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      • SCIESCOPUSKCI등재

        Combination of Vitamin C and Rutin on Neuropathy and Lung Damage of Diabetes Mellitus Rats

        Sohn, Uy-Dong,Je, Hyun-Dong,Shin, Chang-Yell,Park, Sun-Young,Yim, Sung-Hyuk,Kum, Chan,Huh, In-Hoi,Kim, Jin -Hak The Pharmaceutical Society of Korea 2002 Archives of Pharmacal Research Vol.25 No.2

        We investigated the role of vitamin C or rutin on neuropathy and lung damage of diabetic mellitus(DM) rats. Norepinephrine content was significantly decreased in sciatic nerves of DM rats compared with non-DM controls but vitamin C had no effect on decreases of norepinephrine. 2,4-dinitrophenylhydrazine (DNPH) incorporation, which is biomarker of protein oxidation, was increased in sciatic nerve of DM rats as compared with normal control. However, vitamin C had no effects on increases of DNPH incorporation . We measured the content of conjugated dienes (CD) as a biomarker of lipid oxidation in sciatic nerve. CD was increased in DM as compared with normal control, Vitamin C or rutin had no effects on increases of CD. However, Rutin plus vitamin C significantly decreased the content of CD as compared with CIM rats. In lung of DM rats, DNPH incorporation or CD was increased as compared with normal control. Vitamin C or Rutin had no effects on increases of CD However, Rutin plus vitamin C significantly decreased the content of DNPH incorporation or CD in lung tissue. Vitamin C caused marked pathological changes such as the increases of parenchyma and the thickening of alveolar septa in the lung of DM. Rutin had protective effects on the pathological changes in the lung of DM rats. In conclusion, Vitamin C had no effects on oxidative parameter, such as DNPH incorporation or CD, and on the decreases of norepinephrine content in DM rats. Vitamin C caused the marked pathological changes in the lung of DM rats but rutin had protective efforts against the pathological changes.

      • KCI등재후보

        약물 중독 시 위 세척에 의한 산 - 염기 평형 및 전해질의 변화

        윤형란(Hyung Ran Yun),손동현(Dong Hyun Sohn),이창범(Chang Bum Lee),이재웅(Jae Woong Lee),양석철(Suck Chul Yang),한동수(Dong Soo Han),손주현(Ju Hyun Sohn),김순길(Soon Kil Kim),김호중(Ho Jung Kim) 대한내과학회 1998 대한내과학회지 Vol.54 No.4

        N/A Objectives: There is little information on the imbalance of electrolyte and acid-base metabolism associated with gastric lavage in acute drug intoxication patients. This study was aimed to analyze the acid-base and electrolyte abnormalities associated with gastric lavage in acute drug intoxication patients. Methods: We studied 24 acute drug intoxication patients who had performed gastric lavage with 10 liters of 0.9% NaC1. Electrolyte parameters and arterial blood gas analysis were carried out before and after gastric lavage. Results: After gastric lavage, acidosis was reduced in general. But there was no significant change in pH (7.34±0.02 vs. 7.38±0.15, p=NS). In acid-base balance, the mixed form of metabolic acidosis and respiratory acidosis was reduced from 7 to 2 cases, and the simple form of respiratory acidosis was reduced from 3 to 1 case. In contrast, normal form was increased from 5 to 7 cases and the simple form of metabolic acidosis was increased from 2 to 6 cases. In electrolyte parameters, serum sodium was reduced significantly (145±1.0 mEq/L vs. 141±0.8 mEq/L, p<0.01), but there was no case of significant hyponatremia (<135mEq/L). Bicarbonate level (20±1.1 mEq/L vs. 22±0.9 mEq/L, p< 0.05) and anion gap (19±1.6 mB vs. 13±1.3 mEq/L, p< 0.01) showed significant change. But, blood levels of potassium (3.6±0.1 mEq/L vs. 3.8±0.1 mEq/L, p=NS), chloride (106±0.6 mEq/L vs. 106±0.6 mEq/L, p=NS) and F'aCO2 (36±1.mmHg vs. 37±1.5 mmHg, p=NS) were no significant change before and after gastric lavage. Conclusions: Gastric lavage with 10 liters of 0.9% NaC1 in acute drug intoxication patients did not show clinically significant changes in electrolytes and acid-base balance.

