정신분열병환자와 가족을 위한 행동적 가족치료의 효과성에 관한 연구

전석균,박소라,이현주 한국 정신보건 사회사업학회 1999 정신보건과 사회사업 Vol.8 No.-

The purpose of this study is on developing the Integrated therapeutic model for the patients with schizophrenia and the families in the process of the rehabilitation by examining the effectiveness of the behavioral family therapy program. The participants in this program were 19 patients and families who currently enrolle in the day care center in a university hospital. To evaluate the effectiveness of this program, four measurement tools were used; the Social Problem Solving Inventory(SPSI), Index of Family Relationship(IFR), Aggression Questionnaire(AQ), and SCL-90R. The content of this behavioral family therapy program consisted of 15 sessions: 2 sessions of family psycho-education, 6 sessions of communication skill training and 7 sessions of problem solving skill training. The results have shown significant differences in the score of the SPSI for the patients and families and IFR. The total score on the AQ didn't show any significant difference, while the subscale of Hostility showed significant difference. The pre and post scores on the SCL-90R of the patients were significantly different. On the basis of these findings, some of the recommendations were suggested for the future study.

조혈모세포이식 후 발생한 주폐포자층 폐렴에 대한 고찰

주지현,최정현,이동건,백지연,고윤호,이혜정,김세희,신호진,박윤희,박지영,김유진,신완식,김춘추 대한감염학회 2001 감염 Vol.33 No.4

Background : Pneumocytitis cainii pneumonia (PCP) can occur in immunocompromised hosts especially such as AIDS or cancer patients. Although recent research had focused on PCP in AIDS patients, few studies have described the clinical presentations of PCP in recipients of stem cell transplantation (SCT). We evaluated the clinical manifestations of PCP in SCT patients admitted at St. Mary's hospital, Seoul, Korea. Methods : The medical records of 17 PCP patients undergoing SCT between Feb. 1998 and Feb. 2000 were reviewed. The diagnosis of PCP was confirmed through the demonstration of Pneumocytitis cainii via either cytology of brochoalveolar lavage (BAL) or histological technique of lung biopsy. CMV disease and CMV infection were confirmed by BAL culture and antigenemia respectively . Results : Seventeen patients were all recipients of allogeneic SCT and 7 of 17 patients were performed non-sibling SCT. Patients presented with symptoms including brief period (4 ∼23 days) of fever (76%), dyspnea (70%), cough (64%), and signs such as rare(58.8%), Sixteen patients (94%) had been receiving immunosuppressive agent such as cyclosporine A (64%) or Fk506 (35%) without PCP prophylaxis. Eleven patients (64%) were treated with corticosteroid with mean dose of 16 mg/day prednisolone and mean duration of 4.6 months after post-SCT period. Twelve patients were co-infected with CMV. Another co-infected miCroorganisms were Pseudomonas aeruginosa, Mycobacterium tuberculosis, herpes simplex virus, parainfluenza virus, Average duration of treatment with trimethoprim-sulfamethoxazole (TMP/SMX) was 21 ±9 days. Four patients died, and three of them were related with PCP. Conclusion : PCP developed frequently in patients who were taking immunosuppressive drug due to graft versus host disease or were not taking TMP/SMX prophylaxis. High risk patients showing fever, cough, or dyspnea should be considered to take early bronchoscopic intervention for detection of PCP. When treat for PCP, it also be considered to the possibility of coinfection such as CMV. (Korean J Infect Dis 33:273∼279, 2001)

Glutamate 억제제가 Pilocarpine에 의한 경련 및 기억장애에 미치는 영향

천임순,한형수,박정숙,정헌주,이만기,김중영 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.3

목적 : Pilocarpine에 의한 경련 및 기억력 저하에 glutamate 수용체가 관련이 있는지 검토하였다. 대상 및 방법 : 생쥐에 pilocarpine을 투여하여 야기되는 경련 및 기억력저하가 glutamate 수용체 길항 약물인 MK-801 및 NBQX를 전처치하였을 때의 반응을 Morris Water Maze의 방법으로 관찰하였다. 결과 : MK-801과 NBQX를 전처치하고 pilocarpine을 투여하였는 바 pilocarpine에 의한 경련유발은 억제되지 않았으나, pilocarpine에 의한 reference memory와 working memory의 저하는 MK-801이나 NBQX를 처치로서 억제되었다. 결론 : Pilocarpine에 의한 경련작용에 비하여 기억력저허가 glutamte 수용체와 관련이 있는 것으로 보인다. The role of glutamate receptors in the genesis of pilocarpine-induced seizure and seizure-related memory deficit was studied using MK-801 and NBQX. After pretreatment with MK-801 or NBQX, pilocarpine was administered intraperitoneally. Both drugs had no effect on the behavioral seizure activity and onset of seizure activity. Memory was tested with reference and working memory version of Morris water maze at 20th day after pilocarpine treatment. Reference and working memory deficit was produced by pilocarpine. These deficit were prevented by MK-801 or NBQX, which were given in once a day for 4 day at 7th to 10th days after pilocarpine treatment. These results show that although MK-801 and NBQX do not have anticonvulsant property they can prevent pilocarpine-induced memory deficit.

