야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

풍선확장술을 이용한 간내 잔류담석의 경피적 제거술 : Percutaneous Management with Balloon Dilatation and Stone Extraction

조준식,송창준 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.1

Recurrent pyogenic cholangitis is frequently relapsed with residual intrahepatic stones and biliary strictures after surgical treatment. Percutaneous removal of residual intrahepatic stones is an effective alternative for second operation which has a high mortality and morbidity. However, the successful extraction of intrahepatic stones may be difficult because of a high frequency of associated biliary strictures. We evaluated the effectiveness of percutaneous balloon dilatation in six patients who were difficult to extract residual intrahepatic stones due to biliary strictures. Balloon dilatation using angioplasty balloon catheter was performed via a T-tube tract. In four of six patients, balloon dilatation was successful and partially successful in two patients due to reccurence of stricture. Stone extraction was complete in three patients, incomplete in two patients, and failed in one patient. The reason of incomplete removal and failure were large sized stones and impacted stones in the intrahepatic ducts. There was no complication. In conclusion, percutaneous balloon dilatation is an effective procedure for extraction of residual intrahepatic stones associated with intrahepatic biliary strictures.

하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

ImmunoDot법에 의한 전신성 류마티스 질환의 자가항체 검사

박성환,김선준,김성일,민준기,이상헌,홍연식,조철수,김호연 최신의학사 1997 最新醫學 Vol.40 No.7

두가지 혈류 유발방법에 의한 새로운 심폐소생술(이중 혈류 유발 심폐소생술)장치의 개발

황성오,김현,조준휘,오범진,임종천,최경훈,윤정한,이승환,김영식,이강현,이윤선 大韓應急醫學會 1999 대한응급의학회지 Vol.10 No.2

Background: There have been many efforts to augment blood flow during cardiopulmonary resuscitation. These efforts have focused on maximizing the effect of cardiac pump or thoracic pump alone. However, considering that the heart is the biggest blood reservoir and increase of intrathoracic pressure can generate blood flow, simultaneous exploitation of both mechanisms may have synergistic effect. We hypothesized that simultaneous chest constriction in addition to sternal compression by standard CPR may have additive hemodynamic effects by preventing deformation of the chest and increase of intrathoracic pressure. Methods and results: we built a new mechanical device to perform compression and thoracic constriction simultaneously. The device consists of two main elements. Piston in the center is to depress the sternum. Strap is to constrict the thorax circumferentially. Strap is attached to both sides of the piston. When the piston is pushed down, it depresses the sternum and pulls on the thoracic strap. To determine strap width to produce optimal hemodynamic effect, we measured hemodynamic parameters with variable widths of strap in two dogs after induction of ventricular fibrillation. Result of the experiment showed that 10cm wide strap was determined to be most effective. We also determined optimal depth of compression to produce maximal hemodynamic effect with animal experiments using two dogs. Animal experiments showed that the highest aortic pressure could be generated when the stemum was depressed to 5 cm. Cardiopulmonary resusciation using a new device could generate higher systolic aortic pressure, coronary perfusion pressure and end-tidal carbon dioxide tension in comparison with standard cardiopulmonary resuscitation in a pilot animal study using two dogs. Conclusion: New cardiopulmonary resuscitation method using a mechanical device designed by us could perform sternal compression and simultaneous thoracic constriction, and generate better hemodynamic effects than standard cardiopulmonary resuscitation in pilot animal experiments.

제지용 도공안료의 표면개질에 의한 도공지 물성과 인쇄적성에 관한 연구(Ⅱ)

민동진,이희명,조준형,이용규,김용식 한국공업화학회 2004 공업화학 Vol.15 No.1

도공지의 품질향상을 위하여 도공용 무기안료의 제법개선, 도공액 특성 변화, 도공안료의 설계, 도공지 제조의 조업성 등 다양한 측면에서의 연구들이 진행되고 있다. 본 연구는 표면개질한 도공안료와 혼합처리한 도공안료를 용하여 도공지의 물성 및 인쇄적성을 비교하였다. 도공액 배합 시도공액의 유동특성과 인쇄특성에 영향을 줄 수 있는 여러 인자들을 일정하게 고정하였고 도공안료의 표면개질 유무에 따른 인쇄특성 변화를 조사하였다. 도공지의 표면은 SEM으로 측정하여 표면개질 효율을 조사하였다. 도공액의 물성뿐만 아니라 도공지의 물성 및 인쇄적성에 대한 비교ㆍ평가를 실시하였다. 또한 배합조건을 달리하여 인쇄적성의 효율성을 평가하였다. To improve the quality of coating paper, many areas, such as the manufacturing process of inorganic pigment for the coating, the property change of coating color. the surface design of coating pigment and the productivity of coated paper, were studied. In this study the physical properties and printability of coated paper were compared with the coating pigment to modify the surface of large particle and the coating pigment to mix together the large and small particles. After the coating color was mixed under the same conditions in order that the coating color has the same rheological property printability, the printability change caused by the surface modification of coating color was investigated. With the surface SEM of coated paper. the efficiency of the surface modification of coating pigment was investigated. The physical property and printability of coating paper, in addition to the physical properties of coating color. were compared and evaluated. Also. the efficiency of printability was evaluated, changing the mixing condition

