정안침요법(整顔鍼療法)을 응용하여 호전된 후천성 사경환자 치험 2례

박서영,김재수,홍의재,이윤경,이봉효,임성철,정태영,이경민,Park, Seo-Young,Kim, Jae-Su,Hong, Eui-Jae,Lee, Yoon-Kyoung,Lee, Bong-Hyo,Lim, Seong-Chul,Jung, Tae-Young,Lee, Kyung-Min 대한침구의학회 2008 대한침구의학회지 Vol.25 No.4

Objectives : This report intended to estimate effects of Jung-an acupuncture on the acquired torticollis caused by muscle contraction. Methods : The patients were treated by Jung-an acupuncture, herb medication and Physical treatment daily. The improvement of the patients was judged by Toronto Western Spasmodic Torticollis Rating Scale(TWSTRS), Tsui's score and Visual Analogue Scale(VAS). Results : After 7 days of treatment, the 2 patients' neck pain and cervical movement were improved. Also, TWSTRS score, Tsui's score and VAS were all reduced. Conclusions : As the Jung-an acupuncture's theological base is organized with meridian theory and myofacial release therapy, We considered the Jung-an acupuncture is effective not only for the skin disease but also for the muscle problem such as torticollis.

물리ㆍ화학적 처리에 의한 멸균 초콜릿 우유 오염균의 생육억제 효과

최문경(Moon-Kyoung Choi),윤소영(So-Young Yoon),이소영(So-Young Lee),김꽃봉우리(Koth-Bong-Woo-Ri Kim),이청조(Chung-Jo Lee),정지연(Ji-Yeon Jung),곽지희(Ji-Hee Kwak),김민지(Min-Ji Kim),김동현(Dong-Hyun Kim),선우찬(Chan Sunwoo),이주운(Ju-W 한국식품영양과학회 2011 한국식품영양과학회지 Vol.40 No.8

멸균 초콜릿 우유로부터 분리한 내열성 균주에 대해 열, pH, 전해수, 오존처리, microwave 및 감마선 처리를 하여 균주의 사멸효과에 대해 알아보았다. 균주의 지방산 분석과 API kit를 통하여 균주를 동정한 결과, Bacillus lentus로 동정되었으며, 잠정적으로 Bacillus lentus M1으로 명명하였다. B. lentus M1에 110℃, 15분간 열처리하였을 경우 생육이 억제되었으며, pH 처리 시 pH 5 이하, 10 이상에서 생육이 억제된 것으로 나타났다. B. lentus M1에 대한 전해수의 항균활성을 paper disc법으로 측정한 결과, 높은 생육억제를 보였으며, 오존 처리의 경우 초기 균수가 10² CFU가량의 균을 10분 동안, 10³ CFU가량의 균을 30분 동안 처리 시 균의 생육이 억제되는 것으로 나타났다. Microwave를 1분간 처리 시 B. lentus M1이 모두 사멸한 것으로 나타났다. 감마선 조사의 경우, 1 kGy 조사 시 생균수가 1.61×10³ CFU로 초기 균수에 비해 4 log cycle 가량 균수가 감소하였으며 7 kGy에서 완전히 사멸하였다. 이상의 결과를 통해 열, pH, 전해수, 오존 처리 및 방사선 처리 방법이 멸균 초콜릿 우유의 생존 오염균인 B. lentus M1을 효과적으로 사멸시킬 수 있을 것으로 사료된다. This study was conducted to investigate the cause of microbiological contaminants in aseptic chocolate milk and evaluate the effect of a physicochemical treatment on the growth inhibition of isolated bacterial strains. The bacterium isolated from aseptic chocolate milk was identified as Bacillus lentus and was named B. lentus M1. In the heat and pH treatment, the growth of B. lentus was inhibited at 110℃ for >15 min and at pH’s <5 and >10. An electrolyzed water treatment against B. lentus M1, revealed 5 ㎜ growth past the inhibition zone. The effect of ozone gas on B. lentus M1 growth was evaluated using viable cell counts. When the initial number of B. lentus M1 was 10² and 10³ CFU, the bacteria were completely suppressed by ozone gas treatment for 10 and 30 min, respectively. In a microwave treatment, B. lentus M1 was sterilized following microwave treatment for 1 min. As the result of γ-irradiation against B. lentus M1, numbers decreased as the γ-irradiation dosage increased. These results show the growth inhibition effects against contaminants in aseptic chocolate milk using physicochemical treatments.

