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      • Calcofluor White 염색법을 이용한 주폐포자충 폐렴의 조기 진단

        고윤석,최정은,송재훈,김유겸,김원동,조영주,유빈,김양수,주용선 대한감염학회 1993 감염 Vol.25 No.2

        To evaluate the clinical efficacy and usefulness of Calcofluor white stain in the diagnosis of Pneumocystis carinii pneumonia (PCP), we performed Calcofluor white stain in bronchoalveloar lavage fluid from 10 compromised patients with fever , dyspnea, and diffuse pulmonary infiltrates. Four of 10 cases showed positive staining for P.carinii with Calcofluor white staining. Underlying diseases were ALL, AML, AIDS, and Pinealoblastom, respectively. These patients had been treated with Bactrim for 2 or 3 weeks with complete cure. Calcofluor white stain has clear advantages over conventional staining methods such ad Gomori methenamine silver, Toluidine blue O, or Giemsa stain in terms of speed and simplicity of the technique. This method is believed to be suitable for early diagnosis of PCP. Application of this rapid diagnostic method to suspected cases with febrile pneumonitis syndrome will increase the detection rate of PCP in Korea.

      • 위절제술 후 Carboxy-Methylcellulose를 이용한 위장관 조영술

        오재천,김용수,문원진,임현철,고병희,조온구 한양대학교 의과대학 1997 한양의대 학술지 Vol.17 No.1

        The purpose of this study was to determine the usefluness of the UGI study with Carboxy-Methylcellulose (CMC) and 140% barium in the patient undergone gastrectomy We reviewed the UGI study with effervescent agent and barium and the UGI study with CMC and 140% barium of twenty one patients, undergone gastrectomy (Billroth-Ⅱ:12, Billroth-Ⅰ:4 total gastrectomy:5). The average interval between these studies was 19 months. The coating quality of the remnant stomach, anastomosis sit e, jejunum and proximal ileum in two studies were compared. The maximum luminal diameter of the same site and the maximum distance between a adjacent valvulae conniventes were measured for evaluating the distensibility of these studies. Compared with the coating quality of the remnant stomach, the UGI study with effervescent agent and barium was superior to the UGI study with C MC and barium in 68% (11/16) patients. The difference of coating quality between these studies was marginal in the anastomosis site and jejunum. The UGI study with CMC and barium provided a better coating quality in the proximal ileum of 95%(20/21). The maximum luminal diameter of the anastomosis site, jejunum and proximal ileum was respectively 2.75cm, 3.36cm, and 2.82cm inthe UGI study with effervescent agent and barium, 3.2cm 3.35cm, and 3.40cm in the UGI study with CMC and barium(p〈0.01). The maximum distance between a adjacent valvulae conniventes of the jejunum and proximal ileum was respectively 0.61cm and 0.51cm in the UGI study with effervesent agent and barium, 0.74cm and 0.72cm in the UBI study with CMC and barium (p〈0.05). Compared with the distensibility, the UGI study with CMC and barium was superior. The UGI study with CMC and barium in subjects, undergone gastectomy, showed the advantage the mucosa distal to anastomosis site except for the remnant stomach and must be supply the more information in finding lesion such as adhesion and peritoneal dissemination.

      • Brevibacterium albidum중의 제한효소 Bal I의 정제 및 특성에 관한 연구

        박정수,배광묵,박재윤,고광삼 朝鮮大學校 附設 醫學硏究所 1987 The Medical Journal of Chosun University Vol.12 No.1

        In this report, Bal I endonuclease from brevibacterium albium (ATCC 15831) strain was purified characterized. Bal I endonuclease was purified by the following procedures; ammonium sulfate fractionation, DEAE-cellulose column chromatography, phosphocellulose column chromatography. Bal I endonuclease has a specific site for type II enzyme in that has been proven by the facts that PBR322 DNA cleaved by Bal I endonuclease. All sited cleaved by Bal I are also cut by the speficif endonuclease Hae III from haemephilus aegyptiu. The recognition sequence of Bal I are. ◁수식 삽입▷ (원문을 참조하세요)

