가토에서 경정맥 이식을 이용한 요도결손 재건술

정재호,이상원,설정현,김효헌 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5

There are several methods for the reconstruction of partial urethral defect, including split-thickness skin graft, full-thickness skin graft, and preputial flap and free flap. Despite partial success using these methods, most results are unsatisfactory due to frequent complications such as postoperative infection, fistula formation, hair growth and stricture. There have been several pioneering experiments in this field using autogenous vein graft and the results have been controversial. However, the fact that the endothelial lining is replaced by natural urethral epithlium is generally accepted as a positive effect of this method. This experiment was designed to identify the possibility of using vein graft for the reconstruction of partial urethral defect. Two different types of vein graft method were performed in a total of 20 New Zealand White rabbits with partial urethral defect. Firth, for the patch-graft group, a 1×1 cm rectangular vein graft was sutured at a defective area of the same size. Second, for the tubed-graft group, a vein graft segment 1 cm long was replaced at a segmental urethral defect of the same length. Histologic study was performed at three and eight weeks postoperatively in each group. The process of transitional ell epithelial replacement within the grafted vein was uniformly observed in both experimental groups at three weeks postoperatively. At eight weeks postoperatively, the epithelial replacement was almost complete and histologically undistinguishable. In the retrograde urethrogram performed after 8 weeks, the urinary flow in the patch-graft group was normal and showed no stricture, and two of five rabbits in the tubed-graft group showed partial stricture at the graft site. In conclusion, natural urethral epithelium was restored in grafted venous segments irrespective of the type of graft. Partial stricture was observed in 40% of the tubed-graft group while complete reconstruction was possible in the patch-graft group.

IL-β의 인슐린 분비 자극효과와 그 과정에 관여하는 인자들

정인경,오승훈,강동묵,정재훈,민용기,이명식,이문규,김광원 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.24 No.4

