복강경하 대장절제술을 시행 받는 환자에서 라모세트론과 온단세트론외 술 후 오심 및 구토 예방 효과 비교

김효중;어전영;어근무;어정한;엄세훈;조광래;김명훈 인제대학교 2011 仁濟醫學 Vol.32 No.-

Objectives : We evaluated the efficacy of ramosetron and ondansetron for preventing postoperative nausea and vomiting (PONV) in laparoscopic colectomy. Methods and Materials : Eighty patients who received laparoscopic colectomy were randomly divided into two groups: R group (ramosetron 0.1mg PO) and O group (ondansetron 4mg twice IV). Injection or oral medication was administered before the induction of anesthesia in each group. Injection was administered at the end of surgery in O group. General anesthesia was induced using propofol and rocuronium, and maintained with sevoflurane, remifentanil and air (FiO2 0.5), We investigated the incidences of PONV in each group by the Rhodes index of nausea, vomiting and retching (RINVR) at postoperative 6 and 24 hours. Results : The incidence of PONV was not different between group at each time points after surgery (at postoperative 6 hours: 20% in group R, 17.5% in group 0, at postoperative 24 hours; 12.5% in group R, 7.5% in group 0). There was no difference in the severity of PONV, satisfaction, rescue drug usage. Conclusion : Prophylactic therapy with ramosetron is as effective as conventional prophylactic therapy with ondansetron for preventing PONV in general anesthesia for laparoscopic colectomy.

대학생 복식 현상에 나타난 상징성 연구

이성희,유지현,한명숙 服飾文化學會 1994 服飾文化硏究 Vol.2 No.1

The purpose of this study was to analyze the classification and meaning of symbols, of the clothes of the college students by sex-roll theory and identity theory. The clothes analyzed in this study were collected by photographs which were taken in the campus (240 out of 1,000 pictures) of the several colleges and universities in Seoul form fall in 1993 to summer in 1994. The results were as follows: 1. Analysis as a symbol of sexuality. The phenomenon of the visual inconsistency and consistency of sexual image in dress were showed simultaneously. The clothes of male students were generally becoming feminine style in materials and colors of clothes. These suggested that sex-roll theory be applied to their clothes. 2. Analysis as symbols of identification or individuality. The identification of shoes, bags, accessories, and hair styles were prominent than that of clothes. When it was analyzed as a symbol of individuality, the college students seemed to act as fashion leaders, who accepted new fashions and tried them on first. Theses suggested that Erikson's theory on identity be applied to their clothes. 3. Analysis as a symbol of emblem. The dissimilarities of between the college students and other groups in the same generation were bright and casual attire with files, books, and sack. 4. Analysis as a symbol of campus ceremony. The clothes of college students on campus ceremonies were more casual and flexible than those of other groups in the same generation. It was known that the symbols showed above were reflected on their clothes as "one's expressions" which are sex-roll, identity, and characteristics of college students.

여자 축구 선수들의 양발 길이 차이와 부상과의 상관

장지훈,이명국 한국유산소운동과학회 2002 대한스포츠융합학회지 (jcses) Vol.6 No.1

The purpose of this study was to develop injury prevention program for women soccer players. Subject were all the members of korean national women youth soccer team (U-19). The length of both feet was measured, and 24 female soccer players were divided into 3 groups according to her length difference between both feet. In A group, the length of right foot was equal to that of left. In B group, the difference between both feet length was under 2mm. In C group, the difference between both feet length was above 3mm. Injury score was awarded by medical doctor and team doctor to each person after interview. Ball speed of both leg was measured by speed gun, balance was by stork stand As a result, about 80% of subjects were included in B and C group. Pearson's r was .590 between the foot length difference and injury score (p<.01), especially the highest 'r' was shown between the foot length difference and ankle injury score (r=.745, p<.01). No significance was shown between the foot length difference and ball speed, but significant difference was shown between the foot length difference and balance (p<.05).

