A Case of Urethral Stent for Recurrent Urethral Stricture and Penile Prosthesis for Erectile Dysfunction

Jung, Gyung-Woo,Song, Young-Jin,Park, Young-Ho,Kwon, Heon-Young,Yoon, Jin-Han 동아대학교의과대학 1992 동아의대학술지 Vol.4 No.1

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

골아세포 MC₃T₃-E₁의 증식과 기능에 Insulin Like Growth Factor Ⅰ, Ⅱ 및 부갑상선 호르몬이 미치는 영향

윤현구,정호연,양인명,김성운,김진우,김광원,김영설,최영길,서광식 대한내과학회 1992 대한내과학회지 Vol.42 No.1

MC₃T₃-E₁골아세포군을 이용하여 IGF-Ⅰ과 Ⅱ를 투여하고 DNA합성과 골아세포기능을 측정하기 위해 PTH에 대한 C-AMP반응정도, alkaline phosphatase 활성도를 측정하여 다음과 같은 결과를 얻었다. 1) IGF-Ⅰ과 Ⅱ는 모두 DNA합성이 어느 농도까지는 증식효과를 나타내지만 그 이후에는 억제되는 양상을 보였다. 2) PTH에 대한 골아세포의 C-AMP반응으로 증가되었지만 IGF-Ⅰ과 Ⅱ의 투여시 농도변화에 따른 의미있는 변화는 없었다. 3) 본 실험의 조건에서 alkaline phosphatase 활성도는 증가되지 않았다. 이상의 결과로 MC₃T₃-E₁ 골아세포에 IGF-Ⅰ과 Ⅱ는 세포의 증식을 자극하여 PTH는 C-AMP생성을 촉진하는 효과가 있었다. The effect of insulin-like growth factor (IGF) Ⅰ and Ⅱ on cloned MC₃T₃-E₁ cells that had osteoblastic activity was examined by [³H] thymidine incorporation into DNA, cyclic AMP responsiveness to parathyroid hormone (PTH), and alkaline phosphatase activity. IGF Ⅰ and Ⅱ stimulated the growth and proliferation of osteoblastic cells at 20ng/㎖ and 50ng/㎖, respectively. We next examined the effect of IGF-Ⅰ and Ⅱ on the expression of osteoblastic activity. Adenylate cyclase response of PTH to IGF-Ⅰ and Ⅱ-treated cells showed maximal stimulation at 10 and 50㎚PTH, respectively, but IGF Ⅰ and Ⅱ induced limited activity of osteoblastic function. In conclusion, IGF-Ⅰ and Ⅱ were potent stimulators to the growth of osteoblastic cells but did not have an immediate effect on expression of osteoblastic function in this experiment.

기둥 형상에 따른 Wide Beam-기둥 접합부의 이력거동에 관한 연구

윤용대,이우진,서수연,吉村浩二,윤승조 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2(구조계)

In this paper, the effective width of wide beam with variable column section was investigated experimentally. Three specimens with variable column sections were designed to represent the exterior wide beam-column joint and incremental cyclic loads were acted to the beam. Test result showed that the strength of beam was increased when the section size of column was enlarged. In case of the enlargement of column depth, especially, the strength was maximized. On the comparison of Wight's and Newzealand code formula with test results, it was concluded that these two formula underestimated the effective width of wide beam.

Paraquat 중독환자의 초기검사로서 sodium dithionite를 이용한 소변내 paraquat검출의 임상적 의의

윤갑준,임경수,이진웅,김영식,이부수,박덕우,김선만,이강현,황성오,안무업 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

Background : Mortality from paraquat intoxication depends upon plasma paraquat concentration. To know the severity of paraquat intoxication is important for directing therapeutic modality and predicting prognosis. Sodium dithionite test for urinary paraquat provides an easy and simple method to determine the severity of paraquat intoxication in emergency department. purpose : To determine whether the result urinary paraquat test by sodium dithionite can predict outcome in patients with paraquat intoxication in emergency department. Subjects : 48 patients(male 31, female 17, mean age 37 years) who had exposure to paraquat and presented within 24 hours after exposure. Result : Thirty five patients were positive in paraquat urine test and thirteen patients were negative. Clinical manifestations were more severe in positive patients than in negatives. Complication was much more in positives than in negatives. 28 of 35 patients(80%) in positives and 2 of 13 patients(15%) in negatives died. Conclusion : Positive test for urinary paraquat is associated with high mortality and morbidity from paraquat intoxication, and qualitative test for urinary paraquat by sodium dithionite is an useful method to determine the severity of paraquat intoxication in emergency department.

