• Journal of Chest Surgery
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• 제5권1호
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• pp.19-24
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• 1972

The recent development of cardiovascular surgery as well as aortoarteriogaphy has been established excellent operative result with great aid of limb-salvage. However, less consideration or less experience still exists on the regard of vascular accident and vascular disease, as well as vascular surgery in Korea. During the last 13 years, we experienced only two cases of aorto-iliac occlusion,acute and chronic, regardless of having had more than 300 cases of mitral valvotomy and gradual increasing tendency of arteriosclerosis and hypertension in Korea. Therefore it is noteworthy to report the cases in order to promote the consideration for vascular surgery. Case 1; 52 year old female who had 20 years history of mitral stenosis with uricular fibrillation and received medical treatment for recent 1 year in the medical department. 10 days before admission, acute saddle emboli developed and 15 days after the onset, embolectomy through both common femoral arteries on the groin and abdominal approach was made. The progression of emboll to the right popliteal bifurcation was found by arteriography on operating table and retrograde flushing with heparin solution by the polyethylene catheter inserted through posterior tibial artery. The operation was successful, but 9 hours after operation sudden death occurred. Considering this case, first, mitral valvotomy already before might prevent peripheral embolizatlon, secondarily, the more early detection and surgery might also prevent the progression of emboli. Thirdly, although preoperative or postoperatlve heparinization is controversial for mitraI stenosis, heparinization might prevent additional emboli to vital organs in this case Cases 2; 66 year old female who had 4 years history of left hip and calf intermittent claudication and has had rest pain, inability to walk and ischemic necrosis on the the left leg since last 3 months prior to admission to the orthopedic department under the suspicion of herniated disc. Absence of pulsation on the groin and aortography evidenced aortoillac occlusion predominantly on the left side. Thromboendarterectomy was made and the operative result was successful with absence of claudication, healing of ulcer and aortographic patency of occlusive site. This chronic occlusion is considered to result from arteriosclerosis in origin with the evidence of moderate hypertension, x-ray evidence of calcified plaque on the aortic knob and operative finding of palpable plaques.

• 대한미생물학회지
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• 제19권1호
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• pp.55-64
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• 1984

The clinical specimens used in this study were collected during the period from March 4, to December 30, 1983, from children's hospitals in Seoul area. They came from clinically apparent cases of diarrheal disease in hospitals. Many specimens were taken from rectal Swabs. During this period, 2166 stool cultures were streaked onto MacConkey plate and were them deposited in selenite broth. Colonies resembling pathogens on MacConkey medium were picked to KIA, Urea agar, malonate broth, ONPG broth, SIM. Reaction on those media cultures were identified biochemically with using API 20E test kit and confirmed serologically with commercially avabile Salmonella antisera(Difco) or Shigella antisera(Denka, Japan). The sensitivity of Salmonella and Shigella tested to ampicillin cephalosporin, chloramphenicol, colistin, gentamicin, tetracycline, streptomycin, nalidixic acid, neomycin, polymyxin B was performed by means of disc diffusion method recommended by Bauer-Kirby, using the discs prepared in BBL Laboratory. 1. There were 34 (1.6%) isolations of Salmonella cultures and 52(2.4%) isolations of Shigella from the 2,116 specimens. Only 53%of Salmonella were isolated by direct streaking on MacConkey plating media, by contrast, 80% of the Shigella were isolated directly. 2. Shigella flexneri types comprised 56% of the Shigellae isolate from 52 Shigellae identified 24% of Salmonella enteritidis ser typhimurium were identified. 3. Concerning to Salmonella and Shigella occurance according to month and sex, They shows relatively higher for the male than in case of female, and 2-3 age were shown the highest group. 4. October is the month with highest incidences. 5. In the sensitivity patterns of Shigellae, most of them were appeared to be resistant ampicillin, streptomycin, tetracycline, in case of Salmonella, 15% of them were resistant to chloramphenicol.