림프질 전이가 있는 하인두암과 하부식도암의 진단에 활용된 내시경초음파 유도하 Trucut 생검 1예

광명옥,이정환,문정섭,김유선,류수형,총배천,김형훈,김현태 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

The incidence of double primary cancer is about 10% in all kinds of cancers. Double primary cancer is usually accompanied by gastrointestinal cancer. Esophageal cancer is supposed to be frequently accompanied by squamous cell carcinoma of the head and neck or the upper respiratory tract, because of such common carcinogens as smoking and alcohol ingestion. Esophageal cancer and hypopharyngeal cancer are usually diagnosed by esophagogastric endoscopy with biopsy. We performed endoscopic ultrasound-guided Trucut biopsy(EUS-TCB) to diagnose a mediastinal mass in a 49 year-old patient, who visited our hospital because of voice change. During procedure, we accidently found enlarged celiac lymph node, and obtained tissue from the mediastinal lymph node and the celiac lymph node. We confirmed double primary cancer of squamous cell carcinoma in the esophagus and the hypopharynx via esophagogastric endoscopy.

소양호의 어류군집 동태

최재석,이광열,장영수,고명훈,권오길,김범철 한국어류학회 2003 韓國魚類學會誌 Vol.15 No.2

2001년 4월부터 2002년 9월까지 소양호의 어류군집 동태를 조사한 결과는 다음과 같다. 조사된 어류는 총 11과 38종이었다. 한국 고유종은 P. tenuicorpus, C. splendidus, S. gracilis majimae, S. japonicus coreanus, H. mylodon, G. brevibarba, M. yaluensis, M. longidorsalis, C. koreensis, C. rotundieaudata, S. microdorsalis, P. koreanus, L. andersoni, C. herzi, O. patycephala 등 15종(40.54%)이었다. 우점종은 Z. platypus(39.60%), H. olidus(39.47%), S. gracilis majimae(12.24%), S. japonics coreanus(2.11%), P. fulvidraco(1.48%), L. macrochirus(1.40%) 등이었다. 채집된 어종들의 생체량을 보면 Z. platypus가 19.48㎏, H. olidus로 8.75㎏, C.cuvieri 7.42㎏, L. maeroehirus 7.39㎏, H. labeo 6.85㎏의 순으로 나타났다. 소양호에서 확인된 도입종은 A. japonica, H. eigenmanni, H. olidus, P. altivelis, C. urotaenius, R. giurinus, T. brevispinis, C. carpio(Israeli type), c. euvieri, Onchorhynchus mykiss, L. macrochirus, M. salmoides, I. puntatus 등 13종이었다. 이 중 C. carpio(Israeli type), C. cuvieri, Onchorhynchus mykiss, L macrochirus, M. salmoides, I. puntatus는 국외종이며, A. japonica, H. eigenmanni, H. olidus, P. altivelis, C. urotaenius, R. giurinus, T. brevispinis 등은 국내 다른 하천ㅇ로부터 유입된 종이다. The dynamics of the fish community in Lake Soyang, Korea, was investigated from April 2001 to September 2002. During the surveyed period 38 species belonging 11 families were collected. There were 15 Korean endemic species 39.47%, including Pseudopungtungia tenuicorpus, Coreoleuciscus splendidus, Squalidus gracilis majimae, S. japonicus coreanus, Hemibarbus mylodon, Gobiobotia brevibarba, Microphysogobio yaluensis, Microphysogobio longidorsalis, Iksookimia koreensis, Iksookimia rotundicaudata, Silurus microdorsalis, Pseudobagrus koreanus, Liobagrus andersoni, Coreoperca herzi, and Odontobutis platycephala. Dominant species were Zacco platypus (39.60%), Hypomesus olidus (31.70%), Squalidus gracilis majimae (12.24%), Squalidus japonicus coreanus (2.11%), Pseudobagrus fulvidraco (1.48%) and Lepomis macrochirus (1.40%). The biomass of collected fishes were Zacco platypus (19.48 ㎏), Hypomes olidus (8.75 ㎏), Carassilus cuvieri (7.42 ㎏), Lepomis macrochirus (7.39 ㎏) and Hemibarbus labeo (6.85 ㎏). Of the 13 introduced fishes in Lake Soyang Cyprinus carpio (israeli type), Carassius cuvieri, Onchorhynchus mykiss, Lepomis macrochirus, Micropterus salmoides and Ictalurus puntatus were originated from foreign countries but Anguilla japonica, Hemiculter eigenmanni, Hypomesus olidus, Plecoglossus altivelis, Chaenogobius urotaenius, Rhinogobius giurinus. Thridentiger brevispinis were introduced from other native river systems.

