혈액 투석 환자에서 중심정맥 협착에 대한 스텐트 삽입술 : Wallstent Placement

임대승,노상필,이유선,정승현,김보영,이정우,강정아,김정희,이민수,정준용,최시완,정진옥,성인환,이강욱,신영태 충남대학교 의과대학 의학연구소 2002 충남의대잡지 Vol.29 No.1

Stenosis of central vein is a common complication arising after percutaneous subclavian vein catheter insertion performed for temporary vascular access in chronic renal failure patients undergoing hemodialysis. There are several treatment methods for the condition like percutaneous angioplasty(PTA), stent insertion, and surgery, but recent trend is toward PTA and stents. Among the patients diagnosed with chronic renal failure from March 1993 to May 2002 and undergoing hemodialysis through AV fistula, the 14 Patients in whom central vein stenosis arose were selected for the study. A total of 28 percutaneous interventions(5 PTA and 23 stent placement) were performed, and restenosis rate and the time taken till the restenosis in de novo lesions and instant lesions were compared. All 28 cases were operated successfully. The 14 cases that received both anigioplasty and stent placement initially. (de novo lesion : 14 cases), Among the 10 cases with de novo lesion that followed up more than 1 year, 3 cases are currently undergoing hemodialysis without restenosis, and the remaining 7 cases have recurred stenosis with the mean time to restenosis of 10.9 months. In the 7 cases in whom stenosis recurred, 11 interventions were done(instent lesion: 11 cases). 4 of these were using only ballon angioplasty with 100% restenosis rate and the mean time of 3 months until restenosis. The remaining 7 cases were using both balloon angioplasty and stent placement, also with 100% restenosis rate but with the mean time of 12 months until restenosis, which was later than the group receiving only balloon angioplasty. In treating the patients with central vein stenosis, stent placement seems to be more advantageous over PTA in terms of restenosis rate and the mean duration of patency. In the case of instent lesion, inserting the stent for the second time after stenosis recurred lengthened the duration of patency compared to performing balloon angioplasty alone.

한의진단명과 진단요건의 표준화 연구 II (표준화 실례) : 2차년도 연구결과 중간 보고

양기상,최선미,최승훈,안규석,박경모,박종현,김성우,신승호,정우열,전병훈,고현,김정범,신상우,김성훈,김동희,권영규,엄현섭,장혜옥 한국한의학연구원 1996 한국한의학연구원논문집 Vol.2 No.1

The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows; - differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to relative excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) - differentiation of diseases according to pathological changes of the viscera and their interrelation - analyzing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name(異名), notion of diagnosis pattern, index of differentiation of symptoms and signs(辨證指標), the main point of diagnosis, analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a way of curing a diseases(治法), prescription(處方), herb in common use(常用藥物), diseases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

TCP over ATM에서 non-ATM 접속구간에 의한 성능저하 문제를 해결하기 위한 역방향 제어

정충교,신우근 강원대학교 정보통신연구소 2000 정보통신논문지 Vol.4 No.-

The availble bit rate (ABR) service has been developed to support data traffic over ATM networks and provide end-to-end congestion control at the ATM layer. However, most data applications use to ATM through legacy networks. ABR still experiences congestion at network edges and cannot provide adequate flow control on an end-to-end basis. In this paper, we propose a backward control for solving performance degradation problem at the non-ATM connection point. This is defferent from the conventional end-to-end control, using backward(from congestion point to source) congestion control. This method improves goodput and reduces buffer requirement at the connection point.