• 대한물리치료과학회지
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• 제13권4호
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• pp.7-16
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• 2006

The purpose of this study was designed to find out the effectiveness of vertebral segment instability, muscle fatigue response on lumbar spine after apply lumbosacral stabilization exercise program to 4 patients with chronic low back pain and for 12 weeks. In this study, the lumbar spine motion with blind by MedX test machine and the difference of instability to lumbar vertebra segments in flexion, extension test of standing position and spinal load test(Matthiass Test) by Spinal Mouse. The stabilization exercise program was applied 2 times a week for 12 weeks in hospital and 2 times a day for 20 minutes at home. The results of the present study were as follows: 1. Instability test of lumbar vertebra segment is 2 type differential angle test between vertebrae segment and loading test of spine(matthiass) by Spinal Mouse. It appeared to improve stability of segments in sagittal plane after program. So lumbar spine curve increased lordosis toward anterior and was improved of the lumbar spine flexibility in flexion and extension. Specially, in matthiass test, ( - ) value was increased between lumbar vertebra segment when was the load on spine. And so stability improved after program. 2. Fatigue response test(FRT) results, in male, was raised muscle fatigue rate during increase weight, on the other hand female appeared lower than male. As a results, lumbosacral stabilization exercise was aided to improvement of lumbar spine vertebra segments stabilization. Spine instability patients will have a risk when in lifting a load or working with slight flexion posture during the daily of living life and it is probably to increase recurrence rate. Thus, not only lumbar extension muscle strength but also stability of vertebra segments in lumbar spine may be very important.

• 한국정밀공학회지
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• 제22권6호
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• pp.213-221
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• 2005

An insole type local shear force measurement system was developed and local shear stresses in the foot were measured during level walking. The shear force transducer based on the magneto-resistive principle, was a rigid 3-layer circular disc. Sensor calibrations with a specially designed calibration device showed that it provided relatively linear sensor outputs. Shear transducers were mounted on the locations of four metatarsal heads and heel in the insole. Sensor outputs were amplified, decorded in the bluetooth transmission part and then transferred to PC. In order to evaluate the developed system, both shear and plantar pressure measurements, synchronized with the three-dimensional motion analysis system, were performed on twelve young healthy male subjects, walking at their comfortable speeds. The maximum peak pressure during gait was 5.00kPa/B.W at the heel. The time when large local shear stresses were acted correlated well with the time of fast COP movements. The anteroposterior shear was dominant near the COP trajectory, but the mediolateral shear was noted away from the COP trajectory. The vector sum of shear stresses revealed a strong correlation with COP movement velocity. The present study will be helpful to select the material and to design of foot orthoses and orthopedic shoes for diabetic neuropathy or Hansen disease.

• Journal of Korean Neurosurgical Society
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• 제30권sup2호
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• pp.322-327
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• 2001

Objectives : There are many kinds of method to evaluate neural decompression during operation. They are direct visual and manual inspection, intraoperative ultrasound, endoscope, intraoperative computed tomography and intraoperative myelography. We used intraoperative myelography to evaluate the proper decompression of neural elements during the decompressive surgery. Methods : We injected 10-20cc of nonionic water-soluble contrast materials through direct puncture site of exposed dura during operation or lower lumbar level or lumbar drain inserted preoperatively. 12 patients were included in this study. They were 7 patients of centrally herniated lumbar disc disease, 1 patient of multiple lumbar spinal stenosis, 2 patients of thoracic extradural tumor and 2 cervical fracture & dislocations. Results : 5 of 12 patients showed remained neural compression through intraoperative myelography, so they were operated further through other approach. Myelographic dye is heavier than CSF, so the dependent side of subarachnoid space was visualized only. In one case, CSF leakage through hemovac was detected, but it was treated only bed rest for 5 days after hemovac removal. Conclusion :Intraoperative myelography is an effective method to evaluate neural decompression during spinal surgery. This technique is easy and familiar to us, neurosurgeons.

