Effects of Phenytoin and Diazepam on the Seizure Activity in the Cortical Dysplasia Animal Models

Kim, Si-Hyung,Choi, In-Sun,Cho, Jin-Hwa,Park, Eun-Ju,Jang, Il-Sung,Choi, Byung-Ju,Kim, Hyun-Jung,Kim, Young-Jin,Nam, Soon-Hyeun The Korean Academy of Oral Biology 2006 International Journal of Oral Biology Vol.31 No.2

Dysplasia-associated seizure disorders are markedly resistant to pharmacological intervention. Relatively little research has been conducted studying the effects of antiepileptic drugs(AEDs) on seizure activity in a rat model of dysplasia. We have used rats exposed to methylazoxymethanol acetate(MAM) in utero, an animal model featuring nodular heterotopia, to investigate the effects of AEDs in the dysplastic brain. Pilocarpine was used to induce acute seizure in MAM-exposed and age-matched vehicle-injucted control animals. Field potential recordings were used to monitor amplitude and numbers population spikes, and paired pulse inhibition in response to stimulation of commissural pathway. Two commonly used AEDs were tested: diazepam 5, 2.5mg/kg;phenytoin 40, 60mg/kg. Diazepam(DZP) and phenytoin(PHT) reduced the amplitude of population spike in control and MAM-exposed rats. However, the amplitude of population spike was nearly eliminated in control rats as compared to the MAM-exposed rats. Pharmaco-resistance was tested by measuring seizure latencies in awake rats after pilocarpine administration(320mg/kg, i.p.) with and without pretreatment with AEDs. Pre-treatment with PHT 60 mg prolonged seizure latency in control rats, but not in MAM-exposed animals. The main findings of this study are that acute seizures initiated in MAM-exposed rats are relatively resistant to standard AEDs assessed in vivo. These data suggest that animal model with cortical dysplasia can be used to screen the effects of potential AEDs.

핀의 최적 설계를 위한 구조화 표본추출 적용 연구

박홍준,김정호,전형주 순천대학교 2000 순천대학교 자연과학논문집 Vol.19 No.1

The Taguchi method by orthogonal array, one of the structured sampling methods, has many advantages which are row cost and time saving for experiments and researches. But this method has applied limited area especially about mechanical problems. So, we experimented whether the structured sampling is useful to apply optimal design of mechanical elements. First, we made a mechanical problem to determine optimal parameters of a pin with a hole. The second, we calculated combination of optimal parameters by simulation. At the same time, we seeked optimal combination by structured sampling using orthogonal array and ANOVA(Analysis of Variance). The last, we compared these two results. The experimental result have shown that the structured sampling method seeked optimal parameters exactly. So, we see some possibility in this application.

