내측 측두엽 간질에서 간질발작 중 언어증상

이장준,이승환,이형,김지언,임정근,손은익,이상도,박영춘 계명대학교 의과학연구소 2000 계명의대학술지 Vol.19 No.1

Background and Objectives : Several speech manifestation are observed in temporal lobe epilepsy(TLE). We studied the frequency of ictal speech manifestations and their localizing and lateralizing value in TLE. Methods : We reviewed 379 seizures recorded on videotape in 135 patients who underwent temporal lobectomy for intractable TLE. We divided patients into group A(n=75) who became seizures free after surgery, and group B(n=60) who were only slightly benefited or unchanged after surgery. Speech manifestations were classified as normal speech, vocalization, or abnormal speech. Abnormal speech was subdivided into speech arrest, dysarthria, dysphasia, or nonidentifiable speech. Results : Speech manifestations occurred in 70(18.5%) seizures of 28 patients. Forty eight seizures of 20 patients were observed in group A, and 22 seizures of 8 patients were observed in group B. In group A, 25 seizures of 11 patients were originating from dominant hemisphere, 23 seizures of 9 patients from nondominant hemisphere. In group B, 13 seizures of 5 patients were originating from dominant hemisphere, and 9 seizures in Lt. side and 6 seizures in Rt. side, respectively) of group A(P>0.05), and eleven seizures of 4 patients(8 seizures from Lt. side and 3 seizure from Rt. side) in group B(P>0.05). Normal speech was observed only seizures from Rt. side in both groups(3 seizures in 1 patient, each group). Dysphasia occurred only in seizures originating from Lt. side. Nonidentifiable speech occurred in 22 seizures of 9 patients(11 seizures from each side) in group A(P<0.01), and 3 seizures of 1 patient occurred only from Lt. side in group B. Conclusion : Ictal speech manifestations were not uncommon(18.5%). All kinds of ictal speech manifestations except normal speech have no reliable lateralizing and localizing value in TLE. Normal speech could be a good indicator of seizure originating from nondominant hemisphere.

노인 낮병원의 심리사회적 치료 프로그램이 노인의 신경인지기능과 우울 증상에 미치는 효과

유계준,송정은,오병훈,안석균,이홍식,오희철,구은형,황혜숙,이은철 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.5

