On the Numerical Range of a Linear Operator

Yang,Young-oh 제주대학교 1987 논문집 Vol.24 No.-

Hilbert C*-加群上의 C*-代數値 內積과 單位的 C*-代數上에서 定義된 連續 陽의 線型 汎函數에 의하여 이 加群上의 有界 線型 作用素의 數域을 새로이 定義한 후 Toeplitz,Bauer,Yang등의 立場에서 본 數域개념과의 포함관계를 밝히고, Hilbert空間上에서 스펙트럼과 數域과의 관계를 밝히는 Williams의 定理를 확장했다. 한편 새로 定義된 數域은 복소수 C의 連結部分集合이 되지만 閉部分集合은 되지 않는 位相性質과 Lumer의 公式이 성립함을 밝혔다.

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.

포도당과 이소프로테레놀에 의한 시상하부의 소마토스타틴 분비가 갑상선자극호르몬방출호르몬에 의한 갑상선자극호르몬에 미치는 효과

박철영,양인명,오승준,김덕윤,우정택,김성운,김진우,김영설,최영길 대한내분비학회 2000 Endocrinology and metabolism Vol.15 No.4·5

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

VP-16으로 성공적으로 치료된 위 Kaposi 육종 1예

양웅석,송근암,조몽,이재승,송철수,김형욱,김영민,이수봉,김태오,이성훈 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4

The skin is an uncommon site of distant metastasis from any internal malignancy, and the incidence of metastatic skin lesions as the first symptom of disease is only 0.8% in patients with all systemic malignancies. Furthermore, cutaneous metastasis from adenocarcinoma of the stomach has been found to be extremely rare. A 35-year-old female patient was admitted due to multiple cutaneous nodules in her chest, abdomen, and back. A gastroendoscopic examination and biopsy was made according to the results of skin pathologic findings. Stomach and skin biopsy results revealed a signet ring cell type of adenocarcinoma. A case of gastric adenocarcinoma in which metastatic skin nodules appeared as the first sign of disease, is here in reported with a review of related literature.

피보나치수열과 황금비에 관한 연구

오시봉,양영오 濟州大學校 師範大學 科學敎育硏究所 1999 科學敎育 Vol.16 No.-

Fibonacci sequence, one of the simplest and most significant problems in Middle age, is not handled much in the current high school mathematics curriculum But it appears in only some of the high school text books partially. In this paper we demonstrate and prove the characteristics and properties of Fibonacci sequence, define the concepts of golden section and golden ratio, and find out examples of golden ratio and Fibonacci sequences in our nature and daily life. Hence this paper has a meaning in providing the guideline and teaching-learning materials for the teachers and researchers who study Fibonacci sequence systematically and constantly.

성인 막성신병증의 임상적 고찰

양종오,이상주,박기현,장윤경,이강욱,서광선,신영태 충남대학교 의학연구소 2001 충남의대잡지 Vol.28 No.2

Membranous nephropathy (MN) is a glomerular disease characterized by diffuse thickening of the glomerular basement membrane without significant mesangial proliferative change and is usually manifested by the nephrotic syndrome. To evaluate the clinical and pathologic characteristics of this disease in adults, we analyzed 65 patients with primary membranous nephropathy who were diagnosed at Department of Internal Medicine, Chungnam National University Hospital from February 1986 to February 2001. The results are as follows: 1) Of total 96 patients with membranous nephropathy, 67.7% was primary MN. Hepatitis B-associated MN and lupus MN were 22.9%, and 9.4%, respectively. Median duration of follow-up was 35.1 months(0.3∼177) in primary MN, 49.6 months(2.5∼103) in lupus MN, and 35.6 months(0.5∼108) in hepatitis B-associated MN. 2) Mean age of the patients with primary MN at the time of diagnosis(43.3 years) was significantly higher than that of lupus MN(30.4 years) and HBV-associated MN(36.2 years). Male to female ratio of primary MN was 1.03:l. 3) At the time of diagnosis, 89.2% of primary MN was presented with nephrotic syndrome. Twenty seven percent of patients showed hypertension. Hematuria was found in 58.5% of primary MN patients. Azotemia was noted in 3.1 %. 4) Global sclerosis, tubular atrophy and interstitial fibrosis were noted in 39.8, 16.1 and 11.3% of primaty MN, respectively. IgG and C3 were deposited on the glomerular capillary loop in 92.7% and 29% of primary MN patients. There was no significant correlation between the electron microscopic pathologic stage and clinical findings. 5) Of 56 patients with primary MN followed more than 6 months, 50(90.9%) patients were treated with prednisolone, cyclophosphamide or cyclosporin. Complete remission was obtained in 29 patients(51.8%), partial remission in 6 patients(10.7%), and no response in 18 patients(32.1%). Of 6 patients who were not treated with immunosuppressive drugs, 3 patients showed spontaneous complete or partial remission. Three patients who did not show clinical improvement progressed to end-stage renal failure. There were no significant clinical difference including renal pathology at the time of diagnosis between the patients who showed complete or partial remission and patients who did not. In conclusion, it was difficult to predict the long-term prognosis of primary MN at the time of diagnosis, clinically. The response to therapeutic modality would be the most important to predict long-term prognosis of primary MN.