      • 口眼渦斜 患者의 Gadolinium-DPTA enhanced MRI 所見에 대한 臨床的 考察

        김재수,최우석,김용석,고형균,강성길,김창환 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

        This study is designed to evaluate the clinical implications of Gd-DPTA (Gadolinium-diethyl - enetriamine pentacetic acid) enhanced MRI(Magnetic resonance imaging) in Bell's palsy and find it's usefulness in Oriental Medicine In this study, 25 outpatients with Bell's palsy were studied that MRI was performed. To evaluate degree of facial palsy, H-B(House-Brackmann) Grade was used. In Oriental Medical therapy, Acupuncture and Herbal medicine were treated. Subjective causes was divided into exposure to chill, fatigue, stress, mixed cases. Enhanced site was compared with symptoms which were disorder of eye, hearing, taste, and facial muscle palsy. Also, Relation between time which was performed MRI and enhancement was analyzed. The enhanced lesion in MRI was divided into five segments; Internal auditory canal, Labyrinthine segment, Geniculate ganglion, Tympanic segment, Mastoid segment. In Bell's palsy, 20 of 25 patients(80%) had abnormal contrast enhancement of the facial nerve. The H-B grade and interval performed MRI from onset were directly proportionate to enhancement. That is to say, Severe facial palsy short interval show high possibility of enhancement. There was no relation between subjective causes and enhanced site of facial nerve in MRI. Also Clinical symptoms didn't coincide with MRI findings.

      • KCI등재
      • 대형 재해관리의 문제점과 개선방안

        김학수,고재문 한국응급구조학회 2003 한국응급구조학회지 Vol.7 No.1

        If see disaster administration system of our country, start in terms of is coping by countermeasure after four immediately after disaster occurrence many problems blessing with a sons by tribe and so on of link nature between formation, disaster administration complete charge utensil's absence, disaster charge manpower and budget be indicated and join. If examine improvement way accordingly, is as following; Necessity of synthetic disaster administration system, Fire fighting formation's independence guarantee. Integration of fire fighting connection similarity business. Disaster administration's permanent establishment complete charge utensil's necessity, disaster administration midautumn complete charge utensil at a metropolitan autonomous fire fighting system reorganization. Role division of labor between center and local government, Disaster administration professional human strength positivity, Disaster administration information system construction practical use, Equipment and improvement of budget state, Education public information for safety culture consciousness fixing, Internationalization of fire fighting business, globalization propulsion, Structure, member of rescue confrontation system and efficiency. Fire fighting environment is changing greatly, and fire fighting must become center to correspond to do confrontation that do one thing troble when produce disaster.

      • KCI등재

        어깨 근막통 증후군에서 어깨 관절운동범위에 대한 분석

        김정수,김인아,이수진,김용규,박시복,고재우,송재철 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

        Objective: This study was carried out to investigate if the measurement of range of motion(ROM) could be applied in the diagnosis of Myofascial Pain Syndrome(MPS) and to determine the severity by analyzing ROM in MPS patients. Methods: The study subjects were 476 female telephone number information service workers. Southampton Protocol and Pittsburgh Protocol were used to diagnose MPS and to measure ROM. ROMs were measured by 2 inclinometers exercising each shoulder passively and actively in 5 directions ; abduction, forward flexion, extension, external rotation, and internal rotation. Results: Compared to the normal group (n=147), the mean of right side ROM in the subjects (n=270) with same side MPS was 2.1˚ (SD=11.5) lesser in active extension and 1.7˚ (SD=10.4) lesser in passive extension. Compared to the mild group (n=210), the mean of right side ROM in the patients with same side severe MPS (N=58) was lesser in all directions. Especially in active forward flexion, passive forward flexion, active extension, passive extension and active external rotation, ROM in the subjects with severe MPS was lesser by 6.5˚ (SD=13.1), 5.1˚ (SD=12.8), 5.9˚ (SD=11.8), 5.0˚ (SD=10.6) and 3.9˚ (SD=9.8), respectively, than those of the subjects with mild MPS. Compared to the subjects with left side mild MPS(n=172), ROM in the subjects with left side severe MPS (n=59) was 5.3˚ (SD=13.3) lesser in active forward flexion. Conclusions: In this study, ROMs in the subjects with severe MPS tended to be lesser than those in mild patients. This tendency was more prominent in the right side than the left, active range of motion than passive and forward flexion and extension than others. The results of this study are expected to help diagnose shoulder MPS and determine severity.

      • KCI등재

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