傷寒論에 대한 精神醫學的 硏究

文相泰,辛容玹,具炳壽 대한한방신경정신과학회 2000 동의신경정신과학회지 Vol.11 No.1

This study was aimed to get the course which is caused by Neuropsychiatric symptoms in Sang-Han. Therefore this study is based on 『Euhak-Ipmun. Sang-Han』(『醫學入門.傷寒』) classfied mainly by symptoms. The results were summerized as follows: 1. Neuropsychiatric symptoms in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』) are explained as Pal-Gang(八綱), which shows those are settled down to a systematic oriental medical theory. 2. Pal-Bup (八法) used in the cure of symptomatische psychose in 『Euhak-Ipmun. Sang-Han』(『醫學入門. 傷寒』), which is intended to boost the effect of cure, choosing the respondent cure method about various causes. 3. Pal-Gang(八綱) and Pal-Bup(八法) in『Euhak-Ipmun. Sang-Han』(『醫學入門·傷寒』) are improved by Lee-Chun(李 ) who added Jang-gi(張機)'s Sang Han theory and new medical thought in the ages of Geum. Won. 4. Lee-Chun(李 ) believed that Neuropsychiatric symptoms which appeared in Sang Hang is caused by the "Unbalance(不平)". So he wanted to reach harmony of "Jeong(精), QI(氣), Shin(神), Hyul(血)" after improving the status of "Unbalance(『不平』)" toward the status of "Balance(平)".

Consistency of seasonal patterns of insect succession on pig cadavers at Yeongdo Island in Busan, Korea

Park Sang‐Hyun,Moon Tae‐Young 한국곤충학회 2021 Entomological Research Vol.51 No.1

Cadaver insects cause dead bodies to break down in ecological processes. Still, the knowledge has been accumulated slowly about the structure and role of the insect assemblages attending to death scenes. This study analysed the successional patterns of insects on pig cadavers in the spring, summer, and autumn from 2016 to 2019 at Yeongdo Island, Busan, South Korea. A sum of 71 insect species belonging to four orders and 21 families were sampled. Predominant insects were largely Diptera and Coleoptera. The majority of the flies were the calliphorids as Chrysomya pinguis (Walker) and Lucilia porphyrina (Walker). The most common beetles were Creophilus maxillosus (L.), Omosita japonica (Reitter), and Staphylinidae sp. regardless of seasons. Occurrence matrices were made from the successional patterns of insect species during 42 sampling intervals in the spring, 38 sampling intervals in the summer, and 26 sampling intervals in the autumn. Permutation analyses of the occurrence matrices showed that the patterns of succession were similar between spring 2016 and 2017 (P = 0.019), between summer 2016 and 2017 (P = 0.003), and between autumn 2016 and 2019 (P = 0.002). The result shows that there are clear patterns in succession between seasons, and provides the reference data to presume the death time, at least in the southeast part of South Korea.

The impact of blowflies on pig cadaver decomposition on Yeongdo Island, Busan, South Korea

Park Sang‐Hyun,Baek Seung‐Ho,Moon Tae‐Young 한국곤충학회 2021 Entomological Research Vol.51 No.11

The decomposition process is an important factor in forensics, and flies play a crucial role in the decomposition of animals and humans. However, there remains limited information on the effect of flies that attend death scenes. This study assesses the effect of the presence or absence of blowflies on the rate and process of cadaver decomposition in the spring, summer, and autumn from 2016 to 2020 on Yeongdo Island, Busan, South Korea. Nine blowfly species belonging to four genera in two subfamilies were sampled. The blowflies that approached the cadavers differed between seasons, but Chrysomya pinguis (Walker) was the dominant species regardless of the season. Blowfly presence on cadavers significantly affected the duration of the decomposition stage and the pattern of weight loss in nearly all scenarios. With the presence of blowflies, the decomposition rate was four times faster in spring, three times faster in summer, and nine times faster in autumn. These results show that the presence or absence of blowflies is an essential factor in the decomposition process of cadavers. Therefore, it should be taken into account when estimating postmortem intervals in medicolegal forensic entomology.

