장중첩증을 동반한 맹장 지방종 1예

홍의실,나병규,김민옥,유일영,채지영,채희복,윤세진,이상전,송형근,박길선,정현용 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.2

대장 지방종은 주로 우측 결장에 호발하고 특히 회맹판 부위와 맹장 부위에 호발한다. 또한 50~60대에 빈도가 높고 증상이 있는 환자에서 장중첩증이 높게는 40~50%에서 보고되고 있어 성인 장중첩증의 원인으로 중요한 비중을 차지한다. 특히 성인 장중첩증 및 장폐쇄의 중요 원인인 악성 종양과 임상 양상이 유사하여 감별진단이 중요하다. 저자들은 반복적인 복통을 주소로 내원한 환자에서 맹장의 4×5㎝의 점막하 지방종이 말단 회장부위와 반복적인 장중첩중이 발생했던 1례를 부분 절제술로 치료하여 양호한 임상 경과를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Lipomas are one of the most common benign nonepithelial tumors of the colon which are often detected incidentally by radiologic investigation or on operation. These tumors are usually without specific symptoms. Colonic lipomas occur most often in the right colon, particularly in the ileocecal valve and the cecum. Most patients are asymptomatic. but tumors larger than 2 cm tend to produce a change in bowel habit. abdominal pain. rectorrhagia and complications including luminal obstruction or intestinal intussusception. Diagnosis can be made by colonoscopy abdominal CT. MRI, or barium enema. We report a case of lipoma of the cecum that originated in the submucosa and presented as a intussusception in a 50-year-old woman with a brief review of the literature.

사회체육 활성화를 위한 학교체육시설 활용의 조건에 대한 교사의 인식

정의권,홍준기 중앙대학교 스포츠과학연구소 2003 體育硏究 Vol.- No.19

The purpose of this study was to elucidate what cognition teachers have of school physical education facilities with which athletics in public were available and of the preconditions of the utilization. For that purpose a questionnaire poll was carried out on 351 elementary school teachers, and then an analysis was made of the responses. Based on the results, suggestions were presented for activating athletics in public using school physical education facilities. First, it is needed to build a close collaboration system with the school authorities. It is true that the school authorities have not yet constructed a collaboration system with local residents in utilizing school facilities. Therefore, it is required to initiate an appropriate deliberation system for utilizing school facilities. Second, local communities are necessitated to actively take part in funding repairs of facilities. Local residents today only utilize school physical education facilities but do not take the responsibility of them. Therefore, it is recommended that local communities should take charge of commitment to the management of a certain part of the facilities.

사람 胎盤組織의 5'-Nucleotidase에 관한 硏究

洪正義 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.2

The plasma membrane bound 5'-Nucleotidase of the human placenta was investigated in relation to the placental age. The results were as follows: 1. Inhibitory effect of con-A on the early plecental 5'-Nucleotidase increased proportionately from 5ug to 20ug and was reversed by D-Mannose and D-Glucose but not by D-Galactose, L-arabinose and D-xylose. 2. Ribomononucleotides were preferable substrates for the 5'-Nucleotidase to deoxyribo mononucleotides. 3. The placental 5'-Nucleotidase was heat stable equally in all placental ages 4. Activity of the placental 5'-Nucleotidase did not change with placental age while that of nonspecific phosphatase was increased with the placental age. 5. Mn^2+ was required for maximal activity of the placental 5'-Nucleotidase among the four ions(Mn^2+, Co^2+, Ca^2+, Mg^2+.).

金顯承 詩의 에스프리 考察 : 고독의 갈등양상을 중심으로

鄭義泓 大田大學校 1990 論文集 Vol.9 No.2

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

단백 methylase 억제제 5´-Isobutyl-5´-deoxyadenosine과 sinefungin에 의한 BALB/c mouse 비장세포의 증식과 분화의 억제

