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      • 후복막섬유증 5례의 임상적 고찰

        정충식,김수현,안병수,심대성,박도영,김철성,장대수 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.1

        Retroperitoneal fibrosis is a fibrotic process of the retroperitoneum that frequently produces ureteral obstruction. It can occur as an idiopathic disease or in association with various non-malignant and malignant condition. In the early phase of the retroperitoneal fibrosis ; symptoms originate from the disease process itself, while in the late state the clinical features represent the effect of obstructive uropathy and renal failure. Treatment consist of steroid therapy, urinary diversion and ureterolysis with jntraperitonealization or lateralization or wrapping with omentum. Herein we present 5 cases of retroperitoneal fibrosis.

      • 니페디핀이 암피실린의 흡수에 미치는 영향

        정현정,용철순,최윤수,오두만 영남대학교 약품개발연구소 1997 영남대학교 약품개발연구소 연구업적집 Vol.7 No.-

        Amino-β-lactam antibiotics are absorbed by the dipeptide transporter in the small intestine. These uptakes are coupled to a proton influx. The inward proton gradient is partly induced by the Na^(+)/H^(+) exchanger and cakium ion is involved in control of this antiport. Interaction between ampicillin which is one of the amino-β-lactam antibiotics and nifedipine which is one of calcium channel blocking agents was studied in rats in vivo and with rabbit jejunum mounted on the Sweetana/Grass diffusion cells in vitro. Bioavailability of ampicillin was increased significantly when nifedipine was co-administered orally in rats. There were no differences in the distribution phase and the elimination phase when ampicillin was given either alone or with nifedipine intravenously. Conditions for in vitro experiments were determined. The lift rate of O₂/CO₂ gas was controlled to 3 bubbles/sec and ampicillin was stable in the Kreb's buffer at pH6.0 Absorption of ampicillin was the greatest when the completely-stripped serosal membrane was used. Transport of ampicillin from mucosal to serosal side in the rabbit jejunum was enhanced by 32% in the presence of nifedipine (p=0.059). Above results suggest that nifedipine might increase the plasma level of ampicillin via the improved absorption in the intestine rather than the reduction in the elimination or/and alteration in the distribution.

      • KCI등재후보
      • KCI등재

        셀레콕시브 및 그 합성유도체들의 항암활성 스크리닝

        박정란,강진형,구효정,노지영,류형철,박상욱,고동현,조일환,이주영,황다니엘,김인경 한국약제학회 2003 Journal of Pharmaceutical Investigation Vol.33 No.2

        Selective COX (cyclooxygenase)-2 inhibitors including celecoxib have been shown to induce apoptosis and cell cycle changes in various tumor cells. New inhibitors are recently being developed as chemomodulating agents. We evaluated celecoxib and screened 150 synthetic compounds for anti-proliferative activities in vitro. Effects of celecoxib on COX activity, cell growth, cell cycle distribution, and apoptosis induction were determined in A549 COX-2 overexpressing human non-small cell lung cancer (NSCLC) cells. The COX inhibition of celecoxib increased with concentration up to 82% at 1μM after 24 hr exposure. Forty μM and 50μM of celecoxib induce G_1 arrest, and TUNEL-positive apoptotic cells, respectively. Among 150 compounds, several compounds were selected for having greater COX-2 inhibitory activity and higher selectivity than celecoxib with growth inhibitory activity. Celecoxib showed concentration-dependent COX inhibitory activity, and ability to induce cell cycle arrest and apoptosis in human NSCLC cells in vitro. Among synthetic analogues screened, several compounds showed promising in vitro activity as COX-2 inhibitory anticancer agents, which warrant further evaluation in vitro and in vivo.

