• Title/Summary/Keyword: 이인전

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Retroperitoneal endoscopic lumbar sympathectomy - 2 cases report - (후복막강 내시경을 이용한 요추 교감신경절 절제술 - 2례 보고 -)

  • Lee, Song-Am;Kim, Kwang-Taik;Baek, Man-Jong;Lee, In-Sung;Kim, Hyoung-Mook;Kim, Hark-Jei;Lee, Gun
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.203-207
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    • 1998
  • We have experienced 2 patients who underwent retroperitoneal endoscopic lumbar sympathectomy(RELS) for bilateral plantar hyperhidrosis. They had underwent thoracic sympathectomy by thoracoscopy 20 months and 1 month ago, respectively. The first patient had to be converted to the open procedure due to pneumoperitonium and she was reoperated due to continous sweating by the incomplete sympathectomy on right side. At follow-up after 70 and 30 days postoperatively, RELS results were graded as excellent, good, fair, or poor. The first patient was very satisfied as "Excellent" and the second was slightly less satisfied as "Good" with compensatory hyperhidrosis at perianal area. This RELS is a feasible procedure to plantar hyperhydrosis patients with less pain, minimal scar, short period of convalescence, and short hospital stay.short hospital stay.

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남녀(男女)의 차이(差異)에 근거(根據)한 남녀형상(男女形象)의 의학적(醫學的) 운용(運用)에 대한 연구(硏究)

  • Lee, In-Su;Yun, Chang-Ryeol
    • Journal of Korean Medical classics
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    • v.19 no.1 s.32
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    • pp.47-109
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    • 2006
  • 서양의학상인위남녀근근시재생식기부동적인(西洋醫學上認爲男女僅僅是在生殖器不同的人). 최근(最近), Legato, Marianne J.박사창립료(博士創立了)‘성인지의학(性認知醫學)’학(學), 개시인식도남녀적차이(開始認識到男女的差異), 주장남녀재치료방법상역부동법(主張男女在治療方法上亦不同法), 종이저일연구진입도료신적단계(從而這一硏究進入到了新的段階). 단시한의학종(但是韓醫學從)${\ulcorner}$황제내경(黃帝內經)${\lrcorner}$개시(開始), 취인위남녀재구조상유근본적차이(就認爲男女在構造上有根本的差異), 이차재생리(而且在生理), 병리(病理), 진단(診斷), 치료상야부동(治療上也不同). 기록한의학기본원리적주역적상관서적화(記錄韓醫學基本原理的周易的相關書籍和)${\ulcorner}$황제내경(黃帝內經)${\lrcorner}$, 이급역대적주요한의서적급종사임상적한의사적서적상(以及歷代的主要韓醫書籍及從事臨床的韓醫師的書籍上), 역도인위남녀유차이(亦都認爲男女有差異). 관어남녀적생성(關於男女的生成), 재(在)${\ulcorner}$보제방(普濟方) 방맥총론(方脈總論)${\lrcorner}$적변남녀형생신육론중제출료(的辨男女形生神毓論中提出了男女的形成有異). ${\ulcorner}$동의보감(東醫寶鑑)${\lrcorner}$여기타한의서부동(與其他韓醫書不同), 불시이질병위주(不是以疾病爲主), 이시이신위중심(而是以身爲中心), 즉목차안형상진행료배열(卽目次按形象進行了排列), 차상세지언급료남녀(且詳細地言及了男女). 나요남녀시고정불변적마 불시적(不是的). ${\ulcorner}$동의보감(東醫寶鑑) 신형장부론(身形臟腑論)${\lrcorner}$인위(認爲)‘인적형색유차이(人的形色有差異), 장부이유이(臟腑易有異), 고외증수동(故外症雖同), 치법인인이이(治法因人而異).’ 안형상선용부동적치법적관점(按形象選用不同的治法的觀点), 이통과주단계지언이표명(已通過朱丹溪之言而表明). 불변관점상여자체격소이동(不變觀点上女子體格小易動), 남자체격대이와(男子體格大易臥). 남자속양기이산(男子屬陽氣易散). 여남자정서초차(如男子情緖稍差), 즉음주해수(卽飮酒解愁), 불이득우울증(不易得憂鬱症). 응보기정기(應補其精氣). 여자속음기이울체(女子屬陰氣易鬱滯), 다유인기지성질(多有忍氣之性質), 이득우울증(易得憂鬱症), 고다용산기약(故多用散氣藥). 간단이언(簡單而言)‘남자위병허증(男子爲病虛證), 여자위병실증(女子爲病實證).’ 종변화적관점래용약(從變化的觀点來用藥), 예여남자수소가용여자약적사물탕(例如男子瘦小可用女子藥的四物湯). 여자비가용남자약적사군자탕(女子肥可用男子藥的四君子湯). 여자골장가용남자약적육미지황환(女子骨壯可用男子藥的六味地黃丸). 위료갱용역이해(爲了更容易理解)‘남녀불변화변화적관점재의학적운용(男女不變和變化的觀点在醫學的運用)’, 이임상병례진행설명(以臨床病例進行說明). 재임상상통과형색맥증적합일화변증론치결정처방(在臨床上通過形色脈證的合一和辨證論治決定處方). 즉불능단순적인위(卽不能單純的認爲), 인위시남자취용육미지황환(因爲是男子就用六味地黃丸), 여자취용사물탕(女子就用四物湯). 남자약소가용사군자탕(男子若小可用四君子湯) 사물탕(四物湯) 육미지황탕(六味地黃湯), 이여자약대가용사군자탕(而女子若大可用四君子湯) 이진탕(二陳湯) 평위산(平胃散) 육군자탕(六君子湯). 인차(因此) 남녀재구조(男女在構造) 생리(生理) 병리유근본성차이(病理有根本性差異), 불이형상래구분(不以形象來區分), 용약상시지불변적입장(用藥上是持不變的立場), 이이형상용약(而以形象用藥), 시종변화적입장래고려적(是從變化的立場來考慮的). 인위이남녀위기준종사임상(認爲以男女爲基準從事臨床), 시부합한의학기본원리지음양관(是符合韓醫學基本原理之陰陽觀).

