성전환증 치험례

김태연,정전은,구상환 大韓成形外科學會 1989 Archives of Plastic Surgery Vol.16 No.5

The transsexualism is defined as "a distribution of gender identity in which the person manifests, with constant and persistent conviction, the desire to live as a member of the opposite sex and progressively takes steps to live in the opposite sex role full-time." Although its etiologty is unknown, the majority of modern psychiatrists and behavioral scientists agree that the transsexualism is a disease entity belonged to gender identity disorder, but not to be confused with the transvestite, homosexualism, or psychopaths. We experienced five cases of male-to-female transsexualism. The basic requirements for this type of operation were that the patient be more than 21 years old, a transsexual for at least 3 years, cross dressing for more than 1 year and taking female hormones for at least 9 months. The patient who approved himself a transsexualism by psychiatrists with psychological tests including MMPI, Rosarch test had recieved several preoperative studies including EEG to rule out temporal lobe epilepsy, excrtory urogram to rule out genitourinary abnormalities, sex chromation study with peripheral blood smear for diagnosis of genetically normal male person, and hormonal study(17-KS in urine) to rule out endocrine abnormalities. Once the patient was admitted to the hospital , he was placed on a 2-day mechanical bowel preparation with a clear liquid diet. The three male transsexuals underwent the vaginal reconstruction using one-stage penile skin flap inversion surgery after vaginal pocket dissection, and the other two transsexuals who had recieved penile amputation underwent modified McIndoe operation for vaginal reconstruction using full-thickness skin graft from inguinal area. The ancillary procedures for male transsexuals including double fold operation, augmentation rhinoplasty, augmentation mammoplasty, facial bone contouring surgery, laryngeal chondroplasty, and electrolysis were also done, before of simultaneously. Herein we describe the technique, mainly about vagnal reconstrution and briefly report the results

소아 확장성 심근증의 임상적 고찰

이성환,김준식,박근수,김명성,권태찬,김천수,이상락 啓明大學校 醫科大學 1996 계명의대학술지 Vol.15 No.1

A Clinical assessment of the 25 patients with dilated cardiomyopathy who were admitted to the Department of Pediatrics, Keimyung University Dong San Hospital from January, 1982 to June, 1993 was performed. The result were as follows: 1) Among 25 patients with dilated cardiomyopathy. 8(32%) were younger than 1 year of age at the time of admission. 2) Adriamycin toxicity was the only encountered etiologic factor in 1 patient. 3) On admission, hepatomegaly and tachycardia were noted in almost all patients. 4) The Chest X-rays showed cardiomegalies in all 25 patients, pulmonary vein congestions in 15(60%) and pleural effusion in 2(8%). 5) The electrocardiography showed left ventricular hypertrophy in 72% and supraventricular tachycardia in 32%. 6) The echocardiographic examination showed left ventricular dilatations in all patients and left atrial dilatations in 20(80%). 7) Of 18 patients who had followed mean period of 2.9 years, 10 patients died within 9 months after the diagnosis.

원통형 연소실에서 단발 분출화염의 온도분포에 관한 연구

김춘중,최태환 영남이공대학 산업기술연구소 2003 産業技術硏究 Vol.15 No.-

Many researches about the combustion process gas temperature and velocity in a constant volume combustion chamber have been conducted. The temperature and the distribution of velocity in the combustion chamber have a large influence in the combustion process. Temperature distribution and their histories of jet flame in a constant combustion chamber were measured by a laser rayleigh pyrometer , as a fundamental study of the combustion process in a spark ignition engine. It makes this study get the important data of temperature histories and flame state of jet flame.

