상어 간유 흡인에 의한 급성 지방성 폐렴 1예 : 증례보고

임성경,옥철호,김희규,장태원,정만홍 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4

저자들은 상어 간유를 과량 복용하고 기침, 호흡곤란을 주소로 내원한 48세 여자 환자에서 방사선 소견과 기관지 폐포 세척액 검사를 통해 급성 지방성 폐렴으로 진단하고 스테로이드에 불응하는 경과를 취하자 우측 전폐 기관지 폐포 세척술을 시행하여 폐 병변과 증상의 호전을 보인 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acute lipoid pneumonia is uncommon condition of the lungs that results from the aspiration of vegetable, animal, or mineral oils. Shark liver oil (so called Squalene) is taken as a traditional remedy in some Asian countries, and is used widely also in cosmetics. It results in foreign body type inflammatory reaction of the lung and can show various clinical presentations from asymptomatic incidental finding to severe pneumonia leading to acute respiratory failure. Although many cases have been reported, severe lipoid pneumonia requiring steroid or whole lung lavage for treatment is rare. We experienced a case of acute lipoid pneumonia of 48 year old female with dyspnea and cough caused by regular ingestion of large amount Shark liver oil, treated by whole lung lavage. We reported this case with a brief review of related literatures.

일부 산업재해 환자들에서 외상후 스트레스장애

최경숙,임채기,최재욱,강성규,염용태 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.3

연구목적 : 우리나라에서 산업 재해로 신체적 손상을 입고 입원해 있는 일부 근로자들을 대상으로 PTSD 발병여부를 조사하고, 산업 재해와 관련된 위험 인자를 파악하여 산업재해 이후 근로자들이 겪게 될 신체적 건강문제 뿐만 아니라 정신적 건장 문제 회복에 도움을 주고자 하였다. 방 법 : 2000년 7월에서 2000년 9월 사이에 산업 재해로 인해 신체적인 부상을 입고 입원 중인 인천 소재 산재병원의 남성 입원환자 47명을 대상으로 PTSD 발병여부와 관련 인자를 연구하기 위하여 구조화된 설문 조사와 CAPS를 이용한 진단적 면담을 시행하였다. 결 과 : CAPS를 이용한 면접조사 결과 최종 연구 대상자 47명중 12명(25.5%)이 PTSD로 나타났으며, 모두 증상의 지속 기간이 3개월 이상인 만성 외상후 스트레스장애로 분류되었다. PTSD군 12명과 non-PTSD군 45명을 비교한 결과 BDI, STAI-I, STAI-II, IES 점수는 PTSD 군에서 유의하게 높게 나타났다. 또한 SCR-90-R의 세부항목 중 편집 사고를 나타내는 PAR 점수가 유일하게 두 군 사이에 유의한 차이를 보이지 않았고 그 외의 항목들은 PTSD 군에서 유의하게 높았다. 산재 관련 위험 인자의 비교에서 환자가 주관적으로 보고한 의식의 상실 경험만이 PTSD군에서 유의하게 높게 나타나 이전의 다른 연구자와 일치된 소견을 보였다. 결 론 : 이상의 결과는 산재 사고 이후에 PTSD가 발생하고, 증상이 장기간 지속되어 만성화를 겪을 가능성이 있다는 것을 보여준다. 위험 인자 중에서 사고 관련 위험 인자로 의식의 상실에 대한 주관적인 보고만이 관련성이 있는 것으로 나타났으나, 그 외의 다른 인자들은 관련서이 없는 것으로 나타났다. 그러나 여러 가지 연구의 제한점이 많으므로 연구 시점을 달리하고 많은 대상자를 포함한 후속 연구를 시행해야 산업재해와 PTSD에 대한 이해를 높일 수 있을 것으로 사료된다. Objectives : This study was conducted to assess the development of posttraumatic stress disorder(PTSD) after occupational physical injuries and the risk factors in occupational accident patients for PTSD. Methods : Forty-seven occupational accident patients with physical injuries were administered BDI. STAI I and II, SCL-90-R, IES and questionnaires for risk factors and Clinician-Administered PTSD Scale(CAPS). Results : 1) 12 patients(25%) were diagnosed as PTSD. 2) The BDI, STAI I and II and IES scores are significantly high(<0.05) in PTSD group than non-PTSD group. 3) The subscales of SCL-90-R, with an exception of PAR subscale, showed higher scores(<0.05) in PTSD group. 4) The loss of consciousness(LOC) was only significant risk factor in the occupational accident related factors(<0.05). Conclusion : The results of this study show the development of PTSD among occupational accident patients. The loss of consciousness(LOC) was the only significant risk factor for PTSD in occupational accident patients.

