개에서 이중 결찰법을 통한 동맥관 개존증의 완치 예

윤헌영,정순욱,박희명,박철,정만복,김준영,한현정,황민,노병국,박상혁,장하영,박정윤 한국임상수의학회 2004 한국임상수의학회지 Vol.21 No.1

A ten months old, female Yorkshire terrier weighing 2.88 kg referred to veterinary teaching hospital of college of veterinary medicine, Konkuk University because of syncope, cough and dyspnea. First hematological and serum chemical test revealed thrombocytopenia, mild anemia, and increase of concentration of ALP (195 U/L). On 57 days later, second hematological and serum chemical test revealed polycythemia, increase of concentration of ALP (211 U/L), and Tchol (387 mg/dl). Right atrium enlargement, main pulmonary artery bulge and cardiomegaly (VHS = 11.5) were observed in radiographic findings. Ultrasonographic images showed both right and left ventricular dilation and turbulent flow between the descending aorta and the main pulmonary artery in color Doppler imaging. ECG showed left ventricular enlargement, SA block, and electrical alternant. Thoracotomy was performed through left fourth intercostal incision under isoflurane anesthesia. Patent ductus arteriosus was double ligated with 1-0 silk. Cough and dyspnea disappeared on 5 days after operation. Turbulent flow was not found in color doppler imaging of ultrasonography on 10 days after operation. Ten months later after the operation, syncope could not exist any more.

최근 10년간 원광의대병원에서 시행한 소아 심장혈관 수술의 임상적 고찰

윤향석,정수미,최두영,오광수,오연균,김종덕,양현웅,이삼윤,김형곤,최종범,최순호,노병석 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

We reviewed 10 years experiences of the clinical aspects and early postoperative results in 544 pediatric patients(age less than 16 years old). Among them. 529 cases had the congenital heart diseases, and 15 had the acquired diseases. Open heart surgery was performed in 413 patients. 115 cases were treated with non-open heart surgery. 16 with interventional catheterization. Annual increase of the cardiac patients was not significant in recent 10 years, except slight increase in 1994. The mean age of the study patients had been evidently changed to younger year by year. Total mortality rate of the open heart surgery was 6.4%. The cyanotic congenital heart diseases were high in early postoperative mortality by 25.7%, whereas 4% in acyanotic group. The age group less than one month was most highest in surgical mortality(66.7%). There were no deaths in patients with patent ductus arteriosus(103 cases), atrial septal defect(83 cases) or pulmonary stenosis(17 cases). Among 220 patients with ventricular septal defects(VSD). 10(4.5%) were died early postoperatively. In cyanotic group, the patients with pulmonary atresia with ventricular septal defects(PAVSD), transposition of the great arteries(TGA), interrupted aortic arch(IAA), complex cardiac anomalies with isomerism seemed to be most susceptible to an early death.

김천산 자두의 성분과 그 특성

김순희,강병태,박동철,윤옥현,이재우,한만덕,최종동 동아시아식생활학회 2000 동아시아식생활학회지 Vol.10 No.1

Physicochemical properties and chemical compositions of two plums (Oishiwase, Formosa) produced in Kimcheon area were investigated. Chemical compositions of two plum cultivars were similar except nitrogen free extract(NFE). NFE value of Formosa was higher than Oishiwase. Alcohol insoluble substance content, total soluble pectin, total sugar content and total organic acid content of Oishiwase were 2.08%. 14,16%, 5.07% and 949.16mg%, respectively. In case of Formosa cultivar, those were 50%, 15.42%, 5.91% and 985.91mg%, respectively. Fructose content among free sugars of two plum cultivars range from 3.97~3.45% and the other were glucose, sucrose and inositol, 1.83~1.53%, 0.08~0.05% and 0,04~0.039%, respectively. Malic acid content was 35~373mg% and others were levulinic acid, lactic acid, citric acid, succinic acid and fumaric acid in the decreasing order.

