간세포암의 고주파 열치료 후 천자침 경로를 통한 전이 1례

조영완,박석주,진한영,김준영,이재익,강명주,박정하,윤정희,박성재,지삼룡,이연재,이상혁,설상영 인제대학교 2006 仁濟醫學 Vol.27 No.-

Radiofrequency ablation(RFA), as a form of minimally invasive therapy for hepatocellular carcinoma, has become an important treatment modality. Because of limitation of surgery, RFA has become standard therapy for hepatocellular carcinoma in some situations. But there are some complications of RFA such as bleeding, infection, hematoma, adjacent organ thermal damage including intestinal perforation, needle track seeding, and so on. There are few reports in the literature that systematically evaluate the incidence of needle tract seeding and its associated risk factors. And only 2 cases of needle tract seeding of hepatocellular carcinoma after RFA were reported in Korea. We report a case of needle tract seeding of hepatocellular carcinoma after RFA.

바터 팽대부에 생긴 유암종 1예

강명주,지삼룡,박석주,이재익,조영완,김준영,박성재,박은택,이연재,이상혁,설상영,배상균 인제대학교 2006 仁濟醫學 Vol.27 No.-

Carcinoid tumors have been reported in a wide range of organs but most commonly involve the lungs, bronchi and gastrointestinal tract. Within the gastrointestinal tract, appendix is the most common location for carcinoid, followed by the distal small intestine, the rectum, and the stomach. Among these, primary involvement of the ampulla of Vater is extremely rare. We report a case of carcinoid tumor of ampulla of Vater. A 62-year-old man presented with epigastric soreness. Gastroduodenal endoscopy showed hyperemic bulging mass on ampulla of Vater and diagnosed as carcinoid tumor by histologic finding, with immunohistochemical study. In ^(111)In-octreoscan, tumor had regional lymph node metastasis, but no evidence of distant metastasis. Pancreatoduodenectomy with lymph node dissection was performed.

