췌장염에 의한 가성낭종내에 생긴 가성동맥류 : 1례 보고

오연희,이채경,김승현,이성우,양창현,이정호,이영현 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

만성 췌장염의 합병증으로 생긴 가성동맥류는 드문질환으로, 반복적으로 다량의 출혈을 일으킬 수 있으며, 치료를 하지 않을 경우 사망율이 높기 때문에, 조기 진단과 치료가 필수적이다. 저자들은 38세 남자 환자에서 췌장염의 합병증으로 생긴 가성낭종내에서 발생한 가성동맥류 1예를 경험하였기에 보고하는 바이다. 가성 동맥류의 색혈류도플러상 낭종내에 양방향 흐름의 와류를 볼 수 있었다. Pancreatic Pseudoaneurysm within Pseudocyst from Pancreatitis: 1 Case Department of Diagnostic Radiology and Internal Medicine, College of Medicine,DongGuk University Yeon Hee OH M.D., Chae Kyeong Lee M.D., Seoung Hyeon Kim M.D., Sung Woo Lee M.D., Chang Heon Yang M.D., Jung Ho Lee M.D., Young Hyun Lee M.D. Pseudoaneurysm from pancreatitis is uncommon, but it can cause recurrent and massive hemorrhage. Because of high morbidity and mortality, early detection and treatment of the pseudoaneurysm is needed. We report a case of pseudoaneurysm within pseudocyst from pancreatitis. Color-flow Doppler sonography shows bidirectional flow and turbulent arterial flow, within anechoic mass.

加工用 菜蔬에 關한 硏究 (Ⅰ) : 加工用 오이의 品種에 關하여 On varieties for processing cucumber

李愚昇,朴小守 慶北大學校 1972 論文集 Vol.16 No.-

In order to select the better varieties for pickling use, the authors studied on the characteristics and yields of cultivated cucumber varieties in Korea. The results obtained were as follows; 1. Yields per plant was the highest in Sa-Yeup, Sung Ho Won-Chung Jang, Sung Ho Won-New No. 1, KeRyang-Seoul Madi and Chung Yong-Sam chuck in order. 2. The nember of fruit set per plant was the most in Sung HO Won-Chung Jang, Sung Ho Won-New No. 1, KeRyang-Seoul Madi, Sa-Yeup and Chung Yong-Sam chuck in order. 3. Yields percentage of salt pickling was 62% to 72%. 4. The varieties of Sung Ho Won-Chung Jang, Sung HO Won-New No. 1 and KeRyang-Seoul Madi were similar in the plant growth type and the characteristics of fruit. On the other hand, Sa-Yeup and Chung Yong-Sam Chuck were similar. 5. It was postulated that Sa-Yeup variety was the best in processig because sarcocarp was delicacy, placenta was small, and yield was the most among the varieties used for this study.

사면의 안정도 해석을 위한 입체투영법

이성대,이철우,이동우,이성규 公州大學校 基礎科學硏究所 1996 自然科學硏究 Vol.5 No.-

암반 사면의 안정성을 해석하는데 입체투영기법을 이용하였다. 안정도에 영향을 미치는 요인으로는 절리의 경사, 암석의 밀도, 내부마찰각등이 있으나, 가장 중요한 요인은 절리면의 경사이다. 이 연구에서는 암석의 점착력은 무시하고 단지 내부마찰각과 절리의 주향 및 경사만을 이용하였다. 그 결과 입체투영도에서 나타나는 암반사면의 안정도는 이동력과 저항력의 상대적인 크기에 의하여 좌우되는 것으로 나타났다. 동시에, 지반진동에 의한 영향도 입체 투영기법으로 찾아낼수 있다는 것이 밝혀졌다. Stereographic projection technique was used to analyze rock slope stability. Strike and dip of joints, rock strength, and internal frictional angle are major factor on slope stability. Among them, the most important factor is strike and dip of joints. In stereographgic projection technique, only internal frictional angle, and strike and dip of joints were used to interprete slope stability. Cohesion of rock was not considered. It is suggested that the rock slope stability on stereographic projection depends upon only the differential stress between driving and resisting force. At the same time, Stereographic projection technique on seismic loading was proposed in this study.

