植物凝集素 Sophola japonica와 赤血球에 의한 사람 尿의 型分類에 關한 硏究

尹馨培,黃迪駿 고려대학교 의과대학 1991 고려대 의대 잡지 Vol.28 No.1

In order to classify the type of the urine by using of the inhibition effect of Sophola japonica which acts as pan-phytagglutinin, to human red blood cells. Compared the relationship between the type of urine classified in this study and the types of other specimens which are already proven by other methods. There are two types of human urine : one with sub-stances that inhibit the agglutination of Sophola Japonica extract to human red blood cells and the other without those substances. Among 300 human urine specimens involved In the present study, 12% (36 specimens )were shown to have those inhibition substances in their urine. The types of urine classified in this study showed no relationship with those classified by the Agastache rugosa extract. Neither the known type of saliva nor the type of experimented by the Sophola japonica extract had any relationship with the type of urine determined in this study. No significant relationship could be found between the various type of blood and Serum types such as ABO, MN, H, Cl, IPO, NPO, ICO, NCO and the urine type.

일부 도시지역 인문고교생의 체격과 영양상태에 관한 연구

윤태영,최중명,박순영,유동준,김형석,구도서,박양원 慶熙大學校 醫科大學 1986 慶熙 醫大 論文集 Vol.11 No.1

3D-CT를 이용한 골격성 III급 개방교합자의 악교정 수술 전, 후 설골 및 상기도의 변화

이윤섭,백형선,이기준,유형석 대한치과교정학회 2009 대한치과교정학회지 Vol.39 No.2

본 연구는 골격성 III급 개방교합자의 악교정 수술 전, 후 설골과 상기도의 변화를 3D-CT를 이용하여 관찰하고 이를 정상교합자와 비교하기 위하여 시행하였다. 전치부 개방교합을 동반한 골격성 III급 부정교합으로 진단되어 악교정 수술을 받은 환자 중 12명을 선정 후, 3D-CT를 통해 설골과 상기도의 3차원 입체영상을 분석하여, 악교정 수술 전, 후의 설골의 위치 변화 및 상기도의 부피 변화를 살펴보고, 이의 결과를 정상교합자 10명과 비교하였다. 설골은 골격성 III급 개방교합군에서 악교정 수술 전에 정상교합군의 설골에 비해 전방에 위치하고 있었고 악교정 수술 후 설골은 후, 상방으로 변화하였으나 유의성은 관찰되지 않았다. Hyoid plane과 mandibular plane이 이루는 각은 악교정 수술 전의 골격성 III급 개방교합군이 정상교합군보다 큰 값을 나타내었고, 악교정 수술 후에는 그 차이가 더욱 증가하였다. 골격성 III급 개방교합군의 상기도 부피는 정상교합자보다 작으며 이는, 악교정수술 후에 더욱 감소하였다. 3차원 영상 분석 결과, 골격성 III급 개방교합자의 상기도는 정상교합자에 비해 좁으며, 하악골 후퇴술 이후 더욱 감소하기 때문에 이는 수술적 개선의 안정성에 영향을 줄 수 있음을 알 수 있었다. Objective: The purpose of this study was to investigate the structural changes of the hyoid bone and upper airway after orthognathic surgery for skeletal class III anterior open bite patients, and make comparisons with normal occlusion. Methods: Pre- and post-operative computed tomography (CT) examinations were performed on 12 skeletal class III anterior open bite patients who were treated with mandibular setback osteotomy. Using the V-works 4.0 program, 3-dimensional images of the total skull, mandible, hyoid bone, and upper airway were evaluated. Results: In the Class III openbite group, the hyoid bone were all positioned anteriorly, compared to the Normal group (p < 0.05). The angle between the hyoid plane and mandibular plane in the Class III openbite group before surgery was greater than in the Normal group (p < 0.05), and the difference increased after surgery (p < 0.01). In the Class III openbite group, the volume of the upper airway decreased after surgery (p < 0.001) and the volume of the upper airway was smaller than the Normal group before and after surgery (p < 0.001). Conclusions: The narrow upper airway space in skeletal Class III openbite patients decreased after mandibular setback osteotomy. This may affect the post-surgical stability.

