가성 장폐쇄로 발현한 부신경절종 1 예

김용태,이기업,박건춘,송영기,이문호,유은실,이준호,진태선 대한내과학회 1991 대한내과학회지 Vol.40 No.5

Phenochromocytoma is a catecholamine-secreting tumor, most of which grow at the adrenal gland. About 109p Of pheochromocytomas are detected at the extra-adrenal chromaffine tissues and are called paraganglioma. The main symptoms of pheochromacytoma include hypertension, headache, palpitation, and sweating. Gastrointestinal symptoms such as abdominal pain, constipation, and vomiting are found in 20∼40% of patients with pheochromocytoma, but these are usually overlooked because of the severe, prominant cardiovascular symptoms. Intestinal pseudo-obstruction without hypertension in pheochromocytoma is very rarely found. It is caused by the decreased motility of the intestine and the over-contraction of the intestinal sphincter, which are caused by the unbalanced activation of α-and β-adrenal receptors. It can be hypothesized that catecholamine receptors in the cardiovascular system are down-regulated or desensitized, but those in the intestine remain intact. We report herein a case of pheochromocytoma in which intestinal pseudo-obstruction was the main presenting clinical manifestation. Symptoms of intestinal pseudo-obstruction were completely relieved by administration of phenoxybenzamine, an α-receptor blocker, and excisional surgery.

당뇨병의 병형에 따른 합병증에 관한 연구(예보)

이현철,허갑범,이이형,윤정환,임승길,윤금석,김원중,김현만 대한당뇨병학회 1985 Diabetes and Metabolism Journal Vol.9 No.2

한국에서의 Human T-Cell Leukemia Virus Type-1(HTLV-1)에 대한 혈청학적 및 역학에 관한 연구

이영열,이성열,김은실,이홍복,김병국,이문호,박선양,김노경,서철원,규경채,최강원,조한익,고월청,야마구찌이찌세이 대한내과학회 1986 대한내과학회지 Vol.31 No.2

Type-C retrovirus, human T-cell leukemia virus type-l(HTLV-1), has been shown to be associated etiologically with adult T-cell leukemia, which is an endemic disease in southwestern parts of Japan. We examined the seroepidemiological characteristics of antibody to adult T-cell leukemia virus associated antigen (anti-ATLA-antibody) by the indirect immunofluorescent assay and ELISA from the healthy individuals and various diseased patients in the Republic of Korea, a country adjacent to Japan in which HTLV-1 is endemic. The results were as follows. 24 out of 9,603 individuals(0.25%) were seropiositive. The positve rate was 0.17% in males and 0.36% in females, the sex difference was female predominent relatively. HTLV-1 carriers were found 16 individuals in Seoul, 5 in Kyonggi area, 1 in Chungnam and Jonbuk, respectively, but found only 1 individual in Busan city and Jaejoo area close to southwestern parts of Japan. Positive rate to anti-ATLA-antibody seemed to be high in older age, especially at the 50s(0. 4Yo). In conclusion the prevalence rate of anti-ATLA- antibody seemed to be very low in the Republic of Korea adjacent to Japan in which HTLV-1 is endemic and no patient with adult T-cell leukemia has been found as yet. Also we noted that the Republic of Korea is not an endemic area to HTLV-1.

당뇨성망막증에서의 방사성핵종 망막신티그라피의 이용에 관한 연구

이상우,박영태,이형호,최승환,안일민,서순규,진용한,이태수 대한당뇨병학회 1985 Diabetes and Metabolism Journal Vol.9 No.1

지하철의 사상사고 및 운전장애 분석에 관한 연구

이동훈,목연수,장성록,권혁무,윤원영,옥영석,최용석,배동철 한국산업안전학회 1999 한국안전학회지 Vol.14 No.3

The purpose of this study is to analyze death injuries and operation troubles of urban transit. No difference was shown in death rates between Line 1 of Pusan urban transit and Line 5, 7, and 8 of Seoul metropolitan transit. And relief time by another train did not depend upon the number of crews. We concluded that thorough inspection and preventive maintenance of trains and facilities are necessary for safe and timely service of urban transit.