개방병동과 폐쇄병동에 입원한 정신분열병 환자에서 증상 호전도의 비교

박순영,강진상,윤보현,배안 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

본 연구는 입원된 정신분열병 환자의 초기 치료에서 개방병동과 폐쇄병동으로 구분된 치료환경의 차이가 증상의 호전에 미치는 영향을 비교하였다. 국립나주정신병원에 입원한 정신분열병 환자 40명(개방병동 20명, 폐쇄병동 20명)을 대상으로 하였다. 정신병리의 평가는 BPRS 의 총점과 사고, 편집, 위축-지연, 불안-우울 및 기타척도로 구분하여 비교하였으며 PA-NSS는 양성증후군 및 음성증후군 척도를 이용하였다. 분석방법은 입원당시에 평가한 점수를 기저치로 하여, 입원후 2부, 4주, 8주에 평가한 점수와의 차이를 t검증과 공변량분석으로 두군간에 비교하였다. 결과는 다음과 같다. 1) 개방병동에 입원하는 환자들은 자의로 입원하는 경우가 많았으며, 이전의 입원이 개방병동인 경우가 많았고, 또한 과거에 입원했던 기간이 유의하게 적었다(p<.05). 2) BPRS의 총점에서 개방병동군이 폐쇄병동군에 비해 입원후 2주에서 유의하게 감소하였다(p<.05). BPRS의 위축-지연척도에서 개방병동군이 폐쇄병동군에 비해 입원후 2주(p<.01)와 4주(p<.05)에 유의하게 감소하였다. 3) PANSS의 음성증후군 척도에서 개방병동군이 폐쇄병동군에 비해 입원후 2주(p<.05)와 4주(p<.05)에서 유의하게 감소하였다. 이상의 결과로 개방병동의 치료환경이 정신분열병 환자의 입원 초기에 치료효과가 있음을 확인하였다. 또한 장기 입원환자에서 증가되는 음성증상의 예방을 위해 자율적이고 개방된 병실환경이 필요할 것으로 생각된다. Object: The purpose of this study was to evaluate the effects of the therapeutic environment, divided into the open and closed wards, to treat the acute phase of chronic schizophrenic patients. Method : Forty patients(20 were in the open ward and the others were in the closed ward) who met DSM-Ⅳ criteria schizophrenic and whose onset of illness were more than 2 years, entered the study. To assess the psychotic symptoms, Brief Psychiatric Rating Scales(BPRS) and Positive and Negative Syndrome Scales(PANSS) were done at admission(baseline value), and at the weeks 2, 4 and 8 after admission. Mean changes from baseline were compared at each time point by using Student's t-test and ANCOVA. Results : All patients tended to be improved on BPRS and PANSS during the test period. The total scores of BPRS and withdrawal-retardatation subscale of the open ward group significnatly decreased than those of the closed ward group at weeks 2, weeks 2 and 4 after admission, respectively. The open ward group was more improved on the negative syndrome scale of PANSS than those of the closed ward group at 2 and 4 weeks after admission. Conclusion : The open ward group showed more improvement on the negative symptoms of schizophrenia in the initial period of hospitalization. This result may suggest that the therapeutic environment of the open ward is strongly recommended to prevent regressive tendencies that are common in chronic hospitalized patients.

광도 변화가 광중합형 컴포머와 컴포짓트 레진의 중합도 및 불소 유출에 주는 영향

최재윤,이해형,임범순,이용근,신현철 大韓齒科器材學會 2004 대한치과재료학회지 Vol.31 No.4

The purpose of this study was to investigate the fluoride releasing behavior of one self-curing glass-ionomer (Fuji II), one light-curing glass-ionomer (Fuji II LC), three compomers (PrismaFlow, UniFil F, and Dyract AP) and SIX composite resins (Flowline, Fissurit FX, Flow-It, Wave, Heliomolar Flow, and Glacier) as a function of light intensity. Disk type specimens were stored in deionized water at 37℃ for 1, 2, 4, 8 hrs and 1, 2, 7, 14, 21, 28 days. The deionized water was changed after measurements. The amount of fluoride ion, which was released from specimens, was measured by pH/ISE Meter (Istek Model 730P, Korea) with fluoride electrode. The results were statistically compared by Tukey multiple comparisons test (p=0.05). There were significant differences in degree of polymerization between specimens with 1 hr after irradiation and those with 24 hrs after irradiation (p<0.05). The cumulative amount of fluoride released was decreased with increasing light intensity (or degree of polymerization). The fluoride-releasing patterns of specimens were significantly different (p<0.05).