비호지킨 림프종의 임상적 고찰

김태원,조은택,조기섭,정재용,허재봉,장영,박유환,정춘해 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

A retrospective clinical and histologic study of 30 non-Hodgkin's lymphomas diagnosed at the Department of Hemato-oncology of the Chosun University from January 1989 to December 1993 is presented. Among total 30 cases whose sexes were mentioned, male were 18 and female were 12 and the ratio is 1.5:1. The peak incidence of non-Hodgkin's lymphoma was found in the third decade. The case distributions by Working formulation were summarized in table 3. The most common histopathologic type of non-Hodgkin's lymphoma was the diffuse large cell type of intermediate grade. The presenting symptoms at the time of first visit to the hospital were summarized in table 4. The most common symptoms were palpable mass. Lymph node enlargements were found in 87 %, and most frequently on cervical area(35%). The incidence of primary nodal lymphoma is more frequent than extranodal lymphoma, 1.2:1. The most common primary site of extranodal lymphoma is the gastrointestinal tract. In the laboratory findings, the data of hemoglobin and hematocrit were summarized in table 8, 9, Values of hemoglobin and hematocrit of female patients greater than those of male patients. The results of the immunophenotypings of nodal and extranodal lymphoma indicates that the B-cell lymphoma are predominant(B:T=1.4:1). The clinical stage was Ⅱ in 9 cases(30%) Ⅲ in 9 cases(30%), Ⅳ in 8 cases(26.7%), Ⅰin 4 cases(13.3%), 28 cases were treated with CHOP regimen. Among them, 17 cases(60.8%) achieved a complete remission. 5 cases had a partial response. The most frequent toxicities were toxic hepatitis.

결핵 진단을 위한 검사 방법간의 효율성에 관한 비교 분석

이원재,최석철,정천환,성희경,김태운 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCINE 1999 Journal of biomedical laboratory sciences Vol.5 No.2

최근 다약제 내성균주의 출현과 후천성 면역결핍증으로 인한 결핵발병률의 증가는 전세계적으로 중요한 보건문제가 되었다. 따라서 보다 빠르고 신뢰할 만한 진단법은 결핵박멸을 위한 가장 중요한 필요조건 중의 하나일 것이다. 본 연구는 171명의 환자를 대상으로 폐결핵 진단의 전통적 방법들 (X-선,항산성 염색,배양)과 PCR법간의 진단적 가치와 효율성을 비교 검토하기 위해 시행하였다. 흉부 X-선 소견 및 검사 결과 그리고 다른 임상 소견들을 통해 결핵으로 확진된 예는 전체 171건의 검체 중 39예 (22.8%)였다. 이러한 확진을 근거로 할 때 각 검사별 민감도, 특이도, 효율성, 위양성률, 위음성률을 살펴 보면 흉부 X-선의 경우 각각 69.2%, 87.1%, 83.0%, 12.9%, 30.8%; 항산성 염색의 경우 79.9%, 95.5%, 91.8%, 4.6%, 20.5%; 배양의 경우 56.4%, 99.2%, 89.5%, 0.8%, 43.6%; PCR의 경우 82.1%, 96.2%, 93.0%, 3.8%, 17.9%였다. PCR의 경우 가장 높은 민감도 및 효율성과 가장 낮은 위음성률을 보였다. 배양법은 가장 높은 특이도와 가장 낮은 위양성률을 보였다. 결론적으로 PCR은 결핵 진단을 위한 신속하고 효율적인 우수한 검사 방법이므로 일상적 임상 검사로의 활용가치가 매우 높다고 하겠다. 그러나 전통적인 여러 방법들 역시 임상상황에 따라 그 나름대로의 특별한 가치를 지니고 있으므로 철저한 정도관리를 통해 PCR과 병행한다면 결핵균 검출율을 보다 높일 수 있으리라 판단된다. In recent years continuously increasing number of tuberculosis (TB) cases due to the emergence of strains with multidrug resistance and AIDS is a significant global health problem. Therefore, more rapid and reliable diagnosis of TB may be one of the most urgent needs in efforts to eradicate the disease. The present study was designed to compare and assess the diagnostic values and efficiencies between the conventional methods (X-ray, AFB stain and culture) and PCR for pulmonary TB on 171 cases. Chest X-ray finding and clinical features revealed that 39 (22.8%) of 171 sputum specimens were pulmonary TB cases. The statistical data were taken on the basis of the definitive diagnosis: In X-ray, overall sensitivity, specificity, efficiency and false positive and false negative incidence was respectively 69.2%, 87.1%, 83.0%, 12.9%, and 30.8%; 79.5%, 95.5%, 91.8%, 4.6% and 20.5% in AFB-stain; 56.4%, 99.2%, 89.5%, 0.8% and 43.6% in culture; 82.1%, 96.2%, 93.0%, 3.8% and 17.9% in PCR. PCR got a highest sensitivity and efficiency as well as a lowest false negative incidence. Culture had a highest specificity with a lowest false positive incidence. These results imply that PCR assay is fast, sensitive and efficient method for diagnosis of pulmonary TB. However, combined use of the conventional methods wish thorough quality control may offer more opportunities for detecting Mycobacterium tuberculosis and diagnosting TB although they have some limits.

