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      • 자궁선근증의 고찰

        조환성,이해혁,정성윤,김성욱,이순곤,남계현,이임순,이권해 순천향의학연구소;Soonchunhyang Medical Research Institute 2000 Journal of Soonchunhyang Medical Science Vol.6 No.1

        Objective: This study was designed to estimate the frequency and risk factor for edenomyosis Methods: The clinical records of 623 women undergoing hysterectomy were retrieved in the Department of Obstetrics and Gynecology, Soonchunhyang University Hospital, during 5 years, from Jan. 1995 to Dec. 1999. Results: The following result were obtained. 1. Adenomyosis was found in 247 of 623 patients(39.6%) 2. The highest incidence was 40-49 years of age group, an incidence of 46.6% and mean age was 44.7 years. 3. Adenomyosis was more frequently observed in parous women than non-parous women, such as 93.1% and 6.9%, respectively. 4. Dysmenorrhea, metrorrhagia, pelvic pain and vaginal bleeding were common symptom of adenomyosis, an incidence of 28.7%, 19.0%, 18.2% and 16.2%, respectively. 5. Myoma was the most combined disease in adenomyosis, showing the incidence of 54.7%. 6. Grossly, the size of uterus was enlarged more than 10 weeks gestational size in adenomyosis, an incidence of 61.9%. 7. Preoperative diagnostic accuracy of adenomyosis was 6.9%. Conclusion: The results show that deeply understanding of the common symptoms and epidemiology of adenomyosis improve the preoperative diagnostic accuracy.

      • SCIESCOPUSKCI등재
      • 위의 유암종과 선종의 병발 1례

        장재식,강혁주,이중현,서영범,윤병구,김용섭,이구,서정일,양창헌,이창우,김정란,윤환중 東國大學校醫學硏究所 2000 東國醫學 Vol.7 No.-

        유암종은 전신에 퍼져 잇는 장크롬친화성 세포에서 기원하는데 위의 유암종은 비교적 드문 질환으로 모든 유암종의 1.9~2.2%에 해당하며 위에 발생하는 종양의 1% 미만에서 보고되고 있다. 유암종은 일반적으로 증상이 비특이적이고 면역조직화학검사에 의해서 진단되기 때문에 과거에는 드물게 발견되었으나 최근 내시경 기기 및 술기의 발전과 검사 빈도의 증가 및 면역조직화학검사의 발달로 진단율이 증가 추세에 있으며, 드물지만 유암종에서 선암과 공존하는 예들이 보고되고 있다. 저자들은 심와부 동통을 주소로 내원한 70세 남자 환자의 상부위장관내시경 검사에서 위체상부의 대만곡에서 0.4×0.4 cm 크기의 중간 함몰을 가진 Yamada 1형의 용종과 함께 전정부의 전벽에서 0.8×0.5 cm 크기의 융기된 점막 소견을 보여 조직학적으로 각각 위유암종 및 위선종임을 확진한 후 내시경적 용종 절제술로 치료한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Carcinoid tumors are arisen from enterochromaffin cells, which are scattered throughout the body. These tumors are composed of variable numbers of cells that contain endocrine granules in their cytoplasm, which can be identified by immunohistochemistry and electron microscopy. Gastric carcinoid tumors are relatively rare tumor, the reported incidence being 1.9~2.2% of all carcinoid tumors and less than 1% of all gastric tumors. Sometimes, composite carcinoid tumors and adenocarcinoma is reported. We experienced a case of the coincidence of carcinoid tumor and adenoma at the other site of the stomach in a 70 year old male patient. Gastrofiberscope showed 0.4×0.4 cm sized Yamada type I polyp with central depression on the greater curvature of the proximal body and 0.8×0.5 cm sized focal slightly elevated mucosa on the anterior wall of the antrum. The endoscopic biopsy specimens revealed carcinoid tumor and tubular adenoma with moderate atypism, respectively. The carcinoid tumor and adenoma were removed by endoscopic polypectomy. According to the follow-up gastrofiberoscopy after 7 month later, both lesions were nearly normal mucosa except whitish atrophic change after polypectomy.

      • 소의 第四胃變位症에 있어서 脂肪肝에 關한 硏究

        李玧庚,更科孝夫,宇塚雄次,田口淸,金德煥 충남대학교 수의과대학 동물의과학연구소 1997 動物醫科學硏究誌 Vol.5 No.-

        The relationship between histological findings of fatty liver and blood composition was investigated using liver biopsy materials and blood obtained under and after operation of 38 Holstein-Friesian cows with abomasal displacement. The results were summarized as follows: The cows with more than 40% fat in the liver were 36.8%(14/38, Ⅲ group), those with 20-40% fat in that were 34.2%(13/38, Ⅱ group) and those with 0-20% fat in that were 28.9%(11/38, Ⅰ group), respectively. The age, body weight and body condition score of Ⅱ and Ⅲ group were higher than those of Ⅰ group. Consequently, high-yielding and fat cows were thought to be connected with the formation of present fatty liver. The levels of serum NEFA of 3 groups at the time of operation tended to be higher than those at 2 weeks after operation, and those levels of Ⅱ and Ⅲ group were significantly higher than those of Ⅰ group. The levels of serum total cholesterol and serum phospholipid of Ⅱ and Ⅲ group at the time of operation tended to be lower than those of Ⅰ group, and the levels of serum phospholipid of 3 groups at the time of operation tended to be lower than those at 2 weeks after operation. Consequently, those results suggested the presence of the lipid synthetic disturbance in liver by present fatty liver. The levels of LDL and VLDL of 3 groups at the time of operation tended to be lower than those at 2 weeks after operation. This results suggested the presence of the synthetic disturbance of lipoprotein in liver by present fatty liver. The levels of serum AST. γ-GTP and total bilirubin of 3 groups were significantly higher than those at 2 weeks after operation, and those levels of Ⅲ group tended to be higher than those of Ⅰ and Ⅱ group. This results suggested the presence of the disturbance of hepatic in present cows with fatty liver such as the fat degeneration of hepatocyte and disturbance of bile excretion in liver. The levels of serum thyroxin(T4) and serum triiodothyronine(T3) of 3 groups at the time of operation tended to be lower than those at 2 weeks after operation, and levels of Ⅲ group tended to be lower than those of Ⅰ and Ⅱ group. This results suggested the presence of hypothyroidism by fat in the cows with present fatty liver. From the results described above, since the fatty livers were found frequently in the case with abomasal displacement, it was suggested that the disturbance of hepatic function by fatty liver markedly influenced for development of the abomasal displacement and the abomasal displacement was thought to develope the fatty liver.

