http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
응급실에서 소아환자의 진정제로서 케타민(Ketamine)의 사용
서정필,박준석,황태식,장석준,김승호 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Background: Ketamine use in emergency room has been increased. It has rapid onset of action and appropriate duration of action. It does not need endotracheal intubation and produces potent analgesia, sedation, and amnesia. The object of this study is to determine the safety and the degree of physician's satisfaction in relation to ketamine use. Materials and Methods: This is a prospective study using protocol. Pediatric trauma patients who need sedation were given IM ketamine(4 ㎎/㎏) and atropine(0.01 ㎎/㎏) in a same syringe. Monitoring of patients was done by EM residents and complications of ketamine use were recorded. Physician's satisfaction was also recorded after the procedure. Results: Intramuscular ketamine was administered 54 times, mainly for laceration repair. Physicians completed protocol for 51 of treated children. The median time for onset of sedation was 6.5±2.4 min, and duration of action was 32.4±10.8 min. Hypersalivation occurred in 9.8%(n=5); random movement 3.9%(n=2), emesis during procedure(n=1), emesis at home(n=1), and transient oxygen desaturation(n=1). All were quickly identified and treated without specific airway management and sequelae. Of 84% of physicians was satisfied with ketamine use for pediatric sedation. Conclusion: Intramuscular ketamine can be administered safely and satisfactorily in emergency room to facilitate pediatric procedures in conjunction with a defined protocol and appropriate monitoring.
송호준,하대호,유교상,박승택,이강창,서부일 대한본초학회 2002 大韓本草學會誌 Vol.17 No.2
Objectives : To evaluate the toxic effect of methylmercuric chloride(MMC) and the protective effect of Sophorae Radix(SR) in cultured mouse myocardial cells, cytotoxicity was measured by MTT assay Methods : Cultured myocardial cells were incubated for 72 hours in the media containing 5~40 ㎛ concentrations of MMC. And also, the protective effect of SR was determined by sulforhodamine B(SRB) for protein sythesis and radioactive assay for DNA sythesis in these cultures. Results : Cell viability was significantly decreased in a dose-dependent manner after cultured myocardial cells were exposed to 20 ㎛ MMC for 72 hours. In the neuroprotective effect of SR on MMC-induced cytotoxicity, SR blocked the MMC-induced myotoxocity in these cultures. Conclusion : It suggests that MMC is toxic against cultured mouse myocardial cells and SR is effective in blocking the meurotoxicity induced by MMC.
위장관을 침범한 Henoch-Sch o¨nlein purpura 1예
이승곤,김채규,서종옥,이호영,이호준,정회상,박유환,정춘해 朝鮮大學校 附設 醫學硏究所 1996 The Medical Journal of Chosun University Vol.21 No.2
Henoch-Scho¨nlein purpura(H-S purpura) is a systemic necrotizing vasculitis of small vessels that is characterized by nonthrombocytopenic palpable purpura on the buttocks and extremities, arthritis of knees and ankles, glomerulonephritis, and colicky abdominal pain, histologically characterized by leukocytoclastic vasculitis. Gastrointestinal involvement with colicky abdominal pain and GI bleeding, most frequently in jejunum and ileum, occurs in above a half of all patients, but common in children. We performed GI endoscopy in a case of H-S Purpura. Gastroduodenoscopic findings showed erythemas and erosions in gastric antrum, and mucosal edema and petechiae in duodenal 2nd portion. Colonoscopic findings showed 5-10㎜ sized multiple shallow hemorrhagic ulcers in transverse and descending colons We report a case of H-S purpura involving colon with literatural review.
예방위주의 계속구강건강관리 제도의 운영사례에 대한 분석 연구 : 16세 이하 연령층을 대상으로
원준영,신승철,서현석,류현 대한구강보건학회 2003 大韓口腔保健學會誌 Vol.27 No.3
The purpose of this study was to obtain database for developing a model of incremental dental care system in Korea. The author conducted the incremental dental care for 232 persons during one year in personal dental hospital. The data was analyzed improvement of oral health conditions during initial stage and 1st incremental care stage, and required cost during one year. The results were as follows ; 1. Active caries free rate was increased from 75.43% to 94.83% during incremental dental care. 2. The mean care time was estimated 486.1 minutes per one person. The dental chair-time for incremental dental care was 314.9 minutes and the indirect required time was 171.2 minutes. 3. The mean care cost of incremental dental care was estimated 413,159 Won based on customary fee and 284,576 Won based on relative value scale, 278,521 Won based on labor cost and clinic operating cost. 4. The proper incremental dental care cost of the first year until highschool student was estimated about 280,000 Won, and the cost seemed to be reduced from second year. 5. It is suggested that incremental dental care program in personal dental clinic is effective means of improving oral health and it is recommended to extend the incremental dental care program.
김인태,박환서,유승곤,김환영,김준형 한국공업화학회 2004 응용화학 Vol.8 No.1
In the previous study, we suggested a new concept, named as GRSS(Gel-Route Stabilization/Solidification) and investigated a material system applicable to volatile radioactive waste, a reaction condition and chemical limitations. From these results, this paper investigated the effect of some additives, which have been considered as the major component of ceramic waste forms(apatite and sodium zirconium phosphate), on the thermal stability and chemical durability. The Si-P system with Ca at appropriate composition shows good thermal stability but low chemical durability while the Si-P system with Zr shows relatively low thermal stability but relatively high chemical durability.