결핵항원에 의한 결핵환자 말초혈액 단핵구의 IL-2,IL-10 및 TNF-α mRNA 발현비교

박정규,임영재,김화중,조은경,민들레,임재현,최덕례,박성규 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.1

The various clinical features of tuberculosis are mediated by diverse cytokines produced by various immune cells which are initially triggered by M. tuberculosis antigens. CD4+ T cells can be classified into two subsets according to the patterns of cytokines they produce; Thl cells give rise to cell-mediated immunity and are characterized by the production of IL-2 and IFN-y, whereas Th2 cells are more efficient in mediating antibody production and secrete II-4, IL-5, IL-6 and II-10, Thl cells can control Th2 cell and vice versa. Peripheral blood mononuclear cells of healthy, cured and chronic refractory tuberculosis patients were stimulated with PPD, TSP and PHA antigen, and lymphoproliferative response and expression of II-2, IL- 10, TNF-α mRNAs were measured. Lymphoproliferative responses to PPD, TSP and PHA antigen were depressed in chronic refractory case compared with others expression of IL-2 mRNA was depressed in chronic refractory case stimulated with all antigens. Expression of IL-10 and TNF-α were depressed in cured and chronic refractory cases stimulated with PPD and TSP antigens.

중학교 남자 테니스 선수의 운동기능수준별 시합 전 경쟁상태불안

남인수,최인태,전중기,윤재만,고성경,이종삼,임승현 대구대학교 인문과학연구소 2008 人文科學硏究 Vol.31 No.-

The purpose of this study was to investigate if there is any difference in the level of competitive state anxiety according to the level of motor skill before the game and to provide the players with basic data for the mental practice. The subjects of this study consist of 20 men's a middle school tennis players. The experimental group was divided into superior players group and inferior players group. And then by using a CSAI-2 questionnaire, three subfactors of competitive state anxiety, or cognitive state anxiety, somatic state anxiety and state self-confidence were measured. The method of measurement was carried out three times, or one week, one day and two hours before the game. The results of this study were as follows. First, About both cognitive state anxiety and somatic state anxiety, inferior players were significantly higher than superior players. Second, About state self-confidence, superior players were significantly higher than inferior players. Third, As the game was around, both cognitive state anxiety and somatic state anxiety which all the players including superior and inferior players had increased. But the state self-confidence of all players decreased.

Slide Session : K-GIO-07 ; GI Oncology : Factors Affecting Long Term Survival for Metastatic Gastric Cancer Treated with Chemotherapy

( Seong Kyeong Lim ),( Moo In Park ),( Seun Ja Park ),( Won Moon ),( Sung Eun Kim ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

Background: To investigate the prognostic factors affecting long term survival for metastatic gastric cancer who could be treated with chemotherapy. Methods: We reviewed 201 patients with metastatic gastric cancer who newly diagnosed at the Kosin University Gospel Hospital (2005 - 2010) and who received chemotherapy. Among these patients, 12 patients survived more than 36 months and we retrospectively analyzed the clinicopathologic data. Results: In the 12 patients, 9 patients (75%) were male and 3 patients (25%) were female. They had an ECOG performance status of 0-1. Most of them (11 patients, 92%) had distant lymph node metastasis, 3 patients had multiple liver metastasis, the other 3 patients had adrenal metastasis and anothe 1 patient had peritoneal metastasis. There was no lung metastasis and bone metastasis. There was no macroscopically scirrhous type of tumors. Conclusions: These results suggests that the better performance status, macroscopically non scirrhous type of tumors and no lung or bonr metastasis are favorable factors for long term survival of metastatic gastric cancers.

Increase of Production Ratio of Pre-selected Superior Dairy Female Offspring by Combination of OPU derived Oocytes and X-bearing Semen

Seong-Su Kim,Byung-Hyun Choi,Kyeong-Lim Lee,Jong-In Jin,Tae-Kwang Suh,Cheol-Ho Son,Chan-Ho Park,Seung-Oh Shin,Kwang-Jin Han,Hyun-Tae Lim,Kyu-Woan Cho,Il-Keun Kong 한국수정란이식학회 2015 한국동물생명공학회지 Vol.30 No.2

