지연유합과 불유합에서 저신호 강도 초음파의 유용성

윤여헌,김종오,고영도,유재두,정준모,오종건,방한천,최창호,신명철 대한골절학회 2003 대한골절학회지 Vol.16 No.1

목 적 : 저 신호 강도 초음파를 이용한 지연유합과 불유합의 치료에 대한 유용성을 알아보고자 하였다. 대상 및 방법 : 2001년 7월부터 2002년 5월까지 본원에 내원한 지연유합 7례와 불유합 8례를 대상으로 5개월간 저 신호 강도 초음파로 치료하여 5개월후 골유합 여부를 알아 보았다. 결 과 : 총 15례 중 대퇴골 간부 2례, 경골 간부 1례, 상완골 간부 1례, 요골 1례의 지연유합에서 골유합을 얻었고 대퇴골 간부 불유합 3례에서 유합을 얻었다. 지연주합은 71%의 유합율을, 불유합은 37.5%의 유합율을 보였다. 결 론 : 저 신호 강도 초음파는 골유합을 촉진 시킬 수 있으며 지연유합에서 시도해 볼 만 하나 불유합 치료를 위해서는 보다 많은 연구가 필요 하다. Purpose : To evaluation of usefulness of low-intensity ultrasound for nonunion and delayed union. Materials and Methods : For 5 months, we treated 7 delayed union and 8 nonunion using low-intensity ultrasound. After 5 months, in checked X-ray AP and Lateral view, when cortical bridge formation was done, we through union. Results : In 7 delayed union, 5 cases-2 femur, tibia, humerus, radius were healed. In 8 nonunion, 3 femur nonunion were healed. Union rate was 71% in delayed union 37.5% in nonunion. Conclusion : we thought that the low-intensity ultrasound has capacity of induction of union and was considered as the method of treatment for delayed union.

본태성 고혈압에서 염산에포니디핀 (NZ-105, 핀테20정�)의 유효성 및 안전성 : 제3상 다기관 임상시험 The phaseⅢ multicenter open trial

배종화,손일석,강흥선,조정휘,강재헌,김성원,이선영,양윤준,김영식,선우성 대한간질학회 2003 대한간질학회지 Vol.9 No.1

Tocopherol 投與가 家兎의 增體 및 飼料利用性에 미치는 影響

林鍾佑,尹昌鉉,河正基,朴琦緖 진주농과대학 1970 진주농과대학 연구논문집 Vol.- No.9

本 試驗은 Tocopherol이 家兎의 增體 및 飼料利用性에 미치는 影響을 究明하기 위해 雌兎 20頭, 雄兎20頭 計 40頭를 8週間 試驗하였던바 다음과 같은 結果를 얻었다. 1. 日當 增體量에 있어서는 處理區間에 1% 水準의 有意性이 認定되었으며 T₂區가 14.68g, T₁區가 13.17g로서 對照區보다 優秀하였으나 T₃區는 對照區보다 좋지 않았다. 2. 飼料攝取量에 있어서는 處理區間과 性別間에 1%水準의 高度의 有意性이 認定되었고 T₂區, T₁區가 對照區보다 飼料攝取量이 많았으나 T₃區는 對照區보다 不良했다. 3. 飼料利用率에 있어서는 處理區에 있어서 別다른 差가 認定되지 않았다. This experiment was conducted to study the effects of Tocopherol on gain weight, feed consumption and feed conversion of growing rabbits. Twenty male and twenty female rabbits of Japanese white breed used for 8 weeks. The results obtained from this study may be summarized as follows: 1. There was found a highly significant difference(P<0.01) for daily gain weight between treatments. T₂lot with 14.68g and T₂lot with 13.17g had higher daily gain weight than its of control lot. But T₃lot had lower daily gain weight than its of control lot. 2. In feed consumption there were highly significant differences (P<0.01) between treatments and sex. T₂lot and T₁lot had more feed intake than its of control lot. But T₃lot had lower feed intake than its of control lot. 3. The difference in feed conversion was found insignificant between treatments.