간문부 담관암 환자에서 경피경관 양측성 금속 배액관의 효과

김금래,김주형,박원규,장재천,조재호,김태년,김준화,장병익 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Background: The purpose of this study was to determine the effectiveness of percutaneously place self-expanding metallic stent for the relief of biliary obstruction in patients with hilar cholangiocarcinoma. Materials and Methods: From November 2001 to December 2004, 48 patients with hilar cholangiocarcinoma were prospectively studied. After percutaneous placement of bilateral self-expanding, uncovered metallic stents, follow-up evaluation was carried out until July 2005. Results: There were 4 cased of Bismuth type Ⅱ,21 cases of Bismuth typeⅢa 8 cases of Bismuth type Ⅲb and 15 cases of Bismuth type Ⅳ. Stent placement was technically successful in all patients All patients had satisfactory biliary drainage, resulting in one week drainage rate of 72.8% and final drainage of 91.9% There were 12 cases (21.3%) of abdominal pain requiring analgesics and 1 case (7.1%) of cholangitis; both were successfully managed with conservative treatments. Late complications occurred in four patient (8.3%), including two patients with cholangitis, one patient with liver abscess, and one patient with biloma; all were appropriately managed by percutaneous drainage. The average length and median durations of stent patency and median survival time were 303 days (range, 60~815) and 338 days (range, 60 ~1175), respectively. Conclusion: Placement of a percutaneous metallic stent is an effective and safe method of palliation of patients with hilar cholangiocarcinoma.

Chitin deacetylase from Absidia coerulea CHK-1 : Mycerial chitin deacetylase of a chitin deacelylase-hyperproducuing fungus, Absidia coerulea CHK-1

Park, Chun,Kim, Jung Ran,Shin, Jae Kyoung,Kim, June Ki,Lee, Tae Kyun,Chung, Ji Chun,Park, Weon Hwan,Park, Sun Dong,Nam, Kyung Soo,Lee, Young Choon,Kim, Cheorl Ho 한국키틴키토산학회 1997 한국키틴키토산학회지 Vol.2 No.2

A mycelial chitin deacetylase has been purified from a chitin deacetylase-hyperproducing fungus, Absidiα coerulea CHK-1. The purified enzyme had a molecular mass of about 62 kDa on denaturated and natural conditions. The pI was 5.5. The chitin deacetylase, when resolved by SDS-PAGE, was positive for Schiff staining, suggesting that the enzyme is a glycoprotein. When O-hydroxylated chitin (glycolchitin) was used as a substrate, the enzyme displayed a temperature optimum of around 50℃ and a pH optimum of around PH 5,5. The enzyme was stable to incubation from pH 3.0 to pH 6.5 at 4℃ for 24 hr. The presence of chitin protected the enzyme from heat inactivation, the extent depending upon the substrate concentration. The activity of the enzyme was stimulated by Mn2+ ion. The enzyme is active on chitooligosaccharides with more than two N-acetylglucosamine residues (M-acetylchitobiose). However, the enzyme is not active on N-acetylglucosamine. The enzyme had an apparent Km of 12.4 mM and Kcat of 32.4 /sec for glycol chitin, respectively.