양성과 음성 정신분열증에 관한 연구 : 일반적 특성 병전적응도와 인지기능을 중심으로 Focused on General Characteristics, Premobid adjustment and Cognitive Function

박준형,윤진상,이형영 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.1

Most clinicians agree that the group of disorders called schizophrenia is heterogeneous. Since Kraepelin described dementia praecox, various attempts have been taken to subdivide schizophrenia into several homogeneous subtypes. Recently some investigatiors were interested in the division of schizophrenia by use of positive & negative symptomatology that Hughlings-Jackson had tried. Crow especially hypothesized that there were some differences between the tow prominent symptoms(negative & positive) in respect of premorbid adjustment, response to neuroleptic therapy and underling pathologic process etc. But this hypothesis remains largely untested. Using Andreasen & Olsen's criteria for negative, positive and mixed schizophrenia, we subdivided a consecutive sample of 67 schizophrenic patients into 3 subtypes (negative 21, positive 23, mixed 23). We then evaluated some characteristic aspects among these 3 subtypes. The results are as follow : 1) There was s significant difference in mean age among the three subtypes. In the negative group, the mean age was most high and this was followed by the positive group(p<0.05). 2) There was a significant difference in the duration of education among the three subtypes. In the negative group, the duration of education was least and this was followed by the positive group(p<0.05). 3) There was a significant difference in premorbid adjustment among the three subtypes. The level of premorbid adjustmentwas lowest in the negative group and this was followed by the positive group.(p<0.005). 4) There was a significant difference in the number of previous hospitalizations among the three subtypes. In the negative group, the number of hospitalizations was lowest and this was followed by the positive group.(p<0.005). 5) The experience of previous modern psychiatric treatment was more reare in the negative group and this was followed by the positive group.(p<0.05). 6) The score of mini mental status for evaluation of cognitive function was significantly lower in the negative group and this was followed by the positive group.(p<0.001). 7) The scores of the BPRS for evaluation of psychotic symptoms at the times of admission and 4 weeks later were significantly most high in the positive group and this was followed by the mixied group (p<0.05, respectively). The therapeutic response rated on the BPRS after 4 weeks, was significantly prominent in the positive & mixed groups(p<0.05, respectively), but not in the negative group. 8) Besides these, there were no significant differences in occupation, onset of age, duration of illness and family history among the three subtypes. .