高麗中期의 民族敍事詩 : 東明王篇과 帝王韻紀의 硏究 A Study of old Korean Gests Dong-Myung-Pyun and Je-Wang-Woon-Ki

李佑成 成均館大學校 1962 論文集 Vol.7 No.-

Korean literature reaped a precious harvest of two splendid and long epic poems during the one century period from the late 12th to the late 13th century. These are Dong-Myung-Wang-Pyun (東明王篇), the Geste of King Dong-Myung by Yi, Kyu-Bo (1168-1241), and Je-Wang-Woon-Ki (帝王韻紀), the Geste of the Kings by Yi, Sung Hyoo (1224-1300). The Geste of King Dong-Myung clarifies in the opening chapters the remote genealogy of King Dong-Myung, hero and the founder of Koguryo; and in the main chapters, it depicts the King's history from the birth to his great work of foundation; and finally in the closing chapters, his history up to the coronation of King Luri who succeeded to his heroic works and also the impressing comments expressed by the poet. The Geste is written in Chinese poetry, composed of the main part of a little over two hundred and eighty lines and of the descriptive part of four hundred and thirty some lines. Each being a five-word line, the total Chinese word-characters used in the Geste amount to a length of three thousand six hundred (3,600). Je-Wang-Woon-Ki, the Geste of the Kings,(hereafter referred to as simply the Kings), consists of two volumes. The first volume carols the history of the ancient Chinese dynasties, from Bango (盤古) to Kum (金) and in the second volume, the history of Korea. The second volume is of two parts. The first part deals with the rise and fall of the Korean dynasties, starting from Dan-Goon (檀君), the remotes founder of Korea, to the dynasties of Wiman (衛滿), Sagoon (四群), Samhan (三韓) (Three-Kingdoms), Silla (新羅), Koguryo (高句麗), Bekje (百濟), later Koguryo, later Bekje and Balhe (渤海). The first part consists of two hundred and ten (210) seven-word lines, total character-words amounting to one thousand four hundred and sixty. The second part deals with the history of the period from the foundation of Koryo (高麗) down to the reign of King Choongyul (忠烈王) under which the poet lived. The second part is of seven hundred character-words in total, in one hundred and twenty (120) lines, each containing five words. The Geste and The Kings have attracted the attention of the scholar historians, both domestic and foreign, as the historical documents since much earlier days, but it is quite recently that they have come to be considered valuable from the viewpoint of literature. In fatc, they began to be revaluated as "folk epic" when the present author of this thesis published "A Study of the Generation of Yi, Kyu-Bo and Yi, Sung-Hyoo", at Pusan in 1956, and in the following year, Professor Chang, Duk-Soon made his thesis public under the title of "King Dong-Myung, an Epic", which found its place later in his "General Survey of Korean Literature". Quite recently, Professor Yi, Byung-gi presented a new viewpoint, in his "Complete History of Korean Literautre", that the Geste and the Kings are the truthful origin of "Kasa" (歌辭), the ancient folk poetry. About this new theory, however, the author would refrain from mentioning because it has no direct relation with the following thesis of the present author. The present author's interest lies rather in that these two poems in Chinese style should find a position with importance in the system of Korean literature, which has been so far neglected by the Korean literary scholars. A word about the thesis of Professor Chang, Duk-Soon. The thesis is sufficient enough to give the readers a profound understanding of the "Geste of King Dong-Myung" through his structural analysis of the narrative of King Dong-Myung and its detailed comparison with the western getse, which are done in his fluent, rich style. To the regret of the present writer, however, Professor Chang's studies on the Geste ended only in the field of said "analysis" and said "comparison", largely destitute of the due historical background of it. As the result, he ventured to ascribe the motive of the creation to a "nostalgic fidelity" of a Koryo-man to the prceeding Dynasty, Koguryo, and also to determine that the epic poem of the Koryo era was entirely an "accidental eruption of the 13th century". All the literary heritage is the products of the history. We cannot easily be contented by hastily treating our literary heritage. Therefore, the present writer particularly intends to examine the historical background of the Geste to comprehend the position of the poet's subjecthood and furhtermore grasp the true significance of the work from the viewpoint of resuscitated moving history of that age. A rough survey of the dynastic history of Koryo shows us that the Dynasty, since its foundation in 919 A.D., aimed high at expanding its territory towards the North as its state principle. This enterprising spirit of early Koryo had constantly been checked by the powerful suppression on the part of "Kuran"(契丹), and "Yojin"(女眞), two northern races. And without any chance, the Dynasty had to meet the Mongolian Aggression (1231-1256). In this warfare, the regime of "Choi"(崔氏) family ruled