      • KCI등재후보

        메티실린 내성 황색 포도알균에 의한 연조직 및 골 감염에 대한 전환요법으로서의 경구 Rifampin의 유용성

        손종원,김신우,하상우,이응갑,정덕원,장현하,이종명,김능수 대한감염학회 2005 감염과 화학요법 Vol.37 No.6

        목적 : 메티실린 내성 황색 포도알균에 의한 연조직및 골 감염의 치료 시 glycopeptide약물의 정주 요법에 이은 경구 항생제로의 처방 전환이 요구되는 경우가 많으나 마땅한 경구 약제의 선택이 어려운 실정이다. 이에 경구 rifampin을 메티실린 내성 황색 포도알균에 의한 연조직 및 골 감염에 사용하여 치료한 경우를 분석하여 그 유용성 정도와 실패한 경우 실패의 위험인자를 알아보고자 하였다. 재료 및 방법 : 2001년 1월부터 2004년 9월까지 메티실린 내성 황색 포도알균에 의한 연조직 및 골 감염 환자를 대상으로 rifampin을 그 치료 목적으로 사용한 44명의 환자를 의무 기록과 X선 사진을 통해 후향적으로 분석하였다. 기초 자료를 분석하였고 감염이 재발하여 치료 실패로 판정된 환자들에 대해 치료 실패의 원인이 될 만한 주요 변수에 대한 Chi-square 검증과 로지스틱 회귀분석을 시행하였다. 결과 : 치료 후 재발은 20.5% (8/39)였으며 재발 예와 사망에 대한 위험요소에 대한 단변량 분석에서 고관절 보형물이 있는 경우 흔하였으나 통계적 차이에는 미치지 못하였다(P=0.065). 고관절 보형물 외에 동반된 질환들, 쇼크의 동반, 균혈증의 동반, 경구 시 ciprofloxacin과 rifampin의 병합 복용 기간 등을 혼란 변수로 사용한 다변량 로지스틱 회귀분석에서는 고관절 보형물 만이 통계적으로 유의하였다(P=0.044). 결론 : 메티실린 내성 황색 포도알균에 의한 연조직및 골 감염에 rifampin과 다른 약제를 병합하여 치료하는 경우 재발은 적었다. 치료 실패의 경우는 고관절 부위 감염과 같이 보형물을 쉽게 제거하기 어려운 상황과 관계되는 것을 보여준다. Background : Rifampin is sometimes used in combination with other anti-staphylococcal agents to treat methicillin-resistant Staphylococcus aureus (MRSA) infections but few reports are available about the usefulness of rifampin against MRSA infections, especially in soft tissue and bone infections. Thus, we evaluated the efficacy of rifampin as switch therapy for soft tissue and bone infections caused by MRSA and assessed the risk factors for treatment failure. Materials and Methods : We retrospectively studied 44 patients who had soft tissue and bone infections caused by MRSA and were treated with rifampin in combination or as monotherapy as switch therapy from January 2001 to September 2004. Results : The mean age of the subjects was 50.2 years and the number of male and female were 34 and 10, respectively. Median duration of rifampin use was 32 days and 25% of the patients had artificial prostheses. Thirty one patients (79.5%, 31/39) were cured with parenteral glycopeptide followed by rifampin in combination or as monotherapy. Eight patients (8/39) recurred after the completion of treatment. The presence of hip prosthesis was the only significant risk factor (P= 0.027) in multivariate logistic regression test. Rifampin was tolerable in all cases. Conclusion : Rifampin as switch therapy for soft tissue and bone infection caused by MRSA was effective in 79.5% (31/39) of sujects. The treatment failure seems to be associated with unremovable infected prosthesis.

      • 마미증후군 환자의 요천추 신청근 손상 및 회복양상

        손현주,김경민,한지의,장재혁,신용범,고현윤 부산대학교 병원 암연구소 2007 부산대병원학술지 Vol.- No.21

        Purpose: Numbers and severity of the injured segments and neurological recovery patterns are both vague and confused following cauda equina syndrome (CES). We evaluated the characteristics of CES according to the causes of the injuries resulting in CES. Subjects and Methods: Thirty-nine cases of CES diagnosed by clinical features and electrophysiological studies were recruited. We investigated segments or roots involved, muscle strength grades of key muscles, external anal sphincter tones, and changing patterns of theses findings. Their characteristics were compared according to the traumatic and non-traumatic lesions. Results: In traumatic lesions, lower segments, such as sacral roots, were involved more frequently and severely (p<O.OOl). In non-traumatic lesions, L5 and Sl roots were more injured and S2,3,4 roots were less injured (p<O.05). However, there was no significant difference of severity among the injured segments in non-traumatic disorders. There was no typical recovery pattern in both traumatic and non-traumatic cases. Conclusions: In traumatic CES, lower segments or roots were injured more prevalently and severely. Relatively, upper segments were more affected in non-traumatic CES.

