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요와 농 검체에서의 Vancomycin 내성 장구균 분리 2예
김성규,김문정,권오헌,김준명,정석훈,정윤섭,이경원,전세일 대한감염학회 1996 감염 Vol.28 No.4
65세 여자 환자의 요 검체에서 vancomycin 내성 E. faecalis를, 욕창의 농에서 vancomycin 내성 E. faecium을 분리하였는데, 환자의 병력으로 미루어 미국에서 정착된 세균에 의하여 감염되었을 것으로 생각되었다. 분리 균주에 대한 vancomycin의 MIC는 각각 258과 32㎍/mL, teicopoanin은 0.25, 0.5㎍/mL이어서 VanB 표현형으로 추측되었다. 우리 나라에서의 VRE 확산을 예방하기 위한 조치의 일환으로서 의사를 포함한 병원 직원에게 VRE 감염증의 심각성을 홍보하여야 하며, 미생물검사실에서는 임상검체에서 분리된 장구균의 vancomycin 내성을 시험하고 장내 VRE 보균자의 주기적 검색이 필요하다고 사료되었다. Vancomycin-resistant Enterococcus faecalis and E. faecium were isolated from urine and decubitus ulcer discharge, respectively, from a 65-year-old woman. Proir to the transfer to this hospital in December, 1995, she had been admitted to the Chicago Rehabilitation Center in the U.S. for the treatment of olivopontocerebellar atrophy, quadriplegia, and neurogenic bladder. She was also treated with multiple antimicrobials including vancomycin for pneumonia at intensive care unit, which suggested that she acquired the organisms in the U.S. The minimal inhibitory concentrations of vancomycin and teicoplanin against the isolates were: E. faecalis 256 ㎍/mLand 0.5㎍/mL; E. faecium 32 ㎍/mL and 0.5 ㎍/mL, respectively. The susceptibility patterns suggest the isolates are vanB type. Although other species of vancomycin-resistant Enterococcus spp. were reported previously in Korea, these isolates may be the first vancomycin-resistant E. faecalis and E. faecium from clinical specimens.
김헌수,김영돈,이재우,나철,이길홍,민병근,김세철 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.1
The present study was intended to examine the relationship of the MMPI mean scales in the Korean impotent and Beutler's decision rules to acertain the empirical utility of the MMPI in discriminating between organic and psychogenic erectile dysfunction. Subjects served for this study consisted of 451 patients visited to department of neuropsychiatry and urology, Chung-Ang University Medical Center from May 1, 1985 to July 31, 1987. Their age range was between 22 and 84. The actual number of cases put into the analyses was 97 including 53 psychogenic impotents and 43 organic impotents. Statistical methods employed were χ² and T score. Results of the study were presented as follows: 1) The mean overall 4-3/3-4 MMPI profile(17.7%) revealed somatic complaints, depression, conflict with spouse and emotionally unstable personality trait. However, there were no significant relationship of mean T score between psychogenic and organic impotents. 2) Applying the Beutler's rule decision, we found that our hit rate of rule I or rule Ⅱ were 12.3% and 47.2%, respectively. Applying the two rules to 97 cases, the hit rate was 60.4% with nonsignificant Chi square of 0.017. These results revealed no significant differences between psychogenic and organic subjects. Finally, we failed to examine the validity of Beutler's decision rules adapted to our 97 subjects.
Cyclosporine이 同種皮膚移植瓣의 生存에 미치는 影響에 關한 實驗的 硏究
金世泳,趙尙憲,丁銓殷 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.3
With efficient but nontoxic immunosuppression, allogenic skin could be used clinically on early treatment of severe burns or transfer of composite tissue allograft. Unlike organ grafts, where cyclosporine is superior to previously used agents (namely, azathioprine, steroid, 6-mercaptopurine etc.) in clinical setting, the behavior of allogenic skin under prolonged cyclosporine therapy has rarely been studied. The aim of this study is to prolong significantly the survival of skin allografts in rat model using the lowest possible doses of cyclosporine. Author studied the immunosuppressive effects of short courses of the drug, the efficacy of various maintenance doses in producing long-term survival, and the posibility of reversing episodes of rejection phenomenon. The results were obtained as follows: 1. Mean survival times (MST) of skin graft in untreated recipients were similar in both strain combinations tested (MST ± SD=8 ±1 days in Sprague Dawley to Gunns rat and 7 ±1 days in Gunns to Sprague Dawley rat). The short daily courses of 7,14 and 21 days of cyclosporine therapy significantly prolonged the survival in all groups. 2. Striking prolongation of skin graft survival was produced using maintenance doses of 8 or 15 ㎎/㎏ given every fourth day following 14 days of daily doses; lower maintenance doses were ineffectual. 3. Even long-standing allografts could undergo complete rejection following cessation of the drug. Within 2 to 4 weeks after discontinuation of the drug, early signs of rejection were noted. For reversing such rejection episodes, resuming cyclosporine administration in regular doses of 15㎎/Kg/day for 7 days,followed by the same dose given every second day, then every third day, and finally maintenance schedule every fourth day was done. Such early rejection were stopped within a week and the graft was healed completly by the third week.