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Design and Development of an EHR Platform Based on Medical Informatics Standards (의료정보 표준에 기반한 EHR 플랫폼의 설계 및 개발)

  • Kim, Hwa-Sun;Cho, Hune;Lee, In-Keun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.21 no.4
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    • pp.456-462
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    • 2011
  • As the ARRA enacted recently in the United States, the interest in EHR systems have been increased in the field of medical industry. The passage of the ARRA presents a program that provides incentives to office-based physicians and hospitals adapting the EHR systems to guarantee interoperability with various medical standards. Thanks to the incentive program, a great number of EHR systems have been developed and lots of office-based physicians and hospitals have adapted the EHR systems certified by CCHIT. Keeping pace with the rapid changes in the market of healthcare, some enterprises try to push in to the United States healthcare market based on the experience acquired by developing EHR systems for hospitals in Korea. However, the developed system must be customized because of the different medical environment between Korea and the United States. In this paper, therefore, we design and develop an integrated EHR platform to guarantee the interoperability between different medical information systems based on medical standard technologies. In the developed platform, an integrated system has been composed by integrating various basic techniques such as data transmission standards and its methods, medical standard terminologies and its usage, and knowledge management for medical decision-making support. Moreover, medical data can be processed electronically by adapting an HL7 interface engine and the terminologies for exchanging medical information and the standardization of medical information. We develop SeniCare, an EHR system for supporting ambulatory care of the office-based physicians, based on the platform, and we verify the usability of the platform by confirming whether SeniCare satisfies the criteria of "meaningful use" issued by CMS or not.

Antioxidant Effects of Red Ginseng Powder on Liver of Benzo(α)Pyrene-Treated Mice (벤조피렌을 투여한 생쥐의 간 조직에서의 홍삼분말의 항산화 효과)

  • Kim, Hyun-Jeong;Lee, Ji-Won;Ji, Young-Ju;Yu, Me-Hei;Park, Jung-Hyun;Lee, Ki-Dong;Lee, In-Seon
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.5
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    • pp.521-526
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    • 2007
  • The effects of red ginseng powder on hepatotoxicity in $benzo(\alpha)pyrene\;[B(\alpha)P]$-treated mice were investigated. Male ICR mice were pretreated with red ginseng powder (50 or 100 mg/kg/day, for 5 days, intraperitoneally) before treatment with $B(\alpha)P$ (0.5 mg/kg, i.p, single dose). The ability of red ginseng powder to protect against oxidative damage to the mouse liver was examined by determining the level of lipid peroxide, glutathione, and the antioxidant enzyme activities. The glutathione content depleted by $B(\alpha)P$ were significantly increased by red ginseng powder, but elevation of lipid peroxide content induced by $B(\alpha)P$ was decreased by red ginseng powder. The increased activities of superoxide dismutase, catalase and glutathione peroxidase after $B(\alpha)P$-treatment were decreased by the treatment of red ginseng Powder; however, glutathione S-transferase activity depleted by $B(\alpha)P$ were significantly increased. These results suggest that red ginseng powder can protect against $B(\alpha)P$ intoxification through its antioxidant properties.