직장항문 농양과 치루에 대한 임상적 고찰

김준호,서준하,이석환,이기형,윤충 경희대학교 1997 慶熙醫學 Vol.13 No.4

이황화탄소 중독자들의 노출중단 이후의 심박동수 변이

이상윤,조성일,백도명,변창범,김미정,박경근,임상혁,양길승,황창국,전형준 大韓産業醫學會 2006 대한직업환경의학회지 Vol.18 No.2

목적: 2000년도에 이황화탄소 중독증 환자들과 대조군의 심박동수 변이를 비교하여 이황화탄소 중독증 환자들의 심박동수 변이가 대조군에 비해 유의하게 낮다는 연구보고가 있었다. 당시의 연구가 이황화탄소 노출이 중단된 상태에서 이황화탄소 중독자들의 건강 문제를 연구했다는 점에 의의가 있으나 연구 결과를 해석하는데 있어 제한점들이 있었다. 이 연구는 2000년도에 수행하였던 연구의 제한점을 극복하고 이황화탄소 노출이 중단된 이후의 이황화탄소 중독자들의 심혈관계 상태를 심박동수 변이를 이용하여 평가해보고자 하였다. 방법: 이황화탄소 중독증으로 진단받은 환자 122명과 환자군의 연령대와 성별 빈도에 따라 무작위 추출한 112명을 대조군으로 선정하였다. 자기 기입식 설문지와 건강검진을 통해 연령, 성별, 신장, 체중, 흡연, 음주, 규칙적 운동, 질병력, 직업력, 흉부 방사선 촬영, 심전도 측정을 실시하였다. 연구 대상자들은 의자에 앉힌 상태에서 5분 동안 심박동수 변이를 측정하였다. 이 연구에서 측정한 심박동수 변이 지표들은 정상 RR간격의 표준편차(standard deviation of all norma-to-normal intervals, SDNN), 인접한 RR간격들의 차이를 제곱의 합의 평균의 제곱근(square root of the mean of the sum of squares of differences between adjacent normal-to-normal intervals, RMSSD). 저주파영역(low frequency power, LF: 0.04~0.15Hz), 고주파 영역 (high frequency power, HF:0.15~0.4Hz), 전체 주파수 강도(total power, TP), 저주파/고주파 비 (LF/HF ratio)이다. 결과: 단변량 분석에서 이황화탄소 중독자들의 모든 심박동수 변이 지표들이 대조군에 비하여 낮았다. 다중선형회귀분석에서 이황화탄소 중독은 RMSSD를 유의하게 감소시키는 것으로 나타났다.(P<0.05). 결론: 이 연구는 이황화탄소 노출이 중단된 상태에서도 이황화탄소 중독자들에게 심혈관계와 관련된 건강문제가 있을 수 있음을 시사한다. Objectives: A previous study conducted in 2000 measuring the heart rate variability (HRV) of carbon disulfide (CS_(2))-poisoned subjected suggested that their HRV was reduced after exposure cessation. However, the study was limited by the following procedural limitations: (1) only 71 CS_(2)-poisoned subjects participated, (2) no females participated, and (3) the CS_(2)-poisoned subjects were older than the controls. This study was therefore conducted to overcome these limitations of the earlier study. Methods: The study subjects comprised 122 retired workers with CS_(2) poisoning and the same number of age- and sex-matched controls. Information on individual age, sex, height, wight, smoking history, alcohol drinking, regular exercise, medical and occupational history, chest x-ray, and ECG recording of the two groups was collected though a self-administered questionnaire and a medical examination. Standard Deviation of NN intervals (SDNN), Root-Mean-Square of Successive Differences (RMSSD), Total Power (TP), Low Frequency (LF), High Frequency (HF), and LF/HF ratio were measured as HRV indices for 5 minutes in the sitting position. Results: Univariate analysis revealed that all HRV indices of CS_(2)-poisoned subjected were lower than those of the controls. Multiple linear regression analysis showed that CS_(2) poisoning had negative association with all HRV indices and that its association with RMSSD was statistically significant(P<0.05). Conclusions: This study suggests that CS_(2)-poisoned subjects continue to have reduced HRV, even though the exposure has ceased.

병원내 생리기능 검사실의 적정 업무환경에 관한 연구

배형준,윤기은,김승곤,나동진,문희주,김태전,박정오 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

The purpose of this study was to suggest guideline for optimal work environment of physiological laboratory in hospital. Therefore this study was carried out to analyze the actual condition of laboratory system, major equipments and persons. The period of survey was from September to November 1997 and the objects were 123 laboratory. The major results of this study were as follows. 1. The optimal areas of general ECG room, exercise ECG room and echocardiology room were all 9-18㎡, that of Holter ECG room was 3-12㎡. The optimal areas of neurosystem laboratory were all 9-12㎡, those of respiratory system laboratory were all 9-18㎡. 2. The optimal number of persons laboratory of hospital 500 beds and less were 2∼3, those of 501∼700 beds were 3∼4.701∼1.000 beds were 4∼5 and over 1.001 beds were 7∼8 persons in circulatory system laboratory. The optimal number of persons laboratory of hospital 500 beds less than were 1∼2, those of 501∼700 beds were 3∼4, 701∼1.000 beds were 6∼7 and over 1.001 beds were over 8 persons in neurosystem laboratory. The optimal number of persons laboratory of hospital 500 beds and less 1. those 501∼1.000 beds were 1∼2 and over 1.001 beds were 2∼3 persons in repiratory system laboratory. 3. The optimal number of equipments of general ECG were 2∼3 in the 500∼1.000 beds hospital. there were 3∼4 units in the 1,001 beds. The optimal number of equipment EEG were both 1∼2 in the hospital 500 beds and less and 501∼700 beds. those were 4∼5 units in hospital over 701 beds. The optimal number of equipments of spirograph were both 1∼2 in the hospital 500 and less and 501∼1.000 beds. those were 2∼3 units in the over 1.001 beds. 4. In view of speciality and legal problem of physiofunctional test. we sugget that non-licensee were so quickly change place licensee in the interests of optimal work environment. 5. We suggest that to upgrade qualitative level of domestic equipment and to the more amplify utilization with respect to domestic equipment for the purpose of reducing loss of foreign money.

