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      • 급성 호흡곤란으로 내원한 성대기능이상 1례

        함초롬,박경일,박혜연,황철웅,김종연,김태년,진재용,이성순 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

        Vocal cord dysfunction (VCD) is a respiratory disorder characterized by the abnormal adduction of the vocal cords upon inspiration, expiration, or both, leading to a diverse array of acute obstructive airway signs and symptoms (wheezing, chest tightness, shortness of breath, and cough). VCD frequently mimics or confounds asthma. Misdiagnosis as asthma has led to inappropriate treatment, most notably with high-dose corticosteroids. Mistaken for anaphylaxis or angioedema, VCD has led to intubation and tracheostomy. VCD should be suspected in patients who are treated aggressively for asthma but continue to experience dyspnea. The diagnosis of VCD is made from direct visualization of the vocal cords during an attack. Inspiratory, anterior vocal cord closure with a posterior glottic chink is seen. On pulmonary function testing, a pattern of "saw-toothing", or fluttering of the inspiratory limb, representing fluctuations in the abnormal cord motion is seen in VCD patient. Treatment includes discussion of the diagnosis with the patients, discontinuing unnecessary medications, using of a helium-oxygen mixture in acute attack. Speech therapy and psychotherapy are the mainstays of long-term treatment. Here in we report a case of VCD in company with asthma.

      • KCI등재

        몇가지 사시나무속 수종 수피의 추출성분

        함연호,배영수,김진규,이상극 한국목재공학회 2002 목재공학 Vol.30 No.1

        사시나무속의 현사시, 이태리포플러 및 양황철나무 수피를 아세톤-물(7:3)로 추출한 후 농축하고 헥산, 클로로포름, 에틸아세테이트 및 수용성으로 분획하여 동결건조하였다. 각 추출물은 메탄올 수용액 및 에탄올-헥산 혼합액을 사용하여 Sephadex LH-20 칼럼크로마토그래피로 화합물을 분리한 후 TBA 및 6% 초산으로 전개하는 셀룰로오스 박층크로마토그래피로 단리 여부를 확인하였다. 단리된 화합물의 구조는 ^1H, ^l3C 및 2D-NMR과 질량분석에 의하여 결정되었다. 사시나무속 수종의 추출성분은 주로 flavonoid와 salicin 파생물로 구성되어 있으며 세 종류의 수종에서 모두 15개의 화합물이 분리되었다. 현사시나무에서는 (+)-catechin, naringenin, eriodictyol, sakuranetin, aromadendrin, taxifolin, sakuranetin-5-O-β-D-glucopyranoside, neosaturanin, p-coumaric acid, salireposide와 aesculin이 단리되어 가장 많은 종류의 화합물을 포함하고 있었으며 이태리포플러에서는 (+)-catechin, salireposide, populoside와 salicortin이, 양황철나무에서는 (+)-catechin, padmatin, quercetin, salireposide, populoside와 salicortin이 단리되었다. The bark of P. alba ×glandulosa, P. euramericana and P. nigra ×maximowiczii F_1, several Populus trees, were collected, extracted with acetone-H_2O(7:3, v/v), fractionated with hexane, chloroform and ethylacetate, and freeze dried to give some dark brown powder. Each fraction of the powder was chromatographed on a Sephadex LH-20 column using a series of aqueous methanol and ethanol-hexane mixture as eluents and then identified by thin layer chromatography using TBA and 6% acetic acid as developing solvents. The structures of the isolated compounds were characterized by ^1H, ^13C and 2D-NMR tools including mass spectrometry. Most of the compounds were flavonoids and salicin derivatives as follows: (+)-catechin, taxifolin, aromadendrin, eriodictyol, naringenin, sakuranetin, sakuranetin-5-O-β-D-glucopyranoside, neosaturanin, salireposide, p-coumaric acid, and aesculin from P. alba ×glandulosa, (+)-catechin, salireposide, populoside and salicortin from P. euramericana and (+)-catechin, quercetin, padmatin, salireposide, populoside and salicortin from P. nigra ×maximowiczii F_1.