연구배경: IL­1β는 용량과 노출시간에 따라 인슐린분비에 대해 상반되는 효과를 가지고 있다. IL­1β의 인슐린 분비 억제효과는 제1혁명 당뇨병의 자가면역 기전과 관련되어 잘 알려져 있으나 인슐린 자극효과에 대해서는 아직 명백히 밝혀지지 않았다. 이에 저자 등은 IL­1β의 다양한 농도에 따라 백서의 췌도세포에서 인슐린 분비에 미치는 영향을 살펴보고, 그 기전으로 인슐린 생합성, iNOS의 발현, 칼슘통로의 활성도 변화여부를 알아보고자 하였다. 방법:200∼300g인 수컷 Sprague­Dawley 백서의 췌도를 변형된 Lacy&Kostianovsky's 방법으로 분리한 후 IL­1β의 다양한 농도(0, 0.5, 5, 50, 500pmol/L)에 2, 6, 24시간 노출시켜 췌도세포의 형태, 생존능을 관찰하고 인슐린 분비능 및 췌도세포내 인슐린 함량을 측정하였으며, 전전구 인슐린 mRNA발현, iNOS mRNA발현을 RT­PCR을 통해 확인하였고, 세포의 칼슘 통로 활성도 변화 여부를 측정하였다. 결과:1) IL­1β에 노출되 췌도의 생존능:2시간 노출시는 대조군과 차이가 없었으나, 6시간 고농도군과 24시간 모든 군에서 생존능이 감소되었다. 2)인슐린 분비능은 IL­1β를 2시간 5poml/L이상의 고농도와 6시간 0.5pmol/L 저농도 처리시 대조군에 비해 의미있게 증가하였으나, 6시간과 24시간 5poml/L이상의 고농도에서는 의미있게 인슐린의 분비가 억제 되었다. 3)췌도내 인슐린양의 변화는 IL­1β의 시간과 농도에 따라 배지내의 인슐린 변화와 비슷한 경향을 보였으나 통계학적으로 의미있는 차이는 없었다. 4)전전구인슐린의 mRNA발현은 2시간 50pmol/L이상 고농도의 IL­1β에서 의미있게 증가하였고, 6시간 처리군에서는 의미있는 차이는 없었으나, 24시간에서 IL­1β의 용량의존적으로 억제되었다. 5)iNOS mRNA는 IL­1β 처리 후 2시간부터 발현되기 시작하여, 6시간에 최고에 달한 후 24시간에는 점차 감소하였다. IL­1β의 처리시간과 무관하게 5poml/L이상의 고농도에서 용량에 따라 발현이 증가하였다. 6)칼슘통로 활성도는 IL­1β의 농도나 시간에 따라 유의한 차이가 없었다. 결론: IL­1β는 단시간 고용량이나 장기간 저용량에서 인슐린 분비와 생합성을 증가시키며, 이런 효과는 iNOS나 칼슘 통로 활성도 변화와는 무관한 것으로 생각된다. Background : The inhibitory effort of IL-1β on the insulin secretion has been validated in pathogenesis of type 1 diabetes, but complex results about the stimulatory effect of IL-1β have been reported. The aims of this study are to clarify the effects of IL-1βon insulin secretion of pancreatic islets and to investigate the mechanisms in terms of preproinsulin synthesis, inducible NOS expression, and calcium channel activity. Method : Islets were isolated from male Sprague-Dawley (SD) rat by modified Lacy-Kostianovsky's method. After islets were treated with different concentrations (0, 0.5, 5, 50, 500 pmol/L) and exposure time (2, 6, 24 hours) of IL-1β, morphology, viability, static stimulation of insulin to glucose, insulin content, preproinsulin mRNA expression, iNOS mRNA expression and calcium channel activity were measured. Results : 1) Viability o islets was reduced in high concentrations of long term exposure of IL-1β. 2) Insulin secretion was stimulated in islets treated with 5, 50, and 500 pmol/L of IL-1β for 2 hours. 3) Insulin content was not significantly different regardless of concentration and exposure time of IL-1β. 4) Preproinsulin mRNA expression increased in islets treated with 50, 500 pmol/L of IL-1β for 2 hours. After 24 hours, it decreased in dose dependent manner. 5) iNOS mRNA expression was detectable after 2 hours in the presence of IL-1β, peaks at 6 hour and decreased after 24 hours. It was increased above 5 pmol/L of IL-1β in dose dependent manner. 6) Activities of the voltage-dependent Ca^2+ channels were not different among groups. Conclusion : IL-1β plays a positive role in terms of insulin secretion and insulin synthesis in high concentration of short term or low concentration of long term. These effects of IL-1β might be neither dependent of iNOS pathway nor Ca^2+ channel activity (J Kor Diabetes Asso 431~443, 2000).

곤충 알레르기

정재원 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

곤충에 의한 알레르기는 원인이 되는 곤충의 종류 및 침입 경로에 따라 쏘는 곤충 알레르기(stining insect allergy), 무는 곤충 알레르기(biting insect allergy), 흡입성 곤충 알레르기(inhalant insect allergy) 등으로 구분된다. 이 중 벌독 알레르기는 쏘는 곤충 알레르기의 대표적인 질환이다. 우리나라에서도 2.4-5.8% 정도로 흔한 질환임을 알 수 있다. 대부분 경미한 전신성 두드러기나 맥관부종이 대부분을 차지하나, 일부에서는 의식소실이나 아나필락시스와 같은 생명이 위독한 전신성 알레르기 반응이 나타날 수 있다. 진단은 자세한 병력 청취와 벌독을 이용한 피부반응 검사, 특이 항체 검사(RAST) 등을 통해 이루어지며, 치료로는 환자 자신이 원인이 되는 곤충에 쏘이지 않도록 주의하는 회피요법과 함께 위중한 반응이 나타났을 때 스스로 에피네프린을 주사할 수 있도록 하는 자가 접종법 교육, 벌독 추출액을 이용한 면역요법 등이 있다.