가토에서 Vecuronium bromide 의 용량에 따른 근육이완 효과

김동원,이동호,민경호,전세웅,유희구,김경헌,승익상,김교상,서정국 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.6

The introduction of muscle relaxants was an epoch making event in the development of clinical anesthesia and their use has hecame essential to anesthesia practice. Vecuronium, one of the newest muscle relaxants, many advantages; it is .apid acting, non-accumulating, has minimals side reactions and is promptly antagonized by anticholinesterases. However, its pharmacological effect, like other conventional muscle relaxants depends upon the dose and is influenced br many factors including body temperature, blood flow, interaction with other drugs, antibiotics, diuretics and so forth, To obtain a dose·response relationship which is important for clinical use, the effect of the vecuronium in various doses on the neuromuscular block in rabbits was investigated. The results were as follows. 1) In the vecuronium 0.025 mg/kg group, maximal twitch depression was varied between 75 to 92% with a mean value of 84,9%. The spontaneous recovery index was 141.0 seconds (2.35 min). 2) In the vecuranium 7.75 mg/kg group, thmean maximum twitch depression and spontaneous recovery index were 98.4% and 218.6 seconds (3.64 min.) respectively. 3) In the vecuronium 7.1 mg/kg group, maximum twitch depression was 100% and the spontaneous recovery index was markedly prolonged to 627.8 seconds (10.35 min).

장애인 수행능력향상을 위한 보조공학기기 제공과 인간공학적 접근의 필요성

정민예,김정란,민경철,구인순 한국장애인고용촉진공단 고용개발원 2006 장애와 고용 Vol.16 No.2

장애인의 기능을 향상시킬 수 있는 방법 중 하나는 보조공학기기의 제공이다. 보조공학기기의 제공은 감각, 지각, 인지, 운동능력 등을 전문적으로 평가할 수 있는 전문가에 의해 선택, 적용, 훈련되는 것이 중요하다. 또한 근골격계 질환을 예방하기 위한 인간공학적 접근에 대한 이해와 작업분석, 직무조정이 가능한 전문가에 의해 보조공학기기가 제공된다면 잔존기능의 향상 뿐 아니라 업무동안 바람직하지 못한 자세를 유지함으로써 발병할 수 있는 근골격계 질환 예방까지 기대할 수 있을 것이다. 본 연구에서는 보조공학기기의 이론적 배경과 인간공학적 접근의 이론적 배경을 소개하였고, 적절한 보조도구를 제공한 장애 근로자에 대해 근골격계 질환 위험요인을 측정하였으며, 이를 통한 자세보완이 장애 근로자의 작업 기능을 향상시킬 수 있음을 객관적으로 밝히는 평가결과를 제시하였다. 따라서 장애인의 직업능력을 향상시키려면 다양한 전문가들의 팀 어프로치가 필요하며 체계적인 서비스가 마련되어야 할 것이다. One of the methods to improve functions of the disabled person is to supply assistive devices. It is important for the disabled person that the devices should be supplied by an expert, who is capable of evaluating their sensory, perception, cognition and motor function. Moreover if the expert have knowledge about ergonomlcs, he or she will also prevent the musculo-skeletal disease which may be happen in work place. In this paper, we introduced the theoretical background of the assistive devices and ergonomic approach, and evaluate the risk factors of the musculo-skeletal disease of the disabled worker who was equipped a proper assistive device, and presented objective experimental results that posture intervention by using assistive device can be useful to improve work function of the disabled worker.

