호르몬 불응성 전립선암 환자에서 mitoxantrone과 prednisone의 병합화학요법 후 통증완화 및 삶의 질 측정

이홍우,이지열,김세웅,이충범,강성학,조용현,황태곤,박용현,윤문수 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

목적 : 호르몬 불응성 전립선암 환자의 생명을 연장시키는 치료법은 현재로는 없으며, 현 시점에서의 치료목표는 증상의 경감 및 소실에 따른 삶의 질 향상에 두고 있다. 호르몬 불응성 전립선암의 고식적인 치료에 일차적인 치료법으로 간주되는 mitoxantrone과 prednisone의 화학요법이 호르몬 불응성 전립선암 환자의 통증완화 및 삶의 질에 어떠한 영향을 미치는지 알아보았다. 방법 : 1998년 7월부터 1999년 12월까지 증상이 있는 18명의 호르몬 불응성 전립선암 환자를 대상으로 하였으며, 일차적인 치료의 목표는 환자 본인이 기록하는 McGill-Melzack 6단계 통증척도에서 진통제의 증량 없이 2점이 감소(또는 첫 점수가 1점일 경우 통증의 완전소실)하는 것으로 하였다. 이러한 기준은 최소 3주 간격으로 시행한 자가 기록조사에서 연속적으로 2번 이상 유지될 때 유효한 것으로 간주하였다. 건강과 관련된 삶의 질 측정은 전신적 치료의 임상적 응용을 위한 실제적인 측정방법으로 개발되어 환자가 직접 작성하는 전립선암 특이성 삶의 질 측정기구(Prostate Cancer-Specific Quality-of-Life Instrument : PROSQOLI)의 비례연속형의 자가측정 척도(linear analogue self-assessment scale : LASA)를 이용하였으며, ECOG performance status를 사용하여 전신상태의 변화도 측정하였다. 결과 : 통증의 경감으로 나타나는 고식적인 치료의 반응은 66.7%(12/18)에서 나타났으며, 반응의 지속기간은 2개월에서 10개월까지로 평균 4.2±3.6개월이었다. PROSQOLI로 측정한 삶의 질은 통증에 대한 고식적인 치료반응을 보인 12명(66.7%) 모두가 삶의 질이 개선되었으며 특히 통증, 변비, 소변보기, 전반적인 복지상태에서의 유의한(p<0.05) 증가를 보였다. 치료 후 혈장 PSA 수치는 고식적인 반응의 유무에 관계없이 별 다른 변화를 보이지 않았으며, 골주사 또는 전산화 단층촬영으로 측정한 방사선학적 병변은 고식적인 반응을 보인 2명을 제외하고 치료 전과 비교하여 차이를 보이지 않았다. 병합 화학요법과 관련된 특별한 부작용은 관찰되지 않았다. 결론 : 통증을 동반한 호르몬 불응성 전립선암에서 mitoxantrone과 prednisone의 병합화학요법은 66.7%의 환자에서 통증의 감소 및 삶의 질이 향상되었다. 현재는 혈장 PSA 수치, 병소의 크기나 개수등이 치료의 지침이나 치료결과의 판정을 위한 객관적인 기준으로 사용되는 경향이 있지만, 앞으로는 환자를 중심으로 통증을 포함한 삶의 질 측정이 고식적 치료 후 치료결과 판정에 있어 객관적이고 적절한 방법이 될 것이다. Background : There is no evidence that therapeutic modalities prolong the survival of patients with hormone-refractory prostate cancer nowadays. The main goal of treatment is therefore improvement in quality-of-life including palliation of symptoms. We performed this study to investigate the benefit of mitoxantrone and prednisone chemotherapy in patients with symptomatic hormone-refractory prostate cancer using relevant end points of palliation regarding to pain and quality-of-life. Methods : From July 1998 to December 1999, we assessed the 18 patients with symptomatic hormone-refractory prostate cancer receiving mitoxantrone and low dose prednisone. The treatment end point was a palliative response defined as a 2-point decrease in pain assessed by a 6-point pain scale complemented by patients (or complete loss of pain if initially 1+) without an increase in analgesic medication and maintained for two consecutive evaluations at least 3 weeks apart. Health-related quality-of-life was evaluated with a series of linear analogue self-assessment(LASA) scale of the Prostate Cancer-Specific Quality-of-Life Instrument (PROSQOLI) and performance status was also measured. Results : Palliative responses were observed in 12(66.7%) of 18 patients. The duration of palliative responses were 4.2±3.6 months(range: 2 to 10 months). Treatment was well tolerated without specific side effects. There were no differences in prostate-specific antigen (PSA) level following treatment and no significant changes of radiologic findings evaluated by bone scan and/or CT were noted except 2 cases after chemotherapy. All the responding patients had an improvement in quality-of-life scales and performance status, however serum PSA levels were not changed. Conclusions : Chemotherapy with mitoxantrone and prednisone provides palliation and an improvement in quality-of-life for more than half (66.7%) of the patients with symptomatic hormone-refractory prostate cancer.