최의규,홍정희,한유정,백문기 大韓免疫學會 1995 大韓免疫學會誌 Vol.17 No.3

Whether or not protein methylation can be correlated with cell proliferation and differentiation in BALB/c mouse splenocyte cultures has been investigated by using methylase inhibitors, 5'-Isobutyl-5'- deoxyadenosine(SIBA) and sinefungin. 1) Protein methylase I and III activities were found to be elevated in LPS stimulated splenocytes, and the peak of protein methylase I was correlated with that of S phase fraction while changes in protein methylase III activity followed the changes in S phase fraction. 2) SIBA and sinefungin were proved to be potent competitive inhibitors of the protein methylase 'I and III in vitro with apparent Ki for sinefungin of both enzymes being lower than that for SIBA. 3) The protein methylase III were activated by 2-mercaptoethanol and dithiotreitol, and strongly inhibited by Cue+ in vitro; and the inhibition was almost completely released by dithiotreitol and diethyldithiocarbamate. 4) The extent of polyclonal antibody formation, S phase fraction and protein synthesis after induction by LPS were significantly inhibited in a dose response manner by SIBA and sinefungin with higher potency for the former. 5) Inhibition of cell cycle was also observed in the presence of cyloleucine, an inhibitor in SAM synthesis. 6) Of several enzymes investigated, namely protein methylase III, LDH, yglutamyltranspeptidase, and adenosine deaminase, the- protein methylase III was most markedly increased by LPS and decreased by SIBA and sinefungin than other enzymes. From the above results, it is suggested that SIBA and sinefungin suppress the cell proliferation and differentiation through the inhibition of protein methylation.

도로 종류별 안전도에 관한 연구 : 고속도로와 국도를 중심으로 Focussing the express highway and the national road

윤정길,홍창의,김만배 건국대학교 사회과학연구소 2000 社會科學論叢 Vol.24 No.-

The paper aims to compare the safety between highway and the national road in South Korea. I first of all,we will try to evaluate the accident rates by VEK(vehicle kilometers traveled) for the express highway and for the national road.All things being equal,each accident rate will tell which road is more safe. For the result of this paper, the accident rate, fatal rate, inury rate of the national road are respectively 4.5 times,2.0 times,3 times as hogh as that of express highway. In conclusion, the express highway is more safe than the national road though our method.

鼻毛의 白毛發生에 의한 年齡推定

김진국,홍석찬,진정언,박의우,김동욱 大韓法醫學會 1999 대한법의학회지 Vol.23 No.1

The gray vibrissae of Korean males(n= 189) between 15 and 75 years old and females(n=111) between 15 and 74 years old whop visited the department of otorhinolaryngology, Konkuk university Chungju hospital during 1996 to 1998, were counted for the purpose of estimating approximate age range in individuals of unknown age. The lowest age appearing gray hairs in both sexes was 15-year-old. The Pearson's correlation coefficient in both sexes was 0.490 (p<0.01). The age appearing gray vibrissae in females was slightly earlier than that of males, however, the differences between right and left sides of nasal cavity were insignificant. This method of counting gray vibrissae would be useful to estimate age range in personal identification together with other methods available until now.