산채류로부터 혈소판응집 억제물질의 검색

윤민호,임치환,오진환,이종철,최우영 충남대학교 농업과학연구소 1997 농업과학연구 Vol.24 No.2

To select potential inhibitors of platelet aggregation form large numbers of crude plant extracts, the modified thin smear method for the anti-platelet aggregating activity using platelet rich plasma was further modified by direct observation under a light microscope without staining the smear. The activities determined by the method were coincided with those by the electrical impedence method using whole blood, when ADP or collagen was employed as the aggregating agent. Among 130 varieties of edible and herbal plants which collected from markets or experimental farms of agricultural research institutes, those showed the anti-platelet aggregating activities were selected by testing the crude methanol extracts: Aster scaber, Aster tataricus, Ligularia stenocephala, Platycodon glaucum Allium victorials, Allium oderum, Morus bombycis, Portulaca oleracea, Acanthopanax sessiliflorus and Rosa davurica. However, some of them activated the platelet aggregation under the same assay conditions: Pimpinella brachycarpa, Hosta plantaginea. Capsella bursapastoris, Fagopym esculentum, Prunus mume, Rubus coreanus and Limaria japonica. In addition, those revealed the antioxidant activities were selected by measuring the abilities to scavenge superoxide anion radicals: Pteridum aquilinum, Aster scaber, Ligularia fischeri, Chrysanthemum zawadskii, Artemisia capipparis, Cirsium setidens, Commelina communis and Capsella bursapastoris among edible plants.

황정(黃精) 추출물의 화학구조결정에 관한 연구 (Ⅰ)

윤중호,박주희,김정주,권기락,안철진,주우홍,강진호,신동수 Institute of Genetic Engineering Changwon National 1998 Gene and Protein Vol.2 No.1

본 연구에서는 황정 속에 포함되어 있는 생리활성 물질을 hexane, CHCl₃과 n-butanol층에서 각각의 성분들을 추출하였고, hexane층에서 분리된 화합물 I과 H 중에서, 화합물 I의 봐학구조를 ¹H-nmr, ??, DEPT135, COSY, HMQC, HMBC 스펙트럼 및 MS 스펙트럼 등의 분광학적인 방법에 의해 결정하였다. 화합물 I의 구조는 9,12-(9E, 12E)-octadecadienoic acid 임을 확인하였다. In this Paper, biologically active compounds were extracted using organic solvents as hexane. CHC1₃, n-butanol to give each component. Chemical structure of compound I was characterized using ¹H-nmr, ??, DEPT135, COSY, HMQC, HMBC spectrum and MS-spectrum, in separated compound I and Ⅱ from hexane layer. Finally, chemical structure of compound I was determined as 9,12-(9E,12E)-octadecadienoic acid.

음향방출법에 의한 탄소섬유강화 플라스틱의 파괴특성에 관한 연구 (2)

윤종희,이장규,박성완,우창기,김봉각,조진호 한국공작기계학회 2004 한국공작기계학회 춘계학술대회논문집 Vol.2004 No.-

This study is to investigate a fracture characteristics of carbon fiber reinforced plastics (CFRP) under the tensile loading as a function of acoustic emission (AE) according to the frequency analysis (transient mode) and AE source location (location mode). It was found that the fracture mechanism of AE frequency analysis was a useful tool for the estimation of different type of fracture in CFRP, i.e., matrix(epoxy resin) cracking, delamination and fiber breakage same as AE amplitude distribution.

CFS의 보강형태에 따른 철근콘크리트 보의 역학적 거동에 관한 실험적 연구

尹勝照,李寓鎭 충주대 2000 한국교통대학교 논문집 Vol.35 No.2

This purpose is to understand the behavior of mechanical characteristics according to reinforcing methods of Reinforced concrete beams used Carbon Fiber Sheets through manufacturing of the 5 test specimens.The conclusion is as follows.The reinforced test specimen with CFS was shown the strength increasing from min.11% to max.36% as compare with max.strength of non-reinforced control beam, that is, the reinforcing effect with CFS is more excellent.To reinforce both of bottom and end U-type with CFS was- shown higher effect than reinforcing to just bottom.Especially, the reinforced BC1-H1 to all of bottom and side was highly progressed 10% of strength than the reinforced test specimen with just end-U.Additionally, only 1/2 reinforced BC1-H1 test specimen to both of bottom and side was highly proved 36% than control beam and 10% than BC1-H1 test specimen. It is thought that CFS easily come off without holding the strain ratio because the strain ratio is bigger according as moving to the upper part taking compression based on neutral axis of beam.