Role of Blood Flow vs. $O_{2}$ Consumption in Nicotinamide-induced Increase $pO_{2}$ in a Murine Tumor (Nicotinamide에 의한 종양내 산소 분압의 증가에 있어서 혈류 또는 산소 소모의 역할)

  • Lee Intae;Demhartner Thomas J.;Cho Moon-June
    • Radiation Oncology Journal
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    • v.12 no.1
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    • pp.17-25
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    • 1994
  • We evaluated the effect of nicotinamide on cellular $O_{2}$ consumption and metabolic status i.e., adenylate phosphates and $NAD^{+}$in-vitro, and changes in blood flow in-vivo, to determine whether changes in cellular metabolism or increased oxygen availability, was responsible for increased tumor oxygenation. Thirty min, pre-incubation of cells with$\∼$4mM (= 500mg/kg) nicotinamide resulted in no change in cellular $O_{2}$ consumption. Similarly neither the adenylate Phosphates nor the cellular $NAD^{+}$levels were altered in the presence of $\∼$4mM nicontinamide. In-vivo, nicotinamide (500mg/kg) increased $O_{2}$ availability as estimated by changes in relative tumor blood flow (RBC flux). The changes in RBC flux measured by the laser Doppler method, were tumor volume dependent and increased from$\∼$35$ \% $ in$\∼$ 150$mm_{3}$tumors to$\∼$~75$ \% $ in$\∼$500$mm^{3}$ tumors. In conclusion, these observations indicate a reduction in local tissue $O_{2}$ consumption is not a mechanism of improved tumor oxygenation by nicotinamide in FSa II murine tumor model. The primary mechanism of increased $pO_{2}$ appears to be an increased local tumor blood flow.

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Bioactivity and Chemical Composition of the Essential oil of Tea Tree (Melaleuca alternifolia) (티트리 에센셜오일의 생물활성 및 주요 성분 분석)

  • Yang, Seun-Ah;Jeon, Sang-Kyung;Lee, Eun-Jung;Im, Nam-Kyung;Jung, Ji-Young;Lee, In-Seon
    • Journal of Life Science
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    • v.18 no.12
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    • pp.1644-1650
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    • 2008
  • The essential oil of tea tree (Melaleuca alternifolia) is widely used in traditional Australian medicine for skin lesions and infected injuries. In the present study, we investigated the chemical composition, cytotoxicity and its biological activities. The composition of the oil was analyzed by GC-MS. ${\beta}$-Terpinene (20.87%), ${\alpha}$-pinene (17.60%), p-cymene (11.23%), 3-carene (10.40%), trans-anethole (8.47%) and limonene (4.65%) were the major components in the oil. The results tested by MTT assay indicated that the oil showed no cytotoxic effect, at concentrations up to 5%, for less than 3h. The antiradical capacity was evaluated by measuring the scavenging activity of the essential oil on the 2,20-diphenylpicrylhydrazyl (DPPH) and 2,2'-azino-bis 3-ethyl benzothiazoline-6-sulfonic acid (ABTS) radicals. The oil was able to reduce the both radicals dose-dependently, and the concentration required for 50% reduction ($RC_{50}$) against ABTS radicals ($1.6{\pm}0.02%$) was slightly lower than DPPH radicals ($2.6{\pm}0.29%$). The direct contact and vapor-phase antibacterial activity of the oil were also evaluated using disc diffusion method against Staphylococcus aureus, Streptococcus mutans, Listeria monocytogenes, Acinetobacter baumannii, Escherichia coli, and Vibrio parahaemolyticus. All the Gram-negative bacterial strains tested showed more sensibility to the oil than the Gram-positive strains when compare to the effect of gentamycin. On the other hand, the vapor phase of the essential oil against S. aureus exhibited strongest inhibitory effect.

The Effect of Environmental Factors on the Production of Phytoalexin in Papper plant(Capsicum annumm L.) (환경인자가 고추인 생체방어물질 생성에 미치는 영향)

  • 심영은;신동현;이인중;이건주;정규영;정형진
    • Journal of Life Science
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    • v.11 no.6
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    • pp.603-611
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    • 2001
  • Phytolalexins are produced in plants affected by various environmental factors such as fungal infection treatment with many chemicals and irradiation by ultraviolet light. When pepper and tobacco bel suspension cultures were grown on a basal MS medium supplemented with 2,4-D(1mg/$\ell$, benzyl adenine(0.001 mg/$\ell$) and 100$\mu$ M jasmonic acid, the production of capsidiol was observed. The total of compound found in pepper plant were around seventy and thirty of them were located intissue-specific manner. 1-propanethiol, $\alpha$-D-xylofuranoside, phenol, hexadecanonic acid ethyl tridecanoate, phytol, linoleic acid and capsidiol are those which have change the production level by treatments, such as the inoculation of Phytophthora capsici Leonian, the metalaxyl treatment and the UV-B irradiation, respectively. The content of capsidiol on inoculation of P. capsici with metalxyl suspension in soil were higher than those of P.capsici without metalaxyl. When the soil dernch of metalaxyl treatment (1$\mu\textrm{g}$/${mu}ell$)was delayed after inoculation, the content of capsidiol were higher than that of before. Irrradiated UB-B the production on capsidiol was identified only at leaf, and contents were the highest for 24 hrs incubation after 20 minutes irradiation.