      • 신경인성방광으로 인한 방광요관역류에서 임계 배뇨근압 및 용량

        장재혁,고현윤,신용범,손현주 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.23

        Purpose: We investigated relationships of detrusor pressure and bladder volume at the onset of vesicoureteral reflux (VUR) with other urodynamic and clinical parameters in neurogenic bladders after spinal cord injury. Materials and Methods: Videourodynamics were performed in 15 patients with spinal cord injury. Neurological levels of spinal cord injuries were categorized as cervical in 6 cases, thoracic in 6 cases, and lumbosacral in 3 cases. The interrelationships of detrusor pressure and bladder volume at the onset of VUR, bladder comp Hanco maximum detrusor pressure, and maximum bladder capacity were assessed. Results: A weak correlation existed between detrusor pressure and bladder volume at VUR (r=0.493, p=0.062). Detrusor pressure at VUR and bladder compliance presented an inverse correlation (r=-0.525, p=0.044). Pressure-volume index at VUR had a strong correlation with bladder volume at VUR divided bladder capacity (r=0.861, p<0.00l). Conclusions: Detrusor pressure and bladder volume at the onset of VUR appeared to have relationships with other factors associated with VUR in neurogenic bladders after spinal cord injury. Further studies acquiring additional patient data and follow-up data about reflux resolution permit to develop the management guide and prognostic factor of the secondary VUR in neurogenic bladders after spinal cord injury.

      • KCI등재

        Bortezomib과 Dexamthasone으로 치료한 골수외 형질세포종 4예

        백종현,이은영,장리라,손창배,신은경,서정아,이지숙,이호섭,이상민,신성훈,김양수 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

        Despite the use of aggressive local and systemic treatment including autologous stem cell transplantation in multiple myeloma, extramedullary recurrences are common and the prognosis of these patients is poor. Many novel drugs such as thalidomide, lenalidomide and bortezomib improve the response of treatment of multiple myeloma, but some reports failed to describe thalidomide has effect in extramedullary plasmacytoma. Recent data report on the successful treatment plasmacytomas with bortezomib in patients with advanced multiple myeloma. We treated 4 relapsed or refractory extramedullary plasmacytomas with bortezomib at our institution. We recognized all these extramedullary plasmacytomas decreased and showed more than partial response. This report lends support to the efficacy of bortezomib in the treatment of plasmacytoma and describes the safe use of bortezomib. Responses may, however, be of short duration. Therefore, despite our limited experience, we propose that bortezomib may be considered a therapeutic option for such patients who have risk of radiation therapy

      • 신경인성 과반사성 배뇨근에 대한 배뇨근 내보툴리눔 독소 A 주사

        고현윤,신용범,손현주,장재혁,이경미,문혜정,하용훈 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.23

        Local injections of botulinum toxin A have been reported in the treatment of neurogenic bladder dysfunctions including detrusor sphincter dyssynergia and detrusor overactivity. We reports a case of intradetrusor injection of botulinum toxin type A in acervical cord injured patient with neurogenic overactive detrusor refractory to high dose anticholinergic medication. Botulinum toxin A (200 units) was injected cystoscopically into the detrusor in 40 sites over the bladder with sparing the trigone. Urodynamic studies were performed at baseline, and eight days, four weeks, and eight weeks after intradetrusor injection. There was marked improvement of the urodynamic parameters including maximum cystometric capacity and maximum detrusor pressure after intradetrusor botulinum toxin injection.

      • FET형 반도체 바이오센서를 위한 웨이퍼 규모의 효소 고정화막 형성기술

        김창수,조병옥,최성문,남동현,김의락,손병기 경북대학교 센서기술연구소 1991 센서技術學術大會論文集 Vol.2 No.1

        To improve the standardization of enzyme membranes for FET-type biosensor, wafer-scale formation technique had been studied by using photo-sensitive polymers. Glucose Oxidase, the enzyme which decomposes the glucose, had been used for application of this method to glucose sensors. Thin standardized memebranes could be obtained by spin coating of the mixed solution, composed of PVA-SbQ polymer and glucose oxidase, followed by photolithographic techniques. The performance characteristics of the glucose sensor having this thin enzyme membrane had been investigated.

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