퇴비화에 있어서 중온성미생물과 고온성미생물의 유기물분해특성

정민정,김혜경,배재근 서울산업대학교 산업대학원 1996 大學院論文集 Vol.4 No.-

본 연구에서는 퇴비화과정중의 미생물을 분리하여, 분리된 미생물에 대한 기본적인 배양조건 및 미생물의 특성을 조사 하였으며, 또한 분리된 미생물을 퇴비화장치에 접종했을 때 퇴비화에 미치는 영향을 조사하여 퇴비화의 미생물분해 원리에 대하여 검토하였다. 퇴비화반응이 활발하게 진행되는 각 과정에서 중온성미생물(Mj-7)과 고온성미생물(Hj-8)을 분리하였으며, 이들을 각각 반응기에 접종시 중온성미생물을 주입한 반응조에서는 초기에 온도 상승폭이 높고, 유기물의 분해가 활발하게 진행되어 중온성미생물이 반응에 기여하는 정도가 높게 관찰되었다. 그러나 고온성미생물 주입시에는 반응속도가 느리고, 온도가 많은 시간이 경과된 후에 서서히 상승하였다. 퇴비화과정에서 저온성미생물이 중요한 역할을 하고, 저온성미생물의 우점화로 산화열이 발생되므로 고온성미생물이 유도된다고 볼 때 미생물을 초기 주입시에 저온성미생물의 주입이 효과적이라는 것이 증명되었다. 이들 분해에 관여하는 기여정도를 명확히 하기 위하여 중온성균과 고온성균을 혼합하여 주입하여 실험한 결과, 중온성균만을 주입한 것에 비교하여 초기온도상승은 거의 비슷했으나, 고온성균을 접종하므로서 고온을 유지하는 시간이 더욱더 길게 연장되고, 유기물의 분해가 더욱더 진전되는 현상이 관찰되었다. 이러한 결과로부터, 퇴비화에 관여하는 미생물의 원리는 중온성미생물이 초기에 우점화되어 유기물분해에 의해 산화열이 발생되어 고온분위기가 유지되면 고온성미생물이 우점화된다는 것이 증명되었다. 즉 고온성미생물을 분리하여 접종하는 것만으로는 반응을 원활하게 진행시키지 못하며, 반드시 중온균에 의하여 반응을 진행시키고, 그 산화열 및 분해산물에 의하여 고온성균이 서식 가능하도록 분위기를 유지한 후에 접종할 때 그 효과를 기대할 수 있다는 것이 확인되었다. Microorganisms under composting was separated and basic condition of culture for microorganisms and their property have been investigated. Additionally the effect to the process of composting when separated microorganism is inoculated to compost producing reactor was investigated and principle of biodegradation in connection with process of composting has been studied. In each process of active reaction for composting mesophilic microorganism(Mj-7) and thermophilic microorganism(Hj-8) were separated and when such microorganism was inoculated to reactor respectively it was found that in the reactor inoculated with mesophilic microorganism showed high range of initial temperature rise and degradation of organic matter was very active thus the level of contribution of mesophilic microorganism to reaction was high. However when inoculated with thermophilic microorganism the speed of reaction was very slow and gradual rise of temperatures after elapse of considerable time was observed. It is proved that inoculation of mesophilic microorganism initially is effective in light of inducing high temperature system microorganism through emission of oxidation heat by ignition of mesophilic microorganism playing significant role in the process of producing compost. To check on the level of contributions to biodegradation by respective microorganism both microorganism mentioned above mixed and inoculated and result showed that the initial rise of temperature was close to the time of inoculated of mesophilic microorganism however by addition of thermophilic microorganism duration for maintaining high temperature was lengthened and degradation of organic matter was advanced. From such result it is proved that in the process of composting initially mesophilic microorganism is ignited first emitting oxidation heat producing high ambient temperature then themophilic microorganism being kindled. In summary it has been proved that smooth reaction in composting can not be assured with innoculted of separated high temperature system microorganism alone but it is essential to initiate reactions by mesophilic microorganism and after maintaining environment amenable for presence for thermophilic microorganism inoculated of separated high temperature system by means of oxidation heat and degraded matter and its inoculation would produce desired result.