하악 전돌증 환자의 구내 하악골 상행지 골절단술전후의 하악골 운동양상 및 저작근 근전도 변화에 관한 연

박영철,황충주,유형석,한희경 대한치과교정학회 1997 대한치과교정학회지 Vol.27 No.2

악구강계는 측두하악관절, 근육신경계, 치아, 그리고 지지조직의 복합적 구성체로 되어있어 다양한 구조를 이루고 있으며, 밀접한 생리적 관계를 유지하고 있다. 특히 하악은 저작근을 포함한 여러 근육을 운동원으로 하여 각종 기능을 수행하고 있으며, 이들 근기능의 활성도는 치근막을 비롯한 악관절과 근육 등의 여가 가지 형태의 수용기를 거쳐 말초 신경계와 중추신경계의 복잡한 경로와 기전에 의해서 조절되어지는데, 교정치료, 특히 교정을 동반한 악교정 수술시에는 이러한 악구강계의 변화와 구강내 여러감각 수용기의 변화, 근활성도의 변화가 심하게 나타나며, 이는 하악골의 기능변화를 초래하게 된다. 이에 저자는 최근 급증하는 악교정수술환자의 하악골 근육의 생리적 활성도나 하악골의 운동변화를 분석하여 보다 r객관적인 술전 및 술후의 평가기준을 제시하고자, Biopak을 이용하여 정상교합자와 하악전돌증을 주소로 내원하여 악교정수술을 시행받은 골격성 III급 부정교합자의 하악기능 양상을 총괄적으로 비교분석하여 다음과 같은 결과를 얻었다. 1. 각 군간의 근활성도 비교시 resting시에는 술전군이 정상군에 비해 더 큰 근활성도를 나타내었고, 수술후 그 측정치가 점차 감소함을 볼 수 있었다. clenching시에는 술전군의 교근과 전측두근의 근활성도가 정상군에 비해 더 감소되어 있었고 수술후 다시 증가하여 수술전과 술후 6개월군 사이에 통계적 유의차가 관찰되었다. 2. 각 근육 활성도 간의 비교시 resting시에는 전측두근의 활성도가 나머지 근육에 비해 다소 증가된 양상을 보였으나 통계적 유의차는 없었고, clenching시네는 모든 group에서 전측두근과 교근의 활성도가, swallowing시에는 악이복근의 활성도가 통계적 유의차를 보이며 크게 나타났다. 3. 하악운동범위의 비교시 전반적으로 술저군에서 제한된 운동 범위를 나타내었으며 최대개구량은 술후 6개월에, 전방 운동량은 술후 3개월에 유의성 있는 증가를 보였다. Stomatognathic system is a complex one that is composed of TMJ, neuromuscular system, teeth and connective tissue, and all its components are doing their parts to maintain their physiological relationships. Mandible, in particular, performs various functions such as mastication, speech, and deglutition; the muscular activities that determine such functions are signalled by numerous types of proprioceptors that exist in periodontal membrane, TMJ, and muscles to be controlled by complicated pathways and mechanics of peripheral and central nervous system. Orthodontic treatment, especially when accompanied by orthognathic surgery, brings dramatic changes of stomatognathic system such as intraoral proprioceptors and muscle activities and thus, changes in patterns of mandibular function result. The author tried to analyze changes in patterns of mandibular movement and physiologic activities of surrounding muscles in Skeletal Class III orthognathic surgery patients who presently show a great increase in numbers. The purpose of this study was to draw some objective guidelines in evaluation functional aspects of orthognathic surgery patients. Mandibular functional analysis using Biopak was performed for skeletal Class III prognathic patients who underwent IVRO(Intraoral Vertical Ramus Osteotmy), and the following results were obtained: 1. Resting EMG was greater in pre-surgical group than the control group, and it showed gradual decrease after the surgery. Clenching EMG of masseter and anterior temporalis of pre-surgical group was smaller than those of control group; they also increased post-surgically, and significant difference was found between pre-surgical and post-surgical(6 months) groups. 2. Resting EMG of anterior temporalis was greater than that of all the other muscles, but there was no significant difference. Clenching EMG of anterior temporalis and masseter were greater than those of the other muscles with statistical difference. In swallowing, digastric muscle showed the highest EMG with statistical significance. 3. Limited range of mandibular movement was shown in pre-surgical group. Significant increase in maximum mouth opening was observed six months post-surgically, and significant increase in protrusive movement was observed three months post-surgically.

Anti-idiotypic 항체가 Hybridoma 세포의 Anti-DNA 항체 합성을 조절하는 기전

박선,박정수,김형일,주민경,장영주,윤정구,김영태 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

The regulatory mechanism of anti-idiotypic antibody(anti-id Ab) in the immune response is not fully understood. It has been reported that anti-id Ab suppresses Ab production of lymphocytes or hybridoma cells in vitro, but it does not affect the proliferation of cells or Ab secretion. We investigated whether or not polyclonal anti-id Ab regulates the production of anti-DNA Ab(lgG2a) in hybridoma cells. In addition, the effects of anti-id Ab on the proliferation of cells and on the transcription levels of lg genes were studied to elucidate the cellular and molecular mechanisms for regulation of anti-DNA Ab production in hybridoma cells. The treatment of hybridoma cells with anti-id Ab resulted in an increase in the number of cells producing anti-DNA Ab. However, there was no significant difference in the proliferation rate and mRNA levels of Ig genes between hybridoma cells treated with anti-id Ab, and those treated with normal rabbit serum. These results and our previous data suggest that the number of hybridoma cells producing anti-DNA Ab by anti-id Ab is not directly related with the rate of proliferation of the cells. Furthermore, it appears that the number of hybridoma cells producing IgG class anti-DNA Ab is increased by anti-id Ab, whereas the number of hybridoma cells producing IgM class anti-DNA Ab is down-regulated by anti-id Ab.

