인슐린 비의존형 당뇨병성 케톤산증 환자의 마취경험 : 증례보고 A case report

강규식,김난설,김지은 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

The most serious acute complication of DM is diabetic ketoacidosis (DKA). Medical and surgical illnesses account for 50% of episodes of DKA. Infection, myocardial infarction, cerebral vascular accidents, gastrointestinal bleeding, trauma, pancreatitis, and burns are the most common medical causes. The mortality rate from DKA has been reduced to less than 5%. Patients with insulin-dependent diabetes mellitus (IDDM) are more prone to DKA than those with noninsulin-dependent diabetes mellitus (NIDDM). Older diabetics account for approximately 75% of patients who present with DKA. The signs and symptoms of DKA result from hyperglycemia or ketoacidosis. We report a case of anesthetic management of a patient with noninsuline-dependent diabetic ketoacidosis after trauma.

월출산국립공원 수질특성에 관한 연구

최형일,김난희,강영주,채희정,김연풍,조도호,설동화 조선대학교 환경공해연구소 2007 環境公害硏究 Vol.20 No.1

Because mountain streams have narrow widths and steep slopes compared to streams and lakes, hours of immobility are considerably short, and the quality of mountain streams has been greatly influenced by rainfall, land-use, components of the streambed and types of forests. During the summer when heavy rainfall occurs, eroded earth and sand flow into mountain streams and cause temporarily high turbidity. It is also the cause of eutrophication, which is frequently found in downstream. As evaluation standards for the quality of mountain streams were not established in Korea, this quality was evaluated by examining some items based on quality standards for drinkable water and research on the influences of pollution in mountain streams, which showed that these were seldom in downstream water systems. Mountain streams within Wolchulsan National Park flow into a reservoir and when characteristics of mountain streams from forests and rainfall that flow into mountain streams through forest ecosystems were studied, results of measuring its changes are as follows. Monthly changes of pH were low between April and August and higher starting October, and the EC was measured higher in the winter and the spring and tended to be low starting April. The EC on the 19th of May and the 23rd of October and the concentration of floating materials and COD_(Mn) were observed to be higher due to the influence of rainfall on the 19th of May and the 22nd of October, and it was judged that the washing out of dried deposits attached to the water pipe and the leaching of woods were influenced by rainfall. It is considered that real-time monitoring of water quality for a long time and water quality conditions during and after rainfall should be examined for ensuring basic data of water quality and evaluating characteristics and seasonableness of mountain streams, which may be greatly changed by artificial influence in the future.

Oxycodone versus Fentanyl for Intravenous Patient-Controlled Analgesia after Laparoscopic Gynecologic Surgery

Nan Seol Kim,Ji Eun Kim 순천향대학교 순천향의학연구소 2019 Journal of Soonchunhyang Medical Science Vol.25 No.1

Objective: Oxycodone, a semi-synthetic thebaine derivative opioid, is commonly used for treating moderate to severe pain. The aim of this study was to compare the efficacy and side effects of oxycodone and fentanyl used for treating postoperative pain with intravenous patient-controlled analgesia (IV-PCA) after laparoscopic gynecologic surgery. Methods: A total of 122 patients were randomized to receive postoperative pain treatment with either oxycodone (n=62, group O) or fentanyl (n=60, group F). Patients received 7.5 mg oxycodone and 150 mcg fentanyl with ketorolac 30 mg at the end of anesthesia, and then continued with IV-PCA (conversion dose ratio, 50:1) for 48 hours postoperatively. A blinded observer assessed postoperative pain based on a numerical rating scale, postoperative nausea and vomiting and other side effects, infused PCA dose, patient satisfaction, and sedation level. Results: No significant differences were observed in patient satisfaction according to the analgesic used during the 48 hours postoperative period. Conclusion: Oxycodone showed similar efficacy for pain relief compared to fentanyl when used at a conversion dose ratio of 50:1. Therefore, oxycodone may be useful as an alternative to fentanyl for IV- PCA after laparoscopic gynecologic surgery.