임신 중 고혈압성 질환에 대한 임상적 고찰

김경철,정명철,김호성,조민형,고재환,김용봉 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Objective: The aim of this study was to investigate the clinical charact eristics of pregnancy induced hypertension(PIH). Methods: We retrospectively evaluated the clinical characteristics through the collected data of 176 PIH cases treated at Seoul Paik hospital from March 1995 to December 2002. Results: The proportions of severe PIH, mild PIH, and chronic hypertension were 70%, 24%, and 6% of the cases, respectively. According to maternal age, the highest rate of 45% was noted in the group of 26-30 years of age. The rate of cesarean(80%) was higher than the rate of vaginal delivery(20%). The blood pressure was controlled by hydralazine for 70% of the patients. The rate of single gestation was 90%. The birthweight of 20% of the newborn were 2500gm or more. The anemia, twin pregnancy, postpartum hemorrhage, pulmonary edema, and infection were found in 30%, 10%, 3%, 2%, and 1% of the PIH patients, respectively. In respect of the perinatal complications, the rates of low birth weight, stillbirth, and neonatal death were 80%, 3%, and 1%, respectively. Conclusion: We were able to decrease the mortality and morbidity of PIH patients and neonates with strict antenatal care and proper treatment.

A Min-Max Distance-based Preference Boundary Applied for Recommending New Items

Hyea Kyeong Kim,Min Kyu Jung,Moon Kyoung Jang,Jae Kyeong Kim 한국경영정보학회 2011 한국경영정보학회 학술대회논문집 Vol.2011 No.06

경북 최초의 신장이식 1례

이중현,김용섭,이정호,이창우,김상욱,이문섭,오민구,하달봉,이경섭 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-

신장이식은 환자의 삶의 질을 높이고 거의 정상적인 사회생활을 가능하게 함으로써 말기신부전 환자의 3가지 신대체 요법(혈액투석, 복막투석, 신장이식) 중에 가장 효과적이고 각광받는 치료법이라 할 수 있다. 최근 들어 의료기술과 의학의 발달로 신장이식의 성공률은 과거에 비해 비약적으로 높아지고 있으며 국내에서도 점차 신장이식수술을 받는 환자가 증가하고 있으나 서울이나 다른 대도시에 비해 의료환경이 열악한 중소도시나 지방의 병원에서는 아직도 시행하지 못하고 있는 형편이다. 이에 저자들은 경북 최초로 자체 의료진에 의해 고혈압과 말기 신부전으로 동국대 포항병원에서 혈액투석을 받고 있던 32세의 남자환자에게 부인으로부터 신장을 제공받아 신장이식을 성공적으로 시행하였기에 문헌고찰과 함께 보고하고자 한다. Kidney transplantation is the preferred treatment modality for many patients with end-stage renal disease (ESRD), because it offers improved quality of life over both hemodialysis and peritoneal dialysis. Patients who do well after transplantation generally report improvement in vitality and freedom to return to the style of life that they experienced before their progression to ESRD. Recently, the success rate of kidney transplantation is greatly being increased as the surgical technique and immunosuppressive drugs are developed. Kidney transplantation is also popular in Korea which has good result. But, until now the general hospitals which are located at small city can't try the kidney transplantation because they don't have proper facilities and experts. We firstly experienced a case of kidney transplantation in a 32 years old man with hypertension and chronic renal failure at KyoungBuk province. So we report this case with references.

