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      • 안면부, 유방 및 상완부에 발생한 홍반성 루푸스 지방층염 1예

        송유근,손두식,명형준,이현정,임중규,김순호,김윤아 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.2

        Lupus erythematous panniculitis is a chronic inflammatory disease of subcutaneous fat that occurs in 2-3% of patients with systemic lupus erythematosus. Lupus erythematous panniculitis typically presents with firm, indurated subcutaneous nodules or plaques commonly developed in proximal extremities, trunks, head and neck. Face, breast and upper extremities involvement with lupus erythematous panniculitis has been infrequently reported. We report a case of lupus erythematous panniculitis developed in a 27-year-old female confirmed by histologic features and laboratory findings.

      • KCI등재
      • 신생검증례에 의한 사구체신질환의 분석

        최두환,구시선,배승훈,박병현,안선호,송주흥 圓光大學校 醫科學硏究所 1996 圓光醫科學 Vol.12 No.2

        To elucidate the incidences and the clinical characteristics of glomerular diseases in our hospital, we reviewed the clinical records and histological findings of the 117 cases, which were diagnosed as one of the glomerular disease in renal biospy for about 6 years since 1991. In these 117 cases, 74 cases (63.2 %) fell into primary glomerulonephritis(GN), 18 cases (15.4%) into secondary GN, 2 cases (1.7 %) into end stage kidney, 4 cases (3.4%) into tubulointerstitial disease and the biopsy samples were inadequate for diagnosis in 19 cases. In primary glomerular diseases, most common pathologic diagnosis was IgA nephropathy (36.5 %}, followed by minimal change nephrotic syndrome (29.7%). The incidence of IgA nephropathy would be increased if we had biopsied every asymptomatic urinary abnormality (AUA) patients. Systemic lupus erythematosus (SLE) . hepatitis B accounted for most of secondary GN in our cases. One case of progressive scleroderma was included in this secondary GN. Minimal change nephrotic syndrome (22 cases) was the most common cause of nephrotic syndrome, followed by membranous GN (9 cases) and IgA nephropathy (8 cases). 2 cases of primary amyloidosis were presented with nephrotic syndrome. Nephrotic syndrome as presenting symptom in our IgA nephropathy patients was higher than in other studies, which may be due to indication bias for renal biopsy. We suggest that renal biopsy should be done in adult nephrotic syndrome and in SLE, because various kind of glomerular diseases can develop nephrotic syndrome in adult, renal biopsy can affect the treatment and prognosis in each patients and renal biopsy also determines the extent of renal involvement in SLE on which the treatment depends. In AUA urinary patients, renal biopsy could be reserved for the patients who show declining of GFR or rising of proteinuria. Because IgA nephropathy account for most of AUA. and there is no specific treatment for IgA nephropathy, and renal biopsy in those cases is helpful in ruling out the patients who need no treatment.

      • KCI등재

        수량화Ⅱ류에 의한 임도절토사면의 붕괴요인 평가

        차두송,지병윤 江原大學校 森林科學硏究所 2002 Journal of Forest Science Vol.18 No.-

        본 연구는 집중호우로 인하여 절토사면의 붕괴가 발생한 임도를 대상으로 수량화이론(Ⅱ)을 이용하여 붕괴요인을 평가하였다. 그 결과는 다음과 같다. 임도 절토사면의 붕괴발생에 미치는 요인의 영향은 절토사면길이, 겉보기 토질, 사면방위, 절토사면경사, 산지경사 등 5개 요인이 가장 크게 나타났다. 특히, 절토사면길이는 8m이상, 겉보기 토질은 토사, 사면방위는 북사면, 절토사면경사는 60˚ 이상, 산지경사는 35~40˚ 사이에서 사면붕괴에 기여도가 가장 크게 나타났다. On the basis of data obtained from forest road collapsed due t o a heavy rainfall, this study carried out to evaluate the cutting slope failure factors of forest road by using Quantification theory(Il). The results were summarized as follows. The factors on cutting slope failure was ranked in t h e order of cutting slope length, soil type, aspect, cutting slope gradients and slope gradients. And the slope failure was mainly occurred under such conditions as cutting slope length longer than 8m, soil type with soil, aspect of X, cutting slope gradients steeper than 60- and slope gradients greater than 35-40