위암 환자의 복강내 투여를 위한 Activated Charcoal-Alginate Bead 제형으로부터 Mitomycin C의 용출 거동
이진호,최선웅,서중기,김동민,정경수,오정연,김진향,노승무,민병무,김용백,김창식,박근성,강대영,송규상,양준묵,조준식,정현용,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1
Locoregional recurrence is the most common type of recurrence in surgical operation of gastric adenocarcinoma, and peritoneal dissemination is one of the most difficult problems in advanced gastric adenocarcinoma treatment. Because the peritoneal cavity is the most common site of the first recurrence after gastric cancer resection, intraperitoneal chemotherapy seems a logical choice for cancer chemotherapy. In this study, Mitomycin C (MMC)-activated charcoal (CH)-alginate (ALG) beads were prepared by the mixtures of CH particles adsorbed with MMC as an anti-cancer drug and aqueous alginate solution. The alginate is recognized as biodegradable, nontoxic, and biocompatible. The release of MMC from the beads in 0.1 M Tris buffer was stable and continuous until about 1 week. The MMC-CH-ALG beads can be applied in the peritoneal cavity for intraperitoneal chemotherapy since they provide a good adhesiveness on the tissue and controlled release pattern of the drugs.
ELISA에 의한 뇌척수액내 Fibronectin의 측정과 임상적 의의
김숙희,박충서,이병헌,조준승 慶北大學校 醫科大學 1990 慶北醫大誌 Vol.31 No.3
신경계 질환의 진단은 임상 소견과 뇌척수액 검사소견 등을 기초로 하고 있다. 그러나 이들 소견이 각 질환간의 감별에 분명한 도움을 주고 있지는 못하고 있다. 이에 본 연구에서는 뇌척수액 fibronectin을 측정하여 여러 신경계 질환과의 관련을 조사하고 나아가 이들 질환의 감별에 도움을 얻고자 하였다. Fibronectin은 뇌척수액내 미량으로 존재하므로 이의 측정을 위하여 먼저 측정능이 좋은 ELISA를 개발하였다. 그 결과 농도가 10 ng/ml에서부터 100 ng/ml의 범위내에서 뇌척수액 fibronectin 농도를 측정할 수 있었다. 결핵성 뇌막염 9례, 바이러스성 뇌막염 5례, 세균성 뇌막염 2례를 포함한 기타 신경계 질환 8례 및 정상대조군 18례 등 총 40례를 대상으로 뇌척수액내 fibronectin농도를 조사한 결과, 결핵성 뇌막염군은 4.21±2.32 ㎍/㎖, 바이러스성 뇌막염군은 0.9±0.79 ㎍/㎖, 기타 질환군은 2.05±2.48 ㎍/㎖, 그리고 정상대조군은 1.35±0.84 ㎍/㎖의 평균값을 보여 결핵성 뇌막염군이 기타 질환군을 제외한 타 질환군들에 비해 통계적으로 유의하게 높은 값을 보였다(p<0.01). 결핵성 뇌막염의 경우 1례를 제외하고는 모두 2.9 ㎍/㎖ 이상이었고, 3례(38%)에서는 4.6 ㎍/㎖ 이상이었던 반면, 바이러스성 혹은 무균성 뇌막염에서는 1례에서만 2.2 ㎍/㎖이고 나머지는 모두 1 ㎍/㎖ 이하로 나타났다. 이상의 결과로 보아 뇌척수액내 fibronectin농도의 측정은 결핵성 뇌막염과 바이러스성 뇌막염의 감별진단에 유용하리라 생각된다. The diagnosis of neurologic diseases is based on the clinical symptoms and cerebrospinal fluid findings. These findings, however, are often ambiguous. This study aims to evaluate the diagnostic value of cerebrospinal concentration of fibronectin. Fibronectin level in cerebrospinal fuid was measured by ELISA which could detect fibronectin in the range from 10 ng/ml to 100 ng/ml. Nine cases of tuberculous menigitis, 5 cases of viral meningitis, 8 cases of miscellaneous neurologic conditions and 18 cases of normal controls were studied. The mean value of fibronectin level in cerebrospinal fluid in tuberculous meningitis was 4.21±2.32 ㎍/㎖, in viral meningitis 0.9±0.79 ㎍/㎖, in miscellaneous neurologic conditions 2.05±2.48 ㎍/㎖ and in controls 1.35±0.84 ㎍/㎖. The fibronectin level in tuberculous meningitis was significantly higher than in other groups except the miscellaneous neurologic conditon(p<0.01). Cerebrospinal fluid fibronectin level appeared to be useful to differentiate tuberculous meningitis fro viral meningitis. Those levels were higher than 2.9 ㎍/㎖ in all except one case and higher than 4.6 ㎍/㎖ in 38% of tuberculous meningitis cases, but, 2.2 ㎍/㎖ in only one case of viral meningitis and lower than 1.0 ㎍/㎖ in all except one case of viral meningitis. It is suggested that measurement of fibronectin level in cerebrospinal fluid is a useful test for diagnosis of tuberculous meningitis, especially for differential diagnosis between tuberculous and viral meningitis.