두경부 편평세포암에서 형질전환 성장인자-알파(TGF-α)의 발현에 관한 연구

도남용,이승학,김완수,김경일,이동용,김용기,최봉남 조선의대 1996 The Medical Journal of Chosun University Vol.21 No.2

추황배(Pyrus pyrifolia Nakai cv. Chuhwangbae) 과피로부터 1종의 Sterol과 3종의 배당체 화합물의 단리·동정

이유건(Yu Geon Lee1),조정용(Jeong-Yong Cho),이현주(Hyun Joo Lee),이용현(Yong Hyun Lee),이상현(Sang-Hyun Lee),한태호(Tae-Ho Han),김월수(Wol-Soo Kim),박근형(Keun-Hyung Park),문제학(Jae-Hak Moon) 한국식품과학회 2013 한국식품과학회지 Vol.45 No.5

본 연구에서는 배의 유용성 증명을 위한 일환으로 배의 화학성분을 분자수준에서 밝히고자 하였다. 이에 배 과피 MeOH 추출물을 용매분획하여 얻은 EtOAc-산성 분획과 EtOAc-중성분획을 대상으로 Sephadex LH-20, silica gel, 그리고 ODS colmn chromatography와 HPLC를 이용하여 정제 및 단리하였다. 그 결과, EtOAc-산성 분획과 EtOAc-중성 분획으로부터 각각 2종씩의 화합물을 단리하였다. 단리된 화합물 1-4는 1H- 및 13C-NMR 분석을 통하여 각각 (S)-(+)-2-cis-abscisic acid O-β-D-glucopyranosyl ester (화합물 1), 1-[4-O-β-D-glucopyranosyl]phenyl ethanone(piceoside, 화합물 2), β-sitosterol (화합물 3), 그리고 β-sitosteryl 3-O-β-D-glucopyranoside (화합물 4)로 동정되었다. 단리된 3종의 배당체 화합물(화합물 1, 2, 4)들은 본 연구에 의해 배로부터 처음 동정되었으며, 화합물 3은 추황배로부터 처음 동정되었다. 본 연구결과가 배 함유 성분연구는 물론 배의 기능성 해명 연구에도 추후 중요한 기초자료로 활용되길 기대한다. We isolated and identified antioxidants from acidic and neutral ethyl acetate fractions of the peel of pear (Pyrus pyrifolia N. cv. Chuhwangbae). We isolated 4 compounds from the methanol extract, by using 3 different types of column chromatography (Sephadex LH-20, silica gel, and octadecylsilane) and preparative HPLC. We identified the isolated compounds as (S)-(+)-2-cis-abscisic acid O-β-D-glucopyranosyl ester (compound 1), 1-[4-O-β-D-glucopyranosyl]phenyl ethanone (picroside, compound 2), β-sitosterol (compound 3), and β-sitosteryl 3-O-β-D-glucopyranoside (compound 4) by nuclear magnetic resonance analysis. We are the first to report the identification of compounds 1, 2, and 4 from pear.

小員環 化合物에 關한 硏究 : Li-Bistosylhydrazone의 熱分解 生成物에 關하여 Products of the Lithium Fumaraldehyde Bistosylhydrazone Pyrolysis

李學沂,林龍進,沈相喆 경북대학교 공과대학 1971 工大硏究誌 Vol.1 No.-

The pyrolysis of dry lithiun salt of fumaraldehyde tosylhydrazone which was prepared by reacting fumaraldehyde and tosylhydrazine was studied. The products of therm a decomposition, acetylene, ethytlene and unidentified gaseous substances, were separated by GC to learn the ratio of the products which was variable according to the reaction conditions. The investigaton of the path route to form acetylene, ethylene and unidentified compounds remains for further work to learn the mechanism of tetrahedrane formation.

