증폭(蒸曝)에 의한 지황(地黃)의 성분 변화에 대한 고찰

정재우 ( Jae Woo Jung ),김한영 ( Han Young Kim ),류지효 ( Ji Hyo Lyu ),김정훈 ( Jung-hoon Kim ) 대한본초학회 2021 大韓本草學會誌 Vol.36 No.6

Objectives : ‘Steaming and drying’ is a traditional processing method that has been used to produce Suk-ji-hwang (熟地黃; Rehmanniae Radix Preparata) from Ji-hwang (地黃, the fresh root of Rehmannia glutinosa Liboschitz ex Steudel; Rehmanniae Radix). The steaming and drying process, which is proceeded in heating and moisturizing conditions, plays a crucial role in the change of therapeutic effect of Ji-hwang, presumably due to the modification of its chemical constituents. In this article, the chemical influence of the ‘Steaming and drying’ process was investigated for understanding the underlying mechanism of chemical modification of Ji-hwang. Methods : The articles regarding the modifications of chemical constituents of Ji-hwang during the ‘Steaming and drying’ process were collected and analyzed to investigate the influence of the processing to Ji-hwang. Results : The results indicated that iridoid glycosides were degraded to their aglycones and sugars, and such degradations occurred faster at a high pressure than at an atmospheric pressure during the process. The contents of catalpol, ajugol, and acteoside were decreased, while those of rehmannioside A and D were slightly increased during the repeated processing. The contents of oligosaccharides, namely sucrose, maltose, raffinose, and stachyose (except for manninotriose), were decreased, while those of monosaccharides, glucose and fructose, were increased by the repeated processing. Conclusions : These results demonstrate that the ‘Steaming and drying’ process influenced the chemical constituents of Ji-hwang and provide probable basis for the therapeutic modification of Suk-ji-hwang after the processing of Ji-hwang.

Prediction of Retained Austenite Fraction in Quenching-and-Partitioning (Q&P) Steels Using the Gibbs Energy Balance Approach

Seong Hoon Kim,Ji Hoon Kim,Jae Hoon Lee,Dong‑Woo Suh,Jae Sang Lee 대한금속·재료학회 2022 METALS AND MATERIALS International Vol.28 No.9

Prediction of retained austenite fraction is quite important in designing advanced high strength steels since retained austeniteis the source of transformation-induced plasticity. The present study investigates the phase constitution of a medium-carbonQ&P steel by comparing various approaches to the transformation stasis of bainitic ferrite and applying them to the partitioningprocess. Among them, the modified GEB approach gave the best agreement with the experimental observation, includingthe effects of heat-treatment condition and chemical composition on phase constitution. This indicates phase transformationduring partitioning can be effectively described by the physics of Gibbs energy balance approach.

성장기 아동의 single tooth scissors bite의 교정 치료: 증례 보고

김지인,현홍근,김영재,김정욱,장기택,이상훈,한세현,김종철 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

A scissors bite in the posterior teeth occurs when the upper teeth are positioned totally buccal to the lower teeth in centric occlusion, either unilaterally or bilaterally. This malocclusion can result from either excessive width of the maxilla or deficient width of the mandible, or sometimes combination of the both. Scissors bite, when left untreated without a proper dental intervention, interferes with the normal mandibular growth leading to a state where consequent disharmony in dental arch width evokes occlusal disturbances. Therefore, early preventive orthodontic treatment is necessary in patients with scissors bite. Scissors bite rarely involves anterior and posterior sites concuttently across the dental arch but usually affect single tooth. Even in the single tooth scissors bite cases, more likely to be met in the clinical fields, immediate dental intervention is indicated because continuous occlusal forces that exacerbate the already adverse axis of the posterior teeth. In this case study, patients with single tooth scissors bite, each 7, 14, 12, and 16 years old, were each treated with criss-cross elastic, fixed appliance, removable appliance, and miniscrews. With the proper selection of appliances appropriate to each specific cases, good treatment outcome can be achieved without resulting any side effects. 중심교합위의 상태에서 편측 혹은 양측으로 상악 구치부의 치아가 하악 구치부의 협측으로 위치한 경우를 scissors bite라 고 한다. 이는 상악의 폭경이 크거나 하악의 폭경이 좁은 경우 발생한다. Scissors bite의 경우 방치하게 되면 하악의 성장이 방해받게 되고 그 결과, 악궁 폭경의 부조화가 심해져 저작 장애를 일으킬 수 있으므로 조기 차단 교정이 반드시 필요하다. 실제 임상에서는 여러 치아의 scissors bite보다 최후방 구치 혹은 그 외 하나의 구치만의 single tooth scissors bite(STSB)을 보이는 경우가 많다. 이러한 STSB의 경우도 방치하게 되면 저작력으로 인하여 구치의 각도가 더욱 악화되므로 즉각적인 치료가 필요하다. 본 증례에서는 STSB를 보이는 7세, 14세, 12세, 16세의 환자에게 각각 criss-cross elastic, 고정성 장치, 가철성 장치, miniscrew를 사용하여 치료한 증례를 보고하였다. 각 환자의 증례에 적합한 장치를 잘 선택하여 사용한다면 치아를 정출시키는 등의 부작용을 야기하지 않고 양호한 결과를 얻을 수 있을 것이다