This study was designed to evaluate the possibility of increase through dairy female offspring’s ratio by transfer of pre-selected transferrable blastocyst that was produced by pre-selected X-bearing semen with OPU derived oocytes. Elite dairy female cow is demanded strongly compared with male, the so called, farmer wants to produce only an elite female dairy offspring as a candidate female dairy cow for producing milk. In our study, we selected 2 elite dairy bull semen from National Agricultural Cooperative Federation to pre-select X-bearing semen and 5 elite dairy female cows as donor for collecting of OPU derived oocytes. OPU derived embryo production system was carried out an aspiration of immature oocytes from 5 donor cows 2 times per week, total 200 times for 2 to 7 months by an ultrasonographic guided follicular aspiration system and then produced in vitro-produced blastocysts by in vitro maturation, fertilization and culture. Dairy donor semen selected H-319, 320 bull in National Agricultural Cooperative federation was sorted X-bearing semen by flow-cytometer and frozen for using IVF with OPU derived oocytes. Donor cows were selected 5 elite dairy cows from Gyeongju Dairy Cow Community and then disease tests such as 4 kinds of disease before selecting was checked. Oocyte proportion of grade 1 to 3 from total collected oocytes was significantly lower in donor A and B than those in donor C, D and E (82.16 and 70.03% vs. 90.0, 91.78 and 93.57%), respectively (p<0.05). However, number of oocytes per session in donor A, C and E was significantly higher than those in donor B and D (7.77 ± 3.26, 5.85 ± 2.10 and 7.03 ± 2.14 vs. 4.68 ± 2.61 and 5.21 ± 1.97 oocytes), but donor A was significantly higher than donor C (p<0.05). Development to blastocyst in donor B, C and E was significantly higher than those in donor A and D (31.0, 25.0 and 25.0% vs. 14.3 and 4.5%), but donor A was not different in donor C and E (p<0.05). Nine out of 10 blastocysts (90.0%) derived from OPU blastocysts were confirmed male embryos that was induced with Y-bearing semen to confirm sex ratio only. Total 96 blastocysts derived from female bearing semen were transferred into synchronized recipients and then confirmed 42 recipients (43.8%) pregnancy rate, 36 offspring (37.5%) and 91.7% female sex ratio (33 female vs. 3 male offspring). Taken together all data, elite dairy female offspring could be produced effectively by in vitro production system between pre-selected x-bearing semen and OPU derived oocytes that would be influential breeder in the breeding of dairy farm to increase effectively elite dairy offspring ratio as well as net income in the dairy farmer.

스털링엔진을 이용한 발전기의 활용방안

임경섭(Kyeong-Sub Lim),노주현(Jou-Hyeon Noh),오혜성(Hye-Seong Oh),박성수(Seong-Su Park),김동욱(Dong-Wook Kim),변황우(Hwang-Woo Byun),고영진(Yeong-Jin Goh) 대한전기학회 2021 대한전기학회 학술대회 논문집 Vol.2021 No.11

전자기기를 많이 사용하는 현대사회에서는 외출 시 충전이 자주 필요하고 해결책인 보조배터리는 충전을 자주 해야 된다는 불편함이 존재한다. 본 연구는 이러한 불편함을 해소하기 위해 전기가 없는 곳에서도 전기를 사용할 수 있도록 간단히 전기를 생산하는 것을 목표로 이루어졌다. 이에 따라 스털링엔진을 이용하여 작품을 제작하고 이에 대한 효과와 이용 방안을 제안하고자 한다.

증례 : 감염 ; 국소적 농흉으로 나타난 Mycobacterium bovis 감염 1예

임성경 ( Seong Kyeong Lim ),박지영 ( Ji Young Park ),박성달 ( Sung Dal Park ),장희경 ( Hee Kyung Chang ) 대한내과학회 2011 대한내과학회지 Vol.81 No.6

국내에서는 M. bovis에 대한 사람 감염의 보고는 없었으나 소에서의 감염률은 약 0.15%로 보고되고 있고, 개발도상국에서 M. bovis 감염률은 10-15% 정도로 보고되고 있다. 최근 다문화 가정이 증가하고 이주민 특히 개발도상국에서 국내로 이주가 증가함에 따라 이주민들에서 결핵 진단 시 M.bovis 등의 감염을 감별할 필요가 있다. 따라서 저자들은 베트남 이주 여성에서 국소적으로 발생한 농흉에서 얻은 조직으로 M. bovis를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다. Bovine tuberculosis, which is caused by Mycobacterium bovis, a member of the M. tuberculosis complex, is a zoonosis transmitted through the inhalation of infected droplets or the ingestion of raw milk. Human bovine tuberculosis has been reported rarely in most countries since the introduction of pasteurized milk and M. bovis eradication programs. However, it has been reported in other areas with poorly controlled programs. We encountered a case of localized empyema due to M. bovis infection in a pregnant female immigrant from Vietnam. We report this case with a brief review of the related literature. (Korean J Med 2011;81:792-796)

Effect of Vine Node Position on Pollen Yield and Percent Germination of Watermelon (Citrullus lanatus Thunb.)

Chae Shin Lim,Ja Young Moon,Kyeong Su Jun,Seong Hwan Kwon,Jong Min Lim,Seong Mo Kang,Jeoung Lai Cho 한국원예학회 2008 한국원예학회 학술발표요지 Vol.2008 No.5

Effect of Foliar Application of Boron and Calcium on Pollen Germinability of Watermelon (Citrullus lanatus Thunb.)

Jong Min Lim,Chae Shin Lim,Kyeong Su Jun,Seong Hwan Kwon,Dae Hyang Kim,Seong Mo Kang,Jeoung Lai Cho 한국원예학회 2007 한국원예학회 학술발표요지 Vol.2007 No.6