• 생약학회지
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• 제50권3호
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• pp.191-197
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• 2019

Sepsis, an infectious disease, is a life-threatening condition that arises when the response to infection causes injury to tissues and organs. The purpose of this study was to demonstrate whether ABHC-1 and ABHC-2, two functional extracts from herbal complex, have an anti-bacterial effect against Escherchia coli in vivo, in vitro experimental model. ABHC-1 and ABHC-2 showed the antibacterial activity against the bacteria by paper disc method. The minimum inhibitory concentration (MIC) was measured using alamar blue reagent. The MIC was shown at $60{\mu}g/ml$ from ABHC-1 and $500{\mu}g/ml$ from ABHC-2 against E. coli. We next examined the effect of ABHCs on the production of inflammatory cytokine, such as tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$), which is related to the induction of inflammation, in RAW 264.7 cell. ABHC-1 and ABHC-2 increased $TNF-{\alpha}$ production of RAW 264.7 cell in a dose-dependent manner while two extract decreased $TNF-{\alpha}$ production in lipopolysaccharide (LPS)-stimulated RAW 264.7 cell in a dose-dependent manner. At a dose of $1{\times}10^8$ E. coli. i.p., non-treated mice were succumbed, while most of mice treated with ABHC-1 were survived. Therefore, our results suggest that ABHC-1 has anti-bacterial activity and can be a novel therapeutic agent against infectious diseases.

• 대한정형외과학회지
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• 제55권3호
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• pp.261-265
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• 2020

요추 후관절 주위 낭종은 신경근을 누름으로써 요통과 방사통, 신경성 파행을 일으킬 수 있는 드문 질환이다. 34세 남자가 심한 요통 및 우측 하지 방사통을 호소하였다. 자기공명영상에서 척추관 내에서 제3-4번 요추 추간판과 제4번 요추체 후면까지 우측으로 위치한 낭종이 보였다. 영상증폭기 감시하에서 주사 바늘 흡인을 시행하여 1.5 ml의 장액성의 노란 액체가 흡인되었다. 흡인 치료 후, 증상들이 즉각적으로 소실되었다. 자기공명영상 추시 촬영에서 낭종의 재발소견이 보이지 않았다. 저자들이 아는 한 국내에서는 요추 후관절 주위 낭종에 대한 직접적 바늘 흡인 치료에 대한 보고가 전혀 없기에 이 증례를 문헌 고찰과 함께 보고하는 바이다.

• Journal of Acupuncture Research
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• 제40권3호
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• pp.252-264
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• 2023

Background: The primary aim of this study is to statistically analyze and compare the difference in treatment outcomes based on the frequency and duration of acupotomy treatment for lumbar disk herniation. Methods: The evaluation of efficacy and safety involved using visual analog scale (VAS), numeric rating scale (NRS), Roland Morris disability questionnaire (RMDQ), EuroQol 5-dimention (EQ-5D), and similar parameters. This was achieved through the establishment of a comparable cohort using propensity score matching. Group A comprised 46 patients who underwent 4 sessions of acupotomy treatment for 2 weeks, while Group B consisted of 15 patients who received 6 acupotomy sessions for 3 weeks. Results: For Group A, the average amount of change in VAS values at weeks 4 and 6 was significantly decreased. However, the average amount of change in RMDQ values was not significant. Notably, the average amount of change of EQ-5D values at week 6 increased significantly. As for Group B, the average amount of change of NRS values in weeks 2 and 3 was significantly decreased. Conversely, the average amount of change in RMDQ and EQ-5D values was not significant. In comparing the 2 groups at the final follow-up, the average amount of change in all evaluation values was not significant. Further, no significant interaction effect was observed in the changes over time in all evaluation values between the 2 groups. Conclusion: This study establishes that there was no statistically significant difference in pain reduction, functional impairment, and quality of life improvement between 2 group.