관상동맥질환의 중증도와 혈중지질치 및 아포지단백과의 상관관계

임현주,황종현,류재근,정병천,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1997 慶北醫大誌 Vol.38 No.1

목적 : 관상동맥질환의 위험인자로서 혈청지질 및 혈장 지단백에 대한 관심이 높아지고 있고 또 아포지단백이 관상동맥 질환을 일으키는데 다른 지질보다 더 중요하다는 연구가 많이 발표되고 있으나 우리나라에서는 아포지단백에 대한 연구가 그리 많지 않은 편이다. 이에 저자등은 혈중지질치와 새로운 위험인자로 알려지고 있는 아포지단백치를 측정하고 이들과 관상동맥질환 중증도와의 상관 관계를 알아보았다. 대상 및 방법 : 관상동맥질환이 의심되어 관상동맥조영술을 실시한 69명의 환자를 대상으로 하였으며 12시간 이상 공복후 혈청을 채취하여 총콜레스테롤, 중성지방, HDL-콜레스테롤, 아포지단백 AI (ape AI), 아포지단백 B (ape B)를 측정하였다. 관상동맥조영상 50%이상의 협착이 있는 혈관의 수 (lesion number), 최대협착을 합한 값 (lesion score), 각 분절의 최대협착을 합한 값 (total score), 가장 심한 협착 값 (peak stenosis) 등으로 관상동맥 중증도를 알아본 다음 이들과 혈청지질치, 아포지단백과의 상관 관계를 비교해 보았다. 상관 관계는 Spearman's correlation coefficient를 구하였다. 결과 : 관상동맥질환의 중증도와 각 지질치 간의 상관 관계를 비교해 보았을때 lesion number와 관계있는 것은 연령 (r=0.2789), 중성지방치 (r=0.2829)이며 lesion score와 관계있는 것은 연령(r=0.2911), 중성지방치0 (r=0.3316), 총콜레스테롤과 HDL-콜레스테롤의 비 (r=0.2361), apo B 치(r=0.2759), apo AI과 apo B의 비 (-0.3154)로 나타났다. Total score는 연령 (r=0.3100), 총콜레스테롤치 (r=0.2452), 중성지방치 (r=0.3022), 총콜레스테롤과 HDL-콜레스테롤의 비 (r=0.2770), apo B치 (r=0.2927), apo AI과 apo B의 비 (r=-0.3408)와 연관이 있었고 peak stenosis는 중성지방 치(r=0.3305), ape B 치 (r=0.2968), apo AI과 apo B의 비 (r=-0.3977)와 관계가 있었다. 연령으로 조정하여 partial correlation을 좌면, 관상동맥조영술상 중증도는 중성지방치 (r=0.3408), apo B 치(r=0.2877), apo AI과 apo B의 비 (r=-0.3460)와 유의한 상관 관계가 있었다. 이중 ape AI과 ape B의 비는 lesion score (r=-0.2640), total score (r=-0.3057), peak stenosis (r=-0.3460)와 유의한 상관관계를 보였다. 결론 : 이상의 결과로 보아 apo B치 그리고 apo AI과 apo B의 비가 관상동맥 중증도의 예견인자로 다른 혈중 지질 치보다 더 유용하다는 것을 알 수 있었다. Objectives : Recently, it was reported that the measurements of apolipoprotein levels may be valuable in the clinical assessment of coronary artery disease severity. However there are a few reports regarding to the relationship between coronary artery disease severity and apolipoprotein levels in Korea. Thus, we measured serum lipid and apolipoprotein levels and studied the relationship between coronary artery disease severity and serum lipids and apolipoproteins levels. Subjects and Methods : The 69 patients who underwent coronary angiography to evaluate chest pain were subjected to this study. We measured the levels of serum cholesterol, triglycerides, HDL cholesterol, apolipoprotein AI(apo AI) and apolipoprotein B(Apo B) and measured the severity of coronary artery disease by lesion number, lesion score, total score and peak stenosis. Then, we studied the relationship between coronary artery disease severity and apolipoproteins and calculated the correlation coefficient. Results : The results were as follows. There are significant correlation(r=0.3) between age, triglycerides, apo B levels, apo AI/B ratio and coronary artery disease severity. In controlling for age, tyiglycerides, apo B levels and apo AI/B ratio shows significant correlation(r=0.3) with coronary artery disease severity. Especially, apo AI/B ratio shows significant correlation(r=0.3) with lesion number, total score and peak stenosis. Conclusion : These results suggest that the apo B levels and the ratio of apo AI/B can be used as significant independent predictor for coronary artery disease severity rather than other serum lipid levels.