성인 급성 부고환염에서 Nested PCR에 의한 Chlamydia trachomatis의 검출

정원일,우승효,이형래,이상철,김용태,김원재 충북대학교 의학연구소 2000 忠北醫大學術誌 Vol.10 No.2

연구목적 : 성교가능 성인남자의 급성 부고환염에서 Chlamydia trachomatis가 차지하는 빈도를 Nested PCR을 통해 검출하여 보고자 하였다. 대상 및 방법 : 1996년 9월부터 1999년 2월까지 본 충북대학교 병원 비뇨기과 외래 및 응급실을 내원하여 급성 부고환염으로 진단된 환자 중 성교가능 성인남자 28명을 대상으로 하여 환자로부터 얻은 뇨검체로 일반 미생물 배양검사, 그람염색검사 및 Chlamydia PCR을 시행하였다. 결과 : 급성 부고환염으로 진단된 28명의 평균 연령은 30.9±12.4세 였으며 총 28명중 17명 (60.7%)에서 Nested PCR 검사에 양성으로 나타났으며 연령별로는 20대가 10명중 7명(70%)으로 가장 높은 양성율을 보였다. 그람염색도말 결과 28명중에서 6명(21%)이 비임균성 요도염에 양성을 나타냈으며 또한 일반 미생물 배양 검사 결과 2명에서 균이 자랐는데, 각각 S. epididermidis와 E. coli였다. 결론 : PCR을 통한 Chlamydia trachomatis의 검출이 지금까지 행해진 다른 검사 방법들에 비해 월등하게 민감도가 높으며 성접촉이 가능한 연령의 성인 남자가 급성 부고환염 증세로 내원시 기본적으로 PCR을 통한 Chlamydia trachomatis 검출 검사를 시행하여 적절한 치료가 이루어지는 것이 중요할 것이다. Purpose : We studied the incidence of Chlamydial epididymitis in sexually active male with acute epididymitis by the Nested polymerase chain reaction( PCR ). Materials and Methods: Urine specimens, collected from 28 patients that was 30.9±12.4 years old and presented with acute epididymitis, were tested for the presence of Chlamydia trachomatis by the Nested PCR and for other bacteria by the urine gram stain and culture. Results: Out of total 28 patients, 17 patients(60.7% ) showed positive for Chlamydia trachomatis by the Nested PCR. In thirtieth decade, 7 of 10 patients(70%) showed positive, revealed the highest incidence. 6 patients(21%) showed positive for other bacteria by the urine culture. Conclusion: Detection rate of Chlamydia trachomatis by the Nested PCR was higher than other current diagnostic technique. For the high incidence of Chlamydial epididymitis, all men with acute epididymitis should undergo Chlamydia trachomatis evaluation for adequate treatement of this infection.

