상한논에 대한 정신의학적 연구

문상태(Sang Tae Moon),신용현(Yong Hyun Shin),구병수(Byung Su Gu) 대한한방신경정신과학회 2000 동의신경정신과학회지 Vol.11 No.1

This study was aimed to get the course which is caused by Neuropsychiatric symptoms in Sang-Han. Therefore this study is based on 『Euhak-Ipmun. Sang-Han』(『醫學入門.傷寒』) classfied mainly by symptoms. The results were summerized as follows: 1. Neuropsychiatric symptoms in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』) are explained as Pal-Gang(八綱), which shows those are settled down to a systematic oriental medical theory. 2. Pal-Bup (八法) used in the cure of symptomatische psychose in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』), which is intended to boost the effect of cure, choosing the respondent cure method about various causes. 3. Pal-Gang(八綱) and Pal-Bup(八法) in『Euhak-Ipmun. Sang-Han』(『醫學入門·傷寒』) are improved by Lee-Chun(李 ) who added Jang-gi(張機)`s Sang Han theory and new medical thought in the ages of Geum. Won. 4. Lee-Chun(李 ) believed that Neuropsychiatric symptoms which appeared in Sang Hang is caused by the Unbalance(不平). So he wanted to reach harmony of Jeong(精), QI(氣), Shin(神), Hyul(血) after improving the status of Unbalance(『不平』) toward the status of Balance(平).

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

Amentoflavone의 아라키돈산 유리효소인 phopholipase A_2에 대한 저해활성 및 비만세포에서 histamine 유리 억제효과

문태철,이은경,이승호,손건호,김현표,강삼식,장현욱 영남대학교 약품개발연구소 2002 영남대학교 약품개발연구소 연구업적집 Vol.11 No.-

Amentoflavone, naturally occurring biflavonid, isolated from the leaves of Ginko biloba, selectively inhibited human seceretory phospholipase A_2. This compound potently and irreversibly inhibited human group IIA in a dose dependent manner with an IC_50, about 3??M. Amentoflavone inhibited phospholipase A_2 by noncompetitive manner, with the apparent Ki value of 1×10^3M. In addition, the inhibitory activity of amentoflavone is rather specific against group IIA phospholipase A_2 than IB phospholipase A_2. Furthermore, this compound strong inhibit histamine release from A_23187 treated rat peritoneal mast cells. These results indicate naturally occurring biflavonid represents a novel anti-inflammatory agent.

치근면 처치시 결합조직 부착에 관한 초기효과의 조직병리학적 연구

문상준,이종헌,이재현 단국대학교 치의학연구소 1993 논문집 Vol.5 No.-

An essential fact in the regeneration of new periodontal tissue after periodontal therapy is the reattachment of collagen fibers to the tooth. Two phenomena play a fundamental role in preventing new connective tissue attachment to the exposed root surface ; 1) The apical migration of the junctional epithelium 2) The contamination of cementum by toxic substances, especially endotoxins. Authors have used rat submucosal implantation of root sections to study the connective tissue healing to periodontally diseaed root, previously planed and demineralized with citric acid and tetracycline-HCI. The results were obtained as follows. 1. The connective tissue attachment was increased in tetracycline, citric acid, non disease, scaling and root planing order and inflammatory reaction was seen in the rat teeth, no treatment group. 2. Collagen fiber attachment at the dentin surface was more increased than cementum surface. 3. In 2 week of citric acid and tetracycline-HCI specimens, osteoid was seen near the fibrotic band. 4. In the MT view, collagen fiber formation was increased with time and the numerous collagen fiber and connective tissue was more densly attached to the tooth surfaces in the tetracycline-HCI group than the citric acid group.

