곰쓸개 복용 후 발생한 육안적 혈뇨와 신유두부 괴사증 1예

김우진,한민석,김수항,박인형,박진석,선제형,홍세인,박옥영,신정현,이숭,신병철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

Renal papillary necrosis occurs most commonly in association with urinary tract infection, diabetes mellitus, sickle cell disease, vascular disease, and analgesic nephropathy. Clinical presentation may be related to symptoms of pyelonephritis such as flank pain, renal colic, hematuria, Proteinuria, recurrent fever. The necrotic tissue may be sloughed off, and the diagnosis can sometimes be made by finding piece of renal medullary tissue in the urine. Pyelography may demonstrate cavities and sinuses in the resion of papillae. Anuria & oliguria can lead to the acute renal failure, and especially prognosis and progress may be affect influenced by urinary infection. We report a case of renal papillary necrosis with ingestion of bear gallbladder. On pyelography, Persistent contrast is diagnostic clue of renal papillary necrosis. This case is not be related to urinary tract infection, but occurred acute renal failure. Expectant treatment was gone.

18S-srRNA 분석에 의한 Acantbamoeba 한국 분리주들의 분류 검토

신호준,지영진,조명수,김형일,박연희,임경일 아주대학교 의과학연구소 1998 아주의학 Vol.3 No.2

Acanthamoeba spp. spread in soil, ponds, air and swimming pool, cause a granulomatous amoebic meningitis and amoebic keratitis in human and experimental animals. Their classification had depended upon morphological characteristics and physiological conditions such as thermophilic status and generation times. However, because amoeba species showed the morphological and physiological diversity in isolates, many attempts have been made on identification of Acanthamoeba spp. Restriction fragments length polymorphism (RFLP) analysis of IBS-small subunit ribosomal RNA (srRNA) was an useful tool for classification among morphologically and genetically closely-related species. In this study, 18S-srDNAs of amoebae were amplified by PCR with primer encoding 18S-srRNA gene and digested with restriction endonudeases, and RFLP analysis was applied on classification of Acanthamoeba Korean isolates (YM-4, YM-5 and YM-7), comparing with reference amoebae, A. culbertsoni, A. polyphaga and A. royreba. Trophozoites of six Acanthamoeba spp. had typical acanthopoda, but did not show any morphological differences. Cyst of Acanthamoeba sp. YM-7 was similar to that of A. polyphaga which was designated as group Ⅱ Acanthamoeba. Morphologically other amoebae belonged to group Ⅲ Acanthamoeba. Digestion of 18S-srDNA with six enzymes, Dde Ⅰ, Hae Ⅲ, Hind Ⅲ, EcoR Ⅰ, Rsa Ⅰ and Sph Ⅰ, resulted in various DNA fragments. Using the method of Nei and U (1979) for RFLP analysis, genetic divergence was not observed between A culbertsoni and Acanthamoeba sp. YM-4. Between A. culbertsoni and Acanthamoeba sp. YM-5, genetic distance was 0.070, 0.364 between Acanthamoeba sp. YM-4 and A. polyphaga, and 0.277 between Acanthamoeba sp. YM-7 and A. polyphaga. In comparison with A. culbertsoni and A. polyphaga, Acanthamoeba sp. YM-7 showed genetic distance of 0.330 and 0.154, respectively. Thus, Acanthamoeba sp. YM-7 is a similar species to A. polyphaga. Acanthamoeba sp. YM-5 is a different species from A. polyphaga, but closely-related to A. culbertsoni. Acanthamoeba sp. YM-4 can be classified as a subspecies or a strain of A. culbertsoni.