노령의 대퇴 전자간 골절 치료에서 압박고 나사못의 안정성 및 유용성

김종오,노권재,윤여헌,고영도,유재두,정준모,방한천,정재학 대한골절학회 2003 대한골절학회지 Vol.16 No.2

목 적: 노령의 대퇴 전자간 골절에서 압박고 나사못의 안정성에 영향을 주는 인자들간의 상관 관계와 골절 양상에 따른 술후 고관절 기능을 평가 및 분석하였다. 대상 및 방법: 압박고 나사를 이용하여 수술적 치료를 시행한 231명의 환자 중 6개월 이상 추시가 가능하였던 60세 이상 84명의 환자들을 대상으로 했다. 방사선적 계측은 압박고 나사못의 활강 길이 및 내반각, 가압 나사 위치, 정복 상태, 원위 골편의 내측 전위를 측정하였으며 술후 기능은 Clawson의 기능 평가표로 하였고 골절 양상에 따라 방사선 계측과 기능 회복과의 상관 관계를 평가하였다. 결 과: 임상 결과는 불안정 골절에서 양호가 10례, 불량이 23례, 안정 골절에서는 양호 40례, 불량이 11례로 안정 골절에서 임상 결과가 좋았고(p<0.001), 압박고 나사 활강은 10 ㎜ 이상일 때 양호가 4례, 불량이 21례, 10 ㎜ 이하에서 양호가 46례, 불량이 13례로 10 ㎜ 이상 활강시에 술후 결과가 불량했다(p<0.001). 다르 방사선적 계측 요인은 결과에 의미있는 차이를 보이지 않았다. 또한, 불안정 골절 중에서 전위 양상 골절의 경우 10㎜ 이상 활강이 12례, 10㎜ 이하 활강이 8례, 분쇄 양상 골절의 경우는 10㎜ 이상이 11례, 10㎜ 이하가 2례로 분쇄 양상의 불안정 골절에서 10㎜ 이상 활강이 의미있게 많았다 (p<0.001). 결 론: 10㎜ 이상의 지연 나사 활강은 고관절 기능 회복 약화를 유발시킬 수 있으며 불안정 골절 분쇄 양상 골절은 이런 지연 나사의 활강이 과도하게 유발될 수 있으므로 불안정 분쇄 양상 골절에서 압박고 나사의 단독 사용은 재고해 보아야 할 것이다. Purpose: To evaluate the relationship between fracture stability and functional results, and analyze the correlation between stability factors and the outcome in intertrochanteric fracture of the elderly. Materials and Methods: Of the 231 patients, 84 patients with age above 60 were able to follow up for minimum 6 months. We measured the sliding length of the lag screw, varus degree, position of lag screw, reduction status and medialization of distal fragment radiologically. The functional outcome of the treatment was evaluated with the Clawson's result classification and we evaluated the correlation between the radiological results of measurement and the functional recovery depending on the Evans fracture classification. Results: There were good results in 40 cases out of 51 stable fractures, and in 10 cases out of 33 unstable fractures (p<0.001). In case of sliding of lag screw more than 10㎜, good results were obtained in 4 cases, and poor in 21. And in case of sliding less than 10㎜, good results were obtained in 46, and poor in 13. (p<0.001).But there was no relationship between other radiologic factors and clinical results. In unstable type, there were 12 cases with lag screw sliding more than 10㎜ and 10 cases with less than 10㎜. In comminuted type, there were 11 cases with lag screw sliding more than 10㎜ and 2 cases with less than 10㎜(p<0.001). Conclusion: The sliding of lag screw more than 10㎜ may result in poor outcome. As in comminuted unstable pattern, sliding of lag screw might be excessive, the use of compression hip screw alone is not good treatment option.

