에 본 연구에서는 국내 만성질환자들에서 인플루엔자 예방접종과 연관된 병원입원율의 차이를 비교해 보고자 하였다. 재료 및 방법 : 1999년 11월-2000년 3월(5개월간) 서울 소재 2개 대학병원에 입원한 만성질환자중 발열과 호흡기 증상이 있어 인플루엔자 또는 인플루엔자양 질환이 의심되거나 그로인한 만성질환의 악화로 추정되는 환자군과 이를 배제한 대조군을 중심으로 혈중 인플루엔자 항체가를 조사하였고 인플루엔자 백신접종력을 조사하였다. 결과의 해석은 로지스틱 회귀분석을 이용하였다. 결과 : 만성질환자를 대상으로한 환자 대조군 연구에서 2개 대학병원에서 1년간 조사한 결과 항체 검사에 기준하여 최종적으로 환자군 64명, 대조군 117명이 포함되었다. 환자군에서는 대부분이 호흡기질환(253%)과 심혈관계질환(313%)였던 반면에 대조군은 암(466%)이 가장 많았고 심혈관계질환과 호흡기계질환은 각각 134%, 60%로 낮았다. 또한 두군간에는 예방접종의 경력에서 통계적으로 유의한 차이를 보였으며 이때의 비차비(OR)은 0328로서 인플루엔자 예방접종의 입원 예방효능은 672%이었다. 결론 : 만성질환자, 특히 만성 심폐질환들에서의 인플루엔자 예방접종은 불필요한 입원을 줄이는 효과가 관찰되었다. 따라서 의료인들은 고위험군의 환자들에 대하여 인플루엔자 에방접종을 적극적으로 권장하고 실천하여야 하겠다. Background : Influenza is one of the preventable respiratory disease by annual vaccination. Elderly people and patients with chronic medical disease are the primary target for influenza vaccination according to ACIP (Advisory Committee on Immunization). This study was done to determine whether influenza vaccination affects hospitalization due to influenza like illness or it's related complications among chronic ill patients. Materials and methods : Retrospective, case-control study was conducted for 5 months (Nov. 1999-Mar. 2000). Physicians from two-university hospitals in Korea were instructed to collect clinical data, sera from subjects presenting with a flu-like illness or flu-related exacerbation in patients with chronic underlying diseases. We compared the vaccination history of case patients with control. Logistic regression analysis was used to calculate the odd ratio and efficacy of influenza vaccination. Results : Hospitalization due to ILI (influenza like illness) or it's related complications were observed more frequently in patients with chronic lung disease (25.3%) and chronic cardiac disease (31.3%) compared to others. Influenza vaccination resulted in fewer hospitalization with ILI or ILI-related acute exacerbation of underlying disease in chronic ill patients (adjusted odd ratio, 0.328 [CI, 0.14 to 0.73]) during influenza seasons. Conclusion : For patients with chronic disease, influenza vaccination is associated with substantial health benefit including fewer hospitalization. Health care providers should take advantage of all opportunities to immunize these high-risk patients.

타가메트정 400㎎에 대한 신일시메티딘정 400㎎의 생물학적동등성시험

윤미경,이병무,이성재,김선규,이재휘,최영욱 한국약제학회 2004 Journal of Pharmaceutical Investigation Vol.34 No.6

Cimetidine is a histamine H₂-receptor antagonist, used for the treatment of endoscopically or radiographically comfirmed duodenal ulcer. pathologic GI hypersecretory conditions. and active, benign and gastric ulcer. Simple method for determining cimetidine in human plasma has been developed and validated. The analytical procedure for cimetidine showed a linear relationship in the concentration ranges from 0.05 to 5 pg/ml. Coefficient of variance (CV, ° o) for intraday and interdav validation and relative error (RE. ° o) were less than ±150 o. Based on this analytical method. the bioequivalence of two cimetidine 400 mg tablets, reference (Tagamet 400 mg) and test drug (Sinil CIMETIDINE 400 mg) was evaluated according to the guidelines set by the Korea Food and Drug Administration (KFDA). Release of cimetidine from the tablets in vitro was tested using KP VIII Apparatus II with various dissolution media (pH 1.2. 4.0. 6.8 butter solutions and water). Twenty-four healthy volunteers. 21.38±1.86 years in age and 68.71±8.68 kg in bode weight, were divided into two groups and a randomized 2x2 cross-over study was performed. After oral administration of a tablet containing 400 mg of cimetidine. blood samples were taken at predetermined time intervals and concentrations of cimetidine in plasma were determined using HPLC equipped with UV detector. The dissolution profiles of the two tablet formulations were very similar at all dissolution media. In addition. pharmacokinetic parameters such as AUC, and C_(max) were calculated and ANOVA was employed for the statistical analysis of parameters. The results were revealed that the diterences in AUCf and Cma, between the two tablets were 4.17% and 0.97% respectively. At 90% confidence intervals. the differences in these parameters were also within ± 20° o. All of the above mentioned parameters have met the criteria of KFDA guidelines for bioequivalence, indicating that the test drug tablet (Sinil CIMETIDINE tablet) is bioequivalent to Tagamet 400 mg tablet.