Artificial Diet for Mass Rearing the Emma Field Cricket, Teleogryllus emma (Orthoptera: Gryllidae)

Kim, Nam-Jung,Hong, Seong-Jin,Seol, Kwang-Youl,Kim, Seong-Hyun,Ahn, Nan-Hee,Park, Hae-Chul,Lee, Young-Bo,Kim, Mi-Ae Korean Society of Sericultural Science 2007 International Journal of Industrial Entomology Vol.15 No.2

Nymph of the emma field cricket, Teleogryllus emma, were reared on several types of artificial diets. The development period of nymphs were 55.4 days when only a single food, wheat bran, was provided, and it did not show a significant difference compared to the rearing results of the Danong diet and mixed diet. The supplying period of fish meal as the animal feed, the high emergence rates were obtained at 3rd instar with 90% and 4th instar with 100%. For the added amount test, when more than 40% of the diet was added, it confirmed that the insect weight increased. The characteristics of development according to each added amount of the vegetable food (dry bean-curd residue and corn powder) were investigated to minimize the dangers of the degeneration of diet when rearing with a single feed during the $1st{\sim}3rd$ instar period. First, as the added amount of bean-curd residue increased, nymphal development period became longer and the emergence rate became low. With corn powder as the single diet, all died before becoming adult. However, when corn powder was added up to 30%, no difference existed in the breeding results.

Anesthetic Management for Caesarean Section in a Patient with Impetigo Herpetiformis

Nan-Seol Kim 순천향대학교 순천향의학연구소 2016 Journal of Soonchunhyang Medical Science Vol.22 No.1

Impetigo herpetiformis (IH) is an extremely rare pustular disorder and potentially life-threatening condition for both mother and fetus. Intrauterine growth retardation, fetal abnormalities, and even fetal/neonatal death can occur with worsening maternal disease and are probably related to placental insufficiency. Maternal risk is linked to fluid and electrolyte abnormalities, in particular, hypocalcemia- induced convulsions and sepsis. Therefore, early recognition is crucial to reduce both maternal and fetal morbidities, and a patient with IH may require emergency caesarean delivery. Here, we report a case of a 34-year-old pregnant woman with IH who underwent successful urgent general anesthesia for caesarean section.

Effect of Temperature on Development and Reproduction of the Emma Field Cricket, Teleogryllus emma(Orthoptera: Gryllidae)

Kim, Nam-Jung,Hong, Seong-Jin,Seol, Kwang-Youl,Kim, Seong-Hyun,Ahn, Nan-Hee,Kim, Mi-Ae Korean Society of Sericultural Science 2007 International Journal of Industrial Entomology Vol.15 No.1

To establish the indoor-rearing system of the emma field cricket, Teleogryllus emma, the effects of temperature on development and reproduction of the emma cricket have been studied. The influence of temperature on developmental periods of emma field cricket was investigated under the eight temperatures of 15, 18, 21, 25, 27, 29, 31 and $35^{\circ}C$, under $60{\pm}5%$ R.H. and 16L:8D photoperiod. The developmental periods of T. emma nymphs had a range of 124.8 days to 44.4 days at the temperature of $21^{\circ}C$ and $35^{\circ}C$, respectively. At $15^{\circ}C$ and $18^{\circ}C$, however, all tested individuals died before emergence. The highest survival rate was 90% at $25^{\circ}C$, but there were no statistically significant differences among the temperatures. The adult weight increased with increasing temperatures although the weight at $35^{\circ}C$ was decreased. In addition, the influence of temperature on reproduction of emma field cricket was investigated under three temperatures $22^{\circ}C,\;25^{\circ}C\;and\;28^{\circ}C$, under $60{\pm}5%$ R.H. and 16L:8D photoperiod. The longevity of female/male adults were 65.8/79.2 days, 68.5/67.8 days, 46.8/57.4 days at the temperature $22^{\circ}C,\;25^{\circ}C\;and\;28^{\circ}C$, respectively. The preoviposition periods were 32.5 days at $22^{\circ}C,\;22.9^{\circ}C$ days at $25^{\circ}C$ and 22.1 days at $28^{\circ}C$. The highest average fecundity per female was 737.3 at $25^{\circ}C$.