      • KCI등재

        방사선사진에서의 골질과 임상적으로 평가한 골질 분류의 상관관계

        김현우,허경회,박관수,김정화,이원진,허민석,이삼선,최순철 대한구강악안면방사선학회 2006 Imaging Science in Dentistry Vol.37 No.1

        Purpose : To investigate the validity of digital image processing on panoramic radiographs in estimating bone quality before endosseous dental implant installation by correlating bone quality in radiographic images with clinical bone quality classification. Materials and Methods : An experienced surgeon assessed and classified bone quality for implant sites with tactile sensation at the time of implant placement. Including fractal dimension eighteen morphologic features of trabecular pattern were examined in each anatomical sites on panoramic radiographs. Finally bone quality of 67 implant sites were evaluated in 42 patients. Results : Pearson correlation analysis showed that three morphologic parameters had weak linear negative correlation with clinical bone quality classification showing correlation coefficients of -0.276, -0.280, and -0.289, respectively (p<0.05). And other three morphologic parameters had obvious linear negative correlation with clinical bone quality classification showing correlation coefficients of -0.346, -0.488, and -0.343 respectively (p<0.05). Fractal dimension also had a linear correlation with clinical bone quality classification with correlation coefficients -0.506 significantly (p<0.05). Conclusion : This study suggests that fractal and morphometric analysis using digital panoramic radiographs can be used to evaluate bone quality for implant recipient sites. (Korean J Oral Maxillofac Radiol 2006; 36 : 25-32)

      • KCI등재

        정신분열병 환자 자녀에서의 주의력 장애

        김철권,조현기,장정희,강동호,조진석,김명정,변원탄 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        본 연구의 목적은 정신분열병 환자의 자녀들과 알코올 의존증 환자의 자녀, 그리고 정신과학적으로 건강한 부모의 자녀들을 대상으로 연속 작업수행력 검사를 이용한 정보처리 과정에서의 지속적 주의력에 관한 사항과 정보 감지능력 검사를 이용한 정보 처리과정에서의 감각등록에 관한 사항을 측정하고 세 군간에 그 결과를 서로 비교하여 차이 유무를 검증하기 위함이다. 연구 대상은 정신분열병 환자의 자녀 28명을 대상군으로 그리고 알코올 의존증 환자의 자녀 18명과 정신과학적으로 건강한 부모를 둔 중고등학생 41명을 대조군으로 하였다. 연구 방법은 대상군 및 두 대조군 모두에게 연속 작업수행력 검사와 정보 감지능력 검사를 순차적으로 시행한 후 그 결과를 서로 비교하였다. 그 결과는 다음과 같다. 1) 연속 작업수행력 검사에서는 대상군이 두 대조군에 비해 맞춘 횟수와 비율이 유의하게 낮았고 놓친 횟수는 반대로 유의하게 높았다. 가장 중요한 변인인 민감도는 대상군이 두 대조군에 비해 유의하게 낮았다. 2) 연속 작업수행력 검사에서 시간 경과에 따른 각 변인의 변화를 보면 맞춘 횟수와 비율에서 대상군이 두 대조군에 비해 시간이 경과할수록 유의하게 감소하였다. 민감도 역시 시간이 경과할수록 대상군이 두 대조군에 비해 유의하게 감소하였다. 3) 연속 작업수행력 검사의 민감도, 정보 감지능력 검사에서의 정답반응 횟수에서 정상 대조군의 분포 곡선중 하위 10% 수치를 절단점으로 잡아 그 수치 이하를 보이는 대상 숫자를 비교해 보면 연속 작업수행력 검사에서만 정신분열병 환자의 자녀군과 정상 대조군 사이에 유의한 차이를 보였다. 4) 대상군, 정상 대조군, 대상군중 연속 작업수행력 검사의 민감도가 하위 10% 이하에 속하는 군의 MMPI를 서로 비교한 결과 세 군간에 MMPI의 모든 변인에서 유의한 차이를 발견할 수 없었다. 5) 정보 감지능력 검사에서는 대상군이 두 대조군에 비해 정답반응과 오답반응을 보이기까지 걸린 평균 시간이 유의하게 길었다. 이상의 연구결과를 통해 저자들은 정신분열병의 발병 위험성이 높은 정신분열병 환자의 자녀군이 알코올 의존증 환자의 자녀군이나 정신과학적으로 건강한 부모를 둔 대조군보다 지속적 주의력에서 결손이 있음을 발견하였고 나아가 이와 같은 지속적 주의력에서의 결손이 정신분열병의 한 가능한 취약지표가 될 수 있을 것으로 사료된다. In order to study the possible vulnerability in the markers of schizophrenia, offsprings of the schizophrenic parents(n=28), offsprings of the alcohol dependent parents(n=18), and offsprings of the psychiatrically normal persons(n=41) were examined for their sustained attention and sensory register by means of Continuous performance test(CPT) and Span apprehension task(SPAN) respectively. The results were as follows : 1) The offsprings of the schizophrenic parents showed a significant deficit in the sustained attention as manifested in the data of CPT by significantly lower hit rate and sensitivity, compared with the offsprings of the alcohol dependent parents and those of the psychiatrically normal persons. No difference was evident in the false alarm rate and response bias among three groups. There was no difference in all variables of the CPT between the offsprings of the alcohol dependent parents and those of the psychiatrically normal persons. 2) The deficit in the sustained attention as revealed by lower hit rate and sensitivity was not apparent in the first part of the CPT. However it emerged and aggravated itself as the test continued in the offsprings of the schizophrenic parents only. 3) Proportion of subjects falling in the extreme low sensitivity of lower 10% of the normal controls was significantly higher in the offsprings of the schizophrenic parent group as compared with the offsprings of the alcohol dependent parents and those of the psychiatrically normal persons with a rate of 29%, 17%, and 10% respectively. 4) No significant difference was noted in all variables of MMPI among normal controls, index group, and the extreme low CPT sensitivity subgroup of index group. 5) The offsprings of the schizophrenic parents showed a significantly delayed response in the time to correct and incorrect response in SPAN compared to the offsprings of the alcohol dependent parents and those of the psychiatrically normal persons. No difference was evident in the number of correct response, number of incorrect response, and number of no response among three groups. There was no difference in all variables of the SPAN between the offsprings of the alcohol dependent parents and those of the psychiatrically normal persons. These results suggest that a subgroup of the offsprings of schizophrenic parents may suffer from the deficit in the sustained attention which may be a vulnerability marker of schizophrenia.