      • KCI등재

        노간주나무 (Juniperus rigida Siebold et Zucearini) 잎의 추출성분 및 항산화 활성

        이상극,김진규,함연호,배영수 한국목재공학회 2004 목재공학 Vol.32 No.1

        노간주나무 잎을 채취하여 건조시킨 후 분말로 제조하여 1.5 ㎏을 아세톤-물(7:3, v/v)로 추출하고 헥산, 메틸렌클로라이드, 에틸아세테이트 및 수용성으로 분획하여 동결 건조시켰다. 그 중에서 에틸아세데이트용성과 수용성 분획을 Sephadex LH-20으로 충진한 칼럼에서 메탄올과 에탄올-헥산 혼합액을 용리용매로 사용하여 칼럼크로마토그래피를 실시하였다. 단리된 화합물들은 TLC로 확인한 후 NMR스펙트럼을 사용하여 정확한 구조를 규명하였고 FAB 및 EI-MS로써 분자량을 측정하였다. 주로 많은 양의 (+)-catechin, quercetin-3-O-α-L-rhamnopyranoside와 isoconiferin이 분리되었으며, 소량의 umbelliferone과 quercetin-3-O-β-D-rutinoside도 분리되었다. 각 분획물들과 단리된 화합물들은 DPPH 라디칼 소거법을 이용하여 항산화실험을 실시하였으며, 분획물중에는 에틸아세테이트용성이 그리고 화합물중에는 (+)-catechin과 quercetin-3-O-α-L-rhamnopyranoside이 우수한 항산화 효능이 있는 것으로 나타났다. The dried neeldes(l.5 ㎏) of Juniperus rigida were ground, extracted with acetone-H₂O(73, v/v), concentrated, and fractionated with a series of hexane, CH₂Cl₂ EtOAc and water on a separatory funnel. Each fraction was freeze dried to give dark-brown powder and EtOAc and water soluble fractions were chromatographed on a Sephadex LH-20 column using a series of aqueous methanol and ethanol-hexane mixture as eluent. Spectrometric analysis such as NMR and FAB or EI-MS including TLC were performed to characterize the structures of the isolated compounds. The needles of Juniperus rigida contained a large amount of (+)-catechin, quercetin-3-O-α-L-rhamnopyranoside and isoconiferin, in addition to a small amount of umbelliferone and quercetin-3-O-β-D-rutinoside. The antioxidative activities of each fraction and isolated compounds were tested by DPPH radical scavenging method, and EtOAc soluble fraction, (+)catechin and quercetin-3-O-α-L-rhamnopyranoside were effective.

      • 퍼머제의 중금속 농도에 관한 연구

        윤복연,문덕환,박명희,황용식,함성애,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

        Objective : This study was conducted to prepare the fundamental data on heavy metal concentration in hair permanents agents and to prevent the health impairment due to heavy metal. Methods and Material : The author determined of 5 heavy metals(Pb, Cr, Mn, Ni, and Cu) concentration hair permanent agents in the market with flameless atomic absorption spectrophotometer. Results : The results were as follows: 1. The geometic mean concentrations of total subjects were 0.04㎍/g for Pb, 0.09㎍/g for Cr, 0.06㎍/g for Mn, 0.03㎍/g for Ni, and 0.04㎍/g for Cu. 2. The most highest mean concentrations of heavy metals in hair permanent agents by using type were Cr for wave agent and straight cream agent, Cu for setting iron agent, Cr and Cu for coating perm agent. 3. Metal most hlghest mean concentrations of heavy in hair permanent agents by type of color was green for Cu. 4. The mean concentration of Cu among 5 heavy metals in hair permanent agents by marker was most highest. 5. There was most statistically significant difference on mean concentration in hair permanent agents between domestic and foreign products. 6. The exposure amount of heavy metal concentration by one time using the permanent agent were 4.O㎍ for Pb, 9.O㎍ for Cr, 6.0㎍ for Mn, 3.O㎍ for Ni and 4.0㎍ for Cu. Conclusion : As above results author suggest to prepare the preventive program of health impairment due to heavy metal by long term chronic exposure to who were using the hair permanent agents hair designer and customers.