상악 제2유구치와 상악 제1대구치의 치관 형태: 치아계측학적 연구

김지인,현홍근,김영재,김정욱,장기택,이상훈,한세현,김종철 大韓小兒齒科學會 2011 大韓小兒齒科學會誌 Vol.38 No.4

The basic structure of the primary crowns usually resemble their succeeding permanent teeth. However, maxillary second primary molars resemble ipsilateral first permanent molars. Accordingly in this study, odontometric data of the two teeth was obtained, then analyzed to verify the morphological relationship and sex difference between the two teeth. Dental study casts were examined for their mesiodistal and buccolingual width of the crowns, diameter of each cusps, and intercuspal distances. Photographs of the crowns were taken to measure the angles between each cusp tip. The results are as follows : 1. In boys, PrI, PaI, DBC angle, and MBC angle did not show any statistically significant difference between the two teeth(p>0.05), and moderate level of correlations were observed. 2. In girls, crown index, DBC angle, and MBC angle of the two teeth did not show any statistically significant difference(p>0.05), and moderate level of correlations were recognized. 3. Measurements that did not show statistically significant difference between the two teeth in both boys and girls were DBC angle and MBC angle(p>0.05). In DLC angle, however, statistically significant difference was observed(p<0.01). 4. Most of the measurements showed sex differences, except DBC angle, which did not show any sex difference in both teeth(p>0.05). 유치 치관의 기본적인 구조는 대개 계승 영구치를 닮는다. 그러나 제2유구치는 계승 영구치인 제2소구치보다 오히려 제1대 구치와 더 유사한 경향이 있다. 이에 본 연구는 한국인에서 상악 제2유구치와 제1대구치의 치아계측학적 자료(odontometric data)를 얻어 두 치아의 형태와 크기 사이의 연관성을 살펴보고, 나아가 남녀간의 차이점 유무를 고찰해 보고자 하였다. 남아 150명, 여아 150명 총 300명의 모형을 이용하여 상악 제2유구치와 상악 제1대구치의 근원심 치관 폭경, 협설측 치관 폭경, 각 교두의 직경, 교두정간 거리를 계측하였고, 치관의 교합면 사진을 촬영하여 각 교두정 사이의 각도를 측정하여 다음과 같은 결과를 얻었다. 1. 남아에서 Protocone index, Paraconeindex, Distobuccal cusp(DBC)각, Mesiobuccal cusp(MBC)각은 상악 제1대 구치와 제2유구치 사이에 통계적 유의차가 관찰되지 않았고(p>0.05), 중등도의 상관관계가 확인되었다. 2. 여아에서 crown index, Distobuccal cusp(DBC)각, Mesiobuccal cusp(MBC)각은 상악 제1대구치와 제2유구치 사 이에 통계적 유의차가 관찰되지 않았고(p>0.05), 중등도의 상관관계가 확인되었다. 3. 남, 여 모두에서 Distobuccal cusp(DBC)각, Mesiobuccal cusp(MBC)각은 두 치아 사이에 유의할만한 차이를 보이 지 않았고(p>0.05), Distolingual cusp(DLC)각에서는 통계적 유의차가 관찰되었다(p<0.01). 4. 대부분의 계측치에서 남녀 차이를 나타냈지만, Distobuccal cusp (DBC)각은 상악 제1대구치와 제2유구치 모두에서 남녀 차이를 보이지 않았다(p>0.05).

