남성화를 보이는 여성에서 발견된 난소의 Steroid Cell Tumor 1예

조인호,정대훈,박영미,서영진,손영실,정철회,강영미,정수전,김영남,이경복,성문수,김기태 인제대학교 2006 仁濟醫學 Vol.27 No.-

Steroid cell tumor is a rare ovarian sex cord-stromal tumor which accounts for 0.1% of all ovarian tumors. Until now, only 4 cases have been reported in domestic literatures. Steroid cell tumor often secrets testosterone and presents virilization in adult women or precocious puberty in children. Treatment is often performed by surgical removal, adjuvant chemotherapy and radiation, but completely accepted treatment was not existed. We experienced a case of steroid cell tumor, which was manifested by typical virilization in a 43-year old patient, who was previously performed hysterectomy and unilateral oophorectomy. So, we present with a brief review of the literatures.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

교액성 폐쇄공탈장 1예

조태웅,민영돈,김경종,정권율,강성인,류소연,임성철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, extra-thin or debilitated women. Because of the anatomic character of the obturator foramen and the nonspecific symptoms in the presence of the hernia, the risk of strangulation of the herniated bowel is high, which leads to high morbidity and mortality rate. The authors experienced an unusual case of left obturator hernia with strangulation of the small bowel in an 80-year old female. The hernia was diagnosed by abdomino-pelvic computed tomography (CT) scan. Through the lower midline transperitoneal approach, resecting the strangulated small bowel, the hernia sac was ligated and the obturator foramen was repaired using adjacent broad ligament. We report these findings with a brief review of the literature.

회전자에 정류회로를 가지는 유도전동기의 교류회로 모델에 의한 해석

조용철,좌종근,문경주 濟州大學校工科大學産業技術硏究所 1998 尖端技術硏究所論文集 Vol.9 No.2

In this paper, the characteristics of induction motor which has rotor rectifier circuit are analyzed using a new six elements ac model. The effects of resistance on dc circuit which are caused by current over lap angle and voltage drop of rectifier are considered in the proposed model for this analysis. The proposed model and Sen's five elements ac model which is not considered these effects are used to analyse. and the analyzed results are compared with the experimental results in order to verify the Proposed model. It is found that the results of the proposed method are good agreement with the experimental results.

국내육성 오차드그라스 품종들의 캘러스 형성율 및 식물체 재분화 효율

김기용,강경민,배은경,이인애,임용우,최기준,박근제,손대영,조진기 Plant molecular biology and biotechnology research 2003 Plant molecular biology and biotechnology research Vol.2003 No.-

Comparisons of callus formation ratios from seed explants, callus sizes, regeneration ratios from callus and regeneration efficiency for 4 orchardgrass (Dactylis glomerata L.) varieties (Three were developed in Korea and one was imported from foreign nation) are as follows; Jangbeol 102 (67.0%) has the highest callus formation ratio in 4 weeks incubated callus after bedding the seed explants, but Potomac (68.4%) has the highest ratio in 6-seek callus. Potomac (3.93cm) has the highest callus size in 4-week callus, but Jangbeol 101 (4.32cm) has the highest size in 6-week callus. Jangbeol 101 (17.7%) has the highest plant regeneration ratio in 4-week callus, but Potomac (37.4%) has the highest raion in 6-week callus. Jangbeol 102 (11.5%) has the highest plant regeneration efficiency in 4-week callus, but Potomac (25.6%) has the highest efficiency in 6-week callus.

배기 저항의 능동제어를 통한 배기 시스템의 최적화에 관한 연구

임경빈,류봉조,이규섭,김상덕,송시영,이상훈 한밭대학교 생산기반기술연구소 2002 생산기반기술연구소 논문집 Vol.2 No.1

Automobile exhaust system has difficulty in concentrating contrary technology, which has diminishing effect of maximum exhaust noises and mininum exhaust pressure for output efficiency improvement into on system. This thesis has the purpose in management of basis study for silence and output efficiency improvement which can be satisfy low noises and low exhaust pressure at the same time through maximizing engine efficiency dealing with activity as the condition of engine controlling exhaust impedance actively. In this thesis, we obtained positive result by making experiment high efficiency exhaust induced shaped silencer in order to satisfy contrary matters which device the improvement of engine efficiency and low perception of exhaust noises at the same time. That is, we proved that it has more excellent in low perceiving noises of exhaust system and output improving efficiency than existing muffler by active controlling the exhaust impedance.