Koryo standing siege in KangWha Island. Choi's regime had resisted against the Aggressors thirty, long years before the Dynasty met its total defeat. And the former, the failure of the expansion policy was caused by the corruption and inability of the then ruling aristocracy; and the latter, the defeat at the hands of Mongolians, was brought about by the decrepitude of Royal House, and also by the reactionary bureaucrats who overthrew the Choi regime through treason. In the history of Koryo, however, we should not fail to observe the strong flow of the people's movements. During the period, 1128-1135, people urged the government to transfer the capital to Pyungyang, a border city, to face and suppress the enemy nation, "Kum" (金) (Yojin), and also they advocated that Koryo's King should be retitled as "emperor" like in China, setting up Koryo's own new era, which, till then, had been forbidden by Great China, the powerful dominator. Another incident of the people's movement is seen in heroic resistance against the enemy throughout the Mongolian Aggression. People fought at every part of the country in conjunction with the army, refusing to surrender to the Mongolians till the last. The high spirit and energy of the people had led to the formation of "Sam-Byul-Cho" Army which continued, in isolation from the government, its resistance war for four years until 1273. The 12th and 13th centuries mark the period of great trials suffered by the Korean race. The great spirit of resistance oppressed by the realities inevitably found it way to inwardness, and again was fermented to find its spout in the essence of literature. Yi, Kyu-Bo and Yi, Sung-Hyoo were the writers representing this troubled age, both of whom reached the greatness under favorable care of the Choiregime. They were "Rising Intellectuals" who heralded" New Officials", that is, the class of "Literary Intellectuals" during the second half period of Koryo. They were entirely different in character, from those old aristocrats who had held power during the first half period of the Dynasty. Therefore, these two literary men belonged to the transitional, progressive group of people who later prepared the seed-bed for the new culture. The new culture meant the culture for the people, while the old culture meant the culture forthe aristocrats. No wonder that folk epic such as the Geste and the Kings should be written by these "Rising Intellectuals", and not "accidental" at all. There is no objection in concluding that the Geste and the Kings both are the folk epic. However, we should discern the considerable difference which exists between these two poetical works, either in their subjects or either in their structure. The Geste carols one and single prototype, King Dong-Myung who was the hero of dynastic foundation; while the Kings deals with various, important historical happenings during the entire period from the earliest mythical foundation of the country by "Dangoon" down to the author's age. Here, just for the convenience's sake, the present writer take the liberty of calling the Geste a heroic poem; and the Kings, a history poem, regardless of the fact that a heroic poem and a history poem are essentially the same. Firstly, the writer desires to deal with the Geste laying stress on the following two points: (1) the method of the plot development, and (2) the characteristic of the prototype. In the heroic poem, the development of the plot differs according to the singularity or plurality of the hero prototype. When single, the plot develops towards the direction of the will of the hero; meanwhile, when plural, the plot becomes a succession of human contrasts, and collisions. In the Geste which is a biographic description of a King, the only prototype is King Dong-Myung himself. And the principal actions of the King are narrated in chronological order. However, Yi, Kyu-Bo, the author of the Geste tactfully dealt with the single hero additionally presenting his counterparts to produce a variety in the plot-flow. As the result, contrasts, collision occurs in succession constantly taking a new turn towards a third phase. The plot, therefore, constantly flows breaking the stalmate deadlock. Thus the Geste, which otherwise would have ended by an individuals biography, is heightened up to a realm of heroic poem. In the Geste, the poet succeeded in portraying the character of the hero. The willpower and ambition of the King as a hero are successfully expressed in his escape from Buyo,(扶餘) the capital, and in his founding of a new counrty and a new capital in the South and also in his fight against a neighboring state, "Biru-Kuk"(沸流國). The portrayal of the King's character as hero is vivid and acute in his strategy, violence, cruelty and egotism. The violent hero who exhausts every mean to accomplish his purpose falls easily, like a child, in the arms of his tender mother. Readers of the Geste are struck to find themselves disposed to agree with the hero's strategy, egotism and violence. In this, we are obliged to acknowledge the author's success in sculpturing the