단기배양을 통한 말초혈액 CD34 양성세포의 체외증폭

박상준,김철희,배광봉,김현수,김종숙,윤환중,조덕연,김삼용 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

Background: It is suggested that clinical practice in the areas of bone marrow transplantation and gene therapy might rely on the ex vivo expansion of hematopoietic stem/progenitor cells. However, the condition for ex vivo expansion of hematopoietic progenitor cells is not well established. The authors pursued a series of experiments to define the proper conditions for the expansion of hematopoietic cells in the short-term liquid suspension culture of mobilized peripheral blood CD34+ cells. Methods: 1.0ml cultures were initiated with 9×10^3 PB CD34+ cells, which were isolated from PB mononuclear cells (MNCs) by high-gradient cell sorting, in 12 well plates with the various combinations of hematopoietic growth factors(HGF). The following recombinant human HGFs were used: stem cell factor(SCF) 100ng/ml, granulocyte colony-stimulating factor(G-CSF) 100ng/ml, GM-CSF(granulocyte, macrophage colony-stimulating factor) 100ng/ml, interleukin-1 beta(IL-1B) 1ng/ml, interleukin-3(IL-3) 20ng/ml, interleukin-6 (IL-6) 100ng/ml. At the end of culture, colony-forming cells were evaluated by semisolid clonogenic assay. Results: 1) Using the high-gradient magnetic sorting system, CD34^+ cells were isolated with a yield of 40 3% 2) In 7 day culture of PB CD34^+ cells(9×10^3 cells), nucleated cells expanded mean 10×10^3(range, 9 to 20×10^3) with the addition of SCF alone, 35×10^3(range, 10 to 60×10^3) with SCF plus G-CSF plus GM-CSF, and 130×10^3(range, 40 to 300×10^3) with the combination of SCF, G-CSF, IL-1, IL-3, IL-6, GM-CSF. In 14 day culture, nucleated cells expanded 10×10^3 to 1,860×10^3 with combination of human hematopoietic growth factors. 3) In 10 day culture without medium change of PB CD34^+ cells, CFU-GM numbers expanded 16. 5 fold(range, 7 to 59 fold) with the addition of SCF plus G-CSF plus Il-1 plus IL-3, 31.3 fold(range, 20.5 to 101.1 fold) with the combination of SCF, G-CSF, IL-1, IL-3, GM-CSF. In 14 day culture with or without medium change of PB CD34^+ cells was inferior to 10 day culture for CFU-GM expansion. 4) There was no significant difference for CFU-GM expansion between five growth factors(SCF,G-CSF,IL-1,IL-3,GM-CSF) and six growth factors(five growth factors plus IL-6). Conclusion: The authors could confirm that short-term suspension culture of peripheral blood CD34+ cells could expand hematopoietic progenitor cells. Ten-day culture with medium change of CD34+ cells with the addition of five growth factors, i.e. SCF, G-CSF, IL-1B, IL-3, and GM-CSF, might be the most efficient in this system.

생활치 미백제가 우치 법랑질의 투명도에 미치는 영향

김동준,김영주,김학근,박은종,서은주,황윤찬,오원만,황인남 大韓齒科保存學會 2005 Restorative Dentistry & Endodontics Vol.30 No.3