2급 치근 이개부 병소의 치료에 있어 치관 변위 판막술과 Gore-Tex membrane.을 이용한 조직유도 재생술의 치유효과에 관한 비교 연구

박주용,임성빈,정진형 단국대학교 치의학연구소 1993 논문집 Vol.5 No.-

The ultimate goal of periodontal therapy is regeneration and functional reconstruction the loss of periodontal structure. Used techniques for treatment of grade Ⅱ furcation involvement include periodontal surgery and coronally positioned flaps and Gore-Tex menbrane. To prevent the apical migration of epithelial cells and connective tissue cell the technique of guided tissue regeneration derived the periodontal ligament cell is used. The aim of this study is to histological comparative evaluate the effects of coronally positioned flaps and Gore-Tex membrane. Guided tissue regeneration used treatment of grade Ⅱ furcation involvement. Experimental periodontitis were created in maxillary, mandibulary, left. 3,4 premolar furcation area of healthy adult mongolian dogs with bone removal and ligation of orthodontic ligature wire for six weeks. The experiment was performed divided by 2 groups 1) flap operation ( control group ) 2) flap operation with Gore-Tex membrane ( experiment Ⅰ) 3) flap operation with coronally positioned flaps ( experiment Ⅱ ) Thereafter, dogs were serially sacrificed at the 1,2,4,8 and 16 weeks, and the specimens were prepared, and stained with hematoxylin-eosin stain for the light microscopic evaluation. The results of this study were as follows : 1. In all groups, the aspects of the inflammatory cell infiltration observed for 8 weeks. 2. In the control groups, bone and fibrotic attachment observed, especially new alveolar bone formation increased at 4 weeks. 3. Junctional epithelium of experimental group prevented the apical proliferation, but new alveolar bone formation is not clear. 4. In the coronally positioned flaps, apical migration of junctional epithelium did not found, but fibrotic attachment and new alveolar bone, new cementum formation. 5. Continued, the inflammatory cell infiltration for 8 weeks coronally positioned flaps is better results than Gore-Tex membrane.

충주 지역에서 10년간 급성심근경색의 임상관찰에 대한 연구

박봉안,류하근,이종혁,김인숙,류주성,유재등,이용구,문언수,김형수 건국대학교 의과학연구소 2001 건국의과학학술지 Vol.11 No.-

Background: The current treatments of acute myocardial infarct(AMI) Include noninvasive method using thrombolytics and invasive methods such as primary percutaneous transluminal coronary angioplasty(PTCA) and coronary artery bypass graft(CABG)surgery. Although there are many studies comparing the effectiveness of noninvasive and invasive methods, when large clinical centers, 20% of totar hospitals, were excluded, most middle-sized hospitals lacked personnels and facilities for the invasive methods. Thus they opted for the noninvasive methods. Therefore, in this study, the clinical characteristics of AMI patients and the results of thrombolytic & conservative treatment were observed. Method: 137 patients with acute myocardial infarct, who visited KonKuk University Medical Center, ChoongJu Hospital during Sept. 1990 to Sept. 1999 were analysed retrospectively using medical records. Result: The sexual compositions of patients were 63.5% male, and 36.5% female. The mean age for male patients were 56±12.9, and for female patients 68.7±9.6 (p<0.05). The mean age for female patients was significantly older than male patients. The patients in the thrombolytic treatment group had mortality rate of 6.25% which is lower than that of the conservative treatment group at 12% (p>0.05). Conclusion: Although in our study, small number of acute myocardial infarct patients caused the statistical insignificance, rapid revascularization by thrombolytic therapy within 6 hours of onset of symptoms improved mortality rate and early ambulation. And we had good results on AMI with thrombolytic agent in ChungJu including near rural area as primary emergency hospital. Therefore a prospective research with greater number of subjects is needed to develop better treatments for AMI.

위암수술 환자에서의 cp 개발과 cp적용에 따른 질 향상 활동에 관한 연구

임은주,황순휘,박도중,하광일,배현주,김형호 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

Background : In an era of increasing medical costs, safe reduction in postoperative stay has become a major focus to optimize utilization of healthcare resources. The authors aimed to evaluate the clinical significance of the critical pathway(CP) for gastrectomy patients by implementing standardized postoperative management and electronic medical records. Method : From August 2006 to April 2007, critical pathways were introduced to inpatients and outpatients with gastric cancer. 60 consecutive patients undergoing distal gastrectomy were randomly divided into two groups; 30 CP group(A) and 30 non-CP group(B). Simultaneously, we also retrospectively reviewed the records of 438 patients(C:control group) who were able to be enrolled in CP program. We compared group(A) with (B), (C) in terms of hospital stay, complication rate, use of antibiotics and hospital costs. Patient satisfaction was surveyed by questionnaires. Result : There was no significant demographic difference between group(A) and (B). Of 30 patients in group(A), 5 drop-outs and 14 variances occurred. The mean postoperative hospital stays(Laparoscopy-assisted distal gastrectomy: LADG/Open distal gastrectomy: ODG) were 7.6/10.5 days for the group(A), 8.9/12.7 days for the group(B) and 12.6/14.5 days for the group(C) (p=0.02 in LADG). The total hospital cost of group(A) had a tendency to be less than that of group(B) and the amount of hospital cost per day in group(A) was significantly higher than that in group(B). The usage rates of the first generation antibiotics were 73.33%, 63.33%, and 59.2% in group(A), (B), and (C), respectively. Patients’ satisfaction had a tendency to be higher in the CP group than non-CP group. Conclusion : The mean hospital stay in LADG patients was shortened meaningfully and hospital cost per day was enlarged after introduction of clinical pathway. It is necessary to apply a number of patients to the critical pathway and to make an effort to reduce the variation and drop-out rates.