노인의 사회인구학적 배경에 따른 건강관리, 유형, 신체활동과 식습관에 관한 연구

양춘호,김중언,함주현 한국스포츠리서치 2004 한국 스포츠 리서치 Vol.15 No.4

The purpose of this study was to analyze on the health care patterns, physical activity and meal habits with sociodemegraphic background in older adults, The subject of the study was selected by multi-stage stratified cluster random sampling among the older adult college and older adult center to participate whose age were 65 and over year old among inhabitant the Joeon Buk area, The data were collected the statistics employed the study were frequency and Chi-square test, enzymes have significant difference between treatment group The results that were derived form these processes were as follows: 1. Health care patterns have significant difference of according to sex(P<.05), age(p<.01), occupation(p<.001) and scholarship(p<.001). 2. Physical activity have significant difference of according to sex(p<.001), age(p<.001), occupation(p<.001) and scholarship(p<.001). 3. Meal habit have significant difference of according to age(p<.001), occupation(p<.05) and scholarship(p<.001) but according to the sex(P>.05) have no significant difference.

소아에서 외상성 질식 증후군에 대한 임상적 고찰

박승현,최승필,나병호,황주일,나석주,전해명,김세경 大韓應急醫學會 1996 대한응급의학회지 Vol.7 No.1

Traumatic asphyxia has often been described as a rare clinical syndrome characterized by cervicofacial cyanosis and edema, multiple petechiae, and subconjunctival hemorrhage after a severe crush injury of the thorax or upper part of the abdomen. The pathogenesis of traumatic asphyxia is that after compression of the chest or upper abdomen, intrathoracic pressure increased suddenly. Blood is forced out of the right atrium through the valveless innominate and jugular veins into the head and neck. This sudden increased thoracic pressure in small venules and capillaries causes rapid dilation and minute hemorrhages producing the petechiae often seen. Treatment is supportive and should be focused on the associated injuries. The prognosis for traumatic asphyxia is very good despite the alarming initial physical appearance. If the patient survives the initial insult, the prognosis is excellent. Neurologic sequale may be permernant. We experienced five case of the traumatic asphyxia, and its clinical and pathophysiologic features are discussed. Increased awareness of this syndrome by emergency physicians will result in better reporting ad understanding of its clinical implications.

중이진주종의 과증식성향에 대한 면역조직화학적 연구

엄주현,전영명,박기현 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

Human epidermis is a continuously dividing tissue, in which the keratinocytes gradually differentiate and mature while moving from the basal cell compartment to the upper cell layers. However, cholesteatoma is characterized by the presence of squamous epithelium invading the middle ear. This epithelium is believed to have hyperproliferative properties. Using immunohistochemical techniques, we investigated the reaction pattern of monoclonal antibody to PCNA and cytokeratin 16 as proliferating markers, and of monoclonal antibody to cytokeratin 13 and DBA as basal cell markers in the cholesteatoma to determine whether the number of proliferating cells is increased, and whether proliferating cells are found beyond the basal cell layer in cholesteatoma. The results were as follows: 1) When the tissues were stained with the proliferating markers PC10 and K8.12, the normal epithelium of ear canal showed focal staining in the basal cell layer, whereas epithelium of cholesteatoma showed dense, diffuse staining not only in the basal cell layer but also in the suprabasal cell layer. 2) When the tissues were stained with the basal cell markers KS-1A3 and DBA, both epithelium of the normal ear canal and of cholesteatoma showed staining in only a single basal cell layer. These results suggest that increased epidermal cell proliferation in cholesteatoma may be due to increased proliferative activity in suprabasal keratinocytes as well as in the basal compartment.