기능성 소화불량증에서 증상에 따른 고형식의 반위배출시간의 차이

김영호,이풍렬,성인경,손희정,김재준,고광철,백승운,이종철,최규완 大韓消化器病學會 1998 大韓消化器病學會誌 Vol.32 No.3

교정용 미니임플랜트의 이중 피치와 직경의 차이가 삽입 및 제거 토크에 미치는 영향 평가

김종완,조일식,이신재,김태우,장영일 대한치과교정학회 2006 대한치과교정학회지 Vol.36 No.4

작은 크기의 교정용 미니임플랜트는 교정적 고정원으로 널리 이용되고 있다. 그러나 빈번히 탈락하는 단점이 있어 이를 개선하기 위해 안정성을 향상시키기 위한 다양한 연구가 시도되어 왔다. 이 연구의 목적은 이중 피치와 직경에 관련하여 미니임플랜트의 안정성에 대한 기계적 성질을 비교 분석하는 것이다. 미니임플랜트의 길이는 8 mm였으며, 피치는 단일 피치형과 이중 피치형, 직경은 1.4 mm와 1.6 mm로 단일 피치형 1.4 mm, 단일 피치형 1.6 mm, 이중 피치형 1.4 mm, 이중 피치형 1.6 mm 등 총 4군으로 구성되었다. 각 군은 20개의 미니임플랜트로 구성되었고, 균일한 밀도의 polyurethane foam에 삽입 후 제거하였다. 시간에 따른 삽입 및 제거 토크의 변화와 각각의 최대 토크 등을 측정하여 기계적 성질을 비교 분석하였다. 이중 피치형은 단일 피치형보다 유의성 있게 더 낮은 최대 삽입 토크와 더 큰 최대 제거 토크를 보여주었다. 직경 1.6 mm는 1.4 mm보다 유의성 있게 더 큰 최대 삽입 토크와 최대 제거 토크를 보여주었다. 이중 피치형 1.4 mm군은 삽입 시에는 유의성 있게 가장 낮은 최대 삽입 토크를 보여주었으며 제거 시에는 단일 피치형 1.6 mm군보다 높거나 비슷한 최대 제거 토크를 보여주었다. 특히, 이중 피치형군은 최대 제거 토크 후 지속적으로 높은 제거 토크를 보여주었다. 미니임플랜트의 기계적 안정성은 이중 피치에 의해 향상될 수 있으며, 상부의 미세 나사산은 작은 직경에서도 풀림 토크에 저항하는 기계적 안정성을 향상시킬 수 있을 것으로 보인다 Objective: Small orthodontic mini-implants are useful as anchorage. However they have some weaknesses such as loosening. This study was carried out to analyze the mechanical effects of the dual pitch and diameter on the insertion and removal torque of mini-implants. Methods: The threads of mini-implants were mono and dual pitch. The diameters of mini-implants were 1.4 mm and 1.6 mm. Four groups were tested (mono 1.4 mm, mono 1.6 mm, dual 1.4 mm and dual 1.6 mm). All were inserted and removed on polyurethane foam with the torques being measured. Results: The maximum torque of the dual pitch groups was higher than the mono pitch groups during removal but lower during insertion. The maximum torque of the 1.6 mm diameter groups was higher than the 1.4 mm diameter groups during insertion and removal. The dual pitch 1.4 mm group showed the lowest insertion torque but had similar or superior levels of removal torque to that of the mono pitch 1.6 mm group. Conclusions: The dual pitch especially showed a continuous high removal torque after the peak. Despite the small diameter, the dual pitch might improve the initial mechanical stability.