      • KCI등재

        졸참나무 수피의 추출성분

        김진규,이상극,함연호,배영수 江原大學校 森林科學硏究所 2002 Journal of Forest Science Vol.18 No.-

        졸참나무 수피를 채취하여 아세톤:물(7:3, v/v) 혼합용액으로 추출하고 유기용매를 제거한 후 hexane, CH₂Cl₂, EtOAc 및 수용성으로 분획하여 등결건조하였다. 그 중에서 EtOAc용성 분획물을 MeOH 수용액 및 EtOH-hexane 혼합용액을 사용하여 Sephadex LH-20 칼럼크로마토그래피를 수행하여 (+)-catechin, ellagic acid, taxifolin, taxifolin-3-O-β-D-glucopyranoside를 단리하였다. 단리된 화합물의 구조는 ¹H, ^(13)C-NMR spectrum으로 구조를 구명하였다. The bark of Quercus serrata Thunb were collected, extracted with acetone-H~O(7: 3, v/v), fractionated with hexane, methylene chloride and ethylacetate, and freeze dried to give some dark brown powder. The ethylacetate soluble mixture was chromatographed on a Sephadex LH-20 column using a series of aqueous methanol and ethanol-hexane mixture as eluents. The isolated compounds from &. serrata were (1- 1-catechin, ellagic acid taxifolin and taxifoiin-3-O-ll-D-glucop~anos~de. The structures of isolated compounds were characterized by ¹H, ^(13) C-NMR spectroscopy.

      • KCI등재

        한국인 주요우울장애 환자에서 혈중 ACTH, Cortisol 농도와 해밀턴 우울 평가 척도의 신체증상 항목과의 상관관계

        여혜빈,김린,함병주,심세훈,권영준,정희연,정한용,한상우,이민수,이화영 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2

        Objectives:Hypothalamic-Pituitary-Adrenocortical(HPA) system dysregulation plays an important role in the pathophysiology of major depressive disorder. Medically unexplained somatic symptoms comprised the predominant complaints of korean patients with major depressive disorder. It might be related to dysregulation of HPA system and somatic symptoms. The aim of this study was to investigate the association between Hamilton Depression Rating Scale severity and the Plasma Adrenocorticotropic Hormone(ACTH) & Serum Cortisol level in Korean patients with major depressive disorder. Methods:Our study design was prospective. A total 111 hospitalized patients with major depressive disorder (DSM-IV) at Anam Hospital, Korea University Medical Center between Jan 2009 and May 2011 were selected. Hamilton Depression Rating Scale was measured by psychiatrist. Plasma ACTH, Serum Cortisol levels were analyzed at the time of admission. Results:There are significant correlations(p<0.05) between Hamilton Depression Rating Scale of somatic component(HAM-D 11-15 item) and Plasma ACTH and Serum Cortisol level. However, other HAM-D sub items were not significantly correlated with Plasma ACTH and Serum Cortisol level except somatic component. Conclusion:Our Study results suggest that hyperactivity of HPA axis might be correlation with somatic symptoms in korean patients with major depressive disorder.

      • Freshwater Benthic Macroinvertebrate Fauna of Jindo Island, Korea

        Sung Hwan Park,Christine Jewel C. Uy,Hak Myeong Baek,Daseul Ham,Sang Woo Seok,Yong Lak Jeon,Yeon Jae Bae 한국동물분류학회 2016 Korean Journal of Systematic Zoology Special Issue Vol.- No.9

        Freshwater benthic macroinvertebrates were investigated from five sampling sites on Jindo Island located in the southwestern end of the Korean Peninsula. A total of 47 species (average 14±3.16 species per site, 40 species in lotic area, and 13 species in lentic area) belonging to 38 families, 14 orders, 5 classes, and 3 phyla were sampled. Coleoptera, Diptera, Ephemeroptera, and Trichoptera were the major groups of benthic macroinvertebrates with relatively high species richness. Species diversity indices (H′) and richness indices (RI) of upper streams were relatively higher than those of lower streams, which were affected by agricultural effluent from the paddy fields.

      • KCI등재

        Freshwater Benthic Macroinvertebrate Fauna of Jindo Island, Korea

        Sung Hwan Park,Christine Jewel C. Uy,Hak Myeong Baek,Daseul Ham,Sang Woo Seok,Yong Lak Jeon,Yeon Jae Bae 한국동물분류학회 2016 Animal Systematics, Evolution and Diversity Vol.- No.s9

        Freshwater benthic macroinvertebrates were investigated from five sampling sites on Jindo Island located in the southwestern end of the Korean Peninsula. A total of 47 species (average 14±3.16 species per site, 40 species in lotic area, and 13 species in lentic area) belonging to 38 families, 14 orders, 5 classes, and 3 phyla were sampled. Coleoptera, Diptera, Ephemeroptera, and Trichoptera were the major groups of benthic macroinvertebrates with relatively high species richness. Species diversity indices (H′) and richness indices (RI) of upper streams were relatively higher than those of lower streams, which were affected by agricultural effluent from the paddy fields.

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