플루옥세틴 캅셀제의 지원자에 대한 생체이용율 및 대사율 비교

강원구,박용순,조규행,최준식,권광일 충남대학교 약학대학 의약품개발연구소 1998 藥學論文集 Vol.14 No.-

Fluoxetine is a nontricyclic antidepressant which blocks serotonin reuptake selectively. Its N-demethyl metabolite, norfluoxetine is also selective inhibitor of serotonin uptake. This study was carried out to compare the bioavailability of Myung-in fluoxetine (20 ㎎/cap with that of Prozac?. The bioavailability was conducted on 24 healthy volunteers who received a single dose (80 ㎎) of each drug in the fasting state, in a randomized balanced 2-way crossover design. After dosing, serial blood samples were collected for a period of 48 hours. plasma was analyzed for fluoxetine and norfluoxetine by a sensitive and validated HPLC assay. The major pharmacokinetic parameters (AUC_0-48hr, Cmax, Tmax. AUC_inf.. MRT. T_1/2. Vd and Cl) were clculated from the plasma fluoxetine concentration-time data of each volunteer. The microcomputer program. "WinNonlin' was used for compartmental analysis. A two-compartment model with first-order inpot, first-order output and no lag time was chosen as the most appropriate phamacokinetic model. The data were best described by using a weighting factor of 1/y^2. Though the plasma fluoxetine concentrations of Myung-in fluoxetine were higher than those of Prozac® at all observed time from 7.9% to 16.9% (P<0.05 at 6, 7 and 10 hr), the bioavailability of Myung-in fluoxetine appeared to be bioequivalent with that of Prozac®. There were no statistical significant differences between the two drugs in al pharmacokinetic parameters including AUC_0-48hr of norfluoxetine.

HPLC를 이용한 Alnus속 식물에서의 diarylheptanoids의 정량분석

정동욱,김준식,조수민,이연아,김광호,김세원,이민원 중앙대학교 약학연구소 1999 약학 논총 Vol.13 No.-

Quantitative determination of diarylheptanoids (oregonin and hirsutanonol), which were characteristic components of Alnus spp. has been conducted by High Performance Liquid Chromatography. The HPLC analysis was carried out using an YMC J'sphere ODS-H80 column [150×4.6mm, S-4μm. 80A(particle)] and a combination of acetonitrile and H2O was used as mobile phase in gradient solvent system. The results showed differnce in the species (Alnus japonica, A hirsuta and A. hirsuta var. sibirica)