히스토아크릴을 이용한 십이지장 궤양 출혈의 지혈 후 발생한 급성췌장염

유재훈,문원,노지훈,구동영,조영화,김기수,윤준모 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.1

Upper gastrointestinal bleeding is common and potentially life threatening medical emergency. Emergency endoscopy is the first choice of diagnostic and treatment measure for patients with active upper gastrointestinal bleeding. Histoacryl should be considered a second-line treatment modality when conventional treatments were failed. However, it might cause several complications. Herein, we report a case of acute pancreatitis developed after histoacryl injection therapy for active duodenal ulcer bleeding. A 71-year-old man was admitted with melena and hematemesis. On emergency endoscopy, a 2 cm sized active ulcer with bleeding from an exposedvessel was seen at the duodenal bulb. Attempts to arrest the bleeding with hemoclipping and submucosal epinephrine injection were tried, but failed. We changed the method to endoscopic histoacryl injection, and obtained hemostasis immediately. A few hourslater, after successful hemostasis, patient complained diffuse abdominal pain. Ultrasonography revealed hyperechoic heterogenous diffuse pancreatic enlargement and right pararenal space fluid collection, this ultrasonographic findings and elevated serum pancreatic enzymes are compatible with acute pancreatitis.

국내 분리 폐렴 구균의 항균제 내성 현황 및 분자역학 조사를 통한 내성 전파의 규명

양지원,이남용,백경란,김성민,송재훈,배직현 대한감염학회 1996 감염 Vol.28 No.5

목 적 : 최근 폐렴구균의 항균제 내성은 전 세계적인 문제가 되고 있다. 국내에서도 폐렴구균의 페니실린 내성율이 70%를 넘어 세계 최고 수준의 내성을 나타내고 있다. 본 연구는 국내 분리 폐렴 구균의 페니실린 내성 및 다제 내성 현황을 확인하고, 국내의 내성율이 외국에 비하여 지나치게 높은 원인으로서 내성 전파의 가능성을 규명하고자 항균제 감수성 검사 및 pulsed-field gel electrophoresis(PFGE)와 penicillin-binding protein(PBP) profile을 분석하였다. 대상 및 방법 : 국내 2개의 3차 병원에서 1989년부터 1995년까지 153명의 환자 검체에서 분리된 173균주의 폐렴 구균을 대상으로 하였다. 항균제 감수성 검사는 oxacillin disk로 페니실린 내성 여부를 검색한 후, 한천희석법을 이용하여 11개 항균제의 성장억제최소농도를 구하였다. 항균제 감수성 검사 결과 모든 β-lactam 제제에 동시 내성을 보인 다제 내성 균주 42 균주를 대상으로 PFGE 와 PBP profile 분석을 시행하였다. PFGE는 SmaI과 ApaI을 제한효소로 사용하였으며, CHEF DR-Ⅱ system을 이용하여 전기영동하였다. PBP profile은 ³H-benzylpeniclillin으로 균주를 label하여 분석하였다. 결 과 : 항균제 감수성 결과 전체의 67.8%가 중등도 이상의 내성을 보였으며 (중등도 8.2%, 내성 59.6%), 3가지 종류 이상의 항균제에 동시 내성을 보이는 다제 내성율은 25.4%였다. 페니실린에 내성을 보이는 균주는 대부분 다른 항균제 특히 cephalosporin 제제에 내성을 보였다. 시험 균주의 혈청균은 19와 23이 가장 많았다. PFGE의 결과 35개의 다제 내성 균주 및 29 균주 (83%)가 동일한 제한 절편 양상을 보였으며, 총 5가지의 PFGE pattern 을 나타내었다. PBP profile 분석에서도 PFGE상 동일한 양상을 보인 다제내성 균주들은 PBP profile이 동일하였다. 결 론 : 본 연구는 기존의 국내 보고와 마찬가지로 폐렴구균의 페니실린 내성율이 세계 최고 수준임을 확인하였고, 아울러 다제 내성율도 현저히 증가하여 있음을 확인하였다. PFGE를 통한 유전자 절편 분석과 PBP의 변화 양상 분석을 통하여 다제 내성 균주의 80% 이상이 유전적 상관성이 있음을 확인함으로써, 내성의 전파가 국내에서 일어나고 있으며, 이 현상이 비교적 단기간에 국내에서 폐렴구균의 내성율을 급증하게 한 원인의 일부일 것으로 생각하였다. 향후 내성전파의 기전 및 근원에 대한 후속 연구가 내성 문제에 대한 장기적인 대책 마련에 필수적일 것으로 사료된다. Background : During recent three decades, the resistance of Streptococcus pneumoniae to penicillin has been rapidly increasing in many parts of the world. To characterize the epidemiology of multidrug-resistant S. pneunoniae as well as to investigate the possible spread of multiresistant clones which could partly explain the unusually high resistance rate in Korea, we conducted the antimicrobial susceptibility tests of pneumococcal isolates and performed pulsed-field gel electrophoresis (PFGE) and penicillin-binding protein (PBP) profile analysis of multiresistant strains from Korea. Methods : A total of 174 pneumococcal isolates obtained from 153 patients who visited or were admitted to two tertiary care