하악 매복 지치의 외과적 발거시 Methylprednisolone의 안면 부종 감소 효과에 대한 임상적 연구

신지훈,박진배,한지용,윤혜경,김우형,이희철 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Objective : The third molars, expecially mandibular wisdom teeth, are commonly obliquely impacted, and surgical procedure with odontomy and osteotomy is necessary for their extraction. The surgical extracion of impacted wisdom teeth occasionally in duces variable discomfort. Especially, postoperative swelling, pain and limitation of mouth opening determine the degree of discomfort. For the reduction of these complicaions, drug therapy(antihistamine, enzyme, steroid), cole pack and pressure technique have been studied. It is known that the steroids are the most effective. Methods and Meterial : We selected fifty patients in their twenties, who visited Department of Dentistry, Pusan Paik Hospital from March to August in 1998. All of 50 patients has no other medical problems. Total 50 patients were randomly divided to 30 of experimental group and 20 of control group. The experimental group had orally administration of methyprednisolone 5㎎ every 8 hours 2 times preoperatively and 7 times postoperatively. Five points were marked on the patients' face, and the distances between the points were measured just before operation and 48 hours after operation. Results : Methyprednisolone reduces swelling about 50% after surgical extraction of obliquely impacted mandibular third molars with osteotomy and odontomy. The difference in the amount of tissue edema between experimental and control group was significant(p<0.01). However, there was no significant difference according to the operation time. Conclusion : It seems that the use of methylprednisolone is effective to reduce postoperative swelling following surgical extraction of third molars.

쇼트볼의 형상이 피로수명에 미치는 영향

신용승,정성균,강진식,김태형 서울産業大學校 2000 논문집 Vol.51 No.2

To improve fatigue properties, usually the shot peening process is used in the industrial world. In order to achieve optimum, repeatable and reliable shot peening process, the important shot peening parameters must be controlled. The first item needed to achieve high quality shot peening is to keep shot balls in a good quality. This paper discusses of shape of commonly used shot ball. Also, discussed is shot ball Shape's effect of Fatigue Life.

볏짚의 가성소다 處理水準이 재래산양의 볏짚섭취량 飮水量 및 腸內 通過速度에 미치는 影響

辛炯泰,裵熙東,孫鎭漢 成均館大學校 科學技術硏究所 1988 論文集 Vol.39 No.1

These experiments(I, II) were conducted to determine the nutritive value of NaOH-treated rice straw by voluntary intake, water consumption, rate of passage and retention time in goat's gastrointestinal tracts. The results which were obtained with these experiments (I, II) as follows; 1. Volutary intake of 0%, 3% and 6% NaOH-treated rice straw by goats was 1,012ml, 1,427ml and 1,612 ml, respectively. 2. Water consumption of 0%, 3% and 6% NaOH-treated rice straw by goats was 1,012ml, 1,421ml and 1,612ml, respectively. 3. The first excretion time of stained rice straw particles in goat's feces was 0% NaOH, 20 hours: 3% NaOH, 18 hours and 6% NaOH, 16 hours, respectively. 4. Total mean retention time (R value) of 0%, 3% and 6% NaOH-treated rice straw by goats was 72.0 hours, 61.2 hour, and 56.8 hours, respectively. 5. The optimal level of NaOH for increasing the nutritive value of rice straw was 3% in goat's rations.

요양소에 수용중인 정신장애자의 입소전 치료방법에 관한 연구

신병호,윤진상,이충경,이형영 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.5

In Korea, a large number of the mentally ill are still institutionalized in asylums where they can not receive modern psychiatric treatments. This survey was designed to investigate previous treatment methods of these psychiatric patients and to offer basic data in order to develop modern psychiatric delivery system for patients institutionalized in asylums. The 694 subjects who could give cooperative informations wee selrected form 6 asylums which are located in the Kwang-ju and Chonnam area. The data on this survey was collected by investigator's interview from Mar. 30, 1987 to Apr. 10, 1987. The previous treatment methods were divided into 8 groups(modern psychiatric treatment, asylym, Korean shamanic rite, religious healing, herb medicine, drug store, others and no treatment) and multiple responses were allowed. The methods were studied relating to the following psychiatric and sociodemographic factors : psychiatric diagnosis, age at the time of institutionalization, morbid duration before institutionalization, sex, occupation, residence, religion, economic status, marital status, educational level, and guardian. 49% of the patients had no experienced any previous treatment for their mental illness. 35% of the patients had been given modern psychiatric treatment and 23% had been previously institutionalized in asylums. The other treatment methods were reported in less than 10% of the patients. There were significant relationships between the choice of treatment methods and the psychiatric and sociodemographic factors.