산재보상을 신청한 뇌심혈관질환의 특성 분석

유재홍,하은희,김수근,김정연,김용규,이의철,이철호,손준석 대한산업의학회 2007 대한직업환경의학회지 Vol.19 No.1

목적: 이 연구는 뇌 · 심혈관 질환으로 업무상재해를 신청한 사례 중에서 승인된 사례와 불승인된 사례의 특성을 비교하여 뇌 · 심혈관 질환의 업무상 재해여부를 판단하는데 필요한 기초 자료를 제공하고자 한다. 방법: 2000년부터 2004년까지 근로복지공단에 업무상 재해로 요양이 신청되어 승인여부가 결정된 뇌 · 심혈관 질환자 12,309명을 대상으로 하였다. 승인여부와 관련된 특성을 확인하기 위해 연도별, 업종별, 규모별, 직업별, 성별, 연령별, 질환별, 생존유무별 그리고 기존질환 유무에 대하여 카이제곱 검정과 다변량 로지스틱 회귀분석을 이용하였다. 결과: 다변량 로지스틱 분석에서 뇌 · 심혈관 질환의 불승인에 대한 승인의 비차비는 광업을 기준으로 하였을 때에 전기가스 상수도업이 4.18(95% CI=1.43~12.17), 건설업이 2.39 (95% CI=1.22~4.69), 제조업이 2.10 (95% CI=1.08~4.07)이었고, 장치기계조작원 및 조립원에 비하여 서비스 근로자 및 상점과 시장 판매근로자 군이 1.90(95% CI=1.47~2.47), 전문가 군이 1.83(95% CI=1.50~2.23), 기술공 및 준전문가 군이 1.63(95% CI=1.35~1.97), 입법 공무원과 고위 임직원 및 관리자 군이 1.62(95% CI=1.24~2.12)이었고, 여성이 남성에 비하여 1.31(95% CI=1.13~1.53), 심장질환에 비하여 뇌혈관질환이 2.75(95% CI=2.42~3.13), 사망한 경우가 생존한 경우에 비하여 6.01(95% CI=4.89~7.38)이었다. 결론: 우리나라에서 뇌심혈관질환으로 업무상 재해를 신청하는 건수는 증가하고 있고 승인율은 비교적 높았으며 승인에 영향을 미치는 요인으로는 업종, 규모, 직종, 성, 연령, 질환, 생존유무 등이 확인되었다. 특히 업종과 직종에 따라서 승인율의 차이가 큰 것이 어떠한 요인의 영향 때문인지에 대한 검토가 필요하고, 특히 뇌실질내 출혈의 경우에 다른 질환에 비하여 승인율이 매우 높았던 것은 업무수행성에 대한 인정기준의 잘못된 적용의 결과 이므로 시정이 필요하겠다. Objectives: This study was performed to provide fundamental data to judge whether or not cerebro and cardiovascular diseases are work-related, by comparing the characteristics between approved and non-approved cases among the worker's compensation claims. Methods: We collected 12,309 cerebro and cardiovascular disease claims based on the worker's compensation records of the Labor Welfare Corporation from 2000 to 2004. The approved and non-approved cases were analyzed according to factors such as the calendar year, industry, company size, occupation, gender, age group, classification of cerebro and cardiovascular diseases, fatality and underlying diseases. We used x²-test and multivariate logistic regression for the analysis. Results: According to multivariate logistic regression, electricity gas and water supply (OR=4.18, 95% CI=1.43~12.17), construction (OR=2.39, 95% CI=1.22~4.69) and manufacturing (OR=2.10, 95% CI=1.08~4.07) industries had a higher approval rate than mining and quarrying industries. Service workers and sales & marketing department workers (OR=1.90, 95% CI=1.47~2.47), professionals (OR=1.83, 95% CI=1.50~2.23), technicians and associate professionals (OR=1.63, 95% CI=1.35~1.97) and legislators and senior officials and managers (OR=l.62, 95% CI=1.24~2.12) had a higher approval rate than plant and machine operators and assemblers. Female workers had a higher approval rate (OR=1.31, 95% CI=1.13~1.53) than male workers. Cerebrovascular diseases had a higher approval rate (OR=2.75, 95% CI=2.42~3.13) than cardiovascular diseases. Fatal cases had a higher approval rate (OR=6.01, 95% CI=4.89~7.38) than surviving cases. Conclusion: For cerebro and cardiovascular diseases, workers' compensation claims are increasing, approval rates are relatively high and factors such as industry, company size, occupation, gender and fatality are related. A remarkable difference in the approval rate was found according to industry and occupation, suggesting the need for further study to identify which factors influence the approval rate. The approval rate for intracerebral hemorrhage arising in the course of employment (COE) was significantly higher than that arising out of employment (AOE), suggesting the need to correct the approval criteria.

인공 치아우식 발생 모델에서 디지털 방사선 공제술을 이용한 인접면 치아우식증의 진단

박정훈,최용석,황의환,이기자,최삼진,박영호,김경숙,진현석,홍경원,오범석,박헌국 대한구강악안면방사선학회 2009 Imaging Science in Dentistry Vol.39 No.1

Purpose : The purpose of the experiment was to evaluating the diagnostic ability of dental caries detection using digital subtraction in the artificial caries activity model. Materials and Methods : Digital radiographies of five teeth with 8 proximal surfaces were obtained by CCD sensor (Kodak RVG 6100 using a size #2). The digital radiographic images and subtraction images from artificial proximal caries were examined and interpreted. In this study, we proposed novel caries detection method which could diagnose the dental proximal caries from single digital radiographic image. Results : In artificial caries activity model, the range of lesional depth was 572-1,374 μm and the range of lesional area was 36.95-138.52mm². The lesional depth and the area were significantly increased with demineralization time (p<0.001). Furthermore, the proximal caries detection using digital subtraction radiography showed high detection rate compared to the proximal caries examination using simple digital radiograph. Conclusion : The results demonstrated that the digital subtraction radiography from single radiographic image of artificial caries was highly efficient in the detection of dental caries compared to the data from simple digital radiograph.