hospitals during the period from 1989 to 1995 were studied. Antimicrobial susceptibility tests for 173 isolates were performed using agar dilution method to determine minimal inhibitory concentrations of 11 antimicrobial agents. A total of 42 isolates with multidrug-resistance were subjected to PFGE and PBP profile analysis to investigate the genetic relatedness between multiresistant strains, SmaI and ApaI were used to digest the genomic DNAs in PFGE. For PBP profile analysis, 5 mCi³H-benzylpenicillin were used to label PBPs of pneumococci. Results : Antimicrobial susceptibility tests for 173 isolates showed that 67.8% of isolates were not susceptible to penicillin, exhibiting either intermediate (8.2%) of resistance (59.6%). Multidrug-resistance to three or more classes of antibiotics was observed in 25.4% of the isolates. Almost all isolates with resistance to penicillin were resistant to cephalosporins. PFGE showed that 29 of 35 Korean isolates with multidrug-resistance had an identical PFGE pattern. These strains also shared a common PBP profiles with decreased affinity of PBPs 1a, 2x, and 2b. Conclusion : These data demonstrated the extremely high rates of penicillin- and multidrug-resistance in pneumococcal isolates in Korea. Molecular epidemiologic studies suggest the spread of a single epidemic clone of resistant pneumococci within Korea, which could partly explain the unusually high rate of resistance in Korea. Future investigation with regards to source and mode of transmission is warranted.

두개강내로 전이된 Adenoid Cystic Carcinoma 2례 : 증례보고 Report of Two Cases

송재욱,윤상민,이창훈,장지수,이승훈,조경자,강신광 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.10

The authors describe two cases of unusual intracranial metastatic adenoid cystic carcinomas. A 42-year-old woman had a right pariental epidural metastatic mass. presumed hematogenous. spread from a primary tumor in the parotid gland. In second case, a 32-year-old man had a intracranial metastatic adenoid cystic carcinoma mimicking calcified psammomatous meningioma on CT scans. We present these unusual cases with a review of relevant literature and a discussion of possible pathogenesis.

해남지역 하천에서의 비점오염원에 관한 연구

송재준,천지훈,서지양 木浦大學校 沿岸環境硏究所 1999 沿岸環境硏究 Vol.16 No.1

It is so difficult to know about the course of non-point source that only few people studying. This is the reason why we did not get good result in water-treatment frequently. Point and non-point source study must be balanced. This report have this intention. Summer is rain season in Korea so we have many problem in water quality. Bad quality originated from agricultural field, non-point source, that flow nutrients, agricultural chemicals, weed chemicals and etc. In this report provide the basic data of non-point source study on river of Haenam Area. Three point that we research is near Bok-pyoung, Kil-ho and Eo-seong bridge at 1999. 7. 5 ∼ 7. 12. Resulted: BOD, COD, SS, T-N, NH₃-N, NO₃-N, T-P, PO₄-P, Alkalinity decrease afterraining, dilution, much amount of water quantity made it. Agricultural section that major non-point source effluent high waste concentration at first stage, but dilution made lower at last. so it is needed that non-point source water storage for improve first stage wastewater at the lower part of a river. And continuous study about non-point source outbreak reason by waste effluent quantity data that made water quality and quantity research after division of the land useness near the river is needed, too.