비정부기구(NGO)의 탈북자 지원 경험 분석 및 개선 방향

전우택,윤덕룡,강성록,김형중,민성길 연세대학교 통일연구원 2001 통일연구 Vol.5 No.1

Objectives: Since 1994, the number of North Korean defectors, escaping North Korea and entering South Korea, has increased rapidly.As the number of defectors has increased the role of non-governmental organizations(NGOs) in assisting the defectors' adaptation to their new society has become more important.To increase the successfulness and effectiveness of NGO activities, their experiences were surveyed and analyzed. Methods: Representatives or acting staffs of 11 NGOs presently supporting North Korean defectors' adaptation to South Korean society were interviewed by researchers between June 21 and October 14, 2000.And one focus group discussion meeting with 26 NGO personnel from 13 NGOs was held on November 4, 2000. Results: As for their stated purpose of activity; to help defectors become good citizens (7), to transform defectors into mediate personnel between North and South Korea (5), to protect the human rights of the North Korean people (3), and th advocate their religions (3).Out of the 11 organizations, only 5 had their own educational program for volunteers.The contents of the NGO's support for volunteers were as follows; counseling (7), introduction of employment and job education (6), direct financial support (5), creation of one-to-one relationships (4), assistance for their religious life (2), assistance with English study and mathematics (1), and medical service (1).NGOs listed the following difficulties; financial (7), human relationship with defectors (6), lack of volunteers and management of them (4), problems in the relationship with the South Korean government (3).NGOs stated a need for close cooperation with other NGOs, involving the activation of NGOs Association (5), and co-operative joint actions (4).Conclusion: Firstly, NGOs need to specialize in their field of activity.Their lack of specialized areas and of ability is the man obstacles to NGOs intercooperation and a major impediment on their effective operation.Secondly, NGOs should be careful in their direct financial support to defectors, because such a form of support has many serious governmental cooperation.The government also needs to have a more open mind in its dealings with NGOs.Fourthly, NGOs should cooperate, especially in areas of joint concern such as volunteer education program.Fifthly, NGOs should pay attention to their volunteers' personnel management and development.Sixthly, NGOs need to increase the degree of activeness with which defectors seek support from NGOs.Usually, it is the NGOs, which play an active role in the support process, so that defectors become passive and dependent leading to many problems.

HBsAg 양성혈청에서의 HBeAg 및 anti-HBe 양성율과 ALT와의 관계 고찰

문희주,윤기은,박정오,배형준,최범열 서울보건대학 1996 서울보건대학 부설 한국보건과학연구소 논문집 Vol.3 No.1

The authors investigated HBeAg and anti-HBe in 1,000 cases(male 941, female 59) of HBsAg positive among the 225,512 blood donors in Seoul Nambu Blood Center in 1994. HBeAg and anti-HBe was detected by the method Enzyme Immunoassy. The results obtained were as follows ; 1. HBeAg and anti-HBe positive rates were detected 498 cases(49.8%) and 445 cases(44.5%) respectively among 1,000 cases HBsAg positive blood donors. 2. In HBsAg positive carriers, HBeAg positive rates were not significantly different between anti-HBe positive rates, but in sex were significantly different between HBeAg positive rates and anti-HBe positive rates. 3. HBeAg positive 498 cases were analyzed with age and it was found percentages of positive rates were 63.6% in 1st decade, 53.7% in 2nd decade, 20.6% in 3rd decade, 19.6% in 4th decade and 8.3% in over 5th decade, but anti-HBe positive 447 cases were 32.4% in 1st decade, 40.5% in 2nd decade, 69.2% in 3rd decade, 78.3% in 4th decade and 91. 7% in above 5th decade. 4. HBeAg positive rate decreased stepwise with age, while anti-HBe positive rate increased stepwise with age. 5. ALT abnormal cases in the HBeAg positive donors were higher than normal cases, but ALT normal cases in the anit-HBe positive donors were higher than abnormal cases.

전경대원에서 발생한 결핵의 임상 양상

문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.