T-SCAN을 이용한 교정치료후의 교합접촉 변화에 관한 연구

정기훈,김재덕,김광원 대한치과교정학회 1995 대한치과교정학회지 Vol.25 No.3

본 연구는 교정치료가 끝난 26명의 환자에서 T-Scan을 이용하여 교정치료직후와 3개월후에 교합접촉의 변화를 구하여 시간의 경과에 따른 총접촉수의 변화와 전치부접촉수의 변화, 구치부 접촉수의 변화 및 총접촉되는 치아수와 전치부와 구치부의 접촉되는 치아수의 변화를 비교분석한 바 다음의 결론을 얻었다. 1. 평균적인 총접촉수의 변화는 교정치료 종료시 11.27개에서 3개월후 13.15개로 증가하였는데, 통계학적으로 유의한 차이를 보였다(p<0.05). 2. 전치부 접촉수에 있어서는 변화가 없었다. 3. 구치부 접촉수의 변화는 통계학적 유의성이 있었다(p<0.01). 총접촉수의 변화는 구치부 접촉수의 변화에 기인하였다. 4. 총접촉치아수에 있어 변화는 통계학적 유의성이 있었다(p<0.05). 5. 전치부의 접촉치아수는 약간 증가하기는 하였으나, 유의한 차이를 보이지 않았다(p>0.05). 6. 구치부 접촉치아수의 변화는 통계학적으로 유의성을 보였다(p<0.05). 7. 초기 치아접촉수와 시간의 경과에 따른 접촉수의 변화량은 약한 역상관관계를 보였는데, 이는 초기 접촉수가 적을수록 보다 많은 접촉수의 증가가 있었다는 것을 보인다(r=-0.38, p<0.05). This study was undertaken to investigate the changes of tooth contacts following orthodontic treatment, using T-Scan system. Occlusal contacts in maximum intercuspation were examined in 26 patients at the end of the active phase of orthodontic treatment and again 3 months into the retention phase to assess the initial posttreatment occlusal changes. The obtained results of this study were as follows : 1. The mean total number of contacts increased from 11.27 at the end of orthodontic to 13.15 at the follow up visit, which was found to be statistically significant (p<0.05). 2. The change of number of contacts on anterior teeth was unchanged. 3. The change of number of contacts on posterior teeth was found to be statistically significnat (p<0.01). 4. The change of total number of teeth in contact was significant (p<0.05). 5. The number of ant. teeth in contact was slightly increased, but Which was not found to be statistically significant(p>0.05). 6. The number of post. teeth in contact significantly increased, which was statistically significant (p<0.05). 7. A statistically significant relationship was found between the total number of contacts at the end of treatment and the change in the contacts over time. The fewer the number of tooth contact was at the end of orthodontic treatment, the greater number of tooth contact increased over time(r=-0.38, p<0.05).

제2형 당뇨병 환자에서 Voglibose와 Acarbose의 비교임상연구

정인경,정재훈,민용기,이명식,이문규,김광원,정윤이,박중열,홍성관,이기업 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.26 No.2