다이프로피온산 베클로메타손과 부데소니드의 투여 용량에 따른 코르티솔 농도와 변화

이영승,김종구,이양근,최수미,송하숙,이용철 대한내과학회 1993 대한내과학회지 Vol.45 No.6

Background: Topical inhaled steroids, budesonide (Bu) and beclomethasone dipropionate (BDP) is now established in the management of chronic: asthma. These have high topical anti-inflammatory activity but low systemic activity. This study was performed to determine the effects of two inhaled corticosteroids, Bu and BDP, on the adrenocortical supression in thirty patients, eighteen chronic obstructive pumonary diseases and twelve bronchial asthma (aged 33-76 years). Methods: The adrenocortical function was assessed by measurement of plasma cortisol concentration at 8 o' clock in morning and free cortisol in 24-hour urine collection at interval, No steroid was taken during the pretreatment period of 10 days, thereafter each subject inhaled Bu or BDP aerosol, in daily doses of 800 or 1,600 micrograms for 12 days. The dose was delieved by metered dose inhaler (MDI) or diskhaler. No steroid was taken during the final 6 days of the study. Results: The plasma cortisol and 24-hour urinary free cortisol were decreased during the treatment period in patients inhaled Bu in daily doses of 800 and 1,600 micrograms. In contrast, plasma cortisol was decreased on the 12th day of treatment period in patients inhaled RDP, in daily doses of 800 micrograms (P less than 0.05). The plasma cortisol and 24-hour urinary free cortisol were decreased (P less than 0.05) on the 9 and 12 th day of treatment period in patients inhaled BDP in daily doses of 1,600 micrograms. Conclusion: These results suggested that suppression of the endogenous cortisol secretion occurs at inhaled budesonide and beclomethasone dipropionate is less suppressed on the adrenocortical function than budesonide in dose dependent fashion during the early periods,

고 규소강에서 규칙상 소멸조건에 관한 연구

이택동,유지형,신제식,배준수,이진형,이혁모 대한금속재료학회(대한금속학회) 2001 대한금속·재료학회지 Vol.39 No.4

The ordered phase was tried to disappear in 6.5% Si steel to reduce the power loss and enhance the economic interests. They were prepared by the conventional casting or spray forming method, and they were investigated using the transmission electron microscopy(TEM). The variation in the methods of preparing the specimen did not result in any difference in suppressing the ordered B2 phase in the Fe-Si binary system. It was almost impossible to suppress this ordered phase keeping the silicon level as high as 6.5% even after the heat treatment at 1000℃ for 24 hr or after hot rolling. It was necessary to change the silicon level and control the cooling rate to prevent the ordering reaction, especially, in cooling after heat treatments. The silicon level of 5.8% was obtained as a maximum desirable value.