fresh, healthy, original humanity of the ancient type. The Geste is a success as a hero poem, but is still insufficient as a folk epic, that is, an epic of the Korean Race. The present writer is of opinion that King Dong-Myung certainly is a hero of a tribe, but not the common patriarch of the entire Korean Race. He is a heroic chief of the tribe of Koguryo which is the predecessor of Koryo "people" since it is evident, in history, that Koryo is the successor of Koguryo. And the author of the Geste so treated the King. In this strict sence, the Geste is, the present writer concludes, more of "heroic poem" than of "history poem". The great task of discovering the common patriarch of the entire race of this land was possible at the hand of Yi, Sung-Hyoo, a little later than Yi, Kyu-Bo's time. Yi, Sung-Hyoo described, with his wider range of view, the total historical activities of the entire Korean Race. In this sence, Je-Wang-Woon-Ki, the Kings is the comprehensive compilation of "folk epic", or perhaps, more properly, of "racial epic", and is characteristic of history poem. The Kings sets in its uttermost beginning Dangoon, as the sole patriarch of the entire Korean race, and clarifies that all the tribal states, which had ever existed in this land covering from northern end to south, are the equal descendants of Dangoon, the Great Patriarch. These tribal states mentioned in the Kings are Shira" (尸羅), "Koye" (高禮), "Ye" (濊), "Mek" (貊), "Buyo" (扶餘) and "Okju" (沃沮). Here, the position of Dangoon far surpasses, in height, that of King Dong-.Myunp. In Sam-Kuk-Sa-Ki (三國史記) (The History of Three-Kingdoms), not a word is mentioned about the racial patriarch. In Sam-Kuk-Yu.-Sa (三國遺事), another old history book, Dangoon is breifly mentioned but his dominion and successors are not intelligibly stated. It is very interesting to find that in the Kings, which was written only ten years later than Sam-Kuk-Yu-Sa, the myth of Dangoon is so surprisingly concrete. The formation of racial consciousness having its base on common Patriarch influenced greatly on the view of history to awaken the various tribes in constant conflict to the sense of homologue. History was no longer regarded by the dynastic unit. A new insight, after the Kings, was given to the view of history that a consistent flow of racial life, regardless of the rises and the falls of dynasties, formed the unending history of the Race. This new consciousness motivated the author of the Kings to begin at the remotest origin of the Race and trace all the way down through to his age, and have a long view towards the future of the race. Thus, the author viewed the complexity of the racial history, the extensiveness of its crosswise comprehension, the remoteness of its lengthwise survey, but he integrated them all in his Kings and reduced them all to Dangoon, the Racial Patriarch. . The Kings, this history poem, is indeed the greatest and the most valuable among all the works including Sam-Kuk-Sa-Ki and Sam-Kuk-Yu-Sa, that have ever been written by the hands of Korean prose writers. The 12th and 13th centuries represented by Yi, Kyu-Bo and Yi, Sung-Hyoo were the golden age of epic poetry in Korea. We regret, however, that this literary trend was not succeeded by their posterity. Epic poem died out with the death of those two poets, which results from the historical reality of Koryo Dynasty. Epic poetry is above all characteristic of collective consciousness rather than individual, for essentially it is a product of collective consciousness. The cosufferings and the co-resistance of the Korean race in the 12th and 13th centuries led the Race to the racial consciousness of common destiny-to the formation of a collective consciousness. Both heroic and history poems were based on this collective consciousness. Unless comes any split in this homologue, collective consciousness can be maintained. However, the historical reality of Koryo was different. The Mongolian invaders were the common enemy of the people of Koryo. Therefore the entire people rose and fought. But the ruling class of Koryo government forsook the people's volition to resist and shamelessly surrendered to the foreign aggressors. The government, even allied with the Mongolian army to destroy its own resisting army and people. By these means, the ruling class once more enjoyed the wealth and power under the grace of the Mongolian Empire; on the other hand, the detressed people suffered under the duplicated tax privations by both Koryo government and Mongolian colonial government. Here, the interests of the government and people were seriously conflicting. A total collapse came in the collective consciousness of the people as a race with common destiny. This tragic collapse, it meant the loss of the base on which was to grow the epic poetry. Thereafter, no epics were ever produced in the literature of Koryo, but its literature took two different flows: the one was Kyong-Ki-Che-Ka (景幾體歌), the literature of the ruling class; and the other, Chang-Ka (長歌) (meaning long ballad), which was the literature of the people. - The End -