      • KCI등재

        일본의 민유림 임도사업의 관한 고찰

        車斗松,小林洋司,池炳潤 江原大學校 森林科學硏究所 1997 Journal of Forest Science Vol.13 No.-

        본 논문은 우리나라 임도사업의 법적, 제도적 기틀을 위한 기초자료를 제공하기 위하여 임 도사업의 경험이 축적된 일본의 민유림 임도사업에 대한 정비방침, 보조체계, 사업체계 및 관련법규에 대하여 자료를 정리·고찰하였다. 그 결과, 일본의 민유림 임도사업은 다양한 시 대적 요청에 따라 법적·제도적 기틀을 마련하여 실행하므로서 효율적인 임업경영의 전개, 삼림의 적정한 유지관리, 산촌지역의 진흥 및 생활환경 등에 일익을 담당하고 있다. Japan is considered to have accumulated much experience of the maintenance, financial support. construction, and related law system of non-national forest road. These data were collected and reviewed to provide the basis of the legal and institutional framework for the forest road construction of Korea. The results show that the non-national forest road plays a key role in the development and enhancement of rural areas' surroundings as its legal and institutional systems are brought to effect and meet the period's requires.

      • 졸-겔공정을 이용한 초고용량 캐패시터용 Nickel oxide 나노입자의 합성

        김두현,송기창,변태강,송연호 조선대학교 생산기술연구소 2003 生産技術硏究 Vol.25 No.2

        The Ni (OH)₂ nanoparticles with average diameter of 50 nm were synthesized by hydrolyzing nickel acetate with water, and were dispersed in the distilled water to prepare the coating solution. The electrodes for supercapacitor were prepared by dip-coating the coating solution on the Ni-foam. The electrodes heat-treated at several temperatures showed the highest specific capacitance, 160 F/g, at 250℃. It can be explained that the Ni(OH)₂ particles heat-treated at 100 and 200℃ on the electrodes contained the impurities such as acetate groups in the pores, and resulted in low specific surface areas. However, as the calcination temperature increases. the impurities incorporated in the pores are removed at 250℃, and thus, the particles on the electrodes show the highest specific surface area (177 ㎡/g).

      • 럭비 선수들의 경기 경험에 관한 연구

        손두옥,송진석 경희대학교 사회체육연구소 1996 體育科學論叢 Vol.- No.9

        We can make classifization to 3 significances as followings by analyzing the meaning and characteristics of rugby players in the situations of their live experiences on the basis of references of their game experiences which are collected from 10 Rugby players. This study investihated the effects of rugiy game on the pergounance of Rngby plarers. The followings are determined: 1. This study found the fact that the reason of Rugby players play games and competition. It also found that said the difference of each players game styles. The influercing for the games were factors confidence for victory, challenging spirits, devotion, superiority and recognition on the physical advantage. 2. The significance of transcendence consciousness over time, confusion of loss of sensing time and so on were presented. 3. The strdy also found it is learned that the unique experience of meaningful human relationshhip is made by physical contact regardless of defeat in the game situation. The experience of cooperation & competition a meaningful experience brought by competitive situation.