생활쓰레기에 대한 아산시민 의식 조사 분석

한성현,박종안,손부순,이종화,장봉기,염윤기 순천향대학교 기초과학연구소 2002 순천향자연과학연구 논문집 Vol.8 No.2

This study was designed to identify the recognition and practice for delivery method of living waste, to find out the problem of currently delivery system of living waste and to recommend the more effected waste delivery system in Asan city. The size of sample was 1100 households of 50000 households who live in Asan area. The data was collected by questionnaire from June 1999 to May 2000, and the results were as follows; 1. The 58% respondents(housewives) has been answered to know for recycling method of living waste, and 50% of the respondents has been discharge separately the food. 2. The respondents has been answered that the priority for effected method of living waste delivery system in to discharge separately the living waste, to reduce the consumption and to charge for vinyl package.

구급일지를 통한 병원 전 환잔 분류 및 처치의 적절성 평가 연구

민순식,김재광,이근,박철완,양혁준,류일,현성열,이훈규,정환모,김윤 대한응급의학회 2000 대한응급의학회지 Vol.11 No.4

Background: Recently, patients' demands for emergency medicine are increasing, and most of prehospital medical care, including basic life support, cardiopulmonary resuscitation and triage, are provided by paramedics or emergency medical technicians. Evaluation of the adequacy of prehospital management and triage has become important for improving the quality and the effectiveness of the emergency medical system. Methods: The 202 patients who were transferred by ambulance with paramedics, nurses, or emergency medical technicians to the Emergency Department in Gil Medical Center from July 1, 1999, to September 31, 1999, were enrolled. This study was conducted prospectively by using the emergency physician,s log and newly devised protocols recorded by paramedics or nurses. Results: 1) Male to female ratio was 1: 0.8, and the peak age of the patients were the 4th(18.8%) and 6th decade(15.3%). 2) Of the 202 patients, 84 patients were transferred for trauma and 118 for medical problems. The mean transfer time was 6±1.73 minutes. 3) The validities of prehospital triage and decisions using the trauma severity measure and the disease severity measure, were 33.3% in trauma patients and 57.6% in medical patients.4) The results for the adequacy rate in prehospital management analyzed by using the rate of necessity of treatment. performance of treatment, and adequate treatment were as follows: oxygen supply.38.1/41.6/93.8 ; wound dressing. 19.3/71.8/92.9 ; immobilization of the cervical spine, 15.8/56.3/92.9 ; application of a spinal board. 12.9/42.3/72.7 ; application of a splint, 9.9/50.0/60.0 ; manual maintenance of an airway. 9.9/55.0/63.6 ; and CPR, 4.5/66.7/0. 5) Kind of ALS(Advanced Life Support) were not conducted(peripheral IV, EKG. intubation, medical administration. defibrillation, pacing). The rates of necessity of treatment were as follows: peripheral IV, 40.6%; ECG monitoring, 23.3% ; endotracheal intubation, 8.9% ; medical administration, 8.9% ; defibrillation. 3.5%; and pacing. 1.5% Conclusion: The adequacy of prehospital triage and decisions using trauma and disease severity measures was relatively low. To improve the adequacy of BLS(Basic Life Support) and to increase the performance of ALS(Advanced Life Support), we must create challenges to develop new protocols and to supplement new equipment.