노인에게 있어서 신경인지기능의 저하와 우울 증상은 가장 흔한 장애이며 신체적, 정신적인 면에 많은 영향을 미치고 있다. 또한 이러한 장애중 비임상군에서 심리사회적 치료개입의 효과가 보고되고 있다. 이러한 측면에서 지역사회에서 노인에게 제공되는 심리사회적 치료개입의 중요성이 높아지고 있다. 이전의 연구에서는 대상이 특정 집단이거나, 비교군이 없거나, 치료효과에 대한 추적 관찰이 이루어지지 않는 등의 제한점이 있었으며, 현재 국내의 노인 낮병원은 소수에 불과하고 이러한 낮병원의 치료효과에 대한 연구는 거의 없는 실정이다. 따라서 본 연구는 지역사회 정신보건센터에서 운영하는 노인 낮병원에 참가하는 노인들을 대상으로 낮병원의 심리사회적 프로그램이 노인들의 신경인지기능과 우울 증상에 미치는 효과와 이에 대한 유지 효과의 유무를 알아보고자 하였다. 경기도 광주군 정신보건센터의 노인 낮병원에 참여한 노인을 치료군으로, 치료를 거부하거나 치료 중 탈락한 노인을 비교군으로 하여 10주간의 낮병원 치료전후와 치료종결 후 10주에 신경인지기능은 한국형 간이 정신상태검사(이하 MMSE-K)로, 우울 증상은 단축형노인우울척도(이하 SGDS)로 평가하여 두 군을 비교하였고 치료군의 치료 직후와 치료종결 후 10주를 비교하였다. 연구결과 노인 낮병원의 심리사회적 치료가 시간에 따른 SGDS점수 변화에 통계학적으로 유의한 영향을 미쳤으며, MMSE-K점수 변화에는 통계학적으로 유의한 영향을 미치지 않았다. 또한 10주 추시가 가능했던 치료군 중 약 43%가 10주 후 SGDS가 증가하여 호전되었던 우울증상의 악화를 보였다. 본 연구 결과 노인 낮병원의 심리사회적 치료 프로그램 개입은 노인에게 있어서 우울 증상을 호전시키며 신경인지 기능에는 직접적인 영향을 미치지 않는 것을 알 수 있었다. 또한 상당수에서 심리사회적 치료 개입으로 인한 우울 증상의 호전이 유지되지 않음을 알 수 있었다. 이는 노인우울증상의 치료에 낮병원의 심리사회적 치료 프로그램이 효과적일 수 있음과 치료 후 이를 유지하기 위한 부가적인 치료개입의 필요성을 시사한다. Cognitive impairment and depression are the most common symptoms affecting the elderly on physical and mental states. Studies have shown that these symptoms in mild cases are improved by psychosocial intervention, emphasizing the importance of therapeutic intervention provided in the community. The purpose of this study was to investigate whether the psychosocial program at a geriatric day care service has any therapeutic effect on the cognitive function and depressive symptoms in the elderly and whether such effect can be maintained. The experimental group was composed of 37 elderly patients attending the day care service at the mental health center located in Kwangju county, Kyonggi province. The control group was composed of 22 elderly patients who either refused intervention or who dropped out of the program. Cognitive function was assessed with the Korean version of the Mini-Mental State Exam(MMSE-K), and depressive symptoms were assessed with the Short-form Geriatric Depression Scale(SGDS). The experimental group and the control group were compared on the score of on each test, which was administered before and after the program and 10 weeks after discontinuation of program. In the experimental group, the scores acquired immediately after the program and at 10 weeks of follow-up were also compared. The results showed that psychosocial intervention at a geriatric day care service was significantly associated with the change in SGDS scores dependent on time but not significantly associated with the change in MMSE-K scores. In the experimental group whose follow-up assessment was possible, it was further shown that 43% of patients had increased SGDS scores 10 weeks after the program ended, indicating that depressive symptoms had worsened. This study suggests that psychosocial therapeutic intervention in the geriatric day care service improve depressive symptoms but not cognitive functions in the elderly. In addition, for a considerable percentage of subjects in the experimental group, the improvements in depressive symptoms were not sustained after the intervention was withdrawn. These findings proposes a need of strengthening therapeutic intervention to maintain such effect.

순화슬러지와 생슬러지로 본 질산염제거특성

조순자,정용주,이나은,이정은,손형식,이상준 부산대학교 환경문제연구소 2003 環境硏究報 Vol.21 No.-

Using acclimated sludge with inorganic nitrogen medium for three months and non-acclimated sludge, raw sludge, under aerobic condition we investigated characteristics biological nitrogen removal. As results, e acclimated sludge under aerobic condition accomplished nitrification efficiently. But the samples from the reactor operated raw sludge had higher ammonium concentration rather than the concentration which was loaded by the medium. This means when we are trying to reorganize existing facilities, we should take high initial ammonium concentration into account.