장기저장 미곡의 성분 변화 특성

소규호,김영수,홍재식,정준영,조재민 한국식품영양학회 1999 韓國食品營養學會誌 Vol.12 No.4

미곡의 장기저장에 따른 이화학적 특성의 변화를 조사하여 효율적인 저장방법을 구명하기 위한 기초적 자료를 제공하기 위해 4년간 조곡상태의 미곡 50가마니를 상온 창고에서 저장하면서 성분 변화를 조사하였다. 고내 온도의 변화는 계절에 따라 35℃ 정도였다. 미곡의 수분함량은 저장기간 동안 15% 이상으로 증가한 적이 없어 비교적 안전하였으나 곡온이 18℃이상 유지되는 매년 6월부터 9월까지의 4개월 동안은 고내 습도의 상승과 함께 미질 저하를 일으킬 수 있는 저장 위험 기간이었다. 저장기간 중의 환원당, amylose 함량, 조단백의 변화를 조사한 결과 각각 입고시 0.24%, 19.23%, 7.02%에서 4년간 저장후 각각 0.5%, 20.31%, 7.46%로 증가하는 경향이었다. 저장미의 amylogram 특성을 조사한 결과 저장 기간이 길어짐에 따라 최고 점도, 최종 점도 및 setback은 입고시 각각 449B.U, 610B.U, 161B.U에서 4년 후 493B.U, 715B.U, 222B.U로 높아졌다. 반면에 Breakdown은 입고시 125B.U에서 4년 후 76B.U로 낮아졌다. 저장미의 호화응집성(gel consistency)은 입고시 44.7mm에서 4년후 39.9mm로 감소하였으며 지방산도는 입고시 4.5KOH㎎/100g에서 4년 저장후 각각 24.4KOH㎎/100g로 증가하였다. 배아율과 배아활성은 각각 97%, 100%에서 4년 후 각각 0%, 0.4%로 감소하였다. 한편 미곡에 착생한 미생물상의 변화를 조사한 결과 저장기간이 길어짐에 따라 세균 착생립수는 감소하고 곰팡이의 착생립수는 다소 증가하는 경향이었다. In order to investigate the changes of rice qualities during 4 years storage of paddy stored in warehouse of normal temperature condition. Temperature in warehouse was changed more than 30℃ under the influence of average temperature outside of a warehouse. Water content of paddy was not increased over 15%. But, as average temperature in wasehouse was gone up 18℃ from June to September every years, it was supposed that these periods were to be deterioration of rice quality. On investigation of change in paddy components during the long term storage, reducing sugar, amylose, crude protein were increased 0.24%, 19.23%, 7.02% at enterance time to 0.5%, 20.31%, 7.46% 4 years later, respectively. Max. viscosity, final visocity and set back value by amylograph were increased 449B.U, 610B.U, 161B.U to 493B.U, 715B.U, 222B.U but breakdown was decreased 125B.U to 76B.U with the increase of storage period. Gel consistency of rice stored was decreased 44.7mm at enterance time to 39.9mm 4 years later. Fatty acid was increased remarkably 4.5KOH㎎/100g to 24.4KOH㎎/100g. Germination ratio and germ activity of paddy during long-term storage were decreased 97%, 100% to 0%, 0.4%, respectively. With the increase of storage period, contaminated paddy by molds increased and its by bacteria decreased.

생체분해성 망막압정을 이용한 망막고정에 대한 실험적 연구

김용백,민병무,김창식,박근성,김승영,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

Biodegradable retinal fixation devices obtain mechnical fixation of the retina with desirable chorioretinal scarring and with the potential for local, sustained release of antimetabolites and steroids to inhibit proliferative vitreoretinopathy. We manufactured a biodegradable retinal tack with barb that was designed in order to prevent intrusion from implantation of retinal tacks. This study was carried to evaluate the efficacy for retinal fixation and the capability for sustained release of drugs with a newly designed biodegradable retinal tack Biodegradable retinal tacks were made of polymers of glycolic acids and were designed with barbs in a shape to prevent the disinsertion. Biodegradale retinal tacks are divided into 3 parts, a conical portion that is inserted into the sclera, a cylinder portion that remains in the vitreous, and a neck portion between the pin and the cylinder. The tapered conical end was manufactured to allow easy insertion through the retina and choroid into the sclera. A cylinder portion was manufactured with a tapered angle that fixes firmly into the orifice of 19 gauge spinal needle. A neck portion, 0.4 mm in diameter, was designed to prevent disinsertion from following implantation of retinal tack. The applicator was a 19 gauge spinal needle and its orifice was prepared to 15°angle to accept the tapered cylinder portion of the retinal tack. The retinal tacks, secured in the needles, were passed through the formed vitreous and inserted into the retina, choroid, and sclera and were released by pushing the internal needle, usually within 2-3mm of the medullary ray of the posterior rabbit retina A retinal tack was placed in each of 8 pigmented rabbit eyes. Slit-lamp biomicroscopy, indirect ophthalmoscopy and fundus photography were performed periodically from 1 day to 8 weeks after surgery. Eight eyes were enucleated and studied by light microscopy at 8 weeks. Biomicroscopic evaluation of the animals revealed edemas adjacent to the retinal surfaces immediately after insertion of the biodegradable retinal tacks in all the animals. These edemas disappeared after 1 week. The first noticeable change in the size of retinal tacks was shown after 2weeks. The size of the retinal tacks gradually got smaller, decreasing to about one-half at 4 weeks and about one-third at 8 weeks. All retinal tacks remained in inserted places without any movement for an 8 week period. On light microscopy, epiretinal proliferations were seen to extend into the vitreous cavity. Cellular capsules that lined the inner aspect of the scleral defect caused by tack insertion were found. However the adjacent retina had a normal cytologic appearance and architecture in all specimens. We manufactured a biodegradable retinal tack that is designed to prevent intrusion from implantation of retinal tacks. All biodegradable retinal tacks reduce in size with time, but no retinal tacks extruded from the inserted place. The newly designed biodegradable retinal tack can be used for retinal fixation and may be used as a vehicle for the introduction of pharmacologic agents to prevent the cellular events that promote proliferative vitreoretinopathy.