鐵棒 1回, 2回 및 3回 뒤공중돌아내리기의 比較 分析

申榮吉,金柄斗,安禹洪,金正子,吳東燮,朴宇奎 慶北大學校 體育科學硏究所 1987 체육과학연구지 Vol.3 No.-

The purpose of this study was to offer gymnasts data for successfully performing triple back somersault dismount(TBSD) and for designing training programs to progress gymnasts to the advanced dismount skills from the horizontal bar through comparative analysis of selected biomechanical factors of single back somersault dismount(SBSD), double back somersault dismount(DBSD) and TBSD. The subjects employed were a total of 4 male middle and high school gymnasts aged between 15 and 16 years. A motion-picture camera, fliming at a nominal rate of 54 frames/s, was used to record the performance of subjects on each trial. This camera was placed at a distance of 15 m from the inward pole of horizontal bar with its optical axis at right angle to this pole. The results obtained are summarized as follows: The mean release angle was 80.5° for the SBSD, 77.3° for the DBSD and 71.3° for TBSD. There were significant differences between the SBSD and the TBSD(p<0.01), the DBSD and the TBSD(p<0.05) but no significant difference between the SBSD and the DBSD. The angular velocity at release was 4.533 ㎭/s for the SBSD, 5.338 ㎭/s for the DBSD and 6.020 ㎭/s for the TBSD. There was a significant difference among these velocities(p<0.05, p<0.01). The linear velocity at release was 5.458m/s for the SBSD, 5.750m/s for the DBSD and 6.083m/s for the TBSD. In this case, we had a significant difference only between the SBSD and the other two somersaults(p<0.05, p<0.01). The shoulder angle at release was 170.5° for the SBSD, 167.0° for the DBSD and 154.3° for the TBSD. There were significant differences between the SBSD and the TBSD(p<0.05), the DBSD and the TBSD(p<0.05) but no significant difference between the DBSD and the TBSD. The hip and knee angle at release were increased respectively by increasing the number of somersault but showed no significant difference among these angles. The mean flight time from release to landing for each somersault was calculated; it took the subjects 1.315s to perform the SBSD, 1.345s to perform the DBSD and 1.416s to perform the TBSD. There was a significant difference among these somersaults with respect to time(p<0.05, p<0.01). The mean maximum height was 3,633m for the SBSD, 3,720m for the DBSD and 3,780m for the TBSD. There was a significant difference only between the SBSD and the other two somersaults. The mean horizontal distance was decreased respectively by increasing the number of somersault but showed no significant difference among these somersaults with respect to distance. The smallest hip angle during flight in the SBSD was 115.3° at 0.317s after the subject left the bar, for the DBSD it was 48.2° at 0.621s while that of the TBSD was 32.3° at 1,102s after release. The relationship between the time the smallest hip angle observed and the total flight time was determined; it took 24.1% of the total flight time of the SBSD to reach the smallest hip angle. In the DBSD, it took 46.2% of the total flight time to reach for the smallest hip angle and in the TBSD 77.8% of the total flight time to reach the smallest hip angle. From the above results, the gymnast would need to (1) increase angular velocity before release by manipulating of body shape, (2) change the release angle and (3) stay tuck position longer by shortening as quickly as possible the angle of each body joint to perform successfully the TBSD. Also to be able to perform quadruple back somersault dismount, a gymnast would need flight time of a minimum 1,782s.

Bacillus sp. YJ-63이 생산하는 항곰팡이 항생물질의 구조분석

정영기,신영준,정명주,주우홍,최재수 Institute of Genetic Engineering Changwon National 2002 Gene and Protein Vol.6 No.-

토양으로부터 분리한 Bacillus sp. YJ-63으로부터 항진균성 항생물질을 분리하여 그 구조를 분석한 결과는 다음과 같다. 항생물질은 7개의 α-amino acid와 1개의 β-amino acid가 결합한 환상구조를 가지는 iturin E 계에 속하며 특히, β-amino acid의 methylene 수가 기존의 iturin E 보다 더 많은 것으로 나타났다. Structural analysis was performed by the ^1H-NMR, ^13C-NMR, amino acid composition analysis and FAB-mass. The instrumental analysis represented that the potential antifungal antibiotic belonged to the iturin E group antibiotic, consisting of 7 α-amino acid residues and a collection of β-amino acid with aliphatic side chain. Compared to the iturin E group, notably, the potent antifungal antibiotic from bacillus sp. YJ-63 carried longer β-amino acid side chain. In conclusion, these findings identified a potential antibiotic, which contained a stable cyclopeptide structure with long β-amino acid side chain.

분편 인플루엔자백신(split influenza vaccine)의 임상효과 및 면역원성에 관한 연구

우흥정,김동림,정희진,천병철,이주연,안정배,김지희,박찬,신영규,김우주,김민자,박승철 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.1