Doppler ultrasound를 이용한 교정적 치아 이동 시 치수 혈류량의 변화의 측정 : 예비실험

임경섭,배영민,차정열,유형석,황충주 대한치과교정학회 2009 대한치과교정학회지 Vol.39 No.6

교정적 치아 이동 시 지속되는 압력에 의해 혈류변화가 발생하게 되며, 이러한 변화양상에 있어서 선학들의 연구 방법 및 그 결과의 다양성이 존재하였다. 본 연구에서는 Doppler ultrasound를 이용하여, 교정치료 전과 교정치료 시작 3주, 6주 후 치수 혈류량의 연속적인 변화를 알아보고자 하였다. 만 15세 이상 환자 18명을 연구대상으로 Doppler ultrasound를 이용하여 상, 하악 6전치 중 경도의 총생(2 mm 미만)을 보이는 치아(총생측정: required space-available space)와 인접치아를 포함한 3개의 치아를 대상으로 치수 혈류량의 변화를 알아보았다. 연구결과 부위별(상, 하악), 치아별, 기간에 따른 치수 혈류량의 변화는 교정 치료 시작 전과 시작 후 3주, 6주 혈류량에 유의한 차이가 없었다. 또한 치수 생활력 상실의 내재적 위험성을 비교하고자 교정 치료 시작 전 치아별로 치수혈류량을 비교하였을 때, 상악에서는 측절치, 하악에서는 견치에서 통계학적으로 유의한 차이는 나타나지 않았지만, 모든 항목에서 적은 값을 나타냈다 (p > 0.05). 본 연구의 결과는 이후에 진행될 Doppler ultrasound의 치아이동유형, 환자의 연령을 고려한 세부적인 실험 시 방법론적인 기초 자료로서 뿐만 아니라, 교정치료 시 치수 생활력의 상실에 대한 참고 자료가 될 수 있을 것이다. Objective: This study was to change of pulp blood flow among maxillary and mandibular anterior tooth with mild crowding and adjacent teeth using Ultrasound Doppler graphy. Methods: The change of pulp blood flow was measured three times using Ultrasound Doppler graphy; before the attachment of brackets, after 3 week, and after 6 week. The sample consists of 15 year old eighteen patients. Results: Before the attachment of brackets, after 3 weeks, and after 6 weeks, there were no significant differences in the change of pulp blood flow in each part (maxilla and mandible) and each tooth according to period. In addition, to compare internal dangerousness of loss of the pulp vitality, when pulp blood flow is compared in each tooth before orthodontic treatment, there were no statistically significant differences in maxillary lateral incisor and mandibular canine but it showed low values in all measurement items (p > 0.05). Conclusions: Results of this study can be not only methodological preliminary data in further study such as tooth movement type of Ultrasound Doppler graphy and particular study considered the patient age, but also reference materials for the loss of pulp vitality in orthodontic treatment.

초산 중독에 의한 범발성 혈관내 응고증: 1증례 보고

곽은경,김동자,박지영,배한익,채종민,곽정식,박태인 大韓法醫學會 1998 대한법의학회지 Vol.22 No.2

Strong corrosive acid is accidentally ingested by children or by psychiatric patients for the purpose of suicidal attempt. Late complications include chemical burn to pharyunx, perforation and stricture of upper gastrointestinal tract, respiratory insufficiencyand renal failure caused by hemoglobinuria following hemolysis. Acetic acid is difficult to ingestion large volume in a time because it is a strong irritant, provocating painful pharynx, and its autopsy case is rare. We report an autopsy case of acetic acid intoxication with acute disseminated intravascular coagulation (DIC) in several hours. We present pathogenesis of acetic acid intoxication and the associated forensic problems. A comatous 39-year-old female was admitted to emergency room 6 hours after she swallowed 90 gm of acetic acid. She was treated with gastric lavage but she was expired 9 hours after swallowing acetic acid. She was consulted to Department of Forensic Medicine of Kyungpook National University School of Medicine. She was grossly icteric and livor mortis was generally dark red. External wounds were 10 hemorrhagic lesions with 5 x 3.7cm and 3 x 2.8cm on the left arm and hand dorsum and facial abrasions. Internal gross examination revealed several purpural lesions in the gastric serosal surface and greater omentum. Microscopically, the stomach showed diffuse mucosal coagulation necrosis and intravascular hyalinized or fibrinoid thrombi in submucosal blood vessels. Liver showed necrosis of periportal area (zone I) and intracellular cholestasis around the central vein. Sections from renal tissue frequently show hemoglobin casts in the tubules and RBCs in the Bowman's capsules. Acetic acid of a remnant bottle, sampled blood and bloody necrotic tissues in the stomach were toxicologically examined in National Science Laboratory. The purity of ingested acetic acid is 98%, the concentration of acetic acid ion in blood is 734ppm and the content in gastric juice is 0.09%. In patients after acetic acid ingestion, DIC is most probably caused by procoagulants, produced by extensive acid-induced necrosis of the upper gastrointestinal tract. In this case, several purpural lesions were revealed on the arm, around facial abrasion and intravenous injection sites of the wrists. These are important to differentiate with contusion because she was battered before acetic acid ingestion. Purpurae in DIC are poorly demarcated, dark purple elevations with spreading margin but subcutaneous hemorrhage in contusion is grayish black or dark red with well demarcation (Table 2). But careful examination should be considered because traumatic hemorrhage is also exaggerated and mixed in DIC. (The Korean Journal of Legal Medicine)