      • KCI등재

        정신분열병 환자에서 Risperidone에 의해 유발된 조증 2례

        정두훈,윤도준,유희정,송지영 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.2

        저자들은 정 신분열병 환자에서 risperidone에 의해 유발된 조증, 경조증 각 1례를 경험하였기에 국내에서는 최초로. 문헌고찰과 함께 보고한다. 증례 1은 22세의 여자 긴장형 정신분열병 환자로 3년전 발병 당시 약물치료후 유지요법 없이 지내다가 4∼5개월 전부터 사회적 위축, 식사량 저하. 말수가 줄어드는 등의 음성증상이 심해져 외래에서 risperidone 2mg을 일 주일간 처방하였다. 환자는 약물순응도가 낮아서 모두 6회에 걸쳐 억지로 투약하여 이 기간에 총 6∼8mg복용후 2∼3일 만에 조증이 발생되었다. 입원후 risperidone을 중단하고 lithium과 고용량의 정형 항정신병약물(chlorpromazine 1200mg 또는 haloperidol 20mg)을 10일간 투여하여 일부 조증이 호전되었다. 증례 2는 29세 남자로 3년 전부터 피해망상, 독극망상을 보이는 망상형 정신분열 병으로 항정신병약물을 처음 투여한 환자였다. 38일간 2mg 사용 시에는 양성증상 및 음성증상의 호전을 보이다가 3mg으로 증량된 후 일 주일만에 뚜렷한 경조증을 보였다. Risperidone을 중단하고 chlorpromazine 300mg을 투여하자 5일 만에 경조증이 완전히 회복되었다. 두 예 모두 risperidone 단독투여에 의한 것이었고, 기분안정제 병합투여, 약물남용 정신질환의 병력이나 가족력, 동반 신체질환은 없었다. Risperidone의 세로토닌(5-HT₂) 차단효과는 도파민(D₂) 차단작용과 함께 정신분열 병에서 음성증상과 정동중상을 호전시킬 뿐 아니라 항우울효과를 나타내며. 일부 환자에서 조증 및 경조증을 유발시키는 것으로 보인다. 기분장애와 분열정동장애에서도 risperidone에 의해 조증이 유발 또는 기존 조증중상이 악화되었다는 증례보고가 있고. 강박장애 등 다른 정신질환으로도 적응증이 확대되고 있으므로, 임상의들은 드물지만 이런 정신과적 부작용의 발생 가능성에 대해 알아야 하겠고. 특히 기분장애나 분열정동장애에서 사용할 경우 기분안정제의 병합투여와 최소 치료용량으로 서서히 증량할 것을 권하는 바이다. 또한 조증유발의 위험인자가 있는 경우는 기분안정효과가 있는 clozapine의 사용이 권장된다. We report the first two cases of manic and hypomanic episodes respectively induced by risperidone treatment done to schizophrenics in Korea. One case was a 22-year-old woman with catatonic schizophrenia. Since 3 years ago, she had shown psychotic symptoms, but with was poor treatment compliance. She had mainly negative symptoms such as social withdrawal, decreased food intake, mutism, and symptoms had been worsened since last 4-5 months. Prior to closed ward admission, she was prescribed 2mg/d of risperidone for a week at OPD. Two days artier taking medicine totally 6-8mg, she revealed manic features. After hospitalization, risperidone was discontinued and then, lithium 900mg/d and high dosage of conventional antipsychotics(chlorpromazine 1200mg/d or haloperidol 20mg/d) were prescribed . About on the l0th day of hospitalization, there was limited improvement of her manic symptoms. The other case was a 29-year-old man with a 3-year history of paranoid schizophrenia. He was never exposed to antipsychotics before. His main symptoms were delusions of being poisoned and of persecution. His positive and also negative symptoms were alleviated by 38 days of risperidone 2mg/d trial. However, one week after dosage increment to 3mg/d, hypomanic symptoms appeared. Risperidone medication was discontinued and was replaced by chlorpromazine 300mg/d. The hypomanic episode was resolved over 5 days. In both of the two cases, manic episodes occurred by monotherapy of risperidone without mood stabilizer, and there were no history of substance abuse and other psychiatric disorders, family history of psychiatric disorders, and comorbid physical illnesses. It is hypothesized that the potent blockade effect on serotonin(5-HT₂) receptor of risperidone causes antidepressant effect as well as therapeutic effect for negative and affective symptoms in schizophrenia. Risperidone would induce manic or hypomanic features in schizophrenic patin of preexisting manic symptoms by risperidone treatment in mood disorder and schizoaffective disorder. Risperidone is being used more widely, even for obsessive-compulsive disorder and other psychiatric disorders. It is necessary for clinicians to recognize manic switch, one of psychiatric side effects by risperidon trial. It is recommended that the combination of mood stabilizer wish risperidone or usage of talc minimum effective dose of risperidone may bewefal especially in the patients with mood disorders or schizoaffective disorders. Clozapine which has mood-stabilizing properties is also beneficial in risk groups of risperidone-induced mania.

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