축우 부루셀라병의 ELISA 진단법에 관한 연구

임윤규,이두식,박전홍,양기천,김승호,김공식,현관종,김우택,이영순 濟州大學校 農科大學 動物科學硏究所 1993 動物科學論叢 Vol.8 No.1

Enzyme-linked Immuno sorbent Assay (ELISA) for the serological diagnosis oi Bruceiia abortus was developed and compared with plate aggluhnation test Cell wall antigen was extracted from Brucella abortus 1119-3 by sonicabon and with a sodium deoxychlate solution Optimum protein concentra tion of coating antigen 0.4㎍/100㎕ protein on each microtiter plate well. Horse radish peroxidase(HRP) labled protein-G was used as a tracer of reacted antibodies ELISA confirmed the agreeable results of 40 rases out of 43 cases by plate aggulutination test ELISA diagnosed positive cases (10 out of 12) and negatiw cases (1 out of 12) with dubious sera by plate agglutination test From this results EL ISA could be used for the early diagnostic tools of Brucellosis in cattle.

안검 황색종 환자의 임상적 관찰과 혈액 지질 농도

안현순,윤병철 광주보건대학 2001 論文集 Vol.26 No.-

Background: It has been debated that serum lipid levels of patient with xanthelasma are higher than those of normal persons. In Korean literature, there are not any reports of this. Objective: Our purpose was to review the finding sin patient with xanthelasma and compare the patients to normal persons in respect of serum lipid levels. Methods: Fifty-one patients with xanthelasma were reviewed. Results: Mean age was 51 years in man and 51 years in woman. The ratio of male to female patients was 1:2.7. Significant difference of serum HDL-cholesterol leve was found between patients with normal liped level and normolipidemic control subjects. Conclusion: Xanthelasma palpebrarum occurs frequently in middle-aged women and HDL-cholesterol level of patients with xanthelasma was lower than normolipidemic control subjects.

산지하천에서 빛과 초식에 의한 부착조류의 생체량변화

김현우,김현주,김진수,윤해순,주기재 東亞大學校附設基礎科學硏究所 1998 基礎科學硏究論文集 Vol.15 No.1

빛과 초식에 의한 부착조류의 생체량 변화에 대한 영향을 평가하기 위하여 자연기질과 인공기질(유약을 칠하지 않은 타일: 3.7×9.5×2cm)을 이용하여 부분적으로 음지화된 2차 산지하천에서 실험하였다. Open canopy(상대적 빛 투과율: 20∼50%, chl. a: 9.5±3.0㎎/㎡, n=25)에서는 closed canopy(<6% 상대적 빛 투과율, 3.2±0.9㎎/㎡, n=17)보다 높은 부착조류 생체량을 유지하였다. 하천 주변식생의 잎 성숙과 잦은 강우에 의해서 여름의 부착조류 생체량은 봄과 겨울에 비하여 낮았다. 봄에 인공기질에 부착조류가 부착하는 속도는 겨울보다 빨랐으며 겨울에는 자연기질 수준(8∼9㎎/㎡)에 이르기 까지 최소 5∼6주 정도 소요되었다. 초식자인 다슬기는 출입을 제한한 실험구에서는 출입이 허용된 대조구보다 약간 높은 생체량(AFDW, chl. a)을 보였다. 결론적으로 빛이 부착조류 생체량에 증가에 미치는 영향은 초식 보다는 더 큰 것으로 사료된다. Effects of light and grazing on the biomass development of periphyton were evaluated using natural and artificial substrata (unglazed tile: 3.7×9.5×2cm) in a partially shaded 2nd order mountain stream. In open canopy (relative light input 20∼50%), a relatively high biomass (chl. a: 9.5±3.0㎎/㎡, n=25) was maintained than that of closed canopy (<6% of light input, 3.2±0.9㎎/㎡, n=17). Due to shading and frequent rainfalls, biomass was lower during the summer than in the spring and winter. During the spring, colonization of periphyton on artificial substrata occurred faster than in winter and it took a minimum of 5∼6 weeks to reach the biomass of natural substrata (8∼9㎎/㎡). When snails were allowed to freely enter the chamber (mean density: 114 ind./㎡) with artificial substrata, biomass accumulation (chl. a, AFDW) was low compared to the snail excluded enclosure (50∼90% of ungrazed substrata). It was concluded that the light input on periphyton biomass in a partially shaded stream played a more important role than grazing.