苛性소다 處理에 依한 밀짚의 飼料價値 增進 硏究

辛炯泰,金贊昊,金鍾奭,宋永祿,林泰鎭 成均館大學校 1982 論文集 Vol.32 No.-

Nylon bag dry matter digestibility (NBDMD, %), nylon bag organic matter digestibility (NBOMD, %) and chemical compositions were analysed to evaluate the nutritive values of 5 varieties of NaOH-treated wheat straws (Jangkwang, Wonkwang, Suwon 210, Suwon 211, Naemil) by using Korean native male goats. Three grams of dried samples by grinding with 2.45㎜ Wiley mill screen were put into a bag 9×14㎠ made of 100 mesh nylon. These bags were put into the ventral sac of the rumen and taken out at the end of 72 hours. They were washed, dried in an oven at 105℃ for 24 hours and weighed “NBDMD” (%) and ashed in an muffle furnace at 600℃ or 24 hours and weighed “NBOMD”(%). The results which were obtained with this experiment were as follows: 1. Nylon bag dry matter digestibility (NBDMD, %) and nylon bag organic matter digestibility (NBOMD, %) of NaOH-treated wheat straws were highly significant different (p<0.01) in different levels of NaOH treatment and of different varieties of wheat straws. 2. The relationship between total mean NBDMD (%, Y_1) of 5 varieties of wheat straws and NaOH concentration (%, X) at 72 hours rumen incubation was: Y_1=34.57+3.56X(r=0.92^**) 3. The relationship between total mean MBOMD (%, Y_2) of 5 varieties of wheat straws and NaOH concentration (%, X) at 72 hours rumen incubation was: Y_2=32.02+2.46X(r=0.92^**) 4. The orders of NBDMD(%) and NBOMD(%) for 5 varieties of wheat straws were Suwon 210, Suwon 211, Naemil, Jangkwang, Wonkwang and Suwon 211, Suwon 210, Naemil, Jangkwang, Wonkwang, respectively. 5. The optimum level of NaOH for improving NBDMD(%) from 5 varieties of wheat straws, on the basis of Blaxter et al. (1961), was 6% NaOH.

광주광역시 치매의 유병률과 위험인자의 도시-농촌 지역 비교

신일선,김재민,윤진상,김석재,양수진,김웅장,이승현,강순아,곽지영,이형영 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.6