다이옥신으로 유발된 생쥐의 조혈모세포 증식장애에서 Oligonucleotide-Microarray를 이용한 유전자표식자의 발굴

이은주,정인혜,김형래 이화여자대학교 의과대학 2004 EMJ (Ewha medical journal) Vol.27 No.1

To develop the biomarkers for the immune dysfunction induced by dioxin, 2, 3, 7, 8-TCDD was administered C57BL/6N mice 0.1㎍ TCDD/㎏ body weight. Colony forming assay showed that the proliferation potential of hemotopoieti progenitor cells in bone marrow was reduced 35-55% more by earlier exposure. The microarray experiments were duplicated, and the candidates were restricted for the genes expressed greater than 121-fold. Resulting candidates were 55 genes. The expression patterns of the whole genes were analyzed by self-organizing maps (SOM). From these results, we selected the stage-specific genes : one genes (SOM c21 : nadh dehydrogenase subunit 5 gene) for gestational 13.5day, 13 genes (c0 : sialophorin ; spn gene, etc) for postnatal 3 week. The above genes are proposed to be a potential use of biomarker for dioxin exposure in the case of immume dysfunctions. 내분비교란물질로 가장 잘 알려진 다이옥신에 의한 면역장애는 면역기관이 성숙된 후에 나타나므로 다이옥신의 노출에 의한 것인지 인과관계의 평가가 매우 어렵다. Dioxin ( 2, 3, 7, 8-TCDD)에 의한 면역기능의 저하 및 그 재표 유전자를 발굴하기 위해, C57BL/6 생쥐에서 임신 및 발생 성장 시기별로 dioxin을 노출하였다. 면역지표로서 골수 혈액줄기세포의 집락 형성이 현저하게(35~55%) 감소하였다. 말초혈액에서 유전자 발현의 변화를 생쥐용 고밀도(11K) oligonucleotide microarray로 측정하였고, 각 시기별로 대변이 가능한 유전자는 Selforganization maps (SOM) clustering으로 분석하였다. Biomarker로서 유용성을 위해 2회 반복하여 공통된 유전자를 선택하였고, 이 중 유전자 발현의 변동 폭이 2 이상 되는 유전자를 선택한 결과 55개를 고를 수 있었다. 시기별 대변이 가능한 SOM과 그 결과가 서로 일치하는 유전자는 임신 1305일에서 SOM c21인 1개(nadh dehydrogenase subunit 5), 생후 3주에서 c0 유전자 10개와 c16 유전자 3개(c0 : sialophorin ; spn 외 9개, c16 : ribosomal protein 113a ; rp113a 외 2개)를 발굴할 수 있었다. 다이옥신에 의한 면역 장애 및 노출 영향을 평가하는 biomarker로 사용할 수 있음을 알았다.

비만자의 운동수행이 혈중지질 및 혈청 효소에 미치는 영향

이은송,김형돈,김명진 慶熙大學校 社會體育硏究所 1998 體育科學論叢 Vol.- No.11

The purpose of this study was to examine the effects of acute exercise on the blood lipids(Low density lipoprotein-cholesterol, High density lipoprotein-cholesterol) and serum enzyme (Aspartate aminotransferase, Alanine aminotransferase) in obesity. The subjects divided by two groups were normal(N=8) and obesity (N=8). This subjects were required to go through a maximum aerobic test. After the analysis of blood composition following results were concluded. The LDL -C compared of the normal and obesity groups were significant differences during rest (p<0.05) The LDL-C significant increased of normal group right after maximum exercise(p<0.001) The HDL-C compared of the normal and obesity groups were significant differences during rest (p<0.05) The HDL-C significant increased of both groups right after maximum exercise (p<0.01). The AST compared of the normal and obesity groups were significant differences during rest (p<0.01) and right after maximum exercise (p<0.05) The AST significant increased of both groups right after maximum exercise(p<0.001). The ALT compared of the normal and obesity groups were no significant in rest and right after maximum exercise. The ALT significant increased of both groups right after maximum exercise (p<0.01).

Ti-6Al-4V합금의 열처리가 피로균열진전특성에 미치는 영향

이종형,강용구,황은하,최성대 金烏工科大學校 産業技術開發硏究院 1999 産業技術開發硏究 Vol.15 No.-

The fatigue crack growth test under constant amplitude loading was carried out to assess the effect of heat treatment on the fatigue crack growth of a forged Ti-6Al-4V alloy. Prepared with different heat treatment i.e.annealed at 850˚C(AN), 1100˚C(β-AN) and solution treated and aged(STA). Emphasis was placed on the effect of microstructure on fatigue behaviour, in particular, fatigue crack growth and crack closure and crack deflection and roughness of fatigue fracture surface. Fractographic observation was performed using a scanning electron microscope(SEM) for fatigue fracture surface.

반응소결 Sialon 및 Sialon 세라믹스의 제조와 재소결 특성

이홍림,이형직,이은복 연세대학교 산업기술연구소 1991 논문집 Vol.23 No.2

Sialon and Sialon-SiC ceramics were prepared by reaction sintering and post-sintering of powder mixture of Si, Al₂O₃, AIN, SiC, Y₂O₃. The powders were mixed to have the composition of Z=2. After nitridation, the specimens were post-sintered with powder bed. In the nitridation process Si was nitrided effectively by decreasing the amount of N2 below 1.0cc/sec. In the case of using passive powder bed, weight loss and β-Sialon were observed. On the contrary, when active powder beds were used, weight gain, β-Sialon and J-Sialon were observed. In active powder bed, higher strength and lower shrinkage were observed. Composition D, post-sintered in the SNSOC powder bed, has the largist strength of 332 MPa and the shrinkage of 6.2%.