폐결핵 초치료 환자들의 치료 결과에 영향을 주는 요인

김경순,조영하,전진호,조은희,은충기 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3

Objectives : To figure out the factors related to the failure of primary pulmonary tuberculosis(Tb) treatment and to enhance the efficiency of the treatment. Methods and Materials : The subjects were 137 Tb patients composed of the two groups; 44 failure cases and 93 success cases who admitted in National Masan Tuberculosis Hospital during 2001. The failure means no improvement with the standard short term regimen of INH and RFP. Patients' informations were gathered through medical records and face-to-face interview survey, and, the data were analyzed with SPSS(ver 10.0). Results : Mean age of the subjects were 47.6 years. Most cases were diagnosed at clinics or hospitals at first, due to the symptoms. No difference in smoking and alcohol habits between the two groups. The cases who got the informations about the whole process of treatment, and following regular regimens were more in the success group. The proportion of multi-drug resistance to the regular primary Tb regimen was higher in the failure group 8 cases out of 25 detectable failure cases. 0 case among 46 successful cases. And the four regular regimen(INH, RFP, EMB, PZA) was popular type of the resistance. In chest X-ray, multiply involved lesion(≥ two lobes), atelectasis and pleurisy were more frequent in the failure group. Conclusion : The major factors that enhance the efficiency of Tb treatment were the informations and compliance. Enough explanation about the whole process would be essential during Tb treatment, and, in case of MDR-Tb, susceptible regimen and surgical therapy should be considered.

심판판정이 핸드볼 경기에 미치는 영향

박천조,이후봉,백상서,김경진,안길영 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

This study has been conducted to offer as a reference material for follow-up research by other handball related researchers in this field study about handball. Knowing that the decision of the referees play a big role in the result of the game, we hope this study pave the way for future researchers, To achieve these goals, this study was selected with professional and amateur handball players as control group. The data were analized by One-way ANOVA and Multful regression using SPSS 11.0 for windows, This study resulted as the following : These decision of the referees differed according to the sex of the handball players. Female handball players showed a more positive attitude toward the referees decisions, Also, female and male handball players all thought the referees decision affect the result of the game but in particular, female players thought the referees were stricter than to male players, Meanwhile, according to the result of the survey of the relationship between the players awareness and experience, it turns out that the quality of the game resulted from the quality of the referees, After analyzing the awareness of players, tit was found that a crucial amount of the players consciousness was affected by the attitude of the referees. In this sense, handball players tend to become overly sensitive to the referees that, handball players. The analysis also represents the players consciousness to the referees but at the same time no findings proved that there is a certain impact on the result of the game. According to the results of this surrey, the handball players showed little confidence for the referees and this affects the result of the game. However when it comes to the impact of the referees on the game, the decision of the referees have consistency in making decisions of the game, and this has no actual affect on the result of the game. The reason these results come out is because it's a characteristic of handball but further analysis and theories should be made.

체육학습지도에 있어서 「교수 스타일의 연속체 모델」 분석

육조영,최경범,김민섭 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.5

Mosston's spectrum of teaching style is one of the well -known concepts as a teaching method of physical education in the United States. But, unfortunately it has not teen discussed enough in Korea, Describing this unique model, this study clarifies its limit and possibility. Mosston's model presents many teaching styles which are different in sharing decision making between a teacher and student, Mosston emphasises teacher behavior rather than student behavior. This indicates that he is much concerned with the initiative at a teacher in the class, This paper argues that it is necessary to describe into details about relationships between student behavior and objectives (outcomes), because the student behavior is equally important to achieve the educational goal. Therefore, this study insists that Mosston's model should be revised with the classification based on 1) teacher centered type, 2) teacher-student type, 3) student centered type, and 4) student independent type. In addition, the model should be redefined in light of the way to organize students: 1) whole class type, 1) small group type, 3) peer tutoring type, 4) individualized type. In short, these propositions are useful to verify effectiveness of each style positively, and to modify Moss ton's model through the planning-process-product study.

회전자에 정류회로를 가지는 유도전동기의 교류회로 모델에 의한 해석

문경주,조용철,좌종근 濟州大學校 産業技術硏究所 1998 산업기술연구소논문집 Vol.9 No.2

In this paper. the characteristics of induction motor which has rotor rectifier circuit are analyzed using a new six elements ac model. The effects of resistance on dc circuit which are caused by current over lap angle and voltage drop of rectifier are considered in the proposed model for this analysis. The proposed model and Sen's five elements ac model which is not considered these effects are used to analyze. and the analyzed results are compared with the experimental results in order to verify the proposed model. It is found that the results of the proposed method are good agreement with the experimental results.