본 연구에서는 현재 임상에서 home bleaching을 위해 사용되고 있는 표백 재료들이 치아 법랑질의 투명도에 어떠한 변화를 일으키는지 고찰해 보고자 시행하였다. 실험 대상으로는 하루 전 발거한 우치 (bovine tooth)를 사용하였다. 치아의 순면에 수직되게 다이아몬드 드릴을 이용해 수주 하에서 직경 6 mm의 원통형 치아 시편을 만들어 순면이 노출된 상태로 투명한 아크릭 레진에 포매한 후, low speed diamond saw (Isomat, Buehler Co., USA)를 사용하여 1.2 mm 두께로 절단하였다. 절단된 시편은 순면을 먼저 편평하게 연마하고,절단된 면을 연마하여 두께 1 mm의 시편을 완성하였다. 완성된 시편(우치 25개)을 무작위로 추출하여 3개의 그룹으로 나누고 나머지는 대조군으로 하였다. Opalescence (10% carbamide peroxide, Ultradent, Milford, USA), Rembrandt (10% carbamide peroxide, DenMat, USA) 및 Opalescence F(15% carbamide peroxide with fluoride, Ultradent)를 시편의 순면에 1주일 동안 적용 (표백제는 24시간마다 교체)하였고, 설측면은 증류수를 적신 거즈에 접촉된 상태로 보관하였다 표백제를 적용하기 전과 적용 3, 5, 7일째에 시편의 삼자극치 X, Y, Z 값을 색채색차계 (Color & Color Differencemeter, Model TC-6FX, Tokyo Denshoku Co., Japan)로 백색 배경판과 흑색 배경판 상에서 측정하였다 백색 배경판과 흑색 배경판 상에서 측정된 Y값의 평균값을 이용해 contrast ratio를 계산하였다 얻어진 값을 One Way Repeated Measured ANOVA를 이용하여 통계 처리한 결과 10% Opalescence처치군, 15% Opalescence-F처치군 및 대조군에서는 통계적으로 유의할만한 증감을 보이지 않았고, Rembrandt처치군에서는 Contrast ratio가 증가하였다 (p < 0.01) . This study was done to evaluate whether vital bleaching agents could influence on the translucency of the bovine enamel. The anterior bovine teeth that were extracted one day before and without any gross discoloration were obtained and then were preserved in physiologic saline. 6 mm cylindrical tooth specimens were fabricated with diamond puncher perpendicularly on labial surface of bovine tooth. After embedded in transparent acrylic resin with labial surface being exposed, they were cut to a thickness of 1.2 mm with low speed diamond saw (Isomat, Buehler Co., Lake Bluff, IL, USA). They were smoothly ground to 1 mm thickness of enamel with sandpaper. 24 specimens were randomly divided into 3 groups and control group respectively. Opalescence (10% carbamide peroxide, Ultradent, South Jordan, USA), Rembrandt (10% carbamide peroxide, DenMat, USA) and Opalescence F (15% carbamide peroxide with fluoride, Ultradent, USA) were applied on labial sides of the bovine enamel for 7 days (bleaching agents were reapplied every 24 hours) and the opposite surface was contacted to cotton that soaked in distilled water. The control group was soaked in distilled water. Three stimulus value X, Y and Z were evaluated with colorimeter (Color ' Color Differencerneter, Model TC-6FX, Tokyo Denshoku Co., Japan) on the labial surface of all specimen three times on white and black background plate before the bleaching agents were applied and on 3rd, 5th and 7th day after applied. The degree of translucency was normally assessed by measuring the inverse property, opacity (contrast ratio). 10% Opalescence, 15% Opalescence-F, and control group showed no significant variation in the translucency of bovine enamel, However Rembrandt decreased the translucency of it (p < 0.01).

유전자 재조합 사람 IFN-beta인 제네베타와 베네세린의 생물학적 활성의 비교

하종천,이협준,박봉환,김진숙,유대근,남상윤 전주대학교 자연과학종합연구소 2003 전주대학교 자연과학연구소 학술논문집 Vol.15 No.1

Background: Recombinant IFN-beta products have been approved for the treatment of several diseases. Recently, Inbionet, Co. has successfully developed rhIFN-beta product, Genebeta. This study was performed in a purpose of confirming the biological activity of Genebeta by comparison with another recombinant IFN-beta, Beneserin which was already approved. Methods: In vitro antiporliferative activity, regulation of MHC class I expression, antiviral activity, regulation of natural killer cell cytotoxicity were studied for functional comparison of these two rhIFN-beta products. Results: Proliferation assay data showed that two recombinant IFN-beta inhibited T cell and Daudi cell proliferation to a similar extent. When antiviral activity was compared, there was no significant difference between them. The treatment of these two rhIFN-beta also resulted in a similar level of upregulation of class I expression on the surface of A549 cells. Cytotoxicity experiment against tumor cells revealed that both of rhIFN-beta could enhance NK cell cytotoxicity to comparable level. Conclusion: All comparison data indicated that rhIFN-beta products, Genebeta and Beneserin have comparable potentials as a biological response modifier.