암에르고미터 운동시 여유심박수에서의 신체작업능력(PWC%HRR)을 이용한 최대산소섭취량 추정에 관한 연구

정성태,전태원,정덕조,정영수,엄우섭,이동기,윤호섭 한국운동과학회 2000 운동과학 Vol.9 No.1

암에르고미터 운동시 여유심박수에서의 신체작업능력(PWC%HRR)을 이용한 최대산소섭취량 측정에 관한 연구 운동과학. 제 9권 제 1호. (1)-(12), 2000. 본 연구의 목적은 암에르고미터 운동시 여유심박수에서의 신체작업능력(PWC%HRR)을 이용해 최대산소섭취량(O₂_(max))을 추정하는데 있어 그 타당성을 보는데 있다. 이를 위해 본 연구에서는 건강한20대 남자 대학생(21.1±2.77)20명이 참가 하였다. 이들의 안정시 심박수는 5분간 EKG로 측정되었고, 최대산소취량은 암에르고미터에서 50rpm의 속도로 20W에서 운동을 실시하고 매 3분 간격으로 10W씩 증가시켜 피험자가 탈진시까지 운동을 지속시켰다. 여유심박수 계산에 있어서 최대심박수는 수식(HRmax = 210 - age)으로 계산되었다. PWC%HRR의 계산은 점증부하 운동상에서 120≤R≥160의 범위에 발견된 HR과 O₂의 관계식(Y=bx+a)에 의하였다. 강도별 상대적 백분율 범위는 50∼85%사이였으며, 비교대상은 PWC%HRR, O₂R, O₂_(max)이었다. 그 결과 다음과 같은 결과를 얻었다 첫째, %HRR과 O₂R, O₂_(max)간의 회귀분석결과 %HRR은 O₂_(max)보다 O₂R에 가까웠다. 둘째, 각 강도별 PWC%HRR과 O₂R, O₂_(max)간에는 통계적으로 유의한 차이는 없었으나, PWC%HRR은 O₂_(max)보다 O₂R에 보다 가까웠다(P<.05). 셋째, O₂_(max)의 실측치와 PWC%HRR = O₂R에 의한 추정치 사이에는 모든 강도에서 통계적으로 유의한 차이가 없었으나, 상관관계는 PWC%HRR에서 가장 높았다(P<.05). 이상의 결과를 종합해 볼 때 암에르고미터 운동검사 과정에서 만족할 만한 O₂_(max) 발견하지 못했더라도 최소한 60%HRR에 해당하는 심박수가 발견될 때까지 운동을 수행하였다면 일련의 방식에 의해 O₂_(max)의 추정이 가능하다고 본다. The study on Estimation of maximal oxygun uptake through PWC%HRR during Arm Ergometer Exercise. Exercise Science, 9(1): 1-12, 2000. The purpose of this study was to evaluate the validity for estimation of maximal oxygen uptake through PWC%HRR during Arm Ergometer Exercise. The subjects of this study were 20 healthy males(21.2±2.77yrs) college students. Resting heart rate of subjects were recorded by EKG for 5min. the maximal oxygen uptake was determined until subjects were exhausted. The first stage was performed 50rpm, 20W, and then was increased by 10W every 3 minutes on the arm ergometer. HRmax was determined by a numerical formula of HRmax = 210-age. PWC%HRR was assessed by relative equation (Y=bX+a) of HR and V˙O₂ observed in range 120≤R≥160 during the exercise test. Range of relative percentage was between 50% and 85%, comparison factor was examined among PWC%HRR, % V˙O₂R and % V˙O₂_(max). The results of this study are as follows : 1) Result of the regression analysis among PWC%HRR, % V˙O₂R and % V˙O₂_(max), %HRR was equivalent to % V˙O₂R rather than V˙O₂_(max). 2) No significant difference was observed among PWC%HRR, % V˙O₂R and V˙O₂_(max) in the all intensity, But the PWC%HRR was closer to % V˙O₂R rather than V˙O₂_(max)(P<.05). 3) No significant difference was the actual V˙O₂_(max) and the estimation value by PWC%HRR = % V˙O₂R in the all intensity, and the correlation analysis was the most correlated at the estimation value by PWC%60HRR. It was concluded that if the satisfactory V˙O₂_(max) was not found in Arm Ergometer exercise test but heart rate corresponded to 60%HRR, V˙O₂_(max) can be estimated by a series of equation.

급성 심근경색증 초기 진단에 latex 응집을 이용한 혈청 myoglobin 측정의 임상적 의의

박영배,서정돈,최윤식,이영우,오병희,손대원,임하진,김유우,박명희 대한내과학회 1987 대한내과학회지 Vol.32 No.2

We evaluated the diagnostic usefulness of latexagglutination test for elevated serum myoglobin as a screening test in the early phase of acute myocardial infarction and 21 patients with chest pain mimicking acute myocardial infarction were included in this study. Result was compared with serum myoglobin level measured by radioimmunoassay (RIA) in every case. The Following results were obtained: 1) When serum myoglobin levels measured by RIA below 85ng/㎖ were regarded as normal, this test showed sensitivity of 82%, specificity of 95%. 2) In latex-agglutionation test for elevated serum myoglobin, test results were interpreted as negative, weakly positive and positive. If we regard weakly positive tests as positive, sensitivity was 93% and specificity was 62%. In contrast, if we regard weakly positive tests as negative specificity rose to 100% while sensitivity reduced to 75%. 3) Agreement rate of both test was k=0.59. It is suggested that latex-agglutination test for elevated serum myoglobin is helpful in ruling out acute myocardial infarction when test result is negative, and that it can be used as a screening test in the early phase of acute myocardial infarction because of its rapidity and simplicity in performing the procedure.

급성췌장염에 의한 췌장가성남종에서 내시경적 배액술후 발생한 췌장가성남종과 십이지장 및 대장에 발생한 내부 췌장루 1예

김연수,이문성,김진오,조영덕,이영홍,봉형근,조주영,이준성,심찬섭,황성규,전기원,변재호,장재영 대한소화기학회 1996 대한소화기학회지 Vol.28 No.1