      • 재발성 류마티즘 환자에서 발작의 유발인자

        주유철,이동민,양종태,신병철,임태영,서정균,정기영,최동헌,김원,조영신,고희관 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

        Background and Objectives : Palindromic rheumatism (PR) is known to be triggered without any obviously inciting events in most patients, although, in a few cases, attacks have been noted to relate to another events such as weather change, childbirth, ingestion of certain foods, or over-exercise. The aim of this study was to characterize the triggering factors on palindromic attacks. Materials and Methods : We evaluated sixty-four patients with PR for the presence of triggering factors and the relationship between attacks and triggering factors by interview of patients. We considered that there was an probable association between episodes and PR, if episodes within 24 hours prior to PR had triggered at least 50% of all attacks and a definite association between episodes and PR, if episodes within 24 hours prior to PR had triggered 100% of all attacks. Results : In 15 patients (35.9%), there was a possible association between episodes of PR and initiating events. In 8 patients (12.5%), there was a definite association between episodes of PR and initiating events. The triggering factors were physical over-activity including exercise (19/64: 29.7%), foods, such as rawfish, crab, and chicken, including alcohol (19/96: 19.8%). However, there were no difference between the groups with and without the triggering factor in sex ratio, duration and onset of PR, the positive rate of rheumatoid factor and involved sites. Conclusion : Our observations showed that PR was triggered by physical over-activity more than in previous reports and hypersensitivity to foods was a causative factor in some patients with PR. However, patients with triggering factors had a similiar clinical profile to patients without triggering factors.

      • KCI등재

        Hurler증후군 환아의 치의학적 소견에 대한 증례보고

        박정삼,한세현,김종철 大韓小兒齒科學會 1995 大韓小兒齒科學會誌 Vol.22 No.2

        Hurler syndrome is a disturbance of mucopolysaccharide metabolism exhibiting a variety of classic clinical features. This disease is the prototype and the most common component of mucopolysaccharidosis. We are reporting in this paper on a 4-year and 8-month old boy with Hurler syndrome. The dental findings are as follows; 1. Large head, prominent forehead, broad saddle nose and wide nostrils, hypertelolism, puffy eyelids, short neck, wheezing sound at breathing, flexion contractures, claw hands, mental retardation, dwarfism were observed. 2. Anterior openbite (enlarged tongue), spacing in lower anterior region, mouthbreathing, thick lips, shortening and broadening of the mandible were observed and the shape of the teeth are normal 3. Abnormal tooth size, delayed eruption and gingival hyperplasia were not observed.

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