결절성 및 괴상성 간세포암에서 역동적 전산화단층촬영 소견에 따른 경동맥화학색전술결과의 예측

이성문,김홍,지성우,우성구,이정형,서수지,손철호 啓明大學校 醫科大學 1997 계명의대학술지 Vol.16 No.2

Purpose: To evaluate retrospectively whether it is possible to predict the transarterial chemoembolization(TACE) result with the pre-TACE dynamic CT findings. Materials and Methods: The dynamic CT findings of 33 patients with 35 nodular and 8 massive hepatocellular carcinoma(HCCs) who was taken follow up CT after TACE, were reviewed retrospectively. After excluding the diffuse or infiltrative HCCs, the mass was classified into two groups of nodular and massive types. The size, location, degree of enhancement, pseudocapsule, portal vein(PV) thrombosis and arterioportal(AP) shunt were evaluated on the dynamic CT scans. The vascularity, multiple or parasitic blood supply, AP shunt and the possibility of superselection were considered on the angiography. After TACE, the pattern of lipiodol uptake and residual enhancing nodules were evaluated on the follow-up CT scans. Results: The good TACE results could be obtained in 18 of 35 nodular HCCs with dynamic CT findings of small size(mean=2.94cm), peripheral location, hyper-or iso-enhancement, and absence fo PV thrombosis, with angiographic finding of possible superselection, but the pseudocapsule did not give important effect on the result. Most of the massive HCCs had poor TACE results. Conclusion: The prediction of the TACE results of nodular and massive HCCs was possible with dynamic CT findings. If the good prognostic factors were not observed on the pre-TACE dynamic CT, the multiple TACE and/or combination therapy with percutaneous ethanol injection(PEI), surgical resection or others should be considered for the effective control of the HCCs.