극단 저체중 신생아에서의 동맥관 개존증 결찰술을 위한 진정맥 마취 경험 2례

최영균,고명진,이상은,조광래,김영환,임세훈,이정한,이근무,정순호,김영재,신치만 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

Running title: Cases of anesthesia for extremely low birth weight infant. Extremely low birth weight infants (birth weight < 1000 g) are prone to various morbidities such as respiratory distress syndrome, intraventricular hemorrhage, periventricular leukomalacia, patent ductus arteriosus, necrotizing enterocolitis and retinopathy. To accomplish successful anesthetic management, many precautions must be continuously taken during the operation. First, inspired oxygen concentration should be adjusted to avoid oxygen toxicity. Second, body temperature must be maintained adequately. Third, hemodynamic parameters should be kept stable. We report 2 cases of successful anesthetic management for extremely low birth weight infant who underwent ligation of patent ductus arteriosus at the neonatal intensive care unit.

동일한 혈관 내에 발생한 이식형 약제 주입기 카테터의 위치이상

오대석,김영재,김명훈,조광래,임세훈,이정한,이근무,정순호,신치만 仁濟大學校 白病院 2010 仁濟醫學 Vol.31 No.-

저자들은 56세 여성 환자의 왼쪽 쇄골 하 정맥에 시행한 이식형 약제주입기 카테터의 삽입 후 발생한 비정상 위치에 대한 증례를 보고하고자 한다. 카테터의 끝은 환자의 늘 어진 가슴, 체위, 신체의 움직임, 카테터의 유동성 등의 영향으로 천자된 정맥 내에서 견인되고 뒤쪽으로 이동하였다. 환자는 어떠한 증상도 호소하지 않았지만 비정상 위치의 카테터는 심각한 합병증을 유발할 수 있기 때문에 제거되었다. 따라서 시술자는 약제주입기 삽입 전에 환자의 신체 상태와 단순 흉부 촬영상을 확인하고 카테터의 비정상 위치가 발생할 수 있는 위험 징후를 알아차려야 하겠다.

국내에서 생장한 Kenaf의 해부학적 특성

권영만,황원중,권성민,조준형,이명구,김남훈 江原大學校 森林科學硏究所 2005 Journal of Forest Science Vol.21 No.-

국내에서 재배한 kenaf의 해부학적 특성을 광학현미경법으로 조사하였다. Kenaf의 수피부에는 인피섬유, 사부방사조직, 피층유세포 등이 존해하였고, 목질부는 도관, 목섬유, 방사조직 등으로 구성되어 있었다. 도관은 고립관공과 2~3개가 방사방향으로 복합한 복합관공이 많이 존재하였고, 방사조직은 평복, 직립, 방형세포가 모두 분포하고 있었다. 접선단면에서 방사조직은 단열 및 다열방사조직으로 구성되었다. 수피비의 인피섬유층은 생장기간과 함께 증가하였다. Anatomical properties of Kenaf cultivated in Korea was investigated using light microscopy. Bast fiber, phloem ray and cortex parencyma cell were observed in bast, and vessel, wood fiber and rat in core. A lot of solitary and multiple radial pores in core existed. The cell type of ray parenchyma in radial section was procumbent, upright and square sell. Uniseriate and multiseriate rays existed in tangential section. The layer of bast fiber in bast increased with in creasing the growth period.