蠶糞의 成分에 關한 硏究

주현규,박면용,김문주,민경찬 건국대학교 1974 學術誌 Vol.17 No.1

NiTi scissors-bite corrector의 와이어 굵기에 따른 3차원적 치아 이동 양상

전현주,박선형,정상혁,전윤식 대한치과교정학회 2009 대한치과교정학회지 Vol.39 No.1

Objective: The purpose of this study was to compare the difference in three dimensional tooth movement using three different wire sizes (0.018 × 0.025-in, 0.016 × 0.022-in, 0.016-in) on a NiTi scissors-bite corrector. Methods: Computed tomography (CT) images of the experimental model before and after tooth movement were taken and reconstructed into three dimensional models for superimposition. The direction and the amount of tooth movement were measured and analyzed statistically. Results: The lingual and intrusive movements of the crown of the maxillary second molar were increased as the size of the NiTi wire increased. The roots of the maxillary second molars moved buccally except for the 0.016-in group. The intrusive movement of the roots of the maxillary second molars was increased as the size of the NiTi wire increased. Due to the use of orthodontic mini-implants, anchorage loss was under 0.2 mm on average. Conclusions: The 0.018 × 0.025-in NiTi wire was most effective in lingual and intrusive movement of the maxillary second molar which was in scissors-bite position. Indirect skeletal anchorage with a single orthodontic mini-implant was rigid enough to prevent anchorage loss. 본 연구에서는 NiTi scissors-bite corrector를 세 가지 서로 다른 굵기 0.018" × 0.025", 0.016" × 0.022", 0.016" 의 NiTi 와이어로 제작하였을 때 각각의 치아 이동 양상을 치아 이동 시뮬레이션 장치인 Calorific machine을 이용하여 3차원적으로 분석하고자 하였다. 가위교합에 이환된 상악 제2대구치 모형을 제작하고 제2소구치와 제1대구치 사이에 교정용 미니 임플랜트(orthodontic mini-implant)를 식립하여 제1대구치에 간접골성고정원을 설계하였다. 세 가지 굵기의 NiTi scissors-bite corrector를 부착하여 실험하였다. 치아의 이동 전후에 실험 모형은 computed tomography (CT)로 촬영하고 3차원 데이터로 변환하여 중첩하였다. 치아 이동 방향과 이동량을 계측하여, NiTi scissors-bite corrector 와이어 굵기에 따른 치아 이동 양상에 관한 통계적 유의성을 검정한 결과, 제2대구치 치관의 설측 이동량은 0.018" × 0.025"군(2.65 mm)이 가장 많았으며, 0.016"군(1.96 mm)과 통계적으로 유의한 차이를 보였다(p < 0.05). 제2대구치 치관의 압하량은 0.018" × 0.025"군(2.35 mm), 0.016" × 0.022"군(1.18 mm), 0.016"군(1.00 mm)으로 0.018" × 0.025"군이 나머지 두 군과 유의한 차이를 보였고 (p < 0.05), 치근의 압하량은 0.018" × 0.025"군(4.19 mm), 0.016" × 0.022"군(3.29 mm), 0.016"군(2.24 mm)으로 세 군 간 모두 통계적 유의차를 보였다 (p < 0.05). 치아의 이동 양상을 관찰한 결과, 0.016"군에서는 제2대구치 치근의 협측 이동이 나타나지 않았다. 간접골성고정원으로 사용된 제1대구치의 고정원 소실은 0.2 mm 이하로 나타났다. 이상의 결과를 토대로 0.018" × 0.025" NiTi 와이어로 제작한 NiTi scissors-bite corrector를 교정용 미니 임플랜트를 이용한 간접골성고정원과 함께 이용하였을때, 최소한의 고정원의 소실과 함께 가장 큰 상악 제2대구치의 설측 이동 및 압하가 일어났다고 할 수 있다.

토당귀 종자의 형태적 특성과 발아와 입모율에 대한 저장방법,생장조절제 및 프라이밍 처리 효과

안희정,안복주,·김도현,·안영섭,·김영국,박춘근,이상원,·박충범·차선우,·송범헌, 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.1

This study was conducted to have basic and applied informations to establish the cultivation method and to improve the cultivation techniques of Angelica gigas Nakai through investigating the rates of germination and seedling establishment with treatment of plant growth regulator and seed priming. The germination rates of round shape seed were about 0.3~12% higher than those of parallel shape. The germination rates with different storage durations were increased at the level of 25oC and 4oC with the storage days, while they were clearly higher at -20oC compared to those at 4oC and 25oC without the storage durations. With the results of germination rates with treating of plant growth regulator and seed priming, their rates with the round shape seeds were comparatively higher about 6% than those with parallel shape seed and they were increased with increasing of the storage durations. The germination rates were generally appeared higher with GA3 than did those with seed priming. The highest germination rate was appeared at 50 ppm GA3 of plant growth regulator and at -0.5 MPa PEG6000 of seed priming. The germination rates?ㅤ ?ㅤ of Angelica gigas were different with different temperature, storage durations and the treatments of plant growth regulator and seed priming. These results could be used according to different cultivating conditions.