급성골수성 백혈병에서 CD34와 P-당단백의 발현

이제환,김우건,김상위,이정신,이규형,장대영,최종수,김상희,김성배,서철원,지현숙 울산대학교 의과대학 1995 울산의대학술지 Vol.4 No.1

Backgrounds : The expression of the MDR-1(multidrug resistance)encoded P-170 glycoprotein(p-170)and CD34 have been well known to be associated with drug resistance in AML(acute myelogenous leukemia). P-170 and CD34 expression in AML have been reported as unfavorble prognostic parameters separately. Methods : P-170 glycoprotein expression was analyzed in correlation with CD34 expression and clinical response in 15 consecutive patients with de novo acute myelgenous leukemia (AML). They were measured with flow cytometry after direct and indirect immunofluorescence staining simultaneously. Results : 1) The positive rate of P-glycoprotein and CD34 were in two of 15 patients(13%), seven of 15 patients(46%), respectively. 2) One of two P-170 positive patients as compared with 7 of 13 P-170 negative patients achieved a complete remission(CR), which showed no clinical significant difference. 3) There was no significant correlation between P-glycoprotein and CD34 expression(r=0.29, p=0.28). 4) In de novo acute myelogenous leukemia, there was no case which expressed both P-170 and CD34 simultaneously. 5) P-glycoprotein and CD34 were not expressed in acute promyelocytic leukemia group. 6) Cytogenetic abnormalities did not show any significant difference in the rate of P-glycoprotein expression, CD34 expression and complete remission. Conclusion : CD34 and P-glycoprotein in acute myelogenous leukemia were independent parameter in this study. Further investigations are warranted for clinical implication.

동종골수이식 후 혈당 및 혈중 지질농도의 변화양상 및 관련인자

이원영,강무일,오은숙,오기원,손현식,윤건호,차봉연,이광우,손호영,강성구,신완식,민우성,김춘주 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.24 No.6