목적 : 아단위 인플루엔자 백신 접종 후 백신의 인플루엔자 예방효과, 인플루엔자 방어 항체형성, 인플루엔자 백신의 안전성을 조사하고자 하였다. 방법 : 총 571명을 대상으로 인플루엔자 백신 접종을 하였고, 이들 접종자에서 인플루엔자 양질환의 이환을 조사하여 인플루엔자 백신의 인플루엔자예방효과를 알아보았고, 백신의 접종 전 및 접종 4주 후 혈청에서 혈구응집억제물(Hemagglutination Inhibition : HAI) 항체 검사를 실시하여 백신의 방어항체생성을 조사하였고, 백신의 안전성을 알아보기 위해 백신접종 후 1주일 이내의 부작용을 조사하였다. 결과 :백신 접종군과 백신 비접종군에서 인플루엔자 양 질환의 이환을 조사한 결과 접종군 28.35%, 비접종군 35.88%으로 나왔으며, p 값이 0.001로 통계적으로 접종군에서 유의하게 낮았고, 인플루엔자 양 질환의 예방 효과는 20.97%를 보였다. 백신의 방어항체 형성의 평가를 위해 유럽의 인플루엔자 백신 허가 기준을 조사하였는데 B/Guangdong/5/94균주의 백신접종 후 항체가 40이상의 비율을 제외한 다른 기준은 모두 만족 시켰다. 부작용은 전체 조사자 521명중 149명(29%)으로 주로 접종 부위의 국소 부작용을 호소했고, 전신 부작용은 2% 내외였으며 특별히 심각한 부작용은 발견되지 않았다. 결론 : 분편 인플루엔자 백신은 인플루엔자양질환의 예방과 방어항체생성에 효과 있으며 안전한 것으로 사료된다. Background : The safety and effectiveness of influenza vaccine are well known in developed country. The influenza vaccination has been recommended as one of the tentative immunization schedule for indicated persons since 1997 in Korea. But there are still no available data about them, even though nearly 5 million doses of influenza vaccine were used in 1997-1998 season. So it is immediately needed to investigate the safety. efficacy and immunogenicity of influenza vaccine among Korean. Methods : We studied the clinical efficacy of influenza vaccine by monitoring Occurrence of influenza-like illness in influenza risk group(vaccination ; 300, non-vaccination; 215) from December in 1997 to March in 1998. We used the split quadrivalent influenza vaccine containing 15 microgram of hemagglutinin of A/Beijing/262/95(HlNl), A/Wuhan/359/95(H3N2), B/Mie/1/93 and B/Guangdong/5/94. Hemagglutination inhibition(HA1) antibody titers were determined before immunization and 1 months after vaccination And we evaluated adverse effect of influenza vaccination at 7 days after vaccination. Results : Influenza vaccination was associated with si@icant reductions in influenza-like spptoms(vaccination group; 28.35%, non-vaccination group, 35.88%, p=0.001). The preventive effect of influenza-like i3lne.s among influenza risk goup was 20.97%. And immunogenicity of influenza A and B exceeded all of the European licensure criteria for immunogenicity except postvaccination proportion of titers 240 of B/Guangdong/5/94 strain. And the adverse effects were mainly local injection site problem and no serious adverse effect was noted. Conclusion : Split influenza vaccine is safe, inmunogenic and eff'tive in influenza risk group in Korea.

Cone Beam CT를 이용한 하악 제 1대구치 맹출 양상에 관한 연구

신정근,김재곤,백병주,양연미,정진우 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.3

건강한 정상 교합 어린이 83명(남자 42명, 여자 41명)을 대상으로 보호자 동의하에 cone beam CT 영상을 촬영하여, 하악 제1대구치의 맹출 양상을 연구하였다. 대상을 발육 정도에 따라 Nolla stage(4-10단계)로 구분한 후 삼차원 기준 평면인 전두면(frontal), 시상면(Sagittal), 수평면(horizontal)에서 각각 하악 제1대구치의 맹출 양상을 관찰하였다. 1. 전두면과 수평면에서, 하악 제1대구치간 폭경은 감소하였는데, stage 5에서 stage 8까지 가장 크게 감소했다가 약간 증가하였다. 2. 시상면과 전두면에서, 하악 제1대구치 맹출량은 교합평면을 기준으로 stage 5에서 stage 7까지 가장 많은 맹출 이동을 보였다. 3. 수평면과 시상면에서, 하악 제1대구치는 제2유구치 원심면으로부터 stage 4에서 stage 6까지 원심으로 이동하였고 이후 큰 변화가 없었다. 4. 시상면에서, 교합 평면과 하악 제1대구치의 근원심 치축이 이루는 각은 stage 4에서 stage 8까지 증가하였다. 5. 전두면에서, 교합 평면과 하악 제1대구치의 협설측 치축이 이루는 각은 지속적으로 증가하였다. 6. 수평면에서, 정중 시상면과 하악 제1대구치의 치축이 이루는 각은 stage 5부터 stage 8까지 증가하다 stage 8이후에는 다시 약간 감소하였다. The purpose of this study was to investigate the eruption pattern of the mandibular first molar in sagittal. frontal and horizontal views using the cone beam CT scanning. CT images were obtained from healthy 83 children(42 boys. 41 girls) between 3 to 10 years of age with a normal dentition according to Nolla stage. 1. In the frontal and horizontal view. the intermolar width decreased continuously with stage and slightly increased at the last stage. 2. In the sagittal and frontal view. eruption distances from occlusal plane were observed the largest change between stage 5 and 7. 3. In the horizontal and sagittal view. mandibular first molar from distal surface of primary second molar moved distally between stage 4 and 6. 4. In the sagittal view, angle from occlusal plane to mesio-distal axis increased between stage 4 and 8. 5. In the frontal view, angle from occlusal plane to bucco-lingual axis increased continuously during all stage. 6. In the horizontal view, angle from midsagittal plane to long axis increased between stage 5 and 8.