연구목적 : 본 연구의 목적은 광주광역시의 도시 및 농촌 지역에 거주하는 노인에서 치매의 유병률과 위험인자를 조사하고자 하였다. 부가적으로 이 두 지역간에 치매의 유병률과 위험인자를 비교하고자 하였다. 방 법 : 광주광역시의 전형적인 도시와 농촌지역의 65세 이상의 노인(N=1,598)을 대상으로, 2단계의 역학연구를 수행하였다. 1차 선별 단계에서는 38명의 훈련된 연구보조원이 대상노인을 면담하여, 사회인구학적 특징을 조사하고 한국판 간이정신상태검사(Korean version of Mini-Mental State Examination ; MMSE-K)로 평가하였다. 2차 임상 진단 단계에서는 1차 단계에서 MMSE-K 점수가 24점 이하인 노인(N=431)을 대상으로, 전문연구팀의 임상적 평가를 통해 치매를 진단하고 원인질환별로 알쯔하이머병(Alzheimer's disease ; AD), 혈관성 치매(vascular dementia ; VaD) 및 기타 치매로 분류하였다. 대상노인에서 치매의 유병률을 측정한 후, 광주광역시 전체 노인의 연령보정 유병률을 산출하였다. 전체 대상에서 AD의 위험인자를 조사한 후, 도시와 농촌군으로 나누어 분석을 다시 시행하였다. 결 과 : 1차 및 2차 단계의 참가율은 각각 71.0%(N=1,134) 및 83.2%(N=410) 였다. 연구 참여 노인(N=1,134)에서 전체 치매, AD 및 VaD의 유병률은 최소 각각 9.7%, 5.2%, 1.8%였다. 광주광역시 전체 노인의 연령 보정 유병률은 각각 10.7%, 5.7%, 1.9%인 것으로 산출되었다. AD의 독립 위험인자는 고령, 여성, 무학이었다. 도시와 농촌에 따른 유병률의 차이는 파악되지 않았다. 그러나 AD의 위험인자는 지역에 따라 차이가 있었다. 도시 노인에게는 무학만이, 농촌 노인에게는 고령과 여성인 경우가 독립 위험인자였다. 결 론 : 광주광역시 노인에서 치매의 유병률은 높았고, 이는 국내 다른 지역에서 수행된 선행연구 결과와 유사하였다. 알쯔하이머형 치매의 위험인자는 도시와 농촌에 따라 다른 결과를 보였다. 본 연구 결과는 한국에서의 치매의 실태를 반영하며, 치매의 적절한 관리와 예방을 위해서는 지역성 특성이 고려되어야 함을 시사한다. Objectives : The purpose of this study was to investigate the prevalence rate and risk factors of dementia in an urban and a rural sample of older persons in the metropolitan Kwangju area, Republic of Korea. In addition, the prevalence rate and risk factors of dementia between the two samples were compared. Methods : A two-phase epidemiological study of residents aged 65 or over(N=1,598) was conducted in a highly developed, urban and a non-contiguous, poorly developed, rural area of metropolitan Kwangju. In the first(screening) phase, 38 trained research assistants collectively peformed in-home interviews for all participants. Detailed sociodemographic characteristics were gathered and the Korean version of Mini-Mental State Examination (MMSE-K) was administered. In the second (diagnosing) phase, diagnosis of dementia was established for those scoring 24 or less on the MMSE-K in the screening phase(N=431), and etiological types of dementia were classified to Alzheimer's disease(AD), vascular dementia(VaD) or miscellanous type by two teams of experts. Prevalence rate of dementia was determined in the participants, and age-standardized prevalence rate adjusted by age distribution in metropolitan Kwangju was estimated. For AD, the risk factors were investigated in all participants, and analyses were repeated for the urban and rural samples separately. Results : The participating rates in the first and second phases were 71.0%(N=1,134) and 83.2%(N=410), respectively. In the participants, the prevalence rates of dementia(all types), AD and VaD were 9.7%, 5.2% and 1.8%, respectively. The age-standardized prevalence rates were 10.7%, 5.7% and 1.9%, respectively. Aging, female gender and no education(complete lack of formal education) were identified as independent risk factors for AD. No difference between the urban and rural samples was observed in the prevalence rates of dementia(all types), AD and YaD. However, risk factors for AD differed between these areas. In the urban sample, no education was the only significant factor ; whereas, aging and female gender were identified as risk factors in the rural sample. Conclusion : A high prevalence rate of dementia was observed among old persons in metropolitan Kwangju, consistent with previous studies conducted in other Korean areas. The risk factor profi1es for AD differed between urban and rural settings. The results of this study reflect the current status of dementia in Korea and suggests that appropriate management and prevention strategies for dementia should be tailored toward the geographic settings.

대뇌실질에 발생한 포도낭미충증 -증례 보고-

김상진,김진용,박상근,고원규,신형식,황용순 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.9

악성 거대 난소 점액성 종양 1예

신형도,박형진,김홍곤,한원철 圓光大學校 醫科學硏究所 1999 圓光醫科學 Vol.15 No.1

Mucinous tumor are cystic tumors with loculus lined with mucin-secreting epithelium constitute approximately 8-10% of primary epithelial ovarian tumors. Of all mucinous neoplasms, 75-85% are benign. It is often reach very large size particularly with the benign counterpart being reported on occasion to have exceed 100 lbs. Malignancy develops in 5-10% of benign mucinous cysts. About 15-20% of neoplasms are bilateral. We experienced a huge ovarian mucinous tumor of 155 ㎏. measured 42 × 30 × 28 ㎝ in size, and the volume of cystic contents was about 10 L in a nulligravida 36-year-old woman. Pathologic diagnosis was moderately differentiated mucinous cystadenocarcinoma of right ovary. So, we presented with a brief review of literatures.