Distribution and mitochondrial DNA tracing of the invasive Argentine ants (Linepithema humile) in South Korea

Park Sang‐Hyun,Ha Young‐Ho,Kim Dong Eon,Kim Chang‐Jun,Choi Moon Bo 한국곤충학회 2021 Entomological Research Vol.51 No.3

Argentine ants (Linepithema humile) are one of the world’s most invasive species and were first reported in South Korea, near Busan Port in 2019. The distribution of their initial spread was investigated here from April to July 2020. In the invasion area, numerous nests and individuals were identified, indicating that they had settled and successfully invaded the habitat. To track the invasion of the Argentine ants we conducted haplotype analysis using COI, COII, and Cytb sequences of their mitochondrial DNA. The invasive ants had the same mitochondrial haplotype (H3) as Argentine ants from America (Chile, Ecuador, Bermuda) and East Asia (Japan). When comparing the import trade volumes at Busan port with the Argentine ant haplotypes from other countries, it was determined that the invasive ants may have originated from the United States or Japan. Numerous ecological and economic impacts due to their invasion and spread in other countries has previously been reported. Therefore, prompt control measures for the Argentine ants found at Busan port, at this relatively early stage of settlement, is required.

Forensic implication of cadaveric behaviors of the Japanese pavement ant (Tetramorium tsushimae Emery) attending to rabbit cadavers

Park Sang‐Hyun,Moon Tae‐Young 한국곤충학회 2020 Entomological Research Vol.50 No.4

It is noticed by some researchers that ants may cause some forensic confusion in understanding death scenes. In the aspect of relationship between the ant-animal decomposition, we observed the behavior of ants congregating on dead animals. Amongst various species of ants visiting dead rabbits, Tetramorium tsushimae Emery was noticeable in producing scratched scars, mounds, and nests around dead rabbits and covering them with soils. The behaviors are likely to interfere or to disturb the usual process of decomposition succession lead by maggots. We discussed that a series of cadaveric behaviors of T. tsushimae may be used as a potential forensic hint not to misunderstand death scenes disturbed by the species.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

급성 출혈성 대장염으로 오인된 궤양성 대장염 1예

문희정,장병익,김승범,이호찬,박재현,은종렬,김태년 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Ulcerative colitis (UC) is a chronic inflammatory disorder of the gastrointestinal tract that affects the large bowel, Its etiology remains controversial. However, an infectious or immunologic origin is considered the primary cause. The onset of UC is typically slow and insidious, but some patients may present acutely with symptoms mimicking infectious colitis. We report a case of ulcerative colitis mimicking acute hemorrhagic colitis at initial presentation. A 60-year-old man was referred to Yeungnam University Hospital for bloody diarrhea and abdominal pain. Sigmoidoscopy revealed mildly edematous mucosa in the rectum and hyperemic mucosa with petechiae in the sigmoid colon. The patient was treated with antibiotics for several days, and his symptoms improved. However, after one month, his bloody diarrhea relapsed. Follow-up sigmoidoscopy revealed mucosal friability in the rectum and sigmoid colon. He was diagnosed with ulcerative colitis, and his symptoms were improved with mesalazine and a steroid enema.

하악전돌증의 악교정수술 후 연조직 형태변화에 대한 연구

성상진,박현도,김재승,문윤식 대한치과교정학회 2000 대한치과교정학회지 Vol.30 No.3

악교정수술에 관한 치료계획은 치료결과에 관한 정확한 예측을 바탕으로 수립되는 것이 바람직하며 이는 심미적인 결과를 얻기 위한 가장 중요한 요소 중에 하나이다. 성인에서 골격성 하악전돌증의 치료는 하악골후퇴술을 이용한 악교정수술법이 주로 이용되는데, 술후 턱끝의 돌출도가 과도하게 감소되어 하악전진이부성형술을 추가로 시행해야 하는 경우 하악골과 턱 부위의 연조직 변화방향이 상이하게 나타나므로 술후 연조직 변화를 정확히 예측하는데 한계가 있다. 본 연구에서는 골격성 하악전돌증을 주소로 악교정수술을 시행한 성인을 대상으로, 상행지시상분할골절단술(BSSRO)만을 시행한 경우(A군) 11명과 하악전진이부성형술(advancement genioplasty)도 같이 시행한 경우(B군) 9명의 경조직과 연조직 변화의 상관관계를 알아보기 위하여, 수술 8개월 이후에 채득된 측모두부계측방사선사진을 비교하여 다음과 같은 결과를 얻었다. 1. E-line에 대하여 상순은 더 돌출되고 하순은 더 후퇴되어 입술의 형태가 개선되었으며,하악전진이부성형술을 병행한 경우 하순의 돌출도는 더 개선되었다. 2. 두 군 모두에서 상순은 후방이동하고 비순각은 증가하였다. 3. 술후 B점에 대한 연조직 POGs점의 변화율은 A군에서 84%, B군에서 66%로 나타났으며 두 군간에 통계적 유의성이 있었다. 4. 경조직과 계측점의 수직변화량은 A군에서 감소하였다. The treatment plan for orthognathic surgery must be based on accurate predictions, and this can be produced the most esthetic results. Treatment of prognathic mandible in adult is usually orthognathic surgery using mandible set back, but mandible with retruded chin point is needed additional chin augmentation. In this case, the directions between mandible and chin point are different therefore, the prediction of soft tissue reactions must be modified. In this study, we materialize the patients who was taken orthognathic surgery due to prognathic mandible, 11each(Group A) was taken only Bilateral Sagittal Sprit Ramus Osteotomy (BSSRO), 9each(Group B) was taken additional advancement genioplasty. The lateral cephalometric radiography taken 8 months later after orthognathic surgery by this patients were used. The results of this study were as follows : 1.The profile of lips was favorable after surgery due to upper lip to E-line became prominent and lower lip to E-line was retruded. 2.In both group, upper lip moved posteriorly and nasolabial angle was increased. 3.The ratio of the soft tissue profile change in POGs point to skeletal B point movement was 84% in group A and 66% in group B, and there was statistical significance between group A and group B. 4.Vertical movement of hard tissue points is decreased in group A.