지능형 원격 네트워크 온실

문병현,송주열,이현성,손경규,엄태환,김정우,김아름 대구대학교 정보통신연구소 2004 情報通信硏究 Vol.3 No.2

The system designed in this paper, can mark the interior state of greenhouse using sensors of temperature, humidity and illumination on greenhouse interior by greenhouse system for farm village area's agriculture automation. And, the real time monitor is possible real time monitoring by camera. Also, system that can supply water using spring cooler system and humidifier. The proposed system can sustain a designed environment of the greenhouse through rentilation fan, fluorescent light and roof door control. TCP/IP is used for the remote control of state the sensors in the client program. 본 논문에서 설계된 시스템은 농촌 지역의 농업 자동화를 위한 온실 시스템으로 온실 내부에 온도, 습도, 조도 센서를 이용한 온실 내부의 상태를 표시할 수 있으며 카메라를 이용하여 실시간 관측이 가능하다. 또한 본 시스템은 지붕 개폐, 스프링 쿨러와 가습기를 이용한 수분 공급, 환풍기, 형광등 등을 통하여 온실 내부의 환경을 유지시킬 수 있다. 모든 센서를 이용한 상태와 온실 제어를 TCP/IP를 이용한 클라이언트 프로그램에서 원격으로 관리할 수 있다.

Photoplethysmography를 이용한 手指의 관류상태 측정

문현석,조형상 중앙대부설한국의과학연구소 1986 한국의과학 Vol.18 No.4

한우의 반추위내에서 요소 및 암모니아처리 볏짚과 황산병용처리 볏짚의 In situ 유기물 분해율

문승식,정현승,박성진,유성오 진주산업대학교 농업기술연구소 1997 農業技術硏究所報 Vol.10 No.-

본 시험은 볏짚의 수분함량을 30%로 조절하여 농업용 요소 6%를 수용액상태로 처리한 요소처리 볏짚과 암모니아가스 3%를 처리한 암모니아처리 볏짚을 밀봉상태로 45일간 보관한후 개봉하여 이들 처리볏짚의 1/2에 해당하는 양에 농황산 2.2%를 처리하여 요소-황산병용처리 및 암모니아-황산병용처리 볏짚을 제조하여 화학적 조성을 분석하고, 한우의 의해 in situ 유기물 분해율을 측정하였으며, 그 결과를 요약하면 다음과 같다. 1. 볏짚의 유기물 소실율은 암모니아-황산병용처리>암모니아처리>요소-황산병용처리>요소처리 볏짚순으로 높았다. 2. 유기물의 잠재적 소화율은 타처리에 비하여 암모니아처리 볏짚에서 높은 경향을 나타내었다. 3. 볏짚의 유기물분해율(P)은 암모니아-황산병용처리>암모니아처리>요소-황산병용처리>요소처리 볏짚순으로 높았다. 4. 사료섭취량에 따른 한우의 반추위내 통과율이 시간당 6%일 때 72시간 발효시 예상유기물 분해율(ED)은 요소처리, 암모니아처리, 요소-황산병용처리 및 암모니아-황산병용처리 볏짚이 각각 18.97, 21.63, 24.66 및 29.09%이였다. This study was carried out to investigate the effects of two phase treatments of urea-sulfuric acid and ammonia-sulfuric acid combination on in situ organic matter degradability of rice straw as ruminant feedstuff. Rice straw were treated with 6% urea (W/DM) or 3% ammonia (W/DM) for at least 45 days and further with sulfuric acid for overnight to complete the combination treatments. The treated rice straws were then sun-dried, and the chemical composition of the treated rice straws were analyzed. Also, Four Korean native bulls (550±30.5kg) were used to determine the in situ organic matter degradability in rumen. The treatments included urea-treated, ammonia-treated, urea·H_2SO_4 combination-treated and ammonia·H_2SO_4 combination-treated rice straws. In situ disappearance of organic matter (OM) in the rumen was significantly (P<0.05) higher in ammonia·H_2SO_4 combination-treated rice straw than those of other treatments. Potential digestibility of OM were slightly higher in ammonia-treated rice straw than those of other treatments. Organic matter degradabilities (P) in the rumen was high in ammonia·H_2SO_4 combination-treated with following by ammonia-treated, urea·H_2SO_4 combination-treated and urea-treated rice straw. When passage rate of 6% in rumen of korean native bulls was applied, effective degradabilities (ED) of OM of urea-treated, ammonia-treated, urea·H_2SO_4 combination-treated and ammonia·H_2SO_4 combination-treated rice straw were 18.97, 21.63, 24.66 and 29.09% after incubation for 72 hrs time, respectively.