복합부위통증증후군 환자에서 삼상 골스캔의 유용성 평가

김난설 ( Nan Seol Kim ),박경언 ( Kyeong Eon Park ),김세영 ( Sae Young Kim ),채윤정 ( Yun Jeong Chae ),김찬 ( Chan Kim ),한경림 ( Kyung Ream Han ) 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.1

Artificial Diet for Mass Rearing the Emma Field Cricket, Teleogryllus emma (Orthoptera Gryllidae)

( Nam Jung Kim ),( Seong Jin Hong ),( Kwang Youl Seol ),( Seong Hyun Kim ),( Nan Hee Ahn ),( Hae Chul Park ),( Young Bo Lee ),( Mi Ae Kim ) 한국잠사학회 2007 International Journal of Industrial Entomology Vol.15 No.2

Nymph of the emma field cricket, Teleogryllus emma, were reared on several types of artificial diets. The development period of nymphs were 55.4 days when only a single food, wheat bran, was provided, and it did not show a significant difference compared to the rearing results of the Danong diet and mixed diet. The supplying period of fish meal as the animal feed, the high emergence rates were obtained at 3rd instar with 90% and 4th instar with 100%. For the added amount test, when more than 40% of the diet was added, it confirmed that the insect weight increased. The characteristics of development according to each added amount of the vegetable food (dry bean-curd residue and corn powder) were investigated to minimize the dangers of the degeneration of diet when rearing with a single feed during the 1st∼3rd instar period. First, as the added amount of bean-curd residue increased, nymphal development period became longer and the emergence rate became low. With corn powder as the single diet, all died before becoming adult. However, when corn powder was added up to 30%, no difference existed in the breeding results.

Factors influencing the development and diapause in the large copper butterfly, Lycaena dispar (Lepidoptera : Lycaenidae)

Seong Hyun Kim,Nam Jung Kim,Nan Hee An,Seong Jin Hong,Kwang Youl Seol 한국응용곤충학회 2008 한국응용곤충학회 학술대회논문집 Vol.2008 No.10

In order to establish a year round indoor-rearing system for Copper butterflies; large copper butterfly, Lycaena dispar, the effect of temperature on larval development and diapause was investigated. Temperature has been suggested as an important factor regulating the developmental rate, length of life, and survival rate from insect. As temperature increased, the developmental period was gradually shorten. The developmental periods of large copper larvae had a range of 11.0 days to 28.5 days at 30℃ and 17.5℃ respectively. The highest emergence rate was 94.2% recorded at 20℃. And the low emergence rate was 72.7% under 17.5℃. We investgated the sensitive stages to diapause induction in the larger copper effect of temperature and photoperiod. The experiment involves transfer of individuals from diapause averting (LD 16:8h, 25℃) to diapause inducing condition (LD 8:16h, 20℃) at various stages. Diapause was induced in 95.2% insect transferred at hatching larvae, in 15.6% of insects transferred at 2nd stadium molt, in 0% of insects transferred at after 3rd stadium molt. Percentage diapause induction increase with the length of short days and low temperature experienced. The main stage sensitive to photoperiod and temperature induction of diapause determination is the early first larval instar. The diapause induction began 14 days and ended 20 days after hatching larvae (LD 8:16h, 20℃).

Effect of Temperature on Development and Reproduction of the Emma Field Cricket, Teleogryllus emma (Orthoptera Gryllidae)

( Nam Jung Kim ),( Seong Jin Hong ),( Kwang Youl Seol ),( Seong Hyun Kim ),( Nan Hee Ahn ),( Mi Ae Kim ) 한국잠사학회 2007 International Journal of Industrial Entomology Vol.15 No.1

To establish the indoor-rearing system of the emma field cricket, Teleogryllus emma, the effects of temperature on development and reproduction of the emma cricket have been studied. The influence of temperature on developmental periods of emma field cricket was investigated under the eight temperatures of 15, 18,21, 25, 27,29,31 and 35°C, under 60±5% R.H. and 16L: 8D photoperiod. The developmental periods of T. emma nymphs had a range of 124.8 days to 44.4 days at the temperature of 21°C and 35°C, respectively. At 15°C and 18°C, however, all tested individuals died before emergence. The highest survival rate was 90% at 25°C, but there were no statistically significant differences among the temperatures. The adult weight increased with increasing temperatures although the weight at 35°C was decreased. In addition, the influence of temperature on reproduction of emma field cricket was investigated under three temperatures 22°C, 25°C and 28°C, under 60±5% R.H. and 16L:8D photoperiod. The longevity of female/male adults were 65.8/79.2 days, 68.5/67.8 days, 46.8/57.4 days at the temperature 22°C, 25°C and 28°C, respectively. The preoviposition periods were 32.5 days at 22°C, 22.9°C days at 25°C and 22.1 days at 28°C. The highest average fecundity per female was 737.3 at 25°C.