Ant as bioindicator for global warming

Tae-Sung Kwon,Sung-Soo Kim,Jung Hwa Chun,Jong-Hwan Lim,Yong-Kul Kim 한국응용곤충학회 2009 한국응용곤충학회 학술대회논문집 Vol.2009 No.10

Ant species were reported to have specific vertical distribution in high mountains in Korea. The vertical distribution was recognized in Hanla mountain being highest in South Korea using pitfall traps in 2006. This phenomena suggests that temperature may be a main factor for distribution of ant species, since 0.5~0.6℃ of temperature decrease per each 100 m of altitude. The present study was carried out to test this hypothesis. Ant communities were surveyed using pitfall traps (ten traps per each site) at 234 sites, which included 9 high mountains in South Korea. The vertical distribution of ant species were found in all the high mountains. Abundance data (probability of occurrence, %) of seventeen abundant ant species which occurred at more than 10% of the study sites were analyzed using multiples regression analysis with four independent factors such as temperature, precipitation, light intensity, and NDVI. As results of the regression analysis, temperature was most important in determining the abundance in 11 of 17 species. Light intensity was most important in 3 species, and precipitation in 1 species. In the 11 species being highly dependent on temperature, determination index (R2) of regression model with one factor of temperature was approximately 90% of determination index of the regression model with all four factors. On the base of dependence on temperature and of ecological characteristics (ground foraging), six species such as Paratrechina flavipes, Myrmica kotokui, Pachycondyla javana, Pristomyrmex pungens, Camponotus atrox, and Crematogaster osakensis were selected as bioindicator for global warming. In the bioindicator ant species, M. kotokui and C. atrox were predicted to decline in abundance and distribution in Korean peninsula as temperature increases, whereas other four species including P. flavipes, P. javana, P. pungens, C. osakensis were predicted to increase. Temperature-Distribution models were established in four most temperature-responsive species including P. flavipes, P. javana, P. pungens, and M. kotokui, and distribution maps of the species were made from the model. Reversely, temperature was estimated from ant data of five bioindicator species using regression model, of which R2 is 0.66.

The Influence of Spondylolisthesis Reduction on the Adjacent Lumbar Segment

Park Tae-Hwan,Choi Yunhee,Kim Tae-Shin,Kim Jun-Hoe,Lee Chang-Hyun,Kim Sum,Kim Young Rak,Ko Yong San,Yuh Woon Tak,Rhee John M.,Kim Kyoung-Tae,Chung Chun Kee,Kim Chi-Heon 대한말초신경학회 2023 The Nerve Vol.9 No.2

Objective: Mild to moderate stenosis at the adjacent level sometimes co-occurs with lumbar spondylolisthesis, but whether to include the adjacent level during surgery for the index level is a matter of debate. Spondylolisthesis causes anterior slipping of the vertebra and reduces the segmental angle at the index level, and the adjacent level may compensate for this change through hyperextension to maintain spinal balance. This study investigated the radiological changes and clinical outcomes of adjacent segment stenosis in patients with lumbar spondylolisthesis. Methods: Forty consecutive patients (12 men and 28 women, age 66.6±10.4 years) underwent single-level oblique lumbar interbody fusion for L4-5 or L5-S1 spondylolisthesis. Lumbar central stenosis at the cranial adjacent segment was present in 16 patients (stenosis group) and absent in 24 patients (no-stenosis group). Clinical and radiological parameters were longitudinally compared between the stenosis and no-stenosis groups. Results: Both groups showed similar and significant clinical improvement. The segmental angle at the index level significantly improved in both groups (p<0.05), but the segmental angle at the cranial adjacent segment significantly decreased only in the stenosis group (p<0.05). The spinal canal area at the adjacent level significantly improved only in the stenosis group (p<0.05). Conclusion: Realigned spondylolisthesis may reduce hyperextension of the adjacent segment. If mild lumbar spinal stenosis is present at an adjacent level to spondylolisthesis, it may not be essential to include it in surgery.

根圈溫度가 養液裁培 오이 (Cucumis sativas L.)의 질소동화와 목부수송에 미치는 영향

전윤태(Youn-Tae Chun),정순주(Soon-Ju Chung),김태환(Tae-Hwan Kim) 한국원예학회 2002 Horticulture, Environment, and Biotechnology Vol.43 No.4