소음 노출 남성 근로자에서의 청력저하와 혈청 마그네슘의 관련성

박완섭,이종영,정상재,유재영,최태성,홍성철,노성찬 大韓産業醫學會 2000 대한직업환경의학회지 Vol.12 No.1

목적 : 본 연구는 소음에 노출된 남자 근로자를 대상으로 장기간 소음 폭로가 혈청 마그네슘의 농도와 관련이 있는지를 검정하고 이러한 혈청 마그네슘의 농도가 또한 청력저하와 관련이 있는지를 파악하기 위하여 수행되었다. 방법 : 소음에 노출되는 178명의 연구대상자를 청력저하의 정도에 따라 세 그룹으로 분류하고, 구조화된 설문, 신체계측, 혈액검사 등으로 청력저하에 대한 감수성 요인과 혈청 마그네슘 등을 수집하고 측정하였으며, 대상자들의 청력 역치를 측정하기 위하여 청력검사를 실시하였다. 결과 : 본 연구의 결과를 요약하면 다음과 같다. 첫재, 청력저하에 관련된 개인의 감수성 인자라고 알려진 변수인 흡연유무, 나이, 혈압, 헤마토크리트, 콜레스테롤, 혈당 중에서 나이, 이완기 혈압이 단순분석에서 세 그룹간에 차이가 있었고(p〈0.05), 혈청 마그네슘의 농도 또한 세 그룹간에 통계적으로 유의한 차이가 있었으며(p〈0.05) 청력저하가 심할수록 혈청 마그네슘 농도는 낮아지는 경향을 보였다. 둘째, 그룹간의 소음 노출력은 차이가 있었지만 (p〈0.05) 청력보호구 착용상태에는 유의한 차이가 없었다. 셋째, 혈청 마그네슘 농도에 영향을 줄 수 있는 변수인 소음 노출 기간, 마그네슘 함량이 많은 음식의 섭취정도, 스트레스 수준 중에서 소음 노출기간이 혈청 마그네슘 농도와 유의한 상관관계를 보였고(p〈0.05) 노출기간이 길수록 마그네슘의 혈청농도는 낮아지는 경향을 나타내었다. 넷째, 주파수별로 청력저하와 관련된 감수성 요인들에 대한 다중회귀분석 결과 주파수 1,000 Hz에서는 연령이 좌,우측 귀 모두에서 유의한 변수로 채택되었으며 (p〈0.05), 연령이 증가할수록 청력저하가 심해지는 경향을 보였고, 주파수 4,000 Hz에서는 확장기 혈압, 소음 노출 기간, 혈청 마그네슘 등이 청력저하에 대한 감수성 요인으로 채택되었으며(p(0.05), 이완기 혈압이 높을수록, 소음노출 기간이 길수록, 혈청 마그네슘의 농도가 낮을수록 청력저하가 심해지는 것으로 나타났다. Objectivea : This study was conducted to investigate that the chronic noise exposure is associated with decreased serum magnesium concentrations and evaluate whether decreased serum magnesium is associated with noise induced hearing loss. Methods : One hundred seventy-eight male workers exposed to noise were selected and classified three groups by the degree of hearing loss. Hearing threshold levels were less than 30 dB at 1,000 Hz or less than 40 dB at 4,000 Hz In group I, more than 30 dB at 1,000 Hz or more than 40 dB at 4,000 Hz and 15 dB and less of pure tone average[PTA : (500 Hz+l,000 Hz+2,000 Hz)/3] in group II, more than 30 dB at 1,000 Hz or more than 40 dB at 4,000 Hz and over 15 dB of PTA in group III. Results : Serum magnesium concentrations were 2.42±0.26 mg/dl in group 1, 2.35±0.23 mg/dl in group n , 2.26±0.24 mg/dl in group II, respectively and significantly differ-ent between group I and group III (p〈0.01). It was negatively correlated with duration of the noise exposure as correlation coefficient (r) of -0.194 (p(0.05) . Analysis of the multipleregression on hearing threshold levels showed that serum magnesium, diastolic blood pres-sure, duration of the noise exposure were statistically significant at 4,000 Hz (p(0.05) . While only age was statistically significant at 7,000 Hz (p(0.05) . Conclusions : These results suggest that chronic noise exposure may induces decreasein serum magnesium concentrations and that its decreased concentration is related with noise induced hearing loss.

생강나무의 消炎. 鎭痛作用에 관한 연구(Ⅱ)

文永熙,高在鍾,金庚完 朝鮮大學校 1996 藥學硏究誌 Vol.18 No.1

Lindera obtusiloba has been used for the treatment of fever, abdominal distention and pain in traditional medicine. The anti-inflammatory activity of the extracts from Lindera obtusiloba was investigated utilizing carrageenin-induced edema, granuloma pouch in rats. The effects of this agent on capillary vascular permeability and acetic acid-induced writhing in mice were also examined. It showed to have significant analgesic activity on the writhing syndrome in mice induced by 0.7% acetic acid at Water extract of root(600㎎/㎏). It was also inhibites the increase in carpillary vascular permeability induced by acetic acid in mice. It showed anti-inflammatory activity in 1% carrageenin-induced edema with oral administeration in rats and exhibited significant preventive effect on edema at Water extract of root(600㎎/㎏). The water extract of root from Lindera obtusiloba showed significant inhibition on granuloma and exudate formation in rats. In the present study, the Water extract of root was indicated to have the analgesic and anti-inflammatory activity.