치아종을 동반한 선천적 결손된 유견치의 공간

이정은,이제호,최형준,김성오,송제선,손흥규,최병재 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.2

치열궁에서 공간이 상실되는 것은 악궁내 치아의 고유한 위치에 변화가 생겼을 때 인접 근육들간의 힘의 균형이 변함으로써 치아의 위치이동이 나타나게 되어 발생한다. 공간의 상실을 일으키는 원인으로는 인접면 우식증이나 조기 발거, 치아의 선천적 결손, 왜소치 등이 있는데, 그 중에서 치아의 선천적 결손은 유치열기에서는 영구치열기에 비하여 매우 낮은 빈도를 보이며 계승 영구치의 결손과 높은 관련성이 있다. 선전적 결손은 유측절치에서 호발하며 하악보다 상악에서 자주 발생하는 것으로 보고되었지만, 유견치에서는 드물게 나타난다. 유치의 선천적 결손은 악궁 내에서 인접치아의 경사 및 계승치를 위한 공간의 상설, 악궁 장경의 감소로 인한 치열궁 협착 등과 같은 공간문제를 야기시킬 수 있다. 이 증례는 연세대학교 치과대학병원 소아치과에 내원한 유치열기 어린이에서 상악 우측 유견치의 선천적 결손과 그 부위의 치아종이 있는 악궁의 공간에 대하여 관찰한 것이다 2년 10개월 동안의 정기검사에서 상악 우측 유견치 부위의 콩간 상실은 없었으며 정중선변위나인접치의 근심 경사, 치아종으로인한 임상및 방사선학적 증상등을보이지 않았다 주기적인 관찰을 통해 치아종이 측절치나 견치의 맹출을 방해하거나 주변으로 낭성변화 등의 합병증이 발생하지 않는다면 측절치나 견치의 맹출시기에 치아종을 외과적으로 제거할 예정이며, 상태에 따라 공간유지장치 또는 교정치료가 필요할 수 있을 것으로 생각한다. Space loss of dental arch can appear when the proper position of teeth within the dental arch changes by a certain cause, because the balance of force makes changes about tooth position as well as alignment, The causes of space loss include proximal caries, early extraction, congenital missing of a tooth and hypodontia, etc. Among those causes of space loss, congenital missing of a tooth is more rarely observed in the primary dentition than in the permanent dentition. Congenital missing in the primary dentition is associated with that in the permanent dentition. Furthermore, it can cause space problem, such as mesial tilting or drift of adjacent teeth, space loss for permanent successors and dental arch constriction, etc. Primary lateral incisors is the most commonly involved, in the maxilla rather than in the mandible, but primary canine is rarely reported. In this patient, who visited the department of pediatric dentistry at Yonsei university dental hospital. it was observed that the maxillary right primary canine was congenitally missing and an odontoma was found insteadly. However, neither the space loss for the congenitally missing primary canine nor midline deviation is remarkable during the 2-year-10-month observation period. In addition, any clinical or radiographical symptom did not occur in spite of odontoma. Therefore, surgical enucleation of odontoma is planned according to the eruption of permanent lateral incisor or canine, unless eruption failure of permanent lateral incisor or canine nor cystic change around the odontoma is occurred. Through further evaluation, space maintainer or orthodontic treatment may be necessary.

리튬 이온 2차전지용 Anode 재료의 제조와 그 특성 고찰

이주성,정윤이,변지형,박은성,유덕영 한양대학교 에너지·환경기술연구소 1997 에너지·環境技術論文集 Vol.3 No.-

Carbon materials, disordered carbon and KS6(graphite, Lonza), were studied as anode materials of lithium ion secondary battery. The disordered carbons were made from thermosetting resins (phenol resin, furan resin, acetylene resin and its mixed resin). The resins were carbonized in nitrogen gas at 1000℃. When the thermosetting resins were carbonized, an addition of lithium hydroxide improved capacity and cycle life, but decreased the efficiency of the first charge/discharge. Also, in this study, the capacity of the carbon from phenol resin was higher than that of the carbon from acetylene resin or furan resin. But, the carbon from mixed resin was the highest capacity of all the synthetic carbons.

성인 자원자에서 B방식 초음파를 이용해 측정한 경동맥 내막중막두께의 분포

이선규,황희영,김형식,장미선,이은주,강문호,고광곤 대한순환기학회 1999 Korean Circulation Journal Vol.29 No.11