농장 사육되는 타조에서 나타난 다리 기형의 증례 보고

최종윤,손화영,전무형,조성환,김혜성,류시윤,박배근,이영원,윤원기 충남대학교 수의과대학 동물의과학연구소 2001 動物醫科學硏究誌 Vol.9 No.-

Two farmed young ostrich chicks were applied to pathology laboratory at Chungnam National University. Grossly, one ostrich showed rotated tibiotarsus, the other showed rolled toes. Case 1 ostrich was hypertrophy of fibualis longus and tibial cranialis tendon and gastrocnemius tendon in crus, inflammation of flexor digitorum longus. In histopathological views, myocytes of fiburalis longus were showed hypertrophy and hyperplasia. It is not found any specific feature in X-ray of the case 2 ostrich. Limb deformities were detected frequently in farmed ostrich chicks in 2- to 3 weeks old. Limb deformities were an important cause of mortality in farmed ostrich chicks during the first 10weeks after hatch. Cause of limb deformities were considered a nutrition problem.

競技種目別로 본 優秀選手의 體格.體力의 比較 및 基準設定에 관한 硏究

朴哲浩,金榮俊,鄭琮潤 東亞大學校 附設 스포오츠科學硏究所 1985 스포츠科學硏究論文集 Vol.3 No.-

This research has the aims of making known what the characteristics of physique and physical fitness factors are and establishing a desirable model of standard evaluation for talented collegiate athletes according to their games. Method All 157 talented athletes of 11 items of sports who attend colleges in Pusan and chosen for the research, and standard evaluation by means of T-score was made on the basis of the measurement results of 18 physique and 28 physical fitness factors. The numbers of student athletes in each event are 29 in baseball, 27 in socer, 22 in wrestling, 16 in taegwondo, 15 in judo, 14 in ssirum, 12 in bosing, 7 in track & field, 5 in archery, and 3 in cycling. Conclusion 1. The first three groups which attained higher records in standing height, body weight of chest and sitting height were those of ssirum, field & track and judo, while those of Taegwondo and archery were the lowest 2. In such factors as length of upper arm and length of limb, the groups of field & track, ssirum and baseball were highest in order, while those of archery and cycling were the lowest in their scores. 3. In girths of upper arm, forearm and thigh, the athlete groups of ssirum, judo and field & track in order got higher scores than others, while the lowest two groups were those of Taegwondo and archer. 4. In strengths of grip, upper arm in extensor and flexor and leg in extensor and flexor, the groups of ssirum, field & track and judo were the highest three, and those of archery and boxing were the lowest two. 5. In the relative strength factor, the groups of field & track, archery and cycling in the score order were the highest, and judo and boxing groups were the lowest. 6. In the static muscular endurance factor, the player groups of wrestling, soccer and archery were in order the highest three, and those of baseball and boxing were the lowest two. 7. In the power factor, the collegiate athlete groups of field & track, fencing, ssirum and baseball were the highest four in the score order, and those of boxing and archery were the lowest two. 8. In the factor of flexibility, the athletic groups of fencing, archery and Taegwondo were the highest three, while those of field & track and boxing showed the lowest marks. 9. In the factor of cardiovascular funciton and endurance, the student player groups of field & track, ssirum and soccer were the highest three, while those of boxing and archery received the lowest scores. 10. A model of standard evaluation of physique and physical fitness for the subjects, namely talented athletes, by means of T-score were presented in Table 5-1, 2, 3 and 4.

발열로 인해 발현된 부루가다 증후군 1례

박혜연,김종훈,박경일,황철웅,김태년,남궁준,도준형,이원로,이성윤 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Brugada syndrome is characterized by right bundle branch block morphology and ST segment elevation in the right precordial leads and a propensity to develop ventricular arrhythmias. Mutations in a cardiac sodium channel gene have been linked to this syndrome, and the ionic mechanisms responsible for the electrocardiographic phenotype are temperature-dependent. This case report describes a patient in whom a typical Brugada ECG pattern developed during fever and returned normal ECG after fever was subsided.