• 한국미생물·생명공학회지
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• 제45권3호
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• pp.250-256
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• 2017

제주도 육상 양식장에서 주로 발생하는 어류 질병세균인 Edward tarda, Streptococcus parauberis, Photobacterium phosphoreum에 대한 피해를 줄이고 치료하고자 해양유래 미생물을 이용하고자 한다. 본 연구진은 제주 지역 4개 해역에서 해양유래 미생물을 8종 분리하였다. 분리 된 해양유래 미생물을 이용하여 항생제 디스크에 대한 감수성 확인을 한 결과, Oxytetracycline과 penicillin에서만 약한 내성을 보일 뿐 나머지 항생제 디스크에 대해선 감수성을 보였다. 해양 유래 미생물을 이용하여 어류질병에 대한 항균활성을 확인한 결과 E. tarda에 대해선 MD-02, MD-04, MD-06이 각각 22 mm, 18 mm, 19 mm의 억제환이 나타났다. S. parauberis에 대해선 MD-01, MD-02, MD-04, MD-06이 각각 19 mm, 22 mm, 30 mm, 29 mm의 억제환이 나타났으며, P. Phosphoreum에 대해선 모든 해양 유래 미생물에서 항균활성을 보였다. 이 중 어류질병세균에 대하여 항균활성이 가장 좋으며 항생제에 감수성을 보이는 B. subtilis MD-02를 최종 선정하였다. B. subtilis MD-02의 배지조성은 탄소원에서는 Dextrine, 질소원에서는 Peptone, 무기염에서는 $MgSO_4{\cdot}7H_2O$에서 생육이 가장 활발한 것을 확인하였다. 이에 따라 해양에서 분리된 B. subtilis MD-02는 어류질병균주에 대한 항균활성을 가지는 동시에 향후 치료제로써의 가치가 있다고 사료된다.

• 대한핵의학회지
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• 제35권6호
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• pp.371-377
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• 2001

목적: 요통을 호소하는 암환자에서 골스캔을 시행하여 척추골의 섭취증가를 보이는 경우, 골전이와 양성 골질환의 구분이 모호한 경우가 많다. 이에 척추골 SPECT를 추가로 시행하는 것이 악성과 양성 골질환을 감별하는데 도움이 되는지 알아보고자 섭취양상을 분석하였다. 대상 및 방법: 3년간 척추골 SPECT를 시행한 108명의 환자중 SPECT에서 이상 섭취 병변을 보이고 임상적으로 추적이 가능하였던 45명의 환자의 67개의 병변의 척추골 SPECT소견을 다음과 같이 구분하고 임상소견 및 방사선학적 소견과 비교하였다. 1. 척추체: A. 전반적인 섭취증가, B. 추간판에 연한 선상의 섭취증가, C. 냉소의 동반, D. 분절상 섭취증가, 2. 척추후면체 A. 척추체 후면(lamina, pedicle 등), B. 추간판후면(후관절 등), C 극돌기 결과: 골전이 병변(18)은 척추체의 냉소동반(6), 분절상 섭취증가(5)가 특징적이었으며, 퇴행성변화(28)는 추체연의 선상 섭취증가(12), 추간판후면의 후면체 섭취증가(15), 압박골절(21)은 전반적인 척추체 섭취증가(9) 및 추체연의 섭취증가(9), 냉소동반(1), 분절상 섭취증가(1)와 극돌기의 섭취증가(3)을 보였다. 결론: 척추골 SPECT의 섭취증가 양상은 냉소동반, 분절상 섭취증가를 보이는 경우에 골전이 병변의 가능성이 크지만 압박골절에서도 같은 소견을 보일 수 있으므로 주의하여야 할 것이며, 퇴행성 질환은 특징적인 소견을 보이므로 감별이 가능하였다. 그러므로 골스캔 후 척추골 섭취 이상이 있는 암환자에서 추가 SPECT검사가 도움이 될 것으로 생각된다.