기관골 신생증 1예

오영상,이은우,정종혁,문승원,김수현,김동한,양혁승,박정환,박경옥,강성수,이영직 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

Tracheobronchopathia osteoplastica is a rare disorder of unknown cause characterized by the projection of numerous bony or cartilaginous submucosal nodules into the tracheobronchial lumen with sparing of the posterior membranous portion of tracheobronchial tree. In the past, most of the cases were diagnosed as secondary finding at autopsy. Nowaday, the key component of the evaluation is flexible fiberoptic laryngoscopy and bronchoscopy, which typically demonstrates irregular spicules of subrnucosal bone and cartilage projecting into the tracheobronchial lumen and causing various degrees of airway obstruction. A 45 years old man was visited Sunchon St. Carollo hospital due to discomfort on throat. We saw several nodules just below vocal cord via laryngoscope. The computed tomography revealed multiple small calcified nqdules on trachea and both main bronchi. Pathologic finding of bronchoscopic biopsy showed abnormal proliferation of bony and cartilagious nodules in the tracheal submucosa. These fingdings were consistent with tracheobronchopathia osteoplastica. We report here on a case of tracheobronchopathia osteoplastica with review of literature.

각종 단백질 사료의 반추위내 분해도 및 하부 장기내 소화율에 관한 연구

오영균,양시용,김창원,정재준,박근규 건국대학교 동물자원연구센터 1998 動物資源硏究誌 Vol.19 No.-

본 연구는 반추가축사료의 단백질 이용효율을 높이기 위한 방안으로 국내 사료회사에 주로 이용하고 있는 단백질 사료의 반추위내 분해단백질(RDP)과 비분해단백질(UDP) 및 소장에서도 흡수되지 않는 이용불능단백질 함량들을 측정하기 위하여 실시하였다. 반추위와 십이지장에 캐뉼라를 부착한 젖소에 in sacco와 mobile bag 기술을 이용하여 여러 가지 원산지와 종류가 다른 단백질 원료사료의 반추위내 분해율과 소장 내에서의 이용성을 평가한 결과는 다음과 같다. 1. 나일론백을 이용한 반추위내 단백질 분해율을 측정한 결과 UDP가에 있어 우모분(78.0), 옥수수글루텐(75.2), 어분(64.9), 알팔파 펠렛(46.6), 면실박(44.9), 채종박(42.9), 캐놀라박(41.4), 참깨박(40.6), 대두박(39.2), 해바라기씨박(30.4) 순으로 나타났다. 2. 11가지 사료를 mobile bag을 이용하여 전장 소화율을 측정한 결과 건물 소화율은 49.1%(야자박)에서 97.5%(대두박)까지, 단백질 소화율은 71.5%(우모분)에서 99.6%(대두박), 소화 가능한 UDP 함량은 63.5%(대두박)에서 99.0%(우모분)의 범위를 나타내었다. 3. 우모분, 알팔파 펠렛 및 어분 등과 같이 소화 가능한 UDP 함량이 낮은 것은 비소화성 섬유소에 결합되어 있는 ADF-N 함량도 다른 시료보다 매우 높았다. 4. 알팔파 펠렛은 지나친 열변성으로 인해 ADF-N 함량이 사료들 중에서 가장 높았으며 이로 인해 전장 단백질 소화율은 물론 소화 가능한 UDP함량도 매우 낮은 것으로 나타났다. This study was conducted to estimate the amount of rumen degradable protein(RDP), undegradable rumen dietary protein(UDP) and digestible UDP, thereby utilizing dietary protein sources in ruminant diets more effectively. Ruminally and intestinally cannulated cows were used for in sacco and mobile bag techiniques to estimate ruminal degradability and intestinal availability of protein feed ingredients. The results obtained were as follows; 1. Based on in sacco data, UDP values were ranked as feather meal(78.0), corn gluten meal(75.2), fish meal(64.9), alfalfa pellet(46.6), cottonseed meal(44.9), rapeseed meal(42.9), cannola meal(41.4), sesame oil meal(40.6), soybean meal(39.2), sunflower oil meal(30.4). 2. Actual degradabilities in total digestive tract for 11 selected feeds varied from 49.1%(palm kernel meal) to 97.5%(soybean meal) for DM and from 71.5%(feather meal) to 99.6%(soybean meal) for protein, and digestible UDP contents ranged from 63.5%(soybean meal) to 99.0%(feather meal). 3. Feather meal, alfalfa pellet and fish meal, containing low amount of digestible UDP, also have high concentrations of acid detergent fiber bound N(ADF-N) which is unavailable for animals. 4. Alfalfa pellet has highest in ADF-N concentrations among protein ingredients due to extreme heat damage, thus protein degradability in total digestive tract was also very low.

학령전기 장애아 어머니의 부담감과 사회적지지

양경미,백영주,오현이 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

Background and Objective : The purpose of this study is to identify the level of burden and social support of mothers who have handicapped children of preschool age, and is to determine whether providing social support is an effective strategy to relieve the burden of those mothers. Materials and Method : From August 17, to September 28, 1999, the data was collected from 83 mothers caring handicapped children of preschool age, who are being treated and educated at two welfare centers for the handicapped, two early training and treating centers for them in Kwangju, and one center in Seoul. Two instruments used in this study were the burden scale developed by Suh and Oh, and the Personal Resource Questionnaire(PRQ, Part Ⅱ) developed by Brandt and Weinert. The data was analyzed with t-test, ANOVA, Scheffe’s test, Pearson’s Correlation Coefficient, and Stepwise Multiple Regression analysis. Results : 1. The correlation between the burden and the social support was statistically significant. 2. Sorts of handicap of children was the most important predictor to burden of mothers caring handicapped children of preschool age(R2=.20). In addition to, this social support and brother’s precedence accounted for 32% of burden of those mothers. Conclusion : There was significant negative correlation between social support and burden.