      • 전침 자극에 의한 오디 괄약근 운동성 변화에 관한 연구

        이성구,김명완,김홍자,서동환,이상수,김동일,유교상,주연호,민병일,김지훈 경희대학교 동서의학연구소 2001 東西醫學硏究所 論文集 Vol.2000 No.-

        Background/Aims: This study was designed to evaluated the effects of electroacupuncture on the sphincter of Oddi (SO) motility in humans and to correlate the manometric findings with plasma cholecystokinin (CCK) levels. Methods: Eleven patients (M: F= 5: 6) who had various kinds of biliary disorders were enrolled. SO motility was monitored with a conventional low-compliant continuously perfused technique using ERCP (n=9) or percutaneous transhepatic cholangioscope (n=2). After baseline monitoring for phasic wave contractions of SO, electroacupuncture was applied at a specific acupoint, GB 34, in these 11 patients. A nonspecific acupoint 5 cm away from GB 34 was selected as a control. Manometric parameters of SO were also checked in 6 subjects during stimulation of the control acupoint. CCK plasma levels were measured during the time course of electroacupuncture stimulation. Result: All the manometric parameters including the basal pressure of SO, amplitude, frequency and duration of phasic wave contraction of SO were significantly decreased (p< 0.05) during electroacupuncture stimulation. The inhibition of SO contractility was accompanied by increased CCK plasma levels. After removal of electroacupuncture stimulation, restoration of amplitude and duration to basal condition were noted. A tendency towards the return of SO contractility was also observed in basal pressure and frequency. Stimulation of the control acupoint, however, did not affect the SO contractility and plasma CCK levels. Conclusions: Electroacupuncture stimulation of acupoint GB 34 showed reversible inhibition of SO contraction in humans. We speculate that the response of SO to electroacupuncture stimulation may be mediated by some neurohormonal mechanisms including CCK release. (Korean Journal of Gastrointestinal Motility 2000;6:44-41)

      • KCI등재
      • 籠球選手 疲勞回復을 위한 魚腥草 服用의 檢證 : 高校 男女 選手를 中心으로

        이윤근,권세환 중앙대학교 스포츠과학연구소 2000 體育硏究 Vol.- No.13

        It is considered the most of sport drinks that the lack of a herb medicine. We tried to verify of a baseball plyer's the recover from fatigue through the taking an'u sung cho' which have great an effects in the internals. It was based on the fatigue survey report by subjective symptoms that an object to the high school baseball plyer(man:26 woman:24). 1. After taking that, it is showed to helpful the function of the respiratory organs, the muscular system, a joint, recover from fatigue. 2. It is good for mental state, nerve system that has nothing to do with ability to carry out directly, so it served keep a balance and comfortable mental state. 3. A period of 1 month, it is great an effects physically, mentally, nerve system add to other things about the recover from fatigue. 4. It should required to be in the spotlight as a sport drink thet 'u sung cho' follow-up the study of medically, nutritionally.

      • KCI등재

        황사의 확산예측을 위한 기상정보의 시간해상도에 관한 수치연구

        이순환,곽은영,류찬수,문윤섭 한국환경과학회 2004 한국환경과학회지 Vol.13 No.10

        In order to predict air pollution and Yellow-sand dispersion precisely, it is necessary to clarify the sensitivity of meteorological field input interval. Therefore numerical experiment by atmospheric dynamic model(RAMS) and atmospheric dispersion model(PDAS) was performed for evaluating the effect of temporal and spatial resolution of meteorological data on particle dispersion. The results are as follows: 1) Base on the result of RAMS simulation, surface wind direction and speed can either synchronize upper wind or not. If surface wind and upper wind do not synchronize, precise prediction of Yellow-sand dispersion is strongly associated with upwelling process of sand of particle. 2) There is no significant discrepance in distribution of particle under usage of difference temporal resolution of meteorological information at early time of simulation. but the difference of distribution of particles become large as time goes by. 3) There is little difference between calculated particles distributions in dispersion experiments with high temporal resolution of meteorological data. On the other hand, low resolution of meteorological data occur the quantitative difference of particle density and there is strong tendency to the quantitative difference.

      • KCI등재후보

        대구지역 가로수잎의 중금속

        이찬형,윤현숙,박연준,권종대,노기철,장성환 한국환경과학회 2002 한국환경과학회지 Vol.11 No.12

        This study was conducted to determine the contents of heavy metals in leaves of roadside trees according to different growth stages in Daegu city. The orders of heavy metal contents in leaves of roadside tree and soil were Fe〉Mn〉Zn〉Pb〉Cu〉Cr〉Cd and Fe〉Mn〉Zn〉Cu〉Pb〉Cr〉Cd, respectively. The contents of heavy metals in leaves of roadside trees and soil showed an increasing tendency as the levels of traffic volume increased. The contents of heavy metals in leaves on October were higher than those on May.

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