치아 우식증의 조기 진단을 위한 QLF-D 개발

박형주,김종수,유승훈,신지선 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

QLF-D system composed with DSLR(digital single-lens reflex) camera, and the images of natural enamel caries and artificial caries was developed from 2 days to 14 days captured by QLF-D system. The correlation between lesion depth of the polarized microscope and luminosity ratio of QLF-D image was analyzed and the results were summarized as follows: 1. The Pearson correlation value between the lesion depth of polarized microscope images and luminosity ratio of QLF-D images was 0.969(p<0.01). 2. From Regression analysis of lesion depth from polarized image by demineralized period, the equation was y = 8.67x - 1.16(p<0.05). 3. From Regression analysis of luminosity ratio from QLF-D image by demineralized period, the equation was y = 3.53x + 6.42(p<0.05). From the results, QLF-D system can detect the enamel caries at the very early stage and can monitor the progression of demineralization and remineralization. For the convenient use of QLF-D system in the laboratory, the image analysing software was needed to analyze of interest site of enamel caries lesion. 저자는 DSLR(digital single-lens reflex) 카메라를 이용한 QLF-D 시스템을 고안하여, 사람의 유구치에 자연 발생된 법 랑질 초기 우식증을 관찰하고, 유구치 법랑질 시편을 대상으로 2일부터 14일까지 인공 탈회시킨 후 탈회 기간에 따른 상관관 계를 편광 현미경 소견과 비교 분석한 결과 다음과 같은 결과를 얻었다. 1. 탈회 기간에 따른 편광 현미경 상의 병소 깊이와 QLF-D 영상의 광밀도 값 비율 간의 피어슨 상관 계수는 0.969였다 (p<0.01). 2. 편광현미경에서 측정된 병소 깊이의 탈회 기간에 대한 회귀분석 결과 y=8.67x-1.16의 회귀 방정식이 산출되었다 (p<0.05). 3. QLF-D 영상에서 측정된 광도값 비율의 탈회 기간에 대한 회귀분석 결과 y=3.53x+6.42의 회귀 방정식이 산출되었다 (p<0.05).

초기 성공적인 심폐소생술후 혈청 Interleukin-6 농도의 발현양상

박규남,박승현,황두영,김형국,이환,최경호,이원재,정욱성,김학주,김세경 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4

Objective : To investgate patterns of serial serum interleukin-6(IL-6) concentrations after initial successful cardiopulmonary resuscitation, and to access differences in serum IL-6 concentrations in patients with Cerebral Performance Category(CPC, 1-2) and CPC(3-5) at the 5th day after cardiacpulmonary resuscitation(CPR). Methods : We studied prospectively 12 patients with spontaneous circulation after cardiopulmonary resuscitation. Venous blood samples were taken 2, 4, 12, 24, 48 and 72 hours after restoration of spontaneous circulation to measure serum IL-6 levels by the enzyme-linked immunosorbent assay. Results : Serum IL-6 concentrations in the severe neurolgically disabled group(CPC, 3-5) were significantly increased at 2, 24 and 48 hours after restoration of spontaneous circulation compared with the less neurolgically disabled group. Also, serum IL-6 concentrations in the severe neurolgic disabled group showed dual peak at 4 and 24 hours. Conclusion : Our study demonstrates significant increase of serum IL-6 in patients with CPC(3-5) after successful cardiopulmonary resuscitation and the significant correlation between early increase of serum IL-6 and poor neurologic outcome. It suggests that early increase of serum IL-6 can be used as a prognostic marker after successful cardiopulmonary resuscitation.

The combustion characteristics of vehicle upholsteries

Park,Hyung-Ju,Kang,Young-Goo,Kim,Hong 한국화재소방학회 1997 한국화재소방학회 학술대회 논문집 Vol.1997 No.-

Five parts of vehicle upholsteries were sampled to determine its combustion characteristics. Oxygen Indexer, Smoke chamber, Differential Scanning Calorimetry(DSC) are applied as the analysis apparatus. All LOI values of samples appear less than 21. The combustion phenomena of vehicle upholster primarily depends on properties of each layer material. The amount of smoke generated is the experiment reached the maximum value within 30-90sec after ignition. The experimental results of combustion characteristics and DSC of H/Line also indicated that the layer of foam was melt first and it caused the propagation of flame through the sample. The combustion characteristics of multi layer materials primarily depend on thermal characteristic of single layer material.