활성탄 부착 Meltblown(M/B) 부직포를 이용한 방진마스크용 여과재 제조기술개발

홍영기,전재완,이재달,송인희 호서대학교 반도체제조장비국산화연구센터 2001 반도체장비학술심포지움 Vol.2001 No.-

본 논문에서는 고성능 활성탄의 악취 및 유해가스 흡착효율과 멜트브로운(M/B)부직포의 여과성능에 의한 복합적인 고기능 방진특성을 갖는 활성탄 부착 M/B 국산화 여과재를 제조개발하였다.고성능 활성탄은 고순도의 일반활성탄에 금속염, 유기물 등을 담지시켜 활성화시킨 활성탄이고, M/B여과재의 웹(web)제조조건은 M/B 방사기에서 방사온도 250℃, 방사속도 150m/sec, 고온공기온도 250℃ 그리고 DCD(die to collector distance) 20㎝가 적합함을 알 수 있었다.또한 M/B 여과재에 활성탄부착은 열롤러시스템에 의한 열적 이용하여 균일한 분포의 점접착결합구조를 갖도록 하였고, 개발된 복합기능 여과재가 방진마스크용 여과재로의 이용이 가능하다는 것을 분진포집효율, 투과율, 흡기저항 등 여과재 성능기준실험 결과를 통해 확인하였다.

위암 환자에서 세포성 면역 기능에 관한 연구

이재익,윤일국,이종선,김종완,장준,안정기,송민호,정현용,이헌영,김삼용,김영건 충남대학교 암연구소 1991 癌共同硏究所 硏究誌 Vol.1 No.1

We performed a variety of lymphocyte stimulation tests, delayed hypersensitivity skin tests, and enumeration of several lymphocyte subpopulations in 21 patients with gastric cancer who did not receive any form of anticancer therapy, and in 20 healthy controls. The gastric cancer patients had significantly decreased number and total score of positive reactions in delayed hypersensitivity skin tests compared with the healthy controls. The percent of CD_(4) positive lymphocytes in the gastric cancer patients was significantly decreased compared to the normal control subjects, but it had no correlation with the total score of delayed cutaneous hypersensitivity reactions. The ratio of helper to suppressor cells was lower in the cancer group. The uptake of 3H-thymidine was markedly depressed in cancer patients when stimulated with various mitogens. There was little correlation between any of the stimulation tests and any of the lymphocyte subpopulation proportions to delayed hypersensitivity cutaneous reactions. Optimal proliferative response was found in lymphocytes stimulated with 10 micrograms of concanavalin-A and 10 microgram of phytohemagglutinin. Advanced stage patients had greatly depressed delayed hypersensitivity skin reactions and proliferative responses to mitogens compared with localized diseases. These results suggest that gastric cancer patients have depressed cellular immune functions, which mainly result from the decreased helper cells and defects in functional proliferative response to mitogens. Interleukin-2 and interferon-gamma restored the in vitro proliferative response of lymphocyte in patients with gastric cancer.

지역사회 거주 노인에서 장애 변화의 예측인자

신희영,신일선,김재민,김성완,양수진,윤진상 대한신경정신의학회 2008 신경정신의학 Vol.47 No.2

Objectives : This study aimed to identify the predictors for change in disability measured by the Korean version of World Health Organization Disability Assessment Schedule II (WHODAS II-K) m community-dwelling elderly population. Methods : Of 1204 community participants aged 65 years or over, 717 were reevaluated by WHODAS II-K 2 years later. At baseline, information on demographic characteristics (age, gender, living area, marital status, and religion), socioeconomic status (education, type of accommodation, number of rooms, previous occupation, current employment, and social network), and clinical characteristics (number of physical illness, depression by the Korean version of Geriatric Mental State Schedule B3, and cognitive impairment by Korean version of Mini-Mental State Examination) were collected. Results : Scores on the WHODAS II-K increased by 17.5 in 2 years. Age (B coefficient 0.52, 95% CI : 0.21~0.84), number of rooms (B coefficient -1.92, 95% CI : -3.53~-0.30), and depression (B coefficient 1.84, 95% CI : 0.43~3.25) were independently significant predictors for change in disability. Conclusion : Change in the level of disability measured by the WHODAS II-K was mainly affected by age, number of rooms, and depression. These results can be useful for the development of community-based health promotion program for the elderly.

고독의 심리적 속성과 대처양상

구본용,김재환,이수원,장성수,류완영 漢陽大學校 學生生活硏究所 1990 大學生活硏究 Vol.8 No.-