The Sound and the Fury에 있어서 Jason의 性格의 神話的 照明

李用學 淸州敎育大學校 1981 論文集 Vol.18 No.-

전이성 골종양 환자 1례에 대한 증례보고

이정현,정학수,이은용,김형준 세명대학교 한의학연구소 2001 韓醫學硏究所 論文集 Vol.3 No.-

By process of treatment for a case which diagnosed as metastatic bone tumor and admitted from the 7th March, 2000 to the 7th April, 2000, the results are as follows. Method & Results : This patient was diagnosed as breast cancer metastasizes to bone, was treated with herb medication, acupuncture, moxibustion and kinesio taping. In treatment, cancer pain in lumbar, leg, shoulder, flank and chest portion of the patient was improving. Specially, by moxibustion therapy at pain points, cancer pain was improved remarkably. Conclusion : I consider that cancer pain diseases can be improved remarkably by Acupuncture, Moxibustion therapy.

韓國 알미늄 箔産業의 마케팅 戰略

李容鶴,文學鎭 수원대학교 기업경영연구소 1992 企業經營硏究 Vol.1 No.-

Korean Aluminium Foil Industry has grown, during the last five years, as the average annul growth rate was 19.1%, But in the late 80's, with the new foil manufacturers participation, the already established manufacturers have worried over the increased production capacity. The industry is in a transitional stage changing from excess demand to excess supply. The study suggests the marketing strategy for the Korean Aluminium Foil industry as follows. First, the industry needs to reform its management from the reproduction emphasis to marketing emphasis. With the product surplus, the manufacturers have to sell to survive by the circulation of production -sales-reproduction. Second, through a marketing mix, the industry has to promote a new demand and enhance the marketability without pricing competitiveness. There has to be an effort to develop a new product, as well as enhancing the product quality. Third, aggressive export strategy has to be developed. And lastly, Green Marketing should be introduced into the Aluminium Foil industry.

생체분해성 고분자의 특성 및 의학적 응용

이진호,최선웅,강길선,노승무,민병무,김용백,김학용 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

"Biomaterials" are nonviable materials used in medical devices, intended to interact with biological systems. They should have "biocompativility", which is defined as the ability of materials to perform with an appropriate host response in a specific application. It includes many materials that are often classified as biomaterials. Metals, ceramics, polymers, glasses, carbons, and composite materials are some examples. Among them, biodegradable polymers are discussed in this revies article. Since a biodegradable polymeric implant does not have to be removed surgically once it is no longer needed, biodegradable polymers are of value in short-term applications that require only the temporary presence of a polymeric implant. Main short-term medical applications of biodegradable polymers include the temporary tissue scaffold, the temporary adhesion barrier, the drug delivery device, and the multifunctional implant. In this article, the properties, processing methods, and medical applications of the biodegradable polymers are reviewed.

Frozen Shoulder의 물리치료에 관한 임상적 고찰

이재학,함용운 高麗大學校 倂設 保健大學 保健科學硏究所 1985 保健科學論集 Vol.14 No.1

This study is conducted to analyses and evaluate efficiency of Physical Therapy on the frozen shoulder on 152 cases who were treated at the Dept. of Rehabilitation Medicine, Korea University Hospital during I year of period from July 1, 1984 to June 30, 1985. The result obtained in this study are summarized as follow: 1. Among the 152 cases females were 90 cases(59.2%) and males were 62 cases(40.8%) and average age was 58.4 years. 2. The involvements of the right side 70 cases (46.1%) were slightly more than the left side 67 cases (44.0%), and 15cases(9.9%) were bilateral. 3. 82 cases(53.9%) out of 152 cases were idiopathic and average duration of symptom at admission was 3.7 months. 4. The modalities of physical therapy suitable to each cases were applied: 98.0% of all cases were treated with hydrocollator steam pack, 98.7% ultrasound and diathermy, 88.5% Codman's exercise, 68.4% shoulder wheel, 55.9% overhead pulley, 35.5% shoulder ladder, 51.3% gentle passive exercise. 5. Average duration of physical therapy was 1.7 months. 6. Total amount of an increase of range of motion shoulder joint after physical therapy were about 70 degrees in abduction and 45 degrees in external rotation.

보일라의 燃燒室의 構造 및 二次空氣가 燃燒에 미치는 영향

李昇雨,李永鶴 서울産業大學校 1969 논문집 Vol.2 No.1