품종별 쌀의 취반 특성 : 나주에서 재배된 쌀을 중심으로
문세훈,김정옥,신말식 한국가정과학회 2004 한국가정과학회지 Vol.7 No.1
Three rice varieties of Nampyong, Dongjin I, Ilmi produced in Naju were examined for cooking properties. The lipid content of Dongjin I and the protein content of Ilmi were higher than those of others. Total amylose contents of three varieties were in range of 16.1~18.6% and that of Ilmi were higher than the others. The initial gelatinization temperature by RVA were ranged from 69.8℃ to 73.3℃. Peak viscosity and breakdown were the highest in Dongjin I but setback was the lowest. Nampyong had the highest value(p<0.05) for adhesiveness, springiness and cohesiveness. The sensory evaluation results showed that Nampyong and Ilmi had the the highest value(p<0.05) for overall quality.
특이한 악관절 강직증 : 진성 악관절 강직증과 상악골과 하악골 사이의 골성 유합
서재훈,조세인,여환호,이기혁,김영균 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.2
TMJ ankylosis is classified with true and false type. A true ankylosis is defined as any condition that produces fibrous or bony adhesions between the articular surfaces of the temporomandibular joint. The main causes of true ankylosis are trauma or infection. A false ankylosis results from pathologic conditions outside the joint that limit mobility of the mandible such as myogenic disorders, coronoid impingement or rare direct bony fusion between maxilla and mandible. The treatment of choice of TMJ ankylosis is surgical intervention. We experienced the male patient with complete mouth opening limitation since 45 years before. This patient has true TMJ ankylosis and rare bony synostosis between maxilla and mandible in the right posterior region. We performed surgical intervention and had a favorable result.
乳房病變의 비반세포의 數的變化 및 間質의 異染色性에 關한 硏究
李泰薰,金世民 고려대학교 의과대학 1984 고려대 의대 잡지 Vol.21 No.1
To evaluate the significance of stomal metachromasia and the variable numbers of mast cells observed in lesions of the human breast, the author had performed a study in which the numbers of mast cells were counted and the stomal metachromasia noted in prepared sections of fibrocystc disease, gynecomastia, chronic mastitis, intraductal papilloma, tubular adenoma, lactating adenoma, fibroadenoma, benign phyllodes tumor, non-infiltrating and infiltrating ductal carcinoma, medullary carcinoma, mucinous carcinoma and invasive lobular carcinoma. The sections were prepared and stained with toluidine blue, and the counted numbers of mast cells were arbitrarily divided as slight; less than 10/20 HPF, moderate; 11-20/30 HPF, and marked; above 21/20 HPE. The results obtained are as follows; 1. The numbers of mast cells were slight around the lesion and moderate in the lesions of non-neoplastic breast nodules. 2. In the benign neoplasms of the breast, the numbers of mast cells were moderate in and around the lesions. 3. In the malignant neoplasms of the breast, the numbers of mast cells were marked in and around the lesions. 4. Stromal metachromasia was noted in the connective tissue of the benign stromal tumors and infiltrating malignant tumors, and was not present in the normal breast tissue.
Nomogram for Predicting Breast Conservation after Neoadjuvant Chemotherapy
Kim, Min Kyoon,Han, Wonshik,Moon, Hyeong-Gon,Ahn, Soo Kyung,Kim, Jisun,Lee, Jun Woo,Kim, Ju-Yeon,Kim, Taeryung,Lee, Kyung-Hun,Kim, Tae-Yong,Han, Sae-Won,Im, Seock-Ah,Kim, Tae-You,Park, In Ae,Noh, Dong Korean Cancer Association 2015 Cancer Research and Treatment Vol.47 No.2
<P><B>Purpose</B></P><P>The ability to accurately predict the likelihood of achieving breast conservation surgery (BCS) after neoadjuvant chemotherapy (NCT) is important in deciding whether NCT or surgery should be the first-line treatment in patients with operable breast cancers.</P><P><B>Materials and Methods</B></P><P>We reviewed the data of 513 women, who had stage II or III breast cancer and received NCT and surgery from a single institution. The ability of various clinicopathologic factors to predict the achievement of BCS and tumor size reduction to ≤ 3 cm was assessed. Nomograms were built and validated in an independent cohort.</P><P><B>Results</B></P><P>BCS was performed in 50.1% of patients, with 42.2% of tumors reduced to ≤ 3 cm after NCT. A multivariate logistic regression analysis showed that smaller initial tumor size, longer distance between the lesion and the nipple, absence of suspicious calcifications on mammography, and a single tumor were associated with BCS rather than mastectomy (p < 0.05). Negative estrogen receptor, smaller initial tumor size, higher Ki-67 level, and absence of <I>in situ</I> component were associated with residual tumor size ≤ 3 cm (p < 0.05). Two nomograms were developed using these factors. The areas under the receiver operating characteristic curves for nomograms predicting BCS and residual tumor ≤ 3 cm were 0.800 and 0.777, respectively. The calibration plots showed good agreement between the predicted and actual probabilities.</P><P><B>Conclusion</B></P><P>We have established a model with novel factors that predicts BCS and residual tumor size after NCT. This model can help in making treatment decisions for patients who are candidates for NCT.</P>