상아질 표면 젖음성이 수종 자가접착레진시멘트의 인장접착강도에 미치는 영향

윤성영,박세희,김진우,조경모 대한치과보존학회 2009 Restorative Dentistry & Endodontics Vol.34 No.2

본 연구의 목적은 다른 표면 젖음성을 갖는 상아질에 대한 수종의 자가접착레진시멘트의 인장접착강도를 비교하고자 하는 것이다. 이번 실험을 위해 Rely-X Unicem (3M. ESPE. St. Paul. MN. USA). Embrace Wetbond (Pulpdent. Oakland. MA. USA). Maxcem (Kerr. Orangc. CA. USA) 3종의 자가접착레진시멘트를 사용하였다. 발거한 상, 하악 대구치 60 개를 미세절단기 (Acutom P-50, Struers, Copenhagen Denmark)를 이용해 한 치아에서 2 mm × 2 mm × 7 mm의 치아 시편 두개씩 얻었다. 상아질 표면을 건조 그룹은 10 초간 강한 공기로 건조시켰고, 습윤 그룹은 과잉의 수분을 2 초간 거즈로 압박해 제거하였다. 상아질 표면의 젖음성을 달리한 시편에 자가접착레진시멘트를 접착한 후 상온의 상대습도 100% 상태에서 24 시간 보관했고, 만능시험기 (EZ Test, Shimadzu corporation, Kyoto, Japan)를 이용해 인장접착강도를 측정했고, 분리된 접착면의 파절양상을 근관 치료용 현미경 (OPMI pro. Carl Zeiss. Oberkochen. Germany)을 이용해 20 배의 배율로 관찰하였다. SPSS™ Ver 10.0 (SPSS Inc.. Chicago. IL. USA)을 사용응하여 동일한 자가접착레진시멘트에서 상아질 젖음성에 따른 인장접착강도를 T-test로 비교하였으며, 각 자가접착레진시멘트간의 인장접착강도를 One way ANOVA test로 비교 분석하고 95% 유의수준에서 Scheffe's test로 사후검정 하였다. 실험 결과 자가접착레진시멘트의 인장접착강도는 상마질 젖음성에 영향을 받지 않았으며, 상아질 표면 젖음성과 상관없이 Maxcem의 인장접착강도가 Unicem과 Embrace의 인장접착강도보다 유의성 있는 낮은 값을 나타내었다. 또한 모든 시편의 분리된 접착면은 접착실패 양상을 나타내었다. 이상의 실험 결과로 볼 때 자가접착레진시멘트는 상아질 표면 젖음성에 상관없이 사용할 수 있을 것이라고 생각된다. The purpose of this study was to compare the tensile bond strength of several self-adhesive resin cements bonded to dentin surfaces with different wet conditions. Three self-adhesive resin cements:Rely-X Unicem (3M ESPE. St. Paul, MN USA). Embrace Wetbond (Pulpdent. Oakland. MA, USA). Maxcem (Kerr. Orange, CA USA) were used. Extracted sixty human molars were used. Each self-adhesive resin cement was adhered to the dentin specimens (two rectangular sticks from each molar) in different wet conditions. Tensile bond strength were measured using universal testing machine (EZ Test Shimadzu corporation Kyoto. Japan) at a crosshead speed of 1.0mm/min. After the testing bonding failures of specimens were observed by Operative microscope (OPMI pro. Carl Zeiss, Oberkochen, Germany). T-test was used to evaluate the effect of dentin surface wetness. One-way ANOVA test was used to evaluate the tensile bond strength of self-adhesive resin cements in the same condition. Scheffe's test was used for statistical analyzing at the 95% level of confidence. The result showed that wetness of dentin surface didn't affect tensile bond strength of self0adhesive resin cements and Maxcem showed the lowest tensile bond strength.