연구배경:아카보스와 보글리보스는 ­glucosidase inhibitors로써 비록 약리학적 작용이나 부작용에 있어서 두 약물간에 차이가 있다는 것은 잘 알려져 있으나 당뇨병 환자를 대상으로 아직 이에 대한 두 약물간에 직접적인 비교에 대해 연구된 바는 없었다. 이에 저자등은 국내 2형 당뇨병 환자에 대해 유효성과 부작용 발현에 대해 두 약제를 비교하고자 무작위법에 의한 위약 대조군의 이중 맹검법 연구를 시행하였다. 방법:시험 약제 투여 4주간의 관찰기를 설정하여 공복혈당의 변화가 30㎎/dL 이하이고, 식후 혈당이 200㎎/dL 이상인 환자로 기타 제외 기준에 해당하지 않은 환자 53명을 대상으로 하여 보글리보스 군(24명)과 아카보스 군(29명)으로 무작위로 나누었다. 치료기간은 총 8주로 하였으며, 4주간 간격으로 혈청학적 검사와 부작용을 분석하여 치료 효과가 부작용을 평가하였다. 결과:1)혈당 변화:보글리보스군은 식후 1시간 혈당이 치료 후 4주, 8주째 의미 있게 감소하였도, 아카보스군은 식후 1시간과 2시간 혈당이 치료 후 4주, 8주째 의미있게 감소하였다. 또한 관찰기 혈당에 대한 치료 4주째 감소량은 아카보스군에서 더 큰 경향을 보였으나, 치료 8주째에는 두 군 간의 강하정도에 의미있는 차이가 없었다(p=0.569). 2)인슐린 치의 변화:보글리스 군은 식후 1시간 인슐린 치가 치료 전에 비해 치료 4주, 8주째 감소하는 경향을 보였고, 공복 인슐린이나 식후 2시간 인슐린치는 치료전 후에 의미 있는 차이가 없었다. 아카보스군에서는 치료 전후로 공복 인슐린, 식후 1시간과 2시간 인슐린치에 의미 있는 차이를 보이지 않았다. 두약제 간에 치료 전과 치료 8주사이의 식후 2시간 인슐린의 감소량이 보글리보스 군에서 의미있게 높았다(p=0.040). 3)당화혈색소:보글리보스 군은 치료 전에 비해 치료후 당화혈색소가 감소하는 경향을 보였고, 아카보스군은 치료 전에 비해 의미있게 감소하였다. 당화혈색소 변화량은 두 군간에 의미 있는 차이는 없었다(p=0.412). 4)지질대사의 변화:중성지방, 콜레스테롤, 고밀도 진단백 콜레스테롤에 대해 두 군간에 의미 있는 차이는 없었다. 5)부작용:소화기계 부작용의 빈도는 치료 4주째 보글리보스 군에서 의미 있게 낮았으나(p=0.028), 치료 8주째 부작용의 빈도는 두 군간에 의미 있는 차이가 없었다(p=0.215). 결론:2형 당뇨병 환자에서 보글리보스와 아카보스의 두 약제의 임상적 유효성과 부작용발현에 대해 비교한 결과 치료 후 8 주 후 혈당강화효과는 두 약제간에 유사한 효과를 보였으나 보글리보스군에서 4주째의 초기 위장관 부작용이 적었다. Background : Acarbose and voglibose are alpha-glucosidase inhibitors. Although different pharmacological effects and adverse abdominal events associated with the two drugs have been reported, no study directly compared acarbose and voglibose in diabetes has been undertaken. To compare the pharmacological effects and gastrointestinal adverse events between two drugs, a randomized, placebo-controlled, double-bind study was performed in type 2 diabetes patients. Methods : The period of study was 12 weeks(observation period: 4 weeks; treatment period: 8 weeks). Fifty-three patients were randomized into two groups(the acarbose group: 24 patients; the voglibose group: 29 patients). The serum glucose, insulin, fructosamine, HbA_1c, cholesterol, triglyceride and the incidence of adverse events were measured. Results : 1) The reduction of glucose from before treatment to 4 weeks after treatment was significantly higher in the acarbose group, but the change before treatment and 8 weeks after treatment in the two groups was similar(p=0.569). 2) The insulin significantly decreased after voglibose treatment(p=0.040). 3) HbAa_1c level tended to decrease in voglibose group, and there was a significant decrease after acarbose treatment. However, the change in HbA_1c level before and after treatment was similar between the two groups(p=0.412). 4) The two drugs did not cause any other changes in the total, HDL-cholesterol and triglyceride. 5) The number of patients with gastrointestinal adverse events was significantly low 4 weeks after voglibose treatment (p=0.049), but the incidence in the two groups was similar after 8 weeks(p=0.215). Conclusions : Acarbose and voglibose significantly improved postprandial hyperglycemia in diabetes. The incidence of gastrointestinal adverse events was low 4 weeks after voglibose treatment(J Kor Diabetes 26:134~145, 2002).

동진강 유역의 농업활동에 의한 수질변화와 실측부하량

원찬희,정팔진,김민정,현미희,박정훈,송재환 전북대학교 공학연구원 ( 구 전북대학교 공업기술연구소 ) 2002 工學硏究 Vol.33 No.-

The entire duration of the research work was from December-2000 to July-2002. Site measurement were conducted during various season, in a dry season(December), in rainfall, in seed-sowing time and also collecting data from the rural public organizations related to water management was done and examined during the mid of research work. Generally, the Dong Jin River watershed contains small three Creeks, KoBu, DongJin(including JeongEup and ChilBo, WonPyong). It was further divided into 32 sub-watersheds which comprises of further 5, 18, 9 watersheds in the creeks respectively. Inflow loading to the river was calculated from measurement of general water quality and quantity and these field surveys were made thrice times in agricultural drainage channels, where fertilizers and pesticides leaching from the surface have an direct effect for the deterioration of the several creek and river. Estimation of contaminant loading has been done by using unit loading based on the notification No. 1999 - 143 of the Ministry of Environment. Most of estimated loading data reported during the research work were slightly higher when compared with the notification of the Ministry but they do not have any significant effect. It was assumed that sub-watersheds have considerable field survey loading data, which were affected due to non-point source pollution load as compared to point source. For investigation of surface rainfall ranging from .50㎜ during non-farming or .10 rainfall on the period of farming, BOD loadings in the field during farming showed slightly higher levels in comparison with discharge loadings, T-N also showed the similar trend as discussed earlier.