Variance of The Bispectral Index Score (BIS) Among The Measurement Time in Patients with Brain Injuries

Kim, Se-Hun;Kim, Hyun-Tae;Cheong, Soon-Ho;Lee, Kun-Moo;Lee, Jeong-Han;Lim, Se-Hun;Cho, Kwang-Rae;Kim, Myoung-Hun;Kim, Se-Hun;Kim, Hyun-Tae;Cheong, Soon-Ho;Lee, Kun-Moo;Lee, Jeong-Han;Lim, Se-Hun;Cho, 인제대학교 2011 仁濟醫學 Vol.32 No.-

목적: 이중분광계수(Bispectral Index Score)는 중환자실에서 진정의 정도를 가하는 도구로 사용되고있다. 저자들은 뇌손상환자에서 진정척도를 사용하여 의식의 정도를 측정할 때 말이나 통중의 자극으로 인해 이중분광지수가 변할수 있다고 가정하였다. 방법: 42명의 뇌손상환자에서 진정척도를 사용하여 자극을 주기 5분전과 5분후에 이중편광계수를 측정하여 연관성을 확인하였다. 결과: 이중편광계수는 측정시간에 따라 차이가 없었다. 평균 이중편광계수는 Glasgow Coma Score (GCS), Richmond Agitation-Sedation Scale (RASS), Reaction Level Scale(RLS)와 연관성이 있었다. 결론: 진정척도와 이중편광지수와의 연관성은 자국의 유무에 의해 영향을 받지 않는 것으로 보인다.

S-106 : Clinical features of hepatocellular carcinoma patients with initially presenting as advance stage

( Myoung Hun Chae ),( Min Su Kim ),( Young Joo Jin ),( Jin Woo Lee ),( Hyun Jung Chung ),( Byung Wook Bang ),( Seok Jeong ),( Kye Sook Kwon ),( Don Haeng Lee ),( Hyung Gil Kim ),( Yong Woon Shin ),( Y 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

Background: Despite the regular surveillance for hepatocellular carcinoma (HCC), we can often meet the patients who are initially diagnosed as having advanced staged HCC. Therefore, we aimed to investigate the frequency of the patients who were initially expressed as advanced HCC during surveillance at-risk population, and intended to evaluate the clinical characteristics of these patients. Methods: A total of 120 patients who were initially diagnosed as HCC during surveillance at our institution between January 1999 and January 2013 were consecutively enrolled. HCC surveillance was done with regular follow-up of abdominal ultrasonograpy and serum alpha-fetoprotein at-risk population. HCC was diagnosed based on the criteria of the American Association for the Study for Liver Diseases. Barcelona Clinical Liver Cancer (BCLC) staging system was used for tumor stage. Results: Of the 120 patients, 15 (12.5%) patients were diagnosed as having initially BCLC stage C. Of these 15 patients, the median age was 55 years (range, 37-79 years), and 15 (88.2%) were male. All of them had clinically liver cirrhosis. Fourteen (93.3%) patients had nodular tumor type with the median tumor size of 3.1 cm (range, 1.5-6.7cm). Only one patient had infiltrative tumor type. Lymph node metastasis was observed in 8 (53.3%) patients, and portal vein tumor thrombosis was observed in 7 (46.7%) patients (Table I-IV). Conclusions: Our data showed that 12.5% of HCC patients may express as having initially advanced HCC at-risk population, especially with liver cirrhosis despite the regular surveillance. Moreover, portal vein tumor thrombosis or lymph node metastasis may not be detected early with ultrasonography. During surveillance, enhanced dynamic images may need to be performed to detect portal vein tumor thrombosis or lymph node metastasis.However, large scaled prospective study needs to be performed to confirm our data.