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Composting of Paper Mill Sludge by the Addition of Urea (제지슬러지 퇴비화를 위한 요소 첨가효과)

  • Lee, In-Bog;Chang, Ki-Woon
    • Korean Journal of Soil Science and Fertilizer
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    • v.33 no.6
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    • pp.453-462
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    • 2000
  • This study was carried out to know the effect of urea addition for composting of paper mill sludge(PMS). For the purpose. PMSs containing 0%, 1.5%, 3%, and 6% urea were composted at aerated static pile(ASP) for about 80day periods. During the composting, the basic physical, chemical, and biological parameters such as temperature, color. C/N ratio, cation exchange capacity, and phytotoxic test were investigated. From the measurement of the parameters, 0~3% urea-containing PMS except for 6% urea-containing PMS showed to be normally stabilized. Thus among these treatments, 0% and 3% urea-containing PMS were applied at agitated bed system(ABS), a pilot plant of a large scale, to evaluate the possibility of practical use. Considering to the changes of the parameters investigated during composting in ASP and ABS, PMS showed to be successfully stabilized in the two facilities. However, when composted with PMS and urea, even the final PMS compost stabilized for a period enough brought out the bright grayish color. So it may be necessary to add a subsidiary amendments such as animal manure to form brown-colored products.

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Geographical distribution of vectors and sero-strains of tsutsugamushi disease at mid-south inland of Korea (한반도 중남부 내륙지방에서의 쭈쭈가무시병 혈청형과 매개종의 지리적 분포상)

  • 이한일;이인용
    • Parasites, Hosts and Diseases
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    • v.35 no.3
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    • pp.171-180
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    • 1997
  • Studies on geographical distributions and relative population densities of the vector mites of tsutsugamushi disease were carried out in October 1996 at 12 locations of the mid south inland of the Korean peninsula, where chigger mites have been never studied. Of 177 field rodents and insectivores collected. 154 (87.0%) were Apodemus ngrarius. Total 25,707 chigger mites were collected and 14 species were identified. of which Leptotrombidium pnllidum was predominant (79.8%) and L. palpate the next (8.9%) . L. pallidum, the vector species, was widely distributed in all study areas, showing the highest density at Cho-o 2-dong, Sangju-si (chigger index 201.8), and the lowest at Tanwol-dong. Chungiu-si (chigger index 40.7) . The other vector species, L. scutellare was found only at the southern part of the study area such as Yobae and Mipyong, Kumrung gun and Vnsu , Kimchon-si. The northernmost areas of the L. scutellcre distribution were coincided with the areas where actual mean air temperature is above 10.0%. Among 157 A. ograrius sera tested, 48.3% was Karp, 1.7% william and 3.3% Kuroki. The rest of the sera were not able to determine the sexto-type because of the cross antigen-antibody reactions among the tested sero-types.

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Occurrence Ecology and Chemical Control of Soil-flakes in Flood-direct Seeded Rice Field (담수직파(湛水直播)논의 괴불발생(發生) 생태(生態) 및 방제(防除))

  • Park, J.E.;Park, T.S.;Ryu, G.H.;Lee, I.Y.;Lee, H.K.;Lee, J.O.;Kuramochi, H.
    • Korean Journal of Weed Science
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    • v.15 no.1
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    • pp.13-18
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    • 1995
  • This experiment was carried out to investigate occurrence ecology and control of soil-flakes in flood-direct seeded rice field. The occurrence of soil-flakes were inhibited in blue light of 450nm wave length and promoted in red light of 660nm wave length. The diatoms of Pinnularia spp. largely occurred in low fertilizer level and which much more increased when nitrogen was mixed with thinly soil depth. The diatoms of Pinnularia spp. were effectively controlled by carbamate and triazine herbicides when treated in pre-emergence of soil-flakes. Beside, triazine herbicides, simetryne, dimethametryn, prometryne 5g ai/10a showed high control effect in pre and post-emergence of soil-flakes. Expecially, In water-direct seeded rice pyrazosulfuron-methyl molinate simetryne 5.37% GR and dimepiperate bensulfuron dimethametryn 7.643% GR showed high control effect on the soil-flakes when treated at 10 days after seeding and didn't showed rice injury.

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