Bovine botulism outbreak associated with incidental consumption of presumably contaminated leftover food

( Jae Won Byun ),( Kyung Hyun Lee ),( Ha Young Kim ),( Soon Seek Yoon ),( Ji Youl Jung1 ),( Woo Seog Jeong1 ),( Jae Ku Oem ),( Jong Soo Lim ),( Myoung Heon Lee ),( You Chan Bae ) 한국예방수의학회(구 한국수의공중보건학회) 2013 예방수의학회지 Vol.37 No.1

Nine cattle among 18 in a native Korean herd died or were euthanized within 3 days. The affected cattle showed cowshed. The pigs and dogs had been fed leftover food originating from nearby restaurants, and the cattle could presumably reach the contaminated food in the pig troughs. Necropsy revealed a few chicken bones and red pepper pieces as well as large amounts of grain and rice straw hay mixed in the rumen. Botulism type D was isolated in the ruminal contents of one of the cattle. We speculated that the outbreak was associated with the cattle incidentally eating presumably contaminated leftover food from the pig trough.

3차원 전산화단층촬영 영상을 이용한 얼굴 연조직 두께 계측

정호걸,김기덕,한승호,신동원,허경석,이제범,박혁,박창서 대한구강악안면방사선학회 2006 Imaging Science in Dentistry Vol.37 No.1

Purpose : To evaluate accuracy and reliability of program to measure facial soft tissue thickness using 3D computed tomographic images by comparing with direct measurement. Materials and Methods : One cadaver was scanned with a Helical CT with 3 mm slice thickness and 3 mm/sec table speed. The acquired data was reconstructed with 1.5 mm reconstruction interval and the images were transferred to a personal computer. The facial soft tissue thickness were measured using a program developed newly in 3D image. For direct measurement, the cadaver was cut with a bone cutter and then a ruler was placed above the cut side, The procedure was followed by taking pictures of the facial soft tissues with a high-resolution digital camera. Then the measurements were done in the photographic images and repeated for ten times. A repeated measure analysis of variance was adopted to compare and analyze the measurements resulting from the two different methods. Comparison according to the areas was analyzed by Mann-Whitney test. Results : There were no statistically significant differences between the direct measurements and those using the 3D images (p>0.05). There were statistical differences in the measurements on 17 points but all the points except 2 points showed a mean difference of 0.5 mm or less. Conclusion : The developed software program to measure the facial soft tissue thickness using 3D images was so accurate that it allows to measure facial soft tissues thickness more easily in forensic science and anthropology. (Korean J Oral Maxillofac Radiol 2006; 36 : 49-54)

민감도 분석을 이용한 필릿용접용 용접변수 선정에 관한 연구

정재원,김일수,김학형,손성우,김인주,전광석 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

Arc welding process is one of the most important technologies to join metal plates. Robotic welding offers the reduced manufacturing cost sought, but its widespread use demands a means of sensing and correcting for inaccuracies in the part, the fixturing, and the robot. A number of problems that need to be addressed in robotic arc welding processes include sensing, joint tracking, and lack of adequate mathematical models for parameter prediction and quality control, Problems with parameter settings and quality control occur frequently in the GMA(Gas Metal Arc) welding process because of the large number of interactive parameters that must be set and accurately controlled. The objectives of this paper are to realize the mapping characteristics of bead width using a sensitivity analysis and develop the neural network and multiple regression method, and finally select the most accurate model in order to control the weld qua1ity(bead width) for fillet welding. The experimental results show that the proposed neural network estimator can predict bead width with reasonable accuracy, and guarantee the uniform weld quality.