폐렴 구균(Streptococcus pneumoniae)에 의한 척수 경막외 농양 1예

이지영,위유미,손경목,기현균,문치숙,오원섭,백경란,송재훈 대한감염학회 2004 감염과 화학요법 Vol.36 No.6

폐렴구균은 보통 폐렴이나 뇌막염을 일으키는 균으로 척수 경막외 농양을 일으키는 경우는 매우 드물다. 본 저자들은 폐렴 구균에 의한 척수 경막 외 농양을 경험하여 보고하는 바이다. 과거 건강했던 36세 남자 환자로 사다리에서 낙상한 후 요통 및 고열, 신경학적 이상으로 내원하여 자기 공명 촬영 결과 척수 경막 외 농양으로 진단받고 항균제 투여와 함께 응급 수술을 시행하였다. 농 배양 결과 페니실린 감수성인 폐렴 구균이 분리 되었고, 수술 요법과 항생제 투여 후 농양은 치유되었으나 신경학적 이상은 호전 없는 상태로 타원으로 전원되었다. Pneumonia and meningitis are the most frequent manifestations of pneumococcal infections. Pneumococcal spinal epidural abscesses have been rarely reported. Spinal epidural abscess by Streptococcus pneumoniae has been diagnosed among the patients with diabetes mellitus, alcoholism, corticosteroid therapy, intravenous drug use, chronic renal failure, AIDS, and history of spinal surgery. Recently, we experienced a case of pneumococcal spinal epidural abscess after spinal trauma. A 36-year-old male patient was admitted with back pain, fever, and paraplegia which occurred 5 days after the trauma. Spine MRI revealed spinal epidural abscess at the level from T2 to T9. He was treated with antimicrobial agents and surgical exploration for spinal epidural abscess. Pus culture grew S. pneumoniae which was susceptible to penicillin. Despite early surgical treatment, neurologic sequelae remained. Considering the high mortality and morbidity of pneumococcal spinal epidural abscess, early diagnosis and aggressive treatment including surgical intervention and antibiotics therapy should be implemented immediately.

탄소섬유/고인성 에폭시 수지 적층판의 모드Ⅱ 파괴인성 평가

심재기,양인영,김영남,조규재,김지훈 朝鮮大學校 機械技術硏究所 1999 機械技術硏究 Vol.2 No.1

본 연구에서는 탄소섬유/고인성 EPOXY의 일방향 CFRP적층시험편에 대해 정적 ENF 시험 및 스프릿홉킨손봉법에 의한 동적 ENF시험을 하여 일방향 CFRP 적층판의 모드Ⅱ층간파괴인성치를 측정된 하중응답, 반력봉 반력의 J-적분과 시험편의 변위해석을 통하여 평가하였다 실험결과, 준정적 변위속도 δ = 5 × 10 근방에서 하중 최저점에서부터 하중의 진동이 발생하기 시작함을 알 수 있었으며, 또한 최저 측정점에서 하중점 변위속도의 증가와 더불어 동적 층간파괴 인성치가 증가함을 알 수 있었다. In this paper, an investigation was performed on the dynamic interlaminar fracture toughness of CFRP(carbon fiber reinforced plastics) composite laminates. Composite laminates used in this experimentation are CF/high toughness Epoxy Resin composite laminated plates. In the experiments, Split Hopkinson's Bar(SHPE) test was applied to dynamic and notched flexure test. The mode Ⅱ fracture toughness of each unidirectional CFRP was estimated by the analyzed deflection of the specimen and J-integral with the measured impulsive load and reactions at the supported points. As an experimental results, Loading vibrations are generated when quasi-static displacement velocity, δ becomes 5×10 from the lowest loading point. It is thought that the dynamic fracture toughness of specimens(CF/EPOXY) with the increase of displacement velocity becomes a little greater at a measuring point within the range of measurement.