백서 전경골근의 근섬유 유형별 크기에 관한 연구

문형배,김상수,이현 圓光大學校 1994 論文集 Vol.28 No.2

골격근의 부위에 따른 근섬유 유형별 크기를 관찰할 목적으로 백서 전경골근을 이용하여 SDH염색을 시행, 각 부위에 따른 근섬유 유형별 구성비, 근섬유 유형별 크기 및 근섬유 유형별로 차지하는 면적을 측정한 결과는 다음과 같다. 1.전체적으로는 type ⅡB fiber가 가장 많았으나, 표층부에서는 type Ⅰfiber, 중앙부에서는 type ⅡA fiber, 그리고 심층부 및 후면부에서는 typeⅡB fiber의 구성비가 다른 장소에 비하여 상대적으로 높았다. 2.근섬유의 크기는 type ⅡA fiber, type Ⅰfiber, type ⅡB fiber크기의 순이었으며, 이를 부위별로 살펴보면 type ⅡA fiber는 중앙부에서 다른 장소에 비하여 상대적으로 컸으며, type ⅡB fiber는 표층부에서 다른 장소에 비하여 상대적으로 크기가 작았다. 3.근섬유 유형별로 차지하는 면적 점유율은 모든 장소에서 type ⅡB fiber가 가장 높았으며, type ⅡA fiber는 표충부 및 중앙부에서, type Ⅰfiber는 중앙부에서 그리고 type ⅡB fiber는 심층부, 전면부 및 후면부에서 다른 장소에 비하여 상대적으로 면적 점유율이 높았다. The experiment was desinged to evaluate the differences in distribution of the fiber types, size of the fiber types and occupying area of fiber according to the anatomical regions in the adult rat. Succinate dehydrogenase stain was performed in the transverse sections of the tibialis anterior muscle. The results were as follws: 1.type ⅡB fibers were predominant in the all regions of tibialis anterior muscle. Dominant fibers were type Ⅰfiber in the superficial, type ⅡA fiber in the medial, and type ⅡB fiber in the deep and posterior regions as compared with the proportion of the same muscle fiber types in the other regions. 2.In the size of fiber types, type ⅡB fibers were the largest and type ⅡA fibers were the smallest in overall. type ⅡA fibers were larger in the medial and type ⅡB fibers were smaller in the superficial regions as compared with the size of the same muscle fiber types in other regions. 3.By the occupying area, type ⅡB fibers were the largest one in the overall regions of the tibials anterior muscle. type ⅡB fibers were abundant in the superficial and medial regions, type Ⅰfibers were in the medial region, and type ⅡB fibers were abundant in the superficial, anterior, an posterior regions as compared with the occupying area of the same muscle fiber types in the other regions.

두부 외상 환자의 고혈당과 예후와의 상관관계

현석천,이종안,박준석,박상문,김갑득,장인성,김승열,송화식 대한응급의학회 1996 대한응급의학회지 Vol.7 No.2

Severe head injury is associated with a stress response that includes hyperglycemia, which has been shown to worse outcome during cerebral ischemia. To better define the relationship between head injury and hyperglycemia, admission glucose level were analyzed in 150 head injured patients from January 1995 to December 1995. Our retrospective study demonstrated a higher glucose level in patients with low Glasgow Coma Scale(GCS) score, especially at 3-5 GCS score, compared to those with high GCS scores. Also a higher glucose level was noted in patients with vegetative state and dead than in those with good recovery and moderate disability. Hyperglycemia(serum glucose level≥200mg%) was associated with decreased level of consciousness and a poor outcome. We conclude that admission hyperglycemia is a significant indicator of severity of injury(p<0.001), but not significant predictor outcome from head injury. After controlling for the influence of the GCS score, glucose levels do not have an independent effect on outcome.