Cisapride가 심근의 ATP-sensitive K 통로에 미치는 영향

문성기,인병현,김원호,고재기 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.1

한우의 반추위내에서 요소 및 암모니아처리 볏짚과 황산병용처리 볏짚의 In situ 유기물 분해율

문승식,정현승,박성진,유성오 진주산업대학교 농업기술연구소 1997 農業技術硏究所報 Vol.10 No.-

본 시험은 볏짚의 수분함량을 30%로 조절하여 농업용 요소 6%를 수용액상태로 처리한 요소처리 볏짚과 암모니아가스 3%를 처리한 암모니아처리 볏짚을 밀봉상태로 45일간 보관한후 개봉하여 이들 처리볏짚의 1/2에 해당하는 양에 농황산 2.2%를 처리하여 요소-황산병용처리 및 암모니아-황산병용처리 볏짚을 제조하여 화학적 조성을 분석하고, 한우의 의해 in situ 유기물 분해율을 측정하였으며, 그 결과를 요약하면 다음과 같다. 1. 볏짚의 유기물 소실율은 암모니아-황산병용처리>암모니아처리>요소-황산병용처리>요소처리 볏짚순으로 높았다. 2. 유기물의 잠재적 소화율은 타처리에 비하여 암모니아처리 볏짚에서 높은 경향을 나타내었다. 3. 볏짚의 유기물분해율(P)은 암모니아-황산병용처리>암모니아처리>요소-황산병용처리>요소처리 볏짚순으로 높았다. 4. 사료섭취량에 따른 한우의 반추위내 통과율이 시간당 6%일 때 72시간 발효시 예상유기물 분해율(ED)은 요소처리, 암모니아처리, 요소-황산병용처리 및 암모니아-황산병용처리 볏짚이 각각 18.97, 21.63, 24.66 및 29.09%이였다. This study was carried out to investigate the effects of two phase treatments of urea-sulfuric acid and ammonia-sulfuric acid combination on in situ organic matter degradability of rice straw as ruminant feedstuff. Rice straw were treated with 6% urea (W/DM) or 3% ammonia (W/DM) for at least 45 days and further with sulfuric acid for overnight to complete the combination treatments. The treated rice straws were then sun-dried, and the chemical composition of the treated rice straws were analyzed. Also, Four Korean native bulls (550±30.5kg) were used to determine the in situ organic matter degradability in rumen. The treatments included urea-treated, ammonia-treated, urea·H_2SO_4 combination-treated and ammonia·H_2SO_4 combination-treated rice straws. In situ disappearance of organic matter (OM) in the rumen was significantly (P<0.05) higher in ammonia·H_2SO_4 combination-treated rice straw than those of other treatments. Potential digestibility of OM were slightly higher in ammonia-treated rice straw than those of other treatments. Organic matter degradabilities (P) in the rumen was high in ammonia·H_2SO_4 combination-treated with following by ammonia-treated, urea·H_2SO_4 combination-treated and urea-treated rice straw. When passage rate of 6% in rumen of korean native bulls was applied, effective degradabilities (ED) of OM of urea-treated, ammonia-treated, urea·H_2SO_4 combination-treated and ammonia·H_2SO_4 combination-treated rice straw were 18.97, 21.63, 24.66 and 29.09% after incubation for 72 hrs time, respectively.