연구배경:골수이식은 비교적 젊은 연령의 환자들을 대상으로 하며 면역억제제의 사용기간이 비교적 짧으므로, 주로 고령의 만성 질환 환자에서 시행되는 고형장기이식에서와는 달리 당대사 및 지단백 대사에 있어서 많은 차이점이 있을 것으로 추측된다. 저자들은 전향적 연구를 통하여 골수이식 후 시기별로 혈당 및 혈중지단백 변화 양상을 알아보고 이와 관련된 임상인자들을 규명하고자 하였다. 방법:1998년 10월부터 1999년 8월까지 가톨릭대학교 성모병원에서 동종골수이식을 시행한 환자들 중 43명을 대상으로 이식 전 및 이식 후 1, 2, 3, 4주와 3개월, 6개월에 공복 혈당, 혈중 총 콜레스테롤, 중성지방, 고밀도지단백을 측정하여 골수이식 후 시기별 변화를 관찰하고 여러 임상인자들에 따른 차이를 알아보았다. 결과:1. 공복혈당은 골수이식 수 첫4주 동안 상승하였고 이후 감소하였으나 이식 6개월 시점의 평균 공복혈당은 이식 전보다 유의하게 높게 관찰되었다. 혈중 총 콜레스테롤은 이식 후 1주에 최고치를 형성하였고 이후 기저수준으로 회복되었다가 이식 수 3,6개월에 다시 증가하여 기저치에 비해 유의하게 높았다. 혈중 중성지방은 이식 후 1개월까지 유의하게 증가하였고 이후 감소하여, 3,6개월에는 기저치와 유의한 차이가 관찰되지 않았다. 혈중 고밀도지단백은 이식 후 2,3주에 이식 전보다 유의하게 감소하였고 이후 이식 전 수준으로 회복되었다. 혈중 저밀도지단백은 총 콜레스테롤의 변화와 매우 유사하였다. 2. 골수이식 후 6개월 시점에서 공복 혈당이 126㎎/dL이상인 환자는 7명(16%)이었다. 이들 환자들과 공복혈당 126㎎/dL 미만의 환자 36명을 비교한 결과, 공복혈당이 126㎎/dL 이상인 환자군에서 스테로이드 평균 투여량이 많았고 고밀도지단백이 유의하게 낮았다. 3. 이식편대숙주질환이 발생한 환자는 그렇지 않은 환자보다 이식 후 1, 2, 3주 및 6개월의 총 콜레스테롤이 더 낮았고, 3개월의 공복혈당이 더 높았다. 혈연골수이식 환자군은 비혈연골수이식 환자에 비해 투여된 스테로이드 용량이 더 적음에도 불구하고 이식 후 1, 2, 3주 및 6개월의 총 콜레스테롤 수치가 더 높았다. 스테로이드 고용량 투여군(하루 평균 7.5㎎기준)은 저용량군보다 이식 후 3개월 시점의 공복혈당이 더 높았으나 나머지 시점의 혈당, 혈중 지질농도에 있어서는 유의한 차이가 관찰되지 않았다. 결론:골수이식 후 초기시기에 주로 당 대사 및 지질대사이상이 관찰되며 이는 면역억제제 투여와 관련이 있음을 알 수 있었다. 면역억제제가 고용량 투여되는 합병증 발생 시 이들 대사이상에 관심을 기울여 대처해야 할 것이다. Background: In bone marrow transplantation(BMT), recipients are usually younger and immunosuppressants are open used in shorter period than in solid organ transplantation. Therefore, there might be a difference in glucose and lipid metabolism between BMT and solid organ transplantation. However, the serial changes of metabolic parameters following BMT have not been studied. Therefore, the aim of this study is to investigate the serial changes of blood glucose, lipids and the putative factors that are related with these changes after BMT. Methods: We have prospectively investigated 43 patients who underwent allogeneic BMT. Fasting plasma glucose(FPG), total cholesterol, triglyceride and high-density lipoprotein(HDL) were measured before BMT, and at 1, 2, 3, 4, 12 weeks and 6 months after BMT. The serial changes of these metabolic parameters according to clinical factors including type of BMT, mean daily steroid dosage, and occurrence of graft versus host disease (GVHD) were examined. Results: 1. Mean FPG level increased during 4 weeks after BMT and remained above basal value at post-transplant 6 months. Total Cholesterol level was increased during initial 4 weeks after BMT and was above basal value at post-BMT of 3 and 6 months. Triglyceride level was progressively increased during initial 4 weeks after BMT, but returned to basal value there after. HDL-cholesterol level was significantly decreased during initial 4 weeks after BMT, but returned to basal value there after. 2. Patients with FPG above 126 mg/dL and the other patients, the former received larger amounts of daily steroid and had lower HDL-cholesterol level. 3. The changes of metabolic parameters were different according to type of BMT, steroid dose, and occurrence of GVHD. Conclusion: Although there was increase of FPG, TC, TG and decrease of HDL-C during initial 4 weeks after BMT, these metabolic changes recovered slowly thereafter. Immunosuppressants are thought to be associated with these changes. Further observation will be needed for the long-term effect of BMT on metabolic changes(J Kor Diabetes Asso 24:689~698, 2000).

골수이식 후 골밀도 및 골대사의 변화 : 2년 추적관찰 2-Year Prospective Study

이원영,강무일,오은숙,오기원,한제호,손현식,윤건호,차봉연,이광우,손호영,강성구,신완식,민우성,김춘추 대한내분비학회 2000 Endocrinology and metabolism Vol.15 No.4·5

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release : Report of 31 Cases

Lee, Gun Sang,Lee, Myung Ki,Kim, Woo Jae,Kim, Ho Sang,Kim, Jeong Ho,Kim, Yun-Suk The Korean Neurosurgical Society 2017 Journal of Korean neurosurgical society Vol.60 No.1

Objective : We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. Methods : Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12-30). The mean age at time of surgery was 30.3 years (range, 20-54). Patients were evaluated with a modified Lee's scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. Results : The modified Lee's scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was $15.4^{\circ}$ (range, 5.4-29.0), which was reduced to a mean of CMA of $6.3^{\circ}$ (range, 0-25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. Conclusion : Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.