矢狀分割骨切斷術에 依한 顎矯正術의 統計學的 硏究

辛曉根,陳宇政,李俊禮,金晤煥,李炫尙 大韓顎顔面成形再建外科學會 1997 Maxillofacial Plastic Reconstructive Surgery Vol.19 No.2

Recently, combined with social complexity, increment of medical demand and supply and the change of esthetic category, admission and operation of the patients of facial deformity have been changed with annual change. This study was conducted in the concept of helping the overall character of orthognathic surgery in future understood and being an important index in the establishment of better treatment course, through the patient, on whom was operated orthognathic surgery via sagittal split ramal osteotomy in our Dept. of Oral & Maxillofacial Surgery, Chonbuk National University Hospital from 1991. 1. 1 to 1995. 12. 31. The results were obtained as follows. 1. The ratio of male to female was 1 : 1.33 and the ages between 16 and 25 year was 73.6%, and the mean age was 20.4 years. 2. The ratio of setback amount between 6 to 15mm was 84.6% and the advancement amount between 1 to 10mm was 89% and the mean amount of movement was 9.0mm in setback, and 3.6mm in advancement. 3. After removal of maxillomandibular fixation(MMF), the distinction of sex was not statistically significant in ROM. 4. The ROM following methods of fixation was statistically significant in 3rd(P<0.05), 8th, and 12th week(each P<0.01), with faster rehabilitation in rigid fixation which had shorter MMF period. 5. The rehabilitation of ROM following the operation methods was statistically significant in 1st(P<0.05), 2nd, 3rd, 4th, 6th, 8th, and 12th week(each P<0.01) with faster rehabilitation in the case of SSRO than Lefort I / SSRO (Two jaw surgery). 6. The rehabilitation of ROM following directions of mandibular movement did not manifest a statistically significant difference in both setback and advancement.

감마선 조사 랫트의 고환에서 fibronectin의 발현

정진우,김희철,김정태,안미정,이지영,신태균 제주대학교 방사능이용연구소 2005 방사선응용과학연구소논문집 Vol.19 No.-

구강악안면 외상환자의 조직손상의 양상 및 정도에 관한 임상적 연구

신효근,소병수,안태섭,진우성,윤철희 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.3

This is a clinical and retropective study on th patients with oral and maxillofacial trauma. This study was based on a series of 917 patients were treated as in-patients, at Chon-buk National University Hospital, during the period of Jan., 1989 through Dec., 1993. The results obtained were as follows : 1. The ratio of men to women were 3.59 : 1 in oral and maxillofacial injuries, 3.92 : 1 in facial bone fractures, and 3.18 : 1 in soft tissue injuries. 2. The oral and maxillofacial injuries occurred most frequently in the third decade(32.2%), and fourth, second, fifth decade in orders. 3. The major etiologic factors were traffic accident(57.4%) and fall-down(17.1%), interpersonal accident(16.6%), and industrial accident were next in order of frequency. 4. The incidence of facial bone fracture was 72.1%, soft tissue injury 58.8%, and dental injury 40.5%. 5. The most common site of fracture were mandible(62.9%) and maxilla(19.9%), zygoma and zygomatic arch(18.7%), and nasal bone(4.7%) were next in order of frequency. 6. The most common type of soft tissue injury was laceration(51.0%). The lesion of soft tissue injuries were mostly 1 or 2 lesions and deep.